Table 3 Potential biomarkers for patient selection for immunotherapy in breast cancer

From: Checkpoint blockade in the treatment of breast cancer: current status and future directions

Biomarker

Method of assessment

Evidence

TILs

H&E slides

Pembrolizumab monotherapy in metastatic TNBC:

Median (IQR) TIL level in responders vs. non-responders was 10% (7.5–25%) vs. 5% (1–10%) in cohort A (previously treated, any PD-L1 expression) and 50% (5–70%) vs. 15% (5–37.5%) in cohort B (previously untreated, PD-L1 positive)64

PDL1

IHC (VENTANA PD-L1 (SP142) Assay)

Atezolizumab in combination with nab-paclitaxel in metastatic TNBC:

ORR IC0 = 57.1% (95% CI: 18.4, 90.1)

; ORR IC1/2/3 = 77.8% (95% CI: 40.0, 97.2);60

IC0 = <1% of immune cells or tumour cells staining positive for PD-L1

; IC1 = ≥1% and <5% of immune cells or tumour cells staining positive for PD-L1

; IC2 = ≥5% and <10% of immune cells or tumour cells staining positive for PD-L1

; IC3 = ≥10% of immune cells or tumour cells staining positive for PD-L1

  1. H&E haematoxylin and eosin, IHC immunohistochemistry, IQR interquartile range