Predictive role of CYFRA 21-1 for S-1 monotherapy in non-small cell lung cancer patients

被引:9
作者
Kagawa, Yusuke [1 ]
Sone, Kazuki [1 ]
Oguri, Tetsuya [1 ,2 ,3 ]
Horiuchi, Minoru [1 ]
Fukuda, Satoshi [1 ]
Uemura, Takehiro [1 ]
Takakuwa, Osamu [1 ]
Maeno, Ken [1 ]
Fukumitsu, Kennsuke [1 ]
Kanemitsu, Yoshihiro [1 ]
Tajiri, Tomoko [1 ]
Ohkubo, Hirotsugu [1 ]
Takemura, Masaya [1 ,2 ]
Ito, Yutaka [1 ]
Niimi, Akio [1 ]
机构
[1] Dept Resp Med, Allergy & Clin Immunol, Nagoya, Japan
[2] Nagoya City Univ, Grad Sch Med Sci, Res Ctr Community Med, Dept Educ, Nagoya, Japan
[3] Nagoya City Univ, Grad Sch Med Sci, Res Ctr Community Med, Dept Educ, 1 Kawasumi,Mizuho Cho,Mizuho Ku, Nagoya, Aichi 4678601, Japan
关键词
Carcinoembryonic antigen; Cytokeratin; 19; fragment; Non-small cell lung cancer; S-1; Predictive marker; PHASE-III TRIAL; THYMIDYLATE SYNTHASE; CHEMOTHERAPY; DOCETAXEL; MARKER; COMBINATION; RESISTANCE; EFFICACY;
D O I
10.1016/j.resinv.2021.11.014
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Background: S-1, an oral fluoropyrimidine derivative, is widely used for the treatment of several solid tumors. However, there are no predictive markers for its effectiveness.Methods: We retrospectively screened 108 patients with advanced non-small cell lung cancer (NSCLC) treated via S-1 monotherapy and investigated its relationship with cyto-keratin 19 fragment (CYFRA 21-1) and CEA pretreatment levels.Results: Sixty-one patients with high CYFRA 21-1 levels had a statistically significant shorter progression-free survival (PFS) and overall survival (OS) than 46 patients with normal levels (median PFS = 42 days vs. 70 days, respectively; p = 0.0014; median OS = 197 days vs. 316 days, respectively, p = 0.0239).Conclusions: Serum CYFRA 21-1 levels have predictive and prognostic roles in the man-agement of patients with advanced NSCLC on S-1 monotherapy.(c) 2022 Published by Elsevier B.V. on behalf of The Japanese Respiratory Society.
引用
收藏
页码:393 / 399
页数:7
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