進行肝細胞癌に対するソラフェニブと肝動注化学療法の有効性および治療法選択

Child-Pugh分類Aかつ遠隔転移のない進行肝細胞癌に対して,治療法選択および後治療の有無が予後に影響するか検討した.一次治療としてHAICを施行した83例(HAIC開始群),Sorafenibを施行した53例(Sorafenib開始群),無治療で経過を観察した12例,合計148例を対象とした.HAIC開始群とSorafenib開始群の比較では,奏効率に有意差を認めたが(26.5% vs. 7.5%,P=0.007),腫瘍制御率と生存率には有意差を認めなかった.また,両群とも無治療群と比較して有意に生存期間の延長を認めた.さらに,後治療の有無により両治療群を副グループ化し追加検討した.結果...

Full description

Saved in:
Bibliographic Details
Published in肝臓 Vol. 54; no. 4; pp. 233 - 248
Main Authors 平峯, 靖也, 馬場, 芳郎, 樋脇, 卓也, 山下, 容雅, 庄, 幸彦, 今村, 也寸志, 鐘撞, 一郎, 坪内, 博仁, 玉井, 努, 田原, 憲治
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本肝臓学会 2013
Subjects
Online AccessGet full text
ISSN0451-4203
1881-3593
DOI10.2957/kanzo.54.233

Cover

Abstract Child-Pugh分類Aかつ遠隔転移のない進行肝細胞癌に対して,治療法選択および後治療の有無が予後に影響するか検討した.一次治療としてHAICを施行した83例(HAIC開始群),Sorafenibを施行した53例(Sorafenib開始群),無治療で経過を観察した12例,合計148例を対象とした.HAIC開始群とSorafenib開始群の比較では,奏効率に有意差を認めたが(26.5% vs. 7.5%,P=0.007),腫瘍制御率と生存率には有意差を認めなかった.また,両群とも無治療群と比較して有意に生存期間の延長を認めた.さらに,後治療の有無により両治療群を副グループ化し追加検討した.結果,Sorafenibで治療を開始し後治療が施行された症例は最も生存率が高く,多変量解析でも独立した予後因子であった([HR];0.144,P<0.001).また,Sorafenibから後治療(HAIC)へ移行するためには,Sorafenibの初期体重換算投与量:[13>―≥7(mg/kg/day)]が寄与因子であった.進行肝細胞癌は,体重を指標にSorafenibを先行投与しHAICへ移行することで予後の改善が得られる可能性がある.
AbstractList Child-Pugh分類Aかつ遠隔転移のない進行肝細胞癌に対して,治療法選択および後治療の有無が予後に影響するか検討した.一次治療としてHAICを施行した83例(HAIC開始群),Sorafenibを施行した53例(Sorafenib開始群),無治療で経過を観察した12例,合計148例を対象とした.HAIC開始群とSorafenib開始群の比較では,奏効率に有意差を認めたが(26.5% vs. 7.5%,P=0.007),腫瘍制御率と生存率には有意差を認めなかった.また,両群とも無治療群と比較して有意に生存期間の延長を認めた.さらに,後治療の有無により両治療群を副グループ化し追加検討した.結果,Sorafenibで治療を開始し後治療が施行された症例は最も生存率が高く,多変量解析でも独立した予後因子であった([HR];0.144,P<0.001).また,Sorafenibから後治療(HAIC)へ移行するためには,Sorafenibの初期体重換算投与量:[13>―≥7(mg/kg/day)]が寄与因子であった.進行肝細胞癌は,体重を指標にSorafenibを先行投与しHAICへ移行することで予後の改善が得られる可能性がある.
Author 平峯, 靖也
庄, 幸彦
田原, 憲治
今村, 也寸志
坪内, 博仁
鐘撞, 一郎
玉井, 努
馬場, 芳郎
山下, 容雅
樋脇, 卓也
Author_xml – sequence: 1
  fullname: 平峯, 靖也
  organization: 鹿児島大学大学院医歯学総合研究科消化器疾患・生活習慣病学
– sequence: 1
  fullname: 馬場, 芳郎
  organization: 鹿児島厚生連病院内科
– sequence: 1
  fullname: 樋脇, 卓也
  organization: 鹿児島厚生連病院内科
– sequence: 1
  fullname: 山下, 容雅
  organization: 鹿児島大学大学院医歯学総合研究科消化器疾患・生活習慣病学
– sequence: 1
  fullname: 庄, 幸彦
  organization: 鹿児島厚生連病院内科
– sequence: 1
  fullname: 今村, 也寸志
  organization: 鹿児島厚生連病院内科
– sequence: 1
  fullname: 鐘撞, 一郎
  organization: 鹿児島厚生連病院放射線科
– sequence: 1
  fullname: 坪内, 博仁
  organization: 鹿児島大学大学院医歯学総合研究科消化器疾患・生活習慣病学
– sequence: 1
  fullname: 玉井, 努
  organization: 鹿児島大学大学院医歯学総合研究科消化器疾患・生活習慣病学
– sequence: 1
  fullname: 田原, 憲治
  organization: 鹿児島厚生連病院内科
BookMark eNo9kEtLAlEAhS9RkJm7_sbYfV9nFSG9QGhT6-HOqzTTmHFTK2dmU-pWQSihTRrRA21RRP2Zy4z6L7KMFuecxXc4i7MCFivVigPAGoJZrDOxfiIrF9Uso1lMyAJIoVwOaYTpZBGkIGVIoxiSZZDx_aIJIeYC6jpOgfK0Ppzctibhzfj1ZRL1xt2WCh7i5y8VdFXYVOGniu5V1FZhX0VNFXVUMJiV42Y7GQ3iVid-vBt3w2TUVsFTcn0VN96Tel8FDRVeqmCUDD_mdBq8JY3eKlhyZdl3Mn-ZBofbWwf5Xa2wv7OX3yxoJSyo0LhrSceCVEB3JiE5siXhFDKhY-o63KYmx6aNGXORRUyCmM05JbbIMcFcHZE02JjvlvyaPHKMM694Kr1zQ3q1olV2jN-rDEYN-mOzv_6JdSw9oyTJNxAzi5Y
ContentType Journal Article
Copyright 2013 一般社団法人 日本肝臓学会
Copyright_xml – notice: 2013 一般社団法人 日本肝臓学会
DOI 10.2957/kanzo.54.233
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1881-3593
EndPage 248
ExternalDocumentID article_kanzo_54_4_54_233_article_char_ja
GroupedDBID 2WC
ALMA_UNASSIGNED_HOLDINGS
CS3
JSF
KQ8
OK1
P2P
RJT
ID FETCH-LOGICAL-j2747-6fcaec0470f4707a61da364057924fe6d4b62bd255f1c3b315d6643d78575f913
ISSN 0451-4203
IngestDate Wed Sep 03 06:29:57 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 4
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j2747-6fcaec0470f4707a61da364057924fe6d4b62bd255f1c3b315d6643d78575f913
OpenAccessLink https://www.jstage.jst.go.jp/article/kanzo/54/4/54_233/_article/-char/ja
PageCount 16
ParticipantIDs jstage_primary_article_kanzo_54_4_54_233_article_char_ja
PublicationCentury 2000
PublicationDate 20130000
PublicationDateYYYYMMDD 2013-01-01
PublicationDate_xml – year: 2013
  text: 20130000
PublicationDecade 2010
PublicationTitle 肝臓
PublicationTitleAlternate 肝臓
PublicationYear 2013
Publisher 一般社団法人 日本肝臓学会
Publisher_xml – name: 一般社団法人 日本肝臓学会
References 21) Ibrahim N. Molecular target therapies for cancer: sorafenib mono-tyerapy and its combination with other therapies (review). Oncol Rep 2012; 27: 1303-1311
10) Therasse P, Arbuck SG, Eisenhauer EA, et al. New guidelines to evaluate the response to treatment in solid tumors. European organization for research and treatment of cancer, national cancer institute of the United States, national cancer institute of Canada. J Natl Cancer Inst 2000; 92: 205-216
7) Kogure T, Iwasaki T, Ueno Y, et al. Complete remission of a case of hepatocellular carcinoma with tumor invasion in inferior vena cava and with pulmonary metastasis successfully treated with repeated arterial infusion chemotherapy. Hepatogastroenterology 2007; 54: 2113-2116
5) Kudo M, Ueshima K. Positioning of a molecular-targeted agent, sorafenib, in the treatment algorithm for hepatocellular carcinoma and implication of many complete remission cases in Japan. Oncology 2010; 78: 154-166
9) Tanioka H, Tsuji A, Morita S, et al. Combinatin chemotherapy with continuous 5-fluorouracil and low-dose cisplatin infusion for advanced hepatocellular carcinoma. Anticancer Res 2003; 23: 1891-1897
11) Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer 2009; 45: 228-247
17) Gerger A, El-Khoueiry A, Zhang W, et al. Pharmacogenetic angiogenesis profiling for first-line Bevacizumab plus oxaliplatin-based chemotherapy in patients with metastatic colorectal cancer. Clin Cancer Res 2011; 17: 5783-5792
32) Boudou-Rouquette P, Ropert S, Mir O, et al. Variabillity of sorafenib toxicity and exposure over time: A Pharmacokinetic/Pharmacodynamic Analysis. Oncologist Epub ahead of print, 2012
35) Yamasaki T, Sakaida I. Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma and future treatments for the poor responders. Hepatol Res 2012; 42: 340-348
30) Boudou-Rouquette P, Narjoz C, Golmard JL, et al. Early Sorafenib-Induced Toxicity Is Associated with Drug Exposure and UGTIA9 Genetic Polymorphism in Patients with Solid Tumors: A Preliminary Study. PLoS One 2012; 7: e42875
25) Houben R, Voigt H, Noelke C, et al. MARP-independent impaiment of T-cell responses by the multikinase inhibitor sorafenib. Mol Cancer Ther 2009; 8: 433-440
16) Jain RK. Normalization of tumor vasculatuture: an emerging concept in antiangiogenic therapy. Science 2005; 307: 58-62
8) Ando E, Tanaka M, Yamashita F, et al. Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma with portal vein tumor thrombosis: analysis of 48 cases. Cancer 2002; 95: 588-595
4) Zhao JD, Liu J, Ren ZG, et al. Maintenance of Sorafenib following combined therapy of three-dimensional conformal radiation therapy/intensity-modulated radiation therapy and transcatheter arterial chemoembolization in patients with locally advanced hepatocellular carcinoma: a phase I/II study. Radiat Oncol 2010; 5: 12
15) Hiramine Y, Uto H, Imamura Y, et al. Sorafenib and hepatic arterial infusion chemotherapy for unresectable advanced hepatocellular carcinoma: A comparative study. Experimental and Therapeutic Medicine 2011; 2: 433-441
6) Wörns MA, Weinmann A, Pfingst K, et al. Safety and efficacy of sorafenib in patients with advanced hepatocellular carcinoma in consideration of concomitant stage of liver cirrhosis. J Clin Gastroenterol 2009; 43: 489-495
40) Zhang Z. Phosphorylated ERK is a potential predictor of sensitivity to sorafenib when treating hepatocellular carcinoma: evidence from an in vitro study. BMC Med 2009; 7: 41
27) Thomas R, Bernhard A, Philipp S, et al. Sorafenib attenuates the portal hypertensive syndrome in partial portal vein ligated rats. J Hepatol 2009; 51: 865-873
44) Edeline J. Comparison of tumor response by response evaluation criteria in solid tumor (RECIST) and modified RECIST in patients treated with sorafenib for hepatocellular carcinoma. Cancer 2012; 118: 147-156
45) 村上英介. 肝細胞癌のソラフェニブ治療効果判定におけるRECIST,modified RECIST,RECICL基準の比較. 肝臓 2011; 52(5): 322-324
38) Kuroda M, Kobayashi Y, Urawa N, et al. Hepatic arterial infusion of 5-Fluorouracil in combination with subcutaneous interferon-alpha for advanced hepatocellular carcinoma. Hepatogastroenterology 2007; 54: 518-521
48) Kanai F, Yoshida H, Tateishi R, et al. A phase I/II trial of the oral antiangiogenic agent TSU-68 in patients with advanced hepatocellular carcinoma. Cancer Chemother Pharmacol 2011; 67: 315-324
47) Okada H, Honda M, Campbell JS, et al. Acyclic retinoid targets platelet-derived growth factor signaling in the prevention of hepatic fibrosis and hepatocellular carcinoma development. Cancer Res 2012; 72: 4459-4471
37) Urabe T, Kaneko S, Matsushita E, et al. Clinical pilot study of intrahepatic arterial chemotherapy with Methotrexate, 5-Fluorouracil, Cisplatin and subcutaneous Interferon-Alpha-2b for patients with locally advanced hepatocellular carcinoma. Oncology 1998; 55: 39-47
33) Blanchet B, Billemont B, Benichou AS, et al. Validation of an HPLC-UV method for sorafenib determination in human plasma and application to cancer patients in routine clinical practice. J Pharm Biomed Anal 2009; 49: 1109-1114
39) 平峯靖也, 宇都浩文, 今村也寸志, 他. 高度進行肝細胞癌に対する肝動注化学療法の検討. 日本消化器病学会雑誌 2010; 107: 1127-1138
13) National Cancer Institute. Common terminology criteria for adverse events, National Institutes of Health, Bethesda MD, 2009
29) Personeni N, Bozzarelli S, Pressiani T, et al. Usefulness of alpha-fetoprotein response in patients treated with sorafenib for advanced hepatocellular carcinoma. J Hepatol 2012; 57: 101-107
18) Hansen TF, Christensen RD, Andersen RF, et al. The predictive value of single nucleotide polymorphisms in the VEGF system to the efficacy of first-line treatment with bevacizumab plus chemotherapy in patients with metastatic colorectal cancer: results from the Nordic ACT trial. Int J Colorectal Dis 2012; 27: 715-720
36) Murakami E, Aikata H, Miyaki D, et al. Hepatic arterial infusion chemotherapy using 5-fluorouracil and systemic interferon-α for advanced hepatocellular carcinoma in combination with or without three-dimensional conformal radiotherapy to venous tumor thrombosis in hepatic vein or inferior vena cava. Hepatol Res 2012; 42: 442-453
46) 小山幸法, 波多野悦郎, 田浦康二郎, 他. 進行肝細胞癌に伴う下大静脈腫瘍栓,門脈腫瘍栓に対する放射線治療の有効性. 肝臓 2012; 53(8): 486-493
31) Arrondeau J, Mir O, Boudou-Rouquette P, et al. Sorafenib exposure decreases over time in patients with hepatocellular carcinoma. Invest New Drugs 2011 Oct 29. [Epub ahead of print]
43) Niizeki T, Sumie S, Torimura T, et al. Serum vascular endothelial growth factor as a predictor of response and survival in patients with advanced hepatocellular carcinoma undergoing hepatic arterial infusion chemotherapy. J Gastroenterol 2012; 47: 686-695
1) Llovet JM, Ricci S, Mazzaferro V, et al. Sorafenib in advanced hepatocellular carcinoma. N Engl J Med 2008; 359: 378-390
28) Li L, Yichen C, Charles C, et al. Sorafenib blocks the RAF/MEK/ERK Pathway, inhibits tumor angiogenesis, and induces tumor cell apoptosis in hepatocellular carcinoma model PLC/PRF/5. Cancer Res 2006; 66: 11851-11858
14) 赤座英之, 沖田 極, 飯島正文, 他. 「ネクサバール®適性使用ガイド 2009年版」 第一版, バイエル薬品
26) Nagai H, Mukozu T, Matsui D, et al. Sorafenib prevents escape from host immunity in liver cirrhosis patients with advanced hepatocellular carcinoma. Clin Dev Immunol 2012; 2012: 607851
41) Kuzuya T. Early decrease in α-fetoprotein, but not des-y-carboxyprothrombin, predicts sorafenib efficacy in patients with advanced hepatocellular carcinoma. Oncology 2011; 81: 251-258
20) Abou-Alfa GK. Doxorubicin plus sorafenib vs doxorubicin alone in patients with advanced hepatocellular carcinoma: a randomized trial. JAMA 2010; 304: 2154-2160
3) 「ネクサバール®錠200 mg 特定使用成績調査 第2回中間報告書(切除不能な肝細胞癌)」 バイエル薬品, 2012
50) Kudo M, Tateishi R, Yamashita T, et al. Current status of hepatocellular carcinoma treatment in Japan: case study and discussion-voting system. Clin Drug Investig 2012; 32: 37-51
12) National Cancer Institute. Common terminology criteria for adverse events, National Institutes of Health, Bethesda MD, 2006
2) Cheng AL, Kang YK, Chen Z, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomized, double-blind, placebo-controlled trial. Lancet Oncol 2009; 10: 25-34
19) Grothey A, Cutsem EV, Sobrero A, et al. Regorafenib monotherapy for previously treated metastatic colorectal cancer (CORRECT): an international, multicentre, randomised, placebo-controlled, phase 3 trial. Lancet 2012 Nov 21. pii: S01406736 (12) 61900-X
42) Sengupta B, Siddiqi SA. Hepatocellular Carcinoma: Important Biomarkers and their Significance in Molecular Diagnostics and Therapy. Curr Med Chem 2012; 19: 3722-3729
24) Tochizawa S, Masumori N, Yanai Y, et al. Antitumor effects of a combination of interferon-alpha and sorafenib on human renal carcinoma cell lines. Biomed Res 2008; 29: 271-278
49) Toh HC, Chen PJ, Carr BI, et al. Phase 2 trial of linifanib (ABT-869) in patients with unresectable or metastatic hepatocellular carcinoma. Cancer 2012 Jul 25. doi: 10.1002/cncr.27758
34) Llovet JM, Di Bisceglie AM, Bruix J, et al. Design and endpoints of clinical trials in hepatocellular carcinoma. J Natl Cancer Inst 2008; 100: 698-711
22) Kim C, Lee JL, Choi YH, et al. Phase I dose-finding study of sorafenib in combination with capecitabine and cisplatin as a first-line treatment in patients with advanced gastric cancer. Invest New Drugs 2012; 30: 306-315
23) Wang L, Jia D, Duan F, et al. Combined anti-tumor effect of IFN-α and sorafenib on hepatocellular carcinoma in vitro and in vivo. Biochem Biophys Res Commun 2012; 422: 687-692
References_xml – reference: 45) 村上英介. 肝細胞癌のソラフェニブ治療効果判定におけるRECIST,modified RECIST,RECICL基準の比較. 肝臓 2011; 52(5): 322-324
– reference: 14) 赤座英之, 沖田 極, 飯島正文, 他. 「ネクサバール®適性使用ガイド 2009年版」 第一版, バイエル薬品
– reference: 18) Hansen TF, Christensen RD, Andersen RF, et al. The predictive value of single nucleotide polymorphisms in the VEGF system to the efficacy of first-line treatment with bevacizumab plus chemotherapy in patients with metastatic colorectal cancer: results from the Nordic ACT trial. Int J Colorectal Dis 2012; 27: 715-720
– reference: 21) Ibrahim N. Molecular target therapies for cancer: sorafenib mono-tyerapy and its combination with other therapies (review). Oncol Rep 2012; 27: 1303-1311
– reference: 27) Thomas R, Bernhard A, Philipp S, et al. Sorafenib attenuates the portal hypertensive syndrome in partial portal vein ligated rats. J Hepatol 2009; 51: 865-873
– reference: 49) Toh HC, Chen PJ, Carr BI, et al. Phase 2 trial of linifanib (ABT-869) in patients with unresectable or metastatic hepatocellular carcinoma. Cancer 2012 Jul 25. doi: 10.1002/cncr.27758
– reference: 15) Hiramine Y, Uto H, Imamura Y, et al. Sorafenib and hepatic arterial infusion chemotherapy for unresectable advanced hepatocellular carcinoma: A comparative study. Experimental and Therapeutic Medicine 2011; 2: 433-441
– reference: 4) Zhao JD, Liu J, Ren ZG, et al. Maintenance of Sorafenib following combined therapy of three-dimensional conformal radiation therapy/intensity-modulated radiation therapy and transcatheter arterial chemoembolization in patients with locally advanced hepatocellular carcinoma: a phase I/II study. Radiat Oncol 2010; 5: 12
– reference: 3) 「ネクサバール®錠200 mg 特定使用成績調査 第2回中間報告書(切除不能な肝細胞癌)」 バイエル薬品, 2012
– reference: 22) Kim C, Lee JL, Choi YH, et al. Phase I dose-finding study of sorafenib in combination with capecitabine and cisplatin as a first-line treatment in patients with advanced gastric cancer. Invest New Drugs 2012; 30: 306-315
– reference: 17) Gerger A, El-Khoueiry A, Zhang W, et al. Pharmacogenetic angiogenesis profiling for first-line Bevacizumab plus oxaliplatin-based chemotherapy in patients with metastatic colorectal cancer. Clin Cancer Res 2011; 17: 5783-5792
– reference: 37) Urabe T, Kaneko S, Matsushita E, et al. Clinical pilot study of intrahepatic arterial chemotherapy with Methotrexate, 5-Fluorouracil, Cisplatin and subcutaneous Interferon-Alpha-2b for patients with locally advanced hepatocellular carcinoma. Oncology 1998; 55: 39-47
– reference: 26) Nagai H, Mukozu T, Matsui D, et al. Sorafenib prevents escape from host immunity in liver cirrhosis patients with advanced hepatocellular carcinoma. Clin Dev Immunol 2012; 2012: 607851
– reference: 38) Kuroda M, Kobayashi Y, Urawa N, et al. Hepatic arterial infusion of 5-Fluorouracil in combination with subcutaneous interferon-alpha for advanced hepatocellular carcinoma. Hepatogastroenterology 2007; 54: 518-521
– reference: 7) Kogure T, Iwasaki T, Ueno Y, et al. Complete remission of a case of hepatocellular carcinoma with tumor invasion in inferior vena cava and with pulmonary metastasis successfully treated with repeated arterial infusion chemotherapy. Hepatogastroenterology 2007; 54: 2113-2116
– reference: 31) Arrondeau J, Mir O, Boudou-Rouquette P, et al. Sorafenib exposure decreases over time in patients with hepatocellular carcinoma. Invest New Drugs 2011 Oct 29. [Epub ahead of print]
– reference: 20) Abou-Alfa GK. Doxorubicin plus sorafenib vs doxorubicin alone in patients with advanced hepatocellular carcinoma: a randomized trial. JAMA 2010; 304: 2154-2160
– reference: 39) 平峯靖也, 宇都浩文, 今村也寸志, 他. 高度進行肝細胞癌に対する肝動注化学療法の検討. 日本消化器病学会雑誌 2010; 107: 1127-1138
– reference: 42) Sengupta B, Siddiqi SA. Hepatocellular Carcinoma: Important Biomarkers and their Significance in Molecular Diagnostics and Therapy. Curr Med Chem 2012; 19: 3722-3729
– reference: 46) 小山幸法, 波多野悦郎, 田浦康二郎, 他. 進行肝細胞癌に伴う下大静脈腫瘍栓,門脈腫瘍栓に対する放射線治療の有効性. 肝臓 2012; 53(8): 486-493
– reference: 2) Cheng AL, Kang YK, Chen Z, et al. Efficacy and safety of sorafenib in patients in the Asia-Pacific region with advanced hepatocellular carcinoma: a phase III randomized, double-blind, placebo-controlled trial. Lancet Oncol 2009; 10: 25-34
– reference: 19) Grothey A, Cutsem EV, Sobrero A, et al. Regorafenib monotherapy for previously treated metastatic colorectal cancer (CORRECT): an international, multicentre, randomised, placebo-controlled, phase 3 trial. Lancet 2012 Nov 21. pii: S01406736 (12) 61900-X
– reference: 48) Kanai F, Yoshida H, Tateishi R, et al. A phase I/II trial of the oral antiangiogenic agent TSU-68 in patients with advanced hepatocellular carcinoma. Cancer Chemother Pharmacol 2011; 67: 315-324
– reference: 43) Niizeki T, Sumie S, Torimura T, et al. Serum vascular endothelial growth factor as a predictor of response and survival in patients with advanced hepatocellular carcinoma undergoing hepatic arterial infusion chemotherapy. J Gastroenterol 2012; 47: 686-695
– reference: 30) Boudou-Rouquette P, Narjoz C, Golmard JL, et al. Early Sorafenib-Induced Toxicity Is Associated with Drug Exposure and UGTIA9 Genetic Polymorphism in Patients with Solid Tumors: A Preliminary Study. PLoS One 2012; 7: e42875
– reference: 44) Edeline J. Comparison of tumor response by response evaluation criteria in solid tumor (RECIST) and modified RECIST in patients treated with sorafenib for hepatocellular carcinoma. Cancer 2012; 118: 147-156
– reference: 35) Yamasaki T, Sakaida I. Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma and future treatments for the poor responders. Hepatol Res 2012; 42: 340-348
– reference: 11) Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer 2009; 45: 228-247
– reference: 13) National Cancer Institute. Common terminology criteria for adverse events, National Institutes of Health, Bethesda MD, 2009
– reference: 34) Llovet JM, Di Bisceglie AM, Bruix J, et al. Design and endpoints of clinical trials in hepatocellular carcinoma. J Natl Cancer Inst 2008; 100: 698-711
– reference: 10) Therasse P, Arbuck SG, Eisenhauer EA, et al. New guidelines to evaluate the response to treatment in solid tumors. European organization for research and treatment of cancer, national cancer institute of the United States, national cancer institute of Canada. J Natl Cancer Inst 2000; 92: 205-216
– reference: 40) Zhang Z. Phosphorylated ERK is a potential predictor of sensitivity to sorafenib when treating hepatocellular carcinoma: evidence from an in vitro study. BMC Med 2009; 7: 41
– reference: 33) Blanchet B, Billemont B, Benichou AS, et al. Validation of an HPLC-UV method for sorafenib determination in human plasma and application to cancer patients in routine clinical practice. J Pharm Biomed Anal 2009; 49: 1109-1114
– reference: 8) Ando E, Tanaka M, Yamashita F, et al. Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma with portal vein tumor thrombosis: analysis of 48 cases. Cancer 2002; 95: 588-595
– reference: 5) Kudo M, Ueshima K. Positioning of a molecular-targeted agent, sorafenib, in the treatment algorithm for hepatocellular carcinoma and implication of many complete remission cases in Japan. Oncology 2010; 78: 154-166
– reference: 9) Tanioka H, Tsuji A, Morita S, et al. Combinatin chemotherapy with continuous 5-fluorouracil and low-dose cisplatin infusion for advanced hepatocellular carcinoma. Anticancer Res 2003; 23: 1891-1897
– reference: 1) Llovet JM, Ricci S, Mazzaferro V, et al. Sorafenib in advanced hepatocellular carcinoma. N Engl J Med 2008; 359: 378-390
– reference: 47) Okada H, Honda M, Campbell JS, et al. Acyclic retinoid targets platelet-derived growth factor signaling in the prevention of hepatic fibrosis and hepatocellular carcinoma development. Cancer Res 2012; 72: 4459-4471
– reference: 36) Murakami E, Aikata H, Miyaki D, et al. Hepatic arterial infusion chemotherapy using 5-fluorouracil and systemic interferon-α for advanced hepatocellular carcinoma in combination with or without three-dimensional conformal radiotherapy to venous tumor thrombosis in hepatic vein or inferior vena cava. Hepatol Res 2012; 42: 442-453
– reference: 28) Li L, Yichen C, Charles C, et al. Sorafenib blocks the RAF/MEK/ERK Pathway, inhibits tumor angiogenesis, and induces tumor cell apoptosis in hepatocellular carcinoma model PLC/PRF/5. Cancer Res 2006; 66: 11851-11858
– reference: 16) Jain RK. Normalization of tumor vasculatuture: an emerging concept in antiangiogenic therapy. Science 2005; 307: 58-62
– reference: 24) Tochizawa S, Masumori N, Yanai Y, et al. Antitumor effects of a combination of interferon-alpha and sorafenib on human renal carcinoma cell lines. Biomed Res 2008; 29: 271-278
– reference: 25) Houben R, Voigt H, Noelke C, et al. MARP-independent impaiment of T-cell responses by the multikinase inhibitor sorafenib. Mol Cancer Ther 2009; 8: 433-440
– reference: 6) Wörns MA, Weinmann A, Pfingst K, et al. Safety and efficacy of sorafenib in patients with advanced hepatocellular carcinoma in consideration of concomitant stage of liver cirrhosis. J Clin Gastroenterol 2009; 43: 489-495
– reference: 41) Kuzuya T. Early decrease in α-fetoprotein, but not des-y-carboxyprothrombin, predicts sorafenib efficacy in patients with advanced hepatocellular carcinoma. Oncology 2011; 81: 251-258
– reference: 12) National Cancer Institute. Common terminology criteria for adverse events, National Institutes of Health, Bethesda MD, 2006
– reference: 50) Kudo M, Tateishi R, Yamashita T, et al. Current status of hepatocellular carcinoma treatment in Japan: case study and discussion-voting system. Clin Drug Investig 2012; 32: 37-51
– reference: 29) Personeni N, Bozzarelli S, Pressiani T, et al. Usefulness of alpha-fetoprotein response in patients treated with sorafenib for advanced hepatocellular carcinoma. J Hepatol 2012; 57: 101-107
– reference: 32) Boudou-Rouquette P, Ropert S, Mir O, et al. Variabillity of sorafenib toxicity and exposure over time: A Pharmacokinetic/Pharmacodynamic Analysis. Oncologist Epub ahead of print, 2012
– reference: 23) Wang L, Jia D, Duan F, et al. Combined anti-tumor effect of IFN-α and sorafenib on hepatocellular carcinoma in vitro and in vivo. Biochem Biophys Res Commun 2012; 422: 687-692
SSID ssib002670992
ssib000940394
ssib002670224
ssib058493441
ssj0069113
ssib005879686
ssib002484534
Score 1.9270599
Snippet ...
SourceID jstage
SourceType Publisher
StartPage 233
SubjectTerms ソラフェニブ
後治療
治療法選択
肝動注化学療法
進行肝細胞癌
Title 進行肝細胞癌に対するソラフェニブと肝動注化学療法の有効性および治療法選択
URI https://www.jstage.jst.go.jp/article/kanzo/54/4/54_233/_article/-char/ja
Volume 54
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 肝臓, 2013, Vol.54(4), pp.233-248
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnR3LThRBcEIwMV6Mz_gOB_u4uNOv6T54mFlmQzSYmEDCbbMzs3NYjRgDF0_M7kWBKyQkSuJFMMZHwIPG6M9MdoG_sKqnBwblgCTLpLe6qroePdtVTT8c524aR16ipFujSZJggiJrKhHw4nUETrvRlJnr3qYeyckZ_mBWzI6M3q-sWlqYj8bjl8fuKzmNVwEGfsVdsv_h2QOmAIAy-Bee4GF4nsjHJNS4UiGgJFTEd4lqYEFRoidI6JGAk6BuIIzoECFaGxwG8SPxAxIK4jdJEFoI1GKBEhXYQjBhCvi_dFvQwlb5noVYZKiSJWdVEUMgAlJJEjBTJVAGRIbWJ4gvS8GoxbFNAJ8QIbpBlDZUPgk0QkBl27qLQCuzshDggHxA-OA4ztrgKMPHB7NUo_OK2FAA2oMfRWwfGkfewujRxL6J3AAZdeFYrZuH-Bo18xtGyzq6wuArowUzYoC04SG-RNugLeHJsXGDD1oDf3YMfxDDxQ_WGEKLD0ZDKwFyQIprispJnWI3rnkBS6qidygjp0d8bvqCQFKfVWwGcB8_aOC6oQK3AL6w_vEb_1qu4l4gB4f7lTGHC7fGab0QqFOMiUq5NSasye2gWZz8bX8ceHUEZKwSTNHiGNW_x2mqzeXSTyD9mRvHqc2S6MjJ5_a9ahm0luAtjg_AbZU1uDOx1YX06Az1PBdX9D58XMkuNK-z6uwFV1yw6uyDhxHske-6sshAKE_Lw9MVIVTXzGQPRaAnIU4wC1hKmxX7alC3e1XNILbtQqZXrhI1gev0Bee8zTjH_EKZi85It33JOTtl19Rcdp7uL27vvVvZ673d_fZ1r7-xu76SZx8HX37n2XreW857v_L-h7y_mvc28_5y3l_Lsy1AHiyvDne2Bitrg0_vd9d7w53VPPs8fPN6sPRjuLiZZ0t571We7Qy3fxa1-9n34dLGFWemGU43Jmv2DpZaF-erajKN2524zr16Cn9eW7pJm0nM8jTlaUcmPJI0SqgQqRuziLkikZDkJB7e_Jtql111Rp_NPetcc8YiTyWdNNaCioi33VixBLwhPRbB9zjV1x1V2Kn1vDhop3XiDnDj9KQ3nXPU3HCDs6q3nNH5Fwud25BnzEd3TG_6A5fI9Oo
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E9%80%B2%E8%A1%8C%E8%82%9D%E7%B4%B0%E8%83%9E%E7%99%8C%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E3%82%BD%E3%83%A9%E3%83%95%E3%82%A7%E3%83%8B%E3%83%96%E3%81%A8%E8%82%9D%E5%8B%95%E6%B3%A8%E5%8C%96%E5%AD%A6%E7%99%82%E6%B3%95%E3%81%AE%E6%9C%89%E5%8A%B9%E6%80%A7%E3%81%8A%E3%82%88%E3%81%B3%E6%B2%BB%E7%99%82%E6%B3%95%E9%81%B8%E6%8A%9E&rft.jtitle=%E8%82%9D%E8%87%93&rft.au=%E5%B9%B3%E5%B3%AF%2C+%E9%9D%96%E4%B9%9F&rft.au=%E9%A6%AC%E5%A0%B4%2C+%E8%8A%B3%E9%83%8E&rft.au=%E6%A8%8B%E8%84%87%2C+%E5%8D%93%E4%B9%9F&rft.au=%E5%B1%B1%E4%B8%8B%2C+%E5%AE%B9%E9%9B%85&rft.date=2013&rft.pub=%E4%B8%80%E8%88%AC%E7%A4%BE%E5%9B%A3%E6%B3%95%E4%BA%BA%E3%80%80%E6%97%A5%E6%9C%AC%E8%82%9D%E8%87%93%E5%AD%A6%E4%BC%9A&rft.issn=0451-4203&rft.eissn=1881-3593&rft.volume=54&rft.issue=4&rft.spage=233&rft.epage=248&rft_id=info:doi/10.2957%2Fkanzo.54.233&rft.externalDocID=article_kanzo_54_4_54_233_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0451-4203&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0451-4203&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0451-4203&client=summon