Three-arm Phase III Trial Comparing Cisplatin Plus 5-FU (CF) Versus Docetaxel, Cisplatin Plus 5-FU (DCF) Versus Radiotherapy with CF (CF-RT) as Preoperative Therapy for Locally Advanced Esophageal Cancer (JCOG1109, NExT Study)

被引:270
作者
Nakamura, Kenichi [1 ]
Kato, Ken [2 ]
Igaki, Hiroyasu [3 ]
Ito, Yoshinori [4 ]
Mizusawa, Junki [1 ]
Ando, Nobutoshi [5 ]
Udagawa, Harushi [6 ]
Tsubosa, Yasuhiro [7 ]
Daiko, Hiroyuki [8 ]
Hironaka, Shuichi [9 ]
Fukuda, Haruhiko [1 ]
Kitagawa, Yuko [10 ]
机构
[1] Natl Canc Ctr, JCOG Data Ctr, Operat Off, Multiinst Clin Trial Support Ctr, Tokyo 104, Japan
[2] Natl Canc Ctr, Gastrointestinal Med Oncol Div, Tokyo 1040045, Japan
[3] Natl Canc Ctr, Esophageal Surg Div, Tokyo 1040045, Japan
[4] Natl Canc Ctr, Dept Radiat Oncol, Tokyo 1040045, Japan
[5] Ichikawa Gen Hosp, Dept Surg, Tokyo Dent Coll, Chiba, Japan
[6] Toranomon Gen Hosp, Dept Surg Gastroenterol, Tokyo, Japan
[7] Shizuoka Canc Ctr, Div Esophageal Surg, Shizuoka, Japan
[8] Natl Canc Ctr Hosp East, Dept Esophageal Surg, Chiba, Japan
[9] Chiba Canc Ctr, Clin Trial Promot Dept, Chiba 2608717, Japan
[10] Keio Univ, Sch Med, Dept Surg, Tokyo 160, Japan
关键词
esophageal cancer; preoperative chemotherapy; preoperative chemoradiotherapy; clinical trial; Phase III; CHEMOTHERAPY; SURVIVAL; CARCINOMA;
D O I
10.1093/jjco/hyt061
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A three-arm Phase III trial was started in November 2012. Preoperative chemotherapy with cisplatin plus 5-fluorouracil is the current standard treatment for locally advanced esophageal cancer in Japan, while preoperative chemoradiotherapy with cisplatin plus 5-fluorouracil is the standard in Western countries. Preoperative chemotherapy with docetaxel, cisplatin plus 5-fluorouracil is another promising regimen. The purpose of this study is to confirm the superiority of docetaxel, cisplatin plus 5-fluorouracil over cisplatin plus 5-fluorouracil and the superiority of cisplatin plus 5-fluorouracil with chemoradiotherapy over cisplatin plus 5-fluorouracil as preoperative therapy for squamous cell carcinoma of esophagus. A total of 501 patients will be accrued from 41 Japanese institutions within 6.25 years. The primary endpoint is overall survival and the secondary endpoints include progression-free survival, R0 resection, response rate, pathologic complete response rate and adverse events.
引用
收藏
页码:752 / 755
页数:4
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