Table 2.
Author | Year | Intervention | Comparator | Primary Outcome | Number of Patients | Resection Rate | R0 Resection Rate ITT | OS |
---|---|---|---|---|---|---|---|---|
Jang et al. [37] | 2018 | GEM + RT + adjuvant GEM | Upfront surgery + adjuvant GEM | 2-year survival | 27 vs. 23 | 63.0% vs. 78.3% | 51.8% vs. 26.1% * | MST: 21 mo vs. 12 mo HR: 0.51 (0.27–0.93) * |
Yamaguchi et al. [39] (NUPAT 01) | 2022 | mFOLFIRINOX | GEM + nab-PTX | R0 resection rate | 26 vs. 25 | 88.5% vs. 80.0% | 73.1% vs. 56.0% | 3-year OS: 55.3% vs. 54.4% HR: 0.95 (0.39–2.29) |
Katz et al. [38] (Alliance A021501) |
2022 | mFOLFIRINOX + adjuvant FOLFOX6 | mFOLFIRINOX + RT + adjuvant FOLFOX6 | 18-month survival | 65 vs. 55 | 49% vs. 35% | 18-month OS: 66.7% vs. 47.3% MST: 29.8 mo vs. 17.1 mo |
|
Hewitt et al. [36] | 2022 | FOLFIRINOX or GEM + nab-PTX + HAPa |
FOLFIRINOX or GEM + nab-PTX + 5-FU-based CRT | OS | 145 vs. 158 | 23% vs. 26% | MST: 14.3 mo vs. 14.9 mo HR: 1.02 (0.66–1.58) |
|
Ghaneh et al. [35] (ESPAC 05) |
2023 | Arm 1: immediate surgery Arm 2: GEM + capecitabine Arm 3: FOLFIRINOX Arm 4: capecitabine + RT |
Recruitment rate Resection rate |
33 vs. 20 vs. 20 vs. 17 |
55% † vs. 68% | 23% † vs. 14% | 1-year OS *: 39% vs. 78% vs. 84% vs. 60% |
GEM, gemcitabine; nab-PTX, nab-paclitaxel; HAP-a, HyperAcute-Pancreas; RT, radiotherapy; OS, overall survival; HR: hazard ratio; MST, median survival time; R0 resection, complete resection; FU, fluorouracil; CRT, chemoradiotherapy; mo, month(s); ITT, intention-to-treat. *: statistically significant, †: neoadjuvant groups combined.