10/ APEX linked luminal programs to favorable outcomes and EMT signatures to poor outcomes. In enfortumab vedotin–treated bladder cancer, 58% of patients with high APEX-predicted NECTIN4 responded, compared to 0% with low NECTIN4.
Even after adjusting for tumor fraction, copy number, and clinical covariates, APEX-derived NECTIN4 remained independently associated with improved survival. Our preliminary data suggests that plasma-inferred NECTIN4 may outperform tissue NECTIN4 IHC in this task.