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EditorialEditorial

Opportunities and challenges of immunotherapy for dMMR/MSI-H colorectal cancer

Qi Zhang, Jian Li, Lin Shen, Yongsheng Li and Xicheng Wang
Cancer Biology & Medicine October 2023, 20 (10) 706-712; DOI: https://doi.org/10.20892/j.issn.2095-3941.2023.0240
Qi Zhang
1Department of Medical Oncology, Chongqing University Cancer Hospital, Chongqing 400030, China
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Jian Li
2Department of Gastrointestinal Oncology, Laboratory of Carcinogenesis and Translational Research of the Ministry of Education, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China
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Lin Shen
2Department of Gastrointestinal Oncology, Laboratory of Carcinogenesis and Translational Research of the Ministry of Education, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China
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Yongsheng Li
1Department of Medical Oncology, Chongqing University Cancer Hospital, Chongqing 400030, China
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  • For correspondence: xicheng_wang{at}hotmail.com lys{at}cqu.edu.cn
Xicheng Wang
2Department of Gastrointestinal Oncology, Laboratory of Carcinogenesis and Translational Research of the Ministry of Education, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China
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  • ORCID record for Xicheng Wang
  • For correspondence: xicheng_wang{at}hotmail.com lys{at}cqu.edu.cn
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    Figure 1

    Summary of opportunities and challenges of immunotherapy for dMMR/MSI-H colorectal cancer. AE, adverse event; dMMR, mismatch-repair deficiency; MSI-H, high microsatellite instability; CRC, Colorectal cancer.

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    Table 1

    Efficacy of immune checkpoint inhibitor treatment of MSI-H/dMMR colorectal cancer in select clinical trials

    TrialKEYNOTE 1645KEYNOTE 0166CheckMate 1427,8Li et al.9Li et al.10Astrum01011
    Prior treatment line≥ 1≥ 2≥ 2≥ 1≥ 21≥ 2≥ 2
    TreatmentPembrolizumabPembrolizumabNivolumabNivolumab +IpilimumabTislelizumabEnvafolimabEnvafolimabSerplulimab
    Sample size (n)6361407411946244153
    Follow-up time2431/21511512/
    cCR (%)83133134130/
    ORR (%)333352346539633238
    DCR (%)5751826296726759/
    DoR (month)4.4 to 23.6+6.2 to 31.3+/1.4 to 31.61.4+ to 50.8+NR2.8+ to 15.0+1.0+ to 16.6+1.6 to 13.1
    PFS (month)4.12.3NR6.6NRNRNR4.9/
    1Y-PFS (%)4134/4471/6332/
    2Y-PFS (%)373159NR60////
    1Y-OS (%)7672/7285/8765/
    2Y-OS (%)635572/74////

    cCR, clinical complete response; DCR, disease control rate; DoR, duration of response; NR, not reported; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; Y, year.

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    Cancer Biology & Medicine: 20 (10)
    Cancer Biology & Medicine
    Vol. 20, Issue 10
    15 Oct 2023
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    Opportunities and challenges of immunotherapy for dMMR/MSI-H colorectal cancer
    Qi Zhang, Jian Li, Lin Shen, Yongsheng Li, Xicheng Wang
    Cancer Biology & Medicine Oct 2023, 20 (10) 706-712; DOI: 10.20892/j.issn.2095-3941.2023.0240

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    Opportunities and challenges of immunotherapy for dMMR/MSI-H colorectal cancer
    Qi Zhang, Jian Li, Lin Shen, Yongsheng Li, Xicheng Wang
    Cancer Biology & Medicine Oct 2023, 20 (10) 706-712; DOI: 10.20892/j.issn.2095-3941.2023.0240
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