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2013 Fiscal Year Final Research Report

The development of new combination therapy with deferasirox and sorafenib on advanced hepatocellular carcinama

Research Project

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Project/Area Number 23590978
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Gastroenterology
Research InstitutionYamaguchi University

Principal Investigator

YAMASAKI Takahiro  山口大学, 医学(系)研究科(研究院), 教授 (00304478)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Naoki  山口大学, 大学教育機構, 講師 (90448283)
TERAI Shuji  山口大学, 大学院医学系研究科, 准教授 (00332809)
SAKAIDA Isao  山口大学, 大学院医学系研究科, 教授 (80263763)
Project Period (FY) 2011 – 2013
Keywords鉄キレート剤 / CDAAモデル / Deferasirox / Sorafenib / Deferoxamine / DEN肝発癌モデル / 肝細胞癌
Research Abstract

Sorafenib is expected to have a chemopreventive effect on hepatocellular carcinoma (HCC). However, there are limitations to its use because of adverse effects, including effects on liver function. We have reported that the iron chelator deferoxamine can prevent liver fibrosis and preneoplastic lesions. We investigated the influence of administering an oral iron chelator, deferasirox (DFX), on the effects of sorafenib. The combination of DFX+sorafenib markedly prevented liver fibrosis and preneoplastic lesions better than the other treatments. Furthermore, the combination therapy produced significantly fewer adverse effects such as body weight and hand-foot skin syndrome compared with the sorafenib group. The combination therapy with DFX and sorafenib may be a useful adjuvant therapy to prevent recurrence after curative treatment of HCC.

  • Research Products

    (31 results)

All 2014 2013 2012 2011

All Journal Article (11 results) (of which Peer Reviewed: 11 results) Presentation (17 results) (of which Invited: 2 results) Book (1 results) Patent(Industrial Property Rights) (2 results) (of which Overseas: 2 results)

  • [Journal Article] Serum transferrin as a predictor of prognosis for hepatic arterial infusion chemotherapy in advanced hepatocellular carcinoma2014

    • Author(s)
      Zaitsu J, Yamasaki T, Saeki I, Harima Y,Iwamoto T, Harima Y, Matsumoto T, Urata Y, Hidaka I, Marumoto Y, Ishikawa T, Takami T, Yamamoto N, Kaino S, Uchida K, Terai S, Sakaida I
    • Journal Title

      Hepatol Res

      Volume: 44(5) Pages: 481-90

    • DOI

      10.1111/hepr.12141

    • Peer Reviewed
  • [Journal Article] Occlusion of portosystemic shunts improves hyperinsulinemia due to insulin resistance in cirrhotic patients with portal hypertension2013

    • Author(s)
      Ishikawa T, Shiratsuki S, Matsuda T, Iwamoto T, Takami T, Uchida K, Terai S, Yamasaki T, Sakaida I
    • Journal Title

      J Gastroenterol

    • Peer Reviewed
  • [Journal Article] Association of tyrosine with insulin resistance in hepatitis C virus-related chronic liver disease2013

    • Author(s)
      Oono T, Yamasaki T, Zaitsu J, Saeki I, Iwamoto T, Harima Y, Marumoto Y, Hidaka I, Urata Y, Ishikawa T, Takami T, Segawa M, Uchida K, Terai S, Kunitugu I, Tanabe T, Sakaida I
    • Journal Title

      Hepatol Res

    • DOI

      10.1111/hepr.12213

    • Peer Reviewed
  • [Journal Article] Clinical characteristics of patients who developed hepatocellular carcinoma after hepatitis C virus eradication with interferon therapy : current status in Japan2013

    • Author(s)
      Sato A, Sata M, Ikeda K, Kumada T, Izumi N, Asahina Y, Osaki Y, Chayama K, Kaneko S, Sakai A, Onji M, Hiasa Y, Omura T, Ozeki I, Yokosuka O, Shiina S, Itsubo M, Nishiguchi S, Hirano K, Ide T, Sakisaka S, Yamasaki T, Hidaka I, Tanaka M, Kim SR, Ichida T
    • Journal Title

      Intern Med

      Volume: 52(24) Pages: 2701-6

    • Peer Reviewed
  • [Journal Article] Bortezomib induces tumor-specific cell death and growth inhibition in hepatocellular carcinoma and improves liver fibrosis2013

    • Author(s)
      Saeki I, Terai S, Fujisawa K, Takami T, Yamamoto N, Matsumoto T, Hirose Y, Murata Y, Yamasaki T, Sakaida I
    • Journal Title

      J Gastroenterol

      Volume: 48(6) Pages: 738-50

    • DOI

      10.1007/s00535-012-0675-z.Epub2012Sep26

    • Peer Reviewed
  • [Journal Article] Evaluation of a novel non-invasive (13) C-glucose breath test for the identification of diabetes mellitus in cirrhotic patients2012

    • Author(s)
      Tsuchiya M, Yamasaki T, Sakaida I
    • Journal Title

      Hepatol Res

      Volume: 42(12) Pages: 1196-201

    • DOI

      10.1111/j.1872-034X.2012.01035.x.Epub2012May14

    • Peer Reviewed
  • [Journal Article] Complications of radiofrequency ablation for hepatocellular carcinoma in a multicenter study : An analysis of 16 346 treated nodules in 13 283 patients2012

    • Author(s)
      Koda M, Murawaki Y, Hirooka Y, Kitamoto M, Ono M, Sakaeda H, Joko K, Sato S, Tamaki K, Yamasaki T, Shibata H, Shimoe T, Matsuda T, Toshikuni N, Fujioka S, Ohmoto K, Nakamura S, Kariyama K, Aikata H, Kobayashi Y, Tsutsui A
    • Journal Title

      Hepatol Res

      Volume: 42(12) Pages: 1058-64

    • DOI

      10.1111/j.1872-034X.2012.01025.x.Epub2012May14

    • Peer Reviewed
  • [Journal Article] Hepatic arterial infusion chemotherapy in combination with pegylated interferon-α-2b for advanced hepatocellular carcinoma2012

    • Author(s)
      Okita K, Yamasaki T, Hamabe S, Saeki I, Harima Y, Terai S, Sakaida I
    • Journal Title

      Hepatogastroenterology

      Volume: 59(114) Pages: 533-7

    • DOI

      10.5754/hge10013

    • Peer Reviewed
  • [Journal Article] Effect of transcatheter arterial infusion chemotherapy using iodized oil and degradable starch microspheres for hepatocellular carcinoma2012

    • Author(s)
      Yamasaki T, Saeki I, Harima Y, Zaitsu J, Maeda M, Tanimoto H, Iwamoto T, Hidaka I, Urata Y, Ishikawa T, Takami T, Yamaguchi Y, Uchida K, Terai S, Sakaida I
    • Journal Title

      J Gastroenterol

      Volume: 47(6) Pages: 715-22

    • DOI

      10.1007/s00535-012-0537-8.Epub2012Feb11

    • Peer Reviewed
  • [Journal Article] Hepatic arterial infusion chemotherapy for advanced hepatocellular carcinoma and future treatments for the poor responders2012

    • Author(s)
      Yamasaki T, Sakaida I
    • Journal Title

      Hepatol Res

      Volume: 42(4) Pages: 340-8

    • DOI

      10.1111/j.1872-034X.2011.00938.x.Epub2011Dec13

    • Peer Reviewed
  • [Journal Article] Deferoxamine for advanced hepatocellular carcinoma2011

    • Author(s)
      Yamasaki T, Terai S, Sakaida I
    • Journal Title

      N Engl J Med

      Volume: 365(6) Pages: 576-8

    • DOI

      10.1056/NEJMc1105726

    • Peer Reviewed
  • [Presentation] Iron chelator therapy for advanced hepatocellular carcinoma2013

    • Author(s)
      Yamasaki T
    • Organizer
      8^<th> international Symposium on Alcohlic Liver and Pancreatic Diseases and Cirrhosis, ALPD2013
    • Place of Presentation
      The Ashok New Delhi India
    • Year and Date
      2013-11-16
    • Invited
  • [Presentation] The new oral iron chelater,Defeeasirox,is the new drug to prevent Liver fibrosis and Hepatocarcinogenesis2013

    • Author(s)
      Yamamoto N, Yamasaki T, Terai S, Sakaida I, et al.
    • Organizer
      64^<th> Annual Liver Meeting in AASLD 2013
    • Place of Presentation
      Washington Convention Center Washington DC USA
    • Year and Date
      2013-11-05
  • [Presentation] Association of tyrosine with insulin resistance in hepatitis C virus-related chronic liver disease2013

    • Author(s)
      Yamasaki T, Terai S, Sakaida I, et al.
    • Organizer
      64^<th> Annual Liver Meeting in AASLD 2013
    • Place of Presentation
      Washington Convention Center Washington DC USA
    • Year and Date
      2013-11-04
  • [Presentation] The new oral iron chelater prevent Liver fibrosis and preneoplastic lesion s in liver cancer and liver cirrhosis model2013

    • Author(s)
      Yamamoto N, Yamasaki T, Terai S, Sakaida I, et al.
    • Organizer
      21^<th> United European gastroenterology Week(UEGW) 2013
    • Place of Presentation
      ICC Berlin Germany
    • Year and Date
      2013-10-15
  • [Presentation] The new oral iron chelater prevent Liver fibrosis and preneoplastic lesion s in liver cancer and liver cirrhosis model2013

    • Author(s)
      Yamamoto N, Yamasaki T, Terai S, Sakaida I, et al.
    • Organizer
      23^<th> Conference of the Asian Pacific Association for the Study of the Liver (APASL) 2013
    • Place of Presentation
      Suntec Singapole, Singapole
    • Year and Date
      2013-06-08
  • [Presentation] Serum transferrin as a predictor of prognosis for hepatic arterial infusion chemotherapy in advanced hepatocellular carcinoma2013

    • Author(s)
      Yamasaki T, Yamamoto N, Terai S, Sakaida I, et al.
    • Organizer
      23^<th> Conference of the Asian Pacific Association for the Study of the Liver (APASL) 2013
    • Place of Presentation
      Suntec Singapole, Singapole
    • Year and Date
      2013-06-07
  • [Presentation] 進行肝細胞癌に対する鉄代謝からみた肝動注化学療法の適応と限界2013

    • Author(s)
      佐伯一成,山﨑隆弘,坂井田功
    • Organizer
      第49回日本肝臓学会総会
    • Place of Presentation
      京王プラザホテル,東京
    • Year and Date
      2013-06-06
  • [Presentation] 進行肝癌の治療のパラダイムシフト-肝動注化学療法から鉄キレート剤治療2012

    • Author(s)
      佐伯一成,山﨑隆弘,浦田洋平,寺井崇二,坂井田功
    • Organizer
      第98回日本消化器病学会中国支部例会
    • Place of Presentation
      ANAクラウンプラザホテル宇部,宇部
    • Year and Date
      2012-12-01
  • [Presentation] Iron and cancer therapy2012

    • Author(s)
      Sakaida I
    • Organizer
      20^<th> Yonsei International Gastroenterology Symposiun
    • Place of Presentation
      Yonsei Seoul, Korea
    • Year and Date
      2012-11-03
    • Invited
  • [Presentation] 進行肝細胞癌に対するソラフェニブ治療の問題点を克服する鉄キレート剤治療2012

    • Author(s)
      山﨑隆弘,浦田洋平,坂井田功
    • Organizer
      第20回JDDW
    • Place of Presentation
      神戸ポートピアホテル,神戸
    • Year and Date
      2012-10-10
  • [Presentation] 肝硬変における糖代謝異常の現状と肝性糖尿病の新規スクリーニング検査法の有用性2012

    • Author(s)
      山崎隆弘,土屋昌子,坂井田功
    • Organizer
      第20回JDDW
    • Place of Presentation
      神戸ポートピアホテル,神戸
    • Year and Date
      2012-10-10
  • [Presentation] 肝細胞癌に対するソラフェニブ治療の問題点の検証-とくに肝予備能と病態制御に注目して-2012

    • Author(s)
      浦田洋平,山﨑隆弘,寺井崇二,坂井田功, 他
    • Organizer
      第48回日本肝癌研究会
    • Place of Presentation
      石川県立音楽堂,金沢
    • Year and Date
      2012-07-21
  • [Presentation] 肝細胞癌治療に対する鉄キレート剤の新規治療薬としての可能性2012

    • Author(s)
      山本直樹,寺井崇二,山﨑隆弘,坂井田功, 他
    • Organizer
      第48回日本肝臓学会総会
    • Place of Presentation
      ANAクラウンプラザホテル,金沢
    • Year and Date
      2012-06-07
  • [Presentation] 進行肝細胞癌に対する肝動注化学療法の治療成績と限界2011

    • Author(s)
      浦田洋平,山﨑隆弘,坂井田功
    • Place of Presentation
      岡山コンベンションセンター,岡山
    • Year and Date
      2011-12-09
  • [Presentation] Effect of a novel transcatheter arterial infusion chemotherapy for hepatocellular carcinoma2011

    • Author(s)
      Yamasaki T, Terai S, Sakaida I, et al.
    • Organizer
      5^<th> ILCA Annual Conference
    • Place of Presentation
      Hong Kong, China
    • Year and Date
      2011-09-01
  • [Presentation] 肝細胞癌に対する新たな塞栓療法:リピオドール+微小デンプン球併用肝動注化学療法(Lipi+DSM-TAI)2011

    • Author(s)
      山﨑隆弘,寺井崇二,坂井田功, 他
    • Organizer
      第47回日本肝癌研究会
    • Place of Presentation
      静岡県コンベンションアーツセンター,静岡
    • Year and Date
      2011-07-29
  • [Presentation] 肝細胞癌に対するリピオドール+微小デンプン球併用化学療法(Lipi+DSM-TAI):奏功に寄与する因子の検討2011

    • Author(s)
      山﨑隆弘,浦田洋平,坂井田功
    • Organizer
      第47回日本肝臓学会総会
    • Place of Presentation
      ホテルグランパシフィックLE DAIBA,東京
    • Year and Date
      2011-06-04
  • [Book] コンセンサス癌治療(最新の肝細胞癌の診断と治療),進行肝癌に対する鉄キレート剤の効果2013

    • Author(s)
      山﨑隆弘,山本直樹,寺井崇二,坂井田功, 他
    • Total Pages
      112-113
    • Publisher
      へるす出版
  • [Patent(Industrial Property Rights)] ソラフェニブの副作用低減剤2012

    • Inventor(s)
      山崎 隆弘
    • Industrial Property Rights Holder
      山口大学
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      特許願2012-243488号
    • Filing Date
      2012-11-05
    • Overseas
  • [Patent(Industrial Property Rights)] 分岐鎖アミノ酸(BCAA)による分子標的薬ソラフェニブの副作用軽減効果2011

    • Inventor(s)
      山本 直樹, 坂井田 功
    • Industrial Property Rights Holder
      山口大学
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      特許願2011-264687号
    • Filing Date
      2011-12-02
    • Overseas

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Published: 2015-07-16  

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