Evidence map›Paper›PMID 38990367›Full record

ArticleJournal of cancer research and clinical oncology2024

Complete pathological response to pembrolizumab in pretreated pancreatic acinar cell carcinoma.

Valeria Merz, Francesca Maines, Stefano Marcucci, Chiara Sartori, Michela Frisinghelli, Chiara Trentin, Dzenete Kadrija, Francesco Giuseppe Carbone, Andrea Michielan, Armando Gabbrielli and 4 more

Abstract readCase Reports
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Metastatic pancreatic acinar cell carcinoma withJournal of gastrointestinal oncology · 2025
    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

14 authors.

Valeria MerzDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy. valeria.merz@univr.it.ORCID http://orcid.org/0000-0002-2120-1923
Francesca MainesDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy.
Stefano MarcucciDepartment of General Surgery and HPB Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Chiara SartoriDepartment of Laboratory Medicine - Pathology Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Michela FrisinghelliDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy.
Chiara TrentinDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy.
Dzenete KadrijaDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy.
Francesco Giuseppe CarboneDepartment of Laboratory Medicine - Pathology Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Andrea MichielanGastroenterology and Digestive Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Armando GabbrielliGastroenterology and Digestive Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Davide MelisiDigestive Molecular Clinical Oncology Research Unit, Università degli Studi di Verona, Verona, Italy.
Mattia BarbareschiDepartment of Laboratory Medicine - Pathology Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Alberto BroleseDepartment of General Surgery and HPB Unit, Santa Chiara Hospital, APSS, Trento, Italy.
Orazio CaffoDepartment of Medical Oncology, Santa Chiara Hospital, APSS, L.Go Medaglie d'Oro,9, 38122, Trento, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic approach used for pancreatic ductal adenocarcinoma is usually translated also for the rarer acinar counterpart, which shows a different mutational landscape nevertheless. While dMMR/MSI-H status is rare in the ductal histotype, it appears to be more prevalent in pancreatic acinar cell carcinoma (PACC). CASE PRESENTATION: We report the case of a patient with locally advanced MSI-H PACC in whom the treatment with the anti-PD-1 pembrolizumab, administered as third line, made possible surgical resection, achieving even an exceptional pathological complete response.

conclusionsTreatment of PACC should be tailored based on the peculiar molecular features that distinguish PACC from ductal adenocarcinoma. Evaluation of potentially therapeutically targetable alterations should be mandatory in case of PACC diagnosis.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, Acinar CellPancreatic NeoplasmsAgedAntineoplastic Agents, ImmunologicalHumansMaleMiddle AgedAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabAcinar cell carcinomaImmunotherapyNeoadjuvant therapyPancreatic cancerpCRSurgical resection

Identifiers

PMID38990367
PMCPMC11239721

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Registered trials

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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.