Adjuvant chemoradiotherapy plus PD-1 inhibitor for pN3 gastric cancer: a randomized, multicenter, Phase III trial.

IF 3 4区 医学 Q2 ONCOLOGY Future oncology Pub Date : 2024-11-15 DOI:10.1080/14796694.2024.2421156
Wang Yang, Menglong Zhou, Guichao Li, Changming Zhou, Lei Wang, Fan Xia, Hui Zhang, Lijun Shen, Yan Wang, Juefeng Wan, Yaqi Wang, Guangfa Zhao, Zhen Zhang
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Abstract

D2 surgery followed by adjuvant chemotherapy has been established as the standard of care for patients with locally advanced gastric cancer in Asian countries. However, its efficacy is still unsatisfactory, especially for pathological N3 disease. The RACING trial is a randomized, multicenter, Phase III trial designed to compare the efficacy and safety of chemotherapy alone versus chemotherapy in combination with PD-1 inhibitor and radiotherapy in patients with pN3 gastric or gastroesophageal junction adenocarcinoma. A total of 433 patients will be assigned at a 1:1 ratio to the two arms. The primary end point is the 3-year disease-free survival rate. The secondary end points include the 3-year overall survival rate, 3-year local recurrence-free survival rate, treatment-related adverse events and quality of life.Clinical Trial Registration: NCT04997837 (ClinicalTrials.gov).

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辅助化放疗加 PD-1 抑制剂治疗 pN3 胃癌:一项随机、多中心 III 期试验。
在亚洲国家,D2手术后辅助化疗已被确立为局部晚期胃癌患者的标准治疗方法。然而,其疗效仍不令人满意,尤其是对病理N3疾病。RACING试验是一项随机、多中心、III期试验,旨在比较单纯化疗与化疗联合PD-1抑制剂和放疗对pN3胃癌或胃食管交界腺癌患者的疗效和安全性。共有433名患者将按1:1的比例分配到两个治疗组。主要终点是3年无病生存率。次要终点包括3年总生存率、3年无局部复发生存率、治疗相关不良事件和生活质量:临床试验注册:NCT04997837(ClinicalTrials.gov)。
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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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