Publications by authors named "Hironaka S"

Article Synopsis
  • The study examined the prevalence and characteristics of MSI-high tumors in patients with metastatic or recurrent gastric cancer (GC) that had not yet undergone chemotherapy.
  • MSI-high GC was found in 5.6% of patients, with higher prevalence in females, individuals aged 70 and older, tumors located in the lower stomach, HER2-negative cases, and patients without liver metastases.
  • Understanding these MSI-high tumors can enhance clinical practices and inform future research targeting this specific subtype of GC.
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Aim: To determine the impact of the COVID-19 pandemic on depression, anxiety and stress of dental students by way of a systematic review.

Materials And Methods: This review was conducted following the Cochrane Handbook for Systematic Reviews. An electronic search was conducted for the period January 2020 to February 2023.

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Aims: To evaluate the perceptions of parents on general health, oral health, and dental care for children with Down syndrome (DS), and to investigate factors related to parents' perceptions of oral health.

Methods And Results: An online questionnaire survey was conducted of parents of children with DS. Forty-three percent and 81% of the parents rated their child's oral health and general health as good, respectively.

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is the most pathogenic periodontal bacterium in the world. Recently, has been considered responsible for dysbiosis during the development of periodontitis. This study aimed to evaluate a novel immunochromatographic device using monoclonal antibodies against in subgingival plaques.

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Purpose Postoperative infections pose an important problem for patients with cardiac disease. Moreover, oral health status is associated with the risk of longer hospital stays. Therefore, the oral health status of patients was assessed before open-heart surgery.

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Older adults often experience poor oral functions, hindering rehabilitation post-acute disease treatment. However, characteristics of hospitalized patients who would benefit from professional oral-health management (POHM) have not been clarified. Therefore, we aimed to elucidate systemic and oral characteristics of patients requiring POHM during hospitalization in a convalescent hospital.

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Article Synopsis
  • This study analyzed changes in treatment patterns for Japanese patients with resectable gastric cancer from 2008 to 2022, focusing on adjuvant and recurrent therapy.
  • In the adjuvant cohort, the use of S-1 decreased as new regimens were adopted, with S-1 making up 65% of treatments by 2019-2022, compared to 95.7% earlier.
  • The recurrent cohort showed common first-line treatments like paclitaxel plus ramucirumab and S-1 combinations, aligning with Japanese Gastric Cancer Association guidelines.
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Background: The aim of this study was to explore the clinical utility of serum HER2 extracellular domain (sHER2 ECD) using data from a clinical trial evaluating trastuzumab combined S-1 plus oxaliplatin (SOX) in HER2 positive gastric cancer.

Methods: sHER2 ECD were prospectively measured at baseline and subsequent treatment courses. Based on each quantile point of baseline sHER2 ECD levels and its early changes, patients were divided into two groups and compared clinical outcomes.

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Background: Non-inferiority of trifluridine/tipiracil (FTD/TPI) plus bevacizumab (BEV) to irinotecan/fluoropyrimidine plus BEV in metastatic colorectal cancer was investigated in the phase III TRUSTY study, and we conducted a phase II study of FOLFIRI (5-FU+leucovorin+irinotecan) plus zib-aflibercept (AFL) after FTD/TPI plus BEV. However, the TRUSTY study failed during the recruitment of our patients.

Objective: We present the findings of a phase II study on the efficacy of FOLFIRI plus zib-aflibercept (AFL) after FTD/TPI plus BEV, including clinical results with plasma biomarker analyses.

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Porphyromonas gingivalis, a Gram-negative anaerobic bacillus, is the primary pathogen in periodontitis. Herein, we cultivated strains of oral bacteria, including P. gingivalis and the oral commensal bacteria Actinomyces viscosus and Streptococcus mutans, and recorded the infrared absorption spectra of the gases released by the cultured bacteria at a resolution of 0.

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Background: Oral health management has become increasingly important for acute inpatients. Older patients often require extended periods of medical care, and oral health management is necessary in the convalescent period following the acute period. During the convalescent period, oral health management remains unclear as convalescent hospitals have limited dental resources, and effective dental care must be provided if the objective of hospitalization is to improve life functions.

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Article Synopsis
  • * The objective was to assess if a learning program sharing treatment protocols for low-evidence biomarkers could align MTB recommendations and evaluate the effectiveness of an AI-based annotation system.
  • * The study involved 47 participants and 50 simulated cases, comparing treatment recommendation concordance before and after the learning program, with the aim to achieve high agreement levels post-learning.
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Article Synopsis
  • FTD/TPI plus bevacizumab has demonstrated clinical benefits for patients with difficult-to-treat metastatic colorectal cancer (mCRC), especially those who have had prior treatments and cannot handle intensive therapy.
  • A study involving 93 patients revealed that most were older and had significant health issues, with 68% receiving FTD/TPI as their second-line treatment.
  • The treatment had a low objective response rate of 4.9%, but a notable disease control rate of 67.9%, with median overall survival at 18.6 months and manageable safety concerns, primarily neutropenia.
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Many older patients admitted to convalescent hospitals present with impaired oral function, which is an important function of daily life. This study aimed to investigate the actual status of the oral healthcare needs of inpatients in a convalescent hospital and to clarify the relationship between the level of independence at admission and the oral function. The participants were 147 patients (94 males, 53 females, mean age: 74.

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Article Synopsis
  • * Key biomarkers include various gene statuses and dMMR/MSI-H, TMB-H, and HER2, which guide the selection of targeted therapies.
  • * Three angiogenesis inhibitors—bevacizumab (BEV), ramucirumab (RAM), and aflibercept (AFL)—are used in second-line treatments, though further research is needed to identify effective biomarkers for their selection.
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Article Synopsis
  • Chemotherapy paired with antiangiogenic agents like bevacizumab, ramucirumab, and aflibercept is the standard second-line treatment for metastatic colorectal cancer, but it's unclear which agent to choose due to limited prospective study evidence.
  • Previous research indicates that ramucirumab may work better for patients with high VEGF-D levels, while aflibercept may be more effective for those with high VEGF-A.
  • The JCOG2004 study is a randomized phase II trial enrolling 345 patients over two years to identify these predictive biomarkers and measure progression-free survival as the main goal.
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Background: Trifluridine/tipiracil (FTD/TPI) prolongs survival in the third- or later-line treatment for advanced gastric cancer (GC), esophagogastric junction (EGJ) adenocarcinoma, and colorectal cancer. While single-arm phase II trials showed promising outcomes of FTD/TPI plus ramucirumab (RAM) as third- or later-line treatments for advanced GC or EGJ cancer, there have been no clinical trials to directly compare FTD/TPI plus RAM with FTD/TPI monotherapy. Therefore, we have started a randomised phase II trial to evaluate the efficacy and safety of FTD/TPI plus RAM compared with FTD/TPI monotherapy as third- or later-line treatments in patients with advanced GC and EGJ adenocarcinoma.

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Article Synopsis
  • Pembrolizumab, an anti-PD-1 therapy, showed efficacy in treating gastric/gastroesophageal junction cancer in Japanese patients across multiple study phases (KEYNOTE-059, KEYNOTE-061, and KEYNOTE-062).
  • The results indicated varying levels of overall survival (OS), progression-free survival (PFS), and objective response rates (ORR) across the studies, with some advantages over chemotherapy.
  • Overall, the findings suggest that pembrolizumab is promising for gastric cancer treatment and further evaluation is warranted.
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Background: The purpose of this prospective study was to assess the ability of plasma vascular endothelial growth factor-A short isoforms (pVEGF-Asi) to predict bevacizumab (BV) efficacy and to explore other circulating biomarkers in metastatic colorectal cancer (mCRC) patients treated with modified FOLFOX6/XELOX plus BV (mFOLFOX6/XELOX + BV).

Patients And Methods: Pre-treatment plasma samples were collected from 100 mCRC patients receiving first-line chemotherapy with mFOLFOX6/XELOX + BV. The plasma levels of 11 angiogenesis-associated molecules, including pVEGF-Asi and 22 cancer-associated gene mutations in circulating tumor DNA, were analyzed.

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Background: We herein investigated the association between early tumor shrinkage (ETS) and depth of response (DpR) and clinical outcomes in patients with metastatic esophageal cancer treated with 2-weekly docetaxel combined with cisplatin plus fluorouracil (bDCF) using data from the JCOG0807, a phase I/II trial of bDCF as first-line chemotherapy for metastatic esophageal cancer.

Methods: ETS was defined as a percent decrease in the sum of the target lesions' longest diameter after 8 weeks, whereas DpR was defined as a percentage of the maximal tumor shrinkage during the treatment course. Multivariable analyses were conducted to identify significant prognostic variables in progression-free survival (PFS) and overall survival (OS): one for ETS and covariates, and another for DpR and covariates.

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Background: The real-world survival benefit of FOLFOXIRI (fluorouracil, leucovorin, oxaliplatin, and irinotecan) plus anti-VEGF therapy (Triplet) over doublet chemotherapy (Doublet) remains controversial in patients with BRAF mutant metastatic colorectal cancer (mCRC).

Patients And Methods: WJOG13219G was a multicenter, retrospective, registry-based study of patients with BRAF mutant mCRC who received first-line triplet or doublet chemotherapy from January 2014 to December 2019 in Japan. Inverse probability of treatment weighting (IPTW) was used to adjust for patient background.

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Background: Patients with cancer of unknown primary site are divided into two distinct groups, favourable and unfavourable subsets. For the unfavourable subset, empiric treatment or site-specific treatment is recommended, but limited knowledge exists about the efficacy of site-specific treatment compared with empiric treatment in clinical practice.

Methods: In this multicentre retrospective study, we reviewed the medical records of patients with cancer of unknown primary site treated with chemotherapy (or chemoradiotherapy) as first-line treatment from eight institutions during 2006-18.

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Purpose: Definitive chemoradiotherapy (CRT) is the standard treatment for patients with locally advanced esophageal cancer (EC) who refuse surgery as the initial therapy. However, poor survival, a high incidence of late toxicities, and severe complications after salvage surgery remain issues to be resolved. This single-arm multicenter trial (JCOG0909) aimed to confirm the efficacy of CRT modifications, including salvage treatment for reducing CRT-related toxicities and facilitating salvage treatment for improved survival.

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