Some Mesothelioma Patients Have Unrealistic View of Palliative Chemotherapy
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Some Mesothelioma Patients Have Unrealistic View of Palliative Chemotherapy

ByAlex Strauss

A new Danish study suggests that, when it comes to palliative chemotherapy for mesothelioma, patients, families, and doctors may have very different expectations.  Malignant mesothelioma is an aggressive cancer caused by asbestos. It is not curable but chemotherapy can sometimes slow it down. Palliative chemotherapy is chemotherapy aimed at relieving mesothelioma symptoms.  But researchers at Odense University and University of Southern Denmark say nearly a third of families expect palliative chemotherapy to cure their cancer. This was especially true of patients younger than 70.  Palliative Chemotherapy for Mesothelioma Chemotherapy has been the main treatment for mesothelioma since the early 2000s. Pemetrexed (Alimta) and a platinum drug like cisplatin is the standard drug combination. But this treatment is rarely a cure….

Chemoresistance in Mesothelioma: The Role of Genetics
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Chemoresistance in Mesothelioma: The Role of Genetics

ByAlex Strauss

A team of Swiss and German researchers have a theory about why so many mesothelioma patients experience chemoresistance.  Chemotherapy is the standard first-line treatment for asbestos cancer. But fewer than half of patients respond to it.  The new study suggests that this may have to do with an alteration on the BAP1 gene. Medicine cannot change a person’s underlying genetics. But knowing who is likely to experience chemoresistance could help patients and doctors choose the most effective treatments.  BAP1 Expression and Mesothelioma BAP1 stands for BRCA1 associated protein-1. People who have an inherited mutation of this gene produce less of the BAP1 protein. This seems to increase their risk for malignant mesothelioma and several other conditions. People with BAP1 loss…

Maintenance Therapy with Gemcitabine Extends Mesothelioma Survival in Dutch Study
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Maintenance Therapy with Gemcitabine Extends Mesothelioma Survival in Dutch Study

ByAlex Strauss

Dutch researchers say administering maintenance therapy with gemcitabine after chemotherapy may help mesothelioma patients live longer than supportive care alone.  Gemcitabine is an antimetabolite sold under the brand name Gemzar. Oncologists use it to treat several other types of cancer. When cancer cells absorb gemcitabine, they can no longer divide into new cancer cells.  Most mesothelioma patients have chemotherapy as their first-line treatment. If they are healthy enough, they may also have mesothelioma surgery. A maintenance therapy is a treatment that follows the main treatment. It is an effort to maintain the effects of the treatment.  The new Dutch study shows gemcitabine may be a safe and effective choice for maintenance therapy. What Does Maintenance Therapy Mean? Right now, there…

Chemotherapy Resistance in Mesothelioma Patients: New Insights
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Chemotherapy Resistance in Mesothelioma Patients: New Insights

ByAlex Strauss

Canadian cancer researchers have discovered what may be a key cause of chemotherapy resistance in mesothelioma and other types of cancer. The news could lead to more effective ways of treating malignant mesothelioma.  Chemotherapy resistance is a major problem for mesothelioma patients. The FDA has approved two different drug therapies for mesothelioma. But neither approach seems to hold asbestos cancer at bay long term.  Scientists at Princess Margaret Cancer Centre in Toronto say it may be because cancer cells “hibernate” to escape attack. If doctors can understand this cancer cell defense mechanism, they might be able to undermine it.  The Problem of Chemotherapy Resistance Malignant mesothelioma is the most serious of several illnesses caused by exposure to asbestos. Asbestos fibers…

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…

Focused Radiation After Chemotherapy May Improve Mesothelioma Survival
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Focused Radiation After Chemotherapy May Improve Mesothelioma Survival

ByAlex Strauss

New research suggests that mesothelioma patients who have focused radiation after chemotherapy may live longer with slower disease progression than those who have other therapy combinations. Researchers used two kinds of focused radiotherapy (FRT) in the study. One was stereotactic body radiotherapy (SBRT) and the other was hypo-fractionated radiotherapy. Both treatments deliver a deadly dose of radiation into tumors while sparing normal tissue.  Italian researchers say giving focused radiation after chemotherapy makes it even more effective against mesothelioma that is not yet widespread.  Radiotherapy for Pleural Mesothelioma Radiotherapy is one of several possible treatments for mesothelioma. Most patients start with chemotherapy. But chemotherapy has limited effectiveness. Increasingly, researchers are looking for other approaches to combat mesothelioma.  Most patients get the…

Long-Term Mesothelioma Survival: Follow-up is Critical
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Long-Term Mesothelioma Survival: Follow-up is Critical

ByAlex Strauss

A newly published French case report is a reminder that long-term mesothelioma survival requires long-term follow-up. The case comes from Aix-Marseille University in Marseille. In the Annals of Medicine and Surgery, doctors wrote about a man who survived mesothelioma for 14 years. In all that time, his cancer did not progress. The situation is unusual for mesothelioma. The life expectancy of most mesothelioma patients is about 18 months. Prolonged survival is two years or more. But the authors of the new report say their case shows that long-term mesothelioma survival is not impossible with the right approach. Treatment for Malignant Mesothelioma Malignant mesothelioma usually occurs in people who have lived or worked around asbestos. Many do not know they have…

Study to Test Nivolumab and Chemotherapy for Mesothelioma
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Study to Test Nivolumab and Chemotherapy for Mesothelioma

ByAlex Strauss

Researchers in Germany are recruiting patients for a trial of nivolumab and chemotherapy for pleural mesothelioma patients who have had surgery. Nivolumab (Opdivo) is an immunotherapy drug similar to pembrolizumab (Keytruda). It blocks a protein that helps mesothelioma cells hide from the immune system. Nivolumab is most often used for patients with non-small cell lung cancer. The multicenter German study will test if a combination of nivolumab and chemotherapy can help keep tumors from growing back after mesothelioma surgery. Previous studies suggest that it has the potential to do so. How Immune Checkpoint Inhibitors Work Immune checkpoint inhibitors like nivolumab, pembrolizumab, and ipilimumab (Yervoy) are a major focus for mesothelioma researchers. Mesothelioma cells are notoriously tenacious. They often fail to…

Multimodal Mesothelioma Treatment Doubles Survival in Mexican Study
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Multimodal Mesothelioma Treatment Doubles Survival in Mexican Study

ByAlex Strauss

Researchers at Mexico’s National Cancer Institute say multimodal mesothelioma treatment with chemotherapy, surgery, and radiation can slow tumor growth and improve survival. Their new study of patients with advanced pleural mesothelioma produced a median survival of nearly two years. That is almost twice as long as average for pleural mesothelioma.  The researchers say the key is a multimodal mesothelioma treatment approach that attacks tumors from three different angles. Chemotherapy Alone is Rarely Enough Chemotherapy is still the main treatment for most patients with pleural mesothelioma. The FDA approved pemetrexed (Alimta) in 2004. Until the recent approval of a combination of Opdivo and Yervoy, Alimta was the only drug for mesothelioma. It is still the main component in mesothelioma chemotherapy. But…

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…