TABLE 3.
Summary of postoperative adjuvant therapy trials in pancreas cancer
| Variable | Study |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| ESPAC-18 |
CONKO-0015,13 |
ESPAC-36 |
RTOG 97-0414 |
Current study |
|||||||
| 5FU | CRT | GEM | Obs | 5FU | GEM | 5FU/CRT | GEM/CRT | Obs | CT | CRT | |
| % R1 | 19 | 19 | 19 | 15 | 35 | 35 | 33 | 35 | 22 | 16 | 29 |
| % LN positive | 53 | 50 | 71 | 73 | 70 | 73 | 65 | 68 | 63 | 61 | 57 |
| % LR | 35 | 34 | 41 | NR | NR | 28 | 23 | 33 | 27 | 34 | |
| mOS (m) | 20.1 | 15.9 | 22.5 | 20.2 | 23 | 23.6 | 16.9 | 20.6 | 6.3 | 21.5 | 16.8 |
| mDFS (m) | NR | NR | 13.4 | 6.9 | 14.1 | 14.3 | 11.1 | 11.2 | NA | NA | NA |
| % G3-4 toxicity | 4 | 6 | 5 | 1 | 14 | 7.5 | 62 | 79 | NA | NA | NA |
5FU 5-fluorouracil, CRT chemoradiation, GEM gemcitabine, Obs observation, R1 microscopically positive margins, LN lymph node, LR local recurrence, OS overall survival, DFS disease-free survival, CT chemotherapy, NA not available