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GI Cancers 

Nigro regiment 
1983
Anal Cancer
RTOG 98-11 trial, mitomycin vs cis
2008
Anal Cancer
ClarIDHy trial
2020
Cholangiocarcinoma - advanced
FOLFIRI vs 5FU in metastatic CRC
2000
Colon - advanced
FOLFOX vs 5-FU in metastatic CRC
2000
Colon - advanced
FOLFIRI PLUS Bev in mCRC
2004
Colon - advanced
CRYSTAL trial 
2009
Colon - advanced
FIRE Trial (Final Analysis)
2014
Colon - advanced
PRIME trial
2014
Colon - advanced
CALGB80405 trial
2017
Colon - advanced
MOSAIC trial
2004
Colon - perioperative
UNICANCER-PRODIGE 23
2021
Colon - perioperative
RAPIDO trial
2021
Colon - perioperative
ATTRACTION 2 TRIAL
2017
Esophageal - advanced
ATTRACTION-3 Trial
2019
Esophageal - advanced
KEYNOTE 181 Trial
2020
Esophageal - advanced
KEYNOTE-590
2021
Esophageal - advanced
CROSS Trial
2012
Esophageal - perioperative
Checkmate 577
2021
Esophageal - perioperative
ACOSOG Z9001 trial
2009
GIST - adjuvant
SSG XVIII trial
2012
GIST - adjuvant
Intergroup EORTC 62024 trial
2015
GIST - adjuvant
EORTC 62005 trial
2004
GIST - metastatic
Sunitinib trial
2006
GIST - metastatic
US Intergroup trial, SWOG0033/CLAGB1501105
2008
GIST - metastatic
MetaGIST group trial
2010
GIST - metastatic
Regorafenib trial
2013
GIST - metastatic
Avapritinib/NAVIGATOR trial
2020
GIST - metastatic
INVICTUS trial
2020
GIST - metastatic
TOGA Trial
2010
Gastric - advanced
REGARD trial
2014
Gastric - advanced
RAINBOW
2014
Gastric - advanced
DESTINY-Gastric01
2020
Gastric - advanced
KEYNOTE-811 trial
2021
Gastric - advanced
Checkmate 649 trial
2021
Gastric - advanced
FIGHT
2021
Gastric - advanced
MacDonald study - INT0116 (SWOG 9008)
2001
Gastric - perioperative
MAGIC trial
2006
Gastric - perioperative
CLASSIC trial
2012
Gastric - perioperative
FLOT
2019
Gastric - perioperative
Resorce Trial
2016
HCC
Checkmate 040
2017
HCC
SHARP trial, Sora vs pbo
2018
HCC
Keynote 224
2018
HCC
Celestial Trial, cabo vs pbo
2018
HCC
Len vs Sora trial
2018
HCC
IMbrave 150, atezo/bev vs sora
2020
HCC
Checkmate 040 - Update
2020
HCC
PROMID trial, octreotide vs pbo
2009
NET
SUNITINIB NET, sun vs pbo
2011
NET
CLARINET trial, lancreotide vs pbo
2014
NET
RADIANT 4 trial
2016
NET
NETTER-1 Trial
2017
NET
Gemcitabine VS 5-FU TRIAL
1997
Pancreas - advanced
PRODIGE 4/ACCORD 11 trial
2011
Pancreas - advanced
MPACT trial
2013
Pancreas - advanced
POLO Trial
2019
Pancreas - advanced
GITSG trial
1985
Pancreas - perioperative
CONKO-001 trial
2007
Pancreas - perioperative
ESPAC-4 trial
2017
Pancreas - perioperative
PRODIGE 24 trial
2018
Pancreas - perioperative
APACT trial
2019
Pancreas - perioperative
ESPAC-5F
2020
Pancreas - perioperative
PREOPANC Trial
2020
Pancreas - perioperative
SWOG 1505 trial
2021
Pancreas - perioperative
TME trial
1986
Rectal cancer - LARC
NSABP R-01, first adj chemo in LARC
1988
Rectal cancer - LARC
RT before TME trial
2001
Rectal cancer - LARC
Preop vs postop chemo
2004
Rectal cancer - LARC
NSABP R-04 trial
2004
Rectal cancer - LARC
TNT trial
2010
Rectal cancer - LARC
Rektum-III trial, cape vs 5FU
2012
Rectal cancer - LARC
CRT+MFOLFOX
2016
Rectal cancer - LARC
Neadjuvant Dostarlimab in dMMR LARC 
2022
Rectal cancer - LARC

Nigro regiment 
Nigro ND et al, Cancer, 1983 PMID: 6831348

Anal Cancer

Background. Single-institution study at Wayne State included 28 patients with local anal SCC to receive chemoradiation therapy followed by surgery. 

RT: 30 Gy in 15 fx via AP/PA fields to the pelvis, medial inguinal LN and anal canal
Chemo: 5-FU (1000mg/m2/day) x 4 days + MMC (single 15 mg/m2 bolus)
Survgery: abdominal perenial resection (APR).


Initially APR planned in all pts; however, since 5/6 initial patients had no residual tumors in APR specimen
APR was then reserved as salvage treatment
Overall, 86% (24/28) pts had a clinical CR to combined chemoradiation therapy


Conclusion. The experience with concurrent chemoradiation convinced authors that it is effective enough not to require abdominal perenial resection.


Summarized by Veli Bakalov, MD

 

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