ESMO Congress 2023 | OncologyPRO

Abstract 1132P

Background

Uveal melanoma (UM) is a rare form of melanoma having poor responses to currently available systemic agents. Our goal is to understand differences in chemokine expression in relation to tumor genetics and response to immunotherapy.

Methods

UM patient tumors (N=278, 41 primary, 174 liver mets and 63 other mets) were profiled by NGS DNA/RNA at Caris Life Sciences (Phoenix, AZ). Chemokine expression, high/Low (H/L) defined as samples with >75^th- or <25^th-percentile of transcripts per million (TPM). Tumor microenvironment (TME) cell fraction estimated by RNA, with median fold changes (H/L) or proportion of samples with non-zero fraction reported (Table). PDL1+ (SP142) tested by IHC. Survival data obtained from insurance claims.

Results

Primary tumors had increased expression of CXCR4, CXCR1, CXCR2, CCL27 and CXCL13 compared to liver mets (FC range 1.2-4.2), while CXCL2 expression was increased in liver mets (2.3, p<0.01). In liver mets, increased infiltration of immunosuppressive cells was observed for CXCR4-H and CXCL12-H tumors(Table). Only M1 macrophages, CD8+ T cells and B cells were increased for CXCR4-H and CXCL12-H primary tumors. PDL1+ rates were increased in CXCR4-H tumors overall (H 36% vs L 13%, p<0.05). In liver mets, SF3B1 mutation was associated with lower CXCL1 and CXCL2 expression compared to WT (0.35- and 0.47-fold, respectively, p-<0.01). BAP1-mutated liver mets showed increased CXCL1 expression (2.0-fold, p-0.04), whereas CCR10 expression was increased in BAP1-mutated primary tumors (2.6-fold, p-0.02). Among immunotherapy treated patients with liver mets, there was a trend for improved survival for CXCL12 H (n=13) vs L (n=12) (HR 0.51 (0.21-1.3), p=0.14) and CXCR4 H (n=13) vs L (n=12) (HR 0.49 (0.20-1.2), p=0.12) though not significant. Table: 1132P

TME (liver mets): CXCR4/CXCL12 median fold change (H/L) (where median is 0, % non-zero H vs L).

Immune Cell	CXCR4 Median FC (H/L) or non-zero%	p-value	CXCL12 Median FC (H/L) or non-zero%	p-value
Monocyte	13% vs 0%	0.01	37% vs 11%	0.31
Treg	2.9	<0.01	2.9	<0.01
T cell CD8	70% vs 28%	<0.01	67% vs 34%	<0.01
T cell CD4	32% vs 13%	0.02	37% vs 11%	0.01
NK cell	1.4	<0.001	1.5	<0.001
Macrophage M2	1.3	0.002	1.3	<0.001
Macrophage M1	92% vs 50%	<0.01	96% vs 49%	<0.001
B cell	1.6	<0.01	1.3	0.02

Conclusions

Our results suggest chemokines are differentially expressed in tumors harboring the common alterations associated with medium risk of distant metastases.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.

Funding

Caris Life Sciences.

Disclosure

Y. Baca, A. Elliott, P. Walker, F. Abdulla: Financial Interests, Institutional, Financially compensated role: Caris Life Sciences. All other authors have declared no conflicts of interest.