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Would you use perioperative durvalumab in patients with diffuse-type gastric adenocarcinoma given no event-free survival benefit was seen for these patients in MATTERHORN?

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Will you use perioperative durvalumab in patients with diffuse-type gastric cancer?

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2 Answers
Mednet Member
Mednet Member
Medical Oncology · City of Hope Comprehensive Cancer Care
Answered on

Although MATTERHORN demonstrated a significant event-free survival benefit for perioperative durvalumab plus FLOT in the overall population, the forest plot does not show a clearly favorable signal in the diffuse-type subgroup. Because subgroup analyses are underpowered and not intended to confirm l...

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Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Stanford University Medical Center
Answered on

I interpret subgroup analyses with a significant grain of salt. When I see a lack of benefit in a subgroup compared to a significant benefit in the overall population, I ask the question: What is different about this subgroup in the control arm versus the experimental arm? This question is sometimes...

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