PMID- 36729213 OWN - NLM STAT- MEDLINE DCOM- 20230522 LR - 20240426 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 72 IP - 6 DP - 2023 Jun TI - Effect of genetic polymorphisms on outcomes following nivolumab for advanced renal cell carcinoma in the SNiP-RCC trial. PG - 1903-1915 LID - 10.1007/s00262-023-03367-w [doi] AB - BACKGROUND: Anti-PD-1 antibodies are widely used for cancer treatment including advanced renal cell carcinoma (RCC). However, their therapeutic and adverse effects vary among patients. This study aimed to identify genetic markers that predict outcome after nivolumab anti-PD-1 antibody treatment for advanced RCC. METHODS: This study was registered on the website of the University Hospital Medical Information Network (protocol ID, UMIN000037739). Patient enrollment was conducted at 23 institutions in Japan between August 19, 2019, and September 30, 2020. Patient follow-up ended on March 31, 2021. Patients were treated with nivolumab for advanced clear cell RCC. A genome-wide association study was performed in the development set, while genotyping of target regions in the validation set was undertaken. Single nucleotide polymorphisms (SNPs) in genes of interest CD274, PDCD1LG2 and PDCD1 were genotyped in the combined set. The primary endpoint was the association of SNPs with objective response following nivolumab treatment. As secondary endpoints, the associations of SNPs with radiographic progression-free survival (rPFS) and treatment-related grade >/= 3 adverse events (AEs) were evaluated. RESULTS: A genome-wide association study followed by a validation study identified that SNPs in FARP1 (rs643896 and rs685736) were associated with objective response and rPFS but not AEs following nivolumab treatment. Furthermore, SNPs in PDCD1LG2 (rs822339 and rs1411262) were associated with objective response, rPFS, and AEs following nivolumab treatment. Genetic risk category determined according to the number of risk alleles in SNPs (rs643896 in FARP1 and rs4527932 in PDCD1LG2) excellently predicted objective response and rPFS in nivolumab treatment. CONCLUSION: This study revealed that SNPs in FARP1 and PDCD1LG2 were correlated with outcome in nivolumab treatment. The use of these SNPs may be beneficial in selecting appropriate treatment for individual patients and may contribute to personalized medicine. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Shiota, Masaki AU - Shiota M AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. shiota.masaki.101@m.kyushu-u.ac.jp. FAU - Miyake, Hideaki AU - Miyake H AD - Department of Urology, Hamamatsu University School of Medicine, Hamamatsu, Japan. FAU - Takahashi, Masayuki AU - Takahashi M AD - Department of Urology, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan. FAU - Oya, Mototsugu AU - Oya M AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Tsuchiya, Norihiko AU - Tsuchiya N AD - Department of Urology, Faculty of Medicine, Yamagata University, Yamagata, Japan. FAU - Masumori, Naoya AU - Masumori N AD - Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan. FAU - Matsuyama, Hideyasu AU - Matsuyama H AD - Department of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Japan. FAU - Obara, Wataru AU - Obara W AD - Department of Urology, Iwate Medical University School of Medicine, Iwate, Japan. FAU - Shinohara, Nobuo AU - Shinohara N AD - Department of Renal and Genitourinary Surgery, Hokkaido University Graduate School of Medicine, Sapporo, Japan. FAU - Fujimoto, Kiyohide AU - Fujimoto K AD - Department of Urology, Nara Medical University, Kashihara, Japan. FAU - Nozawa, Masahiro AU - Nozawa M AD - Department of Urology, Faculty of Medicine, Kindai University, Osaka, Japan. FAU - Ohba, Kojiro AU - Ohba K AD - Department of Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan. FAU - Ohyama, Chikara AU - Ohyama C AD - Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan. FAU - Hashine, Katsuyoshi AU - Hashine K AD - Department of Urology, National Hospital Organization Shikoku Cancer Center, Matsuyama, Ehime, Japan. FAU - Akamatsu, Shusuke AU - Akamatsu S AD - Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan. FAU - Kamba, Tomomi AU - Kamba T AD - Department of Urology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan. FAU - Mita, Koji AU - Mita K AD - Department of Urology, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan. FAU - Gotoh, Momokazu AU - Gotoh M AD - Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Tatarano, Shuichi AU - Tatarano S AD - Department of Urology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan. FAU - Fujisawa, Masato AU - Fujisawa M AD - Department of Urology, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Tomita, Yoshihiko AU - Tomita Y AD - Department of Urology and Molecular Oncology, Graduate School of Medicine and Dental Sciences, Niigata University, Niigata, Japan. FAU - Mukai, Shoichiro AU - Mukai S AD - Department of Urology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan. FAU - Ito, Keiichi AU - Ito K AD - Department of Urology, National Defense Medical College, Saitama, Japan. FAU - Tanegashima, Tokiyoshi AU - Tanegashima T AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Tokunaga, Shoji AU - Tokunaga S AD - Medical Information Center, Kyushu University Hospital, Fukuoka, Japan. FAU - Eto, Masatoshi AU - Eto M AD - Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. CN - SNiP-RCC investigators LA - eng PT - Journal Article DEP - 20230202 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 31YO63LBSN (Nivolumab) SB - IM MH - Humans MH - Nivolumab/therapeutic use MH - *Carcinoma, Renal Cell/drug therapy/genetics MH - Genome-Wide Association Study MH - Progression-Free Survival MH - Polymorphism, Single Nucleotide MH - *Kidney Neoplasms/drug therapy/genetics PMC - PMC10992440 OTO - NOTNLM OT - Anti-PD-1 antibody OT - Genome-wide association study OT - Nivolumab OT - Renal cell carcinoma OT - Single nucleotide polymorphism COIS- Hideaki Miyake received honoraria from Ono Pharmaceutical. Masayuki Takahashi received honoraria from Ono Pharmaceutical and Bristol-Myers Squibb. Mototsugu Oya received honoraria from Pfizer, Novartis, Bayer, MSD, Eisai, Ono Pharmaceutical, Bristol-Myers Squibb, Takeda Pharmaceutical and Merck Biopharma. Norihiko Tsuchiya received honoraria from Pfizer, Novartis, MSD, Eisai, Bristol-Myers Squibb, Takeda Pharmaceutical and Merck Biopharma, and support for attending meetings from Merck Biopharma. Naoya Masumori received honoraria from MSD, Bristol-Myers Squibb, Takeda Pharmaceutical and Ono Pharmaceutical. Hideyasu Matsuyama received grants from Janssen Pharma, Takeda Pharmaceutical, Baxter, KyowaKirin and Sanofi, and honoraria from Janssen Pharma, AstraZeneca, Merck Biopharma, Bayer, Astellas Pharma and Chugai. Wataru Obara received honoraria from Ono Pharmaceutical, Merck Biopharma, Takeda Pharmaceutical and Astellas Pharma. Nobuo Shinohara received grants from Ono Pharmaceutical, honoraria from Ono Pharmaceutical and Bristol-Myers Squibb, and support for attending meetings from Ono Pharmaceutical and Bristol-Myers Squibb. Masahiro Nozawa received honoraria from Takeda Pharmaceutical. Shusuke Akamatsu received grants from Astellas Pharma, AstraZeneca and Tosoh, and honoraria from Janssen Pharma, AstraZeneca, Bayer, Astellas Pharma, Sanofi and Takeda Pharmaceutical. Tomomi Kamba received honoraria from AstraZeneca and Merck Biopharma. Masatoshi Eto received from grants from Ono Pharmaceutical, and honoraria from Ono Pharmaceutical and Bristol-Myers Squibb. All other authors declare no conflicts of interests to the current manuscript. EDAT- 2023/02/03 06:00 MHDA- 2023/05/22 06:42 PMCR- 2023/02/02 CRDT- 2023/02/02 11:18 PHST- 2022/11/09 00:00 [received] PHST- 2023/01/04 00:00 [accepted] PHST- 2023/05/22 06:42 [medline] PHST- 2023/02/03 06:00 [pubmed] PHST- 2023/02/02 11:18 [entrez] PHST- 2023/02/02 00:00 [pmc-release] AID - 10.1007/s00262-023-03367-w [pii] AID - 3367 [pii] AID - 10.1007/s00262-023-03367-w [doi] PST - ppublish SO - Cancer Immunol Immunother. 2023 Jun;72(6):1903-1915. doi: 10.1007/s00262-023-03367-w. Epub 2023 Feb 2.