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Neoadjuvant Chemoradiotherapy vs. Chemotherapy Followed by Radical Gastrectomy and Adjuvant Chemotherapy for Advanced Gastric Cancer

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研究单位: [1]Sun Yat-sen University,Sun Yat-sen University [2]The First Affiliated Hospital of Anhui Medical University [3]Liaoning Cancer Hospital & Institute [4]Guangdong Provincial Hospital of Traditional Chinese Medicine [5]Tianjin Medical University Cancer Institute and Hospital [6]Zhejiang Cancer Hospital [7]First Hospital of China Medical University [8]The Affiliated Tumor Hospital of Guangxi Medical University [9]Hangzhou First People's Hospital, School of Medicine, Zhejiang Universiry [10]The Affiliated Hospital of Qingdao University [11]Guangdong Provincial People's Hospital [12]Sichuan Cancer Hospital and Research Institute [13]National Clinical Research Center for Cancer/Cancer Hospital [14]Sun Yat-sen University Cancer Center,Guangzhou 1809858,Guangdong 1809935,China,510060

关键词: Neoadjuvant Chemoradiotherapy Chemotherapy Locally advanced gastric cancer Pathological complete response D2 gastrectomy

研究目的:
Patients with histologically confirmed gastric adenocarcinoma with locally advanced gastric cancer are randomized in a 1:1 ratio to receive neoadjuvant chemoradiotherapy with DT45Gy/25f plus three cycles of XELOX therapy or neoadjuvant chemotherapy alone using XELOX regimen following D2 gastrectomy and adjuvant chemotherapy for 3 cycles. The primary end point is 3-year disease free survival (DFS), and secondary end point is 5-year overall survival (OS), R0 resection rate, pathological complete remission (pCR) and treatment safety.

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