Immunotherapy:
Treatment
regimens involving immunotherapy have yielded variable results. For example,
intrapleural inoculation of Bacillus Calmette-Guérin (BCG) in an attempt to
boost the immune response, was found to be of no benefit to the patient (while
it may benefit patients with bladder cancer). Mesothelioma cells proved
susceptible to in vitro lysis by LAK cells following activation by
interleukin-2 (IL-2), but patients undergoing this particular therapy
experienced major side effects. Indeed, this trial was suspended in view of the
unacceptably high levels of IL-2 toxicity and the severity of side effects such
as fever and cachexia. Nonetheless, other trials involving interferon alpha
have proved more encouraging with 20% of patients experiencing a greater than
50% reduction in tumor mass combined with minimal side effects.
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