Treatment Response and Conditional Survival in Advanced Pancreatic Cancer Patients Treated with FOLFIRINOX: A Multicenter Cohort Study
Background. FOLFIRINOX chemotherapy is the current Dutch standard of care for locally advanced (LAPC) and metastatic pancreatic cancer (PDAC) patients with good performance status. The objective of this study was to evaluate real-world response rates and survival in advanced PDAC and to assess condi...
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creator | van der Sijde, Fleur van Dam, Jacob L. Groot Koerkamp, Bas Haberkorn, Brigitte C. M. Homs, Marjolein Y. V. Mathijssen, Daniëlle Besselink, Marc G. Wilmink, Johanna W. van Eijck, Casper H. J. |
description | Background. FOLFIRINOX chemotherapy is the current Dutch standard of care for locally advanced (LAPC) and metastatic pancreatic cancer (PDAC) patients with good performance status. The objective of this study was to evaluate real-world response rates and survival in advanced PDAC and to assess conditional survival after FOLFIRINOX. Methods. A multicenter, retrospective cohort study was conducted in four hospitals in the Netherlands. Consecutive patients with LAPC or metastatic PDAC, treated with FOLFIRINOX, were included. Results. Between 2012 and 2018, 284 patients were included: n = 136 with LAPC and n = 148 with metastatic PDAC. Objective response rates were similar in both the groups: 14.0% in LAPC and 18.2% in metastatic patients. The disease control rate was higher in LAPC patients (77.2%) compared to metastatic PDAC (51.4%, P |
doi_str_mv | 10.1155/2022/8549487 |
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M. ; Homs, Marjolein Y. V. ; Mathijssen, Daniëlle ; Besselink, Marc G. ; Wilmink, Johanna W. ; van Eijck, Casper H. J.</creator><contributor>Sun, Yingming ; Yingming Sun</contributor><creatorcontrib>van der Sijde, Fleur ; van Dam, Jacob L. ; Groot Koerkamp, Bas ; Haberkorn, Brigitte C. M. ; Homs, Marjolein Y. V. ; Mathijssen, Daniëlle ; Besselink, Marc G. ; Wilmink, Johanna W. ; van Eijck, Casper H. J. ; Sun, Yingming ; Yingming Sun</creatorcontrib><description>Background. FOLFIRINOX chemotherapy is the current Dutch standard of care for locally advanced (LAPC) and metastatic pancreatic cancer (PDAC) patients with good performance status. The objective of this study was to evaluate real-world response rates and survival in advanced PDAC and to assess conditional survival after FOLFIRINOX. Methods. A multicenter, retrospective cohort study was conducted in four hospitals in the Netherlands. Consecutive patients with LAPC or metastatic PDAC, treated with FOLFIRINOX, were included. Results. Between 2012 and 2018, 284 patients were included: n = 136 with LAPC and n = 148 with metastatic PDAC. Objective response rates were similar in both the groups: 14.0% in LAPC and 18.2% in metastatic patients. The disease control rate was higher in LAPC patients (77.2%) compared to metastatic PDAC (51.4%, P<0.001). Median overall survival (OS) in LAPC patients was 12.7 months (95% CI 11.4–14.1 months). Their 2-year survival probability increased from 14% to 26% one year after the completion of FOLFIRINOX. Median OS in metastatic PDAC patients was 8.1 months (95% CI 6.5–9.6 months); 2-year survival probability increased from 10% to 29% after one year. Discussion. Our study provides real-world estimates of response rates, survival, and conditional survival in patients with advanced PDAC treated with FOLFIRINOX. These results are useful for patient counseling and clinical decision making.</description><identifier>ISSN: 1687-8450</identifier><identifier>EISSN: 1687-8450</identifier><identifier>DOI: 10.1155/2022/8549487</identifier><identifier>PMID: 35847365</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Analysis ; Cancer ; Cancer patients ; Cancer therapies ; Care and treatment ; Chemotherapy ; Cohort analysis ; Decision making ; Development and progression ; Hospitals ; Medical imaging ; Medical prognosis ; Metastasis ; Neutropenia ; Oncology, Experimental ; Pancreatic cancer ; Patient outcomes ; Patients ; Probability ; Radiation ; Response rates</subject><ispartof>Journal of oncology, 2022-07, Vol.2022, p.1-9</ispartof><rights>Copyright © 2022 Fleur van der Sijde et al.</rights><rights>COPYRIGHT 2022 John Wiley & Sons, Inc.</rights><rights>Copyright © 2022 Fleur van der Sijde et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2022 Fleur van der Sijde et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-ae58a9177a353a54b59d456cd1a5eb20f8f97ed30a89d8e94d920eb49913cf813</citedby><cites>FETCH-LOGICAL-c453t-ae58a9177a353a54b59d456cd1a5eb20f8f97ed30a89d8e94d920eb49913cf813</cites><orcidid>0000-0003-1917-6973 ; 0000-0003-2650-9350 ; 0000-0002-9511-2157 ; 0000-0002-6947-9035 ; 0000-0002-1677-1278 ; 0000-0002-0634-4918</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283068/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283068/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><contributor>Sun, Yingming</contributor><contributor>Yingming Sun</contributor><creatorcontrib>van der Sijde, Fleur</creatorcontrib><creatorcontrib>van Dam, Jacob L.</creatorcontrib><creatorcontrib>Groot Koerkamp, Bas</creatorcontrib><creatorcontrib>Haberkorn, Brigitte C. M.</creatorcontrib><creatorcontrib>Homs, Marjolein Y. V.</creatorcontrib><creatorcontrib>Mathijssen, Daniëlle</creatorcontrib><creatorcontrib>Besselink, Marc G.</creatorcontrib><creatorcontrib>Wilmink, Johanna W.</creatorcontrib><creatorcontrib>van Eijck, Casper H. J.</creatorcontrib><title>Treatment Response and Conditional Survival in Advanced Pancreatic Cancer Patients Treated with FOLFIRINOX: A Multicenter Cohort Study</title><title>Journal of oncology</title><description>Background. FOLFIRINOX chemotherapy is the current Dutch standard of care for locally advanced (LAPC) and metastatic pancreatic cancer (PDAC) patients with good performance status. The objective of this study was to evaluate real-world response rates and survival in advanced PDAC and to assess conditional survival after FOLFIRINOX. Methods. A multicenter, retrospective cohort study was conducted in four hospitals in the Netherlands. Consecutive patients with LAPC or metastatic PDAC, treated with FOLFIRINOX, were included. Results. Between 2012 and 2018, 284 patients were included: n = 136 with LAPC and n = 148 with metastatic PDAC. Objective response rates were similar in both the groups: 14.0% in LAPC and 18.2% in metastatic patients. The disease control rate was higher in LAPC patients (77.2%) compared to metastatic PDAC (51.4%, P<0.001). Median overall survival (OS) in LAPC patients was 12.7 months (95% CI 11.4–14.1 months). Their 2-year survival probability increased from 14% to 26% one year after the completion of FOLFIRINOX. Median OS in metastatic PDAC patients was 8.1 months (95% CI 6.5–9.6 months); 2-year survival probability increased from 10% to 29% after one year. Discussion. Our study provides real-world estimates of response rates, survival, and conditional survival in patients with advanced PDAC treated with FOLFIRINOX. These results are useful for patient counseling and clinical decision making.</description><subject>Analysis</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Cohort analysis</subject><subject>Decision making</subject><subject>Development and progression</subject><subject>Hospitals</subject><subject>Medical imaging</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Neutropenia</subject><subject>Oncology, Experimental</subject><subject>Pancreatic cancer</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Probability</subject><subject>Radiation</subject><subject>Response rates</subject><issn>1687-8450</issn><issn>1687-8450</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks1uEzEUhUcIREthxwNYYoNUQu3xPwukaNRApEBQWyR2ljP2NK4mdrA9qfoCPDeeJqpaFqzu1fV3zz2yTlW9RfAjQpSe1bCuzwQlkgj-rDpGTPCJIBQ-f9QfVa9SuoGQESjZy-oIU0E4ZvS4-nMVrc4b6zO4sGkbfLJAewOa4I3LLnjdg8sh7tyuNM6Dqdlp31oDfpQyrroWNOMklkl2RSeBe8mC3Lq8BrPlYja_mH9f_voEpuDb0JeNQhW-CesQM7jMg7l7Xb3odJ_sm0M9qX7Ozq-ar5PF8su8mS4mLaE4T7SlQkvEucYUa0pWVBpCWWuQpnZVw050kluDoRbSCCuJkTW0KyIlwm0nED6pPu91t8NqY83oJOpebaPb6Hingnbq6Yt3a3UddkrWAkMmisD7g0AMvwebstq41Nq-196GIamaSUSoYLIu6Lt_0JswxPKh9xQUmHPyiLrWvVXOd6HcbUdRNeUIUiYlHX1_2FNtDClF2z1YRlCNMVBjDNQhBgU_3eNr542-df-n_wJWRbBq</recordid><startdate>20220707</startdate><enddate>20220707</enddate><creator>van der Sijde, Fleur</creator><creator>van Dam, Jacob L.</creator><creator>Groot Koerkamp, Bas</creator><creator>Haberkorn, Brigitte C. 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J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-ae58a9177a353a54b59d456cd1a5eb20f8f97ed30a89d8e94d920eb49913cf813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Analysis</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Cohort analysis</topic><topic>Decision making</topic><topic>Development and progression</topic><topic>Hospitals</topic><topic>Medical imaging</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Neutropenia</topic><topic>Oncology, Experimental</topic><topic>Pancreatic cancer</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Probability</topic><topic>Radiation</topic><topic>Response rates</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van der Sijde, Fleur</creatorcontrib><creatorcontrib>van Dam, Jacob L.</creatorcontrib><creatorcontrib>Groot Koerkamp, Bas</creatorcontrib><creatorcontrib>Haberkorn, Brigitte C. 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M.</au><au>Homs, Marjolein Y. V.</au><au>Mathijssen, Daniëlle</au><au>Besselink, Marc G.</au><au>Wilmink, Johanna W.</au><au>van Eijck, Casper H. J.</au><au>Sun, Yingming</au><au>Yingming Sun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment Response and Conditional Survival in Advanced Pancreatic Cancer Patients Treated with FOLFIRINOX: A Multicenter Cohort Study</atitle><jtitle>Journal of oncology</jtitle><date>2022-07-07</date><risdate>2022</risdate><volume>2022</volume><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>1687-8450</issn><eissn>1687-8450</eissn><abstract>Background. FOLFIRINOX chemotherapy is the current Dutch standard of care for locally advanced (LAPC) and metastatic pancreatic cancer (PDAC) patients with good performance status. The objective of this study was to evaluate real-world response rates and survival in advanced PDAC and to assess conditional survival after FOLFIRINOX. Methods. A multicenter, retrospective cohort study was conducted in four hospitals in the Netherlands. Consecutive patients with LAPC or metastatic PDAC, treated with FOLFIRINOX, were included. Results. Between 2012 and 2018, 284 patients were included: n = 136 with LAPC and n = 148 with metastatic PDAC. Objective response rates were similar in both the groups: 14.0% in LAPC and 18.2% in metastatic patients. The disease control rate was higher in LAPC patients (77.2%) compared to metastatic PDAC (51.4%, P<0.001). Median overall survival (OS) in LAPC patients was 12.7 months (95% CI 11.4–14.1 months). Their 2-year survival probability increased from 14% to 26% one year after the completion of FOLFIRINOX. Median OS in metastatic PDAC patients was 8.1 months (95% CI 6.5–9.6 months); 2-year survival probability increased from 10% to 29% after one year. Discussion. Our study provides real-world estimates of response rates, survival, and conditional survival in patients with advanced PDAC treated with FOLFIRINOX. These results are useful for patient counseling and clinical decision making.</abstract><cop>New York</cop><pub>Hindawi</pub><pmid>35847365</pmid><doi>10.1155/2022/8549487</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1917-6973</orcidid><orcidid>https://orcid.org/0000-0003-2650-9350</orcidid><orcidid>https://orcid.org/0000-0002-9511-2157</orcidid><orcidid>https://orcid.org/0000-0002-6947-9035</orcidid><orcidid>https://orcid.org/0000-0002-1677-1278</orcidid><orcidid>https://orcid.org/0000-0002-0634-4918</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Cancer Cancer patients Cancer therapies Care and treatment Chemotherapy Cohort analysis Decision making Development and progression Hospitals Medical imaging Medical prognosis Metastasis Neutropenia Oncology, Experimental Pancreatic cancer Patient outcomes Patients Probability Radiation Response rates |
title | Treatment Response and Conditional Survival in Advanced Pancreatic Cancer Patients Treated with FOLFIRINOX: A Multicenter Cohort Study |
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