Eighteen patients with either metastatic or locally advanced pancreati
c carcinoma were treated with intravenous infusion of Pirarubicin 50 m
g/m(2)/day every 3 weeks. Seventeen patients were evaluable for respon
se. One had minor response, 5 had stable disease, and 11 had progressi
on of disease. Hematological toxicity was moderate, leading to a dose
reduction in only 1 patient; there was no clinical cardiac toxicity. W
e conclude that Pirarubicin used with this dosage and schedule has no
activity in advanced pancreatic carcinoma.