Lung Cancer Clinical Trial
A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY)
Summary
The main purpose of this study is to evaluate the efficacy and safety of ramucirumab in combination with erlotinib as compared to placebo in combination with erlotinib in previously untreated participants with stage IV non-small cell lung cancer (NSCLC) harboring an activating epidermal growth factor receptor (EGFR) mutation (Exon 19-Del and Exon 21 L858R). Safety and tolerability of ramucirumab in combination with erlotinib will be assessed in Part A before proceeding to Part B.
The purpose of Part C is to determine the efficacy and safety of ramucirumab in combination with gefitinib in previously untreated East Asian participants with EGFR mutation-positive metastatic NSCLC and of ramucirumab in combination with osimertinib in those participants whose disease progressed on ramucirumab and gefitinib and that have T790M - positive metastatic NSCLC.
Eligibility Criteria
Inclusion Criteria:
Cytologically or histologically confirmed diagnosis of Stage IV NSCLC as defined by the American Joint Committee on Cancer Staging Criteria for Lung Cancer (AJCC 7th edition 2009).
Eligible for first-line treatment with erlotinib based on documented evidence of tumor harboring an activating EGFR mutation [exon 19 deletion or exon 21 (L858R) substitution mutation].
Mandatory provision of adequate archived stage IV NSCLC tissue samples or tissue samples other than stage IV NSCLC may be acceptable (optional for part C).
At least one measurable lesion.
Life expectancy of at least 3 months.
Exclusion Criteria:
Known T790M EGFR mutation (not applicable for Part C Period 2).
Known leptomeningeal carcinomatosis, uncontrolled/unstable spinal cord compression, or brain metastases.
Serious illness or medical condition.
Ongoing treatment with CYP3A4 inducers or strong inhibitors.
Ongoing therapy with nonsteroidal anti-inflammatory drugs for more than 2 months.
History of gross hemoptysis.
Significant bleeding disorders.
Radiologically documented evidence of major blood vessel invasion or encasement by cancer.
Radiographic evidence of intratumor cavitation.
History of gastrointestinal perforation within last 6 months.
History of bowel obstruction, inflammatory enteropathy or extensive intestinal resection.
History of any arterial thrombotic event within 6 months prior to enrollment.
The participant has any known significant ophthalmologic abnormalities of the surface of the eye.
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There are 104 Locations for this study
Los Angeles California, 90024, United States
Los Angeles California, 90095, United States
Denver Colorado, 80203, United States
Honolulu Hawaii, 96813, United States
Wichita Kansas, 67214, United States
Fresh Meadows New York, 11366, United States
Charlotte North Carolina, 28204, United States
Bend Oregon, 97701, United States
Pittsburgh Pennsylvania, 15212, United States
Edmonton Alberta, T6G 1, Canada
Grenoble Cedex 9, 38049, France
Lille , 59037, France
Montpellier Cedex 5 , 34295, France
Paris , 75015, France
Poitiers , 86021, France
Gerlingen Baden-Württemberg, 70839, Germany
Heidelberg Baden-Württemberg, 69126, Germany
Köln Nordrhein-Westfalen, 51109, Germany
Halle (Saale) Sachsen-Anhalt, 06120, Germany
Chemnitz Sachsen, 09113, Germany
Großhansdorf Schleswig-Holstein, 22927, Germany
Berlin , 14165, Germany
Patras Achaia, 26504, Greece
Athens , 11527, Greece
Hong Kong , , Hong Kong
Kowloon , , Hong Kong
Pordenone PD, 33170, Italy
Orbassano Torino, 10043, Italy
Bari , 70124, Italy
Bologna , 40138, Italy
Milano , 20132, Italy
Padova , 35128, Italy
Nagoya Aichi, 460-0, Japan
Nagoya Aichi, 464-8, Japan
Kashiwa Chiba, 277 8, Japan
Matsuyama Ehime, 791-0, Japan
Kurume Fukuoka, 830-0, Japan
Asahikawa Hokkaido, 070-8, Japan
Akashi Hyogo, 673-8, Japan
Amagashiki City Hyogo, 66085, Japan
Himeji Hyogo, 670-8, Japan
Kobe Hyogo, 650-0, Japan
Kobe Hyogo, 650-0, Japan
Kanazawa Ishikawa, 920-8, Japan
Yokohama Kanagawa, 236-0, Japan
Yokohama Kanagawa, 241-8, Japan
Sendai Miyagi, 980-0, Japan
Habikino Osaka, 583-8, Japan
Hirakata Osaka, 573-1, Japan
Kishiwada Osaka, 596-8, Japan
Osaka Sayama-shi Osaka, 589 8, Japan
Sakai Osaka, 59185, Japan
Kita-Adachi Saitama, 362-0, Japan
Sunto-Gun Shizuoka, 411-8, Japan
Bunkyo-ku Tokyo, 113-8, Japan
Bunkyo-Ku Tokyo, 113-8, Japan
Bunkyo-ku Tokyo, 113-8, Japan
Chuo-Ku Tokyo, 104-0, Japan
Chuo-Ku Tokyo, 104-8, Japan
Koto-ku Tokyo, 135-8, Japan
Ube Yamaguchi, 755-0, Japan
Chiba , 260-8, Japan
Fukuoka , 810-8, Japan
Fukuoka , 811-1, Japan
Fukuoka , 812-8, Japan
Kyoto , 606-8, Japan
Nagasaki , 852-8, Japan
Niigata , 951-8, Japan
Niigata , 951-8, Japan
Okayama , 700-8, Japan
Osaka , 534-0, Japan
Osaka , 541-8, Japan
Osaka , 545-8, Japan
Wakayama , 641-8, Japan
Cheongju-si Chungcheongbuk-do, 28644, Korea, Republic of
Suwon Gyeonggi-do, 16247, Korea, Republic of
Suwon Gyeonggi-do, 16499, Korea, Republic of
Jin-ju-si Gyeongsangnam-do, 52727, Korea, Republic of
Seoul Korea, 06351, Korea, Republic of
Seoul Korea, 08308, Korea, Republic of
Ulsan Korea, 44033, Korea, Republic of
Songpa-gu Seoul, 05505, Korea, Republic of
Seoul , 06591, Korea, Republic of
Seoul , 07061, Korea, Republic of
Cluj-Napoca Cluj, 40005, Romania
Bucuresti Sector 2, 02232, Romania
Palma de Mallorca Baleares, 07198, Spain
L'Hospitalet de Llobregat Barcelona, 08907, Spain
Pozuelo de Alarcon Madrid, 28223, Spain
Pamplona Navarra, 31008, Spain
Barcelona , 08035, Spain
Madrid , 28041, Spain
Sevilla , 41013, Spain
Sevilla , 46014, Spain
Valencia , 46026, Spain
Kaohsiung City , 83301, Taiwan
Kaohsiung , 82445, Taiwan
Taichung City , 40447, Taiwan
Taichung , 40705, Taiwan
Tainan , 704, Taiwan
Taipei City , 10048, Taiwan
Taipei City , 10449, Taiwan
Taipei , 11217, Taiwan
Adana , 1250, Turkey
Edirne , 22770, Turkey
Izmir , 35100, Turkey
Malatya , 44280, Turkey
London Greater London, SW3 6, United Kingdom
Chelsea London, W6 8R, United Kingdom
Nottingham Nottinghamshire, NG5 1, United Kingdom
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