Evidence map›Paper›PMID 28535156›Full record

Trial reportBritish journal of cancer2017

Phase II study of neoadjuvant imatinib in large gastrointestinal stromal tumours of the stomach.

Yukinori Kurokawa, Han-Kwang Yang, Haruhiko Cho, Min-Hee Ryu, Toru Masuzawa, Sook Ryun Park, Sohei Matsumoto, Hyuk-Joon Lee, Hiroshi Honda, Oh Kyoung Kwon and 12 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter 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 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 109 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Long-term outcomes of a phase II study of neoadjuvant imatinib in large gastrointestinal stromal tumors of the stomach.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2023
    Trial
  5. Trial
  6. Updated Asian consensus guidelines for the diagnosis and management of gastrointestinal stromal tumor (2025).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  7. Article
  8. Observational
  9. Article
  10. Long-Term Outcomes After Multiorgan Resection of Primary Gastrointestinal Stromal Tumors.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Trends and outcomes for patients receiving neoadjuvant therapy for stage I to III gastric gastrointestinal stromal tumors.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

22 authors at 15 institutions in 2 countries.

Yukinori KurokawaDepartment of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka 565-0871, Japan.
Han-Kwang YangDepartment of Surgery and Cancer Research Institute, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-gu, Seoul 03080, South Korea.
Haruhiko ChoDepartment of Surgery, Kanagawa Cancer Center, 2-3-2 Nakao, Asahi-ku, Yokohama 241-8515, Japan.
Min-Hee RyuDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Seoul 05505, South Korea.
Toru MasuzawaDepartment of Surgery, Osaka Police Hospital, 10-31, Kitayamacho, Tennoji-ku, Osaka 543-0035, Japan.
Sook Ryun ParkDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Seoul 05505, South Korea.
Sohei MatsumotoDepartment of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
Hyuk-Joon LeeDepartment of Surgery and Cancer Research Institute, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-gu, Seoul 03080, South Korea.
Hiroshi HondaDepartment of Surgery, Sendai Open Hospital, 5-22-1, Tsurugaya, Miyagino-ku, Sendai 983-0824, Japan.
Oh Kyoung KwonGastric Cancer Center, Kyungpook National University Medical Center, 807 Hoguk-ro, Buk-gu, Daegu 41404, South Korea.
Takashi IshikawaDepartment of Surgery, Niigata University, 1-754, Asahimachidouri, Niigata 951-8520, Japan.
Kyung Hee LeeDepartments of Hemato-oncology, Yeungnam Medical Center, 170, Hyeonchung-ro, Nam-gu, Daegu 42415, South Korea.
Kazuhito NabeshimaDepartment of Surgery, Tokai University, 143, Shimokasuya, Isehara 259-1193, Japan.
Seong-Ho KongDepartment of Surgery and Cancer Research Institute, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-gu, Seoul 03080, South Korea.
Toshio ShimokawaClinical Study Support Center, Wakayama Medical University, 811-1, Kimiidera, Wakayama 641-8510, Japan.
Jeong-Hwan YookDepartment of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Seoul 05505, South Korea.
Yuichiro DokiDepartment of Gastroenterological Surgery, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka 565-0871, Japan.
Seock-Ah ImDepartment of Internal Medicine and Cancer Research Institute, Seoul National University College of Medicine, 101 Daehak-Ro, Jongno-gu, Seoul 03080, South Korea.
Seiichi HirotaDepartment of Surgical Pathology, Hyogo College of Medicine, 1-1, Mukogawacho, Nishinomiya 663-8501, Japan.
Seokyung HahnMedical Research Collaborating Center, Seoul National University Hospital, 101 Daehak-Ro, Jongno-gu, Seoul 03080, South Korea.
Toshirou NishidaNational Cancer Center Hospital, 5-1-1, Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Yoon-Koo KangDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Seoul 05505, South Korea.
Seoul National University Hospital · KRAsan Medical Center · KRThe University of Osaka · JPHyogo Medical University · JPKanagawa Prefectural Hospital Organization · JPKyungpook National University Medical Center · KRNara Medical University · JPNiigata University · JPOsaka Police Hospital · JPSendai Shakai Hoken Hospital · JPTokai University · JPUlsan College · KRUniversity of Ulsan · KRWakayama Medical University · JPYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrointestinal stromal tumours (GISTs) with high-risk features have poor prognosis even if adjuvant treatment is given. Neoadjuvant imatinib may increase the cure rate by shrinking large GISTs and preserve organ function.

methodsWe conducted an Asian multinational phase II study for patients with gastric GISTs ≥10 cm. Patients received neoadjuvant imatinib (400 mg/day) for 6-9 months. The primary end point was R0 resection rate.

resultsA total of 56 patients were enroled in this study. In the full analysis set of 53 patients, neoadjuvant imatinib for ≥6 months was completed in 46 patients. Grade 3-4 neutropenia and rash occurred in 8% and 9%, respectively, but there were no treatment-related deaths. The response rate by RECIST was 62% (95% CI, 48-75%). The R0 resection rate was 91% (48/53) (95% CI, 79-97%). Preservation of at least half of the stomach was achieved in 42 of 48 patients with R0 resection. At the median follow-up time of 32 months, 2-year overall and progression-free survival rates were 98% and 89%, respectively.

conclusionsNeoadjuvant imatinib treatment for 6-9 months is a promising treatment for large gastric GISTs, allowing a high R0 resection rate with acceptable toxicity.

Indexed as

GastrectomyAdultAgedAntineoplastic AgentsDisease-Free SurvivalDrug EruptionsFemaleGastrointestinal Stromal TumorsHumansImatinib MesylateJapanMaleMiddle AgedNeoadjuvant TherapyNeutropeniaOrgan Sparing TreatmentsAntineoplastic AgentsImatinib Mesylate

Identifiers

PMID28535156
PMCPMC5520207
OpenAlexW2618308435

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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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.