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ASCO 2024 | KEYNOTE-585: mPR and tumor downstaging as surrogate endpoints in G/GEJ

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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Disclosures

Honoraria – Astellas Pharma; AstraZeneca; Bristol-Myers Squibb; Janssen; Lilly; Ono Pharmaceutical
Consulting or Advisory Role – ALX Oncology; Amgen; Astellas Pharma; AstraZeneca; Bayer; Bristol-Myers Squibb; Daiichi Sankyo; Guardant Health; MSD; Novartis; Ono Pharmaceutical; Takeda; Zymeworks
Research Funding – Amgen (Inst); Astellas Pharma (Inst); Chugai Pharma (Inst); Daiichi Sankyo (Inst); Eisai (Inst); MSD (Inst); Ono Pharmaceutical (Inst); PRA Health Sciences (Inst); Taiho Pharmaceutical (Inst)