Trial Outcomes & Findings for A Study of Ramucirumab (LY3009806) in Participants With Advanced Liver Cancer (NCT NCT02069041)

NCT ID: NCT02069041

Last Updated: 2018-11-21

Results Overview

A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

8 participants

Primary outcome timeframe

Baseline through study completion (Up To 8 Months)

Results posted on

2018-11-21

Participant Flow

Participants completed the study if they completed 3 cycles or discontinued due to a DLT during the DLT assessment period.

Participant milestones

Participant milestones
Measure
Ramucirumab + FOLFOX4
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Overall Study
STARTED
8
Overall Study
Received at Least One Dose of Study Drug
8
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

All participants who received at least one dose of study drug and had baseline initial pathological diagnosis data.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Age, Continuous
55.56 years
STANDARD_DEVIATION 11.06 • n=8 Participants
Sex: Female, Male
Female
2 Participants
n=8 Participants
Sex: Female, Male
Male
6 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=8 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
8 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=8 Participants
Race (NIH/OMB)
White
0 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=8 Participants
Region of Enrollment
Taiwan
8 Participants
n=8 Participants
Basis of Initial Pathological Diagnosis
Histopathological
3 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline initial pathological diagnosis data.
Basis of Initial Pathological Diagnosis
Cytological
1 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline initial pathological diagnosis data.
Basis of Initial Pathological Diagnosis
Biochemical Assay and Imaging
2 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline initial pathological diagnosis data.
Disease Stage
Stage I
0 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline disease stage data.
Disease Stage
Stage II
1 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline disease stage data.
Disease Stage
Stage III
4 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline disease stage data.
Disease Stage
Stage IV
1 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline disease stage data.
Disease Stage
Unknown
0 Participants
n=6 Participants • All participants who received at least one dose of study drug and had baseline disease stage data.
Duration of Disease (months)
0.345 months
n=6 Participants • All participants who received at least one dose of study drug and had baseline duration of disease data.
Eastern Cooperative Oncology Group (ECOG) Performance Status
0
4 Participants
n=8 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1
4 Participants
n=8 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
2
0 Participants
n=8 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
>2
0 Participants
n=8 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Missing
0 Participants
n=8 Participants
Barcelona Clinic Liver Cancer (BCLC) Classification
Stage A
0 Participants
n=8 Participants
Barcelona Clinic Liver Cancer (BCLC) Classification
Stage B
1 Participants
n=8 Participants
Barcelona Clinic Liver Cancer (BCLC) Classification
Stage C
7 Participants
n=8 Participants
Barcelona Clinic Liver Cancer (BCLC) Classification
Stage D
0 Participants
n=8 Participants
Barcelona Clinic Liver Cancer (BCLC) Classification
Missing
0 Participants
n=8 Participants
Viral hepatitis B
Test Positive
8 Participants
n=8 Participants
Viral hepatitis B
Test Negative
0 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Baseline through study completion (Up To 8 Months)

Population: All participants who received at least one dose of study drug.

A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.

Outcome measures

Outcome measures
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Number of Participants With One or More Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug Administration
4 Participants

SECONDARY outcome

Timeframe: Cycle 1 and Cycle 3: 0,1.0,1.5,2.0,3.0,5.0,24.0,48.0,168.0,336.0 hours

Population: All participants who received at least one dose of study drug and had evaluable PK data.

Maximum Concentration (Cmax)

Outcome measures

Outcome measures
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Ramucirumab
Cycle 1
155 ug/mL(microgram / milliliter)
Geometric Coefficient of Variation 25
Pharmacokinetics (PK): Maximum Concentration (Cmax) of Ramucirumab
Cycle 3
190 ug/mL(microgram / milliliter)
Geometric Coefficient of Variation 29

SECONDARY outcome

Timeframe: Cycle 1 and Cycle 3: 0,1.0,1.5,2.0,3.0,5.0,24.0,48.0,168.0,336.0 hours

Population: All participants who received at least one dose of study drug and had evaluable PK data.

Area under the concentration-time curve.

Outcome measures

Outcome measures
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
PK:Area Under the Concentration-Time Curve (AUC[0-∞]) of Ramucirumab
Cycle 1
940 microgram*day / milliliter)(ug*day/mL)
Geometric Coefficient of Variation 24
PK:Area Under the Concentration-Time Curve (AUC[0-∞]) of Ramucirumab
Cycle 3
1190 microgram*day / milliliter)(ug*day/mL)
Geometric Coefficient of Variation 25

SECONDARY outcome

Timeframe: Baseline through 6.1 Months

Population: All participants who received at least one dose of study drug.

Outcome measures

Outcome measures
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Number of Participants With Anti-Ramucirumab Antibodies
0 Participants

SECONDARY outcome

Timeframe: Response to Disease Progression or Death (Up To 7 Months)

Population: All participants who received at least one dose of study drug.

Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version\[v\] 1.1) criteria.CR was defined as the disappearance of all target and non-target lesions and all target and non-target lymph nodes were non-pathological or normal in size \[\<10 millimeter (mm) short axis\]. PR is at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. Progressive Disease(PD): At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (including the baseline sum if that is the smallest).In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. Percentage of participants with CR or PR= (number of participants whose best overall response was CR or PR)/(number of participants treated)\*100.

Outcome measures

Outcome measures
Measure
Ramucirumab + FOLFOX4
n=8 Participants
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Percentage of Participants With Best Response of Complete Response (CR) or Partial Response (PR) (Overall Response Rate [ORR])
25 percentage of Participants

Adverse Events

Ramucirumab + FOLFOX4

Serious events: 5 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ramucirumab + FOLFOX4
n=8 participants at risk
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Gastrointestinal disorders
Ascites
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
General disorders
Pyrexia
37.5%
3/8 • Number of events 5
All participants who received at least one dose of study drug.
Hepatobiliary disorders
Hepatic haemorrhage
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Infections and infestations
Bacteraemia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Infections and infestations
Peritonitis bacterial
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Investigations
Blood bilirubin increased
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Investigations
Neutrophil count decreased
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Lung infiltration
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Ramucirumab + FOLFOX4
n=8 participants at risk
8 milligram/kilogram (mg/kg) ramucirumab given intravenously (IV) on Day 1 followed by FOLFOX4 (folinic acid + fluorouracil + oxaliplatin chemotherapy regimen) given IV on Day 1 of 2 week cycles: FOLFOX4 every 2 weeks: 85 milligram per square meter (mg/m²) oxaliplatin IV on Day 1 200 mg/m² folinic acid(FA) IV on days 1 and 2 400 mg/m² 5-FU bolus on days 1 and 2 600 mg/m2 5-FU 22-h continuous infusion on Days 1 and 2 Participants may continue to receive treatment until discontinuation criteria are met.
Blood and lymphatic system disorders
Anaemia
37.5%
3/8 • Number of events 4
All participants who received at least one dose of study drug.
Blood and lymphatic system disorders
Febrile neutropenia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Blood and lymphatic system disorders
Leukocytosis
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Blood and lymphatic system disorders
Leukopenia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Blood and lymphatic system disorders
Neutropenia
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal distension
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain
75.0%
6/8 • Number of events 10
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain upper
37.5%
3/8 • Number of events 6
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Ascites
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Constipation
37.5%
3/8 • Number of events 4
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
62.5%
5/8 • Number of events 9
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Gingival bleeding
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Mouth haemorrhage
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Mouth ulceration
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
50.0%
4/8 • Number of events 7
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Stomatitis
37.5%
3/8 • Number of events 4
All participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
25.0%
2/8 • Number of events 5
All participants who received at least one dose of study drug.
General disorders
Chest discomfort
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
General disorders
Chest pain
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
General disorders
Chills
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
General disorders
Fatigue
50.0%
4/8 • Number of events 7
All participants who received at least one dose of study drug.
General disorders
Malaise
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
General disorders
Mucosal inflammation
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
General disorders
Oedema peripheral
37.5%
3/8 • Number of events 4
All participants who received at least one dose of study drug.
General disorders
Pyrexia
25.0%
2/8 • Number of events 8
All participants who received at least one dose of study drug.
Infections and infestations
Influenza
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Infections and infestations
Periodontitis
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Allergic transfusion reaction
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Wound complication
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Investigations
Alanine aminotransferase increased
25.0%
2/8 • Number of events 5
All participants who received at least one dose of study drug.
Investigations
Aspartate aminotransferase increased
25.0%
2/8 • Number of events 6
All participants who received at least one dose of study drug.
Investigations
Blood alkaline phosphatase increased
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Investigations
Blood bilirubin increased
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Investigations
Blood creatinine increased
25.0%
2/8 • Number of events 4
All participants who received at least one dose of study drug.
Investigations
Gamma-glutamyltransferase increased
12.5%
1/8 • Number of events 2
All participants who received at least one dose of study drug.
Investigations
Neutrophil count decreased
62.5%
5/8 • Number of events 7
All participants who received at least one dose of study drug.
Investigations
Platelet count decreased
50.0%
4/8 • Number of events 12
All participants who received at least one dose of study drug.
Investigations
Weight decreased
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Investigations
Weight increased
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Investigations
White blood cell count decreased
37.5%
3/8 • Number of events 9
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Decreased appetite
62.5%
5/8 • Number of events 9
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyperglycaemia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyperkalaemia
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyperuricaemia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hypoalbuminaemia
50.0%
4/8 • Number of events 10
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hypocalcaemia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hypokalaemia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyponatraemia
25.0%
2/8 • Number of events 5
All participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Temporomandibular joint syndrome
12.5%
1/8 • Number of events 3
All participants who received at least one dose of study drug.
Nervous system disorders
Dizziness
37.5%
3/8 • Number of events 3
All participants who received at least one dose of study drug.
Nervous system disorders
Headache
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Nervous system disorders
Hypoaesthesia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Nervous system disorders
Neuropathy peripheral
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Psychiatric disorders
Insomnia
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Renal and urinary disorders
Proteinuria
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
25.0%
2/8 • Number of events 2
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Alopecia
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Pruritus
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Rash
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Urticaria
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.
Vascular disorders
Hypertension
25.0%
2/8 • Number of events 3
All participants who received at least one dose of study drug.
Vascular disorders
Hypotension
12.5%
1/8 • Number of events 1
All participants who received at least one dose of study drug.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60