Evidence map›Paper›PMID 32583567›Full record

Trial reportCancer medicine2020

The efficacy and safety of neoadjuvant chemotherapy on patients with advanced gastric cancer: A multicenter randomized clinical trial.

Qun Zhao, Changhong Lian, Zhibin Huo, Ming Li, Yang Liu, Liqiao Fan, Bibo Tan, Xuefeng Zhao, Zhidong Zhang, Dong Wang and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01516944 (Perioperative Tegafur Gimeracil Oteracil Potassium Capsule Plus Oxaliplatin Versus Capecitabine Plus Oxaliplatin in Patients With Localized Advanced Gastric Cancer), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 8% 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.

NCT01516944 phase2 / phase3completednot on this map

Perioperative Tegafur Gimeracil Oteracil Potassium Capsule Plus Oxaliplatin Versus Capecitabine Plus Oxaliplatin in Patients With Localized Advanced Gastric Cancer

TypeinterventionalSponsorHebei Medical UniversityRan2012 to 2018Enrolled749ConditionsGastric CancerArmsTegafur, Gimeracil and Oteracil Potassium Capsules;Oxaliplatin, Oxaliplatin, Capecitabine
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Japanese gastric cancer treatment guidelines 2025 (7th edition).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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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

15 authors at 3 institutions in 1 country.

Qun ZhaoDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Changhong LianSurgical Oncology, Changzhi Medical College Affiliated Peace Hospital, Changzhi, Shanxi, China.
Zhibin HuoGastrointestinal Tumor Surgery, Xingtai People's Hospital, Xingtai, China.
Ming LiGeneral Surgery, The First Hospital of Shijiazhuang, Shijiazhuang, China.
Yang LiuDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Liqiao FanDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Bibo TanDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Xuefeng ZhaoDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Zhidong ZhangDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Dong WangDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Yu LiuDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Honghai GuoDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Peigang YangDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Yuan TianDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
Yong LiDepartment of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.ORCID 0000-0002-2592-5128
Hebei Medical University · CNChangzhi Medical College Peace Hospital · CNFirst Hospital of Shijiazhuang · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExploring the efficacy and safety of perioperative chemotherapy on patients with AGC at different clinical and pathological stages.

methodsA phase III randomized, multicenter, trial comparing adjuvant (arm A) or perioperative S-1 plus oxaliplatin (SOX, arm B), and perioperative capecitabine plus oxaliplatin (XELOX, arm C) was initiated in T3/4, node + gastric cancer patients (unclear). Each patient received an 8-cycle chemotherapy (3 weeks for one cycle). Group arms B and C received two cycles preoperatively, and six cycles postoperatively. Primary endpoints were R0 resection rate and DFS, and secondary endpoints included OS, ORR, DCR, and safety. This study was registered on Clinicaltrials.gov. NCT01516944.

resultsA total of 749 patients were randomly assigned into groups A, B, and C. Group A received 1460 circles chemotherapy and group B received 1177 circles while group C received 1200 circles. R0 resection rates in the three groups were 81.7%, 88.7%, and 83.1%, respectively. The difference between groups A and B was considered to be statistically significant (P = .018), and no significant difference between groups B and C (P = .051). Hazard ratio were compared between groups B and C and DFS showed 0.72 (0.67-0.77 with 95% CI), P

conclusionsCompared with PAC, perioperative chemotherapy showed a significant improvement in R0 resection rates and prognosis in AGC patients with higher safety rates. This study was powered to show superiority of perioperative over adjuvant SOX, and noninferiority of SOX to XELOX. Volume measurement, repeated laparoscopic exploration combined with exfoliative cytology can be used as a supplementary method in the clinical staging and efficacy evaluation of AGC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCapecitabineChemotherapy, AdjuvantConfidence IntervalsDisease-Free SurvivalDrug CombinationsFemaleHumansLymph NodesMaleMiddle AgedNeoadjuvant TherapyOxaliplatinOxaloacetatesOxonic AcidPrognosisCapecitabineDrug CombinationsOxaliplatinOxaloacetatesOxonic AcidS 1 (combination)Tegafurgastric cancerneoadjuvant chemotherapySOXsurvival analysisXELOX

Identifiers

PMID32583567
PMCPMC7433829
OpenAlexW3037865200

What OpenQuestion holds

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LicenceCC BY
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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.