ASCO GI 2023 | NAPOLI-3: first-line NALIRIFOX in metastatic pancreatic ductal adenocarcinoma
Zev Wainberg, MD, University of California Los Angeles, Los Angeles, CA, presents findings from the Phase III NAPOLI-3 trial (NCT04083235), which compared liposomal irinotecan, oxaliplatin, 5-fluorouracil, and leucovorin (NALIRIFOX) to nab-paclitaxel with gemcitabine in previously untreated patients with metastatic pancreatic ductal adenocarcinoma. Patients receiving NALIRIFOX demonstrated superior overall survival and progression-free survival, providing a promising first-line treatment for a group of patients with limited options. This interview took place at the American Society of Clinical Oncology (ASCO) 2023 Gastrointestinal Cancers (GI) Symposium in San Francisco, CA.
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Transcript (edited for clarity)
Yeah, the NAPOLI-3 trial was a randomized Phase III trial comparing two regimens in metastatic pancreatic cancer. One is one of the standard regimens for some time, which was gemcitabine and nab-paclitaxel, and the other one was a NALIRIFOX, which is a combination of liposomal irinotecan, oxaliplatin, and infusional 5-FU. And so the study compared head to head which one would produce a better overall survival, in which one patients would live longer...
Yeah, the NAPOLI-3 trial was a randomized Phase III trial comparing two regimens in metastatic pancreatic cancer. One is one of the standard regimens for some time, which was gemcitabine and nab-paclitaxel, and the other one was a NALIRIFOX, which is a combination of liposomal irinotecan, oxaliplatin, and infusional 5-FU. And so the study compared head to head which one would produce a better overall survival, in which one patients would live longer. The study showed the NALIRIFOX regimen improved overall survival over gemcitabine nab-paclitaxel. And it was about 770 patients total. And so with a statistically significant p-value and hazard ratio, the NALIRIFOX regimen improved overall survival, progression-free survival compared to gemcitabine nab-paclitaxel.
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