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Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
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
Background:
Malignant pleural mesothelioma (MPM) is an uncommon disease whose incidence is increasing worldwide over the past 30 years. Surgical resection and radiotherapy represent the standard treatment in patient with resectable MPM. Chemotherapy is also necessary to reduce incidence of distant metastases, but the optimal setting of treatment (neoadjuvant, adjuvant and intrapleural) is not clarified. For the patients with unresectable MPM, the combination cisplatin and pemetrexed or ralitrexed is the standard treatment as supported by a Phase III study. Better understanding of molecular pathways involved in MPM has enabled inclusion of new drugs targeted against pathways responsible for proliferation, cell survival and angiogenesis.
Objective:
This review discusses the current treatment option, the specific signal pathways activated in MPM and the novel agents under evaluation in clinical trials.
Methods:
We use for this article abstracts, papers, oral presentations from ASCO and the website http://www.clinical-trials.gov. RESULTS/ CONCLUSION: This review summarizes the activity of chemotherapy and of new agents under evaluation in clinical trials. The better understanding of molecular pathways activated in MPM will hopefully provide new therapeutic options for these patients in the future.
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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