| | |

Breaking Down the Costs: Immunotherapy as Mesothelioma Treatment

Breaking Down the Costs: Immunotherapy as Mesothelioma Treatment

It is not a secret that cancer treatments can be expensive. Researchers from Switzerland looked at whether immunotherapy is worth the cost compared to chemotherapy for mesothelioma.

For this study, the researchers specifically looked at pleural mesothelioma. This type of mesothelioma is a rare and aggressive cancer that affects the lining of the lungs. It is often caused by being exposed to a toxic material called asbestos.

Unleashing the Immune System: Immunotherapy vs. Chemotherapy for Mesothelioma

Conventional treatments for mesothelioma generally consist of chemotherapy, surgery, and sometimes radiation therapy. The exact treatment plan depends on the individual patient. This includes their health, the type of mesothelioma they have, and how much the cancer has spread.

Chemotherapy uses toxic drugs that kill cells by damaging their DNA. Chemotherapy drugs target rapidly growing cancer cells. But they can also affect healthy cells that grow rapidly such as blood cells. Currently, the only FDA approved chemotherapy for mesothelioma is a combination of pemetrexed and cisplatin.

Recently, an immunotherapy treatment has been approved for use as well. This treatment combines the drugs nivolumab and ipilimumab. Immunotherapy treatments try to encourage an immune response in the patient’s body to fight the cancer.

The researchers in this study wanted to see if this new treatment is worth the cost compared to the more conventional chemotherapy combination of pemetrexed and cisplatin. They used computer models to look at how much it costs, how long it helps people live, and if it is safe.

They found that the new immunotherapy treatment is more expensive, but it can help people live longer and improve quality of life. The immunotherapy treatment could be a good idea for some patients with pleural mesothelioma, but it might need to be cheaper to be a good choice for everyone with different types of the cancer.

Source

Barbier MC, Fengler A, Pardo E, Bhadhuri A, Meier N, Gautschi O. Cost Effectiveness and Budget Impact of Nivolumab Plus Ipilimumab Versus Platinum Plus Pemetrexed (with and Without Bevacizumab) in Patients with Unresectable Malignant Pleural Mesothelioma in Switzerland [published online ahead of print, 2023 Aug 12]. Pharmacoeconomics. 2023;10.1007/s40273-023-01305-3. doi:10.1007/s40273-023-01305-3. https://link.springer.com/article/10.1007/s40273-023-01305-3

Similar Posts

  • | |

    Doctors Describe "Concrete Therapeutic Approach" for Mesothelioma

    A team of medical researchers in Italy have achieved what they are calling “excellent” tumor control and survival results in malignant pleural mesothelioma patients using a combination of surgery, chemotherapy, and radiotherapy. Caused by exposure to asbestos, mesothelioma typically spreads quickly across the lung-encasing membrane called the pleura. There is no known cure but treatments are improving. In the current prospective study, 20 malignant pleural mesothelioma patients underwent radical pleurectomy/decortication followed by high doses of radiation. After surgeons removed as much of the visible mesothelioma tumor and surrounding tissue as possible, patients received 50Gy of radiation to the effected side of their chest, delivered in 25 fractions. Regions of particular concern for mesothelioma regrowth got an extra radiation “boost” to…

  • |

    Mesothelioma Still Rising Despite Ban in Ireland

    A study in Ireland confirms that it can take many years for a ban on asbestos to have a measurable impact on a country’s rates of malignant mesothelioma. Mesothelioma is the most serious of a list of diseases – including lung cancer, pleural plaques, asbestosis, and others – linked with exposure to asbestos dust. Affecting the linings around the lungs and other organs, mesothelioma is often resistant to most cancer treatments and may be fatal within a year of diagnosis. According to the International Ban Asbestos Secretariat, Ireland is one of 55 countries that have enacted some type of asbestos ban. However, although Ireland banned asbestos in 2000, a new study published in Cancer Epidemiology shows that incidence of the…

  • | |

    Does Radiotherapy Reduce Mesothelioma Pain?

    A new study says there is not enough evidence to support the use of radiotherapy for the treatment of pain associated with malignant pleural mesothelioma. Researchers at the University of Edinburgh in Scotland reviewed a range of past studies on mesothelioma pain and radiotherapy by searching databases that date back as far as 1974. To be eligible to be included in their review, the study had to focus on malignant pleural mesothelioma and radiotherapy given “with the intent of improving pain”. The study also had to report doses and fractionation of the radiotherapy and how the pain responded. In all, the researchers found eight studies on mesothelioma pain and radiotherapy that met the criteria. Two of the studies were prospective…

  • |

    Website Aims to Protect Homeowners from Mesothelioma

    Australia’s Cancer Council is trying to educate home renovators about their risk for mesothelioma with a new e-learning course. Australia has one of the highest per capita rates of mesothelioma in the world, largely because of several asbestos mining operations that were once located there. Although asbestos has been banned from building products in Australia since 1989, asbestos-linked diseases like mesothelioma, lung cancer, and asbestosis continue to pose a serious health concern. While mesothelioma has traditionally occurred among people exposed to asbestos on the job, Australia is now bracing for another “wave” of mesothelioma victims among homeowners who encounter asbestos while doing their own renovation projects. Cancer Council Australia has launched “kNOw asbestos in your home” in an effort to…

  • | |

    Radiotherapy for Mesothelioma: Better But Still Limited

    A form of highly-targeted radiation therapy for mesothelioma is better than it used to be, but is still risky. That is the message of a recent article on intensity-modulated radiation therapy (IMRT) in Seminars in Thoracic and Cardiovascular Surgery. Author Kenneth E. Rosenzweig, MD, a Radiation Oncologist with Mount Sinai Hospital in New York, reviewed recent studies on IMRT and mesothelioma. He concludes that, while the “troubling toxicity” associated with IMRT when it was first introduced has not been entirely eliminated, the fact that clinicians now have more experience with it is making a positive difference for mesothelioma patients. Before targeted therapies like IMRT were available, high-dose radiation was not usually a feasible option for mesothelioma since the irregular shape…

  • | | |

    Mesothelioma Nurses Ready for New Cases in Australia

    Australia is bracing for an expected new wave of mesothelioma cases in the next decade and the Lung Foundation of Australia is taking action now to get ready. The Foundation has paid for ten nurses from around the country to receive specialized training in helping patients and families cope with mesothelioma. The nurses, who have recently completed the training, are now equipped to lead treatment planning for these complex cancer patients and to help other nurses do the same. Pleural mesothelioma is an aggressive cancer that occurs in the lining around the lungs. It is caused by exposure to asbestos dust, a toxin that was once alarmingly prevalent in Australia where it was mined and heavily used in construction. Because…