New approach could improve survival time for pancreatic cancer patients

A University of Liverpool-led clinical trial has shown that 29% of pancreatic cancer patients given a combination of two chemotherapy drugs lived for at least five years compared with 16% who received the one chemotherapy drug (University of Liverpool, 2017).

The latest Cancer Research UK figures show that around 9,400 people are diagnosed with pancreatic cancer each year in the UK and around 8,800 people die from the disease each year.

The trial involved 732 patients in hospitals across the UK, Germany, Sweden and France who had undergone surgery to remove their tumour. Around half of patients on the trial received one chemotherapy drug, gemcitabine, and the other half received a combination of chemotherapy drugs, gemcitabine and capecitabine.

At the moment the standard treatment for patients who have undergone surgery is for them to be administered gemcitabine alone.

According to the study 29% of the patients given a combination of the two chemotherapy drugs lived for at least five years compared with only 16 per cent of patients given gemcitabine alone. The study, which has been published in The Lancet, states that this new combination of drugs approach should be the new standard of care for pancreatic cancer patients who have had surgery to remove their tumour.

This trial was originally set up in 2008 to address the poor pancreatic cancer survival rates. The results, which were first presented at the American Society of Clinical Oncology (ASCO) in June 2016 but have now been peer-reviewed, show that this treatment plan is predicted to double the number of patients who survive their disease for at least five years.

Trial lead, Professor John Neoptolemos at the University of Liverpool’s Institute of Translational Medicine, and Director of the Liverpool Clinical and Cancer Research UK Trials Unit, said “This is one of the biggest ever breakthroughs prolonging survival for pancreatic cancer patients. When this combination becomes the new standard of care around the world, it will give many patients living with the disease valuable months and even years.”

Professor Peter Johnson, Cancer Research UK’s chief clinician, said “Pancreatic cancer is a notoriously difficult disease to treat. Nearly 10,000 patients are diagnosed each year in the UK so we urgently needs new ways to treat and manage the disease. Research that tells us more about how the disease grows and spreads – and trials like this one – will be key to improve survival for patients living with the disease.”

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