Evidence map›Paper›PMID 34533973›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Panitumumab Plus Fluorouracil and Folinic Acid Versus Fluorouracil and Folinic Acid Alone as Maintenance Therapy in

Dominik Paul Modest, Meinolf Karthaus, Stefan Fruehauf, Ullrich Graeven, Lothar Müller, Alexander Otto König, Ludwig Fischer von Weikersthal, Karel Caca, Albrecht Kretzschmar, Eray Goekkurt and 11 more

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01991873 (Randomized Phase II Study for Evaluation of Efficacy and Safety of Maintenance Treatment With 5-FU/FA Plus Panitumumab vs. 5-FU/FA Alone After Prior Induction Treatment With mFOLFOX6 Plus Panitumumab and Re-induction With mFOLFOX6 Plus Panitumumab in Case of Progression for First-line Treatment of Patients With Metastatic Colorectal Cancer), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 3% 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.

NCT01991873 phase2completednot on this map

Randomized Phase II Study for Evaluation of Efficacy and Safety of Maintenance Treatment With 5-FU/FA Plus Panitumumab vs. 5-FU/FA Alone After Prior Induction Treatment With mFOLFOX6 Plus Panitumumab and Re-induction With mFOLFOX6 Plus Panitumumab in Case of Progression for First-line Treatment of Patients With Metastatic Colorectal Cancer

TypeinterventionalSponsorAIO-Studien-gGmbHRan2014 to 2023Enrolled387ConditionsMetastatic Colorectal CancerArmsMaintenance Chemotherapy, Panitumumab (Within maintenance phase), mFOLFOX6 (Within re-induction phase), Panitumumab (Within re-induction phase)
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Delphi Initiative for Early-Onset Colorectal Cancer (DIRECt) International Management Guidelines.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Guideline
  3. Trial
  4. Trial
  5. Intermittent or Continuous Panitumumab Plus Fluorouracil, Leucovorin, and Irinotecan for First-Line Treatment ofJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  6. Trial
  7. Fluorouracil, Leucovorin, and Irinotecan Plus Cetuximab Versus Cetuximab as Maintenance Therapy in First-Line Therapy forJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Definition of lines of treatment in metastatic colorectal cancer: a Delphi consensus.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  18. Article
  19. Article
  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

21 authors at 12 institutions in 1 country.

Dominik Paul ModestDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0002-6853-0599
Meinolf KarthausDepartment of Hematology and Oncology, Munich Hospital Neuperlach, Munich, Germany.
Stefan FruehaufDr Hancken Hospital, Stade, Germany.
Ullrich GraevenKliniken Maria Hilf GmbH, Mönchengladbach, Germany.ORCID 0000-0001-6082-7710
Lothar MüllerOncology Practice UnterEms, Leer, Germany.ORCID 0000-0001-9252-4650
Alexander Otto KönigDepartment of Gastroenterology, University Medicine Göttingen, Göttingen, Germany.
Ludwig Fischer von WeikersthalGesundheitszentrum St Marien, Amberg, Germany.
Karel CacaDepartment of Gastroenterology, Hematology and Oncology, Hospital Ludwigsburg, Ludwigsburg, Germany.
Albrecht KretzschmarMVZ Mitte, Leipzig, Germany.
Eray GoekkurtPractice of Hematology and Oncology (HOPE), Hamburg, Germany.
Siegfried HaasDepartment of Hematology and Oncology, Friedrich-Ebert-Hospital, Neumünster, Germany.ORCID 0000-0001-8065-3391
Annika KurreckDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0002-4352-6788
Arndt StahlerDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0003-1041-0137
Swantje HeldCharité Universitätsmedizin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Pathology, Berlin, Germany.
Armin JaroschCharité Universitätsmedizin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institute of Pathology, Berlin, Germany.
David HorstGerman Cancer Consortium (DKTK), German Cancer Research Centre (DKFZ), Heidelberg, Germany.
Anke Reinacher-SchickSt Joseph Hospital, Bochum, Germany.ORCID 0000-0002-7838-6877
Stefan KasperGerman Cancer Consortium (DKTK), German Cancer Research Centre (DKFZ), Heidelberg, Germany.
Volker HeinemannGerman Cancer Consortium (DKTK), German Cancer Research Centre (DKFZ), Heidelberg, Germany.ORCID 0000-0002-1349-3321
Sebastian StintzingDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.ORCID 0000-0002-3297-5801
Tanja TrarbachZentrum für Tumorbiologie und Integrative Medizin, Klinikum Wilhelmshaven, Wilhelmshaven, Germany.
German Cancer Research Center · DEHumboldt-Universität zu Berlin · DEFriedrich-Ebert-Krankenhaus · DEKliniken Maria Hilf · DEKlinikum Ludwigsburg · DEKlinikum St. Marien Amberg · DEKlinikum Wilhelmshaven · DEMedizinisches Versorgungszentrum Prof. Mathey, Prof. Schofer · DEMünchen Klinik Neuperlach · DESt. Josef-Hospital · DEUniversitätsmedizin Göttingen · DEUniversity Cancer Center Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe randomized PANAMA trial investigated the efficacy of panitumumab (Pmab) when added to maintenance therapy with fluorouracil and folinic acid (FU/FA) in patients with

methodsFollowing first-line induction therapy with six cycles of FU/FA and oxaliplatin plus Pmab, responding patients (stable disease or partial or complete remission) were randomly assigned (1:1, open-label) to maintenance treatment with either FU/FA plus Pmab or FU/FA alone. The primary objective was to demonstrate superiority of progression-free survival (PFS, time from random assignment until progression or death) in favor of FU/FA plus Pmab with a hazard ratio (HR) of 0.75, a power of 80%, and a significance level of 10%. Secondary end points included overall survival, objective response rate of maintenance therapy, and toxicity. Survival end points were analyzed by the Kaplan-Meier method and compared by log-rank test and Cox regressions. Dichotomous variables were compared by Fisher's exact test; odds ratios were indicated when appropriate. The trial is registered with ClinicalTrials.gov (NCT01991873).

resultsOverall, 248 patients were randomly assigned and received maintenance therapy with either FU/FA plus Pmab (125 patients) or FU/FA alone (123 patients). At data cutoff, with 218 events (of 218 needed), PFS of maintenance therapy was significantly improved with FU/FA plus Pmab (8.8 months

conclusionIn

Indexed as

Genes, rasAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorColorectal NeoplasmsDisease ProgressionFemaleFluorouracilGermanyHumansLeucovorinMaintenance ChemotherapyMaleMiddle AgedBiomarkers, TumorFluorouracilLeucovorinOrganoplatinum CompoundsOxaliplatinPanitumumab

Identifiers

PMID34533973
PMCPMC8683209
OpenAlexW3201195457

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.