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Immunotherapy & CAR-T Cell Therapy in Chennai for Bangladesh Patients

For many patients in Bangladesh facing complex cancer diagnoses, the thought of advanced therapies like Immunotherapy and CAR-T Cell Therapy can bring both hope and uncertainty. The search for effective, high-quality treatment often extends beyond national borders, driven by the desire for the best possible outcomes. Understanding where to find such specialized care is a significant concern.

Patients seeking leading-edge cancer treatments frequently turn their attention to medical hubs known for innovation and expertise. Chennai, in particular, stands out as a preferred destination. Its established healthcare infrastructure, advanced medical technology, and a concentration of highly skilled oncologists specializing in these novel therapies make it a compelling choice for international patients.

Trust in Chennai's medical ecosystem is built upon its world-class hospitals and a dedicated cadre of cancer specialists. These institutions are equipped to handle the intricate protocols of Immunotherapy and CAR-T Cell Therapy, offering not just treatment but also comprehensive patient coordination. This includes support for follow-up care, ensuring a seamless experience within the city’s medical facilities.

Chennai provides a structured environment for advanced cancer treatments, ensuring thorough medical management.

Considering advanced cancer treatment? Connect with our patient advisors for guidance on options in Chennai.

What is Immunotherapy & CAR-T Cell Therapy?

Immunotherapy is a revolutionary cancer treatment that leverages the body's own immune system to fight cancer cells. Unlike traditional chemotherapy that attacks cancer cells directly, immunotherapy helps the immune system recognize and destroy them more effectively. CAR-T Cell Therapy, a specialized form of immunotherapy, involves genetically modifying a patient's own T-cells (a type of immune cell) in a laboratory to specifically target and kill cancer cells. These modified cells are then infused back into the patient, offering a highly personalized and potent attack against certain types of cancer, particularly hematological malignancies like some leukemias and lymphomas.

Types of Immunotherapy Approaches

Different forms of immunotherapy work in unique ways to combat cancer:

  • Checkpoint Inhibitors: These drugs block proteins that prevent the immune system from attacking cancer, essentially "releasing the brakes" on immune cells.
  • Monoclonal Antibodies: Laboratory-produced antibodies that bind to specific targets on cancer cells or immune cells to stimulate an immune response or block cancer growth signals.
  • Oncolytic Viruses: Viruses that are engineered to infect and destroy cancer cells while sparing healthy tissue, also stimulating an anti-tumor immune response.
  • Cancer Vaccines: Designed to boost the immune system's ability to recognize and destroy cancer cells, either as a preventative measure or a treatment.
  • CAR-T Cell Therapy: A highly advanced treatment where a patient’s T-cells are genetically engineered to express a Chimeric Antigen Receptor (CAR) that binds to specific proteins on cancer cells, enhancing their ability to detect and eliminate the malignancy.
  • Cytokines: Proteins that regulate and mediate immunity, inflammation, and hematopoiesis. Interferons and interleukins are two types used to enhance the immune response against cancer.

When is This Treatment Required?

  • Advanced melanoma that cannot be removed by surgery
  • Non-small cell lung cancer, especially in later stages
  • Kidney cancer (renal cell carcinoma) that has spread
  • Bladder cancer that has recurred or progressed
  • Head and neck squamous cell carcinoma
  • Classical Hodgkin lymphoma (for CAR-T Cell therapy in specific cases)
  • Diffuse large B-cell lymphoma (for CAR-T Cell therapy after other treatments)
  • B-cell acute lymphoblastic leukemia in children and young adults (for CAR-T Cell therapy)
  • Merkel cell carcinoma (a rare skin cancer)
  • Microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) solid tumors

Pre-Treatment Evaluation for Advanced Therapies

  • Comprehensive medical history and physical examination
  • Detailed imaging scans (PET CT, MRI, CT scan) to assess tumor burden and spread
  • Biopsy and pathological review for definitive cancer diagnosis and marker testing
  • Blood tests including complete blood count, kidney and liver function tests, viral screening
  • Echocardiogram and ECG to evaluate heart function
  • Pulmonary function tests to assess lung health
  • Bone marrow aspiration and biopsy for hematological cancers
  • Genetic and molecular testing of tumor tissue to identify specific targets for therapy
  • Consultation with an oncologist specializing in immunotherapy and CAR-T Cell therapy

How Immunotherapy and CAR-T Cell Therapy are Performed

The precise procedure for these advanced therapies depends significantly on the specific diagnosis, the type of immunotherapy, and the patient's overall health condition. Each treatment plan is highly individualized.

Immunotherapy Administration

Immunotherapy drugs are typically administered intravenously (through a vein) in cycles. Each cycle involves a period of treatment followed by a rest period, allowing the body to recover and the immune system to respond. The frequency and duration of these cycles vary depending on the specific drug, the type of cancer, and how the patient tolerates the treatment. Many immunotherapy infusions can be given in an outpatient setting, but close monitoring is always essential.

CAR-T Cell Therapy Process

  • Leukapheresis: Blood is drawn from the patient, and a specialized machine separates out the T-cells, returning the rest of the blood to the patient. This process typically takes several hours.
  • Cell Engineering: The collected T-cells are sent to a specialized laboratory where they are genetically modified with a Chimeric Antigen Receptor (CAR). This process can take several weeks.
  • Conditioning Chemotherapy: While the CAR-T cells are being prepared, patients usually undergo a short course of chemotherapy. This helps to reduce existing immune cells, making space for the infused CAR-T cells to expand and function effectively.
  • CAR-T Cell Infusion: Once ready, the modified CAR-T cells are infused back into the patient, similar to a blood transfusion.
  • Monitoring: Patients require close inpatient monitoring for several weeks after infusion for potential side effects.

Recovery Process and Post-Treatment Care

Recovery from Immunotherapy and CAR-T Cell Therapy is highly individualized and varies based on the specific treatment, the patient's general health, and the side effects experienced. For immunotherapy, recovery periods between cycles are often managed at home, with regular hospital visits for infusions and monitoring. CAR-T Cell therapy requires an initial inpatient stay of several weeks for close observation of immediate side effects like Cytokine Release Syndrome or neurotoxicity. After discharge, continued close follow-up with the oncology team is crucial for both therapies, involving regular check-ups, blood tests, and imaging to monitor treatment response and manage any long-term effects. Patients may have restrictions on certain activities or travel for a period.

Potential Risks and Success Rates

  • Immunotherapy Risks: Autoimmune reactions (immune system attacking healthy tissues), fatigue, skin rashes, diarrhea, inflammation of various organs (lungs, liver, kidneys, endocrine glands).
  • CAR-T Cell Therapy Risks: Cytokine Release Syndrome (CRS) leading to fever, low blood pressure, difficulty breathing; neurological toxicities (headache, confusion, seizures); infections due to weakened immune system; prolonged low blood counts.

The success rates for Immunotherapy and CAR-T Cell Therapy vary significantly depending on the specific type of cancer, its stage, previous treatments, and individual patient factors. While these therapies have shown remarkable outcomes, including durable remissions for some patients, they are not universally effective. For certain hematological malignancies, CAR-T Cell therapy has demonstrated high remission rates in patients who had limited options. Immunotherapies have significantly improved survival for various solid tumors. Outcomes are measured by progression-free survival, overall survival, and complete or partial remission rates. Long-term expectations are continuously evolving as research progresses, offering renewed hope for extended disease control.

Cost of Immunotherapy & CAR-T Cell Therapy in Chennai

The cost of advanced cancer treatments like Immunotherapy and CAR-T Cell Therapy in Chennai is influenced by several factors. These include the specific hospital chosen (its infrastructure and reputation), the experience of the treating specialists, the exact type and number of immunotherapy cycles or the CAR-T cell product used, the duration of hospitalization, and any additional supportive care or management of side effects.

A broad estimate for Immunotherapy in Chennai can range from INR 2,00,000 to INR 6,00,000 per cycle. CAR-T Cell Therapy, being a highly specialized and complex procedure, is considerably more expensive, often ranging from INR 1,50,00,000 to INR 4,00,00,000. These figures are approximate and can vary.

Chennai vs. Global Treatment Costs

Patients from abroad often find Chennai offers a significant cost advantage for these advanced therapies without compromising on quality or technology. The table below illustrates how costs in Chennai compare to other global medical destinations for similar treatments.

Location Immunotherapy (per cycle) CAR-T Cell Therapy (full treatment)
Chennai, India INR 2,00,000 - 6,00,000 INR 1,50,00,000 - 4,00,00,000
USA USD 10,000 - 30,000 USD 400,000 - 800,000
United Kingdom GBP 8,000 - 20,000 GBP 250,000 - 500,000
Singapore SGD 12,000 - 35,000 SGD 300,000 - 600,000
Germany EUR 7,000 - 18,000 EUR 200,000 - 450,000

Comprehensive Support for Your Treatment Journey

  • Assistance with medical visa applications and extensions
  • Coordination of airport transfers and local transportation
  • Guidance on suitable accommodation options for patients and accompanying family
  • Arrangement of language interpreters to facilitate clear communication
  • Facilitation of online consultations with specialists before travel
  • Support in scheduling all necessary appointments and diagnostic tests
  • Dedicated patient liaison for any non-medical needs during your stay
  • Coordination for post-treatment follow-up care and remote consultations

Essential Documents for Your Medical Visit

  • Valid passport and medical visa for the patient and accompanying attendant
  • Comprehensive medical reports, diagnostic scans, and biopsy results
  • Current medication list and previous treatment summaries
  • Doctor's referral letter outlining the need for Immunotherapy or CAR-T Cell Therapy
  • Proof of financial solvency to cover treatment costs and living expenses
  • Travel insurance documents, if applicable
  • Consent forms signed prior to the procedure
  • Contact details for emergency purposes

Preparing for Your Advanced Therapy

  • Undergo all pre-treatment evaluations as advised by the medical team
  • Ensure all required medical reports are compiled and translated if necessary
  • Arrange for travel logistics well in advance, including flights and local transport
  • Secure comfortable accommodation that caters to medical needs
  • Discuss potential treatment side effects and recovery expectations with your doctor
  • Establish a communication plan with family and friends back home
  • Prepare financially for the treatment and any potential unforeseen expenses
  • Adhere to any dietary or medication instructions given before arrival

Navigating Your Recovery and Aftercare

  • Attend all scheduled follow-up appointments with your oncology team
  • Adhere strictly to prescribed medications and any specific dietary guidelines
  • Monitor for any new symptoms or side effects and report them promptly
  • Gradually resume daily activities as advised by your healthcare provider
  • Maintain regular contact with your medical team for ongoing guidance
  • Ensure necessary arrangements for long-term monitoring upon returning home
  • Seek psychological support if needed to cope with the emotional aspects of recovery
  • Follow specific instructions regarding travel and physical activity post-treatment

Ready to take the next step towards your advanced cancer treatment in Chennai? We are here to help.

Ready to Explore Your Treatment Options?

Understanding the path forward for Immunotherapy and CAR-T Cell Therapy can provide clarity and hope.

Hospitals Offering this treatment

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Meet Our Doctors

Meet our team of highly qualified and experienced medical professionals dedicated to providing the best healthcare services.

Dr. Shelly Mittal

Dr. Shelly Mittal

Sr. Consultant

Medical Oncology & Hematology

New Delhi

14+ Years

Experience

Artemis Hospital

Hospital

1500

Fees

View Details
Dr. Hari Goyal

Dr. Hari Goyal

Director

Medical Oncology & Haemato-Oncology

New Delhi

34+ Years

Experience

Apolo Delhi

Hospital

1500

Fees

View Details

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