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Study endpoints: OS (1°); PFS, time to treatment failure and ORR (2°); other

endpoints included CA19-9 (tumour marker) response and safety

Stratification factors: serum albumin levels, KPS, ethnicity

R

5-FU/LV

(2000/200 mg/m

2

QW x 4, Q6W)

NAPOLI:

nal-IRI+5-FU/LV

(80 mg/m

2

+ 2400/400

mg/m

2

Q2W)

Initial design

n = 33

n = 30

n = 118

n = 119

n = 117

n = 151

n = 149

n = 117

Total

nal-IRI

(120 mg/m² Q3W)

Post-

amendment

Patients with

metastatic

pancreatic

cancer that

progressed after

previous

gemcitabine-

based treatment

(n = 417)

NAPOLI-1: a randomised, open-label, global, multicentre,

phase III study of nal-IRI+5-FU/LV

Wang-Gillam A, et al. Lancet 2016;387:545