Comparing 3 approaches for HER2-positive gastric cancer

Exclusion

• −Spinal cord compression or brain metastases unless asymptomatic, treated and stable and not requiring corticosteroid or anticonvulsant may be included in the study if they have recovered from the acute toxic effect of radiotherapy.
• −Uncontrolled infection including tuberculosis and active hepatitis A infection.
• −Chronic/active HBV or HCV infection unless controlled.
• −Lack of physiological integrity of the upper gastrointestinal tract.
• −Known dihydropyrimidine dehydrogenase enzyme deficiency.
• −Contraindication to pembrolizumab or trastuzumab, contraindications to fluoropyrimidine (5-FU and capecitabine) or platinum (cisplatin and oxaliplatin) treatment as per local label.
• −History of another primary malignancy except for malignancy treated with curative intent with no known active disease within 3 years before the first dose of study intervention and of low potential risk for recurrence.
• −Persistent toxicities caused by previous anti-cancer therapy.
• −Uncontrolled infection requiring intravenous (IV) antibiotics, anti-virals, or antifungals.
• −Recent receipt of live, attenuated vaccine.
• −Clinically significant cardiac or psychological conditions.
• −Active or prior documented autoimmune or inflammatory disorders requiring chronic treatment with steroids or other immunosuppressive treatment.
• −History of (non-infectious) ILD/pneumonitis, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screeningScreeningThe checks done before joining, to see whether a study fits.Read more →.
• −Lung-specific intercurrent clinically significant illnesses.
• −Any active non-infectious skin disease requiring systemic treatment.
• −A pleural effusion, ascites or pericardial effusion that requires drainage, peritoneal shunt, or cell-free and concentrated ascites reinfusion therapy (CART).
• −History of any of the following: drug-induced severe cutaneous adverse reactionAdverse eventAny medical problem that happens during a study, whether or not the treatment caused it.Read more →.
• −Any concurrent antic-ancer treatment with the exception of receptor activator of nuclear factor kappa-B ligand inhibitors.
• −Current or prior use of immunosuppressive medication within 14 days before study intervention.
• −Have had major surgical procedure recently (excluding placement of vascular access) or recent significant traumatic injury or an anticipated need for major surgery during the study.