Evidence map›Paper›PMID 35999521›Full record

Trial reportBMC cancer2022

Benefit of a flash dose of corticosteroids in digestive surgical oncology: a multicenter, randomized, double blind, placebo-controlled trial (CORTIFRENCH).

Joséphine Magnin, Isabelle Fournel, Alexandre Doussot, Jean-Marc Régimbeau, Philippe Zerbib, Guillaume Piessen, Laura Beyer-Berjot, Sophie Deguelte, Zaher Lakkis, Lilian Schwarz and 20 more

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

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03875690 (Benefit of a Flash Dose of Corticosteroids in Digestive Surgical Oncology), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

NCT03875690 phase3active not recruitingnot on this map

Benefit of a Flash Dose of Corticosteroids in Digestive Surgical Oncology: a Randomized, Double Blind, Placebo-controlled Trial

TypeinterventionalSponsorCentre Hospitalier Universitaire DijonRan2019 to 2027Enrolled1,200ConditionsElective Surgery for Any Digestive CancerArmsInjection of methylprednisolone, Injection of sodium chloride, Blood samples
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Intraoperative corticosteroid administration for resectable gastric cancer: a multicenter, randomized, open-label, phase II/III study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Trial
  3. Article
  4. Article
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

30 authors at 20 institutions in 1 country.

Joséphine MagninService de Chirurgie Digestive et Cancérologique, CHU François Mitterrand, 14 rue Paul Gaffarel, 21000 , Dijon, France. josephinemagnin@gmail.com.ORCID http://orcid.org/0000-0003-0277-7641
Isabelle FournelDepartment of Clinical Epidemiology, University Hospital of Dijon, INSERM CIC 1432, University of Bourgogne, Dijon, France.
Alexandre DoussotDepartment of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, Besançon, France.
Jean-Marc RégimbeauDepartment of Digestive Surgical Oncology, University Hospital of Amiens, Amiens, France.
Philippe ZerbibDepartment of Digestive Surgical Oncology and Liver Transplantation, Claude Huriez University Hospital, Chu Lille, France.
Guillaume PiessenDepartment of Digestive and Oncological Surgery, Claude Huriez University Hospital, Chu Lille, France.
Laura Beyer-BerjotDepartment of Digestive Surgical Oncology, North University Hospital, Marseille, France.
Sophie DeguelteDepartment of Digestive Surgical Oncology, University Hospital of Reims, Reims, France.
Zaher LakkisDepartment of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Besançon, Besançon, France.
Lilian SchwarzDepartment of Digestive Surgical Oncology, University Hospital of Rouen, Rouen, France.
David OrryDepartment of Surgical Oncology, Georges François Leclerc Cancer Center, Dijon, France.
Ahmet AyavDepartment of Digestive Surgical Oncology, University Hospital of Nancy, Nancy, France.
Fabrice MuscariDepartment of Digestive Surgical Oncology, Rangueil University Hospital, Toulouse, France.
François MauvaisDepartment of Digestive Surgery, Simone Veil Hospital, Beauvais, France.
Guillaume PassotDepartment of Digestive Surgical Oncology, Pierre Bénite University Hospital, Lyon, France.
Nelson TrellesDepartment of Digestive Surgery, René-Dubos Hospital, Cergy-Pontoise, France.
Aurélien VenaraDepartment of Digestive Surgical Oncology, University Hospital of Angers, Angers, France.
Stéphane BenoistDepartment of Digestive Surgical Oncology, Bicêtre University Hospital, Le Kremlin-Bicêtre, France.
Mathieu MessagerDepartment of Digestive Surgery, Gustave Dron Hospital, Tourcoing, France.
David FuksDepartment of Digestive Surgical Oncology, Cochin University Hospital, Paris, France.
Baptiste BorraccinoDepartment of Digestive Surgery, Hospital of Auxerre, Auxerre, France.
Christophe TrésalletDepartment of Digestive Surgical Oncology, Avicenne University Hospital, Paris, France.
Alain ValverdeDepartment of Digestive Surgery, La Croix Saint Simon Hospital, Paris, France.
François-Régis SoucheDepartment of Digestive Surgical Oncology, University Hospital of Montpellier, Montpellier, France.
Astrid HerreroDepartment of Digestive Surgical Oncology and Liver Transplantation, University Hospital of Montpellier, Montpellier, France.
Sébastien GaujouxDepartment of Digestive Surgical Oncology, Pitié Salpêtrière University Hospital, Paris, France.
Jérémie LefevreDepartment of Digestive Surgical Oncology, Saint-Antoine University Hospital, Paris, France.
Abderrahmane BourredjemDepartment of Clinical Epidemiology, University Hospital of Dijon, INSERM CIC 1432, University of Bourgogne, Dijon, France.
Amélie CransacDepartment of Pharmacy, University Hospital of Dijon, Dijon, France.
Pablo Ortega-DeballonService de Chirurgie Digestive et Cancérologique, CHU François Mitterrand, 14 rue Paul Gaffarel, 21000 , Dijon, France.
Inserm · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Besançon · FRSorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FRCentre Georges François Leclerc · FRCentre Hospitalier de Tourcoing · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier René-Dubos · FRCentre Hospitalier Universitaire de Reims · FRCentre Hospitalier Universitaire de Rouen · FRCentre Hospitalier Universitaire de Toulouse · FRCentre National de la Recherche Scientifique · FRCHU Dijon Bourgogne · FRGroupe Hospitalier Diaconesses Croix Saint-Simon · FRHôpital Cochin · FRInstitut de Cancérologie de Bourgogne · FRLille Inflammation Research International Center · FRMicrobiologie de l’alimentation au service de la santé · FRUniversité Claude Bernard Lyon 1 · FR

Funding

Direction Générale de l'offre de Soins ORTEGA-PHRCK-2017
6 · The paper itself

Abstract

backgroundThe modulation of perioperative inflammation seems crucial to improve postoperative morbidity and cancer-related outcomes in patients undergoing oncological surgery. Data from the literature suggest that perioperative corticosteroids decrease inflammatory markers and might be associated with fewer complications in esophageal, liver, pancreatic and colorectal surgery. Their benefit on cancer-related outcomes has not been assessed.

methodsThe CORTIFRENCH trial is a phase III multicenter randomized double-blind placebo-controlled trial to assess the impact of a flash dose of preoperative corticosteroids versus placebo on postoperative morbidity and cancer-related outcomes after elective curative-intent surgery for digestive cancer. The primary endpoint is the frequency of patients with postoperative major complications occurring within 30 days after surgery (defined as all complications with Clavien-Dindo grade > 2). The secondary endpoints are the overall survival at 3 years, the disease-free survival at 3 years, the frequency of patients with intraabdominal infections and postoperative infections within 30 days after surgery and the hospital length of stay. We hypothesize a reduced risk of major complications and a better disease-survival at 3 years in the experimental group. Allowing for 5% of drop-out, 1 200 patients (600 per arm) should be included. DISCUSSION: This will be the first trial focusing on the impact of perioperative corticosteroids on cancer related outcomes. If significant, it might be a strong improvement on oncological outcomes for patients undergoing surgery for digestive cancers.

trial registrationClinicalTrials.gov, NCT03875690, Registered on March 15, 2019, URL: https://clinicaltrials.gov/ct2/show/NCT03875690 .

Indexed as

NeoplasmsSurgical OncologyAdrenal Cortex HormonesDouble-Blind MethodHumansPostoperative ComplicationsTreatment OutcomeAdrenal Cortex Hormonescancer-related outcomesDigestive surgical oncologyPerioperative corticosteroidsPostoperative morbidityRandomized placebo-controlled trial

Identifiers

PMID35999521
PMCPMC9400297
OpenAlexW4292756319

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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.