Recent Advances in Mesothelioma Management

A special issue of Current Oncology (ISSN 1718-7729).

Deadline for manuscript submissions: closed (30 October 2022) | Viewed by 3126

Special Issue Editor

Associate Professor, Faculty of Medicine & Dentistry, Oncology Department, University of Alberta, Edmonton, AB, Canada
Interests: thoracic malignancies; biomarkers; translational research; therapeutics
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues, 

Mesothelioma is an uncommon malignancy that was first found to be sensitive to systemic therapy of  platinum and pemetrexed in early 2000. Recently, combination of nivolumab and ipilimumab has been found to improve the outcome of mesothelioma patients over chemotherapy, particularly in those with non-epithelioid subtypes, which are known to have much poorer outcome. To further improve the outcome, it is crucial to investigate the genomic aberrations, epigenetic alterations, and changes in the immune system and tumor microenvironment.  Such knowledge will enable precision oncology and development of novel radiation techniques and systemic therapeutics for the treatment of molecular and/or immune defined subtypes of mesothelioma, which enable further improvement in survival, symptom control, and quality of life of these patients.

The goals of this Special Issue are to provide an update on the pathogenesis, molecular biology, immunology, radiological evaluation, as well as current and future potential local and systemic therapeutic approaches in mesothelioma. 

Dr. Quincy Chu
Guest Editor

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Keywords

  • molecular alteration
  • immunology
  • radiological evaluation
  • radiation and systemic therapy

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Published Papers (1 paper)

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Research

6 pages, 613 KiB  
Communication
Multi-Institutional Patterns of Use of Tumor-Treating Fields for Patients with Malignant Pleural Mesothelioma
by Tugce Kutuk, Joshua M. Walker, Matthew T. Ballo, Robert B. Cameron, Jean Bustamante Alvarez, Sheema Chawla, Eric Luk, Deepti Behl, Alan Dal Pra, Neil Morganstein, Tamer Refaat, Arshin Sheybani, Christian Squillante, Jun Zhang and Rupesh Kotecha
Curr. Oncol. 2023, 30(6), 5195-5200; https://doi.org/10.3390/curroncol30060394 - 23 May 2023
Cited by 2 | Viewed by 2720
Abstract
(1) Background: The objective of this analysis was to evaluate the device usage rates and patterns of use regarding Tumor-Treating Fields (TTFields) for patients with malignant pleural mesothelioma (MPM) throughout the US. (2) Methods: We evaluated de-identified data from 33 patients with MPM [...] Read more.
(1) Background: The objective of this analysis was to evaluate the device usage rates and patterns of use regarding Tumor-Treating Fields (TTFields) for patients with malignant pleural mesothelioma (MPM) throughout the US. (2) Methods: We evaluated de-identified data from 33 patients with MPM enrolled in FDA-required HDE protocols at 14 institutions across the US from September 2019 to March 2022. (3) Results: The median number of total TTFields usage days was 72 (range: 6–649 days), and the total treatment duration was 160 months for all patients. A low usage rate (defined as less than 6 h per day, 25%) was observed in 34 (21.2%) months. The median TTFields usage in the first 3 months was 12 h per day (range: 1.9–21.6 h), representing 50% (range: 8–90%) of the potential daily duration. The median TTFields usage after 3 months decreased to 9.1 h per day (range: 3.1–17 h), representing 38% (range: 13–71%) of the daily duration, and was lower than usage in the first 3 months (p = 0.01). (4) Conclusions: This study represents the first multicenter analysis of real-world TTFields usage based on usage patterns for MPM patients in clinical practice. The real-world usage level was lower than the suggested daily usage. Further initiatives and guidelines should be developed to evaluate the impact of this finding on tumor control. Full article
(This article belongs to the Special Issue Recent Advances in Mesothelioma Management)
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