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Association details:
Biomarker:TMB-H
Cancer:Esophageal Cancer
Drug:Keytruda (pembrolizumab) (PD1 inhibitor)
Direction:Sensitive
Evidence:
Evidence Level:
Sensitive: A2 - Guideline
New
Source:
Excerpt:
Esophageal and Esophagogastric Junction Cancers: Useful in Certain Circumstances...Pembrolizumab for TMB high (≥10 mutations/megabase) tumors…
Evidence Level:
Sensitive: C1 - Off-label
  (Approved for Solid Tumor)
New
Excerpt:
KEYTRUDA is a programmed death receptor-1 (PD-1)-blocking antibody indicated:...for the treatment of adult and pediatric patients with unresectable or metastatic tumor mutational burden-high (TMB-H) [≥10 mutations/megabase (mut/Mb)] solid tumors, as determined by an FDA-approved test, that have progressed following prior treatment and who have no satisfactory alternative treatment options.
Evidence Level:
Sensitive: C3 – Early Trials
Source:
Title:

Effect of multi-omics analysis on tumor ecosystem during neoadjuvant dose-limiting chemotherapy combination with sequential PD-1 blockade for patients with esophageal cancer.

Published date:
05/25/2023
Excerpt:
A study on 23 enrolled patients with esophageal cancer who received 2 cycles of neoadjuvant treatment of dose-limiting chemotherapy combined with sequential pembrolizumab...After neoadjuvant therapy, the percentage of patients with a pathological major response (MPR) was 39.1% (9/23), consisting of 21.7% (5/23) completed pathological response (cPR)...Tumor mutational burden (TMB) was higher in the MPR group than in the non-MPR group at baseline...Additionally, TMB, CD8+ T cells, and Treg cells are associated with clinical benefits during treatment.
Secondary therapy:
Chemotherapy
DOI:
10.1200/JCO.2023.41.16_suppl.e16085