Clinical trial Recruiting at 4 sites Observational Ages 18 and up

Comprehensive molecular and immune profiling for malignant pleural mesothelioma

Official title: Multidimensional Omics and Functional Approaches to Improve Immunotherapy Efficacy in Malignant Pleural Mesothelioma

Run by Azienda USL Reggio Emilia - IRCCS · NCT07561190 · Data updated 2026-11-12

This project will test whether detailed molecular and immune profiling of tumors from adults with malignant pleural mesothelioma can find biomarkers to better guide immunotherapy.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment300 (estimated)
SponsorAzienda USL Reggio Emilia - IRCCS
Government
Drugs / interventionschemotherapy, immunotherapy
Locations4 sites (Catania and 3 other locations)
StatusRecruiting
StartedAugust 30, 2024
Main results expectedAugust 30, 2024
Study endsFebruary 28, 2027
Registry record updatedMay 1, 2026
Trial IDNCT07561190 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (over 18) with a histologically confirmed diagnosis of malignant pleural mesothelioma who can give informed consent and provide tumor or blood samples—including those eligible for the HITOCH protocol cohort—are the intended participants.

Probably not a fit

People with active infections, uncontrolled autoimmune disease, pregnant individuals, or those unable to provide the required biological material are unlikely to benefit from or be eligible for participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational project will collect tumor tissue and blood from adults with histologically confirmed malignant pleural mesothelioma at three Italian academic hospitals and apply multidimensional omics (genomics, transcriptomics, proteomics, and immune profiling) to map the tumor-immune ecosystem. High-resolution single-cell and spatial analyses will characterize tumor-infiltrating immune cells and their interactions with cancer cells. Molecular and immune data will be integrated with clinical information to search for prognostic and predictive biomarkers linked to response to immune checkpoint inhibitors and disease course. The ultimate aim is to generate tools that could help optimize the use of immunotherapies and guide future combination approaches.

Why it matters

Potential benefit: If successful, this work could identify biomarkers that help doctors personalize immunotherapy and improve outcomes and quality of life for people with MPM.

How similar studies have gone: Previous immune-profiling and biomarker studies in MPM and other solid tumors have suggested candidate markers but have not produced widely validated predictors, so applying an integrated multidimensional omics approach in MPM is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participant is willing and able to give informed consent for participation in the study
* Aged \> 18 years
* Patients with histologically confirmed diagnosis of MPM
* Availability of biological material
* Clinical indicatio of eligibility for HITOCH protocol (only for C3 cohort)

Exclusion Criteria:

* Active current infection
* Autoimmune disease
* Women in childbearing age not able to exclude pregnancy

Where it's running

  • Azienda Ospedaliera Universitaria Policlinico Rodolico San Marco di Catania
    Catania, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Luigi Vanvitelli, Napoli
    Naples, Italy
    Recruiting
  • Azienda USL IRCCS di Reggio Emilia
    Reggio Emilia, Italy
    Recruiting
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS
    Roma, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.