Table 1.
Reported randomised controlled trials (RCTs) in patients with OAC, highlighting equivalent overall survival following chemotherapy only or multimodal regimens, despite higher pathological complete response (pCR) rates and negative resection (R0) margins with multimodal therapy.
Trial | Comparison | Overall survival arm A | Overall survival arm B | R0 | pCR |
---|---|---|---|---|---|
POET [37] (n = 119) | Arm A: CF/w x 14 versus Arm B: Same + 30 Gy+ CEt | 24% 5 years | 40% 5 years, P = 0.0055 | 79% versus 88% 41/52 versus 43/49 | 2% versus 12% (1/59 versus 7/60), P = 0.03 |
AUSTRALIAN [35] (n = 75) | Arm A: CF/q21d x2 versus Arm B: Same + 35 Gy | 36% 5 years | 45% 5 years | 88% versus 100% 29/33 versus 33/33 | 0 versus 13% (0/36 versus 5/39), P = 0.05 |
NEORES I [36] (n = 181) 72% Adeno | Arm A: CF/q21d x 3 versus Arm B: Same + 40 Gy | 49% 3 years | 47% 3 years | 74% versus 87% 58/78 versus 68/78, P = 0.042 | 8% versus 24% (7/91 versus 22/90), P = 0.002 |
C cisplatin, F fluorouracil, Et etoposide, E epirubicin.