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Negative trials

with targeted agents

have

substantially out numbered the

positive trials

(the ToGA, REGARD,

and RAINBOW trials) in GAC in the

past decade

Major factors accounting for this negative

outcome may be

(1)

many trials did not select the patient

population based on specific target

,

(2)

inaccurate biomarker for

patient selection

(i.e., HER2, FISH vs.

HER2 IHC)

03/28/2017