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LBA6_PR Nivolumab (nivo) plus chemotherapy (chemo) versus chemo as first-line (1L) treatment for advanced gastric cancer/gastroesophageal junction cancer (GC/GEJC)/esophageal adenocarcinoma (EAC): First results of the CheckMate 649 study
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“The FDA rarely approves chemoimmunotherapeutic strategies with other α-PD-1 drugs (except for nivolumab combined with chemotherapy for gastric cancer and GEJC) [58].”
From Combination strategies with PD-1/PD-L1 blockade: current advances and future directions (2022) · cites this paper as [58]
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Usón, P. L. S., Kunze, K. L., Golafshar, M. A., Botrus, G., Riegert‐Johnson, D. L., Boardman, L., Borad, M. J., Ahn, D. H., Sonbol, M. B., Kahn, A., et al. (2022) · Digestive Diseases and Sciences · doi:10.1007/s10620-022-07387-x · Cited by 13
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“1 months in chemotherapy alone cohort) by combining chemotherapy with anti-PD-(L)1.(15,16) As a result of this study, in April 2021 FDA approved nivolumab in combination with chemotherapy as the first-line treatment for advanced or metastatic G/GEJ and esophageal adenocarcinoma.”
Backgroundde la Fouchardière, C., Decoster, L., Samalin, E., Terret, C., Kenis, C., Droz, J., Coutzac, C., & Smyth, E. C. (2021) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2021.102289 · Cited by 13
Clinical significance of molecular subtypes of gastrointestinal tract adenocarcinoma
Ignatova, E., Kozlov, E. M., Ivanov, M. V., Mileyko, V., Menshikova, S., Sun, H., Fedyanin, M. Y., Tryakin, A. A., & Stilidi, I. S. (2022) · World Journal of Gastrointestinal Oncology · doi:10.4251/wjgo.v14.i3.628 · Cited by 12
Ghidini, M., Petrillo, A., Botticelli, A., Trapani, D., Parisi, A., Salvia, A. L., Sajjadi, E., Piciotti, R., Fusco, N., & Khakoo, S. S. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10071412 · Cited by 12
“The Checkmate 649 trial (NCT02872116) randomized untreated metastatic GC patients to three arms: nivolumab plus ipilimumab, standard CT (Folfox or Xelox), standard CT plus nivolumab [98].”
BackgroundMethodInfluentialLonie, J. M., Barbour, A. P., & Dolcetti, R. (2021) · Cancer Treatment Reviews · doi:10.1016/j.ctrv.2021.102219 · Cited by 12
Evolution of predictive and prognostic biomarkers in the treatment of advanced gastric cancer
Myer, N. M., Shitara, K., Chung, H. C., Lordick, F., Kelly, R. J., Szabó, Z. R., Cao, Z. A., Leong, S., Ilson, D. H., & Weichert, W. (2022) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-021-03902-1 · Cited by 12
Self-citationPD-1 inhibitors-based second-line therapy for metastatic gastric cancer
Gou, M., Zhang, Y., Wang, Z., & Dai, G. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1136437 · Cited by 11
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Evolving therapies in advanced oesophago-gastric cancers and the increasing role of immunotherapy
Attia, H., & Smyth, E. C. (2020) · Expert Review of Anticancer Therapy · doi:10.1080/14737140.2021.1866548 · Cited by 11
“who had tumors which expressed PD-L1 with a CPS score of 5 or greater [90].”
BackgroundGervaso, L., Pellicori, S., Cella, C. A., et al. (2021) · Therapeutic Advances in Medical Oncology · doi:10.1177/17588359211029559 · Cited by 11
Management of Non-Colorectal Digestive Cancers with Microsatellite Instability
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“, 2020s2202020202020 (24) III First-line GEJC ChT 792 792”
BackgroundReal‑world challenge for clinicians treating advanced gastroesophageal adenocarcinoma (Review)
Baxter, M. A., Petty, R., Swinson, D., Hall, P. S., & O’Hanlon, S. (2021) · International Journal of Oncology · doi:10.3892/ijo.2021.5202 · Cited by 10
“Again, grade 3+ toxicity was high at 59% in the combination arm (15).”
BackgroundChao, J., He, T.-F., D’Apuzzo, M., et al. (2021) · Advances in Radiation Oncology · doi:10.1016/j.adro.2021.100807 · Cited by 10
“However, the benefit for incorporation of anti-PD-1 therapy still appears better delineated if PD-L1 CPS assessment exceeds certain thresholds of expression such as ≥5 in the CheckMate 649 trial adding nivolumab or ≥10 in the KEYNOTE-590 trial adding pembrolizumab.(8,9) As such, there still remains a fair proportion o…”
BackgroundMethodSchlintl, V., Huemer, F., Rinnerthaler, G., Melchardt, T., Winder, T., Reimann, P., Riedl, J., Amann, A., Eisterer, W., Romeder, F., et al. (2022) · BMC Cancer · doi:10.1186/s12885-021-09115-6 · Cited by 10
“First results of the CheckMate-649 study were presented at ESMO meeting 2020, which demonstrated a promising survival benefit with frontline combination of chemotherapy and nivolumab in patients with PD-L1 CPS ≥ 5 [28].”
ResultGan, X., Tang, X., & Li, Z. (2023) · Biomolecules · doi:10.3390/biom13030528 · Cited by 10
Hao, W., Liu, W., Chang, R., Yang, M., Xin, K., Liu, J., Wang, Y., Ren, M., Xie, J., & Yang, Y. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-05703-8 · Cited by 9
“In addition, based on the results of the CheckMate 649, the first-line trial showed that nivolumab, in combination with the chemotherapy group, also better prolonged OS and PFS in patients with a CPS of 5 (Moehler et al. 2020).”
ResultDai, X., Ding, W., He, Y., Huang, S., Liu, Y., & Wu, T. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1227644 · Cited by 8
Updated Adjuvant Chemotherapy for Gastric Cancer
Takayama, T., & Tsuji, Y. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12216727 · Cited by 11
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“[3] The benefit of adding immunotherapy to chemotherapy to treat gastric cancer in a metastatic or adjuvant setting has recently been demonstrated in 2 phase III trials.[31,32] In addition, combining PSK with adjuvant chemotherapy for gastric cancer has the additional benefit of not causing additional side effects in…”
BackgroundTargeted Molecular Therapies in the Treatment of Esophageal Adenocarcinoma, Are We There Yet?
Khalafi, S., Lockhart, A. C., Livingstone, A. S., & El-Rifai, W. M. (2020) · Cancers · doi:10.3390/cancers12113077 · Cited by 7
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“Survival outcomes were analyzed in intention-to-treat (ITT) method [16].”
BackgroundInfluentialSuccesses and failures of immunotherapy for gastric cancer
Wang, J., Tu, S., Chavda, V. P., Chen, Z., & Chen, X. (2022) · Drug Discovery Today · doi:10.1016/j.drudis.2022.103343 · Cited by 7
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Recent insights into the use of immune checkpoint inhibitors in gastric cancer
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“In particular, in patients with tumors expressing PD-L1 with CPS ≥5, nivolumab plus chemotherapy showed statistically significant improvements in both OS and PFS in comparison with chemotherapy alone.(32) Based on the results of the CHECKMATE-649 trial, the European Medicines Agency validated(40) and the US FDA accept…”
ResultA Novel DNA Repair Gene Signature for Immune Checkpoint Inhibitor-Based Therapy in Gastric Cancer
Yuan, B., Jiang, C., Chen, L., et al. (2022) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2022.893546 · Cited by 6
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Targeted therapy in esophageal cancer
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“In addition, there was also a statistically significant OS benefit in patients with PDL1 CPS ≥1, as well as the all-randomized population (40).”
Background2021 NCC/CATS/CSTCVS/STM expert consensus on perioperative immunotherapy for esophageal cancer
Kang, X., Qin, J., Zhang, R., Wang, Z., Zheng, Q., Li, Y., Xu, J., Huang, J. L., Wang, X., Hui, Z., et al. (2021) · Annals of Esophagus · doi:10.21037/aoe-21-64 · Cited by 6
“Immunotherapy trials for metastatic esophageal cancer, including the KEYNOTE-590 (6), CheckMate 649 (7), ATTRACTION-4 (8), KEYNOTE-181 (31), ATTRACTION-3 (32), and ESCORT (33) trials, show that”
BackgroundMethodLiu, M., Luo, C., Xie, Z.-Z., et al. (2022) · World Journal of Clinical Cases · doi:10.12998/wjcc.v10.i16.5420 · Cited by 6
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“Therefore, the nivolumab combination therapy has been approved by FDA for the patients with advanced or metastatic GC [46].”
BackgroundPrädiktive Diagnostik für Checkpoint-Inhibitoren
Schildhaus, H., & Weichert, W. (2021) · Der Pathologe · doi:10.1007/s00292-021-00939-4 · Cited by 5
“Nach aktueller Datenlage ist zurzeit wohl am ehesten mit einer Nivolumab-/Chemotherapie-Zulassung beieinemCPSvon≥5zurechnen.”
BackgroundInfluentialHarnessing Biomarkers of Response to Improve Therapy Selection in Esophago-Gastric Adenocarcinoma
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Neoadjuvante und perioperative Therapie des Magenkarzinoms, aktuelle Studien und neue Biomarker
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“Aus der metastasierten Situation lassen sich Therapieeffekte für Immuncheckpointinhibitoren insbesondere bei PDL1-Expression und MSI ableiten [21].”
BackgroundImmunotherapy in Gastrointestinal Malignancies
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Immunotherapy use in oesophagogastric cancers—a review of the literature
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Pembrolizumab–chemotherapy for advanced oesophageal cancer
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Comparing immunotherapies to other frequently used treatments of gastric cancer
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“or second-line therapies in this indication [31].”
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Changes in the therapeutic landscape of oesophago-gastric cancers
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Does immunotherapy change the treatment paradigm in metastatic gastric cancer?
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“More recently, the results of the global phase III CheckMate 649 trial were presented [24, 25] (Table 1).”
BackgroundMethodThe Rapidly Evolving Landscape of Advanced Gastric Cancer Therapy
Costa, G., Younes, H., Kourié, H. R., et al. (2022) · Future Oncology · doi:10.2217/fon-2021-1499 · Cited by 3
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“With the recent approval of immune checkpoint inhibitor nivolumab plus chemotherapy as a first line treatment for advanced gastric cancer, it is evident that immunotherapies are beginning to make an impact in this space [2].”
BackgroundMa, S., & Chen, F. (2022) · Pathology - Research and Practice · doi:10.1016/j.prp.2022.154110 · Cited by 2
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“The recent presented Phase III data of the KN-062, Checkmate 649 (CM-649) (27) and ATTRACTION-4 (ATT-4) (28) studies shed some light on this issue.”
BackgroundInfluentialLiu, Y., You, Y., Chen, L., Li, J., Yuan, M., Duan, B., Ge, H., Chen, X., Yang, L., Chen, X., et al. (2025) · European Radiology · doi:10.1007/s00330-025-11904-7 · Cited by 2
“However, treatment response varies signi fi cantly among individuals [5 – 7].”
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“Febrile neutropenia 9 (17) (9– 30) 4 (8) (3%– 19%)”
Immunotherapy for Gastroesophageal Tumors: Is there still Hope for Efficacy?
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Immunotherapy for the Treatment of Gastric Cancer with High Microsatellite Instability
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Trifluridine/tipiracil plus ramucirumab in gastric cancer
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“Finally, in the CheckMate 649 trial, adding nivolumab to chemotherapy did extend overall survival, but only for patients with high PD-L1 expression (CPS 5) [9].”
MethodDiagnostic Applications of Nuclear Medicine: Gastric Cancers
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Therapie von Tumoren des Magens und des Ösophagus - aktueller Stand
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Onkologische Therapieprinzipien beim Magenkarzinom
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Immuntherapie von Tumoren im oberen Gastrointestinaltrakt
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Interdisziplinäre Therapiekonzepte beim Ösophaguskarzinom
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Current state of chemotherapy and immunotherapy regimens in gastric cancer
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Stomach: The Standard of Care ± HER2
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Cáncer esofagogástrico en la era de inmunoterapia y terapias blanco
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Immune Checkpoint Inhibitors in Gastroesophageal Junction or Gastric Cancer
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Metadata
- Authors
- Moehler, M., Shitara, K., Garrido, M., Salman, P., Shen, L., Wyrwicz, L., Yamaguchi, K., Skoczylas, T., Campos Bragagnoli, A., Liu, T., Schenker, M., Yanez, P., Tehfe, M., Poulart, V., Cullen, D., Lei, M., Kondo, K., Li, M., Ajani, J. A., & Janjigian, Y. Y.
- Affiliations
- University Medical Center of the Johannes Gutenberg University Mainz (DE)
- National Cancer Center Hospital East (JP)
- Fundación Arturo López Pérez (CL)
- Peking University Cancer Hospital (CN)
- The Maria Sklodowska-Curie National Research Institute of Oncology (PL)
- The Cancer Institute Hospital (JP)
- Medical University of Lublin (PL)
- Fudan University (CN)
- Universidad de La Frontera (CL)
- Centre Hospitalier de l’Université de Montréal (CA)
- Bristol-Myers Squibb (United States) (US)
- The University of Texas MD Anderson Cancer Center (US)
- Memorial Sloan Kettering Cancer Center (US)
- ORCID
- Venue
- Annals of Oncology
- Publisher
- Elsevier BV
- Published
- 2020-09
- Volume
- 31
- Pages
- S1191
- ISSN
- 0923-7534 (ISSN-L)
- OpenAlex
- W3088611248
- Cited by
- 208
- References
- 0
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 19 · 2022: 53 · 2021: 107 · 2020: 11
- FWCI
- 26.78
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Oncology (publishedVersion)
- Funders
- Bristol-Myers Squibb
- Topics
- Health Sciences › Medicine › Oncology › Gastric Cancer Management and Outcomes
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Health Sciences › Medicine › Surgery › Esophageal Cancer Research and Treatment
- Keywords
- nivolumab, PD-1 inhibitors, advanced gastric cancer, gastroesophageal junction cancer, esophageal adenocarcinoma, first-line chemotherapy, PD-L1 combined positive score, overall survival, progression-free survival
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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