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. 2023 Sep 14;55(10):1686–1695. doi: 10.1038/s41588-023-01499-4

Fig. 6. Clonal neoantigen burden is predictive of ICB response in human MMRd cancer.

Fig. 6

Meta-analysis of neoantigen burden, clonality and response to anti-PD-1 treatment in clinical trials of MMRd gastric (Kwon trial35, n = 13 patients) and colorectal (Bortolomeazzi trial50, n = 16 patients) cancer. a,b, Total clonal (CCF = 0.75–1.0) and subclonal (CCF = 0–0.5) neoantigen burden (a) and subclonal to clonal neoantigen ratio (b) in patients with objective response (OR, partial or complete) versus nonresponse (NR). ce, PFS of patients in the upper versus lower quartiles of clonal neoantigen burden (c), subclonal neoantigen burden (d) and subclonal to clonal neoantigen ratio (e). Number of patients from each study in upper (high) and lower (low) quartiles is indicated under the plots. The significance in a and b was assessed using Wilcoxon’s rank-sum test and in ce using Cox’s proportional hazards regression with the clinical trial study as a covariate.

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