Systemic treatments in pancreatic cancer: Taiwan pancreas society recommendation

Yung-Yeh Su; Nai-Jung Chiang; Tai-Jan Chiu; Chien-Jui Huang; Shao-Jung Hsu; Hsin-Chen Lin; Shih-Hung Yang; Youngsen Yang; Wen-Chi Chou; Yen-Yang Chen; Li-Yuan Bai; Chung-Pin Li; Jen-Shi Chen

doi:10.1016/j.bj.2023.100696

Systemic treatments in pancreatic cancer: Taiwan pancreas society recommendation

Biomed J. 2023 Dec 31:100696. doi: 10.1016/j.bj.2023.100696. Online ahead of print.

Authors

Yung-Yeh Su¹, Nai-Jung Chiang², Tai-Jan Chiu³, Chien-Jui Huang⁴, Shao-Jung Hsu⁵, Hsin-Chen Lin⁶, Shih-Hung Yang⁷, Youngsen Yang⁸, Wen-Chi Chou⁹, Yen-Yang Chen³, Li-Yuan Bai¹⁰, Chung-Pin Li¹¹, Jen-Shi Chen¹²

Affiliations

¹ National Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan; Department of Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
² National Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan; Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Therapeutic and Research Center of Pancreatic Cancer, Taipei Veterans General Hospital, Taipei, Taiwan.
³ Department of Hematology-Oncology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Chang Gung University College of Medicine, Taoyuan, Taiwan.
⁴ Division of Gastroenterology and Hepatology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
⁵ School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Therapeutic and Research Center of Pancreatic Cancer, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
⁶ Division of Hematology/Oncology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
⁷ Department of Oncology China, National Taiwan University Hospital, Taipei, Taiwan.
⁸ Division of Hematology/Oncology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Internal Medicine, College of Medicine, Medical University, Taichung, Taiwan.
⁹ Chang Gung University College of Medicine, Taoyuan, Taiwan; Department of Hematology-Oncology, Linkou Chang Gung Memorial Hospital, Taiwan.
¹⁰ Internal Medicine, College of Medicine, Medical University, Taichung, Taiwan; Division of Hematology and Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
¹¹ School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Therapeutic and Research Center of Pancreatic Cancer, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Clinical Skills Training, Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan. Electronic address: chungpinli@gmail.com.
¹² Chang Gung University College of Medicine, Taoyuan, Taiwan; Department of Hematology-Oncology, Linkou Chang Gung Memorial Hospital, Taiwan. Electronic address: js1101@cgmh.org.tw.

PMID: 38169173
DOI: 10.1016/j.bj.2023.100696

Abstract

Pancreatic cancer is a highly aggressive malignancy with a poor prognosis. Over the past decade, significant therapeutic advancements have improved the survival rates of patients with pancreatic cancer. One of the primary factors contributing to these positive outcomes is the evolution of chemotherapy, from monotherapy to doublet or triplet regimens, and the integration of multimodal approaches. Additionally, targeted agents tailored to patients with specific genetic alterations and the development of cell therapies show promise in benefiting certain subpopulations. This article focuses on examining pivotal studies that explore the role of chemotherapy in neoadjuvant, adjuvant, maintenance, and salvage settings; highlights interesting findings related to cell therapy; and provides an overview of ongoing trials concerning metastatic settings. This review primarily aimed to offer recommendations based on therapeutic evidence, recent advancements in new treatment combinations, and the most innovative approaches. A unique aspect of this review is the inclusion of published papers on clinical trials and real-world data in Taiwan, thus adding a valuable perspective to the overall analysis.

Keywords: Chemotherapy; Neoadjuvant therapy; Pancreatic cancer; Postoperative adjuvant chemotherapy.

Publication types

Review