Review Article

Neoadjuvant Therapy in Pancreatic Cancer: An Emerging Strategy

Table 3

Ongoing clinical trials in neoadjuvant setting in PDAC.

TreatmentSettingTrial identification numberPhaseDesign

GemcitabineBRPCNCT01458717II/IIIUpfront surgery versus neoadjuvant gemcitabine-based chemoradiation therapy

Gemcitabine/OxaliplatinResectable PCNCT01314027IIIAdjuvant gemcitabine versus neoadjuvant gemcitabine/oxaliplatin plus adjuvant gemcitabine

Gemcitabine + RTResectable PCNCT01900327IIChemoradiation with gemcitabine + RT followed by surgery and adjuvant gemcitabine versus upfront surgery plus adjuvant gemcitabine

Gemcitabine + RTBRPC and LAPCNCT01739439IHypofractionated chemoradiation with gemcitabine plus radiosurgical boost

Gemcitabine + CP-870,893 + RTResectable PC NCT01456585IGemcitabine plus CD40 agonist antibody CP-870,893 followed by addition of CP-870,893 versus adjuvant chemoradiation

Gemcitabine + capecitabineResectable PCNCT01360593IIGemcitabine + capecitabine + RT

Gemcitabine + erlotinibResectable PCNCT00733746IIGemcitabine + erlotinib before and after surgery

Nab-paclitaxel + gemcitabineResectable PC NCT02047513IIINeoadjuvant plus adjuvant or only adjuvant nab-paclitaxel plus gemcitabine for resectable pancreatic cancer

Nab-paclitaxel + gemcitabine + LDE225BRPCNCT01431794IIGemcitabine and nab-paclitaxel with LDE225 (oral hedgehog inhibitor)

FOLFIRINOXResectable PCNCT01661088IIFOLFIRINOX followed by combined modality treatment with gemcitabine during and following RT

FOLFIRINOXResectable PCNCT01677988IIFOLFIRINOX and chemoradiation followed by surgery

FOLFIRINOXBRPCNCT01821612IIFOLFIRINOX and chemoradiation followed by surgery and adjuvant gemcitabine

FOLFIRINOXResectable PC NCT01446458IRT and neoadjuvant FOLFIRINOX

CAPOXIRIResectable PC, BRPC, and LAPCNCT00087022IINeoadjuvant capecitabine, oxaliplatin, and irinotecan (CAPOXIRI)

Capecitabine + RTBRPCNCT00763516IINeoadjuvant proton beam radiation therapy and concomitant capecitabine

capecitabine and hydroxychloroquine + RTResectable PCNCT01494155IINeoadjuvant accelerated short course RT with proton beam capecitabine and hydroxychloroquine

capecitabine, cisplatin, epirubicin, and gemcitabineResectable PCNCT01150630II/IIIPeri- or postoperative chemotherapy with capecitabine, cisplatin, epirubicin, and gemcitabine

GTX + RTBRPCNCT01065870II/IIIGemcitabine, capecitabine, and docetaxel (GTX) versus GTX + RT

GTX + RTBRPCNCT01754623IIRT in combination with GTX

Gem, 5-FU Oregovomab, Nelfinavir + RTLAPCNCT01959672II Gemcitabine and 5-FU with and without immunotherapy (Oregovomab) followed by RT and Nelfinavir

Tegafur, cetuximab + RTLAPCNCT01050426IITegafur, leucovorin, and concomitant RT with or without cetuximab

IMRT + IORTResectable PCNCT01372735IIIMRT in combination with surgery and intraoperative radiation therapy (IORT) followed by adjuvant chemotherapy