Evidence map›Paper›PMID 30621618›Full record

ArticleBMC cancer2019

Real world evidence on gemcitabine and nab-paclitaxel combination chemotherapy in advanced pancreatic cancer.

Hakon Blomstrand, Ursula Scheibling, Charlotte Bratthäll, Henrik Green, Nils O Elander

Registry-linked trialAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04289792 (Chemotherapy-based Split Stereotactic Body Radiation Therapy for Borderline Resectable and Locally Advanced Pancreatic Cancer), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04289792 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

Chemotherapy-based Split Stereotactic Body Radiation Therapy for Borderline Resectable and Locally Advanced Pancreatic Cancer: Study Protocol of a Prospective, Single-arm Phase II Trial

TypeinterventionalSponsorFujian Medical University Union HospitalRan2020 to 2025Enrolled27ConditionsPancreatic NeoplasmsArmsnab-Paclitaxel+Gemcitabine, split-course SBRT
3 · Its place in the literature

Who cites it

41 citing papers in PubMed.

  1. Trial
  2. Identification of factors associated with rash during gemcitabine plus nanoparticle albumin-bound paclitaxel treatment for pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Evaluation of factors associated with drug fever following gemcitabine and nanoparticle albumin-bound paclitaxel treatment for pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Article
  7. Identification of risk factors related to problematic peripheral neuropathy development in gemcitabine and nab-paclitaxel treatment for pancreatic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
  9. Review
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  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hakon BlomstrandDepartment of Oncology, Ryhov County Hospital, 55305, Jönköping, Sweden.ORCID http://orcid.org/0000-0001-9345-0278
Ursula ScheiblingDepartment of Oncology, Ryhov County Hospital, 55305, Jönköping, Sweden.
Charlotte BratthällDepartment of Oncology, Kalmar County Hospital, 39244, Kalmar, Sweden.
Henrik GreenDivision of Drug Research, Department of Medical Health Sciences, Linköping University, 58183, Linköping, Sweden.
Nils O ElanderDivision of Oncology, Department of clinical and experimental medicine, Faculty of medicine and health sciences, Linköping University, 58183, Linköping, Sweden. nils.elander@liu.se.

Funding

Forskningsrådet i Sydöstra Sverige 751541Futurum - Akademin för Hälsa och Vård, Region Jönköpings läns 695491Linköpings Universitet LIO-697991, LIO- 707011, and LIO-697461
6 · The paper itself

Abstract

backgroundIn the recent phase III trial MPACT the combination of gemcitabine and nab-paclitaxel (Gem/NabP) showed increased overall survival compared to gemcitabine alone in the treatment of advanced pancreatic ductal adenocarcinoma (aPDA). Until now there has been limited information on the clinical benefit and toxicity of the combination regimen in a real world setting. In addition the value for patients with locally advanced rather than metastatic aPDA has been unclear, since the former category of patients was not included in the MPACT trial.

methodsA multicentre retrospective observational study in the South Eastern Region of Sweden was performed, with the first 75 consecutive patients diagnosed with aPDA (both locally advanced and metastatic disease) who received first-line treatment with Gem/NabP.

resultsIn the overall population median progression free survival (PFS) and overall survival (OS) were 5.2 (3.4-7.0 95% CI) and 10.9 (7.8-14.0 95% CI) months, respectively. Patients with metastatic disease displayed a median OS of 9.4 (4.9-13.9) and a median PFS of 4.5 (3.3-5.7) months whereas the same parameters in the locally advanced subgroup were 17.1 (7.6-26.6) and 6.8 (5.2-8.4) months, respectively. Grade 3-4 hematologic toxicity was recorded: Neutropenia, leukopenia, thrombocytopenia, and anaemia were observed in 23, 20, 5, and 4% of patients, respectively. Dose reductions were performed in 80% of the patients.

conclusionThis study confirms the effectiveness and safety of first-line Gem/NabP in both locally advanced and metastatic PDA in a real world setting.

Indexed as

AdenocarcinomaAdultAgedAlbuminsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalDeoxycytidineDrug-Related Side Effects and Adverse ReactionsFemaleGemcitabineHumansMaleMiddle AgedNeoplasm StagingNeutropeniaPaclitaxel130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineGemcitabinePaclitaxelBone marrow toxicityChemotherapyGemcitabineNab-paclitaxelPancreatic cancer

Identifiers

PMID30621618
PMCPMC6325739

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.