Table 2. Details of Included RCTs Comparing NAC with SA in Our Meta-Analysis (Part B).
Authors | Main inclusion criteria | Regimen and administration | Median Follow-up (months) | Available outcomes |
Shchepotin et al [41] | Gastric carcinoma | Intra-arterial | NR | OS |
Kang et al [42] | Gastric adenocarcinoma | PEF (DDP/epirubicin/5-FU) | >36 | R0 resection, tumor stage at resection |
Kobayashi et al [43] | Resectable advanced gastric cancer; ≤75 years | 5′-DFUR: oral, ≥610 mg/m2/d×10 d | NR | OS, R0 resection, tumor stage at resection (only T stage), safety of NAC |
Wang et al [44] | Resectable gastric cancer | FPLC: oral | 60 | 5-year survival, perioperative morbidity |
Hartgrink et al [45] | Resectable gastric adenocarcinoma; >cT1 M0; PS 0–2; ≤75 years | FAMTX: intravenous; methotrexate 1500 mg/m2, 5-FU 1500 mg/m2, leucovorin 30 mg/6 h×2 d, doxorubicin 30 mg/m2; 4 courses | 83 | OS, R0 resection, tumor stage at resection, safety of NAC, perioperative morbidity |
Nio et al [46] | Resectable gastric cancer; PS 0–3 | UFT (tegafur/uracil): oral, FT: 7 mg/kg/d×21 d | 83 | OS, R0 resection, tumor stage at resection, safety of NAC, perioperative morbidity |
Zhao et al [47] | Gastric adenocarcinoma, Karnofsky's scale >90, ≤70 years | 5′-DFUR (oral, 800–1200 mg/d) or DDP/5-FU (intravenous, 500 mg 5-FU+200 mg/d CF)×3–5 d | NR | OS, R0 resection, tumor stage at resection, perioperative morbidity and mortality |
Imano et al [48] | Resectable advanced gastric cancer; <75 years; PS 0–1 | 5-FU (330 mg/m2/d×3 d) or DDP (18 mg/m2) or 5-FU+DDP: intravenous | NR | OS, R0 resection, tumor stage at resection, safety of NAC, perioperative morbidity |
Schuhmacher et al [49] | Locally advanced resectable gastric adenocarcinoma, stages III and IV; cT3/4 M0/1; PS 0–1; 18–70 years | DDP (50 mg/m2/d×3 d), d-L-folinic acid (500 mg/m2/d×6 d), 5-FU (2000 mg/m2/d×6 d); 2 courses; intravenous | 53 | OS, progression-free survival (PFS), R0 resection, tumor stage at resection, safety of NAC, perioperative morbidity |
RCTs, randomized controlled trials; NAC, neoadjuvant chemotherapy; SA, surgery alone; NR, not reported; OS, overall survival; PS, performance status (ECOG/WHO); 5-FU, 5-fluorouracil; 5′-DFUR, 5′-Deoxy-5-fluorouridine; DDP, cisplatin; FPLC, fluorouracil polyphase liposome composita pro orale, consisting of 5-FU, oleic acid, ginseng polysaccharides, bean phospholipid and cholesterol; R0 resection, presence of tumor-free resection margin.