Difference between revisions of "Gastric cancer - historical"

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!style="width: 25%"|Comparator
 
!style="width: 25%"|Comparator
 
!style="width: 25%"|[[Levels_of_Evidence#Efficacy|Efficacy]]
 
!style="width: 25%"|[[Levels_of_Evidence#Efficacy|Efficacy]]
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|[https://onlinelibrary.wiley.com/doi/abs/10.1002/1097-0142(197907)44:1%3C42::AID-CNCR2820440108%3E3.0.CO;2-X MacDonald et al. 1979]
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| style="background-color:#91cf61" |Phase II
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| style="background-color:#d3d3d3" |
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| style="background-color:#d3d3d3" |
 
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|[https://jamanetwork.com/journals/jama/fullarticle/397816 Cullinan et al. 1985]
 
|[https://jamanetwork.com/journals/jama/fullarticle/397816 Cullinan et al. 1985]
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| style="background-color:#1a9851" |Phase III (E)
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| style="background-color:#1a9851" |Phase III (C)
 
|1. [[Gastric_cancer#Fluorouracil_monotherapy|5-FU]]<br> 2. FA
 
|1. [[Gastric_cancer#Fluorouracil_monotherapy|5-FU]]<br> 2. FA
 
| style="background-color:#ffffbf" |Seems not superior
 
| style="background-color:#ffffbf" |Seems not superior
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''Note: to our knowledge, this regimen was not tested as an experimental arm in an RCT prior to becoming a standard comparator arm.''
 
====Chemotherapy====
 
====Chemotherapy====
 
*[[Fluorouracil (5-FU)]]
 
*[[Fluorouracil (5-FU)]]
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===References===
 
===References===
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# MacDonald JS, Woolley PV, Smythe T, Ueno W, Hoth D, Schein PS. 5-fluorouracil, adriamycin, and mitomycin-C (FAM) combination chemotherapy in the treatment of advanced gastric cancer. Cancer. 1979 Jul;44(1):42-7. [https://onlinelibrary.wiley.com/doi/abs/10.1002/1097-0142(197907)44:1%3C42::AID-CNCR2820440108%3E3.0.CO;2-X link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/455263 PubMed]
 
# Cullinan SA, Moertel CG, Fleming TR, Rubin JR, Krook JE, Everson LK, Windschitl HE, Twito DI, Marschke RF, Foley JF, Pfeifle DM, Barlow JF. A comparison of three chemotherapeutic regimens in the treatment of advanced pancreatic and gastric carcinoma: fluorouracil vs fluorouracil and doxorubicin vs fluorouracil, doxorubicin, and mitomycin. JAMA. 1985 Apr 12;253(14):2061-7. [https://jamanetwork.com/journals/jama/fullarticle/397816 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/2579257 PubMed]
 
# Cullinan SA, Moertel CG, Fleming TR, Rubin JR, Krook JE, Everson LK, Windschitl HE, Twito DI, Marschke RF, Foley JF, Pfeifle DM, Barlow JF. A comparison of three chemotherapeutic regimens in the treatment of advanced pancreatic and gastric carcinoma: fluorouracil vs fluorouracil and doxorubicin vs fluorouracil, doxorubicin, and mitomycin. JAMA. 1985 Apr 12;253(14):2061-7. [https://jamanetwork.com/journals/jama/fullarticle/397816 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/2579257 PubMed]
 
# Wils JA, Klein HO, Wagener DJ, Bleiberg H, Reis H, Korsten F, Conroy T, Fickers M, Leyvraz S, Buyse M, Duez N. Sequential high-dose methotrexate and fluorouracil combined with doxorubicin--a step ahead in the treatment of advanced gastric cancer: a trial of the European Organization for Research and Treatment of Cancer Gastrointestinal Tract Cooperative Group. J Clin Oncol. 1991 May;9(5):827-31. [http://ascopubs.org/doi/abs/10.1200/JCO.1991.9.5.827 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/2016625 PubMed]
 
# Wils JA, Klein HO, Wagener DJ, Bleiberg H, Reis H, Korsten F, Conroy T, Fickers M, Leyvraz S, Buyse M, Duez N. Sequential high-dose methotrexate and fluorouracil combined with doxorubicin--a step ahead in the treatment of advanced gastric cancer: a trial of the European Organization for Research and Treatment of Cancer Gastrointestinal Tract Cooperative Group. J Clin Oncol. 1991 May;9(5):827-31. [http://ascopubs.org/doi/abs/10.1200/JCO.1991.9.5.827 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/2016625 PubMed]

Revision as of 19:40, 7 December 2018

The purpose of this page is to provide references to regimens that are obsolete, outdated, or of historical interest only. As a general rule, this includes the inferior arm(s) of a randomized study, unless said regimens continue to be recommended by trustworthy sources such as the NCCN Guidelines. Is there a regimen missing from this list? See the main gastric cancer page for current regimens.

8 regimens on this page
9 variants on this page


Adjuvant therapy

Fluorouracil & Mitomycin

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Regimen

Study Evidence Comparator Efficacy
Allum et al. 1989 Phase III (E) Observation Seems not superior
Nakazato et al. 1994 Phase III (C) 5-FU, Mitomycin, PSK Seems to have inferior OS

Preceding treatment

Chemotherapy

References

  1. Allum WH, Hallissey MT, Kelly KA; British Stomach Cancer Group. Adjuvant chemotherapy in operable gastric cancer: 5 year follow-up of first British Stomach Cancer Group trial. Lancet. 1989 Mar 18;1(8638):571-4. link to original article PubMed
  2. Nakazato H, Koike A, Saji S, Ogawa N, Sakamoto J; Study Group of Immunochemotherapy with PSK for Gastric Cancer. Efficacy of immunochemotherapy as adjuvant treatment after curative resection of gastric cancer. Lancet. 1994 May 7;343(8906):1122-6. link to original article PubMed

Metastatic or locally advanced disease, first-line

Best supportive care

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Regimen

Study Evidence Comparator Efficacy
Pyrhönen et al. 1995 Phase III (C) FEMTX Inferior OS

No antineoplastic treatment.

References

  1. Pyrhönen S, Kuitunen T, Nyandoto P, Kouri M. Randomised comparison of fluorouracil, epidoxorubicin and methotrexate (FEMTX) plus supportive care with supportive care alone in patients with non-resectable gastric cancer. Br J Cancer. 1995 Mar;71(3):587-91. link to original article link to PMC article PubMed

FAM

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FAM: Fluorouracil, Adriamycin (Doxorubicin), Mitomycin

Regimen

Study Evidence Comparator Efficacy
MacDonald et al. 1979 Phase II
Cullinan et al. 1985 Phase III (C) 1. 5-FU
2. FA 		Seems not superior
Wils et al. 1991 Phase III (C) FAMTX Inferior OS

Note: to our knowledge, this regimen was not tested as an experimental arm in an RCT prior to becoming a standard comparator arm.

Chemotherapy

References

  1. MacDonald JS, Woolley PV, Smythe T, Ueno W, Hoth D, Schein PS. 5-fluorouracil, adriamycin, and mitomycin-C (FAM) combination chemotherapy in the treatment of advanced gastric cancer. Cancer. 1979 Jul;44(1):42-7. link to original article PubMed
  2. Cullinan SA, Moertel CG, Fleming TR, Rubin JR, Krook JE, Everson LK, Windschitl HE, Twito DI, Marschke RF, Foley JF, Pfeifle DM, Barlow JF. A comparison of three chemotherapeutic regimens in the treatment of advanced pancreatic and gastric carcinoma: fluorouracil vs fluorouracil and doxorubicin vs fluorouracil, doxorubicin, and mitomycin. JAMA. 1985 Apr 12;253(14):2061-7. link to original article PubMed
  3. Wils JA, Klein HO, Wagener DJ, Bleiberg H, Reis H, Korsten F, Conroy T, Fickers M, Leyvraz S, Buyse M, Duez N. Sequential high-dose methotrexate and fluorouracil combined with doxorubicin--a step ahead in the treatment of advanced gastric cancer: a trial of the European Organization for Research and Treatment of Cancer Gastrointestinal Tract Cooperative Group. J Clin Oncol. 1991 May;9(5):827-31. link to original article PubMed

FAMTX

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FAMTX: Fluorouracil, Adriamycin (Doxorubicin), MTX (Methotrexate)

Regimen

Study Evidence Comparator Efficacy
Wils et al. 1991 Phase III (E) FAM Superior OS
Kelsen et al. 1992 Phase III (E) EAP Seems not superior
Webb et al. 1997 Phase III (C) ECF Inferior OS
Vanhoefer et al. 2000 (EORTC 40902) Phase III (C) 1. ELF
2. FUP 		Seems not superior

Chemotherapy

References

  1. Wils JA, Klein HO, Wagener DJ, Bleiberg H, Reis H, Korsten F, Conroy T, Fickers M, Leyvraz S, Buyse M, Duez N. Sequential high-dose methotrexate and fluorouracil combined with doxorubicin--a step ahead in the treatment of advanced gastric cancer: a trial of the European Organization for Research and Treatment of Cancer Gastrointestinal Tract Cooperative Group. J Clin Oncol. 1991 May;9(5):827-31. link to original article PubMed
  2. Kelsen D, Atiq OT, Saltz L, Niedzwiecki D, Ginn D, Chapman D, Heelan R, Lightdale C, Vinciguerra V, Brennan M. FAMTX versus etoposide, doxorubicin, and cisplatin: a random assignment trial in gastric cancer. J Clin Oncol. 1992 Apr;10(4):541-8. link to original article PubMed
  3. Webb A, Cunningham D, Scarffe JH, Harper P, Norman A, Joffe JK, Hughes M, Mansi J, Findlay M, Hill A, Oates J, Nicolson M, Hickish T, O'Brien M, Iveson T, Watson M, Underhill C, Wardley A, Meehan M. Randomized trial comparing epirubicin, cisplatin, and fluorouracil versus fluorouracil, doxorubicin, and methotrexate in advanced esophagogastric cancer. J Clin Oncol. 1997 Jan;15(1):261-7. link to original article PubMed
    1. Update: Waters JS, Norman A, Cunningham D, Scarffe JH, Webb A, Harper P, Joffe JK, Mackean M, Mansi J, Leahy M, Hill A, Oates J, Rao S, Nicolson M, Hickish T. Long-term survival after epirubicin, cisplatin and fluorouracil for gastric cancer: results of a randomized trial. Br J Cancer. 1999 Apr;80(1-2):269-72. link to original article link to PMC article PubMed
  4. EORTC 40902: Vanhoefer U, Rougier P, Wilke H, Ducreux MP, Lacave AJ, Van Cutsem E, Planker M, Santos JG, Piedbois P, Paillot B, Bodenstein H, Schmoll HJ, Bleiberg H, Nordlinger B, Couvreur ML, Baron B, Wils JA. Final results of a randomized phase III trial of sequential high-dose methotrexate, fluorouracil, and doxorubicin versus etoposide, leucovorin, and fluorouracil versus infusional fluorouracil and cisplatin in advanced gastric cancer: a trial of the European Organization for Research and Treatment of Cancer Gastrointestinal Tract Cancer Cooperative Group. J Clin Oncol. 2000 Jul;18(14):2648-57. link to original article PubMed

FEMTX

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FEMTX: Fluorouracil, Epirubicin, MTX (Methotrexate)

Regimen

Study Evidence Comparator Efficacy
Pyrhönen et al. 1995 Phase III (E) Best supportive care Superior OS

Chemotherapy

References

  1. Pyrhönen S, Kuitunen T, Nyandoto P, Kouri M. Randomised comparison of fluorouracil, epidoxorubicin and methotrexate (FEMTX) plus supportive care with supportive care alone in patients with non-resectable gastric cancer. Br J Cancer. 1995 Mar;71(3):587-91. link to original article link to PMC article PubMed

Fluorouracil & RT

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RT: Radiation Therapy

Regimen

Study Evidence
Moertel et al. 1969 Non-randomized

Chemoradiotherapy

References

  1. Moertel CG, Childs DS Jr, Reitemeier RJ, Colby MY Jr, Holbrook MA. Combined 5-fluorouracil and supervoltage radiation therapy of locally unresectable gastrointestinal cancer. Lancet. 1969 Oct 25;2(7626):865-7. link to original article PubMed
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