Prospective National Cohort Evaluating Predictive Biomarkers of Resistance to Immunotherapy in Patients With MSI/dMMR Metastatic Colorectal Cancer (CORESIM)
NCT06353854 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 600
Last updated 2025-10-06
Summary
The Keynote 117 phase III trial demonstrated the superiority of pembrolizumab (anti-PD1 monoclonal antibody) versus chemotherapy +/- targeted therapy in first-line treatment of dMMR/MSI metastatic colorectal cancer (mCRC). However, primary resistance to pembrolizumab was observed in approximately 20-30% of patients treated in the Keynote 177 study. Therefore, the identification of biomarkers predictive of resistance to immunotherapy for dMMR/MSI mCRC is necessary to better select patients who benefit the most from immunotherapy, and those for whom other therapeutic approaches should be favored.
Conditions
- Colorectal Cancer Metastatic
- Microsatellite Instability-High Colorectal Cancer
Sponsors & Collaborators
-
Federation Francophone de Cancerologie Digestive
lead OTHER
Principal Investigators
-
Aziz ZAANAN, MD, PhD · Hôpital Européen Georges Pompidou APHP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-02-12
- Primary Completion
- 2029-02-12
- Completion
- 2030-02-12
Countries
- France
Study Locations
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