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In what situations, if any, would you recommend NALIRIFOX over FOLFIRINOX for first-line treatment of patients with unresectable pancreatic cancer?

Given the recent update from the NAPOLI-3 trial presented at GI ASCO 2023, the two regimens appear to have similar OS.
3 Answers
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Medical Oncology · Dartmouth Cancer Center, Dartmouth-Hitchcock Medical Center
Answered on

Given the currently available information, I would not use NALIRIFOX instead of mFOLFIRINOX in any situation.

My reasons for this are:

  1. mFOLFIRINOX has been the standard of care for the treatment of metastatic and unresectable pancreatic cancer in patients who can tolerate this regimen for over a deca...

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Medical Oncology · Moffitt Cancer Center
Answered on

Fully agree with answers/comments above that with current evidence I cant see any scenario where I would use NALIRIFOX instead of FOLFIRINOX.

There is no difference in neurotoxicity or response rate. Neurotoxicity was underreported in final publication and response rate overestimated due to lack of B...

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Mednet Member
Mednet Member
Medical Oncology
Answered on

This question relates to "unresectable" pancreas cancer. The NAPOLI-3 trial included previously untreated patients with metastatic cancer. At a median follow-up of 16.1 months, median overall survival was 11.1 months with Nalirifox compared to 9.2 months with nab-paclitaxel and gemcitabine. However,...

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