Evidence map›Paper›PMID 31932214›Full record

ArticlePancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]2020

Modified FOLFIRINOX in pancreatic cancer patients Age 75 or older.

Jonathan D Mizrahi, Jane E Rogers, Kenneth R Hess, Robert A Wolff, Gauri R Varadhachary, Milind M Javle, Rachna T Shroff, Linus Ho, David R Fogelman, Kanwal P S Raghav and 2 more

Abstract read
In one paragraph

Article in Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. A Chinese Retrospective Multicenter Study of First-Line Chemotherapy for Advanced Pancreatic Cancer.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Trial
  2. Trial
  3. Article
  4. Review
  5. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Update on the management of older patients with pancreatic adenocarcinoma: a perspective from medical oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Clinical outcomes of FOLFIRINOX and gemcitabine-nab paclitaxel for metastatic pancreatic cancer in the real world setting.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    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

12 authors.

Jonathan D MizrahiThe University of Texas MD Anderson Cancer Center, USA. Electronic address: jdmizrahi@mdanderson.org.
Jane E RogersThe University of Texas MD Anderson Cancer Center, USA.
Kenneth R HessThe University of Texas MD Anderson Cancer Center, USA.
Robert A WolffThe University of Texas MD Anderson Cancer Center, USA.
Gauri R VaradhacharyThe University of Texas MD Anderson Cancer Center, USA.
Milind M JavleThe University of Texas MD Anderson Cancer Center, USA.
Rachna T ShroffThe University of Arizona Cancer Center, USA.
Linus HoThe University of Texas MD Anderson Cancer Center, USA.
David R FogelmanThe University of Texas MD Anderson Cancer Center, USA.
Kanwal P S RaghavThe University of Texas MD Anderson Cancer Center, USA.
Michael J OvermanThe University of Texas MD Anderson Cancer Center, USA.
Shubham PantThe University of Texas MD Anderson Cancer Center, USA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
TRAINING FOR ACADEMIC ONCOLOGY/HEMATOLOGYT32CA009666 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Michael Davies, Courtney DiNardo · 1994 to 2026
$9.8M
NCATS NIH HHS UL1 TR003167NCI NIH HHS P30 CA016672NCI NIH HHS T32 CA009666
6 · The paper itself

Abstract

backgroundAlthough FOLFIRINOX (5-Fluorouracil + leucovorin + irinotecan + oxaliplatin) is now the standard of care for patients (pts) with metastatic pancreatic cancer (PC) based on the 2011 study by Conroy et al. which demonstrated improved median overall survival (mOS), pts > 75 yrs old were excluded from this study. The purpose of this study was to assess the safety and efficacy of modified FOLFIRINOX (mFOLFIRINOX) in this population.

methodsWe retrospectively analyzed unresectable PC pts, age ≥ 75, treated with mFOLFIRINOX at MD Anderson from 2011 to 2017. Primary outcome was rate of grade 3 or 4 hematologic toxicity (HT).

results24 pts were included. Grade 3 or 4 HT occurred in 11 pts 6 pts required hospitalization for any toxicity, and 10 stopped mFOLFIRINOX due to toxicity. The most frequently used starting doses of infusional 5-FU, irinotecan and oxaliplatin were 2400, 150 and 75 mg/m

conclusionsIn this single-center retrospective analysis of unresectable PC pts age 75 or older given mFOLFIRINOX, toxicities and survival outcomes were similar to those reported in the initial study. These data indicate that the use of modified dosing FOLFIRINOX in advanced PC pts older than 75 appears to maintain similar toxicity and efficacy when compared to younger pts.

Indexed as

AgedAged, 80 and overAntimetabolites, AntineoplasticAntineoplastic AgentsAntineoplastic Agents, PhytogenicAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalFemaleFluorouracilHumansIrinotecanKaplan-Meier EstimateLeucovorinMaleOxaliplatinPancreatic NeoplasmsAntimetabolites, AntineoplasticAntineoplastic AgentsAntineoplastic Agents, PhytogenicFluorouracilfolfirinoxIrinotecanLeucovorinOxaliplatinChemotherapyElderlyFOLFIRINOXGeriatric oncologyRetrospective studiesSafety

Identifiers

PMID31932214
PMCPMC7160008

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Registered trials

None linked

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.