Combination Therapies and Drug Delivery Platforms in Combating Pancreatic Cancer
Open accessAbstract
Pancreatic ductal adenocarcinoma (PDAC), the fourth leading cause of cancer-related death in the United States, is highly aggressive and resistant to both chemo- and radiotherapy. It remains one of the most difficult-to-treat cancers, not only due to its unique pathobiological features such as stroma-rich desmoplastic tumors surrounded by hypovascular and hypoperfused vessels limiting the transport of therapeutic agents, but also due to problematic early detection, which renders most treatment options largely ineffective, resulting in extensive metastasis. To elevate therapeutic effectiveness of treatments and overt their toxicity, significant enthusiasm was generated to exploit new strategies for combating PDAC. Combination therapy targeting different barriers to mitigate delivery issues and reduce tumor recurrence and metastasis has demonstrated optimal outcomes in patients' survival and quality of life, providing possible approaches to overcome therapeutic challenges. This paper aims to provide an overview of currently explored multimodal therapies using either conventional therapy or nanomedicines along with rationale, up-to-date progress, as well as the key challenges that must be overcome. Understanding the future directions of the field may assist in the successful development of novel treatment strategies for enhancing therapeutic efficacy in PDAC.
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Several anti-PDAC combination regimens, including the FDA-approved GEM plus nab-paclitaxel, have improved patient survival.
“several of these including the FDA‐approved GEM plus nab‐paclitaxel have improved patient survival [54]”
From Pyrvinium Pamoate Alone and With Gemcitabine Exhibits Anti‐Pancreatic Cancer Activity in <scp>2D</scp> and <scp>3D</scp> Cell Culture Models (2024) · cites this paper as [54]
Most anti-PDAC combination regimens are centred on GEM because it is the only FDA-approved monotherapy.
“Most anti‐PDAC combination regimens are centred on GEM because it is the only FDA‐approved monotherapy”
From Pyrvinium Pamoate Alone and With Gemcitabine Exhibits Anti‐Pancreatic Cancer Activity in <scp>2D</scp> and <scp>3D</scp> Cell Culture Models (2024) · cites this paper as [54]
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- Authors
- Lei, F., Xi, X., Batra, S. K., & Bronich, T. K.
- Affiliations
- University of Nebraska Medical Center (US)
- Venue
- The Journal of Pharmacology and Experimental Therapeutics
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 370
- Issue
- 3
- Pages
- 682-694
- ISSN
- 0022-3565 (ISSN-L)
- PMC
- PMC6806650
- OpenAlex
- W2917655665
- Cited by
- 51
- References
- 168
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 6 · 2023: 9 · 2022: 9 · 2021: 10 · 2020: 2 · 2019: 2
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pharmacology and Experimental Therapeutics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Cancer Society
- National Institutes of Health
- National Institute of General Medical Sciences (P30GM127200)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
- Keywords
- pancreatic ductal adenocarcinoma, combination therapy, drug delivery systems, nanomedicine, multimodal therapy, desmoplasia, tumor stroma, hypovascular tumor, metastasis, chemoresistance, radiotherapy resistance, tumor recurrence
- MeSH terms
- Animals, Antineoplastic Combined Chemotherapy Protocols, Combined Modality Therapy, Humans, Neoplasm Metastasis, Pancreatic Neoplasms, Drug Delivery Systems, Nanomedicine
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