Stratified phase II trial of cetuximab in patients with recurrent high-grade glioma
(2009) Annals of Oncology — Vol. 20, n° 9, p. 1596-1603 (2009)
Files
35305.pdf
Open Access - Adobe PDF
- 549.03 KB
Details
- Authors
- Abstract
- Patients and methods: In this two-arm, open-label, phase II study patients were stratified according to their epidermal growth factor receptor (EGFR) gene amplification status. Cetuximab was administered intravenously at a dose of 400 mg/m(2) on week 1 followed by weekly dose of 250 mg/m(2). The primary end point for this study was the response rate in both study arms separately. Results: Fifty-five eligible patients (28 with and 27 without EGFR amplification) tolerated cetuximab well. Three patients (5.5%) had a partial response and 16 patients (29.6%) had stable disease. The median time to progression was 1.9 months [95% confidence interval (CI) 1.6-2.2 months]. Whereas the progression-free survival (PFS) was < 6 months in the majority (n = 50/55) of patients, five patients (9.2%) had a PFS on cetuximab of > 9 months. Median overall survival was 5.0 months (95% CI 4.2-5.9 months). No significant correlation was found between response, survival and EGFR amplification. Conclusions: Cetuximab was well tolerated but had limited activity in this patient population with progressive HGG. A minority of patients may derive a more durable benefit but were not prospectively identified by EGFR gene copy number.
- Affiliations
Citations
Neyns, B., Baurain, J.-F., Sadones, J., Joosens, E., Bouttens, F., Verbeke, L., D’Hondt, L., Strauven, T., Chaskis, C., In’t Veld, P., Michotte, A., & De Greve, J. (2009). Stratified phase II trial of cetuximab in patients with recurrent high-grade glioma. Annals of Oncology, 20(9), 1596-1603. https://doi.org/10.1093/annonc/mdp032 (Original work published 2009)