CClinicalTrials.gg
Status unknownNCT01801904PACERUpdated Mar 24, 2023

A Phase 2 Study of Panitumumab in Patients With Cetuximab-refractory Metastatic Colorectal Cancer

A Phase 2 interventional study of Panitumumab in Metastatic Colorectal Cancer, sponsored by National Cancer Institute, Naples. Status unknown at 5 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-24.

Sponsored by National Cancer Institute, Naples · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2023), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to assess if panitumumab is active enough to warrant comparative studies in patients with metastatic colorectal cancer that has progressed after treatment with cetuximab.

Read the detailed description

The study was amended with modification of inclusion criteria (from wild-type tumor KRAS gene to wild-type RAS gene, including KRAS and NRAS exons 2, 3 and 4)

RAS mutational status of tumors of patients enrolled before amendment 1 approval will be centrally revised. Patients whose tumors will result RAS mutated at the biomarkers central revision, will be replaced. Therefore, the overall sample size at both the stages may be higher than the one initially planned.

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Conditions studied

  • Metastatic Colorectal Cancer

Keywords

  • cetuximab-refractory
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 52 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

National Cancer Institute, Naples is the lead sponsor of 112 studies on the registry; 39 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Pathologic diagnosis of metastatic colorectal adenocarcinoma
  • a wild-type RAS tumor (mutational status has to be determined by an experienced laboratory using validated test methods for detection of KRAS exons 2, 3, and 4, and NRAS exons 2, 3, and 4
  • Failure from previous treatment with fluoropyrimidine, oxaliplatin and irinotecan. Patients may or may not have been treated with bevacizumab.
  • Documented disease progression following a treatment with cetuximab in patients who showed either an objective response after 8 weeks or stable disease after 16 weeks of cetuximab treatment.
  • Age at least 18 years
  • ECOG Performance Status 0-2
  • Neutrophils at least 1,500 mm3, platelets at least 100,000 mm3, and hemoglobin at least 9 g/dL
  • Bilirubin level less than 1.5 times ULN
  • AST (SGOT) and ALT (SGPT) not greater than 2.5 times ULN (or 5 times ULN in presence of liver metastasis)
  • Serum creatinine less than 1.5 times ULN
  • Effective contraception, if the risk of conception exists
  • Life expectancy at least 3 months
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Symptomatic brain metastasis
  • Interstitial pneumonitis or pulmonary fibrosis
  • Any other malignancies within 5 years (except for adequately treated carcinoma in situ of the cervix or non melanoma skin cancer)
  • Chemotherapy, radiotherapy or immunotherapy within the past 4 weeks
  • Any unstable systemic disease (including active infections, any significant hepatic, renal or metabolic disease), metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates the use of study drugs or render the patient at high risk from treatment complications
  • Subject pregnant or breast feeding, or planning to become pregnant within 6 months after the end of treatment
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    Panitumumab

    Drug: Panitumumab

Interventions

  • DrugPanitumumab

    6mg/kg IV given every 2 weeks until disease progression or unacceptable toxicity

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What researchers measure

Primary outcomes

  1. number of patients alive and without disease progression

    progression of disease within 2 months from registration according to RECIST criteria, and death for any cause within 2 months from registration

    Time frame: 2 months

Secondary outcomes

  1. response rate

    Response assessed per patients at weeks 8,16,24,32,40 and every 3 months thereafter, using RECIST criteria

    Time frame: up to 40 weeks

  2. progression free survival

    Time frame: 9 months

  3. overall survival

    Time frame: one year

  4. worst grade toxicity per patient

    worst grade toxicity (according to Common Terminology Criteria for Adverse Events version 3) per patient

    Time frame: every 2 weeks for up to 6 months

Other outcomes

  1. gene expression on tumor tissue

    exploratory analysis of tumor-tissue for biological or genomic determinants of outcome of BRAF and P13K mutation status, EGFR and PTEN expression status

    Time frame: one year

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Study locations

5 sites
  • Azienda Ospedaliera G. Rummo
    Benevento, BN, Italy
  • Ospedale Fatebenefratelli
    Benevento, Italy
  • A.O.U. Policlinico Federico II
    Napoli, Italy
  • Istituto Nazionale dei Tumori
    Napoli, Italy
  • Casa Sollievo Sofferenza
    S. Giovanni Rotondo, Italy
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References and documents

Publications

  • Piccirillo MC, Avallone A, Carlomagno C, Maiello E, Rosati G, Alabiso O, Nasti G, De Placido S, Latiano TP, Bilancia D, Ottaiano A, De Stefano A, Romano C, Silvestro L, Nappi A, Cassata A, Giordano P, Iaffaioli RV, Normanno N, Perrone F, Daniele B. Multicenter Single-Arm, Two-Stage Phase 2 Study of Panitumumab in Patients With Cetuximab-Refractory Metastatic Colorectal Cancer: The PACER Trial. Clin Colorectal Cancer. 2020 Dec;19(4):270-276. doi: 10.1016/j.clcc.2020.05.009. Epub 2020 May 29. PubMed 32631788 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01801904
Lead sponsor
National Cancer Institute, Naples
Collaborators
Azienda Ospedaliera G. Rummo
Responsible party
Sponsor
First posted
Mar 1, 2013
Start date
Dec 2012
Primary completion
Dec 2024 (estimated)
Completion
Dec 2024 (estimated)
Last update
Mar 24, 2023

Study contacts

Bruno Daniele, M.D.
principal investigator · Azienda Sanitaria Rummo, Benevento, Division of Medical Oncology
Francesco Perrone, M.D., Ph.D
principal investigator · National Cancer Institute Naples, Italy; Director Clinical Trials Unit
Ciro Gallo, M.D., Ph.D
principal investigator · Second University of Naples, Italy; Chair of Medical Statistics
Antonio Gasbarrini, M.D.
principal investigator · Università Cattolica del S. Cuore, Policlinico Gemelli, Roma
Giacomo Carteni', M.D.
principal investigator · Ospedale Antonio Cardarelli, Napoli

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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