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OncoMatch/Clinical Trials/NCT05188859

First Line Sintilimab Combined With Anlotinib and Platinum Doublet Chemotherapy in Malignant Pleural Mesothelioma

Is NCT05188859 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Sintilimab+Anlotinib+Pemetrexed+Cisplatin for mesothelioma, malignant.

Phase 2RecruitingCancer Institute and Hospital, Chinese Academy of Medical SciencesNCT05188859Data as of May 2026

Treatment: Sintilimab+Anlotinib+Pemetrexed+CisplatinThis study is a single-arm, open-lable, single-center phase II clinical trial for patients with advanced or metastatic pleural mesothelioma. The aim of this study was to observe and evaluate the efficacy and safety of Sintilimab combined with Anlotinib hydrochloride and platinum-containing dual-agent chemotherapy as first-line therapy in malignant pleural mesothelioma.

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Extracted eligibility criteria

Cancer type

Mesothelioma

Disease stage

Required: Stage IIIB, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-PD-1 therapy

Previous usage of the following treatments: anti-PD-1, anti-PD-L1 or anti-PD-L2 drugs, for another stimulating or synergistic inhibition of T cell receptors (for example, CTLA-4, OX-40, CD137) drug

Lab requirements

Blood counts

ANC ≥ 1.5x10^9/L (no G-CSF in past 14 days); platelets ≥ 100x10^9/L (no transfusion in past 14 days); hemoglobin > 9g/dL (no transfusion or erythropoietin in past 14 days)

Kidney function

Serum creatinine ≤ 1.5 × ULN and creatinine clearance (Cockcroft-Gault) ≥ 60ml

Liver function

Total bilirubin ≤ 1.5 × ULN (if total bilirubin > 1.5 × ULN but direct bilirubin ≤ ULN is also allowed); AST and ALT ≤ 2.5 × ULN (≤ 5 × ULN with liver metastasis)

Cardiac function

Myocardial enzyme spectrum within normal range (if no clinical significance of simple lab abnormalities, can be included)

For adequate organ function, the patients need to meet the following laboratory indexes: 1. the absolute value of neutrophils (ANC) ≥ 1.5x109/L without granulocyte colony stimulating factor in the past 14 days. 2. in the last 14 days without blood transfusion, the platelet count was ≥ 100x109/L. 3. in the absence of blood transfusion or the use of erythropoietin in the past 14 days, hemoglobin > 9g/dL; 4. Total bilirubin ≤ 1.5 × ULN; for example,if total bilirubin > 1.5 × ULN but direct bilirubin ≤ ULN is also allowed to enter the group 5. aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 × ULN (patients with liver metastasis allow ALT or AST ≤ 5 × ULN). 6. Serum creatinine ≤ 1.5 × ULN and creatinine clearance (calculated by Cockcroft-Gault formula) ≥ 60ml; 7. Coagulation function is good, defined as international standardized ratio (INR) or prothrombin time (PT) ≤ 1.5 times ULN; 8. Normal thyroid function is defined as thyroid stimulating hormone (TSH) within the normal range. If the baseline TSH is beyond the normal range, subjects with total T3 (or FT3) and FT4 within the normal range can also be enrolled. 9. Myocardial enzyme spectrum is within the normal range (if the researchers comprehensively judge that there is no clinical significance of simple laboratory abnormalities can also be included in the group); (optional)

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