Evidence map›Paper›PMID 34590023›Full record

ArticleJTO clinical and research reports2021

Ramucirumab Plus Erlotinib Versus Placebo Plus Erlotinib in Patients With Untreated Metastatic

Kazuto Nishio, Takashi Seto, Makoto Nishio, Martin Reck, Edward B Garon, Kazuko Sakai, Koichi Goto, Terufumi Kato, Yoichi Nakanishi, Toshiaki Takahashi and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JTO clinical and research reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02411448 (A Multicenter, Randomized, Double-Blind Study of Erlotinib in Combination With Ramucirumab or Placebo in Previously Untreated Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancer), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
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.

NCT02411448 phase3active not recruitingnot on this map

A Multicenter, Randomized, Double-Blind Study of Erlotinib in Combination With Ramucirumab or Placebo in Previously Untreated Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancer

TypeinterventionalSponsorEli Lilly and CompanyRan2015 to 2026Enrolled545ConditionsMetastatic Non-Small Cell Lung CancerArmsRamucirumab, Placebo, Erlotinib, Gefitinib, Osimertinib
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Mutation-Specific Response to Ramucirumab inJTO clinical and research reports · 2026
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  5. Article
  6. Review
  7. Article
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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

22 authors at 14 institutions in 4 countries.

Kazuto NishioDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka, Japan.
Takashi SetoDepartment of Thoracic Oncology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.
Martin ReckLungenClinic, Airway Research Center North, German Center for Lung Research, Grosshansdorf, Germany.
Edward B GaronDepartment of Medicine, David Geffen School of Medicine at UCLA/TRIO-US Network, Los Angeles, California.
Kazuko SakaiDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka, Japan.
Koichi GotoDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Terufumi KatoDepartment of Thoracic Oncology, Kanagawa Cancer Center, Yokohama, Japan.
Yoichi NakanishiKitakyushu City Hospital Organization, Kitakyushu, Japan.
Toshiaki TakahashiDivision of Thoracic Oncology, Shizuoka Cancer Center, Shizuoka, Japan.
Nobuyuki YamamotoInternal Medicine III, Wakayama Medical University, Wakayama, Japan.
Katsuyuki KiuraDepartment of Respiratory Medicine, Okayama University Hospital, Okayama, Japan.
Yuichiro OheThoracic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Tomohide TamuraThoracic Center, St. Luke's International Hospital, Tokyo, Japan.
Carla Visseren-GrulEli Lilly and Company, The Netherlands.
Bente Frimodt-MollerEli Lilly and Company, Copenhagen, Denmark.
Rebecca R HozakEli Lilly and Company, Indianapolis, Indiana.
Sameera R WijayawardanaEli Lilly and Company, Indianapolis, Indiana.
Annamaria ZimmermannEli Lilly and Company, Indianapolis, Indiana.
Gosuke HommaEli Lilly Japan K.K., Kobe, Japan.
Sotaro EnatsuEli Lilly Japan K.K., Kobe, Japan.
Kazuhiko NakagawaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka, Japan.
Eli Lilly (United States) · USKindai University · JPEli Lilly (Japan) · JPNational Cancer Center Hospital East · JPEli Lilly (Netherlands) · NLGerman Center for Lung Research · DEJapanese Foundation For Cancer Research · JPKanagawa Prefectural Hospital Organization · JPKitakyushu City Hospital Organization · JPNational Hospital Organization Kyushu Cancer Center · JPOkayama University Hospital · JPShizuoka Cancer Center · JPSt. Luke's International Hospital · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe phase 3 RELAY global study (NCT02411448) revealed significant improvement in progression-free survival (PFS) with ramucirumab plus erlotinib (RAM + ERL) compared with placebo plus ERL (PL + ERL) in untreated

methodsPatients were randomized (1:1) to oral ERL (150 mg/d) plus intravenous RAM (10 mg/kg) or PL every 2 weeks. End points included PFS (primary), safety (secondary), and biomarker analyses (exploratory). Plasma samples collected at baseline and poststudy treatment discontinuation were evaluated for

resultsThe Japanese subset included 211 of 449 (47.0%) RELAY patients (RAM + ERL, n = 106; PL + ERL, n = 105). Median PFS was 19.4 versus 11.2 months for RAM + ERL versus PL + ERL treatment (HR = 0.610 [0.431-0.864]) in the Japanese intent-to-treat population, 16.6 versus 12.5 months (HR = 0.701 [0.424-1.159]) in the

conclusionsClinically meaningful efficacy was observed with RAM + ERL versus PL + ERL in the RELAY Japanese subset, with no new safety concerns. Postprogression T790M rates were similar across treatment arms, indicating the addition of RAM did not affect the ERL-associated

Indexed as

Circulating tumor DNAEGFRJapanNon–small cell lung cancerRamucirumab

Identifiers

PMID34590023
PMCPMC8474372
OpenAlexW3155337645

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.