result 23280 件
Author | Doi, Hiroyuki| |
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Published Date | 2008-01-04 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue3 |
Content Type | Journal Article |
Author | Miyazaki, Ikuko| Asanuma, Masato| Francisco J. Diaz-Corrales| Miyoshi, Ko| Ogawa, Norio| |
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Published Date | 2008-01-04 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue3 |
Content Type | Journal Article |
Title Alternative | Adenoviral p53 gene therapy for lung cancer |
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FullText URL | 119_229.pdf |
Author | Fujiwara, Toshiyoshi| Tanaka, Noriaki| |
Abstract | To determine the feasibility, safety, humoral immune response, and biological activity of multiple intratumoral injections of Ad5CMV-p53, and to characterize the pharmacokinetics of Ad5CMV-p53 in patients with advanced non-small cell lung cancer (NSCLC). Fifteen patients with histologically confirmed NSCLC and p53 mutations were enrolled into this phase I trial. Nine patients received escalating dose levels of Ad5CMV-p53 (1 × 109 to 1 × 1011 plaque-forming units[PFU]) as monotherapy once every 4 weeks. Six patients were treated on a 28-day schedule with Ad5CMV-p53 in combination with intravenous administration of cisplatin (80 mg/m2). Patients were monitored for toxicity, vector distribution, antibody formation, and tumor response. Fifteen patients received a total of 63 intratumoral injections of Ad5CMV-p53 without dose-limiting toxicity. The most common treatment-related toxicity was a transient fever. Specific p53 transgene expression was detected using reverse-transcriptase polymerase chain reaction in biopsied tumor tissues throughout the period of treatment despite of the presence of neutralizing anti-adenovirus antibody. Distribution studies revealed that the vector was detected in the gargle and plasma, but rarely in the urine. Thirteen of 15 patients were assessable for efficacy; one patient had a partial response (squamous cell carcinoma at the carina), 10 patients had stable disease, with three lasting ≥9 months, and 2 patients had progressive disease. Multiple courses of intratumoral Ad5CMV-p53 injection alone or in combination with intravenous administration of cisplatin were feasible and well tolerated in advanced NSCLC patients, and appeared to provide clinical benefit. |
Keywords | p53 遺伝子 アデノウイルスベクター (adenovirus vector) 肺癌 (lung cancer) 臨床試験 (clinical trial) |
Publication Title | 岡山医学会雑誌 |
Published Date | 2008-01-04 |
Volume | volume119 |
Issue | issue3 |
Start Page | 229 |
End Page | 234 |
ISSN | 00301558 |
language | Japanese |
Copyright Holders | 岡山医学会 |
File Version | publisher |
DOI | 10.4044/joma.119.229 |
NAID | 10020282723 |
Author | Sunahori, Katsue| Yamamura, Masahiro| Yamana, Jiro| Takasugi, Koji| Makino, Hirofumi| |
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Published Date | 2008-01-04 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue3 |
Content Type | Journal Article |
Author | 岡山医学会| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Others |
Author | Otsuka, Fumio| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Article |
Author | Ishizu, Hideo| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Article |
Author | 村下 純二| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Article |
Author | 難波 義夫| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Article |
Author | Higashi, Toshihiro| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Sato, Tomoaki| Ueshima, Satoshi| Sendo, Toshiaki| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Hiramatsu, Yuji| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Kataoka, Hitomi| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Matsuoka, Junji| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Fujiwara, Satoko| Sendo, Toshiaki| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Nishimoto, Hitomi| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Doihara, Hiroyoshi| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Kawakita, Norifumi| Miyatake, Nobuyuki| Takigawa, Tomoko| Wang, Da-Hong| Ogino, Keiki| Numata, Takeyuki| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Ikeguchi, Gosen T.| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |
Author | Jin, Yingji| |
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Published Date | 2007-09-03 |
Publication Title | 岡山医学会雑誌 |
Volume | volume119 |
Issue | issue2 |
Content Type | Journal Article |