Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study

Introduction: Multiple programmed death-ligand 1 (PD-L1) immunohistochemistry assays performed using different antibodies including DAKO 22C3, DAKO 28-8, and Ventana SP142 PD-L1—predictive markers for response to various immune checkpoint inhibitors in NSCLC—have been approved in several countries....

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Main Authors: Yuki Katayama, MD, PhD, Tadaaki Yamada, MD, PhD, Kenji Morimoto, MD, PhD, Hiroyuki Fujii, MD, Satomi Morita, MD, PhD, Keiko Tanimura, MD, PhD, Takayuki Takeda, MD, PhD, Asuka Okada, MD, PhD, Shinsuke Shiotsu, MD, PhD, Yusuke Chihara, MD, PhD, Osamu Hiranuma, MD, Takahiro Yamada, MD, PhD, Takahiro Ota, MD, PhD, Taishi Harada, MD, Isao Hasegawa, MD, PhD, Masahiro Iwasaku, MD, PhD, Shinsaku Tokuda, MD, PhD, Noriyuki Tanaka, MD, PhD, Aya Miyagawa-Hayashino, MD, PhD, Koichi Takayama, MD, PhD
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:JTO Clinical and Research Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666364324000146
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author Yuki Katayama, MD, PhD
Tadaaki Yamada, MD, PhD
Kenji Morimoto, MD, PhD
Hiroyuki Fujii, MD
Satomi Morita, MD, PhD
Keiko Tanimura, MD, PhD
Takayuki Takeda, MD, PhD
Asuka Okada, MD, PhD
Shinsuke Shiotsu, MD, PhD
Yusuke Chihara, MD, PhD
Osamu Hiranuma, MD
Takahiro Yamada, MD, PhD
Takahiro Ota, MD, PhD
Taishi Harada, MD
Isao Hasegawa, MD, PhD
Masahiro Iwasaku, MD, PhD
Shinsaku Tokuda, MD, PhD
Noriyuki Tanaka, MD, PhD
Aya Miyagawa-Hayashino, MD, PhD
Koichi Takayama, MD, PhD
author_facet Yuki Katayama, MD, PhD
Tadaaki Yamada, MD, PhD
Kenji Morimoto, MD, PhD
Hiroyuki Fujii, MD
Satomi Morita, MD, PhD
Keiko Tanimura, MD, PhD
Takayuki Takeda, MD, PhD
Asuka Okada, MD, PhD
Shinsuke Shiotsu, MD, PhD
Yusuke Chihara, MD, PhD
Osamu Hiranuma, MD
Takahiro Yamada, MD, PhD
Takahiro Ota, MD, PhD
Taishi Harada, MD
Isao Hasegawa, MD, PhD
Masahiro Iwasaku, MD, PhD
Shinsaku Tokuda, MD, PhD
Noriyuki Tanaka, MD, PhD
Aya Miyagawa-Hayashino, MD, PhD
Koichi Takayama, MD, PhD
author_sort Yuki Katayama, MD, PhD
collection DOAJ
description Introduction: Multiple programmed death-ligand 1 (PD-L1) immunohistochemistry assays performed using different antibodies including DAKO 22C3, DAKO 28-8, and Ventana SP142 PD-L1—predictive markers for response to various immune checkpoint inhibitors in NSCLC—have been approved in several countries. The differences in multiple PD-L1 immunohistochemistry assay results in predicting the therapeutic response to combined chemoimmunotherapy in patients with NSCLC remain unclear. Methods: In this multicenter prospective observational study, we monitored 70 patients with advanced NSCLC treated with combined chemoimmunotherapy at 10 institutions in Japan. The expression of PD-L1 in pretreatment tumors was evaluated using the 22C3, 28-8, and SP142 assays in all patients. Results: The PD-L1 level in tumor cells determined using the 22C3 assay was the highest among the three assays performed with different antibodies. According to the 22C3 assay results, the PD-L1 tumor proportion score greater than or equal to 50% group had a significantly longer progression-free survival period than the PD-L1 tumor proportion score less than 50% group. Nevertheless, the other assays did not reveal remarkable differences in the objective response rate or progression-free survival. Conclusions: In our study, PD-L1 expression determined using the 22C3 assay was more correlated with the therapeutic response of patients with NSCLC treated with combined chemoimmunotherapy than that determined using the 28-8 and SP142 assays. Therefore, the 22C3 assay may be useful for clinical decision-making for patients with NSCLC treated with combined chemoimmunotherapy. Trial registration number: UMIN 000043958.
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spelling doaj.art-3964141379334812bbe15faf7291e9022024-03-22T05:40:44ZengElsevierJTO Clinical and Research Reports2666-36432024-03-0153100644Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective StudyYuki Katayama, MD, PhD0Tadaaki Yamada, MD, PhD1Kenji Morimoto, MD, PhD2Hiroyuki Fujii, MD3Satomi Morita, MD, PhD4Keiko Tanimura, MD, PhD5Takayuki Takeda, MD, PhD6Asuka Okada, MD, PhD7Shinsuke Shiotsu, MD, PhD8Yusuke Chihara, MD, PhD9Osamu Hiranuma, MD10Takahiro Yamada, MD, PhD11Takahiro Ota, MD, PhD12Taishi Harada, MD13Isao Hasegawa, MD, PhD14Masahiro Iwasaku, MD, PhD15Shinsaku Tokuda, MD, PhD16Noriyuki Tanaka, MD, PhD17Aya Miyagawa-Hayashino, MD, PhD18Koichi Takayama, MD, PhD19Department of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan; Corresponding author. Address for correspondence: Tadaaki Yamada, MD, PhD, Department of Pulmonary Medicine, Kyoto Prefectural University of Medicine, 465, Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.Department of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Respiratory Medicine, Japanese Red Cross Kyoto Daini Hospital, Kyoto, JapanDepartment of Respiratory Medicine, Japanese Red Cross Kyoto Daini Hospital, Kyoto, JapanDepartment of Respiratory Medicine, Saiseikai Suita Hospital, Osaka, JapanDepartment of Respiratory Medicine, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, JapanDepartment of Respiratory Medicine, Uji-Tokushukai Medical Center, Kyoto, JapanDepartment of Respiratory Medicine, Otsu City Hospital, Shiga, JapanDepartment of Respiratory Medicine, Matsushita Memorial Hospital, Osaka, JapanDepartment of Respiratory Medicine, Kyoto city Hospital, Kyoto, JapanDepartment of Medical Oncology, Fukuchiyama City Hospital, Kyoto, JapanDepartment of Respiratory Medicine, Saiseikai Shigaken Hospital, Shiga, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pathology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanIntroduction: Multiple programmed death-ligand 1 (PD-L1) immunohistochemistry assays performed using different antibodies including DAKO 22C3, DAKO 28-8, and Ventana SP142 PD-L1—predictive markers for response to various immune checkpoint inhibitors in NSCLC—have been approved in several countries. The differences in multiple PD-L1 immunohistochemistry assay results in predicting the therapeutic response to combined chemoimmunotherapy in patients with NSCLC remain unclear. Methods: In this multicenter prospective observational study, we monitored 70 patients with advanced NSCLC treated with combined chemoimmunotherapy at 10 institutions in Japan. The expression of PD-L1 in pretreatment tumors was evaluated using the 22C3, 28-8, and SP142 assays in all patients. Results: The PD-L1 level in tumor cells determined using the 22C3 assay was the highest among the three assays performed with different antibodies. According to the 22C3 assay results, the PD-L1 tumor proportion score greater than or equal to 50% group had a significantly longer progression-free survival period than the PD-L1 tumor proportion score less than 50% group. Nevertheless, the other assays did not reveal remarkable differences in the objective response rate or progression-free survival. Conclusions: In our study, PD-L1 expression determined using the 22C3 assay was more correlated with the therapeutic response of patients with NSCLC treated with combined chemoimmunotherapy than that determined using the 28-8 and SP142 assays. Therefore, the 22C3 assay may be useful for clinical decision-making for patients with NSCLC treated with combined chemoimmunotherapy. Trial registration number: UMIN 000043958.http://www.sciencedirect.com/science/article/pii/S2666364324000146ChemoimmunotherapyPD-L1Non–small cell lung cancerProspective analysisTherapeutic response
spellingShingle Yuki Katayama, MD, PhD
Tadaaki Yamada, MD, PhD
Kenji Morimoto, MD, PhD
Hiroyuki Fujii, MD
Satomi Morita, MD, PhD
Keiko Tanimura, MD, PhD
Takayuki Takeda, MD, PhD
Asuka Okada, MD, PhD
Shinsuke Shiotsu, MD, PhD
Yusuke Chihara, MD, PhD
Osamu Hiranuma, MD
Takahiro Yamada, MD, PhD
Takahiro Ota, MD, PhD
Taishi Harada, MD
Isao Hasegawa, MD, PhD
Masahiro Iwasaku, MD, PhD
Shinsaku Tokuda, MD, PhD
Noriyuki Tanaka, MD, PhD
Aya Miyagawa-Hayashino, MD, PhD
Koichi Takayama, MD, PhD
Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
JTO Clinical and Research Reports
Chemoimmunotherapy
PD-L1
Non–small cell lung cancer
Prospective analysis
Therapeutic response
title Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
title_full Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
title_fullStr Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
title_full_unstemmed Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
title_short Comparing Three Different Anti–Programmed Death-Ligand 1 Antibodies in Immunohistochemical Evaluation of Combined Chemoimmunotherapy Response in Patients With NSCLC: A Prospective Study
title_sort comparing three different anti programmed death ligand 1 antibodies in immunohistochemical evaluation of combined chemoimmunotherapy response in patients with nsclc a prospective study
topic Chemoimmunotherapy
PD-L1
Non–small cell lung cancer
Prospective analysis
Therapeutic response
url http://www.sciencedirect.com/science/article/pii/S2666364324000146
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