Systemic approach to malignant pleural mesothelioma: what news of chemotherapy, targeted agents and immunotherapy?

被引:7
作者
Signorelli, Diego [1 ]
Macerelli, Marianna [1 ]
Proto, Claudia [1 ]
Vitali, Milena [1 ]
Cona, Maria Silvia [1 ]
Agustoni, Francesco [1 ]
Zilembo, Nicoletta [1 ]
Platania, Marco [1 ]
Trama, Annalisa [2 ]
Gallucci, Rosaria [1 ]
Ganzinelli, Monica [1 ]
Pelosi, Giuseppe [3 ]
Pastorino, Ugo [4 ]
de Braud, Filippo [1 ]
Garassino, Marina Chiara [1 ]
Lo Russo, Giuseppe [1 ]
机构
[1] Fdn IRCCS Ist Nazl Tumori, Dept Med Oncol, Milan, Italy
[2] Fdn IRCCS Ist Nazl Tumori, Dept Prevent & Predict Med, Milan, Italy
[3] Fdn IRCCS Ist Nazl Tumori, Dept Pathol & Lab Med, Milan, Italy
[4] Fdn IRCCS Ist Nazl Tumori, Div Thorac Surg, Milan, Italy
来源
TUMORI JOURNAL | 2016年 / 102卷 / 01期
关键词
Chemotherapy; Immunotherapy; Malignant pleural mesothelioma; Target therapy; PHASE-III TRIAL; PEMETREXED PLUS CISPLATIN; PREVIOUSLY TREATED PATIENTS; EUROPEAN-ORGANIZATION; GEMCITABINE TREATMENT; TRIMODALITY THERAPY; PRETREATED PATIENTS; IMATINIB MESYLATE; SUPPORTIVE CARE; CLINICAL-TRIAL;
D O I
10.5301/tj.5000436
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Malignant pleural mesothelioma is a rare cancer with a cause-effect relationship to asbestos exposure. The prognosis is poor and chemotherapy seems the best treatment option. In the last two decades a deeper understanding of mesothelioma carcinogenesis and invasiveness mechanisms has prompted research efforts to test new agents in patients with malignant pleural mesothelioma, but the results have been modest. Attractive preclinical data disappointed in subsequent experimental phases. Other promising agents failed to improve patient outcomes due to high toxicity. Interesting suggestions have come from preliminary data on immunotherapy. Several trials are ongoing and the results are eagerly awaited. The aim of this review is to discuss the most recent news on systemic therapy for advanced malignant pleural mesothelioma.
引用
收藏
页码:18 / 30
页数:13
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