Evidence map›Paper›PMID 39692004›Full record

Trial reportAnnals of surgery2026

Neoadjuvant Pembrolizumab in Stages I-III Deficient Mismatch Repair Colon Cancer: A Clinical Trial.

Ismail Gögenur, Tobias Freyberg Justesen, Line Schmidt Tarpgaard, Mustafa Bulut, Torben Frøstrup Hansen, Lars Henrik Jensen, Hans Bjarke Rahr, Tove Kirkegaard, Lukas Balsevicius, Hans Raskov and 19 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05662527 (Efficacy of Immunotherapy in Patients With MMR-deficient Localized Colon Cancer Scheduled for Curative Surgery - A Prospective, Phase II Study), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05662527 phase2completednot on this map

Efficacy of Immunotherapy in Patients With MMR-deficient Localized Colon Cancer Scheduled for Curative Surgery - A Prospective, Phase II Study

TypeinterventionalSponsorCamilla QvortrupRan2023 to 2024Enrolled85ConditionsColon CancerArmsPembrolizumab
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Overview on biomarkers for immune oncology drugs.Exploration of targeted anti-tumor therapy · 2025
    Review
  9. Article
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

29 authors.

Ismail GögenurCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.
Tobias Freyberg JustesenCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.ORCID 0000-0002-6133-0543
Line Schmidt TarpgaardDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Mustafa BulutCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.
Torben Frøstrup HansenDepartment of Oncology, Vejle Hospital, Vejle, Denmark.
Lars Henrik JensenDepartment of Oncology, Vejle Hospital, Vejle, Denmark.
Hans Bjarke RahrDepartment of Surgery, Colorectal Cancer Center South at Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.
Tove KirkegaardCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.
Lukas BalseviciusCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.
Hans RaskovCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Køge, Denmark.
Peter Clausager PetersenDepartment of Oncology, Zealand University Hospital, Roskilde, Denmark.
Jens Ravn EriksenDepartment of Surgery, Zealand University Hospital, Køge, Denmark.
Søren SalomonDepartment of Surgery, Odense University Hospital, Odense, Denmark.
Anne-Marie Kanstrup FiehnDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Søren BrandsborgDepartment of Surgery, Horsens Regional Hospital, Horsens, Denmark.
Kåre Andersson GotschalckDepartment of Surgery, Horsens Regional Hospital, Horsens, Denmark.
Katrine J EmmertsenDepartment of Surgery, Randers Regional Hospital, Randers, Denmark.
Pernille Wolder BornDepartment of Surgery, Hvidovre Hospital, Hvidovre, Denmark.
Ole Thorlacius-UssingDepartment of Gastrointestinal Surgery, Aalborg University Hospital, Aalborg, Denmark.
Michael Bødker LauritzenDepartment of Gastrointestinal Surgery, Aalborg University Hospital, Aalborg, Denmark.
René Krøjgaard OlesenDepartment of Oncology, Aalborg University Hospital, Aalborg, Denmark.
Laurids Østergaard PoulsenDepartment of Oncology, Aalborg University Hospital, Aalborg, Denmark.
Jakob LykkeDepartment of Surgery, Herlev and Gentofte University Hospital, Herlev, Denmark.
Jakob SchouDepartment of Oncology, Herlev and Gentofte University Hospital, Herlev, Denmark.
Laura BuskovDepartment of Radiology, Bispebjerg Hospital, Bispebjerg, Denmark.
Peter-Martin KrarupDepartment of Surgical Gastroenterology, Bispebjerg Hospital, Bispebjerg, Denmark.
Claus Lindbjerg AndersenDepartment of Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark.
Per PfeifferDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Camilla QvortrupDepartment of Oncology, Rigshospitalet, Copenhagen, Denmark.

Funding

Danish Comprehensive Cancer Center 16
6 · The paper itself

Abstract

objectiveTo investigate the safety and efficacy of single-cycle pembrolizumab in patients with localized deficient mismatch repair (dMMR) colon cancer.

backgroundNeoadjuvant immunotherapy has induced remarkable rates of pathologic complete response (pCR) in patients with dMMR colon cancer. However, the optimal length and type of treatment are yet to be determined.

methodsThis was an investigator-initiated, multicenter, single-arm, phase II study (ClinicalTrials.gov: NCT05662527) investigating the safety and efficacy of neoadjuvant pembrolizumab in patients with stage I-III dMMR colon cancer. Patients received a single cycle of pembrolizumab 4 mg/kg (maximum 400 mg) and underwent surgery 3 to 5 weeks later. An interim safety and efficacy analysis after including 42 patients was pre-planned. The primary outcomes were safety and efficacy (pCR in more than 20% of patients).

resultsBetween February 2023 and September 2023, 42 patients were enrolled at 5 Danish hospitals. All patients received pembrolizumab and underwent surgery, except one patient who refused to undergo surgery. Surgery was performed a median of 32 days after pembrolizumab treatment. Twenty surgical complications were observed in 16 of 41 patients (39%), 3 of which were above Clavien-Dindo grade 2. Two were grade 3b, and 1 was a surgery-related grade 5 gastric ulcer perforation. Three adverse events were grade 3. No grade 4 or 5 adverse events were reported. Of the evaluable patients, 46% (19/41) achieved a pCR, whereas 61% had a major pathologic response.

conclusionsNeoadjuvant single-cycle pembrolizumab was well tolerated and effective in patients with localized dMMR colon cancer. Thus, the inclusion of patients was continued until 85 patients.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalColonic NeoplasmsDNA Mismatch RepairNeoadjuvant TherapyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm StagingTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicalpembrolizumabcolon cancerdeficient mismatch repair systemimmune checkpoint inhibitor

Identifiers

PMID39692004
PMCPMC13218430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.