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OncoMatch/Clinical Trials/NCT05765084

Integration of the PD-L1 Inhibitor Atezolizumab and WT1/DC Vaccination Into Platinum/Pemetrexed-based First-line Treatment for Epithelioid Malignant Pleural Mesothelioma

Is NCT05765084 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Dendritic cell vaccination and Atezolizumab for malignant pleural mesothelioma.

Phase 1/2RecruitingUniversity Hospital, AntwerpNCT05765084Data as of May 2026

Treatment: Dendritic cell vaccination · Atezolizumab · Platinum/pemetrexed based chemotherapyIn this multicenter phase I/II trial, the programmed death-ligand 1 (PD-L1) inhibitor atezolizumab and dendritic cells (DCs) loaded with the mesothelioma-associated tumor antigen WT1 will be integrated into platinum/pemetrexed-based first-line chemotherapy for the treatment of epitheloid malignant pleural mesothelioma (MPM). The general objective is to provide the first-in-human experimental demonstration that the combination of platinum/pemetrexed-based chemotherapy with atezolizumab and WT1/DC vaccination is feasible and safe, has clinical activity and enables the induction of mesothelioma-specific immune responses in patients with MPM.

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Extracted eligibility criteria

Cancer type

Mesothelioma

Disease stage

Required: Stage I, II, III, IV

Performance status

WHO 0–1

Prior therapy

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

Cannot have received: any treatment for MPM

Prior treatment for MPM

Cannot have received: CD137 agonist

Prior treatment with CD137 agonists

Cannot have received: immune checkpoint blockade therapy

Prior treatment with immune checkpoint blockade therapies, including anti-CTLA-4, anti-PD-1, and anti-PD-L1 therapeutic antibodies

Lab requirements

Blood counts

ANC ≥ 1.5 x 10^9/L (1500/μL) without G-CSF; lymphocyte count ≥ 0.5 x 10^9/L (500/μL); platelet count ≥ 100 x 10^9/L (100,000/μL) without transfusion; hemoglobin ≥ 90 g/L (9 g/dL), may be transfused

Kidney function

creatinine ≤ 1.5 x ULN

Liver function

AST, ALT, ALP ≤ 2.5 x ULN (≤ 5 x ULN with liver/bone metastases); total bilirubin ≤ 1.5 x ULN (≤ 3 x ULN with Gilbert disease); albumin ≥ 25 g/L (2.5 g/dL)

Adequate hematologic and end-organ function, defined by the following laboratory test results, obtained at the time of screening: ... (see full criteria above)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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