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Research ArticleClinical Studies

Effect of Menatetrenone, a Vitamin K2 Analog, on Recurrence of Hepatocellular Carcinoma after Surgical Resection: A Prospective Randomized Controlled Trial

MITSURU ISHIZUKA, KEIICHI KUBOTA, MITSUGI SHIMODA, JUNJI KITA, MASATO KATO, KYUNG HWA PARK and TAKAYUKI SHIRAKI
Anticancer Research December 2012, 32 (12) 5415-5420;
MITSURU ISHIZUKA
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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  • For correspondence: mm-ishizuka{at}umin.ac.jp
KEIICHI KUBOTA
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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MITSUGI SHIMODA
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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JUNJI KITA
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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MASATO KATO
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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KYUNG HWA PARK
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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TAKAYUKI SHIRAKI
Department of Gastroenterological Surgery, Dokkyo Medical University, Tochigi, Japan
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    Figure 1.

    Trial profile.

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    Figure 2.

    Cumulative disease-free survival rates. A: The cumulative disease-free survival rates at 12, 24, 36, 48, and 60 months in the non-menatetrenone (MNT) group were 70.6%, 49.6%, 26.3%, 26.3%, and 26.3%, respectively, whereas those in the MNT group were 71.9%, 51.9%, 44.5%, 33.0%, and 26.4%, respectively (p=0.483). B: In patients with a preoperative Des-γ-carboxy-prothrombin (DCP) level lower than 40 AU/l, the cumulative disease-free survival rates at 12, 24, 36, 48, and 60 months in the non-MNT group (squares) were 81.3%, 44.7%, 0.0%, 0.0%, and 0.0%, respectively, whereas those in the MNT group (triangles) were 78.3%, 66.4%, 58.1%, 40.0%, and 31.0%, respectively (p=0.060). C: In patients with a preoperative DCP level higher than 40 AU/l, the cumulative disease-free survival rates at 12, 24, 36, 48, and 60 months in the non-MNT group were 65.7%, 51.1%, 35.7%, 35.7%, and 35.7%, respectively, whereas those in the MNT group were 64.3%, 38.4%, 32.0%, 32.0%, and 21.3%, respectively (p=0.511). D. cumulative disease-free survival rates in patients positive for only HCV, and not for HBV. The disease-free survival rates at 12, 24, 36, 48, and 60 months for these patients were 93.3%, 60.0%, 17.1%, 17.1%, and 17.1% in the non-MNT group, and 71.4%, 40.8%, 40.8%, 27.2%, and 27.2% in the MNT group, respectively (p=0.637).

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    Figure 3.

    Overall survival rates. The overall survival rates at 12, 24, 36, 48, and 60 months in the non-MNT group (squares) were 90.2%, 86.2%, 77.1%, 73.3%, and 73.3%, respectively, whereas those in the MNT group (triangles) were 98.0%, 89.4%, 89.4%, 89.4%, and 89.4%, respectively (p=0.137).

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Anticancer Research
Vol. 32, Issue 12
December 2012
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Effect of Menatetrenone, a Vitamin K2 Analog, on Recurrence of Hepatocellular Carcinoma after Surgical Resection: A Prospective Randomized Controlled Trial
MITSURU ISHIZUKA, KEIICHI KUBOTA, MITSUGI SHIMODA, JUNJI KITA, MASATO KATO, KYUNG HWA PARK, TAKAYUKI SHIRAKI
Anticancer Research Dec 2012, 32 (12) 5415-5420;

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Effect of Menatetrenone, a Vitamin K2 Analog, on Recurrence of Hepatocellular Carcinoma after Surgical Resection: A Prospective Randomized Controlled Trial
MITSURU ISHIZUKA, KEIICHI KUBOTA, MITSUGI SHIMODA, JUNJI KITA, MASATO KATO, KYUNG HWA PARK, TAKAYUKI SHIRAKI
Anticancer Research Dec 2012, 32 (12) 5415-5420;
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Keywords

  • Des-γ-carboxy-prothrombin
  • disease-free survival
  • hepatocellular carcinoma recurrence
  • menatetrenone
  • vitamin K2 analog
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