Publications by authors named "K Kunimasa"

Hemolytic anemia is a rare and unique complication of alectinib, not observed with other anaplastic lymphoma kinase (ALK) inhibitors. Here, we present a case of an ALK fusion-positive non-small-cell lung cancer (NSCLC) patient who developed liver failure due to diffuse liver metastasis at initial diagnosis. Treatment was initiated with low-dose alectinib, but the patient developed severe hemolytic anemia.

View Article and Find Full Text PDF
Article Synopsis
  • Comprehensive genome profiling (CGP) has changed healthcare by paving the way for personalized medicine, but its real-world effectiveness is still uncertain.
  • A study at the Osaka International Cancer Institute analyzed data from 1,096 advanced solid tumor patients to assess how often CGP led to suitable therapies and its impact on patient outcomes.
  • The findings revealed that while CGP provided clinical trial options for 60.9% of patients, only a small fraction (1.1%) could enroll, and the progression-free survival for treatments was generally short, indicating a need for better integration of CGP into trial systems and patient care.
View Article and Find Full Text PDF

Background: The most recommended treatment for stage IV EGFR-positive lung cancer is osimertinib monotherapy. The dosage of osimertinib is fixed at 80 mg/day regardless of body surface area (BSA), however some patients withdraw or reduce the dosage due to adverse events (AEs).

Methods: We performed a retrospective cohort study of 98 patients with EGFR mutation-positive non-small cell lung cancer (NSCLC), who received 80 mg osimertinib as the initial treatment.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to evaluate the safety of combining atezolizumab and bevacizumab (Atezo/Bev) immunotherapy with direct oral anticoagulants (DOACs) due to concerns about increased bleeding risks.
  • It involved 141 patients with unresectable hepatocellular carcinoma (HCC) or advanced lung cancer, analyzing bleeding events in those on DOACs versus those not on any antithrombotics.
  • Results indicated no significant differences in bleeding rates between patients using DOACs and those not using antithrombotics, suggesting that using DOACs with Atezo/Bev may be safe with proper monitoring.
View Article and Find Full Text PDF

We present a patient with lung adenocarcinoma showing high PD-L1 expression and BRAF V600E mutation, who achieved a remarkable long-term response to the combination therapy of dabrafenib and trametinib (DT treatment) after disease progression on immunotherapy. This case may provide an opportunity for clinicians to consider the order of administration of immunotherapy and molecular targeted therapy for BRAF V600E-positive lung cancer.

View Article and Find Full Text PDF