ASCO GI 2024 | S2303: nivolumab combo v paclitaxel + ramucirumab in PD-L1 CPS ≥ 1 gastric/esophageal adenocarcinoma

Anwaar Saeed, MD, University of Pittsburgh Medical Center, Pittsburgh, PA, discusses the rationale behind the Phase I/II PARAMMUNE trial (NCT06203600) (SWOG2303) investigating the efficacy and safety of nivolumab, paclitaxel, and ramucirumab compared to paclitaxel and ramucirumab in advanced stage MSS/pMMR PD-L1 CPS ≥ 1 gastric and esophageal adenocarcinoma. The trial is motivated by the promising results of the multi-center phase I/II trial that evaluated the addition of nivolumab to 2nd line ramucirumab plus paclitaxel. The study aims to explore the predictive impact of PD-L1 CPS and assess the primary endpoints of progression-free survival (PFS) in phase II and overall survival (OS) in Phase III. This interview took place at the 2024 ASCO Gastrointestinal (GI) Cancers Symposium in San Francisco, CA.

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