Indehaveren af markedsføringstilladelsen var enig i, at platinbaserede kombinationsterapier er standardbehandling, men forsvarede anvendelsen af monoterapi med gemcitabin til behandling af ældre patienter og patienter med en performance status på 2, da disse grupper har højere risiko for kemoterapirelateret morbiditet, eller i tilfælde, hvor platinbaserede kombinationer ikke tåles.
The MAH agreed that platinum-based combination therapies are the standard of care but defended the use of gemcitabine monotherapy in the treatment of elderly patients and patients with a Performance Status of 2, as these groups are at higher risk for chemotherapy-related morbidities or in cases where platinum-based combinations cannot be tolerated.