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Table 1 The principal characteristics of eligible articles

From: Efficacy and safety of immune checkpoint inhibitors in Proficient Mismatch Repair (pMMR)/ Non-Microsatellite Instability-High (non-MSI-H) metastatic colorectal cancer: a study based on 39 cohorts incorporating 1723 patients

First author

Year

Clinicaltrials.gov

Study phase

MSI/MMR status

No. patients treated with ICIs

Treatment line

ICIs agent

Dose

Combination drug

Gou M [15]

2022

NA

Retrospective, SA

non-MSI-H/pMMR

45

 ≥ 3

anti-PD-1

Pembro, Sin, Camre: 200 mg; Nivo: 3 mg/kg, q3w

Fruquintinib

Antoniotti C [13]

2022

NCT03721653

RCT, phase II

pMMR

132

1

Atezo

840 mg, q2w

FOLFOXIRI + Bevacizumab

Xu YJ [16]

2022

NA

Retrospective, SA

MSS/pMMR

30

 ≥ 3

anti-PD-1

Tori: 240 mg q3w, Camre: 200 mg q2 or 3w, Nivo: 240 mg q2w, Pembro, Sin, tislelizumabor: 200 mg q3w

Rego

Morano F [14]

2022

NCT03832621

MC, SA, phase II

MSS

33

 ≥ 2

IPI and Nivo

IPI: 1 mg/kg q8w, Nivo: 480 mg q4w

Temozolomide

Mettu NB [17]

2022

NCT02873195

RCT, phase II

MSS/pMMR

69

 ≥ 2

Atezo

840 mg, q2w

Capecitabine + Bevacizumab

Rahma OE [11]

2022

NCT02298959

MC, phase IB

MSS

6

 ≥ 2

Pembro

2 mg/kg, q2w

Ziv-aflibercept

Kim RD [18]

2022

NCT03712943

OL, SA, phase I/Ib

pMMR

51

 ≥ 3

Nivo

240 mg

Rego

Redman JM [19]

2022

NCT03050814

RCT, phase II

MSS

16

1

Ave

10 mg/kg q2w

AdCEA Vaccine + mFOLFOX6 + Bevacizumab

Fukuoka S [20]

2020

NCT03406871

OL, phase Ib

MSS/pMMR

25

 ≥ 3

Nivo

3 mg/kg, q2w

Rego

Eng C [10]

2019

NCT02788279

RCT, MC, OL, phase III

MSS/MSI-L

170

NA

Atezo

840 mg, q2w

Cobimetinib

83

NA

Atezo

1200 mg, q3w

None

Kawazoe A [21]

2020

NCT02851004

MC, phase I/II

MSS

40

NA

Pembro

200 mg, q3w

Napabucasin

Ren C [22]

2020

NCT03912857

Prospective, SA, OL, phase II

MSS

10

NA

Camre

200 mg, q2w

Apatinib

Kawazoe A [23]

2021

UMIN000032801

OL, phase Ib

MSS

25

 ≥ 2

Nivo

3 mg/kg, q2w

TAS-116 (Pimitespib)

Parikh AR [12]

2021

NCT03104439

SA, non-randomized, phase II

MSS

27

 ≥ 2

IPI and Nivo

Nivo: 240 mg and IPI: 1 mg/kg

Radiation

13

 ≥ 2

None

Wang C [24]

2020

NA

Retrospective

MSS

18

 ≥ 3

anti-PD-1

Pembro: 200 mg q3w, Nivo: 240 mg q2w

Rego

Cousin S [25]

2021

NCT03475953

SA, OL, Phase II

MSS

47

 ≥ 2

Ave

10 mg/kg q2w

Rego

Wang C [26]

2020

NCT03005002

SA, Phase II

MSS

9

 ≥ 3

Treme + Durva

Treme: 75 mg q4w + Durva: 1500 mg q4w

Yttrium-90 Liver Radioembolization

Li J [27]

2020

NA

Retrospective

MSS/pMMR

23

 ≥ 3

anti-PD-1

Nivo, Pembro, Camre, Sin, Tori

Rego

Hellmann MD [28]

2019

NCT01988896

MC, OL, phase I/Ib

MSS/MSI-L

62

 ≥ 1

Atezo

800 mg, q2w

Cobimetinib

Kim DW [29]

2021

NCT03332498

Phase II

pMMR

31

 ≥ 2

Pembro

200 mg q3w

Ibrutinib

Patel MR [30]

2021

NCT02860546

SA, phase II

MSS

18

 ≥ 3

Nivo

3 mg/kg, q2w

Trifluridine/tipiracil

Bordonaro R [31]

2021

NCT02848443

OL, MC, phase I

MSS

17

 ≥ 2

Nivo

3 mg/kg, q2w

Trifluridine/tipiracil (FTD/TPI) + oxaliplatin

Zhou H [32]

2021

NA

Retrospective

MSS/pMMR

21

1

Camre

200 mg q3w

XELOX + Bevacizumab or Rego

Yu W [33]

2021

NA

Retrospective

MSS

33

 ≥ 3

Tori

240 mg q3w

Rego

Sun L [34]

2021

NA

Retrospective

MSS

23

 ≥ 4

anti-PD-1

Tori: 240 mg q3w, Nivo: 200 mg q2w, Sin or Camre: 200 mg q3w

Rego

28

 ≥ 4

Fruquintinib

Jiang FE [35]

2021

NA

Retrospective

MSS/pMMR

16

 ≥ 3

Camre

200 mg q3w

Rego or Fruquintinib

O'Neil BH [36]

2017

NCT02054806

MC, phase Ib

MSS

19

 ≥ 1

Pembro

10 mg/kg q2w

None

Yarchoan M [37]

2020

NCT02981524

SA, phase II

pMMR

17

 ≥ 3

Pembro

NA

GVAX colon vaccine

Taylor K [38]

2020

NCT02811497

MC, OL, phase II

MSS

15

 ≥ 4

Durva

1500 mg q3w

CC-486

Martinelli E [39]

2021

NCT04561336

SA, phase II

MSS

71

 ≥ 3

Ave

10 mg/kg q2w

Cetuximab

Wang C [40]

2021

NA

Retrospective

MSS

95

 ≥ 3

anti-PD-1/PD-L1

NA

None

Lee JJ [41]

2017

NCT02260440

SA, phase II

MSS

30

 ≥ 3

Pembro

200 mg q3w

Aza

Fang X [42]

2022

NCT05171660

OL, SA, phase II

MSS

25

1

Sin

200 mg q3w

CapeOx and Bevacizumab

Bocobo AG [43]

2021

NCT03396926

OL, SA, phase II

MSS

29

 ≥ 2

Pembro

200 mg q3w

Capecitabine and Bevacizumab

Huyghe N [44]

2022

NCT03608046

Phase I

MSS

10

 ≥ 3

Ave

10 mg/kg q2w

Cetuximab and Irinotecan

13

 ≥ 3

First author

Male

median age (range)

Median follow-up time (95%CI)

No. of control

Control

Endpoints

median PFS (95% CI), (month)

median OS (95% CI), (month)

Gou M [15]

30

54 (29–85)

NA

0

None

ORR, DCR

3.8 (2.8–4.8)

14.9 (7.6–21.7)

Antoniotti C [13]

NA

(18–75)

19.9 (IQR, 17.3–23.9)

67

FOLFOXIRI + Bevacizumab

PFS

12·9 (80% CI: 11·9–13·3)

NA

Xu YJ [16]

14

57.5 (27–73)

12

0

None

ORR, DCR

3.4 (2.2–4.6)

NA

Morano F [14]

17

58 (IQR, 53–65)

23.1 (IQR, 14.9–24.6)

0

None

ORR, DCR

7

18.4

Mettu NB [17]

NA

NA

20.9

41

Capecitabine + Bevacizumab

ORR, PFS

4.4 (4.1–6.4)

NA

Rahma OE [11]

NA

64 (36–79)

8.2

0

None

ORR, DCR

2.5 (0.6–3.3)

3.3 (0.6–3.4)

Kim RD [18]

NA

NA

NA

0

None

ORR, DCR

4.3 (2.3–7.9)

11.1 (9.7-NR)

Redman JM [19]

11

NA

NA

10

mFOLFOX6 + Bevacizumab

ORR, PFS, OS

10.1 (3.6–16.1)

15.1 (5.4–NR)

Fukuoka S [20]

18

55 (31–77)

NA

0

None

ORR

7.9 (2.9-NR)

NR (9.8-NR)

Eng C [10]

NA

NA

7.3 (IQR, 3.7–13.6)

80

Rego

ORR, PFS, OS

NA

NA

NA

NA

80

Rego

ORR, PFS, OS

NA

NA

Kawazoe A [21]

17

63 (25–79)

6.3 (1.1–15.4)

0

None

ORR, DCR

1.6 (1.4–2.1)

7.3 (5.3–11.8)

Ren C [22]

3

54 (40–66)

NA

0

None

ORR, DCR

1.83 (1.80–1.86)

7.8 (0–17.07)

Kawazoe A [23]

12

61 (32–77)

NA

0

None

ORR

3.2 (2.8–4.4)

13.5 (8.2–15.1)

Parikh AR [12]

22

59 (26–83)

NA

0

None

ORR, DCR

2.5 (2.3–2.8)

10.9 (6.7–15.0)

NA

0

None

ORR, DCR

NA

NA

Wang C [24]

16

60 (43–79)

NA

1

None

ORR, DCR

2

NR

Cousin S [25]

35

62 (26–83)

NA

0

None

ORR, DCR

3.6 (1.8–5.4)

10.8 (5.9–NR)

Wang C [26]

5

54

NA

0

None

ORR, DCR

NA

NA

Li J [27]

16

50 (33–73)

7.9 (6.5–9.3)

0

None

ORR, DCR

3.1 (2.32–3.89)

NA

Hellmann MD [28]

NA

NA

4.2 (0.7–40.2)

0

None

ORR

NA

NA

Kim DW [29]

16

59 (24–73)

NA

0

None

ORR, DCR

1.4 (1.4–1.5)

6.6 (4.3–12.2)

Patel MR [30]

9

56.5 (40–70)

NA

0

None

ORR, DCR

2.2 (1.8–6.0)

2.8 (1.8–5.1)

Bordonaro R [31]

5

64 (33–76)

NA

0

None

ORR, DCR

6 (2–8)

NR (6.5-NR)

Zhou H [32]

11

62 (43–78)

11.5 (10.3–12.7)

0

None

ORR, DCR

NA

NA

Yu W [33]

15

53.6 (mean)

NA

0

None

ORR, DCR

3.8

NA

Sun L [34]

13

54.6 (mean)

6.2 (3.9–8.43)

0

None

ORR, DCR

NA

NA

14

53.0 (mean)

0

None

ORR, DCR

NA

NA

Jiang FE [35]

11

54 (31–72)

NA

0

None

ORR, DCR

NA

NA

O'Neil BH [36]

NA

NA

NA

0

None

ORR, DCR

NA

NA

Yarchoan M [37]

6

58 (44–85)

NA

0

None

ORR, DCR

2.7 (1.6–3.2)

7.1 (6.0–14.7)

Taylor K [38]

9

56 (36–78)

4.7

0

None

ORR, DCR

NA

NA

Martinelli E [39]

NA

NA

19.5 (12.8–22.8)

0

None

ORR, DCR

3.6 (3.3–3.9)

11.6 (8.3–15.0)

Wang C [40]

54

55 (IQR, 49–64)

NA

0

None

ORR, DCR

NA

NA

Lee JJ [41]

17

61 (30–79)

NA

0

None

ORR, DCR

2.1 (1.8–2.8)

6.2 (3.5–8.7)

Fang X [42]

18

60 (45–75)

NA

0

None

ORR, DCR

NA

NA

Bocobo AG [43]

14

55 (36–77)

NA

0

None

ORR, DCR

NA

NA

Huyghe N [44]

NA

NA

NA

0

None

ORR, DCR

NA

NA

NA

0

None

ORR, DCR

NA

NA

  1. The details of included studies can be found in the Table S2
  2. Abbreviations: ICIs immune checkpoint inhibitors, No number, NR not reach, NA not available, PFS progression-free survival, OS overall survival, CI confidence interval, RCT randomized controlled trial, MC multicenter, OL open-label, SA single-arm, DB double-blin, Pembro Pembrolizumab, Atezo Atezolizumab, Nivo Nivolumab, Durva Durvalumab, Ave Avelumab, Camre Camrelizumab, Treme Tremelimumab, PD-1 programmed cell death-1, PD-L1 Programmed cell death-Ligand 1, NE not evaluable, ORR objective response rate, DCR disease control rate, mo months, Rego regorafenib, Sin sintilimab, Tori toripalimab, Aza azacitidine, pMMR proficient mismatch repair, MSI-H microsatellite instability-high, MSS microsatelite stable, MSI-L microsatellite instability-low