Evidence map›Paper›PMID 37132281›Full record

Trial reportCancer medicine2023

Phase 2 study of preoperative chemotherapy with nab-paclitaxel and gemcitabine followed by chemoradiation for borderline resectable or node-positive pancreatic ductal adenocarcinoma.

Emerson Y Chen, Adel Kardosh, Nima Nabavizadeh, Bryan Foster, Skye C Mayo, Kevin G Billingsley, Erin W Gilbert, Christian Lanciault, Aaron Grossberg, Kenneth G Bensch and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02427841 (Phase 2 Study of Preoperative Chemotherapy With Abraxane and Gemcitabine Followed by Chemoradiation for Borderline Resectable or Node-Positive Pancreatic Cancer), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 18% 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.

NCT02427841 phase2completednot on this map

Phase 2 Study of Preoperative Chemotherapy With Abraxane and Gemcitabine Followed by Chemoradiation for Borderline Resectable or Node-Positive Pancreatic Cancer

TypeinterventionalSponsorOHSU Knight Cancer InstituteRan2016 to 2022Enrolled20ConditionsPancreatic Adenocarcinoma, Resectable Pancreatic CarcinomaArmsFluorouracil, Gemcitabine, Image Guided Radiation Therapy, Intensity-Modulated Radiation Therapy, Laboratory Biomarker Analysis
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Surgical Outcomes Following Neoadjuvant Treatment for Locally Advanced and Borderline Resectable Pancreatic Ductal Adenocarcinoma.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    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

17 authors at 5 institutions in 1 country.

Emerson Y ChenDivision of Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.ORCID 0000-0003-3035-4478
Adel KardoshDivision of Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
Nima NabavizadehDepartment of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Bryan FosterDepartment of Diagnostic Radiology, Oregon Health & Science University, Portland, Oregon, USA.
Skye C MayoDivision of Surgical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
Kevin G BillingsleyYale Cancer Center, New Haven, Connecticut, USA.
Erin W GilbertDivision of Gastrointestinal and General Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Christian LanciaultProvidence Cancer Institute, Portland, Oregon, USA.
Aaron GrossbergDepartment of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0003-4690-4948
Kenneth G BenschPortland VA Medical Center, Portland, Oregon, USA.
Erin MaynardPortland VA Medical Center, Portland, Oregon, USA.
Eric C AndersonDivision of Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
Brett C SheppardDivision of Gastrointestinal and General Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Charles R ThomasDepartment of Radiation Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Charles D LopezDivision of Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
Gina M VaccaroDivision of Hematology and Medical Oncology, Oregon Health & Science University, Knight Cancer Institute, Portland, Oregon, USA.
OHSU Gastrointestinal Cancer Disease Group
Oregon Health & Science University · USPortland VA Medical Center · USDartmouth College · USProvidence Portland Medical Center · USYale Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant treatment with nab-paclitaxel and gemcitabine for potentially operable pancreatic adenocarcinoma has not been well studied in a prospective interventional trial and could down-stage tumors to achieve negative surgical margins.

methodsA single-arm, open-label phase 2 trial (NCT02427841) enrolled patients with pancreatic adenocarcinoma deemed to be borderline resectable or clinically node-positive from March 17, 2016 to October 5, 2019. Patients received preoperative gemcitabine 1000 mg/m

resultsNineteen patients were enrolled, with the majority having head of pancreas primary tumors, both arterial and venous vasculature involvement, and clinically positive nodes on imaging. Among them, 11 (58%) underwent definitive resection and eight of 19 (42%) achieved R0 resection. Disease progression and functional decline were primary reasons for deferring surgical resection after neoadjuvant treatment. Pathologic near-complete response was observed in two of 11 (18%) resection specimens. Among the 19 patients, the 12-month progression-free survival was 58%, and 12-month overall survival was 79%. Common adverse events were alopecia, nausea, vomiting, fatigue, myalgia, peripheral neuropathy, rash, and neutropenia.

conclusionGemcitabine and nab-paclitaxel followed by long-course chemoradiation represents a feasible neoadjuvant treatment strategy for borderline resectable or node-positive pancreatic cancer.

Indexed as

AdenocarcinomaCarcinoma, Pancreatic DuctalNeutropeniaPancreatic NeoplasmsAlbuminsAntineoplastic Combined Chemotherapy ProtocolsGemcitabineHumansNeoadjuvant TherapyPaclitaxelProspective Studies130-nm albumin-bound paclitaxelAlbuminsGemcitabinePaclitaxelchemoradiationclinical trialgemcitabinenab-paclitaxelneoadjuvantpancreatic cancer

Identifiers

PMID37132281
PMCPMC10315770
OpenAlexW4367833953

What OpenQuestion holds

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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.