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A malignant neoplasm that arises from mesothelial cells in the pleura and shows a diffuse growth pattern. It arises on the parietal and sometimes visceral pleura as multiple small nodules that later become confluent and invade the chest wall adipose tissue and muscle. Asbestos exposure is the main cause for the development of pleural malignant mesothelioma. It usually affects patients over sixty years of age. The latency period is long. Patients usually present with pleural effusion, dyspnea and chest wall pain. Additional signs and symptoms include chills, sweating, weight loss, and weakness. Morphologic variants include epithelioid, desmoplastic, sarcomatoid, and biphasic mesothelioma. The clinical course is usually aggressive.
Biomarker and diagnostic research for malignant pleural mesothelioma has been reported in the published literature.
1 FDA-approved treatment is available for malignant pleural mesothelioma, including PEMETREXED DISODIUM (ALIMTA, approved 2004). An additional 1 compound holds orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
52 clinical trials registered, 23 recruiting. Interventions under study include drug therapy, other interventions, biologic therapy, and procedural interventions. Pipeline includes 1 PHASE3, 14 PHASE2, 21 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT04400539](https://clinicaltrials.gov/study/NCT04400539) |
Data assembled from 4 of 12 sources · Last updated Nov 3, 2026, 6:00 AM UTC
PEMRYDI RTU |
PEMETREXED DISODIUM |
— |
2023 |
Available |
PEMETREXED | PEMETREXED DISODIUM | — | 2022 | Available |
ALIMTA | PEMETREXED DISODIUM | — | 2004 | Available |
The following drugs have received orphan drug designation from the FDA for malignant pleural mesothelioma. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Arenegyr | Arenegyr | MolMed S.p.A. | 2008 | — | Designated |
Gene therapy approaches for malignant pleural mesothelioma have been reported in the published literature.
52 trials found
The IMmunotherapy Pleural 5-ALA PDT |
PHASE2 |
University Hospital, Lille |
RECRUITING |
[NCT06756035](https://clinicaltrials.gov/study/NCT06756035) | CT-95 in Advanced Cancers Associated With Mesothelin Expression | PHASE1 | Context Therapeutics Inc. | RECRUITING |
[NCT05538806](https://clinicaltrials.gov/study/NCT05538806) | TTFields in General Routine Clinical Care in Patients With Pleural Mesothelioma Study | — | NovoCure Ltd. | RECRUITING |
[NCT06726564](https://clinicaltrials.gov/study/NCT06726564) | A Study of MT027 in Patients with Pleural Malignant Tumors | PHASE1 | Suzhou Maximum Bio-tech Co., Ltd. | RECRUITING |
[NCT05107674](https://clinicaltrials.gov/study/NCT05107674) | A Study of NX-1607 in Adults With Advanced Malignancies | PHASE1 | Nurix Therapeutics, Inc. | RECRUITING |
201 publications have been identified in PubMed for malignant pleural mesothelioma. Kisho has analyzed 28 by research type. Research spans Review / Meta-Analysis (32%), Basic Science / Preclinical (18%), and Epidemiology / Natural History (14%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 9 | 32% |
Laboratory research | 5 | 18% |
Disease patterns and progression | 4 | 14% |
Patient case studies | 3 | 11% |
Other research | 2 | 7% |
Testing and diagnosis research | 2 | 7% |
New treatment approaches | 2 | 7% |
Clinical study results | 1 | 4% |
Benamore RE (2026). [PMID: 41339274](https://pubmed.ncbi.nlm.nih.gov/41339274/). *Br J Radiol*. [Review / Meta-Analysis]
Zhou M (2026). [PMID: 41168494](https://pubmed.ncbi.nlm.nih.gov/41168494/). *Eur Radiol*. [Diagnostic / Biomarker]
Aljahdali IAM (2025). [PMID: 41121175](https://pubmed.ncbi.nlm.nih.gov/41121175/). *J Exp Clin Cancer Res*. [Basic Science / Preclinical]
Lopci E (2025). [PMID: 39934006](https://pubmed.ncbi.nlm.nih.gov/39934006/). *Semin Nucl Med*. [Review / Meta-Analysis]
Shi L (2025). [PMID: 40487392](https://pubmed.ncbi.nlm.nih.gov/40487392/). *Front Pharmacol*. [Review / Meta-Analysis]
Belgiovine C (2025). [PMID: 40251684](https://pubmed.ncbi.nlm.nih.gov/40251684/). *J Transl Med*. [Basic Science / Preclinical]
Berneman ZN (2025). [PMID: 39849594](https://pubmed.ncbi.nlm.nih.gov/39849594/). *J Hematol Oncol*. [Clinical Trial Publication]
Mukhopadhyay D (2025). [PMID: 38402124](https://pubmed.ncbi.nlm.nih.gov/38402124/). *Pulmonology*. [Review / Meta-Analysis]
Magouliotis DE (2025). [PMID: 40277909](https://pubmed.ncbi.nlm.nih.gov/40277909/). *Cells*. [Review / Meta-Analysis]
Bertuccio FR (2025). [PMID: 40227645](https://pubmed.ncbi.nlm.nih.gov/40227645/). *Cancers (Basel)*. [Review / Meta-Analysis]
AI-curated news mentioning malignant pleural mesothelioma
Updated Oct 20, 2026
A randomized pilot study evaluates video-assisted thoracoscopic partial pleurectomy-decortication versus indwelling pleural catheter for treating trapped lung in pleural mesothelioma. This research aims to assess feasibility and potential benefits for patients with this challenging condition.
A recent study highlights imaging pitfalls in diagnosing primary malignant mesothelioma of the tunica vaginalis, which can present as hydrocele. This research underscores the need for improved diagnostic techniques in rare cases of mesothelioma.
A recent publication explores the role of the EZH2 gene in malignant pleural mesothelioma, highlighting its potential as a therapeutic target. The study discusses current practices and future perspectives in treatment strategies.