Table 1 Summary of preliminary evidence of routinely available blood and clinical markers predictive of ICI outcomes
Marker | ICI therapy | Cancer | N | Study results | Reference |
---|---|---|---|---|---|
Lymphocyte count | Ipilimumab | Melanoma | 51, 73 | ⩾1000 per μl at week 6→↑ OS | |
Ipilimumab | Melanoma | 82, 40 | ↑ At 2–8 weeks vs baseline→↑ response | ||
Ipilimumab | Melanoma | 95 | ↑ At week 12 vs baseline→↑ OS | ||
Nivolumab | Melanoma | 98 | ⩾1000 per μl at week 3–6→↑ OS | ||
Relative lymphocyte count | Ipilimumab | Melanoma | 209 | ↑ Baseline→↑ OS | |
Pembrolizumab | Melanoma | 616 | ↑ Baseline→↑ OS | ||
Total leucocyte count | Ipilimumab | Melanoma | 59 | ↓ Baseline→↑ response | |
Eosinophil count | Ipilimumab | Melanoma | 209 | ↑ Baseline→↑ OS | |
Ipilimumab | Melanoma | 59 | ↑ At week 3 vs baseline→↑ response | ||
Ipilimumab | Melanoma | 73 | ↑ At week 6 vs baseline→↑ OS | ||
Relative eosinophil count | Pembrolizumab | Melanoma | 616 | ↑ Baseline→↑ OS | |
Neutrophil count | Ipilimumab | Melanoma | 59 | ↓ Baseline→↑ response | |
Ipilimumab | Melanoma | 720 | ↓ Baseline→↑ PFS and OS | ||
Nivolumab | Melanoma | 98 | <4000 per μl at week 3–6→↑ OS | ||
Neutrophil/lymphocyte ratio | Ipilimumab | Melanoma | 58, 185 | ↓ Baseline→↑ OS | |
Ipilimumab | Melanoma | 187 | ↓ Baseline→↑ PFS and OS | ||
Nivolumab | NSCLC | 175 | ↓ Baseline→↑ OS | ||
Derived neutrophil/lymphocyte ratio | Ipilimumab | Melanoma | 720 | ↓ Baseline→↑ PFS and OS | |
Monocyte count | Ipilimumab | Melanoma | 209 | ↓ Baseline→↑ OS | |
Lactate dehydrogenase | Ipilimumab | 209, 73, 166, 58, 113, 183 | ↓ Baseline→↑ OS | (Delyon et al, 2013; Kelderman et al, 2014; Valpione et al, 2015; Collins and Le Manach, 2016; Dick et al, 2016; Khoja et al, 2016; Zaragoza et al, 2016; Martens et al, 2016a) | |
Nivolumab | Melanoma | 98 | ↑ Baseline→↓ OS | ||
Pembrolizumab | Melanoma | 616 | ↓ Baseline→↑ OS | ||
Pembrolizumab, nivolumab | Melanoma | 66 | ↓ Baseline→↑ OS ↑ At week 12 vs baseline→ ↓Response, OS | ||
Ipilimumab | Melanoma | 95 | ↓ At week 12→↑ response and OS | ||
C-reactive protein | Ipilimumab | Melanoma | 95 | ↓ At week 12→↑ response and OS | |
Smoking status | Nivolumab | 88 | Current/former smokers→↑ response | ||
ECOG PS | Nivolumab | Melanoma | 98 | <1 at baseline→↑ OS | |
Nivolumab | NSCLC | 175 | <2 at baseline→↑ OS | ||
Liver metastases | Nivolumab | NSCLC | 175 | Presence at baseline→↓ OS | |
irAE | Ipilimumab | Melanoma | 139 | Early irAE→↑ response | |
Ipilimumab | Melanoma | 298 | No association with OS | ||
Nivolumab | Melanoma | 576 | Any-grade AE→↑ response | ||
Nivolumab | Melanoma | 148 | Rash, vitiligo and any grade AE→↑ OS | ||
Pembrolizumab | Melanoma | 67 | Vitiligo→↑ objective response | ||
Immunotherapy | Melanoma | 322 | vitiligo-like depigmentation→↑OS | ||
Body composition | Ipilimumab | Melanoma | 84 | Baseline sarcopenia or low muscle attenuation→severe treatment-related toxicity |