Trial Outcomes & Findings for A Phase 2 Study of Ramucirumab (LY3009806) in Participants With Gastric or Gastroesophageal Junction (GEJ) Cancer (NCT NCT02443883)

NCT ID: NCT02443883

Last Updated: 2020-06-29

Results Overview

The Cmin is the minimum observed serum concentration of ramucirumab.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

164 participants

Primary outcome timeframe

Day 29, 43, 71 and 85: predose

Results posted on

2020-06-29

Participant Flow

Study completion was defined as death due to any cause or disease progression.

Participant milestones

Participant milestones
Measure
Ramucirumab Regimen 1
Ramucirumab (8milligram per kilogram \[mg/kg\]) given intravenously (IV) on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Overall Study
STARTED
40
42
41
41
Overall Study
Received at Least One Dose of Study Drug
38
42
41
40
Overall Study
COMPLETED
34
38
40
36
Overall Study
NOT COMPLETED
6
4
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Ramucirumab Regimen 1
Ramucirumab (8milligram per kilogram \[mg/kg\]) given intravenously (IV) on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Overall Study
Adverse Event
0
1
0
0
Overall Study
Lost to Follow-up
3
2
1
0
Overall Study
Physician Decision
1
1
0
3
Overall Study
Withdrawal by Subject
1
0
0
2
Overall Study
Randomized, but never treated
1
0
0
0

Baseline Characteristics

A Phase 2 Study of Ramucirumab (LY3009806) in Participants With Gastric or Gastroesophageal Junction (GEJ) Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ramucirumab Regimen 1
n=40 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=42 Participants
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=41 Participants
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=41 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Total
n=164 Participants
Total of all reporting groups
Age, Continuous
58.5 years
STANDARD_DEVIATION 14.0 • n=93 Participants
58.7 years
STANDARD_DEVIATION 10.4 • n=4 Participants
60.5 years
STANDARD_DEVIATION 12.3 • n=27 Participants
56.2 years
STANDARD_DEVIATION 12.9 • n=483 Participants
58.5 years
STANDARD_DEVIATION 12.4 • n=36 Participants
Sex: Female, Male
Female
11 Participants
n=93 Participants
10 Participants
n=4 Participants
6 Participants
n=27 Participants
9 Participants
n=483 Participants
36 Participants
n=36 Participants
Sex: Female, Male
Male
29 Participants
n=93 Participants
32 Participants
n=4 Participants
35 Participants
n=27 Participants
32 Participants
n=483 Participants
128 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
7 Participants
n=483 Participants
22 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
32 Participants
n=93 Participants
37 Participants
n=4 Participants
33 Participants
n=27 Participants
32 Participants
n=483 Participants
134 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
2 Participants
n=483 Participants
8 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
2 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
White
32 Participants
n=93 Participants
35 Participants
n=4 Participants
35 Participants
n=27 Participants
33 Participants
n=483 Participants
135 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
6 Participants
n=93 Participants
7 Participants
n=4 Participants
5 Participants
n=27 Participants
6 Participants
n=483 Participants
24 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
3 Participants
n=36 Participants
Region of Enrollment
New Zealand
2 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
3 Participants
n=483 Participants
7 Participants
n=36 Participants
Region of Enrollment
Argentina
5 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
6 Participants
n=483 Participants
14 Participants
n=36 Participants
Region of Enrollment
Romania
4 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
7 Participants
n=483 Participants
27 Participants
n=36 Participants
Region of Enrollment
Turkey
3 Participants
n=93 Participants
4 Participants
n=4 Participants
2 Participants
n=27 Participants
2 Participants
n=483 Participants
11 Participants
n=36 Participants
Region of Enrollment
Hungary
0 Participants
n=93 Participants
3 Participants
n=4 Participants
3 Participants
n=27 Participants
1 Participants
n=483 Participants
7 Participants
n=36 Participants
Region of Enrollment
United States
2 Participants
n=93 Participants
3 Participants
n=4 Participants
2 Participants
n=27 Participants
1 Participants
n=483 Participants
8 Participants
n=36 Participants
Region of Enrollment
Poland
6 Participants
n=93 Participants
6 Participants
n=4 Participants
7 Participants
n=27 Participants
5 Participants
n=483 Participants
24 Participants
n=36 Participants
Region of Enrollment
United Kingdom
7 Participants
n=93 Participants
10 Participants
n=4 Participants
8 Participants
n=27 Participants
6 Participants
n=483 Participants
31 Participants
n=36 Participants
Region of Enrollment
Slovakia
3 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
1 Participants
n=483 Participants
7 Participants
n=36 Participants
Region of Enrollment
Australia
1 Participants
n=93 Participants
2 Participants
n=4 Participants
0 Participants
n=27 Participants
5 Participants
n=483 Participants
8 Participants
n=36 Participants
Region of Enrollment
France
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
1 Participants
n=483 Participants
5 Participants
n=36 Participants
Region of Enrollment
Russia
6 Participants
n=93 Participants
4 Participants
n=4 Participants
2 Participants
n=27 Participants
3 Participants
n=483 Participants
15 Participants
n=36 Participants

PRIMARY outcome

Timeframe: Day 29, 43, 71 and 85: predose

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

The Cmin is the minimum observed serum concentration of ramucirumab.

Outcome measures

Outcome measures
Measure
Ramucirumab Regimen 1
n=38 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=42 Participants
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=41 Participants
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=40 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
Day 29
32.9 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 51
59.5 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 60
69.3 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 45
71.6 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 37
Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
Day 43
47.6 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 36
71.0 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 58
83.0 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 57
57.4 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 44
Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
Day 71
60.4 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 34
65.0 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 60
122 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 65
97.1 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 46
Pharmacokinetics (PK): Minimum Concentration (Cmin) of Ramucirumab
Day 85
64.3 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 40
79.4 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 46
125 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 56
81.6 microgram per milliliter (µg/mL)
Geometric Coefficient of Variation 50

SECONDARY outcome

Timeframe: Predose Cycle 1 Through Short Term Follow Up (Up to 5 Months)

Population: All randomized participants who received at least 1 dose of ramucirumab and had evaluable anti-ramucirumab antibody measurement.

Number of participants with positive treatment emergent anti-ramucirumab antibodies was summarized by treatment group. A treatment-emergent anti-drug antibodies (TEADA) sample was defined as: a post treatment sample with at least a 4-fold increase in titer from pre treatment sample; or 1:20 post treatment titer for participants that had no detectable ADA titer at baseline.

Outcome measures

Outcome measures
Measure
Ramucirumab Regimen 1
n=19 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=26 Participants
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=20 Participants
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=22 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Immunogenicity: Number of Participants With Anti-Ramucirumab Antibodies
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline until the first 6-week tumor assessment

Population: All randomized participants.Censored participants:Ramucirumab Regimen 1 = 8,Ramucirumab Regimen 2 =10,Ramucirumab Regimen 3=8 and Ramucirumab Regimen 4=12. PFS survival rate at the first 6-week assessment was estimated using the Kaplan-Meier method which takes into consideration who were censored prior to 6 weeks.

PFS defined as the time from first day of therapy to first evidence of disease progression per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) or death from any cause up to the first 6-week tumor assessment. Progressive Disease (PD) is at least 20% increase in sum of diameters of target lesions,taking as reference smallest sum on study and absolute increase of at least 5 mm.Appearance of 1 or more new lesions was also considered progression. Nontarget PD is unequivocal progression of existing nontarget lesions.Appearance of 1 or more new nontarget lesions was also considered PD.Participants with no baseline disease assessment: PFS time was censored at the randomization date,regardless of whether or not objectively determined disease progression or death has been observed.

Outcome measures

Outcome measures
Measure
Ramucirumab Regimen 1
n=40 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=42 Participants
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=41 Participants
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=41 Participants
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Rate of Progression Free Survival (PFS) at the First 6-Week Tumor Assessment
43.9 Percentage of participants
Interval 27.3 to 59.3
61.9 Percentage of participants
Interval 44.9 to 75.0
53.0 Percentage of participants
Interval 36.2 to 67.3
51.2 Percentage of participants
Interval 34.2 to 65.9

Adverse Events

Ramucirumab Regimen 1

Serious events: 10 serious events
Other events: 30 other events
Deaths: 0 deaths

Ramucirumab Regimen 2

Serious events: 11 serious events
Other events: 31 other events
Deaths: 0 deaths

Ramucirumab Regimen 3

Serious events: 10 serious events
Other events: 36 other events
Deaths: 0 deaths

Ramucirumab Regimen 4

Serious events: 18 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ramucirumab Regimen 1
n=38 participants at risk
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=42 participants at risk
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=41 participants at risk
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=40 participants at risk
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Blood and lymphatic system disorders
Anaemia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Cardiac arrest
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Cardiac failure congestive
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Cardiac disorders
Myocardial infarction
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Ascites
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Constipation
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Duodenal ulcer haemorrhage
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Dysphagia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.3%
3/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Gastric perforation
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Haematemesis
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Intestinal perforation
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Oesophageal perforation
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Oesophageal spasm
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
10.0%
4/40 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Asthenia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Chest pain
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Fatigue
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Non-cardiac chest pain
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Pain
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Pyrexia
5.3%
2/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Sudden death
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Hepatobiliary disorders
Cholangitis
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Hepatobiliary disorders
Hepatic failure
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Biliary sepsis
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Device related infection
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Lower respiratory tract infection
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Pneumonia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Sepsis
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Upper respiratory tract infection
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Overdose
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Procedural nausea
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Procedural vomiting
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Blood creatinine increased
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyperkalaemia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Back pain
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Syncope
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Renal and urinary disorders
Acute kidney injury
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Surgical and medical procedures
Thoracic cavity drainage
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.

Other adverse events

Other adverse events
Measure
Ramucirumab Regimen 1
n=38 participants at risk
Ramucirumab (8 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 2
n=42 participants at risk
Ramucirumab (12 mg/kg) given IV on day 1 and day 15 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 3
n=41 participants at risk
Ramucirumab (6 mg/kg) given IV on day 1, 8, 15 and 22 of each cycle (28-day cycle) until discontinuation criteria are met.
Ramucirumab Regimen 4
n=40 participants at risk
Ramucirumab (8 mg/kg) given IV on day 1 and day 8 of each cycle (21-day cycle) until discontinuation criteria are met.
Blood and lymphatic system disorders
Anaemia
10.5%
4/38 • Number of events 12 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
11.9%
5/42 • Number of events 15 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
12.2%
5/41 • Number of events 11 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal distension
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.5%
3/40 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Abdominal pain
15.8%
6/38 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
23.8%
10/42 • Number of events 14 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.1%
7/41 • Number of events 9 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
10.0%
4/40 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Constipation
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
11.9%
5/42 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.1%
7/41 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.5%
7/40 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Diarrhoea
7.9%
3/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
21.4%
9/42 • Number of events 12 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.8%
4/41 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
12.5%
5/40 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Dyspepsia
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
10.0%
4/40 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Dysphagia
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 9 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Nausea
15.8%
6/38 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.5%
4/42 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.8%
4/41 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.5%
7/40 • Number of events 9 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Gastrointestinal disorders
Vomiting
15.8%
6/38 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
14.3%
6/42 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
19.5%
8/41 • Number of events 13 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.5%
7/40 • Number of events 10 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Asthenia
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.8%
4/41 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.5%
3/40 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Early satiety
0.00%
0/38 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 6 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Fatigue
26.3%
10/38 • Number of events 12 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
28.6%
12/42 • Number of events 17 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
14.6%
6/41 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
22.5%
9/40 • Number of events 9 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Oedema peripheral
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.5%
4/42 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
General disorders
Pyrexia
10.5%
4/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
9.8%
4/41 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Infections and infestations
Nasopharyngitis
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Injury, poisoning and procedural complications
Infusion related reaction
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Alanine aminotransferase increased
7.9%
3/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
11.9%
5/42 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Aspartate aminotransferase increased
15.8%
6/38 • Number of events 6 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
11.9%
5/42 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.3%
3/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Blood alkaline phosphatase increased
10.5%
4/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
11.9%
5/42 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Blood bilirubin increased
7.9%
3/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Investigations
Weight decreased
7.9%
3/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.3%
3/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Decreased appetite
21.1%
8/38 • Number of events 11 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
21.4%
9/42 • Number of events 16 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
26.8%
11/41 • Number of events 13 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.5%
7/40 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Dehydration
5.3%
2/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
10.0%
4/40 • Number of events 6 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hypoalbuminaemia
10.5%
4/38 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.3%
3/41 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Metabolism and nutrition disorders
Hyponatraemia
7.9%
3/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Back pain
5.3%
2/38 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Musculoskeletal and connective tissue disorders
Muscular weakness
7.9%
3/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Headache
10.5%
4/38 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
14.3%
6/42 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
12.2%
5/41 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.5%
3/40 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Lethargy
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Nervous system disorders
Paraesthesia
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/41 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/40 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Psychiatric disorders
Insomnia
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Renal and urinary disorders
Proteinuria
10.5%
4/38 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
5.3%
2/38 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 6 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
10.5%
4/38 • Number of events 5 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
7.1%
3/42 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
10.0%
4/40 • Number of events 4 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Epistaxis
2.6%
1/38 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
14.6%
6/41 • Number of events 7 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
5.0%
2/40 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
5.3%
2/38 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
0.00%
0/42 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/41 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Skin and subcutaneous tissue disorders
Pruritus
5.3%
2/38 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.4%
1/42 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.9%
2/41 • Number of events 2 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
2.5%
1/40 • Number of events 1 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
Vascular disorders
Hypertension
15.8%
6/38 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
4.8%
2/42 • Number of events 3 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
17.1%
7/41 • Number of events 8 • Up To 3 Years and 3 Months
All randomized participants who received at least one dose of study drug.
15.0%
6/40 • Number of events 10 • Up To 3 Years and 3 Months
All randomized 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: LTE60