Validation of a multiomic model of plasma extracellular vesicle PD-L1 and radiomics for prediction of response to immunotherapy in NSCLC

期刊论文
出版模式：

开放获取
发表日期：

2024年3月15日

查看全文

Diego de Miguel‑Perez,
Murat Ak,
Priyadarshini Mamindla,
Alessandro Russo,
Serafettin Zenkin,
Nursima Ak,
Vishal Peddagangireddy,
Luis Lara‑Mejia,
Muthukumar Gunasekaran,
Andres F. Cardona,
Aung Naing,
Fred R. Hirsch,
Oscar Arrieta,
Rivka R. Colen,
Christian Rolfo

摘要

Background

Immune-checkpoint inhibitors (ICIs) have showed unprecedent efficacy in the treatment of patients with advanced non-small cell lung cancer (NSCLC). However, not all patients manifest clinical benefit due to the lack of reliable predictive biomarkers. We showed preliminary data on the predictive role of the combination of radiomics and plasma extracellular vesicle (EV) PD-L1 to predict durable response to ICIs.

Main body

Here, we validated this model in a prospective cohort of patients receiving ICIs plus chemotherapy and compared it with patients undergoing chemotherapy alone. This multiparametric model showed high sensitivity and specificity at identifying non-responders to ICIs and outperformed tissue PD-L1, being directly correlated with tumor change.

Short conclusion

These findings indicate that the combination of radiomics and EV PD-L1 dynamics is a minimally invasive and promising biomarker for the stratification of patients to receive ICIs.