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Ramucirumab

Phase 3

Gastric Cancer, Adenocarcinoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jan 12, 2026

Target and mechanism

Molecular targetKDR
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment490

FDA Designations

No designations recorded

Clinical trial landscape

Ramucirumab · 1 trial · 2 indications

Phase 3 1
NCT04704934Trastuzumab Deruxtecan for Subjects With HER2-Positive Gastric Cancer or Gastro-Esophageal Junction Adenocarcinoma After Progression on or After a Trastuzumab-Containing Regimen (DESTINY-Gastric04)Gastric Cancer, Adenocarcinoma
ACTIVE NOT_RECRUITING490 Analytics
PHASE3ACTIVE NOT_RECRUITING
Trastuzumab Deruxtecan for Subjects With HER2-Positive Gastric Cancer or Gastro-Esophageal Junction Adenocarcinoma After Progression on or After a Trastuzumab-Containing Regimen (DESTINY-Gastric04)
Gastric Cancer, AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival in Participants Who Were Administered Trastuzumab Deruxtecan Compared With Ramucirumab in Combination With Paclitaxel
Time from date of randomization until death (due to any cause), up to approximately 36 months

Overall survival (OS) is defined as the time from date of randomization until death from any cause.

Secondary Endpoints

Progression-free Survival in Participants Who Were Administered Trastuzumab Deruxtecan Compared With Ramucirumab in Combination With Paclitaxel
Time from date of randomization until first objective radiographic disease progression or death (due to any cause) whichever occurs first, up to approximately 36 months
Objective Response Rate in Participants Who Were Administered Trastuzumab Deruxtecan Compared With Ramucirumab in Combination With Paclitaxel
From start of treatment to date of documented disease progression, up to approximately 36 months
Duration of Response in Participants Who Were Administered Trastuzumab Deruxtecan Compared With Ramucirumab in Combination With Paclitaxel
Time from initial response (CR or PR) to date of documented disease progression or death (due to any cause) whichever occurs first, up to approximately 36 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Trastuzumab deruxtecanEXPERIMENTALParticipants who will be randomized to receive a 6.4 mg/kg intravenous (IV) dose of trastuzumab deruxtecan once every 3 weeks on Day 1 of each 21-day cycle.
Ramucirumab + paclitaxelACTIVE_COMPARATORParticipants who will be randomized to receive a 8 mg/kg IV dose of ramucirumab on Days 1 and 15 in combination with 80 mg/m\^2 IV dose of paclitaxel on Days 1, 8, and 15 of a 28-day cycle.

Interventions

NameTypeDescription
Trastuzumab deruxtecanDRUG6.4 mg/kg IV infusion every 3 weeks on Day 1 of each 21-day cycle
RamucirumabDRUG8 mg/kg IV infusion on Days 1 and 15 of a 28-day cycle
PaclitaxelDRUG80 mg/m\^2 IV infusion on Days 1, 8, and 15 of a 28-day cycle
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites156

Inclusion Criteria: * Adults (according to local regulation) and able to provide informed consent for study participation. * Pathologically documented gastric and GEJ adenocarcinoma that has been previously treated in the metastatic setting (unresectable, locally advanced, or metastatic disease). *...

Countries:ArgentinaBelgiumBrazilChileChinaFranceGermanyHong KongHungaryIrelandIsraelItalyJapanPolandPortugalRomaniaRussiaSingaporeSouth KoreaSpainTaiwanTurkey (Türkiye)UkraineUnited Kingdom
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Frequently asked questions about Ramucirumab

What is Ramucirumab used for in gastric cancer?

Ramucirumab is an investigational oncology drug being studied for gastric cancer and adenocarcinoma, specifically in HER2-positive gastric cancer or gastro-esophageal junction adenocarcinoma after progression on or after a trastuzumab-containing regimen. It is being evaluated in combination with paclitaxel in a Phase 3 clinical trial.

What does Ramucirumab target?

Ramucirumab targets KDR, also known as vascular endothelial growth factor receptor 2 (VEGFR-2), and acts as an inhibitor of this receptor. By inhibiting KDR, it is designed to interfere with tumor angiogenesis, which is the process by which tumors develop new blood vessels to support their growth.

Who makes Ramucirumab?

Ramucirumab is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the drug's efficacy and safety in the treatment of gastric cancer and adenocarcinoma.

What phase is Ramucirumab in?

Ramucirumab is currently in Phase 3 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities and is still undergoing clinical trials to assess its safety and effectiveness for the treatment of gastric cancer and adenocarcinoma.

What clinical trials is Ramucirumab in?

Ramucirumab is being studied in the clinical trial NCT04704934, titled "Trastuzumab Deruxtecan for Subjects With HER2-Positive Gastric Cancer or Gastro-Esophageal Junction Adenocarcinoma After Progression on or After a Trastuzumab-Containing Regimen (DESTINY-Gastric04)." This Phase 3 trial is active but not recruiting, with an enrollment of 490 participants.

Is Ramucirumab the same as Ramucirumab plus paclitaxel?

Ramucirumab is also known as Ramucirumab plus paclitaxel, which refers to the combination therapy being evaluated in clinical trials. The drug is being studied in combination with paclitaxel for the treatment of gastric cancer and adenocarcinoma, as part of the investigational regimen.