Trial Outcomes & Findings for A Study of Ramucirumab in Participants With Gastric, Esophageal, and Gastroesophageal Cancer (NCT NCT01246960)

NCT ID: NCT01246960

Last Updated: 2014-10-08

Results Overview

PFS was defined using Response Evaluation Criteria in Solid Tumors \[RECIST version (v.) 1.1\] as the time from randomization to the first observation of progressive disease (PD) or death due to any cause, whichever came first. PD was a ≥20% increase in the sum of the diameters of target lesions with the sum demonstrating an absolute increase of ≥5 millimeters (mm); the appearance of ≥1 new lesions or unequivocal progression of non-target lesions. If a participant did not have a baseline disease assessment, PFS time was censored at the randomization date, regardless of whether or not PD or death was observed. Participants not known to have died or have objective PD were censored at the last post-baseline radiological assessment date.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

168 participants

Primary outcome timeframe

Randomization to measured PD or date of death from any cause (up to Month 25.0)

Results posted on

2014-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
Ramucirumab and mFOLFOX6
Ramucirumab: 8 milligrams per kilogram (mg/kg) intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering modified FOLFOX6 (mFOLFOX6). mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin 85 milligrams per square meter (mg/m\^2) * Leucovorin 400 mg/m\^2 * 5-Fluorouracil (5-FU) 400 mg/m\^2 bolus * 5-FU 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin 85 mg/m\^2 * Leucovorin 400 mg/m\^2 * 5-FU 400 mg/m\^2 bolus * 5-FU 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Overall Study
STARTED
84
84
Overall Study
Received Any Quantity of Study Drug
82
80
Overall Study
COMPLETED
78
80
Overall Study
NOT COMPLETED
6
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Ramucirumab and mFOLFOX6
Ramucirumab: 8 milligrams per kilogram (mg/kg) intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering modified FOLFOX6 (mFOLFOX6). mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin 85 milligrams per square meter (mg/m\^2) * Leucovorin 400 mg/m\^2 * 5-Fluorouracil (5-FU) 400 mg/m\^2 bolus * 5-FU 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin 85 mg/m\^2 * Leucovorin 400 mg/m\^2 * 5-FU 400 mg/m\^2 bolus * 5-FU 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Overall Study
Lost to Follow-up
3
1
Overall Study
Withdrawal (by participant or physician)
3
3

Baseline Characteristics

A Study of Ramucirumab in Participants With Gastric, Esophageal, and Gastroesophageal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ramucirumab and mFOLFOX6
n=84 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=84 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Total
n=168 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
42 Participants
n=5 Participants
56 Participants
n=7 Participants
98 Participants
n=5 Participants
Age, Categorical
>=65 years
42 Participants
n=5 Participants
28 Participants
n=7 Participants
70 Participants
n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
23 Participants
n=7 Participants
44 Participants
n=5 Participants
Sex: Female, Male
Male
63 Participants
n=5 Participants
61 Participants
n=7 Participants
124 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
80 Participants
n=5 Participants
75 Participants
n=7 Participants
155 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
2 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
3 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants
Race/Ethnicity, Customized
White
77 participants
n=5 Participants
76 participants
n=7 Participants
153 participants
n=5 Participants
Region of Enrollment
United States
84 participants
n=5 Participants
84 participants
n=7 Participants
168 participants
n=5 Participants

PRIMARY outcome

Timeframe: Randomization to measured PD or date of death from any cause (up to Month 25.0)

Population: ITT population: all randomized participants. Fourteen participants in the Ramucirumab and mFOLFOX6 treatment arm and 15 participants in the Placebo and mFOLFOX6 treatment arm were censored.

PFS was defined using Response Evaluation Criteria in Solid Tumors \[RECIST version (v.) 1.1\] as the time from randomization to the first observation of progressive disease (PD) or death due to any cause, whichever came first. PD was a ≥20% increase in the sum of the diameters of target lesions with the sum demonstrating an absolute increase of ≥5 millimeters (mm); the appearance of ≥1 new lesions or unequivocal progression of non-target lesions. If a participant did not have a baseline disease assessment, PFS time was censored at the randomization date, regardless of whether or not PD or death was observed. Participants not known to have died or have objective PD were censored at the last post-baseline radiological assessment date.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=84 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=84 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Progression-Free Survival (PFS)
6.4 months
Interval 5.8 to 9.3
6.7 months
Interval 5.6 to 7.8

SECONDARY outcome

Timeframe: Randomization to date of death from any cause (up to Month 28.3)

Population: ITT population: all randomized participants. Twenty-seven participants in the Ramucirumab and mFOLFOX6 treatment arm and 32 participants in the Placebo and mFOLFOX6 treatment arm were censored.

OS was defined as the time from randomization to death due to any cause. OS was censored at the date of the last follow-up visit for participants who were alive or lost to follow-up.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=84 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=84 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Overall Survival (OS)
11.7 months
Interval 10.2 to 14.6
11.5 months
Interval 9.0 to 15.3

SECONDARY outcome

Timeframe: Randomization to measured PD (up to Month 23.0)

Population: ITT population: all randomized participants.

The percentage of participants who achieved a best overall response of partial response (PR) or complete response (CR) is reported. Response was defined using RECIST, v. 1.1 criteria. CR was the disappearance of all lesions and pathological lymph node reduction in the short axis to \<10 mm. PR was a ≥30% decrease in the sum of the diameters of target lesions. The percentage of participants with objective response=(number of participants whose best overall response achieved was CR or PR/number of participants treated)\*100.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=84 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=84 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Percentage of Participants Achieving an Objective Response (Objective Response Rate)
45.2 percentage of participants
Interval 34.3 to 56.5
46.4 percentage of participants
Interval 35.5 to 57.6

SECONDARY outcome

Timeframe: Time of first response to measured PD (up to Month 23.0)

Population: Randomized participants who achieved an objective response of CR or PR. Eight participants in the Ramucirumab and mFOLFOX6 treatment arm and 8 participants in the Placebo and mFOLFOX6 treatment arm were censored.

Duration of response was defined using RECIST v. 1.1 criteria as the time from the date criteria were met for the first objectively recorded CR or PR until the first date criteria for PD were met or death from any cause. CR was the disappearance of all lesions and pathological lymph node reduction in the short axis to \<10 mm. PR was a ≥30% decrease in the sum of the diameters of target lesions. PD was a ≥20% increase in the sum of the diameters of target lesions with the sum demonstrating an absolute increase of ≥5 mm; the appearance of ≥1 new lesions or unequivocal progression of non-target lesions. Participants who were not known to have died and who did not have PD were censored at the date of the last tumor assessment prior to the date of any subsequent systemic anticancer therapy.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=38 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=39 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Duration of Response
7.4 months
Interval 4.2 to 8.4
5.8 months
Interval 4.4 to 8.0

SECONDARY outcome

Timeframe: Randomization to measured PD (up to Month 25.0)

Population: ITT population: all randomized participants. Thirty-five participants in the Ramucirumab and mFOLFOX6 treatment arm and 31 participants in the Placebo and mFOLFOX6 treatment arm were censored.

TTP was defined using RECIST v. 1.1 as the time from study randomization to the first date of PD. PD was a ≥20% increase in the sum of the diameters of target lesions with the sum demonstrating an absolute increase of ≥5 mm; the appearance of ≥1 new lesions or unequivocal progression of non-target lesions. TTP was censored at the date of last adequate tumor assessment if death was due to causes other than PD.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=84 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=84 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Time to Disease Progression (TTP)
8.7 months
Interval 6.0 to 9.8
7.1 months
Interval 5.8 to 9.2

SECONDARY outcome

Timeframe: Months 1, 2, 4, 6, and 8

Population: Randomized participants who received any quantity of ramucirumab or placebo, and were evaluated for the presence of anti-ramucirumab antibodies.

Participants with treatment-emergent anti-ramucirumab antibodies were participants with a 4-fold increase (2 dilution increase) in immunogenicity titer over baseline titer, or participants who tested negative at baseline and positive post-baseline (at titer of ≥1:20).

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=81 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=77 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Number of Participants With Treatment-Emergent Anti-Ramucirumab Antibodies
0 participants
1 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline through study completion (up to Month 28.3)

Population: Safety population: randomized participants who received any quantity of study drug (Ramucirumab, mFOLFOX6, or placebo).

Reported are the number of participants who had ramucirumab/placebo-related: AEs, serious AEs (SAEs), AEs based on common terminology criteria for adverse events (CTCAE) ≥Grade 3, AEs = CTCAE Grade 5, as well as, AEs leading to treatment discontinuation and AEs resulting in death. A summary of serious and other non-serious AEs regardless of causality is located in the Reported Adverse Events module.

Outcome measures

Outcome measures
Measure
Ramucirumab and mFOLFOX6
n=82 Participants
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=80 Participants
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Number of Participants With Adverse Events (AEs)
Any AE with Outcome of Death
5 participants
2 participants
Number of Participants With Adverse Events (AEs)
Any Ramucirumab/Placebo-Related AE
64 participants
64 participants
Number of Participants With Adverse Events (AEs)
Any Ramucirumab/Placebo-Related SAE
10 participants
12 participants
Number of Participants With Adverse Events (AEs)
Any Ramucirumab/Placebo-Related ≥Grade 3 AE
36 participants
33 participants
Number of Participants With Adverse Events (AEs)
Any Ramucirumab/Placebo-Related Grade 5 AE
0 participants
3 participants
Number of Participants With Adverse Events (AEs)
Any AE Leading to Treatment Discontinuation
18 participants
5 participants

Adverse Events

Ramucirumab and mFOLFOX6

Serious events: 48 serious events
Other events: 82 other events
Deaths: 0 deaths

Placebo and mFOLFOX6

Serious events: 32 serious events
Other events: 79 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ramucirumab and mFOLFOX6
n=82 participants at risk
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=80 participants at risk
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Nervous system disorders
Headache
3.7%
3/82 • Number of events 3
0.00%
0/80
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
0.00%
0/82
1.2%
1/80 • Number of events 1
Nervous system disorders
Depressed level of consciousness
1.2%
1/82 • Number of events 1
0.00%
0/80
Blood and lymphatic system disorders
Anaemia
3.7%
3/82 • Number of events 5
0.00%
0/80
Blood and lymphatic system disorders
Febrile neutropenia
3.7%
3/82 • Number of events 3
2.5%
2/80 • Number of events 2
Blood and lymphatic system disorders
Neutropenia
2.4%
2/82 • Number of events 3
0.00%
0/80
Blood and lymphatic system disorders
Thrombocytopenia
1.2%
1/82 • Number of events 1
0.00%
0/80
Cardiac disorders
Acute myocardial infarction
1.2%
1/82 • Number of events 1
0.00%
0/80
Cardiac disorders
Arteriospasm coronary
1.2%
1/82 • Number of events 1
0.00%
0/80
Cardiac disorders
Atrial fibrillation
0.00%
0/82
2.5%
2/80 • Number of events 2
Cardiac disorders
Bradycardia
0.00%
0/82
1.2%
1/80 • Number of events 1
Cardiac disorders
Cardiac tamponade
1.2%
1/82 • Number of events 1
1.2%
1/80 • Number of events 1
Cardiac disorders
Myocardial infarction
1.2%
1/82 • Number of events 1
0.00%
0/80
Cardiac disorders
Pericardial effusion
1.2%
1/82 • Number of events 1
0.00%
0/80
Cardiac disorders
Sinus bradycardia
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Abdominal distension
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Abdominal pain
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Ascites
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Constipation
1.2%
1/82 • Number of events 1
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Dysphagia
1.2%
1/82 • Number of events 2
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Enteritis
0.00%
0/82
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Gastric haemorrhage
2.4%
2/82 • Number of events 2
0.00%
0/80
Gastrointestinal disorders
Gastric perforation
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Gastrointestinal disorder
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Gastrointestinal haemorrhage
4.9%
4/82 • Number of events 4
3.8%
3/80 • Number of events 3
Gastrointestinal disorders
Gastrointestinal obstruction
0.00%
0/82
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Ileus
1.2%
1/82 • Number of events 2
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Intestinal obstruction
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Nausea
6.1%
5/82 • Number of events 6
2.5%
2/80 • Number of events 2
Gastrointestinal disorders
Oesophageal obstruction
1.2%
1/82 • Number of events 2
0.00%
0/80
Gastrointestinal disorders
Oesophageal stenosis
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Oesophagitis
2.4%
2/82 • Number of events 2
0.00%
0/80
Gastrointestinal disorders
Pancreatitis
1.2%
1/82 • Number of events 1
0.00%
0/80
Gastrointestinal disorders
Small intestinal haemorrhage
0.00%
0/82
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/82
1.2%
1/80 • Number of events 1
Gastrointestinal disorders
Vomiting
3.7%
3/82 • Number of events 4
2.5%
2/80 • Number of events 2
General disorders
Asthenia
1.2%
1/82 • Number of events 1
0.00%
0/80
General disorders
Death
0.00%
0/82
2.5%
2/80 • Number of events 2
General disorders
Device dislocation
0.00%
0/82
2.5%
2/80 • Number of events 2
General disorders
Disease progression
1.2%
1/82 • Number of events 1
3.8%
3/80 • Number of events 3
General disorders
Multi-organ failure
1.2%
1/82 • Number of events 1
0.00%
0/80
General disorders
Non-cardiac chest pain
1.2%
1/82 • Number of events 1
1.2%
1/80 • Number of events 1
General disorders
Pain
1.2%
1/82 • Number of events 1
1.2%
1/80 • Number of events 1
General disorders
Pyrexia
2.4%
2/82 • Number of events 3
1.2%
1/80 • Number of events 1
Hepatobiliary disorders
Bile duct stone
0.00%
0/82
1.2%
1/80 • Number of events 1
Hepatobiliary disorders
Cholangitis
0.00%
0/82
1.2%
1/80 • Number of events 1
Hepatobiliary disorders
Cholecystitis
1.2%
1/82 • Number of events 1
0.00%
0/80
Hepatobiliary disorders
Hepatic failure
1.2%
1/82 • Number of events 1
0.00%
0/80
Hepatobiliary disorders
Jaundice cholestatic
0.00%
0/82
1.2%
1/80 • Number of events 1
Immune system disorders
Anaphylactic reaction
0.00%
0/82
1.2%
1/80 • Number of events 1
Infections and infestations
Appendicitis
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Bacteraemia
0.00%
0/82
2.5%
2/80 • Number of events 2
Infections and infestations
Catheter site infection
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Cellulitis
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Gastroenteritis
0.00%
0/82
1.2%
1/80 • Number of events 1
Infections and infestations
Kidney infection
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Lung infection
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Perirectal abscess
0.00%
0/82
1.2%
1/80 • Number of events 1
Infections and infestations
Peritonitis
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Pneumonia
3.7%
3/82 • Number of events 3
0.00%
0/80
Infections and infestations
Pyelonephritis
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Respiratory syncytial virus infection
1.2%
1/82 • Number of events 1
0.00%
0/80
Infections and infestations
Sepsis
3.7%
3/82 • Number of events 3
3.8%
3/80 • Number of events 3
Infections and infestations
Urinary tract infection
0.00%
0/82
1.2%
1/80 • Number of events 1
Injury, poisoning and procedural complications
Anastomotic ulcer haemorrhage
0.00%
0/82
1.2%
1/80 • Number of events 1
Injury, poisoning and procedural complications
Foot fracture
1.2%
1/82 • Number of events 1
0.00%
0/80
Injury, poisoning and procedural complications
Laceration
1.2%
1/82 • Number of events 1
0.00%
0/80
Injury, poisoning and procedural complications
Subdural haemorrhage
0.00%
0/82
1.2%
1/80 • Number of events 1
Injury, poisoning and procedural complications
Urostomy complication
0.00%
0/82
1.2%
1/80 • Number of events 1
Investigations
International normalised ratio increased
0.00%
0/82
1.2%
1/80 • Number of events 1
Metabolism and nutrition disorders
Dehydration
3.7%
3/82 • Number of events 3
1.2%
1/80 • Number of events 1
Metabolism and nutrition disorders
Failure to thrive
0.00%
0/82
1.2%
1/80 • Number of events 1
Metabolism and nutrition disorders
Hypophagia
1.2%
1/82 • Number of events 2
0.00%
0/80
Musculoskeletal and connective tissue disorders
Arthralgia
1.2%
1/82 • Number of events 1
0.00%
0/80
Musculoskeletal and connective tissue disorders
Polyarthritis
1.2%
1/82 • Number of events 1
0.00%
0/80
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusion
0.00%
0/82
1.2%
1/80 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
1.2%
1/82 • Number of events 1
0.00%
0/80
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous system
0.00%
0/82
1.2%
1/80 • Number of events 1
Nervous system disorders
Memory impairment
1.2%
1/82 • Number of events 1
0.00%
0/80
Nervous system disorders
Parkinsonism
0.00%
0/82
1.2%
1/80 • Number of events 1
Nervous system disorders
Syncope
3.7%
3/82 • Number of events 3
1.2%
1/80 • Number of events 1
Psychiatric disorders
Confusional state
2.4%
2/82 • Number of events 2
1.2%
1/80 • Number of events 1
Renal and urinary disorders
Hydronephrosis
1.2%
1/82 • Number of events 1
0.00%
0/80
Renal and urinary disorders
Renal failure acute
0.00%
0/82
1.2%
1/80 • Number of events 1
Renal and urinary disorders
Renal injury
1.2%
1/82 • Number of events 1
0.00%
0/80
Renal and urinary disorders
Urinary retention
0.00%
0/82
1.2%
1/80 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
1.2%
1/82 • Number of events 1
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Asthma
1.2%
1/82 • Number of events 1
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Atelectasis
0.00%
0/82
1.2%
1/80 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
2.4%
2/82 • Number of events 3
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Dyspnoea
2.4%
2/82 • Number of events 2
2.5%
2/80 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Emphysema
1.2%
1/82 • Number of events 1
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
1.2%
1/82 • Number of events 1
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Pleural effusion
1.2%
1/82 • Number of events 1
3.8%
3/80 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
2.4%
2/82 • Number of events 3
1.2%
1/80 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pneumothorax
1.2%
1/82 • Number of events 1
0.00%
0/80
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
2.4%
2/82 • Number of events 2
0.00%
0/80
Vascular disorders
Deep vein thrombosis
6.1%
5/82 • Number of events 5
1.2%
1/80 • Number of events 1
Vascular disorders
Embolism venous
0.00%
0/82
1.2%
1/80 • Number of events 1
Vascular disorders
Hypertension
1.2%
1/82 • Number of events 1
0.00%
0/80
Vascular disorders
Hypotension
1.2%
1/82 • Number of events 1
3.8%
3/80 • Number of events 3
Vascular disorders
Superior vena cava syndrome
0.00%
0/82
1.2%
1/80 • Number of events 1
Vascular disorders
Thrombosis
0.00%
0/82
1.2%
1/80 • Number of events 1

Other adverse events

Other adverse events
Measure
Ramucirumab and mFOLFOX6
n=82 participants at risk
Ramucirumab: 8 mg/kg intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Placebo and mFOLFOX6
n=80 participants at risk
Placebo: intravenous infusion administered on Day 1 of each cycle (14 days/cycle). In Cycles 1 and 2, there was a 1-hour observation prior to administering mFOLFOX6. mFOLFOX6: Administered intravenously per manufacturer's instructions for each drug substance on Day 1 of each cycle (14 days/cycle). * Oxaliplatin: 85 mg/m\^2 * Leucovorin: 400 mg/m\^2 * 5-FU: 400 mg/m\^2 bolus * 5-FU: 2400 mg/m\^2 continuous given over 46-48 hours Participants received study treatment every 2 weeks until disease progression, unacceptable toxicity, or another withdrawal criterion was met.
Blood and lymphatic system disorders
Anaemia
35.4%
29/82 • Number of events 41
47.5%
38/80 • Number of events 58
Blood and lymphatic system disorders
Leukopenia
8.5%
7/82 • Number of events 18
11.2%
9/80 • Number of events 14
Blood and lymphatic system disorders
Neutropenia
35.4%
29/82 • Number of events 76
41.2%
33/80 • Number of events 108
Blood and lymphatic system disorders
Thrombocytopenia
36.6%
30/82 • Number of events 62
25.0%
20/80 • Number of events 45
Eye disorders
Vision blurred
3.7%
3/82 • Number of events 3
7.5%
6/80 • Number of events 7
Gastrointestinal disorders
Abdominal distension
9.8%
8/82 • Number of events 9
6.2%
5/80 • Number of events 5
Gastrointestinal disorders
Abdominal pain
20.7%
17/82 • Number of events 20
17.5%
14/80 • Number of events 20
Gastrointestinal disorders
Abdominal pain upper
9.8%
8/82 • Number of events 10
10.0%
8/80 • Number of events 11
Gastrointestinal disorders
Ascites
6.1%
5/82 • Number of events 8
2.5%
2/80 • Number of events 2
Gastrointestinal disorders
Constipation
43.9%
36/82 • Number of events 41
40.0%
32/80 • Number of events 41
Gastrointestinal disorders
Diarrhoea
43.9%
36/82 • Number of events 67
41.2%
33/80 • Number of events 56
Gastrointestinal disorders
Dry mouth
7.3%
6/82 • Number of events 6
5.0%
4/80 • Number of events 5
Gastrointestinal disorders
Dyspepsia
8.5%
7/82 • Number of events 9
10.0%
8/80 • Number of events 8
Gastrointestinal disorders
Dysphagia
12.2%
10/82 • Number of events 15
16.2%
13/80 • Number of events 18
Gastrointestinal disorders
Flatulence
3.7%
3/82 • Number of events 3
6.2%
5/80 • Number of events 5
Gastrointestinal disorders
Gastrooesophageal reflux disease
7.3%
6/82 • Number of events 9
6.2%
5/80 • Number of events 11
Gastrointestinal disorders
Nausea
63.4%
52/82 • Number of events 72
70.0%
56/80 • Number of events 82
Gastrointestinal disorders
Oral pain
6.1%
5/82 • Number of events 6
5.0%
4/80 • Number of events 4
Gastrointestinal disorders
Stomatitis
12.2%
10/82 • Number of events 16
20.0%
16/80 • Number of events 21
Gastrointestinal disorders
Vomiting
39.0%
32/82 • Number of events 49
35.0%
28/80 • Number of events 42
General disorders
Asthenia
14.6%
12/82 • Number of events 13
10.0%
8/80 • Number of events 13
General disorders
Chest pain
2.4%
2/82 • Number of events 2
8.8%
7/80 • Number of events 11
General disorders
Chills
6.1%
5/82 • Number of events 5
2.5%
2/80 • Number of events 2
General disorders
Fatigue
69.5%
57/82 • Number of events 91
70.0%
56/80 • Number of events 81
General disorders
Mucosal inflammation
20.7%
17/82 • Number of events 23
11.2%
9/80 • Number of events 13
General disorders
Oedema peripheral
24.4%
20/82 • Number of events 30
17.5%
14/80 • Number of events 19
General disorders
Pyrexia
11.0%
9/82 • Number of events 12
13.8%
11/80 • Number of events 11
General disorders
Temperature intolerance
9.8%
8/82 • Number of events 8
17.5%
14/80 • Number of events 17
Infections and infestations
Upper respiratory tract infection
7.3%
6/82 • Number of events 6
6.2%
5/80 • Number of events 6
Infections and infestations
Urinary tract infection
13.4%
11/82 • Number of events 11
11.2%
9/80 • Number of events 12
Injury, poisoning and procedural complications
Contusion
3.7%
3/82 • Number of events 3
6.2%
5/80 • Number of events 5
Injury, poisoning and procedural complications
Infusion related reaction
8.5%
7/82 • Number of events 14
6.2%
5/80 • Number of events 7
Investigations
Alanine aminotransferase increased
6.1%
5/82 • Number of events 6
8.8%
7/80 • Number of events 9
Investigations
Aspartate aminotransferase increased
8.5%
7/82 • Number of events 10
13.8%
11/80 • Number of events 18
Investigations
Blood alkaline phosphatase increased
7.3%
6/82 • Number of events 7
18.8%
15/80 • Number of events 24
Investigations
Blood creatinine increased
6.1%
5/82 • Number of events 11
1.2%
1/80 • Number of events 1
Investigations
Neutrophil count decreased
19.5%
16/82 • Number of events 50
11.2%
9/80 • Number of events 16
Investigations
Platelet count decreased
23.2%
19/82 • Number of events 45
15.0%
12/80 • Number of events 24
Investigations
Weight decreased
34.1%
28/82 • Number of events 41
26.2%
21/80 • Number of events 31
Investigations
White blood cell count decreased
6.1%
5/82 • Number of events 8
7.5%
6/80 • Number of events 8
Metabolism and nutrition disorders
Decreased appetite
45.1%
37/82 • Number of events 47
27.5%
22/80 • Number of events 36
Metabolism and nutrition disorders
Dehydration
25.6%
21/82 • Number of events 28
15.0%
12/80 • Number of events 14
Metabolism and nutrition disorders
Hyperglycaemia
11.0%
9/82 • Number of events 15
12.5%
10/80 • Number of events 22
Metabolism and nutrition disorders
Hypoalbuminaemia
6.1%
5/82 • Number of events 7
5.0%
4/80 • Number of events 8
Metabolism and nutrition disorders
Hypocalcaemia
11.0%
9/82 • Number of events 15
5.0%
4/80 • Number of events 9
Metabolism and nutrition disorders
Hypokalaemia
19.5%
16/82 • Number of events 23
10.0%
8/80 • Number of events 13
Metabolism and nutrition disorders
Hypomagnesaemia
3.7%
3/82 • Number of events 3
6.2%
5/80 • Number of events 5
Metabolism and nutrition disorders
Hyponatraemia
3.7%
3/82 • Number of events 7
7.5%
6/80 • Number of events 8
Metabolism and nutrition disorders
Hypophosphataemia
7.3%
6/82 • Number of events 13
1.2%
1/80 • Number of events 4
Musculoskeletal and connective tissue disorders
Arthralgia
2.4%
2/82 • Number of events 4
10.0%
8/80 • Number of events 9
Musculoskeletal and connective tissue disorders
Back pain
12.2%
10/82 • Number of events 12
13.8%
11/80 • Number of events 19
Musculoskeletal and connective tissue disorders
Bone pain
8.5%
7/82 • Number of events 7
8.8%
7/80 • Number of events 7
Musculoskeletal and connective tissue disorders
Muscular weakness
9.8%
8/82 • Number of events 14
6.2%
5/80 • Number of events 5
Musculoskeletal and connective tissue disorders
Myalgia
1.2%
1/82 • Number of events 1
7.5%
6/80 • Number of events 8
Musculoskeletal and connective tissue disorders
Pain in extremity
11.0%
9/82 • Number of events 9
8.8%
7/80 • Number of events 9
Musculoskeletal and connective tissue disorders
Pain in jaw
7.3%
6/82 • Number of events 6
2.5%
2/80 • Number of events 2
Nervous system disorders
Dizziness
23.2%
19/82 • Number of events 22
15.0%
12/80 • Number of events 15
Nervous system disorders
Dysgeusia
15.9%
13/82 • Number of events 14
17.5%
14/80 • Number of events 15
Nervous system disorders
Headache
22.0%
18/82 • Number of events 24
15.0%
12/80 • Number of events 16
Nervous system disorders
Memory impairment
6.1%
5/82 • Number of events 5
0.00%
0/80
Nervous system disorders
Paraesthesia
9.8%
8/82 • Number of events 10
25.0%
20/80 • Number of events 33
Nervous system disorders
Peripheral motor neuropathy
3.7%
3/82 • Number of events 3
7.5%
6/80 • Number of events 8
Nervous system disorders
Peripheral sensory neuropathy
53.7%
44/82 • Number of events 68
53.8%
43/80 • Number of events 73
Psychiatric disorders
Anxiety
4.9%
4/82 • Number of events 4
10.0%
8/80 • Number of events 8
Psychiatric disorders
Depression
8.5%
7/82 • Number of events 7
5.0%
4/80 • Number of events 5
Psychiatric disorders
Insomnia
18.3%
15/82 • Number of events 15
25.0%
20/80 • Number of events 24
Renal and urinary disorders
Dysuria
0.00%
0/82
6.2%
5/80 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Cough
23.2%
19/82 • Number of events 21
18.8%
15/80 • Number of events 18
Respiratory, thoracic and mediastinal disorders
Dysphonia
9.8%
8/82 • Number of events 8
1.2%
1/80 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Dyspnoea
19.5%
16/82 • Number of events 23
20.0%
16/80 • Number of events 24
Respiratory, thoracic and mediastinal disorders
Epistaxis
29.3%
24/82 • Number of events 28
11.2%
9/80 • Number of events 9
Respiratory, thoracic and mediastinal disorders
Hiccups
2.4%
2/82 • Number of events 2
7.5%
6/80 • Number of events 7
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.1%
5/82 • Number of events 5
2.5%
2/80 • Number of events 2
Skin and subcutaneous tissue disorders
Alopecia
11.0%
9/82 • Number of events 10
10.0%
8/80 • Number of events 10
Skin and subcutaneous tissue disorders
Dry skin
3.7%
3/82 • Number of events 3
11.2%
9/80 • Number of events 9
Skin and subcutaneous tissue disorders
Pruritus
3.7%
3/82 • Number of events 6
7.5%
6/80 • Number of events 8
Skin and subcutaneous tissue disorders
Rash
4.9%
4/82 • Number of events 4
6.2%
5/80 • Number of events 6
Vascular disorders
Hypertension
36.6%
30/82 • Number of events 41
12.5%
10/80 • Number of events 10
Vascular disorders
Hypotension
8.5%
7/82 • Number of events 10
8.8%
7/80 • Number of events 14

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee Investigators agreed to delay independently publishing or disclosing data, findings or conclusions from the study except as part of a multi-center publication. Upon study publication or if the draft publication is not produced within approximately 6 months of the final report of the study results, investigators may independently publish, subject to confidential information review/redaction by sponsor. The sponsor may request publication delay up to 90 days to seek patent protection.
  • Publication restrictions are in place

Restriction type: OTHER