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Lenz H, Lee FC, Haller DG, Singh D, Benson AB, Strumberg D, Yanagihara RH, Yao JC, Phan AT, Ajani JA. Extended safety and efficacy data on S-1 plus cisplatin in patients with advanced gastric carcinoma in a multi-center phase II study. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.4083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4083 Background: We obtained additional phase II safety and efficacy data in a multi-center setting on an active regimen of S-1 plus cisplatin; the experimental arm of the global phase III First-Line Advanced Gastric cancer Study (FLAGS). Methods: Eligible patients had untreated advanced gastric cancer (AGC), histologic proof, KPS ≥70%, adequate organ function, and gave written consent. Patients received S-1 (25mg/m2 p.o. bid on days 1–21) plus cisplatin (75mg/m2 i.v. on day 1) every 28 days. All reported confirmed overall response rate (C-ORR), response durations, and time-to-progression (TTP) are externally reviewed. Results: All 72 patients were assessed for safety and 64 for efficacy. The median age was 56 years and median KPS was 90%. Median no. of cycles was 4. C-ORR was 50% (95% CI, 37%-63%). Median duration of response is >6 months. At 6 months, only 35% of patients have had cancer progression. Median survival (n=72) is 10.5 months (95% CI, 9.3 to NR). At least one SAE occurred in 43% of patients. The frequent grade 3 or 4 adverse events (occurring in >10% of patients) included: fatigue/asthenia (26%), vomiting (21%), nausea (18%), diarrhea (17%), neutropenia (18%), anorexia (11%), and dehydration (11%). Febrile neutropenia (1.4%) and grade 4 diarrhea (1.4%) were rare. Conclusions: These extended data confirm that S-1 plus cisplatin has a very desirable safety profile and impressive efficacy data in AGC. FLAGS will complete accrual of >700 patients by March of 2007. (Supported by Taiho Pharma-USA). [Table: see text]
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Affiliation(s)
- H. Lenz
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - F. C. Lee
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - D. G. Haller
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - D. Singh
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - A. B. Benson
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - D. Strumberg
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - R. H. Yanagihara
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - J. C. Yao
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - A. T. Phan
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
| | - J. A. Ajani
- USC Norris Comprehensive Cancer Center, Los Angeles, CA; University of New Mexico, Albuquerque, NM; University of Pennsylvania Cancer Center, Philadelphia, PA; University of Chicago, Chicago, IL; Northwestern University, Chicago, IL; University of Essen, Essen, Germany; St Louise Hospital, Gilroy, CA; M.D. Anderson Cancer Center, Houston, TX
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Ajani JA, Phan A, Yao JC, Lee FC, Singh DA, Haller D, Benson AB, Lenz HJ, Yanagihara RH, Strumberg D. Multi-center phase II study of S-1 plus cisplatin in patients with advanced gastric carcinoma (AGC). J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.4024] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- J. A. Ajani
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - A. Phan
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - J. C. Yao
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - F.-C. Lee
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - D. A. Singh
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - D. Haller
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - A. B. Benson
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - H.-J. Lenz
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - R. H. Yanagihara
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
| | - D. Strumberg
- MD Anderson Cancer Ctr, Houston, TX; UNM Cancer Research and Treatment Ctr, Albuquerque, NM; The Univ of Chicago, Chicago, IL; Univ of Pennsylvania Medcl Ctr, Philadelphia, PA; Northwestern Univ, Chicago, IL; USC/Norris Comprehensive Cancer Ctr, Los Angeles, CA; St. Louise Regional Hosp, Gilroy, CA; Univ Medcl Sch of Bochum, Herne, Germany
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Holiday DB, McLarty JW, Yanagihara RH, Riley L, Shepherd SB. Two biochemical markers effectively used to separate smokeless tobacco users from smokers and nonusers. South Med J 1995; 88:1107-13. [PMID: 7481979 DOI: 10.1097/00007611-199511000-00004] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Data from asbestos workers were used to devise a cutpoint classifier to identify subjects as Nonuser (non-tobacco user), Smokeless (exclusive smokeless tobacco user), and Smoker (ignited tobacco user). In some clinical trials and smoking cessation programs, Smokeless should be separated from Smoker. One therefore needs a marker for smoke exposure, such as thiocyanate, since nicotine levels, as measured by cotinine, could be similar in both groups. Levels of cotinine (ng/mL) and thiocyanate (mumol/L) levels (mean +/- SD) were, respectively: 320.9 +/- 201.1 and 145.9 +/- 63.7 for the Smoker group; 339.1 +/- 327.5 and 32.0 +/- 16.9 for the Smokeless group; and 0.6 +/- 2.6 and 58.2 +/- 33.2 for the Nonuser group. For Nonuser, Smokeless, and Smoker, respectively, the self-reported status was 45.1%, 10.8%, and 44.1%, which was adjusted to 42.2%, 11.6%, and 46.2%; the classifier yielded sensitivities of 100%, 76.1%, and 92.2%; specificities of 96.1%, 97.6%, and 96.4%; and predictive values of 94.9%, 80.6%, and 95.6%. The classifier successfully identified Nonusers, separated Smokeless from Smoker, and determined the prevalence of false reports in our cohort.
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Affiliation(s)
- D B Holiday
- Department of Epidemiology/Biomathematics, University of Texas Health Center at Tyler 75710, USA
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