Last year in the UK over 60,000 cancer patients enrolled on clinical trials aimed at improving cancer treatments and making them available to all.
A trial looking at vinorelbine for people with advanced pleural mesothelioma (VIM)
A trial for people with mesothelioma that started in the lining of the lungs (pleura) and that has continued to grow despite treatment (advanced cancer).
It is for people who have had treatment that reached the whole body (
Cancer Research UK supports this trial.
More about this trial
Mesothelioma can start in lining of the lungs or the
Pleural mesothelioma can be treated with chemotherapy. But sometimes the cancer can continue to grow or spread to other parts of the body. This is called advanced cancer.
Vinorelbine (also called Navelbine) is a chemotherapy drug from a group called
Other treatment for advanced pleural mesothelioma is active symptom control. This includes:
- blood transfusions
- high calorie drinks
In this trial, people have either active symptom control or active symptom control and vinorelbine.
The aims of this trial are to:
- find how well vinorelbine work as a treatment
- learn more about side effects
Who can enter
The following bullet points list the entry conditions for this trial. Talk to your doctor or the trial team if you are unsure about any of these. They will be able to advise you.
You may be able to join this trial if all of the following apply. You:
- Have pleural mesothelioma that has grown or spread into another part of the body
- Have had at least 1 type of chemotherapy that contained a platinum drug (such as cisplatin or carboplatin)
- Have a sample of cancer (
biopsy) available from when you were diagnosed (the trial team will check this)
- Have satisfactory blood tests results
- Have at least 1 area of cancer that can be seen and measured on a scan
- Are well enough to carry out your normal activities, apart from heavy physical work (performance status of 0 or 1)
- Are able to swallow tablets
- Are willing to give samples of blood and cancer tissue for research
- Are at least 18 years old
- Are willing to use reliable contraception during treatment and for 3 months after the final dose of vinorelbine if there is any possibility you or your partner could become pregnant.
You cannot join this trial if any of these apply. You:
- Have cancer that has spread to the brain or spinal cord (CNS) that is not being controlled by any treatment
- Have had another cancer apart from successfully treated cancer of the prostate, cervix, basal cell skin cancer and early bladder cancer
- Have had vinorelbine or any other vinca alkaloid chemotherapy
- Have had radiotherapy to the area where the doctors will measure your cancer in the past 4 weeks
- Have had treatment with a drug that isn’t
licensedin the past 30 days
- Have had a
live vaccinein the last 30 days
- Are known to be sensitive to vinorelbine, any other vinca alkaloid drug or anything it contains
- Have problems with your
digestive systemthat could affect you swallowing or absorbing tablets
- Have serious problems with your liver such as hepatic insufficiency
- Have problems with your lungs and need
- Have had surgery to remove part of your stomach or small bowel
- Are pregnant or breast feeding
This is a phase 2 trial. The researchers need about 200 people across the UK to take part.
This trial is randomised. The people taking part are put into 1 of the following treatment groups by computer:
- active symptom control
- active symptom control and vinorelbine
Neither you nor your doctor are able to decide which group you are in.
You are 2 times more likely to have active symptom control and vinorelbine than active symptom control alone.
Active symptom control
You have treatment to help control symptoms and keep you as well as possible, for as long as possible.
The treatments you have depend on your symptoms. Your doctor can give you more information on the type of treatments you might have.
You continue to have active symptom control even if your cancer gets worse.
Active symptom control and vinorelbine
As well as any treatment to help control symptoms you have vinorelbine capsules once a week. The dose you have depends on your weight.
You take them with plenty of water and with something to eat. You swallow the capsules whole.
You continue to have vinorelbine for as long as it is helping you and the side effects aren’t too bad.
If your cancer gets worse you stop taking vinorelbine, but continue to have active symptom control.
You have some extra blood tests as part of this trial. The researchers want to look for substances called
- understand who benefits the most from vinorelbine
- look for changes in the BRCA1
You have blood tests before you start your treatment and if your cancer gets worse. This is called translational research.
The trial team may ask to use a sample of your cancer taken when you were diagnosed to look for biomarkers. This is part of the translational research.
If there is not a suitable sample available, they ask you to have one taken (a biopsy).
If you have active symptom control and vinorelbine, researchers may ask you to have a new tissue sample if your cancer gets worse.
You do not need to agree to this research if you don’t want to. You can still take part in the trial.
You see a doctor and have some tests before taking part. These tests include:
- a physical examination
- blood tests
You might also have a CT scan and a chest X-ray.
During the trial, you see the trial doctor for blood tests and a physical examination every 3 weeks.
If you have active symptom control and vinorelbine you also have blood tests every week. You may be able to go to your GP for this.
You have a CT scan every 6 weeks. This continues as long as your cancer stays the same and does not get worse. If your cancer gets worse, you see the trial team after 30 days and then regularly for up to 1 year.
The trial team monitor you during the time you have treatment and you will be given a phone number to call them if you are worried about anything. The team will tell you about all the possible side effects before you start the trial.
The most common side effects of vinorelbine are:
- tiredness (fatigue)
- feeling or being sick
- loss of appetite
- diarrhoea or constipation
- a drop in white blood cells (causing an increased risk of infection)
- a drop in
red blood cells(anaemia)
- a sore mouth (or mouth ulcers)
- numbness and tingling in fingers and toes (peripheral neuropathy)
- a high temperature (fever)
We have more information on vinorelbine.
How to join a clinical trial
Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.
Professor Dean Fennell
Cancer Research UK
Experimental Cancer Medicine Centre (ECMC)
Pierre Fabre Ltd, UK
University of Leicester
Wales Cancer Trials Unit (WCTU)