[Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer--five-year survival rate]

Gan To Kagaku Ryoho. 1989 Apr;16(4 Pt 1):799-806.
[Article in Japanese]

Abstract

The Gastric Cancer Immunochemotherapy Study Group, constituted of 412 institutions, carried out six independent trials simultaneously from 1978 to 1981. A total of 4,456 cases were subjected to the study, from which 826 cases (18.5%) were excluded due to the violence of entry criteria. Curative gastrectomy, followed by a combination of mitomycin C (MMC), Ftorafur (FT)and Krestin (PSK) produced better postoperative survivals than either combination of MMC and FT, or MMC and PSK (5-year survival rate: 71.7% in MMC + FT + PSK, 64.1% in MMC + PSK, and 58.5% in MMC + FT). In the subset of patients with negative nodes (n(-)), and with involved serosa by histological examination (ps(+)), a combination of FT and PSK after gastrectomy seemed to be more favorable for the post-operative survivals than the single use of either drug. Four drug combinations of MMC, FT, PSK and Picibanil (OK-432) also had a clinical benefit in the group of patients with poorly differentiated adenocarcinoma, compared with chemotherapy alone. These results, though there are biases due to excluding 18.5% of cases, suggest some clinical benefits in the control of cancer relapse after surgery. The conclusion should be confirmed by a further elaborate trial.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Multicenter Study

MeSH terms

  • Adjuvants, Immunologic / administration & dosage
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Clinical Trials as Topic
  • Combined Modality Therapy
  • Gastrectomy
  • Humans
  • Japan
  • Male
  • Mitomycin
  • Mitomycins / administration & dosage
  • Multicenter Studies as Topic
  • Neoplasm Recurrence, Local / prevention & control
  • Picibanil / administration & dosage
  • Proteoglycans / administration & dosage
  • Stomach Neoplasms / drug therapy
  • Stomach Neoplasms / mortality
  • Stomach Neoplasms / therapy*
  • Tegafur / administration & dosage

Substances

  • Adjuvants, Immunologic
  • Mitomycins
  • Proteoglycans
  • Tegafur
  • Picibanil
  • polysaccharide-K
  • Mitomycin