From the blog

Immunotherapy Benefits and Drawbacks for Treating Mesothelioma

Published: July 25, 2025

Mesothelioma is a rare and aggressive cancer that creates multiple challenges for patients and caregivers. Immune checkpoint inhibitors have recently shown promise to bring hope to people suffering from this devastating cancer. New data from Australia, however, is questioning their effectiveness and safety. Patients and caregivers must understand immunotherapy and its impact on the human body. An article from the Journal of Thoracic Oncology shows the real-world results from immunotherapy being used for mesothelioma.

Mesothelioma treatment has changed with the approval of immune checkpoint inhibitors, which can include ipilimumab and nivolumab. Clinical trials show promise, but real-world data is more complex. This is due to high discontinuation rates, serious side effects, and the need for more treatments. This makes it crucial to carefully consider the benefits and risks of immunotherapy for each individual patient. The histological subtype of mesothelioma is crucial in immunotherapy responses. Some patients benefit, but others face severe side effects without clear outcomes. An example includes patients with the epithelioid subtype often experiencing adverse events without any survival benefit. Non-epithelioid patients on the other hand may see some improvement. More research is needed to understand these differences and identify the best candidates for immunotherapy.

Patients or caregivers should openly discuss the risks and benefits of immunotherapy with healthcare providers. Not everyone is suited to receive immune checkpoint inhibitors, despite their hope for some patients. Factors like health, goals, and cancer type are important when choosing cancer treatment. New clinical trials now check the safety and effectiveness of immunotherapy in various patient groups. Their goal is to show how to best use immunotherapy for mesothelioma. Mesothelioma treatment, especially immunotherapy, is complex. It can be tough for patients and caregivers. Staying informed, asking questions, and working closely with doctors could help patients make the right decisions, focusing on the patient’s health. Ongoing research is promising. Research will lead to better mesothelioma treatments, improving outcomes for patients globally.

Clinical trials for mesothelioma are incredibly important. Without them, we would not be where we are today with the treatment of mesothelioma. People with mesothelioma are living longer, more comfortable lives thanks to clinical trials. Mesothelioma is still a tough diagnosis though. This is why research needs to be performed. Without the research that is continuing to go on, people with this deadly preventable cancer would not be living as long as they are today. If more research is done, maybe one day a cure could be found for this devastating cancer.

Source:
Steven G Gray et al., “Based on the Real-World Results From Australia, Immunotherapy Is Not a Good Option for Patients With Mesothelioma” Controversies in Thoracic Oncology (April 2024). [Link]
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