{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T21:45:25Z","timestamp":1780609525611,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pancreatic adenosquamous carcinoma (PASC) account for &lt;5% of pancreatic malignancies. The efficacy of modern chemotherapy regimens in patients with advanced PASC is unknown. Patients with advanced PASC from 2008 to 2021 were consecutively included in this retrospective multicenter study. Overall survival (OS) and progression\u2010free survival (PFS) were evaluated by Kaplan\u2010Meier method. Ninety\u2010four PASC from 16 French centers were included (median age, 67.3\u2009years; males, 56.4%; metastatic disease, 85.1%). The first\u2010line treatment was chemotherapy for 79 patients (84.0%) (37 FOLFIRINOX (FX), 7 Gemcitabine\u2010nab paclitaxel (GN) and 35 for all other regimen) or best supportive care (BSC) alone for 15 patients (16.0%). No significant difference was observed between FX and GN in terms of PFS (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.67) or OS (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.5). Modern regimens pooled together (FX and GN) as compared to all others chemotherapy regimens showed an improvement of overall response rate (39.5% and 9.7%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.002), PFS (median, 7.8 vs 4.7\u00a0months, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.02) and OS (median, 12.7 vs 9.2\u2009months, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.35). This large study evaluating first\u2010line treatment regimens in advanced PASC suggests that modern regimens as FX or GN may be preferable to all other chemotherapy regimens. These results deserve confirmation in prospective studies.<\/jats:p>","DOI":"10.1002\/ijc.34414","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T09:54:12Z","timestamp":1671789252000},"page":"1894-1902","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Chemotherapy in advanced pancreatic adenosquamous carcinoma: A retrospective multicenter AGEO study"],"prefix":"10.1002","volume":"152","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1258-861X","authenticated-orcid":false,"given":"Marie","family":"Auvray Kuentz","sequence":"first","affiliation":[{"name":"Department of Digestive Oncology, European Georges Pompidou Hospital, Assistance publique\u2010h\u00f4pitaux de Paris (APHP)\u2010Centre Universit\u00e9 Paris Cit\u00e9, Paris Cancer Institute CARPEM  Paris 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