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Nivolumab in patients with metastatic DNA mismatch repair-deficient or microsatellite instability-high colorectal cancer (CheckMate 142): an open-label, multicentre, phase 2 study.

Identifieur interne : 000720 ( PubMed/Checkpoint ); précédent : 000719; suivant : 000721

Nivolumab in patients with metastatic DNA mismatch repair-deficient or microsatellite instability-high colorectal cancer (CheckMate 142): an open-label, multicentre, phase 2 study.

Auteurs : Michael J. Overman [États-Unis] ; Ray Mcdermott [Irlande (pays)] ; Joseph L. Leach [États-Unis] ; Sara Lonardi [Italie] ; Heinz-Josef Lenz [États-Unis] ; Michael A. Morse [États-Unis] ; Jayesh Desai [Australie] ; Andrew Hill [Australie] ; Michael Axelson [États-Unis] ; Rebecca A. Moss [États-Unis] ; Monica V. Goldberg [États-Unis] ; Z Alexander Cao [États-Unis] ; Jean-Marie Ledeine [Belgique] ; Gregory A. Maglinte [États-Unis] ; Scott Kopetz [États-Unis] ; Thierry André [France]

Source :

RBID : pubmed:28734759

Descripteurs français

English descriptors

Abstract

Metastatic DNA mismatch repair-deficient (dMMR)/microsatellite instability-high (MSI-H) colorectal cancer has a poor prognosis after treatment with conventional chemotherapy and exhibits high levels of tumour neoantigens, tumour-infiltrating lymphocytes, and checkpoint regulators. All of these features are associated with the response to PD-1 blockade in other tumour types. Therefore, we aimed to study nivolumab, a PD-1 immune checkpoint inhibitor, in patients with dMMR/MSI-H metastatic colorectal cancer.

DOI: 10.1016/S1470-2045(17)30422-9
PubMed: 28734759


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pubmed:28734759

Le document en format XML

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<name sortKey="Cao, Z Alexander" sort="Cao, Z Alexander" uniqKey="Cao Z" first="Z Alexander" last="Cao">Z Alexander Cao</name>
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<term>Adult</term>
<term>DNA Mismatch Repair</term>
<term>Disease-Free Survival</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Microsatellite Instability</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Instabilité des microsatellites</term>
<term>Mâle</term>
<term>Réparation de mésappariement de l'ADN</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">Metastatic DNA mismatch repair-deficient (dMMR)/microsatellite instability-high (MSI-H) colorectal cancer has a poor prognosis after treatment with conventional chemotherapy and exhibits high levels of tumour neoantigens, tumour-infiltrating lymphocytes, and checkpoint regulators. All of these features are associated with the response to PD-1 blockade in other tumour types. Therefore, we aimed to study nivolumab, a PD-1 immune checkpoint inhibitor, in patients with dMMR/MSI-H metastatic colorectal cancer.</div>
</front>
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<DateCreated>
<Year>2017</Year>
<Month>07</Month>
<Day>23</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>09</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>09</Month>
<Day>25</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1474-5488</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>18</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2017</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>The Lancet. Oncology</Title>
<ISOAbbreviation>Lancet Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Nivolumab in patients with metastatic DNA mismatch repair-deficient or microsatellite instability-high colorectal cancer (CheckMate 142): an open-label, multicentre, phase 2 study.</ArticleTitle>
<Pagination>
<MedlinePgn>1182-1191</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1470-2045(17)30422-9</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/S1470-2045(17)30422-9</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Metastatic DNA mismatch repair-deficient (dMMR)/microsatellite instability-high (MSI-H) colorectal cancer has a poor prognosis after treatment with conventional chemotherapy and exhibits high levels of tumour neoantigens, tumour-infiltrating lymphocytes, and checkpoint regulators. All of these features are associated with the response to PD-1 blockade in other tumour types. Therefore, we aimed to study nivolumab, a PD-1 immune checkpoint inhibitor, in patients with dMMR/MSI-H metastatic colorectal cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In this ongoing, multicentre, open-label, phase 2 trial, we enrolled adults (aged ≥18 years) with histologically confirmed recurrent or metastatic colorectal cancer locally assessed as dMMR/MSI-H from 31 sites (academic centres and hospitals) in eight countries (Australia, Belgium, Canada, France, Ireland, Italy, Spain, and the USA). Eligible patients had progressed on or after, or been intolerant of, at least one previous line of treatment, including a fluoropyrimidine and oxaliplatin or irinotecan. Patients were given 3 mg/kg nivolumab every 2 weeks until disease progression, death, unacceptable toxic effects, or withdrawal from study. The primary endpoint was investigator-assessed objective response as per Response Evaluation Criteria in Solid Tumors (version 1.1). All patients who received at least one dose of study drug were included in all analyses. This trial is registered with ClinicalTrials.gov, number NCT02060188.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">Of the 74 patients who were enrolled between March 12, 2014, and March 16, 2016, 40 (54%) had received three or more previous treatments. At a median follow-up of 12·0 months (IQR 8·6-18·0), 23 (31·1%, 95% CI 20·8-42·9) of 74 patients achieved an investigator-assessed objective response and 51 (69%, 57-79) patients had disease control for 12 weeks or longer. Median duration of response was not yet reached; all responders were alive, and eight had responses lasting 12 months or longer (Kaplan-Meier 12-month estimate 86%, 95% CI 62-95). The most common grade 3 or 4 drug-related adverse events were increased concentrations of lipase (six [8%]) and amylase (two [3%]). 23 (31%) patients died during the study; none of these deaths were deemed to be treatment related by the investigator.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Nivolumab provided durable responses and disease control in pre-treated patients with dMMR/MSI-H metastatic colorectal cancer, and could be a new treatment option for these patients.</AbstractText>
<AbstractText Label="FUNDING" NlmCategory="BACKGROUND">Bristol-Myers Squibb.</AbstractText>
<CopyrightInformation>Copyright © 2017 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Overman</LastName>
<ForeName>Michael J</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo>
<Affiliation>The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: moverman@mdanderson.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>McDermott</LastName>
<ForeName>Ray</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>St Vincent's University Hospital and Cancer Trials Ireland, Dublin, Ireland.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Leach</LastName>
<ForeName>Joseph L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo>
<Affiliation>Allina Health System, Minneapolis, MN, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<ForeName>Sara</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Istituto Oncologico Veneto IOV-IRCSS, Padova, Italy.</Affiliation>
</AffiliationInfo>
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<ForeName>Heinz-Josef</ForeName>
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<Affiliation>USC Norris Comprehensive Cancer Center, Los Angeles, CA, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Michael A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo>
<Affiliation>Duke University Medical Center, Durham, NC, USA.</Affiliation>
</AffiliationInfo>
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<ForeName>Jayesh</ForeName>
<Initials>J</Initials>
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<Affiliation>Royal Melbourne Hospital/Peter MacCallum Cancer Centre, Victoria, VIC, Australia.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Bristol-Myers Squibb, Braine-L'Alleud, Belgium.</Affiliation>
</AffiliationInfo>
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<ForeName>Gregory A</ForeName>
<Initials>GA</Initials>
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</AffiliationInfo>
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<LastName>Kopetz</LastName>
<ForeName>Scott</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>The University of Texas MD Anderson Cancer Center, Houston, TX, USA.</Affiliation>
</AffiliationInfo>
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<Initials>T</Initials>
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<Affiliation>Hôpital Saint Antoine, Assistance Publique Hôpitaux de Paris and Sorbonne Universités, UMPC Paris 06, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<Year>2017</Year>
<Month>07</Month>
<Day>19</Day>
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</Article>
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<Country>England</Country>
<MedlineTA>Lancet Oncol</MedlineTA>
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<ISSNLinking>1470-2045</ISSNLinking>
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