Treatment Rationale and Study Design for the RELAY Study: A Multicenter, Randomized, Double-Blind Study of Erlotinib With Ramucirumab or Placebo in Patients With Epidermal Growth Factor Receptor Mutation-Positive Metastatic Non-Small-Cell Lung Cancer

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Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Garon, EB
  • Reck, M
  • Paz-Ares, L
  • Ponce, S
  • Jaime, JC
  • Nadal, E
  • Lee, P
  • Dalal, R
  • Liu, JY
  • He, S
  • Treat, J
  • Nakagawa, K

Grupos

Abstract

Introduction: We present the treatment rationale and study design for the RELAY study (NCT02411448). This phase lb/III study will assess safety, tolerability, and efficacy of the combination of ramucirumab with erlotinib in previously untreated stage IV non small-cell lung cancer patients with an activating epidermal growth factor receptor (EGFR) mutation. Patients and Methods: The study is being conducted in approximately 120 sites in North America, Europe, and Asia and is currently open for enrollment. In part A (phase lb), approximately 12 patients will receive ramucirumab (10 mg/kg) every 2 weeks with erlotinib (150 mg) every day. Dose -limiting toxicity will be assessed during 2 cycles (4 weeks) of treatment. In part B (phase III), approximately 450 patients will be randomized in a 1:1 ratio to receive ramucirumab or placebo every 2 weeks with erlotinib daily until disease progression, unacceptable toxicity, or other withdrawal criteria are met. The primary end point is progression-free survival, on the basis of investigator assessment. Secondary end points include overall survival, objective response rate, disease control rate, duration of response, safety, and quality of life. Conclusion: Erlotinib with ramucirumab combination was chosen because the addition of an antiangiogenic agent, such as ramucirumab, would further improve the efficacy of erlotinib, which is a standard of care in the first-line treatment of patients with activating EGFR mutations. (C) 2016 Elsevier Inc. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
1525-7304, 1938-0690

Clinical Lung Cancer  CIG MEDIA GROUP, LP

Tipo:
Article
Páginas:
96-99
PubMed:
27894601
Factor de Impacto:
1,597 SCImago
Cuartil:
Q1 SCImago

Citas Recibidas en Web of Science: 9

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Keywords

  • Epidermal growth factor receptor mutation; Erlotinib; Non-small cell lung cancer; Ramucirumab; RELAY trial

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