Evidence map›Paper›PMID 39834129›Full record

Trial reportThe oncologist2025

A phase II study of ramucirumab and somatostatin analog therapy in patients with advanced neuroendocrine tumors.

Kimberly Perez, Matthew H Kulke, Hui Zheng, Jill Allen, Jeffrey Clark, Andrea C Enzinger, Peter C Enzinger, Bruce E Johnson, Nadine J McCleary, Aparna Parikh and 7 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02795858 (A Phase II Study of Ramucirumab With Somatostatin Analog Therapy in Patients With Advanced, Progressive Carcinoid Tumors), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02795858 phase2completednot on this map

A Phase II Study of Ramucirumab With Somatostatin Analog Therapy in Patients With Advanced, Progressive Carcinoid Tumors

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2016 to 2023Enrolled43ConditionsCarcinoid TumorsArmsRamucirumab, Somatostatin Analog
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

17 authors.

Kimberly PerezDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.ORCID 0000-0002-5745-2994
Matthew H KulkeSection of Hematology and Oncology, Boston University and Boston Medical Center, Boston, MA 02118, United States.
Hui ZhengBiostatistics Center, Massachusetts General Hospital, Boston, MA 02114, United States.
Jill AllenHarvard Medical School, Boston, MA 02115, United States.
Jeffrey ClarkHarvard Medical School, Boston, MA 02115, United States.
Andrea C EnzingerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Peter C EnzingerDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Bruce E JohnsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Nadine J McClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Aparna ParikhHarvard Medical School, Boston, MA 02115, United States.ORCID 0000-0002-5245-7841
Anuj PatelDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Douglas RubinsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Matthew B YurgelunDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Kaitlyn RamseyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Emma JohnsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Christopher GrahamDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.
Jennifer A ChanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, United States.

Funding

Eli Lilly
6 · The paper itself

Abstract

objectivesWell-differentiated neuroendocrine tumors (NET) are highly vascular tumors characterized by their expression of vascular endothelial growth factor (VEGF). This trial investigated the activity of ramucirumab, a monoclonal antibody that targets VEGF receptor-2 (VEGFR-2) and inhibits activity of VEGF, in combination with somatostatin analog therapy in patients (pts) with advanced extra-pancreatic NET.

methodsWe conducted a single-arm phase II trial enrolling pts with advanced, progressive extra-pancreatic NET. Patients were treated with ramucirumab 8 mg/kg intravenously on days 1 and 15 of each 28-day cycle. The primary endpoint was progression-free survival (PFS). Secondary endpoints toxicity, radiographic and biochemical tumor response rate, and overall survival (OS).

resultsThe trial enrolled 43 patients. Primary tumor sites included small intestine 20 (46%), lung 10 (23%), thymus 3 (7%), rectum 1(2%), kidney 1(2%), and unknown primary 8(18%). Median PFS was 14.2 months (95% CI, 9.0-25.6 months), and median OS was 24.9 months (95% CI, 20.7-43.1 months). Best response by RECIST 1.1: partial response 5% (95% CI, 0.6%-15.8%). Chromogranin A levels dropped by at least 50% in 10% of the 37 patients who had elevated levels at baseline. Most common all-grade adverse events included fatigue (84%) and hypertension (84%).

conclusionRamucirumab demonstrated efficacy and safety in this single-arm phase II trial. These findings support the continued evaluation of angiogenesis inhibitors in the treatment of NET. CLINICAL

trial registrationNCT02795858.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsNeuroendocrine TumorsSomatostatinAdultAgedAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedRamucirumabAntibodies, Monoclonal, HumanizedRamucirumabSomatostatincarcinoid tumorsextrapancreatic neuroendocrine tumorsramucirumab

Identifiers

PMID39834129
PMCPMC11753395

What Socratic holds

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LicenceCC BY
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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 Socratic graph.