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Neoadjuvant chemoradiotherapy with or without PD-1 inhibitors in MMR-proficient non-metastatic rectal cancer: a meta-analysis of randomized controlled trials - PubMed

7 hours ago
  • #PD-1 inhibitors
  • #rectal cancer
  • #meta-analysis
  • Meta-analysis evaluates neoadjuvant chemoradiotherapy (nCRT) with or without PD-1 inhibitors in MMR-proficient non-metastatic rectal cancer.
  • Addition of PD-1 inhibitors to nCRT significantly increases pathological complete response (pCR), especially with short-course radiotherapy.
  • No significant differences observed in R0 resection, sphincter preservation, or high-grade neoadjuvant toxicity between groups.
  • Six randomized trials included, evaluating PD-1 inhibitors like pembrolizumab, sintilimab, tislelizumab, and camrelizumab.
  • Findings support progression to phase III trials for further validation of PD-1 inhibitors in this setting.