Table 1 Clinical features of patients with PD-L1+ and PD-L1− anaplastic large cell lymphoma

From: PD-L1 expression is associated with ALK positivity and STAT3 activation, but not outcome in patients with systemic anaplastic large cell lymphoma

 

ALK+ ALCL (n = 45)

ALK− ALCL (n = 50)

PD-L1+a (n = 34)

PD-L1− (n = 11)

P valueb

PD-L1+a (n = 21)

PD-L1− (n = 29)

P valuec

Male:female

1.3:1 (19/15)

2.7:1 (8/3)

0.48

3.2:1 (16/5)

2.2:1 (20/9)

0.75

Median age (yrs, range)

36 (11–58)

29 (11–67)

0.61

64 (43–95)

58 (21–77)

0.09

B symptoms

59% (13/22)

44% (4/9)

0.69

69% (11/16)

57% (12/21)

0.52

Nodal presentation

79% (23/29)

89% (8/9)

1

72% (13/18)

74% (20/27)

1

Extranodal involvement

68% (19/28)

36% (4/11)

0.14

78% (14/18)

65% (15/23)

0.5

Bone marrow involvement

21% (5/24)

0% (0/10)

0.29

22% (4/18)

17% (4/23)

0.71

Stage III or IV

75% (18/24)

50% (5/10)

0.23

56% (9/16)

81% (17/21)

0.15

Elevated WBC

28% (5/18)

25% (1/4)

1

45% (5/11)

14% (2/14)

0.18

Absolute lymphocytosis

0% (0/17)

0% (0/3)

1

0% (0/11)

0% (0/13)

1

Elevated serum LDH

50% (9/18)

50% (2/4)

1

60% (6/10)

67% (8/12)

1

IPI ≥ 3

17% (3/18)

13% (1/8)

1

53% (8/15)

44% (7/16)

0.72

Initial treatment

      

  CHOP or modified CHOP

71% (17/24)

80% (8/10)

0.69

86% (12/14)

83% (19/23)

1

  Other

29% (7/24)

20% (2/10)

 

14% (2/14)

17% (4/23)

 

Initial CR

79% (19/24)

90% (9/10)

0.64

29% (4/14)

61% (14/23)

0.09

With SCT

29% (7/24)

60% (6/10)

0.13

14% (2/14)

26% (6/23)

0.68

  1. ALCL anaplastic large cell lymphoma, WBC white blood cells, LDH lactate dehydrogenase, IPI International Prognostic Index, CHOP cyclophosphamide, doxorubicin, vincristine, and prednisone, R rituximab, CR complete response, SCT stem cell transplant
  2. a ≥5% of lymphoma cells were positive for PD-L1
  3. bALK+/PD-L1+ ALCL compared with ALK+/PD-L1− ALCL
  4. cALK−/PD-L1 +  ALCL compared with ALK−/PD-L1− ALCL