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Association details:
Biomarker:MSI-H/dMMR + TMB-H
Cancer:Colorectal Cancer
Drug Class:Immunotherapy
Direction:Sensitive
Evidence:
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Anti PD-1 monoclonal antibody in patients with MSI-high and/or high tumor mutational burden for solid malignancies.

Published date:
05/26/2022
Excerpt:
Retrospective analysis of 16 patients (pts) who received 18 CPI-based therapies between October 2017 and February 2022. MSI-H and TMB status was assessed by CARIS, Guardant360 or INVITAE genetic testing…. 15 pts were evaluable for response with an ORR of 33%, including 33% among pts with CRC and 27% for non-CRC malignancies....We identify a higher incidence of SD rates among CRC pts (67% vs. 18% non-CRC).
DOI:
10.1200/JCO.2022.40.16_suppl.e15539
Evidence Level:
Sensitive: C3 – Early Trials
New
Title:

Prediction of Benefit from Checkpoint Inhibitors in Mismatch Repair Deficient Metastatic Colorectal Cancer: Role of Tumor Infiltrating Lymphocytes

Excerpt:
Data and samples from 85 patients with MSI-H mCRC treated with ICIs were gathered….RR was 70.6% in patients with high number of TILs (TILs-H) compared with 42.9% in patients with low number of TILs (odds ratio = 3.20, p = .0291)....A significant correlation between higher TMB and increased number of TILs was shown. A significantly higher activity and better PFS and OS with ICI in MSI-H mCRC…
DOI:
https://doi.org/10.1634/theoncologist.2019-0611