Active Not RecruitingPhase 3NCT02411448

A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY)

The main purpose of this study is to evaluate the efficacy and safety of ramucirumab in combination with erlotinib as compared to placebo in combination with erlotinib in previously untreated participants with stage IV non-small cell lung cancer (NSCLC) harboring an activating epidermal growth factor receptor (EGFR) mutation (Exon 19-Del and Exon 21 L858R). Safety and tolerability of ramucirumab in combination with erlotinib will be assessed in Part A before proceeding to Part B. The purpose of Part C is to determine the efficacy and safety of ramucirumab in combination with gefitinib in previously untreated East Asian participants with EGFR mutation-positive metastatic NSCLC and of ramucirumab in combination with osimertinib in those participants whose disease progressed on ramucirumab and gefitinib and that have T790M - positive metastatic NSCLC.

Checked against the public recordLast updated Jan 16, 2026 · Source: ClinicalTrials.gov

StatusActive Not Recruiting
PhasePhase 3
U.S. locations106
SponsorEli Lilly and Company
01
Study overview

What this study is about

Purpose
Treatment
Study type
Interventional
Phase
Phase 3
Sponsor
Eli Lilly and Company
Interventions being studied
Drug: Ramucirumab; Drug: Placebo; Drug: Erlotinib; Drug: Gefitinib; Drug: Osimertinib
02
Explore related studies

How this study is categorized

These labels come from structured fields and exact terms in the public record.

03
Public criteria

Who may be able to participate

Inclusion Criteria: * Cytologically or histologically confirmed diagnosis of Stage IV NSCLC as defined by the American Joint Committee on Cancer Staging Criteria for Lung Cancer (AJCC 7th edition 2009). * Eligible for first-line treatment with erlotinib based on documented evidence of tumor harboring an activating EGFR mutation \[exon 19 deletion or exon 21 (L858R) substitution mutation\]. * Mandatory provision of adequate archived stage IV NSCLC tissue samples or tissue samples other than stage IV NSCLC may be acceptable (optional for part C). * At least one measurable lesion. * Life expectancy of at least 3 months. Exclusion Criteria: * Known T790M EGFR mutation (not applicable for Part C Period 2). * Known leptomeningeal carcinomatosis, uncontrolled/unstable spinal cord compression, or brain metastases. * Serious illness or medical condition. * Ongoing treatment with CYP3A4 inducers or strong inhibitors. * Ongoing therapy with nonsteroidal anti-inflammatory drugs for more than 2 months. * History of gross hemoptysis. * Significant bleeding disorders. * Radiologically documented evidence of major blood vessel invasion or encasement by cancer. * Radiographic evidence of intratumor cavitation. * History of gastrointestinal perforation within last 6 months. * History of bowel obstruction, inflammatory enteropathy or extensive intestinal resection. * History of any arterial thrombotic event within 6 months prior to enrollment. * The participant has any known significant ophthalmologic abnormalities of the surface of the eye.

Important: This is the sponsor’s public criteria, not a determination of eligibility. The study team must review your individual situation.

04
Study sites

U.S. locations

  • UCLA Hematology/Oncology - Santa MonicaLos Angeles, California
  • St. Charles Health SystemDenver, Colorado
  • The Gastroenterology Group, P.C.Honolulu, Hawaii
  • Cancer Center of KansasWichita, Kansas
  • Queens Medical AssociatesFresh Meadows, New York
  • Levine Cancer InstituteCharlotte, North Carolina
  • AHN Allegheny General HospitalPittsburgh, Pennsylvania
  • Cross Cancer InstituteEdmonton, Alberta
  • Hôpital Arnaud de Villeneuve - CHU MontpellierMontpellier, Hérault
  • Chu Grenoble AlpesLa Tronche, Isère
  • Hopital Claude Huriez - CHU de LilleLille, Nord
  • Centre Hospitalier Universitaire de PoitiersPoitiers, Vienne

Source and freshness
Processed from ClinicalTrials.gov. Last public update: Jan 16, 2026. Always confirm current availability with the study team.

View original record ↗