Extended Data Table 4. Predictive model and validation.
a, ROC curve analysis for clinical response based on pre-treatment CD8+, PD-1+, PD-L1+, and CD4+ cells. The area under the ROC curve (AUC) was used to measure response prediction performance for pre-treatment CD8+, PD-1+, PD-L1+, and CD4+ cell densities (cells/mm2). P-values were computed on the basis of the Wilcoxon rank sum statistic. b, Performance of a model for clinical response using CD8+ (cells/mm2). A logistic regression model was constructed using pre-treatment CD8+ (cells/mm2) versus the outcome of clinical response (PR+SD vs PD) using the study cohort. This fixed model was then applied to the CD8+ density measurements in the validation cohort to compute predicted probabilities of response to treatment.
| a | ||
|---|---|---|
| Variable | AUC (95% Cl)* | P-value** |
| Tumour | ||
| CD8+ Density | .91 (0.81, 1.00) | <0.001 |
| PD-1+ Density | .80 (0.67, 0.94) | 0.001 |
| PD-L1+ Density | .71 (0.54, 0.88) | 0.026 |
| CD4+ Density | .66 (0.48, 0.84) | 0.095 |
| Invasive Margin | ||
| CD8+ Density | .94 (0.88, 1.00) | <0.001 |
| PD-1 + Density | .80 (0.66, 0.94) | 0.001 |
| PD-L1+ Density | .79 (0.64, 0.95) | 0.002 |
| CD4+ Density | .66 (0.48, 0.84) | 0.095 |
| b | ||||
|---|---|---|---|---|
| Patient ID | CD8+ Density, Before Tx (Invasive Margin) | Predicted Probability of Response (Logistic Model) | Blinded Prediction | True Clinical Response (RECIST 1.1) |
| IGR-A | 58 | 0.35 | Progression | Progression |
| IGR-B | 159 | 0.37 | Progression | Progression |
| IGR-C | 329 | 0.40 | Progression | Progression |
| IGR-D | 341 | 0.41 | Progression | Progression |
| IGR-E | 2120 | 0.75 | Response | Stable |
| IGR-F | 5466 | 0.98 | Response | Progression |
| IGR-G | 2211 | 0.76 | Response | Response |
| IGR-H | 3810 | 0.92 | Response | Response |
| IGR-I | 4294 | 0.95 | Response | Response |
| IGR-J | 4948 | 0.97 | Response | Response |
| IGR-K | 5565 | 0.98 | Response | Response |
| IGR-L | 6004 | 0.99 | Response | Response |
| IGR-M | 5951 | 0.99 | Response | Complete Response |
| IGR-N | 7230 | 0.99 | Response | Complete Response |
| IGR-O | 6320 | 0.99 | Response | Complete Response |