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Cited by 466

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Preoperative Gemcitabine and Cisplatin Followed by Gemcitabine-Based Chemoradiation for Resectable Adenocarcinoma of the Pancreatic Head

Varadhachary, Gauri R., Wolff, Robert A., Crane, Christopher H., Sun, Charlotte C., Lee, Jeffrey E., Pisters, Peter W.T., Vauthey, Jean-Nicolas, Abdalla, Eddie, Wang, Huamin, Staerkel, Gregg A., Lee, Jeffrey H., Ross, William A., Tamm, Eric P., Bhosale, Priya R., Krishnan, Sunil, Das, Prajnan, Ho, Linus, Xiong, Henry, Abbruzzese, James L., Evans, Douglas B.·2008·Journal of Clinical Oncology

Abstract

Purpose: We conducted a phase II trial of preoperative gemcitabine and cisplatin chemotherapy in addition to chemoradiation (Gem-Cis-XRT) and pancreaticoduodenectomy (PD) for patients with stage I/II pancreatic adenocarcinoma. Patients and Methods: Chemotherapy consisted of gemcitabine (750 mg/m 2) and cisplatin (30 mg/m 2) given every 2 weeks for four doses. Chemoradiation consisted of four weekly infusions of gemcitabine (400 mg/m 2) combined with radiation therapy (30 Gy in 10 fractions administered over 2 weeks) delivered 5 days per week. Patients underwent restaging 4 to 6 weeks after completion of chemoradiation and, in the absence of disease progression, were taken to surgery. Results: The study enrolled 90 patients; 79 patients (88%) completed chemo-chemoradiation. Sixty-two (78%) of 79 patients were taken to surgery and 52 (66%) of 79 underwent PD. The median overall survival of all 90 patients was 17.4 months. Median survival for the 79 patients who completed chemo-chemoradiation was 18.7 months, with a median survival of 31 months for the 52 patients who underwent PD and 10.5 months for the 27 patients who did not undergo surgical resection of their primary tumor (P < .001). Conclusion: Preoperative Gem-Cis-XRT did not improve survival beyond that achieved with preoperative gemcitabine-based chemoradiation (Gem-XRT) alone. The longer preoperative interval required more durable biliary decompression (metal stents) but was not associated with local tumor progression. The gemcitabine-based chemoradiation platform is a reasonable foundation on which to build future phase II multimodality trials for stage I/II pancreatic cancer incorporating emerging systemic therapies.

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Metadata

Authors
Varadhachary, G. R., Wolff, R. A., Crane, C. H., Sun, C. C., Lee, J. E., Pisters, P. W. T., Vauthey, J.-N., Abdalla, E., Wang, H., Staerkel, G. A., Lee, J. H., Ross, W. A., Tamm, E. P., Bhosale, P. R., Krishnan, S., Das, P., Ho, L., Xiong, H., Abbruzzese, J. L., & Evans, D. B.
Venue
Journal of Clinical Oncology
Published
2008-07-20
Volume
26
Issue
21
Pages
3487-3495
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2097421939
Cited by
466
References
10
FWCI
15.55
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Preoperative Gemcitabine and Cisplatin Followed by Gemcitabine-Based Chemoradiation for Resectable Adenocarcinoma of the Pancreatic Head. https://app.cochat.ai/papers/10.1200/jco.2007.15.8642
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Varadhachary, G. R., Wolff, R. A., Crane, C. H., Sun, C. C., Lee, J. E., Pisters, P. W. T., Vauthey, J.-N., Abdalla, E., Wang, H., Staerkel, G. A., Lee, J. H., Ross, W. A., Tamm, E. P., Bhosale, P. R., Krishnan, S., Das, P., Ho, L., Xiong, H., Abbruzzese, J. L., & Evans, D. B. (2008). Preoperative Gemcitabine and Cisplatin Followed by Gemcitabine-Based Chemoradiation for Resectable Adenocarcinoma of the Pancreatic Head. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2007.15.8642

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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