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Tumor and peripheral biomarker analysis from the phase 3 CheckMate 9ER trial of nivolumab plus cabozantinib versus sunitinib for advanced renal cell carcinoma

Integrative tumor immunohistochemical, genomic, and transcriptomic analyses found T cell density, SETD2 mutational status, high inflammatory response and oxidative stress to be associated with NIVO+CABO outcomes versus sunitinib. EMT and CAF pathways were associated with resistance to NIVO+CABO. Further, clinical outcomes were improved with NIVO+CABO versus sunitinib across 6 transcriptomically-defined clusters; T-effector/proliferative cluster was enriched for c-MET positivity which differentiated NIVO+CABO outcomes. Among circulating factors, high IL-6, TN-C, and TIMP-1 were predictive of NIVO+CABO outcomes versus SUN. NIVO+CABO increased levels of cytokines associated with immune activation/inflammation/oxidative stress These results support metabolic/immune pathway activation within the tumor and peripheral circulation as possible contributors to PD-1 based efficacy.

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Click on a Dataset ID in the table below to learn more, and to find out who to contact about access to these data

Dataset ID Description Technology Samples
EGAD50000002762 610
EGAD50000002763 664
EGAD50000002764 453
EGAD50000002765 640
EGAD50000002766 Illumina HiSeq 2500 152
EGAD50000002767 Illumina NovaSeq 6000 453
EGAD50000002768 640