Pretreatment Glasgow prognostic score as a predictor of outcomes in nivolumab-treated patients with advanced gastric cancer

Autor: Aya Sakai, Ikuya Miki, Takuya Mimura, Saeko Kushida, Masahiro Tsuda, Yoshinobu Yamamoto, Naoki Takegawa, Hidetaka Tsumura, Nagahiro Tokuyama, Michiko Nishikawa
Rok vydání: 2021
Předmět:
Male
0301 basic medicine
Cancer Treatment
Biochemistry
Metastasis
Prognostic score
Antineoplastic Agents
Immunological

0302 clinical medicine
Basic Cancer Research
Ascites
Medicine and Health Sciences
Aged
80 and over

Multidisciplinary
Medical record
Middle Aged
Esophageal cancer
Advanced gastric cancer
C-Reactive Proteins
Prognosis
Progression-Free Survival
C-Reactive Protein
Nivolumab
Oncology
Nephrology
Research Design
Renal Cancer
030220 oncology & carcinogenesis
Medicine
Female
medicine.symptom
Research Article
Adult
medicine.medical_specialty
Esophageal Cancer
Science
Gastroenterology and Hepatology
03 medical and health sciences
Stomach Neoplasms
Internal medicine
Gastrointestinal Tumors
Biomarkers
Tumor

medicine
Humans
Serum Albumin
Aged
Neoplasm Staging
Retrospective Studies
business.industry
Cancers and Neoplasms
Biology and Life Sciences
Proteins
Cancer
medicine.disease
Gastric Cancer
030104 developmental biology
business
Zdroj: PLoS ONE, Vol 16, Iss 2, p e0247645 (2021)
PLoS ONE
ISSN: 1932-6203
Popis: In Japan, South Korea, and Taiwan, nivolumab might provide overall survival benefits for patients with advanced gastric cancer. However, it is effective only in a limited number of patients. The Glasgow prognostic score is an indicator of the systematic inflammatory response and nutritional status. This study aimed to investigate the ability of the Glasgow prognostic score and other markers to predict the outcomes of patients treated with nivolumab. We reviewed the medical records of patients treated for advanced gastric cancer and who received nivolumab between February 2015 and June 2019 at Hyogo Cancer Center. The patients were categorized into two groups according to their Glasgow prognostic scores. Overall, 53.3% and 46.7% of the patients were assigned to groups with Glasgow prognostic scores of 0 and 1/2, respectively. The median durations of progression-free and overall survival of the participants were 2.3 and 5.7 months, respectively. The patients with a Glasgow prognostic score of 0 had significantly higher median overall survival than those with scores of 1 or 2 (16.4 vs. 4.2 months; p = 0.0006). This observation suggests that a pretreatment Glasgow prognostic score of 0 is associated with better outcomes, and this scoring system may be used as a predictor of outcomes in patients with advanced gastric cancer treated with nivolumab.
Databáze: OpenAIRE