Bowel cancer drug found to be effective in 100% of patients in 'unprecedented' breakthrough

Composite image of a drug and bowel pain

Immunotherapy drug for bowel cancer found to be effective in100% of cases

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Adam Chapman

By Adam Chapman


Published: 03/06/2024

- 15:55
  • An immunotherapy drug for cancer found to be effective in100% of cases
  • No evidence of disease found in 42 patients administered Jemperli


The world is one step closer to finding a cure for cancer after an immunotherapy drug rid patients of bowel cancer 100 percent of the time without the need for surgery and chemotherapy.

Jemperli (also called dostarlimab) from GSK showed “unprecedented results”, the firm said, with no evidence of disease in all patients treated.


Everyone on the drug had locally advanced mismatch repair deficient (dMMR) rectal cancer - a serious form of bowel cancer, according to data presented at the American Society of Clinical Oncology (ASCO) conference in Chicago.

Jemperli is already approved on the NHS for women with some types of advanced or recurrent womb cancer.


Drug

Jemperli is already approved on the NHS for women with some types of advanced or recurrent womb cancer

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The data showed all 42 patients in a trial led by Memorial Sloan Kettering Cancer Centre in the US had a complete response to treatment, with no evidence of tumours on scans.

The first 24 patients have been followed up so far for 26.3 months on average.

Studies suggest (dMMR) rectal cancer accounts for 5-10% of all rectal cancers.

Hesham Abdullah, a senior vice president at GSK, said: “The data showing no evidence of disease in 42 patients is remarkable.

“These results bring us one step closer to understanding the potential of dostarlimab in this curative-intent setting for patients with dMMR locally advanced rectal cancer.

“We look forward to evaluating dostarlimab in certain colorectal cancers in our ongoing AZUR-1 and AZUR-2 registrational studies.”

The current standard of care for patients with this type of cancer is chemotherapy plus radiation, followed by surgery.

Andrea Cercek, principal investigator for the phase II study, said the new treatment showed “durable complete tumour regression without the need for life-altering treatment” such as chemotherapy and surgery.

Woman experiencing stomach pain

Symptoms of bowel cancer include changes in bowel movements and tummy pain

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She added: “As a clinician, I’ve seen firsthand the debilitating impact of standard treatment of dMMR rectal cancer and am thrilled about the potential of dostarlimab in these patients.”

It comes after an immunotherapy drug given before surgery instead of chemotherapy resulted in significantly more patients with a certain genetic profile being cancer-free after surgery.

Clinical trial results presented by researchers at University College London (UCL) and University College London Hospitals NHS Foundation Trust (UCLH) found pembrolizumab could improve outcomes for patients with stage two or stage three MMR deficient/MSI-High bowel cancer.

Bowel cancer is the fourth most common cancer in the UK, with around 42,900 cases a year. Though still predominantly a cancer that affects older people, cases among the under 50s have been increasing in recent decades.

Symptoms include changes in bowel movements, tummy pain and unexplained tiredness.

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