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Cited by 782

The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.

Phase III Trial in Metastatic Gastroesophageal Adenocarcinoma with Fluorouracil, Leucovorin Plus Either Oxaliplatin or Cisplatin: A Study of the Arbeitsgemeinschaft Internistische Onkologie

Al-Batran, Salah-Eddin, Hartmann, Joerg Thomas, Probst, Stephan, Schmalenberg, Harald, Hollerbach, Stephan, Hofheinz, Ralf, Rethwisch, Volker, Seipelt, Gernot, Homann, Nils, Wilhelm, Gerhard, Schuch, Gunter, Stoehlmacher, Jan, Derigs, Hans Günter, Hegewisch-Becker, Susanna, Grossmann, Johannes, Pauligk, Claudia, Atmaca, Akin, Bokemeyer, Carsten, Knuth, Alexander, Jäger, Elke·2008·Journal of Clinical Oncology

Abstract

Purpose: This study was designed to compare fluorouracil, leucovorin, and oxaliplatin with fluorouracil, leucovorin, and cisplatin in patients with advanced gastric cancer. Patients and Methods: Patients with previously untreated advanced adenocarcinoma of the stomach or esophagogastric junction were randomly assigned to receive either fluorouracil 2,600 mg/m 2 via 24-hour infusion, leucovorin 200 mg/m 2, and oxaliplatin 85 mg/m 2 (FLO) every 2 weeks or fluorouracil 2,000 mg/m 2 via 24-hour infusion, leucovorin 200 mg/m 2 weekly, and cisplatin 50 mg/m 2 every 2 weeks (FLP). The primary end point was progression-free survival (PFS). Results: Two hundred twenty patients (median age, 64 years; metastatic, 94%) were randomly assigned. FLO was associated with significantly less (any grade) anemia (54% v 72%), nausea (53% v 70%), vomiting (31% v 52%), alopecia (22% v 39%), fatigue (19% v 34%), renal toxicity (11% v 34%), thromboembolic events (0.9% v 7.8%), and serious adverse events related to the treatment (9% v 19%). FLP was associated with significantly less peripheral neuropathy (22% v 63%). There was a trend toward improved median PFS with FLO versus FLP (5.8 v 3.9 months, respectively; P = .077) and no significant difference in median overall survival (10.7 v 8.8 months, respectively). However, in patients older than 65 years (n = 94), treatment with FLO resulted in significantly superior response rates (41.3% v 16.7%; P = .012), time to treatment failure (5.4 v 2.3 months; P < .001), and PFS (6.0 v 3.1 month; P = .029) and an improved OS (13.9 v 7.2 months) as compared with FLP, respectively. Conclusion: FLO reduced toxicity as compared with FLP. In older adult patients, FLO also seemed to be associated with improved efficacy.

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Metadata

Authors
Al-Batran, S.-E., Hartmann, J. T., Probst, S., Schmalenberg, H., Hollerbach, S., Hofheinz, R., Rethwisch, V., Seipelt, G., Homann, N., Wilhelm, G., Schuch, G., Stoehlmacher, J., Derigs, H. G., Hegewisch-Becker, S., Grossmann, J., Pauligk, C., Atmaca, A., Bokemeyer, C., Knuth, A., & Jäger, E.
Venue
Journal of Clinical Oncology
Published
2008-03-20
Volume
26
Issue
9
Pages
1435-1442
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2108661938
Cited by
782
References
11
FWCI
37.84
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Phase III Trial in Metastatic Gastroesophageal Adenocarcinoma with Fluorouracil, Leucovorin Plus Either Oxaliplatin or Cisplatin: A Study of the Arbeitsgemeinschaft Internistische Onkologie. https://app.cochat.ai/papers/10.1200/jco.2007.13.9378
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Al-Batran, S.-E., Hartmann, J. T., Probst, S., Schmalenberg, H., Hollerbach, S., Hofheinz, R., Rethwisch, V., Seipelt, G., Homann, N., Wilhelm, G., Schuch, G., Stoehlmacher, J., Derigs, H. G., Hegewisch-Becker, S., Grossmann, J., Pauligk, C., Atmaca, A., Bokemeyer, C., Knuth, A., & Jäger, E. (2008). Phase III Trial in Metastatic Gastroesophageal Adenocarcinoma with Fluorouracil, Leucovorin Plus Either Oxaliplatin or Cisplatin: A Study of the Arbeitsgemeinschaft Internistische Onkologie. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2007.13.9378

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.