Evidence map›Paper›PMID 37610558›Full record

Trial reportGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2023

Multicenter phase II study of capecitabine plus oxaliplatin in older patients with advanced gastric cancer: the Tokyo Cooperative Oncology Group (TCOG) GI-1601 study.

Ryohei Kawabata, Keisho Chin, Daisuke Takahari, Hisashi Hosaka, Osamu Muto, Yoshiaki Shindo, Naoki Nagata, Hiroshi Yabusaki, Hiroshi Imamura, Shunji Endo and 20 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Long-term survival outcomes from a phase II trial of perioperative capecitabine plus oxaliplatin for advanced gastric cancer with extensive lymph node metastases: OGSG 1701.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Trial
  2. Efficacy and safety of irinotecan-based therapy in elderly patients with advanced gastric cancer receiving third-line or later chemotherapy: post-hoc age-subgroup analysis of the rindberg trial.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Trial
  3. Article
  4. Review
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.

Ryohei KawabataDepartment of Surgery, Osaka Rosai Hospital, Nagasone-cho, Kita-ku, Sakai, Osaka, 1179-35918025, Japan. r-kawabata@umin.ac.jp.ORCID http://orcid.org/0000-0001-7386-1096
Keisho ChinDepartment of Gastroenterological Chemotherapy, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Daisuke TakahariDepartment of Gastroenterological Chemotherapy, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Hisashi HosakaDepartment of Gastroenterology, Gunma Prefectural Cancer Center, Gunma, Japan.
Osamu MutoDepartment of Medical Oncology, Japanese Red Cross Akita Hospital, Akita, Japan.
Yoshiaki ShindoDepartment of Gastroenterological Surgery, Nakadori General Hospital, Akita, Japan.
Naoki NagataDepartment of Gastroenterological Surgery, Kitakyushu General Hospital, Kitakyushu, Fukuoka, Japan.
Hiroshi YabusakiDepartment of Gastroenterological Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Hiroshi ImamuraDepartment of Gastroenterological Surgery, Toyonaka Municipal Hospital, Toyonaka, Osaka, Japan.
Shunji EndoDepartment of Gastroenterological Surgery, Yao Municipal Hospital, Yao, Osaka, Japan.
Tomomi KashiwadaDepartment of Internal Medicine, Division of Hematology, Respiratory Medicine and Oncology, Faculty of Medicine, Saga University, Saga, Japan.
Masato NakamuraAizawa Comprehensive Cancer Center, Aizawa Hospital, Matsumoto, Nagano, Japan.
Jun HiharaDepartment of Gastroenterological Surgery, Hiroshima City North Medical Center Asa Citizens Hospital, Hiroshima, Japan.
Michiya KobayashiCancer Treatment Center, Kochi Medical School Hospital, Nankoku, Kochi, Japan.
Tamotsu SagawaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Hokkaido, Japan.
Soh SaitoDepartment of Gastroenterology, Misawa Citi Hospital, Misawa, Aomori, Japan.
Atsushi SatoDepartment of Medical Oncology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.
Takeshi YamadaDepartment of Gastroenterology, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaragi, Japan.
Naohiro OkanoDepartment of Medical Oncology, Kyorin University Faculty of Medicine, Mitaka, Tokyo, Japan.
Ken ShimadaDepartment of Internal Medicine, Division of Medical Oncology, Showa University Koto-Toyosu Hospital, Tokyo, Japan.
Masashi MatsushimaDepartment of Gastroenterology, Tokai University School of Medicine, Tokyo, Japan.
Masato KataokaDepartment of Surgery, National Hospital Organization Nagoya Medical Center, Tokyo, Japan.
Shigemi MatsumotoDepartment of Clinical Oncology, Kyoto University Hospital, Kyoto, Japan.
Masahiro GotoCancer Chemotherapy Center, Osaka Medical and Pharmaceutical University Hospital, Suita, Osaka, Japan.
Masahito KotakaGastrointestinal Cancer Center, Sano Hospital, Tokyo, Japan.
Takeshi ShiraishiDepartment of Medical Oncology, Japanese Red Cross Matsuyama Hospital, Matsuyama, Ehime, Japan.
Hiromichi YamaiDepartment of Gastroenterological Surgery, Japanese Red Cross Kochi Hospital, Kochi, Japan.
Fumio NagashimaDepartment of Medical Oncology, Kyorin University Faculty of Medicine, Mitaka, Tokyo, Japan.
Naoki IshizukaClinical Planning and Strategy Department Center for Development of Advanced Cancer Therapy, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Kensei YamaguchiDepartment of Gastroenterological Chemotherapy, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan.
Japanese Foundation For Cancer Research · JPKyorin University · JPAizawa Hospital · JPAkita Red Cross Hospital · JPGunma Prefectural Cardiovascular Center · JPHirosaki University · JPHiroshima City Asa Citizens Hospital · JPJapanese Red Cross Kochi Hospital · JPKochi Medical School Hospital · JPKyoto University Hospital · JPMatsuyama Red Cross Hospital · JPMisawa City Hospital · JPNakadōri General Hospital · JPNational Hospital Organization · JPNational Hospital Organization Hokkaido Medical Center · JPNiigata Cancer Center Hospital · JPOsaka Rosai Hospital · JPSaga University · JPShowa University · JPTokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCapecitabine plus oxaliplatin (CapeOX) is a standard treatment option for advanced gastric cancer (AGC). We conducted a prospective multicenter phase II study to evaluate the efficacy and safety of CapeOX as a first-line therapy for AGC in older patients.

methodsChemotherapy-naive patients aged ≥ 70 years with AGC were eligible. Initial treatment comprised capecitabine (2000 mg/m

resultsIn total, 108 patients were enrolled, of whom 104 were evaluated. Thirty-nine patients received the original-dose treatment, whereas 65 received the reduced-dose treatment. The median OS, progression-free survival (PFS), and time to treatment failure (TTF) were 12.9 (95% CI 11.6-14.8), 5.7 (95% CI 5.0-7.0), and 4.3 (95% CI 3.9-5.7) months, respectively, for all patients; 13.4 (95% CI 9.5-16.0), 5.8 (95% CI 4.1-7.8), and 5.3 (95% CI 3.5-7.2) months in the original-dose group; and 12.8 (95% CI 11.3-15.3), 5.7 (95% CI 4.4-7.0), and 4.1 (95% CI 3.7-5.7) months in the reduced-dose group. The most common grade 3/4 toxicities were neutropenia (17.9%), anemia (12.8%), and thrombocytopenia (12.8%) in the original-dose group and neutropenia (13.8%) and anorexia (12.3%) in the reduced-dose group.

conclusionsThese findings demonstrate CapeOX's efficacy and safety in older AGC patients.

Indexed as

NeutropeniaStomach NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsCapecitabineFluorouracilHumansOxaliplatinProspective StudiesTokyoCapecitabineFluorouracilOxaliplatinCapecitabineGastric cancerOlder patientsOxaliplatin

Identifiers

PMID37610558
PMCPMC10640487
OpenAlexW4386084886

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.