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Effect of aflibercept plus modified FOLFOX6 induction chemotherapy before standard chemoradiotherapy and surgery in patients with high-risk rectal adenocarcinoma: The GEMCAD 1402 randomized clinical trial

JAMA Oncology Sep 05, 2019

Fernández-Martos C, Pericay C, Losa F, et al. - Researchers performed the Grupo Español Multidisciplinar En Cancer Digestivo (GEMCAD) 1402 phase 2 randomized clinical trial, in order to assess the effect of aflibercept plus modified fluorouracil, leucovorin, and oxaliplatin (mFOLFOX6) induction chemotherapy prior to standard chemoradiotherapy and total mesorectal excision surgery in patients with high-risk rectal adenocarcinoma. Pathologic complete response of 22.6% vs 13.8% with vs without aflibercept was observed, respectively, with no substantial increase in surgical complications. A rationale for phase 3 trials was gained in the GEMCAD 1402 trial.
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