Table 5.
Studies on definitive radiotherapy with or without chemotherapy for oesophageal cancer patients
Study | Type | Pathology | Stage | N | Treatment (n) | Radiation dose (Gy) | Chemotherapy regimen | ORR | MST (month) | 1 year OS |
3 year OS |
5 year OS |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Herskovic A, 1992 [7]; al-Sarraf M, 1997 [8]; Cooper JS, 1999 [6] |
Prospective Randomized (RTOG 85 − 01) |
Sq/Ad |
T1-3 N0-1 M0 |
123 | RT alone (62) | 64 | / | / | 9.3 | 34% | 0% | 0% |
RT + CT (PF) (61) |
50 |
CDDP 75 mg/m2 d1 + 5-FU 1 g/m2/d d1-d4, Q4W |
/ | 14.1 | 52% | 30% | 26% | |||||
Minsky BD, 1996 [30]; Minsky BD, 1999 [31]; |
Prospective (INT 0122) |
Sq |
T1-4 N0-1 M0 |
38 |
CT (PF) → RT + CT (PF) (38) |
64.8 |
Neoadjuvant segment: CDDP 100 mg/m2 d1 + 5-FU 1 g/m2/d d1-d5, Q4W; Combined segment: CDDP 75 mg/m2 d1 + 5-FU 1 g/m2/d d1-d5, Q4W |
55% | 20 | / | 30% | 20% |
Atsushi Ohtsu, 1999 [32] |
Prospective | Sq | T4/M1 LYM | 54 |
RT + CT (PF) (54) |
60 |
CDDP 40 mg/m2 d1, d8 + 5-FU 400 mg/m2/d d1-d5, d8-d12, Q5W |
87% | 9 | 41% | 23% | / |
Minsky BD, 2002 [5] |
Prospective (INT 0123) (RTOG 94 − 05) |
Sq/Ad |
T1-4 N0-1 M0 |
218 |
RT + CT (PF) (109) |
50.4 |
CDDP 75 mg/m2 d1 + 5-FU 1 g/m2/d d1-d4, Q4W |
/ | 18.1 | 40% | / | / |
RT + CT (PF) (109) |
64 |
CDDP 75 mg/m2 d1 + 5-FU 1 g/m2/d d1-d4, Q4W |
/ | 13 | 31% | / | / | |||||
Ishida K, 2004 [33] |
Prospective | Sq | T4/M1 LYM | 60 |
RT + CT (PF) (60) |
60 |
CDDP 70 mg/m2 d1 + 5-FU 700 mg/m2/d d1-d4, Q4W |
68.3% | 10 | / | / | / |
Ajani JA, 2008 [34] |
Prospective randomized (RTOG 0113) |
Sq/Ad | Localized | 72 |
CT(TPF) → RT + CT (TF) (37) |
50.4 | / | 28.7 | 75.7% | |||
CT(TP) → RT + CT (TP) (35) |
50.4 | / | 14.9 | 68.6% | ||||||||
Li QQ, 2010 [17] |
Retrospective | Sq | II - IV | 59 |
RT + CT (DP) (59) |
50–64 |
CDDP 80 mg/m2 d1 + Docetaxel 60 mg/m2 d1, Q3W |
98.3% | 22.6 | / | 36.7% | / |
Kato K, 2011 [35] |
Prospective (JCOG 9906) |
Sq | II - III | 74 |
RT + CT (PF) (74) |
60 |
CDDP 40 mg/m2 d1, d8 + 5-FU 400 mg/m2/d d1-d5, d8-d12, Q5W |
66.2% | 29 | / | 44.7% | / |
Nishimura Y, 2012 [36] |
Prospective (KROSG0101/ JROSG021) |
Sq/Ad | II - IV | 91 | RT + CT (PF) (46) | 60 |
CDDP 70 mg/m2 d1 + 5-FU 700 mg/m2/d d1-d5, Q4W |
/ | / | / | / | 35% |
RT + CT (PF) (45) |
60 | CDDP 7 mg/m2 d1-d5, d8-d12 + 5-FU 250 mg/m2/d d1-d14, Q4W | / | / | 44% | 22% | 71% | |||||
Zhao T, 2012 [16] |
Prospective | Sq | II - IV | 90 |
RT + CT (PF) (45) |
50.4 |
CDDP 75 mg/m2 d1 + 5-FU 250 mg/m2/d d1-d4, Q4W |
53.3% | 22.3 | / | / | / |
RT + CT (DP) (45) |
50.4 |
CDDP 75 mg/m2 d1 + Docetaxel 75 mg/m2 d1, Q4W |
73.3% | 43.2 | / | / | / | |||||
Conroy T, 2014 [3] |
Prospective (PRODIGE5/ ACCORD17) |
Sq/Ad | I - IV | 267 |
RT + CT (FOLFOX) (134) |
50 | / | 67% | 20.2 | 19.9% | ||
RT + CT (PF) (133) |
50 |
CDDP 75 mg/m2 d1 + 5-FU 1 g/m2/d d1-d4, Q3W/Q4W |
65% | 17.5 | 26.9% | |||||||
Zhang P, 2016 [37] |
Prospective | Sq | II - IV | 317 |
RT + CT (PF) (156) |
50–70 |
CDDP 60 mg/m2 d1 + 5-FU 300 g/m2 d1-d3, Q4W |
/ | 24 | 77.4% | 32.8% | / |
RT + CT (DP) (161) |
50–70 |
CDDP 80 mg/m2 d1 + Docetaxel 60 mg/m2 d1, Q3W; OR CDDP 25 mg/m2 d1 + Docetaxel 25 mg/m2 d1, QW |
/ | 21 | ||||||||
Dashan Ai, 2022 [10] |
Prospective (ESO-Shanghai2) |
Sq | II - IV | 321 |
RT + CT (TP) (107) |
61.2 | CDDP 25 mg/m2/d d1-d3 + Paclitaxel 175 mg/m2 d1, Q4W | / | / | 81.3% | 60.1% | / |
RT + CT (TF) (107) |
/ | / | / | 79.4% | 57.2% | / | ||||||
RT + CT (TC) (107) |
/ | / | / | 79.4% | 56.5% | / | ||||||
Current study | Prospective | Sq | II - IV | 86 |
RT + CT (DP) (45) |
55.8–64.0 |
CDDP 80 mg/m2 d1 + Docetaxel 60 mg/m2 d1, Q3W |
84.4% | 42.27 | 87.3% | 59.5% | 52.7% |
RT + CT (PF) (41) |
56.0–64.0 |
CDDP 80 mg/m2 d1 + 5-FU 1000 g/m2 d1-d4, Q3W |
87.8% |
Not reached |
93.7% | 65.5% | 62.9% |
Abbreviations: Ad = adenocarcinoma; CT = chemotherapy; DP = docetaxel + cisplatin, MST = median survival time; ORR = overall response rate; OS = overall survival; PF = cisplatin + 5-FU; QW = every week; Q3W = every three weeks; Q4W = every four weeks; Q5W = every five weeks; RT = radiotherapy; Sq = squamous cell carcinoma; TP = paclitaxel + cisplatin; TF = paclitaxel + fluorouracil; TC = paclitaxel + carboplatin; TPF = fluorouracil + cisplatin + paclitaxel; FOLFOX = oxaliplatin + leucovorin + fluorouracil.