Table 2.
Evidence | Main findings |
---|---|
Prognostic value of PD‐L1 | Current evidence does not support the role of PD‐L1 expression as a significant prognosticator for OSCC patients (HR for OS: 0.97, 95% CI: 0.53−1.80; HR for DFS: 0.83, 95% CI: 0.47−1.46). |
Predictive value of PD‐L1 | Trials support that PD‐L1 expression is associated with an increased objective response rate in patients with CPS ≥1, with better response with CPS value ≥20. |
Limitations of studies available in the literature | High heterogeneity of studies in terms of PD‐L1 clone and platform used. |
Different scoring systems for defining positivity. | |
Suboptimal investigation of effects of previous therapy on PD‐L1 expression. | |
Future directions | Standardization of clones and scoring systems to have more homogeneous data. |
Best selection of patients. | |
Aid coming from artificial intelligence tools on digital slides to evaluate PD‐L1 expression. |
Abbreviations: CI, confidence intervals; CPS, combined positive score; DFS, disease‐free survival; HR, hazard ratio; OS, overall survival; OSCC, oral squamous cell carcinoma; PD‐L1, programmed cell death‐ligand 1.