FLOT Perioperative Chemotherapy Extends Survival Over CROSS Protocol in Esophageal Cancer
- The phase 3 ESOPEC trial demonstrated that perioperative chemotherapy with FLOT significantly improved overall survival compared to neoadjuvant chemoradiation with CROSS in patients with locally advanced esophageal adenocarcinoma.
- Patients receiving FLOT achieved a median overall survival of 66 months versus 37 months with CROSS, representing a 30% reduction in death risk with statistical significance.
- The study enrolled 438 patients across 25 German centers and showed FLOT also improved progression-free survival and pathological complete response rates.
- These findings may establish FLOT as the new standard of care for locally advanced esophageal cancer, though immunotherapy combinations are emerging as additional treatment options.
Cancer Trials Ireland
Posted 1/24/2013
University Hospital Schleswig-Holstein
Posted 1/1/2016
Bristol-Myers Squibb
Posted 7/14/2016