Phase III Randomized Controlled Trial of Adjuvant Capecitabine/Cisplatin Chemotherapy and Chemoradiation Therapy for Gastric Adenocarcinoma
Although gastrectomy is the only potentially curative treatment in gastric cancer patients,
the overall survival results remain unsatisfactory. The main factor accounting for high
mortality rate is the relapse after surgical resection. During the past few decades, the
principle of combined modality treatment has been developed and applied in practice for
various solid tumors and gastric cancer has not been an exception. In an attempt to prevent
recurrence and increase the cure rate of gastric cancer patients after surgery, multiple
studies using variable modalities have been undertaken. One of the landmark study in
adjuvant trials was the Intergroup study INT-0116, which reported a significant improvement
in survival with the use of chemoradiation therapy after gastric resection of stage Ib to IV
gastric cancers. Thereafter, the chemoradiation therapy has gained popularity and has been
increasingly recognized as a standard of care in U.S. Nevertheless, the result from
INT-0116 study has been challenged by the fact that the surgical treatment applied in the
trial was gastrectomy with limited lymph node dissection (D0 or D1) in 90% of cases.
Therefore, it is debatable whether adjuvant chemoradiation therapy can confer survival
benefit in patients with extensive lymph node dissection.
It is still disputable if chemoradiotherapy after D2 can improve the results of D2 alone.
Thus, the assessment of the effect of adjuvant chemoradiotherapy in D2 resected gastric
cancer is essential.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
disease free survival
Won Ki Kang, MD
Samsung Medical Center
Korea: Food and Drug Administration