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Table 2 Individual Patient Baseline Characteristics and Response to Treatment with Pembrolizumab

From: Phase II clinical trial of pembrolizumab efficacy and safety in advanced adrenocortical carcinoma

Case no.

No. of prior systemic therapies

Prior systemic therapies

ECOG performance status

Hormonal status

Metastatic sites at time of studya

PD-L1H-scoreb

TILscorec

MSI status

Maximum % change from baseline

1

4

Mitotane; ACAT-inhibitor; ipilimumab; cisplatin-gemcitabine

1

Cortisol and androgen-producing

2

0

2

NA

289% increase

2

1

Mitotane

1

Non-functioning

2, 4

0

2

Stable

88% increase

3

2

Mitotane; etoposide-doxorubicin-cisplatin-mitotane

1

Androgen-producing

1, 2, 4, 5

0

1

Stable

56% increase

4

1

Etoposide-doxorubicin-cisplatin-mitotane

0

Cortisol and androgen-producing

2, 4, 5

0

2

Stable

49% increase

5

2

Mitotane; Etoposide-doxorubicin-cisplatin

1

Cortisol and androgen-producing

1, 4, 5

0

2

Stable

43% increase

6

1

Etoposide-carboplatin-mitotane

1

Non-functioning

2, 4

0

2

Stable

15% increase

7

5

Etoposide-doxorubicin-cisplatin-mitotane; ACAT-inhibitor; etoposide-carboplatin-mitotane; mitotane; ipilimumab

1

Cortisol and androgen-producing

1, 2, 4

0

2

Stable

14% increase

8

5

Mitotane; ACAT-inhibitor; etoposide-doxorubicin-cisplatin; ipilimumab; cabozantinib

1

Cortisol-producing

1, 1, 4

0

1

Stable

11% increase

9

1

Mitotane

0

Non-functioning

4

0

1

Stable

6% increase

10

1

Mitotane

1

Cortisol and androgen-producing

1, 2, 3, 5

0

1

Stable

5% increase

11

2

Mitotane; etoposide-doxorubicin-cisplatin

1

Non-functioning

1, 2, 3, 4

0

3

Stable

8% decrease

12

2

Etoposide-doxorubicin-cisplatin-mitotane; mitotane

1

Non-functioning

2

NA

NA

Stable

24% decrease

13

3

Mitotane; etoposide-doxorubicin-cisplatin; gemcitabine-docetaxel

1

Cortisol and androgen-producing

1, 6

NA

NA

Stable

41% decrease

14

4

Mitotane; etoposide-doxorubicin-cisplatin-mitotane; etoposide-carboplatin; ipilimumab

0

Non-functioning

1, 2

0

0

NA

53% decrease

15

1

Etoposide-doxorubicin-cisplatin-mitotane

1

Androgen-producing

1, 2, 4, 5

0

1

Stable

Not restaged

16

3

Etoposide, doxorubicin, carboplatin-mitotane; apatinib; streptozocin

1

Androgen-producing

1, 2, 4

0

2

Isolated loss of PMS2 (internal positive control)

Not restaged

  1. Abbreviations: ACAT-inhibitor Acyl-coenzyme A:cholesterol O-acyltransferase inhibitor, ECOG Eastern Cooperative Oncology Group, MSI Microsatellite instability, NA Not available, PD-L1 Programmed cell death ligand-1, TIL Tumor-infiltrating lymphocyte
  2. aMetastatic sites: 1, liver; 2, lung; 3, bone; 4, adrenal bed; 5, lymph nodes; 6, other
  3. bPD-L1 characterization based on the percentage and intensity of membrane staining
  4. cTILs within tumor nests were scored on a scale from 0 to 3: 0 for absence of TILs, 1 for a few TILs, 2 for a moderate amount of TILs, and 3 for intense intratumoral lymphocytic infiltration