Evidence map›Paper›PMID 30013091›Full record

Trial reportBritish journal of cancer2018

Relationships between tumour response and primary tumour location, and predictors of long-term survival, in patients with RAS wild-type metastatic colorectal cancer receiving first-line panitumumab therapy: retrospective analyses of the PRIME and PEAK clinical trials.

Marc Peeters, Timothy Price, Julien Taieb, Michael Geissler, Fernando Rivera, Jean-Luc Canon, George Pentheroudakis, Reija Koukakis, Peter Burdon, Salvatore Siena

3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00339183 phase3completednot on this map

A Randomized, Multicenter Phase 3 Study to Compare the Efficacy of Panitumumab in Combination With Chemotherapy to the Efficacy of Chemotherapy Alone in Patients With Previously Treated Metastatic Colorectal Cancer

TypeinterventionalSponsorAmgenRan2006 to 2010Enrolled1,186ConditionsMetastatic Colorectal CancerArmsPanitumumab, FOLFIRI
NCT00364013 phase3completednot on this map

A Randomized, Multicenter, Phase 3 Study to Compare the Efficacy of Panitumumab in Combination With Oxaliplatin/ 5-fluorouracil/ Leucovorin to the Efficacy of Oxaliplatin/ 5-fluorouracil/ Leucovorin Alone in Patients With Previously Untreated Metastatic Colorectal Cancer

TypeinterventionalSponsorAmgenRan2006 to 2013Enrolled1,183ConditionsMetastatic Colorectal CancerArmsPanitumumab, FOLFOX regimen
NCT00819780 phase2completednot on this map

A Randomized, Multicenter, Phase 2 Study to Compare the Efficacy of Panitumumab in Combination With mFOLFOX6 to the Efficacy of Bevacizumab in Combination With mFOLFOX6 in Patients With Previously Untreated, KRAS Wild-Type, Unresectable, Metastatic Colorectal Cancer

TypeinterventionalSponsorAmgenRan2009 to 2016Enrolled285ConditionsColon Cancer, Colorectal Cancer, Rectal Cancer, Metastatic Colorectal CancerArmsPanitumumab, Bevacizumab, mFOLFOX6
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Observational
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 9 countries.

Marc PeetersDepartment of Oncology, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium. marc.peeters@uza.be.
Timothy PriceDepartment of Oncology, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.
Julien TaiebSorbonne Paris Cité, Paris Descartes University, Georges Pompidou European Hospital, 20 Rue Leblanc, 75015, Paris, France.
Michael GeisslerKlinikum Esslingen, Cancer Center Esslingen, Hirschlandstraße 97, 73730, Esslingen am Neckar, Germany.
Fernando RiveraHospital Universitario Marqués de Valdecilla, Av. Valdecilla, 25, 39008, Santander, Spain.
Jean-Luc CanonService d'Oncologie-Hématologie, Grand Hôpital de Charleroi, Avenue du Centenaire 73, 6061, Charleroi, Belgium.
George PentheroudakisDepartment of Medical Oncology, Ioannina University Hospital, Leof. Stavrou Niarchou, 455 00, Ioannina, Greece.
Reija KoukakisBiostatistics, Amgen Ltd, Sanderson Road, Uxbridge, UB8 1DH, UK.
Peter BurdonEuropean Medical, Amgen (Europe) GmbH, Dammstrasse 23, 6300, Zug, Switzerland.
Salvatore SienaDipartimento di Oncologia e Emato-Oncologia, Università degli Studi di Milano, Niguarda Cancer Center, Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore, 3, 20162, Milan, Italy.
Antwerp University Hospital · BEAmgen (Switzerland) · CHAmgen (United Kingdom) · GBGrand Charleroi Hospital · BEKlinikum Esslingen · DEMarqués de Valdecilla University Hospital · ESSorbonne Paris Cité · FRUniversity Hospital of Ioannina · GRUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData from two trials of panitumumab in metastatic colorectal cancer (mCRC) were retrospectively analysed to investigate the effects of primary tumour location on early-tumour shrinkage (ETS) and depth of response (DpR), and identify factors predicting long-term survival.

methodsPatients with RAS wild-type mCRC from PRIME (NCT00364013) and PEAK (NCT00819780) were included. ETS was defined as a ≥30% reduction in the sum-of-the-longest-diameters of measurable target lesions at eight weeks. DpR was the maximum percentage change from baseline to nadir in patients with shrinkage. Univariate and multivariate logistic analyses of short- versus long-term survivor data were performed.

resultsA total of 435/559 (78%) patients had left-sided disease. Of these, a higher proportion of patients treated with panitumumab versus comparator achieved ETS (PRIME: 62% vs. 36%; PEAK: 58% vs. 41%); median DpR was also higher with panitumumab (PRIME: 59% vs. 49%; PEAK: 70% vs. 48%). In pooled analyses of the studies, more patients with right-sided disease achieved ETS if treated with panitumumab than comparator (39% vs. 29%). Panitumumab treatment consistently predicted long-term survival.

conclusionsFirst-line panitumumab was associated with improved ETS and DpR vs. comparator in patients with left-sided mCRC. ETS may identify a subgroup of patients with right-sided disease who might respond to panitumumab.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsErbB ReceptorsFemaleFluorouracilGTP PhosphohydrolasesHumansKaplan-Meier EstimateLeucovorinMaleMembrane ProteinsMiddle AgedNeoplasm MetastasisBRAF protein, humanEGFR protein, humanErbB ReceptorsFluorouracilGTP PhosphohydrolasesKRAS protein, humanLeucovorinMembrane ProteinsNRAS protein, humanOrganoplatinum CompoundsPanitumumabProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)

Identifiers

PMID30013091
PMCPMC6068172
OpenAlexW2879208650

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.