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Table 4 Comparison of hematological toxicity between chemoradiotherapy and chemotherapy reported in major clinically trials of GC

From: Preoperative chemoradiation-induced hematological toxicity and related vertebral dosimetry evaluations in patients with locally advanced gastric cancer: data from a phase III clinical trial

Study (Ref.), Year

Cancer type

Treatment group and HT

ARTIST Trial (4),

2004

GC,

Adjuvant therapy,

pTNM stage II–III,

with node-positive

XP (n = 226) XP-RT (n = 227)

Grade 3 + neutropenia 40.7% 48.4%

Grade 3 + anemia 1.7% 0.4%

Grade 3 + thrombocytopenia 0 0.9%

CRITICS Trial (24),

2007

GC and EGJC,

Adjuvant therapy,

pTNM stage IB–IVA

ChT (n = 233) CRT (n = 245)

Grade 3 + leukopenia <1.0% 1.0%

Grade 3 + neutropenia 27.0% 4.4%

Grade 3 + thrombocytopenia <1.0% 1.3%

TOPGEAR Trial interim results (8),

2009

GC,

Neoadjuvant therapy,

cTNM stage IB–IIIC

ECF/ECX (n = 60) ECF/ECX-RT (n = 60)

Grade 3 + neutropenia 40.0% 45.0%

Grade 3 + anemia 7.0% 5.0%

Grade 3 + thrombocytopenia 3.0% 2.0%

Grade 3 + total HTs 50.0% 52.0%

ARTIS-2 Trial (5),

2013

GC,

Adjuvant therapy,

pTNM stage II–III,

with node-positive

S-1 (n = 182) SOX (n = 180) SOX-RT (n = 181)

Grade 3 + neutropenia 1.0% 3.0% 3.0%

Grade 3 + anemia 5.0% 8.0% 7.0%

Grade 3 + thrombocytopenia 0 3.0% 0

  1. EGJC, esophagogastric junction cancer; XP, capecitabine and cisplatin; RT, radiotherapy; ChT, chemotherapy; CRT, chemoradiotherapy; ECF, epirubicin, cisplatin, and 5-fluorouracil; ECX, epirubicin, cisplatin, and capecitabine; SOX, S-1 and oxaliplatin