Evidence map›Paper›PMID 40458541›Full record

ArticleJTO clinical and research reports2025

Final Survival Outcomes With Ramucirumab Plus Erlotinib Versus Placebo Plus Erlotinib in Patients With Untreated

Makoto Nishio, Takashi Seto, Martin Reck, Edward B Garon, Kazuto Nishio, Kazuo Kasahara, Kazumi Nishino, Miyako Satouchi, Kiyotaka Yoh, Hidetoshi Hayashi and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in JTO clinical and research reports, 2025. 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

4 citing papers in PubMed.

  1. Trial
  2. Mutation-Specific Response to Ramucirumab inJTO clinical and research reports · 2026
    Article
  3. Article
  4. 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

18 authors.

Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Takashi SetoDepartment of Thoracic Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Martin ReckDepartment of Thoracic Oncology, Airway Research Center North, German Center for Lung Research, LungClinic, Grosshansdorf, Germany.
Edward B GaronDavid Geffen School of Medicine at UCLA/TRIO-US Network, Los Angeles.
Kazuto NishioDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka, Japan.
Kazuo KasaharaDepartment of Pulmonary Medicine and Oncology, Nippon Medical School Hospital, Tokyo, Japan.
Kazumi NishinoDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
Miyako SatouchiDepartment of Thoracic Oncology, Hyogo Cancer Center, Hyogo, Japan.
Kiyotaka YohDepartment of Thoracic Oncology, National Cancer Center Hospital East, Kashiwa, Japan.
Hidetoshi HayashiDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka, Japan.
Kazuko SakaiDepartment of Genome Biology, Kindai University Faculty of Medicine, Osaka, Japan.
Sotaro EnatsuEli Lilly Japan K.K., Kobe, Japan.
Bente Frimodt-MøllerEli Lilly Denmark A/S, Copenhagen, Denmark.
Tomoko MatsuiEli Lilly Japan K.K., Kobe, Japan.
Sunoj Chacko VarugheseStatistics, Eli Lilly Services India Pvt. Ltd., Bengaluru, India.
Michelle CarlsenEli Lilly and Company, Indianapolis, Indiana.
Carla Visseren-GrulEli Lilly Netherlands, Utrecht, The Netherlands.
Kazuhiko NakagawaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka, Japan.

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Robert Damoiseaux · 1985 to 2026
$134.5M
NCI NIH HHS P30 CA016042
6 · The paper itself

Abstract

Introduction: Significant improvement in progression-free survival (PFS; primary end point) was reported in the phase 3 RELAY study with ramucirumab (RAM) plus erlotinib (ERL) versus placebo (PL) in untreated Methods: Patients (no central nervous system metastases) were randomized 1:1 (stratification included Results: At final OS data cutoff (median follow-up = 48.2 mo), PFS benefit was sustained with RAM plus ERL versus PL plus ERL (median [m] PFS: 19.4 versus 11.2 mo; HR = 0.69, 95% CI: 0.51-0.93); the mOS was 54.3 and 46.0 months (HR = 0.91, 95% CI: 0.65-1.26), respectively. In L858R (n = 110) and ex19del (n = 100) subgroups, the mOS was 54.3 versus 43.2 months (HR = 0.63, 95% CI: 0.40-0.99) and 53.9 versus 62.1 months (HR = 1.40, 95% CI: 0.86-2.28), respectively. T790M rates post-progression were 52.0% versus 51.1%, respectively. Osimertinib as subsequent therapy was received by 61.0% versus 55.2% patients (L858R: 58.2% versus 48.1%; ex19del: 65.3% versus 62.7%); the median (range) osimertinib treatment duration was 16.8 (0.7-58.3) versus 20.1 (2.1-77.2) months. Safety was consistent with known RAM and ERL profiles, with no increased toxicity over time. Conclusions: The Japanese subset reported that RAM plus ERL improved PFS, and a mOS greater than 50 months was achieved. OS differed by Trial Registration: NCT02411448.

Indexed as

EGFRJapanNon-small-cell lung carcinomaOverall survivalRamucirumab

Identifiers

PMID40458541
PMCPMC12127625

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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.