A total of 765 advanced nonsquamous NSCLCs with available FAA values were treated with ICIs….Compared to NSCLCs without chromosome 9p loss (N=452), those with 9p loss (N=154), had a lower ORR (28.1% vs 7.8%, P<0.001), a shorter mPFS (4.1 vs 2.3 months, P<0.001), and a shorter mOS (18.0 vs 9.6 months, P<0.001) to immunotherapy. Chromosome 9p loss in tumors with PD-L1 TPS ≥50% resulted in a significantly lower ORR (6% vs 43%, P<0.001), a significantly shorter mPFS (2.6 vs 6.4 months, HR: 1.94; P<0.001), and a significantly shorter mOS (14.3 vs 30.2 months, HR: 1.98; P<0.001) compared with NSCLCs with intact 9p arm and a high PD-L1 expression.