Supplementary Table 1. Clinicopathologic characteristics according to weight change during chemotherapy ΔW1m<3% ΔW/m<1% N = 417 Age Sex ECOG Median (range) 60 (22-86) 63 (22-82) 56 (21-89) 62 (35-82) < 60-year-old, N (%) 202 (48.4) 45 (42.1) 92 (57.9) 13 (36.1) ≥ 60-year-old, N (%) 215 (51.6) 62 (57.9) 67 (42.1) 23 (63.9) Male, N (%) 291 (69.8) 79 (73.8) 113 (71.1) 25 (69.4) Female, N (%) 126 (30.2) 28 (26.2) 46 (28.9) 11 (30.6) 0-1, N (%) 386 (92.6) 102 (95.3) 133 (83.6) 33 (91.7) 31 (7.4) 5 (4.7) 26 (16.4) 3 (8.3) Initially metastatic, N (%) 269 (64.5) 71 (66.4) 116 (73.0) 23 (63.9) Recurrent, N (%) 148 (35.5) 36 (33.6) 43 (27.0) 13 (36.1) GEJ, N (%) 380 (91.1) 98 (91.6) 143 (89.9) 35 (97.2) 37 (8.9) 9 (8.4) 16 (10.1) 1 (2.8) Adenocarcinoma, N (%) 346 (83.0) 83 (77.6) 116 (73.0) 32 (88.9) Signet ring cell, N (%) 62 (14.9) 21 (19.6) 39 (24.5) 3 (8.3) 2, N (%) Palliative setting Tumor location Other stomach, N (%) Pathology type ΔW1m<3% ΔW1m≥3% ΔW1m≥3% ΔW/m≥1% ΔW/m≥1% ΔW/m<1% N = 107 N = 159¶ N = 36† P-value P-value (4 groups) (¶ vs.†) 0.006 0.003 0.023 0.018 0.870 0.847 0.003 0.457 0.280 0.278 0.578 0.162 Other types, N (%) Lauren HER2 Metastasis Metastasis to Chemotherapy regimen 9 (2.1) 3 (2.8) 4 (2.5) 1 (2.8) 0.114 0.102 Contains signet ring cell feature, N (%)‡ 98 (23.5) 30 (28.0) 57 (35.9) 4 (11.1) 0.003 0.004 Intestinal, N (%) 60 (37.0) 25 (58.1) 12 (23.5) 5 (29.4) Diffuse, N (%) 78 (48.2) 14 (32.6) 35 (68.6) 10 (58.8) Mixed, N (%) 24 (14.8) 4 (9.3) 4 (7.8) 2 (11.8) 0.012 0.747 HER2 checked, N (%) 313 (75.1) 84 (78.5) 121 (76.1) 31 (86.1) 0.464 0.191 HER2 positive, N (%) 86 (27.5) 28 (33.3) 17 (14.1) 12 (38.7) 0.003 0.002 Number of involved organs, mean ± SE 2.2 ± 0.9 2.3 ± 0.8 2.5 ± 1.0 2.4 ± 1.0 0.139 0.910 Involved organs < 3, N (%) 283 (67.9) 71 (66.4) 93 (58.5) 21 (58.3) Involved organs ≥ 3, N (%) 134 (32.1) 36 (33.6) 66 (41.5) 15 (41.7) 0.154 0.986 Peritoneal seeding, N (%) 218 (52.3) 65 (60.8) 105 (66.0) 26 (72.2) 0.005 0.475 Lymph node, N (%) 199 (47.7) 49 (45.8) 82 (51.6) 15 (41.7) 0.656 0.283 Liver, N (%) 100 (24.0) 27 (25.2) 36 (22.6) 9 (25.0) 0.966 0.762 Bone, N (%) 42 (10.1) 6 (5.6) 15 (9.4) 2 (5.6) 0.451 0.456 Others, N (%) 65 (15.6) 21 (19.6) 31 (19.5) 11 (30.6) 0.114 0.145 Fluoropyrimidine + Platinum, N (%) 389 (93.3) 98 (91.6) 144 (90.6) 35 (97.2) + Trastuzumab, N (%)§ 54 (13.0) 16 (15.0) 11 (6.9) 7 (19.4) 0.076 0.019 Treatment response Taxane + Platinum, N (%) 16 (3.8) 4 (3.7) 9 (5.7) 1 (2.8) Others, N (%) 12 (2.9) 5 (4.7) 6 (3.8) 0 CR, N (%) 13 (3.1) 4 (3.7) 0 2 (5.6) PR, N (%) 154 (36.9) 26 (24.3) 31 (19.5) 11 (30.5) SD, N (%) 194 (46.5) 59 (55.1) 82 (51.6) 23 (63.9) PD, N (%) 48 (11.5) 14 (13.1) 41 (25.8) 0 8 (1.9) 4 (3.7) 5 (3.1) 167 (40.8) 30 (29.1) 31 (20.1) Not evaluable, N (%) Objective response*, N (%) 0.739 0.372 0 <0.001 <0.001 13 (36.1) <0.001 0.041 ‡ Contains signet ring feature: number of patients who had either pure signet ring cell carcinoma (i.e. poorly cohesive carcinoma) or adenocarcinoma containing signet ring features. § Trastuzumab was added to a combination regimen of flouropyrimidine plus platinum. * Objective response: complete response plus partial response. ΔW1m: percent weight loss after one month of chemotherapy; ΔW/m: average weight loss per month during chemotherapy; CR: complete response; GEJ: esophagogastric junction; HER2: human epidermal growth factor receptor 2; PD: progressive disease; PR: partial response; SD: stable disease. Supplementary Table 2. Adverse events Adverse events* Total N = 719 ΔW1m ≥ 3% N = 195 ΔW1m < 3% N = 524 P-value Any, Grade III or IV, N (%) 69 (9.6) 12 (6.2) 57 (10.9) 0.056 Cytopenia, Grade III or IV, N (%) 38 (5.3) 9 (4.6) 29 (5.5) 0.624 Neuropathy, Grade III or IV, N (%) 14 (2.0) 0 14 (2.7) 0.021 Nausea/Vomit, Grade III or IV, N (%) 4 (0.6) 1 (0.5) 3 (0.6) 0.924 Others, Grade III or IV, N (%) 14 (2.0) 2 (1.0) 12 (2.3) 0.275 ΔW1m: percent weight loss after one month of chemotherapy * Grade of adverse events 14_QuickReference_5x7.pdf) was referred from NCI CTCAE version 4.03 (http://evs.nci.nih.gov/ftp1/CTCAE/CTCAE_4.03_2010-06-