Efficacity and safety of panitumumab in mCRC patients: A post-AMM OMIT study.

Authors

null

Francoise Grude

OMIT Bretagne Pays de Loire, Angers, France

Francoise Grude , Jean François Ramée , Laurent Guivarch , Jean-Yves Douillard , Sophie Rochard , Olivier Dupuis , Chrystelle Grollier , Veronique Guerin-Meyer , Pierre Leynia , Marc Porneuf , Elodie Peguet , Jean Luc Raoul , Claude Bertrand , Philippe Deguiral , Laurent Derenne , Nacredine Achour , Bernadette Person , Jean-Philippe Metges , Marie-Annick Lebot , Christian Riche

Organizations

OMIT Bretagne Pays de Loire, Angers, France, Centre Catherine de Sienne, Nantes, France, Centre René Gauducheau, Saint-Herblain, France, ICO Rene Gauducheau, Saint Herblain, France, Clinique Victor Hugo, Le Mans, France, Centre Jean Bernard, Le Mans, France, Centre Paul Papin, Angers, France, ICO Paul Papin, Angers, France, CH Saint Brieuc, Saint Brieuc, France, Institut Paoli Calmettes, Marseille, France, CRCLCC Eugène Marquis, Rennes, France, Pole Hospitalier Mutualiste, St. Nazaire, France, Pôle Hospitalier Mutualiste de St. Nazaire Polyclinique de l'Océan, Sainte Nazaire, France, Clinique Pasteur, Brest, France, Institut de Cancerologie et d'Hematologie CHU Morvan, Brest, France, C.H.R.U. Brest Morvan, Brest, France, OMIT Bretagne Pays de Loire, Brest, France

Research Funding

No funding sources reported

Background: Metastatic colorectal cancer (mCRC) management has been improved by targeted therapies. The evaluation of the use of panitumumab (PANI), after approval, in the real life is strategic to assess health politics. OMIT Bretagne - Pays de Loire is a network of private and public cancer centers. Methods: Data from patients treated with PANI in mCRC were collected. Previously published data are recited. Sex, age, primary tumor, Kras status, line of treatment, toxicity, reason of discontinuation, response, progression free survival (PFS) and overall survival (OS) have been studied. Results: Data of 322 patients treated between second half of 2008 and end of 2010 have been collected. PANI was used alone (85.5%) or with chemotherapy (14.5%) : mainly FOLFIRI, IRINOTECAN or FOLFOX). KRAS status was wild-type (WT 96.5%), mutated (0.5%), undetermined (2.5%) or not searched (0.5%). Only KRAS WT patients treated with monotherapy of PANI at 6 mg/kg every 2 weeks were analysed (n=263). Sexe : 177 men and 86 women. Median age : 67 years [36-90] (Van Custem JCO 2007: 62 years [27-83]). Primary tumor of patients was : colon (75%), rectum (22%) and others (3%). They received PANI mostly at line 2 (25%), 3 (46%) or 4 (19%). Discontinuation of treatment was mostly due to disease progression : 64%, death: 15% and toxicities : 7% (skin toxicities 3.7%). Clinical response was evaluated for the first 84 patients: partial response (PR): 30%, stable disease (SD): 14% and progression (P): 56%. In KRAS WT patients treated by PANI, Amado described 17% of PR, 34% of SD and 49% of P (Amado JCO 2008). Median duration of treatment was 69 days [0;360] (n=249). Median duration between end of treatment and death when death is the cause of end of treatment was 13 days [0;54] (n=35). Median of OS was 137 days [0;816] (n=143) which is lower than previously described (Van Cutsem JCO 2007 : 192 days regardless of KRAS status ; Amado JCO 2008 : 243 days in KRAS WT). Conclusions: The OMIT analysis of patients treated by PANI in Bretagne/Pays de Loire for a mCRC allows to assess the good use, according to its label, in the real life. Complete results about clinical response, PFS (cut-off 01/12/2011), OS and safety as well as previously published data will be shown at the meeting.

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Abstract Details

Meeting

2012 Gastrointestinal Cancers Symposium

Session Type

Poster Session

Session Title

General Poster Session C: Cancers of the Colon and Rectum

Track

Cancers of the Colon, Rectum, and Anus

Sub Track

Multidisciplinary Treatment

Citation

J Clin Oncol 30, 2012 (suppl 4; abstr 608)

DOI

10.1200/jco.2012.30.4_suppl.608

Abstract #

608

Poster Bd #

E39

Abstract Disclosures

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