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. 2024 Sep 13;16(9):e69366. doi: 10.7759/cureus.69366

Table 3. Details on pembrolizumab administration in cases of dMMR detection.

dMMR, mismatch repair gene deficiency; CGP, comprehensive genomic profiling; MSI-H, microsatellite instability-high; TMB-high, high tumor mutation burden; CRPC-NE, castration-resistant neuroendocrine prostate cancer; CRPC, castration-resistant prostate cancer

Patient Age Primary disease Prior lines of therapy Kit used for dMMR evaluation Types of detected dMMR Other genetic mutations detected on CGP Time to next line of therapy (months) Immune-related adverse events
1 65 y CRPC-NE 3 MSI-IVD MSI-H N/A N/A None
2 73 y CRPC 3 F1CDx TMB-high BRCA2 L1908fs*2, PTEN D58fs*7 1.5 None
3 67 y CRPC 2 F1CDx MSI-H, TMB-high BRCA2 T3033fs*11, ATM K2811fs*46, CHEK1 T226fs*14, ARID1A D1850fs*33, PIK3CA G122D/R93Q/D350G, PTEN T319fs*1/R173H/V290fs*1 1.5 Interstitial pneumonia (CTCAE v5.0 grade 3)
4 77 y CRPC 3 NOP TMB-high Not detected N/A N/A