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    Clinical Trial Results:
    A perioperative, single-arm multicenter Phase II academic trial to investigate the efficacy and safety of panitumumab in combination with irinotecan/5-fluorouracil/leucovorin (FOLFIRI) in patients with previously untreated, wild-type RAS, potentially resectable colorectal cancer liver metastases

    Summary
    EudraCT number
    2012-000265-20
    Trial protocol
    AT  
    Global end of trial date

    Results information
    Results version number
    v1
    This version publication date
    21 Oct 2021
    First version publication date
    21 Oct 2021
    Other versions
    v2

    Trial information

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    Trial identification
    Sponsor protocol code
    LM02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Amgen Identifier: ISS 20109160
    Sponsors
    Sponsor organisation name
    ABCSG (Austrian Breast & Colorectal Cancer Study Group)
    Sponsor organisation address
    Nußdorfer Platz 8/12, Vienna, Austria, 1190
    Public contact
    Trial Office, ABCSG (Austrian Breast & Colorectal Cancer Study Group), +43 14089230, info@abcsg.at
    Scientific contact
    Prof. Josef Thaler (Coordinating Investigator), ABCSG (Austrian Breast & Colorectal Cancer Study Group), +43 14089230, info@abcsg.at
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Interim
    Date of interim/final analysis
    30 Jun 2018
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    30 Jun 2018
    Global end of trial reached?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the efficacy and safety of perioperative treatment including panitumumab and FOLFIRI as first line therapy for mCRC in subjects with potentially resectable liver metastases expressing wild-type RAS
    Protection of trial subjects
    The study specific patient information and informed consent form included language to encourage study participants to reach out to the Study Doctor / Study Team in case they have any questions, concerns or doubts. Section 14 specifically referenced a 24/7 contact person to reach out to and the ICF contained a reference to the local ombudsman / patient advocacy. A dedicated DMC was established to ensure patient safety throughout the trial and any safety requests could be addressed to the DMC members for their expertise and input, always considering patient safety and well-being in their decisions.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    02 Oct 2012
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Efficacy
    Long term follow-up duration
    2 Years
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Austria: 36
    Worldwide total number of subjects
    36
    EEA total number of subjects
    36
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    16
    From 65 to 84 years
    20
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Single-arm study with patient registration where study sites provided registration form to ABCSG via fax and a study specific identifier was assigned by ABCSG and returned to study sites in completed form.

    Pre-assignment
    Screening details
    -

    Pre-assignment period milestones
    Number of subjects started
    36
    Number of subjects completed
    36

    Period 1
    Period 1 title
    overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Panitumumab + FOLFIRI
    Arm description
    Panitumumab in combination with irinotecan/5-fluorouracil/leucovorin (FOLFIRI)
    Arm type
    Experimental

    Investigational medicinal product name
    Panitumumab (Vectibix®) (IMP)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    6 mg/kg; totally 24 weeks before and after the surgery

    Investigational medicinal product name
    Irinotecan (NIMP)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate and solvent for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    180 mg/m2; 4 cycles (neoadjuvant) and 8 cycles (adjuvant) (1 cycle=2 weeks)

    Investigational medicinal product name
    5-fluorouracil (NIMP)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    daily 2800 mg/ml (1x 400 (d1; iv bolus) followed by 2400 (over 46 hours iv infusion every 2 weeks); 4 cycles (neoadjuvant) and 8 cycles (adjuvant) (1 cycle = 2 weeks)

    Investigational medicinal product name
    Folinic acid (Leucovorin) (NIMP)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solvent for parenteral use
    Routes of administration
    Intravenous use
    Dosage and administration details
    400 mg/m2; 4 cyles (neoadjuvant) and 8 cycles (adjuvant) (1 cycle = 2 weeks)

    Number of subjects in period 1
    Panitumumab + FOLFIRI
    Started
    36
    Completed
    32
    Not completed
    4
         Physician decision
    1
         Adverse event, non-fatal
    2
         Missing informed consent
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Panitumumab + FOLFIRI
    Reporting group description
    Panitumumab in combination with irinotecan/5-fluorouracil/leucovorin (FOLFIRI)

    Reporting group values
    Panitumumab + FOLFIRI Total
    Number of subjects
    36 36
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    16 16
        From 65-84 years
    20 20
        85 years and over
    0 0
    Age continuous
    Units: years
        median (full range (min-max))
    66 (32 to 81) -
    Gender categorical
    Units: Subjects
        Female
    7 7
        Male
    28 28
        Missing
    1 1
    ECOG Performance Status
    Units: Subjects
        '0'
    29 29
        '1'
    6 6
        Missing
    1 1
    T-stage
    Units: Subjects
        T1
    1 1
        T2
    5 5
        T3
    21 21
        TX
    6 6
        Missing
    3 3
    N-stage
    Units: Subjects
        N0
    11 11
        N1
    8 8
        N2
    5 5
        NX
    8 8
        Missing
    4 4
    Primary tumor location
    Units: Subjects
        Colon
    19 19
        Rectum
    10 10
        Rectum and Colon
    5 5
        Other
    1 1
        Missing
    1 1
    Prior chemotherapy
    Units: Subjects
        yes
    7 7
        no
    28 28
        Missing
    1 1
    Subject analysis sets

    Subject analysis set title
    ITT
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All enrolled patients with signed informed consent.

    Subject analysis sets values
    ITT
    Number of subjects
    35
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    16
        From 65-84 years
    19
        85 years and over
    0
    Age continuous
    Units: years
        median (full range (min-max))
    66 (32 to 81)
    Gender categorical
    Units: Subjects
        Female
    7
        Male
    28
        Missing
    0
    ECOG Performance Status
    Units: Subjects
        '0'
    29
        '1'
    6
        Missing
    0
    T-stage
    Units: Subjects
        T1
    1
        T2
    5
        T3
    21
        TX
    6
        Missing
    2
    N-stage
    Units: Subjects
        N0
    11
        N1
    8
        N2
    5
        NX
    8
        Missing
    3
    Primary tumor location
    Units: Subjects
        Colon
    19
        Rectum
    10
        Rectum and Colon
    5
        Other
    1
        Missing
    0
    Prior chemotherapy
    Units: Subjects
        yes
    7
        no
    28
        Missing
    0

    End points

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    End points reporting groups
    Reporting group title
    Panitumumab + FOLFIRI
    Reporting group description
    Panitumumab in combination with irinotecan/5-fluorouracil/leucovorin (FOLFIRI)

    Subject analysis set title
    ITT
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    All enrolled patients with signed informed consent.

    Primary: Objective Response Rate (ORR)

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    End point title
    Objective Response Rate (ORR) [1]
    End point description
    Objective response rate (ORR) is evaluated using RECIST (1.1), measured by multislice 3-phase CT and is based on target and non-target lesions. Missing radiological response evaluation is evaluated as no objective response. ORR is defined as the proportion of patients with overall response of CR (complete response) or PR (partial response). The number of patients with objective response, as well as the estimated rate and the exact 95% confidence intervals are given.
    End point type
    Primary
    End point timeframe
    After neoadjuvant therapy (4 cycles)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: It is not possible in EudraCT to enter statistical analysis for single-arm studies - the estimated rate with the 95% confidence interval was therefore included in the description.
    End point values
    ITT
    Number of subjects analysed
    35 [2]
    Units: Subjects
        yes
    23
        no
    12
    Notes
    [2] - The estimated ORR is 0.66 with a two-sided 95% confidence interval (CI) of [0.48, 0.81].
    No statistical analyses for this end point

    Primary: Diarrhoea Grade 3/4

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    End point title
    Diarrhoea Grade 3/4 [3]
    End point description
    The safety primary endpoint is to assess the rate of patients with at least one diarrhoea event of grade 3 or 4 (Common Terminology Criteria for Adverse Events (CTCAE) v4.0). For patients without early end of therapy/study before neoadjuvant staging: if diarrhoea documentation for a neoadjuvant therapy visit is missing and there is no prior documented diarrhoea grade III/IV adverse event -- no diarrhoea grade III/IV is assumed for that cycle. For patients with early end of treatment/study before neoadjuvant staging visit: o no diarrhoea Grade III/IV is assumed if the patient died without disease o a diarrhoea Grade III/IV is assumed if the patient had an early end of therapy due to disease progression, due to other (no diarrhoea) toxicity or if the patient withdraws Informed consent during neoadjuvant therapy The number of patients with Diarrhoea Grade 3/4 is given.
    End point type
    Primary
    End point timeframe
    During 4 cycles of neoadjuvant therapy
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Analysis is descriptive only.
    End point values
    ITT
    Number of subjects analysed
    35
    Units: Subjects
        yes
    5
        no
    30
    No statistical analyses for this end point

    Secondary: ORR in patients without liver tissue damage

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    End point title
    ORR in patients without liver tissue damage
    End point description
    Objective response rate (ORR) is evaluated using RECIST (1.1), measured by multislice 3-phase CT and is based on target and non-target lesions. Missing radiological response evaluation is evaluated as no objective response. ORR is defined as the proportion of patients with overall response of CR (complete response) or PR (partial response). The number of patients with objective response in those without liver tissue damage, as well as the number of patients with liver tissue damage are given. Presence of liver tissue damage is defined as chemotherapy-associated steatohepatitis (CASH) or chemotherapyassociated liver injuries. CASH is evaluated through NAFLD activity score (NAS) and Fibrosis score. A NAS score of greater or equal to 3 with or without any fibrosis are diagnostic for CASH. Liver injuries are defined as presence of CASH, sinusoidal obstruction syndrome (SOS) or nodular regenerative hyperplasia (NRH). No liver tissue damage is assumed if neither CASH nor SOS nor NRH occurs.
    End point type
    Secondary
    End point timeframe
    After neoadjuvant therapy (4 cycles)
    End point values
    ITT
    Number of subjects analysed
    5 [4]
    Units: Subjects
        yes
    5
        no
    0
    Notes
    [4] - 5 patients didn't have liver damage (CASH), 13 patients had; 17 had missing documentation
    No statistical analyses for this end point

    Secondary: Resection rate

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    End point title
    Resection rate
    End point description
    All liver lesions resected after final liver metastases surgery are evaluated. Liver lesions with resection margin status R2 (macroscopic residual tumor) are not considered as resected, while RX/R0/R1 are considered as resected. The liver resection rate is evaluated through the number of patients with documented surgery of liver metastases and with all liver lesions resected after final liver metastases surgery. The number of patients with liver resection, as well as the estimated rate and the exact 95% confidence intervals are given.
    End point type
    Secondary
    End point timeframe
    After neoadjuvant chemotherapy
    End point values
    ITT
    Number of subjects analysed
    35 [5]
    Units: Subjects
        yes
    29
        no
    6
    Notes
    [5] - The estimated resection rate is 0.83 with a two-sided 95% confidence interval (CI) of [0.66, 0.93].
    No statistical analyses for this end point

    Secondary: Perioperative morbidity and mortality

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    End point title
    Perioperative morbidity and mortality
    End point description
    Perioperative morbidity is measured by Dindo classification during post-operative stay. Perioperative mortality is defined as any death, regardless of cause, occurring within 30 days after surgery. The number of patients with perioperative morbidity and mortality is given in the different grade categories.
    End point type
    Secondary
    End point timeframe
    During post-operative stay
    End point values
    ITT
    Number of subjects analysed
    15 [6]
    Units: Subjects
        Grade I
    13
        Grade II
    1
        Grade IIIb
    1
    Notes
    [6] - For 15 of 29 patients who underwent surgery of liver metastases Dindo classification was documented.
    No statistical analyses for this end point

    Secondary: Complete pathological response

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    End point title
    Complete pathological response
    End point description
    Pathological response of neoadjuvant chemotherapy is measured by tumor regression grade, a histological tumor response assessment of hepatic colorectal metastases established by Rubbia-Brandt et al. Complete pathological response is defined as a tumor with Rubbia-Brandt tumor regression grade (TRG) 1. The number of patients with complete pathological response is reported.
    End point type
    Secondary
    End point timeframe
    At surgery
    End point values
    ITT
    Number of subjects analysed
    17 [7]
    Units: Subjects
        yes
    1
        no
    16
    Notes
    [7] - For 17 of 29 patients who underwent surgery of liver metastases TRG was documented.
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    throughout the study treatment phase and 28 days after the last administration of study medication
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    15.1
    Reporting groups
    Reporting group title
    Panitumumab and FOLFIRI
    Reporting group description
    -

    Serious adverse events
    Panitumumab and FOLFIRI
    Total subjects affected by serious adverse events
         subjects affected / exposed
    17 / 35 (48.57%)
         number of deaths (all causes)
    9
         number of deaths resulting from adverse events
    3
    Injury, poisoning and procedural complications
    Fall
    Additional description: Fall
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Suture related complication
    Additional description: Suture related complication
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Deep vein thrombosis
    Additional description: Deep vein thrombosis
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cardiac disorders
    Cardiac failure
    Additional description: Cardiac failure
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Nervous system disorders
    Cerebrovascular accident
    Additional description: Cerebrovascular accident
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Encephalopathy
    Additional description: Encephalopathy
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 1
    Blood and lymphatic system disorders
    Febrile neutropenia
    Additional description: Febrile neutropenia
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Leukopenia
    Additional description: Leukopenia
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Pyrexia
    Additional description: Pyrexia
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Diarrhoea
    Additional description: Diarrhoea
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences causally related to treatment / all
    0 / 2
         deaths causally related to treatment / all
    0 / 0
    Ileus
    Additional description: Ileus
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Hepatic failure
    Additional description: Hepatic failure
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
    Additional description: Dyspnoea
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Pulmonary embolism
    Additional description: Pulmonary embolism
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences causally related to treatment / all
    1 / 2
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Dermatitis acneiform
    Additional description: Dermatitis acneiform
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Anal abscess
    Additional description: Anal abscess
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastroenteritis norovirus
    Additional description: Gastroenteritis norovirus
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Liver abscess
    Additional description: Liver abscess
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Sepsis
    Additional description: Sepsis
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Urinary tract infection
    Additional description: Urinary tract infection
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
    Additional description: Dehydration
         subjects affected / exposed
    1 / 35 (2.86%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0.5%
    Non-serious adverse events
    Panitumumab and FOLFIRI
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    35 / 35 (100.00%)
    Vascular disorders
    Hypotension
    Additional description: Hypotension
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    3
    General disorders and administration site conditions
    Chest pain
    Additional description: Chest pain
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Fatigue
    Additional description: Fatigue
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Mucosal dryness
    Additional description: Mucosal dryness
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Oedema peripheral
    Additional description: Oedema peripheral
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    3
    Respiratory, thoracic and mediastinal disorders
    Pulmonary embolism
    Additional description: Pulmonary embolism
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Psychiatric disorders
    Anxiety
    Additional description: Anxiety
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Investigations
    C-reactive protein increased
    Additional description: C-reactive protein increased
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    3
    Nervous system disorders
    Dizziness
    Additional description: Dizziness
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    4
    Blood and lymphatic system disorders
    Leukopenia
    Additional description: Leukopenia
         subjects affected / exposed
    7 / 35 (20.00%)
         occurrences all number
    9
    Neutropenia
    Additional description: Neutropenia
         subjects affected / exposed
    4 / 35 (11.43%)
         occurrences all number
    7
    Eye disorders
    Conjunctivitis
    Additional description: Conjunctivitis
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Gastrointestinal disorders
    Aphthous stomatitis
    Additional description: Aphthous stomatitis
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    3
    Constipation
    Additional description: Constipation
         subjects affected / exposed
    7 / 35 (20.00%)
         occurrences all number
    9
    Diarrhoea
    Additional description: Diarrhoea
         subjects affected / exposed
    17 / 35 (48.57%)
         occurrences all number
    32
    Dry mouth
    Additional description: Dry mouth
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Gastrooesophageal reflux disease
    Additional description: Gastrooesophageal reflux disease
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Nausea
    Additional description: Nausea
         subjects affected / exposed
    11 / 35 (31.43%)
         occurrences all number
    12
    Oral mucosal blistering
    Additional description: Oral mucosal blistering
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Stomatitis
    Additional description: Stomatitis
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    4
    Vomiting
    Additional description: Vomiting
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    4
    Skin and subcutaneous tissue disorders
    Acne
    Additional description: Acne
         subjects affected / exposed
    7 / 35 (20.00%)
         occurrences all number
    9
    Alopecia
    Additional description: Alopecia
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Dermatitis acneiform
    Additional description: Dermatitis acneiform
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    7
    Intertrigo
    Additional description: Intertrigo
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Palmar-plantar erythrodysaesthesia syndrome
    Additional description: Palmar-plantar erythrodysaesthesia syndrome
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    3
    Rash
    Additional description: Rash
         subjects affected / exposed
    17 / 35 (48.57%)
         occurrences all number
    36
    Rash maculo-papular
    Additional description: Rash maculo-papular
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    10
    Skin toxicity
    Additional description: Skin toxicity
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    3
    Renal and urinary disorders
    Proteinuria
    Additional description: Proteinuria
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Infections and infestations
    Nasopharyngitis
    Additional description: Nasopharyngitis
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    3
    Paronychia
    Additional description: Paronychia
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    3
    Pneumonia
    Additional description: Pneumonia
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Urinary tract infection
    Additional description: Urinary tract infection
         subjects affected / exposed
    4 / 35 (11.43%)
         occurrences all number
    4
    Wound infection
    Additional description: Wound infection
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    2
    Metabolism and nutrition disorders
    Decreased appetite
    Additional description: Decreased appetite
         subjects affected / exposed
    3 / 35 (8.57%)
         occurrences all number
    3
    Hypokalaemia
    Additional description: Hypokalaemia
         subjects affected / exposed
    8 / 35 (22.86%)
         occurrences all number
    9
    Hypomagnesaemia
    Additional description: Hypomagnesaemia
         subjects affected / exposed
    2 / 35 (5.71%)
         occurrences all number
    3

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    20 Sep 2013
    Approval for anti-EGFR therapy with Panitumuab was adapted for patients with wild-type RAS mCRC (without mutations in exon 2,3 and 4 of KAS and NRAS) which was reflected in the amendment, along with changes and clarifications in protocol definitions, endpoints, recruitment period (extension to 24 months), as well as administrative and technical updates and corrections (e.g. change of datamanagement system, typo corrections).

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Limitation of a nonrandomized design.
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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