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Association details:
Biomarker:MSH4 L359I
Cancer:Bladder Cancer
Drug:Tecentriq (atezolizumab) (PD-L1 inhibitor)
Direction:Sensitive
Evidence:
Evidence Level:
Sensitive: C4 – Case Studies
Title:

Complete response to anti-PD-L1 antibody in a metastatic bladder cancer associated with novel MSH4 mutation and microsatellite instability

Published date:
03/30/2020
Excerpt:
We report a complete responder to PD-L1 blockade who had MSH4 mutated metastatic bladder cancer...His disease was primary refractory to first-line platinum-based chemotherapy but attained complete response to second-line atezolizumab. The novel MSH4 L359I mutation is associated with MSI and high mutational burden leading to remarkable response to PD-L1 blockade.