World J Gastroenterol. 2012 Sep 7;18(33):4457-65. doi: 10.3748/wjg.v18.i33.4457.
Pancreatic cancer is one of the most deadly cancers and is characterized by a poor prognosis. Single agent gemcitabine, despite its limited activity and modest impact on disease outcome, is considered as the standard therapy in pancreatic cancer. Most of the combination regimens used in the treatment of this disease, also including the targeted agents, did not improve the outcome of patients. Also, taxanes have been tested as single agent and in combination chemotherapy, both in first line and as salvage chemotherapy, as another possible option for treating pancreatic cancer. The inclusion of taxanes in combination with gemcitabine as upfront therapy obtained promising results. Accordingly, taxanes, and above all, new generation taxanes, appear to be suitable candidates for further testing to assess their role against pancreatic cancer in various clinical settings.
胰腺癌是最致命的癌症之一,其预后不良。吉西他滨单药治疗尽管活性有限,对疾病结局的影响也不大,但仍被认为是胰腺癌的标准治疗方法。大多数用于治疗这种疾病的联合治疗方案,也包括靶向药物,并没有改善患者的预后。此外,紫杉烷类药物已被作为单药和联合化疗进行测试,包括一线治疗和挽救化疗,作为治疗胰腺癌的另一种可能选择。将紫杉烷类药物与吉西他滨联合作为一线治疗获得了有希望的结果。因此,紫杉烷类药物,尤其是新一代紫杉烷类药物,似乎是进一步测试以评估其在各种临床环境下对胰腺癌作用的合适候选药物。