Table 1 Summary of preliminary evidence of routinely available blood and clinical markers predictive of ICI outcomes

From: Predicting response and toxicity to immune checkpoint inhibitors using routinely available blood and clinical markers

Marker

ICI therapy

Cancer

N

Study results

Reference

Lymphocyte count

Ipilimumab

Melanoma

51, 73

⩾1000 per μl at week 6→↑ OS

(Delyon et al, 2013; Ku et al, 2010)

 

Ipilimumab

Melanoma

82, 40

↑ At 2–8 weeks vs baseline→↑ response

(Bjoern et al, 2016; Martens et al, 2016b)

 

Ipilimumab

Melanoma

95

↑ At week 12 vs baseline→↑ OS

(Simeone et al, 2014)

 

Nivolumab

Melanoma

98

⩾1000 per μl at week 3–6→↑ OS

(Nakamura et al, 2016)

Relative lymphocyte count

Ipilimumab

Melanoma

209

↑ Baseline→↑ OS

(Martens et al, 2016a)

 

Pembrolizumab

Melanoma

616

↑ Baseline→↑ OS

(Weide et al, 2016)

Total leucocyte count

Ipilimumab

Melanoma

59

↓ Baseline→↑ response

(Gebhardt et al, 2015)

Eosinophil count

Ipilimumab

Melanoma

209

↑ Baseline→↑ OS

(Martens et al, 2016a)

 

Ipilimumab

Melanoma

59

↑ At week 3 vs baseline→↑ response

(Gebhardt et al, 2015)

 

Ipilimumab

Melanoma

73

↑ At week 6 vs baseline→↑ OS

(Delyon et al, 2013)

Relative eosinophil count

Pembrolizumab

Melanoma

616

↑ Baseline→↑ OS

(Weide et al, 2016)

Neutrophil count

Ipilimumab

Melanoma

59

↓ Baseline→↑ response

(Gebhardt et al, 2015)

 

Ipilimumab

Melanoma

720

↓ Baseline→↑ PFS and OS

(Ferrucci et al, 2016)

 

Nivolumab

Melanoma

98

<4000 per μl at week 3–6→↑ OS

(Nakamura et al, 2016)

Neutrophil/lymphocyte ratio

Ipilimumab

Melanoma

58, 185

↓ Baseline→↑ OS

(Khoja et al, 2016; Zaragoza et al, 2016)

 

Ipilimumab

Melanoma

187

↓ Baseline→↑ PFS and OS

(Ferrucci et al, 2015)

 

Nivolumab

NSCLC

175

↓ Baseline→↑ OS

(Bagley et al, 2017)

Derived neutrophil/lymphocyte ratio

Ipilimumab

Melanoma

720

↓ Baseline→↑ PFS and OS

(Ferrucci et al, 2016)

Monocyte count

Ipilimumab

Melanoma

209

↓ Baseline→↑ OS

(Martens et al, 2016a)

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

(Nakamura et al, 2016)

 

Pembrolizumab

Melanoma

616

↓ Baseline→↑ OS

(Weide et al, 2016)

 

Pembrolizumab, nivolumab

Melanoma

66

↓ Baseline→↑ OS

↑ At week 12 vs baseline→

↓Response, OS

(Diem et al, 2016)

 

Ipilimumab

Melanoma

95

↓ At week 12→↑ response and OS

(Simeone et al, 2014)

C-reactive protein

Ipilimumab

Melanoma

95

↓ At week 12→↑ response and OS

(Simeone et al, 2014)

Smoking status

Nivolumab

 

88

Current/former smokers→↑ response

(Hellmann et al, 2014)

ECOG PS

Nivolumab

Melanoma

98

<1 at baseline→↑ OS

(Nakamura et al, 2016)

 

Nivolumab

NSCLC

175

<2 at baseline→↑ OS

(Bagley et al, 2017)

Liver metastases

Nivolumab

NSCLC

175

Presence at baseline→↓ OS

(Bagley et al, 2017)

irAE

Ipilimumab

Melanoma

139

Early irAE→↑ response

(Downey et al, 2007)

 

Ipilimumab

Melanoma

298

No association with OS

(Horvat et al, 2015)

 

Nivolumab

Melanoma

576

Any-grade AE→↑ response

(Weber et al, 2017)

 

Nivolumab

Melanoma

148

Rash, vitiligo and any grade AE→↑ OS

(Freeman-Keller et al, 2016)

 

Pembrolizumab

Melanoma

67

Vitiligo→↑ objective response

(Hua et al, 2016)

 

Immunotherapy

Melanoma

322

vitiligo-like depigmentation→↑OS

(Teulings et al, 2015)

Body composition

Ipilimumab

Melanoma

84

Baseline sarcopenia or low muscle attenuation→severe treatment-related toxicity

(Daly et al, 2017)

  1. Abbreviations: ECOG PS=Eastern Cooperative Oncology Group Performance Status; ICI=immune checkpoint inhibitor, irAE=immune-related adverse events; NSCLC=non-small-cell lung cancer; OS=overall survival; PFS=progression-free survival. Derived neutrophil/lymphocyte ratio=Absolute neutrophil count/(total leucocyte count–absolute neutrophil count).