Uchida K, Takeshima H, Kikuchi K, Shimazui T, Miyanaga N, Kawai K, Akaza H, Tsuchiya A, Noguchi R, Hattori K, Manabe F, Matsuki K, Suzuki R, Ishikawa S, Kondo F, Kobayashi T, Koiso K
Dept. of Urology, University of Tsukuba.
Gan To Kagaku Ryoho. 1998 Jul;25(8):1179-87.
A prospective randomized joint study was conducted to evaluate the usefulness of UFT 1) as a postoperative adjuvant therapy in patients with invasive bladder cancer who had undergone curative combination therapy with operation and/or chemotherapy and/or radiation therapy, 2) as an endocrine chemotherapy in patients with newly diagnosed stage C/D prostate cancer, for a period of 3 years from January, 1992. For bladder cancer, of 36 patients with invasive bladder cancer, clinically cured by combination therapy, 20 patients were treated with UFT as an adjuvant chemotherapy over 12 months, and they were compared to 16 patients with no adjuvant therapy. After excluding 10 inappropriate patients, 12 patients in the UFT treatment group and 14 patients with no adjuvant treatment group were observed. For prostate cancer, of 29 patients with clinically stage C/D prostate cancer, 13 were treated with endocrine therapy in combination with UFT, and 16 patients were treated with endocrine therapy alone. After excluding 7 inappropriate patients, 10 patients with endocrine chemotherapy and 12 patients with hormonal therapy were observed. The non-recurrence rate, survival rate and side effects of UFT were evaluated. In the study of bladder cancer, neither a significant difference of non-recurrent rate nor of survival rate was seen between the two groups. In the study of prostate cancer, neither a significant difference of non-recurrent rate nor of survival rate was seen between the two groups. These findings suggest UFT is less useful as an adjuvant therapy for the invasive bladder cancer and as an endocrine chemotherapy for newly diagnosed advanced prostate cancer.
一项前瞻性随机联合研究开展了3年(从1992年1月起),以评估优福定(UFT)的有效性:1)作为侵袭性膀胱癌患者的术后辅助治疗,这些患者已接受手术和/或化疗和/或放疗的根治性联合治疗;2)作为新诊断为C/D期前列腺癌患者的内分泌化疗。对于膀胱癌,36例经联合治疗临床治愈的侵袭性膀胱癌患者中,20例患者接受优福定辅助化疗12个月以上,并与16例未接受辅助治疗的患者进行比较。排除10例不适合的患者后,观察到优福定治疗组有12例患者,未接受辅助治疗组有14例患者。对于前列腺癌,29例临床分期为C/D期的前列腺癌患者中,13例接受内分泌治疗联合优福定,16例仅接受内分泌治疗。排除7例不适合的患者后,观察到10例接受内分泌化疗的患者和12例接受激素治疗的患者。评估了优福定的无复发率、生存率和副作用。在膀胱癌研究中,两组之间在无复发率和生存率方面均未观察到显著差异。在前列腺癌研究中,两组之间在无复发率和生存率方面也未观察到显著差异。这些发现表明,优福定作为侵袭性膀胱癌的辅助治疗以及新诊断的晚期前列腺癌的内分泌化疗效果欠佳。