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NCT02411448 · OUTCOME

Part B: Best Change From Baseline on the Lung Cancer Symptom Scale (LCSS)

A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY) · Source last updated 2026-01-16

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
LEAST_SQUARES_MEAN
Unit
millimeter
Interval / dispersion
Standard Error
Time frame
Baseline, End of Study (Up To 37 Months)

What was measured

The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms \[loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain\] and 3 global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-millimeter (mm) lines. A higher score for any item represented a higher level of symptoms/problems. The LCSS total score was defined as the mean of all 9 items. Average symptom burden index (ASBI) was calculated as the mean of the six symptom-specific questions from the LCSS. Potential scores range from 0 (for best outcome) to 100 (for worst outcome).

Analysis population: Part B: All randomized participants who completed the LCSS at baseline and at least once post-baseline. Per protocol, Part A did not evaluate efficacy.

Groups in this outcome

Part B: Ramucirumab+ Erlotinib

Part B: 10 mg/kg ramucirumab administered every 2 weeks IV in combination with 150 mg erlotinib daily orally. Participants may continue to receive treatment until discontinuation criteria are met.

Part B: Placebo+ Erlotinib

Part B: Placebo administered every 2 weeks IV in combination with 150 mg erlotinib daily orally. Participants may continue to receive treatment until discontinuation criteria are met.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib224
Part B: Placebo+ Erlotinib225

Reported measurements

Loss of Appetite

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-17.070.92Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-18.160.91Not reportedNot reportedNot reported
Fatigue

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-19.350.91Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-19.450.90Not reportedNot reportedNot reported
Cough

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-21.220.58Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-22.090.57Not reportedNot reportedNot reported
Shortness of Breath

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-14.460.57Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-15.930.57Not reportedNot reportedNot reported
Blood in Sputum

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib216
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-1.580.25Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-1.940.25Not reportedNot reportedNot reported
Pain

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib216
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-13.570.59Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-14.690.59Not reportedNot reportedNot reported
Symptom distress

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-15.910.67Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-16.150.67Not reportedNot reportedNot reported
Interference with Activity Level

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-14.430.83Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-15.600.82Not reportedNot reportedNot reported
Global Quality of Life

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib217
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-16.210.95Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-18.120.94Not reportedNot reportedNot reported
Average Symptom Burden Index

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib216
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-12.170.57Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-13.050.57Not reportedNot reportedNot reported
Total LCSS

Analysis denominator · Participants

GroupSource count
Part B: Ramucirumab+ Erlotinib213
Part B: Placebo+ Erlotinib216
Values in millimeter · Interval/dispersion: Standard Error
GroupValueSpreadLowerUpperComment
Part B: Ramucirumab+ Erlotinib-12.000.62Not reportedNot reportedNot reported
Part B: Placebo+ Erlotinib-12.710.61Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.92
        value
        -17.07
      2. group Id
        OG001
        spread
        0.91
        value
        -18.16
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Loss of Appetite
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.91
        value
        -19.35
      2. group Id
        OG001
        spread
        0.90
        value
        -19.45
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Fatigue
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.58
        value
        -21.22
      2. group Id
        OG001
        spread
        0.57
        value
        -22.09
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Cough
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.57
        value
        -14.46
      2. group Id
        OG001
        spread
        0.57
        value
        -15.93
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Shortness of Breath
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.25
        value
        -1.58
      2. group Id
        OG001
        spread
        0.25
        value
        -1.94
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        216
      units
      Participants
    title
    Blood in Sputum
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.59
        value
        -13.57
      2. group Id
        OG001
        spread
        0.59
        value
        -14.69
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        216
      units
      Participants
    title
    Pain
  7. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.67
        value
        -15.91
      2. group Id
        OG001
        spread
        0.67
        value
        -16.15
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Symptom distress
  8. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.83
        value
        -14.43
      2. group Id
        OG001
        spread
        0.82
        value
        -15.60
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Interference with Activity Level
  9. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.95
        value
        -16.21
      2. group Id
        OG001
        spread
        0.94
        value
        -18.12
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        217
      units
      Participants
    title
    Global Quality of Life
  10. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.57
        value
        -12.17
      2. group Id
        OG001
        spread
        0.57
        value
        -13.05
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        216
      units
      Participants
    title
    Average Symptom Burden Index
  11. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.62
        value
        -12.00
      2. group Id
        OG001
        spread
        0.61
        value
        -12.71
    denoms
    1. counts
      1. group Id
        OG000
        value
        213
      2. group Id
        OG001
        value
        216
      units
      Participants
    title
    Total LCSS
denoms
  1. counts
    1. group Id
      OG000
      value
      224
    2. group Id
      OG001
      value
      225
    units
    Participants
description
The LCSS consisted of 9 items: 6 items focused on lung cancer symptoms \[loss of appetite, fatigue, cough, dyspnea (shortness of breath), hemoptysis (blood in sputum), and pain\] and 3 global items (symptom distress, interference with activity level, and global quality of life). Participant responses to each item were measured using visual analogue scales (VAS) with 100-millimeter (mm) lines. A higher score for any item represented a higher level of symptoms/problems. The LCSS total score was defined as the mean of all 9 items. Average symptom burden index (ASBI) was calculated as the mean of the six symptom-specific questions from the LCSS. Potential scores range from 0 (for best outcome) to 100 (for worst outcome).
dispersion Type
Standard Error
groups
  1. description
    Part B: 10 mg/kg ramucirumab administered every 2 weeks IV in combination with 150 mg erlotinib daily orally. Participants may continue to receive treatment until discontinuation criteria are met.
    id
    OG000
    title
    Part B: Ramucirumab+ Erlotinib
  2. description
    Part B: Placebo administered every 2 weeks IV in combination with 150 mg erlotinib daily orally. Participants may continue to receive treatment until discontinuation criteria are met.
    id
    OG001
    title
    Part B: Placebo+ Erlotinib
param Type
LEAST_SQUARES_MEAN
population Description
Part B: All randomized participants who completed the LCSS at baseline and at least once post-baseline. Per protocol, Part A did not evaluate efficacy.
reporting Status
POSTED
time Frame
Baseline, End of Study (Up To 37 Months)
title
Part B: Best Change From Baseline on the Lung Cancer Symptom Scale (LCSS)
type
SECONDARY
unit Of Measure
millimeter

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Preserved source evidence · Not medical advice