Associations of Tissue Tumor Mutational Burden and Mutational Status With Clinical Outcomes With Pembrolizumab Plus Chemotherapy Versus Chemotherapy For Metastatic NSCLC

We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:JTO clinical and research reports Jg. 4; H. 1; S. 100431
Hauptverfasser: Garassino, Marina C., Gadgeel, Shirish, Novello, Silvia, Halmos, Balazs, Felip, Enriqueta, Speranza, Giovanna, Hui, Rina, Garon, Edward B., Horinouchi, Hidehito, Sugawara, Shunichi, Rodriguez-Abreu, Delvys, Reck, Martin, Cristescu, Razvan, Aurora-Garg, Deepti, Loboda, Andrey, Lunceford, Jared, Kobie, Julie, Ayers, Mark, Piperdi, Bilal, Pietanza, M. Catherine, Paz-Ares, Luis
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States Elsevier Inc 01.01.2023
Elsevier
Schlagworte:
ISSN:2666-3643, 2666-3643
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Abstract We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials. This retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome. Among patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status. These findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.
AbstractList We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials. This retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome. Among patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status. These findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.
We evaluated tissue tumor mutational burden (tTMB) and mutations in and as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials. This retrospective exploratory analysis evaluated prevalence of high tTMB and , and mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and , , and mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome. Among patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189,  = 293; KEYNOTE-407,  = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided > 0.05) or placebo-combination (Wald test, two-sided > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of , or mutation status. These findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, or mutation status as a biomarker for this regimen.
We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials.IntroductionWe evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials.This retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome.MethodsThis retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome.Among patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status.ResultsAmong patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status.These findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.ConclusionsThese findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.
Introduction: We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 (ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 (ClinicalTrials.gov, NCT02775435; squamous) trials. Methods: This retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407 and the relationship between these potential biomarkers and clinical outcomes. tTMB and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical utility of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome. Results: Among patients with evaluable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status. Conclusions: These findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the utility of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.
AbstractIntroductionWe evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy (pembrolizumab-combination) for NSCLC among patients in the phase 3 KEYNOTE-189 ( ClinicalTrials.gov, NCT02578680; nonsquamous) and KEYNOTE-407 ( ClinicalTrials.gov, NCT02775435; squamous) trials. MethodsThis retrospective exploratory analysis evaluated prevalence of high tTMB and STK11, KEAP1, and KRAS mutations in patients enrolled in KEYNOTE-189 and KEYNOTE-407, and the relationship between these potential biomarkers and clinical outcomes. tTMB, and STK11, KEAP1, and KRAS mutation status was assessed using whole-exome sequencing in patients with available tumor and matched normal DNA. The clinical use of tTMB was assessed using a prespecified cutpoint of 175 mutations/exome. ResultsAmong patients with assessable data from whole-exome sequencing for evaluation of tTMB (KEYNOTE-189, n = 293; KEYNOTE-407, n = 312) and matched normal DNA, no association was found between continuous tTMB score and overall survival (OS) or progression-free survival for pembrolizumab-combination (Wald test, one-sided p > 0.05) or placebo-combination (Wald test, two-sided p > 0.05) in patients with squamous or nonsquamous histology. Pembrolizumab-combination improved outcomes for patients with tTMB greater than or equal to 175 compared with tTMB less than 175 mutations/exome in KEYNOTE-189 (OS, hazard ratio = 0.64 [95% confidence interval (CI): 0.38‒1.07] and 0.64 [95% CI: 0.42‒0.97], respectively) and KEYNOTE-407 (OS, hazard ratio = 0.74 [95% CI: 0.50‒1.08 and 0.86 [95% CI: 0.57‒1.28], respectively) versus placebo-combination. Treatment outcomes were similar regardless of KEAP1, STK11, or KRAS mutation status. ConclusionsThese findings support pembrolizumab-combination as first-line treatment in patients with metastatic NSCLC and do not suggest the use of tTMB, STK11, KEAP1, or KRAS mutation status as a biomarker for this regimen.
ArticleNumber 100431
Author Garassino, Marina C.
Garon, Edward B.
Loboda, Andrey
Reck, Martin
Paz-Ares, Luis
Cristescu, Razvan
Felip, Enriqueta
Rodriguez-Abreu, Delvys
Hui, Rina
Halmos, Balazs
Pietanza, M. Catherine
Horinouchi, Hidehito
Novello, Silvia
Speranza, Giovanna
Sugawara, Shunichi
Lunceford, Jared
Aurora-Garg, Deepti
Piperdi, Bilal
Ayers, Mark
Gadgeel, Shirish
Kobie, Julie
Author_xml – sequence: 1
  givenname: Marina C.
  surname: Garassino
  fullname: Garassino, Marina C.
  email: mgarassino@medicine.bsd.uchicago.edu
  organization: Section of Hematology/Oncology, Thoracic Oncology program, University of Chicago, Chicago, Illinois, and IRCCS Istituto Nazionale dei Tumori, Milano
– sequence: 2
  givenname: Shirish
  surname: Gadgeel
  fullname: Gadgeel, Shirish
  organization: Division of Hematology/Oncology, Department of Internal Medicine, Henry Ford Cancer Institute/Henry Ford Health System, Detroit, Michigan
– sequence: 3
  givenname: Silvia
  surname: Novello
  fullname: Novello, Silvia
  organization: Department of Oncology, University of Turin, Orbassano, Italy
– sequence: 4
  givenname: Balazs
  surname: Halmos
  fullname: Halmos, Balazs
  organization: Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
– sequence: 5
  givenname: Enriqueta
  surname: Felip
  fullname: Felip, Enriqueta
  organization: Vall d’Hebron Institute of Oncology (VHIO), Vall d’Hebron University, Barcelona, Spain
– sequence: 6
  givenname: Giovanna
  surname: Speranza
  fullname: Speranza, Giovanna
  organization: Centre integré de cancérologie de la Montérégie, Université de Sherbrooke, Greenfield Park, Quebec, Canada
– sequence: 7
  givenname: Rina
  surname: Hui
  fullname: Hui, Rina
  organization: Westmead Hospital and University of Sydney, Sydney, New South Wales, Australia
– sequence: 8
  givenname: Edward B.
  surname: Garon
  fullname: Garon, Edward B.
  organization: David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California
– sequence: 9
  givenname: Hidehito
  surname: Horinouchi
  fullname: Horinouchi, Hidehito
  organization: Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
– sequence: 10
  givenname: Shunichi
  surname: Sugawara
  fullname: Sugawara, Shunichi
  organization: Department of Pulmonary Medicine, Sendai Kousei Hospital, Miyagi, Japan
– sequence: 11
  givenname: Delvys
  surname: Rodriguez-Abreu
  fullname: Rodriguez-Abreu, Delvys
  organization: Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
– sequence: 12
  givenname: Martin
  surname: Reck
  fullname: Reck, Martin
  organization: LungenClinic, Airway Research Center North, German Center for Lung Research, Grosshansdorf, Germany
– sequence: 13
  givenname: Razvan
  surname: Cristescu
  fullname: Cristescu, Razvan
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 14
  givenname: Deepti
  surname: Aurora-Garg
  fullname: Aurora-Garg, Deepti
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 15
  givenname: Andrey
  surname: Loboda
  fullname: Loboda, Andrey
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 16
  givenname: Jared
  surname: Lunceford
  fullname: Lunceford, Jared
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 17
  givenname: Julie
  surname: Kobie
  fullname: Kobie, Julie
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 18
  givenname: Mark
  surname: Ayers
  fullname: Ayers, Mark
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 19
  givenname: Bilal
  surname: Piperdi
  fullname: Piperdi, Bilal
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 20
  givenname: M. Catherine
  surname: Pietanza
  fullname: Pietanza, M. Catherine
  organization: Merck & Co., Inc., Rahway, New Jersey
– sequence: 21
  givenname: Luis
  surname: Paz-Ares
  fullname: Paz-Ares, Luis
  organization: Hospital Universitario 12 de Octubre, Spanish National Cancer Research Center, Universidad Complutense and Ciberonc, Madrid, Spain
BackLink https://www.ncbi.nlm.nih.gov/pubmed/36793385$$D View this record in MEDLINE/PubMed
BookMark eNqVUttu1DAQjVARLaV_gFAeednFl1xshJBKRKHSQivtAo-W1550HZJ4ayeVlj_iL3GaFG0roYonW2fmnDOaOc-jg9a2EEUvMZpjhLM31bzqrHJuThAhAUIJxU-iI5Jl2YxmCT3Y-x9GJ95XCCGSYpwz8iw6pFnOKWXpUfT71HurjOyMbX1sy3hlvO8hXvWNdfGXvrutyDr-0DsNbSxbvY8uw6_38Q_TbeKiNq1RAbzoO2UbmOBLaNbO1uZX38h1fFmH9mIDje024OR2F38H5x9iZ4M3dNIPRir-uiwWxYvoaSlrDyfTexx9O_u4Kj7PFhefzovTxUxlNO9mTEudYk05B8xKjnKNtcRIUslohrReqzLTeYlylqQlUyxRGEGesBIFIgNKj6PzUVdbWYmtM410O2GlEbeAdVdCujBVDSJdUxwYUrJMJjhhnFPQvFSSA8epVEHr_ai17dcNaAVt52R9T_R-pTUbcWVvBOeEYj4M83oScPa6B9-JxngFdS1bsL0XJM_zBKUpTkPrq32vvyZ3tw4Nb8cG5az3DkqhzHjIYG1qgZEYsiUqMWZLDNkSY7YCOXlAvtN_hDYtAMLFbgw44ZWBVoE2DlQXVmr-V0BNMfsJO_CV7V3IoRdYeCKQWA6pH0JPCEI4TUkQePdvgcf9_wBjXBgv
CitedBy_id crossref_primary_10_3389_fonc_2023_1249237
crossref_primary_10_1080_21645515_2024_2429893
crossref_primary_10_1007_s11523_022_00937_3
crossref_primary_10_1007_s10555_025_10272_4
crossref_primary_10_1136_jitc_2022_005801
Cites_doi 10.1016/j.jtho.2016.11.343
10.1016/j.esmoop.2021.100124
10.1056/NEJMc1713444
10.1038/ng.3564
10.1200/JCO.18.00149
10.1002/gcc.22733
10.1056/NEJMoa1801946
10.1016/S0140-6736(18)32409-7
10.1093/annonc/mdy474
10.1126/science.aar3593
10.1056/NEJMoa1810865
10.1136/esmoopen-2020-000706
10.1016/S1470-2045(20)30445-9
10.1038/s41588-018-0312-8
10.1001/jamaoncol.2020.0237
10.1126/science.aaa1348
10.1093/annonc/mdz394.077
10.1158/1538-7445.AM2020-CT084
10.1016/j.lungcan.2019.05.015
10.1038/s41568-019-0179-8
10.21037/jtd.2018.11.102
10.1016/j.ccell.2018.03.018
10.1093/annonc/mdw436
10.1172/JCI91190
10.1056/NEJMoa1606774
10.1158/1538-7445.AM2019-SY42-02
10.1056/NEJMoa1613493
10.1016/j.cmet.2018.02.006
10.1158/1078-0432.CCR-19-3663
10.1200/JCO.2017.75.3384
10.1056/NEJMoa1801005
10.1186/s40425-019-0647-4
10.1038/nature13385
10.1038/s41588-018-0200-2
10.1172/jci.insight.126908
10.1200/JCO.18.01042
10.1016/j.lungcan.2019.01.003
ContentType Journal Article
Copyright 2022 The Authors
2022 The Authors.
2022 The Authors 2022
Copyright_xml – notice: 2022 The Authors
– notice: 2022 The Authors.
– notice: 2022 The Authors 2022
DBID 6I.
AAFTH
AAYXX
CITATION
NPM
7X8
5PM
DOA
DOI 10.1016/j.jtocrr.2022.100431
DatabaseName ScienceDirect Open Access Titles
Elsevier:ScienceDirect:Open Access
CrossRef
PubMed
MEDLINE - Academic
PubMed Central (Full Participant titles)
DOAJ Directory of Open Access Journals
DatabaseTitle CrossRef
PubMed
MEDLINE - Academic
DatabaseTitleList
PubMed

MEDLINE - Academic


Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 2666-3643
EndPage 100431
ExternalDocumentID oai_doaj_org_article_5b31e33aa86a4148993ed9fca9e915ac
PMC9923193
36793385
10_1016_j_jtocrr_2022_100431
S2666364322001552
1_s2_0_S2666364322001552
Genre Journal Article
GrantInformation_xml – fundername: NCI NIH HHS
  grantid: P30 CA016042
GroupedDBID .1-
.FO
0R~
1P~
53G
AAEDW
AALRI
AAXUO
AAYWO
ACVFH
ADCNI
ADVLN
AEUPX
AFJKZ
AFPUW
AFRHN
AIGII
AITUG
AJUYK
AKBMS
AKYEP
ALMA_UNASSIGNED_HOLDINGS
AMRAJ
APXCP
EBS
FDB
GROUPED_DOAJ
M41
M~E
OK1
ROL
RPM
Z5R
AAHOK
AFCTW
NCXOZ
6I.
AAFTH
AAYXX
CITATION
NPM
7X8
5PM
ID FETCH-LOGICAL-c637t-8dad51d399e18f907d1da10a3a8360ddbcf6d7f07845f8c84c10e748f0dad8e33
IEDL.DBID DOA
ISICitedReferencesCount 41
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001165404600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 2666-3643
IngestDate Fri Oct 03 12:45:48 EDT 2025
Thu Aug 21 18:38:18 EDT 2025
Fri Sep 05 10:42:38 EDT 2025
Thu Oct 16 01:42:14 EDT 2025
Tue Nov 18 21:55:42 EST 2025
Thu Nov 20 00:42:45 EST 2025
Tue Jul 25 20:56:40 EDT 2023
Tue Feb 25 19:54:55 EST 2025
Tue Aug 26 19:33:20 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Keywords Pembrolizumab
Biomarker
Tissue tumor mutational burden
Single-gene genetic alterations
Metastatic non‒small-cell lung cancer
Language English
License This is an open access article under the CC BY-NC-ND license.
2022 The Authors.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c637t-8dad51d399e18f907d1da10a3a8360ddbcf6d7f07845f8c84c10e748f0dad8e33
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
OpenAccessLink https://doaj.org/article/5b31e33aa86a4148993ed9fca9e915ac
PMID 36793385
PQID 2777405515
PQPubID 23479
PageCount 1
ParticipantIDs doaj_primary_oai_doaj_org_article_5b31e33aa86a4148993ed9fca9e915ac
pubmedcentral_primary_oai_pubmedcentral_nih_gov_9923193
proquest_miscellaneous_2777405515
pubmed_primary_36793385
crossref_citationtrail_10_1016_j_jtocrr_2022_100431
crossref_primary_10_1016_j_jtocrr_2022_100431
elsevier_sciencedirect_doi_10_1016_j_jtocrr_2022_100431
elsevier_clinicalkeyesjournals_1_s2_0_S2666364322001552
elsevier_clinicalkey_doi_10_1016_j_jtocrr_2022_100431
PublicationCentury 2000
PublicationDate 2023-01-01
PublicationDateYYYYMMDD 2023-01-01
PublicationDate_xml – month: 01
  year: 2023
  text: 2023-01-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle JTO clinical and research reports
PublicationTitleAlternate JTO Clin Res Rep
PublicationYear 2023
Publisher Elsevier Inc
Elsevier
Publisher_xml – name: Elsevier Inc
– name: Elsevier
References Cristescu, Mogg, Ayers (bib22) 2018; 362
Merino, McShane, Fabrizio (bib23) 2020; 8
Ayers, Lunceford, Nebozhyn (bib24) 2017; 127
Marabelle, Fakih, Lopez (bib26) 2020; 21
Aredo, Padda, Kunder (bib19) 2019; 133
Cho, Lopes, Kowalski (bib41) 2020; 80
La Fleur, Falk-Sorqvist, Smeds (bib18) 2019; 130
Herbst, Lopes, Kowalski (bib30) 2019; 30
Aurora-Garg D, Albright A, Qiu P, et al. Large-scale evaluation of concordance of genomic scores in whole exome sequencing and Foundation Medicine comprehensive genomic platform across cancer types. Paper presented at: Society for Immunotherapy of Cancer (SITC); November 6–10, 2019. National Harbor, MD.
Reck, Rodriguez-Abreu, Robinson (bib35) 2019; 37
Hellmann, Ciuleanu, Pluzanski (bib11) 2018; 378
Campbell, Alexandrov, Kim (bib15) 2016; 48
Rizvi, Cho, Reinmuth (bib32) 2020; 6
Ready, Hellmann, Awad (bib13) 2019; 37
Panda, Betigeri, Subramanian (bib25) 2017; 2017
Reck, Rodriguez-Abreu, Robinson (bib34) 2016; 375
(bib16) 2014; 511
Kadara, Choi, Zhang (bib21) 2017; 28
Rizvi, Sanchez-Vega, La (bib39) 2018; 36
Stenzinger, Allen, Maas (bib6) 2019; 58
Miao, Margolis, Vokes (bib40) 2018; 50
Aggarwal, Thompson, Chien (bib37) 2020; 26
Fancello, Gandini, Pelicci, Mazzarella (bib5) 2019; 7
Yarchoan, Albacker, Hopkins (bib7) 2019; 4
Galvano, Gristina, Malapelle (bib8) 2021; 6
Skoulidis, Heymach (bib17) 2019; 19
Skoulidis (bib38) 2019; 79
Samstein, Lee, Shoushtari (bib42) 2019; 51
Rizvi, Hellmann, Snyder (bib9) 2015; 348
Kowanetz, Zou, Shames (bib12) 2017; 12
Papillon-Cavanagh, Doshi, Dobrin, Szustakowski, Walsh (bib29) 2020; 5
Yarchoan, Hopkins, Jaffee (bib33) 2017; 377
Cristescu, Aurora-Garg, Albright (bib28) 2022; 10
Planchard, Popat, Kerr (bib2) 2019; 30
Best, De Souza, Kersbergen (bib20) 2018; 27
Paz-Ares, Luft, Vicente (bib4) 2018; 379
Hellmann, Nathanson, Rizvi (bib31) 2018; 33
bib1
Berland, Heeke, Humbert (bib10) 2019; 11
Carbone, Reck, Paz-Ares (bib14) 2017; 376
Gandhi, Rodriguez-Abreu, Gadgeel (bib3) 2018; 378
Mok, Wu, Kudaba (bib36) 2019; 393
Aggarwal (10.1016/j.jtocrr.2022.100431_bib37) 2020; 26
Mok (10.1016/j.jtocrr.2022.100431_bib36) 2019; 393
Gandhi (10.1016/j.jtocrr.2022.100431_bib3) 2018; 378
Panda (10.1016/j.jtocrr.2022.100431_bib25) 2017; 2017
Yarchoan (10.1016/j.jtocrr.2022.100431_bib33) 2017; 377
Rizvi (10.1016/j.jtocrr.2022.100431_bib39) 2018; 36
(10.1016/j.jtocrr.2022.100431_bib16) 2014; 511
Best (10.1016/j.jtocrr.2022.100431_bib20) 2018; 27
Galvano (10.1016/j.jtocrr.2022.100431_bib8) 2021; 6
Paz-Ares (10.1016/j.jtocrr.2022.100431_bib4) 2018; 379
Kowanetz (10.1016/j.jtocrr.2022.100431_bib12) 2017; 12
Reck (10.1016/j.jtocrr.2022.100431_bib35) 2019; 37
Skoulidis (10.1016/j.jtocrr.2022.100431_bib17) 2019; 19
Carbone (10.1016/j.jtocrr.2022.100431_bib14) 2017; 376
Campbell (10.1016/j.jtocrr.2022.100431_bib15) 2016; 48
Berland (10.1016/j.jtocrr.2022.100431_bib10) 2019; 11
Rizvi (10.1016/j.jtocrr.2022.100431_bib32) 2020; 6
Aredo (10.1016/j.jtocrr.2022.100431_bib19) 2019; 133
Merino (10.1016/j.jtocrr.2022.100431_bib23) 2020; 8
Fancello (10.1016/j.jtocrr.2022.100431_bib5) 2019; 7
Ayers (10.1016/j.jtocrr.2022.100431_bib24) 2017; 127
Kadara (10.1016/j.jtocrr.2022.100431_bib21) 2017; 28
Planchard (10.1016/j.jtocrr.2022.100431_bib2) 2019; 30
Skoulidis (10.1016/j.jtocrr.2022.100431_bib38) 2019; 79
Rizvi (10.1016/j.jtocrr.2022.100431_bib9) 2015; 348
10.1016/j.jtocrr.2022.100431_bib27
Hellmann (10.1016/j.jtocrr.2022.100431_bib31) 2018; 33
Stenzinger (10.1016/j.jtocrr.2022.100431_bib6) 2019; 58
Reck (10.1016/j.jtocrr.2022.100431_bib34) 2016; 375
Cho (10.1016/j.jtocrr.2022.100431_bib41) 2020; 80
Herbst (10.1016/j.jtocrr.2022.100431_bib30) 2019; 30
Hellmann (10.1016/j.jtocrr.2022.100431_bib11) 2018; 378
Papillon-Cavanagh (10.1016/j.jtocrr.2022.100431_bib29) 2020; 5
Miao (10.1016/j.jtocrr.2022.100431_bib40) 2018; 50
Cristescu (10.1016/j.jtocrr.2022.100431_bib28) 2022; 10
Yarchoan (10.1016/j.jtocrr.2022.100431_bib7) 2019; 4
Ready (10.1016/j.jtocrr.2022.100431_bib13) 2019; 37
La Fleur (10.1016/j.jtocrr.2022.100431_bib18) 2019; 130
Cristescu (10.1016/j.jtocrr.2022.100431_bib22) 2018; 362
Marabelle (10.1016/j.jtocrr.2022.100431_bib26) 2020; 21
Samstein (10.1016/j.jtocrr.2022.100431_bib42) 2019; 51
41089738 - JTO Clin Res Rep. 2025 Sep 02;6(10):100892. doi: 10.1016/j.jtocrr.2025.100892.
References_xml – volume: 6
  year: 2021
  ident: bib8
  article-title: The prognostic impact of tumor mutational burden (TMB) in the first-line management of advanced non-oncogene addicted non-small-cell lung cancer (NSCLC): a systematic review and meta-analysis of randomized controlled trials
  publication-title: ESMO Open
– volume: 21
  start-page: 1353
  year: 2020
  end-page: 1365
  ident: bib26
  article-title: Association of tumour mutational burden with outcomes in patients with advanced solid tumours treated with pembrolizumab: prospective biomarker analysis of the multicohort, open-label, phase 2 KEYNOTE-158 study
  publication-title: Lancet Oncol
– volume: 375
  start-page: 1823
  year: 2016
  end-page: 1833
  ident: bib34
  article-title: Pembrolizumab versus chemotherapy for PD-L1-positive non–small-cell lung cancer
  publication-title: N Engl J Med
– volume: 30
  start-page: v916
  year: 2019
  end-page: v917
  ident: bib30
  article-title: Association between tissue TMB (tTMB) and clinical outcomes with pembrolizumab monotherapy (pembro) in PD-L1-positive advanced NSCLC in the KEYNOTE-010 and −042 trials
  publication-title: Ann Oncol
– volume: 7
  start-page: 183
  year: 2019
  ident: bib5
  article-title: Tumor mutational burden quantification from targeted gene panels: major advancements and challenges
  publication-title: J Immunother Cancer
– volume: 4
  year: 2019
  ident: bib7
  article-title: PD-L1 expression and tumor mutational burden are independent biomarkers in most cancers
  publication-title: JCI Insight
– volume: 37
  start-page: 537
  year: 2019
  end-page: 546
  ident: bib35
  article-title: Updated analysis of KEYNOTE-024: pembrolizumab versus platinum-based chemotherapy for advanced non-small-cell lung cancer with PD-L1 tumor proportion score of 50% or greater
  publication-title: J Clin Oncol
– volume: 130
  start-page: 50
  year: 2019
  end-page: 58
  ident: bib18
  article-title: Mutation patterns in a population-based non-small cell lung cancer cohort and prognostic impact of concomitant mutations in KRAS and TP53 or STK11
  publication-title: Lung Cancer
– volume: 378
  start-page: 2093
  year: 2018
  end-page: 2104
  ident: bib11
  article-title: Nivolumab plus ipilimumab in lung cancer with a high tumor mutational burden
  publication-title: N Engl J Med
– volume: 10
  year: 2022
  ident: bib28
  article-title: Tumor mutational burden predicts the efficacy of pembrolizumab monotherapy: a pan-tumor retrospective analysis of participants with advanced solid tumors
  publication-title: J Immunother Cancer
– volume: 11
  start-page: S71
  year: 2019
  end-page: S80
  ident: bib10
  article-title: Current views on tumor mutational burden in patients with non-small cell lung cancer treated by immune checkpoint inhibitors
  publication-title: J Thorac Dis
– volume: 379
  start-page: 2040
  year: 2018
  end-page: 2051
  ident: bib4
  article-title: Pembrolizumab plus chemotherapy for squamous non-small-cell lung cancer
  publication-title: N Engl J Med
– volume: 393
  start-page: 1819
  year: 2019
  end-page: 1830
  ident: bib36
  article-title: Pembrolizumab versus chemotherapy for previously untreated, PD-L1-expressing, locally advanced or metastatic non-small-cell lung cancer (KEYNOTE-042): a randomised, open-label, controlled, phase 3 trial
  publication-title: Lancet
– volume: 376
  start-page: 2415
  year: 2017
  end-page: 2426
  ident: bib14
  article-title: First-line nivolumab in stage IV or recurrent non-small-cell lung cancer
  publication-title: N Engl J Med
– volume: 8
  year: 2020
  ident: bib23
  article-title: Establishing guidelines to harmonize tumor mutational burden (TMB): in silico assessment of variation in TMB quantification across diagnostic platforms: phase I of the Friends of Cancer Research TMB Harmonization Project
  publication-title: J Immunother Cancer
– volume: 12
  start-page: S321
  year: 2017
  end-page: S322
  ident: bib12
  article-title: Tumor mutation burden (TMB) is associated with improved efficacy of atezolizumab in 1l and 2l+ NSCLC patients
  publication-title: J Thorac Oncol
– volume: 27
  start-page: 935
  year: 2018
  end-page: 943.e4
  ident: bib20
  article-title: Synergy between the KEAP1/NRF2 and PI3K pathways drives non-small-cell lung cancer with an altered immune microenvironment
  publication-title: Cell Metab
– volume: 37
  start-page: 992
  year: 2019
  end-page: 1000
  ident: bib13
  article-title: First-line nivolumab plus ipilimumab in advanced non-small-cell lung cancer (CheckMate 568): outcomes by programmed death ligand 1 and tumor mutational burden as biomarkers
  publication-title: J Clin Oncol
– volume: 127
  start-page: 2930
  year: 2017
  end-page: 2940
  ident: bib24
  article-title: IFN-gamma-related mRNA profile predicts clinical response to PD-1 blockade
  publication-title: J Clin Invest
– volume: 50
  start-page: 1271
  year: 2018
  end-page: 1281
  ident: bib40
  article-title: Genomic correlates of response to immune checkpoint blockade in microsatellite-stable solid tumors
  publication-title: Nat Genet
– volume: 33
  start-page: 843
  year: 2018
  end-page: 852
  ident: bib31
  article-title: Genomic features of response to combination immunotherapy in patients with advanced non-small-cell lung cancer
  publication-title: Cancer Cell
– volume: 48
  start-page: 607
  year: 2016
  end-page: 616
  ident: bib15
  article-title: Distinct patterns of somatic genome alterations in lung adenocarcinomas and squamous cell carcinomas
  publication-title: Nat Genet
– volume: 133
  start-page: 144
  year: 2019
  end-page: 150
  ident: bib19
  article-title: Impact of KRAS mutation subtype and concurrent pathogenic mutations on non-small cell lung cancer outcomes
  publication-title: Lung Cancer
– volume: 28
  start-page: 75
  year: 2017
  end-page: 82
  ident: bib21
  article-title: Whole-exome sequencing and immune profiling of early-stage lung adenocarcinoma with fully annotated clinical follow-up
  publication-title: Ann Oncol
– volume: 378
  start-page: 2078
  year: 2018
  end-page: 2092
  ident: bib3
  article-title: Pembrolizumab plus chemotherapy in metastatic non-small-cell lung cancer
  publication-title: N Engl J Med
– volume: 377
  start-page: 2500
  year: 2017
  end-page: 2501
  ident: bib33
  article-title: Tumor mutational burden and response rate to PD-1 inhibition
  publication-title: N Engl J Med
– volume: 26
  start-page: 2354
  year: 2020
  end-page: 2361
  ident: bib37
  article-title: Baseline plasma tumor mutation burden predicts response to pembrolizumab-based therapy in patients with metastatic non-small cell lung cancer
  publication-title: Clin Cancer Res
– volume: 51
  start-page: 202
  year: 2019
  end-page: 206
  ident: bib42
  article-title: Tumor mutational load predicts survival after immunotherapy across multiple cancer types
  publication-title: Nat Genet
– ident: bib1
  article-title: NCCN clinical practice guidelines in oncology [NCCN Guidelines]: non-small-cell lung cancer, version 3.2019
– volume: 6
  start-page: 661
  year: 2020
  end-page: 674
  ident: bib32
  article-title: Durvalumab with or without tremelimumab vs standard chemotherapy in first-line treatment of metastatic non-small cell lung cancer: the MYSTIC Phase 3 randomized clinical trial
  publication-title: JAMA Oncol
– volume: 362
  start-page: eaar3593
  year: 2018
  ident: bib22
  article-title: Pan-tumor genomic biomarkers for PD-1 checkpoint blockade-based immunotherapy
  publication-title: Science
– volume: 19
  start-page: 495
  year: 2019
  end-page: 509
  ident: bib17
  article-title: Co-occurring genomic alterations in non-small-cell lung cancer biology and therapy
  publication-title: Nat Rev Cancer
– volume: 5
  year: 2020
  ident: bib29
  article-title: STK11 and KEAP1 mutations as prognostic biomarkers in an observational real-world lung adenocarcinoma cohort
  publication-title: ESMO Open
– volume: 348
  start-page: 124
  year: 2015
  end-page: 128
  ident: bib9
  article-title: Mutational landscape determines sensitivity to PD-1 blockade in non-small cell lung cancer
  publication-title: Science
– volume: 58
  start-page: 578
  year: 2019
  end-page: 588
  ident: bib6
  article-title: Tumor mutational burden standardization initiatives: recommendations for consistent tumor mutational burden assessment in clinical samples to guide immunotherapy treatment decisions
  publication-title: Genes Chromosomes Cancer
– reference: Aurora-Garg D, Albright A, Qiu P, et al. Large-scale evaluation of concordance of genomic scores in whole exome sequencing and Foundation Medicine comprehensive genomic platform across cancer types. Paper presented at: Society for Immunotherapy of Cancer (SITC); November 6–10, 2019. National Harbor, MD.
– volume: 2017
  year: 2017
  ident: bib25
  article-title: Identifying a clinically applicable mutational burden threshold as a potential biomarker of response to immune checkpoint therapy in solid tumors
  publication-title: JCO Precis Oncol
– volume: 511
  start-page: 543
  year: 2014
  end-page: 550
  ident: bib16
  article-title: Comprehensive molecular profiling of lung adenocarcinoma
  publication-title: Nature
– volume: 36
  start-page: 633
  year: 2018
  end-page: 641
  ident: bib39
  article-title: Molecular determinants of response to anti-programmed cell death (PD)-1 and anti-programmed death-ligand 1 (PD-L1) blockade in patients with non-small-cell lung cancer profiled with targeted next-generation sequencing
  publication-title: J Clin Oncol
– volume: 79
  year: 2019
  ident: bib38
  article-title: Inactivating STK11/LKB1 genomic alterations are a major driver of primary resistance to PD-1 axis blockade in non-squamous non-small cell lung cancer
  publication-title: Cancer Res
– volume: 80
  start-page: CT084
  year: 2020
  ident: bib41
  article-title: Relationship between STK11 and KEAP1 mutational status and efficacy in KEYNOTE-042: pembrolizumab monotherapy versus platinum-based chemotherapy as first-line therapy for PD-L1-positive advanced NSCLC
  publication-title: Cancer Res
– volume: 30
  start-page: 863
  year: 2019
  end-page: 870
  ident: bib2
  article-title: Metastatic non-small cell lung cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up
  publication-title: Ann Oncol
– volume: 12
  start-page: S321
  issue: suppl
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib12
  article-title: Tumor mutation burden (TMB) is associated with improved efficacy of atezolizumab in 1l and 2l+ NSCLC patients
  publication-title: J Thorac Oncol
  doi: 10.1016/j.jtho.2016.11.343
– volume: 6
  year: 2021
  ident: 10.1016/j.jtocrr.2022.100431_bib8
  article-title: The prognostic impact of tumor mutational burden (TMB) in the first-line management of advanced non-oncogene addicted non-small-cell lung cancer (NSCLC): a systematic review and meta-analysis of randomized controlled trials
  publication-title: ESMO Open
  doi: 10.1016/j.esmoop.2021.100124
– volume: 377
  start-page: 2500
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib33
  article-title: Tumor mutational burden and response rate to PD-1 inhibition
  publication-title: N Engl J Med
  doi: 10.1056/NEJMc1713444
– volume: 48
  start-page: 607
  year: 2016
  ident: 10.1016/j.jtocrr.2022.100431_bib15
  article-title: Distinct patterns of somatic genome alterations in lung adenocarcinomas and squamous cell carcinomas
  publication-title: Nat Genet
  doi: 10.1038/ng.3564
– volume: 2017
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib25
  article-title: Identifying a clinically applicable mutational burden threshold as a potential biomarker of response to immune checkpoint therapy in solid tumors
  publication-title: JCO Precis Oncol
– volume: 37
  start-page: 537
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib35
  article-title: Updated analysis of KEYNOTE-024: pembrolizumab versus platinum-based chemotherapy for advanced non-small-cell lung cancer with PD-L1 tumor proportion score of 50% or greater
  publication-title: J Clin Oncol
  doi: 10.1200/JCO.18.00149
– volume: 58
  start-page: 578
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib6
  article-title: Tumor mutational burden standardization initiatives: recommendations for consistent tumor mutational burden assessment in clinical samples to guide immunotherapy treatment decisions
  publication-title: Genes Chromosomes Cancer
  doi: 10.1002/gcc.22733
– volume: 378
  start-page: 2093
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib11
  article-title: Nivolumab plus ipilimumab in lung cancer with a high tumor mutational burden
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1801946
– volume: 393
  start-page: 1819
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib36
  article-title: Pembrolizumab versus chemotherapy for previously untreated, PD-L1-expressing, locally advanced or metastatic non-small-cell lung cancer (KEYNOTE-042): a randomised, open-label, controlled, phase 3 trial
  publication-title: Lancet
  doi: 10.1016/S0140-6736(18)32409-7
– volume: 8
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib23
  article-title: Establishing guidelines to harmonize tumor mutational burden (TMB): in silico assessment of variation in TMB quantification across diagnostic platforms: phase I of the Friends of Cancer Research TMB Harmonization Project
  publication-title: J Immunother Cancer
– volume: 30
  start-page: 863
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib2
  article-title: Metastatic non-small cell lung cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up
  publication-title: Ann Oncol
  doi: 10.1093/annonc/mdy474
– volume: 362
  start-page: eaar3593
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib22
  article-title: Pan-tumor genomic biomarkers for PD-1 checkpoint blockade-based immunotherapy
  publication-title: Science
  doi: 10.1126/science.aar3593
– volume: 379
  start-page: 2040
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib4
  article-title: Pembrolizumab plus chemotherapy for squamous non-small-cell lung cancer
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1810865
– volume: 5
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib29
  article-title: STK11 and KEAP1 mutations as prognostic biomarkers in an observational real-world lung adenocarcinoma cohort
  publication-title: ESMO Open
  doi: 10.1136/esmoopen-2020-000706
– volume: 21
  start-page: 1353
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib26
  article-title: Association of tumour mutational burden with outcomes in patients with advanced solid tumours treated with pembrolizumab: prospective biomarker analysis of the multicohort, open-label, phase 2 KEYNOTE-158 study
  publication-title: Lancet Oncol
  doi: 10.1016/S1470-2045(20)30445-9
– volume: 51
  start-page: 202
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib42
  article-title: Tumor mutational load predicts survival after immunotherapy across multiple cancer types
  publication-title: Nat Genet
  doi: 10.1038/s41588-018-0312-8
– volume: 6
  start-page: 661
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib32
  article-title: Durvalumab with or without tremelimumab vs standard chemotherapy in first-line treatment of metastatic non-small cell lung cancer: the MYSTIC Phase 3 randomized clinical trial
  publication-title: JAMA Oncol
  doi: 10.1001/jamaoncol.2020.0237
– ident: 10.1016/j.jtocrr.2022.100431_bib27
– volume: 348
  start-page: 124
  year: 2015
  ident: 10.1016/j.jtocrr.2022.100431_bib9
  article-title: Mutational landscape determines sensitivity to PD-1 blockade in non-small cell lung cancer
  publication-title: Science
  doi: 10.1126/science.aaa1348
– volume: 30
  start-page: v916
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib30
  article-title: Association between tissue TMB (tTMB) and clinical outcomes with pembrolizumab monotherapy (pembro) in PD-L1-positive advanced NSCLC in the KEYNOTE-010 and −042 trials
  publication-title: Ann Oncol
  doi: 10.1093/annonc/mdz394.077
– volume: 80
  start-page: CT084
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib41
  article-title: Relationship between STK11 and KEAP1 mutational status and efficacy in KEYNOTE-042: pembrolizumab monotherapy versus platinum-based chemotherapy as first-line therapy for PD-L1-positive advanced NSCLC
  publication-title: Cancer Res
  doi: 10.1158/1538-7445.AM2020-CT084
– volume: 133
  start-page: 144
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib19
  article-title: Impact of KRAS mutation subtype and concurrent pathogenic mutations on non-small cell lung cancer outcomes
  publication-title: Lung Cancer
  doi: 10.1016/j.lungcan.2019.05.015
– volume: 19
  start-page: 495
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib17
  article-title: Co-occurring genomic alterations in non-small-cell lung cancer biology and therapy
  publication-title: Nat Rev Cancer
  doi: 10.1038/s41568-019-0179-8
– volume: 11
  start-page: S71
  issue: suppl 1
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib10
  article-title: Current views on tumor mutational burden in patients with non-small cell lung cancer treated by immune checkpoint inhibitors
  publication-title: J Thorac Dis
  doi: 10.21037/jtd.2018.11.102
– volume: 33
  start-page: 843
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib31
  article-title: Genomic features of response to combination immunotherapy in patients with advanced non-small-cell lung cancer
  publication-title: Cancer Cell
  doi: 10.1016/j.ccell.2018.03.018
– volume: 28
  start-page: 75
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib21
  article-title: Whole-exome sequencing and immune profiling of early-stage lung adenocarcinoma with fully annotated clinical follow-up
  publication-title: Ann Oncol
  doi: 10.1093/annonc/mdw436
– volume: 127
  start-page: 2930
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib24
  article-title: IFN-gamma-related mRNA profile predicts clinical response to PD-1 blockade
  publication-title: J Clin Invest
  doi: 10.1172/JCI91190
– volume: 10
  year: 2022
  ident: 10.1016/j.jtocrr.2022.100431_bib28
  article-title: Tumor mutational burden predicts the efficacy of pembrolizumab monotherapy: a pan-tumor retrospective analysis of participants with advanced solid tumors
  publication-title: J Immunother Cancer
– volume: 375
  start-page: 1823
  year: 2016
  ident: 10.1016/j.jtocrr.2022.100431_bib34
  article-title: Pembrolizumab versus chemotherapy for PD-L1-positive non–small-cell lung cancer
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1606774
– volume: 79
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib38
  article-title: Inactivating STK11/LKB1 genomic alterations are a major driver of primary resistance to PD-1 axis blockade in non-squamous non-small cell lung cancer
  publication-title: Cancer Res
  doi: 10.1158/1538-7445.AM2019-SY42-02
– volume: 376
  start-page: 2415
  year: 2017
  ident: 10.1016/j.jtocrr.2022.100431_bib14
  article-title: First-line nivolumab in stage IV or recurrent non-small-cell lung cancer
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1613493
– volume: 27
  start-page: 935
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib20
  article-title: Synergy between the KEAP1/NRF2 and PI3K pathways drives non-small-cell lung cancer with an altered immune microenvironment
  publication-title: Cell Metab
  doi: 10.1016/j.cmet.2018.02.006
– volume: 26
  start-page: 2354
  year: 2020
  ident: 10.1016/j.jtocrr.2022.100431_bib37
  article-title: Baseline plasma tumor mutation burden predicts response to pembrolizumab-based therapy in patients with metastatic non-small cell lung cancer
  publication-title: Clin Cancer Res
  doi: 10.1158/1078-0432.CCR-19-3663
– volume: 36
  start-page: 633
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib39
  article-title: Molecular determinants of response to anti-programmed cell death (PD)-1 and anti-programmed death-ligand 1 (PD-L1) blockade in patients with non-small-cell lung cancer profiled with targeted next-generation sequencing
  publication-title: J Clin Oncol
  doi: 10.1200/JCO.2017.75.3384
– volume: 378
  start-page: 2078
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib3
  article-title: Pembrolizumab plus chemotherapy in metastatic non-small-cell lung cancer
  publication-title: N Engl J Med
  doi: 10.1056/NEJMoa1801005
– volume: 7
  start-page: 183
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib5
  article-title: Tumor mutational burden quantification from targeted gene panels: major advancements and challenges
  publication-title: J Immunother Cancer
  doi: 10.1186/s40425-019-0647-4
– volume: 511
  start-page: 543
  year: 2014
  ident: 10.1016/j.jtocrr.2022.100431_bib16
  article-title: Comprehensive molecular profiling of lung adenocarcinoma
  publication-title: Nature
  doi: 10.1038/nature13385
– volume: 50
  start-page: 1271
  year: 2018
  ident: 10.1016/j.jtocrr.2022.100431_bib40
  article-title: Genomic correlates of response to immune checkpoint blockade in microsatellite-stable solid tumors
  publication-title: Nat Genet
  doi: 10.1038/s41588-018-0200-2
– volume: 4
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib7
  article-title: PD-L1 expression and tumor mutational burden are independent biomarkers in most cancers
  publication-title: JCI Insight
  doi: 10.1172/jci.insight.126908
– volume: 37
  start-page: 992
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib13
  article-title: First-line nivolumab plus ipilimumab in advanced non-small-cell lung cancer (CheckMate 568): outcomes by programmed death ligand 1 and tumor mutational burden as biomarkers
  publication-title: J Clin Oncol
  doi: 10.1200/JCO.18.01042
– volume: 130
  start-page: 50
  year: 2019
  ident: 10.1016/j.jtocrr.2022.100431_bib18
  article-title: Mutation patterns in a population-based non-small cell lung cancer cohort and prognostic impact of concomitant mutations in KRAS and TP53 or STK11
  publication-title: Lung Cancer
  doi: 10.1016/j.lungcan.2019.01.003
– reference: 41089738 - JTO Clin Res Rep. 2025 Sep 02;6(10):100892. doi: 10.1016/j.jtocrr.2025.100892.
SSID ssj0002511782
Score 2.4059885
Snippet We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus platinum-based...
AbstractIntroductionWe evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab...
We evaluated tissue tumor mutational burden (tTMB) and mutations in and as biomarkers for outcomes with pembrolizumab plus platinum-based chemotherapy...
Introduction: We evaluated tissue tumor mutational burden (tTMB) and mutations in STK11, KEAP1, and KRAS as biomarkers for outcomes with pembrolizumab plus...
SourceID doaj
pubmedcentral
proquest
pubmed
crossref
elsevier
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 100431
SubjectTerms Biomarker
Hematology, Oncology, and Palliative Medicine
Metastatic non‒small-cell lung cancer
Original
Pembrolizumab
Single-gene genetic alterations
Tissue tumor mutational burden
Title Associations of Tissue Tumor Mutational Burden and Mutational Status With Clinical Outcomes With Pembrolizumab Plus Chemotherapy Versus Chemotherapy For Metastatic NSCLC
URI https://www.clinicalkey.com/#!/content/1-s2.0-S2666364322001552
https://www.clinicalkey.es/playcontent/1-s2.0-S2666364322001552
https://dx.doi.org/10.1016/j.jtocrr.2022.100431
https://www.ncbi.nlm.nih.gov/pubmed/36793385
https://www.proquest.com/docview/2777405515
https://pubmed.ncbi.nlm.nih.gov/PMC9923193
https://doaj.org/article/5b31e33aa86a4148993ed9fca9e915ac
Volume 4
WOSCitedRecordID wos001165404600001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVAON
  databaseName: DOAJ Directory of Open Access Journals
  customDbUrl:
  eissn: 2666-3643
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0002511782
  issn: 2666-3643
  databaseCode: DOA
  dateStart: 20200101
  isFulltext: true
  titleUrlDefault: https://www.doaj.org/
  providerName: Directory of Open Access Journals
– providerCode: PRVHPJ
  databaseName: ROAD: Directory of Open Access Scholarly Resources
  customDbUrl:
  eissn: 2666-3643
  dateEnd: 99991231
  omitProxy: false
  ssIdentifier: ssj0002511782
  issn: 2666-3643
  databaseCode: M~E
  dateStart: 20200101
  isFulltext: true
  titleUrlDefault: https://road.issn.org
  providerName: ISSN International Centre
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Nj9MwELVghRAXxPd2gZWRuEYkdhI7R6i24kBLpS2iN8uxHW1XbYKaBIk98H_4l4xjp0oWpHLgkoNjx8rMZObZ8bxB6G1hotAQngSFkiyIZR4HuYpUQCE80AScckhcsQm2WPD1OlsOSn3ZM2GOHtgJ7l2S08hQKiVPZQzYHeKp0Rk8OTNZlEhlvW_IssFiyvpgC5xZVykKAlAaUIi7fd5cd7jruqnU3tKBEmLPCcQ0GsWljr5_FJ7-hJ-3T1EOwtLsEXro8SR-797jMbpjyifo_tz_MX-Kfg3kX-OqwKtO0njV7qo9nreN3wzELp8By1IPWy0WbWv8ddNcYU8husWf2wbs1PjmpdnltvTPTbuTOV5uobtlIfCZXT-w3ZG73Tazc5tG2nSmjcKLy-mn6TP0ZXaxmn4MfHmGQKWUNQHXUieRBoRjIl7AIltHWkahpNImhmidqyLVrAAMEicFVzxWYBYs5kUIAzno9Dk6KavSnCKsCSmIiY3KQclGUp5rGRcm1jlLM5KnE0R75QjlucttCY2t6A-pXQunUmFVKpxKJyg4jPrmuDuO9P9g9X7oa5m3uwawR-HtURyzxwlKeqsRfXIruGN40ObI5Oxv40ztfUotIlETEYpLa9HWoAlxBHrDkR42OTj0D3O-6c1agFexv4pkaaq2FoTBsiAENJ1M0Atn5gex0BR8OuVwh40-gJHcxnfKzVXHXJ7Z5URGz_6HoF-iB_Aq1G2HvUInzb41r9E99b3Z1PtzdJet-XnnFOA6_3nxG9Fha2o
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Associations+of+Tissue+Tumor+Mutational+Burden+and+Mutational+Status+With+Clinical+Outcomes+With+Pembrolizumab+Plus+Chemotherapy+Versus+Chemotherapy+For+Metastatic+NSCLC&rft.jtitle=JTO+clinical+and+research+reports&rft.au=Marina+C.+Garassino%2C+MD&rft.au=Shirish+Gadgeel%2C+MD&rft.au=Silvia+Novello%2C+MD%2C+PhD&rft.au=Balazs+Halmos%2C+MD&rft.date=2023-01-01&rft.pub=Elsevier&rft.issn=2666-3643&rft.eissn=2666-3643&rft.volume=4&rft.issue=1&rft.spage=100431&rft_id=info:doi/10.1016%2Fj.jtocrr.2022.100431&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_5b31e33aa86a4148993ed9fca9e915ac
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2666-3643&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2666-3643&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2666-3643&client=summon