Evidence map›Paper›PMID 40995949›Full record

Trial reportFuture oncology (London, England)2025

RELAY: safety and efficacy of ramucirumab plus erlotinib in elderly Japanese patients with metastatic

Kazumi Nishino, Takashi Seto, Makoto Nishio, Kazuto Nishio, Kazuo Kasahara, Miyako Satouchi, Kiyotaka Yoh, Hidetoshi Hayashi, Sotaro Enatsu, Tomoko Matsui and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Future oncology (London, England), 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Kazumi NishinoDepartment of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.ORCID 0000-0003-2000-7472
Takashi SetoDepartment of Thoracic Oncology, NHO Kyushu Cancer Center, Fukuoka, Japan.
Makoto NishioDepartment of Thoracic Medical Oncology, The Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
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.
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.ORCID 0000-0001-8787-5587
Sotaro EnatsuEli Lilly Japan K.K., Kobe, Japan.
Tomoko MatsuiEli Lilly Japan K.K., Kobe, Japan.
Sunoj Chacko VarugheseStatistics, Eli Lilly Services India Pvt. Ltd., Bengaluru, India.
Carla Visseren-GrulEli Lilly Netherlands, Utrecht, The Netherlands.
Kazuhiko NakagawaDepartment of Medical Oncology, Kindai University Faculty of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe global phase III RELAY trial demonstrated the efficacy of ramucirumab (RAM) plus erlotinib (ERL) in patients with untreated metastatic epidermal growth factor receptor (

methodsPatients were randomized (1:1) to RAM (10 mg/kg) or placebo (PL) intravenously every 2 weeks plus 150 mg/day ERL orally. Primary endpoint was progression-free survival (reported elsewhere). This report describes response rates, study drug exposure, dose adjustments, safety, and post-study treatment discontinuation therapies in Japanese elderly patients (RAM+ERL, n = 12; PL+ERL, n = 17).

resultsOverall response rate was similar in RAM+ERL (83.3%) and PL+ERL (82.4%) arms. Median treatment duration of RAM and ERL was 6.0 and 15.4 months, respectively. Most patients had RAM and/or ERL dose adjustments. Adverse events, including grade ≥ 3 events, were similar in both treatment arms, although proteinuria occurred exclusively in the RAM+ERL arm (six patients; no grade ≥ 3 events). All patients received subsequent therapy after first-line study treatment; various subsequent therapies were used.

conclusionThese results suggest that RAM+ERL may be a suitable first-line treatment option for elderly patients with CLINICAL

trial registrationwww.clinicaltrials.gov identifier is NCT02411448.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsMutationAgedAged, 80 and overAntibodies, Monoclonal, HumanizedEast Asian PeopleErbB ReceptorsErlotinib HydrochlorideFemaleHumansJapanMaleRamucirumabTreatment OutcomeAntibodies, Monoclonal, HumanizedEGFR protein, humanErbB ReceptorsErlotinib HydrochlorideRamucirumabAgedcarcinoma, non-small-cell lungdose adjustmentEGFRJapanramucirumabsafety

Identifiers

PMID40995949
PMCPMC12520095

What Socratic 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 Socratic graph.