» Articles » PMID: 34622229

Molecular Predictors of Response to Pembrolizumab in Thymic Carcinoma

Overview
Journal Cell Rep Med
Publisher Cell Press
Date 2021 Oct 8
PMID 34622229
Citations 27
Authors
Affiliations
Soon will be listed here.
Abstract

Thymic carcinoma is rare and has a poorer prognosis than thymomas. The treatment options are limited after failure of platinum-based chemotherapy. We previously performed a single-center phase II study of pembrolizumab in patients with advanced thymic carcinoma, showing a 22.5% response rate. Here, we characterize the genomic and transcriptomic profile of thymic carcinoma samples from 10 patients (5 non-responders versus 5 responders) in this cohort, with the main aim of identifying potential predictors of response to immunotherapy. We find that expression of and alterations in genes or pathways that correlated with PD-L1 expression ( and ) could be potential predictors for response or resistance to immunotherapy in patients with advanced thymic carcinoma. Our study provides insights into potential predictive markers/pathways to select patients with thymic carcinoma for anti-PD-1 immunotherapy.

Citing Articles

BAP1 regulates HSF1 activity and cancer immunity in pancreatic cancer.

Yuan W, Zhang Q, Zhao Y, Xia W, Yin S, Liang X J Exp Clin Cancer Res. 2024; 43(1):275.

PMID: 39350280 PMC: 11441124. DOI: 10.1186/s13046-024-03196-4.


Pan-cancer integrative analyses dissect the remodeling of endothelial cells in human cancers.

Li J, Wang D, Tang F, Ling X, Zhang W, Zhang Z Natl Sci Rev. 2024; 11(9):nwae231.

PMID: 39345334 PMC: 11429526. DOI: 10.1093/nsr/nwae231.


Depiction of the Genetic Alterations and Molecular Landscapes of Thymic Epithelial Tumors: A Systematic Review and Meta-Analysis.

Wang X, Jin H, Feng X, Liang Z, Jin R, Li X Cancers (Basel). 2024; 16(17).

PMID: 39272824 PMC: 11394263. DOI: 10.3390/cancers16172966.


Genomic insights into molecular profiling of thymic carcinoma: a narrative review.

Takata S Mediastinum. 2024; 8:39.

PMID: 39161584 PMC: 11330910. DOI: 10.21037/med-24-5.


Case report: A sustained survival benefit of third-line immunotherapy for refractory thymic carcinoma.

Meng M, Yu B, Luo J, Bai Y, Li L, Chen S Front Oncol. 2024; 14:1326006.

PMID: 39109287 PMC: 11300210. DOI: 10.3389/fonc.2024.1326006.


References
1.
Cho J, Kim H, Ku B, Choi Y, Cristescu R, Han J . Pembrolizumab for Patients With Refractory or Relapsed Thymic Epithelial Tumor: An Open-Label Phase II Trial. J Clin Oncol. 2018; 37(24):2162-2170. DOI: 10.1200/JCO.2017.77.3184. View

2.
Ready N, Hellmann M, Awad M, Otterson G, Gutierrez M, Gainor J . First-Line Nivolumab Plus Ipilimumab in Advanced Non-Small-Cell Lung Cancer (CheckMate 568): Outcomes by Programmed Death Ligand 1 and Tumor Mutational Burden as Biomarkers. J Clin Oncol. 2019; 37(12):992-1000. PMC: 6494267. DOI: 10.1200/JCO.18.01042. View

3.
Kondo K, Monden Y . Therapy for thymic epithelial tumors: a clinical study of 1,320 patients from Japan. Ann Thorac Surg. 2003; 76(3):878-84; discussion 884-5. DOI: 10.1016/s0003-4975(03)00555-1. View

4.
Radovich M, Pickering C, Felau I, Ha G, Zhang H, Jo H . The Integrated Genomic Landscape of Thymic Epithelial Tumors. Cancer Cell. 2018; 33(2):244-258.e10. PMC: 5994906. DOI: 10.1016/j.ccell.2018.01.003. View

5.
Velcheti V, Chandwani S, Chen X, Pietanza M, Piperdi B, Burke T . Outcomes of first-line pembrolizumab monotherapy for PD-L1-positive (TPS ≥50%) metastatic NSCLC at US oncology practices. Immunotherapy. 2019; 11(18):1541-1554. DOI: 10.2217/imt-2019-0177. View