Evidence map›Paper›PMID 40900677›Full record

ArticleTherapeutic advances in medical oncology2025

Comparison of the efficacy of mFOLFOX-6 and mDCF regimens in the treatment of metastatic gastric cancer: a multicenter retrospective study.

Ogur Karhan, Serdar İleri, Zuhat Urakçı, Yasin Sezgin, Ümit Yıldırım, Beyza Ünlü, Hacer Demir, Hasibe Bilge Gür, Ayşe Demirci, Melih Şimşek and 22 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. 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. Article
  2. Article
  3. Longitudinal trajectories of nutritional markers in patients with de novo Stage IV gastric cancer: a descriptive analysis using one-year survival as a reference.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. 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

32 authors.

Ogur KarhanDepartment of Medical Oncology, Harran University Hospital, University of Harran, Osmanbey Campus, Şanliurfa 63200, Turkey.ORCID https://orcid.org/0000-0002-7140-8957
Serdar İleriDepartment of Medical Oncology, Dicle University Hospital, University of Dicle, Diyarbakir, Turkey.
Zuhat UrakçıDepartment of Medical Oncology, Dicle University Hospital, University of Dicle, Diyarbakir, Turkey.
Yasin SezginDepartment of Medical Oncology, MedYuzuncu Yıl University Hospital, University of Yuzuncu Yıl, Van, Turkey.
Ümit YıldırımDepartment of Medical Oncology, MedYuzuncu Yıl University Hospital, University of Yuzuncu Yıl, Van, Turkey.
Beyza ÜnlüDepartment of Medical Oncology, Afyon Health Sciences University Hospital, University of Afyon Health Sciences, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0002-8178-0277
Hacer DemirDepartment of Medical Oncology, Afyon Health Sciences University Hospital, University of Afyon Health Sciences, Afyonkarahisar, Turkey.ORCID https://orcid.org/0000-0003-1235-9363
Hasibe Bilge GürDepartment of Medical Oncology, Sakarya Research and Training Hospital, Sakarya, Turkey.
Ayşe DemirciDepartment of Medical Oncology, Sakarya Research and Training Hospital, Sakarya, Turkey.
Melih ŞimşekDepartment of Medical Oncology, Bezmialem Vakıf University Hospital, University of Bezmialem, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-0633-8558
Hüseyin Salih SemizDepartment of Medical Oncology, Dokuz Eylül University Hospital, University of Dokuz Eylül, Izmir, Turkey.ORCID https://orcid.org/0000-0002-7083-8517
Savaş GökçekDepartment of Medical Oncology, Dokuz Eylül University Hospital, University of Dokuz Eylül, Izmir, Turkey.
Nilgün YıldırımDepartment of Medical Oncology, Firat University Hospital, University of Firat, Elazig, Turkey.
Tuğçe Kübra GüneşDepartment of Medical Oncology, Ümraniye Research and Training Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-7917-2459
Abdilkerim OymanDepartment of Medical Oncology, Ümraniye Research and Training Hospital, İstanbul, Turkey.
Tolga DoğanDepartment of Medical Oncology, Pamukkale University Hospital, University of Pamukkale, Denizli, Turkey.
Gamze Gököz DoğuDepartment of Medical Oncology, Pamukkale University Hospital, University of Pamukkale, Denizli, Turkey.ORCID https://orcid.org/0000-0001-8142-0362
Yusuf İlhanDepartment of Medical Oncology, Bitlis Tatvan State Hospital, Bitlis, Turkey.ORCID https://orcid.org/0000-0002-2875-6876
Özgür TanrıverdiDepartment of Medical Oncology, Mugla Sıtkı Koçman University Hospital, University of Mugla Sıtkı Koçman, Mugla, Turkey.ORCID https://orcid.org/0000-0002-0598-7284
Ali İnalDepartment of Medical Oncology, Mersin Research and Training Hospital, Mersin, Turkey.ORCID https://orcid.org/0000-0001-9510-9858
Nadiye SeverDepartment of Medical Oncology, Marmara University Hospital, University of Marmara, I˙stanbul, Turkey.
Ezgi TürkoğluDepartment of Medical Oncology, Dr. Lütfi Kırdar Kartal Research and Training Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-3846-7047
Tugay AvcıDepartment of Medical Oncology, Manisa Celal Bayar University Hospital, University of Manisa Celal bayar, Manisa, Turkey.ORCID https://orcid.org/0000-0001-9652-7058
Sadi Kerem OkuturDepartment of Medical Oncology, Bahçelievler Memorial Hospital, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-8079-7739
Pınar PekerDepartment of Medical Oncology, Ege University Hospital, University of Ege, İzmir, Turkey.ORCID https://orcid.org/0009-0004-8769-1584
Doğan BayramDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0002-5976-2494
Onur Yazdan BalçıkDepartment of Medical Oncology, Mardin Research and Training Hospital, Mardin, Turkey.ORCID https://orcid.org/0000-0002-3386-2075
Pervin Can ŞancıDepartment of Medical Oncology, Kocaeli University Hospital, University of Kocaeli, Kocaeli, Turkey.
Seray SarayDepartment of Medical Oncology, Balıkesir Atatürk Research and Training Hospital, Balıkesir, Turkey.ORCID https://orcid.org/0000-0001-5916-6265
Pınar Çoban EşdurDepartment of Medical Oncology, Atatürk University Hospital, University of Atatürk, Erzurum, Turkey.
İsmail BeypınarDepartment of Medical Oncology, Alanya Alaaddin Keykubat University Hospital, University of Alanya Alaaddin Keykubat, Antalya, Turkey.
Sezai TunçDepartment of Medical Oncology, Mehmet Akif İnan Research and Training Hospital, Şanlıurfa, Turkey.ORCID https://orcid.org/0000-0002-4972-9367

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Metastatic gastric cancer (GC) and gastroesophageal junction (GEJ) cancer are associated with a poor prognosis. Recent advancements in treatment have incorporated trastuzumab, anti-PD-1 agents, and anti-claudin therapies alongside chemotherapy (ChT), significantly improving outcomes. Contemporary studies predominantly employ doublet ChT as the backbone for these regimens, although historically triplet ChT regimens have been favored, particularly in younger patients requiring rapid tumor shrinkage. Objective: The aim of this study was to compare the efficacy of mFOLFOX-6 and mDCF regimens in the treatment of advanced GC and GEJ adenocarcinoma. Design: This was a retrospective multicenter study. Methods: Patient data were obtained from the databases of 25 hospitals across Turkey. Demographic and clinicopathological characteristics were documented. Overall survival (OS) and progression-free survival (PFS) were analyzed using the Kaplan-Meier method, and group discrepancies were assessed with log-rank test. Results: A total of 493 patients were included in the analysis, with similar baseline characteristics between the two groups. The objective response rate was 36.3% in the mDCF group and 38% in the mFOLFOX-6 group ( Conclusion: Modified FOLFOX-6 demonstrated comparable efficacy to mDCF in the treatment of advanced GC and GEJ adenocarcinoma. Moreover, mFOLFOX-6 was associated with a lower incidence of hematological adverse effects.

Indexed as

chemotherapygastric cancermetastasisquality of lifesurvivorshiptoxicity management

Identifiers

PMID40900677
PMCPMC12399827

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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.