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Table 1 Characteristics of included studies (n= 15)

From: Utilising systematic reviews to assess potential overtreatment and claim for better evidence-based research: an analysis of anticancer drugs versus supportive care in advanced esophageal cancer

Author year (acronym)

Country(ies)

Centres (n)

Design (blind, phase)

Follow-up (months)

Funding

N included (intervention / control)

Population

Intervention

Previous treatment (lines)

Comparator

Outcomes of interest*

Age

% Female

ESCC

ADC

EC

GEJ

GC

ECOG ≥ 2 (%)

Alberts 1992 [31]

South Africa

1

NR

5

public and private

20 (10/10)

54.3

5.0

x

 

x

  

50.0

CT (5-FU, cisplatin) + RT + tube

NR

Observation + tube

OS, PFS, toxicity, QoL

Dutton 2014 (COG) [32]

UK

48

Double-blind phase III

12

public and private

450 (225/225)

64.8 (58, 70.7)

17.1

x

x

x

x

 

21.0

BIO/TT (gefitimib) + BSC

2nd or more

Placebo + BSC

OS, PFS, safety, HRQoL, DCR

Ford 2014 (COUGAR-02) [33]

UK

30

Open label phase III

18

private

168 (84/84)

65.5 (28, 84)

19.0

 

x

x

x

x

15.0

CT (docetaxel) + active control symptoms

2nd

BSC*

OS, PFS, HRQoL, toxicity, QoL

Fuchs 2014 (REGARD) [34]

multinational (29)

119

Double-blind placebo control phase III

12

private

355 (238/117)

60 (51, 71)

30.1

   

x

x

1.0

BIO/TT (ramucirumab) + BSC

2nd

Placebo + BSC

OS, PFS, PS, toxicity, symptoms related to the disease, QoL

Hall 2021 (GO2) [42]

UK

61

Open label phase III

12

public and private

45 (23/22)

78.6 (58, 89)

9.0

 

x

x

x

x

11.0

CT (oxaliplatin / capecitabine)

NR

BSC

OS, PFS,toxicity, symptoms related to the disease, QoL

Huang 2021 (ALTER1102) [45]

China

13

Double-blind placebo control phase II

18

private

165 (110/55)

61.5 (43, 76)

19.5

x

 

x

  

8.0

BIO/TT (anlotinib)

2nd or more

Placebo

OS, PFS, toxicity

Kang 2017 (ONO-4538–12, ATTRACTION-2) [35]

multinational (Japan, South Korea and Taiwan)

49

Double-blind placebo control phase III

18

private

493 (330/163)

61.5 (53, 69)

29.4

 

x

 

x

x

0.0

immunotherapy (nivolumab)

3rd or more

Placebo

OS, PFS, toxicity

Kang 2019 (ANGEL) [36]

multinational (13)

95

Double-blind placebo control phase III

36

private

460 (308/152)

60.0

23.3

 

x

 

x

x

0.0

BIO/TT (rivoceranib) + BSC

3rd or more

Placebo + BSC

OS, PFS, toxicity, QoL

Levard 1998 [43]

France

18

NR

14

NR

94 (48/46)

58.0

4.5

x

 

x

  

60.0

CT (5-FU, cisplatin)

NR

Observation

OS, toxicity

Li 2016 [41]

China

32

Double-blind placebo control phase III

30

private

267 (176/91)

58.0 (23, 71)

24.0

 

x

 

x

x

0.0

BIO/TT (apatinib)

3rd

Placebo

OS, PFS, toxicity, QoL

Nicolaou 1982 [44]

South Africa

1

NR

14

NR

24 (12/12)

57.0

0.0

x

x

x

  

0.0

CT (doxorubicin, cyclophosphamide)

NR

Observation + tube

OS, toxicity

Ohtsu 2013 (GRANITE-1) [37]

multinational (22)

137

Double-blind phase III

18

private

656 (439/217)

62.0 (20, 88)

26.4

 

x

 

x

x

0.1

BIO/TT (everolimus) + BSC

2nd or more

Placebo + BSC

OS, PFS, PS, toxicity, QoL

Pavlakis 2016 (INTEGRATE) [38]

multinational (4)

53

Double-blind placebo control phase II

6

public and private

147 (97/50)

60.0 (32, 85)

19.1

 

x

 

x

x

0.0

BIO/TT (regorafenib) + BSC

2nd or more

Placebo + BSC

OS, PFS, toxicity, symptoms related to disease, QoL

Schmid 1993 [39]

South Africa

1

NR

NR

NR

127 (40/46)

54.0

NR

x

 

x

  

68.6

CT (trimetrexate/ifosfamide + mesna/5-FU + leucovorin) + tube

NR

Observation + tube

OS, PS, toxicity, QoL

Shitara 2018 (TAGS) [40]

multinational (17)

110

Double-blind placebo control phase III

18

private

507 (337/170)

63.5 (56, 70)

28.0

 

x

 

x

x

0.0

CT (trifluridine / tipiracil) + BSC

3rd or more

Placebo + BSC

OS, PS, toxicity, symptoms related to disease, QoL

  1. 5-FU, 5-fluorouracil; ADC, adenocarcinoma; BIO/TT, biological/targeted therapy; BSC, best supportive care; Cis, cisplatine; CT, chemotherapy; DBPC, double-blind placebo-controlled; DCR, disease control rate; DTX, docetaxel; EC, esophageal cancer; ECOG, Eastern Cooperative Oncology Group; ESCC, esophageal squamous cell carcinoma; GC, gastric cancer; GEJ, gastroesophageal junction; HRQoL, health-related quality of life; irBORR, immune-related best overall response rate; irPFS, immune-related progression-free survival; OS, overall survival; ORR, objective response rate; PFS, progression free survival; PS, performance status; RT, radiotherapy; NR, not reported; QoL, quality of life; RCT, randomised controlled trial. *Defined as active control symptoms