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Mesothelin and Osteopontin as Diagnostic Markers in Patients With Mesothelioma or Atypical Mesothelial Hyperplasia

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified July 2009 by National Cancer Institute (NCI).
Recruitment status was:  Recruiting
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: May 9, 2009
Last updated: December 13, 2009
Last verified: July 2009

RATIONALE: Studying levels of mesothelin and osteopontin in samples of blood from patients with mesothelioma or atypical mesothelial hyperplasia may help doctors identify biomarkers related to cancer.

PURPOSE: This research study is looking at mesothelin and osteopontin as diagnostic markers in patients with mesothelioma or atypical hyperplasia.

Condition Intervention
Malignant Mesothelioma
Metastatic Cancer
Other: laboratory biomarker analysis
Procedure: study of high risk factors

Study Type: Observational
Official Title: Study Aiming at Researching Diagnostic Markers for the Recognition of Precancerous States, Tracking, Follow-up, and the Identification of New Therapeutic Targets for Mesothelioma in Patients With Atypical Mesothelial Hyperplasia.

Resource links provided by NLM:

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Mesothelin and osteopontin concentrations in serum

Secondary Outcome Measures:
  • Cytological, histological, immunohistochemical, and molecular markers of precancerous disease in tissue samples
  • Role of SV40
  • Relationship of serum concentration of mesothelin and/or osteopontin with the expression of other markers and with clinical progression

Estimated Enrollment: 270
Study Start Date: April 2007
Estimated Primary Completion Date: January 2010 (Final data collection date for primary outcome measure)
Detailed Description:



  • Determine if mesothelin and osteopontin in serum can serve as early markers of malignant transformation into mesothelioma.


  • Determine if there are cytological, histological, immunohistochemical, and molecular markers of precancerous disease in tissue samples.
  • Determine if SV40 has a carcinogenic role.
  • Determine the relationship between the serum concentration of mesothelin and/or osteopontin and the expression of other markers and with clinical progression.

OUTLINE: This is a multicenter study.

Levels of mesothelin and osteopontin in serum (and pleural fluid, if effusion is present) are measured at baseline and 3, 6, 12, and 24 months. Patients with mesothelioma, reactional lesions, or adenocarcinoma undergo tomodensitometry (TDM) at baseline, 3, 6, and 12 months. Patients with pleural plaques only undergo TDM at 12 months.

Patients are followed for 5 years.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


Inclusion criteria:

  • Diagnosis of mesothelial hyperplasia and meeting 1 of the following criteria:

    • Confirmed prior exposure to asbestos and presence of pleural effusion and meets 1 of the following diagnostic criteria:

      • Mesothelioma
      • Mesothelial hyperplasia of unspecified malignancy
      • Reactional inflammatory hyperplasia
    • No asbestos exposure but pleural effusion with pleural malignant mesothelioma or pulmonary metastasis
    • Prior exposure to asbestos, no pleural effusion, and asymptomatic (pleural plaques present)
    • No prior exposure to asbestos but with benign pleural effusion
  • Tissue obtained by pleuroscopy, surgical biopsy, or video-thoracoscopy available

    • Paraffin-embedded and frozen tissue available

Exclusion criteria:

  • Solitary fibrous tumor
  • Diffuse pleural fibrosis
  • Purulent pleurisy


  • Not specified


  • No prior chemotherapy or radiotherapy
  Contacts and Locations
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Please refer to this study by its identifier: NCT00899613

CHU de Caen Recruiting
Caen, France, 14033
Contact: Francoise Galateau-Salle    33-231-064-923      
Sponsors and Collaborators
University Hospital, Caen
OverallOfficial: Francoise Galateau-Salle University Hospital, Caen
  More Information Identifier: NCT00899613     History of Changes
Other Study ID Numbers: CDR0000564050
Study First Received: May 9, 2009
Last Updated: December 13, 2009

Keywords provided by National Cancer Institute (NCI):
localized malignant mesothelioma
lung metastases
malignant pleural effusion

Additional relevant MeSH terms:
Neoplasm Metastasis
Lung Neoplasms
Pathologic Processes
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Mesothelial
Neoplastic Processes
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases processed this record on May 23, 2017