40 advanced GC patients receiving HER2-targeted therapy were recruited...Specifically, ERBB2-high-TMB-high patients didn't respond to HER2-targeted therapy as vigorously as ERBB2-high-TMB-low patients (ORR=45.5% vs 70.6%, DCR=63.6% vs 100%, mPFS=7.13 vs 3.07 month).