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Would you add immunotherapy to FOLFOX if the patient is not a FLOT candidate for neoadjuvant gastric cancer, extrapolating data from the MATTERHORN study?

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Will you extrapolate MATTERHORN data and add neoadjuvant checkpoint inhibitor to FOLFOX, if a patient with gastric cancer is ineligible for FLOT?

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3 Answers
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Medical Oncology · Rutgers Cancer Institute of New Jersey
Answered on

While it is always somewhat perilous to extrapolate from a proper study to lesser situations, this seems quite reasonable. It seems highly unlikely that the removal of Taxotere from a fluoropyrimidine-oxaliplatin-based regimen would render immunotherapy less effective in gastric cancer. In the MATTE...

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Medical Oncology · Stanford University Medical Center
Answered on

It is important to remember the context of MATTERHORN compared to trials such as KEYNOTE-585, where immunotherapy was used with predominantly different chemotherapy regimens. We cannot draw the same conclusions about pathological complete response and overall survival with FOLFOX that we can with FL...

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Medical Oncology · NYU Perlmutter Cancer Center
Answered on

Add an IO to the FOLFOX regimen in the neoadjuvant chemotherapy for gastric cancer.

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