Peer-Reviewed Publication
Pediatr Hematol Oncol2026;1-10.August 31, 2026Journal Article

Prevalence of High Tumor Mutational Burden Among Pediatric Patients With Solid Tumors.

Wenjun Zhong1, E J Dettman1, Lei Zhang1, Alexander Gozman1, Roman Groisberg1, Razvan Cristescu1, Matthew J Marton1, Saumya D Sisoudiya2, Meagan Montesion2, Karthikeyan Murugesan2, Irene M Shui1
1MRL, Merck & Co., Inc., Rahway, New Jersey, USA.
2Foundation Medicine, Inc., Boston, Massachusetts, USA.

Abstract

High tumor mutational burden (TMB-H), defined as ≥10 non-driver somatic mutations per mega base of genome sequenced (mut/Mb), and high microsatellite instability (MSI-H), which can lead to TMB-H, are both associated with response to the immunotherapy pembrolizumab. Data from the KEYNOTE-158 study demonstrated that the association between TMB-H and response to pembrolizumab is independent of MSI-H…

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