Retrospective Multicenter Cohort Of Nab-Paclitaxel Plus Gemcitabine (Ng) After Folfirinox Failure In Advanced Pancreatic Cancer (Apc): Effectiveness, Tolerability, And Response Markers.

Ines Vendrell,Arlindo R. Ferreira,Catarina Pulido, Anuraj Parmanande, Filipa Ferreira Da Silva,João Vasco Barreira,João Godinho,João Moreira Pinto, Joaquim Gago, Nuno Couto, Ana Maria Martinez de Castro, Carlos Carvalho,José Luís Passos-Coelho, Monica Semedo,Conceição Pinto,Luis Costa

JOURNAL OF CLINICAL ONCOLOGY(2017)

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摘要
e15743Background: NG is a standard 1st line treatment for APC. Although recommended in 2nd line after FOLFIRINOX, there is little evidence of its efficacy, tolerability and of markers of efficacy. Methods: We performed a multicenter retrospective cohort study, including patients (pts) with APC from 5 centers in Portugal treated with 2nd line NG after 1st line FOLFIRINOX from 01/2013-12/2016. We collected demographic, clinicopathological characteristics and treatment data. We used descriptive statistics, Kaplan-Meier methods and Cox proportional hazards analysis. Results: 30 pts were included; median age was 64 years (range 45–78); the majority had stage IV (90%) disease, an ECOG Performance Status of 0 (76.7%) and had received a median of 8.5 cycles of FOLFIRINOX (range 1–18). A median of 6 cycles of NG were administered (range 1–13). Median progression free survival (PFS) and overall survival (OS) were 6.4 months (CI 95% 3.0-8.5) and 11.4 months (CI 95% 8.4–16.5), respectively, and did not differ by age ...
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advanced pancreatic cancer,pancreatic cancer,folfirinox failure,nab-paclitaxel
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