When early toxicities (within 12 weeks of ICI therapy) were compared with delayed toxicities (>12 weeks of ICI therapy), T-cell richness was statistically higher in early toxicities, while there was a trend of higher T cell inverse Simpson and lower T-cell clonality although these differences did not reach statistical significance (p=0.06; figure 6 ).
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High peripheral T cell diversity is associated with lower risk of toxicity and superior response to dual immune checkpoint inhibitor therapy in patients with metastatic NSCLC.
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