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Table 2 Overview of Food and Drug Administration (FDA)- and European Medicines Agency (EMA)-approved predictive biomarkers for patient selection for immune checkpoint inhibition

From: Biomarkers for immune checkpoint inhibition in sarcomas – are we close to clinical implementation?

Predictive Biomarkers

Assay Methods

Antibody

Expression Threshold

Cancers

Regulatory Authority

NCT Number

Author, Year

PD-L1

PD-L1 IHC 22C3 pharmDx assay

Monoclonal mouse anti PD-L1 clone 22C3

PD-L1 CPS ≥ 20 and CPS ≥ 1

TNBC

FDA

NCT02622074

Schmid et al., 2020 [61]

CPS ≥ 1

HNSCC

FDA/EMA

NCT02358031

Burtness et al., 2019 [62]

TPS ≥ 50%

NSCLC

FDA/EMA

NCT02142738

Reck et al., 2019 [63]

CPS ≥ 10

UC

EMA

NCT02256436

Bellmunt et al., 2017 [64]

PD-L1 IHC 28–8 pharmDx assay

Monoclonal rabbit anti PD-L1 clone 28–8

TPS ≥ 1%

NSCLC

FDA/EMA

NCT02477826

Hellmann et al., 2019 [65]

VENTANA SP142 PD-L1 IHC assay

Monoclonal rabbit anti PD-L1 clone SP142

IC ≥ 1%

TNBC

FDA/EMA

NCT02425891

Schmid et al., 2018 [30]

TC ≥ 50% or IC ≥ 10%

NSCLC

FDA

NCT02008227

Rittmeyer et al., 2017 [66]

IC ≥ 5%

UC

FDA/EMA

NCT02108652

Rosenberg et al., 2016 [67]

VENTANA SP263 assay

Monoclonal rabbit anti PD-L1 clone SP263

TC ≥ 25% or IC ≥ 25%

UBC

FDA

NCT01693562

Massard et al., 2016 [65, 68]

MSI

PCR or IHC

-

MSI-H/dMMR

Colorectal cancer

FDA/EMA

NCT02460198

Le et al., 2020 [69]

Fluorescent Multiplex PCR-based method

-

MMR-deficient or proficient

Progressive metastatic carcinomas

FDA

NCT01876511

Le et al., 2015 [70]

TMB

FoundationOne CDx assay

-

tTMB-high ≥ 10 mutations per Mb

Advanced solid tumors

FDA

NCT02628067

Marabelle et al., 2020 [71]

WES

-

NA

Advanced solid tumors

FDA

NCT02054806

Ott et al., 2019 [72]

  1. Year = year of publication
  2. CPS Combined positive score, dMMR Deficient mismatch repair, HNSCC Head and neck squamous cell carcinoma, IC Percentage of tumor-infiltrating immune cells within the tumor area expressing PD-L1, IHC Immunohistochemistry, MMR Mismatch repair, MSI Microsatellite instability, MSI-H Microsatellite instability-high, NCT National Clinical Trial, NSCLC Non-small cell lung cancer, PCR Polymerase chain reaction, PD-1 Programmed cell death 1, PD-L1 Programmed death-ligand 1, TC Percentage of tumor cells within total tumor cells expressing PD-L1, TMB Tumor mutational burden, TNBC Triple-negative breast cancer, TPS Tumor proportion score, tTMB Tissue tumor mutational burden, UBC Urothelial bladder cancer, UC Urothelial carcinoma, WES Whole exome sequencing