There was a significant OS benefit in TP53 mutated pts with PDL1 < 50% (HR: 0.44; 95%CI: 0.20–0.98; p = 0.043)…We observed a statistically significant difference in OS favouring pts with TP53 mutations in the PDL1 < 50% population….TP53 mutations could represent a potential biomarker for treatment selection for pts with low PDL1 expression treated with chemo-immunotherapy.