Evidence map›Paper›PMID 41325200›Full record

ArticleThe oncologist2025

Neoadjuvant immunotherapy for dMMR/MSI-H locally advanced rectal cancer patients: demystifying the 100% clinical complete response paradigm.

Federica Marmorino, Federica Morano, Maria Anna Canciello, Piercarlo Rossi, Annalice Gandini, Pierre Laurent-Puig, Clara Ugolini, Erika Martinelli, Chiara Cremolini

Abstract readCase Reports
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Federica MarmorinoUnit of Medical Oncology, Azienda Ospedaliera Universitaria Pisana, Pisa 56126, Italy.ORCID 0000-0001-7725-3434
Federica MoranoDepartment of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan 20133, Italy.ORCID 0000-0002-5306-3596
Maria Anna CancielloDepartment of Precision Medicine, Oncology Unit, Università degli Studi della Campania Luigi Vanvitelli, Naples 80131, Italy.
Piercarlo RossiDiagnostic and Interventional Radiology Unit, Azienda Ospedaliero-Universitaria Pisana, Pisa 56126, Italy.
Annalice GandiniMedical Oncology Unit 1, IRCCS Ospedale Policlinico San Martino, Genoa 16132, Italy.
Pierre Laurent-PuigCentre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université Paris Cité, Personalized Medicine, Phamacogenomics and Therapeutic Optimization, Paris 75006, France.ORCID 0000-0001-8475-5459
Clara UgoliniDepartment of Surgical, Medical, Molecular Pathology and Critical Area, Unit of Pathology, University Hospital of Pisa, Pisa 56126, Italy.
Erika MartinelliDepartment of Precision Medicine, Oncology Unit, Università degli Studi della Campania Luigi Vanvitelli, Naples 80131, Italy.
Chiara CremoliniUnit of Medical Oncology, Azienda Ospedaliera Universitaria Pisana, Pisa 56126, Italy.ORCID 0000-0002-0520-4841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Six months of treatment with dostarlimab followed by nonoperative management in case of clinical complete response (cCR) is the new standard-of-care for patients with microsatellite instability-high (MSI-H)/mismatch repair deficient (dMMR) locally advanced rectal cancer (LARC). The most recent update of the seminal phase II trial by Cercek et al. shows a cCR rate of 100% that allowed sparing chemoradiation and surgery to all included patients. Here, we present three clinical cases of patients with dMMR and MSI-H LARC treated with neoadjuvant dostarlimab at three Italian institutions with radiological evidence of disease progression while on treatment and discuss potential similarities among them to understand when and how this apparently rare event may occur.

Indexed as

ImmunotherapyMicrosatellite InstabilityNeoadjuvant TherapyRectal NeoplasmsAdultAgedDNA Mismatch RepairHumansMiddle Ageddostarlimablocally advanced rectal cancermicrosatellite instability-highmismatch repair deficientneoadjuvant immunotherapy

Identifiers

PMID41325200
PMCPMC12726918

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Registered trials

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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.