51. PD-1 blockade in neoadjuvant setting of DNA mismatch repair-deficient/microsatellite instability-high colorectal cancer
- Author
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Ding-Xin Liu, Dan-Dan Li, Wan He, Chuan-Feng Ke, Wu Jiang, Jing-Hua Tang, Ling-Heng Kong, Yuan Li, Qiao-Qi Sui, Bin-Yi Xiao, Wei-Rong Li, Zhi-Gang Hong, Rui-Hua Xu, Zhi-Zhong Pan, Xiao-Shi Zhang, and Pei-Rong Ding
- Subjects
colorectal cancer ,microsatellite instability ,neoadjuvant ,pd-1 ,immune checkpoint blockade ,Immunologic diseases. Allergy ,RC581-607 ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Background: Although PD-1 blockade has significantly improved the survival of metastatic colorectal cancer with DNA Mismatch Repair-Deficient/Microsatellite Instability-High (MSI-H), the data on neoadjuvant setting is limited. Methods: In this retrospective study, we enrolled eight patients with advanced MSI-H colorectal cancer from three hospitals. Four patients are locally advanced and four are metastatic. All the patients received at least two doses of PD-1 antibody with or without chemotherapy as neoadjuvant therapy. The aim of the present study was to evaluate the short-term efficacy and toxicities of this strategy. Results: All the enrolled eight patients had a major response in imaging and/or pathological evaluation. Five of the seven resected patients were evaluated as pathological complete response. One patient without surgery has a clinical complete response (cCR) tumor response. Conclusions: Neoadjuvant PD-1 blockade induced tumor regression with a major clinical and pathological response in advanced dMMR/MSI-H colorectal cancer. Further studies are required to evaluate the long-term effect of this strategy.
- Published
- 2020
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