Evidence map›Paper›PMID 41808581›Full record

Trial reportCancer2026

Patient-reported outcomes in NRG Oncology RTOG 1010: Phase 3 trial evaluating the addition of trastuzumab to trimodality treatment of HER2 overexpressing esophageal adenocarcinoma.

Lisa A Kachnic, Jennifer Moughan, Theodore S Hong, Michael G Haddock, Naeem Tahir, Harry H Yoon, Dayssy A Diaz, Carryn M Anderson, Samantha A Seaward, Christopher E Lominska and 10 more

Abstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Evolving treatment paradigms in esophageal cancer.Annals of translational medicine · 2021
    Review
  3. The emerging role of proton therapy for esophagus cancer.Journal of gastrointestinal oncology · 2020
    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

20 authors.

Lisa A KachnicDepartment of Radiation Oncology, Columbia University Medical Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-8239-9147
Jennifer MoughanNRG Oncology Statistics and Data Management Center, American College of Radiology, Philadelphia, Pennsylvania, USA.
Theodore S HongDepartment of Radiation Oncology, Massachusetts General Hospital Cancer Center, Boston, Massachusetts, USA.
Michael G HaddockDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA.
Naeem TahirDepartment of Hematology/Oncology, Dana-Farber Cancer Institute, Foxborough, Massachusetts, USA.
Harry H YoonDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota, USA.ORCID https://orcid.org/0000-0001-6208-3487
Dayssy A DiazDepartment of Radiation Oncology, Ohio State University Comprehensive Cancer Center, Columbus, Ohio, USA.
Carryn M AndersonDepartment of Radiation Oncology, University of Iowa/Holden Comprehensive Cancer Center, Iowa City, Iowa, USA.
Samantha A SeawardDepartment of Radiation Oncology, Kaiser Permanente, Oakland, California, USA.ORCID https://orcid.org/0000-0003-4459-4923
Christopher E LominskaDepartment of Radiation Oncology, University of Kansas Cancer Center, Kansas City, Kansas, USA.ORCID https://orcid.org/0000-0003-1829-1371
Paul E O'BrienDepartment of Hematology/Oncology, Medical University of South Carolina, Charleston, South Carolina, USA.
Yuhchyau ChenDepartment of Radiation Oncology, University of Rochester, Rochester, New York, USA.
Jonathan C SaloDepartment of Surgical Oncology, Carolinas Medical Center/Levine Cancer Institute, Charlotte, North Carolina, USA.
Alfred D ChristieDepartment of Radiation Oncology, Geisinger Medical Center, Danville, Pennsylvania, USA.
Jennifer A DorthDepartment of Radiation Oncology, Case Western Reserve University, Cleveland, Ohio, USA.
Raid M AljumailyDepartment of Hematology/Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Elizabeth M GoreDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Kathryn A WinterNRG Oncology Statistics and Data Management Center, American College of Radiology, Philadelphia, Pennsylvania, USA.
Howard P SafranDepartment of Hematology/Oncology, Rhode Island Hospital, Providence, Rhode Island, USA.
Benjamin MovsasDepartment of Radiation Oncology, Henry Ford Cancer Institute, Detroit, Michigan, USA.

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
NCI, National Clinical Trials Network Lead Academic Participating Site (LAPS) UG1 (funded extension)UG1CA232760 · NCI · MAYO CLINIC ROCHESTER · PI Judy Caroline Boughey, Aaron Scott Mansfield · 2019 to 2026
$8.5M
GenentechNCI NIH HHS U10 CA180822NCI NIH HHS U10CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U10CA180868NCI NIH HHS U24 CA180803NCI NIH HHS U24CA180803NCI NIH HHS UG1 CA189867NCI NIH HHS UG1CA189867NCI NIH HHS UG1 CA232760
6 · The paper itself

Abstract

backgroundNRG/RTOG 1010 evaluated trastuzumab added to trimodality therapy for HER2+ localized esophageal adenocarcinoma (EAC) management. Secondary PRO objectives assessed improvement in the FACT-Esophageal Cancer Subscale (ECS), version 4, with trastuzumab, and if improved ECS correlated with pathologic complete response (pCR).

methodsPatients were randomized to weekly paclitaxel/carboplatin/radiation (chemoradiation, CRT) followed by surgery ± trastuzumab (CRT + Tras). Disease-free survival (DFS) was the primary end point. The projected PRO sample size of 158 patients, based on an 80% participation rate of the DFS primary endpoint sample size of 197 HER2+ patients, would provide ≥ 89% power to detect ≥25% increase in the proportion of CRT + Tras patients with ECS improvement from baseline to 6-8 weeks post-CRT; one-sided α = 0.05, using a χ

resultsFrom 2010 to 2015, 203 HER2+ patients were randomized and 194 were eligible. Of 171 PRO consenting patients, the ECS was completed by 162 (95%) at baseline, 108 (64%) 6-8 weeks, 82 (49%) 1 year, and 55 (33%) at 2 years. The proportion of patients with an improvement in 6-8 weeks ECS was higher on the CRT + Tras arm (46% vs. 38%), although not significantly different (p = .39). There was no correlation between pCR and ECS scores at 1 year, with 39% and 37% of pCR and non-pCR patients, respectively, having improved 1-year ECS scores.

conclusionsThe addition of trastuzumab to CRT for localized HER2+ EAC did not improve PROs.

Indexed as

AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsErb-b2 Receptor Tyrosine KinasesEsophageal NeoplasmsTrastuzumabAdultAgedCarboplatinChemoradiotherapyDisease-Free SurvivalFemaleHumansMaleMiddle AgedPaclitaxelPathologic Complete ResponseCarboplatinERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesPaclitaxelTrastuzumabchemoradiationclinical trialesophageal cancerNRG Oncology RTOG 1010patient‐reported outcomesquality of life

Identifiers

PMID41808581
PMCPMC13321207

What OpenQuestion holds

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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.