Publications by authors named "A Shimomura"

Recently, the anti-programmed cell death protein 1 antibody pembrolizumab, a type of immune checkpoint inhibitor (ICI), has been used in preoperative systemic chemotherapy for hormone receptor and human epidermal growth factor 2-negative breast cancer, also known as triple-negative breast cancer (TNBC). Chemotherapy with pembrolizumab has demonstrated clinical activity in terms of pathologic complete response and event-free survival. Despite their efficacy, the current understanding of the full spectrum of side effects associated with relatively new ICIs remains incomplete.

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Standard trastuzumab therapy can reduce the risk of early recurrence of HER2-positive breast cancer. However, trastuzumab-induced cardiac dysfunction may force the discontinuation of adjuvant trastuzumab therapy. Incidentally, there are still unclear whether or not trastuzumab treatment should be continued in the setting of reduced cardiac function.

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Article Synopsis
  • Sacituzumab govitecan (SG) is an antibody-drug conjugate approved for treating metastatic triple-negative breast cancer (mTNBC) in various regions, with its safety and effectiveness evaluated in a Japanese study (ASCENT-J02).
  • The study consisted of a phase 1 trial that determined the recommended dose (10 mg/kg), followed by a phase 2 trial focusing on the drug's efficacy and safety in patients with previously treated mTNBC.
  • Results showed a 25.0% objective response rate at a median follow-up of 6.1 months, with manageable safety outcomes and no significant new safety concerns, confirming SG's efficacy and safety profile similar to earlier studies.
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Providing treatment to patients with cancer, even during the coronavirus disease (COVID-19) pandemic, is essential. In collaboration with infectious disease specialists, we established guidelines for the management of patients with cancer receiving ambulatory treatment during the pandemic on April 8, 2020. This study examined the practice and management of ambulatory chemotherapy under emergency conditions.

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