Evidence map›Paper›PMID 40448572›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Tumor Treating Fields With Gemcitabine and Nab-Paclitaxel for Locally Advanced Pancreatic Adenocarcinoma: Randomized, Open-Label, Pivotal Phase III PANOVA-3 Study.

Hani M Babiker, Vincent Picozzi, Sreenivasa R Chandana, Bohuslav Melichar, Anup Kasi, Jin Gang, Javier Gallego, Andrea Bullock, Hao Chunyi, Lucjan Wyrwicz and 13 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Pancreatic cancer.Nature reviews. Disease primers · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Testing the effects of topical skin care products on Tumor Treating Fields (TTFields) adhesiveness of arrays and delivery of electric currents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  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

23 authors.

Hani M BabikerMayo Clinic, Jacksonville, FL.ORCID 0000-0002-9368-6296
Vincent PicozziVirginia Mason Medical Center, Seattle, WA.
Sreenivasa R ChandanaThe Cancer & Hematology Centers, Grand Rapids, MI.
Bohuslav MelicharPalacky University and University Hospital Olomouc, Olomouc, Czech Republic.
Anup KasiUniversity of Kansas Cancer Center, Kansas City, KS.ORCID 0000-0002-4305-5701
Jin GangChanghai Hospital, Shanghai, People's Republic of China.
Javier GallegoGeneral University Hospital Elche, Elche, Spain.ORCID 0000-0002-0584-1242
Andrea BullockHarvard Medical School, Harvard University, Boston, MA.ORCID 0000-0001-7143-0225
Hao ChunyiBeijing Cancer Hospital, Beijing, People's Republic of China.
Lucjan WyrwiczNational Institute of Oncology, Maria Sklodowska Curie National Cancer Research Institute, Warsaw, Poland.ORCID 0000-0003-0808-6892
Erika HitreNational Institute of Oncology, Budapest, Hungary.
Arsen OsipovCedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-9000-7040
Christelle de la FouchardiereCentre Léon Bérard, Lyon, France.ORCID 0000-0003-2291-5693
Inmaculada AlesUniversity Hospital Malaga, Malaga, Spain.
Tomislav DragovichBaptist MD Anderson Cancer Center, Jacksonville, FL.
Woojin LeeNational Cancer Center, Goyang, Republic of Korea.ORCID 0000-0003-2115-6701
Kynan FeeneySt John of God Murdoch Hospital, Murdoch, WA, Australia.
Philip PhilipHenry Ford Hospital, Detroit, MI.
Makoto UenoKanagawa Cancer Center, Yokohama, Japan.ORCID 0000-0003-4480-0029
Eric Van CutsemUniversity of Leuven, Leuven, Belgium.ORCID 0000-0002-6372-1230
Thomas SeufferleinUlm University Hospital, Ulm, Germany.
Teresa MacarullaVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0002-5856-4082
PANOVA-3 Study Investigators

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
NCI NIH HHS K12 CA090628
6 · The paper itself

Abstract

purposeTumor treating fields (TTFields) use alternating electric fields to disrupt cancer cell proliferation. Feasibility of TTFields therapy with gemcitabine/nab-paclitaxel was previously demonstrated in patients with advanced pancreatic adenocarcinoma. PANOVA-3 was designed to confirm safety and efficacy of TTFields in patients with unresectable locally advanced pancreatic adenocarcinoma (LA-PAC).

methodsIn this global phase III trial, 571 patients with newly diagnosed LA-PAC were randomly assigned to receive gemcitabine 1,000 mg/m

resultsOS was significantly prolonged using TTFields with gemcitabine/nab-paclitaxel versus gemcitabine/nab-paclitaxel (median, 16.2 months [95% CI, 15.0 to 18.0]

conclusionThis study demonstrated significant OS, pain-free survival, and distant PFS benefits for TTFields with gemcitabine/nab-paclitaxel versus gemcitabine/nab-paclitaxel in patients with unresectable LA-PAC, with no additive systemic toxicity.

Indexed as

AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsPancreatic NeoplasmsAdultAgedAged, 80 and overAlbuminsDeoxycytidineFemaleGemcitabineHumansMaleMiddle AgedPaclitaxelProgression-Free Survival130-nm albumin-bound paclitaxelAlbuminsDeoxycytidineGemcitabinePaclitaxel

Identifiers

PMID40448572
PMCPMC13472160

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.