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Medical Research Council (MRC)/British Thoracic Society (BTS) phase II feasibility trial of the management of mesothelioma
ISRCTN ISRCTN54469112
DOI 10.1186/ISRCTN54469112
ClinicalTrials.gov identifier NCT00075699
EudraCT number
Public title Medical Research Council (MRC)/British Thoracic Society (BTS) phase II feasibility trial of the management of mesothelioma
Scientific title
Acronym MESO-1
Serial number at source E164/44
Study hypothesis The incidence of mesothelioma is rising rapidly in the UK. There is no generally accepted standard treatment. The British Thoracic Society (BTS) recommends active symptom control (ASC). It is not known whether chemotherapy in addition prolongs survival or provides worthwhile palliation with acceptable toxicity.

The aim of the present study was to assess the acceptability of the trial design to patients and the suitability of two standard quality of life (QL) questionnaires for mesothelioma.
Lay summary
Ethics approval Multicentre Research Ethics Committees (MREC) approval of the protocol was obtained. Confirmation of Local Research Ethics Committee’s (LREC) approval was required before a centre could start registering patients
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Mesothelioma
Participants - inclusion criteria 1. Microscopically and immunohistochemically confirmed malignant mesothelioma including epithelial and other histological types
2. Any symptomatic pleural effusion treated and brought under control before trial entry
3. Computed tomography (CT) scan to be performed within a month prior to randomisation
4. Patients who have undergone surgical resection of mesothelioma are eligible provided two CT scans, six weeks apart show stable or progressive disease
5. No previous chemotherapy for mesothelioma
6. No other disease or previous malignancy
7. World Health Organization (WHO) performance status zero to two
8. Medically fit to receive chemotherapy
9. Quality of life (QOL) forms completed
10. Signed informed consent
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/09/2000
Anticipated end date 31/08/2003
Status of trial Completed
Patient information material
Target number of participants 120
Interventions Three Arms:
1. Active symptom control (ASC) only
2. ASC and mitomycin (8 mg/m^2), vinblastine (6 mg/m^2) and cisplatin (50 mg/m^2) every 21 days for four cycles
3. ASC and vinorelbine six weekly injections (30 mg/m^2) followed by a two week interval and a further course of six weekly injections
Primary outcome measure(s) The outcome measures were:
1. The acceptability of the study design to patients
2. Suitability of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and EORTC Lung Cancer 13-item module (LC13) and Functional Assessment of Cancer Therapy - Lung (FACT-L) QOL questionnaires for mesothelioma
3. Palliation
Secondary outcome measure(s) No secondary outcome measures
Sources of funding Medical Research Council (UK)
Trial website http://www.ctu.mrc.ac.uk/studies/MESO_1.asp
Publications Results:
1. Feasibility study results: http://www.ncbi.nlm.nih.gov/pubmed/14760156
2. Main trial results: http://www.ncbi.nlm.nih.gov/pubmed/18486741
Contact name Dr  Martin F  Muers
  Address Respiratory Unit
Leeds General Infirmaty
Great George Street
  City/town Leeds
  Zip/Postcode LS1 3EX
  Country United Kingdom
  Tel +44 (0)113 243 2799
  Email
Sponsor Medical Research Council (MRC) (UK)
  Address 20 Park Crescent
  City/town London
  Zip/Postcode W1B 1AL
  Country United Kingdom
  Tel +44 (0)20 7636 5422
  Fax +44 (0)20 7436 6179
  Email clinical.trial@headoffice.mrc.ac.uk
  Sponsor website: http://www.mrc.ac.uk
Date applied 21/09/2000
Last edited 21/05/2008
Date ISRCTN assigned 21/09/2000
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