Suzuki to address your concerns.
(1) Adverse events:
Panco reported AEs of grade 3 of higher at 82% of treatment population.
LAPACT reported AEs of grade 3 of higher at 85% of treatment population.
In other words no difference given the sample sizes.
Statistically speaking, had Panco recruited one more patient and that patient had an AE of grade 3+ (82% a priori chance) then the above figures would be identical.
Below is table showing all AEs as a percentage of TT for LAPACT (https://clinicaltrials.gov/ct2/show/results/NCT02301143?view=results) and Panco (https://www.oncosil.com.au/static/uploads/files/ross-p-2019-asco-abs-4125-wfsuengtkvvu.pdf) poster.
LAPACT PANCO 1 Anaemia 46 30 2 Neutropenia 42 46 3 Throbocytopenia 25 26 4 Abdominal pain 18 54 5 Constipation 30 48 6 Diarrhoea 45 60 7 Nausea 44 60 8 Vomiting 28 34 9 Fatigue 50 78 10 Perpheral Oedema 44 50 11 Pyrexia 38 34 12 Weight Loss 11 28 13 Decreased Appetite 43 38 14 Hypokalaemia 13 20 15 Peripheral Neuropathy 28 36 16 Alopecia 54 42 17 Rash 8 26 18 19 AVERAGE 33 42
So I do not agree with your assessment that patients tolerate gem+abr+ oncosil better. In fact, the evidence (if anything - noting that the Panco column includes AEs for oncosil+FOLFIRINOX) is suggesting that patients found gem+abr more tolerable.
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