- |||||||||| Review, Journal: Chemotherapy for pancreatic cancer. (Pubmed Central) - Apr 18, 2019
As an alternative to radiation, other forms local therapies including radiofrequency ablation, irreversible electroporation, high-intensity focused ultrasound, microwave ablation and local anti-KRAS therapy (using siG12D-LODER) are currently under investigation...Selection of patient groups for specific therapy including cytotoxics is becoming a reality using assays based on drug cellular transport and metabolism, and molecular signatures. Going forward, high throughput screening of different chemotherapy agents using molecular signatures based on patients' derived organoids holds considerable promise.
- |||||||||| Retrospective data, Journal: Toxicity of Chemotherapy Regimens in Advanced and Metastatic Pancreatic Cancer Therapy: A Network Meta-Analysis. (Pubmed Central) - Apr 17, 2019
Moreover, the incidence rates of nausea/vomiting and rash of Gemcitabine + S-1 regimen were higher compared with Gemcitabine regimen, while Gemcitabine + Cisplatin regimen had the highest incidence rate of nausea/vomiting. This study demonstrated that the hematologic toxicity of S-1 regimen was the lowest, while Gemcitabine regimen exhibited the lowest incidence rate of non-hematologic toxicity, providing guidance for the treatment of advanced/metastatic PC.
- |||||||||| AZD0156 / AstraZeneca
Enrollment closed, Combination therapy, Monotherapy, PARP Biomarker, Metastases: AToM: Study to Assess the Safety and Preliminary Efficacy of AZD0156 at Increasing Doses Alone or in Combination With Other Anti-cancer Treatment in Patients With Advanced Cancer (clinicaltrials.gov) - Apr 16, 2019 P1, N=84, Active, not recruiting, The increase in TILs count, especially of CD3+ T cells and FoxP3+ regulatory T cells, after UFT/LV chemotherapy were specific to left-sided colorectal cancers. Recruiting --> Active, not recruiting
- |||||||||| leucovorin calcium / generics
Clinical, Journal: A Case of Metastasis of Ascending Colon Cancer to the Small Intestine That Was Diagnosed Based on Ileus (Pubmed Central) - Apr 13, 2019 ...He received 5 courses of UFT/Leucovorin(LV)chemotherapy...Because the tumor appearance and pathological findings were similar to those of ascending colon cancer, the patient was diagnosed with metastasis of ascending colon cancer to the small intestine. We report our rare encounter with metastases of colorectal cancer to the small intestine.
- |||||||||| leucovorin calcium / generics, fluorouracil / generics, paclitaxel / generics
Journal: A Therapeutic Strategy for Chemotherapy-Resistant Gastric Cancer via Destabilization of Both β-Catenin and RAS. (Pubmed Central) - Apr 11, 2019 KYA1797K also efficiently suppressed tumors generated by re-engrafting the FOLFOX-resistant patient-derived xenograft (PDX) tumors, which also showed resistance to paclitaxel. Overall, the small-molecule approach degrading both β-catenin and RAS has potential as a therapeutic strategy for treating GC patients resistant to current standard chemotherapies.
- |||||||||| Avastin (bevacizumab) / Roche
Clinical, P3 data, Journal, Head-to-Head: Modified XELIRI (capecitabine plus irinotecan) versus FOLFIRI (leucovorin, fluorouracil, and irinotecan), both either with or without bevacizumab, as second-line therapy for metastatic colorectal cancer (AXEPT): a multicentre, open-label, randomised, non-inferiority, phase 3 trial. (Pubmed Central) - Apr 11, 2019 P3 mXELIRI with or without bevacizumab is well tolerated and non-inferior to FOLFIRI with or without bevacizumab in terms of overall survival. mXELIRI could be an alternative to FOLFIRI as a standard second-line backbone treatment for metastatic colorectal cancer, at least for Asian patient populations.
- |||||||||| leucovorin calcium / generics, fluorouracil / generics, irinotecan / generics
Clinical, Journal: Influence of initial dose intensity on efficacy of FOLFIRINOX in patients with advanced pancreatic cancer. (Pubmed Central) - Apr 9, 2019 A high RDI for 5-FU bolus resulted in poor prognosis in terms of PFS (hazard ratio: 1.34; p = 0.022) and negatively correlated with objective response (coefficient: -0.70; p = 0.021), and a high RDI for CPT-11 positively correlated with objective response (coefficient: 1.02; p = 0.031). In conclusion, low and high RDIs for irinotecan and 5-FU bolus, respectively, resulted in poor FOLFIRINOX efficacy.
- |||||||||| leucovorin calcium / generics
Journal: Genetic assessment and folate receptor autoantibodies in infantile-onset cerebral folate deficiency (CFD) syndrome. (Pubmed Central) - Apr 7, 2019 WES in one consanguineous family identified a PNKP gene abnormality that explained the polyneuropathy and also its contribution to the infantile CFD syndrome because the PNKP gene plays a dual role in both neurodevelopment and immune-regulatory function. Further research for candidate genes predisposing to FRα-autoimmunity is suggested to include X-chromosomal and non-coding DNA regions.
- |||||||||| Clinical, Journal, Real-World Evidence: Improvement of Treatment Outcomes for Metastatic Pancreatic Cancer: A Real-world Data Analysis. (Pubmed Central) - Apr 7, 2019
Further research for candidate genes predisposing to FRα-autoimmunity is suggested to include X-chromosomal and non-coding DNA regions. Overall treatment outcomes for metastatic pancreatic cancer were significantly improved after introduction of FOLFIRINOX and gemcitabine plus nab-paclitaxel combination therapy in daily practice.
- |||||||||| Avastin (bevacizumab) / Roche
Trial completion date, Trial primary completion date, Metastases: BeTRI: Bevacizumab + Triplet Treatment for Untreated With Chemotherapy Metastatic Colorectal Cancer (clinicaltrials.gov) - Apr 7, 2019 P2, N=45, Active, not recruiting, Overall treatment outcomes for metastatic pancreatic cancer were significantly improved after introduction of FOLFIRINOX and gemcitabine plus nab-paclitaxel combination therapy in daily practice. Trial completion date: Sep 2018 --> May 2019 | Trial primary completion date: Sep 2018 --> May 2019
- |||||||||| NN1213 / Novo Nordisk
Enrollment closed, Trial completion date, Trial primary completion date: NORMAL-R: Non-Operative Radiation Management of Adenocarcinoma of the Lower Rectum (clinicaltrials.gov) - Apr 5, 2019 P1, N=20, Active, not recruiting, However, because our results might exhibit a small-study effect, future studies with a larger sample should be conducted to obtain more robust results. Recruiting --> Active, not recruiting | Trial completion date: Jul 2019 --> Mar 2020 | Trial primary completion date: Jul 2019 --> Mar 2020
- |||||||||| Journal, IO Biomarker: Pharmacotherapeutic strategies for treating pancreatic cancer: advances and challenges. (Pubmed Central) - Apr 5, 2019
Immunotherapy with either vaccines or immune checkpoint inhibitors has not produced any significant improvements in outcome of PDAC. Incorporating different approaches in therapy, including conventional, immunological, and others, is key in offering patients with the best possible care.
- |||||||||| leucovorin calcium / generics
Clinical, Clinical Trial,Phase I, Clinical Trial,Phase II, Clinical Trial,Phase III, Journal: Nutraceuticals for major depressive disorder- more is not merrier: An 8-week double-blind, randomised, controlled trial. (Pubmed Central) - Apr 5, 2019 Incorporating different approaches in therapy, including conventional, immunological, and others, is key in offering patients with the best possible care. The adoption of a nutraceutical 'shotgun' approach to treating MDD was not supported, and appeared to be less effective than adding placebo to treatment as usual.
- |||||||||| leucovorin calcium / generics, methotrexate / generics
Clinical, Journal: Evaluation of toxicity after acute accidental methotrexate ingestions in children under 6 years old: a 16-year multi-center review. (Pubmed Central) - Mar 30, 2019 The incidence of toxicity from pediatric single, acute ingestions of methotrexate is rare and when it occurs is generally limited to no or only minimally concerning effects. Because concentrations from single ingestions were consistent with low subtoxic exposures, we believe that home monitoring without hospital referral and without methotrexate specific therapy is reasonable in those with acute ingestions up to 20 mg.
- |||||||||| oxaliplatin / Generic mfg.
Enrollment open, Trial completion date, Trial initiation date, Trial primary completion date: 2 Versus 6 Hour Oxaliplatin Infusions in Patients with Gastrointestinal Cancers (clinicaltrials.gov) - Mar 20, 2019 P2, N=60, Recruiting, Not yet recruiting --> Recruiting Not yet recruiting --> Recruiting | Trial completion date: Jan 2024 --> Mar 2023 | Initiation date: Jan 2020 --> Mar 2019 | Trial primary completion date: Jan 2022 --> Mar 2021
- |||||||||| Phase classification, Trial completion date, Trial termination, Trial primary completion date: Perioperative FOLFIRINOX for Patients With Resectable Pancreatic Adenocarcinoma: A Pilot Study (clinicaltrials.gov) - Mar 19, 2019
P1, N=1, Terminated, Not yet recruiting --> Recruiting | Trial completion date: Jan 2024 --> Mar 2023 | Initiation date: Jan 2020 --> Mar 2019 | Trial primary completion date: Jan 2022 --> Mar 2021 Phase classification: P=N/A --> P1 | Trial completion date: Aug 2019 --> Mar 2018 | Active, not recruiting --> Terminated | Trial primary completion date: Aug 2019 --> Mar 2018; Closed early due to poor accrual.
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