Alrizomadlin in Mesothelioma, Malignant: NCT06654050 Clinical Landscape Report 2026
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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.
Data snapshot: 16 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.
Phase 2
Clinical phase
Withdrawn
Recruitment status
0
Planned enrollment
2026-03-16
Primary-completion proxy
Executive view
NCT06654050 evaluates Alrizomadlin in Mesothelioma, Malignant. The disclosed sponsor is National Cancer Institute, the design is Interventional, and the geographic footprint is United States. The first listed primary endpoint is To determine stabilization or disease improvement rates in participants with early-stage mesotheliomas arising in the context of BAP1 Cancer Syndrome (BCS) following APG-115 treatment, assessed over baseline, and after every 8 treatment cycles (Course 1 and Course 2).
The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.
PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.
How the MCP evidence stack was assembled
Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT06654050 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Mesothelioma, Malignant landscape. Drug & Asset MCP drug_fetch was queried for Alrizomadlin, while Company & Deal Intelligence MCP organization_fetch was queried for National Cancer Institute.
This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.
Trial landscape table
| Trial | Asset / intervention | Phase / status | Sponsor | Geography | Primary endpoint | Readout proxy |
|---|---|---|---|---|---|---|
| NCT06654050 | Alrizomadlin | Phase 2 / Withdrawn | National Cancer Institute | United States | To determine stabilization or disease improvement rates in participants with early-stage mesotheliomas arising in the c… baseline, and after every 8 treatment cycles (Course 1 and Course 2) | 2026-03-16 |
| NCT07131345 | Iparomlimab/Tuvonralimab | Phase 1/2 / Not yet recruiting | Sponsor not reported | Geography not reported | ORR From enrollment to the end of treatment at 8 weeks | 2026-10-31 |
| NCT06885697 | Fludarabine Phosphate | Phase 1 / Recruiting | National Cancer Institute | United States | Establish the recommended phase 2 dose (RP2D) of TNhYP218 CAR T cells based on dose-limiting toxicity (DLT) of defined… DLT assessment will occur in participants in the dose escalation coho… | 2034-06-01 |
| NCT06875076 | Ivonescimab | Phase 2 / Recruiting | The First Hospital of Jilin University | China | objective response rate (ORR) From enrollment to the end of treatment at 3 months | 2028-01-01 |
| NCT06840834 | Ivonescimab | Phase 2 / Recruiting | Intergroupe Francophone Cancerologie Thoracique | France | To assess the therapeutic value of the bispecific antibody anti-VEGF / anti-PD-1 ivonescimab as 2nd/3rd line treatment… 12 weeks after start of treatment. | 2026-09-30 |
The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.
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Protocol design and endpoint interpretation
NCT06654050 is a Phase 2, withdrawn study with 0 planned participants. Allocation is Non-Randomized, masking is None (Open Label), and the intervention model is Single Group Assignment.
The primary endpoint is “To determine stabilization or disease improvement rates in participants with early-stage mesotheliomas arising in the context of BAP1 Cancer Syndrome (BCS) following APG-115 treatment” over “baseline, and after every 8 treatment cycles (Course 1 and Course 2).” The retrieved endpoint description is: Fraction of evaluable participants who are able to have stabilization or improvement of disease will be reported along with a 95% confidence interval. Response rates will be calculated as the percent of participants whose best response is a stabilization or improvement of disease..
Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 0 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.
No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.
Indexed readouts in the surrounding landscape
5 recent result records were selected as contextual evidence for Mesothelioma, Malignant. These records do not establish direct evidence for NCT06654050 unless the registration number matches.
First-Line Pumitamig (PD-L1 × VEGF-A bsAb) Plus Chemotherapy in Unresectable Malignant Mesothelioma: Long-Term PFS and OS
Phase 2; n=31; OS(24-month) = 25.0 % ; OS(24-month) = 50.7 % Source: https://cattendee.abstractsonline.com/meeting/21487/Session/133
Phase II Trial of Olaparib in Patients With Mesothelioma
Phase 2; n=34; ORR = 3.0 % Source: https://cattendee.abstractsonline.com/meeting/21487/Session/195
Tumour Extrinsic Regulation of Neutrophils Sensitize Mesotheliomas to AXL and PD1 Inhibition inMIST3, a Phase II Clinical Trial
Phase 2; n=21; DCR(12-week) = 46.2 % ( 29.2 - 63.8) Source: https://cattendee.abstractsonline.com/meeting/21487/Session/133
Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.
Asset and sponsor context
No exact Drug & Asset MCP profile was returned for the protocol wording “Alrizomadlin.” The report therefore avoids inferring modality, target or global development stage from the name alone.
National Cancer Institute is indexed in United States with the website http://www.cancer.gov. The National Cancer Institute (NCI) is part of the National Institutes of Health (NIH), which is one of eleven agencies. The record lists 205 development-stage drug assets.
For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.
Development white space
- Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
- Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
- Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
- Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
- Sequencing white space. Clarify whether Alrizomadlin is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.
White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.
Strategic implications and next readouts
For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.
For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.
Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.
Source trail and bottom line
Anchor trial: NCT06654050
Protocol source: https://clinicaltrials.gov/study/NCT06654050
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 16 September 2026.
Alrizomadlin in Mesothelioma, Malignant is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes To determine stabilization or disease improvement rates in participants with early-stage mesotheliomas arising in the context of BAP1 Cancer Syndrome (BCS) following APG-115 treatment and 2026-03-16 the leading decision points.
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