Study of Iparomlimab and Tuvonralimab Plus Chemotherapy in Malignant Mesothelioma

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorNational Cancer Center, China

About this trial

This clinical trial aims to investigate the effectiveness and safety of a new treatment combination-Iparomlimab and Tuvonralimab (QL1706, a dual-function antibody targeting PD-1 and CTLA-4) combined with chemotherapy-for patients with malignant mesothelioma (MM). MM is a rare and aggressive cancer often linked to asbestos exposure. Current treatments have limited success, and this study seeks to explore a potentially more effective and safer option.

Study Design:

Phase Ib (Safety Phase): 6 patients will receive the combination therapy to assess safety. If no major safety issues arise, the study will proceed to Phase II.

Phase II (Efficacy Phase): 49 patients will be enrolled to evaluate treatment effectiveness. The study includes two groups for first-line treatment and second-line treatment.

Eligibility criteria

Qualifiers

Subjects must provide informed consent prior to initiating any study-specific procedures.

Male or female subjects aged ≥18 and ≤75 years.

Histologically/cytologically confirmed malignant mesothelioma (MM), including malignant pleural mesothelioma (PM) and malignant peritoneal mesothelioma (PeM).

Subjects with MM unsuitable for radical resection and/or radiotherapy per AJCC 8th Edition.

Disqualifiers

Prior CTLA-4 inhibitors prohibited; prior PD-1/PD-L1 allowed unless discontinued for immune toxicity

Immunomodulators within 14 days (e.g., thymosin, interleukin-2, interferon)

Significant cardiovascular history within 6 months

Trial design

Treatments tested in this trial

  • iparomlimab and tuvonralimab (Dual PD-1/CTLA-4 blockade) + chemotherapy

Treatment groups

55 Participants
are divided into 1 treatment group

Locations

This trial has no locations

Sponsors and collaborators

National Cancer Center, China

Lead sponsor

Qilu Pharmaceutical Co., Ltd.

Collaborator

Affiliated Cancer Hospital of Zhengzhou University

Collaborator

Beijing Chest Hospital, Capital Medical University

Collaborator

The Affiliated Hospital of Inner Mongolia Medical University

Collaborator

Shaanxi Provincial Cancer Hospital

Collaborator