Publications by authors named "Kizaki M"

High-dose chemotherapy followed by autologous hematopoietic stem cell transplantation (HDC/ASCT) has been useful in relapsed or refractory classic Hodgkin lymphoma (RRcHL). Furthermore, a ranimustine, cytarabine, etoposide, and cyclophosphamide (MCVAC) conditioning regimen has been effective in diffuse large B-cell lymphoma. However, limited data are available regarding this conditioning regimen for cHL.

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The emergence of novel drugs has significantly improved outcomes of patients with plasma cell neoplasms (PCN). The Japanese Society of Hematology conducted a prospective observational study in newly diagnosed PCN patients between 2016 and 2021. The analysis focused on 1385 patients diagnosed with symptomatic PCN between 2016 and 2018.

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Article Synopsis
  • Despite initial therapy success, most patients with mantle cell lymphoma (MCL) eventually face relapsed or refractory (R/R) disease, prompting a study on the combination of ibrutinib and venetoclax for treatment.
  • In a Phase 2 study involving 13 patients (average age 71), the combination therapy showed an 83% complete response rate and no dose-limiting toxicities or severe treatment-related deaths after 9.6 months of follow-up.
  • The results indicate that this treatment combination is both effective and well-tolerated, offering a promising option for Japanese patients dealing with R/R MCL.*
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Epstein-Barr virus-positive mucocutaneous ulcer (EBVMCU) is a newly recognized disease entity characterized by EBV-positive atypical B-cell proliferation. EBVMCU is a localized self-limited disease that affects mucosa and skin, especially the oral cavity. EBVMCU develops in immunosuppressive patients, such as those with methotrexate (MTX)-administrated rheumatoid arthritis (RA).

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ABL1-tyrosine kinase inhibitors (TKIs) are an established treatment choice for patients with chronic myeloid leukemia in the chronic phase (CML-CP). However, effects of TKI dose modification have not been well investigated. In this study, we retrospectively analyzed 178 patients with newly diagnosed CML-CP who were treated with dasatinib or nilotinib, focusing on age and dose effects.

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Objective Pleural effusion (PE) is a common adverse event that occurs during dasatinib therapy for chronic myeloid leukemia (CML). However, the pathomechanism of PE and appropriate management of Asian patients with CML have not been elucidated. This study investigated the incidence rate, risk, and appropriate management of PE in Asian patients with CML treated with dasatinib.

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A 62-year-old woman was presented at our hospital with visual disturbance. An ocular examination revealed bilateral Roth spots. Laboratory data revealed leukocytosis (236,200 µl) with an excess blast (11%).

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A 76-year-old woman with leukocytosis and thrombocytopenia was admitted to our hospital. A bone marrow examination showed a composition of 82.0% blasts, i.

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Age and comorbidities are important factors to be considered in the selection of tyrosine kinase inhibitors (TKIs) for first-line treatment in patients with chronic myeloid leukemia in chronic phase (CML-CP). However, it is yet unclear whether TKI selection, particularly, imatinib versus second-generation TKIs (2GTKIs), impacts treatment outcomes in the clinical practice. To address this, we compared the clinical outcomes of prospectively registered 452 patients with CML-CP treated with imatinib and 2GTKIs, taking into consideration their age and/or comorbidities.

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Article Synopsis
  • An 82-year-old male developed subacute sensorimotor neuropathy after an Epstein-Barr virus (EBV) infection, initially experiencing diplopia and limb weakness that affected his gait.
  • Biopsy of a cervical lymph node revealed a high presence of EBV-positive cells, while nerve conduction studies indicated both axonal damage and demyelination.
  • The patient showed improvement with corticosteroid treatment, regaining the ability to walk independently after four months, with the neuropathy thought to result from vasculitic and immune-mediated processes linked to EBV reactivation.
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To evaluate the safety and effectiveness of carfilzomib in a real-world setting. A post-marketing surveillance of Japanese patients with relapsed or refractory multiple myeloma who received carfilzomib treatment was performed. Overall incidences of adverse events of any grade, ≥grade 3 treatment-related adverse events and serious adverse events were 63.

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Article Synopsis
  • * In a phase I study involving 10 patients, alvocidib was evaluated for safety when combined with either cytarabine/mitoxantrone or cytarabine/daunorubicin, demonstrating good tolerability and no dose-limiting toxicities.
  • * The study found a high rate of complete remission: 66.7% for the ACM regimen in relapsed AML and 75% for the newly diagnosed regimen, suggesting the need for further research on alvocidib in treating hemat
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Introduction: Few studies have reported the outcomes of adolescents and young adults (AYAs) with chronic-phase chronic myeloid leukaemia (CML-CP) on tyrosine kinase inhibitors (TKIs).

Materials And Methods: We retrospectively analysed the clinical features, treatment response, and long-term outcomes of 42 AYA patients, in comparison to older patients. The initial therapies of AYA patients between 2001 and 2016 included imatinib ( = 24), dasatinib ( = 13) and nilotinib ( = 5).

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Acute myeloid leukemia (AML) predominantly affects elderly adults, and its prognosis worsens with age. Treatment options for patients in Japan ineligible for intensive chemotherapy include cytarabine/aclarubicin ± granulocyte colony-stimulating factor (CA ± G), azacitidine (AZA), low-dose cytarabine (LDAC), targeted therapy, and best supportive care (BSC). The country's aging population and the evolving treatment landscape are contributing to a need to understand treatment pathways and associated outcomes.

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The tumor microenvironment (TME) is a critical regulator of the development of malignant lymphoma. Therapeutics targeting the TME, especially immune checkpoint molecules, are changing the treatment strategy for lymphoma. However, the overall response to these therapeutics for diffuse large B-cell lymphoma (DLBCL) is modest and new targets of immunotherapy are needed.

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Article Synopsis
  • - DSP-7888 is a cancer vaccine based on the Wilms' tumor gene 1 (WT1) protein, tested in a study involving patients with myelodysplastic syndromes (MDS) in two phases, focusing on safety and effectiveness.
  • - In the phase 1 trial, 12 patients received two different doses (3.5 mg or 10.5 mg) without serious dose-limiting side effects, leading to 10.5 mg being chosen for the larger phase 2 trial, which included 35 patients.
  • - The most common side effects were injection site reactions, and while disease control proved limited (19% effectiveness), patients with WT1-specific immune responses had significantly better median
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Intravascular large B-cell lymphoma (IVLBCL) is a rare lymphoma characterized by the selective growth of lymphoma cells within the lumen of vessels. We describe the case of a 69-year-old male who presented with marked pain in the left facial region. Gadolinium-enhanced magnetic resonance imaging revealed a swollen left trigeminal nerve (TN) and positron emission tomography/computed tomography demonstrated fluorodeoxyglucose-only uptake at the same site.

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We compared the two methods of assessing CD30 protein expression in DLBCL and TCL specimens routinely employed at our hospital, immunohistochemistry (IHC) and flow cytometry (FCM), using the same clone of the anti-CD30 antibody (Ber-H2) in 123 patients with DLBCL and 28 patients with TCL. FCM was more sensitive than IHC, especially in cases with low expression. In three cases of TCL and two cases of DLBCL, there was discordance between these two methods.

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Article Synopsis
  • Gilteritinib, a FLT3 inhibitor, was recently approved in Japan as an effective treatment for FLT3-mutated relapsed/refractory acute myeloid leukemia (AML), showing better overall survival than salvage chemotherapy in the ADMIRAL trial.
  • In the Japanese subgroup analysis, patients on gilteritinib had a median overall survival of 14.3 months compared to 9.6 months for those on salvage chemotherapy, with higher complete remission rates.
  • Gilteritinib also resulted in fewer adverse events, although some patients experienced significant issues like febrile neutropenia and anemia.
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Background: Multiple myeloma (MM) is an incurable hematological malignancy. Despite the introduction of several novel drugs, most patients relapse. Biomarkers to identify the early signs of relapse will make it possible to adjust the therapeutic strategy before the disease worsens.

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The current World Health Organization (WHO) classification defines a new disease entity of high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, making fluorescence in situ hybridization (FISH) screening for these genes mandatory. In addition, the prognostic significance of MYC expression was reported, with a cut-off value of 40%. However, interobserver discrepancies arise due to the heterogeneous intensity of MYC expression by immunohistochemistry.

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Multiple myeloma (MM) is still extremely difficult to cure, and new therapeutic drugs are needed. We recently found that integrin β7 is constitutively activated in MM cells, and chimeric antigen receptor (CAR) T cells targeting activated integrin β7 have a significant anti-MM effect. In this study, we performed flow cytometry analysis of the expression of activated integrin β7 in bone marrow cells from 137 symptomatic MM patients.

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Background: The International Myeloma Working Group response criteria require two consecutive assessments of paraprotein levels. We conducted an exploratory analysis to evaluate whether a single response assessment could be a substitute for the International Myeloma Working Group criteria using data from JCOG1105, a randomized phase II study on melphalan, prednisolone and bortezomib.

Methods: Of 91 patients with transplant-ineligible newly diagnosed multiple myeloma, 79 patients were included.

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