Variable | Category | n | Comparison | ORR | OS | PFS | ||||||
OR | CI low | CI high | HR | CI low | CI high | HR | CI low | CI high | ||||
Five gene panel (FOXP3, CCR4, KLRK1, ITK, TIGIT) | High | 23 | High vs not high | 1.35 | 0.42 | 4.38 | 1.50 | 0.58 | 3.89 | 0.96 | 0.51 | 1.83 |
Not high | 39 | |||||||||||
Cell proliferation | High | 3 | High vs poor | 1.67 | 0.12 | 24.15 | 6.36 | 0.95 | 42.84 | 4.55 | 1.11 | 18.76 |
Moderate | 15 | Moderate vs poor | 1.26 | 0.34 | 4.64 | 2.90 | 1.05 | 7.99 | 1.49 | 0.72 | 3.08 | |
Poor | 44 | High vs moderate | 1.32 | 0.08 | 21.21 | 2.20 | 0.36 | 13.27 | 3.05 | 0.74 | 12.60 | |
TIGS (immunogenicity) | Strong | 27 | Strong vs weak | 0.53 | 0.13 | 2.16 | 0.99 | 0.27 | 3.65 | 1.30 | 0.61 | 2.78 |
Moderate | 19 | Moderate vs weak | 0.43 | 0.09 | 2.04 | 3.28 | 0.90 | 11.96 | 1.27 | 0.55 | 2.97 | |
Weak | 16 | Strong vs moderate | 1.21 | 0.31 | 4.73 | 0.30 | 0.10 | 0.92 | 1.02 | 0.48 | 2.15 | |
IMDC risk group | Favorable | 15 | Favorable vs poor | 0.36 | 0.05 | 2.70 | 0.12 | 0.02 | 0.68 | 0.54 | 0.19 | 1.51 |
Intermediate | 40 | Intermediate vs poor | 0.54 | 0.08 | 3.51 | 0.43 | 0.13 | 1.43 | 0.76 | 0.31 | 1.91 | |
Poor | 7 | Favorable vs intermediate | 0.67 | 0.17 | 2.59 | 0.27 | 0.06 | 1.28 | 0.70 | 0.32 | 1.52 | |
PD-L1 (IHC) | High | 21 | High vs not high | 1.31 | 0.42 | 4.15 | 1.57 | 0.63 | 3.89 | 0.79 | 0.42 | 1.50 |
Not high | 41 | |||||||||||
PD-L1 (RNA) | High | 13 | High vs not high | 1.07 | 0.25 | 4.54 | 2.05 | 0.65 | 6.45 | 0.79 | 0.33 | 1.89 |
Not high | 49 | |||||||||||
CTLA4 (RNA) | High | 13 | High vs not high | 2.53 | 0.63 | 10.16 | 0.86 | 0.26 | 2.80 | 0.66 | 0.31 | 1.43 |
Not high | 49 | |||||||||||
TMB (high=upper 20%) | High | 13 | High vs not high | 0.97 | 0.22 | 4.28 | 1.01 | 0.28 | 3.62 | 1.39 | 0.65 | 3.00 |
Not high | 49 | |||||||||||
Entire validation cohort | 62 |
Logistic regression objective response rate OR and Cox models for overall survival HR, and progression free survival HR for individual variables are shown. Logistic regression and Cox models a adjusted for sex, stage at diagnosis, ECOG (Eastern Cooperative Oncology Group) performance status at ipilimumab/nivolumab treatment, and time from diagnosis to ipilimumab/nivolumab of greater or less than 1 year.
CTLA-4, cytotoxic T-lymphocytes-associated protein 4; IHC, immunohistochemistry; IMDC, International Metastatic RCC Database Consortium; PD-L1, programmed death-ligand 1; TIGS, tumor immunogenic signature; TMB, tumor mutational burden.