Quality-adjusted survival comparison for tislelizumab (TIS) + chemotherapy (CT) versus placebo (PBO) + CT as first-line (1L) treatment in gastric/gastroesophageal junction adenocarcinoma (GC/GEJC) patients with peritoneal metastasis (PM): Long-term follow-up from RATIONALE-305

ASCO 2026Gastric cancer/gastroesophageal junction cancerTislelizumabPoster

Rutika Mehta, MB, BS, MD, MPH

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The contents of the presentations above are designed for educational and scientific exchange purposes and are not promotional. They may contain information on investigational products or investigational uses of approved products. No conclusions regarding safety and/or efficacy for such investigational products or uses may be made.

 
SUMMARY

This post hoc analysis of the Phase 3 RATIONALE305 trial evaluated quality‑of-life adjusted survival in patients with advanced gastric or gastroesophageal junction adenocarcinoma with peritoneal metastasis who received firstline tislelizumab plus chemotherapy or placebo plus chemotherapy. The analysis used longterm followup data with a minimum followup of 3.0 years and a data cutoff of February 28, 2024, applying the Qualityadjusted Time Without Symptoms or Toxicity (QTWiST) methodology. At a maximum followup of 57 months in the overall randomized population, patients treated with tislelizumab plus chemotherapy (n=501) had longer mean quality‑of-life adjusted overall survival than those receiving placebo plus chemotherapy (n=496) (16.3 vs 13.1 months). Among patients with peritoneal metastasis, mean quality‑of-life adjusted overall survival was higher with tislelizumab plus chemotherapy (n=220) compared with placebo plus chemotherapy (n=214) (13.4 vs 10.8 months), corresponding to a 17.7% relative QTWiST gain. Quality‑of-life adjusted survival benefit was also reported in patients who received tislelizumab plus chemotherapy with peritoneal metastasis with PDL1 TAP score ≥1% (16.8% gain) and ≥5% (33.0% gain) compared with placebo plus chemotherapy.

 
ClinicalTrials.gov ID: NCT03777657

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