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NCT02443324 · OUTCOME

Phase 1a and 1b: Pharmacokinetics (PK): Minimum Trough Concentration (Cmin) of Ramucirumab

A Study of Ramucirumab Plus Pembrolizumab in Participants With Gastric or GEJ Adenocarcinoma, NSCLC, Transitional Cell Carcinoma of the Urothelium, or Biliary Tract Cancer · Source last updated 2024-07-31

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

Measure
GEOMETRIC_MEAN
Unit
micrograms/milliliter (μg/mL)
Interval / dispersion
Geometric Coefficient of Variation
Time frame
Phase 1a (Gastric-GEJ or BTC participants (pts)): Week (Wk) 1, 3, 6 and 9; Phase 1a (Gastric, NSCLC, or urothelial pts): Wk 3, 6, 9 and 12; Cohort A, A1, A2: Wk 1, 3, 6, 9, 12, 18, 19 and 24; Cohort B,C,D,E: Wk 3, 6, 9, 12, 18, 19 and 24

What was measured

PK: Cmin of Ramucirumab following administration every 3 weeks.

Analysis population: All enrolled participants who received at least one dose of the study drug and had evaluable ramucirumab PK data. PK was assessed both in Phase 1a and 1b as per protocol analysis.

Groups in this outcome

Phase 1a: Gastric-GEJ or BTC

Participants received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Phase 1 a: Gastric, NSCLC, or Urothelial Patients

Participants received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort A

Participants with Gastric-GEJ cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort A1

Participants with BTC cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort A2

Participants with Gastric-GEJ cancer (First L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort B

Participants with Gastric-GEJ cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort C

Participants with NSCLC (Second-Fourth L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort D

Participants with Urothelial cancer (Second-Fourth L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

Cohort E

Participants with NSCLC cancer (First L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.

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

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC6
Phase 1 a: Gastric, NSCLC, or Urothelial Patients3
Cohort A16
Cohort A122
Cohort A226
Cohort B15
Cohort C23
Cohort D15
Cohort E21

Reported measurements

Week 1

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC6
Phase 1 a: Gastric, NSCLC, or Urothelial Patients0
Cohort A16
Cohort A122
Cohort A226
Cohort B0
Cohort C0
Cohort D0
Cohort E0
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Phase 1a: Gastric-GEJ or BTC50.924Not reportedNot reportedNot reported
Cohort A44.228Not reportedNot reportedNot reported
Cohort A145.241Not reportedNot reportedNot reported
Cohort A245.923Not reportedNot reportedNot reported
Week 3

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC5
Phase 1 a: Gastric, NSCLC, or Urothelial Patients3
Cohort A11
Cohort A120
Cohort A222
Cohort B15
Cohort C23
Cohort D15
Cohort E21
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Phase 1a: Gastric-GEJ or BTC5229Not reportedNot reportedNot reported
Phase 1 a: Gastric, NSCLC, or Urothelial Patients20.935Not reportedNot reportedNot reported
Cohort A4048Not reportedNot reportedNot reported
Cohort A144.157Not reportedNot reportedNot reported
Cohort A245.232Not reportedNot reportedNot reported
Cohort B13.393Not reportedNot reportedNot reported
Cohort C22.562Not reportedNot reportedNot reported
Cohort D20.954Not reportedNot reportedNot reported
Cohort E15.670Not reportedNot reportedNot reported
Week 6

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC5
Phase 1 a: Gastric, NSCLC, or Urothelial Patients2
Cohort A5
Cohort A111
Cohort A218
Cohort B12
Cohort C15
Cohort D15
Cohort E18
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Phase 1a: Gastric-GEJ or BTC6929Not reportedNot reportedNot reported
Phase 1 a: Gastric, NSCLC, or Urothelial PatientsNANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 21.2 μg/mL, 30.6 μg/mL
Cohort A79.830Not reportedNot reportedNot reported
Cohort A169.168Not reportedNot reportedNot reported
Cohort A26138Not reportedNot reportedNot reported
Cohort B25.774Not reportedNot reportedNot reported
Cohort C33.868Not reportedNot reportedNot reported
Cohort D23.3102Not reportedNot reportedNot reported
Cohort E19.3115Not reportedNot reportedNot reported
Week 9

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC2
Phase 1 a: Gastric, NSCLC, or Urothelial Patients3
Cohort A8
Cohort A16
Cohort A213
Cohort B9
Cohort C18
Cohort D11
Cohort E15
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Phase 1a: Gastric-GEJ or BTCNANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 45.6 μg/mL, 72.5 μg/mL
Phase 1 a: Gastric, NSCLC, or Urothelial Patients32.720.6Not reportedNot reportedNot reported
Cohort A72.846Not reportedNot reportedNot reported
Cohort A194.340Not reportedNot reportedNot reported
Cohort A278.831Not reportedNot reportedNot reported
Cohort B32.760Not reportedNot reportedNot reported
Cohort C40.163Not reportedNot reportedNot reported
Cohort D34.873Not reportedNot reportedNot reported
Cohort E28.690Not reportedNot reportedNot reported
Week 12

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC0
Phase 1 a: Gastric, NSCLC, or Urothelial Patients2
Cohort A5
Cohort A12
Cohort A210
Cohort B8
Cohort C16
Cohort D8
Cohort E10
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Phase 1 a: Gastric, NSCLC, or Urothelial PatientsNANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 26.9 μg/mL, 38.7 μg/mL
Cohort A89.335Not reportedNot reportedNot reported
Cohort A1NANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 140 μg/mL, 160 μg/mL
Cohort A280.238Not reportedNot reportedNot reported
Cohort B36.848Not reportedNot reportedNot reported
Cohort C47.145Not reportedNot reportedNot reported
Cohort D34.9141Not reportedNot reportedNot reported
Cohort E26.389Not reportedNot reportedNot reported
Week 18

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC0
Phase 1 a: Gastric, NSCLC, or Urothelial Patients0
Cohort A5
Cohort A12
Cohort A27
Cohort B4
Cohort C11
Cohort D5
Cohort E9
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Cohort A92.471Not reportedNot reportedNot reported
Cohort A1NANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 147 μg/mL, 171 μg/mL
Cohort A287.648Not reportedNot reportedNot reported
Cohort B52.745Not reportedNot reportedNot reported
Cohort C44.431Not reportedNot reportedNot reported
Cohort D52.636Not reportedNot reportedNot reported
Cohort E37.166Not reportedNot reportedNot reported
Week 19

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC0
Phase 1 a: Gastric, NSCLC, or Urothelial Patients0
Cohort A3
Cohort A11
Cohort A25
Cohort B0
Cohort C0
Cohort D0
Cohort E0
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Cohort A14969Not reportedNot reportedNot reported
Cohort A1NANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =1. Individual value = 215 μg/mL
Cohort A212034Not reportedNot reportedNot reported
Week 24

Analysis denominator · Participants

GroupSource count
Phase 1a: Gastric-GEJ or BTC0
Phase 1 a: Gastric, NSCLC, or Urothelial Patients0
Cohort A3
Cohort A11
Cohort A23
Cohort B4
Cohort C10
Cohort D2
Cohort E7
Values in micrograms/milliliter (μg/mL) · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Cohort A11683Not reportedNot reportedNot reported
Cohort A1NANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =1. Individual value = 178 μg/mL
Cohort A295.727Not reportedNot reportedNot reported
Cohort B43.640Not reportedNot reportedNot reported
Cohort C4529Not reportedNot reportedNot reported
Cohort DNANANot reportedNot reportedGeometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 39.5 μg/mL, 88 μg/mL
Cohort E42.187Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        24
        value
        50.9
      2. group Id
        OG002
        spread
        28
        value
        44.2
      3. group Id
        OG003
        spread
        41
        value
        45.2
      4. group Id
        OG004
        spread
        23
        value
        45.9
    denoms
    1. counts
      1. group Id
        OG000
        value
        6
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        16
      4. group Id
        OG003
        value
        22
      5. group Id
        OG004
        value
        26
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      9. group Id
        OG008
        value
        0
      units
      Participants
    title
    Week 1
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        29
        value
        52
      2. group Id
        OG001
        spread
        35
        value
        20.9
      3. group Id
        OG002
        spread
        48
        value
        40
      4. group Id
        OG003
        spread
        57
        value
        44.1
      5. group Id
        OG004
        spread
        32
        value
        45.2
      6. group Id
        OG005
        spread
        93
        value
        13.3
      7. group Id
        OG006
        spread
        62
        value
        22.5
      8. group Id
        OG007
        spread
        54
        value
        20.9
      9. group Id
        OG008
        spread
        70
        value
        15.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        11
      4. group Id
        OG003
        value
        20
      5. group Id
        OG004
        value
        22
      6. group Id
        OG005
        value
        15
      7. group Id
        OG006
        value
        23
      8. group Id
        OG007
        value
        15
      9. group Id
        OG008
        value
        21
      units
      Participants
    title
    Week 3
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        29
        value
        69
      2. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 21.2 μg/mL, 30.6 μg/mL
        group Id
        OG001
        spread
        NA
        value
        NA
      3. group Id
        OG002
        spread
        30
        value
        79.8
      4. group Id
        OG003
        spread
        68
        value
        69.1
      5. group Id
        OG004
        spread
        38
        value
        61
      6. group Id
        OG005
        spread
        74
        value
        25.7
      7. group Id
        OG006
        spread
        68
        value
        33.8
      8. group Id
        OG007
        spread
        102
        value
        23.3
      9. group Id
        OG008
        spread
        115
        value
        19.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        5
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        5
      4. group Id
        OG003
        value
        11
      5. group Id
        OG004
        value
        18
      6. group Id
        OG005
        value
        12
      7. group Id
        OG006
        value
        15
      8. group Id
        OG007
        value
        15
      9. group Id
        OG008
        value
        18
      units
      Participants
    title
    Week 6
  4. categories
    1. measurements
      1. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 45.6 μg/mL, 72.5 μg/mL
        group Id
        OG000
        spread
        NA
        value
        NA
      2. group Id
        OG001
        spread
        20.6
        value
        32.7
      3. group Id
        OG002
        spread
        46
        value
        72.8
      4. group Id
        OG003
        spread
        40
        value
        94.3
      5. group Id
        OG004
        spread
        31
        value
        78.8
      6. group Id
        OG005
        spread
        60
        value
        32.7
      7. group Id
        OG006
        spread
        63
        value
        40.1
      8. group Id
        OG007
        spread
        73
        value
        34.8
      9. group Id
        OG008
        spread
        90
        value
        28.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        2
      2. group Id
        OG001
        value
        3
      3. group Id
        OG002
        value
        8
      4. group Id
        OG003
        value
        6
      5. group Id
        OG004
        value
        13
      6. group Id
        OG005
        value
        9
      7. group Id
        OG006
        value
        18
      8. group Id
        OG007
        value
        11
      9. group Id
        OG008
        value
        15
      units
      Participants
    title
    Week 9
  5. categories
    1. measurements
      1. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 26.9 μg/mL, 38.7 μg/mL
        group Id
        OG001
        spread
        NA
        value
        NA
      2. group Id
        OG002
        spread
        35
        value
        89.3
      3. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 140 μg/mL, 160 μg/mL
        group Id
        OG003
        spread
        NA
        value
        NA
      4. group Id
        OG004
        spread
        38
        value
        80.2
      5. group Id
        OG005
        spread
        48
        value
        36.8
      6. group Id
        OG006
        spread
        45
        value
        47.1
      7. group Id
        OG007
        spread
        141
        value
        34.9
      8. group Id
        OG008
        spread
        89
        value
        26.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        2
      3. group Id
        OG002
        value
        5
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        10
      6. group Id
        OG005
        value
        8
      7. group Id
        OG006
        value
        16
      8. group Id
        OG007
        value
        8
      9. group Id
        OG008
        value
        10
      units
      Participants
    title
    Week 12
  6. categories
    1. measurements
      1. group Id
        OG002
        spread
        71
        value
        92.4
      2. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 147 μg/mL, 171 μg/mL
        group Id
        OG003
        spread
        NA
        value
        NA
      3. group Id
        OG004
        spread
        48
        value
        87.6
      4. group Id
        OG005
        spread
        45
        value
        52.7
      5. group Id
        OG006
        spread
        31
        value
        44.4
      6. group Id
        OG007
        spread
        36
        value
        52.6
      7. group Id
        OG008
        spread
        66
        value
        37.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        5
      4. group Id
        OG003
        value
        2
      5. group Id
        OG004
        value
        7
      6. group Id
        OG005
        value
        4
      7. group Id
        OG006
        value
        11
      8. group Id
        OG007
        value
        5
      9. group Id
        OG008
        value
        9
      units
      Participants
    title
    Week 18
  7. categories
    1. measurements
      1. group Id
        OG002
        spread
        69
        value
        149
      2. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =1. Individual value = 215 μg/mL
        group Id
        OG003
        spread
        NA
        value
        NA
      3. group Id
        OG004
        spread
        34
        value
        120
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        5
      6. group Id
        OG005
        value
        0
      7. group Id
        OG006
        value
        0
      8. group Id
        OG007
        value
        0
      9. group Id
        OG008
        value
        0
      units
      Participants
    title
    Week 19
  8. categories
    1. measurements
      1. group Id
        OG002
        spread
        83
        value
        116
      2. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =1. Individual value = 178 μg/mL
        group Id
        OG003
        spread
        NA
        value
        NA
      3. group Id
        OG004
        spread
        27
        value
        95.7
      4. group Id
        OG005
        spread
        40
        value
        43.6
      5. group Id
        OG006
        spread
        29
        value
        45
      6. comment
        Geometric Mean and Geometric Coefficient of Variation couldn't be calculated as n =2. Individual values = 39.5 μg/mL, 88 μg/mL
        group Id
        OG007
        spread
        NA
        value
        NA
      7. group Id
        OG008
        spread
        87
        value
        42.1
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        0
      3. group Id
        OG002
        value
        3
      4. group Id
        OG003
        value
        1
      5. group Id
        OG004
        value
        3
      6. group Id
        OG005
        value
        4
      7. group Id
        OG006
        value
        10
      8. group Id
        OG007
        value
        2
      9. group Id
        OG008
        value
        7
      units
      Participants
    title
    Week 24
denoms
  1. counts
    1. group Id
      OG000
      value
      6
    2. group Id
      OG001
      value
      3
    3. group Id
      OG002
      value
      16
    4. group Id
      OG003
      value
      22
    5. group Id
      OG004
      value
      26
    6. group Id
      OG005
      value
      15
    7. group Id
      OG006
      value
      23
    8. group Id
      OG007
      value
      15
    9. group Id
      OG008
      value
      21
    units
    Participants
description
PK: Cmin of Ramucirumab following administration every 3 weeks.
dispersion Type
Geometric Coefficient of Variation
groups
  1. description
    Participants received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG000
    title
    Phase 1a: Gastric-GEJ or BTC
  2. description
    Participants received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG001
    title
    Phase 1 a: Gastric, NSCLC, or Urothelial Patients
  3. description
    Participants with Gastric-GEJ cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG002
    title
    Cohort A
  4. description
    Participants with BTC cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG003
    title
    Cohort A1
  5. description
    Participants with Gastric-GEJ cancer (First L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG004
    title
    Cohort A2
  6. description
    Participants with Gastric-GEJ cancer (Second-Third L) received 8 mg/kg ramucirumab given IV on day 1 and 8 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG005
    title
    Cohort B
  7. description
    Participants with NSCLC (Second-Fourth L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG006
    title
    Cohort C
  8. description
    Participants with Urothelial cancer (Second-Fourth L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG007
    title
    Cohort D
  9. description
    Participants with NSCLC cancer (First L) received 10 mg/kg ramucirumab given IV on day 1 in combination with 200 mg pembrolizumab given IV on day 1 Q3W of a 21-day cycle.
    id
    OG008
    title
    Cohort E
param Type
GEOMETRIC_MEAN
population Description
All enrolled participants who received at least one dose of the study drug and had evaluable ramucirumab PK data. PK was assessed both in Phase 1a and 1b as per protocol analysis.
reporting Status
POSTED
time Frame
Phase 1a (Gastric-GEJ or BTC participants (pts)): Week (Wk) 1, 3, 6 and 9; Phase 1a (Gastric, NSCLC, or urothelial pts): Wk 3, 6, 9 and 12; Cohort A, A1, A2: Wk 1, 3, 6, 9, 12, 18, 19 and 24; Cohort B,C,D,E: Wk 3, 6, 9, 12, 18, 19 and 24
title
Phase 1a and 1b: Pharmacokinetics (PK): Minimum Trough Concentration (Cmin) of Ramucirumab
type
SECONDARY
unit Of Measure
micrograms/milliliter (μg/mL)

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Preserved source evidence · Not medical advice