Evidence map›Paper›PMID 30689133›Full record

Observational studyAdvances in therapy2019

Prospective Observational Cohort Study to Describe the Use of Panitumumab in Combination with Chemotherapy in Real-World Clinical Practice for Patients with Wild-Type RAS mCRC.

Holger Hebart, Michael Kiehl, Jiri Tomasek, Tibor Csoszi, Reija Koukakis, George Kafatos, Anja Kuhn, Katja Bjorklof, Gaston Demonty, Tomas Buchler

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Advances in therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 39% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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 8 institutions in 5 countries.

Holger HebartDepartment of Internal Medicine, Stauferklinikum Schwäbisch Gmünd, Mutlangen, Germany. Holger.Hebart@kliniken-ostalb.de.ORCID 0000-0003-4536-9955
Michael KiehlMedical Clinic I, Klinikum Frankfurt (Oder) GmbH, Frankfurt (Oder), Germany.ORCID 0000-0002-0216-3861
Jiri TomasekClinic of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic.ORCID 0000-0002-7635-9103
Tibor CsosziOncology Department, Hetenyi G. County Hospital, Szolnok, Hungary.ORCID 0000-0002-7742-1968
Reija KoukakisDepartment of Biostatistics, Amgen Ltd, Uxbridge, UK.
George KafatosCenter for Observational Research, Amgen Ltd, Uxbridge, UK.
Anja KuhnResearch and Development, Amgen GmbH, Munich, Germany.
Katja BjorklofEU Medical Affairs, Amgen (Europe) GmbH, Rotkreuz, Switzerland.
Gaston DemontyMedical Development, Amgen, Brussels, Belgium.
Tomas BuchlerDepartment of Oncology, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic.
Amgen (United Kingdom) · GBAmgen (Belgium) · BEAmgen (Germany) · DEAmgen (Switzerland) · CHCharles University · CZForschungsinstitut für Edelmetalle und Metallchemie · DEKlinikum Frankfurt Höchst · DEMasaryk University · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to better understand panitumumab use in real-life clinical practice in first- and second-line treatment of metastatic colorectal cancer in five European countries.

methodsThis is a combined analysis of two observational, non-interventional prospective cohort studies, one of which was conducted in Germany and France, the other in Bulgaria, Czech Republic, and Hungary. The studies observed patients with wild-type [Kirsten] rat sarcoma viral oncogene homolog ([K]RAS/RAS) metastatic colorectal cancer (mCRC), who had been treated with panitumumab in combination with fluorouracil, leucovorin, and oxaliplatin (FOLFOX) in the first line or with panitumumab combined with fluorouracil, leucovorin, and irinotecan (FOLFIRI) in the second line following fluoropyrimidine-based chemotherapy. The planned duration of observation was 12 months from the first dose of panitumumab.

resultsA total of 332 patients treated with panitumumab + FOLFOX in the first line and 94 patients treated with panitumumab + FOLFIRI in the second line were analyzed. The median number of panitumumab infusions was 10.0 in first-line FOLFOX patients and 11.5 in second-line FOLFIRI patients; the median duration of panitumumab exposure was 5.7 and 6.9 months, respectively. The unadjusted overall response rate (complete or partial response) in patients with available post-baseline response assessment (n = 290) was 51.7% in first-line FOLFOX and 44.9% in second-line FOLFIRI patients. In the first-line setting, resectability was achieved in 9.3%. Reported hospitalizations were mostly cancer-related visits such as scheduled anticancer treatment administrations, tumor assessment visits, or interventions. The majority of adverse drug reactions were skin disorders, with 75.3% in first-line FOLFOX patients and 72.3% in second-line FOLFIRI patients.

conclusionOverall, the study results show that treatment patterns, clinical efficacy, and the safety profile of panitumumab in routine clinical practice were comparable to those in randomized controlled trials. The relatively low skin toxicity rate could be attributed to increasing experience in managing panitumumab-associated rash and some degree of underreporting.

fundingAmgen.

Indexed as

AdultAgedAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsCamptothecinCohort StudiesColorectal NeoplasmsEuropeFemaleFluorouracilHumansLeucovorinMaleMiddle AgedNeoplasm MetastasisOrganoplatinum CompoundsAntibodies, MonoclonalCamptothecinFluorouracilLeucovorinOrganoplatinum CompoundsPanitumumabras ProteinsMetastatic colorectal cancerObservational studyPanitumumabRAS wild-typeReal-world dataTumor location

Identifiers

PMID30689133
PMCPMC6824336
OpenAlexW2912846872

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.