The International Association for the Study of Lung Cancer Global Survey on Programmed Death-Ligand 1 Testing for NSCLC.

The International Association for the Study of Lung Cancer Global Survey on Programmed Death-Ligand 1 Testing for NSCLC.
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DOI:
10.1016/j.jtho.2020.12.026
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发表时间:
2021-04
影响因子:
20.4
通讯作者:
Lantuejoul, Sylvie
Lantuejoul, Sylvie
中科院分区:
医学1区
文献类型:
--
作者:
Mino-Kenudson, Mari;Le Stang, Nolwenn;Daigneault, Jillian B.;Nicholson, Andrew G.;Cooper, Wendy A.;Roden, Anja C.;Moreira, Andre L.;Thunnissen, Erik;Papotti, Mauro;Pelosi, Giuseppe;Motoi, Noriko;Poleri, Claudia;Brambilla, Elisabeth;Redman, Mary;Jain, Deepali;Dacic, Sanja;Yatabe, Yasushi;Tsao, Ming Sound;Lopez-Rios, Fernando;Botling, Johan;Chen, Gang;Chou, Teh-Ying;Hirsch, Fred R.;Beasley, Mary Beth;Borczuk, Alain;Bubendorf, Lukas;Chung, Jin-Haeng;Hwang, David;Lin, Dongmei;Longshore, John;Noguchi, Masayuki;Rekhtman, Natasha;Sholl, Lynette;Travis, William;Yoshida, Akihiko;Wynes, Murry W.;Wistuba, Ignacio I.;Kerr, Keith M.;Lantuejoul, Sylvie

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需要进行PD-L1免疫组化(IHC),以确定帕博利珠单抗单药治疗全球晚期非小细胞肺癌(NSCLC)和其他几种适应症(取决于国家)的合格性。四种检测试剂盒已获得批准/CE-IVD认证,但PD-L1 IHC在各地区和实验室间的实施似乎存在困难,需要应用实验室开发的检测试剂盒(LDT)。为了评估PD-L1 IHC的实践并确定问题和差异,IASLC病理委员会于2019年1月至5月对病理学家进行了一项全球调查,包括关于分析前,分析和分析后条件的多个问题。来自64个国家的344名病理学家参与了研究,其中41%来自欧洲,24%来自北美,18%来自亚洲。除了活检和切除,75%的参与者使用细胞块,11%使用涂片。克隆22 C3最常用(69%),其次是SP263(51%)。分别有40%和30%的用户将其作为LDT,76%的参与者至少开发了一个LDT。一半的参与者报告周转时间(达特)≤ 2天,而13%的参与者报告≥ 5天。此外,分别有18%、16%和14%的参与者没有实施质量保证(QA)、评分和标准化报告的正式培训。PD-L1检测中的异质性在抗体克隆、IHC检测、样本、TAT和QA措施方面在不同地区和实验室之间存在差异。相当多的少数人指出,缺乏质量保证、正规培训和标准化报告,这表明需要采取更多的质量保证措施和提供更多的培训机会。
PD-L1 immunohistochemistry (IHC) is required to determine eligibility for pembrolizumab monotherapy in advanced non-small cell lung cancer (NSCLC) worldwide and for several other indications depending on the country. Four assays have been approved/CE-IVD marked, but PD-L1 IHC seems diversely implemented across regions and laboratories with the application of laboratory-developed tests (LDTs). To assess practice of PD-L1 IHC and identify issues and disparities, the IASLC pathology committee conducted a global survey for pathologists from January to May 2019, comprising multiple questions on pre-analytical, analytical and post-analytical conditions. 344 pathologists from 64 countries participated with 41% from Europe, 24% from North America, and 18% from Asia. Besides biopsies and resections, cellblocks were used by 75% of the participants and smears by 11%. The clone 22C3 was most commonly used (69%) followed by SP263 (51%). They were applied as a LDT by 40% and 30% of the users, respectively, and 76% of the participants developed at least one LDT. A half of the participants reported turnaround time (TAT) of ≤ 2 days, while 13% reported that of ≥ 5 days. Additionally, quality assurance (QA), formal training for scoring and standardized reporting were not implemented by 18%, 16% and 14% of the participants, respectively. Heterogeneity in PD-L1 testing is marked across regions and laboratories in terms of antibody clones, IHC assays, samples, TATs and QA measures. The lack of QA, formal training and standardized reporting stated by a significant minority identifies a need for additional QA measures and training opportunities.
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发表时间: 2019-02-01
影响因子: 1.6
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DOI: 10.1016/j.jtho.2017.11.123
发表时间: 2018-03-01
影响因子: 20.4
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