Trial Outcomes & Findings for Study of Hepatic Arterial Infusion With Intravenous Irinotecan, 5FU and Leucovorin With or Without Panitumumab, in Patients With Wild Type RAS Who Have Resected Hepatic Metastases From Colorectal Cancer (NCT NCT01312857)

NCT ID: NCT01312857

Last Updated: 2025-10-09

Results Overview

to determine if panitumumab with Hepatic Arterial Infusion (HAI) in combination with systemic chemotherapy can increase the recurrence free survival (RFS) for colorectal cancer patients with resected liver metastases

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

75 participants

Primary outcome timeframe

15 months

Results posted on

2025-10-09

Participant Flow

Participant milestones

Participant milestones
Measure
Randomization to Panitumumab
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Overall Study
STARTED
37
38
Overall Study
COMPLETED
29
37
Overall Study
NOT COMPLETED
8
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Randomization to Panitumumab
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Overall Study
Adverse Event
1
1
Overall Study
Lost to Follow-up
2
0
Overall Study
Physician Decision
3
0
Overall Study
Withdrawal by Subject
2
0

Baseline Characteristics

Study of Hepatic Arterial Infusion With Intravenous Irinotecan, 5FU and Leucovorin With or Without Panitumumab, in Patients With Wild Type RAS Who Have Resected Hepatic Metastases From Colorectal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Randomization to Panitumumab
n=37 Participants
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 Participants
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Total
n=75 Participants
Total of all reporting groups
Age, Continuous
52 years
n=5 Participants
53 years
n=7 Participants
53 years
n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
17 Participants
n=7 Participants
29 Participants
n=5 Participants
Sex: Female, Male
Male
25 Participants
n=5 Participants
21 Participants
n=7 Participants
46 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
34 Participants
n=5 Participants
34 Participants
n=7 Participants
68 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
34 Participants
n=5 Participants
27 Participants
n=7 Participants
61 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United States
37 Participants
n=5 Participants
38 Participants
n=7 Participants
75 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 15 months

to determine if panitumumab with Hepatic Arterial Infusion (HAI) in combination with systemic chemotherapy can increase the recurrence free survival (RFS) for colorectal cancer patients with resected liver metastases

Outcome measures

Outcome measures
Measure
Randomization to Panitumumab
n=37 Participants
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 Participants
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Participants With Recurrence Free Survival for Colorectal Cancer Participants With Resected Liver Metastases
69 percentage of participants
Interval 53.0 to 82.0
47 percentage of participants
Interval 32.0 to 63.0

SECONDARY outcome

Timeframe: 2 years

Toxicities will be recorded as adverse events on the Adverse Event case report form and must be graded using The National Cancer Institute's Common Toxicity Criteria (CTC)version 4.0 with the exception of skin- or nail-related toxicities, which must be graded using CTC version 3.0 with modifications

Outcome measures

Outcome measures
Measure
Randomization to Panitumumab
n=37 Participants
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 Participants
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Number of Participants Evaluated for Toxicity as Per the NCI Common Toxicity Criteria
37 Participants
38 Participants

SECONDARY outcome

Timeframe: 2 years

Outcome measures

Outcome measures
Measure
Randomization to Panitumumab
n=37 Participants
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 Participants
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Participant Survival
Alive
22 Participants
11 Participants
Participant Survival
Dead
15 Participants
27 Participants

SECONDARY outcome

Timeframe: 2 years

(such as NRAS, BRAF, PIK3CA, AKT1 and MEK1), and correlate with patient progression and survival following therapy.

Outcome measures

Outcome measures
Measure
Randomization to Panitumumab
n=37 Participants
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 Participants
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Number of Participants With Tumor Tissue Expression of Predictive Makers
NRAS
1 Participants
1 Participants
Number of Participants With Tumor Tissue Expression of Predictive Makers
BRAF
0 Participants
2 Participants
Number of Participants With Tumor Tissue Expression of Predictive Makers
PIK3CA
3 Participants
8 Participants
Number of Participants With Tumor Tissue Expression of Predictive Makers
AKT1
0 Participants
0 Participants
Number of Participants With Tumor Tissue Expression of Predictive Makers
MEK1
0 Participants
0 Participants
Number of Participants With Tumor Tissue Expression of Predictive Makers
Participants without predictive tumor markers
33 Participants
27 Participants

Adverse Events

Randomization to Panitumumab

Serious events: 14 serious events
Other events: 27 other events
Deaths: 15 deaths

Randomization to No Panitumumab

Serious events: 6 serious events
Other events: 26 other events
Deaths: 27 deaths

Serious adverse events

Serious adverse events
Measure
Randomization to Panitumumab
n=37 participants at risk
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 participants at risk
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Investigations
Hyperbilirubinemia
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
General disorders
Chills
0.00%
0/37 • 2 years
2.6%
1/38 • 2 years
Gastrointestinal disorders
Colitis
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Colonic obstruction
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Constipation
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Metabolism and nutrition disorders
Dehydration
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Diarrhea
5.4%
2/37 • 2 years
2.6%
1/38 • 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Enteritis
0.00%
0/37 • 2 years
2.6%
1/38 • 2 years
General disorders
Fatigue
2.7%
1/37 • 2 years
2.6%
1/38 • 2 years
General disorders
Fever
8.1%
3/37 • 2 years
2.6%
1/38 • 2 years
Injury, poisoning and procedural complications
Fracture
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Abdominal pain
16.2%
6/37 • 2 years
5.3%
2/38 • 2 years
Blood and lymphatic system disorders
Anemia
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Metabolism and nutrition disorders
Anorexia
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Musculoskeletal and connective tissue disorders
Back pain
2.7%
1/37 • 2 years
2.6%
1/38 • 2 years
Blood and lymphatic system disorders
Leukocytes
0.00%
0/37 • 2 years
2.6%
1/38 • 2 years
Gastrointestinal disorders
Nausea
5.4%
2/37 • 2 years
2.6%
1/38 • 2 years
General disorders
Pain - Other
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Nervous system disorders
Presyncope
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Injury, poisoning and procedural complications
Rectal anastomotic leak
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Renal and urinary disorders
Renal and urinary disorders - Other
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Surgical and medical procedures
Surgical and medical procedures - Other
2.7%
1/37 • 2 years
7.9%
3/38 • 2 years
Vascular disorders
Thromboembolic event
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Vomiting
8.1%
3/37 • 2 years
2.6%
1/38 • 2 years
Investigations
Weight loss
0.00%
0/37 • 2 years
2.6%
1/38 • 2 years
Infections and infestations
Wound infection
5.4%
2/37 • 2 years
0.00%
0/38 • 2 years

Other adverse events

Other adverse events
Measure
Randomization to Panitumumab
n=37 participants at risk
Patients whose liver metastases have been completely resected will be randomized Arm A will receive Panitumumab in addition to HAI FUDR/Dexamethasone plus systemic CPT-11/5FU/LV panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization to panitumumab 6 mg/kg day 15 and 29 Each cycle repeats every 36 days for a total of 6 cycles
Randomization to No Panitumumab
n=38 participants at risk
Patients whose liver metastases have been completely resected will be randomized and patients randomized to Arm B will receive HAI FUDR/Dex plus systemic CPT-11/5FU/LV alone. Randomization to No Panitumumab: All patients receive HAI FUDR (0.12 mg/kg/day X kg X pump volume) / pump flow rate and Dexamethasone flat dose of 25 mg on days 1. All patients receive CPT-11 (150 mg/m2 IV over 30 min to an hour), Leucovorin (400 mg/m2 IV, over 30 min to an hour) and 5FU (1000 mg/m2/day continuous infusion over two days) on days 15 and 29 Randomization (to no panitumumab) Each cycle repeats every 36 days for a total of 6 cycles
Investigations
Alanine aminotransferase increased
32.4%
12/37 • 2 years
28.9%
11/38 • 2 years
Investigations
Alkaline phosphatase increased
10.8%
4/37 • 2 years
7.9%
3/38 • 2 years
Investigations
Blood bilirubin increased
2.7%
1/37 • 2 years
2.6%
1/38 • 2 years
Gastrointestinal disorders
Diarrhea
21.6%
8/37 • 2 years
10.5%
4/38 • 2 years
Skin and subcutaneous tissue disorders
Rash
24.3%
9/37 • 2 years
0.00%
0/38 • 2 years
Metabolism and nutrition disorders
Hyperglycemia
8.1%
3/37 • 2 years
5.3%
2/38 • 2 years
Blood and lymphatic system disorders
Neutropenia
5.4%
2/37 • 2 years
7.9%
3/38 • 2 years
Investigations
Lymphopenia
10.8%
4/37 • 2 years
5.3%
2/38 • 2 years
Metabolism and nutrition disorders
Hypophosphatemia
8.1%
3/37 • 2 years
0.00%
0/38 • 2 years
Infections and infestations
Paronychia
2.7%
1/37 • 2 years
0.00%
0/38 • 2 years
Gastrointestinal disorders
Vomiting
10.8%
4/37 • 2 years
0.00%
0/38 • 2 years

Additional Information

Dr. Nancy Kemeny, MD

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4180

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place