Comparison of adjuvant gemcitabine and capecitabine with gemcitabine monotherapy in patients with resected pancreatic cancer (ESPAC-4): a multicentre, open-label, randomised, phase 3 trial

The ESPAC-3 trial showed that adjuvant gemcitabine is the standard of care based on similar survival to and less toxicity than adjuvant 5-fluorouracil/folinic acid in patients with resected pancreatic cancer. Other clinical trials have shown better survival and tumour response with gemcitabine and c...

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Main Authors: Neoptolemos, John P. (Author) , Hackert, Thilo (Author) , Büchler, Markus W. (Author)
Format: Article (Journal)
Language:English
Published: March 11, 2017
In: The lancet
Year: 2017, Volume: 389, Issue: 10073, Pages: 1011-1024
ISSN:1474-547X
DOI:10.1016/S0140-6736(16)32409-6
Online Access:Verlag, Volltext: http://dx.doi.org/10.1016/S0140-6736(16)32409-6
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0140673616324096
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Author Notes:John P Neoptolemos, Daniel H Palmer, Paula Ghaneh, Eftychia E Psarelli, Juan W Valle, Christopher M Halloran, Olusola Faluyi, Derek A O’Reilly, David Cunningham, Jonathan Wadsley, Suzanne Darby, Tim Meyer, Roopinder Gillmore, Alan Anthoney, Pehr Lind, Bengt Glimelius, Stephen Falk, Jakob R Izbicki, Gary William Middleton, Sebastian Cummins, Paul J Ross, Harpreet Wasan, Alec McDonald, Tom Crosby, Yuk Ting Ma, Kinnari Patel, David Sherriff, Rubin Soomal, David Borg, Sharmila Sothi, Pascal Hammel, Thilo Hackert, Richard Jackson, Markus W Büchler, for the European Study Group for Pancreatic Cancer
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Summary:The ESPAC-3 trial showed that adjuvant gemcitabine is the standard of care based on similar survival to and less toxicity than adjuvant 5-fluorouracil/folinic acid in patients with resected pancreatic cancer. Other clinical trials have shown better survival and tumour response with gemcitabine and capecitabine than with gemcitabine alone in advanced or metastatic pancreatic cancer. We aimed to determine the efficacy and safety of gemcitabine and capecitabine compared with gemcitabine monotherapy for resected pancreatic cancer.
Item Description:Available online 25 January 2017
Gesehen am 06.06.2018
Physical Description:Online Resource
ISSN:1474-547X
DOI:10.1016/S0140-6736(16)32409-6