Review Article

Effect of Neoadjuvant Chemoradiotherapy with Capecitabine versus Fluorouracil for Locally Advanced Rectal Cancer: A Meta-Analysis

Table 1

Characteristics of the nine studies included in this paper.

TrialsYearType of studyNumber of ptsNumber of  ptsDose of medicineDose of RTTime intervalResults
Cape5-FuCapeDI (mg/m2/w)5-FuDI (mg/m2/w)pCRSSSSDOSDFSLR

Hofheinz et al. [12]2012RCT3921971952500 mg/m2/day days repeated day22
(2 cycles before and after RT)
1650 mg/m2/day 
(during RT)
10113500 mg/m2/day days repeated day22 (2 cycles before and after RT) 225 mg/m2/day (during RT)96650.4 Gy/25 Fr4–6 weeks

O’Connell et al. [13]2014RCT1,6088028061650 mg/m2/day 5 days/weeks8250225 mg/m2/day 
5 days/weeks
1125T3N0: 50.4 Gy/25 Fr; T4/N+: 55.8 Gy/25 Fr6–8 weeks

Chen et al. [15]2012Retro7447271700 mg/m2/day 5 days/weeks8500350 mg/m2/day 
5 days/weeks
70045–50.4 Gy/25 Fr,6 weeks

Chan et al. [14]2010Retro10234681650 mg/m2/day 5 days/weeks825020 mg/kg/day daysN/A50 Gy/25 Fr8 weeks

Yerushalmi et al. [20]2006Retro8943461650 mg/m2/day 5 days/weeks8250180 mg/m2/day 
5 days/weeks
90050 Gy/25 Fr7–7.5 weeks (median)

Das et al. [16]2006Retro17889891650 mg/m2/day 5 days/weeks 58 pts; 1650 mg/m2/day 7 days/weeks 31 pts9399300 mg/m2/day 
5 days/weeks
150052.5 Gy/25 FrN/A

Kim et al. [17]2007Retro2781331451650 mg/m2/day 7 days/weeks11550400 mg/m2/day 
3 days/weeks
48050 Gy/25 Fr6 weeks

Ramani et al. [19]2010Retro19699971650 mg/m2/day 5 days/weeks82501000 mg/m2/day
days
160050.4–54 Gy/25 Fr6–8 weeks

Kim et al. [18]2006Retro224971271650 mg/m2/day days repeated day229240500 mg/m2/day 
5 days/weeks
100050.4 Gy/25 Fr6 weeks

RCT, randomized clinical trial; retro, retrospective study; number of pts, number of patients; cape, capecitabine; RT, radiotherapy; LR, local recurrence; pCR, pathological complete response; SSS, sphincter saving surgery; OS, overall survival; DFS, disease-free survival; SD, surgical downstaging; DI, dose intensity; RR, risk ratio; CI, confidence interval.
: time interval between radiotherapy and surgery.