A Multicenter, Open-label, Randomized (1:1) Trial Designed to Evaluate Whether MRD-guided Intermittent ICI Therapy Provides Comparable Survival to SOC Continuous ICI Therapy in Subjects With Histologically Confirmed Advanced / Metastatic NSCLC, Melanoma, MSI-High/dMMR CRC, RCC and Other Solid Tumors.

Publication date: Jul 01, 2026

This is an open-label, randomized study evaluating whether MRD-guided intermittent ICI therapy provides comparable survival to SOC continuous ICI therapy in subjects with histologically confirmed advanced / metastatic NSCLC, melanoma, MSI-High/dMMR CRC, RCC and other solid tumors. This study will be conducted in up to 100 sites.

Concepts Keywords
Immunocompromised Adjuvant therapy
Insulin Advanced solid tumor
Live Biomarker-guided therapy
Mets Circulating tumor DNA
Colorectal Cancer
CRC
ctDNA
ICI
Immune checkpoint inhibitor
Melanoma
Metastatic solid tumors
Molecular residual disease
MRD
MSI-High/dMMR
NSCLC
RCC
Renal cell carcinoma
Signatera
Tumor-informed assay

Semantics

Type Source Name
disease MESH Melanoma
pathway KEGG Melanoma
disease MESH CRC
disease MESH RCC
disease MESH Tumors
disease MESH basal cell carcinoma
pathway KEGG Basal cell carcinoma
pathway KEGG Bladder cancer
disease MESH recurrence
disease MESH autoimmune disease
disease MESH pituitary insufficiency
disease MESH Interstitial lung disease
disease MESH pneumonitis
disease MESH carcinomatosis
disease MESH infection
disease MESH Hepatitis B
pathway KEGG Hepatitis B
disease MESH Non-small Cell Lung Cancer
pathway KEGG Non-small cell lung cancer
disease MESH Skin Cancer
pathway KEGG Colorectal cancer
disease MESH Microsatellite Instability
pathway REACTOME Mismatch Repair
pathway KEGG Renal cell carcinoma

Original Article

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