Malignant pleural mesothelioma: current treatments and emerging drugs

Carmen Belli1, Dean Fennell, Monica Giovannini

  • 1San Raffaele Scientific Institute, Oncology Department, 60 Olgettina Street, Milan 20132, Italy. belli.carmen@hsr.it

Abstract

Insights

Malignant pleural mesothelioma (MPM) treatment is evolving. This review covers current options, molecular pathways, and novel agents in clinical trials for this rare cancer.

Area of Science:

  • Oncology
  • Thoracic Surgery
  • Medical Oncology

Background:

  • Malignant pleural mesothelioma (MPM) incidence is rising globally.
  • Standard treatments for resectable MPM include surgery and radiotherapy.
  • Chemotherapy's optimal use (neoadjuvant, adjuvant, intrapleural) for MPM requires clarification.

Purpose of the Study:

  • To review current treatment options for malignant pleural mesothelioma.
  • To discuss activated signal pathways in MPM.
  • To highlight novel therapeutic agents currently in clinical trials.

Main Methods:

  • Literature review including abstracts and published papers.
  • Analysis of presentations from ASCO meetings.
  • Inclusion of data from clinicaltrials.gov.

Main Results:

  • Summarizes the efficacy of chemotherapy in MPM.
  • Presents an overview of novel agents under investigation.
  • Highlights the standard chemotherapy regimen for unresectable MPM (cisplatin and pemetrexed/ralitrexed).

Conclusions:

  • Understanding MPM molecular pathways is crucial for developing new therapies.
  • Novel targeted agents show promise for future MPM treatment.
  • Continued research aims to improve therapeutic options for MPM patients.

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