Effect of TU-100, a traditional Japanese medicine, administered after hepatic resection in patients with liver cancer: a multi-center, phase III trial (JFMC40-1001)

Verfasser / Beitragende:
[Mitsuo Shimada, Yuji Morine, Hiroaki Nagano, Etsuro Hatano, Takashi Kaiho, Masaru Miyazaki, Toru Kono, Toshiya Kamiyama, Satoshi Morita, Junichi Sakamoto, Mitsuo Kusano, Shigetoyo Saji, Takashi Kanematsu, Masaki Kitajima]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/1(2015-02-01), 95-104
Format:
Artikel (online)
ID: 605490392
LEADER caa a22 4500
001 605490392
003 CHVBK
005 20210128100504.0
007 cr unu---uuuuu
008 210128e20150201xx s 000 0 eng
024 7 0 |a 10.1007/s10147-014-0678-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-014-0678-2 
245 0 0 |a Effect of TU-100, a traditional Japanese medicine, administered after hepatic resection in patients with liver cancer: a multi-center, phase III trial (JFMC40-1001)  |h [Elektronische Daten]  |c [Mitsuo Shimada, Yuji Morine, Hiroaki Nagano, Etsuro Hatano, Takashi Kaiho, Masaru Miyazaki, Toru Kono, Toshiya Kamiyama, Satoshi Morita, Junichi Sakamoto, Mitsuo Kusano, Shigetoyo Saji, Takashi Kanematsu, Masaki Kitajima] 
520 3 |a Background: This multi-center, phase III trial assesses the efficacy of daikenchuto (TU-100) on gastrointestinal disorders after hepatic resection (UMIN Registration No. 000003103). Materials and methods: A total of 231 patients, who underwent hepatic resection at 26 Japanese centers, were enrolled. Patients were randomly assigned to receive either oral doses (15g/day, three times a day) of TU-100 or placebo control from preoperative day 3 to postoperative day 10, except on the day of surgery. Primary end points were the time from extubation until the first postoperative bowel movement (FBM-T), serum C-reactive protein (CRP) and ammonia levels. Results: Finally, 209 patients (TU-100: n=108, placebo: n=101) were included in the statistical analysis. The median FBM-T was 88.2h (95% CI 74.0-94.1) in the TU-100 group and 93.1h (95% CI 83.3-99.4) in the placebo group, demonstrating that TU-100 accelerated the time to first bowel movement significantly more than placebo control. Serum CRP levels did not differ significantly during the study period, although serum CRP levels in the TU-100 group tended to be lower than those in the placebo group in patients with grade B liver damage. Meanwhile, the two groups had similar serum ammonia levels. TU-100-related serious adverse events did not occur during the study. Conclusions: TU-100 appears to improve gastrointestinal dysmotility and reduce serum CRP levels in patients with grade B liver damage after hepatectomy. TU-100 is an effective treatment option after hepatic resection in patients with liver cancer. 
540 |a Japan Society of Clinical Oncology, 2014 
690 7 |a Japanese medicine  |2 nationallicence 
690 7 |a Bowel movement  |2 nationallicence 
690 7 |a Inflammation  |2 nationallicence 
690 7 |a C-reactive protein  |2 nationallicence 
690 7 |a Liver damage  |2 nationallicence 
690 7 |a TU-100 : Daikenchuto  |2 nationallicence 
690 7 |a JFMC : Japanese Foundation for Multidisciplinary Treatment of Cancer  |2 nationallicence 
690 7 |a FBM-T : The time from extubation until the first postoperative bowel movement  |2 nationallicence 
690 7 |a CRP : C-reactive protein  |2 nationallicence 
690 7 |a COX-2 : Cyclooxygenase-2  |2 nationallicence 
690 7 |a CGRP : Calcitonin gene-related peptide  |2 nationallicence 
690 7 |a VIP : Vasoactive intestinal polypeptide  |2 nationallicence 
690 7 |a AUC : Area under curve  |2 nationallicence 
690 7 |a SD : Standard deviation  |2 nationallicence 
690 7 |a CRLR : Calcitonin receptor like receptor  |2 nationallicence 
690 7 |a Ramp1 : Receptor activity modifying protein 1  |2 nationallicence 
690 7 |a ADM : Adrenomedullin  |2 nationallicence 
700 1 |a Shimada  |D Mitsuo  |u Department of Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, 770-8503, Tokushima, Japan  |4 aut 
700 1 |a Morine  |D Yuji  |u Department of Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, 770-8503, Tokushima, Japan  |4 aut 
700 1 |a Nagano  |D Hiroaki  |u Department of Surgery, Osaka University, Osaka, Japan  |4 aut 
700 1 |a Hatano  |D Etsuro  |u Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan  |4 aut 
700 1 |a Kaiho  |D Takashi  |u Department of Surgery, Kimitsu Chuo Hospital, Chiba, Japan  |4 aut 
700 1 |a Miyazaki  |D Masaru  |u Department of General Surgery, Chiba University Graduate School of Medicine, Chiba, Japan  |4 aut 
700 1 |a Kono  |D Toru  |u Sapporo Higashi Tokushukai Hospital, Hokkaido, Japan  |4 aut 
700 1 |a Kamiyama  |D Toshiya  |u Department of General Surgery, Hokkaido University Graduate School of Medicine, Hokkaido, Japan  |4 aut 
700 1 |a Morita  |D Satoshi  |u Department of Biostatistics and Epidemiology, School of Medicine, Yokohama City University, Yokohama, Japan  |4 aut 
700 1 |a Sakamoto  |D Junichi  |u Japanese Foundation for Multidisciplinary Treatment of Cancer, Tokyo, Japan  |4 aut 
700 1 |a Kusano  |D Mitsuo  |u Kushiro Rosai Hospital, Hokkaido, Japan  |4 aut 
700 1 |a Saji  |D Shigetoyo  |u Japanese Foundation for Multidisciplinary Treatment of Cancer, Tokyo, Japan  |4 aut 
700 1 |a Kanematsu  |D Takashi  |u Nagasaki Municipal Hospital, Nagasaki, Japan  |4 aut 
700 1 |a Kitajima  |D Masaki  |u International University of Health and Welfare, Tokyo, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/1(2015-02-01), 95-104  |x 1341-9625  |q 20:1<95  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-014-0678-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-014-0678-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimada  |D Mitsuo  |u Department of Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, 770-8503, Tokushima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morine  |D Yuji  |u Department of Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, 770-8503, Tokushima, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagano  |D Hiroaki  |u Department of Surgery, Osaka University, Osaka, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hatano  |D Etsuro  |u Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kaiho  |D Takashi  |u Department of Surgery, Kimitsu Chuo Hospital, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miyazaki  |D Masaru  |u Department of General Surgery, Chiba University Graduate School of Medicine, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kono  |D Toru  |u Sapporo Higashi Tokushukai Hospital, Hokkaido, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamiyama  |D Toshiya  |u Department of General Surgery, Hokkaido University Graduate School of Medicine, Hokkaido, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Morita  |D Satoshi  |u Department of Biostatistics and Epidemiology, School of Medicine, Yokohama City University, Yokohama, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sakamoto  |D Junichi  |u Japanese Foundation for Multidisciplinary Treatment of Cancer, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kusano  |D Mitsuo  |u Kushiro Rosai Hospital, Hokkaido, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Saji  |D Shigetoyo  |u Japanese Foundation for Multidisciplinary Treatment of Cancer, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kanematsu  |D Takashi  |u Nagasaki Municipal Hospital, Nagasaki, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kitajima  |D Masaki  |u International University of Health and Welfare, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/1(2015-02-01), 95-104  |x 1341-9625  |q 20:1<95  |1 2015  |2 20  |o 10147