Cancer Cell：浙江大学梁廷波团队发布序贯新辅助化疗方案治疗胰腺癌的3期临床数据

Core Insights - The article discusses a significant advancement in the treatment of resectable pancreatic cancer through a randomized phase 3 trial, highlighting the efficacy of a sequential neoadjuvant therapy compared to direct surgery [2][3][8]. Group 1: Study Overview - The study involved 324 patients with resectable pancreatic cancer, comparing the outcomes of a sequential neoadjuvant treatment regimen against immediate surgery [3][4]. - The neoadjuvant therapy consisted of nab-paclitaxel combined with gemcitabine, followed by modified FOLFIRINOX, aimed at reducing tumor size and improving surgical outcomes [4][5]. Group 2: Results - The neoadjuvant treatment group demonstrated a median event-free survival of 15.3 months, compared to 10.9 months for the direct surgery group, with a hazard ratio of 0.71 [6]. - The median overall survival was 35.4 months for the neoadjuvant group versus 27.2 months for the direct surgery group, with a hazard ratio of 0.73 [6]. - Adverse events of grade 3 or higher occurred in 47.6% of the neoadjuvant group and 30.7% of the direct surgery group, indicating manageable safety profiles for the new treatment [6]. Group 3: Implications - The findings suggest that the sequential neoadjuvant therapy significantly improves event-free survival and offers a new treatment option for patients with resectable pancreatic cancer [8].