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BIOMARKER:

TMB-H

i
Other names: TMB | Tumor Mutational Burden
Related biomarkers:
Related tests:
2d
Safety and Efficacy of Nivolumab Plus Ipilimumab in Microsatellite Instability-High/Mismatch Repair-Deficient Colorectal Cancer: A Systematic Review. (PubMed, Clin Oncol (R Coll Radiol))
Nivolumab plus ipilimumab is an effective and relatively well-tolerated option for MSI-H/dMMR CRC, offering significant clinical benefit across disease stages. Ongoing trials and longer follow-up are warranted to optimise dosing, identify predictive biomarkers, and refine patient selection.
Journal • Mismatch repair • Tumor mutational burden • Microsatellite instability • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker • MSI-H • dMMR
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability)
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TMB-H • MSI-H/dMMR
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Opdivo (nivolumab) • Yervoy (ipilimumab)
3d
TMB-related immune gene PAEP influences clear cell renal cell carcinoma progression and prognosis. (PubMed, Eur J Med Res)
Our study suggests that PAEP may be a potential therapeutic target for ccRCC, providing a new theoretical basis for ccRCC clinical immunotherapy.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden) • PAEP (Progestagen Associated Endometrial Protein)
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TMB-H • TMB-L
3d
A Case of Simultaneous Resection of Single Lung and Liver Metastases with Combined Immunotherapy after Radical Surgery for Hepatocellular Carcinoma (PubMed, Gan To Kagaku Ryoho)
Early postoperatively, he developed a single S3 metastasis in the left lung and started combination therapy with atezolizumab plus bevacizumab...He was treated with lenvatinib for a short period of time postoperatively, but recurred multiple metastases in both lungs on CT scan 3 months later. He has been treated with a combination of durvalumab plus tremelimumab while submitting to cancer genome testing, which revealed TMB-high and MSI-high. Tissue sampling is essential for the diagnosis of inter-hepatic metastasis or multicentric occurrence, and in the case of ipsilateral hepatopulmonary metastasis, trans-diaphragmatic approach surgery is effective for less incision surgery. Combined immunoadjuvant therapy for resected HCC has shown efficacy in short-term results.
Journal
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TMB (Tumor Mutational Burden)
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TMB-H • MSI-H/dMMR
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Avastin (bevacizumab) • Tecentriq (atezolizumab) • Imfinzi (durvalumab) • Lenvima (lenvatinib) • Imjudo (tremelimumab-actl)
4d
Exploratory Analysis of Biomarkers and Treatment Outcomes From the COLUMBUS Study in BRAF V600E/K-Mutant Advanced or Metastatic Melanoma. (PubMed, Clin Cancer Res)
The greatest benefits of encorafenib plus binimetinib were observed in patients with evidence of high TMB and/or tumor immune infiltration, suggesting potential immune contributions to efficacy, which were not observed with vemurafenib. BRAF V600 detectability in ctDNA appears to have utility as a marker of prognosis and response in this population.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • BRAF (B-raf proto-oncogene) • TMB (Tumor Mutational Burden) • IFNG (Interferon, gamma)
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PD-L1 expression • BRAF V600E • TMB-H • BRAF V600 • BRAF V600K
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Zelboraf (vemurafenib) • Mektovi (binimetinib) • Braftovi (encorafenib)
5d
Comprehensive Genomic Profiling of Advanced Anal Adenocarcinoma in Japan. (PubMed, JCO Precis Oncol)
Advanced anal AD exhibited a distinct genomic profile compared with advanced rectal AD. CGP is a useful approach for identifying druggable GAs in advanced anal AD to expand therapeutic opportunities.
Retrospective data • Journal • Tumor mutational burden • BRCA Biomarker • MSi-H Biomarker
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HER-2 (Human epidermal growth factor receptor 2) • KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • BRCA2 (Breast cancer 2, early onset) • MSI (Microsatellite instability) • ERBB3 (V-erb-b2 avian erythroblastic leukemia viral oncogene homolog 3) • APC (APC Regulator Of WNT Signaling Pathway)
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BRAF V600E • TMB-H • MSI-H/dMMR
5d
Gemogenovatucel-T Advantage in Clonal Tumor Mutation Burden-High Ovarian Cancer. (PubMed, JCO Precis Oncol)
These results demonstrate OS advantage for maintenance treatment of adult females with newly diagnosed, advanced stage IIIb-IV ovarian cancer with HRP status and cTMB-H profile who are in complete response after debulking surgery and frontline platinum-based doublet chemotherapy.
Clinical • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-H
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Avastin (bevacizumab) • Vigil (gemogenovatucel-T)
5d
Tumor Mutational Burden-High Intrahepatic Cholangiocarcinoma Presenting with Solitary Brain Metastasis: A Case of Precision Oncology. (PubMed, Surg Case Rep)
This case suggests that an integrated approach, combining aggressive local therapy with systemic immunotherapy informed by biomarkers, can achieve a favorable outcome in selected patients with ICC. The identification of a high tumor mutational burden was crucial in guiding treatment and supports its potential as a predictive biomarker. This precision oncology strategy may improve the poor prognosis associated with this condition.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-H
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cisplatin • Imfinzi (durvalumab) • gemcitabine
5d
Tumour immune contexture and immune evasion in sporadic and Lynch syndrome-associated microsatellite unstable colorectal cancers. (PubMed, Br J Cancer)
Our findings reveal differences between sporadic MSI and LS tumours in T cell and myeloid immune cell landscapes, and in immune evasion. These differences may contribute to the variable immunotherapy responses among MSI CRC patients and are targetable by emerging therapeutic approaches.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden) • PD-L2 (Programmed Cell Death 1 Ligand 2) • CD40LG (CD40 ligand)
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TMB-H
8d
Divergent evolution of hepatocellular carcinoma genomes in chimpanzees and humans. (PubMed, Evol Med Public Health)
Divergent evolutionary patterns highlight species-specific oncogenic routes while underscoring conserved pathways. Comparative primate cancer genomics offers novel insights into cancer evolution, biomarkers, and therapeutic targets.
Journal • Tumor mutational burden
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TP53 (Tumor protein P53) • TMB (Tumor Mutational Burden) • ARID1A (AT-rich interaction domain 1A) • CTNNB1 (Catenin (cadherin-associated protein), beta 1) • TSC2 (TSC complex subunit 2) • FAT1 (FAT atypical cadherin 1) • VIM (Vimentin) • FAT4 (FAT Atypical Cadherin 4) • TGFB1 (Transforming Growth Factor Beta 1)
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TP53 mutation • TMB-H • ARID1A mutation
10d
Comprehensive analysis reveals the molecular heterogeneity and the differences in prognosis and immunotherapy sensitivity in hypermutated colorectal cancer. (PubMed, Medicine (Baltimore))
The patients with higher levels of M1 macrophage infiltration showed higher sensitivity to anti-PD-1/PD-L1 immunotherapy or combined anti-PD-1/PD-L1 and anti-CTLA4 immunotherapy. In the POLE mutant cohort, the patients from the low TMB cohort may be better candidates for immunotherapy than those from the higher TMB cohort.
Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-H • TMB-L
10d
Finding the True Responders: Stratifying dMMR/MSI-H Tumors for ICI Response. (PubMed, Cancers (Basel))
In the IMvigor210 cohort, this signature identified tumors with higher PD-L1 blockade response (55.6% vs. 32.8%, p = 0.034) and improved survival trends in the TMB-high subset. The proposed 20-gene signature quantitatively captures immune heterogeneity in dMMR/MSI-H tumors and serves as a practical, interpretable biomarker to identify true ICI responders and guide precision immunotherapy.
Journal • Tumor mutational burden • MSi-H Biomarker • PD(L)-1 Biomarker • IO biomarker • MSI-H • dMMR
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TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • CD74 (CD74 Molecule) • STAT1 (Signal Transducer And Activator Of Transcription 1) • TAP1 (Transporter 1)
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TMB-H • MSI-H/dMMR
11d
TAPISTRY: A Phase II Study of Atezolizumab in Patients with Tumor Mutational Burden-High Tumors. (PubMed, Clin Cancer Res)
Atezolizumab led to moderate antitumor activity in various TMB-high solid tumors. Safety was consistent with previous reports.
P2 data • Journal • Tumor mutational burden • PD(L)-1 Biomarker • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-H
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Tecentriq (atezolizumab)