Publications by authors named "Takao Miyabayashi"

Article Synopsis
  • The study investigates the effectiveness and safety of amrubicin (AMR) therapy in patients with recurrent small cell lung cancer (SCLC) following treatment with immune checkpoint inhibitors (ICIs) and chemotherapy.
  • A total of 30 patients were analyzed, with median progression-free survival of 3.8 months and overall survival of 10 months; results were similar regardless of cancer sensitivity to prior treatments.
  • The most frequent serious side effect was severe neutropenia, affecting 73% of patients, leading to two cases of treatment discontinuation due to adverse effects.
View Article and Find Full Text PDF

Introduction: Malignant tumors are the major cause of death in hemodialysis patients. Management of these patients remains challenging as there is no evidence that chemotherapy is beneficial, and a lack of information about actual clinical practice.

Methods: This multicenter retrospective study included hemodialysis patients who were diagnosed with lung cancer from January 2002 to June 2018.

View Article and Find Full Text PDF
Article Synopsis
  • * Conducted across multiple centers in Japan, the study involved 194 patients, finding a 90.8% rebiopsy implementation rate and varying success rates based on the type of biopsy: histology (81.3%), cytology (66.7%), and liquid biopsy (43.8%).
  • * Both histological and cytological samples showed a strong agreement (90.9%) in detecting the T790M mutation, suggesting that rebiopsy can enhance mutation detection and inform better treatment decisions.
View Article and Find Full Text PDF

Objectives: Although immune checkpoint inhibitors (ICIs) have been shown to improve overall survival (OS) in advanced non-small-cell lung cancer (NSCLC) patients, ICIs sometimes cause various types of immune-related adverse events (irAEs), which lead to the interruption of ICI treatment. This study aims to evaluate the clinical significance of the continuation of ICIs in NSCLC patients with irAEs and to assess the safety and efficacy of the readministration of ICIs after their discontinuation due to irAEs.

Methods: We retrospectively identified patients with advanced NSCLC who were treated with first- to third-line anti-programmed cell death-1 (PD-1) therapy from January 2016 through October 2017 at multiple institutions belonging to the Niigata Lung Cancer Treatment Group.

View Article and Find Full Text PDF

Background: Although immune checkpoint inhibitors (ICIs) are effective for advanced non-small cell lung cancer (NSCLC), ICIs may cause interstitial lung disease (ILD), which results in treatment discontinuation and is sometimes fatal. Despite the high incidence of ICI-related ILD, there are few cancer treatment options for patients. This study aimed to evaluate the safety and efficacy of subsequent systemic cancer therapy in NSCLC patients with ICI-related ILD.

View Article and Find Full Text PDF

Background: Interstitial lung disease (ILD) induced by anti-programmed-cell death-1 (PD-1) and anti-PD-ligand 1 (PD-L1) is potentially life-threatening and is a common reason of the discontinuation of therapy. In contrast, an enhancement in antitumor effects was reported in patients who developed immune-related adverse events, including ILD. Although recent evidence suggests that radiologic patterns of ILD may reflect the severity of ILD and the antitumor immune responses to anti-PD-1/PD-L1 therapies, the association between radiologic features and clinical outcomes remains unclear.

View Article and Find Full Text PDF

Background: Owing to the rarity of this tumor, there is limited information about second-line chemotherapy for patients with previously treated advanced thymic carcinoma.

Material And Methods: We performed a multi-institutional, retrospective study named NEJ023 for patients with advanced thymic carcinoma. Patients without indications for curative treatment were treated with chemotherapy from 1995 to 2014 at 40 institutions in the North East Japan Study Group.

View Article and Find Full Text PDF

We retrospectively analyzed the data of 9 patients with organizing pneumonia induced by radiation therapy. Radiation therapy had been administered for breast cancer in 8 patients and for lung cancer in 1 patient. Symptoms were detected in 8 patients; however, none of the patients developed hypoxemia or respiratory failure, and the clinical course was good.

View Article and Find Full Text PDF
Article Synopsis
  • MHC class I-restricted peptide-based vaccines target CD8⁺ T cells to induce tumor cell death, but the mechanisms of diverse antitumor T cell responses remain unclear.
  • This study found that dendritic cells (DCs) that take up apoptotic tumor cells, along with certain peptides, can effectively present tumor-associated antigens in a way that enhances the activity of CD4⁺ T cells against regulatory T cells.
  • The findings suggest that an autocrine mechanism involving IL-23 plays a role in improving tumor antigen presentation by DCs, which could inform more effective cancer immunotherapies without needing to first reduce regulatory T cells.
View Article and Find Full Text PDF

Cytotoxic lymphodepletion therapies augment antitumor immune responses. The generation and therapeutic efficacy of antitumor effector T cells (T(E)s) are enhanced during recovery from lymphopenia. Although the effects of lymphodepletion on naive T cells (T(N)s) and T(E)s have been studied extensively, the influence of lymphodepletion on suppressor cells remains poorly understood.

View Article and Find Full Text PDF

Accumulating evidence suggests that cancer cells possess a small subpopulation that survives during potentially lethal stresses, including chemotherapy, radiation treatment, and molecular-targeting therapy. CD133 is a putative marker that distinguishes a minor subpopulation from normal differentiated tumor cells in many cancers. Although it is necessary to eradicate all cancer cells to obtain a cure, effective treatment to eliminate the CD133(+) treatment-tolerant cells has not been elucidated.

View Article and Find Full Text PDF

Background: Gefitinib was the first epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) approved for the treatment of advanced non-small cell lung cancer (NSCLC). Few treatment options are available for NSCLC patients who have responded to gefitinib treatment and demonstrated tumor progression. The present study was conducted to evaluate the efficacy and toxicity of the 2(nd) EGFR-TKI administration.

View Article and Find Full Text PDF