The Absolute Effect / Evidence index

Neoadjuvant · Phase III open-label three-arm randomized; N=601 locally advanced oesophageal SCC. Neoadjuvant CF vs DCF vs CF+RT. Primary endpoint OS. · 3-year OS: DCF 72.1% vs CF 62.6% (HR 0.68

JCOG1109 NExT

Clinical question: Does neoadjuvant DCF or CF plus radiotherapy improve OS over CF in locally advanced oesophageal squamous cell carcinoma?

3-year OS: DCF 72.1% vs CF 62.6% (HR 0.68; P=0.006); CF+RT 68.3% (HR 0.84; P=0.12). Later 5-year OS: 65.1%, 51.9%, 60.2%, respectively. · Registry:

Design, population and treatment

Phase III open-label three-arm randomized; N=601 locally advanced oesophageal SCC. Neoadjuvant CF vs DCF vs CF+RT. Primary endpoint OS.

Key efficacy outcome

72.1 · intervention
62.6
72.1 · comparator
NNT 11 for one additional patient alive at 3 years with DCF vs CF (absolute gain 9.5 points).

Toxicity and surgical complications differ by regimen; full primary tables required for detailed comparative rates.

Safety and absolute effect

3-year OS (%)

https://pubmed.ncbi.nlm.nih.gov/38876133/

Interpretation and limitations

Current-practice context · 14 November 2026: Primary publication/abstract and trial identifier checked. Guideline-level current-practice mapping was not established in this publication-led batch; no NCCN citation provenance is claimed. Where detailed QoL, follow-up or toxicity data were not present in the retrieved abstract, they are not inferred.

Primary source

Primary publication · DOI: 10.1016/S0140-6736(24)00745-1