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Personalized Medicine and Imaging

Correlation of PD-L1 Tumor Expression and Treatment Outcomes in Patients with Renal Cell Carcinoma Receiving Sunitinib or Pazopanib: Results from COMPARZ, a Randomized Controlled Trial

Toni K. Choueiri, David J. Figueroa, André P. Fay, Sabina Signoretti, Yuan Liu, Robert Gagnon, Keith Deen, Christopher Carpenter, Peter Benson, Thai H. Ho, Lini Pandite, Paul de Souza, Thomas Powles and Robert J. Motzer
Toni K. Choueiri
1Kidney Cancer Center, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
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  • For correspondence: toni_choueiri@dfci.harvard.edu
David J. Figueroa
2GlaxoSmithKline, Collegeville, Pennsylvania.
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André P. Fay
1Kidney Cancer Center, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
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Sabina Signoretti
1Kidney Cancer Center, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
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Yuan Liu
2GlaxoSmithKline, Collegeville, Pennsylvania.
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Robert Gagnon
2GlaxoSmithKline, Collegeville, Pennsylvania.
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Keith Deen
2GlaxoSmithKline, Collegeville, Pennsylvania.
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Christopher Carpenter
2GlaxoSmithKline, Collegeville, Pennsylvania.
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Peter Benson
3MEDTOX Laboratories, St. Paul, Minnesota.
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Thai H. Ho
4Mayo Clinic Arizona, Scottsdale, Arizona.
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Lini Pandite
5GlaxoSmithKline, Research Triangle Park, North Carolina.
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Paul de Souza
6University of Western Sydney, Ingham Institute, Liverpool, NSW, Australia.
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Thomas Powles
7Barts Experimental Cancer Medicine Centre, Barts Cancer Institute, Queen Mary University of London, London, United Kingdom.
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Robert J. Motzer
8Memorial Sloan-Kettering Cancer Center, New York, New York.
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DOI: 10.1158/1078-0432.CCR-14-1993 Published March 2015
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  • Figure 1.
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    Figure 1.

    Ad hoc semiquantitative scoring scheme for PD-L1 expression by tumor cells in RCC (A) and example of prominent peripheral inflammatory response and corresponding PD-L1 expression (B).

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    Figure 2.

    Association of OS with PD-L1 expression status on tumor cell membrane.

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  • Table 1.

    Patient characteristics

    CharacteristicPazopanib (N = 221)Sunitinib (N = 232)
    Median age, y (range)62 (30–86)62 (33–86)
    Sex, n (%)
     Male158 (71)178 (77)
     Female63 (29)54 (23)
    Prior nephrectomy, n (%)191 (86)205 (88)
    KPS, n (%)
     70 or 8057 (26)60 (26)
     90 or 100164 (74)169 (74)
    LDH, n (%)
     >1.5× ULN17 (8)11 (5)
     ≤1.5× ULN204 (92)214 (95)
    Metastatic sites at baseline, n (%)
     ≤2151 (68)152 (65)
     >270 (32)80 (34)
    MSKCC risk category, n (%)
     Favorable64 (29)55 (24)
     Intermediate127 (57)142 (61)
     Poor26 (12)24 (10)
     Unknown4 (2)11 (5)

    Abbreviation: ULN, upper limit of the normal range.

    • Table 2.

      PD-L1 expression levels in available samples

      HS, n (%)
      Treatment01–56–1011–2526–50≥50Total
      Pazopanib142 (64)17 (7)12 (5)9 (4)14 (6)27 (12)221
      Sunitinib148 (64)15 (6)7 (3)16 (7)12 (5)34 (15)232
    • Table 3.

      Comparison of PD-L1 expression between full tissue sections and core biopsies

      PD-L1 semiquantitative score
      Specimen01+2+3+Total N1+ to 3+2+ or 3+
      All, n (%)289 (63.8)79 (17.4)51 (11.3)34 (7.5)453163 (36.2)85 (18.8)
      Full tissue, n (%)252 (63.5)66 (16.6)50 (12.6)29 (7.3)397145 (36.5)79 (19.9)
      Core biopsy, n (%)37 (66.1)13 (23.2)1 (1.8)5 (8.9)5619 (33.9)6 (10.7)
    • Table 4.

      Correlation of PD-L1 expression between tumor and macrophages

      PD-L1+ macrophages
      IHC score of tumor sampleAbsentRareModerateNumerousTotal
      0/1+188936720368
      2+/3+312294185
      Total1911059661453

    Additional Files

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      Files in this Data Supplement:

      • Supplementary Table S1, Figures S1-2 - Supplementary Table S1, Figures S1-2. Supplementary Table S1. Comparison of treatment outcomes between the overall study population of the COMPARZ trial and the PD-L1 study population. Supplementary Figure S1. CD8+ T cells scoring system. Supplementary Figure S2. Association of overall survival (OS) with PD-L1 expression status on tumor cell membrane.
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    Clinical Cancer Research: 21 (5)
    March 2015
    Volume 21, Issue 5
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    Correlation of PD-L1 Tumor Expression and Treatment Outcomes in Patients with Renal Cell Carcinoma Receiving Sunitinib or Pazopanib: Results from COMPARZ, a Randomized Controlled Trial
    Toni K. Choueiri, David J. Figueroa, André P. Fay, Sabina Signoretti, Yuan Liu, Robert Gagnon, Keith Deen, Christopher Carpenter, Peter Benson, Thai H. Ho, Lini Pandite, Paul de Souza, Thomas Powles and Robert J. Motzer
    Clin Cancer Res March 1 2015 (21) (5) 1071-1077; DOI: 10.1158/1078-0432.CCR-14-1993

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    Correlation of PD-L1 Tumor Expression and Treatment Outcomes in Patients with Renal Cell Carcinoma Receiving Sunitinib or Pazopanib: Results from COMPARZ, a Randomized Controlled Trial
    Toni K. Choueiri, David J. Figueroa, André P. Fay, Sabina Signoretti, Yuan Liu, Robert Gagnon, Keith Deen, Christopher Carpenter, Peter Benson, Thai H. Ho, Lini Pandite, Paul de Souza, Thomas Powles and Robert J. Motzer
    Clin Cancer Res March 1 2015 (21) (5) 1071-1077; DOI: 10.1158/1078-0432.CCR-14-1993
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