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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01001377




Registration number
NCT01001377
Ethics application status
Date submitted
22/10/2009
Date registered
26/10/2009
Date last updated
21/09/2022

Titles & IDs
Public title
ASPECCT: A Study of Panitumumab Efficacy and Safety Compared to Cetuximab in Patients With KRAS Wild-Type Metastatic Colorectal Cancer
Scientific title
A Randomized, Multicenter, Open-label, Phase 3 Study to Compare the Efficacy and Safety of Panitumumab and Cetuximab in Subjects With Previously Treated, Wild-type KRAS, Metastatic Colorectal Cancer
Secondary ID [1] 0 0
ASPECCT
Secondary ID [2] 0 0
20080763
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Metastatic Colorectal Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Bowel - Back passage (rectum) or large bowel (colon)

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Cetuximab
Treatment: Drugs - Panitumumab

Active Comparator: Cetuximab - Cetuximab 400 mg/m^2 as an initial dose, followed by 250 mg/m^2 intravenously (IV) every 7 days.
Participants were treated until disease progression, intolerability, withdrawal of consent, or death.

Experimental: Panitumumab - Panitumumab 6 mg/kg IV every 14 days. Participants were treated until disease progression, intolerability, withdrawal of consent, or death.


Treatment: Drugs: Cetuximab
Administered by intravenous infusion

Treatment: Drugs: Panitumumab
Administered by intravenous infusion

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Overall Survival
Timepoint [1] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [1] 0 0
Progression-free Survival
Timepoint [1] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [2] 0 0
Objective Response
Timepoint [2] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [3] 0 0
Duration of Response
Timepoint [3] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [4] 0 0
Time to Response
Timepoint [4] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [5] 0 0
Time to Treatment Failure
Timepoint [5] 0 0
From randomization until the data cut-off date of 5 February 2013. Maximum time on study was 155 weeks.
Secondary outcome [6] 0 0
Change From Baseline in EuroQOL 5 Dimension (EQ-5D) Health State Index Score
Timepoint [6] 0 0
From Study Day 1 through the last day of treatment or disease progression, up to Week 85.
Secondary outcome [7] 0 0
Change From Baseline in EuroQOL 5 Dimension (EQ-5D) Visual Analog Scale (VAS)
Timepoint [7] 0 0
From Study Day 1 through the last day of treatment or disease progression, up to Week 85.
Secondary outcome [8] 0 0
Change From Baseline in National Comprehensive Cancer Network Functional Assessment of Cancer Therapy Colorectal Symptom Index (NCCN FCSI ) Symptoms Score
Timepoint [8] 0 0
From Study Day 1 through the last day of treatment or disease progression, up to Week 85.
Secondary outcome [9] 0 0
Change From Baseline in NCCN FCSI Physical Well-being Scale Score
Timepoint [9] 0 0
From Study Day 1 through the last day of treatment or disease progression, up to Week 85.
Secondary outcome [10] 0 0
Change From Baseline in NCCN FCSI Functional Well-being Scale Score
Timepoint [10] 0 0
From Study Day 1 through the last day of treatment or disease progression, up to Week 85.
Secondary outcome [11] 0 0
Number of Participants With Adverse Events (AEs)
Timepoint [11] 0 0
From the day of the first dose of study therapy through 30 days since the last dose. Maximum time on study treatment was 130 weeks.

Eligibility
Key inclusion criteria
- Histologically or cytologically confirmed diagnosis of adenocarcinoma of the colon or
rectum, metastatic disease

- Wild-type KRAS tumor status

- Eastern Cooperative Oncology Group (ECOG) score of 0, 1 or 2

- Must have failed a prior regimen containing irinotecan for metastatic disease and a
prior regimen containing oxaliplatin for metastatic disease

- Must have previously received a thymidylate synthase inhibitor (eg, fluorouracil,
capecitabine, raltitrexed, or fluorouracil-uracil) at any point for treatment of
colorectal cancer (CRC)

- Adequate hematologic, renal, hepatic and metabolic function
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Symptomatic brain metastases requiring treatment

- Prior anti-epidermal growth factor receptor (EGFr) antibody therapy (eg, panitumumab
or cetuximab) or treatment with small molecule EGFr inhibitors (eg, gefitinib,
erlotinib, lapatinib)

- Antitumor therapy (eg, chemotherapy, hormonal therapy, immunotherapy, antibody
therapy, radiotherapy), or investigational agent or therapy = 30 days before
randomization.

- Clinically significant cardiovascular disease

- Active infection requiring systemic treatment or any uncontrolled infection =14 days
prior to randomization

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
Recruitment hospital [1] 0 0
Research Site - Liverpool
Recruitment hospital [2] 0 0
Research Site - St Leonards
Recruitment hospital [3] 0 0
Research Site - Wahroonga
Recruitment hospital [4] 0 0
Research Site - Wollongong
Recruitment hospital [5] 0 0
Research Site - Woodville South
Recruitment hospital [6] 0 0
Research Site - Ballarat
Recruitment hospital [7] 0 0
Research Site - Box Hill
Recruitment hospital [8] 0 0
Research Site - Epping
Recruitment hospital [9] 0 0
Research Site - Footscray
Recruitment hospital [10] 0 0
Research Site - Heidelberg
Recruitment hospital [11] 0 0
Research Site - Parkville
Recruitment postcode(s) [1] 0 0
2170 - Liverpool
Recruitment postcode(s) [2] 0 0
2065 - St Leonards
Recruitment postcode(s) [3] 0 0
2076 - Wahroonga
Recruitment postcode(s) [4] 0 0
2500 - Wollongong
Recruitment postcode(s) [5] 0 0
5011 - Woodville South
Recruitment postcode(s) [6] 0 0
3350 - Ballarat
Recruitment postcode(s) [7] 0 0
3128 - Box Hill
Recruitment postcode(s) [8] 0 0
3076 - Epping
Recruitment postcode(s) [9] 0 0
3011 - Footscray
Recruitment postcode(s) [10] 0 0
3084 - Heidelberg
Recruitment postcode(s) [11] 0 0
3050 - Parkville
Recruitment outside Australia
Country [1] 0 0
United States of America
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California
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United States of America
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Florida
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United States of America
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Kansas
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United States of America
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Texas
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United States of America
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Utah
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Belgium
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Edegem
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Bulgaria
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Sofia
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Canada
State/province [8] 0 0
Alberta
Country [9] 0 0
Canada
State/province [9] 0 0
Nova Scotia
Country [10] 0 0
China
State/province [10] 0 0
Guangdong
Country [11] 0 0
China
State/province [11] 0 0
Heilongjiang
Country [12] 0 0
China
State/province [12] 0 0
Hunan
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China
State/province [13] 0 0
Jiangsu
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China
State/province [14] 0 0
Jilin
Country [15] 0 0
China
State/province [15] 0 0
Shaanxi
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China
State/province [16] 0 0
Shanghai
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China
State/province [17] 0 0
Sichuan
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China
State/province [18] 0 0
Zhejiang
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China
State/province [19] 0 0
Beijing
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China
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Tianjin
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Czechia
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Horovice
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Czechia
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Nova Ves pod Plesi
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Czechia
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Olomouc
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Czechia
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Praha 10
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Czechia
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Pribram
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Czechia
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Znojmo
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France
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Besançon Cedex
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France
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Montbéliard
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France
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Saint Brieuc
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France
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Saint Herblain
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France
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Villejuif cedex
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Hong Kong
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Kowloon
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Hong Kong
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New Territories
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India
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Andhra Pradesh
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India
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Kerala
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India
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Maharashtra
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India
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Rajasthan
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India
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Tamil Nadu
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India
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West Bengal
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Israel
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Beer Sheva
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Israel
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Jerusalem
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Israel
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Kfar Saba
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Israel
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Ramat Gan
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Israel
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Rehovot
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Italy
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Ancona
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Italy
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Cesena
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Italy
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Cremona
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Italy
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Faenza RA
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Italy
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Genova
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Italy
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Lugo
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Italy
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Meldola FC
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Italy
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Ravenna
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Italy
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Rimini
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Italy
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Torino
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Korea, Republic of
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Goyang-si, Gyeonggi-do
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Korea, Republic of
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Seoul
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Latvia
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Daugavpils
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Latvia
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Riga
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Lithuania
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Kaunas
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Lithuania
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Vilnius
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Malaysia
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Kelantan
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Malaysia
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Sabah
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Malaysia
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Wilayah Persekutuan
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Netherlands
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Rotterdam
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Peru
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Lima
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Philippines
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Cebu City
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Philippines
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Manila
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Philippines
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Quezon City
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Poland
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Elblag
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Gdansk
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Poland
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Jelenia Gora
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Poznan
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Poland
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Szczecin
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Poland
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Warszawa
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Romania
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Bucharest
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Romania
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Sibiu
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Russian Federation
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Moscow
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Russian Federation
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Saint Petersburg
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Russian Federation
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Saint-Petersburg
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Serbia
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Nis
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Serbia
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Sremska Kamenica
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Singapore
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Singapore
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Slovakia
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Bardejov
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Slovakia
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Bratislava
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Slovakia
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Nitra
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South Africa
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Gauteng
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South Africa
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Western Cape
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South Africa
State/province [88] 0 0
Johannesburg
Country [89] 0 0
South Africa
State/province [89] 0 0
Port Elizabeth
Country [90] 0 0
Sweden
State/province [90] 0 0
Göteborg
Country [91] 0 0
Sweden
State/province [91] 0 0
Linköping
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Sweden
State/province [92] 0 0
Lund
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Sweden
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Uppsala
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Sweden
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Västerås
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Sweden
State/province [95] 0 0
Växjö
Country [96] 0 0
Taiwan
State/province [96] 0 0
Chiayi
Country [97] 0 0
Taiwan
State/province [97] 0 0
Keelung
Country [98] 0 0
Taiwan
State/province [98] 0 0
Tainan
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Taiwan
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Taipei
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Taiwan
State/province [100] 0 0
Taoyuan
Country [101] 0 0
United Kingdom
State/province [101] 0 0
Belfast
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United Kingdom
State/province [102] 0 0
Bristol
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United Kingdom
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Cardiff
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United Kingdom
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Guildford
Country [105] 0 0
United Kingdom
State/province [105] 0 0
Leicester
Country [106] 0 0
United Kingdom
State/province [106] 0 0
London
Country [107] 0 0
United Kingdom
State/province [107] 0 0
Maidstone
Country [108] 0 0
United Kingdom
State/province [108] 0 0
Manchester
Country [109] 0 0
United Kingdom
State/province [109] 0 0
Oxford
Country [110] 0 0
United Kingdom
State/province [110] 0 0
Sutton
Country [111] 0 0
United Kingdom
State/province [111] 0 0
Wolverhampton

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Amgen
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The primary objective of this study is to compare the effect of panitumumab versus cetuximab
on overall survival (OS) for chemorefractory metastatic colorectal cancer (mCRC) among
patients with wild-type Kirsten rat Sarcoma-2 virus (KRAS) tumors.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01001377
Trial related presentations / publications
Price T, Kim TW, Li J, Cascinu S, Ruff P, Suresh AS, Thomas A, Tjulandin S, Guan X, Peeters M. Final results and outcomes by prior bevacizumab exposure, skin toxicity, and hypomagnesaemia from ASPECCT: randomized phase 3 non-inferiority study of panitumumab versus cetuximab in chemorefractory wild-type KRAS exon 2 metastatic colorectal cancer. Eur J Cancer. 2016 Nov;68:51-59. doi: 10.1016/j.ejca.2016.08.010. Epub 2016 Oct 5.
Price TJ, Peeters M, Kim TW, Li J, Cascinu S, Ruff P, Suresh AS, Thomas A, Tjulandin S, Zhang K, Murugappan S, Sidhu R. Panitumumab versus cetuximab in patients with chemotherapy-refractory wild-type KRAS exon 2 metastatic colorectal cancer (ASPECCT): a randomised, multicentre, open-label, non-inferiority phase 3 study. Lancet Oncol. 2014 May;15(6):569-79. doi: 10.1016/S1470-2045(14)70118-4. Epub 2014 Apr 14.
Kim TW, Peeters M, Thomas A, Gibbs P, Hool K, Zhang J, Ang AL, Bach BA, Price T. Impact of Emergent Circulating Tumor DNA RAS Mutation in Panitumumab-Treated Chemoresistant Metastatic Colorectal Cancer. Clin Cancer Res. 2018 Nov 15;24(22):5602-5609. doi: 10.1158/1078-0432.CCR-17-3377. Epub 2018 Jun 13.
Peeters M, Price T, Boedigheimer M, Kim TW, Ruff P, Gibbs P, Thomas A, Demonty G, Hool K, Ang A. Evaluation of Emergent Mutations in Circulating Cell-Free DNA and Clinical Outcomes in Patients with Metastatic Colorectal Cancer Treated with Panitumumab in the ASPECCT Study. Clin Cancer Res. 2019 Feb 15;25(4):1216-1225. doi: 10.1158/1078-0432.CCR-18-2072. Epub 2018 Nov 28.
Price T, Ang A, Boedigheimer M, Kim TW, Li J, Cascinu S, Ruff P, Satya Suresh A, Thomas A, Tjulandin S, Peeters M. Frequency of S492R mutations in the epidermal growth factor receptor: analysis of plasma DNA from patients with metastatic colorectal cancer treated with panitumumab or cetuximab monotherapy. Cancer Biol Ther. 2020 Oct 2;21(10):891-898. doi: 10.1080/15384047.2020.1798695. Epub 2020 Oct 7.
Public notes

Contacts
Principal investigator
Name 0 0
MD
Address 0 0
Amgen
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01001377