Ramucirumab and Paclitaxel in Patients with Gastric Cancer and Prior Trastuzumab: Subgroup Analysis from RAINBOW Study

  • Ferdinando De Vita
    Division of Medical Oncology, Department of Precision Medicine, University of Campania ‘Luigi Vanvitelli’, Naples, 80138, Italy
  • Christophe Borg
    Department of Medical Oncology, University Hospital of Besançon, Besançon, 25000, France
  • Gabriella Farina
    Department of Medical Oncology, Fatebenefratelli Sacco Hospital, Milan, 20121, Italy
  • Ravit Geva
    Oncology Division, Tel Aviv University, Tel Aviv, 6997801, Israel
  • Iris Carton
    Eli Lilly & Company, Brussels, 1000, Belgium
  • Hera Cuku
    Eli Lilly & Company, Florence, 50019, Italy
  • Ran Wei
    Eli Lilly & Company, Indianapolis, IN 46285, USA
  • Kei Muro
    Department of Clinical Oncology, Aichi Cancer Center Hospital, Nagoya, 464-8681, Japan

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説明

Aim: This subgroup analysis of the RAINBOW study evaluated the efficacy and safety of ramucirumab in patients with gastric cancer/gastroesophageal junction adenocarcinoma who received prior trastuzumab therapy. Patients & methods: Of adult patients enrolled in the RAINBOW study, 39 had received prior trastuzumab therapy. Of these, 20 patients were treated with ramucirumab plus paclitaxel and 19 patients with placebo plus paclitaxel within the RAINBOW trial. Results: Overall survival was longer with ramucirumab plus paclitaxel (11.4 months; 95% CI: 7.0-17.9) versus placebo plus paclitaxel (7.0 months; 95% CI: 3.4-14.6), hazard ratio: 0.68 (0.33-1.41); p = 0.30. Longer progression-free survival, higher objective response were observed in ramucirumab combination group. Conclusion: Ramucirumab plus paclitaxel demonstrated efficacy benefits with manageable safety profile in a subgroup of patients pretreated with trastuzumab. Clinical trial registration number: NCT01170663.

収録刊行物

  • Future Oncology

    Future Oncology 15 (23), 2723-2731, 2019-06-25

    Informa UK Limited

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