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Multicenter harmonization study for PD-L1 IHC testing in non-small-cell lung cancer

Open access
Adam, J., Le Stang, N., Rouquette, I., Cazes, A., Badoual, C., Pinot-Roussel, H., Tixier, L., Danel, C., Damiola, F., Damotte, D., Penault-Llorca, F., Lantuéjoul, S.·2018·Annals of Oncology

Abstract

Background: Various programed death ligand 1 (PD-L1) immunohistochemistry (IHC) assays have been developed and used in clinical trials in association with different drugs. In order to harmonize and make PD-L1 testing in non-small-cell lung cancer (NSCLC) widely available, we conducted a multicenter study comparing PD-L1 standardized assays and laboratory-developed tests (LDTs). Methods: IHC with five anti-PD-L1 monoclonal antibodies (28-8, 22C3, E1L3N, SP142 and SP263) was performed concomitantly on 41 NSCLC surgical specimens in 7 centers using Dako Autostainer Link 48 (3 centers), Leica Bond (2 centers) or Ventana BenchMark Ultra (2 centers) platforms. For each matching platform, 22C3, 28-8 and SP263 assays were performed. For nonmatching platforms and other antibodies, LDTs were developed in each center. A total of 35 stainings were performed for each case across different platforms and antibodies. PD-L1 staining was assessed in tumor cells and immune cells by seven trained thoracic pathologists. For statistical analysis, 1%, 50% and 1%, 5%, 10% expression thresholds were used for tumor cells and immune cells, respectively. Results: 28-8, 22C3 and SP263 assays were highly concordant for tumor cells staining across the five Dako or Ventana platforms. Among 27 LDTs developed in 7 centers on Dako, Ventana and Leica platforms, 14 (51.8%) demonstrated similar concordance when compared with reference assays for tumor cell staining. Clone SP263 achieved the highest concordance rate across all platforms. Lower concordance was observed for immune cells staining when using a four categories scale. Conclusion: 28-8, 22C3 and SP263 assays had close analytical performance for tumor cell staining across seven centers. Some LDTs on Dako, Ventana and Leica platforms achieved similar concordance, but caution is warranted for their validation. These LDTs will be further validated in order to provide recommendations for the use of assays and LDT for PD-L1 testing in NSCLC.

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Research works printed but not linked: 12

  1. Rittmeyer, 2017, Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial, Lancet Lond Engl, 389, 255, 10.1016/S0140-6736(16)32517-X · DOI · Paper page
  2. Reck, 2016, Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer, N Engl J Med, 375, 1823, 10.1056/NEJMoa1606774 · DOI · Paper page
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Metadata

Authors
Adam, J., Le Stang, N., Rouquette, I., Cazes, A., Badoual, C., Pinot-Roussel, H., Tixier, L., Danel, C., Damiola, F., Damotte, D., Penault-Llorca, F., & Lantuéjoul, S.
Venue
Annals of Oncology
Publisher
Elsevier BV
Published
2018-04
Volume
29
Issue
4
Pages
953-958
ISSN
0923-7534 (ISSN-L)
OpenAlex
W2786665544
Cited by
215
References
5
FWCI
12.47
Type
journal article
Language
en
Open access
hybrid
Licence
Funders
  • Bristol-Myers Squibb
  • Merck Sharp and Dohme
  • AstraZeneca
  • Roche

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CoChat. (2026). Citation check: Multicenter harmonization study for PD-L1 IHC testing in non-small-cell lung cancer. https://app.cochat.ai/papers/10.1093/annonc/mdy014
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Adam, J., Le Stang, N., Rouquette, I., Cazes, A., Badoual, C., Pinot-Roussel, H., Tixier, L., Danel, C., Damiola, F., Damotte, D., Penault-Llorca, F., & Lantuéjoul, S. (2018). Multicenter harmonization study for PD-L1 IHC testing in non-small-cell lung cancer. Annals of Oncology. https://doi.org/10.1093/annonc/mdy014

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