N Engl J Med March 2018 PMID 29590544

Duration of Adjuvant Chemotherapy for Stage III Colon Cancer.

Axel Grothey, Alberto F Sobrero, Anthony F Shields, Takayuki Yoshino, James Paul, Julien Taieb, John Souglakos, Qian Shi, Rachel Kerr, Roberto Labianca, Jeffrey A Meyerhardt, Dewi Vernerey, Takeharu Yamanaka, Ioannis Boukovinas, Jeffrey P Meyers

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Mentions

167
Peak: 5 in Aug 2021
across 6 sources since Feb 2019

Extended reach

70,770
potential audience

Total likes

58

Video views

1,016

Mentions per month

Feb 2019 – Jun 2025

Where it's discussed

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AI synopsis

What people are saying

Participants show high interest and moderate engagement by discussing key trials like the IDEA collaboration and the implications of shorter therapy durations for patients, using technical language and references to clinical factors, which indicates they see this research as impactful for treatment decisions and patient outcomes.

AgreementModerate agreement

Most discussions recognize the findings of the article, noting the lack of significant difference between 3 and 6 months of therapy for certain treatments, indicating general agreement with the conclusions.

InterestHigh interest

The discussions consistently highlight the importance of treatment duration, prognosis, and implications for clinical practice, demonstrating high engagement and interest.

EngagementModerate engagement

Participants reference specific clinical trials and data, discussing nuances in treatment outcomes and prognostic factors, showing moderate to deep engagement.

ImpactModerate impact

The conversations touch on potential changes to treatment protocols and emphasize the significance of the findings for patient care, suggesting a meaningful impact on medical practice.

Abstract in brief

  • A regimen of 6 months of adjuvant therapy with oxaliplatin plus a fluoropyrimidine has been standard for stage III colon cancer since 2004, but researchers aimed to test if 3 months of treatment could provide similar benefits with less toxicity and cost.
  • A pooled analysis of six randomized trials assessed the disease-free survival rates after 3 months vs. 6 months of treatment, finding that while 3 months was noninferior for CAPOX therapy, it was not for FOLFOX, indicating variations in effectiveness depending on the treatment type.
  • For patients with less advanced cancers (T1, T2, T3, N1), 3 months of therapy was comparable to 6 months, but for

Top posts

Most liked on X and Bluesky
Amit Merchea
@merchea_md · X

@cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA trial has demonstrated no difference in OS for most patients with stage III disease receiving 3 months of adjuvant chemo vs 6 months. Shorter duration of chemo = less toxicity https://t.co/975eM6gokf.

Aug 18, 2021 · 9 likes · 4 shares · 1,512 followers View post →
Amit Merchea
@merchea_md · X

@SeanLangenfeld Not a “surgical” paper, but @agrothey paper on Duration of Adjuvant Therapy for Stage III colon cancer in @NEJM might be an interesting choice. https://t.co/975eM6gokf

Feb 18, 2019 · 8 likes · 2 shares · 1,512 followers View post →
ⓧ web8
@web8xen · X

【Xenobots Journal Club】

Apr 6, 2024 · 7 likes · 1 share · 1,416 followers View post →
Tom Curley, MD
@Curley_MD · X

1/2 IDEA Collaboration: prospective, preplanned, pooled analysis of six randomized, phase 3 trials showed that there was no statistically significant benefit of 6 months of CAPOX vs 3 months of CAPOX in patients with stage III colon cancer https://t.co/47DmuWdgPu

Sep 7, 2021 · 4 likes · 476 followers View post →
Binaytara
@binaytara · X

Dr. Axel Grothey @agrothey from @west_cancer is presenting on #colorectalcancer at our #GICancer #GISM conference THIS Sunday! Earn #CME ! Register at https://t.co/uXNFLwXJYn Check out some projects he's contributed to: 1. https://t.co/C8zH7V10JG 2. https://t.co/Nr1XZRhtkL https://t.co/2bgW6PxTrT

Mar 26, 2021 · 2 likes · 1 share · 4,008 followers View post →
Miloslav Šindelář
@Milosval1 · X

@NorikaLaivadeta Např. zde je srovnatelná adjuvantní terapie u stage III s horšími výsledky oproti pohybu: https://t.co/hNeNc3F7CP

Jun 3, 2025 · 1 like · 1 share · 15,959 followers View post →

All mentions

Marie Ehrlichová
@EhrlichovaMarie · X

RT @Milosval1: @NorikaLaivadeta Např. zde je srovnatelná adjuvantní terapie u stage III s horšími výsledky oproti pohybu: https://t.co/hNe…

Jun 3, 2025 · 1 share · 991 followers View post →
Miloslav Šindelář
@Milosval1 · X

@NorikaLaivadeta Např. zde je srovnatelná adjuvantní terapie u stage III s horšími výsledky oproti pohybu: https://t.co/hNeNc3F7CP

Jun 3, 2025 · 1 like · 1 share · 15,959 followers View post →
Hooligan Abroad ("Far Right" knuckle dragger)
@AsianStockTradr · X

@vishalsethi_cv @liensofnewyork No stat. difference between 3mth/6mth. https://t.co/lJYxR0x04o So what can we conclude? That it has achieved its maximum effect within 3 months? That tolerance develops within 3 months? That no difference because it doesn't do *anything* i.e. framing based on prior knowledge.

Mar 30, 2025 · 876 followers View post →
CUN Surgery
@cun_surgery · X

Currently, the treatment of pMMR locally advanced colon cancer (LACC) is based on adequate oncological surgery

Jan 20, 2025 · 1 like · 85 followers View post →
ⓧ Tessy
@tessy_btc · X

RT @web8xen: 【Xenobots Journal Club】

Apr 6, 2024 · 1 share · 3,691 followers View post →
ⓧ web8
@web8xen · X

【Xenobots Journal Club】

Apr 6, 2024 · 7 likes · 1 share · 1,416 followers View post →
Manju George MVSc PhD Rectal Cancer Survivor
@manjuggm · X

@gsyblue @guildsman @ranj585 @TumorBoardTues @colontown With T3N2a & if your tumor does not have high risk features, I am not sure why you need to get 8 cycles of CAPOX. Please read these as well 1) https://t.co/wnxRRgSPXa 2)https://t.co/ZboL7vNNW3

Feb 16, 2023 · 1 like · 2,534 followers View post →
MyJournals
@myjournals · X

Lymphovascular invasion represents a superior prognostic and predictive pathological factor of the duration of adjuvant chemotherapy for stage III colon cancer patients https://t.co/0AAlnWSn1J

Jan 3, 2023 · 556 followers View post →
David -mogeladze
@mogeladze1 · X

Data Support Shorter Duration of Adjuvant Chemotherapy for Stage III Colon Cancer https://t.co/LLKmQdj2np

May 20, 2022 · 2,925 followers View post →
Tom Curley, MD
@Curley_MD · X

1/2 IDEA Collaboration: prospective, preplanned, pooled analysis of six randomized, phase 3 trials showed that there was no statistically significant benefit of 6 months of CAPOX vs 3 months of CAPOX in patients with stage III colon cancer https://t.co/47DmuWdgPu

Sep 7, 2021 · 4 likes · 476 followers View post →
Ayşe Gizem Ünal
@aysegizemunal · X

RT @merchea_md: @cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA tri…

Aug 20, 2021 · 4 shares · 112 followers View post →
John Monson MD FRCS FACS FASCRS
@JohnRTMonsonMD · X

RT @merchea_md: @cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA tri…

Aug 19, 2021 · 4 shares · 5,492 followers View post →
Haddon Pantel
@haddonjpantel · X

RT @merchea_md: @cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA tri…

Aug 19, 2021 · 4 shares · 685 followers View post →
ASCRS_1
@ASCRS_1 · X

RT @merchea_md: @cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA tri…

Aug 19, 2021 · 4 shares · 17,088 followers View post →
Amit Merchea
@merchea_md · X

@cmf2x @jendavidsmd @SAGES_Updates @ASCRS_1 @justinmaykel @juliomayol @SeanLangenfeld @marklewismd Fortunately the IDEA trial has demonstrated no difference in OS for most patients with stage III disease receiving 3 months of adjuvant chemo vs 6 months. Shorter duration of chemo = less toxicity https://t.co/975eM6gokf.

Aug 18, 2021 · 9 likes · 4 shares · 1,512 followers View post →
Sakti Chakrabarti, MD
@doctorC369 · X

RT @btfoundation: Dr. Axel Grothey @agrothey from @west_cancer is presenting on #colorectalcancer at our #GICancer #GISM conference THIS Su…

Mar 26, 2021 · 1 share · 999 followers View post →
Binaytara
@binaytara · X

Dr. Axel Grothey @agrothey from @west_cancer is presenting on #colorectalcancer at our #GICancer #GISM conference THIS Sunday! Earn #CME ! Register at https://t.co/uXNFLwXJYn Check out some projects he's contributed to: 1. https://t.co/C8zH7V10JG 2. https://t.co/Nr1XZRhtkL https://t.co/2bgW6PxTrT

Mar 26, 2021 · 2 likes · 1 share · 4,008 followers View post →
Crying Wolf
@OncologyCompany · X

@winsoncheung @OncOutcomes @batraatul85 5 of these 6 adjuvant studies included patients older than age 75. https://t.co/ktRnLFJHe6

Jul 9, 2020 · 1,321 followers View post →
Crying Wolf
@OncologyCompany · X

@venkmurthy @VPrasadMDMPH The populations don't make sense in this eg and should not be meta-analysed in first place. But IDEA provides a stat framework eg for interpretation when such a method is used properly. https://t.co/ktRnLFJHe6

Dec 6, 2019 · 1,321 followers View post →
Gaetano Gallo
@Gae_Gallo · X

RT @merchea_md: @SeanLangenfeld Not a “surgical” paper, but @agrothey paper on Duration of Adjuvant Therapy for Stage III colon cancer in @…

Feb 18, 2019 · 2 shares · 2,856 followers View post →
Axel Grothey
@agrothey · X

RT @merchea_md: @SeanLangenfeld Not a “surgical” paper, but @agrothey paper on Duration of Adjuvant Therapy for Stage III colon cancer in @…

Feb 18, 2019 · 2 shares · 3,276 followers View post →
Amit Merchea
@merchea_md · X

@SeanLangenfeld Not a “surgical” paper, but @agrothey paper on Duration of Adjuvant Therapy for Stage III colon cancer in @NEJM might be an interesting choice. https://t.co/975eM6gokf

Feb 18, 2019 · 8 likes · 2 shares · 1,512 followers View post →