Chinese journal of cancer research = Chung-kuo yen cheng yen chiu最新文献

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Efficacy of ctDNA methylation combined with traditional detection modality to detect liver cancer among high-risk patients: A multicenter diagnostic trial. ctDNA甲基化联合传统检测方式在高危患者中检测肝癌的疗效:一项多中心诊断试验
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2023-02-28 DOI: 10.21147/j.issn.1000-9604.2023.01.06
Maomao Cao, Jufang Shi, Changfa Xia, He Li, Wei Cai, Xianyun Qi, Chunyun Dai, Wanqing Chen
{"title":"Efficacy of ctDNA methylation combined with traditional detection modality to detect liver cancer among high-risk patients: A multicenter diagnostic trial.","authors":"Maomao Cao,&nbsp;Jufang Shi,&nbsp;Changfa Xia,&nbsp;He Li,&nbsp;Wei Cai,&nbsp;Xianyun Qi,&nbsp;Chunyun Dai,&nbsp;Wanqing Chen","doi":"10.21147/j.issn.1000-9604.2023.01.06","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2023.01.06","url":null,"abstract":"<p><strong>Objective: </strong>Circulating tumor DNA (ctDNA) and alpha-fetoprotein (AFP) plus ultrasound (US) have been considered to have high diagnostic accuracy for cancer detection, however, the efficacy of ctDNA methylation combined with the traditional detection modality of liver cancer has not been tested in a Chinese independent cohort.</p><p><strong>Methods: </strong>The high-risk individuals aged between 35 and 70 years who were diagnosed with liver cirrhosis or had moderate and severe fatty liver were eligible for inclusion. All participants were invited to receive a traditional examination [referring to AFP plus US], and ctDNA methylation, respectively. The sensitivity and specificity of different diagnostic tools were calculated. The logistic regression model was applied to estimate the area under the curve (AUC), which was further validated by 10-fold internal cross-validation.</p><p><strong>Results: </strong>A total of 1,205 individuals were recruited in our study, and 39 participants were diagnosed with liver cancer. The sensitivity of AFP, US, US plus AFP, and the combination of US, AFP, and ctDNA methylation was 33.33%, 56.41%, 66.67%, and 87.18%, respectively. The corresponding specificity of AFP, US, US plus AFP, and the combination of all modalities was 98.20%, 99.31%, 97.68%, and 97.68%, respectively. The AUCs of AFP, US, US plus AFP, and the combination of AFP, US, and ctDNA methylation were 65.77%, 77.86%, 82.18%, and 92.43%, respectively. The internally validated AUCs of AFP, US, US plus AFP, and the combination of AFP, US, and ctDNA methylation were 67.57%, 83.26%, 86.54%, and 93.35%, respectively.</p><p><strong>Conclusions: </strong>The ctDNA methylation is a good complementary to AFP and US for the detection of liver cancer.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"35 1","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993000/pdf/cjcr-35-1-58.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9100962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Is gastric cancer after bariatric surgery on the rise? Will history repeat itself? 减肥手术后胃癌发病率在上升吗?历史会重演吗?
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2023-02-28 DOI: 10.21147/j.issn.1000-9604.2023.01.02
Adriana Vaz Safatle-Ribeiro, Ulysses Ribeiro Jr
{"title":"Is gastric cancer after bariatric surgery on the rise? Will history repeat itself?","authors":"Adriana Vaz Safatle-Ribeiro,&nbsp;Ulysses Ribeiro Jr","doi":"10.21147/j.issn.1000-9604.2023.01.02","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2023.01.02","url":null,"abstract":"","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"35 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993001/pdf/cjcr-35-1-11.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9455314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evolution of laparoscopic gastrectomy for cancer in the East and West. 东西方腹腔镜胃切除术治疗癌症的进展。
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.05
Eider Talavera-Urquijo, Bas P L Wijnhoven
{"title":"Evolution of laparoscopic gastrectomy for cancer in the East and West.","authors":"Eider Talavera-Urquijo,&nbsp;Bas P L Wijnhoven","doi":"10.21147/j.issn.1000-9604.2022.06.05","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.05","url":null,"abstract":"<p><p>Laparoscopic gastrectomy has evolved differently in Eastern and Western countries. Feasibility, safety and oncological outcomes of laparoscopic gastrectomy were addressed step-by-step by several randomized controlled trials from the East. Few phase III studies were published from the West that largely did not show a difference between the laparoscopic and open approach. Despite this, laparoscopic gastrectomy is seen as the standard for the surgical treatment of early and advanced gastric cancer in many European countries. Here, we review and comment on some important studies on laparoscopic gastrectomy for gastric cancer from Eastern and Western countries and also comment on current and future challenges.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"579-586"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829492/pdf/cjcr-34-6-579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chinese quality control indices for standardized diagnosis and treatment of gastric cancer (2022 edition). 中国胃癌标准化诊疗质量控制指标(2022年版)。
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.10
Shen Li, Fei Shan, Xiaotian Zhang, Yongheng Li, Yu Sun, Lei Tang, Qi Wu, Wenjing Yang, Jincheng Yang, Yu An, Ming Deng, Jiafu Ji
{"title":"Chinese quality control indices for standardized diagnosis and treatment of gastric cancer (2022 edition).","authors":"Shen Li,&nbsp;Fei Shan,&nbsp;Xiaotian Zhang,&nbsp;Yongheng Li,&nbsp;Yu Sun,&nbsp;Lei Tang,&nbsp;Qi Wu,&nbsp;Wenjing Yang,&nbsp;Jincheng Yang,&nbsp;Yu An,&nbsp;Ming Deng,&nbsp;Jiafu Ji","doi":"10.21147/j.issn.1000-9604.2022.06.10","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.10","url":null,"abstract":"<p><p>Gastric cancer is one of the most common malignancies of the digestive system, and the number of deaths continues to increase. The standardized management of the diagnosis and treatment of gastric cancer is challenging due to the great differences in the diagnosis and treatment of gastric cancer in different regions. The Gastric Cancer Expert Committee of the National Cancer Quality Control Center (NCQCC) identified a lack of authoritative quality control standards as an opportunity to utilize its multidisciplinary membership to improve the standardized diagnosis and treatment of gastric cancer. The Gastric Cancer Expert Committee of the NCQCC aims to promote quality control and national standardization, uniformity, and normalization of gastric cancer diagnosis and treatment, which ultimately improved the survival rate and quality of life of gastric cancer patients. A panel of experts with gastrointestinal cancer surgery, gastrointestinal cancer medicine, medical imaging, pathology and radiotherapy were drawn together and determined the quality control standards for the standardized diagnosis and treatment of gastric cancer. The authors then utilized a modified Delphi approach to generate consensus recommendations.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"623-632"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829494/pdf/cjcr-34-6-623.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comments on National guidelines for diagnosis and treatment of pancreatic cancer 2022 in China (English version). 《中国胰腺癌诊疗指南2022》(英文版)评议
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.13
Kemin Jin, Baocai Xing
{"title":"Comments on <i>National guidelines for diagnosis and treatment of pancreatic cancer 2022 in China (English version)</i>.","authors":"Kemin Jin,&nbsp;Baocai Xing","doi":"10.21147/j.issn.1000-9604.2022.06.13","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.13","url":null,"abstract":"","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"637-643"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829499/pdf/cjcr-34-6-637.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Burden of liver cancer: From epidemiology to prevention. 肝癌的负担:从流行病学到预防。
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.02
Qianru Li, Maomao Cao, Lin Lei, Fan Yang, He Li, Xinxin Yan, Siyi He, Shaoli Zhang, Yi Teng, Changfa Xia, Wanqing Chen
{"title":"Burden of liver cancer: From epidemiology to prevention.","authors":"Qianru Li, Maomao Cao, Lin Lei, Fan Yang, He Li, Xinxin Yan, Siyi He, Shaoli Zhang, Yi Teng, Changfa Xia, Wanqing Chen","doi":"10.21147/j.issn.1000-9604.2022.06.02","DOIUrl":"10.21147/j.issn.1000-9604.2022.06.02","url":null,"abstract":"<p><p>In this review, we offer a concise overview of liver cancer epidemiology in China and worldwide from the official databases of GLOBOCAN 2020 and the National Cancer Registry in China. We also summarized the evidence for the main risk factors associated with liver cancer risk and discuss strategies implemented in China to control the liver cancer burden. Overall, liver cancer was the sixth most commonly diagnosed cancer and the third leading cause of cancer-related death worldwide in 2020. Although China contributed to nearly half of cases across the world alone, the incidence and mortality rates of liver cancer presented a declining trend owing to the persistent efforts from the governments at all levels. The current liver cancer burden in China still faces an arduous challenge due to the relatively large population base as well as the substantially low survival rate (12.1%). To better control the liver cancer burden with the lowest cost, specific measures should be conducted by reducing exposure to established risk factors such as hepatitis B infection and aflatoxin. The promotion of surveillance is also an important method to prolong the survival of liver cancer. This review will provide basic information for future direction on the control of liver cancer burden.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"554-566"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829497/pdf/cjcr-34-6-554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10640722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A multi-center, open-label, randomized, parallel-controlled phase II study comparing pharmacokinetic, pharmacodynamics and safety of ripertamab (SCT400) to rituximab (MabThera®) in patients with CD20-positive B-cell non-Hodgkin lymphoma. 一项多中心、开放标签、随机、平行对照的II期研究,比较利培他单抗(SCT400)和利妥昔单抗(MabThera®)治疗cd20阳性b细胞非霍奇金淋巴瘤患者的药代动力学、药效学和安全性。
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.08
Xiaohong Han, Mingzhi Zhang, Huaqing Wang, Qingyuan Zhang, Wei Li, Miaowang Hao, Yuhuan Gao, Jie Jin, Hanyun Ren, Yun Tang, Xiaonan Hong, Xiaoyan Ke, Hang Su, Lin Gui, Jianmin Luo, Liangzhi Xie, Wenlin Gai, Yuankai Shi
{"title":"A multi-center, open-label, randomized, parallel-controlled phase II study comparing pharmacokinetic, pharmacodynamics and safety of ripertamab (SCT400) to rituximab (MabThera<sup>®</sup>) in patients with CD20-positive B-cell non-Hodgkin lymphoma.","authors":"Xiaohong Han,&nbsp;Mingzhi Zhang,&nbsp;Huaqing Wang,&nbsp;Qingyuan Zhang,&nbsp;Wei Li,&nbsp;Miaowang Hao,&nbsp;Yuhuan Gao,&nbsp;Jie Jin,&nbsp;Hanyun Ren,&nbsp;Yun Tang,&nbsp;Xiaonan Hong,&nbsp;Xiaoyan Ke,&nbsp;Hang Su,&nbsp;Lin Gui,&nbsp;Jianmin Luo,&nbsp;Liangzhi Xie,&nbsp;Wenlin Gai,&nbsp;Yuankai Shi","doi":"10.21147/j.issn.1000-9604.2022.06.08","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.08","url":null,"abstract":"<p><strong>Objective: </strong>This multi-center, open-label, randomized, parallel-controlled phase II study aimed to compare the pharmacokinetics (PK), pharmacodynamics (PD) and safety profile of ripertamab (SCT400), a recombinant anti-CD20 monoclonal antibody, to rituximab (MabThera<sup>®</sup>) in patients with CD20-positive B-cell non-Hodgkin lymphoma (NHL).</p><p><strong>Methods: </strong>Patients with CD20-positive B-cell NHL who achieved complete remission or unconfirmed complete remission after standard treatment were randomly assigned at a 1:1 ratio to receive a single dose of ripertamab (375 mg/m<sup>2</sup>) or rituximab (MabThera<sup>®</sup>, 375 mg/m<sup>2</sup>). PK was evaluated using area under the concentration-time curve (AUC) from time 0 to d 85 (AUC<sub>0-85 d</sub>), AUC from time 0 to week 1 (AUC<sub>0-1 w</sub>), AUC from time 0 to week 2 (AUC<sub>0-2 w</sub>), AUC from time 0 to week 3 (AUC<sub>0-3 w</sub>), AUC from time 0 to week 8 (AUC<sub>0-8 w</sub>), maximum serum concentration (C<sub>max</sub>), terminal half-life (T<sub>1/2</sub>), time to maximum serum concentration (T<sub>max</sub>) and clearance (CL). Bioequivalence was confirmed if the 90% confidence interval (90% CI) of the geometric mean ratio of ripertamab/rituximab was within the pre-defined bioequivalence range of 80.0%-125.0%. PD, immunogenicity, and safety were also evaluated.</p><p><strong>Results: </strong>From December 30, 2014 to November 24, 2015, a total of 84 patients were randomized (ripertamab, n=42; rituximab, n=42) and the PK analysis was performed on 76 patients (ripertamab, n=38; rituximab, n=38). The geometric mean ratios of ripertamab/rituximab for AUC<sub>0-85 d</sub>, AUC<sub>0-inf</sub>, and C<sub>max</sub> were 96.1% (90% CI: 87.6%-105.5%), 95.9% (90% CI: 86.5%-106.4%) and 97.4% (90% CI: 91.6%-103.6%), respectively. All PK parameters met the pre-defined bioequivalence range of 80.0%-125.0%. For PD and safety evaluation, there was no statistical difference in peripheral CD19-positive B-cell counts and CD20-positive B-cell counts at each visit, and no difference in the incidence of anti-drug antibodies was observed between the two groups. The incidences of treatment-emergent adverse events and treatment-related adverse events were also comparable between the two groups.</p><p><strong>Conclusions: </strong>In this study, the PK, PD, immunogenicity, and safety profile of ripertamab (SCT400) were similar to rituximab (MabThera<sup>®</sup>) in Chinese patients with CD20-positive B-cell NHL.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"601-611"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829503/pdf/cjcr-34-6-601.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Postoperative functional evaluation of gastrectomy for gastric cancer. 胃癌胃切除术后功能评价。
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.03
Eiji Nomura
{"title":"Postoperative functional evaluation of gastrectomy for gastric cancer.","authors":"Eiji Nomura","doi":"10.21147/j.issn.1000-9604.2022.06.03","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.03","url":null,"abstract":"<p><p>To improve the quality of surgical procedures for gastric cancer, it is essential to consider many components comprehensively, including gastric motility, small intestinal absorption, hormones that affect gastric motility and appetite, presence or absence of vagus nerve preservation, esophageal regurgitation on endoscopic findings, in addition to whether or not there is a physiological route for food passage through the duodenum. Furthermore, proper functional evaluation cannot be performed without considering the form and amount of energy in the nutritional supplement to be loaded, and the posture at the time of investigation. The results of functional evaluation vary according to the method selected from many available options, but we believe that use of the most physiologically accurate, appropriate and selectable option will enable us to arrive at the best resection/reconstruction technique. We have reported that it is important to consider the preservation of three elements when performing gastrectomy: 1) reduction of the extent of gastrectomy, 2) preservation of the pylorus, and 3) preservation of the vagus nerve; among which preservation of the remnant stomach is the most important. Furthermore, the selection of a reconstruction method that maintains secretion of hormones beneficial to gastric motility preserves the energy balance inherent in the human body, and also provides better quality of life.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"567-574"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829501/pdf/cjcr-34-6-567.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adjuvant tamoxifen switched to exemestane treatment in postmenopausal women with estrogen receptor-positive early breast cancer: A pragmatic, multicenter, and prospective clinical trial in China. 绝经后雌激素受体阳性早期乳腺癌患者将他莫昔芬辅助治疗转为依西美坦治疗:中国一项实用、多中心、前瞻性临床试验
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.07
Binghe Xu, Huiping Li, Zefei Jiang, Lin Gu, Jinhai Tang, Hui Xie, Yueyin Pan, Yunjiang Liu, Shude Cui, Xiaojia Wang, Li Cai, Yiqiong Zhang, Huadong Zhao, Zhimin Shao
{"title":"Adjuvant tamoxifen switched to exemestane treatment in postmenopausal women with estrogen receptor-positive early breast cancer: A pragmatic, multicenter, and prospective clinical trial in China.","authors":"Binghe Xu,&nbsp;Huiping Li,&nbsp;Zefei Jiang,&nbsp;Lin Gu,&nbsp;Jinhai Tang,&nbsp;Hui Xie,&nbsp;Yueyin Pan,&nbsp;Yunjiang Liu,&nbsp;Shude Cui,&nbsp;Xiaojia Wang,&nbsp;Li Cai,&nbsp;Yiqiong Zhang,&nbsp;Huadong Zhao,&nbsp;Zhimin Shao","doi":"10.21147/j.issn.1000-9604.2022.06.07","DOIUrl":"https://doi.org/10.21147/j.issn.1000-9604.2022.06.07","url":null,"abstract":"<p><strong>Objective: </strong>This post-approval safety study assessed the efficacy and safety of exemestane after 2-3 years of tamoxifen treatment among postmenopausal women with estrogen receptor-positive (ER+) early breast cancer in China.</p><p><strong>Methods: </strong>Enrolled patients had received 2-3 years of tamoxifen and were then switched to exemestane for completion of 5 consecutive years of adjuvant endocrine therapy. The primary endpoint was the time from enrollment to the first occurrence of locoregional/distant recurrence of the primary breast cancer, appearance of a second primary or contralateral breast cancer, or death due to any cause. Other endpoints included the proportion of patients experiencing each event, incidence rate per annum, relationships between human epidermal growth factor receptor 2 status and time to event, and relationship between disease history variables and time to event.</p><p><strong>Results: </strong>Overall, 558 patients were included in the full analysis set: 397 (71.1%) completed the study, 20 experienced an event, and 141 discontinued [47 owing to an adverse event (AE); 37 no longer willing to participate]. Median duration of treatment was 29.5 (range, 0.1-57.7) months. Median time to event was not reached. Event-free survival probability at 36 months was 91.4% (95% CI, 87.7%-95.1%). The event incidence over the total exposure time of exemestane therapy was 3.5 events/100 person-years (20/565). Multivariate analysis showed an association between tumor, lymph node, and metastasis stage at initial diagnosis and time to event [hazard ratio: 1.532 (95% CI, 1.129-2.080); P=0.006]. Most AEs were grade 1 or 2 in severity, with arthralgia (7.7%) being the most common treatment-related AE.</p><p><strong>Conclusions: </strong>This study supports the efficacy and safety of exemestane in postmenopausal Chinese women with ER+ breast cancer previously treated with adjuvant tamoxifen for 2-3 years. No new safety signals were identified in the Chinese population.</p>","PeriodicalId":9830,"journal":{"name":"Chinese journal of cancer research = Chung-kuo yen cheng yen chiu","volume":"34 6","pages":"592-600"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9829502/pdf/cjcr-34-6-592.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9137336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Advances in surgical techniques for gastric cancer: Indocyanine green and near-infrared fluorescence imaging. Is it ready for prime time? 胃癌手术技术的进展:吲哚菁绿和近红外荧光成像。它准备好黄金时段了吗?
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu Pub Date : 2022-12-30 DOI: 10.21147/j.issn.1000-9604.2022.06.06
Erica Sakamoto, Adriana Vaz Safatle-Ribeiro, Ulysses Ribeiro Jr
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