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Analysis of KRAS/NRAS Mutations in a Phase III Study of Panitumumab with FOLFIRI Compared with FOLFIRI Alone as Second-line Treatment for Metastatic Colorectal Cancer.

Identifieur interne : 002625 ( PubMed/Corpus ); précédent : 002624; suivant : 002626

Analysis of KRAS/NRAS Mutations in a Phase III Study of Panitumumab with FOLFIRI Compared with FOLFIRI Alone as Second-line Treatment for Metastatic Colorectal Cancer.

Auteurs : Marc Peeters ; Kelly S. Oliner ; Timothy J. Price ; Andrés Cervantes ; Alberto F. Sobrero ; Michel Ducreux ; Yevhen Hotko ; Thierry André ; Emily Chan ; Florian Lordick ; Cornelis J A. Punt ; Andrew H. Strickland ; Gregory Wilson ; Tudor E. Ciuleanu ; Laslo Roman ; Eric Van Cutsem ; Pei He ; Hua Yu ; Reija Koukakis ; Jan-Henrik Terwey ; Andre S. Jung ; Roger Sidhu ; Scott D. Patterson

Source :

RBID : pubmed:26341920

English descriptors

Abstract

We evaluated the influence of RAS mutation status on the treatment effect of panitumumab in a prospective-retrospective analysis of a randomized, multicenter phase III study of panitumumab plus fluorouracil, leucovorin, and irinotecan (FOLFIRI) versus FOLFIRI alone as second-line therapy in patients with metastatic colorectal cancer (mCRC; ClinicalTrials.gov, NCT0039183).

DOI: 10.1158/1078-0432.CCR-15-0526
PubMed: 26341920

Links to Exploration step

pubmed:26341920

Le document en format XML

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<name sortKey="Roman, Laslo" sort="Roman, Laslo" uniqKey="Roman L" first="Laslo" last="Roman">Laslo Roman</name>
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<name sortKey="Van Cutsem, Eric" sort="Van Cutsem, Eric" uniqKey="Van Cutsem E" first="Eric" last="Van Cutsem">Eric Van Cutsem</name>
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<name sortKey="Sidhu, Roger" sort="Sidhu, Roger" uniqKey="Sidhu R" first="Roger" last="Sidhu">Roger Sidhu</name>
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<term>Adult</term>
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<term>Antibodies, Monoclonal (administration & dosage)</term>
<term>Antineoplastic Combined Chemotherapy Protocols (adverse effects)</term>
<term>Antineoplastic Combined Chemotherapy Protocols (therapeutic use)</term>
<term>Camptothecin (adverse effects)</term>
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<term>Antineoplastic Combined Chemotherapy Protocols</term>
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<term>Colorectal Neoplasms</term>
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<term>Aged</term>
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<front>
<div type="abstract" xml:lang="en">We evaluated the influence of RAS mutation status on the treatment effect of panitumumab in a prospective-retrospective analysis of a randomized, multicenter phase III study of panitumumab plus fluorouracil, leucovorin, and irinotecan (FOLFIRI) versus FOLFIRI alone as second-line therapy in patients with metastatic colorectal cancer (mCRC; ClinicalTrials.gov, NCT0039183).</div>
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<PMID Version="1">26341920</PMID>
<DateCreated>
<Year>2015</Year>
<Month>12</Month>
<Day>16</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>03</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Print">1078-0432</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>21</Volume>
<Issue>24</Issue>
<PubDate>
<Year>2015</Year>
<Month>12</Month>
<Day>15</Day>
</PubDate>
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<Title>Clinical cancer research : an official journal of the American Association for Cancer Research</Title>
<ISOAbbreviation>Clin. Cancer Res.</ISOAbbreviation>
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<ArticleTitle>Analysis of KRAS/NRAS Mutations in a Phase III Study of Panitumumab with FOLFIRI Compared with FOLFIRI Alone as Second-line Treatment for Metastatic Colorectal Cancer.</ArticleTitle>
<Pagination>
<MedlinePgn>5469-79</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1158/1078-0432.CCR-15-0526</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE">We evaluated the influence of RAS mutation status on the treatment effect of panitumumab in a prospective-retrospective analysis of a randomized, multicenter phase III study of panitumumab plus fluorouracil, leucovorin, and irinotecan (FOLFIRI) versus FOLFIRI alone as second-line therapy in patients with metastatic colorectal cancer (mCRC; ClinicalTrials.gov, NCT0039183).</AbstractText>
<AbstractText Label="EXPERIMENTAL DESIGN">Outcomes were from the study's primary analysis. RAS mutations beyond KRAS exon 2 (KRAS exons 3, 4; NRAS exons 2, 3, 4; BRAF exon 15) were detected by bidirectional Sanger sequencing in wild-type KRAS exon 2 tumor specimens. Progression-free survival (PFS) and overall survival (OS) were coprimary endpoints.</AbstractText>
<AbstractText Label="RESULTS">The RAS ascertainment rate was 85%; 18% of wild-type KRAS exon 2 tumors harbored other RAS mutations. For PFS and OS, the hazard ratio (HR) for panitumumab plus FOLFIRI versus FOLFIRI alone more strongly favored panitumumab in the wild-type RAS population than in the wild-type KRAS exon 2 population [PFS HR, 0.70 (95% confidence interval [CI], 0.54-0.91); P = 0.007 vs. 0.73 (95% CI, 0.59-0.90); P = 0.004; OS HR, 0.81 (95% CI, 0.63-1.03); P = 0.08 vs. 0.85 (95% CI, 0.70-1.04); P = 0.12]. Patients with RAS mutations were unlikely to benefit from panitumumab. Among RAS wild-type patients, the objective response rate was 41% in the panitumumab-FOLFIRI group versus 10% in the FOLFIRI group.</AbstractText>
<AbstractText Label="CONCLUSIONS">Patients with RAS mutations were unlikely to benefit from panitumumab-FOLFIRI and the benefit-risk of panitumumab-FOLFIRI was improved in the wild-type RAS population compared with the wild-type KRAS exon 2 population. These findings support RAS testing for patients with mCRC. Clin Cancer Res; 21(24); 5469-79. ©2015 AACR.See related commentary by Salazar and Ciardiello, p. 5415.</AbstractText>
<CopyrightInformation>©2015 American Association for Cancer Research.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Peeters</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
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<Affiliation>Antwerp University Hospital and University of Antwerp, Edegem, Belgium. Marc.Peeters@uza.be.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Oliner</LastName>
<ForeName>Kelly S</ForeName>
<Initials>KS</Initials>
<AffiliationInfo>
<Affiliation>Amgen Inc., Thousand Oaks, California, USA.</Affiliation>
</AffiliationInfo>
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<LastName>Price</LastName>
<ForeName>Timothy J</ForeName>
<Initials>TJ</Initials>
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<Affiliation>Queen Elizabeth Hospital and University of Adelaide, Woodville, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Cervantes</LastName>
<ForeName>Andrés</ForeName>
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<Affiliation>Biomedical Research Institute INCLIVA, University of Valencia, Spain.</Affiliation>
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<LastName>Sobrero</LastName>
<ForeName>Alberto F</ForeName>
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<Affiliation>Ospedale San Martino, Genova, Italy.</Affiliation>
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