[Study of a relationship between a change in the urinary uracil value after a S-1 long-term administration and the recurrence of stomach cancer]

Gan To Kagaku Ryoho. 2008 Jun;35(6):947-50.
[Article in Japanese]

Abstract

S-1 has been reported good results in the treatment of stomach cancer. However, a DPD activity change has also been reported as one of the causes for a recurrence though some recurrence cases observing a state of tumor being unchanged continuously for more than 1 year. Therefore the urinary uracil value, which could simply be predicted in the DPD activity at the time of a recurrence after having administered S-1 for a long-term, was measured. And the urinary uracil value was examined whether it could become an index of recurrence compared with a healthy 5-person example as reference. In the result, a monthly difference in change of the urinary uracil values of the reference was small. However, the urinary uracil values in patients who were administered S-1 more than 6 months but recurred, were significantly lower comparing with the healthy 5-person example. We concluded from this study that the change in DPD activity due to an induction of DPD by 5-FU and metastasis of cancer caused the recurrence and lower a urinary value. The urinary uracil value reflecting DPD activity of the whole body could be used as an index of recurrence at the time of long-term dosage of S-1. Furthermore, a measurement of the urinary uracil value seems to be promising for estimation and evaluation of the cure.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Drug Combinations
  • Female
  • Health
  • Humans
  • Male
  • Middle Aged
  • Oxonic Acid / administration & dosage*
  • Oxonic Acid / therapeutic use*
  • Recurrence
  • Stomach Neoplasms / drug therapy*
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / urine*
  • Tegafur / administration & dosage*
  • Tegafur / therapeutic use*
  • Time Factors
  • Uracil / urine*

Substances

  • Drug Combinations
  • S 1 (combination)
  • Tegafur
  • Uracil
  • Oxonic Acid