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Katie Duquette

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Published On: June 15, 2024

Page Features:10 cited research

Katie Duquette - editor

Katie Duquette, Esquire, edits our legal and medical content. She works as a clinical research coordinator in neurology at Thomas Jefferson University and received her law degree in 2016 from Villanova University School of Law. She is a licensed attorney in the District of Columbia.

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Immunotherapy Treatment for Mesothelioma

Immunotherapy treatment for mesothelioma

Mesothelioma is a rare and highly malignant form of cancer that is mainly caused by exposure to asbestos. It typically first appears in the lining of the lungs (pleural mesothelioma) but can also develop in other parts of the body, affecting any organ or the surrounding cavity.

Immunotherapy is a promising new approach to treat mesothelioma. It utilizes the body’s immune system to target and kill cancer cells or live with minimal interference from such microbes.

The potential benefits of immunotherapy are improved survival rates for patients as well as enhanced quality of life, according to studies that show that people who adopt an immunotherapeutic compound at some stage during their illness will have better chances than people who do not.

How Immunotherapy Works

The immune system is responsible for identifying and destroying abnormal cells in the body, including those from mesothelioma. However, cancer cells can bypass the immune system through various methods, such as expressing proteins to suppress immune responses.

Mesothelioma immunotherapy overcomes these methods. It enables the immune system to recognize and attack cancer cells. The techniques used in this effort include checkpoint inhibitors, CAR T-cell therapy, cancer vaccines, monoclonal antibodies, and the use of oncolytic viruses.

Mechanisms of Immunotherapy

Checkpoint inhibitors are groundbreaking medications that block proteins that hinder the immune system from working against cancer cells. Examples include nivolumab (Opdivo) and pembrolizumab (Keytruda).

These drugs target proteins like PD-1 and CTLA-4, which are used by cancer cells to evade the immune system. By blocking these proteins, checkpoint inhibitors allow T-cells to attack cancer cells more effectively.

Examples of clinical benefits from checkpoint inhibitors include prolonged survival and tumor shrinkage in mesothelioma patients. These drugs have shown promise for the treatment of several types of cancer, including malignant pleural mesothelioma.

CAR T-Cell Therapy

The CAR T cell therapy consists of giving the patient’s T cells the ability to recognize and attack cancer cells better. This is achieved by taking T cells from the patient, genetically modifying them to express chimeric antigen receptors (CARs), and then returning them to the body of the patient.

This therapy has shown promise in treating various cancers, including mesothelioma. Current research focuses on improving the efficacy and safety of CAR T-cell therapy for a malignant mesothelioma patient CAR T cell therapy represents a targeted therapy that may be free from limitations compared with standard multiple modalities.

Cancer Vaccine

Cancer vaccines are intended to encourage the immune system to go after specific mesothelioma cancer antigens. They can be made from tumor cells taken from patients themselves, or they can be designed to mimetically resemble cancer-specific proteins manufactured chemically. The types of cancer vaccines include DCVax and Provenge.

These vaccines are individually tailored to the patient’s tumor profile and have shown promise in boosting the immune response to mesothelioma Cancer vaccines are a new treatment option on the horizon to deal with mesothelioma.

Monoclonal Antibodies

Monoclonal antibodies are laboratory-manufactured compounds that link with cancer cells and mark them for death. Examples include bevacizumab (Avastin) and rituximab (Rituxan). These antibodies can also be engineered to carry toxins directly to the cancer cells.

Monoclonal antibodies have been used to improve patient survival rates and reduce tumors in mesothelioma patients. Monoclonal antibodies can become a potent force in the fight against mesothelioma, providing targeted therapy options that complement existing remedies.

Oncolytic Viruses

Oncolytic viruses – These viruses attack and kill cancer cells in a selective way, but also stimulate an immune response. They are T-VEC and ONCOS-102. Such viruses can be programmed to release Immune-stimulating proteins which makes them powerful antitumor agents.

There’s also a research program to refine the oncolytic viruses in mesothelioma. Oncolytic viruses operate in a very different and new manner – through the body’s defense mechanisms they can damage cancer, and thus their activity is two-fold: directly and indirectly, attacking cancer cells.

Types of Immunotherapy Treatments

Types of immunotherapy include:

Immune Checkpoint Inhibitors

Immune checkpoint inhibitors such as nivolumab (Opdivo) and pembrolizumab (Keytruda) disable proteins that stifle the immune system, so T-cells are more able to destroy cancer cells. These inhibitors have proved efficacious for mesothelioma patients, with higher survival rates and reduced tumors. Immune checkpoint inhibitors have been a keystay of immunotherapy and provide fresh hope to patients with so little treatment.

CAR T-Cell Therapy

The therapy with CAR T-cells works by engineering a patient’s T-cells to target cancer cells better. It’s been used to treat many types of cancers, including mesothelioma.

Current research is looking to make CAR T-cell treatment for mesothelioma patients more effective and safe. CAR T-cell therapy is a promising cancer treatment, and it can use the body’s immune system to attack mesothelioma cells.

Cancer Vaccines

Cancer vaccines like DCVax and Provenge retrain the immune system to attack cancer cells. Such vaccines can be tailored to the patient’s tumor profile.

Trials are ongoing looking at how these vaccines can help patients in mesothelioma. Cancer vaccines are a new method for treating cancer, a personal plan that targets the body’s own natural protection against mesothelioma.

Monoclonal Antibodies

Monoclonal antibodies such as bevacizumab (Avastin) or rituximab (Rituxan) latch on to cancer cells and target them for destruction. Such antibodies can even be utilised to transfer toxins directly to cancer cells.

They have had promising results in mesothelioma treatment – increased survival rates and tumor shrinkage. Monoclonal antibodies are a targeted cancer treatment that helps the body combat mesothelioma.

Oncolytic Viruses

Oncolytic viruses such as T-VEC and ONCOS-102 kill cancer cells by selectively attacking them and provoking an immune response. These viruses are currently being studied for better use in mesothelioma therapy and clinical trials are on the rise. Oncolytic viruses have a different mechanism of action, direct tumor lysis plus immune activation, so they offer a double-edged sword against mesothelioma.

FDA-Approved Immunotherapy Treatments

Among the FDA-approved immunotherapy options for mesothelioma are nivolumab (Opdivo) and pembrolizumab (Keytruda). They act by blocking proteins that slow the immune system so that T-cells can strike cancer cells better.

Clinical benefits: better survival and higher quality of life in mesothelioma patients. Other FDA-approved treatments are also being investigated for mesothelioma application. Approval of these therapies is a historic development in the fight against mesothelioma and opens up new treatments to patients who once had few options.

Clinical Trials and Emerging Treatments

Combination Therapies

Combination therapies are treatments in which immunotherapy is used along with other treatments such as chemotherapy, surgery, or radiation. These blends can improve treatment efficiency and patients’ lives.

Emerging Treatments

CAR T-cell therapy, cancer vaccines, and oncolytic viruses are some new therapies being studied in clinical trials. These novel treatments aim to improve immune defenses against mesothelioma and patient survival.

Eligibility for Immunotherapy

A candidate for immunotherapy depends on her health, stage of cancer, and biomarkers. These tests and checks determine whether a patient is a good candidate for immunotherapy, which is safe and effective.

Benefits and Success Rates of Immunotherapy

Mesothelioma 3-year survival rates pie chart, showing 40% for surgery & chemotherapy, 25% for chemotherapy only, 20% for immunotherapy, 15% for radiation therapy, and 5% for no treatment.
Mesothelioma 3-Year Survival Rates based on Treatment Type, highlighting the significant impact of surgery and chemotherapy on survival outcomes.

Immunotherapy offers several benefits for mesothelioma patients, including improved survival rates and enhanced quality of life. Clinical trials and studies have shown significant tumor reduction and prolonged survival with immunotherapy, making it a promising treatment option.

Immunotherapy has shown higher success rates and fewer side effects than traditional treatments. The success of immunotherapy represents a significant advance in cancer treatment, providing new hope for patients with mesothelioma.

Side Effects of Immunotherapy

Fatigue, skin rashes, and gastrointestinal problems are the common side effects of immunotherapy. They are usually not as serious side effects as chemotherapy and radiation. Supportive care and drug modification are part of the side effects-managing regimen.

Combining Immunotherapy with Other Treatments

Patients with mesothelioma can be helped if immunotherapy is in combination with chemotherapy, surgery or radiation. We know from clinical trials that multimodal treatments can support immunotherapy and prolong survival.

More recent work is looking at how best to combine. These treatments are a single cancer treatment that integrates the best of all therapies to provide the most effective outcomes.

The Future of Immunotherapy for Mesothelioma

Ongoing research and developments in immunotherapy for mesothelioma include new agents, personalized medicine approaches, and advancements in existing treatments. These innovations hold promise for improving patient outcomes and making immunotherapy a standard treatment for mesothelioma.

The next steps are new treatments and further research to enhance mesothelioma patients’ immunotherapy. Immunotherapy is the future, and continued breakthroughs hold fresh prospects and hope for mesothelioma patients.

FAQ: Mesothelioma Immunotherapy Treatment

What is immunotherapy and how does it work for mesothelioma?

Immunotherapy leverages the body’s immune system to target and destroy cancer cells. It works by counteracting mechanisms that cancer cells use to evade the immune system.

What types of immunotherapy treatments are available for mesothelioma patients?

Available treatments include immune checkpoint inhibitors, CAR T-cell therapy, cancer vaccines, monoclonal antibodies, and oncolytic viruses.

Are there any FDA-approved immunotherapy treatments specifically for mesothelioma?

Yes, nivolumab (Opdivo) and pembrolizumab (Keytruda) are FDA-approved for treating mesothelioma.

What are the potential side effects of immunotherapy for mesothelioma patients?

Common side effects include fatigue, skin rashes, and gastrointestinal issues. These are generally less severe than those of chemotherapy and radiation.

How effective is immunotherapy compared to traditional treatments like chemotherapy and radiation?

Immunotherapy has shown improved survival rates and enhanced quality of life compared to traditional treatments.

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