Nab-paclitaxel plus gemcitabine as first line therapy in metastatic pancreatic cancer patients relapsed after gemcitabine adjuvant treatment

Journal Article · Tue Oct 15 04:00:00 EDT 2019 · Medical Oncology (Online)

DOI:https://doi.org/10.1007/S12032-019-1306-9· OSTI ID:22938381

Petrillo, Angelica; Pappalardo, Annalisa; Pompella, Luca; Tirino, Giuseppe ^[1]; Calabrese, Filomena ^[2]; Caterino, Marianna; Ventriglia, Anna; Orditura, Michele ^[1]; Conzo, Giovanni ^[3]; Molino, Carlo ^[4]; Ciardiello, Fortunato ^[1]; Biglietto, Maria ^[2]

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1. University of Study of Campania “L. Vanvitelli”, Division of Medical Oncology, Department of Precision Medicine (Italy)
2. AORN, “A Cardarelli”, Division of Medical Oncology (Italy)
3. University of Study of Campania “L. Vanvitelli”, Department of Cardiothoracic Sciences (Italy)
4. A.O.R.N. “A. Cardarelli”, Department of Oncological Surgery (Italy)

Nab-paclitaxel plus gemcitabine (Nab-Gem) represents one of the standard regimen for first-line treatment of metastatic pancreatic adenocarcinoma (mPDAC). However, few data are available in mPDAC relapsed after gemcitabine as adjuvant treatment. Our study aims to evaluate the efficacy and feasibility of Nab-Gem as first-line treatment for mPDAC patients previously treated with adjuvant treatment. We retrospectively analyzed the safety and efficacy data of 36 patients, who received first-line Nab-Gem after gemcitabine as adjuvant treatment. All patients received gemcitabine after radical surgery. Median disease-free survival was 12 months (95% CI 9.7–14.3); at relapse, all patients received Nab-Gem. We observed an objective response rate and disease control rate of 11.1% and 63.9%, respectively. With a median follow-up of 47 months, median progression-free survival was 5 months (95% CI 1.0–9.0), whereas median overall survival (OS) was 13 months (95% CI 5.5–20.5). Median OS was higher in patients with a relapse ≥ 7 months after the end of adjuvant treatment than in patients relapsed < 7 months (14 vs. 8 months, respectively, p: 0.52). Our results show that first-line Nab-Gem is feasible and effective in patients previously treated with gemcitabine as adjuvant treatment.

• OSTI ID: 22938381
• Journal Information: Medical Oncology (Online), Journal Name: Medical Oncology (Online) Journal Issue: 10 Vol. 36; ISSN 1559-131X
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
CARCINOMAS
METASTASES
PANCREAS
PATIENTS
SURGERY
THERAPY