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Ramucirumab after sorafenib in patients with advanced hepatocellular carcinoma and increased α-fetoprotein concentrations (REACH-2): A randomised, double-blind, placebo-controlled, phase 3 trial

The Lancet Oncology Jan 25, 2019

Zhu AX, et al. - Investigators studied 292 eligible subjects aged 18 years or older to verify the effectiveness of ramucirumab in patients with advanced hepatocellular carcinoma and α-fetoprotein concentrations of 400 ng/mL or higher between July 26, 2015 and August 30, 2017. They observed grade 3 or worse treatment-emergent adverse effects like hypertension, hyponatremia and increased aspartate aminotransferase in at least 5% of candidates. Conclusively, they noted improved overall survival in the ramucirumab group who had previously received sorafenib. They suggested ramucirumab is a well-tolerated regimen with a manageable safety profile.

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