Arcus (RCUS) Phase 2 gastric arm shows 26.7‑month median OS
Arcus Biosciences (RCUS) reported first overall survival results from Arm A1 of its Phase 2 EDGE-Gastric study in advanced gastric, GEJ, or esophageal adenocarcinoma.
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Arcus Biosciences (RCUS) reported first overall survival results from Arm A1 of its Phase 2 EDGE-Gastric study in advanced gastric, GEJ, or esophageal adenocarcinoma. At data cutoff on March 3, 2025, all 41 treated patients were evaluated with a median follow-up of 26.4 months.
The regimen of domvanalimab plus zimberelimab and chemotherapy showed median overall survival of 26.7 months (90% CI: 18.4, NE) in the overall population and 26.7 months (90% CI: 19.5, NE) in PD‑L1 positive patients. In PD‑L1 high patients, median overall survival was not estimable (90% CI: 17.4, NE). The 24‑month overall survival rate was 50.2% (90% CI: 36.3, 62.6). Median progression‑free survival was 12.9 months (90% CI: 9.8, 14.6), and confirmed objective response rate was 59% (24/41; 90% CI: 45%, 72%).
No unexpected safety signals were observed. The safety profile was generally well tolerated and consistent with anti‑PD‑1 plus chemotherapy. Immune‑mediated TEAEs occurred in 9 patients (22%), and infusion‑related reactions in 3 patients (7%).
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Insights
Phase 2 gastric arm shows 26.7‑month OS with manageable safety.
The update details Arm A1 of a Phase 2 study combining domvanalimab, zimberelimab, and chemotherapy in advanced gastric/GEJ/esophageal adenocarcinoma (n=41). With a median follow‑up of 26.4 months, the regimen reported median overall survival of 26.7 months in the overall and PD‑L1 positive groups, and not estimable in PD‑L1 high, alongside a 59% confirmed ORR.
Durability signals include a 24‑month overall survival rate of 50.2% and median PFS of 12.9 months. Safety was described as generally well tolerated with immune‑mediated TEAEs in 22% (9/41) and infusion reactions in 7% (3/41), and no unexpected safety signals at the cutoff.
These results come from a single arm (n=41) within a Phase 2 setting; actual impact depends on comparative data and subsequent studies. Further disclosures in company materials may add context on next steps.
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