Predictive Value of DNA Mismatch Repair System in Colorectal Cancers
NCT05871567 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 403
Last updated 2023-05-24
Summary
* Microsatellite instable (MSI) tumors represent almost the 15% of all sporadic colorectal cancers (CRCs).
* Literature data show that this unique tumor population appears to be poorly responsive to conventional chemotherapy and conversely reveals excellent results to immunotherapy.
* Our data, as demonstrated by propensity score-matched and win ratio analysis, show that there are no substantial differences between MSI and MSS tumors in early CRC stages treated with surgery alone.
* On the contrary, stable tumors (MSS) did much better than MSI tumors in advanced CRC stages undergoing conventional adjuvant treatment.
* Determination of status of DNA mismatch repair system is crucial in high-risk CRCs to optimize treatment.
Conditions
- MSI-H Colorectal Cancer
Interventions
- PROCEDURE
-
colorectal resection
potential resective surgery
Sponsors & Collaborators
-
University of Campania Luigi Vanvitelli
lead OTHER
Principal Investigators
-
Gennaro Galizia, MD · University of Campania 'Luigi Vanvitelli'
Eligibility
- Min Age
- 18 Years
- Max Age
- 86 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-01
- Primary Completion
- 2021-12-31
- Completion
- 2023-03-31
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