Evidence map›Paper›PMID 41731117›Full record

Trial reportBritish journal of cancer2026

Exploratory biomarkers for oxaliplatin-induced nivolumab responsiveness in metastatic microsatellite-stable colorectal cancer.

Anne Hansen Ree, Paula A Bousquet, Tina Visnovska, Torben Lüders, Benjamin P Geisler, Shixiong Wang, Diana L Bordin, Hilde L Nilsen, Hanne M Hamre, Christian Kersten and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

16 authors.

Anne Hansen Ree *Department of Oncology, Akershus University Hospital, Lørenskog, Norway. a.h.ree@medisin.uio.no.ORCID http://orcid.org/0000-0002-8264-3223
Paula A Bousquet *Department of Oncology, Akershus University Hospital, Lørenskog, Norway.
Tina VisnovskaDepartment of Clinical Molecular Biology, Akershus University Hospital, Lørenskog, Norway.
Torben LüdersInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Benjamin P GeislerDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Shixiong WangDepartment of Clinical Molecular Biology, Akershus University Hospital, Lørenskog, Norway.
Diana L BordinDepartment of Clinical Molecular Biology, Akershus University Hospital, Lørenskog, Norway.
Hilde L NilsenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Hanne M HamreDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Christian KerstenDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.
Eva HofsliDepartment of Oncology, St. Olav's Hospital, Trondheim, Norway.
Marianne G GurenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Halfdan SorbyeCancer Clinic, Haukeland University Hospital, Bergen, Norway.ORCID http://orcid.org/0000-0002-7132-6214
Jens P BergInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kjersti FlatmarkInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Sebastian MeltzerDepartment of Oncology, Akershus University Hospital, Lørenskog, Norway.ORCID http://orcid.org/0000-0001-6640-3927

Funding

Kreftforeningen (Norwegian Cancer Society) 215613Kreftforeningen (Norwegian Cancer Society) 245151
6 · The paper itself

Abstract

backgroundThe randomised METIMMOX trial evaluated short-course oxaliplatin-based chemotherapy alternating with nivolumab for metastatic microsatellite-stable/mismatch repair-proficient colorectal cancer. In a post hoc analysis, we investigated whether tumour mutations or patients' systemic inflammation might provide insights into responsiveness to the METIMMOX regimen.

methodsPatients received either oxaliplatin-based chemotherapy (control group) or alternating two cycles each of chemotherapy and nivolumab (experimental group), with progression-free survival (PFS) as the primary endpoint. Tumour biopsies were sequenced with the TruSight Oncology 500 assay.

resultsThe median tumour mutational burden (TMB; in mutations/megabase) was 8 (range, 1-13). The experimental-arm patients with TMB ≥9 or BRAF-V600E mutation (n = 17) achieved median PFS of 19.8 months (95% confidence interval, 11.3-28.3), longer (p = 0.0090) than experimental-arm patients with TMB < 9 not BRAF-V600E (n = 19) and control-arm patients with either TMB and BRAF status combination (n = 31). With TMB ≥9 or BRAF-V600E and normal, non-inflammatory level of C-reactive protein when starting nivolumab (n = 11), median PFS was 35.0 months (95% confidence interval, 6.8-63.0; p < 0.0001).

conclusionsTMB, somatic BRAF status and systemic inflammation should be prospectively investigated as practical biomarkers for predicting potential responsiveness to immune checkpoint inhibitors in metastatic microsatellite-stable/mismatch repair-proficient colorectal cancer.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorColorectal NeoplasmsNivolumabOxaliplatinAdultAgedFemaleHumansMaleMicrosatellite InstabilityMiddle AgedMutationProgression-Free SurvivalProto-Oncogene Proteins B-rafBiomarkers, TumorBRAF protein, humanNivolumabOxaliplatinProto-Oncogene Proteins B-raf

Identifiers

PMID41731117
PMCPMC13036003

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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.