Skip to main content
Erschienen in: Cancer Immunology, Immunotherapy 6/2007

01.06.2007 | Original Article

Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curative resections of gastric cancer

verfasst von: Koji Oba, Satoshi Teramukai, Michiya Kobayashi, Takanori Matsui, Yasuhiro Kodera, Junichi Sakamoto

Erschienen in: Cancer Immunology, Immunotherapy | Ausgabe 6/2007

Einloggen, um Zugang zu erhalten

Abstract

Non-specific immunopotentiators, such as polysaccharide K (PSK), also known as OK-432, induce anti-tumor effects via immunological responses. The efficacy of combination immunochemotherapy using these immunopotentiators has been examined by multiple previous studies. The survival benefits of immunochemotherapy for patients with curative resections of gastric cancers are not widely accepted. To clarify this issue, we performed a meta-analysis to evaluate the effect of immunochemotherapy on survival in patients with curative resections of gastric cancer. For this study, we compared the results of chemotherapy and immunotherapy using the biological response modifier PSK as an immunopotentiator. The meta-analysis included 8,009 patients from eight randomized controlled trials after central randomization. The overall hazard ratio for eligible patients was 0.88 (95% confidence interval, 0.79–0.98; P = 0.018) with no significant heterogeneity [χ 2(8) for heterogeneity = 11.7; P = 0.16]. The results of this meta-analysis suggest that adjuvant immunochemotherapy with PSK improves the survival of patients after curative gastric cancer resection.
Literatur
1.
Zurück zum Zitat Ferlay J, Bray F, Pisani P et al (2004) GLOBOCAN 2002. Cancer incidence, mortality and prevalence worldwide. IARC CancerBase No. 5, version 2.0. IARC, Lyon Ferlay J, Bray F, Pisani P et al (2004) GLOBOCAN 2002. Cancer incidence, mortality and prevalence worldwide. IARC CancerBase No. 5, version 2.0. IARC, Lyon
2.
Zurück zum Zitat Sastre J, García-Saenz JA, Díaz-Rubio E (2006) Chemotherapy for gastric cancer. World J Gastroenterol 12:204–213PubMed Sastre J, García-Saenz JA, Díaz-Rubio E (2006) Chemotherapy for gastric cancer. World J Gastroenterol 12:204–213PubMed
3.
Zurück zum Zitat Kobayashi H, Matsunaga K, Oguchi Y (1995) Antimetastatic effects of PSK (Krestin), a protein-bound polysaccharide obtained from basidiomycetes: an overview. Cancer Epidemiol Biomarkers Prev 4:275–281PubMed Kobayashi H, Matsunaga K, Oguchi Y (1995) Antimetastatic effects of PSK (Krestin), a protein-bound polysaccharide obtained from basidiomycetes: an overview. Cancer Epidemiol Biomarkers Prev 4:275–281PubMed
4.
Zurück zum Zitat Ohno R, Yamada K, Masaoka T et al (1984) A randomized trial of chemoimmunotherapy of acute nonlymphocytic leukemia in adults using a protein-bound polysaccharide preparation. Cancer Immunol Immunother 18:149–154PubMedCrossRef Ohno R, Yamada K, Masaoka T et al (1984) A randomized trial of chemoimmunotherapy of acute nonlymphocytic leukemia in adults using a protein-bound polysaccharide preparation. Cancer Immunol Immunother 18:149–154PubMedCrossRef
5.
Zurück zum Zitat Sakamoto J, Morita S, Oba K et al (2006) Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curatively resected colorectal cancer: a meta-analysis of centrally randomized controlled clinical trials. Cancer Immunol Immunother 55:404–411PubMedCrossRef Sakamoto J, Morita S, Oba K et al (2006) Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curatively resected colorectal cancer: a meta-analysis of centrally randomized controlled clinical trials. Cancer Immunol Immunother 55:404–411PubMedCrossRef
6.
Zurück zum Zitat Nakazato H, Koike A, Saji S, Ogawa N, Sakamoto J (1994) Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Study Group of Immunochemotherapy with PSK for Gastric Cancer. Lancet 343:1122–1126PubMedCrossRef Nakazato H, Koike A, Saji S, Ogawa N, Sakamoto J (1994) Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Study Group of Immunochemotherapy with PSK for Gastric Cancer. Lancet 343:1122–1126PubMedCrossRef
7.
Zurück zum Zitat Nakajima T, Inokuchi K, Hattori T et al (1989) Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer—five-year survival rate (in Japanese). Gan To Kagaku Ryoho 16:799–806PubMed Nakajima T, Inokuchi K, Hattori T et al (1989) Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer—five-year survival rate (in Japanese). Gan To Kagaku Ryoho 16:799–806PubMed
8.
Zurück zum Zitat Kim R, Yoshida K, Toge T (2002) Current status and future perspectives of post-operative adjuvant therapy for gastric carcinoma. Anticancer Res 22:283–289PubMed Kim R, Yoshida K, Toge T (2002) Current status and future perspectives of post-operative adjuvant therapy for gastric carcinoma. Anticancer Res 22:283–289PubMed
9.
Zurück zum Zitat Ikuzawa M, Matsunaga K, Nishiyama S et al (1988) Fate and distribution of an antitumor protein-bound polysaccharide PSK (Krestin). Int J Immunopharmacol 10:415–423PubMedCrossRef Ikuzawa M, Matsunaga K, Nishiyama S et al (1988) Fate and distribution of an antitumor protein-bound polysaccharide PSK (Krestin). Int J Immunopharmacol 10:415–423PubMedCrossRef
10.
Zurück zum Zitat Higgins JPT, Green S (eds) (2005) Assessment study quality. Cochrane handbook for systematic reviews of interventions 4.2.5 [updated May 2005]; Section 6. The Cochrane Library, Issue 3. Wiley, Chichester, UK Higgins JPT, Green S (eds) (2005) Assessment study quality. Cochrane handbook for systematic reviews of interventions 4.2.5 [updated May 2005]; Section 6. The Cochrane Library, Issue 3. Wiley, Chichester, UK
11.
Zurück zum Zitat Parmar MB, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17:2815–2834PubMedCrossRef Parmar MB, Torri V, Stewart L (1998) Extracting summary statistics to perform meta-analyses of the published literature for survival endpoints. Stat Med 17:2815–2834PubMedCrossRef
12.
Zurück zum Zitat DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188PubMedCrossRef DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188PubMedCrossRef
13.
Zurück zum Zitat Niimoto M, Hattori T, Tamada R, Sugimachi K, Inokuchi K, Ogawa N (1988) Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for gastric cancer. An analysis of data on 579 patients followed for five years. Jpn J Surg 18:681–686 Niimoto M, Hattori T, Tamada R, Sugimachi K, Inokuchi K, Ogawa N (1988) Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for gastric cancer. An analysis of data on 579 patients followed for five years. Jpn J Surg 18:681–686
14.
Zurück zum Zitat Kondo T, Ichihashi H, Nakazato H, Ogawa N (1989) Result of adjuvant immunochemotherapy on 8 year survival using Krestin and Futraful for gastric cancer patients who underwent radical gastrectomy—a randomized controlled trial by cooperative study group (in Japanese). Biotherapy 3:655–664 Kondo T, Ichihashi H, Nakazato H, Ogawa N (1989) Result of adjuvant immunochemotherapy on 8 year survival using Krestin and Futraful for gastric cancer patients who underwent radical gastrectomy—a randomized controlled trial by cooperative study group (in Japanese). Biotherapy 3:655–664
15.
Zurück zum Zitat Kondo T, Sakamoto J, Nakazato H (1991) Alternating immunochemotherapy of advanced gastric carcinoma: a randomized comparison of carbazilquinone and PSK to carbazilquinone in patients with curative gastric resection. Biotherapy 3:287–295PubMedCrossRef Kondo T, Sakamoto J, Nakazato H (1991) Alternating immunochemotherapy of advanced gastric carcinoma: a randomized comparison of carbazilquinone and PSK to carbazilquinone in patients with curative gastric resection. Biotherapy 3:287–295PubMedCrossRef
16.
Zurück zum Zitat Ogawa M, Kako H, Kitano T et al (1994) Cooperative study of adjuvant immunochemotherapy using HUFU (Mifurol®) for gastric cancer patients who underwent curative resection (in Japanese). Rinsyo To Kenkyu 71:201–206 Ogawa M, Kako H, Kitano T et al (1994) Cooperative study of adjuvant immunochemotherapy using HUFU (Mifurol®) for gastric cancer patients who underwent curative resection (in Japanese). Rinsyo To Kenkyu 71:201–206
17.
Zurück zum Zitat Nakazato H, Koike A, Saji S, Ogawa N, Sakamoto J (1994) Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Study Group of Immunochemotherapy with PSK for Gastric Cancer. Lancet 343:1122–1126PubMedCrossRef Nakazato H, Koike A, Saji S, Ogawa N, Sakamoto J (1994) Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Study Group of Immunochemotherapy with PSK for Gastric Cancer. Lancet 343:1122–1126PubMedCrossRef
18.
Zurück zum Zitat Ochiai T, Sato H, Sato H et al (1983) Randomly controlled study of chemotherapy versus chemoimmunotherapy in postoperative gastric cancer patients. Cancer Res 43:3001–3007PubMed Ochiai T, Sato H, Sato H et al (1983) Randomly controlled study of chemotherapy versus chemoimmunotherapy in postoperative gastric cancer patients. Cancer Res 43:3001–3007PubMed
19.
Zurück zum Zitat Fujimoto S, Furue H, Kimura T et al (1984) Clinical evaluation of schizophyllan adjuvant immunochemotherapy for patients with resectable gastric cancer—a randomized controlled trial. Jpn J Surg 14:286–292PubMedCrossRef Fujimoto S, Furue H, Kimura T et al (1984) Clinical evaluation of schizophyllan adjuvant immunochemotherapy for patients with resectable gastric cancer—a randomized controlled trial. Jpn J Surg 14:286–292PubMedCrossRef
20.
Zurück zum Zitat Kanabe S, Tamakuma S, Mimura K et al (1985) Comparison of immunochemotherapy and chemotherapy of stage IV gastric carcinoma (in Japanese). Gan No Rinsho 31:1805–1809PubMed Kanabe S, Tamakuma S, Mimura K et al (1985) Comparison of immunochemotherapy and chemotherapy of stage IV gastric carcinoma (in Japanese). Gan No Rinsho 31:1805–1809PubMed
21.
Zurück zum Zitat Sato S (1989) Study of validation of post-operative adjuvant chemotherapy following curative resection of stage II, III gastric cancer (in Japanese). Tokyo Ika Daigaku Zasshi 47:297–308 Sato S (1989) Study of validation of post-operative adjuvant chemotherapy following curative resection of stage II, III gastric cancer (in Japanese). Tokyo Ika Daigaku Zasshi 47:297–308
22.
Zurück zum Zitat Nio Y, Tobe T (1989) Immunity of gut-associated lymphoid tissue and the role of the oral immunotherapy in multi-disciplinary treatment of the digestive organ cancer (in Japanese). Nippon Geka Gakkai Zasshi 90:1436–1438PubMed Nio Y, Tobe T (1989) Immunity of gut-associated lymphoid tissue and the role of the oral immunotherapy in multi-disciplinary treatment of the digestive organ cancer (in Japanese). Nippon Geka Gakkai Zasshi 90:1436–1438PubMed
23.
Zurück zum Zitat Imaizumi M, Kondo T, Kamei H, Ichihashi H (1990) Cooperative study on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (II). Cooperative study group on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer supported by the Ministry of Health and Welfare (Kondo’s group) (in Japanese). Gan to Kagaku Ryoho 17:2397–2403PubMed Imaizumi M, Kondo T, Kamei H, Ichihashi H (1990) Cooperative study on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (II). Cooperative study group on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer supported by the Ministry of Health and Welfare (Kondo’s group) (in Japanese). Gan to Kagaku Ryoho 17:2397–2403PubMed
24.
Zurück zum Zitat Fujimoto S, Furue H, Kimura T et al (1991) Clinical outcome of postoperative adjuvant immunochemotherapy with sizofiran for patients with resectable gastric cancer: a randomised controlled study. Eur J Cancer 27:1114–1118PubMedCrossRef Fujimoto S, Furue H, Kimura T et al (1991) Clinical outcome of postoperative adjuvant immunochemotherapy with sizofiran for patients with resectable gastric cancer: a randomised controlled study. Eur J Cancer 27:1114–1118PubMedCrossRef
25.
Zurück zum Zitat Maehara Y, Sugimachi K, Akagi M, Kakegawa T, Shimazu H, Tomita M (1992) Early postoperative chemotherapy following noncurative resection for patients with advanced gastric cancer. Br J Cancer 65:413–416PubMed Maehara Y, Sugimachi K, Akagi M, Kakegawa T, Shimazu H, Tomita M (1992) Early postoperative chemotherapy following noncurative resection for patients with advanced gastric cancer. Br J Cancer 65:413–416PubMed
26.
Zurück zum Zitat Imaizumi M, Kondo T, Kamei H (1994) Cooperative study of postoperative long-term adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (second trial) (in Japanese). Gan No Rinsho 40:1243–1250 Imaizumi M, Kondo T, Kamei H (1994) Cooperative study of postoperative long-term adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (second trial) (in Japanese). Gan No Rinsho 40:1243–1250
27.
Zurück zum Zitat Tanaka N, Aichi A, Nagata H et al (1995) Preoperative intra tumor biological response modifier injection therapy for patients with stomach neoplasm (in Japanese). Nihon Rinsho Meneki Gakkai Kaishi 18:626PubMed Tanaka N, Aichi A, Nagata H et al (1995) Preoperative intra tumor biological response modifier injection therapy for patients with stomach neoplasm (in Japanese). Nihon Rinsho Meneki Gakkai Kaishi 18:626PubMed
28.
Zurück zum Zitat Osawa S, Shiroto H, Kondo Y, et al (1996) Randomized controlled study on adjuvant immunochemotherapy with carmofur (HCFU) for noncuratively resected and unresected gastric cancer (in Japanese). Gan To Kagaku Ryoho 23:327–331PubMed Osawa S, Shiroto H, Kondo Y, et al (1996) Randomized controlled study on adjuvant immunochemotherapy with carmofur (HCFU) for noncuratively resected and unresected gastric cancer (in Japanese). Gan To Kagaku Ryoho 23:327–331PubMed
29.
Zurück zum Zitat Imaizumi M, Kondo T, Kamei H, Ichihashi H (1984) Cooperative studies on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (in Japanese). Gan to Kagaku Ryoho 11:60–68PubMed Imaizumi M, Kondo T, Kamei H, Ichihashi H (1984) Cooperative studies on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (in Japanese). Gan to Kagaku Ryoho 11:60–68PubMed
30.
Zurück zum Zitat Nakajima T, Inokuchi K, Hattori T, et al (1985) A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer (in Japanese). Gan To Kagaku Ryoho 12:1850–1863PubMed Nakajima T, Inokuchi K, Hattori T, et al (1985) A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer (in Japanese). Gan To Kagaku Ryoho 12:1850–1863PubMed
31.
Zurück zum Zitat Tamada R, Inokuchi K, Hattori T et al (1987) A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer (II) (in Japanese). Gan to Kagaku Ryoho 14:716–722PubMed Tamada R, Inokuchi K, Hattori T et al (1987) A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer (II) (in Japanese). Gan to Kagaku Ryoho 14:716–722PubMed
32.
Zurück zum Zitat Niimoto M, Hattori T, Tamada R, Sugimachi K, Inokuchi K, Ogawa N (1987) Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for curatively resected cases of gastric cancer. In: Salmon SE (ed) Adjuvant therapy of cancer V. Grune & Stratton, Orlando, pp 515–524 Niimoto M, Hattori T, Tamada R, Sugimachi K, Inokuchi K, Ogawa N (1987) Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for curatively resected cases of gastric cancer. In: Salmon SE (ed) Adjuvant therapy of cancer V. Grune & Stratton, Orlando, pp 515–524
33.
Zurück zum Zitat Ichihashi H, Kondo T, Nakazato H (1987) Clinical results of a randomized controlled trial on the effect of adjuvant immunochemotherapy using Esquinon and Krestin in patients with curatively resected gastric cancer—7-year survival—Cooperative Study Group for Cancer Immunochemotherapy, Tokai Gastrointestinal Oncology Group (in Japanese). Gan to Kagaku Ryoho 14:2758–2766PubMed Ichihashi H, Kondo T, Nakazato H (1987) Clinical results of a randomized controlled trial on the effect of adjuvant immunochemotherapy using Esquinon and Krestin in patients with curatively resected gastric cancer—7-year survival—Cooperative Study Group for Cancer Immunochemotherapy, Tokai Gastrointestinal Oncology Group (in Japanese). Gan to Kagaku Ryoho 14:2758–2766PubMed
34.
Zurück zum Zitat Nakazato H, Koike A, Ichihashi H, Saji S, Danno M, Ogawa N (1989) An effect of adjuvant immunochemotherapy using krestin and 5-FU on gastric cancer patients with radical surgery (first report)—a randomized controlled trial by the cooperative study group. Study Group of Immuno-chemotherapy with PSK for Gastric Cancer (in Japanese). Gan to Kagaku Ryoho 16:2563–2576PubMed Nakazato H, Koike A, Ichihashi H, Saji S, Danno M, Ogawa N (1989) An effect of adjuvant immunochemotherapy using krestin and 5-FU on gastric cancer patients with radical surgery (first report)—a randomized controlled trial by the cooperative study group. Study Group of Immuno-chemotherapy with PSK for Gastric Cancer (in Japanese). Gan to Kagaku Ryoho 16:2563–2576PubMed
35.
Zurück zum Zitat Nakazato H, Koike A, Ichihashi H (1989) Results of a randomized controlled trial using adjuvant immunochemotherapy in patients surgically treated for gastric cancer (in Japanese). Biotherapy 3:1356–1360 Nakazato H, Koike A, Ichihashi H (1989) Results of a randomized controlled trial using adjuvant immunochemotherapy in patients surgically treated for gastric cancer (in Japanese). Biotherapy 3:1356–1360
36.
Zurück zum Zitat Sakaguchi Y, Moriguchi S, Maehara Y et al (1989) Effect of postoperative long-term cancer chemotherapy (PLCC) on 15 year survival rate of gastric cancer patients (in Japanese). Biotherapy 3:1353–1355 Sakaguchi Y, Moriguchi S, Maehara Y et al (1989) Effect of postoperative long-term cancer chemotherapy (PLCC) on 15 year survival rate of gastric cancer patients (in Japanese). Biotherapy 3:1353–1355
37.
Zurück zum Zitat Hattori T, Nakajima T, Nakazato H et al (1990) Postoperative adjuvant immunochemotherapy with mitomycin C, tegafur, PSK and/or OK-432 for gastric cancer, with special reference to the change in stimulation index after gastrectomy. Jpn J Surg 20:127–136PubMedCrossRef Hattori T, Nakajima T, Nakazato H et al (1990) Postoperative adjuvant immunochemotherapy with mitomycin C, tegafur, PSK and/or OK-432 for gastric cancer, with special reference to the change in stimulation index after gastrectomy. Jpn J Surg 20:127–136PubMedCrossRef
38.
Zurück zum Zitat Kondo M (1994) Immunotherapy as adjuvant treatment after curative resection of gastric cancer [comment]. Lancet 344:274PubMedCrossRef Kondo M (1994) Immunotherapy as adjuvant treatment after curative resection of gastric cancer [comment]. Lancet 344:274PubMedCrossRef
39.
Zurück zum Zitat Mitomi T, Ogoshi K (1986) Clinical study of PSK as an adjuvant immunochemotherapeutic agent against gastric cancer (in Japanese). Gan To Kagaku Ryoho 13:2532–2537PubMed Mitomi T, Ogoshi K (1986) Clinical study of PSK as an adjuvant immunochemotherapeutic agent against gastric cancer (in Japanese). Gan To Kagaku Ryoho 13:2532–2537PubMed
40.
Zurück zum Zitat Saji S, Takao H, Kida H et al (1987) Effects of postoperative adjuvant immunochemotherapy using PSK for patients of gastric cancer, and its preventive effects on the recurrence (in Japanese). Prog Med 7:1703–1709 Saji S, Takao H, Kida H et al (1987) Effects of postoperative adjuvant immunochemotherapy using PSK for patients of gastric cancer, and its preventive effects on the recurrence (in Japanese). Prog Med 7:1703–1709
41.
Zurück zum Zitat Maehara Y, Moriguchi S, Sakaguchi Y et al (1990) Adjuvant chemotherapy enhances long-term survival of patients with advanced gastric cancer following curative resection. J Surg Oncol 45:169–172PubMedCrossRef Maehara Y, Moriguchi S, Sakaguchi Y et al (1990) Adjuvant chemotherapy enhances long-term survival of patients with advanced gastric cancer following curative resection. J Surg Oncol 45:169–172PubMedCrossRef
42.
Zurück zum Zitat Maehara Y, Emi Y, Sakaguchi Y et al (1990) Postoperative long-term cancer chemotherapy (PLCC) is effective for patients with gastric cancer following curative resection (in Japanese). Nippon Geka Gakkai Zasshi 9:1368–1370 Maehara Y, Emi Y, Sakaguchi Y et al (1990) Postoperative long-term cancer chemotherapy (PLCC) is effective for patients with gastric cancer following curative resection (in Japanese). Nippon Geka Gakkai Zasshi 9:1368–1370
43.
Zurück zum Zitat Maehara Y, Inutsuka S, Takeuchi H, Baba H, Kusumoto H, Sugimachi K (1993) Postoperative PSK and OK-432 immunochemotherapy for patients with gastric cancer. Cancer Chemother Pharmacol 33:171–175PubMedCrossRef Maehara Y, Inutsuka S, Takeuchi H, Baba H, Kusumoto H, Sugimachi K (1993) Postoperative PSK and OK-432 immunochemotherapy for patients with gastric cancer. Cancer Chemother Pharmacol 33:171–175PubMedCrossRef
44.
Zurück zum Zitat Nakao I, Yokoyama T, Urushizaki I et al (1985) Clinical outcome of PSK for advanced gastric cancer (in Japanese). Oncologia 14:163–169 Nakao I, Yokoyama T, Urushizaki I et al (1985) Clinical outcome of PSK for advanced gastric cancer (in Japanese). Oncologia 14:163–169
45.
Zurück zum Zitat Nakazato H, Ichihashi H, Kondo T (1986) Clinical results of a randomized controlled trial on the effect of adjuvant immunochemotherapy using Esquinon and Krestin in patients with curatively resected gastric cancer. Cooperative Study Group of Cancer Immunochemotherapy, Tokai Gastrointestinal Oncology Group (in Japanese). Gan To Kagaku Ryoho 13:308–318PubMed Nakazato H, Ichihashi H, Kondo T (1986) Clinical results of a randomized controlled trial on the effect of adjuvant immunochemotherapy using Esquinon and Krestin in patients with curatively resected gastric cancer. Cooperative Study Group of Cancer Immunochemotherapy, Tokai Gastrointestinal Oncology Group (in Japanese). Gan To Kagaku Ryoho 13:308–318PubMed
46.
Zurück zum Zitat Nakajima T, Inokuchi K, Hattori T et al (1989) Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer—five-year survival rate (in Japanese). Gan to Kagaku Ryoho 16:799–806PubMed Nakajima T, Inokuchi K, Hattori T et al (1989) Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer—five-year survival rate (in Japanese). Gan to Kagaku Ryoho 16:799–806PubMed
47.
Zurück zum Zitat Nio Y, Tsubono M, Tseng CC et al (1992) Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer. Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer (in Japanese). Biotherapy 4:117–128PubMedCrossRef Nio Y, Tsubono M, Tseng CC et al (1992) Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer. Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer (in Japanese). Biotherapy 4:117–128PubMedCrossRef
48.
Zurück zum Zitat Takahashi Y, Mai M, Nakazato H (2005) Preoperative CEA and PPD values as prognostic factors for immunochemotherapy using PSK and 5-FU. Anticancer Res 25:1377–1384PubMed Takahashi Y, Mai M, Nakazato H (2005) Preoperative CEA and PPD values as prognostic factors for immunochemotherapy using PSK and 5-FU. Anticancer Res 25:1377–1384PubMed
49.
Zurück zum Zitat Saji S, Kida T, Kunieda K et al (1985) Five-year survival of gastric cancer patients treated with postoperative long term adjuvant immunochemotherapy. Prog Med 5:485–492 Saji S, Kida T, Kunieda K et al (1985) Five-year survival of gastric cancer patients treated with postoperative long term adjuvant immunochemotherapy. Prog Med 5:485–492
50.
Zurück zum Zitat Akimoto M, Nishihira T, Kasai M (1986) Modulation of the anti-tumor effect of BRM under various nutritional or endocrine conditions (in Japanese). Gan to Kagaku Ryoho 13:1270–1276PubMed Akimoto M, Nishihira T, Kasai M (1986) Modulation of the anti-tumor effect of BRM under various nutritional or endocrine conditions (in Japanese). Gan to Kagaku Ryoho 13:1270–1276PubMed
51.
Zurück zum Zitat Sugimachi K, Maehara Y, Ogawa M, Kakegawa T, Tomita M (1997) Dose intensity of uracil and tegafur in postoperative chemotherapy for patients with poorly differentiated gastric cancer. Cancer Chemother Pharmacol 40:233–238PubMedCrossRef Sugimachi K, Maehara Y, Ogawa M, Kakegawa T, Tomita M (1997) Dose intensity of uracil and tegafur in postoperative chemotherapy for patients with poorly differentiated gastric cancer. Cancer Chemother Pharmacol 40:233–238PubMedCrossRef
52.
Zurück zum Zitat Hanazaki K, Sodeyama H, Yokoyama S et al (1998) Postoperative chemotherapy may improve prognosis in unresectable gastric cancer. J Clin Gastroenterol 26:269–273PubMedCrossRef Hanazaki K, Sodeyama H, Yokoyama S et al (1998) Postoperative chemotherapy may improve prognosis in unresectable gastric cancer. J Clin Gastroenterol 26:269–273PubMedCrossRef
53.
Zurück zum Zitat Kuroda Y, Horikawa N, Tsuji M et al (1998) Usefulness of polysaccharide K (PSK) as postoperative adjuvant immunotherapy in patients with stage IV gastric cancer. Int J Clin Oncol 3:311–316 Kuroda Y, Horikawa N, Tsuji M et al (1998) Usefulness of polysaccharide K (PSK) as postoperative adjuvant immunotherapy in patients with stage IV gastric cancer. Int J Clin Oncol 3:311–316
54.
Zurück zum Zitat Ogoshi K, Miyaji M, Iwata K, Kondo Y, Tajima T, Mitomi T (1990) Effect of postoperative adjuvant immunochemotherapy on panperitonitis carcimatous stomach cancer (in Japanese). Biotherapy 4:676–679 Ogoshi K, Miyaji M, Iwata K, Kondo Y, Tajima T, Mitomi T (1990) Effect of postoperative adjuvant immunochemotherapy on panperitonitis carcimatous stomach cancer (in Japanese). Biotherapy 4:676–679
55.
Zurück zum Zitat Sakamoto J, Koike A, Saji S, Teramukai S, Ohashi Y, Nakazato H (1992) Preoperative serum immunosuppressive acidic protein (IAP) test for the prognosis of gastric cancer: a statistical study of the threshold level and evaluation of the effect of the biological response modifier PSK. Jpn J Surg 22:530–536CrossRef Sakamoto J, Koike A, Saji S, Teramukai S, Ohashi Y, Nakazato H (1992) Preoperative serum immunosuppressive acidic protein (IAP) test for the prognosis of gastric cancer: a statistical study of the threshold level and evaluation of the effect of the biological response modifier PSK. Jpn J Surg 22:530–536CrossRef
56.
Zurück zum Zitat Toge T, Yamaguchi Y (2000) Protein-bound polysaccharide increases survival in resected gastric cancer cases stratified with a preoperative granulocyte and lymphocyte count. Oncol Rep 7:1157–1161PubMed Toge T, Yamaguchi Y (2000) Protein-bound polysaccharide increases survival in resected gastric cancer cases stratified with a preoperative granulocyte and lymphocyte count. Oncol Rep 7:1157–1161PubMed
57.
Zurück zum Zitat Sakamoto J, Teramukai S, Nakazato H et al (2002) Efficacy of adjuvant immunochemotherapy with OK-432 for patients with curatively resected gastric cancer: a meta-analysis of centrally randomized controlled clinical trials. J Immunother 25:405–412PubMedCrossRef Sakamoto J, Teramukai S, Nakazato H et al (2002) Efficacy of adjuvant immunochemotherapy with OK-432 for patients with curatively resected gastric cancer: a meta-analysis of centrally randomized controlled clinical trials. J Immunother 25:405–412PubMedCrossRef
58.
Zurück zum Zitat Algarra I, Collado A, Garrido F (1999) Protein bound polysaccharide PSK abrogates more efficiently experimental metastases derived from H-2 negative than from H-2 positive fibrosarcoma tumor clones. J Exp Clin Cancer Res 16:373–380 Algarra I, Collado A, Garrido F (1999) Protein bound polysaccharide PSK abrogates more efficiently experimental metastases derived from H-2 negative than from H-2 positive fibrosarcoma tumor clones. J Exp Clin Cancer Res 16:373–380
59.
Zurück zum Zitat Nio Y, Tsubono M, Tseng CC et al (1992) Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer. Biotherapy 4:117–128PubMedCrossRef Nio Y, Tsubono M, Tseng CC et al (1992) Immunomodulation by orally administered protein-bound polysaccharide PSK in patients with gastrointestinal cancer. Biotherapy 4:117–128PubMedCrossRef
60.
Zurück zum Zitat Pedrinaci S, Algarra I, Garrido F (1999) Protein-bound polysaccharide (PSK) induces cytotoxic activity in the NKL human natural killer cell line. Int J Clin Lab Res 29:135–140PubMedCrossRef Pedrinaci S, Algarra I, Garrido F (1999) Protein-bound polysaccharide (PSK) induces cytotoxic activity in the NKL human natural killer cell line. Int J Clin Lab Res 29:135–140PubMedCrossRef
61.
Zurück zum Zitat Shibata M, Nezu T, Fujisaki S, Andou K, Tomita R, Fukuzawa M (2002) Clinical potential of biological response modifiers combined with chemotherapy for gastric cancer. Dig Surg 19:255–260PubMedCrossRef Shibata M, Nezu T, Fujisaki S, Andou K, Tomita R, Fukuzawa M (2002) Clinical potential of biological response modifiers combined with chemotherapy for gastric cancer. Dig Surg 19:255–260PubMedCrossRef
62.
Zurück zum Zitat Ueda Y, Fujimura T, Kinami S et al (2006) A randomized phase III trial of postoperative adjuvant therapy with S-1 alone versus S-1 plus PSK for stage II/IIIA gastric cancer: Hokuriku-Kinki Immunochemo-Therapy Study Group-Gastric Cancer (HKIT-GC). Jpn J Clin Oncol [Epub ahead of print] Ueda Y, Fujimura T, Kinami S et al (2006) A randomized phase III trial of postoperative adjuvant therapy with S-1 alone versus S-1 plus PSK for stage II/IIIA gastric cancer: Hokuriku-Kinki Immunochemo-Therapy Study Group-Gastric Cancer (HKIT-GC). Jpn J Clin Oncol [Epub ahead of print]
Metadaten
Titel
Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curative resections of gastric cancer
verfasst von
Koji Oba
Satoshi Teramukai
Michiya Kobayashi
Takanori Matsui
Yasuhiro Kodera
Junichi Sakamoto
Publikationsdatum
01.06.2007
Verlag
Springer-Verlag
Erschienen in
Cancer Immunology, Immunotherapy / Ausgabe 6/2007
Print ISSN: 0340-7004
Elektronische ISSN: 1432-0851
DOI
https://doi.org/10.1007/s00262-006-0248-1

Weitere Artikel der Ausgabe 6/2007

Cancer Immunology, Immunotherapy 6/2007 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.