Amgen Presents Complete Results From Two Pivotal Phase 3 Studies of Vectibix(R) at Gastrointestinal Cancers Symposium
2010年1月21日 - 11:00PM
PRニュース・ワイアー (英語)
THOUSAND OAKS, Calif., Jan. 21 /PRNewswire-FirstCall/ -- Amgen
(NASDAQ: AMGN) today announced that detailed results from two
pivotal Phase 3 studies evaluating Vectibix® (panitumumab) in
combination with chemotherapy for the first and second-line
treatment of metastatic colorectal cancer (mCRC) (the PRIME '203'
and '181' trials, respectively) will be presented at the 2010
American Society of Clinical Oncology (ASCO) Gastrointestinal
Cancers Symposium in Orlando, Florida from Jan. 22-24, 2010. "The
results from the 203 and 181 trials evaluating Vectibix
administered in combination with chemotherapy in first and
second-line treatment provide important information for patients
with metastatic colorectal cancer and the physicians who care for
them," said Roger M. Perlmutter, M.D., Ph.D., executive vice
president of Research and Development at Amgen. "Our data reinforce
the importance of the KRAS mutation as a predictive biomarker for
responsiveness to Vectibix therapy. We believe that KRAS testing
should be conducted in all patients with colorectal cancer soon
after diagnosis, to allow physicians to choose the most appropriate
treatment strategies for their patients." Full data from these two
pivotal Phase 3 studies will be presented on Sunday, January 24, at
10:30 a.m. (EST). Identified below are selected abstracts of
interest. Updated data will be presented at the meeting. SELECTED
ABSTRACTS OF INTEREST -- Randomized phase 3 study of panitumumab
(pmab) with FOLFIRI vs FOLFIRI alone as 2nd-line treatment (tx) in
patients (pts) with metastatic colorectal cancer (mCRC): Patient
reported outcomes (PRO) Lead Author: Peeters M Abstract No. 282
(Sunday, Jan. 24, 2010, 10:30 a.m.-12:00 p.m.) -- Randomized phase
3 study of panitumumab (pmab) with FOLFOX4 compared to FOLFOX4
alone as first-line treatment (tx) for metastatic colorectal cancer
(mCRC): PRIME trial Lead Author: Siena S Abstract No. 283 (Sunday,
Jan. 24, 2010, 10:30 a.m.-12:00 p.m.) -- Primary analysis of a
phase II study (20060314) combining first line panitumumab (pmab)
with FOLFIRI in the treatment of patients (pts) with metastatic
colorectal cancer (mCRC) Lead Author: Koehne C-H Abstract No. 414
(Sunday, Jan. 24, 2010, 7:00-8:00 a.m., 12:00-1:00 p.m.) --
Epidermal-growth factor receptor (EGFR) inhibitor-related skin
toxicity: review of primary analysis data from a phase II study
(20060314) of panitumumab (pmab) with FOLFIRI in the first line
treatment of metastatic colorectal cancer (mCRC) Lead Author:
Karthaus M Abstract No. 429 (Sunday, Jan. 24, 2010, 7:00-8:00 a.m.,
12:00-1:00 p.m.) About Vectibix Vectibix is the first fully human
anti-EGFR antibody approved by the United States (U.S.) Food and
Drug Administration (FDA) for the treatment of mCRC. Vectibix was
approved in the U. S. in September 2006 as monotherapy for the
treatment of patients with EGFRexpressing metastatic colorectal
carcinoma after disease progression on or following
fluoropyrimidine-, oxaliplatin-, and irinotecan-containing
chemotherapy regimens. The effectiveness of Vectibix as a single
agent for the treatment of EGFR-expressing, metastatic colorectal
carcinoma is based on progression-free survival. Currently no data
are available that demonstrate an improvement in disease-related
symptoms or increased survival with Vectibix. Retrospective subset
analyses of metastatic colorectal cancer trials have not shown a
treatment benefit for Vectibix in patients whose tumors had KRAS
mutations in codon 12 or 13. Use of Vectibix is not recommended for
the treatment of colorectal cancer with these mutations. In
December 2007, the European Medicines Agency (EMA) granted a
conditional marketing authorization for Vectibix as monotherapy for
the treatment of patients with EGFR expressing metastatic
colorectal carcinoma with non-mutated (wild-type) KRAS after
failure of fluoropyrimidine-, oxaliplatin-, and
irinotecan-containing chemotherapy regimens. Vectibix has been
launched in over 20 EU countries, Russia, Switzerland, Australia
and Canada. Applications in the rest of the world are pending.
Important Product Safety Information Dermatologic Toxicity:
Dermatologic toxicities occurred in 89 percent of patients and were
severe (NCI-CTC grade 3 and higher) in 12 percent of patients
receiving Vectibix monotherapy. Withhold Vectibix for dermatologic
toxicities that are grade 3 or higher or are considered
intolerable. If toxicity does not improve to less than or equal to
grade 2 within 1 month, permanently discontinue Vectibix. The
clinical manifestations included, but were not limited to,
dermatitis acneiform, pruritus, erythema, rash, skin exfoliation,
paronychia, dry skin, and skin fissures. Subsequent to the
development of severe dermatologic toxicities, infectious
complications, including sepsis, septic death, and abscesses
requiring incisions and drainage were reported. Infusion Reactions:
Severe infusion reactions occurred in approximately 1 percent of
patients. Severe infusion reactions included anaphylactic
reactions, bronchospasm, and hypotension. Although not reported
with Vectibix, fatal infusion reactions have occurred with other
monoclonal antibody products. Stop infusion if a severe infusion
reaction occurs. Depending on the severity and/or persistence of
the reaction, permanently discontinue Vectibix. About Amgen Amgen
discovers, develops, manufactures and delivers innovative human
therapeutics. A biotechnology pioneer since 1980, Amgen was one of
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bringing safe and effective medicines from lab, to manufacturing
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