Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study

被引:2
作者
Arai, Junya [1 ,2 ]
Niikura, Ryota [1 ,3 ]
Hayakawa, Yoku [1 ]
Suzuki, Nobumi [1 ]
Honda, Tetsuro [4 ]
Okamura, Takuma [4 ]
Hasatani, Kenkei [5 ]
Yoshida, Naohiro [6 ]
Nishida, Tsutomu [7 ]
Sumiyoshi, Tetsuya [8 ]
Kiyotoki, Shu [9 ]
Ikeya, Takashi [10 ]
Arai, Masahiro [11 ]
Boku, Narikazu [1 ]
Fujishiro, Mitsuhiro [1 ]
机构
[1] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Bunkyo Ku, Tokyo 1138655, Japan
[2] Asahi Life Fdn, Inst Med Sci, Dept Gastroenterol, Tokyo, Japan
[3] Tokyo Med Univ, Gastroenterol Endoscopy, Tokyo, Japan
[4] Nagasaki Harbor Med Ctr, Dept Gastroenterol, Nagasaki, Japan
[5] Fukui Prefectural Hosp, Dept Gastroenterol, Fukui, Japan
[6] Ishikawa Prefectural Cent Hosp, Dept Gastroenterol, Kanazawa, Ishikawa, Japan
[7] Toyonaka City Hosp, Dept Gastroenterol, Osaka, Japan
[8] Tonan Hosp, Dept Gastroenterol, Sapporo, Hokkaido, Japan
[9] Shuto Gen Hosp, Dept Gastroenterol, Yamaguchi, Japan
[10] St Lukes Int Hosp, Dept Gastroenterol, Tokyo, Japan
[11] Nerima Hikarigaoka Hosp, Dept Gastroenterol, Tokyo, Japan
关键词
CBM588; gastric cancer; nivolumab; probiotics;
D O I
10.1002/cam4.6313
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundPrevious studies have revealed an association between probiotic use and effectiveness of immune checkpoint inhibitors in renal and lung cancers. However, little is known regarding other cancers, including gastrointestinal cancer. MethodsTo address this issue, we conducted a multicenter retrospective cohort study and the duration of nivolumab treatment for various cancers was compared between probiotic users and non-users. Results and ConclusionsIn total, 488 patients who received nivolumab therapy were included. In all cancers, no significant differences in treatment duration of nivolumab were observed between probiotic users and non-users (median 62.0 vs. 56.0, hazard ratio = 1.02, p = 0.825), whereas probiotic use, compared with non-use, in patients with gastric cancer was significantly associated with a longer duration of nivolumab treatment (55.0 vs. 31.0 days, hazard ratio = 0.69, p = 0.039). In conclusion, probiotics may improve the response to nivolumab and potentially prolong progression-free survival in patients with gastric cancer.
引用
收藏
页码:16876 / 16880
页数:5
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