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International Journal of Oncology
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Print ISSN: 1019-6439 Online ISSN: 1791-2423
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International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

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International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

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Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

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Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

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Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

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International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

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Article

Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review

  • Authors:
    • Florian Hohla
    • Georg Hopfinger
    • Franz Romeder
    • Gabriel Rinnerthaler
    • Angelika Bezan
    • Stefan Stättner
    • Cornelia Hauser-Kronberger
    • Hanno Ulmer
    • Richard Greil
  • View Affiliations / Copyright

    Affiliations: Third Medical Department with Hematology, Medical Oncology, Hemostaseology, Rheumatology and Infectious Diseases, Oncologic Center, Center for Clinical Cancer and Immunology Trials, Laboratory of Immunological and Molecular Cancer Research, Paracelsus Medical University of Salzburg, A-5020 Salzburg, Austria, Surgical Department, Paracelsus Medical University of Salzburg, A-5020 Salzburg, Austria, Department of Pathology, Paracelsus Medical University of Salzburg, A-5020 Salzburg, Austria, Department of Medical Statistics, Informatics and Health Economics, Innsbruck Medical University, A-6020 Innsbruck, Austria
  • Pages: 319-326
    |
    Published online on: November 15, 2013
       https://doi.org/10.3892/ijo.2013.2176
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Abstract

FOLFIRINOX is a highly active regimen for the treatment of patients with unresectable pancreatic cancer. However, treatment with FOLFIRINOX is associated with relevant toxicity and predictors for response to therapy are warranted. We retrospectively analyzed 49 patients with unresectable pancreatic cancer treated with FOLFIRINOX in order to evaluate a possible predictive role of clinical parameters and tumor characteristics for response to chemotherapy. Tumor samples were characterized histopathologically before treatment and expression of p53 and Ki67 was analyzed using automated immunohistochemistry. Overall survival (OS) and progression-free survivall (PFS) were estimated by the Kaplan-Meier method. The overall objective response rate was 55.1%, the disease control rate was 70.6%. Female gender was associated with a significantly higher disease control rate of 91.7 compared to 48.0% in male patients (p=0.001) which reached 100% in female patients when primarily treated compared to treatment after surgical resection and relapse (77.8%, p=0.057). For all patients median PFS was 3.5 months (95% CI, 2.7-4.3 months) and median OS was 13 months (95% CI, 9.4-16.6 months). Female patients showed a tendency towards a longer median PFS (5.0 months, 95% CI, 3.6-6.4 months) compared to males (3.0 months, 95% CI, 2.4-3.6 months) (p=0.099). Serum levels of CA19.9 and CEA were significantly higher in female patients compared to male patients (p=0.037, p=0.05). Tumors of patients with response to FOLFIRINOX showed a higher expression level of p53 and Ki67 as well as higher serum levels of CA19.9 compared to non-responders, which was statistically not significant. Our study indicates that female gender is a positive predictor for therapy response to FOLFIRINOX in patients with unresectable pancreatic cancer. Female gender in turn was associated with increased levels of tumor markers CEA and CA19.9 and patients with higher serum levels of CA19.9 were more responsive to FOLFIRINOX.
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Copy and paste a formatted citation
Spandidos Publications style
Hohla F, Hopfinger G, Romeder F, Rinnerthaler G, Bezan A, Stättner S, Hauser-Kronberger C, Ulmer H and Greil R: Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review. Int J Oncol 44: 319-326, 2014.
APA
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S. ... Greil, R. (2014). Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review. International Journal of Oncology, 44, 319-326. https://doi.org/10.3892/ijo.2013.2176
MLA
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S., Hauser-Kronberger, C., Ulmer, H., Greil, R."Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review". International Journal of Oncology 44.1 (2014): 319-326.
Chicago
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S., Hauser-Kronberger, C., Ulmer, H., Greil, R."Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review". International Journal of Oncology 44, no. 1 (2014): 319-326. https://doi.org/10.3892/ijo.2013.2176
Copy and paste a formatted citation
x
Spandidos Publications style
Hohla F, Hopfinger G, Romeder F, Rinnerthaler G, Bezan A, Stättner S, Hauser-Kronberger C, Ulmer H and Greil R: Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review. Int J Oncol 44: 319-326, 2014.
APA
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S. ... Greil, R. (2014). Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review. International Journal of Oncology, 44, 319-326. https://doi.org/10.3892/ijo.2013.2176
MLA
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S., Hauser-Kronberger, C., Ulmer, H., Greil, R."Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review". International Journal of Oncology 44.1 (2014): 319-326.
Chicago
Hohla, F., Hopfinger, G., Romeder, F., Rinnerthaler, G., Bezan, A., Stättner, S., Hauser-Kronberger, C., Ulmer, H., Greil, R."Female gender may predict response to FOLFIRINOX in patients with unresectable pancreatic cancer: A single institution retrospective review". International Journal of Oncology 44, no. 1 (2014): 319-326. https://doi.org/10.3892/ijo.2013.2176
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