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ESMO GI 2026 | Could CSF1R expression findings from MONSTAR-SCREEN-2 be used to guide treatment decisions?

Kyosuke Seguchi, MD, Kameda Medical Center, Kamogawa, Japan, discusses how results from the MONSTAR-SCREEN-2 do not at this stage support using CSF1R expression to guide treatment decisions for patients with gastric cancer, but instead as a candidate prognostic biomarker. In exploratory analysis of microsatellite-stable cancer in patients treated with immune checkpoint inhibitors, progression-free survival did not differ by CSF1R expression. Dr Seguchi highlights that the immediate clinical value of CSF1R could be in risk-stratification and trial design, with CSF1R able to identify a subset of patients with immunosuppressive, advanced gastric cancer. This interview took place at the European Society for Medical Oncology (ESMO) Gastrointestinal Cancer 2026 Congress in Munich, Germany.

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