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Cancers (Basel). 2019 Aug 29;11(9). doi: 10.3390/cancers11091271.

In-house Implementation of Tumor Mutational Burden Testing to Predict Durable Clinical Benefit in Non-small Cell Lung Cancer and Melanoma Patients.

Cancers

Simon Heeke, Jonathan Benzaquen, Elodie Long-Mira, Benoit Audelan, Virginie Lespinet, Olivier Bordone, Salomé Lalvée, Katia Zahaf, Michel Poudenx, Olivier Humbert, Henri Montaudié, Pierre-Michel Dugourd, Madleen Chassang, Thierry Passeron, Hervé Delingette, Charles-Hugo Marquette, Véronique Hofman, Albrecht Stenzinger, Marius Ilié, Paul Hofman

Affiliations

  1. Université Côte d'Azur, 06000 Nice, France.
  2. Team 4, Institute for Research on Cancer and Aging Nice (IRCAN), Institut de la Santé et de le Recherche Médicale (INSERM) U1081/CNRS 7284, 06107 Nice, France.
  3. Laboratory of Clinical and Experimental Pathology, Biobank BB-0033-00025, Centre Hospitalier Universitaire de Nice, 06000 Nice, France.
  4. FHU OncoAge, Pasteur Hospital, 06000 Nice, France.
  5. Department of Pulmonology and Thoracic Oncology, Centre Hospitalier Universitaire de Nice, 06000 Nice, France.
  6. Epione Team, Inria, Sophia Antipolis, 06902 Valbonne, France.
  7. Department of Oncology, Antoine Lacassagne Comprehensive Cancer Center, 06200 Nice, France.
  8. Department of Nuclear Medicine, Antoine Lacassagne Comprehensive Cancer Center, 06200 Nice, France.
  9. Department of Dermatology, Archet II Hospital, Centre Hospitalier Universitaire de Nice, 06000 Nice, France.
  10. Department of Radiology, Archet 2 Hospital, Centre Hospitalier Universitaire de Nice, 06000 Nice, France.
  11. Centre Méditerranéen de Médecine Moléculaire (C3M), Institut de la Santé et de le Recherche Médicale (INSERM) U1065, 06204 Nice, France.
  12. Institute of Pathology, University Hospital Heidelberg, 69120 Heidelberg, Germany.
  13. Center for Personalized Oncology (DKFZ-HIPO), Deutsches Krebsforschungszentrum (DKFZ), 69120 Heidelberg, Germany.
  14. Université Côte d'Azur, 06000 Nice, France. [email protected].
  15. Team 4, Institute for Research on Cancer and Aging Nice (IRCAN), Institut de la Santé et de le Recherche Médicale (INSERM) U1081/CNRS 7284, 06107 Nice, France. [email protected].
  16. Laboratory of Clinical and Experimental Pathology, Biobank BB-0033-00025, Centre Hospitalier Universitaire de Nice, 06000 Nice, France. [email protected].
  17. FHU OncoAge, Pasteur Hospital, 06000 Nice, France. [email protected].

PMID: 31470674 PMCID: PMC6769455 DOI: 10.3390/cancers11091271

Abstract

Tumor mutational burden (TMB) has emerged as an important potential biomarker for prediction of response to immune-checkpoint inhibitors (ICIs), notably in non-small cell lung cancer (NSCLC). However, its in-house assessment in routine clinical practice is currently challenging and validation is urgently needed. We have analyzed sixty NSCLC and thirty-six melanoma patients with ICI treatment, using the FoundationOne test (FO) in addition to in-house testing using the Oncomine TML (OTML) panel and evaluated the durable clinical benefit (DCB), defined by >6 months without progressive disease. Comparison of TMB values obtained by both tests demonstrated a high correlation in NSCLC (

Keywords: FoundationOne assay; Oncomine TML assay; immunotherapy; lung cancer; melanoma; tumor mutational burden

Conflict of interest statement

Simon Heeke has received honoraria from Qiagen. Michel Poudenx has received honoraria from Roche, BMS, MSD and Pfizer and has been an investigator for Novartis and MSD. Thierry Passeron has received h

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