Time to Treatment Discontinuation and Cost Effectiveness of Third-Line Therapies in Advanced Colorectal Cancer: Real-World Evidence from the NIH All of Us Research Program - Takeaways - MDSpire

Time to Treatment Discontinuation and Cost Effectiveness of Third-Line Therapies in Advanced Colorectal Cancer: Real-World Evidence from the NIH All of Us Research Program

  • By

  • Patrick J. Kiel

  • Mark W. McGiffin

  • Todd C. Skaar

  • Michael A. Preston

  • March 10, 2026

  • 0 min

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  • 1

    Immune checkpoint inhibitors (ICI) offer longer treatment persistence in advanced colorectal cancer but at significantly higher costs than regorafenib or trifluridine/tipiracil.

  • 2

    Time to treatment discontinuation is a pragmatic endpoint reflecting treatment durability in advanced colorectal cancer care.

  • 3

    Real-world cost-effectiveness analyses reveal a conflict between the clinical benefits of immunotherapy and its affordability in later-line colorectal cancer treatment.

  • 4

    The NIH All of Us Research Program provides extensive real-world data to evaluate clinical outcomes and cost-effectiveness of ICI in advanced colorectal cancer.

  • 5

    Incomplete biomarker testing data complicates the assessment of ICI use, highlighting challenges in implementing precision oncology in advanced colorectal cancer.

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