NCT03615326 · STUDY IN CONTEXT
Pembrolizumab/Placebo Plus Trastuzumab Plus Chemotherapy in Human Epidermal Growth Factor Receptor 2 Positive (HER2+) Advanced Gastric or Gastroesophageal Junction (GEJ) Adenocarci
Draft scope assessment: narrower. Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
Read the full study record and all posted results →
Linked outcomes
PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 as assessed by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1, progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. PFS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
OS is defined as the time from randomization to death due to any cause. OS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
ORR is defined as the percentage of participants who have a Complete Response (\[CR\], disappearance of all evidence of disease) or Partial Response (\[PR\], regression of measurable disease and no new sites) per RECIST 1.1 as assessed by blinded independent central review (BICR). ORR was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
For participants who demonstrate CR or PR, DOR is defined as the time from first response (CR or PR) to subsequent disease progression or death from any cause, whichever occurs first. DOR was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
An AE is any untoward medical occurrence in a participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment. The number of participants who experienced an AE is reported for each treatment arm. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
An AE is any untoward medical occurrence in a participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment. The number of participants who discontinued study treatment due to an AE is reported for each treatment arm. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
Reported safety
Quality of life and patient-reported measures
No linked quality-of-life measure is recorded for this setting and study.
Full draft applicability and source-link record
- trial
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- trial label
- Pembrolizumab/Placebo Plus Trastuzumab Plus Chemotherapy in Human Epidermal Growth Factor Receptor 2 Positive (HER2+) Advanced Gastric or Gastroesophageal Junction (GEJ) Adenocarci
- applicability
- narrower
- applicability note
- Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- provenance class
- regulator-cited
- discovery note
- Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
- outcome Count
- 6
- harms Count
- 5
- qol Count
- 0
- outcomes
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0000
- source section id
- NCT03615326-om-0000
- source outcome index
- 0
- endpoint
- Progression Free Survival (PFS) Per RECIST 1.1 Assessed by BICR
- endpoint definition
- PFS is defined as the time from randomization to the first documented disease progression per RECIST 1.1 as assessed by BICR or death due to any cause, whichever occurs first. Per RECIST 1.1, progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. PFS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- time origin
- Up to 46 months
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized Global Cohort participants in the Pembrolizumab First Course arm and SOC arm were included in this analysis. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0001
- source section id
- NCT03615326-om-0001
- source outcome index
- 1
- endpoint
- Overall Survival (OS)
- endpoint definition
- OS is defined as the time from randomization to death due to any cause. OS was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- time origin
- Up to 63 months
- analysis role
- primary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized Global Cohort participants in the Pembrolizumab First Course arm and SOC arm were included in this analysis. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0002
- source section id
- NCT03615326-om-0002
- source outcome index
- 2
- endpoint
- Objective Response Rate (ORR) Per RECIST 1.1 Assessed by BICR
- endpoint definition
- ORR is defined as the percentage of participants who have a Complete Response (\[CR\], disappearance of all evidence of disease) or Partial Response (\[PR\], regression of measurable disease and no new sites) per RECIST 1.1 as assessed by blinded independent central review (BICR). ORR was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- time origin
- Up to 63 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized Global Cohort participants in the Pembrolizumab First Course arm and SOC arm were included in this analysis. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0003
- source section id
- NCT03615326-om-0003
- source outcome index
- 3
- endpoint
- Duration of Response (DOR) Per RECIST 1.1 Assessed by BICR
- endpoint definition
- For participants who demonstrate CR or PR, DOR is defined as the time from first response (CR or PR) to subsequent disease progression or death from any cause, whichever occurs first. DOR was determined for first course pembrolizumab in the Global Cohort. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- time origin
- Up to 63 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized Global Cohort participants in the Pembrolizumab First Course arm and SOC arm and who had CR or PR per RECIST 1.1 as assessed by BICR were included in this analysis. Per statistical analysis plan, participants in the Japan-specific SOX Cohort were not included in the efficacy analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0004
- source section id
- NCT03615326-om-0004
- source outcome index
- 4
- endpoint
- Number of Participants Who Experienced an Adverse Event (AE)
- endpoint definition
- An AE is any untoward medical occurrence in a participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment. The number of participants who experienced an AE is reported for each treatment arm. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
- time origin
- Up to 63 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized participants in the Global Cohort Pembrolizumab and SOC arms who received at least 1 dose of treatment, and all participants in the Japan-specific SOX Cohort who received at least 1 dose of treatment were included in this analysis. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0005
- source section id
- NCT03615326-om-0005
- source outcome index
- 5
- endpoint
- Number of Participants Who Discontinued Study Treatment Due to AEs
- endpoint definition
- An AE is any untoward medical occurrence in a participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment. The number of participants who discontinued study treatment due to an AE is reported for each treatment arm. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
- time origin
- Up to 63 months
- analysis role
- secondary
- reporting status
- POSTED
- data cutoff
- Source null
- population note
- All randomized participants in the Global Cohort Pembrolizumab and SOC arms who received at least 1 dose of treatment, and all participants in the Japan-specific SOX Cohort who received at least 1 dose of treatment were included in this analysis. Per statistical analysis plan, data from the second course of pembrolizumab was not included in the safety analysis.
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- arms
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0000
- arm key
- OG000
- arm label
- Global Pembrolizumab + Standard of Care First Course
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 350
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0000#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0000
- arm key
- OG001
- arm label
- Global Standard of Care
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 348
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0000#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0001
- arm key
- OG000
- arm label
- Global Pembrolizumab + Standard of Care First Course
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 350
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0001#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0001
- arm key
- OG001
- arm label
- Global Standard of Care First Course
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 348
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0001#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0002
- arm key
- OG000
- arm label
- Global Pembrolizumab + Standard of Care First Course
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 350
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0002#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0002
- arm key
- OG001
- arm label
- Global Standard of Care First Course
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 348
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0002#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0003
- arm key
- OG000
- arm label
- Global Pembrolizumab + Standard of Care First Course
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 254
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0003#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0003
- arm key
- OG001
- arm label
- Global Standard of Care First Course
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 209
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0003#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0004
- arm key
- OG000
- arm label
- Global Pembrolizumab + Standard of Care First Course
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 350
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0004#groups/OG000
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0004
- arm key
- OG001
- arm label
- Global Standard of Care First Course
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with FP or CAPOX chemotherapy.
- analyzed count
- 346
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0004#groups/OG001
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0004
- arm key
- OG002
- arm label
- Japan Pembrolizumab + Trastuzumab + S-1 Plus Oxaliplatin
- regimen
- Participants received 200 mg pembrolizumab IV every 3 weeks (Q3W) plus trastuzumab (8 mg/kg loading dose, 6 mg/kg maintenance thereafter) IV Q3W in combination with SOX chemotherapy.
- analyzed count
- 20
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0004#groups/OG002
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- outcome key
- om-0004
- arm key
- OG003
- arm label
- Japan Trastuzumab + S-1 Plus Oxaliplatin
- regimen
- Participants received matched placebo to pembrolizumab IV Q3W plus trastuzumab (8mg/kg loading dose, 6mg/kg maintenance thereafter) IV Q3W in combination with SOX chemotherapy.
- analyzed count
- 20
- analyzed unit
- Participants
- is comparator
- Source null
- source pointer
- NCT03615326-om-0004#groups/OG003
- harms
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- harm key
- EG000
- source section id
- NCT03615326-ae
- event group key
- EG000
- event group label
- Global Pembrolizumab + Standard of Care First Course
- serious affected
- 163
- serious at risk
- 350
- other affected
- 345
- other at risk
- 350
- frequency threshold
- 5
- collection period
- Up to 63 months
- event definition
- All-Cause Mortality is reported for all randomized participants. Serious Adverse Events and Other Adverse Events are reported for all participants who received treatment. Per protocol, All Cause Mortality and AEs were reported separately for Global Pembrolizumab + SOC and Global Pembrolizumab + SOC Second Course arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- harm key
- EG001
- source section id
- NCT03615326-ae
- event group key
- EG001
- event group label
- Global Standard of Care
- serious affected
- 159
- serious at risk
- 346
- other affected
- 338
- other at risk
- 346
- frequency threshold
- 5
- collection period
- Up to 63 months
- event definition
- All-Cause Mortality is reported for all randomized participants. Serious Adverse Events and Other Adverse Events are reported for all participants who received treatment. Per protocol, All Cause Mortality and AEs were reported separately for Global Pembrolizumab + SOC and Global Pembrolizumab + SOC Second Course arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- harm key
- EG002
- source section id
- NCT03615326-ae
- event group key
- EG002
- event group label
- Japan Pembrolizumab + Trastuzumab + S-1 Plus Oxaliplatin
- serious affected
- 10
- serious at risk
- 20
- other affected
- 20
- other at risk
- 20
- frequency threshold
- 5
- collection period
- Up to 63 months
- event definition
- All-Cause Mortality is reported for all randomized participants. Serious Adverse Events and Other Adverse Events are reported for all participants who received treatment. Per protocol, All Cause Mortality and AEs were reported separately for Global Pembrolizumab + SOC and Global Pembrolizumab + SOC Second Course arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- harm key
- EG003
- source section id
- NCT03615326-ae
- event group key
- EG003
- event group label
- Japan Trastuzumab + S-1 Plus Oxaliplatin
- serious affected
- 9
- serious at risk
- 20
- other affected
- 20
- other at risk
- 20
- frequency threshold
- 5
- collection period
- Up to 63 months
- event definition
- All-Cause Mortality is reported for all randomized participants. Serious Adverse Events and Other Adverse Events are reported for all participants who received treatment. Per protocol, All Cause Mortality and AEs were reported separately for Global Pembrolizumab + SOC and Global Pembrolizumab + SOC Second Course arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- release id
- clinical-indications-draft-1
- disease state id
- ds-gastroesophageal-junction-carcinoma
- nct id
- NCT03615326
- harm key
- EG004
- source section id
- NCT03615326-ae
- event group key
- EG004
- event group label
- Global Pembrolizumab + Standard of Care Second Course
- serious affected
- 0
- serious at risk
- 11
- other affected
- 9
- other at risk
- 11
- frequency threshold
- 5
- collection period
- Up to 63 months
- event definition
- All-Cause Mortality is reported for all randomized participants. Serious Adverse Events and Other Adverse Events are reported for all participants who received treatment. Per protocol, All Cause Mortality and AEs were reported separately for Global Pembrolizumab + SOC and Global Pembrolizumab + SOC Second Course arms.
- undenominated note
- Source null
- curation status
- draft
- reviewed by
- Source null
- reviewed at
- Source null
- created at
- 2026-09-10T00:00:00Z
- quality of life
- setting source links
Preserved source evidence · Not medical advice
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