Abstract

The meta-analysis of randomized trials indicated a significant survival benefit when GEM was either combined with platinum analogs or fluoropyrimidines. Based on a preliminary subgroup analysis (representing 38% of all patients included in this meta-analysis), pancreatic cancer patients with a good PS appear to benefit from GEM-based cytotoxic combinations, whereas patients with a poor PS seem to have no survival benefit from combination chemotherapy.

Keywords

MedicineGemcitabineInternal medicinePemetrexedIrinotecanHazard ratioOncologyRandomized controlled trialPancreatic cancerChemotherapyMeta-analysisCombination chemotherapySurgical oncologyCancerSurgeryConfidence intervalCisplatinColorectal cancer

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Purpose Single-agent gemcitabine (GEM) is standard treatment of metastatic pancreatic cancer. Fixed-dose rate (FDR) GEM and GEM plus oxaliplatin have shown promise in early clin...

2009 Journal of Clinical Oncology 423 citations

Publication Info

Year
2008
Type
review
Volume
8
Issue
1
Pages
82-82
Citations
425
Access
Closed

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Volker Heinemann, Stefan Boeck, Axel Hinke et al. (2008). Meta-analysis of randomized trials: evaluation of benefit from gemcitabine-based combination chemotherapy applied in advanced pancreatic cancer. BMC Cancer , 8 (1) , 82-82. https://doi.org/10.1186/1471-2407-8-82

Identifiers

DOI
10.1186/1471-2407-8-82