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Combination of PD-1 blockade and neoadjuvant chemoradiotherapy benefits pMMR/MSS patients with locally advance rectal cancer: A phase 2 clinical trial - PubMed

5 hours ago
  • #immunotherapy
  • #rectal cancer
  • #clinical trial
  • Combination of PD-1 blockade and neoadjuvant chemoradiotherapy shows promise for pMMR/MSS locally advanced rectal cancer (LARC) patients.
  • The NECTAR trial reported a 40.0% pathological complete response (pCR) rate, overcoming primary resistance in pMMR/MSS tumors.
  • 3-year disease-free survival (DFS) rate was 89.1%, with all pCR patients remaining DFS at 3 years.
  • Patients with a low neoadjuvant rectal (NAR) score (<8) had a 100% 3-year DFS rate.
  • No new grade ≥III treatment-related adverse events (trAEs) occurred during the 3-year follow-up.
  • The trial demonstrates promising efficacy and safety, offering a new therapeutic avenue for traditionally resistant patients.