Initial Panitumumab Plus Fluorouracil, Leucovorin, and Oxaliplatin or Plus Fluorouracil and Leucovorin in Elderly Patients With RAS and BRAF Wild-Type Metastatic Colorectal Cancer: The PANDA Trial by the GONO Foundation.


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 Dec 2023
Historique:
medline: 30 11 2023
pubmed: 3 8 2023
entrez: 3 8 2023
Statut: ppublish

Résumé

To verify whether both doublet chemotherapy with a modified schedule of fluorouracil, leucovorin, and oxaliplatin (mFOLFOX) and monochemotherapy with fluorouracil plus leucovorin (5-FU + LV) achieve satisfactory efficacy when both regimens are combined with panitumumab (PAN) as initial treatment of elderly patients with PANDA (ClinicalTrials.gov identifier: NCT02904031) was an open-label, randomized phase II noncomparative trial in previously untreated patients age 70 years and older with unresectable Between July 2016 and April 2019, 91 patients were randomly assigned to arm A and 92 to arm B. At a median follow-up of 50.0 months (IQR, 45.6-56.4), median PFS was 9.6 and 9.0 months for arm A and B, respectively ( Both mFOLFOX and 5-FU + LV + PAN are reasonable options as initial therapy of elderly patients with

Identifiants

pubmed: 37535876
doi: 10.1200/JCO.23.00506
doi:

Substances chimiques

Panitumumab 6A901E312A
Oxaliplatin 04ZR38536J
Proto-Oncogene Proteins B-raf EC 2.7.11.1
Leucovorin Q573I9DVLP
Fluorouracil U3P01618RT
BRAF protein, human EC 2.7.11.1

Banques de données

ClinicalTrials.gov
['NCT02904031']

Types de publication

Randomized Controlled Trial Clinical Trial, Phase II Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5263-5273

Investigateurs

Ermenegildo Arnoldi (E)
Lorenzo Antonuzzo (L)
Giuseppe Aprile (G)
Antonio Ardizzoia (A)
Carlo Aschele (C)
Editta Baldini (E)
Alberto Ballestrero (A)
Alessandro Bertolini (A)
Roberto Bordonaro (R)
Giorgia Boscolo (G)
Angela Buonadonna (A)
Saverio Cinieri (S)
Matteo Clavarezza (M)
Domenico Corsi (D)
Enrico Cortesi (E)
Filippo De Braud (F)
Samantha Di Donato (S)
Alfredo Falcone (A)
Adolfo Favaretto (A)
Vincenzo Formica (V)
Luca Frassineti (L)
Antonio Frassoldati (A)
Michela Frisinghelli (M)
Teresa Gamucci (T)
Luca Gianni (L)
Filippo Giovanardi (F)
Stefania Gori (S)
Roberta Grande (R)
Cristina Granetto (C)
Silvana Leo (S)
Francesco Leone (F)
Sara Lonardi (S)
Andrea Luciani (A)
Carlo Milandri (C)
Nicoletta Pella (N)
Andrea Sartore-Bianchi (A)
Mario Scartozzi (M)
Nicola Silvestris (N)
Emiliano Tamburini (E)
Gianluca Tomasello (G)
Giuseppe Tonini (G)
Gianpaolo Tortora (G)
Claudio Vergani (C)
Albrto Zaniboni (A)
Fable Zustovich (F)

Auteurs

Sara Lonardi (S)

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

Cosimo Rasola (C)

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

Riccardo Lobefaro (R)

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

Daniele Rossini (D)

Unit of Medical Oncology 2, University Hospital of Pisa, Pisa, Italy.
Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Vincenzo Formica (V)

Medical Oncology Unit, Policlinico Tor Vergata, Roma, Italy.

Mario Scartozzi (M)

Department of Medical Sciences and Public Health, Medical Oncology Unit, "Azienda Ospedaliero Universitaria" of Cagliari, University of Cagliari, Cagliari, Italy.

Giovanni Luca Frassineti (GL)

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

Giorgia Boscolo (G)

Medical Specialties Department, Oncology and Oncological Haematology, ULSS 3 Serenissima, Mirano, Italy.

Saverio Cinieri (S)

Department of Medical Oncology, Hospital "Senatore Perrino", Brindisi, Italy.

Samantha Di Donato (S)

Department of Medical Oncology, General Hospital, Prato, Italy.

Nicoletta Pella (N)

Department of Oncology, ASUFC University Hospital, Udine, Italy.

Francesca Bergamo (F)

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

Alessandra Raimondi (A)

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

Ermenegildo Arnoldi (E)

Department of Oncology, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy.

Lorenzo Antonuzzo (L)

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

Cristina Granetto (C)

Medical Oncology, ASL CN1, Cuneo, Italy.

Fable Zustovich (F)

Dipartimento di Oncologia Clinica, UOC Oncologia di Belluno, AULSS 1 Dolomiti, Ospedale S. Martino, Belluno, Italy.

Monica Ronzoni (M)

Oncologia Medica, IRCCS Ospedale San Raffaele, Milano, Italy.

Silvana Leo (S)

Medical Oncology Unit, Vito Fazzi Hospital, Lecce, Italy.

Federica Morano (F)

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

Fotios Loupakis (F)

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

Federica Buggin (F)

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

Vittorina Zagonel (V)

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

Matteo Fassan (M)

Department of Medicine (DIMED), Surgical Pathology & Cytopathology Unit, University of Padova, Padova, Italy.
Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.

Chiara Cremolini (C)

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Luca Boni (L)

IRCCS Ospedale Policlinico San Martino, Genova, Italy.

Filippo Pietrantonio (F)

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

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Classifications MeSH