Similar Suvival, Tolerability For Adjuvant Chemotherapy, Radiotherapy in Gastric Cancer
the Cancer Therapy Advisor take:
A recently conducted trial entitled The Adjuvant Chemoradiotherapy in Stomach Tumors (ARTIST) sought to determine if the inclusion of radiotherapy with adjuvant chemotherapy improved the rate of disease-free survival in patients with D2-resected gastric cancer.
The research was conducted between November 2004 and April 2008 and 458 patients with gastric cancer who had a D2 lymph node dissection were randomly assigned to received either six cycle of adjuvant chemotherapy with capecitabine and cisplatin or to two cycle of capecitabine and cisplatin followed by chemoradiotherapy and then two cycle of capecitabine and cisplatin.
The researchers found that after 7 years of follow-up, disease-free survival rates remained similar between the two groups (hazard ratio [HR], 0.740; 95% CI, 0.520,1.050; P=0.0922).
Overall survival was also determined to be similar between the treatment groups (HR, 1.130; 95% CI, 0.775,1.647; P=0.5272). Subgroup analyses were conducted and they indicated that chemoradiotherapy was shown to significantly improve disease free survival in patients with node-positive disease and with intestinal-type GC.
The researchers conclude that in patients with D2-resected gastric cancer adjuvant chemotherapy and chemoradiotherapy are equally tolerated and able to prevent the relapse of disease. Due to the findings in regard to certain subsets of patients, additional research is underway in patients with node-positive D2-resected gastric cancer.
Inclusion of radiotherapy with adjuvant chemotherapy improved the rate of survival in D2-resected gastric cancer.
Sign Up for Free e-newsletters
Regimen and Drug Listings
GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION
|Head and Neck Cancer||Regimens||Drugs|
|Renal Cell Carcinoma||Regimens||Drugs|
Cancer Therapy Advisor Articles
- Patient-Reported Outcomes in Oncology Expected to Make Regulatory Waves
- Metastatic Prostate Cancer Responds to Novel Radiation Therapy
- FDA Provides Update on Breast Implant-Associated Anaplastic Large Cell Lymphoma
- Q&A With Mark B. Gerstein, PhD, on Diagnostic Genomic vs Exomic Sequencing
- Immune Signature for Renal Cell Papillary Carcinoma Predicts Outcome
- Nivolumab-Ipilimumab Survival Benefit in Advanced RCC Confirmed
- Two-Drug Combination Superior to Sunitinib in Patients With Untreated Advanced Renal Cell Carcinoma
- Adding Chemotherapy to Radiation Post-Radical Cystectomy Improves Survival in Urothelial Carcinoma
- Radiation, Chemotherapy Not Beneficial in Localized Upper Tract Urothelial Carcinoma
- Radical Cystectomy Superior to Trimodal Therapy for Muscle-Invasive Bladder Cancer