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TMB-High (≥10 mut/Mb)
Intermediate PrognosisGenes Involved
Multiple
Treatment Implications
FDA-approved tumor-agnostic biomarker for pembrolizumab.
Recommended Treatments
Pembrolizumab
Treatments to Avoid
No specific contraindications noted
Study References
KEYNOTE-158
Key Statistics
5.00%
Prevalence in CRC
Yes
Targetable
Clinical Notes
Can occur in MSS tumors. Check NGS for TMB score.
Information
Category: Immunotherapy Biomarkers
Evidence Level: Level 2A
Last Updated: Dec 7, 2025
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Medical Disclaimer: This information is for educational purposes only and should not replace professional medical advice. Always consult with your oncologist for personalized treatment decisions based on your specific situation.