Evidence map›Paper›PMID 38826114›Full record

Trial reportCancer medicine2024

Comparison of SOX and CAPOX in patients with advanced gastric cancer after laparoscopic D2 gastrectomy: A randomized controlled trial.

Xin Liu, Yongjia Yan, Li Lu, Yang Liu, Jun Ma, Xi Wang, Daohan Wang, Bang Liu, Zhuo Liu, Xueying Zhou and 9 more

Abstract readRandomized Controlled TrialComparative StudyEquivalence Trial
In one paragraph

Trial report in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. POSTNFrontiers in immunology · 2026
    Article
  4. Article
  5. Cellular and Molecular Mechanisms of Chemoresistance for Gastric Cancer.International journal of general medicine · 2024
    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

19 authors.

Xin LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0003-3456-3795
Yongjia YanDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Li LuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Yang LiuDepartment of General Surgery, the Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang, China.
Jun MaDepartment of Digestive Endoscopic and Minimally Invasive Surgery, Shanxi Cancer Hospital, Taiyuan, China.
Xi WangDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Daohan WangDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Bang LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhuo LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Xueying ZhouDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
He CuiDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhicheng ZhaoDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Chuan LiDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Jian LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Weidong LiDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Qing-Xing HuangDepartment of Digestive Endoscopic and Minimally Invasive Surgery, Shanxi Cancer Hospital, Taiyuan, China.
Qun ZhaoDepartment of General Surgery, the Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang, China.
Tong LiuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.
Weihua FuDepartment of General Surgery, Tianjin Medical University General Hospital, Tianjin, China.ORCID 0000-0003-2576-865X

Funding

Fundamental Research Cooperation Program of Beijing-Tianjin-Hebei Region of Natural Science Foundation of Tianjin 22JCZXJC00140Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDZK-005ATianjin Major Science and Technology Project 21ZXJBSY00110Tianjin Medical University Clinical Research Fund
6 · The paper itself

Abstract

backgroundOptimal adjuvant chemotherapy after laparoscopic surgery in gastric cancer (GC) patients is still undefined. We aimed to evaluate the efficacy of S-1 plus oxaliplatin (SOX) and capecitabine plus oxaliplatin (CAPOX) in patients with GC after laparoscopic gastrectomy.

methodsA non-inferiority randomized controlled clinical trial was performed in China. Patients with advanced GC who underwent laparoscopic D2 gastrectomy were randomly assigned to receive SOX and CAPOX regimens.

resultsIn total, 191 patients were screened between May 2018 and June 2019, and 140 (73.3%) were included in the modified intent-to-treat analysis (mITT), of whom 69 and 71 were assigned to the SOX and CAPOX groups, respectively. The SOX group had similar 3-year overall survival (OS) and disease-free survival to the CAPOX group. Subgroup analysis revealed significantly better OS in the SOX group for male patients ([HR] = 0.395; 95% [CI], 0.153-1.019; p = 0.045), age >60 (HR = 0.219; 95% [CI], 0.064-0.753; p = 0.016), tumors in the gastric antrum (HR = 0.273; 95% [CI], 0.076-0.981; p = 0.047), and moderately differentiated tumors (HR = 0.338; 95% [CI], 0.110-1.041; p = 0.041). There were no significant differences observed in terms of adverse events and recurrence patterns between the two groups.

conclusionAdjuvant SOX was non-inferior to CAPOX treatments for patients with GC who underwent curative laparoscopic D2 gastrectomy. For male patients, aged >60 years, tumors in the gastric antrum, and moderately differentiated tumors, adjuvant SOX may achieve an improvement compared with CAPOX.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCapecitabineDrug CombinationsGastrectomyLaparoscopyOxaliplatinOxonic AcidStomach NeoplasmsTegafurAdultAgedChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedCapecitabineDrug CombinationsOxaliplatinOxonic AcidS 1 (combination)Tegafurchemotherapygastric cancersurgerysurvival

Identifiers

PMID38826114
PMCPMC11145022

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.