Evidence map›Paper›PMID 34351555›Full record

Trial reportGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2022

Three-year outcomes of a randomized phase III trial comparing adjuvant chemotherapy with S-1 plus docetaxel versus S-1 alone in stage III gastric cancer: JACCRO GC-07.

Yoshihiro Kakeji, Kazuhiro Yoshida, Yasuhiro Kodera, Mitsugu Kochi, Takeshi Sano, Wataru Ichikawa, Sang-Woong Lee, Kazushige Shibahara, Toshio Shikano, Masato Kataoka and 8 more

Open access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
8.8field-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

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. 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
  8. Addition of docetaxel to S-1 results in significantly superior 5-year survival outcomes in Stage III gastric cancer: a final report of the JACCRO GC-07 study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2023
    Trial
  9. Mechanisms of chemoresistance in gastric cancer: interplay between microRNAs and the tumor microenvironment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  10. Identification of patients at risk for poor survival among those with normal skeletal muscle mass: a multicenter retrospective validation study in gastric cancer.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  11. Review
  12. Tackling similarities and differences in global practice guidelines for gastric cancer: a review on the latest Taiwan guidelines with Asia-Pacific, European and US guidelines.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Review
  13. Article
  14. Article
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  16. Article
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  20. Observational

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

18 authors at 16 institutions in 1 country.

Yoshihiro KakejiDivision of Gastrointestinal Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. kakeji@med.kobe-u.ac.jp.ORCID 0000-0002-2727-0241
Kazuhiro YoshidaDepartment of Surgical Oncology, Gifu University, Gifu, Japan.
Yasuhiro KoderaDepartment of Gastroenterological Surgery, Nagoya University, Nagoya, Japan.
Mitsugu KochiDepartment of Digestive Surgery, Nihon University Itabashi Hospital, Tokyo, Japan.
Takeshi SanoGastroenterological Surgery, Cancer Institute Hospital, Tokyo, Japan.
Wataru IchikawaDivision of Medical Oncology, Showa University Fujigaoka Hospital, Yokohama, Japan.
Sang-Woong LeeDepartment of General and Gastroenterological Surgery, Osaka Medical College, Takatsuki, Japan.
Kazushige ShibaharaDepartment of Surgery, Toyama Red Cross Hospital, Toyama, Japan.
Toshio ShikanoDepartment of Surgery, Yokkaichi Municipal Hospital, Yokkaichi, Japan.
Masato KataokaDepartment of Surgery, National Hospital Organization, Nagoya Medical Center, Nagoya, Japan.
Atsushi IshiguroDepartment of Medical Oncology, Teine Keijinkai Hospital, Sapporo, Japan.
Hitoshi OjimaDepartment of Gastrointestinal Surgery, Gunma Prefectural Cancer Center, Ota, Japan.
Yoshinori SakaiDepartment of Gastrointestinal Medicine, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan.
Nobuyuki MushaDepartment of Surgery, Saiseikai Niigata Hospital, Niigata, Japan.
Tsunenobu TakaseDepartment of Surgery, Kainan Hospital, Yatomi, Japan.
Taisei KimuraDepartment of Surgery, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Masahiro TakeuchiDepartment of Clinical Medicine, School of Pharmacy, Kitasato University, Tokyo, Japan.
Masashi FujiiDepartment of Digestive Surgery, Nihon University Itabashi Hospital, Tokyo, Japan.
Nihon University Itabashi Hospital · JPGifu University · JPHyogo Prefectural Cancer Center · JPKinan Hospital · JPKitasato University · JPKobe University · JPNagoya University · JPNational Hospital Organization · JPOsaka Medical and Pharmaceutical University · JPSaiseikai Niigata Daini Hospital · JPSeirei Mikatabara General Hospital · JPShowa University Fujigaoka Hospital · JPTeine Keijinkai Hospital · JPThe Cancer Institute Hospital · JPTsuchiura Kyodo General Hospital · JPYokkaichi Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe second planned interim analysis (median follow-up 12.5 months) in a phase III trial of postoperative adjuvant chemotherapy for stage III gastric cancer revealed significant improvement in relapse-free survival (RFS) for S-1 plus docetaxel over S-1 alone. Although enrollment was terminated on the recommendation of the independent data and safety monitoring committee, we continued follow-up and herein report on 3-year RFS, the primary endpoint. PATIENTS AND

methodsPatients with histologically confirmed stage III gastric cancer who underwent gastrectomy with D2 lymphadenectomy were randomly assigned to receive adjuvant chemotherapy with either S-1 plus docetaxel or S-1 alone. In the S-1 plus docetaxel group, S-1 was given orally for 2 weeks followed by 1 week of rest for seven courses, and docetaxel was given intravenously on day 1 of the second to seventh courses. The combination therapy was followed by S-1 monotherapy for up to 1 year.

resultsThe 3-year RFS rate of the S-1 plus docetaxel group was 67.7%. This was significantly superior to that of 57.4% in the S-1 group (hazard ratio [HR] 0.715, 95% CI 0.587-0.871, P = 0.0008). This translated into a significant benefit in the 3-year overall survival (OS) rate in the S-1 plus docetaxel group (77.7% versus 71.2%, HR 0.742, 95% CI 0.596-0.925, P = 0.0076).

conclusionOn 3-year follow-up data, postoperative adjuvant therapy with S-1 plus docetaxel was confirmed to improve both RFS and OS and can be recommended as a standard of care for patients with stage III gastric cancer treated by D2 dissection.

Indexed as

Stomach NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDocetaxelHumansNeoplasm StagingDocetaxelAdjuvant chemotherapyDocetaxelGastric cancerS-1

Identifiers

PMID34351555
OpenAlexW3188943391

What OpenQuestion holds

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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.