Table 2. Details of treatment for advanced disease.
Characteristic | All patients [N=382] | Long-term responders [N=123] | Controls [N=259] | P value |
---|---|---|---|---|
First-line chemotherapy cycles | <0.001 | |||
Median [range] | 6 [2-47] | 12 [9-47] | 4 [2-8] | |
First-line chemotherapy regimen N, [%] | 0.007 | |||
Fluoropyrimidine | 11 [3] | 9 [3] | 2 [2] | |
Gemcitabine- Fluoropyrimidine | 156 [41] | 93 [36] | 63 [51] | |
Gemcitabine-Platinum | 155 [41] | 109 [42] | 46 [37] | |
Gemcitabine-Platinum + Selumetinib | 10 [3] | 5 [2] | 5 [4] | |
Gemcitabine | 43 [11] | 37 [14] | 6 [5] | |
Other | 7 [2] | 6 [2] | 1 [1] | |
Radiographic response N, [%] | <0.001 | |||
Complete regression | 3 [1] | 3 [2] | 0 | |
Partial regression | 116 [32] | 71 [59] | 46 [19] | |
Stable imaging | 142 [40] | 47 [39] | 95 [40] | |
Disease progression | 97 [27] | 0 | 96 [41] | |
Missing | 24 | 2 | 22 | |
Chemotherapy toxicity N, [%]† | ||||
Neutropenia | 74 [19] | 37 [30] | 37 [14] | <0.001 |
Thrombocytopenia | 77 [20] | 32 [26] | 45 [17] | 0.056 |
Neuropathy | 11 [3] | 6 [5] | 6 [2] | 0.21 |
Nephropathy | 11 [3] | 6 [5] | 5 [2] | 0.19 |
Nausea/vomiting | 105 [27] | 45 [37] | 60 [23] | 0.007 |
Sepsis/infection | 73 [19] | 24 [20] | 49 [19] | 0.89 |
Skin toxicity | 69 [18] | 39 [32] | 30 [12] | <0.001 |
Reason for stopping N, [%] | 0.96 | |||
Disease progression | 219 [57] | 69 [56] | 150 [58] | |
Toxicity | 48 [13] | 17 [14] | 31 [12] | |
Planned/patient request | 76 [20] | 24 [19] | 52 [20] | |
Other | 39 [10] | 13 [11] | 26 [10] | |
Chemotherapy break >3 months N, [%] | 20 [5] | 19 [15] | 1 [1] | <0.001 |
Second-line chemotherapy N, [%] | 142 [37] | 58 [47] | 84 [33] | 0.007 |
Median cycles [range] | 3 [1-21] | 3 [1-18] | ||
Third-line chemotherapy [N, %] | 48 [13] | 22 [18] | 26 [10] | 0.046 |
Radiotherapy details‡ | 0.09 | |||
Stereotactic/fractionated RT to primary tumor | 33 [9] | 15 [12] | 18 [7] | |
Palliative RT | 40 [10] | 11 [9] | 29 [11] |
†, Any cycle; ‡, for advanced disease, either before or after first-line palliative chemotherapy. RT, radiotherapy.