Analysis of the effects of thymic hormones on the treatment of malignant pleural effusion

An article published in International Immunopharmacology presented the work of Chinese researchers who analyzed 34 reports on the treatment of malignant pleural effusion using thymic hormones. They found that patients who received thymosins combined with oxaliplatin had better treatment outcomes.

Malignant pleural effusion is a condition where a tumor causes fluid accumulation in the pleura, manifesting as chest pain, a dry, non-productive cough, and breathing difficulties. The most common causes are lung and breast cancers.

In the article, the researchers aimed to determine the most effective form of thymic hormones and the cytostatic drug that yields the best treatment outcomes. They considered thymosins extracted from the thymus, synthetic thymopentin, synthetic Thymosin Alpha 1, and cytostatics: oxaliplatin, cisplatin, lobaplatin, and carboplatin. Based on treatment outcome articles, they identified nine of the most commonly used combinations of thymic hormones and drugs.

The meta-analysis of available data concluded that treatment with thymosin (300 mg/dose, once a week, for 2 to 8 doses) combined with oxaliplatin (100 mg/m²) provides optimal results. This combination significantly improved treatment response, increased quality of life, and improved survival rates at six months and one year. It also significantly reduced pleurodesis failure by activating the inflammatory response, inhibited disease progression and myelosuppression, minimized toxic effects on the stomach and intestines, and increased T lymphocyte levels. This study primarily focuses on malignant pleural effusion caused by lung cancer; therefore, further research is needed to determine the best treatment options for other causes of this condition.

The full article is available here: https://doi.org/10.1016/j.intimp.2022.108688.