Detection of ctDNA at C1D1 (HR 2.3; 95%CI:1.4-3.9), C1D2 (HR 2.2; 95%CI:1.3-3.9) and C2D1 (HR 2.8; 95%CI:1.6-4.9) predicted a worse overall survival. A subgroup of patients for whom TP53 ctDNA was undetectable at C2D1 or C3D1 (14/64) had a high overall response rate of 64.2%.