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OncoMatch/Clinical Trials/NCT07121374

NEoadjuvant Chemotherapy and Immunotherapy for a Selected Group of Inoperable Pleural Mesothelioma Patients (NECIM): a Feasibility Study

Is NCT07121374 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies Neoadjuvant chemo-immunotherapy for pleural epithelioid mesothelioma.

Phase 1/2RecruitingUniversity Hospital, AntwerpNCT07121374Data as of May 2026

Treatment: Neoadjuvant chemo-immunotherapyThe goal of this clinical trial is to evaluate whether a combination of chemotherapy and immunotherapy can make surgery possible in adults with inoperable pleural mesothelioma (a type of cancer affecting the lung lining). The main questions it aims to answer are: Can two cycles of neoadjuvant chemotherapy and dual immunotherapy, followed by surgery, be completed safely and effectively? Does this treatment allow previously inoperable patients to become eligible for surgery and improve survival outcomes? Participants will: Receive two cycles of chemotherapy (cisplatin or carboplatin and pemetrexed) Receive dual immunotherapy (nivolumab and ipilimumab) Undergo evaluation by a multidisciplinary team to determine if surgery is possible If operable, undergo extended pleurectomy/decortication surgery Be followed for one year to assess side effects, quality of life, and survival

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Extracted eligibility criteria

Cancer type

Mesothelioma

Disease stage

Excluded: Stage SOME T3, ALL T4

cT2-3 N0-1 M0 according to UICC TNM 9 and considered inoperable by the Multidisciplinary Tumor Board ... Exclusion: TNM 9 criteria (T1) or inoperable PM patients who will not have a chance to become operable after neoadjuvant treatment according to TNM 9 criteria (some T3, all T4, N2-3, M1)

Performance status

WHO 0–1

Prior therapy

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

Cannot have received: chemotherapy

Cannot have received: immunotherapy

Cannot have received: surgery

Exception: diagnostic thoracoscopy

Cannot have received: radiation therapy

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

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