Results Of The Randomized Phase Ii Portion Of Nrg Oncology/Rtog 0848 Evaluating The Addition Of Erlotinib To Adjuvant Gemcitabine For Patients With Resected Pancreatic Head Adenocarcinoma.

JOURNAL OF CLINICAL ONCOLOGY(2017)

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摘要
4007Background: NRG/RTOG 0848 is a 2-step study designed to determine whether erlotinib (E) added to gemcitabine (G) (randomized Ph II) u0026/or adjuvant radiation with concurrent 5-FU or capecitabine following 6 months of systemic chemotherapy (Ph III), improve survival in patients (pts) with resected pancreatic head adenocarcinoma. The erlotinib results are reported here. Methods: Eligible pts include those with resected pancreatic head adenocarcinoma, pathologic stage T1-T3, N0-1, M0; PS 0-1, u0026 CA19-9 ≤ 180 IU/L. Pts in Arms 1 u0026 2 received G 1 gm/m2 weekly for 3 weeks in a 28-day cycle for 6 cycles. Pts in Arm 2 also received E 100 mg/day. The primary hypothesis for the E portion was that G+E would increase overall survival (OS) compared to G alone. With a 1-sided alpha of 0.15, 200 OS events provide 80%/90% power to detect a signal for an increase in median OS from 22 to 28.8/30.6 months (mos). OS was estimated by the Kaplan-Meier method u0026 arms compared using the log rank test. The Cox proportional hazard...
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