Trimodal Lung-Sparing Treatment of Pleural Mesothelioma

Inclusion Criteria

• •Histologically confirmed malignant mesothelioma, \< 20% sarcomatoid type
• •No radiographic or other imaging evidence of Stage IV (cardiac, mediastinal, peritoneal, other distant) disease.
• •Ineligible for other high priority national or institutional study.
• •Age \>18 years \[to physiologic 75 years\].
• •Life expectancy \> 3 months.
• •Performance status, PS 0-2 \[Karnofsky Performance Status, KPS=70-100 %\].
• •Prior therapy allowed (one prior systemic regimen) meeting the following parameters.
• •No prior chest radiation therapy within 6 weeks of treatment
• •No prior chemotherapy regimens within four weeks of treatment
• •Non pregnant, non-lactating. (serum HCG test will be performed in patients in whom there is a possibility of pregnancy.)
• •Required initial laboratory data/clinical parameters (see also Sec. 8.0) White cell count: \>3000/ul. Platelet count: \>100,000/ul. Creatinine clearance: ≥ 45 ml/min Bilirubin: \< 2 x ULN SGOT or SGPT: \< 2 x ULN
• •Informed Consent: Each patient must be completely aware of the nature of his/her disease process and must willingly give consent after being informed of the procedure to be followed, the experimental nature of the therapy, alternatives, potential benefits, side-effects, risks, and discomforts.
• •No serious medical or psychiatric illness preventing informed consent or intensive treatment (e.g., serious infection, congestive heart failure, angina pectoris, cardiac arrhythmia(s), or uncontrolled hypertension). HIV status or other severe illnesses will be assessed using medical records.