Evidence map›Paper›PMID 27193097›Full record

Trial reportCancer chemotherapy and pharmacology2016

A prospective, multicenter phase I/II study of induction chemotherapy with docetaxel, cisplatin and fluorouracil (DCF) followed by chemoradiotherapy in patients with unresectable locally advanced esophageal carcinoma.

Hironaga Satake, Makoto Tahara, Satoshi Mochizuki, Ken Kato, Hiroki Hara, Tomoya Yokota, Naomi Kiyota, Takayuki Kii, Keisho Chin, Sadamoto Zenda and 8 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06531434 (A Pilot Study to Establish Best Treatment Strategy for T4 Esophageal Cancer), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06531434 phase1 / phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Pilot Study to Establish Best Treatment Strategy for T4 Esophageal Cancer

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2024 to 2026Enrolled22ConditionsEsophageal Cancer TNM Staging Primary Tumor (T) T4Arms"Docetaxel", "Cisplatin", "fluorouracil", "Radiation"
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 64 citations in OpenAlex.

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  16. Role of surgery in T4N0-3M0 esophageal cancer.World journal of surgical oncology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 1 country.

Hironaga SatakeDepartment of GI Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Makoto TaharaDepartment of Head and Neck Medical Oncology, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, 277-8577, Japan. matahara@east.ncc.go.jp.
Satoshi MochizukiGastroenterology Division, Tokatsu-Tsujinaka Hospital, Abiko, Japan.
Ken KatoGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Hiroki HaraDepartment of Gastroenterology, Saitama Cancer Center, Saitama, Japan.
Tomoya YokotaDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Naomi KiyotaDepartment of Oncology, Kobe University Hospital, Kobe, Japan.
Takayuki KiiDepartment of Cancer Chemotherapy Center, Osaka Medical College, Osaka, Japan.
Keisho ChinDepartment of Gastroenterology, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Sadamoto ZendaDivision of Radiation Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Takashi KojimaDepartment of GI Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hideaki BandoDepartment of GI Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Tomoko YamazakiDepartment of GI Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Satoru IwasaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Yoshitaka HonmaGastrointestinal Medical Oncology Division, National Cancer Center Hospital, Tokyo, Japan.
Satoru HamauchiDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Takahiro TsushimaDivision of Gastrointestinal Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Atsushi OhtsuDepartment of GI Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
National Cancer Center Hospital East · JPShizuoka Cancer Center · JPJapanese Foundation For Cancer Research · JPKobe City Medical Center General Hospital · JPKobe University Hospital · JPOsaka Medical and Pharmaceutical University · JPSaitama Cancer Center · JPTokatsu Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStandard care for unresectable locally advanced esophageal squamous cell carcinoma (ESCC) is concurrent chemoradiotherapy, but survival remains limited. Neoadjuvant chemotherapy with docetaxel, cisplatin and fluorouracil (DCF) has demonstrated promising activity, with a pathological complete response (CR) of 17 % for resectable stage II/III ESCC. Here, we conducted a multicenter study to assess the efficacy and safety of induction chemotherapy with DCF followed by CRT in patients with unresectable locally advanced ESCC.

methodsEligibility criteria included clinical T4 and/or M1 lymph node ESCC, PS 0-1 and age 20-70 years. Treatment consisted of docetaxel 70 mg/m(2) and cisplatin 70 mg/m(2) on day 1, and fluorouracil 750 mg/m(2) on days 1-5, repeated every 3 weeks for three cycles, followed by cisplatin 70 mg/m(2) on days 64 and 92, and fluorouracil 700 mg/m(2) on days 64-67 and 92-95, concurrently with radiotherapy (60 Gy in 30 fractions, 5 days/week). Primary endpoint of the phase II part was CR rate.

resultsThirty-three patients were enrolled. The completion rate of protocol treatment was 88 %. Thirteen patients (39.4 %) achieved a CR. With a median follow-up period of 41 months (range 24-49 months), median progression-free survival was 12.2 months, and median survival was 26.0 months, with a survival rate of 40.4 % at 3 years. The most common grade 3 or 4 toxicities were neutropenia, leukopenia, anorexia and dysphagia. No treatment-related death was observed.

conclusionInduction chemotherapy with DCF followed by CRT is tolerable and shows promising efficacy for unresectable locally advanced ESCC.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellChemoradiotherapyCisplatinDisease-Free SurvivalDocetaxelEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleFluorouracilFollow-Up StudiesHumansInduction ChemotherapyMaleCisplatinDocetaxelFluorouracilTaxoidsChemoradiotherapyDCFEsophageal carcinomaInduction chemotherapySquamous cell carcinoma

Identifiers

PMID27193097
PMCPMC4921115
OpenAlexW2402403643

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.