Skip to main content
Log in

Levamisole in postoperative adjuvant immunochemotherapy for gastric cancer

A randomized controlled study of the MMC + Tegafur regimen with or without Levamisole. Report I

  • Original Articles
  • Published:
Cancer Immunology, Immunotherapy Aims and scope Submit manuscript

Summary

The usefulness of LMS in postoperative immunochemotherapy of gastric cancer was investigated. In compliance with the protocol, MMC was given at a dose of 20 mg on the day of gastrectomy, and an additional 10 mg on the next day IV. The patients receiving 600 mg Tegafur daily were then divided into two groups according to whether LMS was also given or not. LMS was administered for 3 days before the operation in a daily dose of 150 mg and for 1 year or more after operation according to a schedule of 3 days' administration followed by an 11-day interval. The 2-year follow-up demonstrated that in stage III patients, the LMS (+) regimen was superior to the LMS (−) regimen, since the former prolonged the relapse-free interval significantly. The survival rate for stage III disease was also significantly higher in the LMS (+) than in the LMS (−) group. There was no significant difference in the incidence of subjective or objective side-effects between two groups. The incidence of agranulocytosis was comparable in the two groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Amery WK (1978) Final results of a multicenter placebo-controlled levamisole study of resectable lung cancer. Cancer Treat Rep 62:1677–1683

  2. Amery WK (1982) Clinical experience with adjuvant levamisole in controlled cancer studies. Curr Concepts Immunol Cancer Immunomodulation, Amsterdam, 585–592

    Google Scholar 

  3. Cox DR (1972) Regression models and life tables. J Roy Stat Soc [B] 34:187–220

    Google Scholar 

  4. Cutler S, Ederer F (1958) Maximum utilization of the life table method in analyzing survival. J Chronic Dis 8:699–712

    Google Scholar 

  5. Gehan E (1956) A generalized Wilcoxon test for comparing arbitrarily singly-censored sample. Biometrika 52:203–224

    Google Scholar 

  6. General Rules (1981) General rules for the Gastric Cancer Study in Surgery and Pathology, 10th ed. Jpn J Surg 11:127–139

    Google Scholar 

  7. Gonzalez RL, Spitler LE, Sagebiel RW (1978) Effect of levamisole as a surgical adjuvant therapy for malignant melanoma. Cancer Treat Rep 62:1703–1707

  8. Hattori T, Ito I, Miwa K, Hirata K, Fujita H, Endo Y (1964) Large-amount administration of mitomycin C during gastrectomy. Jpn J Cancer Clin 10:96–105

    Google Scholar 

  9. Imanaga H, Nakazato J (1981) Three prospective controlled studies. 1. J Clin Surg 36:175–183

    Google Scholar 

  10. Inokuchi K, Tamada R (1981) Three prospective controlled studies. 3. J Clin Surg 36:197–204

    Google Scholar 

  11. Janssen PA (1976) The levamisole story. Prog Res 20:347–383

    Google Scholar 

  12. Kimura T, Koyama Y (1981) Three prospective controlled studies. 2. J Clin Surg 36:185–195

    Google Scholar 

  13. Mantel N (1963) Chi-square test with one degree of freedom: Extention of the Mantel-Haenszel procedure. J Stat Assoc 58:690–700

    Google Scholar 

  14. Miwa H, Orita K (1979) Immunochemotherapy of gastric cancer with levamisole. Jpn J Cancer Chemother 6:1363–1374

    Google Scholar 

  15. Miwa H, Kawai T, Nakahara H, Kurose Y, Kobayashi S, Minato H, Mannami T, Konaga E, Orita K (1979) Degradation in cell-mediated immunity by surgical intervention and its prevention by levamisole. Clin Immunol 11:121–127

    Google Scholar 

  16. Pavlowsky S, Muriel FS, Garay G, Svarch E (1981) Chemoimmunotherapy with levamisole in acute lymphoblastic leukemia. Cancer 48:1500–1507

    Google Scholar 

  17. Renoux MG, Renoux M (1971) Immunostimulant effect of an immidothiazole in the immunisation of mice infected with Brucella abortus. C R Acad Sci [D] 272:394–350

    Google Scholar 

  18. Rojas AF, Feierstein JN, Glait HM, Olivari AJ (1978) Levamisole action in breast cancer stage III. In: Terry WD, Windhorst D (eds) Immunotherapy of cancer: Present status of trials in man. Raven, New York, pp 635–645

    Google Scholar 

  19. Saito T (1981) Assessment criteria of enhanced chemotherapeutic effects on solid cancer. Assessment criteria of chemotherapeutic and immunotherapeutic effects on cancer and development of anticancer agents. Science Forum, Tokyo

    Google Scholar 

  20. Salmon S, Alexanian R, Dixon D (1980) Chemoimmunotherapy for multiple myeloma: Effect of levamisole during maintenance. Presented at the second International Conference on Immunotherapy of Cancer, Bethesda, April 1980

  21. Shimizu N, Hirai Y, Oku H, Hamazoe R, Kanayama H, Ozaki Y, Maeta M, Koga S (1980) Levamisole treatment for depression of postoperative cellular immunity. Jpn J Cancer Clin 26:24–28

    MATH  Google Scholar 

  22. Shiraki S, Mori H, Kadomoto N, Nakano T, Yamada Y, Noda K (1982) Adjuvant immunotherapy of carcinoma coli with Levamisole. Prevention of immunological depression following surgical therapy and radiotherapy. Int J Immunopharmacol 4:73–80

    Google Scholar 

  23. Symoens J, Veys E, Mielants M, Pinals R (1978) Adverse reaction to levamisole. Cancer Treat Rep 62:1721–1730

  24. Verhaengen H (1978) Postoperative levamisole in colorectal cancer. In: Rainer H (ed) Immunotherapy of malignant disease. Schattauer, Stuttgart, pp 94–101

    Google Scholar 

  25. Wakui A, Kikuchi K (1981) Cooperative evaluation of efficacy of levamisole (LMS) against advanced gastrointestinal cancer. J Jpn Soc Cancer Ther 16:362

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Gastrointestinal Cancer Research Group, Japan Levamisole Research Association

Chairmen of the Gastrointestinal Cancer Research Group, Japan LMS Research Association

Controller of the Gastrointestinal Cancer Research Group, Japan LMS Research Association

Members of the Data Collection and Analysis Subcommittee

This study was carried out by the Gastrointestinal Cancer Research Group, Japan LMS Research Association (directed by Prof. Kiyoshi Inokuchi, Dept. of Surgery, Kyushu University and Prof. Eiro Tsubura, Dept. of Internal Medicine, Tokushima University). The results were presented in part at the 19th General Meeting of the Japanese Society for Gastroenterological Surgery in February, 1982

Rights and permissions

Reprints and permissions

About this article

Cite this article

Niimoto, M., Hattori, T., Ito, I. et al. Levamisole in postoperative adjuvant immunochemotherapy for gastric cancer. Cancer Immunol Immunother 18, 13–18 (1984). https://doi.org/10.1007/BF00205393

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00205393

Keywords

Navigation