106 research outputs found

    Survival Benefits of Chemotherapy for Patients with Advanced Pancreatic Cancer in A Clinical Real-World Cohort

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    Clinical outcomes of chemotherapy for patients with advanced pancreatic adenocarcinoma in a real-world setting might differ from outcomes in randomized clinical trials (RCTs). Here we show in a single-institution cohort of 595 patients that median overall survival (OS) of patients who received gemcitabine alone (n = 185; 6.6 months (95% CI; 5.5–7.7)) was the same as in pivotal RCTs. Gemcitabine/capecitabine (n = 60; 10.6 months (95% CI; 7.8–13.3)) and gemcitabine/nab-paclitaxel (n = 66; 9.8 months (95% CI; 7.9–11.8)) resulted in a longer median OS and fluorouracil/oxaliplatin/irinotecan (n = 31, 9.9 months (95% CI; 8.1–11.7)) resulted in a shorter median OS than previously reported. Fluorouracil/oxaliplatin (n = 35, 5.8 months (95% CI; 4.5–7)) and best supportive care (n = 206, 1.8 months (95% CI; 1.5–2.1)) could not be benchmarked against any RCTs. The degree of protocol adherence explained differences between real-world outcomes and the respective RCTs, while exposure to second-line treatments did not

    Summary of maximum grade for study related toxicity during treatment cycle number 1.

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    <p>*Represents the number of subjects (of total n = 12) experiencing adverse event during cycle number 1 with lenalidomide and gemcitabine.</p><p>**Graded using NCI CTCAE V 3.0</p><p>ALAT = Alanine aminotransferase; ASAT = Aspartate aminotransferase</p><p>Summary of maximum grade for study related toxicity during treatment cycle number 1.</p

    Treatment exposures, number of treatment cycles and median delivered dose of the study drugs.

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    <p>*NA = not applicable</p><p>** Administered dose / planned dose according to the protocol per cohort (%)</p><p>*** Median administered dose / planned dose according to the protocol per patient per cohort (%)</p><p>Treatment exposures, number of treatment cycles and median delivered dose of the study drugs.</p

    Summary of maximum grade for toxicity (aggregate for all treatment cycles) (NCI CTCAE.V3.0.).

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    <p>*G = Grade</p><p>**Represents the number of subjects experiencing adverse event with lenalidomide and gemcitabine.</p><p>*** One patient with grade 4 gastrointestinal perforation underwent acute surgery, died postoperatively day 6 in acute respiratory insufficiency.</p><p>Summary of maximum grade for toxicity (aggregate for all treatment cycles) (NCI CTCAE.V3.0.).</p
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