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Iván González: The ESPAC4 study reveals promising results in treating pancreatic adenocarcinoma
Dec 8, 2024, 04:12

Iván González: The ESPAC4 study reveals promising results in treating pancreatic adenocarcinoma

Iván González, Medical Oncologist at the Comprehensive Oncology Center of the Hospital Ángeles Puebla, shared a post on X about a recent paper by Daniel Palmer et al. published in Journal of Clinical Oncology:

“The ESPAC4 study reveals promising results in treating pancreatic adenocarcinoma, highlighting the impact of GemCap as an adjuvant therapy compared to gemcitabine. These findings provide valuable insights to optimize therapeutic strategies, especially in specific patient subgroups.

Overall survival (OS):

  • Gemcitabine: 28.4 months.
  • GemCap: 31.6 months (HR 0.83; P = 0.031).

Key findings:

  • R0 patients: GemCap improved OS to 49.9 months vs. 32.2 months with gemcitabine (HR 0.63; P = 0.002).
  • Lymph node-negative patients: 5-year OS of 59% with GemCap vs. 53% with gemcitabine (HR 0.63; P = 0.04).

GemCap is reaffirmed as the standard treatment for patients ineligible for mFOLFIRINOX but also demonstrates superior efficacy in subgroups such as R0 patients and those without lymph node involvement.”

“Pancreatic Adenocarcinoma: Long-Term Outcomes of Adjuvant Therapy in the ESPAC4 Phase III Trial”

Authors: Daniel Palmer, Richard Jackson, Christoph Springfeld, Markus Büchler, John Neoptolemos et al.

Iván González: The ESPAC4 study reveals promising results in treating pancreatic adenocarcinoma

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