Evidence map›Paper›PMID 34133211›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

PRODIGY: A Phase III Study of Neoadjuvant Docetaxel, Oxaliplatin, and S-1 Plus Surgery and Adjuvant S-1 Versus Surgery and Adjuvant S-1 for Resectable Advanced Gastric Cancer.

Yoon-Koo Kang, Jeong Hwan Yook, Young-Kyu Park, Jong Seok Lee, Young-Woo Kim, Jin Young Kim, Min-Hee Ryu, Sun Young Rha, Ik Joo Chung, In-Ho Kim and 27 more

Registry-linked trialAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01515748 (A Phase III, Open-labelled, Randomised Study of Neoadjuvant Docetaxel+Oxaliplatin+S-1), which is not on this map. Cited by 248 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
248citing papers in PubMed, 10 pooled it
–field-weighted citation impact
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.

NCT01515748 phase3completednot on this map

A Phase III, Open-labelled, Randomised Study of Neoadjuvant Docetaxel+Oxaliplatin+S-1 (DOS) + Surgery + Adjuvant S-1 Versus Surgery + Adjuvant S-1 in Patients With Resectable Advanced Gastric Cancer

TypeinterventionalSponsorSanofiRan2011 to 2021Enrolled530ConditionsGastric CancerArmsDocetaxel (XRP6976), Oxaliplatin (SR96669), S-1 (1-(2-tetrahydrofuryl)-5-fluorouracil + 5-chloro-2, 4-dihydroxypyridine (CDHP) (Gimeracil) + Oxo (Oteracil)
3 · Its place in the literature

Who cites it

248 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  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
    Guideline
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  7. SEOM-GEMCAD-TTD clinical guideline for the diagnosis and treatment of gastric cancer (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  8. Clinical practice guidelines for esophagogastric junction cancer: Upper GI Oncology Summit 2023.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
    Guideline
  9. Guideline
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  11. Preoperative chemotherapy with docetaxel, oxaliplatin, and S-1 for gastric cancer with extensive lymph node metastasis: 3-year follow-up results from JCOG1704.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
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  15. Neoadjuvant docetaxel, oxaliplatin, and S-1 therapy for patients with large type 3 or type 4 gastric cancer: short-term outcomes of a multicenter, phase II study (OGSG1902).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
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  19. Short-term outcomes of a phase II trial of perioperative capecitabine plus oxaliplatin therapy for advanced gastric cancer with extensive lymph node metastases (OGSG1701).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Trial
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188 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Yoon-Koo KangDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID 0000-0003-0783-6583
Jeong Hwan YookDepartment of Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.
Young-Kyu ParkDepartment of Surgery, Chonnam National University Medical School, Hwasun, Republic of Korea.
Jong Seok LeeDepartment of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Young-Woo KimCenter for Gastric Cancer, Research Institute & Hospital, National Cancer Center, Graduate School of Cancer Science and Policy, Goyang, Republic of Korea.ORCID 0000-0002-1559-9672
Jin Young KimDivision of Hemato-Oncology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
Min-Hee RyuDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Sun Young RhaDepartment of Internal Medicine, Yonsei Cancer Center, Yonsei University, Seoul, Republic of Korea.ORCID 0000-0002-2512-4531
Ik Joo ChungDepartment of Internal Medicine, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Jeonnam, Republic of Korea.ORCID 0000-0003-0479-8067
In-Ho KimDivision of Medical Oncology, Department of Internal Medicine, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Sang Cheul OhDepartment of Internal Medicine, Korea University Guro Hospital, Seoul, Republic of Korea.
Young Soo ParkDepartment of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Taeil SonDepartment of Surgery, Yonsei Cancer Center, Yonsei University Health System, Seoul, Republic of Korea.ORCID 0000-0002-0327-5224
Mi Ran JungDepartment of Surgery, Chonnam National University Medical School, Hwasun, Republic of Korea.ORCID 0000-0002-4665-972X
Mi Hwa HeoDivision of Hemato-Oncology, Department of Internal Medicine, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.ORCID 0000-0003-3997-8463
Hark Kyun KimCenter for Gastric Cancer, Research Institute & Hospital, National Cancer Center, Graduate School of Cancer Science and Policy, Goyang, Republic of Korea.ORCID 0000-0001-9814-1829
ChoHyun ParkDepartment of Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Chang Hak YooDepartment of Surgery, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Republic of Korea.
Jin-Hyuk ChoiDepartment of Hematology-Oncology, Ajou University School of Medicine, Suwon, Republic of Korea.
Dae Young ZangDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea.
You Jin JangDepartment of Surgery, Korea University Guro Hospital, Seoul, Republic of Korea.ORCID 0000-0002-3216-0282
Ji Young SulDepartment of Surgery, Chungnam National University Hospital, Daejeon, Republic of Korea.
Jong Gwang KimDepartment of Internal Medicine, Kyungpook National University, Daegu, Republic of Korea.
Beom Su KimDepartment of Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.
Seung-Hoon BeomDepartment of Internal Medicine, Yonsei Cancer Center, Yonsei University, Seoul, Republic of Korea.
Sang Hee ChoDepartment of Internal Medicine, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Jeonnam, Republic of Korea.ORCID 0000-0002-7995-7862
Seung Wan RyuDepartment of Surgery, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.ORCID 0000-0003-0374-5748
Myeong-Cherl KookCenter for Gastric Cancer, Research Institute & Hospital, National Cancer Center, Graduate School of Cancer Science and Policy, Goyang, Republic of Korea.ORCID 0000-0002-3435-3301
Baek-Yeol RyooDepartment of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-9052-833X
Hyun Ki KimDepartment of Pathology, Yonsei University College of Medicine, Seoul, Republic of Korea.
Moon-Won YooDepartment of Surgery, Asan Medical Center, University of Ulsan, Seoul, Republic of Korea.ORCID 0000-0003-0346-9042
Nam Su LeeDepartment of Internal Medicine, Soon Chun Hyang University Hospital, Seoul, Republic of Korea.
Sang Ho LeeDepartment of Surgery, Kosin University Gospel Hospital, Busan, Republic of Korea.ORCID 0000-0002-4634-4904
Gyunji KimSanofi Korea, Seoul, Republic of Korea.
YeonJu LeeSanofi Korea, Seoul, Republic of Korea.
Jee Hyun LeeSanofi Korea, Seoul, Republic of Korea.
Sung Hoon NohDepartment of Surgery, Gangnam Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.ORCID 0000-0003-4386-6886

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdjuvant chemotherapy after D2 gastrectomy is standard for resectable locally advanced gastric cancer (LAGC) in Asia. Based on positive findings for perioperative chemotherapy in European phase III studies, the phase III PRODIGY study (ClinicalTrials.gov identifier: NCT01515748) investigated whether neoadjuvant docetaxel, oxaliplatin, and S-1 (DOS) followed by surgery and adjuvant S-1 could improve outcomes versus standard treatment in Korean patients with resectable LAGC. PATIENTS AND

methodsPatients 20-75 years of age, with Eastern Cooperative Oncology Group performance status 0-1, and with histologically confirmed primary gastric or gastroesophageal junction adenocarcinoma (clinical TNM staging: T2-3N+ or T4Nany) were randomly assigned to D2 surgery followed by adjuvant S-1 (40-60 mg orally twice a day, days 1-28 every 6 weeks for eight cycles; SC group) or neoadjuvant DOS (docetaxel 50 mg/m

resultsBetween January 18, 2012, and January 2, 2017, 266 patients were randomly assigned to CSC and 264 to SC at 18 Korean study sites; 238 and 246 patients, respectively, were treated (full analysis set). Follow-up was ongoing in 176 patients at data cutoff (January 21, 2019; median follow-up 38.6 months [interquartile range, 23.5-62.1]). CSC improved PFS versus SC (adjusted hazard ratio, 0.70; 95% CI, 0.52 to 0.95; stratified log-rank

conclusionPRODIGY showed that neoadjuvant DOS chemotherapy, as part of perioperative chemotherapy, is effective and tolerable in Korean patients with LAGC.

Indexed as

GastrectomyNeoadjuvant TherapyAdenocarcinomaAdultAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDocetaxelDrug CombinationsEsophagogastric JunctionFemaleHumansMaleMiddle AgedNeoplasm StagingOxaliplatinDocetaxelDrug CombinationsOxaliplatinOxonic AcidS 1 (combination)Tegafur

Identifiers

PMID34133211
PMCPMC8425847

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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.