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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Adjuvant Oral Uracil-Tegafur with Leucovorin for Colorectal Cancer Liver Metastases: A Randomized Controlled Trial

http://hdl.handle.net/10091/00021001
http://hdl.handle.net/10091/00021001
bcb6746c-4a96-412d-8b60-1a83e41a6bf0
名前 / ファイル ライセンス アクション
journal.pone.0162400.PDF journal.pone.0162400.PDF (3.0 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-10-31
タイトル
タイトル Adjuvant Oral Uracil-Tegafur with Leucovorin for Colorectal Cancer Liver Metastases: A Randomized Controlled Trial
言語
言語 eng
DOI
関連識別子 https://doi.org/10.1371/journal.pone.0162400
関連名称 10.1371/journal.pone.0162400
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Hasegawa, Kiyoshi

× Hasegawa, Kiyoshi

en Hasegawa, Kiyoshi

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Saiura, Akio

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en Saiura, Akio

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Takayama, Tadatoshi

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en Takayama, Tadatoshi

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Miyagawa, Shinichi

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en Miyagawa, Shinichi

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Yamamoto, Junji

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en Yamamoto, Junji

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Ijichi, Masayoshi

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en Ijichi, Masayoshi

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Teruya, Masanori

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en Teruya, Masanori

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Yoshimi, Fuyo

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Kawasaki, Seiji

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en Kawasaki, Seiji

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Koyama, Hiroto

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en Koyama, Hiroto

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Oba, Masaru

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Takahashi, Michiro

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Mizunuma, Nobuyuki

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en Mizunuma, Nobuyuki

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Matsuyama, Yutaka

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Watanabe, Toshiaki

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Makuuchi, Masatoshi

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Kokudo, Norihiro

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en Kokudo, Norihiro

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出版者
出版者 PUBLIC LIBRARY SCIENCE
引用
内容記述 PLOS ONE.11(9):e0162400(2016)
書誌情報 PLOS ONE

巻 11, 号 9, p. e0162400, 発行日 2016-09-02
抄録
内容記述 Background<br/>The high recurrence rate after surgery for colorectal cancer liver metastasis (CLM) remains a crucial problem. The aim of this trial was to evaluate the efficacy of adjuvant therapy with uracil-tegafur and leucovorin (UFT/LV).<br/>Methods<br/>In the multicenter, open-label, phase III trial, patients undergoing curative resection of CLM were randomly assigned in a 1:1 ratio to either the UFT/LV group or surgery alone group. The UFT/LV group orally received 5 cycles of adjuvant UFT/LV (UFT 300mg/m2 and LV 75mg/day for 28 days followed by a 7-day rest per cycle). The primary endpoint was recurrence-free survival (RFS). Secondary endpoints included overall survival (OS).<br/>Results<br/>Between February 2004 and December 2010, 180 patients (90 in each group) were enrolled into the study. Of these, 3 patients (2 in the UFT/LV group and 1 in the surgery alone group) were excluded from the efficacy analysis. Median follow-up was 4.76 (range, 0.15–9.84) years. The RFS rate at 3 years was higher in the UFT/LV group (38.6%, n = 88) than in the surgery alone group (32.3%, n = 89). The median RFS in the UFT/LV and surgery alone groups were 1.45 years and 0.70 years, respectively. UFT/LV significantly prolonged the RFS compared with surgery alone with the hazard ratio of 0.56 (95% confidence interval, 0.38–0.83; P = 0.003). The hazard ratio for death of the UFT/LV group against the surgery alone group was not significant (0.80; 95% confidence interval, 0.48–1.35; P = 0.409).<br/>Conclusion<br/>Adjuvant therapy with UFT/LV effectively prolongs RFS after hepatic resection for CLM and can be recommended as an alternative choice.
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ PISSN
収録物識別子 1932-6203
PubMed
識別子タイプ PMID
関連識別子 https://www.ncbi.nlm.nih.gov/pubmed/27588959
関連名称 27588959
権利
権利情報 © 2016 Hasegawa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
WoS
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000382877800055
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Cite as

Hasegawa, Kiyoshi, Saiura, Akio, Takayama, Tadatoshi, Miyagawa, Shinichi, Yamamoto, Junji, Ijichi, Masayoshi, Teruya, Masanori, Yoshimi, Fuyo, Kawasaki, Seiji, Koyama, Hiroto, Oba, Masaru, Takahashi, Michiro, Mizunuma, Nobuyuki, Matsuyama, Yutaka, Watanabe, Toshiaki, Makuuchi, Masatoshi, Kokudo, Norihiro, 2016, Adjuvant Oral Uracil-Tegafur with Leucovorin for Colorectal Cancer Liver Metastases: A Randomized Controlled Trial: PUBLIC LIBRARY SCIENCE, e0162400– p.

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