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CheckMate 649 Gastric — SCE Medical Oncology MCQ

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ModerateGI CancersCheckMate 649 GastricSCE Medical Oncology

A 58-year-old man with advanced gastric cancer has nivolumab added to FOLFOX per the CheckMate 649 trial. What was the key finding?

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Correct answer: BNivolumab + chemotherapy significantly improved OS and PFS compared with chemotherapy alone in PD-L1 CPS ≥5 advanced gastric/GOJ/oesophageal adenocarcinoma

CheckMate 649 (Janjigian et al Lancet 2021): nivo + chemo vs chemo in advanced G/GOJ/oesophageal adeno. CPS ≥5: OS 14.4 vs 11.1 months. Established nivolumab + chemo as first-line for CPS ≥5 gastric cancer. NICE approved.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer