Evidence map›Paper›PMID 28196063›Full record

Trial reportBritish journal of cancer2017

Long-term results and recurrence patterns from SCOPE-1: a phase II/III randomised trial of definitive chemoradiotherapy +/- cetuximab in oesophageal cancer.

T Crosby, C N Hurt, S Falk, S Gollins, J Staffurth, R Ray, J A Bridgewater, J I Geh, D Cunningham, J Blazeby and 4 more

Open access · hybridAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIComparative Study
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 6 pooled it
8.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Radiochemotherapy with or without cetuximab for unresectable esophageal cancer: final results of a randomized phase 2 trial (LEOPARD-2).Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Trial
  9. Trial
  10. The prognostic value of derived neutrophil to lymphocyte ratio in oesophageal cancer treated with definitive chemoradiotherapy.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2017
    Trial
  11. Article
  12. Review
  13. Article
  14. Article
  15. Digestive cancers: mechanisms, therapeutics and management.Signal transduction and targeted therapy · 2025
    Review
  16. Overall survival after definitive chemoradiotherapy for patients with esophageal cancer: a retrospective cohort study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

14 authors at 11 institutions in 1 country.

T CrosbyVelindre Cancer Centre, Velindre Hospital, Cardiff CF14 2TL, UK.
C N HurtWales Cancer Trials Unit, Cardiff University, Cardiff CF14 4YS, UK.
S FalkBristol Haematology and Oncology Centre, University Hospitals Bristol NHS Foundation Trust, Bristol BS2 8ED, UK.
S GollinsNorth Wales Cancer Treatment Centre, Conwy and Denbighshire NHS Trust, Rhyl LL18 5UJ, UK.
J StaffurthVelindre Cancer Centre, Velindre Hospital, Cardiff CF14 2TL, UK.
R RayWales Cancer Trials Unit, Cardiff University, Cardiff CF14 4YS, UK.
J A BridgewaterUCL Cancer Institute, University College London, London WC1E 6BT, UK.
J I GehQueen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust Birmingham B15 2GW, UK.
D CunninghamThe Royal Marsden Hospital NHS Foundation Trust, London SM2 5PT, UK.
J BlazebyCentre for Surgical Research, University of Bristol, Bristol BS8 2PS, UK.
R RoyDiana Princess of Wales Hospital, Northern Lincolnshire and Goole NHS Foundation Trust, Grimsby DN33 2BA, UK.
T MaughanCRUK/MRC Oxford Institute for Radiation Oncology, University of Oxford, Oxford OX3 7DQ, UK.
G GriffithsSouthampton Clinical Trials Unit, University of Southampton, Southampton SO16 6YD, UK.
S MukherjeeCRUK/MRC Oxford Institute for Radiation Oncology, University of Oxford, Oxford OX3 7DQ, UK.
Cardiff University · GBCRUK/MRC Oxford Institute for Radiation Oncology · GBVelindre Cancer Centre · GBDiana Princess of Wales Hospital · GBGlan Clwyd Hospital · GBQueen Elizabeth Hospital · GBRoyal Marsden Hospital · GBUniversity College London · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Southampton · GB

Funding

Cancer Research UK 15954Cancer Research UK 7256Cancer Research UK 8763Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

backgroundThe SCOPE-1 study tested the role of adding cetuximab to conventional definitive chemoradiotherapy (dCRT), and demonstrated greater toxicity and worse survival outcomes. We present the long-term outcomes and patterns of recurrence.

methodsSCOPE-1 was a phase II/III trial in which patients were randomised to cisplatin 60 mg m

resultsAbout 258 patients (dCRT=129; dCRT+cetuximab (dCRT+C)=129) were recruited from 36 centres. About 72.9% (n=188) had squamous cell histology. The median follow-up (IQR) was 46.2 (35.9-48.3) months for surviving patients. The median overall survival (OS; months; 95% CI) was 34.5 (24.7-42.3) in dCRT and 24.7 (18.6-31.3) in dCRT+C (hazard ratio (HR)=1.25, 95% CIs: 0.93-1.69, P=0.137). Median progression-free survival (PFS; months; 95% CI) was 24.1 (15.3-29.9) and 15.9 (10.7-20.8) months, respectively (HR=1.28, 95% CIs: 0.94-1.75; P=0.114). On multivariable analysis only earlier stage, full-dose RT, and higher cisplatin dose intensity were associated with improved OS.

conclusionsThe mature analysis demonstrates that the dCRT regimen used in the study provided useful survival outcomes despite its use in patients who were largely unfit for surgery or who had inoperable disease. Given the competing risk of systemic and local failure, future studies should continue to focus on enhancing local control as well as optimising systemic therapy.

Indexed as

ChemoradiotherapyAdenocarcinomaAgedAntineoplastic Combined Chemotherapy ProtocolsCapecitabineCarcinoma, Squamous CellCetuximabCisplatinEsophageal NeoplasmsFemaleFollow-Up StudiesHumansMaleNeoplasm InvasivenessNeoplasm Recurrence, LocalNeoplasm StagingCapecitabineCetuximabCisplatin

Identifiers

PMID28196063
PMCPMC5355926
OpenAlexW2587916991

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.