Clinical outcomes were assessed for patients with HER2+ advanced esophagogastric cancer who received first-line trastuzumab....Among patients who received first-line trastuzumab, concordant HER2/ERBB2 was associated with longer time to treatment discontinuation (adjusted hazard ratio [aHR]: 0.63; 95% CI: 0.43–0.90) and overall survival (aHR: 0.51; 95% CI: 0.33–0.79)….HER2/ERBB2 concordance and higher ERBB2 copy number predicted clinical benefit from trastuzumab.