Adjuvant chemotherapy for gastric cancer in Japan: present status and suggestions for rational clinical trials.

Abstract:

:A review of the present status of adjuvant chemotherapy for gastric cancer in Japan has been made. The single use of mitomycin C (MMC) after curative gastrectomy, a multidrug combination of MMC, 5-fluorouracil (5FU) and cytosine arabinoside (CA) (MFC therapy), and a combination of inductive MFC followed by maintenance 5FU in an adjuvant setting have proved beneficial in subsets of moderately locally advanced diseases. The advantages of the Japanese trials seem to be attributable to perioperative chemotherapy with MMC and/or 5FU, obviously given in less amounts than in other countries, against minimum residual tumors following surgery. Effort should be directed, however, to improving the quality of data, at present biased by a number of exclusions and drop-outs which should not be considered negligible. The author mentions the beneficial use of a computer-assisted randomization system for avoiding the violation of entry criteria, and of controlling data quality with individual dose intensity (I.D.I.) and relative performance (R.P.) indices. Prerequisites for success in the adjuvant chemotherapy's clinical trial included planning effective regimens, proper selection of subjects and faithful performance of proposed regimens.

journal_name

Jpn J Clin Oncol

authors

Nakajima T

subject

Has Abstract

pub_date

1990-03-01 00:00:00

pages

30-42

issue

1

eissn

0368-2811

issn

1465-3621

journal_volume

20

pub_type

临床试验,杂志文章,评审
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    更新日期:1983-01-01 00:00:00

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    pub_type: 杂志文章

    doi:

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    更新日期:1991-10-01 00:00:00

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    doi:10.1093/jjco/28.5.323

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    journal_title:Japanese journal of clinical oncology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tashiro H,Nomura Y,Ohsaki A

    更新日期:1994-08-01 00:00:00

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    pub_type: 杂志文章

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    authors: Otani H,Morita T,Esaki T,Ariyama H,Tsukasa K,Oshima A,Shiraisi K

    更新日期:2011-08-01 00:00:00

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    pub_type: 杂志文章

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    authors: Aoyama K,Kamio T,Nishikawa T,Kameoka S

    更新日期:2010-07-01 00:00:00

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    journal_title:Japanese journal of clinical oncology

    pub_type: 杂志文章

    doi:

    authors: Sano T,Naruke T,Kondo H,Goya T,Tsuchiya R,Suemasu K

    更新日期:1990-12-01 00:00:00

  • A phase II study of docetaxel and cisplatin in patients with gastric cancer recurring after or progressing during 5-FU/platinum treatment.

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    pub_type: 杂志文章

    doi:10.1093/jjco/hyi199

    authors: Kim H,Park JH,Bang SJ,Kim DH,Cho HR,Kim GY,Min YJ

    更新日期:2005-12-01 00:00:00

  • Prediction model of critical weight loss in cancer patients during particle therapy.

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    journal_title:Japanese journal of clinical oncology

    pub_type: 杂志文章

    doi:10.1093/jjco/hyx145

    authors: Zhang Z,Zhu Y,Zhang L,Wang Z,Wan H

    更新日期:2018-01-01 00:00:00

  • Surgical results of lung cancer with sarcoid reaction in regional lymph nodes.

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    pub_type: 杂志文章

    doi:10.1093/jjco/hyl141

    authors: Tomimaru Y,Higashiyama M,Okami J,Oda K,Takami K,Kodama K,Tsukamoto Y

    更新日期:2007-02-01 00:00:00

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    journal_title:Japanese journal of clinical oncology

    pub_type: 杂志文章

    doi:10.1093/jjco/hyp132

    authors: Shindo T,Masumori N,Fukuta F,Miyamoto S,Tsukamoto T

    更新日期:2010-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/jjco/27.6.389

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    更新日期:1997-12-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/jjco/hyaa106

    authors: Onishi Y,Kusumoto M,Goto Y,Kaku S,Motoi N

    更新日期:2020-09-28 00:00:00

  • Human papillomavirus genotype distribution in cervical intraepithelial neoplasia grade 2/3 and invasive cervical cancer in Japanese women.

    abstract:OBJECTIVE:Human papillomavirus vaccines are being introduced worldwide and are expected to reduce the incidence of cervical cancer. Here we report a cross-sectional study using a validated human papillomavirus genotyping method to reveal the human papillomavirus prevalence and genotype distribution in Japanese women wi...

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    pub_type: 杂志文章

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    更新日期:2014-10-01 00:00:00

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    doi:10.1093/jjco/28.6.364

    authors: Sakata K,Hareyama M,Oouchi A,Shidou M,Nagakura H,Morita K,Osanai H,Ohtsuka K,Hinoda Y

    更新日期:1998-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/jjco/hyz204

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    journal_title:Japanese journal of clinical oncology

    pub_type: 杂志文章,meta分析

    doi:10.1093/jjco/hyi147

    authors: Sakamoto J,Hamada C,Rahman M,Kodaira S,Ito K,Nakazato H,Ohashi Y,Yasutomi M

    更新日期:2005-09-01 00:00:00

  • Screening using the fifth vital sign in the electronic medical recording system.

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    doi:10.1093/jjco/hyx020

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    更新日期:2017-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/jjco/hyaa128

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    更新日期:2018-11-01 00:00:00

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