Table 1.
Characteristic | All patients | Locally advanced | Metastatic | p-value$ | |
---|---|---|---|---|---|
(n = 50) | (n = 18) | (n = 32) | |||
Age* | 55 (49-66) | 61 (48-67) | 55 (50-61) | 0.46** | |
Male | 30 (60%) | 10 (56%) | 20 (63%) | 0.77^ | |
WHO PS | |||||
0 | 34 (68%) | 13 (72%) | 21 (66%) | 0.76^ | |
1 | 16 (32%) | 5 (28%) | 11 (34%) | ||
Tumour location | |||||
Head | 30 (60%) | 11 (61%) | 19 (59%) | 0.35# | |
Uncinate | 12 (24%) | 6 (33%) | 6 (19%) | ||
Body | 5 (10%) | 1 (6%) | 4(13%) | ||
Tail | 3 (6%) | 0 | 3 (9%) | ||
Biliary stent | 22 (44%) | 9 (50%) | 13 (41%) | 0.57^ | |
Prior chemotherapy regime | |||||
Gemcitabine first-line+ | 9 (18%) | 2 (11%) | 7 (22%) | 0.39# | |
Gemcitabine adjuvant | 6 (12%) | 1 (6%) | 5 (16%) | ||
Prior radiotherapy | 1 (2%) | 1 (6%) | 0 | 0.36^ | |
Pre-treatment surgery | |||||
Bypass | 6 (12%) | 0 | 6 (19%) | 0.06# | |
PPPD/Whipple | 6 (12%) | 1 (6%) | 5 (16%) | ||
Number of cycles | 8 ( 5-9) | 8 (6-9) | 8 (4-9) | 0.40** | |
Dose modifications | |||||
At start | 7 (14%) | 3 (17%) | 4 (13%) | 0.69^ | |
After the first cycle | 38 (76%) | 13 (72%) | 25 (78%) | ||
Surgical treatment | |||||
Exploration without resection | 1 (2%) | 1 (6%) | 0 | 0.002# | |
Resection | 1 (2%) | 1 (6%) | 0 | ||
Radiofrequency ablation | 2 (4%) | 2 (11%) | 0 | ||
Irreversible electroporation | 4 (8%) | 4 (22%) | 0 | ||
Second line therapy | |||||
Gemcitabine monotherapy | 8 (16%) | 5 (28%) | 3 (38%) | 0.27# | |
Capecitabine | 1 (2%) | 0 | 1 (3%) | ||
Gemcitabine based++ | 5 (10%) | 0 | 5 (16%) | ||
Metformin plus everolimus | 1 (2%) | 0 | 1 (3%) |
* at start of FOLFIRINOX treatment; $ Comparing LAPC and MPC; ** Mann-Whitney U test; ^ Fisher's Exact test; # Chi Square test; + Gemcitabine monotherapy in 3 patients (7%), combined with erlotinib in 3 patients (7%), with mTOR-inhibitor in 2 patients (4%) and with nab-paclitaxel in 1 patient (2%), ++ gemcitabine combined with other chemotherapeutics or targeted agents