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Trial · NCT02314117

A Study of Ramucirumab (LY3009806) in Combination With Capecitabine and Cisplatin in Participants With Stomach Cancer

NCT02314117, Phase 3, Completed, Eli Lilly and Company; results first posted 2018-05-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Ramucirumab (LY3009806) in Combination With Capecitabine and Cisplatin in Participants With Stomach Cancer. Trials, record NCT02314117. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02314117

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Ramucirumab (LY3009806) in Combination With Capecitabine and Cisplatin in Participants With Stomach Cancer
NCT number
NCT02314117
Status
Completed
Phases
Phase 3
Enrollment
645 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Metastatic Gastric Adenocarcinoma, Gastroesophageal Junction Adenocarcinoma
Interventions
Ramucirumab, Capecitabine, Cisplatin, Placebo, Fluorouracil
First posted
2014-12-10
Last updated
2021-08-26
Other registries' IDs
eudract:2014-002240-40
Results first posted
2018-05-02

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProgression-free Survival (PFS)Randomization to Radiological Disease Progression or Death from Any Cause (Up to 26 Months)
PFS time was measured from the date of randomization to the date of radiographic(rgr) documentation of progression(by RECIST v.1.1) or the date of death due to any cause, whichever was earlier.If a participant did not have a complete baseline tumor assessment,then the PFS time was censored at the randomization date.If a participant was not known to have died or have rgr documented progression as of the data cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date. If death or progressive disease(PD) occurred after 2 or more consecutive missing rgr visits,censoring occurred at the date of the last rgr visit prior to the missed visits.If death or PD occurred after postdiscontinuation(pdis) systemic anticancer therapy,censoring occurred at the date of last rgr visit prior to the start of pdis systemic anticancer therapy. PD was defined according to RECIST v.1.1.
SecondaryOverall Survival (OS)Randomization to Death from Any Cause (Up To 30 Months)
OS was time from the date of randomization to the date of death from any cause. If the participant was alive at the cutoff for analysis (or was lost to follow-up), OS data were censored for analysis on the last date the participant was known to be alive.
SecondaryProgression- Free Survival 2 (PFS2)Randomization to Second Radiological or Symptomatic Disease Progression After the Start of Additional Systemic Anticancer Treatment or Death from Any Cause (Up To 26 Months)
PFS2 was defined as the time from the date of randomization to second disease progression (defined as objective radiological or symptomatic progression), or death of any cause, whichever occurs first. Participants alive and for whom a second disease progression has not been observed (including participants who did not receive any additional systemic anticancer treatments) were censored at the last time known to be alive and without second disease progression. The second progression refers to disease progression on or after additional systemic anticancer therapy, regardless if any earlier progression is observed or not(e.g. at the end of study treatment). It is assessed by investigator based on overall clinical evaluation, not limited to RECIST.
SecondaryPercentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])Randomization to Disease Progression (Up To 26 Months)
Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1).Target lesions - CR: Disappearance of all lesions; any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum. PD: At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Non target lesions - CR: Disappearance of all lesions and normalization of tumor marker levels; all lymph nodes must be non-pathological in size. Non-CR/Non-PD: Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels. PD: Unequivocal progression of existing lesions or the appearance of new lesion(s).ORR calculated as:(sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100.
SecondaryPercentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])Randomization to Disease Progression (Up To 26 Months)
DCR was the percentage of participants with a best overall response of CR, PR, or SD as per Response using RECIST v1.1 criteria. Target lesions - CR: Disappearance of all lesions; any pathological lymph nodes must have reduction in short axis to \<10 mm. PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum. Progressive Disease (PD): At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Stable Disease: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Non target lesions - CR: Disappearance of all lesions and normalization of tumor marker levels; all lymph nodes must be non-pathological in size. Non-CR/Non-PD: Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels. PD: Unequivocal progression of existing lesions or the appearance of new lesion(s).
SecondaryTime to Progression (TTP)Randomization to Disease Progression (Up To 24 Months)
TTP was time from the date of randomization to the date of radiographic progression (according to RECIST v.1.1). If a participant died due to any reason without radiographic progression, TTP is censored at the last adequate tumor assessment. Target lesions: Progressive Disease (PD): At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study (the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s). Non target lesions: PD: Unequivocal progression of existing lesions or the appearance of new lesion(s).
SecondaryDuration of Response (DoR)Date of Complete Response (CR) or Partial Response (PR) to Date of Objective Disease Progression or Death Due to Any Cause (Up To 26 Months)
Participants achieved an objective response if they had a best overall response of CR or PR.Target lesions- CR:Disappearance of all lesions;any pathological lymph nodes must have reduction in short axis to \<10 mm.PR: At least a 30% decrease in the sum of diameters of lesions vs the baseline sum.PD: At least a 20% increase in the sum of diameters of lesions vs the smallest sum on study(the sum must also demonstrate an absolute increase of at least 5 mm); or the appearance of new lesion(s).Non target lesions - CR: Disappearance of all lesions and normalization of tumour marker levels;all lymph nodes must be non-pathological in size. Non-CR/Non-PD:Persistence of lesion(s) and/or maintenance of abnormal tumor marker levels.PD:Unequivocal progression of existing lesions or the appearance of new lesion(s).If a participant was not known to have died or have radiographically documented PD as of the data inclusion cutoff date,DOR was censored at the date of the last adequate tumor assessment.
SecondaryTime to Deterioration in Quality of Life (QoL) on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Global Health Status/ QoL ScaleRandomization, First worsening in QoL (Up To 26 Months)
Time to sustained deterioration was defined as time from randomization to first worsening in QoL with no subsequent non-worsened assessment. Worsening in global health status/QoL was defined as a decrease of ≥10 points on a 100-point scale. If a participant did not report worsening, time to sustained deterioration was censored at date of last non-worsened assessment.
SecondaryChange in Health Status on the EuroQol 5-Dimensions 5-Level Instrument (EQ-5D- 5L)Randomization, 30 Days After Treatment Discontinuation (Up To 5 Months)
The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status. Five dimensions of health status are each assessed with 5 response options and scored as a composite index which were anchored on a scale of 0 to 1 with a higher score representing better health status. Additionally, current health status was assessed on a visual analogue scale (VAS) ranging from 0 to 100 with a higher score representing better health status.
SecondaryTime to Deterioration in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)Randomization to ECOG PS ≥2 (Up To 26 Months)
The time from the date of randomization to the first date observing ECOG PS ≥2 (that is, deterioration from baseline status of 0 or 1). Participants without PS deterioration were censored at their last documented assessments of 0 or 1. ECOG Performance Status: 2- Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours, 3 -Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours, 4 -Completely disabled. Cannot carry on any selfcare.Totally confined to bed or chair,5- Dead.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression-free Survival (PFS)Randomization to Radiological Disease Progression or Death from Any Cause (Up to 26 Months)First 508 randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=87 and Placebo + Cisplatin + Capecitabine=62.monthsMEDIAN
SECONDARYOverall Survival (OS)Randomization to Death from Any Cause (Up To 30 Months)All randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=87 and Placebo + Cisplatin + Capecitabine=88.monthsMEDIAN
SECONDARYProgression- Free Survival 2 (PFS2)Randomization to Second Radiological or Symptomatic Disease Progression After the Start of Additional Systemic Anticancer Treatment or Death from Any Cause (Up To 26 Months)All randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=74 and Placebo + Cisplatin + Capecitabine=74.monthsMEDIAN
SECONDARYPercentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])Randomization to Disease Progression (Up To 26 Months)All randomized participants.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])Randomization to Disease Progression (Up To 26 Months)All randomized participants.percentage of participantsNUMBER
SECONDARYTime to Progression (TTP)Randomization to Disease Progression (Up To 24 Months)All randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=149 and Placebo + Cisplatin + Capecitabine=111.monthsMEDIAN
SECONDARYDuration of Response (DoR)Date of Complete Response (CR) or Partial Response (PR) to Date of Objective Disease Progression or Death Due to Any Cause (Up To 26 Months)All randomized participants. Participants censored : Ramucirumab + Cisplatin + Capecitabine= 23 and Placebo + Cisplatin + Capecitabine=10.monthsMEDIAN
SECONDARYTime to Deterioration in Quality of Life (QoL) on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Global Health Status/ QoL ScaleRandomization, First worsening in QoL (Up To 26 Months)All randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=215 and Placebo + Cisplatin + Capecitabine=217monthsMEDIAN
SECONDARYChange in Health Status on the EuroQol 5-Dimensions 5-Level Instrument (EQ-5D- 5L)Randomization, 30 Days After Treatment Discontinuation (Up To 5 Months)All randomized participants who provided data at baseline and cycle 6.units on a scaleMEAN
SECONDARYTime to Deterioration in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)Randomization to ECOG PS ≥2 (Up To 26 Months)All randomized participants. Participants censored: Ramucirumab + Cisplatin + Capecitabine=254 and Placebo + Cisplatin + Capecitabine= 260.monthsMEDIAN

Results by group32

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Progression-free Survival (PFS)Ramucirumab + Cisplatin + Capecitabine5.7295% Confidence Interval 5.45 to 6.51months
Progression-free Survival (PFS)Placebo + Cisplatin + Capecitabine5.3995% Confidence Interval 4.47 to 5.72months
Overall Survival (OS)Ramucirumab + Cisplatin + Capecitabine11.1795% Confidence Interval 9.92 to 11.93months
Overall Survival (OS)Placebo + Cisplatin + Capecitabine10.7495% Confidence Interval 9.53 to 11.89months
Progression- Free Survival 2 (PFS2)Ramucirumab + Cisplatin + Capecitabine10.1895% Confidence Interval 9.03 to 10.84months
Progression- Free Survival 2 (PFS2)Placebo + Cisplatin + Capecitabine9.2095% Confidence Interval 8.34 to 9.99months
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])Ramucirumab + Cisplatin + Capecitabine41.195% Confidence Interval 35.8 to 46.4percentage of participants
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])Placebo + Cisplatin + Capecitabine36.495% Confidence Interval 31.1 to 41.6percentage of participants
Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])Ramucirumab + Cisplatin + Capecitabine81.995% Confidence Interval 77.7 to 86.1percentage of participants
Percentage of Participants With Complete Response (CR), Partial Response (PR) or Stable Disease (SD) (Disease Control Rate [DCR])Placebo + Cisplatin + Capecitabine76.595% Confidence Interval 71.8 to 81.1percentage of participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRamucirumab + Cisplatin + Capecitabine326
Overall StudySTARTEDPlacebo + Cisplatin + Capecitabine319
Overall StudyReceived at Least One Dose of Study DrugRamucirumab + Cisplatin + Capecitabine323
Overall StudyReceived at Least One Dose of Study DrugPlacebo + Cisplatin + Capecitabine315
Overall StudyCOMPLETEDRamucirumab + Cisplatin + Capecitabine314
Overall StudyCOMPLETEDPlacebo + Cisplatin + Capecitabine303
Overall StudyNOT COMPLETEDRamucirumab + Cisplatin + Capecitabine12
Overall StudyNOT COMPLETEDPlacebo + Cisplatin + Capecitabine16

Adverse events506

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersLY3009806+Capecitabine+Cisplatin104323276
otherAnaemiaBlood and lymphatic system disordersPlacebo+Capecitabine+Cisplatin114315289
otherNeutropeniaBlood and lymphatic system disordersLY3009806+Capecitabine+Cisplatin71323218
otherNeutropeniaBlood and lymphatic system disordersPlacebo+Capecitabine+Cisplatin74315133
otherThrombocytopeniaBlood and lymphatic system disordersLY3009806+Capecitabine+Cisplatin41323106
otherThrombocytopeniaBlood and lymphatic system disordersPlacebo+Capecitabine+Cisplatin2631551
otherTinnitusEar and labyrinth disordersLY3009806+Capecitabine+Cisplatin2332326
otherTinnitusEar and labyrinth disordersPlacebo+Capecitabine+Cisplatin2731532
otherAbdominal painGastrointestinal disordersLY3009806+Capecitabine+Cisplatin5232380
otherAbdominal painGastrointestinal disordersPlacebo+Capecitabine+Cisplatin5131569

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLY3009806+Capecitabine+Cisplatin
Total, all-cause mortalityPlacebo+Capecitabine+Cisplatin
Total, other adverse eventsLY3009806+Capecitabine+Cisplatin315323
Total, other adverse eventsPlacebo+Capecitabine+Cisplatin304315
Total, serious adverse eventsLY3009806+Capecitabine+Cisplatin161323
Total, serious adverse eventsPlacebo+Capecitabine+Cisplatin150315

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30718072DERIVEDPubMed
34795131DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Ramucirumab + Cisplatin + Capecitabine vs Placebo + Cisplatin + Capecitabine: Number of Participants With Anti-Ramucirumab AntibodiesTrial comparisons
LY3009806+Capecitabine+Cisplatin vs Placebo+Capecitabine+Cisplatin: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02314117

GET https://conductscience.org/api/trials/v1/NCT02314117/results?page=2