Outcomes in randomized clinical trials of metastatic pancreatic cancer (first-line treatment)

ChemotherapyPhaseNumber of patientsmOSmPFSORRRef.
Gemcitabine vs. 5-fluorouracileII/III1265.56 months vs. 4.41 months (P = 0.0025)2.33 months vs. 0.92 months (P = 0.0002)5.4% vs. 0% (nc)[5]
Gemcitabine plus erlotinib vs. gemcitabineIII5696.24 months vs. 5.91 months (P = 0.038, HR: 0.82)3.75 months vs. 3.55 months (P = 0.004, HR: 0.77)8.6% vs. 8% (nc)[6]
FOLFIRINOX vs. gemcitabineII/III34211.1 months vs. 6.8 months (P < 0.001, HR: 0.57)6.4 months vs. 3.3 months (P < 0.001, HR: 0.47)31.6% vs. 9.4% (P < 0.001)[7]
Gemcitabine plus nab-paclitaxel vs. gemcitabineIII8618.5 months vs. 6.7 months (P < 0.001, HR: 0.72)5.5 months vs. 3.7 months (P < 0.001, HR: 0.69)23% vs. 7% (P < 0.001)[8]
Gemcitabine plus capecitabine vs. gemcitabineIII5337.1 months vs. 6.2 months (P = 0.08, HR: 0.86)5.3 months vs. 3.8 months (P = 0.004, HR: 0.78)19.1% vs. 12.4% (P = 0.034)[9]
NALIRIFOX vs. gemcitabine plus nab-paclitaxelIII77011.1 months vs. 9.2 months (P = 0.036, HR: 0.83)7.4 months vs. 5.6 months (P < 0.0001, HR: 0.69)42% vs. 36% (P = 0.11)[10]

mOS: median overall survival; mPFS: median progression-free survival; ORR: objective response rate; Ref.: references; nc: not calculated; HR: hazard ratio