Clinical pattern and implication of PD-L1 expression in soft-tissue sarcoma.

Authors

null

Chan Kim

Yonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea

Chan Kim , Eun Kyung Kim , Jung Woo Han , Hong Jae Chon , Su Jin Heo , Young Han Lee , Yong Jin Cho , Jin-Suck Suh , Kyoo-Ho Shin , Joong Bae Ahn , Hyun Cheol Chung , Sun Young Rha , Soo Hee Kim , Hyo Song Kim

Organizations

Yonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea, Department of Radiology, Yonsei University College of Medicine, Seoul, South Korea, Department of Orthopedic Surgery, Seoul, South Korea, Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, South Korea, Department of Internal Medicine, Cancer Metastasis Research Center, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea, Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, South Korea, Yonsei University College of Medicine, Seoul, South Korea, Department of Internal Medicine, Division of Medical Oncology, Yonsei University College of Medicine, Seoul, South Korea

Research Funding

No funding sources reported

Background: PD-1/PD-L1 axis plays a paramount role in tumor immune escape by negative regulation of T-cell functions. Recently, immune checkpoint inhibitors targeting this axis displayed promising anti-tumor activity with durable response, and the predictive role of PD-L1 expression is being investigated in various solid tumors. In the present study, we aimed to characterize the PD-L1 expression pattern and its clinical implication in soft-tissue sarcomas (STS). Methods: We analyzed PD-L1 expression in 82 STS patients with 5 subtypes including rhabdomyosarcoma (n = 32), synovial sarcoma (n = 19), Ewing sarcoma (n = 18), epithelioid sarcoma (n = 7), and mesenchymal chondromsarcoma (n = 6). PD-L1 expression was evaluated using anti-PD-L1 antibody (clone 130021, R&D System), and PD-L1 positivity was defined as more than 10% of PD-L1 staining in tumor cells. PD-L1 expression was compared with other clinicopathologic variables. Results: Median age at diagnosis of patient cohort was 26 (range: 1-78) and male-to-female ratio was 1.6. Initial disease presentation was locoregional disease in 80% of patients and metastatic disease in the remaining 20%. PD-L1 expression was identified in 43% of STS patients. Histologic subtype of STS was significantly associated with PD-L1 expression (p = 0.004). Proportion of PD-L1 expressing tumors was highest in epithelioid sarcoma (100%, 7/7), followed by synovial sarcoma (53%, 10/19), rhabdomyosarcoma (38%, 12/32), and Ewing sarcoma (33%, 6/18), while it was not expressed in mesenchymal chondrosarcoma (0%, 0/6). Baseline clinical characteristics other than histologic subtype was not correlated with PD-L1 expression. Patients with PD-L1 expression had worse overall survival compared with those without PD-L1 expression (5-year survival rate: 48% in PD-L1 positive vs. 68% in PD-L1 negative, p = 0.015). Moreover, this negative prognostic role of PD-L1 expression in STS was also confirmed by multivariate analysis with Cox regression model (HR: 2.67, p = 0.017). Conclusions: PD-L1 is not only expressed in STS but also stand as an independent negative prognostic factor for overall survival of STS patients. Thus, PD-L1 needs to be pursued as a potential therapeutic target in patients with STS.

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Abstract Details

Meeting

2015 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Sarcoma

Track

Sarcoma

Sub Track

Soft Tissue Tumors

Citation

J Clin Oncol 33, 2015 (suppl; abstr 10565)

DOI

10.1200/jco.2015.33.15_suppl.10565

Abstract #

10565

Poster Bd #

209

Abstract Disclosures

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