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Table 1 Summary of PD-L1 assays and response rates in immune checkpoint inhibitor trials in metastatic urothelial carcinoma

From: Biomarkers of immunotherapy in urothelial and renal cell carcinoma: PD-L1, tumor mutational burden, and beyond

Ref

Population

Drug

Target

Antibody for PD-L1 IHC Assay

Definition of PD-L1 positivity

ORR (PD-L1+)

ORR (PD-L1-)

ORR All Patients

[6]

Post Platinum

Atezolizumab

PD-L1

Rabbit SP142 (Ventana)

IHC 2/3 ICa

43% (13/30)

11% (4/35)

26% (17/65)

[7]

Post Platinum

Atezolizumab

PD-L1

Rabbit SP142 (Ventana)

IHC 2/3 ICa

23% (26/113)

10% (36/349)

13% (63/462)

[3]

Post Platinum

Atezolizumab

PD-L1

Rabbit SP142 (Ventana)

IHC 2/3 ICa

26% (26/100)

9% (19/210)

15% (45/310)

[1]

Post Platinum

Pembrolizumab

PD-1

Mouse 22C3 (Dako)

CPS ≥ 10%b

22% (16/74)

22% (41/186)

21% (57/270)

[5]

Post Platinum

Nivolumab

PD-1

Rabbit 28–8 (Dako)

PD-L1 ≥ 5% (TC)

28% (23/81)

16% (29/184)

20% (52/265)

[7]

Post Platinum

Durvalumab

PD-L1

Rabbit SP263 (Ventana)

≥25% TC or ≥25% IC

28% (27/98)

5% (4/79)

18% (34/191)

[10]

Post Platinum

Avelumab

PD-L1

Rabbit 73–10 (Dako)

≥5% TC

54% (7/13)

4% (1/24)

21% (8/37)

[50]

Platinum Ineligible

Pembrolizumab

PD-1

Mouse 22C3 (Dako)

CPS ≥ 10%b

51% (41/80)

23% (42/185)

31% (83/265)

[12]

Platinum Ineligible

Atezolizumab

PD-L1

Rabbit SP142 (Ventana)

IHC 2/3 ICa

28% (9/32)

20% (18/87)

22% (27/119)

  1. TC tumor cells, Ref reference, IC percentage of PD-L1 positive immune cells in the tumor microenvironment, ORR overall response rate
  2. aIHC 2 is ≥5%, IHC 3 is ≥10%
  3. bCombined Positive Score = percentage of PD-L1 expressing tumor and infiltrating immune cells relative to the total number of tumor cells