Table 3.
Studies | Country | Years | Randomization arms | Surgery | Protocol | Patients (n) | Overall survival | P value | Disease free survival | P value |
ACTS-GC trial[25,26] | Japan | 2007 | Chemotherapy and surgery | D2 surgery | Oral S1 chemotherapy | 529 | 71.7% at 5 yr1 | - | 65.4% at 5 yr1 | - |
Surgery alone | 530 | 61.1% at 5 yr | 53.1% at 5 yr | |||||||
GASTRIC metaanalysis[24] | - | 2010 | Chemotherapy | - | - | 1924 | 55.3% at 5 yr1 | < 0.001 | 54% at 5 yr1 | < 0.001 |
Surgery alone | - | 1857 | 49.6% at 5 yr | 48.7% at 5 yr | ||||||
CLASSIC trial[27] | South Korea | 2012 | Chemotherapy and surgery | D2 surgery | XELOX chemotherapy | 520 | 83% at 3 yr1 | 0.049 | 74% at 3 yr1 | < 0.0001 |
Surgery alone | 515 | 78% at 3 yr | 59% at 3 yr |
Statistically significant result. XELOX: Xeloda and oxaliplatin.