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  1. 130 病院 = University Hospital
  2. 130 学術雑誌論文 = Articles in academic journal

Comparison of inflammatory markers before and after nanoliposomal irinotecan and fluorouracil with folic acid in patients with pancreatic cancer: results from the NAPOLEON-2 study (NN-2302)

http://hdl.handle.net/10069/0002002515
http://hdl.handle.net/10069/0002002515
337e7395-e6f4-4ef0-85da-1d28326de0d1
名前 / ファイル ライセンス アクション
TAMO17_1.pdf TAMO17_1.pdf (1.5 MB)
アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2025-06-24
タイトル
タイトル Comparison of inflammatory markers before and after nanoliposomal irinotecan and fluorouracil with folic acid in patients with pancreatic cancer: results from the NAPOLEON-2 study (NN-2302)
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 inflammatory marker
キーワード
言語 en
主題Scheme Other
主題 multicenter study
キーワード
言語 en
主題Scheme Other
主題 nanoliposomal irinotecan
キーワード
言語 en
主題Scheme Other
主題 pancreatic cancer
キーワード
言語 en
主題Scheme Other
主題 retrospective studies
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Araki, Tomonori

× Araki, Tomonori

en Araki, Tomonori

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Hayashi, Kohei

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en Hayashi, Kohei

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Shimokawa, Mototsugu

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en Shimokawa, Mototsugu

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Otsuka, Taiga

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en Otsuka, Taiga

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Sonoda, Yuki

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en Sonoda, Yuki

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Honda, Takuya

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en Honda, Takuya

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Shibuki, Taro

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en Shibuki, Taro

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Nakazawa, Junichi

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Arima, Shiho

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Miwa, Keisuke

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en Miwa, Keisuke

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Koga, Futa

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Ueda, Yujiro

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Kubotsu, Yoshihito

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Shimokawa, Hozumi

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Takeshita, Shigeyuki

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Nishikawa, Kazuo

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Komori, Azusa

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Otsu, Satoshi

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Hosokawa, Ayumu

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Sakai, Tatsunori

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Oda, Hisanobu

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Kawahira, Machiko

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Arita, Shuji

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Taguchi, Hiroki

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Tsuneyoshi, Kengo

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Fujita, Toshihiro

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Sakae, Takahiro

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Kawaguchi, Yasunori

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Shirakawa, Tsuyoshi

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Mizuta, Toshihiko

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Mitsugi, Kenji

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抄録
内容記述タイプ Abstract
内容記述 Background: Relationships between cancer onset, progression, and inflammation have been reported; yet, the significance of inflammatory markers before and after treatment with nanoliposomal irinotecan and fluorouracil with folic acid (NFF) is unclear. Objectives: We aimed to (1) investigate whether worsening inflammation is associated with disease progression and whether it can be used as a biomarker by comparing inflammatory markers before and after treatment with NFF and (2) verify which is a superior biomarker. Design: This was a preplanned analysis of a retrospective cohort of the NAPOLEON-2 study, a multicenter observational study. Patients from 20 institutions were enrolled. Those with unresectable pancreatic cancer who received NFF as a second-line or later-line treatment between June 1, 2020, and May 31, 2021, were included. Methods: The primary endpoint was overall survival, and the main secondary endpoint was progression-free survival. The following inflammatory markers were assessed: neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio, Prognostic Nutrition Index (PNI), C-reactive protein/albumin ratio (CAR), Glasgow prognostic score (GPS), Prognostic Index (PI), and Komori score. Results: A total of 161 patients were enrolled. The CAR, NLR, GPS (1 vs 2), PI (1 vs 2), PNI, and Komori score were useful pre-NFF biomarkers (hazard ratios (HRs): 2.59, 2.28, 2.76/3.35, 2.16/18.89, 2.13, and 3.39, respectively). The CAR, NLR, GPS (compared with a score of 1/2), and PI (compared with a score of 1/2) were useful post-NFF biomarkers (HRs: 2.63, 1.88, 2.54/3.09, 2.30/5.39, respectively). In terms of the receiver operating characteristic curve and Akaike information criterion, the CAR, GPS, and PI showed favorable trends, and overall, CAR was a useful biomarker. Conclusion: Inflammatory markers can be used as biomarkers both before and after NFF treatment, and CAR may be useful. We hope these findings will contribute to the selection of appropriate treatment options.
言語 en
書誌情報 en : Therapeutic Advances in Medical Oncology

巻 17, p. 1-14, 発行日 2025-02-21
出版者
出版者 SAGE Publications Inc
言語 en
ISSN
収録物識別子タイプ ISSN
収録物識別子 1758-8359
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 10.1177/17588359251320768
権利
権利情報 © The Author(s), 2025. Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the Sage and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
言語 en
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
引用
内容記述タイプ Other
内容記述 Therapeutic Advances in Medical Oncology, 17, pp.1-14; 2025
言語 en
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