Abstract

Tumor samples from the phase III IMpower010 study were used to compare two programmed death-ligand 1 (PD-L1) immunohistochemistry assays (VENTANA SP263 and Dako 22C3) for identification of PD-L1 patient subgroups (negative, positive, low, and high expression) and their predictive value for adjuvant atezolizumab compared with best supportive care (BSC) in resectable early-stage non-small cell lung cancer (NSCLC).PD-L1 expression was assessed by the SP263 assay, which measured the percentage of tumor cells with any membranous PD-L1 staining, and the 22C3 assay, which scored the percentage of viable tumor cells showing partial or complete membranous PD-L1 staining.When examining the concordance at the PD-L1-positive threshold (SP263: tumor cell (TC)=1%; 22C3: tumor proportion score (TPS)=1%), the results were concordant between assays for 83% of the samples. Similarly, at the PD-L1-high cut-off (SP263: TC=50%; 22C3: TPS=50%), the results were concordant between assays for 92% of samples. The disease-free survival benefit of atezolizumab over BSC was comparable between assays for PD-L1-positive (TC=1% by SP263: HR, 0.58 (95% CI: 0.40 to 0.85) vs TPS=1% by 22C3: HR, 0.65 (95% CI: 0.45 to 0.95)) and PD-L1-high (TC=50% by SP263: HR, 0.27 (95% CI: 0.14 to 0.53) vs TPS=50% by 22C3: HR, 0.31 (95% CI: 0.16 to 0.60)) subgroups.The SP263 and 22C3 assays showed high concordance and a comparable clinical predictive value of atezolizumab at validated PD-L1 thresholds, suggesting that both assays can identify patients with early-stage NSCLC most likely to experience benefit from adjuvant atezolizumab.NCT02486718.

View details for DOI 10.1136/jitc-2023-007047

View details for PubMedID 37903590