Table 2.
Phase III randomized trials with gemcitabine comparison in advanced PDA.
Study* | Accrual period | Number of patients | Treatment groups | Median OS |
Response rate |
||
---|---|---|---|---|---|---|---|
Months | p | % | p | ||||
[Burris et al. 1997] | 1992-1994 | 126 | 5-FU | 4.4 | 0.0025 | 0 | NS |
Gemcitabine | 5.6 | 5.4 | |||||
[Bramhall et al. 2001] | 1997-1998 | 239 | GemG + marimistat | 5.55.5 | NS | 1116 | NS |
[Moore et al. 2003] | 1997-1999 | 277 | GemG + BAY 12-9566 (MMP inhibitor) | 6.63.7 | <0.001 | NRNR | |
[Heinemann et al. 2006] | 1997-2002 | 195 | GemG + cisplatin | 6.07.5 | NS | 8.210.2 | NS |
[Berlin et al. 2002] | 1998-1999 | 322 | GemG + 5-FU | 5.4 | NS | 5.66.9 | NS |
6.7 | |||||||
[Van Cutsem et al. 2004] | 1999-2001 | 688 | Gem | 6.1 | NS | 8 | NS |
G + tipifarnib | 6.4 | 6 | |||||
[Rocha Lima et al. 2004] | 2000-2001 | 360 | Gem | 6.6 | NS | 4.1 | <0.001 |
G + irinotecan | 6.3 | 16.1 | |||||
[Louvet et al. 2005] | 2001-2003 | 313 | Gem | 7.1 | NS | 17.3 | 0.044 |
G + oxaliplatin | 9.0 | 26.8 | |||||
[Herrmann et al. 2007] | 2001-2004 | 319 | GemG + capecitabine | 7.28.4 | NS | 7.810 | NS |
[Abou-Alfa et al. 2006] | 2001-2003 | 349 | Gem | 6.2 | NS | 5.2 | NS |
G+ exatecan | 6.7 | 6.8 | |||||
[Moore et al. 2007] | 2001-2003 | 569 | Gem | 5.9 | 0.038 | 8.0 | NS |
G + erlotinib | 6.2 | 8.6 | |||||
[Oettle et al. 2005] | 2001-2003 | 565 | GemG + pemetrexed | 6.36.2 | NS | 7.114.8 | 0.004 |
[Colucci et al. 2010] | 2002-2007 | 400 | Gem | 8.3 | NS | 10.1 | NS |
G + cisplatin | 7.2 | 12.9 | |||||
[Cunningham et al. 2009] | 2002-2005 | 533 | GemG + capecitabine | 6.2 | NS | 12.4 | 0.034 |
7.1 | 19.1 | ||||||
[Poplin et al. 2009] | 2003-2005 | 832 | Gem (standard rate)Gem-FDRGem-FDR + oxaliplatin | 4.96.25.7 | NS | 6109 | NS |
[Philip et al. 2010] | 2004-2006 | 745 | GemG + cetuximab | 5.9 | NS | 7 | NS |
6.3 | 8 | ||||||
[Kindler et al. 2010] | 2004-2006 | 602 | Gem | 5.9 | NS | 10 | NS |
G + bevacizumab | 5.8 | 13 | |||||
[Van Cutsem et al. 2009] | 2005-2006 | 607 | Gem + erlotinibGem + erlotinib + bevacizumab | 6.07.1 | NS | 8.613.5 | NS |
[Conroy et al. 2011] | 2005-2009 | 342 | GemFOLFIRINOX | 6.811.1 | <0.001 | 9.431.6 | <0.001 |
[Heinemann et al. 2012] | 2006-2008 | 281 | Gem + erlotininb (capecitabine for second line)Capecitabine + erlotinib (gem for second line) | 6.26.9 | NS | 165 | NR |
[Goncalves et al. 2012] | 2006-2009 | 104 | GemG + sorafenib | 9.28 | NS | 19 | NS |
23 | |||||||
[Kindler et al. 2011] | 2007-2008 | 632 | GemG + axitinib | 8.38.5 | NS | 25 | 0.018 |
5-FU: fluorouracil; FDR: fixed dose rate.G and Gem: gemcitabine; NR: not reported; NS: not statistically significant (p > 0.05);
In addition to these trials, several phase III trials have been completed or terminated and remain unpublished. These include fluorouracil plus triacetyluridine [ClinicalTrials.gov identifier: NCT24427], aflibercept [ClinicalTrials.gov identifier: NCT574275], TS-1 [ClinicalTrials.gov identifier: NCT498225], GV1001 vaccine [ClinicalTrials.gov identifier: NCT358566], virulizin [ClinicalTrials.gov identifier: NCT40092] and AMG 479- ganitumab [ClinicalTrials.gov identifier: NCT1231347].