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. 2021 Jul 25;6:50. doi: 10.21037/tgh.2020.03.01

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.