Why Immunoscore® Colon?
Immunoscore® Colon* is an in vitro diagnostic test predicting the risk of relapse in early stage colon cancer patients, by measuring the host immune response at the tumor site.
It is a risk-assessment tool that provides independent and superior prognostic value than the usual tumor risk parameters, and should be used as an adjunct to the TNM classification (a,b). Immunoscore® can thus improve individual patient treatment strategies, particularly the modulation of adjuvant chemotherapy in stage II and stage III.
a) SITC International study results, The Lancet May 2018
b) N0147 study results, ASCO 17 & ASCO GI 18
Immunoscore® Colon
Material: FFPE block or FFPE slides from tumor resection
Target: CD3+ & CD8+ T cells
Location: Center and periphery of the tumor
Technology: Image Analysis
The Immunoscore® scoring has been defined in a large international SITC-led retrospective validation study conducted on more than 2500 St I-III CC patients (Pagès et al, The Lancet May 2018).
Immunoscore® Colon under its CE-IVD version is the first immune scoring diagnostic tests used in routine by pathology labs leveraging advanced image analysis. The accuracy and robustness of the test relies on precise counting of positive immune cells in predefined regions and automatic calculation of Immunoscore® for each patient based on specific algorithm.
Download general presentation of Immunoscore® Colon
Download Immunoscore® Colon white paper
Clinical Utility
Immunoscore® Colon is a test predicting the risk of relapse of patients with localized CC to help guiding treatment strategies. By evaluating the immune reaction at the tumor site, it provides independent and superior prognostic value to usual risk factors.
Pagès et al, The Lancet May 2018
This information supports decision about adjuvant chemotherapy need (stage II) and duration of treatment (stage III).
In the large Immunoscore® SITC study (more than 2,500 stage I-III patients), Immunoscore® was strongly predictive of the patient outcome and surpassed the TNM classification prognostic performance.
Focusing on stage II (n = 1,434 patients), Immunoscore® identified a subgroup of high-risk (Immunoscore® Low) stage II patients (27%) who may benefit from chemotherapy.
Patients with Immunoscore® Low (24%) had reduced survival, irrespective of their microsatellite status. Conversely, patients with highly infiltrated tumors (Immunoscore® High) had a survival advantage.
Following international IDEA collaboration results, it has been suggested that the duration of adjuvant FOLFOX or CAPOX chemotherapy should be guided by a risk-based approach, based on T and N risk groups (T1-T3 N1 versus T4 or N2).
Immunoscore® has been tested on 600 resected tumors of stage III CC patients from the FOLFOX arm of the prospective NCCTG N0147 clinical trial. This retro-prospective study demonstrated that Immunoscore-Low was associated with a higher risk of recurrence including among the low risk T1-3 N1 subgroup with significantly worse 3-years DFS (78% vs 92%, see figure below). These data underscore the limitations of T and N staging and provide validation for Immunoscore® Colon to identify high risks T1-3 N1 patients for whom a 3 months chemotherapy course might be detrimental.
A comprehensive body of clinical evidence
Immunoscore® surpasses TNM for prediction of tumor recurrence and survival in CRC patients.
Kirilovsky A et al. Int Immunol 2016
Pagès et al, The Lancet May 2018
Stage II CC patients with Immunoscore-Low have a higher risk of recurrence.
Pagès et al, The Lancet May 2018
Immunoscore® is a stronger predictor of survival than MSI in CC.
Mlecnik B et al. - Immunity 2016
Pagès et al, The Lancet May 2018
Stage III CC patients with Immunoscore-High have a lower risk of recurrence regardless of the MSI status.
Sinicrope FA et al. - ASCO 2017 - Poster (manuscript in preparation)
Immunoscore® provides prognostic information in low and high T/N risk subsets of Stage III CC.
Sinicrope, F. A et al. ASCO GI J Clin Oncol 36, 2018 (suppl 4S; abstr 614) (manuscript in preparation)
HalioDx is conducting multiple studies to further support the Immunoscore®-based risk assessment for CC patients management.
How to Order
In your country, please contact:
HalioDx
Oncologists and patients are invited to contact HalioDx which market and distribute Immunoscore® Colon assay in your country.
Luminy Biotech Entreprises
163 Avenue de Luminy
13288 Marseille Cedex 9
FRANCE
Phone: +33 (0) 4 91 29 30 90
Immunoscore® Colon workflow
Interested in ordering Immunoscore® Colon? contact us
Scientific Data
Selected videos on Immunoscore® Colon
Immunoscore® Colon Symposium - June 1, 2018, Chicago | Stanley Hamilton, MD
Immunoscore® Colon Symposium - June 1, 2018, Chicago | Jêrome Galon, PhD
Immunoscore® Colon Symposium - June 1, 2018 Discussion on clinical cases with David Malka, MD, PhD & Marc Van Den Eynde, MD, PhD
Dr Jerome Galon on the Prognostic Value of Immunoscore, Onclive - ASCO 2016
Webinar on “Clinical utility of Immunoscore® in colon cancer” with Marc Van Den Eynde, MD, PhD | October 17, 2017
Webinar on Immunoscore® Colon presented by Dr Jérôme Galon - July 2016
Webinar on Immunoscore® Colon analytical performance presented by Fabienne Hermitte | Nov 2016
Dr Jérôme GALON, Cordeliers Research Center - EUROBIOMED & MARSEILLE IMMUNOPOLE Event - Dec. 2015
Posters
Poster presented at ASCO GI 2018 by Frank A. Sinicrope, Mayo Clinic, Rochester, MN Immunoscore provides prognostic information in low (T3N1) and high (T4 or N2) risk subsets of stage III colon carcinoma patients treated with adjuvant FOLFOX in a phase III trial [NCCTG N0147 (Alliance)
Poster presented at ASCO 2017 by Frank A. Sinicrope, Mayo Clinic, Rochester, MNPrognostic utility of immune markers and validation of Immunoscore® in stage III colon carcinoma patients treated with adjuvant FOLFOX in a phase III trial [NCCTG N0147 (Alliance)]
Poster presented at SITC 2016 by Fabienne Hermitte, HalioDx Immunoscore® Colon analytical performance
Selected publications
Pagès et al.
International validation of the consensus Immunoscore for the classification of colon cancer: a prognostic and accuracy study
The Lancet, 2018
May 10, 2018
More infoMlecnik B et al.
Comprehensive Intrametastatic Immune Quantification and Major Impact of Immunoscore on Survival.
J Natl Cancer Inst. 2018 ;
Jan 1;110(1). doi: 10.1093
More infoBerghoff AS et al.
Density of tumor-infiltrating lymphocytes correlates with extent of brain edema and overall survival time in patients with brain metastases.
Oncoimmunology 2016 ;
Jun 9;5(1):e1057388
More infoKirilovsky A et al.
Rational bases for the use of the Immunoscore in routine clinical settings as a prognostic and predictive biomarker in cancer patients
Int Immunol. 2016
doi: 10.1093/intimm/dxw021
More infoHermitte F
Biomarkers immune monitoring technology primer: Immunoscore® Colon
Journal for ImmunoTherapy of Cancer 2016
DOI: 10.1186/s40425-016-0161-x
More infoGalon J et al
Validation of the Immunoscore (IM) as a prognostic marker in stage I/II/III colon cancer: Results of a worldwide consortium-based analysis of 1,336 patients.
2016 ASCO Annual Meeting
J Clin Oncol 34, 2016 (suppl; abstr 3500)
More infoMlecnik B et al.
Integrative Analyses of Colorectal Cancer Show Immunoscore Is a Stronger Predictor of Patient Survival Than Microsatellite Instability.
Immunity. 2016 ;
Mar 15;44(3):698-711.
More infoMlecnik B et al.
The tumor microenvironment and Immunoscore are critical determinants of dissemination to distant metastasis.
Sci Transl Med. 2016 ;
24 Feb 2016, Vol. 8, Issue 327, pp. 327ra26.
More infoGalon J et al.
Towards the introduction of the 'Immunoscore' in the classification of malignant tumours
J Pathol. 2014
Jan;232(2):199-209.
More infoGalon J et al.
Cancer classification using the Immunoscore: a worldwide task force.
J Transl Med 2012 ;
10 : 205.
More infoMlecnik B et al.
Histopathologic-based prognostic factors of colorectal cancers are associated with the state of the local immune reaction.
J Clin Oncol 2011 ;
29 : 610-8.
More infoPagès F al.
In situ cytotoxic and memory T cells predict outcome in patients with early-stage colorectal cancer.
J Clin Oncol 2009 ;
27 : 5944-51.
More infoGalon J et al.
Type, density, and location of immune cells within human colorectal tumors predict clinical outcome.
Science 2006 ;
313 : 1960-4.
More info