Evidence map›Paper›PMID 36932224›Full record

ReviewNature reviews. Clinical oncology2023

Neoadjuvant therapy for pancreatic cancer.

Christoph Springfeld, Cristina R Ferrone, Matthew H G Katz, Philip A Philip, Theodore S Hong, Thilo Hackert, Markus W Büchler, John Neoptolemos

3 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 218 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
218citing papers in PubMed, 9 pooled it
76.4field-weighted citation impact, top 1% of its field
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.

NCT06054308 nawithdrawnnot on this mapstarted 2024, after this paper: background citation

Mesothelin-targeted CAR-T Cells as a Neo-adjuvant Treatment in Patients With Resectable Pancreatic Cancers: a Feasibility Study

TypeinterventionalSponsorChinese University of Hong KongRan2024 to 2026Enrolled0ConditionsPancreatic CancerArmsMSLN CART
NCT06944587 recruitingnot on this mapstarted 2024, after this paper: background citation

A New Clinical Pathway for Personalized Management of Borderline Resectable and Locally Advanced Pancreatic Cancer - Norwegian Pancreatic Cancer Trial-3 (NORPACT 3)

TypeobservationalSponsorOslo University HospitalRan2024 to 2028Enrolled400ConditionsLocally Advanced Pancreatic Cancer, Borderline Resectable Pancreatic Cancer, Pancreatectomy, Chemotherapy EffectArmsChemotherapy, Radiology, Pancreatectomy, Endoscopy
NCT07226154 recruitingnot on this mapstarted 2024, after this paper: background citation

An Exosomal miRNA Based Predictive Model for Personalized Neoadjuvant Chemotherapy Selection in Pancreatic Ductal Adenocarcinoma

TypeobservationalSponsorCity of Hope Medical CenterRan2024 to 2026Enrolled200ConditionsPancreatic Ductal AdenocarcinomaArmsSmall RNA sequencing, PRECEPT assay (qRT-PCR validation)
3 · Its place in the literature

Who cites it

218 citing papers in PubMed, 9 syntheses or guidelines pooled it, 327 citations in OpenAlex.

  1. Analysis of multi-drug cancer nanomedicine.Nature nanotechnology · 2025
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  11. Body composition measurements and clinical outcomes in patients with resectable pancreatic adenocarcinoma - analysis from SWOG S1505.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024
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158 more citing papers are in PubMed but not listed here.

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

8 authors at 6 institutions in 2 countries.

Christoph SpringfeldDepartment of Medical Oncology, National Center for Tumour Diseases, Heidelberg University Hospital, Heidelberg, Germany.
Cristina R FerroneDepartment of Surgery, Cedars-Sinai Hospital, Los Angeles, CA, USA.
Matthew H G KatzDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0003-3870-6968
Philip A PhilipWayne State University School of Medicine, Department of Oncology, Henry Ford Cancer Institute, Detroit, MI, USA.
Theodore S HongResearch and Scientific Affairs, Gastrointestinal Service Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Thilo HackertDepartment of General, Visceral and Thoracic Surgery, University hospital Hamburg-Eppendorf, Hamburg, Germany.
Markus W BüchlerDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.
John NeoptolemosDepartment of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany. john.neoptolemos@med.uni-heidelberg.de.ORCID 0000-0002-6201-7399
Heidelberg University · DECedars-Sinai Medical Center · USHarvard University · USThe University of Texas MD Anderson Cancer Center · USUniversität Hamburg · DEWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with localized pancreatic ductal adenocarcinoma (PDAC) are best treated with surgical resection of the primary tumour and systemic chemotherapy, which provides considerably longer overall survival (OS) durations than either modality alone. Regardless, most patients will have disease relapse owing to micrometastatic disease. Although currently a matter of some debate, considerable research interest has been focused on the role of neoadjuvant therapy for all forms of resectable PDAC. Whilst adjuvant combination chemotherapy remains the standard of care for patients with resectable PDAC, neoadjuvant chemotherapy seems to improve OS without necessarily increasing the resection rate in those with borderline-resectable disease. Furthermore, around 20% of patients with unresectable non-metastatic PDAC might undergo resection following 4-6 months of induction combination chemotherapy with or without radiotherapy, even in the absence of a clear radiological response, leading to improved OS outcomes in this group. Distinct molecular and biological responses to different types of therapies need to be better understood in order to enable the optimal sequencing of specific treatment modalities to further improve OS. In this Review, we describe current treatment strategies for the various clinical stages of PDAC and discuss developments that are likely to determine the optimal sequence of multimodality therapies by integrating the fundamental clinical and molecular features of the cancer.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsHumansNeoadjuvant TherapyNeoplasm Recurrence, Local

Identifiers

PMID36932224
OpenAlexW4327697352

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.