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Trial · NCT04145349

CAMPFIRE: A Study of Ramucirumab (LY3009806) in Children and Young Adults With Desmoplastic Small Round Cell Tumor

NCT04145349, Phase 1, Phase 2, Completed, Eli Lilly and Company; results first posted 2025-07-20

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. CAMPFIRE: A Study of Ramucirumab (LY3009806) in Children and Young Adults With Desmoplastic Small Round Cell Tumor. Trials, record NCT04145349. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04145349

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Trial

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

Title
CAMPFIRE: A Study of Ramucirumab (LY3009806) in Children and Young Adults With Desmoplastic Small Round Cell Tumor
NCT number
NCT04145349
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
30 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Desmoplastic Small Round Cell Tumor
Interventions
Ramucirumab, Cyclophosphamide, Vinorelbine
First posted
2019-10-30
Last updated
2026-08-07
Other registries' IDs
eudract:2018-004242-42
Results first posted
2025-07-20

Source ClinicalTrials.gov

Registered outcomes7

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

ListOutcomeTime frameDescription
PrimaryProgression Free Survival (PFS)Randomization to Objective Progression or Death Due to Any Cause (Up To 23 Months)
PFS was defined as the time from randomization to the date of investigator-determined objective progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, or death from any cause in the absence of disease progression. Progressive disease (PD) was defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions.Participants known to be alive and without disease progression were censored at the date of their last adequate tumor assessment per RECIST 1.1 criteria, or date of randomization (whichever is later). The posterior median and 98% credible interval were estimated using Bayesian analysis. Data are presented as the posterior median with 98% credible interval.
SecondaryOverall Response Rate (ORR): Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR)Randomization until measured progressive disease (Up To 23 Months)
* The ORR was defined as the percentage of participants achieving either a CR or PR. Tumor response was assessed based on histology: Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) was used for solid tumors, and Response Assessment in Neuro-Oncology criteria were used for glioblastoma. * CR was defined as the disappearance of all target lesions, with any pathological lymph nodes (whether target or non-target) showing a reduction in the short axis to \<10 mm. Tumor marker results were required to have normalized. PR was defined as a decrease of at least 30% in the sum of the diameters of target lesions, using baseline diameters as the reference.
SecondaryDuration of Response (DoR)Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 23 Months)
DoR is defined as the time from the date that measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective disease progression is observed, per RECIST 1.1 criteria, or the date of death from any cause in the absence of documented disease progression or recurrence .Participants known to be alive and without disease progression were censored at the date of their last adequate tumor assessment per RECIST 1.1 criteria, or date of randomization (whichever is later).
SecondaryComplete Response (CR) : Percentage of Participants Who Achieved a CRRandomization until measured progressive disease (Up To 23 Months)
CR was defined as the disappearance of all target lesions, with any pathological lymph nodes (whether target or non-target) showing a reduction in the short axis to \<10 mm.Tumor marker results were required to have normalized.
SecondaryPharmacokinetics (PK): Maximum Serum Concentration of Ramucirumab (Cmax)End of ramucirumab infusion on Day 1 of Cycle 1Cmax was the concentration of study drug in the blood after the dose is administered. It was measured post-dose and was summarized using descriptive statistics.
SecondaryPK: Minimum Serum Concentration of Ramucirumab (Cmin)Prior to ramucirumab infusion on - Day 15 of Cycle 1 and Day 1 of Cycles 2, 4, 7, and 10Cmin was the concentration of study drug in the blood immediately before the next dose was administered. It was measured pre-dose at all visits and was summarized using descriptive statistics.
SecondaryNumber of Participants With Treatment-Emergent Anti-Drug Antibodies (TE-ADA)Baseline Up to 23 months
A TE-ADA evaluable participant is considered TE-ADA positive if they have at least one post-baseline ADA titer that is a 4-fold or greater increase from their baseline titer (treatment-boosted); alternatively, if the baseline ADA result is Not Present, the participant is considered TE-ADA positive if there is at least one post-baseline ADA result that is Present with a titer greater than or equal to 1:20 (treatment-induced).

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProgression Free Survival (PFS)Randomization to Objective Progression or Death Due to Any Cause (Up To 23 Months)
All randomized participants who received at least one dose of study drug (including the censored participants). Number of participants censored in Ramucirumab + Cyclophosphamide + Vinorelbine = 4, Cyclophosphamide + Vinorelbine = 2.
MonthsMEDIAN
SECONDARYOverall Response Rate (ORR): Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR)Randomization until measured progressive disease (Up To 23 Months)All randomized participants who received at least one dose of study drug.Percentage of participantsNUMBER
SECONDARYDuration of Response (DoR)Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up To 23 Months)
All randomized participants who received at least one dose of study drug and who had CR or PR responses (including the censored participants). Number of participants censored in Ramucirumab + Cyclophosphamide + Vinorelbine = 0, Cyclophosphamide + Vinorelbine = 1.
MonthsMEDIAN
SECONDARYComplete Response (CR) : Percentage of Participants Who Achieved a CRRandomization until measured progressive disease (Up To 23 Months)All randomized participants who received at least one dose of study drug.Percentage of participantsNUMBER
SECONDARYPharmacokinetics (PK): Maximum Serum Concentration of Ramucirumab (Cmax)End of ramucirumab infusion on Day 1 of Cycle 1All randomized participants who received at least one dose of Ramucirumab and had evaluable PK data for this outcome.microgram per milliliter (µg/mL)GEOMETRIC_MEAN
SECONDARYPK: Minimum Serum Concentration of Ramucirumab (Cmin)Prior to ramucirumab infusion on - Day 15 of Cycle 1 and Day 1 of Cycles 2, 4, 7, and 10All randomized participants who received at least one dose of Ramucirumab and had evaluable PK data for this outcome. Number analyzed refers to participants evaluable at specified time points.microgram per milliliter (µg/mL)GEOMETRIC_MEAN
SECONDARYNumber of Participants With Treatment-Emergent Anti-Drug Antibodies (TE-ADA)Baseline Up to 23 monthsAll randomized participants who received at least one dose of study drug and had at least one non-missing baseline, post baseline ADA value.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group16

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

OutcomeGroupCategoryValueSpreadUnits
Progression Free Survival (PFS)Ramucirumab + Cyclophosphamide + VinorelbineNA98% Confidence Interval NA to NAMonths
Progression Free Survival (PFS)Cyclophosphamide + VinorelbineNA98% Confidence Interval NA to NAMonths
Overall Response Rate (ORR): Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR)Ramucirumab + Cyclophosphamide + Vinorelbine1080% Confidence Interval 2.7 to 24.5Percentage of participants
Overall Response Rate (ORR): Percentage of Participants Who Achieved a Complete Response (CR) or Partial Response (PR)Cyclophosphamide + Vinorelbine1080% Confidence Interval 1.1 to 33.7Percentage of participants
Duration of Response (DoR)Ramucirumab + Cyclophosphamide + Vinorelbine9.5580% Confidence Interval 4.89 to NAMonths
Duration of Response (DoR)Cyclophosphamide + VinorelbineNA80% Confidence Interval NA to NAMonths
Complete Response (CR) : Percentage of Participants Who Achieved a CRRamucirumab + Cyclophosphamide + Vinorelbine5.080% Confidence Interval 0.5 to 18.1Percentage of participants
Complete Response (CR) : Percentage of Participants Who Achieved a CRCyclophosphamide + Vinorelbine080% Confidence Interval 0.0 to 20.6Percentage of participants
Pharmacokinetics (PK): Maximum Serum Concentration of Ramucirumab (Cmax)Ramucirumab + Cyclophosphamide + Vinorelbine238Geometric Coefficient of Variation 35microgram per milliliter (µg/mL)
PK: Minimum Serum Concentration of Ramucirumab (Cmin)Ramucirumab + Cyclophosphamide + VinorelbineDay 15 of Cycle 141.6Geometric Coefficient of Variation 57microgram per milliliter (µg/mL)

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRamucirumab + Cyclophosphamide + Vinorelbine20
Overall StudySTARTEDCyclophosphamide + Vinorelbine10
Overall StudyReceived at Least One Dose of Study DrugRamucirumab + Cyclophosphamide + Vinorelbine20
Overall StudyReceived at Least One Dose of Study DrugCyclophosphamide + Vinorelbine10
Overall StudyCOMPLETEDRamucirumab + Cyclophosphamide + Vinorelbine17
Overall StudyCOMPLETEDCyclophosphamide + Vinorelbine8
Overall StudyNOT COMPLETEDRamucirumab + Cyclophosphamide + Vinorelbine3
Overall StudyNOT COMPLETEDCyclophosphamide + Vinorelbine2

Adverse events302

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersRamucirumab + Cyclophosphamide + Vinorelbine82013
otherAnaemiaBlood and lymphatic system disordersCyclophosphamide + Vinorelbine21013
otherFebrile neutropeniaBlood and lymphatic system disordersRamucirumab + Cyclophosphamide + Vinorelbine1201
otherFebrile neutropeniaBlood and lymphatic system disordersCyclophosphamide + Vinorelbine0100
otherLeukopeniaBlood and lymphatic system disordersRamucirumab + Cyclophosphamide + Vinorelbine2203
otherLeukopeniaBlood and lymphatic system disordersCyclophosphamide + Vinorelbine0100
otherLymphopeniaBlood and lymphatic system disordersRamucirumab + Cyclophosphamide + Vinorelbine1201
otherLymphopeniaBlood and lymphatic system disordersCyclophosphamide + Vinorelbine0100
otherNeutropeniaBlood and lymphatic system disordersRamucirumab + Cyclophosphamide + Vinorelbine112028
otherNeutropeniaBlood and lymphatic system disordersCyclophosphamide + Vinorelbine1103

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRamucirumab + Cyclophosphamide + Vinorelbine1220
Total, all-cause mortalityCyclophosphamide + Vinorelbine710
Total, other adverse eventsRamucirumab + Cyclophosphamide + Vinorelbine2020
Total, other adverse eventsCyclophosphamide + Vinorelbine1010
Total, serious adverse eventsRamucirumab + Cyclophosphamide + Vinorelbine620
Total, serious adverse eventsCyclophosphamide + Vinorelbine310

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons3

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

ComparisonSource
Ramucirumab + Cyclophosphamide + Vinorelbine vs Cyclophosphamide + Vinorelbine: Number of Participants With Treatment-Emergent Anti-Drug Antibodies (TE-ADA)Trial comparisons
Ramucirumab + Cyclophosphamide + Vinorelbine vs Cyclophosphamide + Vinorelbine: deaths from any causeTrial comparisons
Ramucirumab + Cyclophosphamide + Vinorelbine vs Cyclophosphamide + Vinorelbine: 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/NCT04145349

GET https://conductscience.org/api/trials/v1/NCT04145349/events?page=2