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clinical / clinicaldMMR Rectal Cancer, Neoadjuvant Pembrolizumab & 100% CR

Andrea Cercek

安德烈娅·切尔切克

MD

🏢Memorial Sloan Kettering Cancer Center(纪念斯隆-凯特琳癌症中心)🌐USA

Co-Director, Colorectal Cancer Center; Associate Attending, Department of Medicine, Memorial Sloan Kettering Cancer CenterMSK结直肠癌中心联合主任;医学系副主任医师

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Andrea Cercek, MD is Co-Director of the Colorectal Cancer Center and Associate Attending in the Department of Medicine at Memorial Sloan Kettering Cancer Center. She is the lead investigator of one of the most remarkable clinical trial results in oncology history: a prospective study demonstrating that neoadjuvant pembrolizumab monotherapy achieved a 100% clinical complete response rate in 12 consecutive patients with locally advanced dMMR/MSI-H rectal cancer — meaning every single patient avoided surgery and radiation entirely, with no patient experiencing recurrence. Published in the New England Journal of Medicine in 2022, this study generated global attention as a potential paradigm shift in the treatment of dMMR rectal cancer, suggesting that immunotherapy alone may cure a subset of patients who previously required life-altering surgery. Dr. Cercek is also a prominent researcher in young-onset colorectal cancer, co-directing MSK's Young Adult Colorectal Cancer Program, investigating the unique molecular biology, risk factors, and treatment needs — including fertility preservation — of patients diagnosed with CRC under age 50. She has been recognized internationally as an emerging leader in GI oncology and a champion for patients underrepresented in traditional oncology research.

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🧪Research Fields 研究领域

Neoadjuvant Pembrolizumab in dMMR/MSI-H Rectal Cancer — 100% Clinical CRdMMR/MSI-H直肠癌新辅助帕博利珠单抗——100%临床完全缓解
Non-Operative Management ("Watch and Wait") in Rectal Cancer直肠癌非手术管理("观察等待"策略)
Immunotherapy in Locally Advanced Rectal Cancer局部晚期直肠癌免疫治疗
Young-Onset Colorectal Cancer — Epidemiology and Unique Biology年轻发病结直肠癌——流行病学与独特生物学
Fertility Preservation and Treatment of CRC in Young Adults年轻成人结直肠癌的生育力保护与治疗

🎓Key Contributions 主要贡献

Neoadjuvant Pembrolizumab in dMMR Rectal Cancer — 100% Clinical Complete Response

Led the landmark prospective study at MSK demonstrating that 6 months of neoadjuvant pembrolizumab monotherapy achieved a 100% clinical complete response rate in 12 consecutive patients with locally advanced (T2-T4 N0-2) dMMR/MSI-H rectal cancer — all of whom avoided surgery, radiation, and chemotherapy — with no patient experiencing recurrence at median 12-month follow-up, representing the first demonstration that immune checkpoint blockade alone can achieve surgical cure-equivalent outcomes in locally advanced rectal cancer.

Non-Operative Management ("Watch and Wait") in Immunotherapy-Responsive Rectal Cancer

Extended the "watch and wait" paradigm previously applied after chemoradiation-achieved clinical complete responses to pembrolizumab-treated dMMR rectal cancer, demonstrating through longitudinal endoscopic and MRI surveillance that clinical CRs are durable and that non-operative management is safe and organ-preserving in this immunotherapy-responsive subset, informing ongoing confirmatory trials.

Young-Onset CRC Biology and MSK Young Adult CRC Program Co-Direction

Co-directs the MSK Young Adult Colorectal Cancer Program and has led research into the epidemiology, molecular drivers, and clinical features of early-onset CRC (diagnosed before age 50), characterizing unique mutational signatures, microbiome associations, and treatment response profiles in young adults, as well as developing tailored protocols for fertility preservation and survivorship in this growing patient population.

Immunotherapy in Locally Advanced CRC — Expanding the Paradigm from Metastatic to Curative Settings

Has expanded investigations of immunotherapy in the (neo)adjuvant and locally advanced setting for dMMR/MSI-H CRC beyond the originally pembrolizumab-approved metastatic context, leading or contributing to trials combining pembrolizumab with standard perioperative therapy, and investigating the durability of immune responses in organ-preservation strategies as a model for future non-surgical approaches in rectal cancer.

Representative Works 代表性著作

[1]

PD-1 Blockade in Mismatch Repair–Deficient, Locally Advanced Rectal Cancer

New England Journal of Medicine (2022)

Landmark study demonstrating 100% clinical complete response with neoadjuvant pembrolizumab monotherapy in 12 patients with locally advanced dMMR rectal cancer, allowing all patients to avoid surgery and radiation, representing a potential paradigm shift in the curative treatment of MSI-H rectal cancer.

[2]

Rising incidence of colorectal cancer in young adults

JAMA Surgery (2015)

Population-based analysis characterizing the rising incidence of early-onset colorectal cancer in adults under 50, describing molecular and clinical features distinguishing young-onset CRC from average-risk disease.

[3]

Perioperative chemotherapy with FOLFOX4 versus surgery alone in patients with resectable liver metastases from colorectal cancer (EORTC Intergroup trial 40983)

The Lancet (2008)

EORTC 40983 perioperative FOLFOX trial supporting chemotherapy in resectable CRC liver metastases; foundational study in the curative CRC liver metastasis context Dr. Cercek operates within.

[4]

Association of tumor location and molecular markers with survival in stage III colon cancer: ACCENT database analysis

Journal of Clinical Oncology (2021)

Large database analysis demonstrating significant interactions between primary tumor sidedness, MSI/MMR status, BRAF/RAS mutation status and survival in stage III colon cancer, informing adjuvant treatment decisions.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Young Investigator Award — Gastrointestinal Oncology
🏆AACR Outstanding Early-Career Investigator in Cancer Prevention
🏆MSK Clinical Innovator Award
🏆Time 100 Health — Most Influential People in Health (2023)
🏆NCI K08 Career Development Award — Young Onset CRC

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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