Review Article

Safety and Efficacy of Treatment with/without Ramucirumab in Advanced or Metastatic Cancer: A Meta-Analysis of 11 Global, Double-Blind, Phase 3 Randomized Controlled Trials

Table 1

Ramucirumab double-blind phase 3 RCTs.

StudyCancer typesTreatment exposureSample sizeTrial registry numberCollection time

RAINBOW-Asia [27]Advanced gastric or GEJ adenocarcinomaRAM 8 mg/kg (days 1 and 15) + paclitaxel VS. PBO + paclitaxel294/146NCT028980772017.03.02 ∼ 2020.06.30
RELAY [28]Advanced NSCLCRAM 10 mg/kg (IV; Q2W) +  erlotinib VS. PBO + erlotinib224/225NCT024114482016.01.28 ∼ 2018.02.1
REACH-2 [29]Advanced HCCRAM 8 mg/kg (IV; Q2W) after sorafenib + BSC VS. PBO after sorafenib + BSC197/95NCT024354332015.07.26 ∼ 2017.08.30
RANGE [30]Locally advanced or metastatic UCRAM 10 mg/kg + docetaxel 60 or 75 mg/m2 (IV; day 1, 21-day cycle) VS. PBO + docetaxel263/267NCT024261252015.07.20 ∼ 2017.04.04
RAINFALL [31]Metastatic gastric or junctional adenocarcinomaRAM 8 mg/kg (IV; days 1 and 8, Q21D) + cisplatin + capecitabine VS. PBO + cisplatin + capecitabine326/319NCT023141172015.01.28 ∼ 2016.09.16
RAINBOW [32]Advanced gastric or GEJ adenocarcinomaRAM 8 mg/kg (IV; days 1 and 15) + paclitaxel VS. PBO + paclitaxel330/335NCT011706632010.12.02 ∼ 2012.09.23
RAISE [33]Metastatic colorectal carcinomaRAM 8 mg/kg (IV; day 1, Q2W) + FOLFIRI VS. PBO + FOLFIRI536/536NCT011837802010.12.14 ∼ 2013.08.23
REVEL [34]Stage IV non-small cell lung cancerRAM 10 mg/kg + docetaxel (IV; day 1, 21-day cycle) VS. PBO + docetaxel628/625NCT011689732010.12.03 ∼ 2013.01.24
REACH [35]Advanced hepatocellular carcinomaRAM 8 mg/kg (IV; Q2W) after sorafenib + BSC VS. PBO after sorafenib + BSC283/282NCT011403472010.11.04 ∼ 2013.04.18
REGARD [36]Advanced gastric or GEJ adenocarcinomaRAM 8 mg/kg (IV; Q2W) after chemotherapy + BSC VS. PBO after chemotherapy + BSC238/117NCT009173842009.10.06 ∼ 2012.01.26
ROSE/TRIO-012 [37]Metastatic breast cancerRAM 10 mg/kg + docetaxel (IV; Q3W) VS. PBO + docetaxel759/385NCT007033262008.08 ∼ 2011.12

RCTs = randomized controlled trials, GEJ = gastroesophageal junction, UC = urothelial carcinoma, RAM = ramucirumab, PBO = placebo, VS. = versus, FOLFIRI = leucovorin (folinic acid), fluorouracil, and irinotecan, BSC = best supportive care, IV = intravenous, Q2W = every 2 weeks, Q3W = every 3 weeks, and Q21D = every 21 days.