11P - Hypomagnesaemia in the context of cetuximab/panitumumab and proton pump inhibitor therapy

Date 17 December 2016
Event ESMO Asia 2016 Congress
Session Poster lunch
Topics Anticancer Agents
Presenter Rohit Joshi
Citation Annals of Oncology (2016) 27 (suppl_9): ix1-ix8. 10.1093/annonc/mdw573
Authors P. Connolly1, T. Foo1, J. Rowe1, R. Joshi2
  • 1Medical Oncology, Lyell McEwin Hospital, 5112 - Adelaide/AU
  • 2Medical Oncology, Elizabeth Vale, Lyell McEwin Hospital, 5112 - Adelaide/AU



The epidermal growth factor inhibitors cetuximab and panitumumab are associated with hypomagnesaemia. Proton pump inhibitors (PPIs) also have a similar association. The aim of our study was to determine whether patients on both classes of agents develop more significant levels of hypomagnesaemia; which might have potential therapeutic implications.


This study was performed as a retrospective cohort analysis. Fifty consecutive patients treated with cetuximab or panitumumab were selected from our oncology database. Their medical records were reviewed to determine: if they were receiving PPI therapy or other agents contributing to hypomagnesaemia, if they received magnesium supplementation, and the presence of depressive illness. Magnesium levels before, during and after treatment were recorded. Linear mixed-effects models and logistic generalised estimating equation (GEE) models were used for statistical analysis. Unstructured covariance structure was used within the linear mixed-effects model as it resulted in the model of best-fit.


Cetuximab and panitumumab were associated with significant reductions in serum magnesium levels (p 


EGFR inhibitor therapy is associated with hypomagnesaemia. There was a correlation between depression and low magnesium levels. Further investigation is warranted to evaluate the links between these medical conditions, and the role of PPI therapy and magnesium supplementation.

Clinical trial indentification


Legal entity responsible for the study

South Australia Department of Health




All authors have declared no conflicts of interest.