Table 1.
RECIST 1.1 | irRC | iRECIST | |
---|---|---|---|
Complete Response | Disappearance of all target lesions or lymph nodes <10 mm in the short axis | Disappearance of all target lesions or lymph nodes in 2 consecutive observations not less than 4 weeks apart | Disappearance of all target lesions or lymph nodes <10 mm in the short axis |
Partial Response | >30% decrease in tumor size or ≥15% decrease in tumor attenuation at CT, no new lesions | ≥50% decrease in tumor burden compared with baseline in 2 observations at least 4 weeks apart | >30% decrease in tumor size or ≥15% decrease in tumor attenuation at CT, no new lesions |
Progressive Disease | >20% increase of SPD of target lesions with an absolute increase of ≥5 mm, new lesions | ≥25% increase of SLD compared with nadir (at any singe time point) in 2 consecutive observations at least 4 weeks apart | Differentiation between iUPD and iCPD (see below), iUPD can result in PR or CR |
Stable Disease | None of the above | None of the above | None of the above |
New Lesions | Results in PD | Results in PD that has to be confirmed in 2 observations at least 4 weeks apart | Results in iUPD and consequently in iCPD if additional new lesions appear or an increase of size of new lesions (>5 mm for SLD or any increase of non-target lesions) |
Confirmation of PD | Not required (unless equivocal) | Required | Required |
Consideration of clinical status | Not included in assessment | Not included in assessment | Clinical stability is considered in whether treatment is continued after iUPD |
RECIST 1.1. Response Evaluation Criteria in Solid Tumors; irRC Immune-Related RECIST; iRECIST immune RECIST; PD progressive disease; CR complete response; SD stable disease; iUPD unconfirmed immune PD; iCPD confirmed immune PD; SPD sum of the products of diameters