Evidence map›Paper›PMID 29397659›Full record

Trial reportCancer research and treatment2019

S-1 Based Doublet as an Adjuvant Chemotherapy for Curatively Resected Stage III Gastric Cancer: Results from the Randomized Phase III POST Trial.

Choong-Kun Lee, Minkyu Jung, Hyo Song Kim, Inkyung Jung, Dong Bok Shin, Seok Yun Kang, Dae Young Zang, Ki Hyang Kim, Moon Hee Lee, Bong-Seog Kim and 6 more

Open access · diamondAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Cancer research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

16 authors at 8 institutions in 1 country.

Choong-Kun LeeDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Minkyu JungDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Hyo Song KimDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Inkyung JungDepartment of Biostatistics, Yonsei University College of Medicine, Seoul, Korea.
Dong Bok ShinDivision of Hematology and Oncology, Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea.
Seok Yun KangDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, Korea.
Dae Young ZangDivision of Hemato-Oncology, Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine, Anyang, Korea.
Ki Hyang KimDivision of HematologyOncology, Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Moon Hee LeeDivision of Hematology-Oncology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
Bong-Seog KimDivision of HematoOncology, Department of Internal Medicine, Veterans Health Service Medical Center, Seoul, Korea.
Kyung Hee LeeDivision of Hematology-Oncology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Jae-Ho CheongDepartment of Surgery, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Woo Jin HyungDepartment of Surgery, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Sung Hoon NohDepartment of Surgery, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Hyun Cheol ChungDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Sun Young RhaDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRAjou University · KRDeleted InstitutionHallym University Medical Center · KRInha University · KRInje University Busan Paik Hospital · KRVeterans Health Service Medical Center · KRYeungnam University · KR

Funding

Ministry of Science, ICT and Future Planning 2010-0020841National Research Foundation of Korea
6 · The paper itself

Abstract

purposeWe conducted a randomized, multicenter, phase III trial to compare S-1 plus docetaxel (DS) with S-1 plus cisplatin (SP) as adjuvant chemotherapy for stage III gastric cancer patients. MATERIALS AND

methodsStage III gastric cancer patients who had received curative gastrectomy with D2 lymphadenectomy were randomized into equal groups to receive adjuvant chemotherapy of eight cycles of DS (S-1 70 mg/m2 /day on days 1-14 plus docetaxel 35 mg/m2 on days 1 and 8) every 3 weeks or SP (S-1 70 mg/m2 /day on days 1-14 plus cisplatin 60 mg/m2 on day 1) every 3 weeks. The primary endpoint was 3-year disease-free survival (DFS) rate.

resultsBetween November 2010 and July 2013, 153 patients (75 patients to DS and 78 patients to SP) were enrolled from 8 institutions in Korea. After the capecitabine plus oxaliplatin was approved based on the CLASSIC study, itwas decided to close the study early. With a median follow-up duration of 56.9 months, the 3-year DFS rate between two groups was not significantly different (49.14% in DS group vs. 52.5% in SP group). The most common grade 3-4 adverse event was neutropenia (42.7% in DS and 38.5% in SP, p=0.351). SP group had more grade 3-4 anemia (1.3% vs. 11.5%, p=0.037), whereas grade 3-4 hand-foot syndrome (4.1% vs. 0%, p=0.025) and mucositis (10.7% vs. 2.6%, p=0.001) were more common in DS group. Fifty-one patients (68%) in DS group and 52 (66.7%) in SP group finished planned treatment.

conclusionOur findings suggest that SP or DS is an effective and tolerable option for patients with curatively resected stage III gastric cancer.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantCisplatinDocetaxelDose-Response Relationship, DrugDrug CombinationsFemaleGastrectomyHumansMaleMiddle AgedOxonic AcidRepublic of KoreaStomach NeoplasmsCisplatinDocetaxelDrug CombinationsOxonic AcidS 1 (combination)TegafurAdjuvant chemotherapyCisplatinDocetaxelS-1 based doubletStage IIIStomach neoplasms

Identifiers

PMID29397659
PMCPMC6333977
OpenAlexW2786816614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.