1,386 results match your criteria: "Shikoku Cancer Center[Affiliation]"

Article Synopsis
  • This study looked at women with bladder cancer who had surgery to remove their bladder and other reproductive organs to see how many still had problems with their reproductive organs.
  • Out of 417 women, some had their uterus and vaginal wall saved, but about 9% showed signs of cancer in their reproductive areas.
  • The researchers concluded that doctors need to think carefully about whether to save these organs during surgery because there's a risk that cancer could still affect them.
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  • - The study evaluated the effectiveness and safety of adding adjuvant S-1 chemotherapy after surgery in patients with locally advanced esophageal squamous cell carcinoma (ESCC) who previously received neoadjuvant chemotherapy followed by surgery (NAC-S).
  • - A total of 52 patients participated, with a reported 3-year relapse-free survival rate of 72.3% and overall survival rate of 85.0%, indicating successful outcomes for the primary endpoint.
  • - The treatment had some side effects, with the most common grade ≥3 adverse events being neutropenia, anorexia, and diarrhea; however, no treatment-related deaths occurred, suggesting it is a safe option worth exploring further.
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  • A study called JCOG1109 investigated the effects of thoracic duct (TD) resection on the survival of patients with esophageal squamous cell carcinoma, comparing different neoadjuvant treatments.
  • Among 601 patients, TD resection did not significantly improve overall survival when looking at the entire group, but some subgroups, particularly those treated with DCF and achieving a good pathological response, showed better survival with TD resection.
  • The findings suggest that TD resection may not benefit all patients, and the relationship between residual tumor burden after treatment and the impact of TD resection on survival needs further exploration.
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  • A study looked at the safety of continuing blood thinners (warfarin and DOACs) in patients needing a stomach procedure for early cancer.
  • It found that people taking warfarin didn't have any bleeding after the procedure, while some people taking DOACs did.
  • The researchers suggest that it's safer to keep using warfarin and that stopping DOACs too close to the procedure can lead to more bleeding problems.
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Background: In a randomized phase II/III trial (JCOG1008), weekly cisplatin (40 mg/m) was non-inferior to 3-weekly cisplatin (100 mg/m) for postoperative high-risk head and neck cancer. We investigated how acute kidney injury (AKI), a major dose-limiting toxicity effect of cisplatin, affects overall survival (OS).

Methods: We analyzed 251 patients from JCOG1008 receiving chemoradiotherapy.

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  • - The study focuses on the effectiveness and safety of dexamethasone-sparing antiemetic therapies, particularly neurokinin-1 antagonists (NKRA), for preventing chemotherapy-induced nausea and vomiting (CINV) in patients undergoing highly emetogenic chemotherapy (HEC).
  • - A systematic review of literature identified and analyzed two studies involving anthracycline-cyclophosphamide and cisplatin-based regimens; while no significant differences in vomiting prevention were found, some outcomes related to nausea showed variability.
  • - The review concludes that dexamethasone-sparing antiemetic therapies can be effective in preventing CINV for HEC, particularly in patients receiving anthracycline-cyclophosphamide
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  • * In the JCOG0502 trial, 368 patients were observed, where 209 opted for surgery and 159 chose CRT, despite having similar characteristics apart from age.
  • * A study found that patients aged 65 and older, males, those with multiple lesions, those without children, and the advice of their doctor were key factors in choosing CRT, with the doctor's opinion being the most impactful.
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Purpose: Metastatic non-clear cell renal cell carcinoma (nccRCC) is a heterogeneous disease with a poor prognosis and is treated with immunotherapy (IO)-based combinations according to the clear cell renal cell carcinoma. Tyrosine-kinase inhibitors (TKIs), such as cabozantinib and axitinib, are commonly used as the 2nd line therapy after 1st line IO combination therapy, but their efficacy as 2nd line TKI therapy for nccRCC is unknown. In this study, we performed a retrospective multicenter analysis of nccRCC patients who were previously treated with IO combination therapy and received 2nd line TKIs.

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Cemiplimab monotherapy in Japanese patients with recurrent or metastatic cervical cancer.

Cancer Med

September 2024

Gynaecologic Cancer Programme, Vall d'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.

Background: In the phase 3 EMPOWER-Cervical 1/GOG-3016/ENGOT-cx9 study, cemiplimab significantly improved overall survival (OS) versus chemotherapy for patients with recurrent or metastatic cervical cancer who progressed after first-line platinum-based chemotherapy. We present a post hoc subgroup analysis of patients enrolled in Japan.

Methods: Patients were enrolled regardless of programmed cell death-ligand 1 status and randomized 1:1 to cemiplimab 350 mg intravenously every 3 weeks or investigator's choice  single-agent chemotherapy for up to 96 weeks.

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  • - The study investigates the effectiveness of S-1, a drug used after surgery for biliary tract cancer, and its relationship with certain genes involved in the metabolism of the chemotherapy drug 5-fluorouracil (5-FU).
  • - Researchers analyzed tumor samples from 183 patients and categorized them based on their DPD and TP gene levels to see how these affected recurrence-free survival (RFS) when treated with S-1.
  • - Findings indicated that patients with low levels of DPD and TP genes had better RFS benefits from adjuvant S-1, highlighting the potential prognostic significance of these genes in treatment outcomes.
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  • - Comprehensive genomic profiling using circulating tumor DNA (ctDNA) has potential in capturing tumor diversity and improving therapy choices, but it's not fully utilized in clinical settings, especially for advanced solid tumors.
  • - The GOZILA study found that ctDNA profiling led to a 24% match rate for targeted therapies, significantly improving patient outcomes, with those receiving matched treatments experiencing better overall survival rates compared to those who were unmatched.
  • - Key ctDNA characteristics, like biomarker clonality and plasma copy number, serve as indicators of treatment effectiveness, suggesting that ctDNA can enhance precision in oncology and should be more widely used to optimize patient survival in advanced solid tumors.
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  • Nausea and vomiting are frequent side effects of trastuzumab deruxtecan (T-DXd) treatment, prompting a study to evaluate an olanzapine-based regimen to prevent these symptoms in breast cancer patients.
  • A phase II clinical trial involved 168 patients with HER2-positive metastatic breast cancer; results showed a significantly higher complete response rate in the group receiving olanzapine compared to placebo (70% vs. 56.1%) during the delayed phase.
  • The olanzapine group also experienced a higher rate of no nausea and reported better outcomes regarding appetite loss, indicating its effectiveness in managing side effects related to T-DXd treatment.*
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  • Chemotherapy-induced nausea and vomiting (CINV) negatively impacts patient quality of life, leading to a study that evaluated the effectiveness of adding neurokinin-1 receptor antagonists (NK1RAs) to existing antiemetic treatments for patients undergoing moderately emetogenic chemotherapy (MEC).
  • A systematic review of clinical studies identified 15 randomized controlled trials involving over 4,400 patients, revealing that triplet antiemetic regimens including NK1RAs significantly improved complete response and complete control of nausea compared to doublet regimens, without increasing adverse events.
  • While the addition of NK1RA shows promise for enhancing antiemetic efficacy in carboplatin-based chemotherapy, further research is needed
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  • The study examines the potential competition between adjuvant osimertinib and the current standard treatment, oral tegafur/uracil (UFT), for early-stage lung adenocarcinoma in Japan, particularly focusing on the impact of EGFR mutations on patient outcomes.
  • Researchers analyzed data from 1812 patients with stage I adenocarcinoma to compare 5-year disease-free survival (DFS) rates based on their EGFR mutation status and whether they received UFT treatment.
  • Results show that while the DFS rates varied by treatment and mutation status, adjuvant UFT did not provide a significant survival advantage, particularly in patients with EGFR mutations, indicating the need for alternative therapies in this group.
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Objective: To evaluate the long-term efficacy and safety of niraparib in Japanese women with heavily pretreated ovarian cancer.

Methods: This was the follow-up analysis of a phase 2, multicenter, open-label, single-arm study in Japanese women with homologous recombination-deficient, platinum-sensitive, relapsed, high-grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer who had completed 3-4 lines of chemotherapy and were poly(ADP-ribose) polymerase inhibitor naïve. Participants received niraparib (starting dose, 300 mg) once daily in continuous 28-day cycles until objective disease progression, unacceptable toxicity, or consent withdrawal.

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  • The Briganti nomogram, with a 5% cut-off, is used to decide if pelvic lymph node dissection (PLND) is necessary for prostate cancer patients.
  • A study analyzed data from 1,068 patients who had radical prostatectomy and found no significant oncological benefit of PLND for those with a Briganti score of 5%.
  • High PSA levels and advanced T-stage were linked to worse biochemical recurrence-free survival, while PLND did not have a meaningful impact on recurrence outcomes.
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  • The study focuses on using circulating tumor DNA (ctDNA) analysis to identify homologous recombination deficiency (HRD) and BRCA1/2 and ATM mutations in patients with advanced pancreatic cancer (APC).
  • Out of 702 APC patients analyzed, 4.8% had BRCA1/2 mutations and 4.4% had ATM mutations, with those having BRCA mutations showing significantly better response rates to platinum-based chemotherapy compared to those without.
  • ctDNA profiling is suggested as a valuable, non-invasive method for assessing mutation status and selecting appropriate treatments in advanced pancreatic cancer, offering a practical approach to HRD screening.
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Background: Paclitaxel (PTX) is an essential cytotoxic anticancer agent and a standard treatment regimen component for various malignant tumors, including advanced unresectable non-small cell lung cancer, thymic cancer, and primary unknown cancers. However, chemotherapy-induced peripheral neuropathy (CIPN) caused by PTX is a significant adverse event that may lead to chemotherapy discontinuation and deterioration of the quality of life (QOL). Although treatment modalities such as goshajinkigan (GJG), pregabalin, and duloxetine are empirically utilized for CIPN, there is no established evidence for an agent as a preventive measure.

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Background/aim: For patients treated with osimertinib as first-line therapy, there have been no studies comparing both progression-free survival (PFS) and overall survival (OS) according to performance status (PS). Furthermore, no studies have examined differences in baseline genetic abnormalities between patients with poor and good PS. Therefore, we aimed to investigate differences in baseline genetic abnormalities and treatment effects between patients with poor and good PS who received osimertinib as the primary treatment.

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  • The study analyzed the use and costs of first-line chemotherapy for advanced/recurrent gastric cancer (AGC) in Japan, focusing on patients with HER2-negative AGC treated in 2022.
  • A total of 2113 patients were evaluated, revealing that expensive chemotherapy regimens (costing over 500,000 JPY per month) primarily included triplet therapy with fluoropyrimidine, oxaliplatin, and the immune inhibitor nivolumab.
  • The findings showed that these costly regimens were utilized by 67% of patients, including a significant portion of older patients, highlighting the need for more research on the economic implications of such drugs.
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  • Palbociclib combined with tamoxifen was tested in a phase 3 study involving 184 women with HR+/HER2- advanced breast cancer to evaluate its efficacy and safety compared to tamoxifen alone.
  • The results showed a significant improvement in progression-free survival (PFS), with a median of 24.4 months for the palbociclib-tamoxifen group versus 11.1 months for the placebo-tamoxifen group.
  • While overall survival (OS) data is still being gathered, there is a trend suggesting palbociclib-tamoxifen may also reduce mortality risk, though neutropenia was a common severe side effect.
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Purpose: HER2-targeted therapies in ERBB2-amplified metastatic colorectal cancer (mCRC) are effective; however, a notable portion of patients do not respond to treatment, and secondary resistance occurs in most patients receiving these treatments. The purpose of this study was to investigate determinants of treatment efficacy and resistance in patients with ERBB2-amplified mCRC who received HER2-targeted therapy by analyzing multiomics data.

Experimental Design: We investigated genomic data from a nationwide large cancer genomic screening project, the SCRUM-Japan project.

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The present study investigated the prognosis of patients who received palliative radiotherapy (RT) for bone metastases (BMs) from renal cell cancer (RCC), and assessed the prognostic factors specific to BMs from RCC. A total of 109 patients with RCC and BMs who underwent RT for the first time were included in the study. Prognostic factors were evaluated using multivariate analysis and a scoring system based on regression coefficients was devised.

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  • A phase 3 trial evaluated the effectiveness of adding a CTLA-4 inhibitor to standard platinum-based chemotherapy and PD-1/PD-L1 inhibitors for patients with advanced non-small-cell lung cancer, as no prior studies had focused on this combination's survival benefits.
  • Conducted across 48 hospitals in Japan, the trial involved patients aged 20+ with untreated NSCLC, but had to stop recruitment early due to a concerning number of treatment-related deaths in the nivolumab-ipilimumab group.
  • The final results indicated no significant difference in overall survival between those receiving pembrolizumab and those receiving nivolumab-ipilimumab, with median survival rates of 23.7 months and 20.5
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