Table 2.
The main randomized trials in gastric cancer that evaluate the preoperative therapy
Trial | Year | Randomization scheme | OS | DFS, PFS | Limits |
MAGIC[25] | 2006 | S-alone vs CT + S + CT | 5-yr 23% vs 36% (P = 0.009) | 3-yr 26% vs 38% (P < 0.001) | Low adherence to post-operative CT, inclusion of gastroesophageal junction or lower esophagus cancer |
FNCLCC/ FFCD[26] | 2011 | S-alone vs CT + S + CT | 5-yr 24% vs 38% (P = 0.02) | 5-yr 19% vs 34% (P = 0.003) | Inclusion of gastroesophageal junction or lower esophagus cancer, small series |
MAGIC-B[28] | 2017 | CT/Beva + S + CT/ Beva vs CT + S + CT | 3-yr 48.1% vs 50.3% (P = 0.36) | NR | Inclusion of gastroesophageal junction or lower esophagus cancer |
POET trial[29] | 2009 | CT + S vs CT + CRT + S | 3-yr 27.7% vs 47.4% (P = NS) | NR | Gastroesophageal junction tumors, closed earlier |
OS: Overall survival; DFS: Disease-free survival; PFS: Progression-free survival; RT: Radiotherapy; S: Surgery; CT: Chemotherapy; CRT: Chemoradiation; NR: Not reported; NS: Not significant; Beva: Bevacizumab.