Evidence map›Paper›PMID 39576946›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Intermittent or Continuous Panitumumab Plus Fluorouracil, Leucovorin, and Irinotecan for First-Line Treatment of

Antonio Avallone, Francesco Giuliani, Alfonso De Stefano, Giuseppe Santabarbara, Guglielmo Nasti, Vincenzo Montesarchio, Gerardo Rosati, Antonino Cassata, Silvana Leo, Carmela Romano and 16 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04425239 (Intermittent or Continuous Panitumumab Plus FOLFIRI for First-line Treatment of Patients With RAS/B-RAF Wild-type Metastatic Colorectal Cancer), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04425239 phase2completednot on this map

Intermittent or Continuous Panitumumab Plus FOLFIRI for First-line Treatment of Patients With RAS/B-RAF Wild-type Metastatic Colorectal Cancer: a Randomized Phase 2 Trial

TypeinterventionalSponsorNational Cancer Institute, NaplesRan2018 to 2022Enrolled151ConditionsColorectal Cancer Stage IVArmsPanitumumab
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Adaptive therapy and its challenges.Evolution, medicine, and public health · 2026
    Article
  10. Review
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

26 authors.

Antonio AvalloneExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.ORCID 0000-0001-6188-5664
Francesco GiulianiMedical Oncology Irccs Giovanni Paolo II Bari and Medical Oncology San Paolo Hospital ASL, Bari, Italy.
Alfonso De StefanoExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.ORCID 0000-0003-2107-1177
Giuseppe SantabarbaraOncology Unit, San Giuseppe Moscati Hospital, Avellino, Italy.ORCID 0000-0002-8317-0907
Guglielmo NastiInnovative Therapies Liver Metastases Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Vincenzo MontesarchioMedical Oncology Unit, AORN Ospedali dei Colli-Monaldi-Cotugno-CTO, Napoli, Italy.ORCID 0000-0001-5545-8105
Gerardo RosatiMedical Oncology Unit, S. Carlo Hospital, Potenza, Italy.ORCID 0000-0001-7004-6862
Antonino CassataExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Silvana LeoMedical Oncology Unit, Ospedale Vito Fazzi, Lecce, Italy.
Carmela RomanoExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.ORCID 0000-0003-1796-9873
Emiliano TamburiniMedical Oncology Department, Tricase City Hospital, Tricase, Italy.
Lucrezia SilvestroExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Claudio LotesoriereMedical Oncology Unit, IRCCS Saverio de Bellis Hospital, Castellana Grotte, Italy.ORCID 0000-0002-7999-9739
Anna NappiExperimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Daniele SantiniMedical Oncology Unit, Policlinico Umberto I, University of Rome, Sapienza, Rome, Italy.
Antonella PetrilloRadiology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Alfredo ColomboMedical Oncology Unit, Casa di Cura Macchiarella, Palermo, Italy.ORCID 0000-0001-6902-5028
Antonio FebbraroMedical Oncology Unit, Ospedale Sacro Cuore di Gesù-Fatebenefratelli, Benevento, Italy.
Alessandra LeoneExperimental Pharmacology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Francesco Mannavola5Medical Oncology Unit, A.O.U. Consorziale Policlinico di Bari, Bari, Italy.ORCID 0000-0003-2623-4166
Maria Maddalena Laterza6ASL Napoli 2 Nord, P.O. "S.M. delle Grazie", Pozzuoli, Italy.ORCID 0009-0005-1633-1239
Francesco Izzo7Hepatobiliary Surgery Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.
Alberto Sobrero8Medical Oncology Unit, IRCCS San Martino General Hospital, Genoa, Italy.ORCID 0000-0001-5483-4412
Paolo Delrio9Colorectal Surgical Oncology Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, Napoli, Italia.ORCID 0000-0002-4271-4939
Diana GiannarelliStatistics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.ORCID 0000-0002-6085-1195
Alfredo Budillon1Scientific Directorate Istituto Nazionale Tumori IRCCS-Fondazione G. Pascale, Napoli, Italia.ORCID 0000-0002-6330-6053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate whether intermittent treatment after an induction phase of first-line schedule of fluorouracil, leucovorin, and irinotecan (FOLFIRI) plus panitumumab (PAN) prevents or delays the onset of resistance and improves safety and compliance with treatment in patients with unresectable PATIENTS AND

methodsIMPROVE (ClinicalTrials.gov identifier: NCT04425239) was an open-label, multicenter, randomized phase II noncomparative trial. Patients with unresectable

resultsBetween May 2018 and June 2021, 69 patients were randomly assigned to arm A and 68 to arm B. The median number of treatment cycles was 13 in arm A and 16 in arm B. At a median follow-up of 43.2 months (IQR, 35.0-50.5), median PFSot was 11.2 and 17.5 months with 12-month PFSot rates of 45.7% and 58.5%, for arms A and B, respectively. The overall response rates were 68.1% and 61.2%, and median overall survival rates were 36.3 and 35.1 months in arms A and B, respectively. The overall rate of grade >2 skin PAN-related adverse events was 30.3% in arm A and 17.9% in arm B.

conclusionIntermittent FOLFIRI plus PAN after the induction phase was feasible, and the primary end point was met with reduced toxicity while allowing patients more time off treatment.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsPanitumumabProto-Oncogene Proteins B-rafAdultAgedAged, 80 and overCamptothecinDrug Administration ScheduleFemaleFluorouracilHumansIrinotecanLeucovorinMaleMiddle AgedBRAF protein, humanCamptothecinFluorouracilIrinotecanLeucovorinPanitumumabProto-Oncogene Proteins B-rafras Proteins

Identifiers

PMID39576946
PMCPMC11856000

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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.