Table 4. Top 8 articles investigating therapies in patients that present with locally advanced pancreatic cancer (LAPC), ranked according to median overall survival (OS) achieved.
OS | Title | Reference | Patients | Phase | Randomization | R0 resection |
---|---|---|---|---|---|---|
29 months (arterial involvement), 42+ months (venous involvement) | Neoadjuvant gemcitabine, docetaxel, and capecitabine followed by gemcitabine and capecitabine/radiation therapy and surgery in locally advanced, unresectable pancreatic adenocarcinoma | Sherman et al. Cancer 2015 | 45 | III | No | 67% (arterial involvement), 73% (venous involvement) |
26.6 months in LAPC | Final analysis of a phase II study of modified FOLFIRINOX in locally advanced and metastatic pancreatic cancer | Stein et al. Br J Cancer 2016 | 75 | II | No | 41.9% |
12.3 months in all treated patients, 19.5 months with a dose of 1 mg/kg | Phase I Clinical Trial to Determine the Feasibility and Maximum Tolerated Dose of Panitumumab to Standard Gemcitabine-Based Chemoradiation in Locally Advanced Pancreatic Cancer | Van Zweeden et al. Clin Cancer Res 2015 | 14 | I | No | Not determined |
18.8 months | Baseline metabolic tumor volume and total lesion glycolysis are associated with survival outcomes in patients with locally advanced pancreatic cancer receiving stereotactic body radiation therapy | Dholakia et al. Int J Radiat Oncol Biol Phys 2014 | 32 | II | No | Not determined |
18.4 months LAPC, 14.4 months BRPC | The Role of Stereotactic Body Radiation Therapy for Pancreatic Cancer: A Single-Institution Experience. | Moningi et al. Ann Surg Oncol. 2015 | 88 (74 LAPC) | No | 84% margin negative, 16% pathologic complete response |
CRT indicates chemoradiotherapy, IC indicates induction chemotherapy, and BRPC indicates borderline resectable pancreatic cancer. Rates of achieving microscopic tumor clearance (R0) with resections are also displayed.