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25d
Osimertinib-induced aplastic anemia after curative surgery for EGFR-mutant lung adenocarcinoma. (PubMed, Respir Med Case Rep)
The patient had previously received adjuvant oral tegafur-uracil for 2 years without any hematologic toxicity...Treatment with cyclosporine led to gradual hematologic improvement and transfusion independence. This is a rare case of osimertinib-induced aplastic anemia occurring after curative-intent surgery for NSCLC, in contrast to previously published reports that mainly involved patients with advanced or metastatic disease. Clinicians should be aware of this rare but life-threatening complication and closely monitor peripheral blood counts during treatment, particularly within the first 2-8 months after treatment initiation.
Journal
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • tegafur/uracil
4ms
A Phase III Trial in NPC With Post-radiation Detectable Plasma EBV DNA (clinicaltrials.gov)
P3, N=10, Terminated, National Health Research Institutes, Taiwan | N=147 --> 10 | Enrolling by invitation --> Terminated; Recruiting progress behind expectation
Enrollment change • Trial termination
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cisplatin • epirubicin • mitomycin • tegafur/uracil
4ms
Adjuvant therapy in pStage IA1-IIA lung adenocarcinoma (pN0): A multicenter study focusing on EGFR mutations and recurrence patterns (CReGYT-01 EGFR study). (PubMed, Lung Cancer)
Adjuvant UFT improves OS and RFS in EGFR wild-type pStage IA3-IIA lung adenocarcinoma, particularly in patients with high-risk pathological features. In contrast, UFT is ineffective in EGFR mutation-positive cases, highlighting the need for refined adjuvant treatment strategies tailored to EGFR status and tumor biology in early-stage lung adenocarcinoma with pathological N0 (pN0).
Clinical • Journal
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EGFR (Epidermal growth factor receptor)
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EGFR mutation • EGFR wild-type
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tegafur/uracil
1year
Observational data • Retrospective data • Journal • Metastases
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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Tagrisso (osimertinib) • tegafur/uracil
over1year
Relationship between Oncotype DX® test results and POTENT trial eligibility criteria (JBCS 2024)
While it is difficult to expect chemotherapy to be effective based on Ki67, PgR expression is low, so oral administration of tegafur-uracil (covered by insurance) was added instead of endocrine therapy alone... Of the total 82 patients (median age 54 [33-78] years), 10 patients (12%, median RS 25 [0-32]) received standard infusion chemotherapy including anthracycline/taxane, and 72 patients (88%, RS 15 [0-29]) omitted infusion chemotherapy. Of the 82 cases, 57 cases (70%, RS16 [0-32]) were POTENT eligible, and of the 72 cases in which infusion chemotherapy was omitted, 48 cases (59%, RS14 [1-27]) were eligible. After the results of the POTENT study were published, there were 4 cases (4.9%, RS18 [12-27]) that were POTENT eligible in which infusion chemotherapy was omitted but S-1 was used in combination.
HER-2 (Human epidermal growth factor receptor 2)
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Oncotype DX Breast Recurrence Score®Test
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tegafur/uracil
almost2years
Effect of Tegafur-Uracil in Resected Stage IB Lung Adenocarcinoma According to Presence or Absence of Epidermal Growth Factor Receptor Gene Mutation: A Retrospective Cohort Study. (PubMed, Ann Thorac Cardiovasc Surg)
UFT administration can improve the prognosis of EGFR mutation-negative LUAD but not EGFR mutation-positive LUAD. Thus, clinical trials of adjuvant-targeted therapy for EGFR mutation-positive stage IB LUAD should also be conducted in Japan.
Retrospective data • Journal
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EGFR (Epidermal growth factor receptor)
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EGFR mutation
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tegafur/uracil
almost2years
Prognostic impact of cortactin in patients with hypopharyngeal cancer and its role for tegafur-uracil maintenance after adjuvant chemoradiotherapy. (PubMed, Am J Cancer Res)
Cortactin has a significantly impact in HPC patients. UFUR maintenance provided survival benefits in patients with cortactin (+) after adjuvant CRT.
Journal
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CTTN (Cortactin)
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tegafur/uracil
2years
A rare case of esophageal metastasis from signet-ring cell carcinoma of the cecum. (PubMed, Surg Case Rep)
To our knowledge, this is the first case report on metastatic esophageal cancer from signet-ring cell carcinoma of the cecum. Esophagoscopy showed multiple longitudinal submucosal tumors, which is similar to an endoscopic finding of intramural metastasis from primary esophageal cancer. We consider that the multiple longitudinal submucosal tumors are a notable feature of our case. When metastatic esophageal cancer is suspected, clinicians, endoscopists, and pathologists should consider signet-ring cell carcinoma of the colon as one of potential primary lesions. This consideration could lead the specialists to appropriate examinations and treatments, thereby improving clinical outcomes in patients with the metastasis.
Journal
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EGFR (Epidermal growth factor receptor) • KRAS (KRAS proto-oncogene GTPase) • CEACAM5 (CEA Cell Adhesion Molecule 5)
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KRAS mutation • KRAS wild-type • RAS wild-type
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Avastin (bevacizumab) • 5-fluorouracil • leucovorin calcium • tegafur/uracil
over2years
Is adjuvant chemotherapy for completely resected p-stage IA (>2 cm) and stage IB non-small-cell lung cancer beneficial for elderly patients? A large, retrospective cohort study based on real-world data from Japan. (PubMed, Jpn J Clin Oncol)
adjuvant chemotherapy for completely resected p-stage IA (>2 cm) and stage IB non-small-cell lung cancer showed no benefit for recommendation for elderly patients; considering the risk of adverse events, we do not recommend adjuvant chemotherapy for elderly patients.
Retrospective data • Journal • Real-world evidence • Real-world
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cisplatin • tegafur/uracil
over2years
Efficacy and Safety of Neoadjuvant Luteinizing Hormone-Releasing Hormone Antagonist and Tegafur-Uracil Chemohormonal Therapy for High-Risk Prostate Cancer. (PubMed, Life (Basel))
This study indicates that combining neoadjuvant LHRH antagonists and UFT followed by RARP may improve oncological outcomes in patients with high-risk PCa.
Journal
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tegafur/uracil
over2years
Late recurrent gastric carcinoma 12 years after surgery with attenuation of CD44 variant 9 expression. (PubMed, Surg Case Rep)
A defense mechanism against reactive oxygen species has been reported as a mechanism causing recurrence of CD44v9-positive gastric cancer. Consequently, CD44v9-positive gastric cancer grows in metastatic organs, repeatedly self-renews, and proliferates to form recurrent lesions. In the present case, the degree of CD44v9 staining in recurrent lesions was suggested to be related to the recurrence time.
Journal • Surgery
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HER-2 (Human epidermal growth factor receptor 2) • CD44 (CD44 Molecule)
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CD44 expression
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Herceptin (trastuzumab) • 5-fluorouracil • leucovorin calcium • Teysuno (gimeracil/oteracil/tegafur) • tegafur/uracil
over2years
Preoperative chemoradiotherapy using tegafur/uracil, oral leucovorin, and irinotecan (TEGAFIRI) followed by oxaliplatin-based chemotherapy as total neoadjuvant therapy for locally advanced rectal cancer: the study protocol for a phase II trial. (PubMed, BMC Cancer)
Since previous findings showed a high percentage of grade 3-4 adverse events with the TEGAFIRI regimen for CRT and TNT, the primary outcome of this study will be safety and feasibility. Our regimen for CRT consists of the biweekly administration of irinotecan for good patient compliance. The novel combination approach of this treatment may improve the long-term outcomes of LARC.
P2 data • Journal • Metastases
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oxaliplatin • irinotecan • leucovorin calcium • tegafur/uracil