PT - JOURNAL ARTICLE AU - RITA BALSANO AU - CHIARA TOMMASI AU - INGRID GARAJOVA TI - State of the Art for Metastatic Pancreatic Cancer Treatment: Where Are We Now? AID - 10.21873/anticanres.13484 DP - 2019 Jul 01 TA - Anticancer Research PG - 3405--3412 VI - 39 IP - 7 4099 - http://ar.iiarjournals.org/content/39/7/3405.short 4100 - http://ar.iiarjournals.org/content/39/7/3405.full SO - Anticancer Res2019 Jul 01; 39 AB - The prognosis of metastatic pancreatic cancer remains poor despite the recent progress on modern chemotherapeutic regimens, such as FOLFIRINOX, gemcitabine and nab-paclitaxel. A better understanding of the altered signalling pathways and the importance of stroma and the immune environment in pancreatic cancer have led to the development of new clinical trials with promising results. In the present review, a general outline of current first- and second-line therapies is provided. Further, new therapeutic possibilities are reviewed, in particular EGFR and VEGF inhibitors, immunotherapy and PARP inhibitors.