Stop Misusing PD-L1 and Treat the Context Not the Number – OncoSKY Global
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Stop Misusing PD-L1 and Treat the Context Not the Number – OncoSKY Global

OncoSKY Global shared a post on LinkedIn:

OncoSKY Diagnostic Reasoning Series.

STOP MISUSING PD-L1.

PD-L1 is not a binary switch. It is a context-dependent predictive biomarker.

Common pitfalls we still see in daily practice:

  • Assuming assays are interchangeable.
  • Mixing TPS, CPS, and IC scoring systems.
  • Ignoring tumor-specific regulatory context.
  • Over-interpreting PD-L1 <1% outside NSCLC chemo-IO.

Before prescribing immunotherapy, pause and check:

  • Tumor type.
  • Correct scoring system for that tumor.
  • Assay clone used.
  • Regulatory cut-off for that indication.
  • Line of therapy and regimen context.

PD-L1 modifies probability – not certainty. Never treat the number. Treat the context.”

OncoSKY Global

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