Unknown

Dataset Information

0

Genomic Features of Response to Combination Immunotherapy in Patients with Advanced Non-Small-Cell Lung Cancer.


ABSTRACT: Combination immune checkpoint blockade has demonstrated promising benefit in lung cancer, but predictors of response to combination therapy are unknown. Using whole-exome sequencing to examine non-small-cell lung cancer (NSCLC) treated with PD-1 plus CTLA-4 blockade, we found that high tumor mutation burden (TMB) predicted improved objective response, durable benefit, and progression-free survival. TMB was independent of PD-L1 expression and the strongest feature associated with efficacy in multivariable analysis. The low response rate in TMB low NSCLCs demonstrates that combination immunotherapy does not overcome the negative predictive impact of low TMB. This study demonstrates the association between TMB and benefit to combination immunotherapy in NSCLC. TMB should be incorporated in future trials examining PD-(L)1 with CTLA-4 blockade in NSCLC.

SUBMITTER: Hellmann MD 

PROVIDER: S-EPMC5953836 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

altmetric image

Publications

Genomic Features of Response to Combination Immunotherapy in Patients with Advanced Non-Small-Cell Lung Cancer.

Hellmann Matthew D MD   Nathanson Tavi T   Rizvi Hira H   Creelan Benjamin C BC   Sanchez-Vega Francisco F   Ahuja Arun A   Ni Ai A   Novik Jacki B JB   Mangarin Levi M B LMB   Abu-Akeel Mohsen M   Liu Cailian C   Sauter Jennifer L JL   Rekhtman Natasha N   Chang Eliza E   Callahan Margaret K MK   Chaft Jamie E JE   Voss Martin H MH   Tenet Megan M   Li Xue-Mei XM   Covello Kelly K   Renninger Andrea A   Vitazka Patrik P   Geese William J WJ   Borghaei Hossein H   Rudin Charles M CM   Antonia Scott J SJ   Swanton Charles C   Hammerbacher Jeff J   Merghoub Taha T   McGranahan Nicholas N   Snyder Alexandra A   Wolchok Jedd D JD  

Cancer cell 20180412 5


Combination immune checkpoint blockade has demonstrated promising benefit in lung cancer, but predictors of response to combination therapy are unknown. Using whole-exome sequencing to examine non-small-cell lung cancer (NSCLC) treated with PD-1 plus CTLA-4 blockade, we found that high tumor mutation burden (TMB) predicted improved objective response, durable benefit, and progression-free survival. TMB was independent of PD-L1 expression and the strongest feature associated with efficacy in mult  ...[more]

Similar Datasets

| S-EPMC6318566 | biostudies-literature
| S-EPMC5784559 | biostudies-literature
| S-EPMC10121673 | biostudies-literature
| S-EPMC5861267 | biostudies-literature
| S-EPMC11843371 | biostudies-literature
| S-EPMC5861272 | biostudies-literature
| S-EPMC11921187 | biostudies-literature
| S-EPMC5179204 | biostudies-literature
| S-EPMC11260645 | biostudies-literature
| S-EPMC10181943 | biostudies-literature