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Immunotherapy

What is Immunotherapy?

Immunotherapy is a treatment that activates or suppresses the immune system and by that assist the immune system in attacking the tumor. This type of treatment is very different from chemotherapy, for example, which directly attacks the cancerous cells but unfortunately also damages healthy tissues.

The immune system has “immune barriers” which serve to regulate the immune system and prevent it from attacking the body. In cancer these functions are readily activated and as a result, the immune system ceases to attack cancerous cells, enabling the tumor to grow and proliferate in the body.

Barriers known as PD-L1, PD-1 and CTLA-4 are found on T-cells and cancer cells. For example, the biological drug Opidivo® (generic name: Nivolumab) activates the immune system against the tumor.

Immunotherapy is a revolutionary strategy, and one of the most widely studied worldwide for its application to numerous types of cancer and various stages of the disease’s development. Treatment is generally provided in the form of an intravenous infusion.

Immunotherapy drugs examples:

PD-1 drugs:
• Keytruda® (Pembrolizumab)
• Opdivo® (Nivolumab)

PD-L1 drugs:
• Tecentriq® (Atezolizumab)
• Imfinzi® (Durvalumab)

What are the most common side effects?

Reaction of the skin

Redness, blisters and dryness. The skin can become sensitive when exposed to sunlight. Inflammation around the fingernails can occur and cause pain when dressing, for example.

Flu-like symptoms

Fatigue, fever, chills, nausea, vomiting, dizziness, body pain and high or low blood pressure

Other side effects may be:

  • Muscle Pain
  • Difficulties in breathing
  • Swelling of the legs
  • Sinus congestion
  • Headaches
  • Weight gain due to accumulation of fluids
  • Diarrhea
  • Hormonal changes
  • Cough

And there could be more

Most of the side effects will disappear at the end of the immunotherapy treatment, but some can occur months and even years later.

It is important to consult with your healthcare professional about coping with side effects.

TRIAL-IN-Pharma offers a unique, personalized research and analysis for patients with metastatic cancer and brain tumors, which reveals innovative and advanced oncologic treatments around the world and support the process of achieving them.

Read our publications on immunotherapy and other innovative treatments for stage 4 metastatic cancer:

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Lung Cancer Treated with Electric Fields – Strongly Positive Results

Background

Interim analysis of the phase 3 LUNAR trial led to a recommendation to reduce the number of lung cancer patients required.

This recommendation is based on the strongly positive data gathered so far from the current patient population treated with tumor-treating fields.

About Tumor Treating Fields 

Tumor Treating Fields, or TTFields, are electric fields that disrupt cancer cell division.

When cancer develops, rapid and uncontrolled division of unhealthy cells occurs. Electrically charged proteins within the cell are critical for cell division, making the rapidly dividing cancer cells vulnerable to electrical interference.

As healthy cells differ from cancer cells in their division rate, geometry and electric properties, the frequency of TTFields can be tuned to specifically affect the cancer cells while leaving healthy cells mostly unaffected.

Use of Tumor Treating Fields for the treatment of NSCLC is investigational only.

About the Study in Lung Cancer

This is a phase 3 LUNAR trial (NCT02973789) in patients with stage IV Non–Small Cell Lung Cancer, NSCLC, after progression on or after platinum-base chemotherapy.

The interim analysis included data taken from 210 patients with a data monitoring committee recommendation to reduce the sample size from 534 patients to approximately 276 patients.

It is possibly unethical given the available data.

The TTFields were given concurrent with Immunotherapies, such as Keytruda, Opdivo and others or the chemotherapy Taxotere.

Treatment in the TTFields arm of the current trial requires that patients wear 4 electrically insulated electrode arrays on the chest and that they maintain regular daily routine with the therapy.

Side Effects

There was no evidence of increased systemic toxicity when patients were treated with TTFields.

Conclusion

When a treatment works, the path for approval gets shortened. These are groundbreaking news to stage 4, metastatic, Non-Small Cell Lung Cancer patients.

Contact us to find out what is the best treatment for YOU

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NSCLC and TTFields treatment
NSCLC and TTFields treatment

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