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5-FU, 5-fluorouracil; dMMR, mismatch repair deficient; LV, leucovorin; MSI-H, microsatellite instability-high; Nal-IRI, nanoliposomal irinotecan

1997 2007 2011 2013 2015

n

ab

-Paclitaxel

+ gemcitabine

6

FOLFIRINOX

5

Erlotinib +

gemcitabine

4

Gemcitabine

2

S1

3

(Japan)

Nal-IRI +

5-FU/LV

7

5-FU/LV

1

Evolution of Therapy for Metastatic Pancreatic Cancer:

The Story So Far

Pembrolizumab

8

MSI-H/dMMR (US)

1. Glimelius B, et al.

Ann Oncol.

1996;7(6):593-600. 2. Burris HA 3rd, et al.

J Clin Oncol.

1997;15(6):2403-2413. 3. Ueno H, et al.

J Clin Oncol

.

2013;31(13):1640-1648. 4. Moore MJ, et al.

J Clin Oncol.

2007;25(15):1960-1966. 5. Conroy T, et al.

N Engl J Med.

2011;364(19):1817-1825. 6. Von Hoff DD, et

al.

N Engl J Med.

2013;369(18):1691-1703. 7. Wang-Gillam A, et al.

Lancet

. 2016;387(10018):545-557. 8. Le DT, et al.

N Engl J Med

. 2015;372(26):2509-2520.