Evidence map›Paper›PMID 31383961›Full record

SynthesisModern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc2020

"Interchangeability" of PD-L1 immunohistochemistry assays: a meta-analysis of diagnostic accuracy.

Emina Torlakovic, Hyun J Lim, Julien Adam, Penny Barnes, Gilbert Bigras, Anthony W H Chan, Carol C Cheung, Jin-Haeng Chung, Christian Couture, Pierre O Fiset and 22 more

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 5 syntheses or guidelines pooled it, 175 citations in OpenAlex.

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  6. Trial
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  9. A Phase II Trial of Albumin-Bound Paclitaxel and Gemcitabine in Patients with Newly Diagnosed Stage IV Squamous Cell Lung Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Trial
  10. From Tumour to Bloodstream: Advancing PD-L1 Testing With Liquid Biopsies in Non-Small Cell Lung Cancer.Cytopathology : official journal of the British Society for Clinical Cytology · 2026
    Review
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 13 countries.

Emina TorlakovicSaskatchewan Health Authority (SHA), Saskatoon, SK, Canada. emina.torlakovic@usask.ca.
Hyun J LimCollege of Medicine, University of Saskatchewan, Saskatoon, SK, Canada.
Julien AdamGustave-Roussy Cancer Campus, Villejuif, France.
Penny BarnesDalhousie University, Halifax, NS, Canada.
Gilbert BigrasCross Cancer Institute, Edmonton, AB, Canada.
Anthony W H ChanThe Chinese University of Hong Kong, New Territories, Hong Kong.
Carol C CheungUniversity Health Network, Toronto, ON, Canada.
Jin-Haeng ChungSeoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Republic of Korea.
Christian CoutureInstitut universitaire de cardiologie et de pneumologie de Québec - Université Laval (IUCPQ-UL), Quebec City, QC, Canada.
Pierre O FisetMcGill University Health Science Centre, Montreal, QC, Canada.ORCID http://orcid.org/0000-0002-4117-490X
Daichi FujimotoKobe City Medical Center General Hospital, Kobe, Japan.
Gang HanSchool of Public Health, Texas A&M University, College Station, TX, USA.
Fred R HirschCenter for Thoracic Oncology, Mount Sinai Cancer, Mount Sinai Health System, New York, NY, USA.
Marius IlieHôpital Pasteur, FHU OncoAge, Biobanque BB-0033-00025, Université Côte d'Azur, CHU de Nice, Nice, France.ORCID http://orcid.org/0000-0002-2014-1236
Diana IonescuBritish Columbia Cancer Agency, Vancouver, BC, Canada.
Chao LiFujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fuzhou, Fujian, China.
Enrico MunariIRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy.ORCID http://orcid.org/0000-0002-3867-6685
Katsuhiro OkudaNagoya City University Graduate School of Medical Science, Nagoya, Japan.
Marianne J RatcliffePrecision Medicine and Genomics, AstraZeneca, Cambridge, UK.
David L RimmYale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-5820-4397
Catherine RossHamilton Health Sciences, McMaster University, Hamilton, ON, Canada.
Rasmus RøgeAalborg University Hospital, Aalborg, Denmark.
Andreas H ScheelUniversity Hospital Cologne, Institute of Pathology, Cologne, Germany.ORCID http://orcid.org/0000-0003-0244-1646
Ross A SooNational University Hospital, Singapore, Singapore.
Paul E SwansonUniversity of Washington, Seattle, WA, USA.
Maria TretiakovaUniversity of Washington, Seattle, WA, USA.
Ka F ToUniversity Health Network, Toronto, ON, Canada.
Gilad W VainerTel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Hangjun WangMcGill University Health Center and McGill University, Montreal, QC, Canada.
Zhaolin XuCross Cancer Institute, Edmonton, AB, Canada.
Dirk ZielinskiTARGOS Molecular Pathology GmbH, Kassel, Germany.
Ming-Sound TsaoUniversity Health Network, Toronto, ON, Canada.
University Health Network · CAMcGill University Health Centre · CAAalborg University Hospital · DKAstraZeneca (United Kingdom) · GBBC Cancer Agency · CACentre Hospitalier Universitaire de Nice · FRChinese University of Hong Kong · HKDalhousie University · CAFujian Medical University · CNHamilton Health Sciences · CAInstitut Gustave Roussy · FRInstitut universitaire de cardiologie et de pneumologie de Québec · CAKobe City Medical Center General Hospital · JPMount Sinai Health System · USNagoya City University · JPNational University Hospital · SGOspedale Sacro Cuore Don Calabria · ITSaskatchewan Health Authority · CASeoul National University Bundang Hospital · KRTel Aviv Sourasky Medical Center · IL

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Different clones, protocol conditions, instruments, and scoring/readout methods may pose challenges in introducing different PD-L1 assays for immunotherapy. The diagnostic accuracy of using different PD-L1 assays interchangeably for various purposes is unknown. The primary objective of this meta-analysis was to address PD-L1 assay interchangeability based on assay diagnostic accuracy for established clinical uses/purposes. A systematic search of the MEDLINE database using PubMed platform was conducted using "PD-L1" as a search term for 01/01/2015 to 31/08/2018, with limitations "English" and "human". 2,515 abstracts were reviewed to select for original contributions only. 57 studies on comparison of two or more PD-L1 assays were fully reviewed. 22 publications were selected for meta-analysis. Additional data were requested from authors of 20/22 studies in order to enable the meta-analysis. Modified GRADE and QUADAS-2 criteria were used for grading published evidence and designing data abstraction templates for extraction by reviewers. PRISMA was used to guide reporting of systematic review and meta-analysis and STARD 2015 for reporting diagnostic accuracy study. CLSI EP12-A2 was used to guide test comparisons. Data were pooled using random-effects model. The main outcome measure was diagnostic accuracy of various PD-L1 assays. The 22 included studies provided 376 2×2 contingency tables for analyses. Results of our study suggest that, when the testing laboratory is not able to use an Food and Drug Administration-approved companion diagnostic(s) for PD-L1 assessment for its specific clinical purpose(s), it is better to develop a properly validated laboratory developed test for the same purpose(s) as the original PD-L1 Food and Drug Administration-approved immunohistochemistry companion diagnostic, than to replace the original PD-L1 Food and Drug Administration-approved immunohistochemistry companion diagnostic with a another PD-L1 Food and Drug Administration-approved companion diagnostic that was developed for a different purpose.

Indexed as

B7-H1 AntigenHumansImmunohistochemistryB7-H1 AntigenCD274 protein, human

Identifiers

PMID31383961
PMCPMC6927905
OpenAlexW2965019135

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.