Keio University · 의학
Jun Okui 교수의 연구실은 주로 위암, 식도암 등 소화기 종양의 치료 효과 평가 및 생존 예측 지표의 타당성에 중점을 두고 있습니다. 특히 병행 치료 후 생존 기간과 재발 방지 기간 간의 상관관계를 분석하며, 환자 수준 및 임상 시험 수준에서의 보조 엔드포인트(예: pCR, RFS)로서의 유용성을 규명하고 있습니다. 또한 실생활 환자 데이터를 활용한 약물의 잠재적 부작용 분석(예: VEGF 억제제와 동맥 박리 위험)을 통해 임상적 의사결정 지원을 목표로 합니다.
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
Early diagnosed organ/space SSI are originally severe and may therefore be detected earlier. Importantly, early diagnosed organ/space SSI is likely to be severe and refractory.
Although pCR was correlated with OS, no evidence of individual-level surrogacy with OS was demonstrated, making it inappropriate to consider pCR as a surrogate endpoint for OS in resectable oesophageal cancer.
There was a strong correlation between recurrence-free and overall survival in patients with surgically resectable OSCC who underwent neoadjuvant chemotherapy, and this was more pronounced in patients with a better response to neoadjuvant chemotherapy.
This study demonstrated strong individual- and trial-level surrogacy between RFS and OS in resectable esophageal cancer across all perioperative treatments. These findings may accelerate perioperative treatment development by shortening follow-up in esophageal cancer trials.
498 Background: Overall survival (OS) is the gold standard endpoint of treatment efficacy but requires an extended follow-up period. This study aimed to determine the validity of pathological complete response (pCR) as a surrogate endpoint for OS. Methods: The individual-level surrogacy between categorical outcome and OS was assessed using Kendall correlation coefficient, τ. Because no method has been reported to estimate τ between categorical variables and OS, we proposed the new method using a
Whether or not vascular endothelial growth factor pathway inhibitors (VPIs) increase the risk of artery dissection is still unknown. This study aimed to quantitatively evaluate the possibility of artery dissection as a class effect of VPIs using nationwide real-world data. This cohort study was conducted based on the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB), which spans nearly the entire Japanese population of over 100 million individuals. We inclu
The observed PFS with ICT was comparable to the predicted PFS based on the data for each monotherapy. Our findings do not provide direct evidence of synergistic effects, but they suggest that combining ICI and chemotherapy does not compromise efficacy. These results may support the continued clinical use of ICT in patients with advanced GC/GEJC.
4068 Background: Overall survival (OS) is regarded as the gold standard efficacy endpoint but requires long follow-up. This study aimed to determine the validity of recurrence-free survival (RFS) as a surrogate endpoint for OS in resectable esophageal cancer. Methods: A systematic review of phase III randomized controlled trials (RCTs) comparing perioperative treatments for resectable advanced esophageal and gastroesophageal junction cancer was conducted. Individual patient data (IPD) were reque
Among patients who achieved pCR, postoperative outcomes varied considerably by neoadjuvant treatment modality. The markedly favourable prognosis associated with pCR after NAC suggests that these patients may represent an optimal candidate cohort for future evaluation of surgery-avoidance and watch-and-wait strategies.