Table 1. Major trials of postoperative RT for gastric cancer.
Trial | Phase | Country/countries | Randomization | N | RT technique | D2 dissection rate | pN+ rate | DFS/RFS/EFS | OS |
---|---|---|---|---|---|---|---|---|---|
INT-0116 | III | USA | Postoperative CRT (45 Gy + 5-FU/LCV) vs. Obs |
556 | AP/PA (2D) | 10% | 85% | 25% vs. 14% (P<0.001), 10-year | 26% vs. 17% (P=0.005), 10-year |
ARTIST | III | South Korea | Postoperative XPRT (45 Gy + concurrent capecitabine) vs. XP | 458 | AP/PA (2D/3D) | 100% | 86% | 74% vs. 68% (P=0.092), 5-year | 75% vs. 73% (P=0.53), 5-year |
ARTIST-2 | III | South Korea | Postoperative SOX + RT (45 Gy) vs. SOX vs. S-1 (3-arm) | 538 | Not reported | 100% | 100% | 73% vs. 78% vs. 65% (P=0.67 for SOX+RT vs. SOX), 3-year | Not reported |
CRITICS | III | Netherlands, Sweden, Denmark | Postoperative CRT (45 Gy + capecitabine + cisplatin) vs. EOC/ECC | 788 | 3D or IMRT allowed | 6.8% | 51.1% (ypN+) | 38% vs. 39% (P=0.92), 5-year | 40% vs. 42% (P=0.90), 5-year |
RT, radiotherapy; N, number; pN+, pathologically node-positive; LR, local relapse; DFS, disease-free survival; RFS, relapse-free survival; EFS, event-free survival; OS, overall survival; INT, Intergroup; CRT, chemoradiation; 5-FU, 5-fluouracil; LCV, leucovorin; AP, anteroposterior; PA, posteroanterior; XPRT, capecitabine/cisplatin plus radiotherapy; XP capecitabine/cisplatin; EOC, epirubicin/oxaliplatin/capecitabine; ECC, epirubicin/cisplatin/capecitabine; IMRT, intensity-modulated radiotherapy; ypN+, pathologically-node-positive after neoadjuvant therapy.