1. The efficacy and safety of panitumumab supplementation for colorectal cancer
- Author
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Chunyan Tan, Chengchen Wang, Xiaopin Chen, and Shuangdong Chen
- Subjects
Male ,Oncology ,medicine.medical_specialty ,panitumumab supplementation ,Organoplatinum Compounds ,Colorectal cancer ,Leucovorin ,colorectal cancer ,Cochrane Library ,medicine.disease_cause ,Disease-Free Survival ,law.invention ,03 medical and health sciences ,Antineoplastic Agents, Immunological ,0302 clinical medicine ,treatment efficacy ,Randomized controlled trial ,law ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Medicine ,Panitumumab ,030212 general & internal medicine ,Adverse effect ,Randomized Controlled Trials as Topic ,business.industry ,General Medicine ,medicine.disease ,Survival Analysis ,Treatment Outcome ,030220 oncology & carcinogenesis ,Meta-analysis ,randomized controlled trials ,Female ,Fluorouracil ,Patient Safety ,KRAS ,Colorectal Neoplasms ,business ,Systematic Review and Meta-Analysis ,Progressive disease ,Research Article ,medicine.drug - Abstract
Background: The efficacy of panitumumab supplementation for colorectal cancer remains controversial. We conduct a systematic review and meta-analysis to explore the influence of panitumumab supplementation on treatment efficacy of colorectal cancer. Methods: We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through June 2019 for randomized controlled trials (RCTs) assessing the efficacy of panitumumab supplementation for colorectal cancer. This meta-analysis is performed using the random-effect model. Results: Five RCTs are included in the meta-analysis. Overall, compared with control group for colorectal cancer, panitumumab supplementation is associated with the increase in objective response for wild-type (WT) KRAS (RR = 1.70; 95% CI = 1.07–2.69; P = .03), but has no remarkable influence on objective response for mutant KRAS (RR = 0.92; 95% CI = 0.79–1.08; P = .32), objective response (RR = 1.35; 95% CI = 1.00–1.83; P = 0.05), progressive disease for WT KRAS (RR = 0.94; 95% CI = 0.85–1.02; P = .15), mortality (RR = 0.86; 95% CI = 0.69–1.08; P = .20), or mortality for WT KRAS (RR = 0.94; 95% CI = 0.84–1.05; P = .28). In addition, grade 3 and 4 adverse events are found to be higher in panitumumab group than those in control group (RR = 1.17; 95% CI = 1.08–1.27; P = .0001; Fig. 8). Conclusions: Panitumumab supplementation can provide some improvement in objective response for colorectal cancer patients with WT KRAS, but results in the increase in grade 3 and 4 adverse events.
- Published
- 2020
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