Treatment patterns and outcomes of patients with a diagnosis of metastatic pancreatic adenocarcinoma in the United States, 2019–2024 - Report - MDSpire

Patterns of Treatment and Outcomes for Patients Diagnosed with Metastatic Pancreatic Adenocarcinoma in the United States, 2019–2024

  • By

  • Rupali Fuldeore

  • Chia Jie Tan

  • Tomomi Kimura

  • Pegah Farrokhi

  • Rachel Yang

  • Connor Willis

  • Carl Asche

  • David Stenehjem

  • July 20, 2026

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Clinical Report: Patterns of Treatment and Outcomes for Patients Diagnosed with Metastatic Pancreatic Adenocarcinoma in the United States, 2019–2024

Overview

This study evaluates treatment patterns and outcomes for patients with metastatic pancreatic adenocarcinoma (mPAC) in the U.S. from 2019 to 2024.

Background

Pancreatic cancer is a leading cause of cancer-related mortality in the U.S., with a low 5-year survival rate of approximately 3% for metastatic cases. Understanding treatment patterns and outcomes is important given the limited therapeutic options available.

Data Highlights

CharacteristicFOLFIRINOXGem-Nab
Median Overall Survival10.7 months7.6 months
Median Time to Treatment Discontinuation4.7 months3.4 months
Percentage of Patients Not Receiving Therapy33.5%

Key Findings

  • 41.5% of patients received gemcitabine plus nab-paclitaxel (Gem-Nab) as first-line therapy.
  • 36.3% of patients received FOLFIRINOX as first-line therapy.
  • Patients receiving FOLFIRINOX were generally younger and had better performance status.
  • Median overall survival was significantly longer for FOLFIRINOX compared to Gem-Nab (10.7 vs 7.6 months).
  • 33.5% of patients did not initiate systemic therapy within 180 days of metastatic diagnosis.
  • Clinical and sociodemographic factors influenced the selection of first-line treatment regimens.

Clinical Implications

The findings indicate disparities in treatment initiation among patients with mPAC.

Conclusion

This study presents data on treatment initiation and survival outcomes in patients with mPAC.

Related Resources & Content

  1. Tsilimigras et al, JNCCN, 2025 -- Study Illuminates Disparities in Treatment, Survival in Metastatic Pancreatic Ductal Adenocarcinoma
  2. Journal of Surgical Oncology, 2025 -- Marital Status Is Associated With Treatment Attainment in Pancreatic Adenocarcinoma
  3. Updates in Surgery, 2022 -- Advancements in Surgical Oncology for Pancreatic Cancer: A Fifteen-Year Experience at a Tertiary Care Center
  4. NALIRIFOX versus nab-paclitaxel and gemcitabine in treatment-naive patients with metastatic pancreatic ductal adenocarcinoma (NAPOLI 3): a randomised, open-label, phase 3 trial - PMC
  5. Journal of Gastrointestinal Surgery — Comparative Outcomes of Adenosquamous Carcinoma and Pancreatic Adenocarcinoma: An Analysis Based on Population Data
  6. FDA Approval Notifications
  7. ESMO Clinical Practice Guideline Express Update
  8. NALIRIFOX versus nab-paclitaxel and gemcitabine in treatment-naive patients with metastatic pancreatic ductal adenocarcinoma (NAPOLI 3): a randomised, open-label, phase 3 trial - PMC
  9. https://www.oregon.gov/oha/HPA/DSI-HERC/MembersOnly/7.1d%20NCCN%202.2025%20pancreatic.pdf
  10. FOLFIRINOX versus Gemcitabine for Metastatic Pancreatic Cancer | New England Journal of Medicine
  11. Nanoliposomal irinotecan with fluorouracil and folinic acid in metastatic pancreatic cancer after previous gemcitabine-based therapy (NAPOLI-1): a global, randomised, open-label, phase 3 trial - PubMed
  12. LYNPARZA (olaparib) tablets, for oral use — Highlights of Prescribing Information
  13. Selection of Germline Genetic Testing Panels in Patients With Cancer: ASCO Guideline | Journal of Clinical Oncology
  14. Bridging the Divide: From Universal Germline Testing Guidance to Real-World Implementation in Pancreatic Cancer Care | JCO Oncology Practice
  15. Survival Rates for Pancreatic Cancer | American Cancer Society

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