Upfront Modified Fluorouracil, Leucovorin, Oxaliplatin, and Irinotecan Plus Panitumumab Versus Fluorouracil, Leucovorin, and Oxaliplatin Plus Panitumumab for Patients With


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:
01 09 2022
Historique:
pubmed: 7 6 2022
medline: 1 9 2022
entrez: 6 6 2022
Statut: ppublish

Résumé

To verify whether the intensification of the upfront chemotherapy backbone with a modified schedule of modified fluorouracil, leucovorin, oxaliplatin, and irinotecan (mFOLFOXIRI) increases the activity of fluorouracil, leucovorin, and oxaliplatin when both regimens are combined with panitumumab as initial treatment for TRIPLETE was a prospective, open-label, phase III trial in which previously untreated patients with unresectable From September 2017 to September 2021, 435 patients were enrolled (control group/experimental group: 217/218) in 57 Italian sites. One hundred sixty (73%) patients treated with mFOLFOXIRI plus panitumumab and 165 (76%) patients treated with modified FOLFOX plus panitumumab achieved RECIST response (odds ratio 0.87, 95% CI, 0.56 to 1.34, The intensification of the upfront chemotherapy backbone in combination with panitumumab does not provide additional benefit in terms of treatment activity at the price of increased gastrointestinal toxicity in patients with

Identifiants

pubmed: 35666229
doi: 10.1200/JCO.22.00839
pmc: PMC9426812
doi:

Substances chimiques

Organoplatinum Compounds 0
Oxaliplatin 04ZR38536J
Panitumumab 6A901E312A
Irinotecan 7673326042
BRAF protein, human EC 2.7.11.1
Proto-Oncogene Proteins B-raf EC 2.7.11.1
ras Proteins EC 3.6.5.2
Leucovorin Q573I9DVLP
Fluorouracil U3P01618RT
Camptothecin XT3Z54Z28A

Banques de données

ClinicalTrials.gov
['NCT03231722']

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

2878-2888

Références

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Auteurs

Daniele Rossini (D)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Carlotta Antoniotti (C)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Sara Lonardi (S)

Medical Oncology 3, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.

Filippo Pietrantonio (F)

Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Roberto Moretto (R)

Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Lorenzo Antonuzzo (L)

Clinical Oncology Unit, Careggi University Hospital-Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Alessandra Boccaccino (A)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Federica Morano (F)

Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Marco Brugia (M)

Medical Oncology Unit, Careggi University Hospital, Florence, Italy.

Carmelo Pozzo (C)

Medical Oncology, Comprehensive Cancer Center, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Federica Marmorino (F)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Francesca Bergamo (F)

Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.

Emiliano Tamburini (E)

Oncology and Palliative Care Department, Cardinale G. Panico Tricase City Hospital, Tricase, Italy.

Alessandro Passardi (A)

Department of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.

Giovanni Randon (G)

Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.

Sabina Murgioni (S)

Medical Oncology 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.

Beatrice Borelli (B)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Angela Buonadonna (A)

Department of Medical Oncology, CRO Aviano, National Cancer Institute, IRCCS, Aviano, Italy.

Mirella Giordano (M)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Gabriella Fontanini (G)

Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.

Veronica Conca (V)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Vincenzo Formica (V)

Medical Oncology Unit, Tor Vergata University Hospital, Rome, Italy.

Massimo Aglietta (M)

Medical Oncology, Candiolo Cancer Institute, Fondazione del Piemonte per l'Oncologia (FPO)-Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Torino, Italy.

Roberto Bordonaro (R)

Medical Oncology Unit, Azienda Ospedaliera di Rilievo Nazionale e Alta Specializzazione (ARNAS), Ospedale Garibaldi, Catania, Italy.

Giuseppe Aprile (G)

Department of Oncology, San Bortolo General Hospital, Azienda ULSS8 Berica, Vicenza, Italy.

Gianluca Masi (G)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

Luca Boni (L)

Clinical Epidemiology Unit, IRCCS Ospedale Policlinico San Martino, Genova, Italy.

Chiara Cremolini (C)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Unit of Medical Oncology 2, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.

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Classifications MeSH