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[5'-脱氧氟尿苷II期研究中的生存情况及临床实验室数据变化]

[Survival and changes of clinical laboratory data in phase II study with 5'-DFUR].

作者信息

Taguchi T

机构信息

Japan Society for Cancer Chemotherapy.

出版信息

Gan To Kagaku Ryoho. 1996 Jul;23(8):1019-29.

PMID:8687216
Abstract

With patients registered in a Phase II study of 5'-DFUR, we analyzed the results of survival and laboratory findings. The 50% survival days in patients with gastric cancer included: 371 days in all evaluable patients; 912 days in patients of CR+PR; 484 days in MR+NC; and 158 days in PD. On the other hand, those in patients with colorectal cancer were: 467 days in all evaluable patients; 1,308 days (66.7% survival) in CR+PR; 586 days in MR+NC; and 276 days in PD. The figures in patients with breast cancer were: 1,761 days (58.5% survival) in all evaluable patients; 1,761 days (82.1% survival) in CR+PR; 878 days in MR+NC; and 546 days in PD. These 50% survivals were markedly longer than for other anti-cancer drugs given singly or in combination, although response rates with other drugs were higher than with 5'-DFUR. Laboratory findings in patients with gastric and colorectal cancers given 5'-DFUR disclosed many cases with improved levels of blood cells and liver function. There was a correlation between improved laboratory findings and survival. Furthermore, in animal experiments 5'-DFUR improves cancer cachexia. This is thought to be related to the improved survival and laboratory findings. We concluded that the prolonged survival observed in our study was related to reduction in cancer cachexia and improved laboratory findings.

摘要

对于登记参加5'-DFUR II期研究的患者,我们分析了生存结果和实验室检查结果。胃癌患者的50%生存天数包括:所有可评估患者为371天;CR+PR患者为912天;MR+NC患者为484天;PD患者为158天。另一方面,结直肠癌患者的相应天数为:所有可评估患者为467天;CR+PR患者为1308天(生存率66.7%);MR+NC患者为586天;PD患者为276天。乳腺癌患者的相应数字为:所有可评估患者为1761天(生存率58.5%);CR+PR患者为1761天(生存率82.1%);MR+NC患者为878天;PD患者为546天。这些50%生存率明显长于单独或联合使用的其他抗癌药物,尽管其他药物的缓解率高于5'-DFUR。接受5'-DFUR治疗的胃癌和结直肠癌患者的实验室检查结果显示,许多病例的血细胞水平和肝功能有所改善。实验室检查结果的改善与生存之间存在相关性。此外,在动物实验中,5'-DFUR可改善癌症恶病质。这被认为与生存改善和实验室检查结果改善有关。我们得出结论,我们研究中观察到的生存期延长与癌症恶病质减轻和实验室检查结果改善有关。

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