Molecular Oncology Almanac
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    1. Propositions
    2. prop:vtxr:326

    Therapeutic Response

    HER2-positive and PD-L1 (CPS) >= 1 status confers therapeutic sensitivity to Capecitabine in combination with Oxaliplatin, Pembrolizumab, and Trastuzumab in patients with Adenocarcinoma of the Gastroesophageal Junction.

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    Statements

    Source and description
    Keytruda (pembrolizumab) [package insert]. FDA.

    The U.S. Food and Drug Administration granted approval to pembrolizumab in combination with trastuzumab, fluoropyrimidine-, and platinum-containing chemotherapy for the first-line treatment of adult patients with locally advanced unresectable or metastatic HER2-positive gastric or gastroesophageal junction (GEJ) adenocarcinoma whose tumors express PD-L1 (CPS >=1), as determined by an FDA-approved test. This indication is based on KEYNOTE-811 (NCT03615326), a multicenter, randomized, double-blind, placebo-controlled trial where patients received investigator's choice of chemotherapy between either cisplatin and 5-fu, or oxaliplatin and capecitabine.

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