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Table 4 Summary of published or ongoing prospective clinical trials associated with NCRT or NCT in EGJ/GC adenocarcinoma

From: Total neoadjuvant therapy for locally advanced gastric cancer and esophagogastric junction adenocarcinoma: study protocol for a prospective, multicenter, single-arm, phase II clinical trial

Category

Author/year

No. of pts

Tumor stage

Study design

RT dose

Concurrent CT regime

CT regimes

Finding/ Clinical trial registration number

Neoadjuvant radiotherapy

Shapiro [7]

366

T2–3N0/N + 

NCRT + S vs S

41.4 Gy

TC

/

7y OS: 41%vs28% (P < 0.05)

Tian [21]

150

T2-4N0/N + 

NCRT + S vs S

45 Gy

XELOX

/

3yOS:63.4% vs 52.2%(P = 0.019)

Stahl [13]

126

cT3-4NxM0

NCT + NCRT + S vs NCT + S

30 Gy

EP

PF

5yOS:39.5% vs 24.4%(P = 0.055)

Liu [22]

36

T4aN + /T4b

NCT + NCRT + S + CT

45 Gy

S-1

SOX

2y:56%

Kim [23]

42

T3-4N0/N + 

NCT + NCRT + S + CT

45 Gy

S-1

SOX

3y:75.5%

Perioperative chemotherapy

Cunningham [9]

503

T1-4N0/N + 

NCT + S + CT vs S

/

/

ECF

5yOS:36.3%vs23% (P = 0.009)

Ychou [10]

224

T1-4N0/N + 

NCT + S + CT vs S

/

/

CF

5yOS: 38%vs24%(P = 0.02)

Al-Batran [8]

716

T2-4N0/N + 

NCT + S + CT vs NCT + S + CT

/

/

FLOT vs ECF/ECX

5yOS:45%vs36% (P = 0.012)

Zhang [24]

1094

cT4aN + /cT4b

NCT + S + CT vs S + CT vs S + CT

/

/

SOX(Peri) vs SOX(post) vs XELOX(post)

3yDFS:59.4% vs 56.5% vs 51.1%(arm1 vs arm3:P = 0·028)

Ongoing

TOPGEAR [25]

752

T3-4N0/N + 

NCT + NCRT + S + CT vs NCT + S + CT

45 Gy

5-Fu/Cap

ECF

NCT01924819

PREACT [26]

682

T3-4aN + /T4b

NCT + NCRT + CT vs NCT + S + CT

45 Gy

S-1

SOX

NCT03013010

NEO-CRAG

620

T3N2-N3/T4aN + /T4b

NCT + NCRT + S + CT vs NCT + S + CT

45 Gy

XELOX

XELOX

NCT01815853

CRITICS II [27]

207

T2-4N0/N + 

NCT + NCRT + S vs NCRT + S vs NCT + S

45 Gy

TC

DOC

NCT02931890

CRADLE

214

T3-4N0/N + 

NCRT + S + CT vs S + CT

50 Gy

SOX

SOX

NCT02193594