Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Potentially Curable Pancreatic Cancer Guideline Updated

J Clin Oncol; ePub 2017 Apr 11; Khorana, et al

The American Society of Clinical Oncology has updated its 2016 guideline on potentially curable pancreatic cancer in light of results of a randomized phase 3 study. Among the revisions:

  • Offer patients with resected pancreatic cancer who did not receive preoperative therapy 6 months of adjuvant chemotherapy in the absence of medical or surgical contraindications.
  • Offer the doublet regimen of gemcitabine and capecitabine if there are no toxicity/tolerance concerns; alternatively, offer monotherapy with gemcitabine or fluorouracil plus folinic acid.
  • Initiate adjuvant treatment within 8 weeks of surgical resection, assuming complete recovery.

Citation:

Khorana A, Mangu P, Berlin J, et al. Potentially curable pancreatic cancer: American Society of Clinical Oncology clinical practice guideline update. [Published online ahead of print April 11, 2017]. J Clin Oncol. doi:10.1200/JCO.2017.72.4948.