An observational study for evaluating predictability of the Vulnerable Elders Survey (VES) -13 for cognitive impairment in elderly patients with advanced cancer

• Project/Area Number: 25460896
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: General internal medicine(including psychosomatic medicine)
• Research Institution: Nagoya University
• Principal Investigator: Ando Masahiko 名古屋大学, 医学部附属病院, 准教授 (10322736)
• Co-Investigator(Kenkyū-buntansha): 長谷 哲成 名古屋大学, 医学部附属病院, 助教 (30621635) ; 森瀬 昌宏 名古屋大学, 医学部附属病院, 病院助教 (00612756)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000); Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 高齢者 / がん / 化学療法 / 機能評価 / アウトカム予測

Outline of Final Research Achievements

We examined an association between treatment outcomes and Vulnerable Elders Survey-13 (VES-13), Mini-Mental State Examination (MMSE), and Charlson Comorbidity Index (CCI) in 101 patients aged 65 years or older with advanced non-small cell lung cancer who received carboplatin and pemetrexed as a first-line chemotherapy. In the Cox proportion hazards model including age, sex, disease stage, and performance status as covariates, VES-13 showed significant association with overall survival. Performance status, VES-13, and CCI had a significant association with progression-free survival. In the logistic regression analysis, performance status, MMSE, and CCI demonstrated a significant association with antitumor response. Age was not significantly correlated with any treatment outcome. These results suggest the importance of geriatric assessment in predicting treatment outcomes in elderly patients in advanced non-small cell lung cancer receiving a standard combination chemotherapy.

Research Products

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  • Author(s): Nakamura K, Katai H, Mizusawa J, Yoshikawa T, Ando M, Terashima M, Itoh S, Takagi M, Takagane A, Ninomiya M, Fukushima N, and Sasako M
  • Journal Title: Jpn J Clin Oncol Volume: 43 Issue: 3 Pages: 324-327
  • DOI: 10.1093/jjco/hys220
  • Peer Reviewed
• [Presentation] Can we predict serious adverse events (SAEs) and clarify unfit population for platinum-based chemotherapy in elderly patients (over 70 years of age) with advanced Non-small cell lung cancer (NSCLC)? (CJLSG 1203 trial) (2014)
  • Author(s): Kato Toshio, Morise M, Ando M, Kojima E, Ogasawara T, Suzuki R, Shindoh J, Matsumoto M, Sugino Y, Ogawa M, Nozaki Y, Kondo M, Saito H, and Hasegawa Y
  • Organizer: European Society for Medical Oncology (ESMO) 2014
  • Place of Presentation: Madrid, Spain
  • Year and Date: 2014-09-26 – 2014-09-30
• [Presentation] ゲフィチニブ投与を受けた非小細胞肺癌症例における、急性肺傷害の生命予後に対する相対危険、寄与危険 (2014)
  • Author(s): 安藤 昌彦、岡本 勇、山本 信之、武田 晃司、田村 研治、瀬戸 貴司、中川 和彦
  • Organizer: 日本疫学会総会
  • Place of Presentation: 日立システムズホール仙台（仙台市）
• [Presentation] Randomized phase III trial of erlotinib (E) versus docetaxel (D) as second- or third-line therapy in patients with advanced non-small cell lung cancer (NSCLC) who have wild-type or mutant epidermal growth factor receptor (EGFR): Docetaxel and Erlotinib Lung Cancer Trial (DELTA). (2013)
  • Author(s): Okano Y, Kawaguchi T, Ando M, Asami K, Fukuda M, Nakagawa H, Ibata H, Kozuki T, Endo T, Tamura A, Kamimura M, Sakamoto K, Yoshimi M, Soejima Y, Tomizawa Y, Isa S, Takada M, Saka H, and Kubo A
  • Organizer: Annual Meeting of American Society of Clinical Oncology
  • Place of Presentation: シカゴ、アメリカ合衆国