Research output: Contribution to journal › Article › Academic › peer-review
Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - Triplet Chemotherapy with Cisplatin versus Oxaliplatin in the CRITICS Trial
T2 - Treatment Compliance, Toxicity, Outcomes and Quality of Life in Patients with Resectable Gastric Cancer
AU - Slagter, Astrid E.
AU - Caspers, Irene A.
AU - van Grieken, Nicole C. T.
AU - Walraven, Iris
AU - Lind, Pehr
AU - Kranenbarg, Elma Meershoek-Klein
AU - Grootscholten, Cecile
AU - Nordsmark, Marianne
AU - van Sandick, Johanna W.
AU - Sikorska, Karolina
AU - van de Velde, Cornelis J. H.
AU - Jansen, Edwin P. M.
AU - Verheij, Marcel
AU - van Laarhoven, Hanneke W. M.
AU - Cats, Annemieke
N1 - Funding Information: Funding: The CRITICS trial was funded by the Dutch Cancer Society, the Dutch Colorectal Cancer Group, and Hoffmann La Roche. No additional funding was used for the current analysis. The funding sources had no role in the design, collection, analysis, and interpretation of the data. Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022/6/1
Y1 - 2022/6/1
N2 - (1) Background: Perioperative chemotherapy is the current standard treatment for patients with resectable gastric cancer. Based on studies in patients with metastatic gastric cancer, oxaliplatin has replaced cisplatin in the curative setting as well. However, evidence to prefer oxaliplatin over cisplatin in the curative setting is limited. (2) Methods: We compared patientrelated and tumor-related outcomes for cisplatin versus oxaliplatin in patients with resectable gastric cancer treated with perioperative chemotherapy in the CRITICS trial. (3) Results: Preoperatively, 632 patients received cisplatin and 149 patients received oxaliplatin. Preoperative severe toxicity was encountered in 422 (67%) patients who received cisplatin versus 89 (60%) patients who received oxaliplatin (p = 0.105). Severe neuropathy was observed in 5 (1%) versus 6 (4%; p = 0.009) patients, respectively. Postoperative severe toxicity occurred in 109 (60%) versus 26 (51%) (p = 0.266) patients; severe neuropathy in 2 (1%) versus 2 (4%; p = 0.209) for patients who received cisplatin or oxaliplatin, respectively. Diarrhea impacted the quality of life more frequently in patients who received oxaliplatin compared to cisplatin. Complete or near-complete pathological response was achieved in 94 (21%) versus 16 (15%; p = 0.126) patients who received cisplatin or oxaliplatin, respectively. Overall survival was not significantly different in both groups (p = 0.300). (4) Conclusions: Both cisplatin and oxaliplatin are legitimate options as part of systemic treatment in patients with resectable gastric cancer.
AB - (1) Background: Perioperative chemotherapy is the current standard treatment for patients with resectable gastric cancer. Based on studies in patients with metastatic gastric cancer, oxaliplatin has replaced cisplatin in the curative setting as well. However, evidence to prefer oxaliplatin over cisplatin in the curative setting is limited. (2) Methods: We compared patientrelated and tumor-related outcomes for cisplatin versus oxaliplatin in patients with resectable gastric cancer treated with perioperative chemotherapy in the CRITICS trial. (3) Results: Preoperatively, 632 patients received cisplatin and 149 patients received oxaliplatin. Preoperative severe toxicity was encountered in 422 (67%) patients who received cisplatin versus 89 (60%) patients who received oxaliplatin (p = 0.105). Severe neuropathy was observed in 5 (1%) versus 6 (4%; p = 0.009) patients, respectively. Postoperative severe toxicity occurred in 109 (60%) versus 26 (51%) (p = 0.266) patients; severe neuropathy in 2 (1%) versus 2 (4%; p = 0.209) for patients who received cisplatin or oxaliplatin, respectively. Diarrhea impacted the quality of life more frequently in patients who received oxaliplatin compared to cisplatin. Complete or near-complete pathological response was achieved in 94 (21%) versus 16 (15%; p = 0.126) patients who received cisplatin or oxaliplatin, respectively. Overall survival was not significantly different in both groups (p = 0.300). (4) Conclusions: Both cisplatin and oxaliplatin are legitimate options as part of systemic treatment in patients with resectable gastric cancer.
KW - chemotherapy
KW - cisplatin
KW - oxaliplatin
KW - resectable gastric cancer
UR - http://www.scopus.com/inward/record.url?scp=85131889680&partnerID=8YFLogxK
U2 - 10.3390/cancers14122963
DO - 10.3390/cancers14122963
M3 - Article
C2 - 35740628
VL - 14
JO - Cancers
JF - Cancers
SN - 2072-6694
IS - 12
M1 - 2963
ER -
ID: 24878542