Immune Microenvironment and Gene Expression Profiling in Mesothelioma

NCT ID: NCT06581549

Last Updated: 2025-09-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

220 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-02

Study Completion Date

2026-12-31

Brief Summary

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Pleural and peritoneal mesotheliomas (PPM) are rare cancers mostly related to asbestos-exposure, which are characterized by a complex histopathological diagnosis and staging, few therapeutic options and a dismal prognosis. The main unmet medical need in PPM is the lack of a treatment sequence for affected patients. The advent of immune checkpoint inhibitors has changed the first line treatment of PPM, thanks to the improvement in survival achieved by the combination of ipilimumab and nivolumab that are currently approved for non-epithelioid histology in our Country.

PPM is characterized by a large heterogeneity of the genomic landscape, which is mainly characterized by the loss of tumour suppressor genes and mutations in DNA repair genes and by an "altered- suppressed" or "excluded" tumor immune microenvironment (TIME).

The goal of this project is to improve the immune-biological and molecular stratification of PPM subgroups that can lead to the identification of different personalized treatment approaches. PPM patients (N=220) will be retrospectively (N=150) and prospectively (N=70) recruited from the coordinator center and 6 participating Italian centers. Treatment-naïve tumor samples will be collected and analyzed by bulk gene expression and spatial whole transcriptome analysis, and by 9-color multiplex immunofluorescence.

New targets or actionable pathways potentially emerging from such studies will be finally assessed and validated in patient-derived organoids/xenografts that accurately reflect PPM tumorigenesis.

Detailed Description

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Conditions

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Mesothelioma Mesotheliomas Pleural Mesothelioma; Lung

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Interventions

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Translation analysis

Bulk GEP analysis, Spatial whole transcriptome analysis, mIF analysis of tumors

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with Mesothelioma of the Pleura and Peritoneum
* Age greater than 18 years of age
* Patients undergoing surgery will require both biopsy and surgical sampling material
* Pathologist's confirmation of the presence of tumor sections in the excised specimens
* Patients in follow-up from active cancer treatment for at least 6 months

Exclusion Criteria

* Inadequacy of biological material for analysis under study
* Patients not amenable to active oncologic treatment
* Patients lost to follow-up before 6 months after the end of active oncologic treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Istituto Oncologico Veneto IRCCS

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giulia Pasello, MD

Role: PRINCIPAL_INVESTIGATOR

Istituto Oncologico Veneto IOV IRCCS

Locations

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Istituto Clinico Humanitas

Rozzano, Milano, Italy

Site Status RECRUITING

Centro di Riferimento Oncologico (CRO) IRCCS

Aviano, Pordenone, Italy

Site Status RECRUITING

Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo

Alessandria, , Italy

Site Status RECRUITING

Asst Papa Giovanni Xxiii Bergamo

Bergamo, , Italy

Site Status RECRUITING

Ircss Ospedale Policlinico San Martino

Genova, , Italy

Site Status RECRUITING

Asst Grande Ospedale Metropolitano Niguarda-Milano

Milan, , Italy

Site Status RECRUITING

Fondazione Ircss Istituto Nazionale Dei Tumori Di Milano

Milan, , Italy

Site Status RECRUITING

Istituto Oncologico Veneto

Padua, , Italy

Site Status RECRUITING

Azienda Ospedaliera-Universitaria di Parma

Parma, , Italy

Site Status RECRUITING

Azienda Ospedaliera Universitaria Integrata Verona

Verona, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Giulia Pasello, MD

Role: CONTACT

0498215608

Gian Luca De Salvo, MD

Role: CONTACT

0498215704

Facility Contacts

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Paolo Andrea Zucali, Prof

Role: primary

Alessandro Del Conte, MD

Role: primary

Federica Grosso, MD

Role: primary

Anna Cecilia Bettini, MD

Role: primary

Chiara Dellepiane, MD

Role: primary

Diego Signorelli, MD

Role: primary

Mario Occhipinti, MD

Role: primary

Giulia Pasello, MD

Role: primary

0498215608

Marcello Tiseo, Prof

Role: primary

Jessica Menis, MD

Role: primary

Other Identifiers

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Imaging-Meso study

Identifier Type: -

Identifier Source: org_study_id

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