Our study identified a total of 40 consecutive patients, all of them Caucasian, diagnosed with chemorefractory metastatic colorectal cancer. Treated with standard-of-care regorafenib as third-line metastatic therapy...The presence of PD-L1− CTCs was significantly associated with worse PFS (median PFS: 2.1 months, range 1–4 months). The median PFS for PD-L1+ CTCs patients was 6.3 months, range 4–12 months).