Personalized circulating tumor DNA analysis as a predictive biomarker in solid tumor patients treated with pembrolizumab.


Journal

Nature cancer
ISSN: 2662-1347
Titre abrégé: Nat Cancer
Pays: England
ID NLM: 101761119

Informations de publication

Date de publication:
09 2020
Historique:
received: 07 03 2020
accepted: 26 06 2020
entrez: 5 2 2022
pubmed: 1 9 2020
medline: 15 4 2022
Statut: ppublish

Résumé

Immune checkpoint blockade (ICB) provides clinical benefit to a subset of patients with cancer. However, existing biomarkers do not reliably predict treatment response across diverse cancer types. Limited data exist to show how serial circulating tumor DNA (ctDNA) testing may perform as a predictive biomarker in patients receiving ICB. We conducted a prospective phase II clinical trial to assess ctDNA in five distinct cohorts of patients with advanced solid tumors treated with pembrolizumab (NCT02644369). We applied bespoke ctDNA assays to 316 serial plasma samples obtained at baseline and every three cycles from 94 patients. Baseline ctDNA concentration correlated with progression-free survival, overall survival, clinical response and clinical benefit. This association became stronger when considering ctDNA kinetics during treatment. All 12 patients with ctDNA clearance during treatment were alive with median 25 months follow up. This study demonstrates the potential for broad clinical utility of ctDNA-based surveillance in patients treated with ICB.

Identifiants

pubmed: 35121950
doi: 10.1038/s43018-020-0096-5
pii: 10.1038/s43018-020-0096-5
doi:

Substances chimiques

Antibodies, Monoclonal, Humanized 0
Biomarkers 0
Circulating Tumor DNA 0
pembrolizumab DPT0O3T46P

Banques de données

ClinicalTrials.gov
['NCT02644369']

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

873-881

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2020. The Author(s), under exclusive licence to Springer Nature America, Inc.

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Auteurs

Scott V Bratman (SV)

Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.
Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

S Y Cindy Yang (SYC)

Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

Marco A J Iafolla (MAJ)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Zhihui Liu (Z)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Aaron R Hansen (AR)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Philippe L Bedard (PL)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Stephanie Lheureux (S)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Anna Spreafico (A)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Albiruni Abdul Razak (AA)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Svetlana Shchegrova (S)

Natera, Inc., San Carlos, CA, USA.

Maggie Louie (M)

Natera, Inc., San Carlos, CA, USA.

Paul Billings (P)

Natera, Inc., San Carlos, CA, USA.

Bernhard Zimmermann (B)

Natera, Inc., San Carlos, CA, USA.

Himanshu Sethi (H)

Natera, Inc., San Carlos, CA, USA.

Alexey Aleshin (A)

Natera, Inc., San Carlos, CA, USA.

Dax Torti (D)

Ontario Institute of Cancer Research, Toronto, Ontario, Canada.

Kayla Marsh (K)

Ontario Institute of Cancer Research, Toronto, Ontario, Canada.

Jenna Eagles (J)

Ontario Institute of Cancer Research, Toronto, Ontario, Canada.

Iulia Cirlan (I)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

Youstina Hanna (Y)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

Derek L Clouthier (DL)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.

Scott C Lien (SC)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Department of Immunology, University of Toronto, Toronto, Ontario, Canada.

Pamela S Ohashi (PS)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Department of Immunology, University of Toronto, Toronto, Ontario, Canada.

Wei Xu (W)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Lillian L Siu (LL)

Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. lillian.siu@uhn.ca.
Division of Medical Oncology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada. lillian.siu@uhn.ca.

Trevor J Pugh (TJ)

Department of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada. trevor.pugh@utoronto.ca.
Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada. trevor.pugh@utoronto.ca.
Ontario Institute of Cancer Research, Toronto, Ontario, Canada. trevor.pugh@utoronto.ca.

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