New predictive model identifies mismatch repair deficiency in resource-limited settings Skip to content The CRC Digest New predictive model identifies mismatch repair deficiency in resource-limited settings Cross-sectional analysis of 185 Sri Lankan patients found 12.4% were mismatch repair deficient; multivariable analysis identified age under 60, right-sided tumors, family history, and specific histologic features as significant predictors. (BMC Cancer) This
WRN helicase emerges as therapeutic target in MSI-H colorectal cancer Skip to content The CRC Digest WRN helicase emerges as therapeutic target in MSI-H colorectal cancer MSI-H and mismatch repair-deficient cancers show dependence on Werner syndrome RecQ helicase (WRN), a synthetic-lethal vulnerability linked to expanded TA-dinucleotide repeats and replication-associated genome instability, though dependency is not universal among all MSI-H tumors.
Molecular profiling study identifies clinicopathological factors linked to dMMR/MSI-H status Skip to content The CRC Digest Molecular profiling study identifies clinicopathological factors linked to dMMR/MSI-H status In 272 resected colorectal cancers, dMMR/MSI-H was present in 9.6% of tumors and independently associated with younger age, proximal tumor location, and poor differentiation. (Clinical Therapeutics) This content is informational only
Final CheckMate 8HW results show survival benefit with nivolumab plus ipilimumab in MSI-H/dMMR metastatic colorectal cancer Skip to content The CRC Digest ◆ TRIAL DATA Final CheckMate 8HW results show survival benefit with nivolumab plus ipilimumab in MSI-H/dMMR metastatic colorectal cancer At 68 months median follow-up, the phase III trial demonstrated significant overall survival benefit with nivolumab plus ipilimumab versus nivolumab alone across all treatment lines
FDA grants accelerated approval for dostarlimab in locally advanced rectal cancer with dMMR tumors Skip to content The CRC Digest ● REGULATORY FDA grants accelerated approval for dostarlimab in locally advanced rectal cancer with dMMR tumors The immunotherapy Jemperli (dostarlimab-gxly) received accelerated approval for previously untreated stage II or III locally advanced rectal cancer with mismatch repair deficient tumors, potentially allowing some patients to avoid
Maintenance immunotherapy after complete response may not be necessary in dMMR/MSI-H rectal cancer Skip to content The CRC Digest ◆ TRIAL DATA Maintenance immunotherapy after complete response may not be necessary in dMMR/MSI-H rectal cancer A multicenter cohort study of 129 patients who entered non-operative management after achieving clinical complete response with PD-1 inhibitors found 3-year disease-free survival was 96.2% with observation