2022
DOI: 10.1016/j.ijrobp.2022.07.357
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Concurrent Chemoradiation of Different Doses (50.4 Gy vs. 59.4 Gy) and Different Target Field (ENI vs. IFI) for Locally Advanced Esophageal Squamous Cell Carcinoma: Results from a Randomized, Multicenter Phase Ⅲ Clinical Trial

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Cited by 5 publications
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“…Zhang et al. [ 48 ] similarly found no statistically significant difference in the OS and PFS of the patients in the EN and IFI groups. Meta-analyses have consistently concluded that IFI does not compromise local control or survival rates, while mitigating the adverse effects of radiotherapy compared to ENI [ 49 , 50 ].…”
Section: Discussionmentioning
confidence: 99%
“…Zhang et al. [ 48 ] similarly found no statistically significant difference in the OS and PFS of the patients in the EN and IFI groups. Meta-analyses have consistently concluded that IFI does not compromise local control or survival rates, while mitigating the adverse effects of radiotherapy compared to ENI [ 49 , 50 ].…”
Section: Discussionmentioning
confidence: 99%
“…Their results were inconsistent with our conclusion, which may be attributed to that most of the included studies in these me- Three ongoing prospective trials reported the preliminary results, which could not be enrolled in this meta-analysis. At the 2022 American Society for Therapeutic Radiology and Oncology (ASTRO), a multicenter phase III randomized clinical trial (NROG-001) [27] reported that the HD arm (59.4 Gy) did not present significantly prolonged OS (HR = 0.93, P = 0.54) but exhibited improved PFS (29.1 months to 20.0 months, HR = 0.77, P = 0.023) when compared with the SD arm (50.4 Gy) for local advanced thoracic ESCC. The ongoing Chinese ESO-Shanghai 12 study [28] and British SCOPE2 study [29] are making an earnest endeavor to compare the effects of standard-dose and high-dose radiation treatments.…”
Section: Discussionmentioning
confidence: 99%
“…Most patients with esophageal cancer are in poor general condition and with advanced local disease, where treatment with the intention of surgery is impossible. A multicenter, randomized phase III trial (NROG-001) [31] showed that in the high-dose arm (59.4 Gy) there was no improvement in OS (HR = 0.93, p = 0.54), but an improvement in PFS was demonstrated (29.1 months-20.0 months, HR = 0.77, p = 0.023) compared with the lower dose arm (50.4 Gy). In the study by Herskovitz et al [32], the median OS was 8.9 months in the group with radiotherapy alone and 12.5 months in patients with radiochemotherapy.…”
Section: Brachytherapy Combined With Teleradiotherapy In Advanced Non...mentioning
confidence: 99%