Copyright: ©Author(s) 2026.
World J Gastroenterol. Sep 14, 2026; 32(34): 118762
Published online Sep 14, 2026. doi: 10.3748/wjg.118762
Published online Sep 14, 2026. doi: 10.3748/wjg.118762
Table 1 Representative phase III trials of immune checkpoint inhibitors in perioperative and advanced gastric cancer
| Trial name | Phase | Patient population | Treatment arms (intervention vs control) | PD-L1 cut-off (CPS) | Primary endpoint/result | Ref. |
| KEYNOTE-585 | III | Perioperative (LAGC) | Pembro + Chemo vs Placebo + Chemo | Analysis ≥ 1, ≥ 10 | pCR: Significantly improved; EFS/OS: Not met in the overall population | Shitara et al[52], 2024 |
| MATTERHORN | III | Perioperative (LAGC) | Durva + FLOT vs Placebo + FLOT | All comers | pCR: Significantly improved (19% vs 7%); EFS: Significantly improved (HR 0.71); OS immature | Janjigian et al[53], 2025 |
| CheckMate 649 | III | Advanced (1st line) | Nivo + Chemo vs Chemotherapy alone | ≥ 5, ≥ 1 | OS and PFS: Significantly improved in CPS ≥ 5 (standard of care) | Janjigian et al[44], 2021 |
| KEYNOTE-062 | III | Advanced (1st line) | Pembro ± Chemo vs Chemotherapy alone | ≥ 1, ≥ 10 | OS: Pembro monotherapy non-inferior to chemo (CPS ≥ 1); combination failed superiority | Shitara et al[43], 2020 |
| ATTRACTION-4 | III | Advanced (1st line) | Nivo + Chemo vs Placebo + Chemo | All comers | PFS: Significantly improved; OS: Not met | Kang et al[46], 2022 |
- Citation: Takahashi K. Stage-dependent prognostic value of programmed death ligand-1 expression in gastric cancer: Implications for personalized immunotherapy. World J Gastroenterol 2026; 32(34): 118762
- URL: https://www.wjgnet.com/1007-9327/full/v32/i34/118762.htm
- DOI: https://dx.doi.org/10.3748/wjg.118762