Real World Data (RWD) obtained from real clinical sites is data obtained after administering a drug to patients with different characteristics in daily practice, and Real World Evidence (RWE) is established based on RWD. It is possible to overcome the disadvantage of RCT, which cannot reflect all the various variables in the actual clinical field as it is conducted for only subset of patients. Researchers planned to prospectively collect RWD of ramucirumab/paclitaxel combination therapy as 2nd-line chemotherapy in patients with locally advanced unresectable or metastatic gastric or gastroesophageal junction adenocarcinoma.
Most drugs are introduced into the medical market based on efficacy derived from randomized controlled trials (RCTs) in a subset of patient groups in which the age, presence of comorbidities, and general conditions of the target patient are strictly controlled by the researcher. Real World Data (RWD) obtained from real clinical sites is data obtained after administering a drug to patients with different characteristics in daily practice, and Real World Evidence (RWE) is established based on RWD. It is possible to overcome the disadvantage of RCT, which cannot reflect all the various variables in the actual clinical field as it is conducted for only subset of patients. Researchers have collected retrospective RWD from patients who used ramucirumab/paclitaxel in a previous study (KCSG ST19-16). Considering the limitations of RWD obtained through retrospective data collection, it is necessary to generate RWE through RWD, which prospectively collects various clinical data obtained in the process of using new anticancer drugs.
Study Type
OBSERVATIONAL
Enrollment
222
Ramucirumab/paclitaxel as a second-line chemotherapy after May 1, 2018, when health insurance coverage for the combination therapy started
Taxane, irinotecan , or fluoropyrimidine-based single or combined chemotherapy as a second-line therapy
Hallym University Sacred Heart Hospital
Anyang, South Korea
Kyungpook National University Chilgok Hospital
Daegu, South Korea
Keimyung University Dongsan Medical Center
Daegu, South Korea
Seoul National University Bundang Hospital
Seongnam, South Korea
Kyung Hee University Hospital
Seoul, South Korea
Seoul National University Hospital
Seoul, South Korea
Severance Hospital, Yonsei University Health System
Seoul, South Korea
Asan Medical Center
Seoul, South Korea
Samsung Medical Center
Seoul, South Korea
Overall survival
Time from the start of ramucirumab/paclitaxel to death from any cause
Time frame: Until September 30, 2023
Progression-free survival
Time from the start of ramucirumab/paclitaxel to disease progression or death from any cause
Time frame: Until September 30, 2023
Incidence of adverse events
Number (percentage) of subjects reporting adverse events according to CTCAE v5.0
Time frame: Until September 30, 2023
Time to progression
Time from the start of ramucirumab/paclitaxel to disease progression
Time frame: Until September 30, 2023
Objective response rate
The proportion of subjects confirmed complete or partial response according to RECIST v1.1
Time frame: Until September 30, 2023
Disease control rate
The proportion of subjects confirmed complete response, partial response or stable disease according to RECIST v1.1
Time frame: Until September 30, 2023
Duration of response
Time from documentation of tumor response to disease progression
Time frame: Until September 30, 2023
Adverse events of special interest
Number (percentage) of subjects reporting adverse events of special interest associated with ramucirumab/paclitaxel: hypertension, proteinuria, gastrointestinal bleeding or perforation, delayed wound healing, deep vein thrombosis, arterial thrombosis, stroke according to on CTCAE v5.0
Time frame: Until September 30, 2023
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