Marimastat as First-Line Therapy for Patients With Unresectable Pancreatic Cancer: A Randomized Trial

作者: S. R. Bramhall , A. Rosemurgy , P. D. Brown , C. Bowry , J. A.C. Buckels

DOI: 10.1200/JCO.2001.19.15.3447

关键词: SurgeryPancreatic cancerOncologyRandomized controlled trialInternal medicineMarimastatPancreatic diseaseClinical endpointChemotherapyGemcitabineSurvival rateMedicine

摘要: PURPOSE: The prognosis for unresectable pancreatic cancer remains dismal (1-year survival rate, < 10%; 5-year 5%). Recent advances in conventional chemotherapy and novel molecular treatment strategies warrant investigation. This, the largest randomized study performed to date, compares marimastat, first of a new class agents, with gemcitabine. PATIENTS AND METHODS: Four hundred fourteen patients were receive marimastat 5, 10, or 25 mg bid gemcitabine 1,000 mg/m2. primary end point was survival. Progression-free survival, patient benefit, safety also assessed. RESULTS: There no significant difference between (P = .19). Median times 111, 105, 125, 167 days, respectively, 1-year rates 14%, 20%, 19%, respectively. treated with...

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