We collected baseline formalin fixed and paraffin embedded (FFPE) tumor samples from a multi-institutional cohort of 144 high PD-L1 expressing (TPS≥50%) NSCLC patients treated with front-line pembrolizumab in 10 institutions between 2017-2022….Finally, using the Q3 cutpoint of OX40L expression, we confirmed that patients with high OX40L expression in the tumor compartment had longer PFS in the discovery (p=0.046) and the validation sets (p=0.016).