• A real-world study indicated that first-line NALIRIFOX had a numerically higher median overall survival (OS) of 11.1 months compared to FOLFIRINOX's 9.1 months in mPDAC patients.
• The analysis included a trial-aligned cohort, an all-comer cohort, and a modified FOLFIRINOX cohort, assessing survival outcomes in metastatic pancreatic ductal adenocarcinoma.
• The findings suggest NALIRIFOX may offer a survival advantage over FOLFIRINOX in treating mPDAC, warranting further studies adjusting for baseline characteristics.
• Data were sourced from the Flatiron Electronic Health Record, covering patients treated between January 2014 and February 2024, providing a comprehensive real-world view.