New Reference: Nivolumab and Ipilimumab for Advanced Gastric Cancer


  • Study

    Single-arm phase II study [NO LIMIT, WJOG13320G].
    Microsatellite instability-high advanced gastric or esophagogastric junction cancer.
    Nivolumab (240 mg every 2 weeks) plus low-dose ipilimumab (1 mg/kg every 6 weeks), n=29.



  • Efficacy

    ORR: 62.1% [42.3-79.3], CR: 10.3%
    mPFS: 13.8 mos [13.7-NR]
    mOS: NR [13.7-NR], 12-month OS rate: 79.5% [56.8-91.1]



  • Safety

    Grade >=3 AEs: 37.9%
    Hypopituitarism (6.9%), maculopapular rash (6.9%), pneumonitis, thrombocytopenia, lymphocytopenia, diarrhea, gastritis, decreased appetite, hypoalbuminemia, rhabdomyolysis (3.4% each)
    TRAEs led to discontinuation in 41.4% of patients.



  • J Clin Oncol 2025;43:2184-2195

    Kawakami H,Kadowaki S,Makiyama A Phase II Study (NO LIMIT, WJOG13320G) of First-Line Nivolumab Plus Low-Dose Ipilimumab for Microsatellite–Instability High Advanced Gastric or Esophagogastric Junction Cancer

    http://doi.org/10.1200/JCO-24-02463

    Reviewed by Elvin Chalabiyev, MD on Sep 3, 2025

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