PMID- 34941463 OWN - NLM STAT- MEDLINE DCOM- 20220502 LR - 20231213 IS - 1744-764X (Electronic) IS - 1474-0338 (Linking) VI - 21 IP - 5 DP - 2022 May TI - Safety and effectiveness of ramucirumab and docetaxel: a single-arm, prospective, multicenter, non-interventional, observational, post-marketing safety study of NSCLC in Japan. PG - 691-698 LID - 10.1080/14740338.2022.2023127 [doi] AB - BACKGROUND: This study evaluated the safety and effectiveness of ramucirumab and docetaxel for non-small cell lung cancer (NSCLC) in real-world settings. RESEARCH DESIGN AND METHODS: This single-arm, prospective, multicenter, non-interventional, post-marketing study was conducted in Japan between August 2016 and January 2020. Patients diagnosed with unresectable advanced/recurrent NSCLC were eligible for study inclusion. Data on adverse events (AEs) and survival were collected electronically. RESULTS: Of 401 enrolled patients, 398 were eligible for study inclusion. Most patients were male (68.6%) with a median age of 67.0 years. Patients were predominantly diagnosed with adenocarcinoma (78.1%) or squamous cell carcinoma (16.6%); 46.2% received prior treatment with bevacizumab and 38.7% with immune-checkpoint inhibitors. AEs (any grade) were observed in 323 patients (81.2%; grade >/= 3: n = 174, 43.7%). The most common AEs (any grade) were malaise (14.3%), decreased appetite (13.0%), and neutrophil count decrease (11.6%). At 12 months from treatment commencement, 93.2% of patients had discontinued, mostly due to progressive disease (53.4%) or AEs (28.3%). The 12-month survival rate was 56.7% (95% confidence interval: 51.5-61.8). CONCLUSIONS: Data from real-world settings demonstrate ramucirumab and docetaxel treatment appears to be tolerable and effective in Japanese patients regardless of patient baseline characteristics and prior treatment. FAU - Chen, Yucherng AU - Chen Y AD - Safety Science, Eli Lilly Japan K.K., Kobe, Japan. FAU - Nagaoka, Soshi AU - Nagaoka S AD - Japan Drug Development and Medical Affairs, Eli Lilly Japan K.K., Kobe, Japan. FAU - Katayose, Taeko AU - Katayose T AD - Global Patient Safety and Solutions, Eli Lilly Japan K.K., Kobe, Japan. FAU - Sekine, Nobuyuki AU - Sekine N AD - Oncology, Japan Drug Development and Medical Affairs, Eli Lilly Japan K.K., Kobe, Japan. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20220124 PL - England TA - Expert Opin Drug Saf JT - Expert opinion on drug safety JID - 101163027 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 15H5577CQD (Docetaxel) SB - IM MH - Aged MH - Antibodies, Monoclonal/adverse effects MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/pathology MH - Docetaxel/adverse effects MH - Female MH - Humans MH - Japan MH - *Lung Neoplasms/drug therapy/pathology MH - Male MH - Marketing MH - Neoplasm Recurrence, Local/chemically induced MH - Prospective Studies MH - Ramucirumab OTO - NOTNLM OT - Japan OT - non-small cell lung cancer OT - post-marketing surveillance OT - ramucirumab EDAT- 2021/12/24 06:00 MHDA- 2022/05/03 06:00 CRDT- 2021/12/23 17:16 PHST- 2021/12/24 06:00 [pubmed] PHST- 2022/05/03 06:00 [medline] PHST- 2021/12/23 17:16 [entrez] AID - 10.1080/14740338.2022.2023127 [doi] PST - ppublish SO - Expert Opin Drug Saf. 2022 May;21(5):691-698. doi: 10.1080/14740338.2022.2023127. Epub 2022 Jan 24.