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Table 5 Phase I/II trials with neoadjuvant concurrent chemoradiation approaches with the addition of other substances

From: Recent advances in (chemo-)radiation therapy for rectal cancer: a comprehensive review

Author

Year

Phase

Disease stage

n

RT dose

Conc. CHT

Adj. CHT

pCR rate (%)

Downst

Tox gr.3+

Postop. c

Valentini [96]

2008

IIb

T3

164

50.4

Cis/5-FU

dis.4

226

52%7

7%

10%10

     

50.4

Ox + Ralti

dis.4

286

58%7

16%

6%10

Stojanovic [97]

2011

II

T3/4 or N+

49

45

Cap + MMC

5-FU/LV

16

27%7

n.r

16%

Jeong [98]

2016

I

T3/4 or N+

22

50.4

Cap + Tem (esc)

n.s

325

n.r

18%

n.r

Jakobsen [99]

2008

II

T3/4

35

602

UFT + Cele

n.s

21

n.r

6% (49%9)

n.r

Debucquoy [100]

2009

II, rand

T3/4 or N+

35

45

5-FU ci + Cele

dis

396

n.r

0%

n.r

      

5-FU ci

 

296

n.r

3%

n.r

Wang [101]

2014

II

T3/4 or N+ 

53

44

UFT + FA + Cele

FOLFOX

13

n.r

6% (gr. 4)

n.r

O´Neil [102]

2010

I

T3/4 or N+

10

50.4

5-FU ci + Borte (esc)

n.s

10

40%7

DLT 40%

n.r

Buijsen [103]

2013

I

T3/4 or N+

11

50.4

Cap + Nel (esc)

n.s

27

82%7

55%

9%

Meyer [104]

2018

I

T3/4 or N+

14

50.4

Cap + Bavi (esc)

dis

7

64%8

25%

21%

von Moos [105]

2018

I/II

T3/4 or N+1

54

45

Cap + Sor (esc)

rec

15

n.r

n.r

13%

Kim [106]

2016

I

T3/4 or N+

17

50.4

5-FU ci + Sor (esc)

n.s

33

87%8

18%

n.r

Czito [107]

2017

Ib

T3/4 or N+

32

50.4

Cap + Veli (esc)

rec

29

71%7

25%

n.r

Bendell [108]

2017

II

T3/4 or N+

39

50.4

5-FU + Afli

FOLFOX + Afli

23

n.r

n.r

11%

  1. n = number of patients, RT dose: radiation dose in Gy, conc. CHT: concurrent chemotherapy, adj. CHT: adjuvant chemotherapy, pCR rate: percentage of patients with pathologic complete regression, downstaging: percentage of patients with major downstaging defined according to study protocol (only listed if combined T and N downstaging was reported), tox gr.3+: acute grade 3+ toxicity during chemoradiation (only listed if an overall percentage was reported), postop. c.: postoperative complications grade 3+ (only listed if an overall percentage was reported), rand.: randomized, Cap: Capecitabine, MMC: Mitomycin C, esc: dose escalated, 5-FU: 5-fluorouracil, ci: contineous infusion, UFT: uracil-tegafur, FA: folinic acid, Cis: Cisplatin, Ox: Oxaliplatin, CAPOX: combination regimen including capecitabine and oxaliplatin, LV: leukovorin, Tem: Temozolomide, Cele: Celecoxib, Ralti: Raltitrexed, Borte: Bortezomib, Nel: Nelfinavir, Bavi: Bavituximab, Sor: Sorafenib, Veli: Veliparib, Afli: Aflibercept, n.s.: not specified, dis.: at the discretion of the treating physician, FOLFOX: combination regimen including 5-fluorouracil, leucovorine and oxaliplatin, rec.: recommended, n.r.: not reported, gr.: grade, DLT: dose limiting toxicity as predefined in the protocol, bold style: indicates significant difference, 1: only KRAS mutant patients included, 2: patients received an additional brachytherapy boost with 5 Gy in 1 fraction, 3: patients recived one consolidation cycle of CAPOX prior to surgery, 4: recommended only for ypN+ patients, 5: significantly increased pCR rate in n = 16 patients with methylated MGMT promotor compared to n = 6 patients without MGMT methylation (38% vs 17%), 6: no significant difference, 7: downstaging defined as yp stage 0–1, 8: downstaging defined as reduction of yp stage compared to c stage, 9: treatment with celecoxib finished due to rash (although all grade 1–2), 10: anastomotic leakage