Evidence map›Paper›PMID 35053568›Full record

ArticleCancers2022

Treatments after Immune Checkpoint Inhibitors in Patients with dMMR/MSI Metastatic Colorectal Cancer.

Quang Loc Bui, Léo Mas, Antoine Hollebecque, David Tougeron, Christelle de la Fouchardière, Thomas Pudlarz, Emily Alouani, Rosine Guimbaud, Julien Taieb, Thierry André and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06004713 (Multi-center, Non-interventional, Prospective Registry Study on the Treatment of Solid Tumors With Mismatch Repair Deficiency or Microsatellite Instability), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06004713 unknown statusnot on this mapstarted 2023, after this paper: background citation

Multi-center, Non-interventional, Prospective Registry Study on the Treatment of Solid Tumors With Mismatch Repair Deficiency or Microsatellite Instability

TypeobservationalSponsorPeking University Cancer Hospital & InstituteRan2023 to 2026Enrolled190ConditionsDMMR Cancer, MSI-H, Solid Tumor
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
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  10. The emerging era of personalized medicine in advanced colorectal cancer.Journal of gastroenterology and hepatology · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 2 countries.

Quang Loc BuiDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.ORCID 0000-0001-5876-5872
Léo MasDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.
Antoine HollebecqueDrug Development Department (DITEP), Gustave Roussy, Saclay University of Paris, 94800 Villejuif, France.ORCID 0000-0003-2869-7551
David TougeronDepartment of Gastroenterology, Poitiers University Hospital, 86000 Poitiers, France.ORCID 0000-0002-8065-9635
Christelle de la FouchardièreMedical Oncology Department, Centre Leon Berard, Lyon I University, 69008 Lyon, France.ORCID 0000-0003-2291-5693
Thomas PudlarzDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.
Emily AlouaniDigestive Medical Oncology Department, CHU Toulouse-IUCT Rangueil-Larrey, 31059 Toulouse, France.
Rosine GuimbaudDigestive Medical Oncology Department, CHU Toulouse-IUCT Rangueil-Larrey, 31059 Toulouse, France.
Julien TaiebDepartment of Digestive Oncology, Georges Pompidou European Hospital, Paris Descartes University, Sorbonne Paris Cité, 75004 Paris, France.ORCID 0000-0002-9955-4753
Thierry AndréDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.ORCID 0000-0002-5103-7095
Raphaël ColleDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.
Romain CohenDepartment of Medical Oncology, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Saint-Antoine, Sorbonne Université, 75012 Paris, France.ORCID 0000-0001-9602-5162
Sorbonne Université · FRCentre Hospitalier Universitaire de Toulouse · FRInserm · FRInstitut Gustave Roussy · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Poitiers · FRUniversité Paris Cité · FRVietnam National University, Hanoi · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies reported improved outcomes with conventional treatments (CT, i.e., chemotherapy ± targeted therapy) administered after immune checkpoints inhibitors (ICI) in certain tumor types. No data are available concerning patients (pts) with metastatic colorectal cancer (mCRC) harboring mismatch repair deficiency/microsatellite instability (dMMR/MSI). We aimed to assess the outcomes of dMMR/MSI mCRC pts receiving CT after ICI failure.

methodsWe conducted a retrospective multicenter study investigating the outcomes of all dMMR/MSI mCRC pts who received post-ICI CT between 2015 and 2020.

results31 pts (male 61%, median age 56 years) were included. ICI was an anti-PD(L)1 monotherapy in 71% of pts, and 61% received >2 lines before post-ICI CT. The overall response rate and disease control rate were 13% and 45%, with a median progression-free survival (PFS) and overall survival of 2.9 and 7.4 months, respectively. No association of the outcomes with either ICI efficacy or anti-angiogenic agents was observed. Prolonged PFS (range 16.1-21.3 months) was observed in 4 pts (13%).

conclusionsAlthough conducted on a limited number of patients, our results do not support an association of previous ICI treatment with an enhanced efficacy of CT in dMMR/MSI mCRC. However, prolonged disease control was observed in several cases, suggesting that some pts might derive an unexpected benefit from post-ICI treatments.

Indexed as

chemotherapy after immunotherapymetastatic colorectal cancermicrosatellite instabilitymismatch repair deficiency

Identifiers

PMID35053568
PMCPMC8774125
OpenAlexW4205435896

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.