Therapeutic effect of boron neutron supplementation therapy with PDL1 antibody for advanced bladder cancer (including metastasis)
Project/Area Number |
21K09386
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 56030:Urology-related
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Research Institution | Osaka Medical and Pharmaceutical University |
Principal Investigator |
東 治人 大阪医科薬科大学, 医学部, 教授 (40231914)
|
Co-Investigator(Kenkyū-buntansha) |
鈴木 実 京都大学, 複合原子力科学研究所, 教授 (00319724)
小野 公二 大阪医科薬科大学, BNCT共同臨床研究所, 所長 (90122407)
稲元 輝生 大阪医科薬科大学, 医学部, 准教授 (20330087)
小村 和正 大阪医科薬科大学, 医学部, 講師 (10789853)
上原 博史 大阪医科薬科大学, 医学部, 准教授 (20822555)
|
Project Period (FY) |
2021-04-01 – 2026-03-31
|
Project Status |
Granted (Fiscal Year 2023)
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Budget Amount *help |
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2025: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2024: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2023: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2022: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2021: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
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Keywords | 膀胱温存 / 浸潤癌 / BOAI / BNCT |
Outline of Research at the Start |
①膀胱、および、骨盤内リンパ組織に極めて高濃度の硼素化合物を投与可能とする“BOAI法”を用いて、膀胱癌細胞、特に核内に選択的に集積、移行するべく特殊加工した“膀胱癌細胞親和性硼素化合物(現在作成中)”を投与することによって、膀胱癌細胞により選択的に高濃度の硼素化合物を取り込ませ、癌細胞を選択的に破壊するBOAI-BNCT法の開発、および、② ICI併用による転移抑制効果(アブスコパル効果)の検討
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Outline of Annual Research Achievements |
本研究は、血流塞栓膀胱動脈選択的動脈内投与法(baloon occluded arterial infusion: BOAI法)と癌選択的な標的粒子線治療“硼素中性子捕捉療法(BNCT)”を併用すること(BOAI-BNCT療法)によって、副作用が極めて少ない新規膀胱温存治療を開発・臨床応用すること、および、免疫チェックポイント阻害薬併用によるアブスコパル効果の増強を期待した転移抑制を目的としている。BOAI-BNCT療法とは“癌選択的な標的粒子線治療” 硼素中性子捕捉療法(BNCT)は、癌細胞選択的に取り込まれる硼素(10B)化合物を予め投与しておき、熱中性子線を照射することにより、10Bを殆ど取り込まない正常細胞は障害されないが、10Bを多く取り込んだ癌細胞では細胞内部で硼素と熱中性子の核反応が生じ、核反応により発生した高エネルギーのα線と7Li粒子が癌細胞を選択的に破壊する、「正常組織温存+癌細胞選択的破壊治療」である。本治療法の大きな利点は、核反応により発生するα線も7Li粒子も飛距離10ミクロン以下のため、周囲細胞に影響を及ぼさず、硼素を取り込んだ癌細胞のみを選択的に破壊できることであり、また、本治療の成否は、いかに十分量の硼素化合物を癌細胞に選択的に集積させるかにかかっている。そこで我々は、膀胱、および、骨盤内リンパ組織に極めて高濃度の硼素化合物を投与可能とする“BOAI法”(血流塞栓用バルーン付カテーテルを用いて膀胱動脈選択的に硼素化合物を動脈内投与する)を用いて、膀胱癌細胞、特に核内に選択的に集積、移行するべく特殊加工した“膀胱癌細胞親和性硼素化合物(現在作成中)”を投与することによって、膀胱癌細胞により選択的に高濃度の硼素化合物を取り込ませ、癌細胞を選択的に破壊するBOAI-BNCT法を開発している。
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Current Status of Research Progress |
Current Status of Research Progress
2: Research has progressed on the whole more than it was originally planned.
Reason
転移の部位、状態が目で見てわかる“マウスビジュアル膀胱癌転移モデル”を用いたBOAI-BNCT療法の治療効果の確認 1、“マウスビジュアル膀胱癌転移モデル”:臨床的に非常に重要な“転移のメカニズムと治療”について、これまで有用な動物モデルがないため研究が進まなかったが、我々は膀胱癌細胞株T24のゲノム内にLuciferase発現遺伝子を導入したFSR-T24を作成し、これをマウスに移植することによって転移の部位、状態が目で見てわかる、マウスビジュアル膀胱癌転移モデルを確立した (癌細胞が複性した後にも発光することによって、転移巣をビジュアルで確認できる)。 2、作成方法:ヌードマウスの陰茎背静脈からLuciferase発現遺伝子を導入したFSR-T24を107 ずつ静脈内投与する。 腫瘍細胞は約1か月後に肺、肝臓で多発する転移巣を形成し、蛍光発光するため体表からも観察可能である。 N=20 3、硼素化合物の癌細胞選択的移行の確認:マウスビジュアル膀胱癌転移モデルに硼素化合物を静注投与し、各転移巣における硼素化合物の取り込み状況をKUR-BSH定量システムを用いて定量し、また、核内移行を免疫組織染色により確認する。 4、治療効果の確認:硼素化合物投与後、中性子を照射し癌細胞を選択的に破壊する。転移巣の大きさは目で見て測定可能であり、血液データをチェックすることにより、治療効果と副作用を同時に判定しつつ、生存期間の延長も検討でき、実際の臨床に即した極めて有用なモデルである。
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Strategy for Future Research Activity |
免疫チェックポイント阻害薬(ICI)併用による転移抑制効果の検討: 近年、放射線療法による癌免疫賦活は多く報告されており、当科でも骨転移に放射線照射を施行した際、肺転移が著明に縮小した症例を経験している。そこで、BNCTにICIを併用投与することよる転移抑制効果を検討する。ICIは作用が発現するまである程度時間がかかることが少なくないこと、また、効果の部位は全身に発現することが予想されることから、転移巣の大きさ、血液データを継続的に測定可能である当モデルは極めて有用であると思われる。また、作用機序や、サロゲートマーカーなどを詳細に検討可能であり、同時に、生存期間の延長も検討できることなど、今後の実臨床に貢献する極めて有用な研究課題であると期待している。
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Report
(3 results)
Research Products
(54 results)
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[Journal Article] Optimal Time Point for Evaluation of Response to Pembrolizumab Treatment in Japanese Patients With Metastatic Urothelial Carcinoma2023
Author(s)
Inamoto T,Sato R,Matsushita Y,Uchimoto T,Nakamuran K.O, Komura K , Nishimura N,Yano Y, Nishio K,Kinoshita S,Fukushima T,Matsunaga T, Nakamori K,Tsutsumi T,Tsujino T,Uehara H,Takahara K, Miyake H,Azuma H.
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Journal Title
Cancer Diagnosis & Prognosis
Volume: 3
Issue: 3
Pages: 370-6
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Usefulness of Dietary Salt Restriction in Kidney Transplant Recipients: Analysis of Blood Pressure Levels Depending on the Differences in the Levels of Salt Intake2023
Author(s)
Hirano H,Fujiwara Y, Maenosono R,Minami K,Uehara H,Okabe T, Nakamori K,Nomi H,Komura K, Inamoto T,Azuma H.
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Journal Title
Transplantation Proceedings
Volume: 55
Issue: 4
Pages: 841-4
DOI
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[Journal Article] Efficacy and Safety of Bladder Preservation Therapy in Combination with Atezolizumab and Radiation Therapy (BPT-ART) for Invasive Bladder Cancer: Interim Analysis from a Multicenter, Open-label, Prospective Phase 2 Trial2023
Author(s)
Kimura T,Ishikawa H,Nagumo Y,Sekino Y,Kageyama Y,Ushijima H,Kawai T,Yamashita H, Azuma H, Nihei K, Takemura M, Hashimoto K,Maruo K,Tsuzuki T, Nishiyama H.
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Journal Title
International Journal of Radiation Oncology*Biology*Physics
Volume: 117
Issue: 3
Pages: 644-51
DOI
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[Journal Article] Platelet count and dose, but not comorbidities, predict severe neutropenia in cabazitaxel-treated prostate cancer patients: A?retrospective observational study2023
Author(s)
Kataoka N,Hata T, Hosomi K, Hirata A, Goto E, Nishihara M, Inamoto T,Azuma H, Neo M.
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Journal Title
Int. Journal of Clinical Pharmacology and Therapeutics
Volume: 61
Issue: 09
Pages: 386-93
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Tertiary lymphoid structure and neutrophil?lymphocyte ratio coordinately predict outcome of pembrolizumab2023
Author(s)
Komura K,Tokushige S, Ishida M, Hirosuna K,Yamazaki S,Nishimura K,Ajiro M,Ohno T,Nakamori K,Kinoshita S,Tsujino T, Maenosono R,Yoshikawa Y, Takai T, Tsutsumi T,Taniguchi K,Tanaka T,Takahara K, Inamoto T,Hirose Y, Ono F,Shiraishi Y,Yoshimi A,Azuma H.
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Journal Title
Cancer Science
Volume: 114
Issue: 12
Pages: 4622-31
DOI
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[Journal Article] Nephron-sparing ureteroscopic surgery vs. radical nephroureterectomy: comparable survival-outcomes in upper tract urothelial carcinoma2023
Author(s)
Tsujino T,Komura K,Inamoto T,Maenosono R,Hashimoto T, Adachi T, Hirasawa Y,Tokushige S,Ohno T,Yamazaki S,Fukushima T,Nakamura K,Yano Y,Nishimura K,Kinoshita S,Nakamori K,Tsutsumi T,Matsunaga T,Yoshikawa Y,Uchimoto T,Takai T,Minami K,Uehara H,Hirano H,Nomi H,Takaraha K,Ohno Y,Azuma H.
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Journal Title
World Journal of Urology
Volume: 41
Issue: 12
Pages: 3585-91
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] The Impact of FGFR3 Alterations on the Tumor Microenvironment and the Efficacy of Immune Checkpoint Inhibitors in Bladder Cancer2023
Author(s)
Komura K, Hirosuna K, Tokushige S, Nishimura K, Ishida M, Hayashi T, Ura A, Ohno T, Yamazaki S, Nakamori K, Kinoshita S, Tsujino T, Maenosono R, Ajiro M, Yoshikawa Y, Takai T, Tsutsumi T, Taniguchi K, Tanaka T, Takahara K, Konuma T, Inamoto T, Hirose Y, Ono F, Shiraishi Y, Yoshimi A#, Azuma H.
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Journal Title
Molecular Cancer
Volume: 22
Issue: 1
Pages: 185-185
DOI
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[Journal Article] Bronchogenic cysts in rare sites (retroperitoneum, skin, spinal cord and pericardial cavity): A case series and characterization of epithelial phenotypes2023
Author(s)
Onish Y,Kawabata S,Yasuda E, Ibuki N, Azuma H, Hirota Y, Ueda K, Neo M, Daimon M, Kurisu Y, Hirose Y.
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Journal Title
Biomedical Reports
Volume: 20
Issue: 2
Pages: 1-8
DOI
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[Journal Article] Real‐world outcomes of avelumab plus axitinib as first‐line therapy in patients with advanced renal cell carcinoma in Japan: A?multicenter, retrospective, observational study (J‐DART)2023
Author(s)
Kato T,Nakano Y, Hongo F, Katano H, Miyagawa T,Ueda K, Azuma H,Nozawa M, Hinata N, Hori J,Otoshi T,Shimizu N,Aizawa M,Osada S,Matsui A, Oya M, Eto M, Tomita Y,Shinohara N, Uemura H.
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Journal Title
International Journal of Urology
Volume: 31
Issue: 3
Pages: 265-72
DOI
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[Journal Article] CRISPR screens reveal genetic determinants of PARP inhibitor sensitivity and resistance in prostate cancer.2023
Author(s)
Tsujino T, Takai T, Hinohara K, Gui F, Tsutsumi T, Bai X, Miao C, Feng C, Gui B, Sztupinszki Z, Simoneau A, Xie N, Fazli L, Dong X, Azuma H, Choudhury AD, Kent W. Mouw, Szallasi Z, Zou L,Kibel1 AS, Jia L.
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Journal Title
Nature Communications
Volume: 14
Issue: 1
Pages: 1-19
DOI
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[Journal Article] Concurrent palliative radiation with pembrolizumab for platinum-refractory urothelial carcinoma is associated with improved overall survival2022
Author(s)
Nakamori K, Yamazaki S, Komura K, Fukuokaya W, Adachi T, Hirasawa Y, Hashimoto T, Yoshizawa A, Ohno T, Yano Y, Nishimura K, Tokushige S, Uchimoto T, Yamamoto S, Iwatani K, Urabe F, Mori K, Yanagisawa T, Tsuduki S, Takahara K, Inamoto T, Miki J, Kimura T, Ohno Y, Shiroki R, Azuma H.
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Journal Title
Clin Transl Radiat Oncol.
Volume: 39
Pages: 5659-5659
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Prognostic value of the fluctuation in the neutrophil lymphocyte ratio at 6 weeks of pembrolizumab treatment is specific to the clinical response in metastatic urothelial carcinoma.2022
Author(s)
Uchimoto T,Nakamura K, Komura K, Fukuokaya W, Yano Y, Nishimura K, Kinoshita S, Nishio K, Fukushima T, Nakamori K, Matsunaga T, Tsutsumi T, Tsujino T, Taniguchi K, Tanaka T, Uehara H, Takahara K, Inamoto T, Kimura T, Egawa S, Azuma H.
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Journal Title
Urologic oncology
Volume: 40
Issue: 7
Pages: 11-17
DOI
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[Journal Article] Unplanned hemodialysis initiation and low geriatric nutritional risk index scores are associated with end-stage renal disease outcomes.2022
Author(s)
Maenosono R,Fukushima T, Kobayashi D, Matsunaga T, Yano Y, Taniguchi S, Fujiwara Y, Komura K, Uehara H, Kagitani M, Hirano H, Inamoto T, Nomi H, Azuma H.
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Journal Title
Scientific Reports
Volume: 12
Issue: 1
Pages: 11101-11101
DOI
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[Journal Article] Increased MYBL2 expression in aggressive hormone-sensitive prostate cancer.2022
Author(s)
Yoshikawa Y, Stopsack KH, Wang V, Chen YH, Mazzu YZ, Burton F, Chakraborty G, Rajanala SH, Hirani R, Nandakumar S,Lee GM, Flank D, Davicioni E, Liu G, Carducci MA, Azuma H, Kantoff PW, Sweeney CJ.
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Journal Title
Mol. Oncol
Volume: 16
Issue: 22
Pages: 3994-4010
DOI
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[Journal Article] Serum C-reactive Protein Level Predicts Overall Survival for Clear Cell and Non-Clear Cell Renal Cell Carcinoma Treated with Ipilimumab plus Nivolumab.2022
Author(s)
Yano Y, Ohno T, Komura K, Fukuokaya W, Uchimoto T, Adachi T, Hirasawa Y, Hashimoto T, Yoshizawa A, Yamazaki S, Tokushige S, Nishimura K, Tsujino T, Nakamori K, Yamamoto S, Iwatani K, Urabe F, Mori K, Yanagisawa T, Tsuduki S, Takahara K, Inamoto T, Miki J, Kimura T, Ohno Y, Shiroki R, Azuma H.
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Journal Title
Cancers
Volume: 14
Issue: 22
Pages: 5659-69
DOI
Related Report
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[Journal Article] Efficacy of pembrolizumab and comprehensive CD274/PD-L1 profiles in patients previously treated with chemoradiation therapy as radical treatment in bladder cancer2022
Author(s)
Nishimura k, Nishio K, Hirosuna K,Komura K, Hayashi T,Fukuokaya W, Ura A,Uchimoto T, Nakamura K, Fukushima T,Yano Y,Takahashi N, Nakamori K, Kinoshita S,Matsunaga T, Tsutsumi T,Tsujino T,Taniguchi K,Tanaka T,Uehara H, Takahara K,Inamoto T,Hirose Y,Kimura T,Egawa S,Azuma H.
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Journal Title
Journal for ImmunoTherapy of Cancer
Volume: 10
Issue: 1
Pages: e003868-e003868
DOI
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[Journal Article] RB1 loss overrides PARP inhibitor sensitivity driven by RNASEH2B loss in prostate cancer.2022
Author(s)
Tsujino T,Miao C, Takai T,Gui F, Tsutsumi T,Sztupinszki Z, Wang Z, Azuma H,Szallasi Z,Mouw K.W,Zou L,Kibel A.S,Jia L.
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Journal Title
Scinece Advances
Volume: 8(7)
Issue: 7
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[Journal Article] Bladder cancer prospective cohort study on high-risk non-muscle invasive bladder cancer after photodynamic diagnosis-assisted transurethral resection of the bladder tumor (BRIGHT study).2021
Author(s)
Kobayashi K,Matsuyama H,Kawai T, Ikeda A,Miyake M,Nishimoto K, Matsushita Y, Komura K,Abe T, Kume H, Nishiyama H, Fujimoto K,Oyama M, Miyake H, Inoue K,Mitsui T,Kawakita M,Ohyama C, Mizokami A,Kuroiwa H.
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Journal Title
International Journal of Urology
Volume: online
Issue: 7
Pages: 1-7
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[Journal Article] Recipient sex and estradiol levels affect transplant outcomes in an age-specific fashion.2021
Author(s)
Maenosono R, Nian Y, Iske J,Minami K, Rommel T, Martin F, Abdi R,Azuma H, Rosner BA, Zhou H, Milford E, Elkhal A, Tullius SG.
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Journal Title
American Journal of Transplantation
Volume: 21(10)
Issue: 10
Pages: 3239-55
DOI
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[Journal Article] Risk Classification for Overall Survival by the Neutrophil-Lymphocyte Ratio and the Number of Metastatic Sites in Patients Treated with Pembrolizumab-A Multicenter Collaborative Study in Japan.2021
Author(s)
Uchimoto T,Komura K,Fukuokaya W, Kimura T,Takahashi K, Yano Y, Nishimura K Nakamori K,Fujiwara Y,Matsunaga T,Tsutsumi T,Tsujino T, Maenosono R,Yoshikawa Y,Taniguchi K,Tanaka T,Uehara H, Hirano H,Nomi H,Takahara K,Inamoto T,Egawa S, Azuma H.
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Journal Title
Cancers
Volume: 13(14)3554
Issue: 14
Pages: 1-10
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[Journal Article] Taurodeoxycholic acid and valine reverse obesity-associated augmented alloimmune responses and prolong allograft survival.2021
Author(s)
Quante M, Iske J, Uehara H, Minami K, Nian Y, Maenosono R, Matsunaga T, Liu Y, Azuma H, Perkins D, Alegre ML, Zhou H, Elkhal A, Tullius SG.
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Journal Title
American Journal of Transplantation
Volume: 22
Issue: 2
Pages: 402-13
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[Presentation] Re-challenging Chemotherapy after Pembrolizumab in Platinum-Refractory Urothelial Carcinoma.2023
Author(s)
Uchimoto T,Komura K, Fukuokaya W, Adachi T, Yoshizawa A, Hashimoto T, Takahara K, Inamoto T, Kimura T, Ohno Y, Shiroki R, Egawa S, Azuma H.
Organizer
第110回日本泌尿器科学会総会
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[Presentation] Correlation between genetic alterations fibroblast growth factor recepters and immune-microenvironment profiles in bladder cancer.2023
Author(s)
Nishimur K,Komura K,Hirosuna K,Hayashi T,Ura A,Tsujino T,Uchimoto T,Minami K,Uehara H,Inamoto T,Yoshimi A, Azuma H.
Organizer
第110回日本泌尿器科学会総会
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[Presentation] Serum C-reactive Protein Level Predicts Overall Survival for Clear Cell and Non-Clear Cell Renal Cell Carcinoma Treated with Ipilimumab plus Nivolumab.2023
Author(s)
Yano Y,Ohno T, Komura K,Fukuokaya W,Uchimoto T, Adachi T,Hirasawa Y,Hashimoto T, Yoshizawa A,Yamazaki S,Tokushige S, Nishimura K,Tsujino T,Nakamori K,Yamamoto S,Iwatani K,Urabe F,Mori K,Yanagisawa T,Tsuduki S,Takahara K,Inamoto T,Miki J,Kimura T,Ohno Y,Shiroki R, Azuma H.
Organizer
第110回日本泌尿器科学会総会
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[Presentation] Importance of management of lifestyle-related diseases after kidney donation to living donors.2023
Author(s)
Hirano H,Fujiwara Y, Okabe T,Nakamori K, Maenosono R, Minami K,Uehara H, Nomi H,Komura K,Inamoto, Azuma H.
Organizer
CAST2023
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[Presentation] The association between outcome and malnutrition score in hemodialysis associated renal cancer patients.2023
Author(s)
Maenosono R,Okabe T,Shinmyo T, Hanamori T, Goji K,Tsujino T, Uehara H,Komura K,Hirano H, Nomi H,Inamoto T,Azuma H.
Organizer
AOS2023
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[Presentation] Re-challenging Chemotherapy after Pembrolizumab in Platinum-Refractory Urothelial Carcinoma.2023
Author(s)
Uchimoto T,Komura K, Fukuokaya W, Adachi T, Yoshizawa A, Hashimoto T, Takahara K, Inamoto T, Kimura T, Ohno Y, Shiroki Ri, Egawa S, Azuma H.
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The 3rd Interanational Cogress of the Asisan Oncology Society
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[Presentation] 根治的化学放射線療法後の転移性膀胱癌におけるPembrolizumab有効性/包括的PD-L1解析.2022
Author(s)
西村一希,小村和正,木村高弘,林大久夫,内本泰三,福岡屋航,浦礼子,上原博史,平野 一,稲元輝生,能見勇人,廣瀬善信,穎川晋,東 治人.
Organizer
第60回日本癌治療学会学術集会
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[Presentation] Cost Effectiveness of Kidney Transplantation in High-Immunological Risk Patients in a Japan Cohort2022
Author(s)
Maenosono R,Unagami k, Oki R, Fujiwara Y, Yagisawa T,Kanzawa T,Hirai T,Omoto K,Azuma H,Ishida H, Takagi T.
Organizer
Transplantation Science Symposium(TSS) Asian Regional Meeting 2022
Related Report
Int'l Joint Research
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[Presentation] Re-challenging Chemotherapy in Patients with Platinum-Refractory Urothelial Carcinoma Previously Treated with Pembrolizumab.2022
Author(s)
Uchimoto T,Komura K, Fukuokaya W, Adachi T, Yoshizawa A, Hashimoto, Takahara K, Inamoto T, Kimura T, Ohno Y, Shiroki R, Egawa S, Azuma H.
Organizer
第60回日本癌治療学会学術集会
Related Report
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[Presentation] Usefulness Of Dietary Salt Restriction In Kidney Transplant Recipients: Analysis Of Blood Pressure Levels Depending On The Differences In The Levels Of Salt Intake2022
Author(s)
Hirano H,Fujiwara Y, Maenosono R,Minami K,Uehara H,Okabe T,Nakamori K, Nomi H,Komura K,Inamoto T, Azuma H.
Organizer
2022 TSS
Related Report
Int'l Joint Research
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[Presentation] Occurrence of Malignant Tumors in Post-Renal Transplant Patients at Our Hospital2022
Author(s)
Minami K,Hirano H, Uehara H,Komura K, Maenosono R,Fujiwara Y,Okabe T, Nakamori K,Inamoto T,Nomi H, Azuma H.
Organizer
2022 TSS
Related Report
Int'l Joint Research
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