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Translational Medicine / 转化医学MPACT trial, nab-paclitaxel + gemcitabine, PDAC stromal targeting

Daniel D. Von Hoff

丹尼尔·冯·霍夫

MD, FACP

🏢HonorHealth Research Institute / The Translational Genomics Research Institute (TGen)(荣誉健康研究所 / 转化基因组研究所(TGen))🌐USA

Physician-in-Chief, HonorHealth Research Institute; Distinguished Professor, TGen; Clinical Professor of Medicine, Mayo Clinic Arizona荣誉健康研究所首席医师;TGen杰出教授;梅奥诊所亚利桑那医学临床教授

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Key Contributions

👥Biography 个人简介

Daniel D. Von Hoff, MD, FACP is Physician-in-Chief at HonorHealth Research Institute and Distinguished Professor at The Translational Genomics Research Institute (TGen) in Phoenix, Arizona, with a clinical appointment at Mayo Clinic Arizona. He is one of the most prolific and influential drug developers in oncology history, having been involved in the clinical development of more than 100 anti-cancer agents, including several that are now standard of care worldwide. Dr. Von Hoff is best known in pancreatic cancer for leading the landmark MPACT trial (Metastatic Pancreatic Adenocarcinoma Clinical Trial), published in the New England Journal of Medicine in 2013, which demonstrated that nab-paclitaxel (albumin-bound paclitaxel, Abraxane) combined with gemcitabine improved overall survival, progression-free survival, and response rate compared with gemcitabine alone in metastatic PDAC. This trial established nab-paclitaxel plus gemcitabine as one of two standard first-line regimens for metastatic PDAC (alongside FOLFIRINOX), fundamentally changing the treatment landscape. His mechanistic investigations revealed that nab-paclitaxel depletes the PDAC desmoplastic stroma by reducing SPARC levels, thereby enhancing gemcitabine delivery — a concept that advanced the field's understanding of how stromal barriers impede drug penetration. Beyond pancreatic cancer, Dr. Von Hoff has pioneered strategies for tumor molecular profiling to match patients with targeted therapies and has contributed to the development of gemcitabine, topotecan, docetaxel, mitoxantrone, and many other agents. He has authored more than 1,000 peer-reviewed publications.

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🧪Research Fields 研究领域

MPACT Trial — Nab-Paclitaxel plus Gemcitabine in Metastatic PDACMPACT试验——白蛋白结合型紫杉醇联合吉西他滨治疗转移性PDAC
Albumin-Bound Paclitaxel (nab-Paclitaxel) Mechanism and Stroma Interaction白蛋白结合型紫杉醇机制与肿瘤间质相互作用
Translational Drug Development and Phase I Oncology Trials转化性药物开发与I期肿瘤学试验
Personalized Tumor Profiling and Matched Therapy Strategies个性化肿瘤谱图与匹配治疗策略
Pancreatic Cancer Tumor Microenvironment Remodeling胰腺癌肿瘤微环境重塑

🎓Key Contributions 主要贡献

MPACT Trial — Establishing Nab-Paclitaxel Plus Gemcitabine as Standard of Care in Metastatic PDAC

Led the phase III MPACT trial (NEJM 2013; n=861) demonstrating that nab-paclitaxel plus gemcitabine improved median OS (8.5 vs. 6.7 months; HR 0.72), PFS, and ORR versus gemcitabine alone in metastatic PDAC, establishing this combination as a global first-line standard of care alongside FOLFIRINOX and resulting in FDA approval in 2013.

Mechanistic Insight into Nab-Paclitaxel Stromal Depletion in PDAC

Demonstrated through translational studies accompanying MPACT that nab-paclitaxel depletes the desmoplastic stroma of PDAC in part by reducing SPARC (secreted protein acidic and rich in cysteine) expression, thereby increasing intratumoral gemcitabine concentrations — providing the mechanistic rationale for the combination and advancing understanding of how PDAC stroma functions as a barrier to cytotoxic drug delivery.

Personalized Tumor Profiling Strategy — Matching Therapy to Molecular Alterations

Pioneered the "personalized tumor profiling" concept at TGen/HonorHealth, conducting early clinical studies demonstrating that comprehensive molecular profiling of patient tumors (including DNA, RNA, and protein biomarker analysis) can identify actionable targets and guide therapy selection, contributing foundational evidence for the broader precision oncology movement in solid tumors including PDAC.

Phase I Oncology Drug Development — Lifetime Contributions

Contributed to the clinical development of more than 100 anticancer agents over a career spanning five decades, including gemcitabine (now the backbone of PDAC therapy), topotecan, docetaxel, mitoxantrone, and numerous targeted agents; trained generations of oncology clinical researchers and established methodological standards for phase I oncology trial design and analysis.

Representative Works 代表性著作

[1]

Increased survival in pancreatic cancer with nab-paclitaxel plus gemcitabine (MPACT)

New England Journal of Medicine (2013)

Phase III MPACT trial establishing nab-paclitaxel plus gemcitabine as a standard first-line regimen for metastatic PDAC, improving OS, PFS, and ORR versus gemcitabine alone.

[2]

Pilot trial of personalized molecular medicine for patients with cancer using targeted therapy based on molecular profiling

Journal of Clinical Oncology (2010)

Proof-of-concept study demonstrating that patients receiving molecularly matched therapy were more likely to achieve progression-free survival ratio ≥1.3, supporting personalized tumor profiling as a clinical strategy.

[3]

SPARC expression and albumin-bound paclitaxel (nab-paclitaxel) in pancreatic cancer: mechanistic studies

Clinical Cancer Research (2011)

Translational mechanistic study explaining how nab-paclitaxel interacts with SPARC in the PDAC stroma to enhance gemcitabine intratumoral delivery, providing the biological rationale for the MPACT combination.

[4]

Phase I trial of nab-paclitaxel plus gemcitabine in patients with metastatic pancreatic adenocarcinoma

Journal of Clinical Oncology (2011)

Phase I/II study establishing the safety, tolerability, and preliminary efficacy of the nab-paclitaxel plus gemcitabine combination that was subsequently validated in the MPACT phase III trial.

🏆Awards & Recognition 奖项与荣誉

🏆American Association for Cancer Research (AACR) Award for Lifetime Achievement in Cancer Research (2014)
🏆American Society of Clinical Oncology (ASCO) Karnofsky Memorial Award (2016)
🏆AACR-Joseph H. Burchenal Award for Outstanding Achievement in Clinical Cancer Research
🏆Fellow, American College of Physicians (FACP)
🏆NCI Outstanding Investigator Award
🏆Member, National Academy of Medicine

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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