Prognostic significance of the neutrophil/lymphocyte ratio in patients undergoing treatment with nivolumab for recurrent non-small-cell lung cancer.

Pub Date : 2020-07-20 DOI:10.2217/lmt-2020-0014
Bernardo L Rapoport, Annette J Theron, Daniel A Vorobiof, Lizanne Langenhoven, Jacqueline M Hall, Ronwyn I Van Eeden, Teresa Smit, Sze-Wai Chan, Michael C Botha, Johann I Raats, Margriet De Necker, Ronald Anderson
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引用次数: 4

Abstract

Aim: We investigated the prognostic potential of pretherapy measurement of the neutrophil/lymphocyte ratio (NLR) in patients (n = 56) with non-small-cell lung cancer deemed suitable for treatment with nivolumab.

Materials & methods: This was a multicenter, noninterventional, retrospective data analysis, involving five oncology centers.

Results: Patients with prenivolumab NLR values of <5 and ≥5 had respective median overall survival (OS) values of 14.5 and 7.02 months (p = 0.0026). Patients with ≤2 and >2 metastatic sites had median OS values of 11.4 and 6.1 months, respectively (p = 0.0174). A Cox multiple regression model revealed baseline NLR ≥5 as the only variable significantly associated with decreased OS (p < 0.0447).

Conclusion: Pretreatment elevated NLR values are associated with poor outcomes in patients with recurrent metastatic non-small-cell lung cancer treated with nivolumab.

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中性粒细胞/淋巴细胞比值在接受纳武单抗治疗复发性非小细胞肺癌患者中的预后意义
目的:我们研究了治疗前测量中性粒细胞/淋巴细胞比率(NLR)对56名非小细胞肺癌患者(n = 56)的预后潜力,这些患者被认为适合用纳武单抗治疗。材料与方法:这是一项涉及五个肿瘤中心的多中心、非介入性、回顾性数据分析。结果:2个转移部位的prenivolumab NLR值患者的中位OS值分别为11.4和6.1个月(p = 0.0174)。Cox多元回归模型显示,基线NLR≥5是唯一与OS降低显著相关的变量(p)。结论:预处理升高的NLR值与纳沃单抗治疗的复发性转移性非小细胞肺癌患者预后不良相关。
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