Peer-Reviewed Publication
J Thorac Oncol2025;20(12):1778-1790.December 1, 2025Journal Article

Digital Versus Manual PD-L1 Scoring in Advanced NSCLC From the IMpower110 and IMpower150 Trials.

Roy S Herbst1, Hen Prizant2, Daniel Ruderman2, Jake Conway3, John Shamshoian3, Hartmut Koeppen2, Wei Zou2, Filippo de Marinis4, Giuseppe Giaccone5, Jacek Jassem6, David R Spigel7, Mark A Socinski8, Martin Reck9, Luciana Molinero2, Marcus Ballinger2, David Shames2, Michael Griffin3, Limin Yu3, Nishant Agrawal3, Andrew Beck3, Ilan Wapinski3, Stephanie Hennek3, Jennifer Giltnane2, Minu K Srivastava2
1Yale School of Medicine and Yale Cancer Center, New Haven, Connecticut. Electronic address: roy.herbst@yale.edu.
2Genentech Inc., South San Francisco, California.
3PathAI, Boston, Massachusetts.
4Division of Thoracic Oncology, European Institute of Oncology IRCCS, Milan, Italy.
5Meyer Cancer Center, Weill Cornell Medicine, New York, New York.
6Department of Oncology and Radiotherapy, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
7Sarah Cannon Research Institute, Nashville, Tennessee.
8AdventHealth Cancer Institute, Orlando, Florida.
9Lung Clinic Grosshansdorf, Airway Research Center North, German Center of Lung Research, Grosshansdorf, Germany.

Abstract

INTRODUCTION: Treatment selection in patients with advanced NSCLC is based on programmed death-ligand 1 (PD-L1) expression, which is usually scored manually and is subject to intra- and inter-pathologist variability. A PD-L1 clone-agnostic artificial intelligence (AI) model for AI-based measurement of PD-L1 (AIM-PD-L1) was developed and assessed in advanced NSCLC using clinical samples from two ph…

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