Ahmet Dirican, Professor of Medical Oncology at Medicana International İzmir Hospital, shared a post on X:
“dMMR colon cancer is no longer just a chemotherapy disease.
But what is the right strategy?
ATOMIC (Phase III):
mFOLFOX6 ± atezolizumab
- DFS benefit.
- ~50% lower risk of recurrence/death.
But: ~14% still relapse.
So the problem isn’t solved – biology is still resistant.
What comes next?
- Adjuvant IO (ATOMIC).
- Neoadjuvant IO (NICHE-2).
- Or full IO sequencing (AZUR-2).
IO has arrived. Decisions just got harder.”

Title: Atezolizumab plus FOLFOX for Stage III Mismatch Repair–Deficient Colon Cancer
Authors: Frank A. Sinicrope, Fang-Shu Ou, Dirk Arnold, Walter R. Peters, Robert J. Behrens, Christopher H. Lieu, Khalid Matin, Deirdre J. Cohen, Samara L. Potter, Andrew B. Nixon, Lisa A. Kottschade, Emily Kathol, Wendy L. Frankel, Ardaman Shergill, Dennis Hsu, Anke Reinacher-Schick, Paul Mehan, Philip J. Gold, Maged F. Khalil, Tyler Zemla, Clare Gatten, Eileen M. O’Reilly, Jeffrey A. Meyerhardt
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