Kohei Shitara, MD, National Cancer Center Hospital East, Tokyo, Japan, comments on the post hoc analysis of the KEYNOTE-585 trial (NCT03221426), which examined the utility of major pathologic response (mPR) and pathologic tumor downstaging (pDS) as surrogate endpoints in patients with locally advanced gastric/gastroesophageal junction adenocarcinoma (G/GEJ). The study compares neoadjuvant or adjuvant pembrolizumab plus chemotherapy versus placebo plus chemotherapy. Pembrolizumab improved pathologic complete response (pCR) and mPR rates, with numerically better event-free survival (EFS) and overall survival (OS) for patients achieving mPR. This interview took place during the 2024 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.
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