Table 3.
Prospective Study on Neoadjuvant Chemotherapy for Pancreatic Cancer before Radical Resection
| Author/trial | Year | Resectability | Treatment | No. of patients | Primary outcome | Median | HR (95% CI) | p-value |
|---|---|---|---|---|---|---|---|---|
| Jang et al.48 | 2018 | BR | CRT (54 Gy, GEM) → surgery → GEM | 27 | 2-yr survival | 40.7% | 0.51 (0.27–0.93) | 0.028 |
| Surgery → GEM | 23 | 26.1% | ||||||
| Unno et al. Prep-02/JSAP0549-51 | 2019 | R/BR-PV | GEM + S-1 → surgery → S-1 | 182 | OS | 36.7 mo | 0.72 (0.55–0.94) | 0.02 |
| Surgery → S-1 | 180 | 26.6 mo | ||||||
| Versteijne et al. PREOPANC-152,53 | 2020 | R/BR | CRT (36 Gy, GEM) → surgery → GEM | 119 | OS | 15.7 mo | 0.73 (0.56–0.96) | 0.025 |
| Surgery → GEM | 127 | 14.3 mo | ||||||
| Takahashi et al. JASPAC0554 | 2020 | R/BR | CRT (54 Gy, S-1) → surgery | 52 | R0 (OS) | 52% (30.8 mo) | - | - |
| Yamaguchi et al. NUPAT-0155 | 2022 | BR | mFOLFIRINOX → surgery | 26 | R0 | 73.1% | - | 0.202 |
| GEM + nab-PTX → surgery | 25 | 56.0% | ||||||
| Katz et al. A02150156 | 2022 | BR | mFOLFIRINOX → surgery → FOLFOX6 | 65 | 18-mo survival | 66.7% | - | - |
| mFOLFIRINOX → SBRT (33-40 Gy) or HIGRT (25 Gy) → surgery → FOLFOX6 | 55 | 47.3% |
HR, hazard ratio; CI, confidence interval; BR, Borderline Resectable; CRT, chemoradiotherapy; GEM, gemcitabine; R, resectable; PV, portal vein; OS, overall survival; mFOLFIRINOX, modified FOLFIRINOX; nab-PTX, nab-paclitaxel; SBRT, stereotactic body radiation therapy; HIGRT, hypofractionated image-guided radiation therapy.