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  1. 30 医学部・医学研究科・附属病院
  2. 30a 学位論文
  3. 30a-01 博士論文(大学院医学研究科)
  4. 令和6年度後期

Feasibility and safety of platinum-doublet therapy in patients with small-cell lung cancer in the third-line setting: A multi-institutional retrospective study

http://hdl.handle.net/10129/0002000932
http://hdl.handle.net/10129/0002000932
ac37aedd-df13-488a-a094-a26d557c472d
名前 / ファイル ライセンス アクション
tdm_2316_fukushima.pdf 本文 (1.1 MB)
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tdm_2316_fukushima_a1.pdf 内容要旨 (194 KB)
tdm_2316_fukushima_a2.pdf 審査要旨 (130 KB)
Item type リポジトリ登録用アイテムタイプ(シンプル)(1)
公開日 2025-06-16
タイトル
タイトル Feasibility and safety of platinum-doublet therapy in patients with small-cell lung cancer in the third-line setting: A multi-institutional retrospective study
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 福島, 高志

× 福島, 高志

ja 福島, 高志

en Takashi Fukushima

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内容記述タイプ Abstract
内容記述 Small-cell lung cancer (SCLC) is a highly malignant tumor, and no standard third-line therapy has been established. The present study retrospectively analyzed the efficacy and safety of platinum‑based regimens in patients with third-line SCLC who received third-line chemotherapy. The association of regimen type with overall survival (OS) or time to treatment failure (TTF) was evaluated using the Cox hazard proportional method, including well known covariates affecting the prognosis of SCLC. TTF and OS analyses were conducted using the Kaplan-Meier method. The data cutoff date was June 30, 2020. As a result, from January 2015 to August 2019, 111 patients were diagnosed with SCLC, and 37 received third-line chemotherapy. Subsequently, 15 patients received a platinum-doublet regimen, and 22 patients received a single-agent regimen. Only the type of regimen was significantly associated with TTF in univariate analysis (odds ratio, 0.44; 95% confidence interval, 0.20-0.95; P=0.03). There were no significant factors associated with OS. The median TTF of patients receiving a platinum-doublet regimen and those receiving a single-agent regimen were 3.9 and 2.3 months, respectively (P=0.03). The overall response rates of the platinum-doublet and single-agent regimens were 20.0 and 4.5%, respectively. Similarly, the disease control rates were 73.3 and 36.4% for platinum-doublet and single-agent regimens, respectively. There was a tendency for adverse events (AEs) with any grade to occur more often in platinum-based regimens compared with in single-agent regimens. Severe AEs of grade 3 or higher were observed more often in the platinum-based regimen, especially in myelosuppression. In conclusion, the present study demonstrated the feasibility and safety of platinum-doublet regimens in patients with SCLC in a third-line setting (Registration no. 2020-048. Date of registration, June 5, 2020).
言語 en
内容記述
内容記述タイプ Other
内容記述 Authors: Takashi Fukushima, Tomonori Makiguchi, Yusuke Tanaka, Kei Chubachi, Mina Ishidoya, Sachio Suzuki, Hisashi Tanaka, Kageaki Taima, Yukihiro Hasegawa, Koichi Okudera, Sadatomo Tasaka
Published online on: September 1, 2022
Article Number: 368
Copyright: © Fukushima et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
言語 en
書誌情報 en : ONCOLOGY LETTERS

巻 24, 号 4, 発行日 2022-09-01
ISSN
収録物識別子タイプ EISSN
収録物識別子 1792-1082
DOI
関連タイプ isIdenticalTo
識別子タイプ URI
関連識別子 https://www.spandidos-publications.com/10.3892/ol.2022.13488
権利情報
言語 en
権利情報 http://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者
出版者 Spandidos Publications
言語 en
学位名
言語 ja
学位名 博士(医学)
学位授与機関
言語 ja
学位授与機関名 弘前大学
学位授与年月日
学位授与年月日 2025-03-24
学位授与番号
学位授与番号 甲第2316号
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