Department of Medicine, The University of Arizona Cancer Center, Tucson, Arizona 85719, USA.
Cancer Prev Res (Phila). 2012 Dec;5(12):1341-4. doi: 10.1158/1940-6207.CAPR-12-0429.
In this issue (beginning on page 1368), Kreul and colleagues report a retrospective review of long-term efficacy and toxicity for subjects participating in a phase III study of difluoromethylornithine (DFMO) for prevention of nonmelanoma skin cancer (NMSC). They conclude that those treated with DFMO had a nonsignificant, persistent decrease in NMSC after completion of treatment and that treatment with DFMO did not result in late toxicity after the discontinuation of treatment. We review the data on DFMO as a chemopreventive agent for skin and other cancers, discuss the necessary qualities of a cancer chemopreventive agent, and reflect on the requirements for a well-conducted cancer chemoprevention study, including the rationale for long-term follow-up in cancer prevention studies.
在本期(第 1368 页开始),Kreul 及其同事报告了一项参与 III 期研究的受试者的回顾性分析,该研究使用二氟甲基鸟氨酸(DFMO)预防非黑色素瘤皮肤癌(NMSC)。他们得出的结论是,DFMO 治疗组在治疗完成后 NMSC 持续且无显著性降低,并且在停止治疗后,DFMO 治疗不会导致迟发性毒性。我们回顾了 DFMO 作为皮肤和其他癌症化学预防剂的数据,讨论了癌症化学预防剂的必要特性,并思考了进行良好癌症化学预防研究的要求,包括癌症预防研究中进行长期随访的理由。