Joe Lennerz: UNICORN Explores a New Approach to Resectable Colon Cancer
Joe Lennerz/learn.hms.harvard.edu

Joe Lennerz: UNICORN Explores a New Approach to Resectable Colon Cancer

Joe Lennerz, Medical Director, Pathology Innovations at Natera, shared on LinkedIn:

“Who loves unicorns? I do.

UNICORN is a Phase 2 study, now published in Nature Medicine, that demonstrates promising neoadjuvant immunotherapy activity (botensilimab + balstilimab) in resectable colon cancer, including (historically) immunotherapy-resistant MSS tumors.

The great news

Major pathological response in 36% of MSS and 100% of MSI-H patients (with no recurrences observed in the combination cohorts at the current follow-up).

Importantly, Natera/ctDNA – supported this with signatera genome, used for longitudinal monitoring. ctDNA clearance correlated with pathological response, including all five evaluable MSS major responders, highlighting the potential of molecular response assessment.”

Title: Neoadjuvant botensilimab with or without balstilimab in pMMR and dMMR colon cancer: the phase 2 UNICORN trial

Authors: Filippo Ghelardi, Margherita Ambrosini, Alessandra Raimondi, Andrei Tyshevich, Federica Palermo, Francesca Bergamo, Vincenzo Nasca, Paolo Manca, Ilaria Mulas, Lisa Derosa, Gina Brown, Claudia Chiodoni, Massimo Di Maio, Samantha Di Donato, Anna Chiaramonte, Lorenzo Castagnoli, Stephanie Ni, Darryl Nousome, Erik Spickard, Antony Tin, Robert Lentz, Adham Jurdi, Giovanna Sabella, Daniele Spada, Stefano Tamberi, Alessandro Passardi, Federica Morano, Emiliano Tamburini, Chiara Rossi, Luca Azzolin, Francesco Cambuli, Antonia Martinetti, Elisa Sottotetti, Andrew Allan Almonte, Valerio Iebba, Chiara Ratti, Riccardo Cerantola, Özlem Kutlu, Eleonora Cristarella, Serenella M. Pupa, Cecilia Villa, Eleonora Perissinotto, Margherita Galassi, Andrea Barina, Fabrizio Vittadello, Marcello Guaglio, Gianluca Baiocchi, Andrea Sartore-Bianchi, Riccardo Rosati, Chiara Cremolini, Isacco Montroni, Sara Lonardi, Andrea Sottoriva, Filippo Pietrantonio.

Read the full article.

You can also read:

UNICORN Challenges Immunotherapy Resistance in MSS Colon Cancer

Joe Lennerz: UNICORN Explores a New Approach to Resectable Colon Cancer