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Study on development and clinical application of the innovative isolated pancreas perfusion therapy for the refractory pancreatic cancer

Research Project

Project/Area Number 23390306
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Radiation science
Research InstitutionNippon Medical School

Principal Investigator

MURATA Satoru  日本医科大学, 医学部, 准教授 (80322501)

Project Period (FY) 2011-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥17,030,000 (Direct Cost: ¥13,100,000、Indirect Cost: ¥3,930,000)
Fiscal Year 2013: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2012: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2011: ¥8,840,000 (Direct Cost: ¥6,800,000、Indirect Cost: ¥2,040,000)
Keywords膵 / 灌流療法 / 経皮的 / 急性期障害 / 亜急性期障害 / 病理学的変化 / 臨床試験 / 膵がん / 動物実験 / Pilot study / シスプラチン / 注入速度 / 膵浮腫
Research Abstract

The aim of this study was to evaluate the feasibility of percutaneous isolated pancreas perfusion (PIPP). (1) Animal study: PIPP was performed at 4 infusion rates. The organs were examined angiographically and histopathologically, and the maximum platinum concentration (Cmax) and the concentration–time curve (AUC) were measured. (2) Clinical study: We have begun the 3 + 3 cisplatin (from 20 mg/m2) dose-escalation design was selected to determine the dose-limiting adverse events toxicity (DLT) and maximum tolerated dose for advanced pancreas cancer. (1) Angiography confirmed the PIPP system. Histopathological examinations showed no abnormalities in the pancreas only at an infusion rate of 40 ml/min. The pancreas to systemic exposure ratio was over 70-fold in terms of Cmax and 58-fold in terms of AUC. (2) PIPP was successfully performed in 5 patients. No DLTs were observed until 25 mg/m2 of cisplatin. In conclusion, PIPP appears a safe and feasible technique for pancreas cancer.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • Research Products

    (56 results)

All 2014 2013 2012 2011 Other

All Journal Article (20 results) (of which Peer Reviewed: 20 results,  Open Access: 1 results) Presentation (31 results) (of which Invited: 17 results) Patent(Industrial Property Rights) (5 results)

  • [Journal Article] Hemodynamics in rat liver tumor model during retrograde-outflow isolated hepatic perfusion with aspiration from the portal vein: Angiography and in vivo microscopy2014

    • Author(s)
      Murata S, Jeppsson B, Lunderquist A, Ivancev K
    • Journal Title

      Acta Radiol

      Volume: 55 Issue: 6 Pages: 737

    • DOI

      10.1177/0284185113505258

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Interventional treatment for unresectable hepatocellular carcinoma2014

    • Author(s)
      Murata S, Mine T, Sugihara F, et al. (8人中1番目)
    • Journal Title

      World J Gastroenterol

      Volume: (in press)

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Contribution of extrahepatic collaterals to liver parenchymal circulation after proper hepatic artery embolization2014

    • Author(s)
      Mine T, Murata S, Ueda T, et al. (8人中2番目)
    • Journal Title

      J Gastroenterol Hepatol

      Volume: 29 Issue: 7 Pages: 1515

    • DOI

      10.1111/jgh.12571

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of right adrenal vein cannulation by computed tomography angiography in 140 consecutive patients undergoing adrenal venous sampling2014

    • Author(s)
      Onozawa S, Murata S, Tajima H, (9人中2番目)
    • Journal Title

      Eur J Endocrinol

      Volume: 170 Issue: 4 Pages: 601

    • DOI

      10.1530/eje-13-0741

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Endovascular embolization strategy for renal arteriovenous malformations2014

    • Author(s)
      Murata S, Onozawa S, Nakazawa K, et al. (10人中1番目)
    • Journal Title

      Acta Radiol

      Volume: 55 Issue: 1 Pages: 71

    • DOI

      10.1177/0284185113493085

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Interventional treatment for unresectable hepatocellular carcinoma.2014

    • Author(s)
      Murata S, Mine T, Sugihara F, Yasui D, Yamaguchi H, Ueda T, Onozawa S, Kumita S.
    • Journal Title

      World J Gastroenterol

      Volume: 印刷中

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Negative-balance isolated pelvic perfusion in patients with incurable symptomatic rectal cancer: Results and drug dose correlation to adverse events2013

    • Author(s)
      Murata S, Onozawa S, Kim C, et al.(7人中1番目)
    • Journal Title

      Acta Radiol

      Volume: 55 Issue: 7 Pages: 793

    • DOI

      10.1177/0284185113507253

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Transcatheter arterial embolization of anomalous systemic arterial supply to the basal segment of the lung2013

    • Author(s)
      Sugihara F, Murata S, Uchiyama F, et al. (8人中2番目)
    • Journal Title

      Acta Radiol Short Rep

      Volume: 2(7) Issue: 7 Pages: 2047981613511363-2047981613511363

    • DOI

      10.1177/2047981613511363

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Management of gastric varices unsuccessfully treated by balloon-occluded retrograde transvenous obliteration: Long-term follow-up and outcomes2013

    • Author(s)
      Uchiyama F, Murata S, Onozawa S, et al. (10人中2番目)
    • Journal Title

      ScientificWorldJournal

      Volume: 2013 Issue: 1 Pages: 498535-498535

    • DOI

      10.1155/2013/498535

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Transcatheter arterial chemoembolization based on hepatic hemodynamics for hepatocellular carcinoma2013

    • Author(s)
      Murata S, Mine T, Ueda T, et al. (7人中1番目)
    • Journal Title

      Scie ntificWorldJournal

      Volume: 2013 Issue: 1 Pages: 479805-479805

    • DOI

      10.1155/2013/479805

    • Related Report
      2013 Final Research Report 2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the antitumor efficacy of transcatheter arterial chemoembolization with a miriplatin-iodized oil suspension and a cisplatin-iodized oil suspension for hepatocellular carcinoma2013

    • Author(s)
      Ueda T, Murata S, Yasui D, et al. (5人中2番目)
    • Journal Title

      Hepatol Res

      Volume: 43 Issue: 10 Pages: 1071

    • DOI

      10.1111/hepr.12212

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Glue embolization for gastroduodenal ulcer bleeding: Contribution to hemodynamics and healing process2013

    • Author(s)
      Mine T, Murata S, Nakazawa K, et al. (8人中2番目)
    • Journal Title

      Acta Radiol

      Volume: 54 Issue: 8 Pages: 934

    • DOI

      10.1177/0284185113484644

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Endovascular embolization strategy for renal arteriovenous malformations.2013

    • Author(s)
      Satoru Murata, et al.
    • Journal Title

      Acta Radiologica

      Volume: in press

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The role of glue embolization for gastroduodenal ulcer bleeding; Contribution for healing process of ulcer.2013

    • Author(s)
      Takahiko Mine, Satoru Murata, et al
    • Journal Title

      Acta Radiologica

      Volume: in press

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the antitumor efficacy of transcatheter arterial chemoembolization with a miriplatin-iodized oil suspension and a cisplatin-iodized oil suspension for hepatocellular carcinoma.2013

    • Author(s)
      Tatsuo Ueda, Satoru Murata, et al
    • Journal Title

      Hepatology Research

      Volume: in press

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Novel endovascular techniques to control in-outflow with dual approach for large pelvic arteriovenous malformation.2013

    • Author(s)
      Takahiko Mine, Satoru Murata, et al
    • Journal Title

      Journal of Vascular Surgery

      Volume: in press

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparative study of cisplatin-iodized oil suspension and emulsion for transcatheter arterial chemoembolization of rabbit VX2 liver tumors2012

    • Author(s)
      Mine T, Murata S, Ueda T, et al. (7人中2番目)
    • Journal Title

      Hepatol Res

      Volume: 42 Issue: 5 Pages: 473

    • DOI

      10.1111/j.1872-034x.2011.00942.x

    • NAID

      10031144261

    • Related Report
      2013 Final Research Report 2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pharmacologic advantages of negative-balance isolated pelvic perfusion: Achievement of intensive exposure of the pelvis to platinum without systemic leakage2012

    • Author(s)
      Murata S
    • Journal Title

      Radiology

      Volume: 262 Issue: 2 Pages: 503

    • DOI

      10.1148/radiol.11102453

    • Related Report
      2013 Final Research Report 2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of epirubicin-iodized oil suspension and emulsion for transcatheter arterial chemoembolization in VX2 tumor2012

    • Author(s)
      Ueda T, Murata S, Mine T, et al. (8人中2番目)
    • Journal Title

      ScientificWorldJournal

      Volume: 2012 Pages: 961986-961986

    • DOI

      10.1100/2012/961986

    • Related Report
      2013 Final Research Report 2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Glue embolization for endoscopically unmanageable gastrointestinal haemorrhage2012

    • Author(s)
      Murata S, Onozawa S, Nakazawa K, et al. (8人中1番目)
    • Journal Title

      Hepatogastroenterology

      Volume: 59 Issue: 116 Pages: 1126

    • DOI

      10.5754/hge11631

    • Related Report
      2013 Final Research Report 2011 Annual Research Report
    • Peer Reviewed
  • [Presentation] Phase I/II trial of retrograde-outflow, percutaneous, isolated hepatic perfusion for advanced liver malignancies : preliminary results2013

    • Author(s)
      Satoru Murata
    • Organizer
      CIRSE
    • Place of Presentation
      Barcelona, Spain
    • Related Report
      2013 Final Research Report
  • [Presentation] 肝動脈塞栓術と肝灌流療法2013

    • Author(s)
      村田 智
    • Organizer
      第32回Microwave Surgery 研究会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] IVR における肝がんの治療戦略2013

    • Author(s)
      村田 智
    • Organizer
      第25回日本肝胆膵外科学会
    • Place of Presentation
      栃木
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] New embolization device : Amplatzer vascular plug2013

    • Author(s)
      村田 智
    • Organizer
      第41回日本 IVR学会総会
    • Place of Presentation
      軽井沢
    • Related Report
      2013 Final Research Report
  • [Presentation] Phase I/II trial of retrograde-outflow, percutaneous, isolated hepatic perfusion for advanced liver malignancies:2013

    • Author(s)
      S. Murata, S. Onozawa, T. Mine, T. Ueda, F. Sugihara, D. Yasui, S. Kumita, M. Satake
    • Organizer
      CIRSE2013
    • Place of Presentation
      バルセロナ・スペイン
    • Related Report
      2013 Annual Research Report
  • [Presentation] 肝がん治療の現状と今後の展望2012

    • Author(s)
      村田智
    • Organizer
      肝細胞癌治療研究会
    • Place of Presentation
      神奈川
    • Year and Date
      2012-03-15
    • Related Report
      2011 Annual Research Report
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for advanced liver malignancies2012

    • Author(s)
      Satoru Murata
    • Organizer
      APCCVIR
    • Place of Presentation
      Kobe, Japan
    • Related Report
      2013 Final Research Report
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for HCC : Clinical application from fundamental researches2012

    • Author(s)
      Kobe, Japan
    • Organizer
      APCCVIR
    • Place of Presentation
      Kobe, Japan
    • Related Report
      2013 Final Research Report
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for advanced liver malignancies2012

    • Author(s)
      Satoru Murata
    • Organizer
      9th symposium of Scandinavia Japan Radiology Society
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2013 Final Research Report
  • [Presentation] Interventional Radiology の現状と将来の展望 : 肝灌流療法も含めて2012

    • Author(s)
      村田 智
    • Organizer
      IVR 技術交流会
    • Place of Presentation
      東京
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] ミリプラ集積向上のための工夫2012

    • Author(s)
      村田 智
    • Organizer
      第37回リザーバー研究会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 肝がん治療の現状と今後の展望2012

    • Author(s)
      村田 智
    • Organizer
      第2回ミリプラフォーラム in 長野東北信
    • Place of Presentation
      長野
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 肝がん治療の現状と今後の展望2012

    • Author(s)
      村田 智
    • Organizer
      ミリプラフォーラム in 新潟
    • Place of Presentation
      新潟
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 肝細胞癌の最新治療2012

    • Author(s)
      村田 智
    • Organizer
      第71回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
  • [Presentation] 肝がん治療の現状と今後の展望2012

    • Author(s)
      村田 智
    • Organizer
      肝細胞癌治療研究会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Management of HCC with marked arterio-portal shunts2011

    • Author(s)
      Satoru Murata
    • Organizer
      The 2nd Asia-Pacific Conference on Interventional Oncology (APCIO 2nd) and The 12th Chinese National Congress on Interventional Oncology (CNCIO 12th)
    • Place of Presentation
      Hangzhou, Chaina
    • Year and Date
      2011-10-30
    • Related Report
      2011 Annual Research Report
  • [Presentation] イブニングセミナー難治性肝がんに対するIVR:現状から将来の展望について2011

    • Author(s)
      村田智
    • Organizer
      第40回日本IVR学会総会
    • Place of Presentation
      青森市文化会館
    • Year and Date
      2011-05-19
    • Related Report
      2011 Annual Research Report
  • [Presentation] Management of HCC with marked arterio-portal shunts2011

    • Author(s)
      Satoru Murata
    • Organizer
      The 2nd Asia-Pacific Conference on Interventional Oncology (APCIO 2nd) and The 12th Chinese National Congress on Interventional Oncology (CNCIO 12th)
    • Place of Presentation
      Hangzhou, China
    • Related Report
      2013 Final Research Report
  • [Presentation] 難治性肝がんに対するIVR : 現状から将来の展望について2011

    • Author(s)
      村田 智
    • Organizer
      第40回日本 IVR学会総会
    • Place of Presentation
      弘前
    • Related Report
      2013 Final Research Report
  • [Presentation] 下大静脈フィルター留置2011

    • Author(s)
      村田 智
    • Organizer
      第70回日本医学放射線学会総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
  • [Presentation] New embolization device: Amplatzer vascular plug

    • Author(s)
      村田 智
    • Organizer
      第42回日本IVR学会総会
    • Place of Presentation
      軽井沢
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] :IVRにおける肝がんの治療戦略

    • Author(s)
      村田 智
    • Organizer
      第25回日本肝胆膵外科学会
    • Place of Presentation
      宇都宮
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 肝動脈塞栓術と肝灌流療法

    • Author(s)
      村田 智
    • Organizer
      第32回Microwave Surgery研究会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] ミリプラ集積向上のための工夫

    • Author(s)
      村田 智
    • Organizer
      第37回リザーバー研究会
    • Place of Presentation
      はまぎんホール(横浜)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] Interventional Radiologyの現状と将来の展望:肝灌流療法も含めて

    • Author(s)
      村田 智
    • Organizer
      IVR技術交流会
    • Place of Presentation
      テルモ(東京)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 肝がん治療の現状と今後の展望

    • Author(s)
      村田 智
    • Organizer
      第2回ミリプラフォーラムin長野東北信
    • Place of Presentation
      長野第一ホテル(長野)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for advanced liver malignancies.

    • Author(s)
      Satoru Murata
    • Organizer
      9th Symposium of Japanese Scandinavian Radiology Society
    • Place of Presentation
      ノルウエー大使館(東京)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 肝がん治療の現状と今後の展望

    • Author(s)
      村田 智
    • Organizer
      ミリプラフォーラムin新潟
    • Place of Presentation
      ANAクラウンプラザホテル(新潟)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for advanced liver malignancies.

    • Author(s)
      Satoru Murata
    • Organizer
      APCCVIR
    • Place of Presentation
      ポートピア(神戸)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] Retrograde outflow percutaneous isolated hepatic perfusion for HCC: Clinical application from fundamental researches

    • Author(s)
      Satoru Murata
    • Organizer
      APCCVIR
    • Place of Presentation
      ポートピア(神戸)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 肝細胞癌の最新治療

    • Author(s)
      村田 智
    • Organizer
      第71回日本医学放射線学会総会
    • Place of Presentation
      パシフィコ横浜(横浜)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Patent(Industrial Property Rights)] 膵灌流装置及びその制御方法2013

    • Inventor(s)
      村田 智
    • Industrial Property Rights Holder
      村田 智, 株式会社コーセイアドバンス
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2013-207612
    • Filing Date
      2013-10-02
    • Related Report
      2013 Final Research Report
  • [Patent(Industrial Property Rights)] 膵灌流装置及びその制御方法2013

    • Inventor(s)
      村田 智
    • Industrial Property Rights Holder
      村田 智、株式会社コーセイアドバンス
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2013-207612
    • Filing Date
      2013-10-02
    • Related Report
      2013 Annual Research Report
  • [Patent(Industrial Property Rights)] 医療用器具保温器2012

    • Inventor(s)
      村田 智
    • Industrial Property Rights Holder
      株式会社メディキット
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2012-044986
    • Filing Date
      2012-03-01
    • Related Report
      2013 Final Research Report
  • [Patent(Industrial Property Rights)] 傍大動脈リンパ節腫瘍への薬剤灌流設備2012

    • Inventor(s)
      隈崎達夫, 村田 智
    • Industrial Property Rights Holder
      隈崎達夫, 村田 智
    • Industrial Property Rights Type
      特許
    • Acquisition Date
      2012-04-20
    • Related Report
      2013 Final Research Report
  • [Patent(Industrial Property Rights)] 医療用器具保温器2012

    • Inventor(s)
      村田智
    • Industrial Property Rights Holder
      メディキット株式会社
    • Industrial Property Number
      2012-044986
    • Filing Date
      2012-03-01
    • Related Report
      2011 Annual Research Report

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Published: 2011-04-06   Modified: 2019-07-29  

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