Updated on 2024/05/09

写真a

 
NAKAMICHI SHINJI
 
Affiliation
Nippon Medical School Hospital, Department of Pulmonary Medicine, Assistant Professor
Title
Assistant Professor
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Degree

  • 医学博士 ( 日本医科大学 )

Research Interests

  • Lung cancer

  • Resistance

  • アポトーシス

  • 上皮間葉移行

  • p53

Research Areas

  • Life Science / Respiratory medicine

Education

  • Nippon Medical School   Graduate School

    2013.4 - 2018.9

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  • Chiba University   School of Medicine

    1999.4 - 2005.3

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Research History

  • Center for Cancer Research, National Cancer Institute, NIH

    2022.11

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  • -   Assistant Professor

    2019.4

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  • Nippon Medical School   Graduate School

    2013.4 - 2019.3

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  • 国立がん研究センター中央病院   呼吸器内科   チーフレジデント

    2011.4 - 2013.3

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  • 国立国際医療研究センター   呼吸器科   後期レジデント

    2008.4 - 2011.3

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  • 河北総合病院   内科   内科医員

    2007.4 - 2008.3

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  • 河北総合病院   初期研修医

    2005.4 - 2007.3

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Papers

  • Phase II study of durvalumab immediately after completion of chemoradiotherapy in unresectable stage III non-small-cell lung cancer: TORG1937 (DATE study). International journal

    Shinji Nakamichi, Kaoru Kubota, Toshihiro Misumi, Tetsuro Kondo, Shuji Murakami, Yoshimasa Shiraishi, Hisao Imai, Daijiro Harada, Kazutoshi Isobe, Hidetoshi Itani, Saori Takata, Hiroshi Wakui, Yuki Misumi, Satoshi Ikeda, Tetsuhiko Asao, Naoki Furuya, Shinobu Hosokawa, Yumiko Kobayashi, Yuichi Takiguchi, Hiroaki Okamoto

    Clinical cancer research : an official journal of the American Association for Cancer Research   2024.1

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    PURPOSE: Concurrent chemoradiotherapy (CCRT) followed by durvalumab consolidation for up to 12 months is the standard of care for patients with unresectable stage III non-small-cell lung cancer (NSCLC). However, exactly when to initiate durvalumab therapy after chemoradiation completion remains unknown. We evaluated the efficacy and safety of durvalumab, administered immediately after CCRT completion, for patients with unresectable stage III NSCLC. PATIENTS AND METHODS: This study was a prospective, single-arm, open-label phase II clinical trial. Patients without disease progression after definitive CCRT (two cycles of platinum-based doublet chemotherapy with 60 Gy/30 Fr radiotherapy) received durvalumab (every 2 weeks for up to 12 months) from the next day (up to 5 days) after the final radiation dose. The primary endpoint was the 1-year progression-free survival (PFS) from registration before the start of CCRT. RESULTS: From January 2020 to August 2020, 47 of 50 enrolled patients were evaluable for treatment efficacy and safety. The 1-year PFS from registration was 75.0% (60% confidence interval [CI], 69.0 - 80.0 and 95% CI, 59.4 - 85.3). The objective response rate throughout the study treatment and median PFS from registration were 78.7% and 14.2 months (95% CI, 13.4 to not reached), respectively. Grade 3/4 pneumonitis and febrile neutropenia were each 4.3%. CONCLUSIONS: Our study met the primary endpoint. The incidence of pneumonitis was similar to that of a Japanese subset in the PACIFIC study. Our data support the efficacy and safety of durvalumab administered immediately after the completion of CCRT for patients with unresectable stage III NSCLC.

    DOI: 10.1158/1078-0432.CCR-23-2568

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  • A Phase Ⅱ Study of Ubenimex Combined With Pembrolizumab, Nab-Paclitaxel, and Carboplatin for Previously Untreated Advanced Squamous Non-Small-Cell Lung Cancer: TORG2241 (UBE-Q). International journal

    Shinji Nakamichi, Kaoru Kubota, Kotone Matsuyama, Toshihiro Misumi, Toshiyuki Kozuki, Shunichi Sugawara, Katsuhiko Naoki, Nobuaki Kobayashi, Takehito Shukuya, Tsuneo Shimokawa, Masashi Ishihara, Hiroshi Wakui, Yukio Hosomi, Hiroshi Tanaka, Haruhiro Saito, Shinobu Hosokawa, Yuichi Takiguchi, Takashi Kasai, Hiroshi Nokihara, Ryo Morita, Hiromi Aono, Naoki Furuya, Hiroaki Okamoto

    Clinical lung cancer   2023.10

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    BACKGROUND: According to the results of the KEYNOTE-407 trial, pembrolizumab plus platinum-based chemotherapy is the standard of care for patients with previously untreated advanced squamous non-small-cell lung cancer (NSCLC). Ubenimex, a potent aminopeptidase inhibitor, is an oral drug with immunostimulatory and antitumor activities. We aim to assess the safety and efficacy of ubenimex in combination with pembrolizumab, nab-paclitaxel, and carboplatin in patients with previously untreated advanced squamous NSCLC. PATIENTS AND METHODS: This prospective, single-arm, multicenter, phase II clinical trial is conducted to confirm the tolerability and efficacy of the tested drugs. Patients with previously untreated advanced squamous NSCLC will receive a predetermined daily dose of ubenimex orally plus 4 cycles of pembrolizumab, nab-paclitaxel, and carboplatin, followed by continuous administration of ubenimex and pembrolizumab for a maximum of 2 years. To confirm tolerability, the daily dose of ubenimex will begin at level 1 (30 mg), which will be increased to levels 2 (60 mg) and 3 (120 mg) according to the escalation criteria, with a standard 3 + 3 design for achieving the target dose-limiting toxicity rate of 33%. The efficacy, safety, and tolerability of ubenimex at the determined dose level will be analyzed. The primary endpoint of the efficacy evaluation will be the objective response rate assessed by an independent review committee. CONCLUSIONS: This is the first study to evaluate the efficacy and safety of ubenimex combined with pembrolizumab, nab-paclitaxel, and carboplatin in patients with previously untreated advanced squamous NSCLC. The results will help devise future treatment strategies.

    DOI: 10.1016/j.cllc.2023.09.006

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  • Lower optimal dose of amrubicin for relapsed small-cell lung cancer: a retrospective study.

    Shinji Nakamichi, Kaoru Kubota, Fenfei Zou, Anna Hayashi, Natsuki Takano, Naomi Onda, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Masahiro Seike

    International journal of clinical oncology   28 ( 7 )   872 - 879   2023.7

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    BACKGROUND: Amrubicin (AMR) is one of the most active agents for small-cell lung cancer (SCLC). However, hematologic toxicity and infection at a commonly used dose (40 mg/m2) is problematic; the optimal dose remains undetermined. PATIENTS AND METHODS: To evaluate the optimal dose of AMR in terms of efficacy and safety, we reviewed consecutive data on patients with relapsed SCLC who received AMR at doses of 40, 35, and 30 mg/m2 (on days 1-3) at Nippon Medical School Hospital between October 2010 and November 2021. RESULTS: We reviewed the data of 86 patients (20, 45, 27 who received AMR doses of 40, 35, 30 mg/m2, respectively) according to our study criteria. For patients  ≥ 75 years, the proportion who received second-line treatment tended to be higher in the 30-35 mg/m2 group. Objective response rates were 37/46/35%, median progression-free survival (PFS) were 3.0/4.7/3.2 months, and median overall survival (OS) were 7.8/16.3/8.0 months, respectively. Grade 4 neutropenia occurred in 58/39/31% of patients, which was higher for the 40 mg/m2 group. The incidence of febrile neutropenia did not differ between groups. Multivariate analysis identified the AMR dose was not associated with longer PFS and OS. CONCLUSION: Treatment with AMR between 30 and 35 mg/m2 showed relatively mild hematologic toxicity compared with AMR at 40 mg/m2, without any significant difference in efficacy. Lower dose of AMR for relapsed SCLC could be a promising treatment option.

    DOI: 10.1007/s10147-023-02343-9

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  • Overcoming drug-tolerant cancer cell subpopulations showing AXL activation and epithelial-mesenchymal transition is critical in conquering ALK-positive lung cancer. Reviewed International journal

    Shinji Nakamichi, Masahiro Seike, Akihiko Miyanaga, Mika Chiba, Fenfei Zou, Akiko Takahashi, Arimi Ishikawa, Shinobu Kunugi, Rintaro Noro, Kaoru Kubota, Akihiko Gemma

    Oncotarget   9 ( 43 )   27242 - 27255   2018.6

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    Anaplastic lymphoma kinase tyrosine kinase inhibitors (ALK-TKIs) induce a dramatic response in non-small cell lung cancer (NSCLC) patients with the ALK fusion gene. However, acquired resistance to ALK-TKIs remains an inevitable problem. In this study, we aimed to discover novel therapeutic targets to conquer ALK-positive lung cancer. We established three types of ALK-TKI (crizotinib, alectinib and ceritinib)-resistant H2228 NSCLC cell lines by high exposure and stepwise methods. We found these cells showed a loss of ALK signaling, overexpressed AXL with epithelial-mesenchymal transition (EMT), and had cancer stem cell-like (CSC) properties, suggesting drug-tolerant cancer cell subpopulations. Similarly, we demonstrated that TGF-β1 treated H2228 cells also showed AXL overexpression with EMT features and ALK-TKI resistance. The AXL inhibitor, R428, or HSP90 inhibitor, ganetespib, were effective in reversing ALK-TKI resistance and EMT changes in both ALK-TKI-resistant and TGF-β1-exposed H2228 cells. Tumor volumes of xenograft mice implanted with established H2228-ceritinib-resistant (H2228-CER) cells were significantly reduced after treatment with ganetespib, or ganetespib in combination with ceritinib. Some ALK-positive NSCLC patients with AXL overexpression showed a poorer response to crizotinib therapy than patients with a low expression of AXL. ALK signaling-independent AXL overexpressed in drug-tolerant cancer cell subpopulations with EMT and CSC features may be commonly involved commonly involved in intrinsic and acquired resistance to ALK-TKIs. This suggests AXL and HSP90 inhibitors may be promising therapeutic drugs to overcome drug-tolerant cancer cell subpopulations in ALK-positive NSCLC patients for the reason that ALK-positive NSCLC cells do not live through ALK-TKI therapy.

    DOI: 10.18632/oncotarget.25531

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  • Comparison of Radiotherapy and Chemoradiotherapy for Locoregional Recurrence of Nonesmall-cell Lung Cancer Developing After Surgery Reviewed International journal

    Shinji Nakamichi, Hidehito Horinouchi, Tetsuhiko Asao, Yasushi Goto, Shintaro Kanda, Yutaka Fujiwara, Hiroshi Nokihara, Noboru Yamamoto, Yoshinori Ito, Shun-ichi Watanabe, Yuichiro Ohe

    CLINICAL LUNG CANCER   18 ( 6 )   E441 - E448   2017.11

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    There is little evidence on treatment strategy for postoperative locoregional relapsed nonesmall-cell lung cancer. Seventy-four consecutive patients with nonesmall-cell lung cancer with postoperative locoregional recurrences who received chemoradiotherapy (CRT) or radiotherapy at our institute were analyzed. Multivariate analysis identified CRT as a significant survival factor. CRT showed favorable survival outcomes with acceptable feasibility of both CRT and radiotherapy.
    Background: The optimal treatment strategy for locoregional recurrences developing after surgical resection in patients with nonesmall-cell lung cancer (NSCLC) is yet to be clearly established. Patients and Methods: To investigate the efficacy and safety of radiotherapy (RT) and chemoradiotherapy (CRT), we reviewed the consecutive data of patients with NSCLC with postoperative locoregional recurrences treated at the National Cancer Center Hospital between January 2000 and April 2010. Results: We reviewed the data of 74 patients (including 56 who received RT alone and 18 who received CRT) according to our study criteria. The median age was lower and the N factor at the recurrence site was higher in the CRT group compared with the RT group. Most patients received 60 Gy/30 Fr RT in both groups. The 2-year progression-free survival (PFS) rate, median PFS, and overall survival (OS) were 44.4%, 19.0 months (95% confidence interval [CI], 0-41.9 months), and 79.6 months (95% CI, 8.2-151.0 months), respectively, in the CRT group, although those were 25.0%, 10.6 months (95% CI, 8.7-12.9 months), and 33.1 months (95% CI, 17.9-48.3 months), respectively, in the RT group. The adverse event profile was acceptable, with no treatment-related death in either group. Multivariate analysis identified CRT as being significantly associated with a longer PFS and OS. Conclusion: CRT tended to yield better results than RT in terms of the survival outcomes, with acceptable safety profiles of both. We consider that a randomized study comparing RT and CRT is warranted to identify the optimal treatment strategy for patients with NSCLC with postoperative locoregional recurrences.

    DOI: 10.1016/j.cllc.2017.05.005

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  • A phase 1 study of lenvatinib, multiple receptor tyrosine kinase inhibitor, in Japanese patients with advanced solid tumors Reviewed International journal

    Shinji Nakamichi, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Kazunori Honda, Yosuke Tamura, Hiroshi Wakui, Tatsuya Sasaki, Wataru Yusa, Katsuki Fujino, Tomohide Tamura

    CANCER CHEMOTHERAPY AND PHARMACOLOGY   76 ( 6 )   1153 - 1161   2015.12

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    This phase 1 study aimed to assess the tolerability, safety, pharmacokinetics (PK), pharmacodynamics, and preliminary efficacy of lenvatinib capsules in Japanese patients with solid tumors when administered orally up to 24 mg on a once-daily (QD) continuous schedule.Patients were enrolled in one of the two sequential cohorts (20 or 24 mg) of lenvatinib on a 28-day cycle based on the conventional 3 + 3 dose escalation design. Adverse events (AEs) were graded using the Common Terminology Criteria for Adverse Events, version 4.0. Tolerability was judged based on dose-limiting toxicities (DLTs) during Cycle 1. The drug was defined as tolerable when the incidence of DLTs was less than 33 %.Nine patients received lenvatinib [20 mg (n = 3); 24 mg (n = 6)]. No DLTs were observed. The most common AEs were thrombocytopenia, blood thyroid stimulating hormone increased, and hypertension (89 %), followed by leukopenia, headache, and proteinuria (78 %). The area under the concentration-time curve and maximum observed concentration increased dose proportionally. The PK profiles were similar to those in non-Japanese phase 1 studies. One patient with leiomyosarcoma showed a partial response, and three patients have maintained stable disease for more than 6 months.The 24-mg QD continuous dose of lenvatinib was determined to be tolerable with encouraging anti-tumor activity in Japanese patients with solid tumors.

    DOI: 10.1007/s00280-015-2899-0

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  • Phase I and pharmacokinetics/pharmacodynamics study of the MEK inhibitor RO4987655 in Japanese patients with advanced solid tumors Reviewed International journal

    Shinji Nakamichi, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Yutaka Fujiwara, Yosuke Tamura, Hiroshi Wakui, Kazunori Honda, Hidenori Mizugaki, Satoru Kitazono, Yuko Tanabe, Hajime Asahina, Naoya Yamazaki, Shigenobu Suzuki, Mieko Matsuoka, Yoshitaka Ogita, Tomohide Tamura

    INVESTIGATIONAL NEW DRUGS   33 ( 3 )   641 - 651   2015.6

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    RO4987655 is an oral and selective inhibitor of MEK, a key enzyme of the mitogen-activated protein kinase (MAPK) signaling pathway. This phase I dose-escalation study of RO4987655 in Japanese patients with advanced solid tumors aimed to determine maximum tolerated dose (MTD) and to evaluate safety, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor activity. Patients received a single dose of RO4987655 (1, 2, 4, 5, or 6.5 mg) followed by continuous once-daily dosing (1, 2, or 4 mg QD) or twice-daily dosing (4, 5, or 6.5 mg BID) in 28-day cycles. A 3 + 3 dose-escalation design was used. PD was evaluated by pERK inhibition in peripheral blood mononuclear cells (PBMCs). In dose-escalation, 25 patients were enrolled. After the MTD was determined, a further six patients were administered the MTD for further confirmation of safety. MTD was determined as 8 mg/day (4 mg BID) due to a total of four dose-limiting toxicities (DLTs) of grade 3 creatine phosphokinase (CPK) elevation (2 DLTs each in 10 mg/day and 13 mg/day). Most commonly related adverse events included dermatitis acneiform, CPK elevation, and eye disorders. Plasma concentration of RO4987655 appeared to increase in a dose-proportional manner with a plasma half-life of 4.32 to 21.1 h. Following multiple dose administration, a steady-state condition was reached by Cycle 1 Day 8. The inhibitory effects of RO4987655 on pERK in PBMCs increased in a dose-dependent manner. One esophageal cancer patient had confirmed partial response and seven patients showed progression-free survival for longer than 16 weeks. The MTD of RO4987655 for Japanese patients was determined as 8 mg/day (4 mg BID). RO4987655 was tolerated up to the MTD with a favorable PK/PD profile in Japanese patients with advanced solid tumors.

    DOI: 10.1007/s10637-015-0229-3

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  • Phosphoproteomic Analysis Identified Mutual Phosphorylation of FAK and Src as a Mechanism of Osimertinib Resistance in EGFR-Mutant Lung Cancer. International journal

    Takehiro Tozuka, Rintaro Noro, Keisuke Yoshida, Satoshi Takahashi, Mariko Hirao, Kuniko Matsuda, Yasuhiro Kato, Shinji Nakamichi, Susumu Takeuchi, Masaru Matsumoto, Akihiko Miyanaga, Shinobu Kunugi, Kazufumi Honda, Jun Adachi, Masahiro Seike

    JTO clinical and research reports   5 ( 4 )   100668 - 100668   2024.4

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    INTRODUCTION: Osimertinib is a standard treatment for patients with EGFR-mutant NSCLC. Although some osimertinib resistance mechanisms have been identified, nearly 50% of the mechanisms remain to be elucidated. This study was aimed at identifying non-genetic mechanisms underlying osimertinib resistance. METHODS: We established two osimertinib-resistant cell lines from EGFR mutation-positive PC-9 and HCC827 NSCLC cell lines (PC-9OR and HCC827OR, respectively) using a stepwise method. We compared the phosphoproteomic profiles of the osimertinib-resistant and parental cells using mass spectrometry. Upstream kinases were identified using the application Kinase Enrichment Analysis version 3. RESULTS: Phosphoproteomic analysis revealed 80 phosphorylation sites that were mutually up-regulated in PC-9OR and HCC827OR cells. The Kinase Enrichment Analysis version 3 analysis identified focal adhesion kinase (FAK) and proto-oncogene tyrosine-protein kinase Src (Src) as upstream kinases of these up-regulated phosphoproteins. The small-interfering RNA-mediated knockdown of FAK reduced Src phosphorylation and that of Src reduced FAK phosphorylation in both cell lines. Furthermore, FAK- or Src-specific small-interfering RNA treatments restored EGFR phosphorylation in PC-9OR and HCC827OR cells. The combination of FAK and Src inhibitors inhibited PC-9OR and HCC827OR cell proliferation in vitro and suppressed tumor growth in a xenograft mouse model. Immunohistochemistry of tumors from patients with EGFR-mutant NSCLC suggested that phosphorylated FAK and Src are involved in initial and acquired resistance to osimertinib. CONCLUSIONS: Phosphoproteomic analysis may help elucidate the mechanisms of resistance to molecular-targeted therapies in lung cancer. Mutual phosphorylation of FAK and Src is involved in osimertinib resistance. Thus, FAK and Src inhibition may be novel treatment strategies for osimertinib-resistant NSCLC.

    DOI: 10.1016/j.jtocrr.2024.100668

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  • 当院における間質性肺疾患合併癌性胸膜炎に対する胸膜癒着術の後方視的検討

    磯 博和, 宮永 晃彦, 戸塚 猛大, 武内 進, 中道 真仁, 松本 優, 齋藤 好信, 清家 正博

    日本医科大学医学会雑誌   19 ( 4 )   408 - 408   2023.12

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  • Successful Treatment with Definitive Concurrent Chemoradiotherapy Followed by Durvalumab Maintenance Therapy in a Patient with Tracheal Adenoid Cystic Carcinoma.

    Erika Mikami, Shinji Nakamichi, Atsuhiro Nagano, Kazuhito Misawa, Anna Hayashi, Takehiro Tozuka, Natsuki Takano, Rintaro Noro, Katsuya Maebayashi, Hirotoshi Kubokura, Yasuhiro Terasaki, Kaoru Kubota, Masahiro Seike

    Internal medicine (Tokyo, Japan)   62 ( 18 )   2731 - 2735   2023.9

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    Adenoid cystic carcinoma (ACC) is a rare type of malignant tracheal tumor originating from the secretory glands. Complete surgical resection is the current standard of care for tracheal ACC. However, there have been few case reports of chemoradiotherapy for unresectable tracheal ACC. We herein report a 28-year-old man with unresectable tracheal ACC who received concurrent chemoradiotherapy (CCRT) followed by maintenance therapy with durvalumab. CCRT was completed with a good response and safety, and the patient is currently receiving durvalumab as maintenance therapy. Durvalumab after CCRT can be a treatment option for patients with unresectable tracheal ACC.

    DOI: 10.2169/internalmedicine.1142-22

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  • Osimertinib early dose reduction as a risk to brain metastasis control in EGFR-mutant non-small cell lung cancer. International journal

    Takehiro Tozuka, Rintaro Noro, Akihiko Miyanaga, Shinji Nakamichi, Susumu Takeuchi, Masaru Matsumoto, Kaoru Kubota, Kazuo Kasahara, Masahiro Seike

    Cancer medicine   12 ( 17 )   17731 - 17739   2023.9

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    BACKGROUND: The epidermal growth factor receptor (EGFR) mutation is a risk factor associated with brain metastases (BMs) in patients with non-small cell lung cancer (NSCLC). This study aimed to evaluate the impact of osimertinib early dose reduction on BM worsening. METHODS: We retrospectively analyzed EGFR-mutant NSCLC patients treated with osimertinib as first-line treatment between August 2018 and October 2021. To evaluate the impact of osimertinib early dose reduction, we performed a landmark analysis of patients who achieved disease control at 4 months. Patients were divided into two groups according to whether the osimertinib dose was reduced or not, within 4 months after the start of treatment. We evaluated the time to BMs onset or progression, progression-free survival, and overall survival. RESULTS: In total, 62 NSCLC patients with EGFR mutations were analyzed. Thirteen patients experienced early dose reduction of osimertinib treatment. Seven patients received osimertinib 40 mg daily, and six received 80 mg every other day. The most common reason for dose reduction was gastrointestinal toxicity (n = 4), followed by skin rashes (n = 3). The time to BMs onset or progression was significantly shorter in patients who experienced early dose reduction than in those who continued regular treatment (Hazard ratio 4.47, 95% confidence interval, 1.52-13.11). The 1-year cumulative incidence of BM onset or progression was 23.1% in the reduced-dose group and 5.0% in the standard dose group. The risk of worsening BMs with early dose reduction of osimertinib treatment was higher in patients who had BMs before treatment and in younger patients. CONCLUSION: Early dose reduction of osimertinib was a risk factor for the worsening of BMs. A higher risk was associated with younger patients and those presenting BMs before treatment.

    DOI: 10.1002/cam4.6393

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  • HMGCS2によるメバロン酸経路を介したNTRK阻害薬に対する耐性誘導とその克服(HMGCS2 Induces resistance to NTRK inhibitors via mevalonate pathway)

    加藤 泰裕, 松本 優, 高野 夏希, 平尾 真季子, 松田 久仁子, 戸塚 猛大, 恩田 直美, 中道 真仁, 武内 進, 宮永 晃彦, 野呂 林太郎, 弦間 昭彦, 清家 正博

    日本癌学会総会記事   82回   421 - 421   2023.9

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  • Serum-derived exosomal miR-125a-3p predicts the response to anti-programmed cell death-1/programmed cell death-ligand 1 monotherapy in patients with non-small cell lung cancer. International journal

    Kakeru Hisakane, Masahiro Seike, Teppei Sugano, Kuniko Matsuda, Takeru Kashiwada, Shinji Nakamichi, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Kaoru Kubota, Akihiko Gemma

    Gene   857   147177 - 147177   2023.3

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    BACKGROUND: Versatile biomarkers for immune checkpoint inhibitors (ICI) efficacy in patients with cancer remain to be identified. Liquid biopsy using serum-derived exosomal microRNAs (miRNAs) are widely investigated as diagnostic and therapeutic outcome predictors in patients with cancer. However, exosomal miRNAs linked to the response to ICI in patients with non-small cell lung cancer (NSCLC) remain elusive thus far. METHODS: The value of serum-derived exosomal miRNAs in predicting the effect of anti-programmed cell death-1 (PD-1)/anti-programmed cell death-ligand 1 (PD-L1) monotherapy in 41 patients with advanced NSCLC was assessed. We performed functional analysis of candidate miRNAs using NSCLC cell lines. RESULTS: Exosomal miR-125a-3p was associated with response to treatment with ICI. Exosomal miR-125a-3p was more useful in predicting response to ICI versus tumoral PD-L1 in patients with low PD-L1 expression (≤50%). Moreover, high expression of miR-125a-3p was associated with worse progression-free and overall survival. In H1975 and H441 cells, induction of miR-125a-3p regulated PD-L1 expression via suppression of neuregulin 1 (NRG1). CONCLUSIONS: Exosomal miR-125a-3p is a potential predictor of response to anti-PD-1/PD-L1 therapy in advanced NSCLC patients with low PD-L1 expression.

    DOI: 10.1016/j.gene.2023.147177

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  • EGFR遺伝子変異陽性非小細胞肺癌に対するオシメルチニブ耐性後のカルボプラチン+ペメトレキセド+アファチニブ併用療法の有効性

    恩田 直美, 中道 真仁, 松本 優, 宮永 晃彦, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   301 - 301   2023.3

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  • 70歳以上の非扁平上皮癌患者における複合免疫療法についての検討

    戸塚 猛大, 野呂 林太郎, 中道 真仁, 武内 進, 松本 優, 宮永 晃彦, 笠原 寿郎, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   277 - 277   2023.3

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  • 当院における肺腺癌に対するペメトレキセド併用複合免疫療法の抗腫瘍効果とTTF-1発現の関連についての後方視的検討

    高嶋 紗衣, 松本 優, 福泉 彩, 恩田 直美, 中道 真仁, 武内 進, 宮永 晃彦, 笠原 寿郎, 寺崎 泰弘, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   326 - 326   2023.3

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  • 当院における間質性肺疾患患者に対する胸膜癒着術の有効性及び安全性の後方視的検討

    磯 博和, 宮永 晃彦, 戸塚 猛大, 村田 亜香里, 佐藤 陽三, 中道 真仁, 武内 進, 松本 優, 齋藤 好信, 笠原 寿郎, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   351 - 351   2023.3

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  • 70歳以上の非扁平上皮癌患者における複合免疫療法についての検討

    戸塚 猛大, 野呂 林太郎, 中道 真仁, 武内 進, 松本 優, 宮永 晃彦, 笠原 寿郎, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   277 - 277   2023.3

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  • 当院における肺腺癌に対するペメトレキセド併用複合免疫療法の抗腫瘍効果とTTF-1発現の関連についての後方視的検討

    高嶋 紗衣, 松本 優, 福泉 彩, 恩田 直美, 中道 真仁, 武内 進, 宮永 晃彦, 笠原 寿郎, 寺崎 泰弘, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   326 - 326   2023.3

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  • 当院における間質性肺疾患患者に対する胸膜癒着術の有効性及び安全性の後方視的検討

    磯 博和, 宮永 晃彦, 戸塚 猛大, 村田 亜香里, 佐藤 陽三, 中道 真仁, 武内 進, 松本 優, 齋藤 好信, 笠原 寿郎, 清家 正博

    日本呼吸器学会誌   12 ( 増刊 )   351 - 351   2023.3

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  • 肺腺癌に対してラムシルマブ投与中に毛細血管拡張性肉芽腫が多発した1例

    濱田 里沙, 市山 進, 山田 麻以, 佐伯 秀久, 船坂 陽子, 鄒 奮飛, 中道 真仁, 野呂 林太郎, 清家 正博

    日本皮膚科学会雑誌   133 ( 1 )   59 - 60   2023.1

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  • Alectinib-Induced Severe Hemolytic Anemia in a Patient with ALK-Positive Non-Small Cell Lung Cancer: A Case Report. International journal

    Kazuhito Misawa, Shinji Nakamichi, Hiroki Iida, Atsuhiro Nagano, Erika Mikami, Takehiro Tozuka, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Kaoru Kubota, Hiroki Yamaguchi, Masahiro Seike

    OncoTargets and therapy   16   65 - 69   2023

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    Alectinib is a selective anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitor as standard therapy for ALK-rearranged non-small cell lung cancer (NSCLC). Hemolytic anemia is considered as a rare but significant adverse event with alectinib. Here, we report a case of a 73-year-old female with lung adenocarcinoma, harbouring an ALK fusion gene, who received alectinib as second-line therapy and developed gradually progressive grade 4 (6.4 g/dL) drug-induced hemolytic anemia (DIHA) after complete response. We discontinued alectinib and performed a blood transfusion for the severe anemia. The anemia improved with no recurrence of lung adenocarcinoma over 10 months. Regular hematologic monitoring and the possibility of DIHA should be considered in case of progressive hemolytic anemia during alectinib treatment.

    DOI: 10.2147/OTT.S398375

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  • Remarkable Clinical Response of ALK-Rearranged/TP53-Mutant Lung Adenocarcinoma with Liver Metastasis to Atezolizumab-Bevacizumab-Carboplatin-Paclitaxel After ALK Inhibitors: A Case Report. International journal

    Hirokazu Iso, Akihiko Miyanaga, Naohiro Kadoma, Kaoruko Shinbu, Takehiro Tozuka, Akari Murata, Shunichi Nishima, Yozo Sato, Shinji Nakamichi, Masaru Matsumoto, Rintaro Noro, Yasuhiro Terasaki, Kaoru Kubota, Masahiro Seike

    OncoTargets and therapy   16   465 - 470   2023

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    Anaplastic lymphoma kinase-positive (ALK-positive) lung adenocarcinoma with multiple liver metastases accounts for a relatively small number of cases of non-small cell lung cancer. Several ALK-tyrosine kinase inhibitors (ALK-TKIs) are available for the treatment of lung cancer. However, there is limited evidence on the treatment of multiple liver metastases in patients with lung cancer that are refractory to ALK-TKIs. We report the case of a 42-year-old male patient with ALK-positive lung adenocarcinoma who experienced rapid progression to multiple liver metastases while receiving treatment with alectinib. Biopsy of the liver metastases revealed echinoderm microtubule-associated protein-like 4-ALK (EML4-ALK) fusion and tumor protein p53 (TP53) mutation; notably, ALK secondary mutations were not detected. Despite the sequential administration of third-generation ALK-TKIs, the liver metastases did not respond, the serum levels of total bilirubin and biliary enzymes continued to increase, and the patient's general appearance worsened. Finally, the patient exhibited a remarkable clinical response to treatment with a combination of atezolizumab, bevacizumab, carboplatin, and paclitaxel (ABCP). ABCP is one of the optimal options for ALK-positive lung cancer with liver metastasis that is refractory to ALK-TKIs therapy.

    DOI: 10.2147/OTT.S404035

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  • 非小細胞肺癌(NSCLC)における免疫療法(IO)リチャレンジの意義

    戸塚 猛大, 野呂 林太郎, 中道 真仁, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博

    日本医科大学医学会雑誌   18 ( 4 )   448 - 449   2022.12

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  • 当院における全身状態不良非小細胞肺癌症例への免疫チェックポイント阻害薬単独投与の有効性と安全性の検討

    永野 惇浩, 中道 真仁, 林 杏奈, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本医科大学医学会雑誌   18 ( 4 )   465 - 465   2022.12

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  • EGFR遺伝子変異陽性非小細胞肺癌患者における治療経過中の脳転移増悪リスク因子

    戸塚 猛大, 野呂 林太郎, 宮永 晃彦, 中道 真仁, 松本 優, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   587 - 587   2022.11

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  • AXL活性化を示すALK阻害薬耐性肺癌に対するギルテリチニブによる新規治療戦略

    中道 真仁, 野呂 林太郎, 平尾 真季子, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   654 - 654   2022.11

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  • 当院における悪性胸膜中皮腫に対するnivolumab+ipilimumab併用療法の有効性・安全性の後方視的検討

    高嶋 紗衣, 松本 優, 戸塚 猛大, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   826 - 826   2022.11

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  • EGFR陽性肺癌に対するオシメルチニブ耐性後カルボプラチン+ペメトレキセド+アファチニブ併用の有効性

    恩田 直美, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 清家 正博

    肺癌   62 ( 6 )   636 - 636   2022.11

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  • 当院における間質性肺疾患合併癌性胸膜炎に対する胸膜癒着術の後方視的検討

    磯 博和, 宮永 晃彦, 戸塚 猛大, 村田 亜香里, 二島 駿一, 佐藤 陽三, 中道 真仁, 松本 優, 野呂 林太郎, 齋藤 好信, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   639 - 639   2022.11

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  • 当院における悪性胸膜中皮腫に対するnivolumab+ipilimumab併用療法の有効性・安全性の後方視的検討

    高嶋 紗衣, 松本 優, 戸塚 猛大, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   826 - 826   2022.11

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  • AXL活性化を示すALK阻害薬耐性肺癌に対するギルテリチニブによる新規治療戦略

    中道 真仁, 野呂 林太郎, 平尾 真季子, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   654 - 654   2022.11

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  • 当院における間質性肺疾患合併癌性胸膜炎に対する胸膜癒着術の後方視的検討

    磯 博和, 宮永 晃彦, 戸塚 猛大, 村田 亜香里, 二島 駿一, 佐藤 陽三, 中道 真仁, 松本 優, 野呂 林太郎, 齋藤 好信, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   639 - 639   2022.11

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  • III期非小細胞肺癌に対する化学放射線療法完遂直後のデュルバルマブ療法の第II相試験(TORG1937)

    白石 祥理, 久保田 馨, 中道 真仁, 三角 俊裕, 近藤 哲郎, 岡本 勇, 湊 浩一, 原田 大二郎, 磯部 和順, 井谷 英敏, 高田 佐織, 和久井 大, 三角 祐生, 池田 慧, 朝尾 哲彦, 井上 健男, 細川 忍, 小林 由美子, 滝口 裕一, 岡本 浩明

    肺癌   62 ( 6 )   582 - 582   2022.11

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  • EGFR遺伝子変異陽性非小細胞肺癌患者における治療経過中の脳転移増悪リスク因子

    戸塚 猛大, 野呂 林太郎, 宮永 晃彦, 中道 真仁, 松本 優, 久保田 馨, 清家 正博

    肺癌   62 ( 6 )   587 - 587   2022.11

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  • EGFR陽性肺癌に対するオシメルチニブ耐性後カルボプラチン+ペメトレキセド+アファチニブ併用の有効性

    恩田 直美, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 清家 正博

    肺癌   62 ( 6 )   636 - 636   2022.11

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  • COPD合併肺癌に関与するマイクロバイオームの探求(Lung Microbiome Associated with COPD Comorbid Lung Cancer)

    清水 理光, 宮永 晃彦, 松田 久仁子, 中道 真仁, 松本 優, 野呂 林太郎, 久保田 馨, 清家 正博

    日本癌学会総会記事   81回   P - 1043   2022.9

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  • Effectiveness of Corticosteroid Therapy for Non-Severe COVID-19 in Patients Not Requiring Supplemental Oxygen Who Have Risk Factors for Severe Disease.

    Toru Tanaka, Yoshinobu Saito, Takeru Kashiwada, Shinji Nakamichi, Masaru Matsumoto, Akihiko Miyanaga, Yosuke Tanaka, Kazue Fujita, Masahiro Seike, Akihiko Gemma

    Journal of Nippon Medical School = Nippon Ika Daigaku zasshi   89 ( 4 )   422 - 427   2022.8

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    BACKGROUND: Although corticosteroids are expected to be a candidate therapy for coronavirus disease 2019 (COVID-19) through the suppression of cytokine production, the efficacy in non-severe patients who do not require supplemental oxygen remains controversial. The aim of this study was to investigate the efficacy of corticosteroid therapy for non-severe patients. METHODS: We performed a retrospective observational study for 10 patients with non-severe COVID-19 who received corticosteroid therapy at our institute between July 1, 2020, and January 31, 2021. RESULTS: The median age of the 10 patients was 60 years, and nine patients were male. Nine of the 10 patients had multiple comorbid conditions (e.g., hypertension, diabetes and obesity). Although blood oxygen saturation was maintained above 95%, all patients showed persistent fever and deterioration of their chest imaging findings. Thus, we decided to initiate corticosteroid treatment. The median duration from the onset of symptoms to the initiation of corticosteroid therapy was eight days. All patients used dexamethasone (6 mg/day) as corticosteroid therapy, and the median period was 7.5 days. After the start of corticosteroid therapy, all patients showed a rapid clinical improvement, and no patients showed severe progression. CONCLUSION: The latest World Health Organization guidance recommends against corticosteroid treatment for non-severe patients. In this report, we showed that the early administration of corticosteroids during the non-critical phase, when oxygen supplementation is not required, was useful for the early improvement and prevention of severe disease in patients with risk factors for severe COVID-19 and worsening clinical symptoms.

    DOI: 10.1272/jnms.JNMS.2022_89-409

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  • アレクチニブによる薬剤性溶血性貧血を来したALK陽性肺腺癌の1例

    飯田 博紀, 中道 真仁, 三澤 一仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 山口 博樹, 清家 正博, 弦間 昭彦

    肺癌   62 ( 3 )   273 - 273   2022.6

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  • アレクチニブによる薬剤性溶血性貧血を来したALK陽性肺腺癌の1例

    飯田 博紀, 中道 真仁, 三澤 一仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 山口 博樹, 清家 正博, 弦間 昭彦

    肺癌   62 ( 3 )   273 - 273   2022.6

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  • 経気管支クライオ肺生検(TBLC)で診断したMCD(multicentric Castleman disease)の1例

    白倉 ゆかり, 野呂 林太郎, 田中 徹, 中道 真仁, 柏田 建, 齋藤 好信, 寺崎 泰弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   44 ( 3 )   246 - 246   2022.5

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  • 経気管支クライオ肺生検(TBLC)で診断したMCD(multicentric Castleman disease)の1例

    白倉 ゆかり, 野呂 林太郎, 田中 徹, 中道 真仁, 柏田 建, 齋藤 好信, 寺崎 泰弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   44 ( 3 )   246 - 246   2022.5

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  • Two cases of superior mesenteric artery syndrome during chemotherapy in patients with lung cancer. International journal

    Keiki Miyadera, Shinji Nakamichi, Ryota Miyashita, Masamitsu Shimizu, Rintaro Noro, Kaoru Kubota, Masahiro Seike, Akihiko Gemma

    International cancer conference journal   11 ( 2 )   124 - 128   2022.4

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    Superior mesenteric artery (SMA) syndrome is a rare disease, characterized by the narrowing of the third portion of the duodenum between the aorta and SMA. The cause of the stenosis is a decrease in retroperitoneal fat between the aorta and SMA. In this report, we present two cases of SMA syndrome that occurred during chemotherapy for lung cancer. The first case was a 61-year-old male treated with nanoparticle albumin-bound-paclitaxel (nab-PTX) for lung adenocarcinoma. On day 23 of the first course of nab-PTX, he was admitted to our hospital due to vomiting and weight loss of 15.6 kg in 10 months. He was diagnosed with SMA syndrome through computed tomography, and drainage was performed using a nasogastric tube. Conservative treatment was successful, and the patient was able to continue therapy with nab-PTX. The second case was a 70-year-old male with epidermal growth factor receptor (EGFR) mutation-positive non-small cell lung cancer. He was admitted to our hospital due to vomiting and dizziness while receiving treatment with pembrolizumab, as well as weight loss of 14.6 kg in 6 months. He was diagnosed with SMA syndrome using computed tomography. Conservative treatment using a nasogastric tube led to improvement, and the patient was able to continue treatment with pembrolizumab after discharge. This is the first report of SMA syndrome in patients with lung cancer undergoing chemotherapy with nab-PTX or pembrolizumab. Late diagnosis and treatment render SMA syndrome a potentially fatal disease. Vomiting and weight loss during chemotherapy are known treatment-related side effects; in patients developing these adverse effects, the presence of SMA syndrome should be suspected and managed appropriately.

    DOI: 10.1007/s13691-022-00534-1

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  • Carboplatin plus nanoparticle albumin-bound paclitaxel for the treatment of thymic carcinoma. International journal

    Akiko Takahashi, Rintaro Noro, Natsuki Takano, Kakeru Hisakane, Satoshi Takahashi, Aya Fukuizumi, Miwako Omori, Teppei Sugano, Susumu Takeuchi, Shinji Nakamichi, Akihiko Miyanaga, Yuji Minegishi, Kaoru Kubota, Masahiro Seike, Akihiko Gemma

    Molecular and clinical oncology   16 ( 4 )   87 - 87   2022.4

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    Thymic carcinoma is a relatively rare type of malignant tumor. The present retrospective study evaluated the efficacy and safety of carboplatin plus nanoparticle albumin-bound paclitaxel for the treatment of advanced thymic carcinoma. The study included data from 12 patients with advanced thymic carcinoma treated in the Nippon Medical School Hospital (Tokyo, Japan). Response to treatment, patient survival and treatment safety were assessed. The objective response rate was 66.7% (8/12 patients). Disease control was achieved in 11 patients (91.7%). At the median follow-up time of 27.6 months (range, 6.2-75.1 months), the median progression-free survival and median first-line overall survival times were 16.7 months [95% confidence interval (CI), 13.2-37.7] and 14.3 months (95% CI, 4.7-54.6), respectively. There was no occurrence of febrile neutropenia or treatment-related death. The results of the present study showed that carboplatin plus nanoparticle albumin-bound paclitaxel was effective and safe. Therefore, it is a promising chemotherapy regimen for the treatment of advanced thymic carcinoma.

    DOI: 10.3892/mco.2022.2520

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  • 両側脈絡膜転移に対してエルロチニブ+ベバシズマブ療法が奏効した肺腺癌の1例

    三澤 一仁, 野呂 林太郎, 宮寺 恵希, 中道 真仁, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博, 弦間 昭彦, 山岡 正卓, 五十嵐 勉

    肺癌   62 ( 2 )   133 - 133   2022.4

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  • 酸素投与を要さない非重症COVID-19症例に対する全身ステロイドの有用性に関する検討

    田中 徹, 齋藤 好信, 青山 純一, 二島 駿一, 佐藤 陽三, 柏田 建, 中道 真仁, 松本 優, 宮永 晃彦, 田中 庸介, 藤田 和恵, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   259 - 259   2022.4

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  • 次世代シークエンサーを用いた遺伝子パネル検査の当院における実施状況と検査の成否に寄与する因子の検討

    三澤 一仁, 中道 真仁, 野呂 林太郎, 松本 優, 宮永 晃彦, 久保田 馨, 功刀 しのぶ, 清家 正博, 寺崎 泰弘, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   251 - 251   2022.4

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  • 非小細胞肺癌(NSCLC)における免疫療法(IO)リチャレンジの意義

    戸塚 猛大, 野呂 林太郎, 中道 真仁, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   250 - 250   2022.4

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  • 当院における全身状態不良非小細胞肺癌症例への免疫チェックポイント阻害薬単独投与の有効性と安全性の検討

    永野 惇浩, 中道 真仁, 三上 恵莉花, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   249 - 249   2022.4

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  • 両側脈絡膜転移に対してエルロチニブ+ベバシズマブ療法が奏効した肺腺癌の1例

    三澤 一仁, 野呂 林太郎, 宮寺 恵希, 中道 真仁, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博, 弦間 昭彦, 山岡 正卓, 五十嵐 勉

    肺癌   62 ( 2 )   133 - 133   2022.4

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  • 次世代シークエンサーを用いた遺伝子パネル検査の当院における実施状況と検査の成否に寄与する因子の検討

    三澤 一仁, 中道 真仁, 野呂 林太郎, 松本 優, 宮永 晃彦, 久保田 馨, 功刀 しのぶ, 清家 正博, 寺崎 泰弘, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   251 - 251   2022.4

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  • 非小細胞肺癌(NSCLC)における免疫療法(IO)リチャレンジの意義

    戸塚 猛大, 野呂 林太郎, 中道 真仁, 松本 優, 宮永 晃彦, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   250 - 250   2022.4

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  • 当院における全身状態不良非小細胞肺癌症例への免疫チェックポイント阻害薬単独投与の有効性と安全性の検討

    永野 惇浩, 中道 真仁, 三上 恵莉花, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   11 ( 増刊 )   249 - 249   2022.4

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  • A Novel Molecular Target in EGFR-mutant Lung Cancer Treated With the Combination of Osimertinib and Pemetrexed. International journal

    Natsuki Takano, Masahiro Seike, Teppei Sugano, Kuniko Matsuda, Kakeru Hisakane, Akiko Yoshikawa, Shinji Nakamichi, Rintaro Noro, Akihiko Gemma

    Anticancer research   42 ( 2 )   709 - 722   2022.2

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    BACKGROUND/AIM: Synergistic effects of epidermal growth factor receptor tyrosine kinase inhibitors and chemotherapy have been reported. Here, we evaluated the therapeutic potential of combining osimertinib with pemetrexed and investigated the molecular mechanisms. MATERIALS AND METHODS: We analyzed the antitumor effects of osimertinib± pemetrexed in PC-9 and H1975 cells. Gene expression on exposure to osimertinib±pemetrexed was assessed in these cultured cells. Cell lines resistant to osimertinib±pemetrexed were established to explore mechanisms of resistance. RESULTS: Osimertinib+pemetrexed treatment delayed the emergence of resistance relative to monotherapy in vitro and in vivo. Expression of the anti-apoptotic gene PLK1 was down-regulated in PC-9 and H1975 exposed to osimertinib+ pemetrexed, whereas it was up-regulated in resistant cells. Furthermore, inhibition of PLK1 induced apoptosis and inhibited proliferation of resistant cells. CONCLUSION: Blocking PLK1 contributes to mediating the synergistic anti-proliferative effect of osimertinib+pemetrexed. PLK1 over-expression may be a critical mechanism for acquired resistance to osimertinib+pemetrexed.

    DOI: 10.21873/anticanres.15529

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  • Successful Treatment with Short-Term Steroid Against Severe Hepatitis Confirmed by Liver Biopsy in a Patient with Advanced Squamous-Cell Lung Cancer Receiving a Combination of Pembrolizumab, Carboplatin, and Nab-Paclitaxel: A Case Report. International journal

    Anna Hayashi, Shinji Nakamichi, Yukako Nakayama, Atsuhiro Nagano, Erika Mikami, Natsuki Takano, Takehiro Tozuka, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Yasuhiro Terasaki, Kaoru Kubota, Masahiro Seike, Akihiko Gemma

    OncoTargets and therapy   15   637 - 642   2022

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    Pembrolizumab is an immune checkpoint inhibitor (ICI) that targets programmed death-1. Although ICIs have shown efficacy in the treatment of lung cancer, they have also been reported to cause a variety of immune-related adverse events (irAEs). Hepatotoxicity is a known irAEs, but currently, there is not enough information on its pathological characteristics and treatment. We report the case of a 70-year-old man with advanced squamous-cell lung cancer who developed severe grade 4 hepatitis on day 8 after receiving carboplatin, nab-paclitaxel, and pembrolizumab as fourth-line therapy. We treated him with steroid therapy the day after a liver biopsy was performed to investigate his pathological features, which led to a rapid and remarkable improvement. Confirmation of immune-related hepatotoxicity by pathological findings allowed the early tapering and discontinuation of steroid therapy. Performing a liver biopsy and verifying histological characteristics are needed for successful treatment with short-term steroids when drug-induced hepatitis caused by anti-cancer therapy including pembrolizumab is considered.

    DOI: 10.2147/OTT.S361467

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 寛, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本医科大学医学会雑誌   17 ( 4 )   270 - 270   2021.10

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  • 当院における進行非小細胞肺癌へのニボルマブ+イピリムマブ併用療法の後方視的検討

    寺師 直樹, 松本 優, 林 杏奈, 戸塚 猛大, 中山 幸治, 高野 夏希, 恩田 直美, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   685 - 685   2021.10

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  • 当院における全身状態不良非小細胞肺癌症例への免疫チェックポイント阻害薬単独投与の有効性と安全性の検討

    永野 惇浩, 中道 真仁, 三上 恵莉花, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   672 - 672   2021.10

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  • 当院における進展型小細胞肺癌に対する初回化学療法レジメンの後方視的検討

    三上 恵莉花, 中道 真仁, 永野 惇浩, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   631 - 631   2021.10

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 覚, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   630 - 630   2021.10

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  • 当院におけるEGFR遺伝子変異陽性NSCLC1次治療osimertinib後の2次治療の後方視的検討

    白倉 ゆかり, 宮永 晃彦, 中山 幸治, 佐藤 陽三, 中道 真仁, 松本 優, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   602 - 602   2021.10

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  • FoundationOneにて診断したHER2遺伝子変異陽性肺腺癌に対してTrastuzumab deruxtecanが奏効した1例

    鈴木 貴大, 宮永 晃彦, 加藤 祐樹, 加藤 泰裕, 中道 真仁, 松本 優, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 5 )   434 - 434   2021.10

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  • Evaluation of a Tool that Enables Cancer Patients to Participate in the Decision-Making Process during Treatment Selection. Reviewed

    Kumi Chubachi, Junko Umihara, Akiko Yoshikawa, Shinji Nakamichi, Susumu Takeuchi, Masaru Matsumoto, Akihiko Miyanaga, Yuji Minegishi, Kazuo Yamamoto, Masahiro Seike, Akihiko Gemma, Kaoru Kubota

    Journal of Nippon Medical School = Nippon Ika Daigaku zasshi   88 ( 4 )   273 - 282   2021.9

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    BACKGROUND: The participation of patients in the decision-making process related to their treatment is strongly recommended. This study was conducted to develop and evaluate a support tool that can help patients make decisions related to their own treatment. METHODS: Twenty cancer patients who were hospitalized for first line treatment were enrolled on the study. Before hospitalization, a 'Check sheet on treatment selection', which contained 14 questions, was distributed to patients and/or their families. After hospitalization, the attending physician explained the treatment while referring to the written check sheet. Also, at the time of discharge, the patients's responses to the 'Questionnaire on check sheet and treatment selection' were collected in order to evaluate the utility of the check sheet. Finally, the 'Questionnaire of the check sheet' was handed to the attending physician to evaluate. RESULTS: Of the fourteen patients who responded to the questionnaire, all indicated that the check sheets were helpful for decision-making, and that using the sheets empowered them to ask their doctors questions. Only one person felt uncomfortable with compiling the check sheet.Physicians stated that the check sheet facilitated patient decision-making and improved communication with patients. However, there was an opinion that this activity increased the administrative burden of medical professionals. CONCLUSION: Almost all patients stated that the check sheet used in this study was useful as a decision support tool, and also facilitated the communication between doctors and patients. Before incorporation into general clinical practice, this increased benefit should be weighed against the potential extra administrative workload imposed on clinicians.

    DOI: 10.1272/jnms.JNMS.2021_88-401

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  • 経気管支肺生検(TBLB)にて診断し得たB細胞性リンパ腫の肺浸潤の1例

    寺嶋 勇人, 新分 薫子, 寺師 直樹, 戸塚 猛大, 比嘉 克行, 梶本 雄介, 朝山 敏夫, 柏田 建, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 寺崎 泰弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   43 ( 5 )   558 - 558   2021.9

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  • 肝生検で診断したペムブロリズマブによる薬剤性肝障害に対してステロイドが著効した肺扁平上皮癌の1例

    中山 裕香子, 高野 夏希, 永野 惇浩, 三上 恵莉花, 林 杏奈, 中道 真仁, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本内科学会関東地方会   670回   37 - 37   2021.7

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  • PD-L1 Expression Status Predicting Survival in Pulmonary Pleomorphic Carcinoma. International journal

    Kakeru Hisakane, Masahiro Seike, Teppei Sugano, Kuniko Matsuda, Shinobu Kunugi, Shinji Nakamichi, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Yuji Minegishi, Kaoru Kubota, Akihiko Gemma

    Anticancer research   41 ( 5 )   2501 - 2509   2021.5

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    BACKGROUND/AIM: Pulmonary pleomorphic carcinoma (PPC) is a rare and aggressive tumor that is resistant to treatment. The expression and prognostic value of programmed cell death-ligand 1 (PD-L1) and its association with epithelial-mesenchymal transition (EMT) in PPC remains unclear. PATIENTS AND METHODS: The expression of PD-L1 and EMT markers, such as E-cadherin, vimentin, zinc finger E-box-binding homeobox 1 (ZEB-1), and cellular mesenchymal-epithelial transition (c-Met) was evaluated by immuno - histochemistry in 16 patients with PPC who underwent surgical resection. RESULTS: The expression of PD-L1 varied between carcinomatous and sarcomatous areas. Positive correlations between PD-L1 and vimentin expression in carcinomatous areas (r=0.668, p=0.005) and PD-L1 and ZEB-1 expression in sarcomatous areas (r=0.562, p=0.023) were found. High PD-L1 and ZEB-1 expression in sarcomatous areas predicted poor survival (p=0.045 and p=0.012, respectively). CONCLUSION: PD-L1 expression associated with ZEB1 expression in the sarcomatoid component of patients with PPC may be useful for predicting patient prognosis.

    DOI: 10.21873/anticanres.15028

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  • Long Non-Coding RNA CRNDE Is Involved in Resistance to EGFR Tyrosine Kinase Inhibitor in EGFR-Mutant Lung Cancer via eIF4A3/MUC1/EGFR Signaling. International journal

    Satoshi Takahashi, Rintaro Noro, Masahiro Seike, Chao Zeng, Masaru Matsumoto, Akiko Yoshikawa, Shinji Nakamichi, Teppei Sugano, Mariko Hirao, Kuniko Matsuda, Michiaki Hamada, Akihiko Gemma

    International journal of molecular sciences   22 ( 8 )   2021.4

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    (1) Background: Acquired resistance to epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs) is an intractable problem for many clinical oncologists. The mechanisms of resistance to EGFR-TKIs are complex. Long non-coding RNAs (lncRNAs) may play an important role in cancer development and metastasis. However, the biological process between lncRNAs and drug resistance to EGFR-mutated lung cancer remains largely unknown. (2) Methods: Osimertinib- and afatinib-resistant EGFR-mutated lung cancer cells were established using a stepwise method. A microarray analysis of non-coding and coding RNAs was performed using parental and resistant EGFR-mutant non-small cell lung cancer (NSCLC) cells and evaluated by bioinformatics analysis through medical-industrial collaboration. (3) Results: Colorectal neoplasia differentially expressed (CRNDE) and DiGeorge syndrome critical region gene 5 (DGCR5) lncRNAs were highly expressed in EGFR-TKI-resistant cells by microarray analysis. RNA-protein binding analysis revealed eukaryotic translation initiation factor 4A3 (eIF4A3) bound in an overlapping manner to CRNDE and DGCR5. The CRNDE downregulates the expression of eIF4A3, mucin 1 (MUC1), and phospho-EGFR. Inhibition of CRNDE activated the eIF4A3/MUC1/EGFR signaling pathway and apoptotic activity, and restored sensitivity to EGFR-TKIs. (4) Conclusions: The results showed that CRNDE is associated with the development of resistance to EGFR-TKIs. CRNDE may be a novel therapeutic target to conquer EGFR-mutant NSCLC.

    DOI: 10.3390/ijms22084005

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  • EGFR遺伝子変異陽性肺癌細胞株におけるosimertinibとpemetrexedの併用効果と分子メカニズムの検討

    高野 夏希, 清家 正博, 大森 美和子, 福泉 彩, 久金 翔, 中道 真仁, 菅野 哲平, 松本 優, 宮永 晃彦, 久保田 馨, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   208 - 208   2021.4

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 覚, 中道 真仁, 清水 理光, 恩田 直美, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   146 - 146   2021.4

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  • 血清エクソソームmiR125a-3pはNSCLC患者におけるICIの治療効果を予測する

    久金 翔, 菅野 哲平, 高野 夏希, 大森 美和子, 福泉 彩, 高橋 聡, 恩田 直美, 中道 真仁, 松本 優, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   145 - 145   2021.4

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  • トポイソメラーゼ阻害薬耐性小細胞肺癌に対するABCトランスポーター阻害薬の効果

    大森 美和子, 野呂 林太郎, 松田 久仁子, 平尾 真季子, 清水 理光, 高野 夏希, 福泉 彩, 久金 翔, 恩田 直美, 高橋 聡, 中道 真仁, 菅野 哲平, 峯岸 裕司, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   290 - 290   2021.4

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  • Pembrolizumab投与中に後腹膜線維症をきたした一例

    泉田 健介, 三宅 絵里佳, 湯浅 瑞希, 二嶋 駿一, 清水 理光, 恩田 直美, 中道 真仁, 菅野 哲平, 松本 優, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本結核・非結核性抗酸菌症学会関東支部学会・日本呼吸器学会関東地方会合同学会プログラム・抄録集   179回・243回   12 - 12   2021.2

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  • Efficacy with Trastuzumab Deruxtecan for Non-Small-Cell Lung Cancer Harboring HER2 Exon 20 Insertion Mutation in a Patient with a Poor Performance Status: A Case Report. International journal

    Yuki Kato, Yasuhiro Kato, Yuji Minegishi, Takahiro Suzuki, Shinji Nakamichi, Masaru Matsumoto, Akihiko Miyanaga, Rintaro Noro, Kaoru Kubota, Yasuhiro Terasaki, Masahiro Seike, Akihiko Gemma

    OncoTargets and therapy   14   5315 - 5319   2021

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    Antibody-drug conjugate (ADC) was novel type of anticancer drugs. Trastuzumab deruxtecan (T-DXd), a human epidermal growth factor receptor 2 (HER2) targeting ADC, can be a novel treatment option for HER2 alternation (mutation, expression, amplification) advanced-stage non-small-cell lung cancer (NSCLC) from DESTINY-Lung01 result. Herein, we report a successful treatment with T-DXd for NSCLC harboring HER2 exon 20 insertion mutation in a patient with poor performance status (PS). We presented a case of a 52-year-old heavily pretreated female patient diagnosed with lung adenocarcinoma (cT1bN3M0, stage IIIB). After fifth-line pretreatment of systemic chemotherapy, primary tumor recurrence, pleural effusion, and miliary lung metastases were observed. The patient presented with hypoxia requiring oxygen therapy via nasal cannula at a flow rate of 4 L per minute, cancer pain, and cachexia requiring opioid treatment. Her Eastern Cooperative Oncology Group PS score was assessed 3. Comprehensive genomic profiling revealed HER2 exon 20 insertion mutation. After treatment with T-DXd was approved by the ethical review committee of Nippon Medical School Hospital, treatment was started. The tumor size decreased significantly, and her PS score decreased from 3 to 1, with improvement of hypoxia, cancer pain, and cachexia. The patient is still receiving treatment, without disease progression 6 months after starting treatment with T-DXd. Despite cases of poor PS, NGS should be performed and target therapy including ADCs should be considered.

    DOI: 10.2147/OTT.S341290

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  • 気管支鏡インターベンションが有効であった粘表皮癌の1例

    寺嶋 勇人, 千田 絵里佳, 恩田 直美, 菅野 哲平, 寺師 直樹, 清水 理光, 中道 真仁, 峯岸 裕司, 野呂 林太郎, 寺崎 泰弘, 久保田 馨, 清家 正博, 臼田 実男, 弦間 昭彦

    気管支学   42 ( 6 )   571 - 571   2020.11

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  • 間質性肺炎合併非小細胞肺癌に対する免疫チェックポイント阻害薬の有効性安全性の検討

    湯浅 瑞希, 峯岸 裕司, 清水 理光, 恩田 直美, 中道 真仁, 菅野 哲平, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   O3 - 4   2020.10

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  • 当院における進展型小細胞肺癌に対する初回化学療法レジメンの後方視的検討

    千田 絵里佳, 中道 真仁, 清水 理光, 恩田 直美, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   O3 - 1   2020.10

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  • COVID-19蔓延期の癌治療-体験と教訓- 日本医科大学附属病院の新型コロナウイルス感染症に対する取り組み

    藤田 和恵, 野呂 林太郎, 峯岸 裕司, 中道 真仁, 菅野 哲平, 清家 正博, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   SSY13 - 1   2020.10

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  • シームレスながん薬物療法実施のための薬薬連携 本院における免疫チェックポイント阻害剤によるirAE発現状況とICMTチームの役割

    野呂 林太郎, 輪湖 哲也, 菅野 哲平, 中道 真仁, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   SSY12 - 2   2020.10

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  • EGFR遺伝子変異陽性肺癌細胞株におけるosimertinibとpemetrexedの併用効果と分子メカニズムの検討

    高野 夏希, 清家 正博, 菅野 哲平, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌   60 ( 6 )   534 - 534   2020.10

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  • 肺多形癌におけるPD-L1、MET、EMT関連分子の発現および予後に関する病理学的検討

    久金 翔, 清家 正博, 菅野 哲平, 功刀 しのぶ, 清水 理光, 高野 夏希, 大森 美和子, 福泉 彩, 恩田 直美, 高橋 聡, 中道 真仁, 峯岸 裕司, 野呂 林太郎, 臼田 実男, 久保田 馨, 弦間 昭彦

    肺癌   60 ( 6 )   620 - 620   2020.10

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  • トポイソメラーゼ阻害薬耐性小細胞肺癌に対するABCトランスポーター阻害薬の効果

    大森 美和子, 野呂 林太郎, 松田 久仁子, 平尾 真季子, 清水 理光, 高野 夏希, 福泉 彩, 久金 翔, 恩田 直美, 高橋 聡, 中道 真仁, 菅野 哲平, 峯岸 裕司, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   60 ( 6 )   601 - 601   2020.10

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  • 非小細胞肺癌に対する免疫チェックポイント阻害薬と化学療法併用療法のレジメン選択についての検討

    宮寺 恵希, 中道 真仁, 清水 理光, 恩田 直美, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   60 ( 6 )   598 - 598   2020.10

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  • 間質性肺炎合併非小細胞肺癌に対する免疫チェックポイント阻害薬の有効性安全性の検討

    湯浅 瑞希, 峯岸 裕司, 清水 理光, 恩田 直美, 中道 真仁, 菅野 哲平, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   O3 - 4   2020.10

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  • 当院における進展型小細胞肺癌に対する初回化学療法レジメンの後方視的検討

    千田 絵里佳, 中道 真仁, 清水 理光, 恩田 直美, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   O3 - 1   2020.10

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  • COVID-19蔓延期の癌治療-体験と教訓- 日本医科大学附属病院の新型コロナウイルス感染症に対する取り組み

    藤田 和恵, 野呂 林太郎, 峯岸 裕司, 中道 真仁, 菅野 哲平, 清家 正博, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   SSY13 - 1   2020.10

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  • シームレスながん薬物療法実施のための薬薬連携 本院における免疫チェックポイント阻害剤によるirAE発現状況とICMTチームの役割

    野呂 林太郎, 輪湖 哲也, 菅野 哲平, 中道 真仁, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   58回   SSY12 - 2   2020.10

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  • EGFR変異陽性非小細胞肺がんのEGFR-TKI抵抗性に伴うSMAD6過剰発現の分子機構の解析と治療への応用

    宮崎 海, 中嶋 亘, 田中 信之, 中道 真仁, 清家 正博

    日本医科大学医学会雑誌   16 ( 4 )   243 - 244   2020.10

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  • ドライバー遺伝子異常肺癌の薬剤耐性機序における長鎖ノンコーディングRNAの意義

    高橋 聡, 野呂 林太郎, 吉川 明子, 中道 真仁, 菅野 哲平, 松本 優, 武内 進, 平尾 真季子, 松田 久仁子, Zeng Chao, 浜田 道昭, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   9 ( 増刊 )   177 - 177   2020.8

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  • ドライバー遺伝子異常肺癌の薬剤耐性機序における長鎖ノンコーディングRNAの意義

    高橋 聡, 野呂 林太郎, 吉川 明子, 中道 真仁, 菅野 哲平, 松本 優, 武内 進, 平尾 真季子, 松田 久仁子, Zeng Chao, 浜田 道昭, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   9 ( 増刊 )   177 - 177   2020.8

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  • EGFR-TKIによる薬剤性肺障害に対して気管支鏡にて肺胞出血と診断した3症例

    千田 絵里佳, 清水 理光, 湯浅 瑞希, 二島 駿一, 恩田 直美, 田中 徹, 柏田 建, 中道 真仁, 菅野 哲平, 渥美 健一郎, 峯岸 裕司, 野呂 林太郎, 田中 庸介, 齋藤 好信, 木村 弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   42 ( Suppl. )   S249 - S249   2020.6

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  • EGFR-TKIによる薬剤性肺障害に対して気管支鏡にて肺胞出血と診断した3症例

    千田 絵里佳, 清水 理光, 湯浅 瑞希, 二島 駿一, 恩田 直美, 田中 徹, 柏田 建, 中道 真仁, 菅野 哲平, 渥美 健一郎, 峯岸 裕司, 野呂 林太郎, 田中 庸介, 齋藤 好信, 木村 弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   42 ( Suppl. )   S249 - S249   2020.6

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  • シスプラチン+ペメトレキセド+ペムブロリズマブ治療開始による急性腎障害を発症した2例

    齊藤 翔, 中道 真仁, 清水 理光, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   60 ( 2 )   137 - 138   2020.4

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  • 高齢者進行再発非小細胞肺癌に対する抗PD-1/PD-L1抗体の有効性と安全性の検討

    清水 理光, 中道 真仁, 宮下 稜太, 宮寺 恵希, 村田 泰規, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 廣瀬 敬, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   59 ( 6 )   731 - 731   2019.11

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  • 当院における免疫チェックポイント阻害薬併用薬物療法の後方視的検討

    高橋 聡, 清家 正博, 湯浅 瑞希, 清水 理光, 高野 夏希, 福泉 彩, 中道 真仁, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌   59 ( 6 )   792 - 792   2019.11

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  • EGFR遺伝子変異陽性非小細胞肺癌患者における脳転移リスク因子

    戸塚 猛大, 清家 正博, 村田 泰規, 菅野 哲平, 中道 真仁, 峯岸 裕司, 野呂 林太郎, 廣瀬 敬, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O60 - 5   2019.10

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  • 非小細胞肺癌における免疫チェックポイント阻害薬による薬剤性肺障害と治療効果の検討 Reviewed

    菅野 哲平, 清家 正博, 齋藤 好信, 高野 夏希, 久金 翔, 高橋 聡, 田中 徹, 柏田 建, 中道 真仁, 武内 進, 宮永 晃彦, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O60 - 4   2019.10

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  • ALK陽性肺癌に対する新規治療戦略研究 Reviewed

    中道 真仁, 清家 正博, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O48 - 4   2019.10

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  • Overcoming drug-tolerant cancer cell subpopulations showing AXL activation and epithelial-mesenchymal transition is critical in conquering ALK-positive lung cancer Reviewed

    Nakamichi Shinji, Masahiro Seike, Miyanaga Akihiko, Takahashi Akiko, Noro Rintaro, Kubota Kaoru, Gemma Akihiko

    CANCER RESEARCH   79 ( 13 )   2019.7

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    DOI: 10.1158/1538-7445.SABCS18-3806

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  • Ankyrin Repeat Domain 1 Overexpression is Associated with Common Resistance to Afatinib and Osimertinib in EGFR-mutant Lung Cancer. Reviewed International journal

    Akiko Takahashi, Masahiro Seike, Mika Chiba, Satoshi Takahashi, Shinji Nakamichi, Masaru Matsumoto, Susumu Takeuchi, Yuji Minegishi, Rintaro Noro, Shinobu Kunugi, Kaoru Kubota, Akihiko Gemma

    Scientific reports   8 ( 1 )   14896 - 14896   2018.10

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    Overcoming acquired resistance to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) is critical in combating EGFR-mutant non-small cell lung cancer (NSCLC). We tried to construct a novel therapeutic strategy to conquer the resistance to second-and third-generation EGFR-TKIs in EGFR-positive NSCLC patients. We established afatinib- and osimertinib-resistant lung adenocarcinoma cell lines. Exome sequencing, cDNA array and miRNA microarray were performed using the established cell lines to discover novel therapeutic targets associated with the resistance to second-and third-generation EGFR-TKIs. We found that ANKRD1 which is associated with the epithelial-mesenchymal transition (EMT) phenomenon and anti-apoptosis, was overexpressed in the second-and third-generation EGFR-TKIs-resistant cells at the mRNA and protein expression levels. When ANKRD1 was silenced in the EGFR-TKIs-resistant cell lines, afatinib and osimertinib could induce apoptosis of the cell lines. Imatinib could inhibit ANKRD1 expression, resulting in restoration of the sensitivity to afatinib and osimertinib of EGFR-TKI-resistant cells. In EGFR-mutant NSCLC patients, ANKRD1 was overexpressed in the tumor after the failure of EGFR-TKI therapy, especially after long-duration EGFR-TKI treatments. ANKRD1 overexpression which was associated with EMT features and anti-apoptosis, was commonly involved in resistance to second-and third-generation EGFR-TKIs. ANKRD1 inhibition could be a promising therapeutic strategy in EGFR-mutant NSCLC patients.

    DOI: 10.1038/s41598-018-33190-8

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  • Patient-oriented optimal depth of conscious sedation using midazolam during flexible bronchoscopy: A prospective open-labeled single-arm trial. Reviewed International journal

    Yuichiro Takeda, Hibiki Udagawa, Shinji Nakamichi, Yasuto Yoneshima, Motoyasu Iikura, Satoshi Hirano, Go Naka, Haruhito Sugiyama

    Respiratory investigation   56 ( 4 )   349 - 355   2018.7

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    Background: The British Thoracic Society guidelines for diagnostic flexible bronchoscopy (FB) in adults recommend that intravenous sedation should be offered to patients undergoing bronchoscopy. However, it is difficult to determine the adequate depth of sedation for each patient because of inter-individual variability. Methods: This prospective, open-label, single-arm study was conducted in patients undergoing routine bronchus examination with FB. All patients underwent FB under local anesthesia and conscious sedation, with initial administration of 0.03 mg/kg midazolam. The sedation level during FB was objectively assessed using the Ramsay sedation score (RSS). Two hours after the procedure, patients completed a questionnaire about its efficacy and adverse effects using a visual analog scale (VAS). Receiver operating characteristic (ROC) curve analyses were performed to determine the optimal RSS that could improve the subjective efficacy indicated by the VAS. Results: This study enrolled 110 consecutive patients between September 2008 and February 2012. The median total amount of midazolam administered was 1.65 mg per patient. In an analysis of ROC curves between RSS and VAS, the area under the ROC curve for an RSS of 4 against the others was 0.66 (95% CI: 0.54 to 0.77, p = 0.014). The area under the ROC curve was not shown to be statistically significant for RSSs other than 4. Conclusions: The optimal depth of conscious sedation during FB for conventional examination was achieved at an RSS of 4. The patients’ subjective evaluations indicated that a deep level of conscious sedation does not seem necessary for FB.

    DOI: 10.1016/j.resinv.2018.03.007

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  • Oral rehydration solution (OS-1) as a substitute of intravenous hydration after cisplatin administration in patients with lung cancer: a prospective multicenter trial. Reviewed International journal

    Hidehito Horinouchi, Kaoru Kubota, Akihiko Miyanaga, Shinji Nakamichi, Masahiro Seike, Akihiko Gemma, Yuki Yamane, Futoshi Kurimoto, Hiroshi Sakai, Shintaro Kanda, Yutaka Fujiwara, Hiroshi Nokihara, Noboru Yamamoto, Tomohide Tamura, Yuichiro Ohe

    ESMO open   3 ( 1 )   e000288   2018

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    Background: The aim of this trial was to evaluate the safety and efficacy of oral hydration as a substitute for intravenous hydration after cisplatin (CDDP) administration. Methods: The major eligibility criteria included patients with lung cancer, indications for a CDDP-based regimen at a dose of 60 mg/m2 or higher, an age of between 20 and 74 years and adequate renal function. Antiemetic prophylaxis consisted of an appropriate dose of palonosetron, aprepitant, dexamethasone and magnesium sulfate (8 mEq). Five hundred millilitres of commercially available oral hydration solution (OS-1: Otsuka Pharmaceutical Factory, Tokushima, Japan) was used as a substitute for intravenous posthydration. The planned sample size was 46 to reject a proportion of 70% under an expectation of 88% with a power of 90% and an alpha error of 5%. Results: Between May and November 2013, 31 men and 15 women with a median (range) age of 65 (33-74) years were enrolled from three institutions. Of these, five received adjuvant chemotherapy, 17 received definitive chemoradiotherapy and 24 received chemotherapy for advanced diseases. The median (range) number of chemotherapy cycles was 4 (1-5). After the first cycle of CDDP administration, none of the patients experienced a creatinine elevation of grade 2 or higher, thereby meeting the primary endpoint. Of the 46 patients, 45 (97.8%, 95% CI 88.2 to 99.9) completed the CDDP-based chemotherapy without grade 2 or higher renal dysfunction. Conclusion: Oral hydration can be used as a safe and convenient substitute for intravenous posthydration for CDDP administration at the standard dose. Trial registration number: UMIN000010201.

    DOI: 10.1136/esmoopen-2017-000288

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  • RT-PCR for Detecting ALK Translocations in Cytology Samples from Lung Cancer Patients Reviewed International journal

    Shinji Nakamichi, Masahiro Seike, Akihiko Miyanaga, Mika Chiba, Kuniko Matsuda, Kenichi Kobayashi, Akiko Takahashi, Susumu Takeuchi, Yuji Minegishi, Kaoru Kubota, Akihiko Gemma

    ANTICANCER RESEARCH   37 ( 6 )   3295 - 3299   2017.6

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    Background/Aim: We evaluated the usefulness of reverse transcription-polymerase chain reaction (RT-PCR) for detecting anaplastic lymphoma kinase (ALK) translocations using cytology samples from lung cancer patients. Materials and Methods: We analyzed ALK translocations by RT-PCR in cytology samples from lung cancer patients diagnosed at the Nippon Medical School Hospital between 2013 and 2015. Immunochemistry (IHC) and break-apart fluorescence in situ hybridization (FISH) were also performed on available tissue samples. Results: A total of 155 cytology samples were analyzed in our study. We obtained 115 (68%) samples from bronchial lavage. We were able to determine 153 (99%) results by RT-PCR with 4 (3%) positive samples. The four samples positive by RT-PCR were also positive by IHC and FISH performed on the tissue samples collected simultaneously. Conclusion: RT-PCR is a suitable method for detecting ALK translocations using cytology samples from patients with primary lung cancer, especially when tissue samples are not available.

    DOI: 10.21873/anticanres.11696

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  • Health-related quality of life in molecular targeted therapy Reviewed

    Shinji Nakamichi, Kaoru Kubota

    Molecular Targeted Therapy of Lung Cancer   271 - 278   2017.1

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    Quality of life (QOL) in medicine has been evaluated as health-related QOL (HRQOL). HRQOL is a component of patient-reported outcomes (PROs). HRQOL is a true clinical endpoint when validated and reliable QOL instruments are used. Clinical trials often evaluated HRQOL as the secondary endpoint. Improvement of progression-free survival (PFS) with improved HRQOL would be clinically meaningful outcome. Recently, several randomized trials have been conducted with QOL as the primary endpoint. A randomized trial of early palliative care (EPC) integrated with standard oncologic care or standard oncologic care alone in patients with metastatic non-small cell lung cancer (NSCLC) showed that EPC significantly improved QOL and mood. Median overall survival (OS) was longer among patients receiving EPC. The data suggests that QOL is highly related to OS and QOL evaluation should be integrated into oncology practice for patients with advanced lung cancer. To improve patient management, effective communication is necessary. Communication skill training (CST) program based on SHARE protocol is effective for both oncologists and patients with cancer. Because physicians tend to concentrate on cancer-related outcomes and often neglect assessments of QOL, tools to evaluate QOL would be useful to improve quality of care in patients with advanced lung cancer.

    DOI: 10.1007/978-981-10-2002-5_17

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  • Phase I trial of volasertib, a Polo-like kinase inhibitor, in Japanese patients with advanced solid tumors Reviewed International journal

    Hiroshi Nokihara, Yasuhide Yamada, Yutaka Fujiwara, Noboru Yamamoto, Hiroshi Wakui, Shinji Nakamichi, Satoru Kitazono, Kohei Inoue, Akiko Harada, Tillmann Taube, Yoshito Takeuchi, Tomohide Tamura

    INVESTIGATIONAL NEW DRUGS   34 ( 1 )   66 - 74   2016.2

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    Purpose This trial evaluated the maximum tolerated dose (MTD), safety, pharmacokinetics, and clinical effects of volasertib, a selective Polo-like kinase inhibitor that induces mitotic arrest and apoptosis, in Japanese patients with advanced solid tumors (NCT01348347; 1230.15). Methods In this phase I, open-label, dose-escalation trial, sequential patient cohorts (3+3 dose-escalation design) received volasertib (200-350 mg) as a single dose by intravenous infusion over 2 h on day 1 every 21 days until disease progression or unacceptable toxicity. The primary endpoint was the MTD of volasertib in Japanese patients with an advanced solid tumor; secondary endpoints included safety, pharmacokinetics, and clinical benefit. Results Fifteen patients with an advanced solid tumor were treated. Dose-limiting toxicities of grade 4 neutropenia for >= 7 days and grade 4 thrombocytopenia were both experienced by 2/6 patients in the 350 mg cohort. The MTD of volasertib in Japanese patients was 300 mg. The most common (>= 3 patients) drug-related non-hematologic adverse events included fatigue, decreased appetite, and nausea. Exposure to volasertib and its metabolite increased with increasing doses. A partial response in a patient with gastric cancer and stable disease in eleven patients were observed. Conclusions Volasertib had a manageable safety profile up to the MTD determined as 300 mg. Exposure to volasertib and its metabolite increased with increasing doses. The safety profile of volasertib in Japanese patients is comparable with those previously obtained in Caucasian patients. These data support enrollment of Japanese patients in global clinical trials without dose modification.

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  • Inhibition of ABCB1 Overcomes Cancer Stem Cell-like Properties and Acquired Resistance to MET Inhibitors in Non-Small Cell Lung Cancer Reviewed International journal

    Teppei Sugano, Masahiro Seike, Rintaro Noro, Chie Soeno, Mika Chiba, Fenfei Zou, Shinji Nakamichi, Nobuhiko Nishijima, Masaru Matsumoto, Akihiko Miyanaga, Kaoru Kubota, Akihiko Gemma

    MOLECULAR CANCER THERAPEUTICS   14 ( 11 )   2433 - 2440   2015.11

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    Patients with non-small cell lung cancer (NSCLC) EGFR mutations have shown a dramatic response to EGFR inhibitors (EGFR-TKI). EGFR T790M mutation and MET amplification have been recognized as major mechanisms of acquired resistance to EGFR-TKI. Therefore, MET inhibitors have recently been used in NSCLC patients in clinical trials. In this study, we tried to identify the mechanism of acquired resistance to MET inhibitors. We analyzed the antitumor effects of two MET inhibitors, PHA-665752 and crizotinib, in 10 NSCLC cell lines. EBC-1 cells with MET amplification were the only cells that were sensitive to both MET inhibitors. We established PHA-665752-resistant EBC-1 cells, namely EBC-1R cells. Activation of KRAS, EGFR, and FGFR2 signaling was observed in EBC-1R cells by FISH and receptor tyrosine kinase phosphorylation antibody arrays. EBC-1R cells also showed overexpression of ATP-binding cassette subfamily B member 1 (ABCB1) as well as phosphorylation of MET. EBC-1R cells grew as cell spheres that exhibited cancer stem cell-like (CSC) properties and epithelial-mesenchymal transition (EMT). The level of miR138 that targeted ABCB1 was decreased in EBC-1R cells. ABCB1 siRNA and the ABCB1 inhibitor elacridar could reduce sphere numbers and suppress EMT. Elacridar could also reverse resistance to PHA-665752 in EBC-1R cells. Our study demonstrated that ABCB1 overexpression, which was associated with CSC properties and EMT, was involved in the acquired resistance to MET inhibitors. Inhibition of ABCB1 might be a novel therapeutic strategy for NSCLC patients with acquired resistance to MET inhibitors. (C) 2015 AACR.

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  • Inhibition of ABCB1 overcomes cancer stem cell-like properties and acquired resistance to MET inhibitor in non-small cell lung cancer Reviewed

    Teppei Sugano, Masahiro Seike, Rintaro Noro, Chie Soeno, Shinji Nakamichi, Nobuhiko Nishijima, Masaru Matsumoto, Susumu Takeuchi, Akihiko Miyanaga, Kaoru Kubota, Akihiko Gemma

    CANCER RESEARCH   75   2015.8

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  • Phase I study of the anti-MET antibody onartuzumab in patients with solid tumors and MET-positive lung cancer Reviewed International journal

    Makoto Nishio, Atsushi Horiike, Hiroshi Nokihara, Hidehito Horinouchi, Shinji Nakamichi, Hiroshi Wakui, Fumiyoshi Ohyanagi, Keita Kudo, Noriko Yanagitani, Shunji Takahashi, Yasutoshi Kuboki, Noboru Yamamoto, Yasuhide Yamada, Masaichi Abe, Takashi Tahata, Tomohide Tamura

    INVESTIGATIONAL NEW DRUGS   33 ( 3 )   632 - 640   2015.6

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    Onartuzumab is a monovalent, humanized, monoclonal antibody that showed significant survival benefits in combination with erlotinib in MET-positive non-small-cell lung cancer (NSCLC) in pre-specified subgroup analyses of a randomized phase II study. We conducted a two-stage, open-label, multicenter, phase I study of onartuzumab in Japanese patients. Stage 1 investigated the safety, tolerability, pharmacokinetics (PK), and recommended dose of onartuzumab in patients with solid tumors, and Stage 2 determined the safety, tolerability, and PK of onartuzumab plus erlotinib in patients with MET-positive NSCLC. Nine patients received onartuzumab monotherapy (4, 15, or 30 mg/kg on Day 1 of each 21-day cycle) in Stage 1, and six patients received onartuzumab (15 mg/kg) plus erlotinib (150 mg/day) in Stage 2. There were no dose-limiting toxicities in either stage. Serious adverse events (AEs) occurred in one patient in Stage 1 (convulsion), and two patients in Stage 2 (once case each of diarrhea, vomiting, and pulmonary embolism), but there were no grade 4 AEs or AEs leading to death. Onartuzumab PKs were linear in the dose range of 4 to 30 mg/kg, and were not affected by co-administration with erlotinib. PK parameters of onartuzumab were similar to those reported in non-Japanese patients. A partial response was observed in a patient with MET immunohistochemistry 3+ NSCLC without MET gene amplification. Based on these results, the recommended dose of onartuzumab in Japanese patients with solid tumors is 15 mg/kg every 21 days. The combination of onartuzumab with erlotinib is feasible in Japanese patients with MET-positive lung cancer.

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  • A phase I study of resminostat in Japanese patients with advanced solid tumors Reviewed International journal

    Satoru Kitazono, Yutaka Fujiwara, Shinji Nakamichi, Hidenori Mizugaki, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Eri Inukai, Osamu Nakamura, Tomohide Tamura

    CANCER CHEMOTHERAPY AND PHARMACOLOGY   75 ( 6 )   1155 - 1161   2015.6

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    This study was performed to evaluate the safety and determine the recommended dose (RD) of resminostat monotherapy, an oral histone deacetylase (HDAC) inhibitor, in Japanese patients with advanced solid tumors.Resminostat was administered to patients with advanced solid tumors on a 14-day cycle consisting of once-daily administration on days 1-5. The dose was initiated at 400 mg and increased to 600 mg and then 800 mg. Treatment with resminostat was continued until disease progression or discontinuation for any other reason. Dose-limiting toxicities (DLTs) were assessed according to the adverse drug reactions occurring in the first cycle. Secondary objectives included the pharmacokinetics, pharmacodynamics, and efficacy.A total of 12 patients were enrolled in the study and received resminostat. No DLTs were reported in any patient. The maximum tolerated dose was not reached. Frequently reported grade 3/4 adverse drug reactions were as follows: lymphocytopenia (33.3 %), thrombocytopenia (25.0 %), neutropenia (16.7 %), and leukocytopenia (16.7 %). Pharmacokinetic analysis revealed that there was no accumulation of the drug over the 5-day administration period and no significant difference in pharmacokinetic parameters between the single dose and multiple doses. Measurement of acetylated H4 histone protein levels in peripheral blood mononuclear cells demonstrated that resminostat inhibited HDAC activity at all the doses assessed. No patients had a complete or partial response, whereas three patients had stable disease.Resminostat was safely administered to Japanese patients with advanced solid tumors. The RD of resminostat monotherapy in Japanese patients was estimated to be 800 mg.

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  • Effective Crizotinib schedule for an elderly patient with ALK rearranged non-small-cell lung cancer: a case report. Reviewed International journal

    Aya Fukuizumi, Akihiko Miyanaga, Masahiro Seike, Yasuhiro Kato, Shinji Nakamichi, Kumi Chubachi, Masaru Matsumoto, Rintaro Noro, Yuji Minegishi, Shinobu Kunugi, Kaoru Kubota, Akihiko Gemma

    BMC research notes   8   165 - 165   2015.4

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    BACKGROUND: Non-small-cell lung cancers (NSCLCs) harboring translocations in anaplastic lymphoma kinase (ALK) are highly sensitive to small-molecule ALK kinase inhibitors, such as crizotinib. CASE PRESENTATION: We describe a case of post-operative local recurrence of lung adenocarcinoma in an 81 year-old male. He underwent radiation and received chemotherapy with docetaxel, but neither treatment regimen was effective. Following identification of ALK rearrangements, crizotinib treatment was initiated. After treatment with crizotinib for 5 days, adverse events including acute renal failure (grade 2/CTCAE ver4.0) and congestive heart failure (grade 3) occurred. Crizotinib modified treatment was required. Half dose of crizotinib treatment could not control tumor progression. Ultimately, crizotinib was administrated at a dose of 250 mg twice daily every 3 day dosing for 13 months with maintenance of the anti-tumor effect. CONCLUSION: This is the first case report that skip schedule was more effective than dose reduction daily in crizotinib administration for ALK rearranged NSCLC patient with severe adverse events.

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  • Epidermal Growth Factor Receptor Mutation Is Associated With Longer Local Control After Definitive Chemoradiotherapy in Patients With Stage III Nonsquamous Non-Small-Cell Lung Cancer Reviewed International journal

    Shigehiro Yagishita, Hidehito Horinouchi, Tomoko Katsui Taniyama, Shinji Nakamichi, Satoru Kitazono, Hidenori Mizugaki, Shintaro Kanda, Yutaka Fujiwara, Hiroshi Nokihara, Noboru Yamamoto, Minako Sumi, Kouya Shiraishi, Takashi Kohno, Koh Furuta, Koji Tsuta, Tomohide Tamura

    INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS   91 ( 1 )   140 - 148   2015.1

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    Purpose: To determine the frequency and clinical significance of epidermal growth factor receptor (EGFR) mutations in patients with potentially curable stage III non-small-cell lung cancer (NSCLC) who are eligible for definitive chemoradiotherapy (CRT).
    Patients and Methods: Between January 2001 and December 2010, we analyzed the EGFR mutational status in consecutive NSCLC patients who were treated by CRT. The response rate, relapse-free survival, 2-year relapse-free rate, initial relapse sites, and overall survival of the patients were investigated.
    Results: A total of 528 patients received CRT at our hospital during the study period. Of these, 274 were diagnosed as having nonsquamous NSCLC. Sufficient specimens for mutational analyses could be obtained from 198 of these patients. The proportion of patients with EGFR activating mutations was 17%. In addition to the well-known characteristics of patients carrying EGFR mutations (female, adenocarcinoma, and never/light smoker), the proportion of cases with smaller primary lesions (T1/2) was found to be higher in patients with EGFR mutations than in those with wild-type EGFR. Patients with EGFR mutations showed similar response rate, relapse-free survival, and 2-year relapse-free rates as compared to patients with wild-type EGFR. Local relapses as the site of initial relapse occurred significantly less frequently in patients with EGFR mutation (4% vs 21%; P=.045). Patients with EGFR mutations showed longer local control (adjusted hazard ratio 0.49; P=.043). After disease progression, a majority of the patients with EGFR mutations received EGFR tyrosine kinase inhibitors (62%), and these patients showed longer postprogression survival than those with wild-type EGFR.
    Conclusions: Our study is the first to show radiosensitive biology of EGFR-mutated tumors in definitive CRT with curative intent. This finding could serve as a credible baseline estimate of EGFR-mutated population in stage III nonsquamous NSCLC. (C) 2015 Elsevier Inc.

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  • A phase 1 and dose-finding study of LY2523355 (litronesib), an Eg5 inhibitor, in Japanese patients with advanced solid tumors Reviewed International journal

    Hiroshi Wakui, Noboru Yamamoto, Satoru Kitazono, Hidenori Mizugaki, Shinji Nakamichi, Yutaka Fujiwara, Hiroshi Nokihara, Yasuhide Yamada, Kohei Suzuki, Hironori Kanda, Shiro Akinaga, Tomohide Tamura

    CANCER CHEMOTHERAPY AND PHARMACOLOGY   74 ( 1 )   15 - 23   2014.7

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    Eg5, a mitotic motor kinesin protein, plays an essential role in bipolar spindle formation in the M phase of the cell cycle. LY2523355 (litronesib) is an allosteric inhibitor of Eg5. This phase 1 and dose-finding study aimed to assess the safety, pharmacokinetics (PK), recommended dose for further studies, and preliminary efficacy in Japanese patients with advanced solid tumors.LY2523355 was given on days 1, 2, and 3 every 3 weeks at one of three dose levels: 2, 4, and 5 mg/m(2)/day. Toxicity was assessed according to NCI-CTCAE version 4.0, and tumor response according to RECIST version 1.1. granulocyte colony-stimulating factor (G-CSF) was used only for grade 4 neutropenia or grade 3 febrile neutropenia.Twelve patients were treated at doses of 2 (n = 3), 4 (n = 3), and 5 (n = 6) mg/m(2)/day. Most frequent treatment-related adverse events were neutropenia and leukopenia (100 %). Grade 4 neutropenia was observed in 83 %, but all recovered to above 500 neutrophils/mu l within 7 days. All patients at 4 and 5 mg/m(2)/day required G-CSF support. No dose-limiting toxicities were reported up to 5 mg/m(2)/day. In PK analysis, LY2523355 exposure increased in a dose-dependent manner. The PK parameters for LY2523355 were similar to those observed in Western populations. No objective tumor responses were observed.The recommended dose of LY2523355 with therapeutic G-CSF use for further studies was determined to be 5 mg/m(2)/day in Japanese patients with advanced solid tumors.

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  • Phase 1 and dose-finding study of patritumab (U3-1287), a human monoclonal antibody targeting HER3, in Japanese patients with advanced solid tumors Reviewed International journal

    Hiroshi Wakui, Noboru Yamamoto, Shinji Nakamichi, Yousuke Tamura, Hiroshi Nokihara, Yasuhide Yamada, Tomohide Tamura

    CANCER CHEMOTHERAPY AND PHARMACOLOGY   73 ( 3 )   511 - 516   2014.3

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    Patritumab (U3-1287) is a human epidermal growth factor receptor-3 (HER3)-targeted antibody that blocks ligand-associated activation of HER3. This open-label, phase 1 and dose-finding study (ClinicalTrials.jp Identifier: JapicCTI-101262) aimed to assess the safety, pharmacokinetics, incidence of anti-patritumab antibody, recommended dose for subsequent clinical studies, preliminary efficacy, and patritumab-related biomarkers in Japanese patients with advanced solid tumors.Patients received patritumab 9 or 18 mg/kg intravenously every 3 weeks until disease progression or intolerable toxicity occurred. Adverse events (AEs) were assessed according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE version 4.0). Dose-limiting toxicities (DLTs) were evaluated from the initial dose to Cycle 1 Day 21. Tumor response was assessed with Response Evaluation Criteria in Solid Tumors (RECIST version 1.1).Nine patients received patritumab 9 mg/kg (n = 3) or 18 mg/kg (n = 6). Five patients were male, all patients had Eastern Cooperative Oncology Group performance status (PS) a parts per thousand currency sign 1, and median (range) age of 67 (50-69) years. No DLTs were reported. Patritumab-related AEs reported in a parts per thousand yen2 patients were ALT increase (three patients), thrombocytopenia, diarrhea, stomatitis, cheilitis, rash maculo-papular and AST increase (two each). Pharmacokinetics profile was similar to the preceding US phase 1 study. Soluble HER3 concentration in serum unexpectedly increased in all patients. These changes did not correlate with clinical response. Four patients had a best response of stable disease. All patients tested had negative for anti-patritumab antibody formation.Patritumab was well tolerated up to 18 mg/kg without DLTs in Japanese patients with advanced solid tumors. Soluble HER3 increased in all patients.

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  • Short Hydration in Chemotherapy Containing Cisplatin (>= 75 mg/m(2)) for Patients with Lung Cancer: A Prospective Study Reviewed International journal

    Hidehito Horinouchi, Kaoru Kubota, Hidetoshi Itani, Tomoko Katsui Taniyama, Shinji Nakamichi, Hiroshi Wakui, Shintaro Kanda, Hiroshi Nokihara, Noboru Yamamoto, Ikuo Sekine, Tomohide Tamura

    JAPANESE JOURNAL OF CLINICAL ONCOLOGY   43 ( 11 )   1105 - 1109   2013.11

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    Objective: We previously reported that 22% of lung cancer patients experienced a Grade 2 or 3 elevation in creatinine after chemotherapy containing cisplatin. We conducted a Phase II trial to evaluate the safety and efficacy of short hydration.
    Methods: The major eligibility criteria included patients with lung cancer for whom a >= 75 mg/m(2) cisplatin-based regimen was indicated and adequate organ function. Cisplatin was administered with pre- and post-hydration containing 10 mEq of potassium chloride in 500 ml of fluid over a 60-min period. Immediately before the administration of cisplatin, mannitol (20%, 200 ml) was administered as forced diuresis over 30 min. And magnesium sulfate (8 mEq) was added to pre-hydration.
    Results: Forty-four patients were enrolled between April and December 2011. The patients included 29 men and 15 women with a median (range) age of 64 (42-74) years. Twenty patients received cisplatin and pemetrexed as their most frequent regimen and 38 patients received three to four cycles of chemotherapy. The median (range) duration and volume of the chemotherapies were 4.0 (3.3-6.8) h and 1600 (1550-2050) ml, respectively. Of the 44 patients, 43 (97.8%) completed the cisplatin-based chemotherapy without Grade 2 or higher renal dysfunction. The only patient who had Grade 2 elevation in creatinine (maximum value 1.7 mg/dl) had prompt improvement in creatinine levels and completed four cycles of chemotherapy.
    Conclusions: The short hydration is safe without severe renal toxicities in regimens containing cisplatin (>= 75 mg/m(2)) for patients with lung cancer.

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  • Successful EGFR-TKI rechallenge of leptomeningeal carcinomatosis after gefitinib-induced interstitial lung disease. Reviewed International journal

    Shinji Nakamichi, Kaoru Kubota, Hidehito Horinouchi, Shintaro Kanda, Yutaka Fujiwara, Hiroshi Nokihara, Noboru Yamamoto, Tomohide Tamura

    Japanese journal of clinical oncology   43 ( 4 )   422 - 5   2013.4

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    We report the case of a 49-year-old non-smoking Japanese woman with backache and difficulty in walking. She was diagnosed as having advanced lung adenocarcinoma, and an epithelial growth factor receptor mutation (in-frame deletions in exon 19) was found. After radiation therapy of bone metastases with spinal cord compression and brain metastases, gefitinib was administered. On day 2, she developed acute interstitial lung disease. Gefitinib therapy was discontinued and treatment with high-dose steroid therapy improved the interstitial lung disease. Cisplatin plus pemetrexed was initiated as second-line chemotherapy, but she was hospitalized again for leptomeningeal carcinomatosis. Considering the poor prognosis of leptomeningeal carcinomatosis, we decided that erlotinib was our only choice of treatment. As a third-line treatment, erlotinib was administered after informing the patient about the high risk of interstitial lung disease. Neurological symptoms were improved within a week and interstitial lung disease did not recur. The patient has received erlotinib successfully for 18 months without the recurrence of leptomeningeal carcinomatosis. Erlotinib rechallenge after gefitinib-induced interstitial lung disease must be carefully chosen based on the balance of a patient's risk and benefit.

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  • [A case of an asthma patient receiving omalizumab during pregnancy]. Reviewed

    Junko Hirashima, Masayuki Hojo, Motoyasu Iikura, Yoshihisa Hiraishi, Shinji Nakamichi, Haruhito Sugiyama, Nobuyuki Kobayashi, Koichiro Kudo

    Arerugi = [Allergy]   61 ( 11 )   1683 - 7   2012.11

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    We describe the first report in Japan of a woman who received omalizumab during pregnancy and delivery. Her asthma was so severe that she had been taking systemic corticosteroids since 22 years old, but asthma was poorly controlled. She had been pregnant seven times before, but almost every time asthma control had worsened and spontaneous abortion resulted, so she had only one child. She confirmed that she was not intending to become pregnant, and initiated use of omalizumab in August 2009. However, pregnancy was identified after she had taken the drug 3 times. We explained the risks in detail, but the patient wanted to keep taking omalizumab, as her asthma control was improved and she thought she could continue the pregnancy. We therefore decided to continue with omalizumab therapy. In October, she caught a cold and experienced asthma exacerbation. Despite the risk, she decided to suspend omalizumab therapy after taking the drug 7 times, as she was not feeling any benefit from therapy. Threat of abortion was identified in February 2010, so a 544-g female baby was delivered at 26 weeks gestation by Cesarean section. The baby had to be hospitalized in the neonatal intensive care unit because of low birth weight, but she has been developing and growing without handicap. We report this case as the first known case of pregnancy and delivery for a woman receiving omalizumab in Japan. Omalizumab may be safe to use in pregnant women with difficult-to-control asthma.

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  • [Efficacy of combination therapy with EGFR-TKI and cytotoxic drug in lung adenocarcinoma already treated with EGFR-TKI]. Reviewed

    Satoshi Hirano, Yuichiro Takeda, Yoshihisa Hiraishi, Mari Higashino, Shinji Nakamichi, Satoru Ishii, Go Naka, Motoyasu Iikura, Shinyu Izumi, Haruhito Sugiyama, Nobuyuki Kobayashi

    Gan to kagaku ryoho. Cancer & chemotherapy   39 ( 2 )   213 - 9   2012.2

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    UNLABELLED: OBJECITVE: To assess the efficacy of combination therapy with EGFR-TKI and a cytotoxic drug in lung adenocarcinoma already being treated with EGFR-TKI. METHODS: Eight patients with adenocarcinoma who were treated with combination therapy of EGFR-TKI and a cytotoxic drug between April 2008 and December 2010 were retrospectively evaluated for response rate, disease-control rate, progression-free survival(PFS), time-to-treatment-failure(TTF)and overall survival(OS). RESULTS: Among the 7 patients with tumor samples available, EGFR-mutations were detected in six.The median number of prior therapy regimens received by the patients was 5.All the patients had been treated before with both gefitinib and erlotinib.Among 8 patients, six showed stable disease, including three patients intolerant because of severe hematological toxicities, and 2 with progressive disease.The disease-control rate was 75%, and median TTF, PFS, and OS were 42 days, 84 days, and 495 days, respectively. CONCLUSION: Combination therapy with EGFR-TKI and a cytotoxic drug after the failure of EGFR-TKI may be a useful therapeutic option for selected patients.

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  • EGFR-TKIによる既治療肺腺癌に対するEGFR-TKIと殺細胞性抗癌剤による併用療法の効果

    平野 聡, 竹田 雄一郎, 平石 尚久, 東野 茉莉, 中道 真仁, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 杉山 温人, 小林 信之

    癌と化学療法   39 ( 2 )   213 - 219   2012.2

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    目的:EGFR-TKIによる既治療肺腺癌に対してEGFR-TKIと殺細胞性抗癌剤による併用療法の効果を検討する。方法:2008年5月~2010年12月にEGFR-TKIと殺細胞性抗癌剤の併用療法が行われた肺腺癌8例について奏効率、病勢制御率、無増悪生存期間、治療成功期間、全生存期間について後方視的に検討した。結果:EGFR遺伝子の検索を行った7例のうちEGFR遺伝子変異を有していた症例は6例、なし1例であった。前治療数の中央値は5レジメンであり、全症例がgefitinib、erlotinibのいずれもの治療歴を有していた。8例のうちSD6例(うち3例は血液毒性で後に継続困難)、PD2例で病勢制御率は75%、治療成功期間中央値は42日、無増悪生存期間は84日、併用療法開始後の生存期間中央値は495日であった。結論:EGFR-TKIと殺細胞性抗癌剤の併用療法は症例によっては有用な治療法の選択肢の一つとなり得ると考えられた。(著者抄録)

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  • O20-3 気管支鏡検査時のミダゾラムによる意識下鎮静法の検討(麻酔,一般口演20,第35回日本呼吸器内視鏡学会学術集会)

    宇田川 響, 竹田 雄一郎, 中道 真仁, 佐野 和美, 市川 晶博, 渡辺 翔, 石井 聡, 飯倉 元保, 仲 剛, 平野 聡, 泉 信有, 杉山 温人, 小林 信之

    気管支学   34   S177   2012

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  • A case of lung adenocarcinoma with multiple intracranial hemorrhages of brain metastases after whole-brain radiation therapy

    Shinji Nakamichi, Satoshi Hirano, Tetsuhiko Asao, Yuichiro Takeda, Haruhito Sugiyama, Nobuyuki Kobayashi

    Japanese Journal of Lung Cancer   51 ( 7 )   825 - 829   2011.12

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    Background. Whole-brain radiation therapy (WBRT) is widely applied in cases of brain metastases of non-small cell lung cancer (NSCLC). However, there are few case reports on hemorrhages of brain metastases occurring after WBRT. Case. A 63-year-old woman was given a diagnosis of stage IV (T4N0M1b) lung adenocarcinoma about 4 years previously, and received chemotherapy regimens and gamma knife radiosurgery. However, her brain metastases exacerbated and she received WBRT in November 2010 and docetaxel monotherapy in December 2010. Two weeks after completing WBRT, she experienced dysarthria and an MRI showed multiple hemorrhages within brain metastases. Over a period of careful observation, these hemorrhages repeatedly alternated between improvement and exacerbation. Conclusion. Radiotherapy for metastatic brain tumors is considered to suppress hemorrhagic events of brain metastases. However, multiple intracranial hemorrhages of brain metastases occurred after WBRT in the present case. The accumulation of further studies of similar cases is necessary to identify the exact mechanism of these hemorrhages.

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  • 局所麻酔下胸腔鏡にて診断し得た腎癌術後18年目に再発した癌性胸膜炎の1例

    石井 聡, 竹田 雄一郎, 平野 聡, 中道 真仁, 仲 剛, 飯倉 元保, 伊藤 秀幸, 小林 信之, 工藤 宏一郎

    気管支学   33 ( 5 )   326 - 330   2011.9

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    背景.当症例は腎癌摘出後18年目に胸水貯留で発症し、局所麻酔下胸腔鏡で壁側胸膜への再発が確認された。腎癌摘出後10年以上経過してからの遅発性転移の報告は少なく、今回報告する。症例.76歳、男性。呼吸困難を主訴に来院。胸部X線にて左胸水を認めた。胸腔穿刺にて滲出性胸水を認めるが、胸水細胞診陰性であり、確定診断に至らなかった。18年前に左腎癌に対し左腎摘出術を行っていることもあり、腎癌の胸膜転移が鑑別診断として挙がり、確定診断目的に局所麻酔下胸腔鏡検査を施行した。胸腔内を観察し、横隔膜上などに白色の腫瘤病変を認めた。表面は、赤色で微細な血管に富んでおり生検を行うと組織は比較的柔らかく、生検は容易であった。病理所見は淡明な胞体を有した腫瘍細胞が胞巣を形成しており、18年前の腎癌摘出標本とも比較し、腎癌胸膜転移と診断された。結論.今回、局所麻酔下胸腔鏡にて診断し得た腎癌術後18年目に再発した癌性胸膜炎の1例を経験したので報告する。(著者抄録)

    DOI: 10.18907/jjsre.33.5_326

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  • 全脳照射後に多発脳出血を認めた肺腺癌の1例

    中道 真仁, 平野 聡, 東野 茉莉, 宇田川 響, 佐藤 彩野, 石原 園子, 寺田 純子, 石井 聡, 森野 英里子, 仲 剛, 飯倉 元保, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   51 ( 4 )   280 - 280   2011.8

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  • 結核とアスペルギルスにより気管狭窄を来した1例

    東野 茉莉, 飯倉 元保, 佐藤 彩野, 齋藤 善也, 宇田川 響, 入來 豊久, 藤田 雄, 石原 園子, 中道 真仁, 平石 尚久, 石井 聡, 仲 剛, 平野 聡, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    気管支学   33 ( 3 )   216 - 216   2011.5

  • 当院で経験したBALT lymphoma 3例についての検討 Reviewed

    平石 尚久, 飯倉 元保, 平野 聡, 宇田川 響, 佐藤 彩野, 杉山 栄里, 藤田 雄, 石原 園子, 中道 真仁, 石井 聡, 仲 剛, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    気管支学   33 ( Suppl. )   S236 - S236   2011.5

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  • 喘息合併患者の気管支鏡検査において前処置が検査後喘鳴に与える効果に関する検討 Reviewed

    石原 園子, 平野 聡, 竹田 雄一郎, 石井 聡, 中道 真仁, 平石 尚久, 平嶋 純子, 杉山 栄里, 東野 茉莉, 藤田 雄, 佐藤 彩野, 宇田川 響, 仲 剛, 飯倉 元保, 泉 信有, 小林 信之, 工藤 宏一郎

    気管支学   33 ( Suppl. )   S220 - S220   2011.5

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  • 肺癌との鑑別が困難であった異物肉芽腫の1例 Reviewed

    石原 園子, 平野 聡, 竹田 雄一郎, 中道 真仁, 平石 尚久, 寺田 純子, 杉山 栄里, 東野 茉莉, 藤田 雄, 入來 豊久, 宇田川 響, 齋藤 善也, 佐藤 彩野, 山地 玲奈, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    気管支学   33 ( 3 )   215 - 215   2011.5

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  • HIV感染症合併胸腺癌にADOC療法を施行した1例 Reviewed

    入來 豊久, 石井 聡, 宇田川 響, 佐藤 彩野, 山地 玲奈, 斎藤 善也, 石原 園子, 杉山 栄里, 藤田 雄, 東野 茉莉, 寺田 純子, 平石 尚久, 中道 真仁, 森野 英里子, 高崎 仁, 仲 剛, 平野 聡, 飯倉 元保, 竹田 雄一郎, 杉山 温人, 小林 信之, 泉 信有, 工藤 宏一郎

    肺癌   51 ( 2 )   157 - 157   2011.4

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  • 局所麻酔下胸腔鏡にて診断に至ったリウマチ性胸膜炎の1例

    石井 聡, 竹田 雄一郎, 平野 聡, 中道 真仁, 米嶋 康臣, 仲 剛, 飯倉 元保, 伊藤 秀幸, 小林 信之, 工藤 宏一郎

    気管支学   33 ( 2 )   99 - 103   2011.3

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    背景.リウマチ性胸膜炎の診断において、全身麻酔下胸腔鏡にて診断された報告は多々あるが、局所麻酔下胸腔鏡にて診断された報告は少ない。症例.40歳。男性。手関節痛・咳嗽を主訴に来院。胸部X線にて右胸水を認めた。関節リウマチの診断基準をみたすこと・抗CCP抗体高値を認め、関節リウマチであることは確実であった。しかし、胸水に関してはADA高値ということもあり結核性胸膜炎との鑑別が必要であったため、局所麻酔下胸腔鏡を施行した。胸腔内は全体的に壁側胸膜が顆粒状に肥厚しており、同部位を生検した。病理結果よりRheumatoid noduleを認め、リウマチ性胸膜炎と診断された。結論.今回、局所麻酔下胸腔鏡検査を行い、リウマチ性胸膜炎の診断に至った1例を経験したので報告する。(著者抄録)

    DOI: 10.18907/jjsre.33.2_99

    CiNii Books

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  • 原発性肺癌に対する放射線化学療法施行例における放射線肺臓炎発症の予測因子に関する検討 Reviewed

    石原 園子, 平野 聡, 竹田 雄一郎, 中道 真仁, 平石 尚久, 杉山 栄里, 東野 茉莉, 藤田 雄, 仲 剛, 飯倉 元保, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   49 ( 増刊 )   196 - 196   2011.3

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  • EBUS-GSで診断がつかず、EBUS-TBNAで診断が確定した腎細胞癌の1例 Reviewed

    斎藤 善也, 石井 聡, 平野 聡, 佐藤 彩野, 山地 玲奈, 入来 豊久, 宇田川 響, 石原 園子, 杉山 栄里, 藤田 雄, 東野 茉莉, 寺田 純子, 平石 尚久, 中道 真仁, 森野 英里子, 高崎 仁, 仲 剛, 飯倉 元保, 竹田 雄一郎, 杉山 温人, 小林 信之, 泉 信有, 工藤 宏一郎

    気管支学   33 ( 2 )   129 - 129   2011.3

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  • 結核感染の診断におけるQFT-2GとQFT-Goldの比較

    小林 信之, 中道 真仁, 森野 英里子, 高崎 仁, 石井 聡, 仲 剛, 飯倉 元保, 平野 聡, 杉山 温人, 工藤 宏一郎

    日本呼吸器学会雑誌   49 ( 増刊 )   170 - 170   2011.3

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  • 結核症の鑑別診断におけるQFT-Goldの有用性に関する検討

    中道 真仁, 小林 信之, 入来 豊久, 平石 尚久, 石井 聡, 森野 英里子, 高崎 仁, 仲 剛, 飯倉 元保, 平野 聡, 泉 信有, 竹田 雄一郎, 杉山 温人, 工藤 宏一郎

    結核   86 ( 3 )   406 - 406   2011.3

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  • Gefitinib投与により尿蛋白量の経時的観察を行った膜性腎症合併肺腺癌の一例 Reviewed

    藤田 雄, 石井 聡, 平野 聡, 石原 園子, 杉山 栄里, 東野 茉莉, 平石 尚久, 中道 真仁, 仲 剛, 飯倉 元保, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   503 - 503   2010.10

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  • 肺癌治療中に腸管気腫症を呈した2症例の検討 Reviewed

    東野 茉莉, 平野 聡, 上村 光弘, 藤田 雄, 杉山 栄里, 石原 園子, 平石 尚久, 中道 真仁, 石井 聡, 仲 剛, 飯倉 元保, 毛利 篤人, 濱元 陽一郎, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   727 - 727   2010.10

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  • 当院における扁平上皮癌を除く非小細胞肺癌に対するBevacizumabの使用経験 Reviewed

    杉山 栄里, 竹田 雄一郎, 石原 園子, 藤田 雄, 東野 茉莉, 平石 尚久, 中道 真仁, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   714 - 714   2010.10

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  • ペメトレキセド使用肺腺癌患者におけるGrade 3/4の骨髄抑制が出現した患者背景の検討 Reviewed

    平石 尚久, 仲 剛, 竹田 雄一郎, 石原 園子, 杉山 栄里, 東野 茉莉, 藤田 雄, 中道 真仁, 石井 聡, 平野 聡, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   613 - 613   2010.10

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  • 原発性肺癌に対する放射線化学療法施行例における放射線肺臓炎発症の予測因子に関する検討 Reviewed

    石原 園子, 平野 聡, 竹田 雄一郎, 中道 真仁, 平石 尚久, 杉山 栄里, 東野 茉莉, 藤田 雄, 仲 剛, 飯倉 元保, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   550 - 550   2010.10

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  • 肺腺癌に対するGefitinibの後治療としてのErlotinibと殺細胞性抗癌剤の効果の比較

    平野 聡, 竹田 雄一郎, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 東野 茉莉, 平石 尚久, 中道 真仁, 寺田 純子, 石原 園子, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 5 )   536 - 536   2010.10

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  • 非小細胞肺癌と活動性非結核性抗酸症に対し癌化学療法と抗酸菌治療を並行して行った1例 Reviewed

    藤田 雄, 石井 聡, 平野 聡, 石原 園子, 杉山 栄里, 東野 茉莉, 寺田 純子, 平石 尚久, 中道 真仁, 高崎 仁, 仲 剛, 飯倉 元保, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 4 )   385 - 385   2010.8

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  • Omalizumab投与後に喘息症状の悪化を来たした一例 Reviewed

    東野 茉莉, 飯倉 元保, 石原 園子, 杉山 栄里, 藤田 雄, 寺田 純子, 中道 真仁, 平石 尚久, 石井 聡, 仲 剛, 平野 聡, 竹田 雄一郎, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    アレルギーの臨床   30 ( 8 )   756 - 757   2010.7

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  • 局所麻酔下胸腔鏡の標準化 局所麻酔下胸腔鏡の標準化に向けて

    石井 聡, 竹田 雄一郎, 伊藤 秀幸, 藤田 雄, 中道 真仁, 長阪 智, 仲 剛, 飯倉 元保, 泉 信有, 小林 信之, 工藤 宏一郎

    気管支学   32 ( Suppl. )   S109 - S109   2010.5

  • EBUS-GSを用いた気管支鏡検査 within・adjacentの場合 何回生検すれば診断率が向上するか

    石井 聡, 竹田 雄一郎, 平野 聡, 藤田 雄, 中道 真仁, 平石 尚久, 平嶋 純子, 水谷 友紀, 仲 剛, 飯倉 元保, 泉 信有, 小林 信之, 工藤 宏一郎

    気管支学   32 ( Suppl. )   S173 - S173   2010.5

  • 血液悪性腫瘍治療中の胸部異常影における造血幹細胞移植例と非移植例の比較検討

    藤田 雄, 平野 聡, 竹田 雄一郎, 堀尾 雄甲, 中道 真仁, 平嶋 純子, 平石 尚久, 水谷 友紀, 飯倉 元保, 仲 剛, 泉 信有, 小林 信之, 工藤 宏一郎

    気管支学   32 ( Suppl. )   S165 - S165   2010.5

  • 気管支鏡検査時のミダゾラムによる静脈内意識下鎮静法の検討

    中道 真仁, 竹田 雄一郎, 米嶋 康臣, 佐野 和美, 藤田 雄, 堀尾 雄甲, 平嶋 純子, 平石 尚久, 水谷 友紀, 石井 聡, 飯倉 元保, 仲 剛, 平野 聡, 泉 信有, 小林 信之, 工藤 宏一郎

    気管支学   32 ( Suppl. )   S130 - S130   2010.5

  • ガイドシース併用による経気管支肺生検時の出血量減少の効果

    平野 聡, 竹田 雄一郎, 仲 剛, 飯倉 元保, 泉 信有, 石井 聡, 藤田 雄, 堀尾 雄甲, 平石 尚久, 平嶋 純子, 中道 真仁, 水谷 友紀, 市村 康典, 小林 信之, 工藤 宏一郎

    気管支学   32 ( Suppl. )   S119 - S119   2010.5

  • 非小細胞肺癌に対する化学療法が奏効しながらも間質性肺炎が増悪した皮膚筋炎の1例 Reviewed

    藤田 雄, 平野 聡, 柳下 薫寛, 石原 園子, 杉山 栄里, 東野 茉莉, 平石 尚久, 中道 真仁, 市村 康典, 水谷 友紀, 石井 聡, 飯倉 元保, 仲 剛, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   50 ( 2 )   241 - 241   2010.4

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  • 当院での結核治療におけるレボフロキサシンの使用状況と有用性の検討

    堀尾 雄甲, 放生 雅章, 平石 尚久, 中道 真仁, 水谷 友紀, 石井 聡, 高崎 仁, 仲 剛, 飯倉 元保, 杉山 温人, 小林 信之, 工藤 宏一郎

    結核   85 ( 4 )   376 - 376   2010.4

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  • 長期入院を要した塗抹陽性肺結核患者におけるPZAの投与期間と治療効果についての検討

    平石 尚久, 高崎 仁, 堀尾 雄甲, 中道 真仁, 水谷 友紀, 石井 聡, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    結核   85 ( 4 )   376 - 376   2010.4

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  • 結核診断におけるQFT-2G検査の有用性に関する検討

    中道 真仁, 小林 信之, 石井 聡, 堀尾 雄甲, 平石 尚久, 水谷 友紀, 高崎 仁, 仲 剛, 飯倉 元保, 放生 雅章, 杉山 温人, 工藤 宏一郎

    結核   85 ( 4 )   356 - 356   2010.4

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  • 当院における肺多形癌5例の検討 Reviewed

    柳下 薫寛, 竹田 雄一郎, 寺田 純子, 堀尾 雄甲, 藤田 雄, 杉山 栄里, 石原 園子, 東野 茉莉, 中道 真仁, 平石 尚久, 市村 康典, 水谷 友紀, 石井 聡, 高崎 仁, 仲 剛, 飯倉 元保, 平野 聡, 泉 信有, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   48 ( 増刊 )   197 - 197   2010.3

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  • 進行非小細胞肺癌の新しい予後因子 Reviewed

    水谷 友紀, 竹田 雄一郎, 東野 茉莉, 堀尾 雄甲, 藤田 雄, 杉山 栄里, 柳下 薫寛, 石原 園子, 寺田 純子, 中道 真仁, 平石 尚久, 市村 康典, 石井 聡, 飯倉 元保, 仲 剛, 平野 聡, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   48 ( 増刊 )   273 - 273   2010.3

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  • 臨床諸問題 局所麻酔下胸腔鏡が施行された胸水ADA高値の症例の検討

    石井 聡, 竹田 雄一郎, 中道 真仁, 平石 尚久, 寺田 純子, 高崎 仁, 仲 剛, 平野 聡, 飯倉 元保, 泉 信有, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   48 ( 増刊 )   116 - 116   2010.3

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  • P1-1-3 当センターにおける救急外来を受診した気管支喘息患者における臨床的検討(P1-1気管支喘息疫学・統計,一般演題,第22回日本アレルギー学会春季臨床大会)

    平嶋 純子, 放生 雅章, 東野 茉莉, 飯倉 元保, 平石 尚久, 中道 真仁, 飯倉 元保, 杉山 温人, 小林 信之, 工藤 宏一郎

    アレルギー   59 ( 3 )   375 - 375   2010

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    DOI: 10.15036/arerugi.59.375_3

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  • 喘息様症状で発症したトキソカラ症による好酸球性肺炎の一例

    吉田 庸子, 堀尾 雄甲, 仲 剛, 石原 園子, 東野 茉莉, 藤田 雄, 柳下 薫寛, 杉山 栄理, 平石 尚久, 寺田 純子, 中道 真仁, 水谷 友紀, 市村 康典, 石井 聡, 飯倉 元保, 高崎 仁, 平野 聡, 泉 信有, 竹田 雄一郎, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    アレルギーの臨床   29 ( 14 )   1300 - 1300   2009.12

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  • 18年後に再発が確認された腎細胞癌胸膜転移の1例 Reviewed

    中道 真仁, 石井 聡, 竹田 雄一郎, 石原 園子, 柳下 薫寛, 杉山 栄里, 藤田 雄, 堀尾 雄甲, 東野 茉莉, 寺田 純子, 平石 尚久, 市村 康典, 水谷 友紀, 高崎 仁, 仲 剛, 平野 聡, 飯倉 元保, 放生 雅章, 杉山 温人, 小林 信之, 泉 信有, 工藤 宏一郎

    気管支学   31 ( 6 )   420 - 420   2009.11

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  • Gefitinibとその代謝産物の血中薬物動態と抗腫瘍効果の関連性 Reviewed

    水谷 友紀, 平野 聡, 竹田 雄一郎, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 市村 康典, 平石 尚久, 寺田 純子, 中道 真仁, 堀尾 雄甲, 東野 茉莉, 石原 園子, 柳下 薫寛, 杉山 栄里, 藤田 雄, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   49 ( 5 )   697 - 697   2009.10

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  • 上皮成長因子受容体遺伝子変異を有する肺腺癌症例におけるゲフィチニブの前治療、および後治療の治療成績 Reviewed

    平野 聡, 竹田 雄一郎, 石井 聡, 仲 剛, 飯倉 元保, 泉 信有, 市村 康典, 水谷 友紀, 東野 茉莉, 平石 尚久, 中道 真仁, 寺田 純子, 石原 園子, 柳下 薫寛, 杉山 栄里, 藤田 雄, 堀尾 雄甲, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   49 ( 5 )   765 - 765   2009.10

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  • 局所麻酔下胸腔鏡診断の有用性と限界

    石井 聡, 竹田 雄一郎, 伊藤 秀幸, 中道 真仁, 仲 剛, 平野 聡, 飯倉 元保, 長阪 智, 泉 信有, 杉山 温人, 小林 信之, 工藤 宏一郎

    肺癌   49 ( 5 )   666 - 666   2009.10

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  • 気管内腫瘍の生検にてBALT lymphomaの診断に至った2例 Reviewed

    平石 尚久, 飯倉 元保, 石原 園子, 柳下 薫寛, 杉山 栄里, 藤田 雄, 堀尾 雄甲, 東野 茉莉, 寺田 純子, 中道 真仁, 市村 康典, 水谷 友紀, 石井 聡, 高崎 仁, 仲 剛, 平野 聡, 竹田 雄一郎, 放生 雅章, 杉山 温人, 小林 信之, 泉 信有, 工藤 宏一郎

    気管支学   31 ( 5 )   340 - 341   2009.9

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  • 乳び胸の診断に至った1例 Reviewed

    石井 聡, 竹田 雄一郎, 石原 園子, 柳下 薫寛, 杉山 栄里, 藤田 雄, 堀尾 雄甲, 東野 茉莉, 寺田 純子, 平石 尚久, 中道 真仁, 市村 康典, 水谷 友紀, 高崎 仁, 仲 剛, 平野 聡, 飯倉 元保, 放生 雅章, 杉山 温人, 小林 信之, 泉 信有, 工藤 宏一郎

    気管支学   31 ( 5 )   342 - 342   2009.9

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  • 全身化学療法が効果を示した癌性髄膜炎の1例

    市村 康典, 平野 聡, 寺田 純子, 平石 尚久, 中道 真仁, 森井 栄, 花田 豪郎, 石井 聡, 竹田 雄一郎, 杉山 温人, 小林 信之, 森田 あかね, 泉 信有, 工藤 宏一郎

    肺癌   49 ( 3 )   330 - 330   2009.6

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  • 当院結核外来に活動性結核疑いで紹介された患者の診断方法に関する検討

    水谷 友紀, 放生 雅章, 中道 真仁, 花田 豪郎, 石井 聡, 高崎 仁, 仲 剛, 平野 聡, 飯倉 元保, 泉 信有, 竹田 雄一郎, 杉山 温人, 小林 信之, 工藤 宏一郎

    結核   84 ( 5 )   468 - 468   2009.5

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  • 間質性肺炎の活動性評価におけるPET-CTの有用性の検討

    中道 真仁, 杉山 温人, 平石 尚久, 寺田 純子, 市村 康典, 水谷 友紀, 花田 豪郎, 米嶋 康臣, 森井 栄, 石井 聡, 河野 正和, 飯倉 元保, 仲 剛, 高崎 仁, 平野 聡, 泉 信有, 竹田 雄一郎, 放生 雅章, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   47 ( 増刊 )   282 - 282   2009.5

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  • ゲフィチニブ継続投与困難症例における薬物動態の特徴の検討

    平野 聡, 佐野 和美, 竹田 雄一郎, 寺田 純子, 平石 尚久, 中道 真仁, 水谷 友紀, 市村 康典, 花田 豪郎, 森井 栄, 米嶋 康臣, 石井 聡, 高崎 仁, 仲 剛, 河野 正和, 飯倉 元保, 泉 信有, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   47 ( 増刊 )   110 - 110   2009.5

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  • 肺結核疑いで当院外来に紹介受診した患者の転帰に関する検討

    水谷 友紀, 放生 雅章, 寺田 純子, 平石 尚久, 中道 真仁, 市村 康典, 森井 栄, 花田 豪郎, 米嶋 康臣, 石井 聡, 高崎 仁, 仲 剛, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   47 ( 増刊 )   189 - 189   2009.5

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  • 癌性髄膜炎の治療成績の検討

    市村 康典, 平野 聡, 竹田 雄一郎, 平石 尚久, 寺田 純子, 中道 真仁, 水谷 友紀, 花田 豪郎, 森井 栄, 米嶋 康臣, 石井 聡, 河野 正和, 高崎 仁, 仲 剛, 飯倉 元保, 泉 信有, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    日本呼吸器学会雑誌   47 ( 増刊 )   205 - 205   2009.5

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  • 最近2年間における在日外国人の結核に関する検討

    中道 真仁, 小林 信之, 高崎 仁, 石井 聡, 仲 剛, 放生 雅章, 杉山 温人, 切替 照雄, 豊田 恵美子, 工藤 宏一郎

    結核   84 ( 5 )   423 - 423   2009.5

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  • 好酸球性肺炎、細気管支炎を繰り返した気管支喘息の一例

    寺西 裕, 市村 康典, 石平 尚久, 寺田 純子, 中道 真仁, 水谷 友紀, 森井 栄, 米嶋 康臣, 石井 聡, 高崎 仁, 仲 剛, 泉 信有, 飯倉 元保, 平野 聡, 竹田 雄一郎, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    アレルギーの臨床   29 ( 1 )   90 - 90   2009.1

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  • PO6-1 当院における局所麻酔下胸腔鏡の検討 : 導入1年間の経過について(VATS,ポスター6,第32回日本呼吸器内視鏡学会学術集会)

    石井 聡, 竹田 雄一郎, 中道 真仁, 水谷 友紀, 仲 剛, 飯倉 元保, 平野 聡, 長阪 智, 桑田 裕美, 泉 信有, 伊藤 秀幸, 小林 信之, 工藤 宏一郎

    気管支学   31   S151   2009

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    DOI: 10.18907/jjsre.31.Special_S151_1

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  • MS11-5 局所麻酔下胸腔鏡にてリウマチ性胸膜炎の診断に至った1例(MS11 自己免疫疾患・リウマチ性疾患・免疫不全症,ミニシンポジウム11,第21回日本アレルギー学会春季臨床大会)

    巴山 紀子, 石井 聡, 米嶋 康臣, 平石 尚久, 寺田 純子, 中道 真仁, 市村 康典, 水谷 友紀, 飯倉 元保, 平野 聡, 泉 信有, 山下 裕之, 放生 雅章, 杉山 温人, 小林 信之, 三森 明夫, 工藤 宏一郎

    アレルギー   58 ( 3 )   380 - 380   2009

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    DOI: 10.15036/arerugi.58.380_1

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  • 31 外来ドロップアウト患者における気管支喘息コントロールに関する検討(気管支喘息-管理4,一般演題,第21回日本アレルギー学会春季臨床大会)

    飯倉 元保, 平石 尚久, 寺田 純子, 中道 真仁, 市村 康典, 水谷 友紀, 米嶋 康臣, 石井 聡, 平野 聡, 泉 信有, 放生 雅章, 杉山 温人, 小林 信之, 工藤 宏一郎

    アレルギー   58 ( 3 )   396 - 396   2009

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    DOI: 10.15036/arerugi.58.396_3

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  • 90 当センターにおける好酸球性細気管支炎3例の検討(T細胞・B細胞・好酸球,一般演題,第21回日本アレルギー学会春季臨床大会)

    市村 康典, 小林 信之, 杉山 温人, 平石 尚久, 寺田 純子, 中道 真仁, 水谷 友紀, 石井 聡, 飯倉 元保, 平野 聡, 泉 信有, 放生 雅章, 工藤 宏一郎

    アレルギー   58 ( 3 )   411 - 411   2009

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    DOI: 10.15036/arerugi.58.411_2

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Books

  • IASLC Thoracic Oncology Second Edition

    SHINJI NAKAMICHI( Role: ContributorSection Ⅷ Radiotherapeutic Management of Lung Cancer. 39 Radiotherapy for Locally Advanced Nonsmall Cell Lung Cancer Including Combined Modality.)

    ELSEVIER  2017 

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  • Health-Related Quality of Life in Molecular Targeted Therapy

    SHINJI NAKAMICHI( Role: Contributor)

    2017 

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  • がん薬物療法 現場のルール 一般臨床で役立つポケットマニュアル

    中道 真仁( Role: Contributor第3章がん薬物療法に使用する薬剤辞典, 5. 抗生物質(アントラサイクリン系など), 11. サイトカイン, 付録 2. 便利ツール一覧.)

    南江堂  2016 

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  • What’s New in Oncology 3rd Edition がん治療エッセンシャルガイド

    中道 真仁( Role: Contributor各論3 肺癌,悪性胸膜中皮腫.)

    南江堂  2015 

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  • The IASLC Multidisciplinary Approach to Thoracic Oncology

    SHINJI NAKAMICHI( Role: ContributorSection 8 Radiotherapeutic Management of Lung Cancer. 39 Radiotherapy, Including Combined-Modality Treatment, for Locally Advanced Non-Small Cell Lung Cancer.)

    ELSEVIER  2014 

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  • がん診療 UP TO DATE

    中道 真仁( Role: Contributor第Ⅲ章 各種がんの治療 2. 肺がん/胸腺腫・胸腺がん ①肺がん)

    日経BP社  2013 

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  • がん診療レジデントマニュアル 第6版(国立がん研究センター内科レジデント編)

    中道 真仁( Role: Contributor4 肺がん・胸膜中皮腫)

    医学書院  2013 

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  • What’s New in Oncology 2nd Edition がん治療エッセンシャルガイド

    中道 真仁( Role: Contributor各論3 肺癌,悪性胸膜中皮腫)

    南山堂  2012 

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Misc.

  • Retrospective study of association between TTF-1 expression and antitumor effects of platinum+pemetrexed and immune checkpoint inhibitor combination therapy for lung adenocarcinoma.

    高嶋紗衣, 松本優, 福泉彩, 恩田直美, 中道真仁, 武内進, 宮永晃彦, 笠原寿郎, 寺崎泰弘, 清家正博

    日本呼吸器学会誌(Web)   12   2023

  • Combination chemotherapy and immunotherapy for non-squamous cell carcinoma patients over 70 years old

    戸塚猛大, 野呂林太郎, 中道真仁, 武内進, 松本優, 宮永晃彦, 笠原寿郎, 清家正博

    日本呼吸器学会誌(Web)   12   2023

  • A retrospective study of the efficacy and safety for pleurodesis in patients with interstitial lung disease

    磯博和, 宮永晃彦, 戸塚猛大, 村田亜香里, 佐藤陽三, 中道真仁, 武内進, 松本優, 齋藤好信, 笠原寿郎, 清家正博

    日本呼吸器学会誌(Web)   12   2023

  • Afatinib in combination with pemetrexed and carboplatin after refractory to first-line osimertinib treatment in NSCLC patients with EGFR mutation

    恩田直美, 中道真仁, 松本優, 宮永晃彦, 清家正博

    日本呼吸器学会誌(Web)   12   2023

  • Elucidation of the mechanism of drug resistance acquisition in EGFR-Mutated Lung Adenocarcinoma

    中嶋亘, 石野孔祐, 中道真仁, 松本優, 大橋隆治, 山本林

    日本分子生物学会年会プログラム・要旨集(Web)   46th   2023

  • COPD合併肺癌に関与するマイクロバイオームの探求(Lung Microbiome Associated with COPD Comorbid Lung Cancer)

    清水 理光, 宮永 晃彦, 松田 久仁子, 中道 真仁, 松本 優, 野呂 林太郎, 久保田 馨, 清家 正博

    日本癌学会総会記事   81回   P - 1043   2022.9

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  • 化学放射線療法が奏効した気管周囲原発腺様嚢胞癌の一例

    三上恵莉花, 中道真仁, 永野惇浩, 林杏奈, 高野夏希, 松本優, 宮永晃彦, 野呂林太郎, 前林勝也, 窪倉浩俊, 寺崎泰弘, 久保田馨, 清家正博, 弦間昭彦

    気管支学   44   2022

  • 当院における肺癌遺伝子パネル検査成功率に寄与する因子の検討

    三澤一仁, 中道真仁, 野呂林太郎, 松本優, 宮永晃彦, 久保田馨, 清家正博, 弦間昭彦

    気管支学   44   2022

  • 後ろ向き研究による小細胞肺がんに対するアムルビシン最適用量の検討

    鄒奮飛, 久保田馨, 中道真仁, 林杏奈, 高野夏希, 松本優, 宮永晃彦, 野呂林太郎, 清家正博

    日本癌治療学会学術集会(Web)   60th   2022

  • 当院の進行非小細胞肺癌に対するニボルマブ+イピリムマブ併用療法の後方視的検討

    山口玲, 松本優, 寺師直樹, 中道真仁, 宮永晃彦, 野呂林太郎, 久保田馨, 清家正博, 弦間昭彦

    日本癌治療学会学術集会(Web)   60th   2022

  • 当院における肺扁平上皮癌へのNecitumumab+Gemcitabine+Cisplatin療法の後方視的検討

    林杏奈, 宮永晃彦, 中道真仁, 松本優, 野呂林太郎, 久保田馨, 清家正博

    日本癌治療学会学術集会(Web)   60th   2022

  • Novel strategy for lung cancer targeting the apoptosis regulator FOXO3a

    中道真仁, 中嶋亘

    日本分子生物学会年会プログラム・要旨集(Web)   45th   2022

  • 卵巣明細胞癌気管支腔内転移に対して硬性鏡下気道開大術を施行した1例

    永野 惇浩, 中道 真仁, 三上 恵莉花, 林 杏奈, 高野 夏希, 野呂 林太郎, 井上 達哉, 久保田 馨, 清家 正博, 寺崎 泰弘, 臼田 実男, 弦間 昭彦

    気管支学   43 ( 6 )   687 - 687   2021.11

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 寛, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本医科大学医学会雑誌   17 ( 4 )   270 - 270   2021.10

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  • 当院における進行非小細胞肺癌へのニボルマブ+イピリムマブ併用療法の後方視的検討

    寺師 直樹, 松本 優, 林 杏奈, 戸塚 猛大, 中山 幸治, 高野 夏希, 恩田 直美, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   685 - 685   2021.10

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  • 当院における全身状態不良非小細胞肺癌症例への免疫チェックポイント阻害薬単独投与の有効性と安全性の検討

    永野 惇浩, 中道 真仁, 三上 恵莉花, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   672 - 672   2021.10

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  • 当院における進展型小細胞肺癌に対する初回化学療法レジメンの後方視的検討

    三上 恵莉花, 中道 真仁, 永野 惇浩, 林 杏奈, 高野 夏希, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   631 - 631   2021.10

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 覚, 中道 真仁, 松本 優, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   630 - 630   2021.10

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  • 当院におけるEGFR遺伝子変異陽性NSCLC1次治療osimertinib後の2次治療の後方視的検討

    白倉 ゆかり, 宮永 晃彦, 中山 幸治, 佐藤 陽三, 中道 真仁, 松本 優, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 6 )   602 - 602   2021.10

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  • FoundationOneにて診断したHER2遺伝子変異陽性肺腺癌に対してTrastuzumab deruxtecanが奏効した1例

    鈴木 貴大, 宮永 晃彦, 加藤 祐樹, 加藤 泰裕, 中道 真仁, 松本 優, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   61 ( 5 )   434 - 434   2021.10

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  • 経気管支肺生検(TBLB)にて診断し得たB細胞性リンパ腫の肺浸潤の1例

    寺嶋 勇人, 新分 薫子, 寺師 直樹, 戸塚 猛大, 比嘉 克行, 梶本 雄介, 朝山 敏夫, 柏田 建, 中道 真仁, 宮永 晃彦, 野呂 林太郎, 寺崎 泰弘, 久保田 馨, 清家 正博, 弦間 昭彦

    気管支学   43 ( 5 )   558 - 558   2021.9

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  • 柴苓湯による薬剤性肺障害をきたした一例

    白 彩香, 青山 純一, 芳賀 三四郎, 田中 徹, 中道 真仁, 柏田 建, 田中 庸介, 齋藤 好信, 寺崎 泰弘, 清家 正博, 弦間 昭彦

    日本結核・非結核性抗酸菌症学会関東支部学会・日本呼吸器学会関東地方会合同学会プログラム・抄録集   180回・246回   24 - 24   2021.9

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  • 肝生検で診断したペムブロリズマブによる薬剤性肝障害に対してステロイドが著効した肺扁平上皮癌の1例

    中山 裕香子, 高野 夏希, 永野 惇浩, 三上 恵莉花, 林 杏奈, 中道 真仁, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本内科学会関東地方会   670回   37 - 37   2021.7

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  • 切除不能局所進行(III期)非小細胞肺癌に対する化学放射線療法完遂直後のデュルバルマブ維持療法の第II相試験(TORG1937試験)

    中道 真仁, 久保田 馨

    日本呼吸器学会誌   10 ( 増刊 )   128 - 128   2021.4

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  • トポイソメラーゼ阻害薬耐性小細胞肺癌に対するABCトランスポーター阻害薬の効果

    大森 美和子, 野呂 林太郎, 松田 久仁子, 平尾 真季子, 清水 理光, 高野 夏希, 福泉 彩, 久金 翔, 恩田 直美, 高橋 聡, 中道 真仁, 菅野 哲平, 峯岸 裕司, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   290 - 290   2021.4

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  • EGFR遺伝子変異陽性肺癌細胞株におけるosimertinibとpemetrexedの併用効果と分子メカニズムの検討

    高野 夏希, 清家 正博, 大森 美和子, 福泉 彩, 久金 翔, 中道 真仁, 菅野 哲平, 松本 優, 宮永 晃彦, 久保田 馨, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   208 - 208   2021.4

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  • 非小細胞肺癌治療におけるnab-パクリタキセルとタキサン製剤の交差耐性の検討

    松木 覚, 中道 真仁, 清水 理光, 恩田 直美, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   146 - 146   2021.4

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  • 血清エクソソームmiR125a-3pはNSCLC患者におけるICIの治療効果を予測する

    久金 翔, 菅野 哲平, 高野 夏希, 大森 美和子, 福泉 彩, 高橋 聡, 恩田 直美, 中道 真仁, 松本 優, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本呼吸器学会誌   10 ( 増刊 )   145 - 145   2021.4

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  • The inhibitors of ABC transporters overcome the resistance of the topoisomerase inhibitors in small cell lung cancer

    大森美和子, 野呂林太郎, 松田久仁子, 平尾真季子, 清水理光, 高野夏希, 福泉彩, 久金翔, 恩田直美, 高橋聡, 中道真仁, 菅野哲平, 峯岸裕司, 久保田馨, 清家正博, 弦間昭彦

    日本呼吸器学会誌(Web)   10   2021

  • Cross resistance to nab-paclitaxel and other taxanes in non-small cell lung cancer

    松木覚, 中道真仁, 清水理光, 恩田直美, 菅野哲平, 峯岸裕司, 野呂林太郎, 久保田馨, 清家正博, 弦間昭彦

    日本呼吸器学会誌(Web)   10   2021

  • miR-125a-3p level in serum exosomes predicts therapeutic effect of ICI in NSCLC

    久金翔, 菅野哲平, 高野夏希, 大森美和子, 福泉彩, 高橋聡, 恩田直美, 中道真仁, 松本優, 峯岸裕司, 野呂林太郎, 久保田馨, 清家正博, 弦間昭彦

    日本呼吸器学会誌(Web)   10   2021

  • Combination of Osimertinib and Pemetrexed Enhanced Apoptosis and Delayed the Acquired Drug Resistance in NSCLC with EGFR Mutations

    高野夏希, 清家正博, 大森美和子, 福泉彩, 久金翔, 中道真仁, 菅野哲平, 松本優, 宮永晃彦, 久保田馨, 弦間昭彦

    日本呼吸器学会誌(Web)   10   2021

  • FoundationOneにて診断したHER2遺伝子変異陽性肺腺癌に対してTrastuzumab deruxtecanが奏効した1例

    鈴木貴大, 宮永晃彦, 加藤祐樹, 加藤泰裕, 中道真仁, 松本優, 峯岸裕司, 野呂林太郎, 久保田馨, 清家正博, 弦間昭彦

    肺癌(Web)   61 ( 5 )   2021

  • 気管支鏡インターベンションが有効であった粘表皮癌の1例

    寺嶋 勇人, 千田 絵里佳, 恩田 直美, 菅野 哲平, 寺師 直樹, 清水 理光, 中道 真仁, 峯岸 裕司, 野呂 林太郎, 寺崎 泰弘, 久保田 馨, 清家 正博, 臼田 実男, 弦間 昭彦

    気管支学   42 ( 6 )   571 - 571   2020.11

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  • 細胞保護的オートファジーによるチロシンキナーゼ阻害剤の抗がん作用の抑制

    中嶋 亘, 中道 真仁, 鈴木 英紀, 田中 信之

    日本医科大学医学会雑誌   16 ( 4 )   184 - 185   2020.10

  • The glycoprotein inhibitors overcome the resistance of the topoisomerase inhibitors in small cell lung cancer

    Rintaro Noro, Miwako Omori, Aya Fukuizumi, Kuniko Matsuda, Mariko Hirao, Satoshi Takahashi, Natsuki Takano, Shinji Nakamichi, Teppei Sugano, Akihiko Miyanaga, Yuji Minegishi, Masahiro Seike, Kaoru Kubota, Akihiko Gemma

    CANCER RESEARCH   80 ( 16 )   2020.8

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    DOI: 10.1158/1538-7445.AM2020-3068

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  • Significance of long non-coding RNA associated with drug resistance in lung cancer with driver mutation

    高橋聡, 野呂林太郎, 吉川明子, 中道真仁, 菅野哲平, 松本優, 武内進, 平尾真季子, 松田久仁子, ZENG Chao, 浜田道昭, 久保田馨, 清家正博, 弦間昭彦

    日本呼吸器学会誌(Web)   9   2020

  • 非小細胞肺癌に対する免疫チェックポイント阻害薬と化学療法併用療法のレジメン選択についての検討

    宮寺恵希, 中道真仁, 清水理光, 恩田直美, 菅野哲平, 峯岸裕司, 野呂林太郎, 久保田馨, 清家正博, 弦間昭彦

    日本肺癌学会総会号   61st   2020

  • 肺多形癌におけるPD-L1,MET,EMT関連分子の発現および予後に関する病理学的検討

    久金翔, 清家正博, 菅野哲平, 功刀しのぶ, 清水理光, 高野夏希, 大森美和子, 福泉彩, 恩田直美, 高橋聡, 中道真仁, 峯岸裕司, 野呂林太郎, 臼田実男, 久保田馨, 弦間昭彦

    日本肺癌学会総会号   61st ( 6 )   620 - 620   2020

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  • トポイソメラーゼ阻害薬耐性小細胞肺癌に対するABCトランスポーター阻害薬の効果

    大森美和子, 野呂林太郎, 松田久仁子, 平尾真季子, 清水理光, 高野夏希, 福泉彩, 久金翔, 恩田直美, 高橋聡, 中道真仁, 菅野哲平, 峯岸裕司, 久保田馨, 清家正博, 弦間昭彦

    日本肺癌学会総会号   61st   2020

  • 当院における免疫チェックポイント阻害薬併用薬物療法の後方視的検討

    高橋 聡, 清家 正博, 湯浅 瑞希, 清水 理光, 高野 夏希, 福泉 彩, 中道 真仁, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌   59 ( 6 )   792 - 792   2019.12

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  • 肺癌の薬物療法中に上腸間膜動脈症候群を合併した2例

    宮寺 恵希, 中道 真仁, 宮下 稜太, 清水 理光, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本内科学会関東地方会   655回   45 - 45   2019.11

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  • 高齢者進行再発非小細胞肺癌に対する抗PD-1/PD-L1抗体の有効性と安全性の検討

    清水 理光, 中道 真仁, 宮下 稜太, 宮寺 恵希, 村田 泰規, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 廣瀬 敬, 久保田 馨, 清家 正博, 弦間 昭彦

    肺癌   59 ( 6 )   731 - 731   2019.11

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  • 肺癌の薬物療法中に上腸間膜動脈症候群を合併した2例

    宮寺 恵希, 中道 真仁, 宮下 稜太, 清水 理光, 菅野 哲平, 峯岸 裕司, 野呂 林太郎, 久保田 馨, 清家 正博, 弦間 昭彦

    日本内科学会関東地方会   655回   45 - 45   2019.11

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  • EGFR遺伝子変異陽性非小細胞肺癌患者における脳転移リスク因子

    戸塚 猛大, 清家 正博, 村田 泰規, 菅野 哲平, 中道 真仁, 峯岸 裕司, 野呂 林太郎, 廣瀬 敬, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O60 - 5   2019.10

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  • 非小細胞肺癌における免疫チェックポイント阻害薬による薬剤性肺障害と治療効果の検討

    菅野 哲平, 清家 正博, 齋藤 好信, 高野 夏希, 久金 翔, 高橋 聡, 田中 徹, 柏田 建, 中道 真仁, 武内 進, 宮永 晃彦, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O60 - 4   2019.10

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  • ALK陽性肺癌に対する新規治療戦略研究

    中道 真仁, 清家 正博, 宮永 晃彦, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    日本癌治療学会学術集会抄録集   57回   O48 - 4   2019.10

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  • 【がんの化学療法】 肺癌の化学療法と分子標的療法

    中道 真仁, 弦間 昭彦

    BIO Clinica   33 ( 2 )   106 - 110   2018.2

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    肺がん(特に進行非小細胞肺がん)の治療薬は劇的に変化し、従来の細胞障害性抗がん剤を中心とした治療からEGFR、ALKなどを標的とした分子標的薬による治療やPD-1などを標的とする免疫チェックポイント阻害剤による治療へシフトしつつある。新規EGFR-TKIのオシメルチニブ、新規ALK-TKIのアレクチニブ、セリチニブ、免疫チェックポイント阻害剤のニボルマブ、ペンブロリズマブが本邦でも近年承認されており、これらの新規治療薬の臨床試験結果を踏まえ、肺癌治療の現状と今後の展望について述べる。(著者抄録)

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  • EGFR遺伝子変異を有する肺癌において,アファチニブ・オシメルチニブの薬剤耐性とANKRD1過剰発現の関係

    吉川明子, 清家正博, 高橋聡, 中道真仁, 菅野哲平, 武内進, 峯岸裕司, 野呂林太郎, 久保田馨, 弦間昭彦

    日本臨床腫瘍学会学術集会(CD-ROM)   16th   ROMBUNNO.O3‐9‐2   2018

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  • 非小細胞肺癌におけるPD-L1発現と予後及びEGFR-TKI治療効果との相関の検討

    小林 研一, 清家 正博, 中山 幸治, 加藤 友美, 高橋 聡, 高橋 明子, 中道 真仁, 武内 進, 松本 優, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    肺癌   57 ( 5 )   424 - 424   2017.9

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  • 分子標的薬への耐性機構の解明 AXLとEMT克服を標的としたALK陽性非小細胞肺癌根絶に向けた新規治療戦略

    中道 真仁, 清家 正博, 宮永 晃彦, 高橋 明子, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌   57 ( 5 )   377 - 377   2017.9

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  • 気管支鏡検査が診断に有用であったNocardia exalbidaによる肺化膿症の一例

    藤田 和恵, 中山 幸治, 高橋 明子, 中道 真仁, 齋藤 好信, 清家 正博, 久保田 馨, 弦間 昭彦

    気管支学   39 ( Suppl. )   S332 - S332   2017.5

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  • ゲフィチニブで薬剤性肺疾患を生じた後にアファチニブが有害事象なく著効したEGFR遺伝子変異陽性肺腺癌の1例

    樋口明日香, 武内進, 加藤友美, 小林研一, 中道真仁, 野呂林太郎, 峯岸裕司, 清家正博, 久保田馨, 弦間昭彦

    肺癌(Web)   57 ( 1 )   59(J‐STAGE) - 59   2017.2

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  • ゲフィチニブで薬剤性肺疾患を生じた後にアファチニブが有害事象なく著効したEGFR遺伝子変異陽性肺腺癌の1例

    樋口 明日香, 武内 進, 加藤 友美, 小林 研一, 中道 真仁, 野呂 林太郎, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   57 ( 1 )   59 - 59   2017.2

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  • 非小細胞肺癌細胞株におけるシスプラチンによるアポトーシスの考察

    中道真仁, 中嶋亘, 松本優, 田中信之

    日本生化学会大会(Web)   90th   ROMBUNNO.2P‐0381 (WEB ONLY) - 0381]   2017

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  • 肺癌における癌幹細胞/EMT制御による分子標的薬耐性の克服

    清家 正博, 菅野 哲平, 中道 真仁, 高橋 明子, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌   56 ( 6 )   527 - 527   2016.11

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  • シスプラチン・S1併用療法による術後補助化学療法の後方視的検討

    高橋 聡, 清家 正博, 中山 幸治, 小林 研一, 高橋 明子, 中道 真仁, 武内 進, 松本 優, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 臼田 実男, 弦間 昭彦

    肺癌   56 ( 6 )   649 - 649   2016.11

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  • 膀胱癌に対するBCG膀胱内注入療法後に播種性BCG感染症を発症した1例

    内藤 智之, 藤田 和恵, 小林 由美子, 中道 真仁, 齋藤 好信, 清家 正博, 久保田 馨, 弦間 昭彦

    気管支学   38 ( 1 )   64 - 64   2016.1

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  • 【新薬展望2016】 (第III部)治療における最近の新薬の位置付け<薬効別> 新薬の広場 肺癌治療薬

    中道 真仁, 弦間 昭彦

    医薬ジャーナル   52 ( 増刊 )   329 - 335   2016.1

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    近年、肺癌治療薬は劇的に変化し、EGFR(上皮成長因子受容体)、ALK(未分化リンパ腫キナーゼ)、VEGF(血管内皮成長因子)などの特定の標的分子に対する薬剤(分子標的薬)はもちろんのこと、PD-1(programmed death 1)、PD-L1(PD-1リガンド)、CTLA-4(cytotoxic T lymphocyte-associated antigen 4)などを標的とする、免疫チェックポイント阻害剤の開発が進んでいる。免疫チェックポイント阻害剤として、ニボルマブ、第三世代EGFR-TKIs(チロシンキナーゼ阻害剤)としてAZD9291とrociletinib(CO-1686)、VEGF阻害剤としてラムシルマブ、ALK阻害剤としてceritinibの良好な臨床試験結果が報告されており、今後本邦でも承認が期待される。本稿では、これらの5つの肺癌治療の新薬を中心に解説する。(著者抄録)

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  • がん患者の治療選択における意思決定支援ツールの開発と実施可能性の検討

    中鉢 久実, 海原 純子, 高橋 明子, 中道 真仁, 武内 進, 松本 優, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 山本 和男, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   55 ( 5 )   720 - 720   2015.10

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  • 間質性肺炎合併の非小細胞肺癌(NSCLC)に対するnab-Paclitaxelの有効性と安全性の後方視的検討

    青山 純一, 峯岸 裕司, 佐藤 陽三, 小林 研一, 高橋 明子, 中道 真仁, 武内 進, 宮永 晃彦, 水谷 英明, 山本 和男, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   55 ( 5 )   680 - 680   2015.10

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  • 肺癌化学療法中における発熱性好中球減少症の臨床的検討

    藤田 和恵, 中道 真仁, 小林 研一, 高橋 明子, 武内 進, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   55 ( 5 )   528 - 528   2015.10

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  • 肺癌診療の実際 医療従事者の役割分担とこころのケア 肺がん診療の実際 現場での有害事象対策 だれが、どのように?

    中道 真仁, 久保田 馨

    肺癌   55 ( 5 )   374 - 374   2015.10

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  • 【慢性咳嗽-しつこい咳に潜む疾患】 肺癌と咳

    中道 真仁, 弦間 昭彦

    カレントテラピー   33 ( 6 )   606 - 610   2015.6

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  • 肺癌術後の残存肺に肺Aspergillus症と非結核性抗酸菌症を合併し、呼吸器内視鏡が診断に有用であった1例

    青山 純一, 藤田 和恵, 林 宏紀, 柏田 建, 中道 真仁, 齋藤 好信, 清家 正博, 弦間 昭彦

    第38回日本呼吸器内視鏡学会学術集会   37 ( Suppl. )   S316 - S316   2015.5

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    DOI: 10.18907/jjsre.37.Special_S316_1

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  • 肺癌の気管支洗浄液検体を用いたRT-PCR法によるALK融合遺伝子診断の当院での現状

    中道 真仁, 清家 正博, 小林 研一, 武内 進, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    気管支学   37 ( Suppl. )   S203 - S203   2015.5

  • 経過中に自然縮小し診断に難渋した肺腺癌の1例

    加藤 泰裕, 清家 正博, 小林 由美子, 小林 研一, 中道 真仁, 武内 進, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 久保田 馨, 弦間 昭彦, 功刀 しのぶ

    肺癌   55 ( 2 )   119 - 120   2015.4

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    DOI: 10.2482/haigan.55.119

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  • 肺癌化学療法中における発熱性好中球減少症の臨床的検討

    藤田 和恵, 中道 真仁, 柏田 建, 渥美 健一郎, 林 宏紀, 齋藤 好信, 弦間 昭彦, 久保田 馨, 清家 正博, 峯岸 裕司, 宮永 晃彦, 水谷 英明

    感染症学雑誌   89 ( 1 )   159 - 159   2015.1

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  • 経過中に自然縮小し診断に難渋した肺腺癌の1例

    加藤泰裕, 清家正博, 小林由美子, 小林研一, 中道真仁, 武内進, 宮永晃彦, 水谷英明, 峯岸裕司, 久保田馨, 弦間昭彦, 功刀しのぶ

    肺癌(Web)   55 ( 2 )   119‐120(J‐STAGE)   2015

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  • 【これから期待される肺癌診断と治療】 EGFR-TKIsの使い分け

    中道 真仁, 弦間 昭彦

    呼吸器内科   26 ( 6 )   450 - 455   2014.12

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    CiNii Books

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    Other Link: http://search.jamas.or.jp/link/ui/2015108670

  • 非小細胞肺癌のMET阻害剤耐性機序におけるcancer stem cell-like propertiesの関与

    清家 正博, 菅野 哲平, 野呂 林太郎, 添野 千絵, 中道 真仁, 宮永 晃彦, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    肺癌   54 ( 5 )   618 - 618   2014.10

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  • 液性検体を用いたRT-PCR法による肺癌のALK融合遺伝子診断の当院での現状

    中道 真仁, 清家 正博, 小林 由美子, 加藤 友美, 青山 純一, 二島 駿一, 小林 研一, 高橋 明子, 武内 進, 山本 和男, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    肺癌   54 ( 5 )   528 - 528   2014.10

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  • 非小細胞肺癌(NSCLC)対するnab-Paclitaxelの有効性と安全性の後方視的検討

    青山 純一, 宮永 晃彦, 二島 俊一, 小林 研一, 高橋 明子, 中道 真仁, 佐藤 悦子, 竹内 進, 水谷 英明, 峯岸 裕司, 山本 和男, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   54 ( 5 )   455 - 455   2014.10

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  • 肺癌に対するシスプラチン(CDDP)併用化学療法における経口補液を用いた短時間輸液療法の多施設試験

    宮永 晃彦, 久保田 馨, 峯岸 裕司, 武内 進, 中道 真仁, 弦間 昭彦, 内海 裕文, 角南 久仁子, 水柿 秀紀, 神田 慎太郎, 堀之内 秀仁, 藤原 豊, 軒原 浩, 山本 昇, 田村 友秀, 栗本 太嗣, 須藤 淳子, 山根 由紀, 都築 早美, 酒井 洋

    肺癌   54 ( 5 )   345 - 345   2014.10

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  • PHASE I STUDY OF RESMINOSTAT, AN ORAL HDAC INHIBITOR, IN JAPANESE PATIENTS WITH SOLID TUMORS

    Satoru Kitazono, Yutaka Fujiwara, Shinji Nakamichi, Hidenori Mizugaki, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Tomohide Tamura

    ANNALS OF ONCOLOGY   25   2014.10

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    DOI: 10.1093/annonc/mdu435.29

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  • 【肺癌分子標的治療薬の最新情報】 デノスマブ 骨転移治療のマネジメント

    中道 真仁, 久保田 馨

    呼吸器内科   26 ( 2 )   117 - 121   2014.8

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    CiNii Books

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    Other Link: http://search.jamas.or.jp/link/ui/2015002338

  • ゲフィチニブ投与中にネフローゼ症候群を呈した1例

    小林 由美子, 武内 進, 青山 純也, 加藤 泰裕, 小林 有紀, 佐藤 陽三, 清水 理光, 高野 夏希, 中鉢 久実, 中道 真仁, 渥美 健一郎, 宮永 晃彦, 山本 和男, 藤田 和恵, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   54 ( 3 )   168 - 169   2014.6

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  • 原発性肺癌による髄膜癌腫症にBevacizumabを投与した症例の臨床的検討

    中鉢 久実, 清家 正博, 中道 真仁, 武内 進, 松本 優, 宮永 晃彦, 野呂 林太郎, 峯岸 裕司, 山本 和男, 久保田 馨, 弦間 昭彦

    日本呼吸器学会誌   3 ( 増刊 )   306 - 306   2014.3

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  • Phase I and pharmacokinetics/pharmacodynamics (PK/PD) study of MEK inhibitor, RO4987655, in Japanese patients with advanced solid tumors.

    Yasuhide Yamada, Hiroshi Nokihara, Noboru Yamamoto, Yutaka Fujiwara, Yosuke Tamura, Hiroshi Wakui, Kazunori Honda, Shinji Nakamichi, Hajime Asahina, Yuko Tanabe, Satoru Kitazono, Hidenori Mizugaki, Naoya Yamazaki, Shigenobu Suzuki, Junichi Sasaki, Mieko Matsuoka, Tomohide Tamura

    JOURNAL OF CLINICAL ONCOLOGY   32 ( 3 )   2014.1

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    DOI: 10.1200/jco.2014.32.3_suppl.116

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  • ゲフィチニブ投与中にネフローゼ症候群を呈した1例

    小林由美子, 武内進, 青山純也, 加藤泰裕, 小林有紀, 佐藤陽三, 清水理光, 高野夏希, 中鉢久実, 中道真仁, 渥美健一郎, 宮永晃彦, 山本和男, 藤田和恵, 峯岸裕司, 清家正博, 久保田馨, 弦間昭彦

    肺癌(Web)   54 ( 3 )   168-169(J-STAGE)   2014

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  • ALK融合遺伝子陽性高齢者肺腺癌に対してCrizotinibを投与した1例

    加藤 泰裕, 宮永 晃彦, 二島 駿一, 福泉 彩, 中道 真仁, 中鉢 久実, 山本 和男, 武内 進, 松本 優, 野呂 林太郎, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌   53 ( 7 )   923 - 924   2013.12

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  • ALK融合遺伝子陽性高齢者肺腺癌に対してCrizotinibを投与した1例

    加藤泰裕, 宮永晃彦, 二島駿一, 福泉彩, 中道真仁, 中鉢久実, 山本和男, 武内進, 松本優, 野呂林太郎, 峯岸裕司, 清家正博, 久保田馨, 弦間昭彦

    肺癌(Web)   53 ( 7 )   923-924(J-STAGE) - 924   2013.12

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  • A PHASE 1 STUDY OF CABOZANTINIB IN JAPANESE PATIENTS WITH ADVANCED SOLID TUMORS: ANTI-TUMOR ACTIVITY IN NSCLC AND GIST

    H. Nokihara, N. Yamamoto, S. Nakamichi, H. Wakui, Y. Yamada, L. Nguyen, T. Tamura

    ANNALS OF ONCOLOGY   24   2013.11

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    DOI: 10.1093/annonc/mdt459.75

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  • 【最新肺癌学-基礎と臨床の最新研究動向-】 肺癌の治療戦略 再発肺癌の治療 非小細胞肺がんの術後局所再発に対する治療

    中道 真仁, 堀之内 秀仁

    日本臨床   71 ( 増刊6 最新肺癌学 )   658 - 661   2013.11

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  • Phase I study of administration of LY2523355, an Eg5 inhibitor, for 3 consecutive days every 3 weeks in Japanese patients with refractory solid tumors.

    Yutaka Fujiwara, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Hiroshi Wakui, Shinji Nakamichi, Hidenori Mizugaki, Satoru Kitazono, Hironori Kanda, Kohei Suzuki, Shiro Akinaga, Tomohide Tamura

    MOLECULAR CANCER THERAPEUTICS   12 ( 11 )   2013.11

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    DOI: 10.1158/1535-7163.TARG-13-C68

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  • PHASE I STUDY OF LY2523355, AN EG5 INHIBITOR, IN JAPANESE PATIENTS WITH ADVANCED SOLID TUMORS

    S. Nakamichi, H. Nokihara, H. Mizugaki, H. Wakui, Y. Fujiwara, Y. Yamada, N. Yamamoto, K. Suzuki, S. Akinaga, T. Tamura

    ANNALS OF ONCOLOGY   24   2013.11

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    DOI: 10.1093/annonc/mdt459.74

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  • PHASE IA/IB STUDY OF THE ANTI-MET ANTIBODY ONARTUZUMAB (METMAB) IN PATIENTS WITH SOLID TUMORS OR MET-POSITIVE LUNG CANCER

    Hidehito Horinouchi, Shinji Nakamichi, Hiroshi Wakui, Hiroshi Nokihara, Noboru Yamamoto, Yasuhide Yamada, Atsushi Horiike, Fumiyoshi Ohyanagi, Keita Kudo, Noriko Yanagitani, Yuko Kawano, Toshio Sakatani, Azusa Tanimoto, Makoto Nishio, Masaichi Abe, Hideki Doura, Takashi Tahata, Tomohide Tamura

    JOURNAL OF THORACIC ONCOLOGY   8   S894 - S894   2013.11

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  • cIII期N2非小細胞肺癌の診断と治療戦略 局所進行非小細胞肺がん(NSCLC)におけるEGFR遺伝子変異の頻度と化学放射線療法の治療効果

    柳下 薫寛, 堀之内 秀仁, 谷山 智子, 北園 聡, 水柿 秀紀, 中道 真仁, 神田 慎太郎, 藤原 豊, 軒原 浩, 山本 昇, 角 美奈子, 河野 隆志, 古田 耕, 蔦 幸治, 田村 友秀

    肺癌   53 ( 5 )   388 - 388   2013.10

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  • 小細胞肺癌に対するmTOR阻害剤の耐性化機序、耐性化解除の検討

    松本 優, 野呂 林太郎, 清家 正博, 中道 真仁, 中鉢 久実, 宮永 晃彦, 峯岸 裕司, 山本 和男, 久保田 馨, 弦間 昭彦

    肺癌   53 ( 5 )   584 - 584   2013.10

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  • Phase I clinical trial investigating maximum tolerated dose, safety and pharmacokinetics of volasertib in Japanese patients with advanced solid tumours

    H. Nokihara, N. Yamamoto, Y. Fujiwara, Y. Yamada, H. Wakui, S. Nakamichi, S. Kitazono, T. Taube, Y. Takeuchi, T. Tamura

    EUROPEAN JOURNAL OF CANCER   49   S183 - S183   2013.9

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  • 呼吸器疾患の新治療 ランマーク(デノスマブ)

    中道 真仁, 久保田 馨

    呼吸   32 ( 3 )   255 - 258   2013.3

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    骨転移は、骨関連事象(skeletal-related events:SREs)を引き起こし、performance status(PS)やquality of life(QOL)の低下、生存期間の短縮につながるため、SREsの予防は臨床的に重要である。正常骨では、破骨細胞による骨吸収、骨芽細胞による骨形成からなる骨リモデリングが行われる。その中心的な役割を担うのは骨芽細胞から産生されるreceptor-activated nuclear factor kappa-B ligand(RANKL)であり、破骨細胞の分化、機能を促進する。破骨細胞の機能亢進が、骨転移に伴うSREsの原因である。デノスマブはRANKLに対するヒト型IgG2モノクローナル抗体であり、骨をターゲットとした分子標的治療薬として開発された。骨転移を有する患者に対するゾレドロン酸を対照群としたデノスマブの第III相試験が3つ行われ、ゾレドロン酸に対するSREs発現抑制効果に関する優越性または非劣性が示された。デノスマブはゾレドロン酸と比較して、腎機能のモニタリングや用量調節が不要で、簡便な皮下注射というメリットがあるが、一方で低カルシウム血症に対する安全性速報が出されており、注意が必要である。RANKL阻害という新しい作用機序の生物学的製剤デノスマブの登場で、骨転移を有する患者のQOL向上が期待される。(著者抄録)

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  • 【新しい局面を迎えた肺癌診療】 《肺癌診療にまつわるトータルサポート 治療とケア》骨転移治療薬の実践

    久保田 馨, 中道 真仁

    内科   110 ( 5 )   761 - 764   2012.11

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    ・IV期肺癌患者の30〜40%に骨転移を認める。・骨転移を有する肺癌患者の約50%に骨関連事象(SREs)(放射線治療が必要な疼痛、骨折、脊髄圧迫、外科的処置、高Ca血症)が出現する。・SREsは臨床的に問題である。・骨転移発症とSREs発現は癌細胞、骨芽細胞、破骨細胞間の「悪性のサイクル」が原因である。・zoledronic acid、denosumab等の破骨細胞抑制薬(BMA)によるSREs発症抑制が比較試験で示されている。・BMAによるSREs予防が骨転移を有する肺癌患者マネジメントの基本である。(著者抄録)

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    Other Link: http://search.jamas.or.jp/link/ui/2013010644

  • PHASE I AND DOSE FINDING STUDY OF U3-1287, A HUMAN MONOCLONAL ANTIBODY TARGETING HER3, IN JAPANESE PATIENTS WITH ADVANCED SOLID TUMORS

    H. Wakui, N. Yamamoto, S. Nakamichi, Y. Tamura, H. Nokihara, Y. Yamada, T. Tamura

    ANNALS OF ONCOLOGY   23   112 - 112   2012.10

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  • 肺癌に対するシスプラチン(CDDP)併用化学療法におけるshort hydrationの安全性確認試験

    柳下 薫寛, 堀之内 秀仁, 久保田 馨, 谷山 智子, 北園 聡, 水柿 秀紀, 中道 真仁, 神田 慎太郎, 藤原 豊, 軒原 浩, 関根 郁夫, 田村 友秀

    肺癌   52 ( 5 )   670 - 670   2012.10

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  • 原発性乳癌との鑑別に苦慮した、原発性肺腺癌乳腺転移再発の1例

    水柿 秀紀, 佐々木 小百合, 曽田 紗世, 柳下 薫寛, 谷山 智子, 北園 聡, 中道 真仁, 堀之内 秀仁, 神田 慎太郎, 藤原 豊, 軒原 浩, 山本 昇, 田村 友秀, 蔦 幸治, 淺村 尚生

    肺癌   52 ( 6 )   980 - 980   2012.10

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  • 小細胞肺癌に対する術後化学療法のレトロスペクティブ検討

    水柿 秀紀, 山本 昇, 藤原 豊, 曽田 紗世, 柳下 薫寛, 谷山 智子, 北園 聡, 中道 真仁, 堀之内 秀仁, 神田 慎太郎, 軒原 浩, 蔦 幸治, 淺村 尚生, 田村 友秀

    肺癌   52 ( 5 )   640 - 640   2012.10

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  • 非小細胞肺癌の術後局所再発に対する治療のレトロスペクティブ検討

    中道 真仁, 堀之内 秀仁, 曽田 紗世, 柳下 薫寛, 谷山 智子, 北園 聡, 水柿 秀紀, 神田 慎太郎, 藤原 豊, 軒原 浩, 山本 昇, 角 美奈子, 淺村 尚生, 田村 友秀

    肺癌   52 ( 5 )   562 - 562   2012.10

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  • FEASIBILITY STUDY OF HIGH DOSE CISPLATIN ADMINISTERED WITH SHORT HYDRATION AND MAGNESIUM SUPPLEMENTATION IN PATIENTS WITH LUNG CANCER

    H. Horinouchi, K. Kubota, H. Itani, H. Wakui, S. Nakamichi, S. Kanda, H. Nokihara, N. Yamamoto, I. Sekine, T. Tamura

    ANNALS OF ONCOLOGY   23   103 - 103   2012.10

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  • PHASE I STUDY OF U3-1287, A HUMAN MONOCLONAL ANTIBODY TARGETING HER3, IN JAPANESE PATIENTS WITH ADVANCED SOLID TUMORS

    H. Wakui, N. Yamamoto, S. Nakamichi, Y. Tamura, H. Nokihara, Y. Yamada, T. Tamura

    ANNALS OF ONCOLOGY   23   161 - 162   2012.9

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  • MOLECULAR PROFILE AND ANTI-TUMOR ACTIVITY IN NON-SMALL CELL LUNG CANCER (NSCLC) PATIENTS (PTS) IN A PHASE 1 STUDY OF CABOZANTINIB (XL184) IN JAPAN

    H. Nokihara, N. Yamamoto, S. Nakamichi, H. Wakui, Y. Yamada, J. Frye, A. Decillis, T. Tamura

    ANNALS OF ONCOLOGY   23   174 - 174   2012.9

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  • 日本における固形がん患者を対象とした抗HER3抗体U3-1287第一相試験(Phase I study of U3-1287, a human monoclonal antibody targeting HER3, in Japanese patients with advanced solid tumors)

    山田 康秀, 和久井 大, 山本 昇, 中道 真仁, 田村 洋輔, 軒原 浩, 田村 友秀

    日本癌学会総会記事   71回   63 - 63   2012.8

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  • 使い捨てチップ型・フローサイトメーターを用いた肺癌患者におけるcirculating tumor cell検出の臨床的検討(Clinical feasibility study of a novel cytometry-based system for the detection of circulating tumor cells of lung cancer)

    澤田 武志, 上原 由里, 渡辺 勝, 洪 泰浩, 藤村 祐, 中道 真仁, 神田 慎太郎, 堀之内 秀仁, 藤原 豊, 軒原 浩, 山本 昇, 田村 友秀, 小泉 史明

    日本癌学会総会記事   71回   276 - 276   2012.8

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  • 胸腺原発小細胞癌の1例

    和久井 大, 山本 昇, 内海 裕文, 中道 真仁, 堀之内 秀仁, 神田 慎太郎, 軒原 浩, 田村 友秀, 蔦 幸治

    肺癌   52 ( 3 )   357 - 357   2012.6

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  • 長期の経過で再発を認めた類上皮肉腫の1例

    前嶋 愛子, 堀之内 秀仁, 和久井 大, 中道 真仁, 神田 慎太郎, 軒原 浩, 山本 昇, 田村 友秀, 蔦 幸治

    肺癌   52 ( 2 )   253 - 253   2012.4

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  • 術後副腎単発転移再発に対する化学療法後の副腎切除が有効であった非小細胞肺癌の1例

    中道 真仁, 久保田 馨, 前嶋 愛子, 井谷 英敏, 橋本 尚佳, 和久井 大, 堀之内 秀仁, 神田 慎太郎, 軒原 浩, 山本 昇, 田村 友秀, 渡辺 俊一, 込山 元清, 蔦 幸治, 楠本 昌彦

    肺癌   52 ( 2 )   259 - 259   2012.4

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  • 器質化肺炎パターンを呈しステロイド療法が有効であった放射線肺臓炎の1例

    蒔田 真一, 堀之内 秀仁, 角 美奈子, 井谷 英敏, 中道 真仁, 和久井 大, 軒原 浩, 山本 昇, 久保田 馨, 田村 友秀

    日本内科学会関東地方会   582回   21 - 21   2011.10

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  • 骨転移治療の新展開

    中道 真仁, 久保田 馨

    呼吸器内科   20 ( 4 )   330 - 334   2011.10

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  • ゲフィチニブによる間質性肺炎後の経過中髄膜癌腫症を発症し、エルロチニブが奏効したEGFR遺伝子変異陽性肺腺癌の1例

    中道 真仁, 久保田 馨, 蒔田 真一, 井谷 英敏, 田中 彩子, 和久井 大, 堀之内 秀仁, 軒原 浩, 山本 昇, 関根 郁夫, 田村 友秀

    肺癌   51 ( 4 )   280 - 280   2011.8

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  • 【関節リウマチ合併症の診断と対処法】 関節リウマチに合併する呼吸器感染症の診断と対処法

    中道 真仁, 杉山 温人

    リウマチ科   41 ( 4 )   366 - 370   2009.4

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Presentations

  • ゲフィチニブ投与中にネフローゼ症候群を呈した1例

    小林 由美子, 武内 進, 青山 純也, 加藤 泰裕, 小林 有紀, 佐藤 陽三, 清水 理光, 高野 夏希, 中鉢 久実, 中道 真仁, 渥美 健一郎, 宮永 晃彦, 山本 和男, 藤田 和恵, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌  2014.6 

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  • 経過中に自然縮小し診断に難渋した肺腺癌の1例

    加藤 泰裕, 清家 正博, 小林 由美子, 小林 研一, 中道 真仁, 武内 進, 宮永 晃彦, 水谷 英明, 峯岸 裕司, 久保田 馨, 弦間 昭彦, 功刀 しのぶ

    肺癌  2015.4 

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  • 肺癌における癌幹細胞/EMT制御による分子標的薬耐性の克服

    清家 正博, 菅野 哲平, 中道 真仁, 高橋 明子, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌  2016.11 

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  • シスプラチン・S1併用療法による術後補助化学療法の後方視的検討

    高橋 聡, 清家 正博, 中山 幸治, 小林 研一, 高橋 明子, 中道 真仁, 武内 進, 松本 優, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 臼田 実男, 弦間 昭彦

    肺癌  2016.11 

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  • ゲフィチニブで薬剤性肺疾患を生じた後にアファチニブが有害事象なく著効したEGFR遺伝子変異陽性肺腺癌の1例

    樋口 明日香, 武内 進, 加藤 友美, 小林 研一, 中道 真仁, 野呂 林太郎, 峯岸 裕司, 清家 正博, 久保田 馨, 弦間 昭彦

    肺癌  2017.2 

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  • 気管支鏡検査が診断に有用であったNocardia exalbidaによる肺化膿症の一例

    藤田 和恵, 中山 幸治, 高橋 明子, 中道 真仁, 齋藤 好信, 清家 正博, 久保田 馨, 弦間 昭彦

    気管支学  2017.5 

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  • 非小細胞肺癌におけるPD-L1発現と予後及びEGFR-TKI治療効果との相関の検討

    小林 研一, 清家 正博, 中山 幸治, 加藤 友美, 高橋 聡, 高橋 明子, 中道 真仁, 武内 進, 松本 優, 野呂 林太郎, 峯岸 裕司, 久保田 馨, 弦間 昭彦

    肺癌  2017.9 

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  • 分子標的薬への耐性機構の解明 AXLとEMT克服を標的としたALK陽性非小細胞肺癌根絶に向けた新規治療戦略

    中道 真仁, 清家 正博, 宮永 晃彦, 高橋 明子, 野呂 林太郎, 久保田 馨, 弦間 昭彦

    肺癌  2017.9 

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  • 非小細胞肺癌細胞株におけるシスプラチンによるアポトーシスの考察

    中道 真仁, 中嶋 亘, 松本 優, 田中 信之

    生命科学系学会合同年次大会  2017.12 

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Awards

  • 平成30年度日本医科大学大学院研究賞受賞

    2019.3   日本医科大学  

    中道 真仁

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Research Projects

  • 分子標的薬耐性肺がんにおける薬剤耐性獲得機構の解明と代謝制御を利用した治療法開発

    Grant number:22K08293  2022.4 - 2025.3

    日本学術振興会  科学研究費助成事業 基盤研究(C)  基盤研究(C)

    中嶋 亘, 中道 真仁

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    Grant amount:\4160000 ( Direct Cost: \3200000 、 Indirect Cost:\960000 )

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  • アポトーシス調整因子を標的とした非小細胞肺癌の新規治療法の開発~根治を目指して~

    Grant number:20K17200  2020.4 - 2023.3

    日本学術振興会  科学研究費助成事業 若手研究  若手研究

    中道 真仁

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    Grant amount:\2470000 ( Direct Cost: \1900000 、 Indirect Cost:\570000 )

    本研究は、薬剤獲得体制との関連性が明確でない「アポトーシス(細胞死)」に着目した新しい視点から薬剤獲得耐性の分子病態メカニズムを解明し、根治を目 指す新規薬物療法を開発することが目的である。 ミトコンドリア経路を介したアポトーシスにおいてBCL-2ファミリータンパク質が重要な役割を果たすことが知られている。 ステップワイズ法を用いてEGFR-TKI(オシメルチニブ)に対する非小細胞肺癌細胞株PC9とH1975の薬剤耐性細胞を作成し、Cell viability assayにて薬剤感受 性・IC50を測定し、耐性化を確認した。親細胞株と作成した耐性細胞を用いて、ERK、FOXO3a、BIMを含むアポトーシス関連因子のウェスタンブロットによるタン パク質発現解析を行い、ERKによりリン酸化されたFOXO3aが核外(細胞質)へ移行してMDM2によるユビキチン化により分解され、FOXO3aの転写活性が抑制され、 BIMの発現が低下し、アポトーシス抵抗性となることを確認した。FOXO3aの核外への移行は、蛍光タンパク質GFPをつけた各細胞の作成とDAPIにてDNAを含む核の 染色を行い、蛍光顕微鏡にて観察・撮影して確認した。FOXO3aレンチウイルスベクターを用いてFOXO3aとBIMの遺伝子組み換え(ノックダウン、ノックアウト、 過剰発現)細胞を作成し、機能解析を行い、上記の結果を確認した。 現在は、治療候補薬剤として、Debrafenib、Trametinib、Bortezomibなどを使用して、薬剤感受性を測定し、新規薬物療法の候補薬剤を同定し、in vivoでの実験を継続中である。

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