Drug exposure and best response requirements for primary resistance to ICI combinations
Resistance phenotype | Drug exposure requirement | Best response | Confirmatory scan for PD requirement | Confirmatory scan time frame |
Primary resistance | A minimum of 2 cycles of both drugs (6–12 weeks) | PD, SD < 6 months | Yes, if clinically stable | At least 4 weeks after PD, if clinically feasible |
ICIs, immune checkpoint inhibitors; PD, progressive disease; SD, stable disease.