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Table 2 Response and potential biomarkers of patients with anaplastic thyroid cancer who received lenvatinib and pembrolizumab as first-line therapy

From: First effectiveness data of lenvatinib and pembrolizumab as first-line therapy in advanced anaplastic thyroid cancer: a retrospective cohort study

 

Patient 1

Patient 2

Patient 3

Patient 4

Patient 5

Best overall response

SD

PR

not evaluable

SD

SD

Time on therapy, months

2.1

3.5

ongoing (12.7 +)

0.8

4.2

Progression-free survival, months

5.9

5.1

not evaluable

0.8

4.2

Overall survival, months

6.3

9.6

ongoing (12.7 +)

0.8

4.2

Histopathology

 Ki-67, %

80

26

60

70

30

 PD-L1, %

 PD-L1 TPS

15

90

90

10

90

 PD-L1 IC

5

0

20

2

 < 1

 PD-L1 CPS

20

90

100

12

90

 DNA mismatch repair status

pMMR

pMMR

dMMR (MLH1- PMS2-)*

pMMR

pMMR

 TILs (CD3 +), %

4.4

31.4

14.2

30.0

4.0

 CD8 + of TILs, %

72.1

33.8

95.7

60.7

42.9

 TAMs (CD68 +), %

40.2

35.2

21.3

37.4

31.8

Molecular pathology, % allele frequency

OFA

OFA

QIAseq Targeted Panel

OFA

OFA

 BRAF p.V600E

-

6

-

-

10

 KRAS p.G12R

-

-

53

-

-

 TP53 p.P153fs

-

-

56

-

-

 PIK3CA p.E545K

-

-

-

-

7

Lenvatinib starting dosage, mg

14

24

24

24

14

  1. CPS combined positive score, dMMR deficient DNA mismatch repair, IC immune cells, MSS microsatellite stable, OFA Oncomine Focus Assay, PD-L1 Programmed cell death 1 ligand 1, pMMR proficient DNA mismatch repair, PR partial response, SD stable disease, TAM tumor-associated macrophages, TIL tumor-infiltrating lymphocytes, TPS tumor proportion score
  2. *Molecular pathology of MSS