Table 4.
Completed Phase III RCTs on targeted drugs for pancreatic ductal adenocarcinoma.
N | Setting | Intervention | Results | Reference |
---|---|---|---|---|
1062 | Advanced PDA First-line | Arm I: Chemotherapy alone Arm II: Chemotherapy with sequential GV1001 (telomerase peptide vaccine) Arm III: Chemotherapy with concurrent GV1001 |
Sequential chemoimmunotherapy group OS HR = 1.19 [98.25% CI, 0.97–1.48]; p = 0.05 Concurrent chemoimmunotherapy group OS HR = 1.05 [98.25% CI, 0.85–1.29]; p = 0.64 |
TeloVac trial [91] |
745 | Locally Advanced PDA First-line | Gemcitabine + Cetuximab vs. Gemcitabine alone | OS HR = 1.06 [95% CI, 0.91–1.23]; p = 0.23, one-sided | Southwest Oncology Group-directed intergroup trial S0205 [92] |
722 | Adjuvant PDA | Algenpantucel-L (HAPa) Immunotherapy + SOC vs. SOC alone | Study completed No statistically significant difference on preliminary report OS 27.3 vs. 30.4 months |
IMPRESS trial [93] |
688 | Advanced PDA First-line | Gemcitabine + Tipifarnib (R115777) vs. Gemcitabine + Placebo | OS HR = 1.03 [95% CI, 0.86–1.23]; stratified log-rank p = 0.75 | [94] |
632 | Advanced PDA First-line | Gemcitabine + AG-013736 (Axitinib) vs. Gemcitabine + Placebo | OS HR = 1.014 [95% CI, 0.786–1.309]; p = 0.5436 | [95] |
602 | Advanced PDA First-line | Gemcitabine + Bevacizumab vs. Gemcitabine plus Placebo | OS HR = 1.044 [95% CI, 0.88 to 1.24]; p = 0.95 | CALGB 80303 trial [96] |
160 * | Metastatic PDA First-line |
Rigosertib (ON 01910.Na) + Gemcitabine vs. Gemcitabine alone | OS HR = 1.24 [95% CI, 0.85–1.81] | [97] |
154 | Advanced PDA First-line | G17DT immunogen vs. Placebo | Mortality HR = 0.75 [95% CI, 0.51–1.10]; p = 0.138 | [98] |
153 * | Advanced PDA First-line | Elpamotide + Gemcitabine vs. Placebo + Gemcitabine | OS HR = 0.87 [95% CI, 0.486–1.557]; Harrington-Fleming p-value = 0.918; log-rank p-value = 0.897 |
[99] |
Hazard ratio (HR); overall survival (OS); pancreatic ductal adenocarcinoma (PDA); * Phase 2/3 RCT.