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      Five-Year Outcomes of FOLFIRINOX vs Gemcitabine as Adjuvant Therapy for Pancreatic Cancer : A Randomized Clinical Trial

      1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 1 , 17 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , 18 , Canadian Cancer Trials Group and the Unicancer-GI–PRODIGE Group
      JAMA Oncology
      American Medical Association (AMA)

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          Most cited references22

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          FOLFIRINOX or Gemcitabine as Adjuvant Therapy for Pancreatic Cancer

          Among patients with metastatic pancreatic cancer, combination chemotherapy with fluorouracil, leucovorin, irinotecan, and oxaliplatin (FOLFIRINOX) leads to longer overall survival than gemcitabine therapy. We compared the efficacy and safety of a modified FOLFIRINOX regimen with gemcitabine as adjuvant therapy in patients with resected pancreatic cancer.
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            Cancer incidence and mortality patterns in Europe: Estimates for 40 countries and 25 major cancers in 2018

            Europe contains 9% of the world population but has a 25% share of the global cancer burden. Up-to-date cancer statistics in Europe are key to cancer planning. Cancer incidence and mortality estimates for 25 major cancers are presented for the 40 countries in the four United Nations-defined areas of Europe and for Europe and the European Union (EU-28) for 2018.
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              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 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.
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                Author and article information

                Journal
                JAMA Oncology
                JAMA Oncol
                American Medical Association (AMA)
                2374-2437
                September 01 2022
                Affiliations
                [1 ]Medical Oncology department, Institut de cancérologie de Lorraine, Vandoeuvre-lès-Nancy, France and Université de Lorraine, APEMAC, équipe MICS, Nancy, France
                [2 ]Biometry Department, ICM Regional Cancer Institute of Montpellier, Montpellier, France and Montpellier University, Montpellier, France
                [3 ]Hepatogastroenterology department, University Hospital, Nancy, France
                [4 ]Medical Oncology Department, University hospital, Lille, France and University of Lille, Lille, France
                [5 ]Medical Oncology Department, ICANS, Strasbourg, France
                [6 ]Surgery department, Princess Margaret Hospital, Toronto, Ontario, Canada
                [7 ]Medical Oncology department, Institut Paoli-Calmettes, Marseille, France
                [8 ]Department of Oncology, Queen’s University, Canada
                [9 ]Medical oncology department, Centre Antoine-Lacassagne, Nice, France
                [10 ]Hepatogastroenterology department, Hôpital Jean-Mermoz, Lyon, France
                [11 ]Hepatogastroenterology department, Hôpital Trousseau, Tours, France and INSERM UMR 6239, Tours University, Tours, France
                [12 ]Medical oncology department, Centre Hospitalier Universitaire de Saint-Eloi, Montpellier, France
                [13 ]Hepatogastroenterology department, Centre Hospitalier Départemental Vendée, La Roche-sur-Yon, France
                [14 ]Oncology department, ICM Regional Cancer Institute of Montpellier, Montpellier, France and Montpellier University, Montpellier, France
                [15 ]Digestive oncology department, Centre Hospitalier Universitaire Robert Debré, Reims, France
                [16 ]R&D, Unicancer, Paris, France
                [17 ]Digestive and Medical Oncology department, Hôpital Paul Brousse and University Paris-Saclay, Villejuif, France
                [18 ]for the Canadian Cancer Trials Group and the Unicancer-GI–PRODIGE Group
                Article
                10.1001/jamaoncol.2022.3829
                36048453
                8a48cfea-3337-4863-8151-5d257e9eaf06
                © 2022
                History

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