Abstract 403: The landscape of PD-L1 expression in lung cancer harboring EGFR mutations

Linlin Zhang, Fuyu Gong, F. Meng, Xin Wang, D. Zhong
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Abstract

Background: Results from previous studies indicated that lung cancer patients harboring EGFR sensitizing mutations may receive unfavorable outcomes from immunotherapy. The present study aims to investigate the landscape of PD-L1 expression in lung cancer harboring EGFR mutations. Methods: Tissue samples were subjected to NGS in a College of American Pathologists-certified and Clinical Laboratory Improvement Amendments-accredited lab for driver oncogene mutations and PD-L1 expression. Results: A total of 22143 lung cancer patients were selected, including 12278 (55.4%) male and 9865 (44.6%) female with a median age of 63. There are 9560 patients has the EGFR mutation, and the frequency of EGFR mutation is 43.2%. Among the EGFR mutation patients, 1602 patients have been collected tumor tissue, and the PD-L1 expression have been tested by FDA-approved SP263 and 22C3 antibodies. Among all the EGFR mutation cases assessed PD-L1 expression (n=1602), low PD-L1 expression levels ( Conclusion: Our study supported that NSCLC patients harboring sensitizing oncogenic mutations may potentially benefit from anti-PD-1/L1 especially for those with positive indicators of immunotherapy with strong positive PD-L1 expression. Citation Format: Linlin Zhang, Fuyu Gong, Fanlu Meng, Xin Wang, DianSheng Zhong. The landscape of PD-L1 expression in lung cancer harboring EGFR mutations [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2021; 2021 Apr 10-15 and May 17-21. Philadelphia (PA): AACR; Cancer Res 2021;81(13_Suppl):Abstract nr 403.
摘要403:肺癌中含有EGFR突变的PD-L1表达格局
背景:先前的研究结果表明,携带EGFR致敏突变的肺癌患者可能会接受免疫治疗的不良结果。本研究旨在探讨肺癌中含有EGFR突变的PD-L1表达的格局。方法:组织样本在美国病理学家学院认证和临床实验室改进修正案认可的实验室进行NGS检测驱动癌基因突变和PD-L1表达。结果:共纳入肺癌患者22143例,其中男性12278例(55.4%),女性9865例(44.6%),中位年龄63岁。EGFR突变9560例,突变频率为43.2%。在EGFR突变患者中,收集了1602例患者的肿瘤组织,用fda批准的SP263和22C3抗体检测PD-L1的表达。在所有评估PD-L1表达的EGFR突变病例中(n=1602), PD-L1表达水平低(结论:我们的研究支持具有致敏性致癌突变的非小细胞肺癌患者可能潜在地受益于抗pd -1/L1,特别是那些免疫治疗指标阳性且PD-L1表达强烈的患者。引用格式:张琳琳,龚福玉,孟凡录,王欣,钟殿生。肺癌中携带EGFR突变的PD-L1表达格局[摘要]。见:美国癌症研究协会2021年年会论文集;2021年4月10日至15日和5月17日至21日。费城(PA): AACR;癌症杂志,2021;81(13 -增刊):摘要nr 403。
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