To report long‐term results of a randomized controlled trial that compared cisplatin/fluorouracil/docetaxel (TPF) induction chemotherapy (IC) plus concurrent chemoradiotherapy (CCRT) with CCRT alone in locoregionally advanced nasopharyngeal carcinoma (NPC). Patients with stage III–IVB (except T3–4 N0) NPC were randomly assigned to receive IC plus CCRT (n = 241) or CCRT alone (n = 239). IC included three cycles of docetaxel (60 mg/m2 d1), cisplatin (60 mg/m2 d1), and fluorouracil (600 mg/m2/d civ d1–5) every 3 weeks. Patients from both groups received intensity‐modulated radiotherapy concurrently with three cycles of 100 mg/m2 cisplatin every 3 weeks. After a median follow‐up of 71.5 months, the IC plus CCRT group showed significantly better 5‐year failure‐free survival (FFS, 77.4% vs. 66.4%, p = 0.019), overall survival (OS, 85.6% vs. 77.7%, p = 0.042), distant failure‐free survival (88% vs. 79.8%, p = 0.030), and locoregional failure‐free survival (90.7% vs. 83.8%, p = 0.044) compared to the CCRT alone group. Post hoc subgroup analyses revealed that beneficial effects on FFS were primarily observed in patients with N1, stage IVA, pretreatment lactate dehydrogenase ≥170 U/l, or pretreatment plasma Epstein–Barr virus DNA ≥6000 copies/mL. Two nomograms were further developed to predict the potential FFS and OS benefit of TPF IC. The incidence of grade 3 or 4 late toxicities was 8.8% (21/239) in the IC plus CCRT group and 9.2% (22/238) in the CCRT alone group. Long‐term follow‐up confirmed that TPF IC plus CCRT significantly improved survival in locoregionally advanced NPC with no marked increase in late toxicities and could be an option of treatment for these patients.
LincRNA-ROR decreases sensitivity to radiotherapy via the negative regulation of p53/miR-145 and may represent a potential target for the treatment of CRC.
Flexible
electronics greatly facilitate human life due to their
convenience and comfortable utilization. Liquid metals are an ideal
candidate for flexible devices; however, the high surface tension
and poor surface wettability restrict their application on diverse
substrates. Herein, a printable and recyclable ink composed of poly(vinyl
alcohol) and a liquid metal (PVA-LM) was developed to resolve these
problems. The materials were designed considering the compatibility
between PVA and the liquid metal, and the composite theory was applied
to determine the component proportion. The developed composites improved
the surface wettability of the liquid metal on diverse substrates,
and three-dimensional (3D) printing technology was chosen to maximize
the use of this material. Moreover, the PVA-LM ink showed excellent
conductivity of about 1.3 × 105 S/m after being turned
on, which favored the designing of alarm systems and object locators.
The flexible sensors produced with this ink have broad application,
high sensitivity, and superstable signal generation even after 200
cycles. When acting as strain sensors, the constructed composites
had high sensitivity for monitoring the human movements. Furthermore,
liquid metals in printed products can be recycled under alkaline conditions.
This study opens a new direction for the next generation of environmentally
friendly flexible devices.
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