Barely Significant
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Expert consensus on the detection and clinical application of tumor mutational burden.

Cancer Biol Med · 2026 · PMC12980037 · PMID 41704094

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showed a trendno p-value reported
However, the efficacy of TMB-guided monoclonal antibodies is limited, because nivolumab monotherapy showed a trend toward improved outcomes in patients with TMB-H, whereas no significant benefit was observed in patients with TMB-L.

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