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Conclusions

PD-L1 (imperfect) gold standard to

give

IO.

TMB expensive and immature to

give

IO.

Better than PD-L1? Better TMB & PD-L1?

Threshold? Platform?

High TMB predictive in PD-L1 neg. tumours

LIPI, easy score (LDH/neutrophils) to

give

IO.

Some groups of patients

not

to

give

IO.

Immunotherapy probably does not fit all patients.