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• Median OS of 9 – 11 months in metastatic

pancreatic cancer with CT alone

Pancreatic cancer – CT only

FOLFIRINOX

Median 11 months

Conroy NEJM 2011

Nab-Paclitaxel

Von Hoff NEJM 2013

Median 8.5 months

ESTRO SBRT 2017 - Matthias Guckenberger

5

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Ø

Rapid progression of 1/3 of the patients

Pancreatic cancer – LAP 007

Locally advanced pancreatic cancer

4 x Gem

4 x Gem& erlotinib

N=449

Progression free

CT only

N=269

54Gy Cap

ESTRO SBRT 2017 - Matthias Guckenberger

6