Table 2A:
Clinicopathological metrics and PDO drug screening results for patients treated with modified FOLFIRINOX (mFFX) in NAT setting.
PDO ID | Timing of Tissue Collection for PDOa | Chemotherapy Tumor Before Surgical Resection (doses) | NAT Radiation (doses) | CA 19–9 Percent Decrease (%)b | Radiographic Tumor Size Percent Decrease (%)c | Surgical Pathology Tumor Cellularity (%)d | Pathology NAT Responsee | RFS (months)f | Biobank Predicted Response | PDO Sensitivity/Resistance AUC |
---|---|---|---|---|---|---|---|---|---|---|
hT297 | post-NAT | mFFX (8) | 0 | 95 | 0 | 86 | 3 | 3.7mon | 5-FU = R Oxaliplatin = R SN-38 = R |
5FU:1.0 Oxali: 1.4 SN38: 1.09 AUC Sum: 3.49 |
hT282 | post-NAT | mFFX (9) | 0 | 73 | 2 | 5.2 mon | 5-FU = R Oxaliplatin = S SN-38 = R |
5FU: 0.99 Oxali: 0.78 SN38: 0.78 AUC Sum: 2.55 |
||
hT241 | post-NAT | mFFX (6) -> GnP (6) | 3000cGY | 88 | 8 | 75 | 2 | 7.8 mon | 5-FU = A Oxaliplatin = S SN-38 = R |
5FU: 0.83 Oxali: 0.70 SN38: 0.66 AUC Sum: 2.19 |
hF215 | pre-NAT | mFFX | 0 | 5-FU = S Oxaliplatin = A SN-38 = R |
5FU:0.62 Oxali: 0.89 SN38: 0.64 AUC Sum: 2.15 |
|||||
hF154 | pre-NAT | mFFX | 0 | 5-FU = S Oxaliplatin = R SN-38 =S |
5FU:0.63 Oxali: 0.94 SN38: 0.55 AUC Sum: 2.12 |
|||||
hT277 | post-NAT | mFFX (9) | 0 | 88 | 43 | 38 | 2 | 14.3 mon | 5-FU = S Oxaliplatin = S SN-38 = A |
5FU:0.6 Oxali: 0.73 SN38: 0.58 AUC Sum: 1.91 |
Abbreviations: PDO, patient-derived organoids; GnP, gemcitabine/abraxane; mFFX, modified FOFIRINOX; NAT, neoadjuvant; RFS, recurrence free survival; R, resistant; S, sensitive; A, average.
Pre-NAT, biopsy specimen obtained prior to initiation of NAT chemotherapy; post-NAT, surgical specimen obtained after NAT completion at the time of primary tumor resection.
The change in CA 19–9 levels before and after chemotherapy divided by the starting value and multiplied by 100.
The change in the tumor size determined by computed tomography (CT) pancreas protocol before and after chemotherapy divided by the starting value and multiplied by 100.
Surgical Pathology Tumor Cellularity (%) score was calculated as the number of histology slides with viable adenocarcinoma divided by the total number of slides sampled from the resected tumor.
According CAP protocol3
Recurrence Free Survival (RFS) was calculated from the date of surgery until the date of recurrence.