Post-treatment Glasgow Prognostic Score Predicts Efficacy in Advanced Non-small-cell Lung Cancer Treated With Anti-PD1

被引:36
作者
Kasahara, Norimitsu [1 ]
Sunaga, Noriaki [2 ]
Tsukagoshi, Yusuke [2 ]
Miura, Yosuke [2 ]
Sakurai, Reiko [3 ]
Kitahara, Shinsuke [2 ]
Yokobori, Takehiko [4 ]
Kaira, Kyoichi [5 ]
Mogi, Akira [6 ]
Maeno, Toshitaka [2 ]
Asao, Takayuki [1 ]
Hisada, Takeshi [7 ]
机构
[1] Gunma Univ Hosp, Innovat Med Res Ctr, 3-39-15 Showa Machi, Maebashi, Gunma 3718511, Japan
[2] Gunma Univ, Dept Resp Med, Grad Sch Med, Maebashi, Gunma, Japan
[3] Gunma Univ Hosp, Oncol Ctr, Maebashi, Gunma, Japan
[4] Gunma Univ, Dept Innovat Canc Ctr Immunotherapy, Maebashi, Gunma, Japan
[5] Saitama Med Univ, Comprehens Canc Ctr, Int Med Ctr, Dept Resp Med, Hidaka, Japan
[6] Gunma Univ, Dept Gen Surg Sci, Grad Sch Med, Maebashi, Gunma, Japan
[7] Gunma Univ, Grad Sch Hlth Sci, Maebashi, Gunma, Japan
关键词
Glasgow prognostic score; anti-PD1; non-small cell lung cancer; immunotherapy; biomarker; TO-LYMPHOCYTE RATIO; INFLAMMATION; NIVOLUMAB; CHEMOTHERAPY; MANAGEMENT; DOCETAXEL; OXYCODONE; CACHEXIA; OUTCOMES; INDEX;
D O I
10.21873/anticanres.13262
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: No definitive biomarker exists for predicting treatment efficacy or response to therapy with antibody to programmed cell death-1 (PD1) for patients with advanced non-small cell lung cancer (NSCLC). Hence, we investigated whether the Glasgow prognostic score (GPS) predicted anti-PD1 treatment response for advanced NSCLC. Patients and Methods: This study retrospectively identified 47 patients with NSCLC treated with anti-PD1 and assessed the prognostic value of the GPS. The GPS was calculated using C-reactive protein and albumin concentrations 1 month after starting anti-PD1 treatment. Kaplan-Meier method and Cox proportional hazard models were used to examine differences in progression-free (PFS) and overall (OS) survival, and clinical response. Results: The post-treatment GPS independently predicted anti-PD1 treatment efficacy, as a good post-treatment GPS (GPS 0-1) was significantly associated with improved PFS. Intra-treatment GPS change was associated with clinical response. Conclusion: The post-treatment GPS independently predicted efficacy of anti-PD1 treatment for NSCLC.
引用
收藏
页码:1455 / 1461
页数:7
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