Table 2.
Comparison between WHO criteria and the irRC [14].
WHO | irRC * | |
---|---|---|
New, measurable lesions (i.e., ≥5 × 5 mm) | Always represent PD | Incorporated into tumor burden |
New, nonmeasurable lesions (i.e., < 5 × 5 mm) | Always represent PD | Do not define progression (but preclude irCR) |
Non-index lesions | Changes contribute to defining BOR of CR, PR, SD, and PD | Contribute to defining irCR (complete disappearance required) |
Complete response | Disappearance of all lesions in two consecutive observations not less than 4 wk apart | Disappearance of all lesions in two consecutive observations not less than 4 weeks apart |
Partial response | ≥50% decrease in SPD of all index lesions compared with baseline in two observations at least 4 weeks apart, in absence of new lesions or unequivocal progression of non-index lesions | ≥50% decrease in tumor burden compared with baseline in two observations at least 4 weeks apart |
Stable disease | 50% decrease in SPD compared with baseline cannot be established nor 25% increase compared with nadir, in absence of new lesions or unequivocal progression of non-index lesions | 50% decrease in tumour burden compared with baseline cannot be established nor 25% increase compared with nadir |
Progressive disease | At least 25% increase in SPD compared with nadir and/or unequivocal progression of non-index lesions and/or appearance of new lesions (at any single time point) | At least 25% increase in tumour burden compared with nadir (at any single time point) in two consecutive observations at least 4 weeks apart |
* These criteria still require validation via correlation with clinical treatment outcomes.