Literature DB >> 31234645

Ramucirumab and paclitaxel in patients with gastric cancer and prior trastuzumab: subgroup analysis from RAINBOW study.

Ferdinando De Vita1, Christophe Borg2, Gabriella Farina3, Ravit Geva4, Iris Carton5, Hera Cuku6, Ran Wei7, Kei Muro8.   

Abstract

Aim: This subgroup analysis of the RAINBOW study evaluated the efficacy and safety of ramucirumab in patients with gastric cancer/gastroesophageal junction adenocarcinoma who received prior trastuzumab therapy. Patients & methods: Of adult patients enrolled in the RAINBOW study, 39 had received prior trastuzumab therapy. Of these, 20 patients were treated with ramucirumab plus paclitaxel and 19 patients with placebo plus paclitaxel within the RAINBOW trial.
Results: Overall survival was longer with ramucirumab plus paclitaxel (11.4 months; 95% CI: 7.0-17.9) versus placebo plus paclitaxel (7.0 months; 95% CI: 3.4-14.6), hazard ratio: 0.68 (0.33-1.41); p = 0.30. Longer progression-free survival, higher objective response were observed in ramucirumab combination group.
Conclusion: Ramucirumab plus paclitaxel demonstrated efficacy benefits with manageable safety profile in a subgroup of patients pretreated with trastuzumab. Clinical trial registration number: NCT01170663.

Entities:  

Keywords:  gastric cancer; HER-2 inhibitor; VEGFR-2 inhibitor; prior trastuzumab; ramucirumab plus paclitaxel; targeted therapy

Mesh:

Substances:

Year:  2019        PMID: 31234645     DOI: 10.2217/fon-2019-0243

Source DB:  PubMed          Journal:  Future Oncol        ISSN: 1479-6694            Impact factor:   3.404


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