PT  - JOURNAL ARTICLE
AU  - ARNDT VOGEL
AU  - UWE PELZER
AU  - AL-BATRAN SALAH-EDDIN
AU  - WOLF KÖSTER
TI  - First-line <em>Nab</em>-paclitaxel and Gemcitabine in Patients with Metastatic Pancreatic Cancer from Routine Clinical Practice
DP  - 2014 Nov 01
TA  - In Vivo
PG  - 1135--1140
VI  - 28
IP  - 6
4099  - http://iv.iiarjournals.org/content/28/6/1135.short
4100  - http://iv.iiarjournals.org/content/28/6/1135.full
SO  - In Vivo2014 Nov 01; 28
AB  - Background: The combination of nab-paclitaxel and gemcitabine is a new effective first-line chemotherapy for patients with metastatic pancreatic cancer. This was demonstrated in the phase III MPACT trial. Patients and Methods: Four patients with metastatic pancreatic cancer from our clinical practice received combination chemotherapy with nab-paclitaxel at doses from 100 to 125 mg/m2 and gemcitabine at doses from 800 to 1,000 mg/m2 on days 1, 8 and 15 of a 28-day cycle. Two patients had elevated serum levels of total bilirubin, one older patient had significant comorbidities, another older patient had an Eastern Cooperative Oncology Group performance status of 2. Results: Treatment was manageable. Patients showed clinical remission or disease stabilization. Overall, combination chemotherapy was well tolerated. Conclusion: Patients with metastatic pancreatic cancer that did not meet all criteria, as patients treated in the registration trial, were safely and effectively treated with first-line combination of nab-paclitaxel and gemcitabine.