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. 2010 May 19;2010:0409.

Table 1.

Gemcitabine monotherapy versus fluorouracil monotherapy for non-resectable (locally advanced or advanced) pancreatic cancer

Ref Study design Population Intervention and comparison Outcome
  SR, 2 RCTs 279 people with locally advanced or metastatic cancer Gemcitabine monotherapy v fluorouracil monotherapy Mortality at 12 months:Lower with gemcitabine compared with fluorouracil but of borderline significance (2 RCTs; 90/98 [92%] with gemcitabine monotherapy v 105/130 [81%] with fluorouracil monotherapy; RR 1.12, 95% CI 1.00 to 1.25)
SR, 2 RCTs 197 people Gemcitabine monotherapy v fluorouracil monotherapy Overall survival:2 RCTs, 197 people; HR 0.75, 95% CI 0.42 to 1.31; absolute numbers not reported
SR, 2 RCTs Gemcitabine monotherapy v fluorouracil monotherapy Time to progression:Significantly increased with gemcitabine: 2 RCTs, 197 people; HR 0.46, 95% CI 0.31 to 0.70; absolute numbers not reported
Progression-free survival:2 RCTs, 197 people; HR 0.94, 95% CI 0.58 to 1.53; absolute numbers not reported
Overall response rate:Significantly increased with gemcitabine: 1 RCT, 126 people; RR 0.14, 95% CI 0.01 to 2.66; absolute numbers not reported
Grade 3 and 4 neutropenia:1 RCT, 126 people; 25% with gemcitabine v 5% with fluorouracil; absolute numbers not reported

Ref, reference. ; SR, systematic review, HR, hazard ratio.