Table 1.
Study | Study design (study number) | Tx type | Region | Race | N | Male/female | Median age (range or IQR) | Tumor location | Stage of the disease | HER2+ expression status |
---|---|---|---|---|---|---|---|---|---|---|
Shitara Int J Clin Oncol 2020 (JACOB subgroup analysis)30 |
Phase IIIa (NCT01774786) |
Placebo + Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV Q3W + Cape 1000 mg/m2 PO BID for 28 doses (D1-15) Q3W |
Japan: 100% | Asian: 100% | 40 | 70%/ 30% |
70 (range, 53-82) |
Stomach: 90% GEJ: 10% |
Met: 100% 1-2 mets: 87.5% >2 mets: 12.5% |
IHC3⁺: 62.5% IHC2⁺/ISH⁺: 37.5% |
Liu Cancer Commun 2019 (JACOB subgroup analysis)31 |
Phase IIIa (NCT01774786) |
Placebo + Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV Q3W + Cape 1000 mg/m2 PO BID for 28 doses (D1-15), Q3W OR 5-FU 800 mg/m2 IV every 24 h (D1-5) Q3W |
China: 100% | Asian: 100% | 81 Cape: 86.4% 5-FU: 16.0% |
87.7%/ 12.3% |
59 (range, 23-73) |
Stomach: 85.2% GEJ: 14.8% |
Met: 100% 1-2 mets: 89% >2 mets: 11% |
IHC3⁺: 79% IHC2⁺/ISH⁺: 21% |
Tabernero Lancet Oncol 2018 (JACOB)32 |
Phase IIIa (NCT01774786) |
Placebo + Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV Q3W + Cape 1000 mg/m2 PO BID for 28 doses (D1-15), Q3W OR 5-FU 800 mg/m2 IV every 24 h (D1-5) Q3W |
Asia: 37% Japan: 10% North America, Western Europe, Australia: 34% South America, Eastern Europe: 19% |
Asian: 47.9% White: 47.7% Other: 3.8% |
392 | 82%/ 18% |
61 (IQR, 54-68) |
Stomach: 75% GEJ: 25% |
Met: 100% 1-2 mets: 77% >2 mets: 23% |
IHC3⁺: 67% IHC2⁺/ISH⁺: 33% |
Shah J Clin Oncol 2017 (HELOISE)28 |
Phase IIIa (NCT01450696) |
Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV Q3W + Cape 800 mg/m2 PO BID for 28 doses over 14 days Q3W |
China: 25.8% ROW: 74.1% |
Asian: 29.8% White: 60.5% Other: 9.7% |
124 | 76.6%/ 23.4% |
60 (range, 26-83) |
Stomach: 76.6% GEJ: 23.4% |
Met: 100% 1-2 mets: 59.7% >2 mets: 40.3% |
IHC3⁺ or IHC2⁺/FISH⁺ (breakdown NR) |
Sawaki Gastric Cancer 2012 (ToGA subgroup analysis)29 |
Phase IIIb (NCT01041404) |
Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID for 28 doses (D1-14) Q3W |
Japan: 100% | Asian: 100% | 51 | 78.4%/ 21.6% |
63 (range, 29-76) |
Stomach: 96.1% GEJ: 3.9% |
Met: 100% 1-2 mets: 54.9% >2 mets: 45.1% |
IHC3⁺/FISH⁺: 31.4% IHC2⁺/FISH⁺: 35.3% IHC3⁺/FISH⁻: 2% IHC3⁺/FISHunk: 5.9% IHC1⁺/FISH⁺: 19.6% IHC0/FISH⁺: 5.9% |
Bang Lancet 2010 (ToGA)6 |
Phase IIIb (NCT01041404) |
Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID for 28 doses (D1-14) Q3W OR 5-FU 800 mg/m2 IV every 24 h (D1-5) Q3W |
Asia: 54.6% Europe: 32.5% Central or South America: 8.9% Other: 3.9% (N = 584) |
Asian: 51% White: 39% Black: <1% Other: 9% |
294 Cape: 87% 5-FU: 13% |
77%/ 23% |
Mean 59.4 (SD, 10.8) |
Stomach: 80% GEJ: 20% |
Met: 97% Locally advanced: 3% 1-2 mets: 52% >2 mets: 48% |
IHC3⁺/FISH⁺: 45% IHC2⁺/FISH⁺: 27% IHC3⁺/FISH⁻: 3% IHC3⁺/FISHunk: 3% IHC1⁺/FISH⁺: 13% IHC0/FISH⁺: 8% IHCunk/FISH⁺: 2% |
Yuki Cancer Chemother Pharmacol 2020 (KSCC/HGCSG/CCOG/Perseus 1501B)27 |
Phase II (UMIN000017552) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Oxal 130 mg/m2 IV D1 Q3W + S-1 80 mg/m2 PO BID (D1-14) Q3W |
Japan: 100% | Asian: 100% | 39 | 79%/ 21% |
66.0 (range, 44-79) | Upper: 36% Middle: 28% Low: 36% |
Liver mets: 56% No liver mets: 44% |
IHC3⁺: 87% IHC2⁺/FISH⁺: 13% |
Rivera Cancer Chemother Pharmacol 2019 (HERXO)33 |
Phase II (NCT01503983) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Oxal 130 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W |
Spain: 100% | White: 100% | 45 | 82%/ 18% |
65 (range, 44-80) | Stomach: 69% GEJ: 31% |
Met: 82% Relapsed: 16% Unresectable locally advanced: 2% |
IHC3⁺: 73% IHC2⁺: 27% |
Takahari Gastric Cancer 2019 (HIGHSOX)34 |
Phase II (UMIN000017602) |
Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Oxal 130 mg/m2 IV D1 Q3W + S-1 40-60 mg/m2 PO BID (D1-14) Q3W (40 mg for BSA <1.25 m2; 50 mg for BSA 1.25-1.5 m2; 60 mg for BSA >1.5 m2) |
Japan: 100% | Asian: 100% | 75 | 78.7%/ 21.3% | 64 (range, 21-75) | Stomach: 85.3% GEJ: 14.7% |
Advanced: 100% Mets, median (range): 1 (1-5) |
IHC3⁺: 73.3% IHC2⁺/ISH⁺: 26.7% |
Miura Gastric Cancer 2018 (WJOG7212G/T-SPACE)35 |
Phase II (UMIN000008389) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 60 mg/m2 IV D8 Q5W + S-1 40-60 mg/m2 PO BID (D1-21) Q5W (40 mg for BSA <1.25 m2; 50 mg for BSA 1.25–1.5 m2; 60 mg for BSA >1.5 m2) |
Japan: 100% | Asian: 100% | 44 | 77.3%/ 22.7% |
64.5 (range, 31-77) | Stomach: 84.1% GEJ: 15.9% |
Met: 100% 0-1 mets: 54.5% ≥2 mets: 45.5% |
IHC3⁺: 72.7% IHC2⁺/FISH⁺: 27.3% |
Ryu Eur J Cancer 201526 |
Phase II (NCT01396707) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Oxal 130 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W |
South Korea: 100% | Asian: 100% | 55 | 66%/ 34% |
57 (range, 29-74) | Stomach or GEJ (breakdown NR) | Met: 82% Recurrent: 14% Inoperable locally advanced: 4% Met sites: Liver: 49% Peritoneum: 27% Lung: 20% Bone: 13% Lymph node: 76% |
IHC3⁺: 89% IHC2⁺/FISH⁺: 11% |
Kurokawa Br J Cancer 2014 (HERBIS-1)23 |
Phase II (UMIN000005739) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 60 mg/m2 IV D1 Q3W + S-1 40-60 mg/m2 PO BID (D1-14) Q3W (40 mg for BSA <1.25 m2; 50 mg for BSA 1.25-1.5 m2; 60 mg for BSA ≥1.5 m2) |
Japan: 100% | Asian: 100% | 54 | 78%/ 22% |
66 (range, 34-75) | Stomach or GEJ (breakdown NR) | Unresectable: 94% Recurrent: 6% Met sites: Lymph nodes: 81% Liver: 59% Lung: 9% Peritoneum: 9% Bone: 4% Other: 2% |
IHC3⁺: 83% IHC2⁺/FISH⁺: 17% |
Gong BMC Cancer 2016 (CGOG1001)36 |
Phase II (NCT01364493) | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Oxal 130 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W |
China: 100% | Asian: 100% | 51 | 71%/ 29% |
57 (range, 27-78) | Stomach: 65% GEJ: 35% |
Met: 86% Locally advanced: 14% |
IHC3⁺: 75% IHC2⁺/dual SISH⁺: 25% |
Oh Cancer Chemother Pharmacol 201925 |
Retrospective | Trast IV on D1 (loading dose, 8 mg/kg, 90-min infusion; maintenance dose, 6 mg/kg, 30-min infusion) Q3W + Cis 60-100 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W OR 5-FU 1000 mg/m2 IV every 24 h (D1-5) Q3W |
Korea: 100% | Asian: 100% | 128 Cape: 96% (3 pts received oxal vs cis) 5-FU: 3.1% |
80.5%/ 19.5% |
63 (range, 20-87) | Stomach or GEJ (breakdown NR) | Met: 100% 1 met: 60.2% 2 mets: 25.8% ≥3 mets: 14.0% |
IHC3⁺: 91.4% IHC2⁺/ISH⁺: 8.6% |
Okita Tohoku J Exp Med 201837 |
Retrospective |
T-XP(cape + cis) (n= 28) Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W + Cis 80 mg/m2 IV D1 Q3W T-SP(S-1 + cis) (n= 30) Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + S-1 40 mg/m2 PO BID (D1-14) Q3W + Cis 60 mg/m2 IV D1 Q3W |
Japan: 100% | Asian: 100% | 28 (T-XP) | 89.3%/10.7% | 68.5 (range, 44-81) | Stomach: 82.1% GEJ: 17.9% |
Inoperable advanced or recurrent: 100% | IHC3⁺: 82.1% IHC2⁺/ISH⁺: 14.3% Unk: 3.6% |
30 (T-SP) | 86.7%/ 13.3% |
63.5 (range, 38-74) | Stomach: 76.7% GEJ: 23.3% |
Inoperable advanced or recurrent: 100% | IHC3⁺: 83.3% IHC2⁺/ISH⁺: 16.7% |
|||||
Soularue Bull Cancer 201519 | Retrospective | Trast IV on D1 (loading dose, 6 mg/kg; maintenance dose, 4 mg/kg) Q3W + mFOLFOX6 Oxal 85 mg/m2 IV D1 Q2W + Leucovorin 400 mg/m2 IV D1 Q2W + 5-FU bolus 400 mg/m2 IV D1 Q2W + 5-FU 2400 mg/m2 continuous IV D1 Q2W OR Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + XELOX Oxal 130 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W |
France: 100% | NR | 34 | 79%/ 21% |
63 (range, 30-82) | GEJ: 71% Stomach: 29% |
Met: 100% Mets, median (range): 2 (1-4) 1 met: 64.7% 2 mets: 20.6% >2 mets: 14.7% |
IHC3⁺: 88% IHC2⁺/FISH⁺: 12% |
Kim BMC Cancer 202120 |
Retrospective | Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + Cis 80 mg/m2 IV D1 Q3W + Cape 1000 mg/m2 PO BID (D1-14) Q3W OR 5-FU 800 mg/m2 IV every 24 h (D1-5) Q3W |
Korea: 100% | Asian: 100% | 47 | 81%/ 19% |
59 (range, 36-83) | Stomach: 100% | Met: 77% Recurrent: 23% Liver mets: 51% No liver mets: 49% |
IHC3⁺: 85% IHC2⁺/SISH⁺: 15% |
Dijksterhuis Int J Cancer 202022 |
Retrospective | Trast + oxal + cape (n = 73) OR Trast + cis + cape (n = 65) OR Trast + other doublet CTX (n = 29) OR Trast + other CTX (n = 47) OR Trast monotherapy (n = 1) |
Netherlands: 100% | White: 100% | 215 | 79.5%/ 21.5% |
63 (IQR, 55-69) | Esophagus: 54% GEJ or cardiac: 19.1% Stomach: 27.0% |
Met: 100% 1-2 mets: 44% >2 mets: 56% |
IHC3⁺ or IHC2⁺/FISH⁺ (breakdown NR) |
Li Clin Transl Oncol 201821 |
Prospective observational | Trast + platinum (cis, oxal) + fluoropyrimidine (5-FU, cape, S-1) (n = 75) Trast + taxane (doce, pacli) + fluoropyrimidine (5-FU, cape, S-1) (n = 20) Trast + monotherapy CTX (n = 10) Trast + iri + cis (n = 2) Trast IV (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W |
China: 100% | Asian: 100% | 107 (75 pts [70%] had fluoropyrimidine + platinum) |
77%/ 23% |
64 (range, 26-87) | Stomach: 100% | Advanced/met: 100% <2 mets: 35.7% >2 mets: 64.3% |
IHC3⁺: 65% IHC2⁺/FISH⁺: 35% |
Janjigian Lancet Oncol 202015 |
Phase II (NCT02954536) | Pembro 200 mg IV D1 Q3W + Trast IV on D1 (loading dose, 8 mg/kg in C1; maintenance dose, 6 mg/kg in C2+) Q3W + Oxal 130 mg/m2 OR cis 80 mg/m2 IV on D1C2+ Q3W + Cape 850 mg/m2 PO BID (D1-14) C2+ OR 5-FU 800 mg/m2 IV (D1-5) Q2W |
USA: 100% | White: 86% Asian: 5% Black/ Hispanic/other: 8% |
37 Oxal: 97% Cis: 3% Cape: 65% 5-FU: 35% |
78%/22% | 60 (IQR, 21-84) | Esophagus: 38% GEJ: 32% Stomach: 30% |
Met: 100% |
IHC3⁺ or IHC2⁺/FISH⁺: 84% IHC2⁺/FISH⁻ or IHC1⁺ or IHC0: 16% PD-L1⁻ (CPS <1): 35% PD-L1⁺ (CPS ≥1): 38% PD-L1unkn: 27% |
Lee AACR 2021, Abstr. CT174 (HCRN GI17-319)24 |
Phase II (NCT03783936) | Ave 800 mg IV D1 + Trast IV on D1 (loading dose, 8 mg/kg in C1; maintenance dose, 6 mg/kg in C2+) Q3W + mFOLFOX Oxal 85 mg/m2 IV D1 Q2W + Leucovorin 400 mg/m2 IV D1 Q2W + 5-FU bolus 400 mg/m2 IV D1 Q2W + 5-FU 2400 mg/m2 continuous IV D1 Q2W |
USA: 100% | NR | NR | NR | NR | Stomach or GEJ (breakdown NR) | Met: 100% | IHC3⁺ or IHC2⁺/FISH⁺ (breakdown NR) |
Rha ASCO 2020, Abstr. 3031 Rha ASCO GI 2021, Abstr. 218 (PANTHERA)17 |
Phase Ib/II (NCT02901301) | Pembro 200 mg IV D1 Q3W + Trast biosimilar IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W (trastuzumab-pkrb) + Cape 1000 mg/m2 PO BID (D1-14) Q3W + Cis 80 mg/m2 IV D1 Q3W |
Korea: 100% | Asian: 100% | 43 | 77%/23% | 63 (range, 34-82) | Stomach or GEJ (breakdown NR) | Advanced: 100% | IHC3⁺: 70% IHC2⁺/SISH: 30% |
Janjigian ASCO 2021, Abstr. 4013 (KEYNOTE-811)14 |
Phase III (NCT03615326) | Placebo + Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + FP 5-FU 800 mg/m2 IV (D1-5) Q3W + Cis 80 mg/m2 IV on D1 Q3W OR CAPOX Cape 1000 mg/m2 PO BID (D1-14) Q3W + Oxal 130 mg/m2 IV D1 Q3W OR SOX S-1 40-60 mg/m2 PO BID (D1-14) Q3W (40 mg for BSA <1.25 m2; 50 mg for BSA 1.25-1.5 m2; 60 mg for BSA ≥1.5 m2) + Oxal 130 mg/m2 IV D1 Q3W |
North America, Europe, Israel, Australia: 34% Asia: 30% ROW: 37% |
NR | 131 CAPOX: 88% FP: 12% |
79% 21% |
61 (range, 32-83) | Stomach: 68% GEJ: 32% |
Met: 100% | IHC3⁺: 79% IHC2⁺/ISH⁺: 21% |
Pembro 200 mg IV D1 Q3W + Trast IV on D1 (loading dose, 8 mg/kg; maintenance dose, 6 mg/kg) Q3W + FP 5-FU 800 mg/m2 IV (D1-5) Q3W + Cis 80 mg/m2 IV on D1 Q3W OR CAPOX Cape 1000 mg/m2 PO BID (D1-14) Q3W + Oxal 130 mg/m2 IV D1 Q3W OR SOX S-1 40-60 mg/m2 PO BID (D1-14) Q3W (40 mg for BSA <1.25 m2; 50 mg for BSA 1.25-1.5 m2; 60 mg for BSA ≥1.5 m2) + Oxal 130 mg/m2 IV D1 Q3W |
North America, Europe, Israel, Australia: 31% Asia: 30% ROW: 39% |
NR | 133 CAPOX: 86% FP: 14% SOX: 0% |
84%/16% | 62 (range, 19-84) | Stomach: 72% GEJ: 28% |
Met: 100% | IHC3⁺: 82% IHC2⁺/ISH⁺: 18% |
5-FU, 5-fluorouracil; ave, avelumab; BID, twice daily; BSA, body surface area; C, cycle; cape, capecitabine; CAPOX, capecitabine plus oxaliplatin; cis, cisplatin; CPS, combined positive score; CTX, chemotherapy; D, day; doce, docetaxel; FP, 5-fluorouracil plus platinum; GEJ, gastroesophageal junction; HER2+, human epidermal growth factor receptor 2 positive; IHC, immunohistochemistry; IQR, interquartile range; iri, irinotecan; ISH, in situ hybridization; IV, intravenous; met, metastatic; mets, metastases; NR, not reported; oxal, oxaliplatin; pacli, paclitaxel; PD-L1, programmed death-ligand 1; PO, oral; pembro, pembrolizumab; pts, patients; Q2W, every 2 weeks; Q3W, every 3 weeks; Q5W, every 5 weeks; ROW, rest of the world; SD, standard deviation; SISH, silver-enhanced in situ hybridization; SOX, S-1 plus oxaliplatin; T-SP, trastuzumab plus S-1 plus cisplatin; ToGA, Trastuzumab for Gastric Cancer; trast, trastuzumab; tx, treatment; T-XP, trastuzumab plus capecitabine plus cisplatin; unk, unknown.
Only details on the control arm are reported in this table.
Only details on the experimental arm are reported in this table.