Randomized phase III trial of adjuvant chemotherapy with gemcitabine versus S-1 in patients with resected pancreatic cancer: Japan Adjuvant Study Group of Pancreatic Cancer (JASPAC-01).

作者: A. Maeda , N. Boku , A. Fukutomi , S. Kondo , T. Kinoshita

DOI: 10.1093/JJCO/HYM178

关键词: Pancreatic cancerGemcitabineEvery Four WeeksMedicineEvery Six WeeksSurvival rateEvery Three MonthsPancreatectomySurgeryEvery Six Months

摘要: A randomized controlled trial has begun in Japan to compare orally administered S-1 with intravenous gemcitabine (GEM) as adjuvant chemotherapy for patients curatively resected pancreatic cancer. Patients are enrolled within 10 weeks after pancreatectomy be treated six months assignment either (80 mg/m(2)/day four weeks, repeated similarly every a total of courses) or GEM (1000 mg/m(2) on days 1, 8 and 15, courses). The primary endpoint is overall survival; secondary endpoints include relapse-free survival, incidence adverse events health-related quality life. Each treatment arm includes 180 patients, providing an expected hazard ratio 0.87 upper margin 1.25 (two-sided alpha-error, 0.05; power, 0.8). Follow-up abdominal computed tomography three during the first two years, then years.

参考文章(9)
H A Burris, M J Moore, J Andersen, M R Green, M L Rothenberg, M R Modiano, M C Cripps, R K Portenoy, A M Storniolo, P Tarassoff, R Nelson, F A Dorr, C D Stephens, D D Von Hoff, Improvements in survival and clinical benefit with gemcitabine as first-line therapy for patients with advanced pancreas cancer: a randomized trial. Journal of Clinical Oncology. ,vol. 15, pp. 2403- 2413 ,(1997) , 10.1200/JCO.1997.15.6.2403
A. Jemal, R. Siegel, E. Ward, T. Murray, J. Xu, M. J. Thun, Cancer statistics, 2007. CA: A Cancer Journal for Clinicians. ,vol. 57, pp. 43- 66 ,(2007) , 10.3322/CANJCLIN.57.1.43
Richard Brooks, EuroQol: the current state of play. Health Policy. ,vol. 37, pp. 53- 72 ,(1996) , 10.1016/0168-8510(96)00822-6
Tetsuhiko Shirasaka, Yuji Shimamato, Hideyuki Ohshimo, Masahiro Yamaguchi, Toshiyuki Kato, Kazuhiko Yonekura, Masakazu Fukushima, Development of a novel form of an oral 5-fluorouracil derivative (S-1) directed to the potentiation of the tumor selective cytotoxicity of 5-fluorouracil by two biochemical modulators. Anti-Cancer Drugs. ,vol. 7, pp. 548- 557 ,(1996) , 10.1097/00001813-199607000-00010
Hideki Ueno, Takuji Okusaka, Masafumi Ikeda, Yoriko Takezako, Chigusa Morizane, An early phase II study of S-1 in patients with metastatic pancreatic cancer. Oncology. ,vol. 68, pp. 171- 178 ,(2005) , 10.1159/000086771
Helmut Oettle, Stefan Post, Peter Neuhaus, Klaus Gellert, Jan Langrehr, Karsten Ridwelski, Harald Schramm, Joerg Fahlke, Carl Zuelke, Christof Burkart, Klaus Gutberlet, Erika Kettner, Harald Schmalenberg, Karin Weigang-Koehler, Wolf-Otto Bechstein, Marco Niedergethmann, Ingo Schmidt-Wolf, Lars Roll, Bernd Doerken, Hanno Riess, Adjuvant Chemotherapy With Gemcitabine vs Observation in Patients Undergoing Curative-Intent Resection of Pancreatic Cancer JAMA. ,vol. 297, pp. 267- 277 ,(2007) , 10.1001/JAMA.297.3.267
Aki Tsuchiya, Shunya Ikeda, Naoki Ikegami, Shuzo Nishimura, Ikuro Sakai, Takashi Fukuda, Chisato Hamashima, Akinori Hisashige, Makoto Tamura, Estimating an EQ‐5D population value set: the case of Japan Health Economics. ,vol. 11, pp. 341- 353 ,(2002) , 10.1002/HEC.673
M. Matilde Sanchez, Xun Chen, Choosing the analysis population in non-inferiority studies: per protocol or intent-to-treat Statistics in Medicine. ,vol. 25, pp. 1169- 1181 ,(2006) , 10.1002/SIM.2244
J. Furuse, T. Okusaka, A. Funakoshi, N. Boku, K. Yamao, S. Ohkawa, H. Saito, A phase II study of S-1 in patients with metastatic pancreatic cancer Journal of Clinical Oncology. ,vol. 23, pp. 4104- 4104 ,(2005) , 10.1200/JCO.2005.23.16_SUPPL.4104