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Comparison of FOLFIRINOX vs Gemcitabine Plus Nab-Paclitaxel as First-Line Chemotherapy for Metastatic Pancreatic Ductal Adenocarcinoma

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Key Points Question Is there a difference in survival or toxic effects between the main first-line therapies used for metastatic pancreatic cancer? Findings In this comparative effectiveness study that included… Click to show full abstract

Key Points Question Is there a difference in survival or toxic effects between the main first-line therapies used for metastatic pancreatic cancer? Findings In this comparative effectiveness study that included 1102 patients, FOLFIRINOX (combined leucovorin calcium [folinic acid], fluorouracil, irinotecan hydrochloride, and oxaliplatin) was associated with improved survival of approximately 2 months compared with gemcitabine plus nab-paclitaxel and fewer posttreatment hospitalizations. Meaning Clinical data suggest that FOLFIRINOX should be the preferred first-line treatment for metastatic pancreatic cancer.

Keywords: gemcitabine plus; metastatic pancreatic; plus nab; first line; nab paclitaxel

Journal Title: JAMA Network Open
Year Published: 2022

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