FOLFOXIRI Plus Panitumumab As First-Line Treatment of


Journal

Journal of clinical oncology : official journal of the American Society of Clinical Oncology
ISSN: 1527-7755
Titre abrégé: J Clin Oncol
Pays: United States
ID NLM: 8309333

Informations de publication

Date de publication:
10 12 2019
Historique:
pubmed: 15 10 2019
medline: 17 6 2020
entrez: 15 10 2019
Statut: ppublish

Résumé

This trial investigated the addition of panitumumab to triplet chemotherapy with fluorouracil/folinic acid, oxaliplatin, and irinotecan (FOLFOXIRI) in a two-to-one randomized, controlled, open-label, phase II trial in patients with untreated The primary end point was objective response rate (ORR) according to RECIST (version 1.1). The experimental arm (modified FOLFOXIRI [mFOLFOXIRI] plus panitumumab) was considered active if the ORR was ≥ 75%. The experimental ORR was compared with an estimated ORR of 60% based on historical data, verified by a randomized control group (FOLFOXIRI). The power of the trial was 80%, with a potential type I error of 0.05. Secondary end points included secondary resection rate, toxicity, progression-free survival, and overall survival. A total of 63 patients were randomly assigned to the experimental arm and 33 patients to the control arm. The ORR of the mFOLFOXIRI plus panitumumab arm exceeded 75% and was higher when compared with that of FOLFOXIRI (87.3% The addition of panitumumab to mFOLFOXIRI in patients with

Identifiants

pubmed: 31609637
doi: 10.1200/JCO.19.01340
doi:

Substances chimiques

Oxaliplatin 04ZR38536J
Bevacizumab 2S9ZZM9Q9V
Panitumumab 6A901E312A
Irinotecan 7673326042
ras Proteins EC 3.6.5.2
Leucovorin Q573I9DVLP

Banques de données

ClinicalTrials.gov
['NCT01328171']

Types de publication

Clinical Trial, Phase II Journal Article Multicenter Study Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

3401-3411

Auteurs

Dominik P Modest (DP)

Hospital of the University of Munich, Munich, Germany.
German Cancer Consortium, German Cancer Research Center, Heidelberg, Germany.

Uwe M Martens (UM)

Klinik für Innere Medizin III, SLK-Kliniken Heilbronn, Heilbronn, Germany.

Jorge Riera-Knorrenschild (J)

Universitätsklinik Marburg, Marburg, Germany.

Jobst Greeve (J)

St Vincenz-Krankenhaus Paderborn, Paderborn, Germany.

Axel Florschütz (A)

Stadtisches Klinikum Dessau, Dessau, Germany.

Swen Wessendorf (S)

Klinikum Esslingen, Esslingen, Germany.

Thomas Ettrich (T)

Universitätsklinikum Ulm, Ulm, Germany.

Stephan Kanzler (S)

Leopoldina Krankenhaus, Schweinfurt, Germany.

Dominik Nörenberg (D)

Hospital of the University of Munich, Munich, Germany.

Jens Ricke (J)

Hospital of the University of Munich, Munich, Germany.

Max Seidensticker (M)

Hospital of the University of Munich, Munich, Germany.

Swantje Held (S)

ClinAssess, Leverkusen, Germany.

Petra Buechner-Steudel (P)

Universitätsklinikum Halle (Saale), Halle, Germany.

Jens Atzpodien (J)

Franziskus-Hospital Harderberg, Georgsmarienhütte, Germany.

Volker Heinemann (V)

Hospital of the University of Munich, Munich, Germany.
German Cancer Consortium, German Cancer Research Center, Heidelberg, Germany.

Thomas Seufferlein (T)

Universitätsklinikum Ulm, Ulm, Germany.

Andrea Tannapfel (A)

Ruhr Universität Bochum, Bochum, Germany.

Anke C Reinacher-Schick (AC)

St Josef Hospital, Bochum, Germany.

Michael Geissler (M)

Klinikum Esslingen, Esslingen, Germany.

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Classifications MeSH