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Table 4 Subgroup analyses of ORR in bTMB high and bTMB low NSCLC patients

From: The relationship between blood-based tumor mutation burden level and efficacy of PD-1/PD-L1 inhibitors in advanced non-small cell lung cancer: a systematic review and meta-analysis

Variable

No. 0f cohorts

No. of patients

bTMB high

bTMB low

bTMB high/bTMB low

Pooled HR (95% CI)

P

I2 (%)

Pooled HR (95% CI)

P

I2 (%)

Line of therapy

 1

4

441/969

2.55 (1.16–5.59)

< 0.01

0

0.62 (0.41–0.93)

0.02

41

  ≥ 2

2

221/573

2.74 (1.75–4.30)

0.02

5.9

0.73 (0.45–1.18)

0.19

4.9

Therapy regimen

 Anti-PD-L1 vs CT

3

368/967

1.98 (1.15–3.41)

0.02

0

0.64 (0.47–0.89)

< 0.01

0

 Anti-PD-L1 plus anti-CTLA-4 vs CT

1

134/389

3.44 (1.62–7.31)

< 0.01

N/A

0.44 (0.27–0.71)

< 0.01

N/A

 Anti-PD-1 plus CT vs CT

2

160/186

3.75 (1.79–7.88)

< 0.01

0

1.01 (0.54–1.86)

0.99

0

Type of NGS panel

 Foundation one

2

221/573

2.55 (1.16–5.59)

0.02

0

0.73 (0.45–1.18)

0.19

4.9

 Gardant OMNI

3

379/920

2.62 (1.52–4.52)

< 0.01

28

0.63 (0.38–1.03)

0.06

60.6

 OncoScreen Plus

1

62/49

4.04 (1.13–14.43)

0.03

N/A

0.63 (0.19–2.13)

0.46

N/A

PD-L1 expression

 Unselected for PD-L1

6

662/1542

2.69 (1.84–3.93)

< 0.01

0

0.64 (0.47–0.86)

< 0.01

25.7

Cut-off value (mut/meg)

 16

2

221/573

2.55 (1.16–5.59)

0.02

0

0.73 (0.45–1.18)

0.19

4.9

 Others

4

441/969

2.74 (1.75–4.30)

< 0.01

0

0.64 (0.47–0.86)

0.02

41

  1. mut/meg mutation/mergbase, N/A not applicable, 95% CI 95% confidence interval, OR odds ratio, ORR objective response rate