Phase II trial of gemcitabine, epirubicin and granulocyte colony-stimulating factor in patients with advanced pancreatic adenocarcinoma
1999

Combination Therapy for Advanced Pancreatic Cancer

Sample size: 70 publication Evidence: moderate

Author Information

Author(s): Scheithauer W, Kornek G V, Raderer M, Hejna M, Valencak J, Miholic J, Kovats E, Lang F, Funovics J, Bareck E, Depisch D

Primary Institution: Vienna University Medical School

Hypothesis

Can combining gemcitabine with epirubicin and G-CSF improve treatment outcomes in patients with advanced pancreatic adenocarcinoma?

Conclusion

The combination of gemcitabine, epirubicin, and G-CSF appears to be an effective palliative treatment for patients with metastatic pancreatic adenocarcinoma, with moderate side effects.

Supporting Evidence

  • One patient achieved complete remission and 13 achieved partial remission, resulting in a 21% overall response rate.
  • The median survival time for patients was 7.8 months.
  • 43% of patients with tumor-related symptoms experienced significant palliation.

Takeaway

This study tested a new mix of medicines to help people with a serious type of cancer, and it worked pretty well without causing too many problems.

Methodology

Patients received a combination of epirubicin, gemcitabine, and G-CSF in a multicenter trial, with efficacy assessed through objective response and clinical benefit response.

Limitations

The study results need confirmation in a randomized trial.

Participant Demographics

Patients with metastatic pancreatic adenocarcinoma.

Statistical Information

Confidence Interval

95% CI, 12–33%

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690600

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