Chemotherapy Still Good First-Line Option for Unresectable Epithelioid Mesothelioma
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Chemotherapy Still Good First-Line Option for Unresectable Epithelioid Mesothelioma

ByAlex Strauss

A top mesothelioma expert says chemotherapy may still be the best first-line treatment for unresectable epithelioid mesothelioma, even though immunotherapy is an increasingly popular option. Chemotherapy has been the primary way to treat mesothelioma since 2004. This is when the FDA approved the drug Alimta (pemetrexed). Alimta remained the only systemic treatment for asbestos cancer until 2020. In 2020, the FDA approved a combination of the immunotherapy drugs ipilimumab (Yervoy) and nivolumab (Opdivo). But Dean Fennell, PhD, of the UK’s University of Leicester says chemotherapy is still a good choice for many unresectable epithelioid mesothelioma cases. A Better Version of Chemotherapy? Epithelioid mesothelioma is the most common subtype. It is also the most responsive to treatment. For the healthiest patients,…

Mesothelioma Clinical Trials: Eligibility May Be Too Strict, Study Finds
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Mesothelioma Clinical Trials: Eligibility May Be Too Strict, Study Finds

ByAlex Strauss

A new Australian study suggests that too many people are being left out of mesothelioma clinical trials under current trial rules.  The researchers say that eligibility requirements around pleural mesothelioma studies are too strict. The result is that many people never have the opportunity to take advantage of investigational treatments only available through studies.  In addition, the trial data gathered may not really apply to average mesothelioma patients. The Australian researchers are calling for changes that will let more people qualify for mesothelioma clinical trials.  What Are Mesothelioma Clinical Trials? Pleural mesothelioma is an intractable cancer of the lining around the lungs. People who get it usually worked in an industry that exposed them to asbestos. Once asbestos gets in…

Induction Chemotherapy with Avastin Improves Mesothelioma Response in New Study
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Induction Chemotherapy with Avastin Improves Mesothelioma Response in New Study

ByAlex Strauss

Mesothelioma patients who had induction chemotherapy with Avastin (bevacizumab) prior to surgery responded better than those who had only chemotherapy in a new Swedish study.  Researchers at the University Hospital Zurich analyzed the cases of 88 pleural mesothelioma patients who were slated to have surgery.  Most of the patients had standard chemotherapy before surgery. Some had induction chemotherapy with Avastin. Those who got the extra drug had a “significantly better response” according to a new report in Frontiers in Oncology. The Use of Induction Chemotherapy with Avastin or Without Induction chemotherapy is chemotherapy delivered before mesothelioma surgery. The goal of the treatment is to shrink the mesothelioma tumor as much as possible. This may improve the odds that surgeons can…

Standard Mesothelioma Chemotherapy with Avastin: More Good News
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Standard Mesothelioma Chemotherapy with Avastin: More Good News

ByAlex Strauss

Another new study suggests that adding a third drug to standard mesothelioma chemotherapy might lead to better treatment outcomes.  Several recent studies show immunotherapy drugs like Keytruda and IMFINZI may boost the effectiveness of chemotherapy.  The newest report focuses on the monoclonal antibody, bevacizumab (Avastin). Japanese researchers back up what others have found. They say most patients did well on a combination of Avastin and standard mesothelioma chemotherapy.  Drug Blocks Blood Vessel Formation Like all body tissues, mesothelioma tumors need blood vessels to grow and thrive. Angiogenesis is the process by which tumors create their own new blood vessels.  Avastin works by blocking this process. Without an adequate blood supply, a mesothelioma tumor may be more susceptible to standard mesothelioma…

Mesothelioma Clinical Trial Results May Be Skewed by Narrow Inclusion Criteria
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Mesothelioma Clinical Trial Results May Be Skewed by Narrow Inclusion Criteria

ByAlex Strauss

Australian researchers say too many mesothelioma clinical trial results are skewed because they do not include enough “real world” patients.   By “real world patients”, they mean those who fit the profile of the typical mesothelioma patient. The researchers say some of the most important trials limit enrollment to younger people or those with few other health problems.  They say that leaves out a lot of patients. It also makes mesothelioma clinical trial results less relevant in practice.  How Clinical Trials Work Scientists typically test proposed new mesothelioma treatments on isolated cells in a lab first. If the results look promising, they will then run tests in animals to make sure the treatment is safe.   Before a medicine receives approval for…

Mesothelioma Chemotherapy with Avastin Helps Pain, Neuropathy
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Mesothelioma Chemotherapy with Avastin Helps Pain, Neuropathy

ByAlex Strauss

New evidence suggests that supplementing standard mesothelioma chemotherapy with Avastin (bevacizumab) may lead to less pain. It may also reduce the risk of another mesothelioma complication called peripheral neuropathy. That word comes from a newly-published study involving several French hospitals. The study is a follow-up to the French-led MAPS study from 2016. The MAPS study showed that performing mesothelioma chemotherapy with Avastin – in addition to the standard chemotherapy drugs – improved mesothelioma survival by 23 percent. Now it looks like the three-drug combination can also help mesothelioma patients live longer with fewer side effects. Mesothelioma Complications and Side Effects Avastin is a VEGF inhibitor. It works by preventing the formation of blood vessels that feed a growing tumor. The…