Treatment patterns and outcomes of patients with a diagnosis of metastatic pancreatic adenocarcinoma in the United States, 2019–2024 - Scorecard - 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 Scorecard: Patterns of Treatment and Outcomes for Patients Diagnosed with Metastatic Pancreatic Adenocarcinoma in the United States, 2019–2024

At a Glance

CategoryDetail
ConditionMetastatic Pancreatic Adenocarcinoma
Key MechanismsTreatment patterns and survival outcomes associated with first-line regimens.
Target PopulationUS adults newly diagnosed with metastatic pancreatic adenocarcinoma.
Care SettingReal-world clinical practice

Key Highlights

  • Approximately 50% of patients present with metastatic disease at diagnosis.
  • FOLFIRINOX associated with longer overall survival compared to Gem-Nab.
  • 33.5% of patients did not receive systemic therapy within 180 days of diagnosis.
  • Mean time to first-line treatment initiation was 26.9 days.
  • Clinical and sociodemographic factors influenced treatment regimen selection.

Guideline-Based Recommendations

Diagnosis

  • Diagnosis of metastatic pancreatic adenocarcinoma is confirmed through imaging and histological evaluation.

Management

  • First-line regimens include FOLFIRINOX and gemcitabine plus nab-paclitaxel.

Monitoring & Follow-up

  • Overall survival and time-to-treatment discontinuation should be assessed.

Risks

  • High mortality rate with 5-year survival at ~3% for metastatic pancreatic cancer.

Patient & Prescribing Data

Patients diagnosed with metastatic pancreatic adenocarcinoma in the US.

FOLFIRINOX is preferred in younger patients with better performance status.

Clinical Best Practices

  • Consider patient demographics and performance status when selecting treatment regimens.
  • Address barriers to timely initiation of systemic therapy.

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