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A phase 3 study of nivolumab in previously treated advanced gastric or gastroesophageal junction cancer (ATTRACTION-2): 2-year update data.


ABSTRACT: Background: Nivolumab showed improvement in overall survival (OS) in ATTRACTION-2, the first phase 3 study in patients with gastric/gastroesophageal junction (G/GEJ) cancer treated with???2 chemotherapy regimens. The 2-year follow-up results of ATTRACTION-2 are presented herein.

Methods: ATTRACTION-2 was a randomized, double-blind, placebo-controlled, phase 3 trial (49 sites; Japan, South Korea, and Taiwan). The median (min-max) follow-up period was 27.3 (24.1-36.3) months. The primary endpoint was OS. A subanalysis of OS was performed based on best overall response and tumor-programmed death ligand-1 (PD-L1) expression status.

Results: Overall, 493 of 601 screened patients were randomized (2:1) to receive nivolumab (330) or placebo (163). OS (median [95% confidence interval; CI]) was significantly longer in the nivolumab group (5.26 [4.60-6.37] vs 4.14 [3.42-4.86] months in placebo group) at the 2-year follow-up (hazard ratio [95% CI], 0.62 [0.51-0.76]; P?
Conclusions: Nivolumab treatment resulted in clinically meaningful long-term improvements in OS in patients with previously treated G/GEJ cancer. The long-term survival benefit of nivolumab was most evident in patients with a CR or PR.

SUBMITTER: Chen LT 

PROVIDER: S-EPMC7165140 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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A phase 3 study of nivolumab in previously treated advanced gastric or gastroesophageal junction cancer (ATTRACTION-2): 2-year update data.

Chen Li-Tzong LT   Satoh Taroh T   Ryu Min-Hee MH   Chao Yee Y   Kato Ken K   Chung Hyun Cheol HC   Chen Jen-Shi JS   Muro Kei K   Kang Won Ki WK   Yeh Kun-Huei KH   Yoshikawa Takaki T   Oh Sang Cheul SC   Bai Li-Yuan LY   Tamura Takao T   Lee Keun-Wook KW   Hamamoto Yasuo Y   Kim Jong Gwang JG   Chin Keisho K   Oh Do-Youn DY   Minashi Keiko K   Cho Jae Yong JY   Tsuda Masahiro M   Sameshima Hiroki H   Kang Yoon-Koo YK   Boku Narikazu N  

Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 20191220 3


<h4>Background</h4>Nivolumab showed improvement in overall survival (OS) in ATTRACTION-2, the first phase 3 study in patients with gastric/gastroesophageal junction (G/GEJ) cancer treated with ≥ 2 chemotherapy regimens. The 2-year follow-up results of ATTRACTION-2 are presented herein.<h4>Methods</h4>ATTRACTION-2 was a randomized, double-blind, placebo-controlled, phase 3 trial (49 sites; Japan, South Korea, and Taiwan). The median (min-max) follow-up period was 27.3 (24.1-36.3) months. The prim  ...[more]

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