Evidence map›Paper›PMID 29582224›Full record

ArticleTargeted oncology2018

Ramucirumab as Second-Line Therapy in Metastatic Gastric Cancer: Real-World Data from the RAMoss Study.

Maria Di Bartolomeo, Monica Niger, Giuseppe Tirino, Angelica Petrillo, Rosa Berenato, Maria Maddalena Laterza, Filippo Pietrantonio, Federica Morano, Maria Antista, Sara Lonardi and 21 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Targeted oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
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  10. Article
  11. Article
  12. Article
  13. A post-marketing observational study of ramucirumab in patients with gastric cancer in Japan.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2021
    Observational
  14. Review
  15. Review
  16. Review
  17. Article
  18. Glycolytic competence in gastric adenocarcinomas negatively impacts survival outcomes of patients treated with salvage paclitaxel-ramucirumab.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2020
    Article
  19. Cancers · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Maria Di BartolomeoDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy. maria.dibartolomeo@istitutotumori.mi.it.ORCID 0000-0002-7954-6609
Monica NigerDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy.
Giuseppe TirinoUniversity of Campania "Luigi Vanvitelli" - School of Medicine, Naples, Italy.
Angelica PetrilloUniversity of Campania "Luigi Vanvitelli" - School of Medicine, Naples, Italy.
Rosa BerenatoDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy.
Maria Maddalena LaterzaUniversity of Campania "Luigi Vanvitelli" - School of Medicine, Naples, Italy.
Filippo PietrantonioDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy.
Federica MoranoDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy.
Maria AntistaDepartment of Medical Oncology, Fondazione IRCCS Istituto Tumori, via G. Venezian, 1, 20133, Milan, Italy.
Sara LonardiDepartment of Medical Oncology, Istituto Oncologico Veneto-IRCCS, Padova, Italy.
Lorenzo FornaroOncology Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Stefano TamberiDepartment of Oncology and Haematology, Oncology Unit, Faenza Hospital AUSL Romagna, Ravenna, Italy.
Elisa GiommoniMedical Oncology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Alberto ZaniboniMedical Oncology Unit, Fondazione Poliambulanza, Brescia, Italy.
Lorenza RimassaMedical Oncology and Hematology Unit, Humanitas Cancer Center, Humanitas Clinical and Research Center, Milan, Italy.
Gianluca TomaselloDivision of Medicine and Medical Oncology, Azienda Istituti Ospitalieri, Cremona, Italy.
Teodoro SavaDepartment of Medical Oncology, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
Massimiliano SpadaFondazione Istituto G. Giglio di Cefalu, Palermo, Italy.
Tiziana LatianoMedical Oncology Hospital Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Alessandro BittoniDepartment of Oncology, Ospedali Riuniti, Università Politecnica delle Marche, Ancona, Italy.
Alessandro BertoliniAzienda Ospedaliera della Valtellina e della Valchiavenna, Sondrio, Italy.
Ilaria ProserpioMedical Oncology, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.
Katia Bruna BencardinoDepartment of Hematology and Oncology, Niguarda Cancer Center, Niguarda, Milan, Italy.
Francesco GrazianoMedical Oncology Unit, Azienda Ospedaliera-Ospedali Riuniti Marche Nord, Pesaro, Italy.
Giordano BerettaMedical Oncology Unit, Humanitas Gavazzeni, Bergamo, Italy.
Salvatore GaldyUnit of Gastrointestinal Medical Oncology and Neuroendocrine Tumors, European Institute of Oncology, Milan, Italy.
Jole VentrigliaUniversity of Campania "Luigi Vanvitelli" - School of Medicine, Naples, Italy.
Simone ScagnoliMedical Oncology Department, University of Rome Sapienza, Rome, Italy.
Andrea SpallanzaniMedical Oncology and Hematology Department, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Raffaella LongariniUnit of Medical Oncology, San Gerardo Hospital, Monza, Italy.
Ferdinando De VitaUniversity of Campania "Luigi Vanvitelli" - School of Medicine, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRamucirumab-alone or combined with paclitaxel-represents one of the main options for patients failing first-line treatment for advanced gastric cancer.

objectiveThe RAMoss study aimed to evaluate the safety and efficacy profile of ramucirumab in the "real-life setting". PATIENTS AND

methodsPatients from 25 Italian hospitals started therapy consisting of ramucirumab 8 mg/kg i.v. d1,15q28 with or without paclitaxel 80 mg/m

resultsOne hundred sixty-seven patients with disease progression on first-line therapy received ramucirumab as monotherapy (10%) or combined with paclitaxel (90%). Median treatment duration was 4 months (1-17 months). Global incidence of grade (G) 3-4 toxicity was 9.6%, and for neutropenia 5.4%; treatment was discontinued due to toxicity in 3% of patients. The most frequent adverse events (AE) were G1-2 fatigue (27.5%), G1-2 neuropathy (26.3%), and G1-2 neutropenia (14.9%). ORR was 20.2%. Stable disease was observed in 39.2% of patients, with a disease control rate of 59.4%. With a median follow-up of 11 months, median PFS was 4.3 months (95% confidence interval [CI] 4.1-4.7), whereas median OS was 8.0 months (95% CI: 7.09-8.9). In a multivariate analysis, ECOG performance status <1 or ≥1 (HR 1.13, 95% CI 1.0-1.27, p = 0.04) and the presence versus absence of peritoneal metastases (HR 1.57, 95% CI 1.63-2.39, p = 0.03) were independent poor prognostic factors.

conclusionsThese "real-life" efficacy data on ramucirumab treatment are in line with previous randomized trials. Ramucirumab is well tolerated in daily clinical practice.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedNeoplasm MetastasisRamucirumabRetrospective StudiesStomach NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedRamucirumab

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.