advanced locally metastatic cancer breast unresectable incurable recurrent patients therapy pancreas adenocarcinoma histologically cytologically confirmed metastatic proven resectable patients ductal intolerable ineffective standard proven advanced exist locally therapy metastatic solid locally advanced metastatic disease unresectable resectable therapy patients prior treatment cytologically advanced histologically locally metastatic confirmed unresectable adenocarcinoma documented nsclc advanced histologically locally metastatic confirmed unresectable solid proven adenocarcinoma patients unresectable metastatic disease melanoma patients inoperable confirmed histologically tumor advanced