Publications by authors named "Junji Suzumiya"

Article Synopsis
  • * The Orbit study aimed to evaluate real-world outcomes for adults with CLL/SLL in Japan treated with ibrutinib between July 2018 and December 2020, including 246 patients in total.
  • * After 36 months, the study showed an 80.9% progression-free survival rate for first-line treatment and 67.2% for relapsed cases, with common significant side effects including bleeding and infections, underscoring ibr
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Response determined by 18[F]-fluoro-2-deoxy-D-glucose (F-FDG) positron emission tomography (PET)-CT after induction therapy can predict progression-free survival (PFS) in follicular lymphoma (FL). However, little prospective research has examined the significance of PET after second-line therapy. We conducted a prospective multicenter phase II trial (W-JHS NHL01) of bendamustine plus rituximab (BR) without rituximab maintenance for FL in first relapse.

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Chronic lymphocytic leukemia (CLL) is rare in Japan. We conducted the nationwide, prospective observational study CLLRSG-01 to clarify the current state of CLL in Japan and to make accurate international comparisons by preparing naturally air-dried smears like those used in other countries. Of the 201 untreated patients enrolled and evaluated, 119 were diagnosed with CLL and 82 with non-CLL mature B-cell neoplasms, based on the WHO classification.

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Article Synopsis
  • Peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) can be divided into two main subtypes: PTCL-TBX21 and PTCL-GATA3, each exhibiting different characteristics.
  • In a study involving 100 Japanese patients, PTCL-TBX21 showed better treatment response and lower CD4 positivity compared to PTCL-GATA3, which also had worse overall survival rates.
  • The findings suggest that classifying PTCL-NOS based on these subtypes can help predict patient outcomes and tailor immune therapy.
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  • - Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is an effective treatment for diffuse large B-cell lymphoma (DLBCL) due to its graft-versus-lymphoma effect, but identifying which patients will benefit is challenging.
  • - Analysis of 1,268 DLBCL patients showed 3-year overall survival and progression-free survival rates at 30.3% and 21.6%, respectively, with various factors impacting patient outcomes post-transplantation.
  • - A prognostic index was developed based on four key factors that predict different 3-year progression-free survival rates, aiding in identifying patients who might benefit from allo-HSCT, though its applicability to post-chimeric
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Immunotherapy with the programmed cell death protein 1 (PD-1)/PD-1 ligand (PD-L1) blockade has revolutionized the treatment of advanced solid cancers. However, these clinical benefits have been limited to cases of malignant lymphomas, showing promising results for only classic Hodgkin lymphoma (cHL) and primary mediastinal B-cell lymphoma (PMBCL). To bring clinical benefits to more patients with lymphoma, numerous combination therapies involving PD-1/PD-L1 blockade have been tested in clinical trials in both frontline and relapsed/refractory settings.

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Article Synopsis
  • The study aimed to evaluate the safety, tolerability, and pharmacokinetics of mosunetuzumab in Japanese patients with relapsed/refractory B-cell non-Hodgkin lymphoma through a dose-escalation method.
  • A total of 23 patients participated, with a median age of 63; the treatment was generally well tolerated, and the most common side effects included neutropenia and cytokine release syndrome.
  • Results showed promising antitumor activity, with two patients achieving complete responses and eleven partial responses, and the recommended dosing was consistent with previous studies.
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Introduction: This double-blind, parallel-group, active-controlled phase III trial (NCT02260804) assessed CT-P10 and rituximab safety and efficacy in patients with previously untreated low-tumor-burden follicular lymphoma (LTBFL), including after a single switch from rituximab to CT-P10.

Patients And Methods: LTBFL patients were randomized (1:1) to receive CT-P10 or rituximab (375 mg/m intravenously; day 1 of 4 7-day cycles). Patients achieving disease control entered a 2-year maintenance period.

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Mantle cell lymphoma (MCL) accounts for approximately 3% of all cases of malignant lymphoma in Japan. The CLIMBER-DBR (Treatment practices and patient burden in chronic lymphocytic leukemia and mantle cell lymphoma patients in the real world: An observational database research in Japan) study examined the clinical characteristics, treatment patterns, and healthcare resource utilization of MCL in a real-world clinical setting in Japan. Using the Japanese Medical Data Vision database, we extracted data for 1130 patients with MCL (ICD-10 code C83.

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There are limited real-world data on the treatment practices and healthcare resource utilization associated with chronic lymphocytic leukemia (CLL) in Japan. In this study (CLIMBER-DBR), we performed retrospective analyses of the Japanese Medical Data Vision database, and extracted data for 2562 patients with newly diagnosed CLL (CLL-1 cohort) and 930 patients receiving CLL treatment (CLL-2 cohort) registered between March 1, 2013 and February 28, 2018. The median follow-up in the CLL-1 cohort was 721 (quartile 1-3: 363-1267) days and the median time to initial (first-line) treatment was 1331 (quartile 1-3: 189-not reached) days.

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This multicenter, open-label, phase I study assessed the safety and antitumor activity of acalabrutinib in Japanese patients with relapsed/refractory (r/r) B-cell malignancies. Parts 1 (dose confirmation) and 2 (dose expansion) of this three-part study are reported. Treatment was a single dose of 100 mg acalabrutinib (day 1), followed by a washout period and then twice daily 100 mg acalabrutinib in part 1, or twice daily 100 mg acalabrutinib in part 2.

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Although romidepsin as monotherapy appears to be useful for treating T-cell lymphoma, combined chemotherapy with other therapeutic agents is required for improvement of the treatment outcome. To establish safer and more effective regimens, systematic screening was conducted to identify suitable drugs to be used in combination with romidepsin for T-cell malignancies, and the underlying molecular mechanisms were examined. The most effective agent was tamoxifen.

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Background: Dasatinib is a second-generation tyrosine kinase inhibitor (TKI) developed for treatment of patients with chronic myeloid leukemia (CML). The drug has been shown to act as a potent multikinase inhibitor by blocking not only the BCR-ABL1 gene sequence but also the SRC kinase family, though unexpected adverse events such as pleural effusion have recently been reported in patients undergoing treatment with dasatinib. Hemorrhagic colitis is a unique gastrointestinal adverse events associated with dasatinib and its pathogenesis remains poorly understood.

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Objective: Fludarabine, cyclophosphamide and rituximab (FCR) is the standard regimen for fit patients with untreated CD20-positive chronic lymphocytic leukemia (CLL). However, this combination is unavailable in Japan because rituximab is not approved for CLL. We investigated the efficacy and safety of FCR in this single-arm, multicenter study designed as a bridging study to the CLL8 study by the German CLL Study Group.

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CD5-positive diffuse large B-cell lymphoma (CD5+ DLBCL) is characterized by poor prognosis and a high frequency of central nervous system relapse after standard immunochemotherapy. We conducted a phase II study to investigate the efficacy and safety of dose-adjusted (DA)- EPOCH-R (etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab) combined with high-dose methotrexate (HD-MTX) in newly diagnosed patients with CD5+ DLBCL. Previously untreated patients with stage II to IV CD5+ DLBCL according to the 2008 World Health Organization classification were eligible.

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The prognosis of diffuse large B-cell lymphoma (DLBCL) having MYC rearrangement (MYC-R), including double hit lymphoma (DHL), is poor by standard immunochemotherapy. To evaluate the significance of hematopoietic stem cell transplantation (SCT) for DLBCL with MYC-R, we retrospectively analyzed Japanese SCT registry data. In total, 54 patients with DLBCL with MYC-R were identified from 4336 registered adult DLBCL patients.

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Article Synopsis
  • * Diagnostic methods included bone marrow biopsy for FL and additional biopsies from the testis and pancreas for B-LBL, followed by cytogenetic and molecular analyses to explore their relationship.
  • * The findings revealed common genetic alterations (BCL2-IGH and MYC-IGH translocations) in tumor cells from different sites, suggesting that the MYC gene rearrangement plays a vital role in the transformation of FL into B-LBL.
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Article Synopsis
  • - CHOP (with or without rituximab) is a common treatment for aggressive lymphoma, but doesn't always work well for patients with poor prognostic factors; dose-adjusted EPOCH (with or without rituximab) has shown better effectiveness for some of these cases.
  • - A study involving 149 patients from 17 institutions evaluated the use of DA-EPOCH over a median follow-up of 27 months, finding a high complete response rate of 79% for newly diagnosed patients, with no treatment-related deaths reported.
  • - Side effects included febrile neutropenia in 55% of patients and severe infections in 28%, but these rates didn't significantly differ between younger and older patients; overall,
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Aggressive NK-cell leukemia (ANKL) has a fulminant clinical course with a poor prognosis. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is currently the only curative treatment. Using the Japanese transplant registry data, the outcomes of 59 ANKL patients who underwent first allo-HSCT were analyzed.

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We conducted a multicenter study on anti-programmed cell death-1 monoclonal antibodies (anti-PD-1 mAbs) before/after allogeneic hematopoietic cell transplantation (allo-HCT) for Hodgkin lymphoma. Anti-PD-1 mAbs were administered to 25 patients before allo-HCT and to 20 after allo-HCT. In pre-allo-HCT setting, the median interval from the last administration to allo-HCT was 59 days.

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Advances in the molecular biology of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) and development of molecularly targeted therapies have resulted in treatment innovations. Therapeutic approaches for previously untreated CLL/SLL patients are changing from chemoimmunotherapy (CIT) to molecularly targeted drugs. The aim of therapy for CLL patients has been to control the disease; however, FCR (fludarabine, cyclophosphamide, rituximab) has improved outcomes and reduced the high incidence of undetectable minimum/measurable residual disease (MRD) in previously untreated CLL patients with no 17p deletion/TP53 disruption and mutated immunoglobulin heavy chain gene (IGHV).

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Although allogeneic hematopoietic stem cell transplantation (HSCT) has been reported to provide prolonged remission of relapsed/refractory mycosis fungoides (MF) and Sézary syndrome (SS), its role has not been fully evaluated. Here, the outcomes of allogeneic HSCT for patients with MF/SS were retrospectively evaluated by using the registry database of the Japan Society for Hematopoietic Cell Transplantation. Forty-eight patients were evaluable and enrolled in the analysis.

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Article Synopsis
  • Patients with relapsed or refractory lymphoblastic lymphoma (LBL) often face a poor prognosis, and the role of allogeneic blood stem cell transplantation in their treatment is still being evaluated due to potential transplantation-related complications.
  • A study conducted on 213 patients under 18 who underwent stem cell transplantation from 1990 to 2015 in Japan found that acute graft-versus-host disease (aGVHD) significantly improved overall survival rates compared to those without aGVHD.
  • The results suggest that while aGVHD can have harmful effects, its occurrence may actually enhance survival outcomes for patients with relapsed/refractory LBL treated with allogeneic transplantation.
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