Modeling analysis of RATIONALE-305: Impact of peritoneal metastasis (PM) representation on clinical outcomes in patients (pts) treated with tislelizumab plus chemotherapy (TIS+CT) with gastric cancer/gastroesophageal junction cancer (GC/GEJC).

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Authors: Mohamad Bassam Sonbol, Sun Young Rha, Rui-Hua Xu, Filippo Pietrantonio, Markus H. Moehler, Ken Kato, María Alsina, H. Kim, Yaling Xu, Xuan Kong, Na Zhao, Sylvie Lorenzen
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Abstract

378 Background: RATIONALE-305 (NCT03777657) enrolled the highest number of pts with PM among similar trials and stratified pts with advanced GC/GEJC by presence of PM. We used statistical modeling to evaluate the impact of varying PM levels on outcomes with TIS+CT. Methods: We randomized adults with GC/GEJC (1:1) to TIS or placebo (PBO) + CT. Primary endpoints: OS in intent-to-treat (ITT) population and pts with programmed death-ligand 1 (PD-L1) Tumor Area Positivity (TAP) score ≥5%. We weighted pts using the method of moments to match a hypothetical population to ITT, with the same distribution of sex, primary tumor location, PD-L1 (TAP score

Fields of Study & Subjects

Gastric Cancer Management and Outcomes Intraperitoneal and Appendiceal Malignancies Cancer Immunotherapy and Biomarkers

Publication details

Journal / source
Journal of Clinical Oncology
Publisher
American Society of Clinical Oncology (ASCO)
Volume
44
Issue
2_suppl
Pages
378–378
Publication date
10 January 2026
Language
EN