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. 2021 Dec 29;7(1):100360. doi: 10.1016/j.esmoop.2021.100360

Table 1.

Baseline characteristics

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.

a

Only details on the control arm are reported in this table.

b

Only details on the experimental arm are reported in this table.