Biodesix, Inc.
APPARATUS AND METHOD FOR IDENTIFICATION OF PRIMARY IMMUNE RESISTANCE IN CANCER PATIENTS

Abstract:

A laboratory test apparatus for conducting a mass spectrometry test on a blood-based sample of a cancer patient includes a classification procedure implemented in a programmed computer that generates a class label for the sample. In one form of the test, "Test 1" herein, if the sample is labelled "Bad" or equivalent the patient is predicted to exhibit primary immune resistance if they are later treated with anti-PD-1 or anti-PD-L1 therapies in treatment of the cancer. In another configuration of the test, "Test 2" herein, the Bad class label predicts that the patient will have a poor prognosis in response to treatment by either anti-PD-1 or anti-PD-L1 therapies or alternative chemotherapies, such as docetaxel or pemetrexed. "Test 3" identifies patients that are likely to have a poor prognosis in response to treatment by either anti-PD-1 or anti-PD-L1 therapies but have improved outcomes on alternative chemotherapies. A Good class label assigned by either Test 1 or Test predicts very good outcome on anti-PD-1 or anti-PD-L1 monotherapy.