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Long-term efficacy of neoadjuvant chemoradiotherapy plus surgery for the treatment of locally advanced esophageal squamous cell carcinoma: The NEOCRTEC5010 randomized clinical trial

JAMA Aug 16, 2021

Yang H, Liu H, Chen Y, et al. - Patients with locally advanced esophageal squamous cell carcinoma (ESCC) exhibited a survival benefit in the long-term in correlation with undergoing neoadjuvant chemoradiotherapy followed by surgery compared with surgery alone.

  • A multicenter open-label randomized phase 3 clinical trial, the Neoadjuvant Chemoradiotherapy for Esophageal Cancer 5010 study.

  • Participants were 451 patients with locally advanced ESCC.

  • Significantly improved 5-year overall survival of 59.9% was observed in correlation with receiving treatment with neoadjuvant chemoradiotherapy plus surgery relative to 49.1% noted after undergoing surgery alone.

  • In addition, improved disease-free survival was observed with undergoing neoadjuvant chemoradiotherapy plus surgery.

  • Hence, this combination may be considered a standard of care in this patient population.

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