Trials of neoadjuvant chemoradiation followed by surgery in oesophageal cancer
Trial | Treatment arm(s) | No of patients | Histology and stage | No complete resections/No operations | Path CR rate | Survival (median unless otherwise stated) |
---|---|---|---|---|---|---|
*Statistically significant difference. | ||||||
NR, not reported; RT, radiotherapy; 5-FU, 5-fluorouracil; CR, complete response. | ||||||
Poplin223 | Cisplatin/5-FU/RT | 113 | Squamous stage I–III | 32/71 | 16% | 12 months |
Forastiere224 | Cisplatin/vinblastine/5-FU/RT | 43 | Squamous and adeno stage I–III | 36/41 | 23% | >26 months |
Gray225 | Paclitaxel/ Carboplatin/5-FU/RT | 73 | Squamous and adeno stage I–III | 56/59 | 54% | 24 months |
Stahl226 | Cisplatin/5-FU/leucovorin/RT | 25 | Squamous and adeno stage II–III | 16/19 | 40% | >16 months |
Nygaard218 | Cisplatin/ bleomycin | 50 | Squamous stage I–II | NR | NR | 8 months |
RT | 48 | 11months | ||||
Cisplatin/bleomycin/RT | 47 | 9 months | ||||
Surgery alone | 41 | 8 months | ||||
Le Prise219 | Cisplatin/5-FU/RT | 41 | Squamous stage I–II | 35/35 | 10% | 10 months |
Surgery alone | 45 | 38/42 | — | 10.5 months | ||
Bosset221 | Cisplatin/RT | 143 | Squamous stage I–II | 112/138 | 21% | 18.6 months |
Surgery alone | 139 | 94/137* | — | 18.6 months | ||
Walsh220 | Cisplatin/5-FU/RT | 58 | Adeno stage I–III | NR | 25% | 16 months |
Surgery alone | 55 | — | 11 months* | |||
Urba222 | Cisplatin/vinblatine/5-FU/RT | 50 | Squamous and adeno stage I–II | NR | 28% | 32% 3 year |
Surgery alone | 50 | NR | — | 15% 3 year* |