Immunotherapy Treatment in India

Consult with Dr. Vikesh Shah MBBS, MD (AIIMS, New Delhi)

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Overview

This is the most revolutionary treatment so far in modern oncology. Immunotherapy is the approach of therapeutics that involves the improvement of the immune system of the body with systemic identification to note cancer. It could help patients whose immune systems have been weakened to treat cancers with lesser side effects compared to others.

Apparently, it is a very powerful remedy for those cancers that respond poorly to the conventional modes used in the treatment of cancers. This cure-Indian immunotherapy treatment differs completely and novel in mechanism as it arrests proliferation of cancerous cells, restricts its growth, and enhances the patient’s immunity to identify and destroy cancer cells.

Presenting the current available immunotherapy treatment to the best oncologists in India is Dr. Vikesh Shah, while using the state-of-the-art cancer treatment for better outcomes to benefit the patients.

Immunotherapy Treatment in India on an Upward Curved Ramp

Today, India is regarded as one of the superior destinations for good quality of medical treatment. The best hospitals and oncologists who provide immunotherapy in India attract patients from every corner of the world. The country has well-equipped medical infrastructure with modern equipment, qualified health care practitioners, and very low-cost treatments. Indian hospitals have got the latest technology and experienced oncologists who master delivering immunotherapy.

Most of the reputed hospitals in India have specially designed immunotherapy treatment centers to provide patients with the latest cutting-edge therapies. They realize that the nature of their cancer is different for every patient as well as the immunity system; hence, they offer a bespoke approach for every one of them.

To some extent, India is relatively cheaper compared to the West; for international patients, this does become one of the excellent reasons to get world-class treatment at very low cost.

Benefits of Immunotherapy in India

  • Utilization of latest technology: All the hospitals in India have set up the latest medical technology on immunotherapy which comprises of imaging systems as well as delivery tools.
  • Competent Immunotherapists: Immunotherapists in India are high-performance providers who have years of practice in managing tough cases of cancers. They can combine a treatment for all kinds of patients and it proves safe and effective as well.
  • Personalization is one very important advantage of this drug in treatment. Ideally, all the major centers usually try to comprehend the genetic makeup of both cancerous cells and immune cells before they attempt any of the best immunotherapy. This is the positive prognosis with this treatment modality.
  • Indian hospitals face many advanced cancers combined with immunotherapy to treat together with surgery, chemotherapy, and radiation. Such multi-disciplinary approaches ensure that treatment for cancer will come from all sides of the patient.
  • Affordability: It is very cheap in India and happens to be relatively affordable as compared to many other Western countries, thereby becoming accessible to a larger number of patients. This is very significantly important for international patients who can receive quality treatment at a fraction of the cost.

Types of Immunotherapy and the Process of Treating Cancer

Immunotherapy is a broad category and refers to a group of various treatment modes that affects cancer in a distinct manner. Among these, one or more of the immunotherapies may be used in combination for a patient depending on the type and condition of the specific cancer.

  1. Monoclonal Antibodies (Passive Immunotherapies)
    These are in-vitro molecules which are said to be like the immune system, fighting specific pathogens, including some bacteria and viruses. Antibodies are engineered to recognize particular proteins that can only exist on the surface of cancer cells. One form of monoclonal antibody marks them for destruction, while another blocks signal messages to the cancer cells which otherwise incite them to grow.

Monoclonal antibodies are used in the treatment of numerous cancers among them are breast, colorectal, and lymphomas, administered intravenously, given in conjunction with other immunotherapies whose effects multiply.

  1. Non-Specific Immunotherapies
    Non-specific immunotherapies target and kill the cancer cells by making the general immune system function better. They include interferons and interleukins therapy: some proteins that help the immune system to recognize there is a disease and subsequently attacks and kills it. Non-specific immunotherapies are usually given in addition to chemotherapy or radiation therapy to stimulate those therapies.
  2. Cancer Vaccines (Active Specific Immunotherapies)
    Cancer vaccines usually create immunological recognition of a unique tumor-specific antigen as well as an immune response against the cancer cells that express this antigen. They could also be divided into preventive vaccines which are used to prevent the occurrence of cancer and therapeutic vaccines that are applied for the treatment of existing cancer by stimulating the response of the immune system.

One of the cancers that are being studied for therapeutic vaccines include prostate cancers. They stimulate the immune system to produce antibodies or immune cells that will destroy the particular cancer.

Some of the promising interventions brought about by therapeutic vaccines in the hands of immunotherapists in India include cancers caused by the Human Papillomavirus, such as cervical cancers.

Which Cancers Are Treated with Immunotherapy?

Immunotherapy is used with an incredibly massive scope of cancers. It is especially important when conventional treatment, including chemotherapy and radiation, would not be effective. The cancers treated include the following:

  • Breast Cancer: Best used on aggressive subtypes such as triple-negative breast cancer, or TNBC, it has shown a dramatic improvement in survival rates.
  • Lung Cancer: In NSCLC, in general, immunotherapy and the use of immune checkpoint inhibitors, such as pembrolizumab, are now considered standard of care.
  • Colorectal Cancer: Immunotherapy is also very effective in the treatment of advanced-stage colorectal cancer. It uses mostly monoclonal antibodies and, more recently, immune checkpoint inhibitors.
  • Lymphomas: The immunosuppressive approach, including monoclonal antibodies, may be used on patients with both Hodgkin’s lymphoma and non-Hodgkin’s lymphoma.
  • Prostate Cancer: Advanced cases of prostate cancer primarily represent the use of immunotherapy, particularly in the context of cancer vaccines and immune checkpoint inhibitors.
  • Ovarian Cancer: Immunotherapy is administered either alone or in combination with chemotherapy in ovarian cancer, thereby improving the result of treatment.
  • Skin Cancer (Melanoma): Immune checkpoint inhibitors have proven to be highly promising agents in the treatment of melanoma.
  • Brain Cancer: Immunotherapy has always promised to be the best treatable option for aggressive brain tumors, namely, glioblastomas in their infancy.
    It has now emerged as a backbone of cancer treatment in India; some of the leading cancer institutes-including Dr. Vikesh Shah’s clinic-have now begun introducing these novel treatments to patients.

How does Immunotherapy work with adverse effects?

Perhaps the most significant advantage that immunotherapy has over other cancer therapies is that it usually involves fewer and less severe side effects. Comparing chemotherapy and radiation, which are older treatments, they often kill just as many cancerous cells as healthy cells, leading to hair loss, nausea, and infections; whereas with immunotherapy, it simply strengthens one’s immune system, which attacks, mainly targeting those causing the cancer, without attacking healthy tissue.

Immunotherapy is not completely free of adverse effects. Common adverse effects include

  • Fatigue: Most patients develop fatigue with treatment.
  • Rash: Patients can develop rashes, redness, or skin irritation.
  • Flu-like syndrome: Chills, fever and musculoskeletal pain may present in some patients.
  • Inflammation: Organ inflammation of the lung, liver, or intestine is a rare side effect.
    Although side effects occur, immunotherapy has become the treatment for choice for many patients because it specifically targets cancer cells without touching healthy cells.

Immunotherapy Cancer Treatment Procedure

The administration procedure is dependent on the type of treatment that it is. General methods of administration include:

  • IV: Most immunotherapies and most of the monoclonal antibodies are given intravenously through an IV into the blood.
  • Topically: A number of immunotherapies are applied directly through the skin: for example, creams or ointments can be applied topically to treat the superficial cancers, such as melanoma.
  • Injections: Immunotherapy is administered through subcutaneous (under the skin) or intramuscular injections.
  • Into a body cavity: For localized cancer, immunotherapy might be injected directly into a body cavity, such as the bladder for bladder cancer, to focus on one area of a tumor.
    The chosen treatment method can be immunotherapy as a type, or it can be supplemented by any other type like surgery, chemotherapy, or radiation therapy, depending upon the type of cancer, its progress, and the general condition of the patient to further boost its efficiency.

How can one be sure that Immunotherapy is working?

Other than chemo and radiation, which involve very quick action due to the shrinking of a tumor, the impact of immunotherapy can be slow. That is because, unlike chemo or radiation, the patient’s immune system will be activated to fight the disease. Sometimes that means the tumor grows or doesn’t change right away, which does not mean that treatment has stopped working.

The healthcare providers monitor the patients on immunotherapy with a blood test and diagnostic imaging, for example, CT or MRI scans, among others, to know how the immune system is reacting to the treatment.

The immunotherapist in India is treated by Dr. Vikesh Shah, who monitors the patients on immunotherapy very closely. They monitor the response of the patients and modify their treatment accordingly.

Recent Immunotherapy Research

Immunotherapy is highly dynamic. Current and future research is, therefore, channeled towards streamlining its efficiency to minimize and/or prevent its side effects. Such areas of research for the most part encompass;

  • Combination therapies: There is concerted research on the best mix of immune checkpoint inhibitors and other immunotherapies that can help overcome resistance of the body to treatment.
  • A very important area of research is to develop specific biomarkers that can predict how the patient is going to react to immunotherapy
  • Cancer resistance: In a way in the sense of the term, cancer cells have a way to evade the immune response. Well now, one of the most paramount considerations for improving the outcomes of immunotherapy is those mechanisms.
  • Less side effects: It is being researched more to reduce the negative reactions against the immunotherapy so that it can be treated by a higher number of patients.

Conclusion

It has revolutionized the age of cancer treatment; thus, offering a new lease for many cancer patients. It is an approach that enhances the potency of the immune system in fighting back the disease. The mode focuses more on the cancer cells in a more accurate way with minimal side effects as compared to the conventional treatments.

With the advancement of immunotherapy, otherwise, untreatable and complicated cancers start responding well. These new medical developments will soon benefit the patients by being optimistic to stay healthy and alive for a long period. Another such cancer doctor in India like Dr. Vikesh Shah is also available, who has been treating malignancy-bearing patients with the most advanced immunotherapy treatment.

If there is a case in which immunotherapy as a form of treatment fits you, a discussion with someone like Dr. Vikesh Shah will indicate what the best course of action may be. Immunotherapy is changing the future of cancer treatment, and much reason exists to hope for the outcome of this war against cancer with leaders.