REAL-2

NCT00024960 📎

Regimen

Experimental
epirubicin + cisplatin or oxaliplatin + 5FU or capecitabine (ECF/ECX/EOF/EOX, 2x2 factorial)
Control
epirubicin + cisplatin + 5FU (ECF, reference arm)

Population

Advanced esophagogastric cancer

Key finding

Capecitabine noninferior to 5FU (HR 0.86); oxaliplatin noninferior to cisplatin (HR 0.92); EOX best arm mOS 11.2 mo vs ECF 9.9 mo (HR 0.80, p=0.02)

Source: PMID 18172173

Timeline

    Guideline citations

    • NCCN GASTRIC (p.129)
    • CSCO GASTRIC 2025 (p.33)⚠️ OCR source