A novel event-free survival endpoint in locally advanced pancreatic cancer

The treatment paradigm for locally advanced pancreatic cancer (LAPC) is evolving rapidly. The development of neoadjuvant therapies composed of combination therapies and the evaluation of their impact on conversion to borderline resectable (BR) status, resection, and ultimately overall survival (OS)...

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Autores principales: Pascal Hammel, Ewa Carrier, Mairead Carney, Mark Eisner, Thomas Fleming
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Lenguaje:EN
Publicado: SAGE Publishing 2021
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Acceso en línea:https://doaj.org/article/40c80974de284a6c9e33fe3074c7496e
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spelling oai:doaj.org-article:40c80974de284a6c9e33fe3074c7496e2021-12-01T23:33:33ZA novel event-free survival endpoint in locally advanced pancreatic cancer1758-835910.1177/17588359211059586https://doaj.org/article/40c80974de284a6c9e33fe3074c7496e2021-11-01T00:00:00Zhttps://doi.org/10.1177/17588359211059586https://doaj.org/toc/1758-8359The treatment paradigm for locally advanced pancreatic cancer (LAPC) is evolving rapidly. The development of neoadjuvant therapies composed of combination therapies and the evaluation of their impact on conversion to borderline resectable (BR) status, resection, and ultimately overall survival (OS) are presently being pursued. These efforts justify re-visiting study endpoints in order to better predict therapeutic effects on OS, by capturing not only the achievement of R0 resection at the end of induction therapy but also the long-term reductions in the rate of local and distal recurrence. The proposed herein event-free survival (EFS) endpoint, with its novel definition specific to LAPC, is formulated to achieve these objectives. It is an analog to disease-free survival (DFS) endpoint in the adjuvant setting applied to the neoadjuvant setting and may be a valuable surrogate endpoint for this patient population.Pascal HammelEwa CarrierMairead CarneyMark EisnerThomas FlemingSAGE PublishingarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENTherapeutic Advances in Medical Oncology, Vol 13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Pascal Hammel
Ewa Carrier
Mairead Carney
Mark Eisner
Thomas Fleming
A novel event-free survival endpoint in locally advanced pancreatic cancer
description The treatment paradigm for locally advanced pancreatic cancer (LAPC) is evolving rapidly. The development of neoadjuvant therapies composed of combination therapies and the evaluation of their impact on conversion to borderline resectable (BR) status, resection, and ultimately overall survival (OS) are presently being pursued. These efforts justify re-visiting study endpoints in order to better predict therapeutic effects on OS, by capturing not only the achievement of R0 resection at the end of induction therapy but also the long-term reductions in the rate of local and distal recurrence. The proposed herein event-free survival (EFS) endpoint, with its novel definition specific to LAPC, is formulated to achieve these objectives. It is an analog to disease-free survival (DFS) endpoint in the adjuvant setting applied to the neoadjuvant setting and may be a valuable surrogate endpoint for this patient population.
format article
author Pascal Hammel
Ewa Carrier
Mairead Carney
Mark Eisner
Thomas Fleming
author_facet Pascal Hammel
Ewa Carrier
Mairead Carney
Mark Eisner
Thomas Fleming
author_sort Pascal Hammel
title A novel event-free survival endpoint in locally advanced pancreatic cancer
title_short A novel event-free survival endpoint in locally advanced pancreatic cancer
title_full A novel event-free survival endpoint in locally advanced pancreatic cancer
title_fullStr A novel event-free survival endpoint in locally advanced pancreatic cancer
title_full_unstemmed A novel event-free survival endpoint in locally advanced pancreatic cancer
title_sort novel event-free survival endpoint in locally advanced pancreatic cancer
publisher SAGE Publishing
publishDate 2021
url https://doaj.org/article/40c80974de284a6c9e33fe3074c7496e
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