Publications by authors named "Tsukasaki K"

Background: Food allergy management systems are important for childcare facilities to accept children with food allergies prescribed epinephrine (epinephrine-treated children). The relationship between the food allergy management system of a childcare facility and the willingness of children attending the facility to accept epinephrine is unclear. We believe that childcare facilities that cooperate with local health and medical institutions are more willing to accept children receiving epinephrine.

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  • Researchers are testing valemetostat, an EZH2 and EZH1 inhibitor, for safety and effectiveness in patients with relapsed or refractory non-Hodgkin lymphoma, due to limited treatment options and poor outcomes.
  • The study involved 90 participants from 19 hospitals across Japan and the USA, who received varying doses of valemetostat in a phase 1 clinical trial to find the right dosage and assess its anti-tumor effects.
  • Initial findings will help determine the most effective dosages and provide insights into the drug's safety profile, with a majority of patients having peripheral T-cell lymphoma.
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  • A study called JCOG1305 tested a new way to treat young people with advanced classic Hodgkin lymphoma (cHL) using a special PET scan after two treatment cycles.
  • Patients aged 16-60 received specific chemotherapy and then their PET scans determined if they continued the same treatment or switched to a stronger one.
  • The results showed that most patients had a good chance of staying cancer-free for at least two years, making the PET-guided treatment a promising option for younger patients with this type of cancer.
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  • Follicular helper T-cell lymphomas (TFHL) often have gene alterations affecting DNA methylation, and preliminary studies indicate that 5-azacitidine may be effective for patients with relapsed TFHL.
  • This study compared the oral azacitidine treatment to typical therapies (like gemcitabine and bendamustine) in patients over 18 with relapsed or refractory TFHL across five European countries and Japan.
  • The trial enrolled 86 patients, showing that those treated with azacitidine had a median progression-free survival of 5.6 months, significantly longer compared to 2.8 months for those receiving standard therapy.
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Follicular lymphoma (FL) is an indolent lymphoma that becomes aggressive due to histological transformation (HT), leading to reduced survival. Patients with FL have different clinical courses and various treatment options. Some patients exhibit shorter survival and experience disease progression within 24 months of diagnosis/treatment (POD24); the optimal treatment remains an unmet needs.

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  • Secondary central nervous system involvement (sCNSi) in diffuse large B-cell lymphoma (DLBCL) is a serious condition, with a study showing that only 5.1% of lower-risk patients developed sCNSi over a median follow-up of 4.9 years.
  • The five-year cumulative incidence of sCNSi varied based on risk levels (4.0% for low risk to 11.5% for high risk), with lesions most commonly found in the stomach and paranasal cavity, the latter being a significant risk factor.
  • Despite a low incidence in lower-risk patients, the median overall survival after developing sC
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The coincidence of acute T-lymphoblastic leukemia/lymphoma, NOS (T-ALL/LBL), and peripheral T-cell lymphoma (PTCL) is unusual, and there have only been a few cases of their metachronous occurrence. In these cases, PTCLs emerged as recurrence after primary therapy for primary T-ALL, were the rare gamma/delta type, and uncommonly involved skin for T-ALL/LBL. We herein report the first case of de novo T-LBL that coincided with cutaneous gamma/delta PTCL before primary therapy.

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  • A study found that combining anti-CD20 antibody with chemotherapy significantly improved overall survival in untreated advanced-stage follicular lymphoma (FL), but the best treatment approach remains uncertain.
  • A long-term analysis of a clinical trial using R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) showed a 15-year overall survival rate of 76.2% among 248 patients.
  • The study reported no treatment-related deaths and low incidences of new malignancies, confirming that R-CHOP is both effective and safe as a first-line treatment for advanced FL over an extended follow-up period.
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Purpose: To identify innate and acquired factors leading to amyotrophic lateral sclerosis (ALS) caregivers' resilience, the relationships among these factors, and caregiving situations.

Design: Cross-sectional study.

Methods: Questionnaires measuring resilience, caregiver burden, and family functioning were mailed to caregivers of ALS patients in Japan.

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Progression-free survival after R-High CHOP/CHASER/LEED with auto-PBSCT in untreated mantle cell lymphoma in JCOG0406 study. A continuous pattern of relapse was observed.

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We present a case of thoracic SMARCA4-deficient undifferentiated tumor that needed to be differentiated from malignant lymphoma owing to multiple lymph node swelling and marrow involvement. A 52-year-old man developed multiple lymphadenopathies along with anorexia, general fatigue, fever, and sweating 2 months prior to admission. F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) scan revealed a mass lesion on the right upper lung, generalized lymph node swelling, and bone metastasis, indicating the presence of suspicious lung cancer; therefore, he was referred to our hospital.

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Adult T cell leukemia-lymphoma (ATL) is clinically heterogeneous and is classified into four subtypes: acute, lymphoma, chronic, and smoldering. Recently, a new prognostic index based on the value of soluble interleukin-2 receptor, denoted the "iATL-PI," has been proposed for patients with smoldering and chronic ATL. To evaluate the effectiveness of the iATL-PI, we re-analyzed our previously published data on 176 patients with smoldering or chronic ATL (76 smoldering, 100 chronic) diagnosed between 2010 and 2011, as well data from the subsequent follow-up study on prognosis between 2016 and 2017.

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  • - Tucidinostat, an oral HDAC inhibitor, was tested in a phase IIb study for its effectiveness and safety in treating relapsed/refractory peripheral T-cell lymphoma, with 55 patients enrolled between March 2017 and March 2019.
  • - The study found an overall response rate of 46%, with significant responses in various PTCL subtypes, and a notable 88% response rate in angioimmunoblastic T-cell lymphoma.
  • - While some patients experienced adverse events like thrombocytopenia and neutropenia, most were manageable, suggesting tucidinostat could be a promising new option for treatment.
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Adult T-cell leukemia/lymphoma (ATL) is an aggressive non-Hodgkin lymphoma with poor prognosis and few treatment options for patients with relapsed, recurrent, or refractory disease. We evaluated the efficacy and safety of valemetostat, a potent enhancer of zeste homolog 2 (EZH2) and EZH1 inhibitor, in treating relapsed or refractory (R/R) ATL. This multicenter phase 2 trial enrolled patients with R/R aggressive ATL (acute, lymphoma, unfavorable chronic type).

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The histological diagnosis of peripheral T-cell lymphomas (PTCLs) is often challenging. Flow cytometry (FCM) sometimes shows the loss of pan-T-cell markers for PTCLs, suggesting the neoplastic nature of these cells. Immunohistochemically, the total loss of pan-T-cell markers has been demonstrated in PTCLs.

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This study aimed to explore patients' preparedness for emergency hemodialysis in the event of a natural disaster and to determine the factors affecting such preparedness.A cross-sectional study was conducted in undergoing hemodialysis at dialysis facilities in Sapporo, Hokkaido. The participants were a cohort of 256 outpatients aged 20 years or older, 186 (72.

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  • A multicenter phase IIb trial in Japan assessed tucidinostat for patients with relapsed or refractory adult T-cell leukemia/lymphoma who failed standard treatments, with 23 patients participating.
  • The study reported an objective response rate of 30.4%, with a median progression-free survival of 1.7 months and a median overall survival of 7.9 months.
  • Adverse events were common, mainly hematologic and gastrointestinal, but were manageable with supportive care, suggesting tucidinostat could be a viable option for treating this cancer.
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Purpose: The purpose of this study was to develop an interprofessional collaboration (IPC) scale for home health care for frail elderly.

Methods: The first items of the IPC scale included collaboration members' attitudes, awareness, motivation, team strength, communication, relationships, information, care recipients' interests, effects, development, utilization of social resources, contributions to the community, and crisis management. The subjects were 512 care managers who work in home care support offices across Japan.

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We present the case of a 56-year-old male patient with paravertebral extramedullary hematopoiesis (EMH) secondary to myelodysplastic syndrome with ring sideroblasts and multilineage dysplasia. In a routine health checkup over 5 years prior, he presented with asymptomatic mild anemia and a posterior mediastinal mass. Pathological and cytomorphological findings of the resected paravertebral mass were similar to those of his bone marrow specimen, and included cellularity with erythroid hyperplasia, multilineage dysplastic changes, and the presence of ring sideroblasts.

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Bendamustine is now recognized as a key drug for indolent B-cell lymphoma (iBCL), mantle cell lymphoma (MCL) and chronic lymphocytic leukemia (CLL). Skin toxicity associated with bendamustine is one of the characteristic adverse effects. We retrospectively examined the relationship between bendamustine-associated drug rashes and disease prognosis of iBCL and MCL at our institution.

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Background: For patients with peripheral T-cell lymphoma (PTCL), outcomes using frontline treatment with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) or CHOP-like therapy are typically poor. The ECHELON-2 study demonstrated that brentuximab vedotin plus cyclophosphamide, doxorubicin, and prednisone (A+CHP) exhibited statistically superior progression-free survival (PFS) per independent central review and improvements in overall survival versus CHOP for the frontline treatment of patients with systemic anaplastic large cell lymphoma or other CD30-positive PTCL.

Patients And Methods: ECHELON-2 is a double-blind, double-dummy, randomized, placebo-controlled, active-comparator phase III study.

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  • Bortezomib (Btz) is effective for treating multiple myeloma (MM), but some patients experience adverse effects and poor responses to the drug, prompting a study on the link between HLA alleles and treatment outcomes.
  • In a phase II trial, 82 patients with newly diagnosed MM were analyzed for HLA typing to investigate connections between specific alleles and the severity of toxicities like peripheral neuropathy and skin disorders.
  • Although no significant HLA allele was conclusively linked to outcomes, associations were noted: HLA-B*40:06 was more common in severe peripheral neuropathy cases, and certain class II alleles were linked to better treatment responses, indicating HLA genotyping may aid in predicting
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Adult T-cell leukemia-lymphoma (ATL) is a T-cell malignancy that is endemic to Japan. In this latest nationwide study of ATL, we collected the data from 4 nationwide registries of patients diagnosed in 2012-2013; the Hematology Blood Disease, the Skin Cancer Society, the Hospital-Based Cancer Registries, and information from the hospitals that participated in the Japanese nationwide survey of ATL in 2010-2011. In the present study, 2614 patients with ATL were diagnosed based on the registries, and 117 departments registered 1042 patients.

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