Evidence map›Paper›PMID 41060713›Full record

ReviewUnited European gastroenterology journal2025

Toward Precision Chemotherapy for Pancreatic Cancer Guided by Transcriptomic Signatures.

Brice Chanez, Matthieu Delaye, Nicolas Fraunhoffer, Juan Iovanna, Cindy Neuzillet, Nelson Dusetti

Abstract readReview
In one paragraph

Review in United European gastroenterology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Brice ChanezAix Marseille Univ, CNRS, INSERM, Institut Paoli-Calmettes, CRCM, Marseille, France.
Matthieu DelayeDepartment of Medical Oncology, Institut Curie, Versailles-Saint Quentin University, Saint-Cloud, France.
Nicolas FraunhofferAix Marseille Univ, CNRS, INSERM, Institut Paoli-Calmettes, CRCM, Marseille, France.
Juan IovannaAix Marseille Univ, CNRS, INSERM, Institut Paoli-Calmettes, CRCM, Marseille, France.ORCID https://orcid.org/0000-0003-1822-2237
Cindy NeuzilletDepartment of Medical Oncology, Institut Curie, Versailles-Saint Quentin University, Saint-Cloud, France.
Nelson DusettiAix Marseille Univ, CNRS, INSERM, Institut Paoli-Calmettes, CRCM, Marseille, France.ORCID https://orcid.org/0000-0002-6161-8483

Funding

Canceropôle Provence-Alpes-Côte d'AzurFondation ARC pour la Recherche sur le CancerInstitut National de la Santé et de la Recherche MédicaleInstitut National Du Cancer 2018-078Institut National Du Cancer 2018-079Institut National Du Cancer 2019-037Institut National Du Cancer 2020-043Ligue Contre le CancerViatris
6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest cancers, with chemotherapy as the mainstay but highly variable efficacy and toxicity. Current regimens, such as FOLFIRINOX and gemcitabine-based combinations, are selected empirically without validated biomarkers to guide choice. Several strategies have been explored to personalize therapy. Patient-derived organoids and molecular classifiers such as PurIST have improved biological understanding but have limited clinical applicability. More recently, predictive transcriptomic signatures have emerged as practical tools. GemPred identifies patients likely to benefit from adjuvant gemcitabine; GemCore, validated in both resected and metastatic tumors, is compatible with small biopsies; and Pancreas-View integrates multiple drug-specific predictors, including for all FOLFIRINOX components and gemcitabine, enhanced by AI. These approaches, retrospectively validated in large cohorts and clinical trials, consistently link predicted sensitivity with improved survival. Beyond regimen selection, signatures enable treatment de-escalation, optimize first-line choices, and identify multidrug-resistant tumors. Ongoing prospective trials will establish their feasibility, supporting transcriptomic profiling as a step toward precision chemotherapy in PDAC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalPancreatic NeoplasmsPrecision MedicineTranscriptomeBiomarkers, TumorDeoxycytidineDrug Resistance, NeoplasmFluorouracilGemcitabineGene Expression ProfilingHumansIrinotecanLeucovorinOxaliplatinBiomarkers, TumorDeoxycytidineFluorouracilfolfirinoxGemcitabineIrinotecanLeucovorinOxaliplatinclinical trialsGemCoreGemPredmolecular subtypesorganoidspancreas‐viewpancreatic ductal adenocarcinomaprecision chemotherapypredictive biomarkerstranscriptomic signatures

Identifiers

PMID41060713
PMCPMC12704555

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.