Basic & Translational - Original Article

Vol. 31 No. 10 (2020): 2020.31.10-Turkish Journal of Gastroenterology

Efficacy and safety of panitumumab in a cohort of patients with metastatic colorectal cancer in France: PANI OUEST, a post–EMA-approval descriptive study with a geriatric oncology focus

Main Article Content

Remy Barraya
Karine Bideau 0
Véronique Guérin Meyer
Véronique Guérin Meyer
Aurelie Fichet
Vincent Klein
Vincent Klein
Yann Touchefeu
Dominique Besson
Herve Desclos
Alain Gourlaouen
Zarrin Alavi
Loic Campion
Delphine Déniel Lagadec 0
Delphine Déniel Lagadec 0
Fanny Marhuenda
Fanny Marhuenda
Francoise Grudé
Francoise Grudé
Nach Eddine Achour 0
Jean-Philippe Metges
Jean-Yves Douillard
Jean-Yves Douillard
Jean-François Ramée
Olivier Dupuis
Helene Senellart
Marc Porneuf
Marc Porneuf
Philippe Deguiral
Jean-Philippe Metges
Nach Eddine Achour 0
Julien Edeline
Isabelle Cumin
Xavier Artignan
Xavier Artignan
Roger Faroux
Claire Stampfli
Oana Cojocarasu

Abstract

Background/Aims: The Bretagne-Pays de la Loire cancer observatory, an oncology network created by the French Ministry of Health, is specifically dedicated to assess the use of new targeted anticancer therapies in routine practice. In line with the French National Cancer III program, our cancer network set up a real-life cohort, which is independent of the pharmaceutical industry, for patients with colorectal cancer to monitor patient safety and quality of care and promote pharmacovigilance.
Materials and Methods: Panitumumab monotherapy was assessed in 243 patients with wild-type Kirsten rat sarcoma who were treated for metastatic colorectal cancer (mCRC) between July 2008 and December 2010 after prior chemotherapy using oxaliplatine and irinotecan. This was a post–European medicine agency marketing (EMA-M) study
Results: This study shed light on the best practices, strategic adaptations, clinical results (treatment objective responses, 13%; progression free survival, 2.99 months [2.73-3.15]; and overall survival, 6.8 months [5.49-8.38]) as well as expected or unexpected (grade 3 or 4: 11.5%) secondary effects in the phase IV panitumumab treatment of mCRC.
Conclusion: Our results are similar to those by Amado whose phase III study led to obtaining EMA-M for panitumumab and tend to confirm the antitumor activity of this antiepidermal growth factor receptor antibody in the treatment of mCRC. In addition, our results opened avenues to further assessment of panitumumab use as monotherapy as well as its benefit–risk ratio while taking into account the patients’ general and clinical characteristics. In 2012, the French National Authority for Health appended these data to the panitumumab transparency committee report.
Cite this article as: Metges JP, Jean-Yves Douillard JY, Jean-François Ramée JF, et al. Efficacy and safety of panitumumab in a cohort of patients with metastatic colorectal cancer in France: PANI OUEST, a post–EMA-approval descriptive study with a geriatric oncology focus. Turk J Gastroenterol 2020; 31(10): 695-705.

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