Shen ZT, Wu XH, Li B, Shen JS, Wang Z, Li J, Zhu XX. Nedaplatin concurrent with three-dimensional conformal radiotherapy for treatment of locally advanced esophageal carcinoma. World J Gastroenterol 2013; 19(48): 9447-9452 [PMID: 24409075 DOI: 10.3748/wjg.v19.i48.9447]
Corresponding Author of This Article
Xi-Xu Zhu, MD, Department of Radiation Oncology, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, Jiangsu Province, China. simon_doctor@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Dec 28, 2013; 19(48): 9447-9452 Published online Dec 28, 2013. doi: 10.3748/wjg.v19.i48.9447
Table 1 Clinical data for patients in the nedaplatin group and the cisplatin group
NDP group
DDP group
χ2
P value
Case
34
34
Gender
Male
18
20
0.239
0.625
Female
16
14
Age
Range
27-72
26-70
Median
54
53
Clinical stage (Union for International Cancer Control )
IIa
4
6
0.478
0.787
IIb
10
9
III
20
19
Tumor length
< 5 cm
14
17
0.534
0.465
≥ 5 cm
20
17
Cervical
5
3
Location in the esophagus
Upper
12
15
1.130
0.770
Middle
14
12
Lower
3
4
Medullary
20
22
Fungoid
6
5
Pathology
Ulcer type
5
5
0.386
0.943
Sclerotic type
3
2
General status (Eastern Cooperative Oncology Group score)
0-1
24
21
0.591
0.442
2
10
13
Table 2 Short-term response in the two groups n (%)
Group
n
CR
PR
SD
PD
RR
χ2
P value
NDP group
33
6 (18.2)
24 (72.7)
3 (9.1)
0 (0)
90.9%
1.276
0.528
DDP group
32
5 (15.6)
21 (65.6)
6 (18.8)
0 (0)
81.3%
Table 3 Acute adverse events in the two groups
Acute adverse reactions
NDP group (n = 34)
DDP group (n = 34)
χ2
P value
0
I
II
III
IV
Incidence
0
I
II
III
IV
Incidence
Hemoglobin
14
9
5
5
1
58.80%
16
8
5
4
1
52.90%
0.303
0.990
Leukopenia
13
8
7
6
0
61.80%
15
8
6
4
1
55.90%
1.62
0.805
Platelet
15
7
6
5
1
55.90%
20
4
7
3
0
41.20%
3.109
0.540
Bilirubin
29
4
1
0
0
14.70%
30
3
1
0
0
11.80%
0.16
0.923
Transaminase
25
8
1
0
0
26.50%
27
7
0
0
0
20.60%
1.144
0.565
Urea nitrogen
30
4
0
0
0
11.80%
29
3
2
0
0
14.70%
2.16
0.340
Creatinine
31
2
1
0
0
8.80%
21
9
3
1
0
38.20%
8.378
0.039
Nausea
28
4
1
1
0
17.60%
17
7
6
4
0
50.00%
8.878
0.031
Vomiting
30
2
1
1
0
11.80%
18
6
4
6
0
47.10%
10.371
0.016
Esophagitis
8
18
7
1
0
76.50%
4
19
9
1
1
88.20%
2.61
0.625
Pneumonia
18
14
2
0
0
47.10%
12
17
4
1
0
64.70%
3.157
0.368
Table 4 Late adverse events in the two groups n (%)
Late adverse event
NDP group
DDP group
χ2
P value
Late esophageal injury
0
18 (52.9)
13 (38.2)
I
10 (29.4)
12 (35.3)
II
4 (11.8)
5 (14.7)
2.299
0.681
III
2 (5.9)
3 (8.8)
IV
0 (0)
1 (2.9)
Late lung injury
0
24 (70.6)
20 (58.8)
I
7 (20.6)
8 (23.5)
II
2 (5.9)
4 (11.8)
1.43
0.698
III
1 (2.9)
2 (5.9)
IV
0 (0)
0 (0)
Citation: Shen ZT, Wu XH, Li B, Shen JS, Wang Z, Li J, Zhu XX. Nedaplatin concurrent with three-dimensional conformal radiotherapy for treatment of locally advanced esophageal carcinoma. World J Gastroenterol 2013; 19(48): 9447-9452