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Efficacy of platinum-based chemotherapy and prognosis of patients with pancreatic cancer with homologous recombination deficiency: comparative analysis of published clinical studies

Ilya Pokataev, М. Yu. Fedyanin, Elizaveta Polyanskaya, Popova As, J. A. Agafonova, Sophia Menshikova, A. Tryakin, А. А. Rumyantsev, Sergei Tjulandin

2020ESMO Open52 citationsDOIOpen Access PDF

Abstract

=83%, p=0.003). Our systematic analysis showed that the average weighted median OS in patients with HRD was 34.6 and 27.0 months in patients without HRD. With platinum-based chemotherapy, the average weighted median OS in patients with HRD was 46.1 and 36.3 months in patients without HRD. Without platinum-based chemotherapy, the average weighted median OS in patients with HRD was 24.2 and 42.9 months in patients without HRD. Results of our meta-analysis and systematic review support the idea of platinum use in patients with HRD both in resected and metastatic PCs, although a randomised trial is warranted to make a more reliable conclusion. PROSPERO REGISTRATION NUMBER: CRD42019121914.

Topics & Concepts

MedicineChemotherapyInternal medicinePancreatic cancerMeta-analysisOncologyCancerGastroenterologySurgeryPancreatic and Hepatic Oncology ResearchAcute Lymphoblastic Leukemia researchPARP inhibition in cancer therapy