Abstract
Gemcitabine requires transporter proteins to cross cell membranes. Low expression of human equilibrative nucleoside transporter-1 (hENT1) may result in gemcitabine resistance in pancreatic ductal adenocarcinoma (PDAC). CO-101, a lipid-drug conjugate of gemcitabine, was rationally designed to enter cells independently of hENT1. We conducted a randomized controlled trial to determine whether CO-101 improved survival versus gemcitabine in patients with metastatic PDAC (mPDAC) with low hENT1. The study also tested the hypothesis that gemcitabine is more active in patients with mPDAC tumors with high versus low hENT1 expression.
Original language | English |
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Pages (from-to) | 4453-4461 |
Journal | Journal of Clinical Oncology |
Volume | 31 |
Issue number | 35 |
DOIs | |
Publication status | Published - 2013 |
Subject classification (UKÄ)
- Cancer and Oncology