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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SAGE Publishing
2021
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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) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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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 |
work_keys_str_mv |
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