Thursday, June 12, 2025

Onivyde Regimen Extends Survival in Advanced Pancreatic Cancer, Ipsen Reports

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Ipsen announced significant findings from the NAPOLI 3 Phase III trial at the 2025 American Society of Clinical Oncology (ASCO) Annual Meeting, highlighting the potential of the Onivyde®-based NALIRIFOX regimen in enhancing long-term survival for patients battling metastatic pancreatic adenocarcinoma (mPDAC).

Study Highlights Long-Term Survival Benefits

The post-hoc analysis of the largest interventional study in mPDAC revealed a median overall survival (mOS) of 19.5 months among long-term survivors treated with the NALIRIFOX regimen. This regimen combines Onivyde® (irinotecan liposome injection) with oxaliplatin, fluorouracil, and leucovorin as a first-line therapy, offering a promising alternative to existing treatments.

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Factors Contributing to Enhanced Outcomes

Key factors associated with extended survival included a younger age at diagnosis and specific tumor metastasis locations. Additionally, dose modifications and treatment delays effectively managed adverse events, allowing patients to maintain prolonged treatment exposure and achieve higher cumulative doses of the therapeutic agents.

Inferences:

  • Younger patients may respond better to the NALIRIFOX regimen, indicating age as a crucial factor in treatment planning.
  • Specific tumor locations and metastasis patterns could serve as predictive markers for long-term survival.
  • Managing treatment-related adverse events through dose adjustments may enhance patient adherence and overall treatment efficacy.

The study encompassed 770 participants across 187 sites in 18 countries, underscoring the global applicability of the findings. With pancreatic cancer being one of the most lethal cancers globally, these results offer a beacon of hope for improving patient prognoses.

Ipsen’s Chief Medical Officer, Sandra Silvestri, emphasized the significance of these results, noting that the NAPOLI 3 trial’s findings are unprecedented in a decade. The extended survival rates achieved through the NALIRIFOX regimen mark a substantial advancement in the treatment landscape for mPDAC.

The deployment of Onivyde® as part of the NALIRIFOX regimen demonstrates Ipsen’s commitment to addressing unmet needs in oncology, particularly for cancers with historically low survival rates. As the medical community continues to seek more effective treatments, these findings provide a critical foundation for future therapeutic strategies.

These insights not only contribute to the existing body of knowledge but also pave the way for personalized treatment approaches, enhancing the quality of life and survival outcomes for patients facing challenging diagnoses.

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