Table 2.
Sensitivity and specificity of AFP cutoffs in differentiating patients by response status per IRF-assessed RECIST 1.1 and HCC mRECIST.
RECIST 1.1 | HCC mRECIST | |||
---|---|---|---|---|
(n = 144) | (n = 144) | |||
Point estimate (95% CI) | ≥75% AFP decrease (responders vs. nonresponders) | ≤10% AFP increase (disease control vs. primary progressors) | ≥75% AFP decrease (responders vs. nonresponders) | ≤10% AFP increase (disease control vs. primary progressors) |
Sensitivity | 0.59 (0.42–0.74) | 0.77 (0.68–0.85) | 0.56 (0.41–0.70) | 0.77 (0.68–0.85) |
Specificity | 0.86 (0.78–0.92) | 0.44 (0.27–0.62) | 0.89 (0.81–0.95) | 0.43 (0.26–0.61) |
Positive predictive value | 0.61 (0.43–0.76) | 0.82 (0.73–0.89) | 0.74 (0.57–0.87) | 0.81 (0.72–0.88) |
Negative predictive value | 0.85 (0.77–0.91) | 0.38 (0.23–0.54) | 0.79 (0.70–0.87) | 0.38 (0.23–0.54) |
Area under the curve | 0.78 | 0.66 | 0.75 | 0.67 |
Abbreviations: AFP, alpha-fetoprotein; HCC mRECIST, HCC-modified RECIST; IRF, independent review facility; RECIST 1.1, Response Evaluation Criteria in Solid Tumors version 1.1.