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Article

A Real-Life Experience Using Panitumumab in Chemo-Refractory Metastatic Colorectal Cancer Patients: A Retrospective Analysis at the Jewish General Hospital, 2009–2012

1
Department of Oncology, McGill University, and the Segal Cancer Centre, Sir Mortimer B. Davis Jewish General Hospital, Montreal, QC, Canada
2
Division of General Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2013, 20(2), 107-112; https://doi.org/10.3747/co.20.1271
Submission received: 2 January 2013 / Revised: 4 February 2013 / Accepted: 5 March 2013 / Published: 1 April 2013

Abstract

Background: Panitumumab is a fully human monoclonal antibody, directed against the epidermal growth factor receptor, that was shown to be effective in third-line metastatic colorectal cancer. We performed a retrospective analysis of patients with chemo-refractory non-KRAS-mutated metastatic colorectal cancer, who received panitumumab at the Jewish General Hospital in Montreal, Canada, between 2009 and 2012. Methods: This chart review included 44 patients (median age: 60 years; performance status: 0–3), of whom 50% had already received three lines of treatment. The primary endpoint was progression-free survival (PFS). Secondary endpoints were overall survival and safety. Tumour progression was determined by radiologic assessments performed once every 3 months per clinical guidelines or by clinical deterioration as determined by the clinician–investigator. Results: In our sample, median PFS was 21.86 ± 5.23 weeks (95% confidence interval: 12.9 to 36.9 weeks) and overall survival was 35.14 ± 7.75 weeks (95% confidence interval: 25.6 to 73.4 weeks) with a median of 5 cycles of panitumumab treatment. The most frequently reported toxicities with panitumumab were skin toxicity (16.2% grade 3) and hypomagnesemia (10.8% grade 3). No infusion reactions were reported. Conclusions: Despite a small sample size from a single institution, our survival and efficacy data are encouraging and comparable to results obtained from the registration panitumumab trial. Our findings suggest that panitumumab can be effective and tolerable in a real-world setting.
Keywords: metastatic colorectal cancer; panitumumab; progression-free survival; overall survival; safety metastatic colorectal cancer; panitumumab; progression-free survival; overall survival; safety

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MDPI and ACS Style

Mamo, A.; Nogueira, M.C., 1; Batist, G.; Palumbo, M.; Panasci, L.; Ferrario, C.; Chaudhury, P.; Metrakos, P.; Kavan, P. A Real-Life Experience Using Panitumumab in Chemo-Refractory Metastatic Colorectal Cancer Patients: A Retrospective Analysis at the Jewish General Hospital, 2009–2012. Curr. Oncol. 2013, 20, 107-112. https://doi.org/10.3747/co.20.1271

AMA Style

Mamo A, Nogueira MC 1, Batist G, Palumbo M, Panasci L, Ferrario C, Chaudhury P, Metrakos P, Kavan P. A Real-Life Experience Using Panitumumab in Chemo-Refractory Metastatic Colorectal Cancer Patients: A Retrospective Analysis at the Jewish General Hospital, 2009–2012. Current Oncology. 2013; 20(2):107-112. https://doi.org/10.3747/co.20.1271

Chicago/Turabian Style

Mamo, A., M. Cardoso Nogueira 1, G. Batist, M. Palumbo, L. Panasci, C. Ferrario, P. Chaudhury, P. Metrakos, and P. Kavan. 2013. "A Real-Life Experience Using Panitumumab in Chemo-Refractory Metastatic Colorectal Cancer Patients: A Retrospective Analysis at the Jewish General Hospital, 2009–2012" Current Oncology 20, no. 2: 107-112. https://doi.org/10.3747/co.20.1271

APA Style

Mamo, A., Nogueira, M. C., 1, Batist, G., Palumbo, M., Panasci, L., Ferrario, C., Chaudhury, P., Metrakos, P., & Kavan, P. (2013). A Real-Life Experience Using Panitumumab in Chemo-Refractory Metastatic Colorectal Cancer Patients: A Retrospective Analysis at the Jewish General Hospital, 2009–2012. Current Oncology, 20(2), 107-112. https://doi.org/10.3747/co.20.1271

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