Evidence map›Paper›PMID 40399487›Full record

Trial reportBritish journal of cancer2025

Multicenter phase Ib/II study of second-line durvalumab and tremelimumab in combination with paclitaxel in patients with biomarker-selected metastatic gastric cancer.

Keun-Wook Lee, Dae Young Zang, Hyung-Don Kim, Jin-Won Kim, Bum Jun Kim, Yoon-Koo Kang, Min-Hee Ryu, Hark Kyun Kim

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyClinical Trial, Phase I
In one paragraph

Trial report in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03751761 (Durvalumab), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03751761 phase1 / phase2completednot on this map

Durvalumab(MEDI4736)/Tremelimumab Plus Paclitaxel in Patients With Metastatic Gastric Cancer After Failure of First-line Chemotherapy, Phase Ib/II

TypeinterventionalSponsorAsan Medical CenterRan2018 to 2023Enrolled58ConditionsMetastatic Gastric CancerArmsdurvalumab, tremelimumab, paclitaxel
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Keun-Wook Lee *Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Dae Young Zang *Division of Hematology-Oncology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea.
Hyung-Don Kim *Departmentof Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jin-Won KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Bum Jun KimDivision of Hematology-Oncology, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea.
Yoon-Koo KangDepartmentof Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Min-Hee RyuDepartmentof Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. miniryu@amc.seoul.kr.ORCID http://orcid.org/0000-0002-1033-1263
Hark Kyun KimCenter for Gastric Cancer, National Cancer Center, Goyang, Republic of Korea. hkim@ncc.re.kr.

Funding

National Cancer Center (NCC) 24H1660National Cancer Center (NCC) 24H1710
6 · The paper itself

Abstract

backgroundThis multicenter phase Ib/II trial aimed to evaluate the safety and efficacy of combining durvalumab, tremelimumab, and paclitaxel as second-line treatment for biomarker-selected patients with metastatic gastric cancer.

methodsIn phase Ib, the standard 3 + 3 dose escalation method was used. Durvalumab and tremelimumab were administered every 4 weeks for 13 and 4 cycles, respectively, combining paclitaxel 80 mg/m

resultsIn phase Ib (n = 7), dose level-1 was selected as the recommended phase II dose. In phase II, 48 patients were enrolled: microsatellite instability-high or deficient mismatch repair protein tumors (n = 16); EBV-positive tumors (n = 15); high tumor mutation burden ( ≥ 5/Mb) (n = 11); CD274 amplification (n = 5); and POLD1 mutation (n = 1). The ORR was 52.1%, meeting the primary endpoint. The median progression-free survival and overall survival were 5.3 and 13.1 months, respectively. The most common any-grade and grade 3-4 adverse events were anemia (41.7%) and neutropenia (10.4%), respectively.

conclusionsDurvalumab-tremelimumab with paclitaxel was tolerable and efficacious in biomarker-selected gastric cancer patients as a second-line treatment, highlighting the importance of biomarker-based approaches for immunotherapy in gastric cancer. CLINICAL

trial registrationNCT03751761.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPaclitaxelStomach NeoplasmsAdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiomarkers, TumorFemaleHumansMaleMiddle AgedNeoplasm MetastasisAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiomarkers, TumordurvalumabPaclitaxeltremelimumab

Identifiers

PMID40399487
PMCPMC12304259

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