A Multicenter, Randomized, Double-Blind Study of Erlotinib in Combination With Ramucirumab or Placebo in Previously Untreated Patients With EGFR Mutation-Positive Metastatic Non-Small Cell Lung Cancera
Documented evidence of a tumor harboring an activating epidermal growth factor receptor (EGFR) mutation (defined as exon 19 deletion or exon 21 [L858R] substitution)
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
At least one measurable lesion
Life expectancy of ≥3 months
Key Exclusion Criteria
Known T790M EGFR mutation (not applicable for Part C, Period 2)
Known leptomeningeal carcinomatosis, uncontrolled/unstable spinal cord compression, or brain metastases
Serious illness or medical condition
Ongoing treatment with cytochrome P450 3A4 (CYP3A4) inducers or strong inhibitors
Ongoing therapy with nonsteroidal anti-inflammatory drugs for more than 2 months
History of gross hemoptysis
Significant bleeding disorders
Radiologically documented evidence of major blood vessel invasion or encasement by cancer
Radiographic evidence of intratumor cavitation
History of gastrointestinal perforation within the last 6 months
History of bowel obstruction, inflammatory enteropathy, or extensive intestinal resection
History of any arterial thrombotic event within 6 months prior to enrollment
Known significant ophthalmologic abnormalities of the surface of the eye
a
This clinical trial is being conducted globally.
b
The Phase 1b portion of this study is complete.
c
Ramucirumab 10 mg/kg or placebo equivalent is administered intravenously Q2W.
d
Erlotinib 150 mg is administered orally QD.
e
Gefitinib 250 mg is administered orally.
f
Osimertinib 80 mg is administered orally.
For information on trial enrollment, locations, and more, call
1-800-545-5979.