Evidence map›Paper›PMID 36881071›Full record

ArticleIn vivo (Athens, Greece)

Albumin-derived Neutrophil-to-Lymphocyte Ratio Score as a Marker of Nivolumab Treatment Sensitivity in Gastric Cancer: A Multicenter Study.

Nobuhiro Nakazawa, Makoto Sohda, Kohei Tateno, Takayoshi Watanabe, Akiharu Kimura, Norimichi Kogure, Hisashi Hosaka, Atsushi Naganuma, Masanori Sekiguchi, Kana Saito and 6 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Nobuhiro NakazawaDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Makoto SohdaDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan; msohda@med.gunma-u.ac.jp.
Kohei TatenoDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Takayoshi WatanabeDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Akiharu KimuraDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Norimichi KogureDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hisashi HosakaDepartment of Gastroenterology, Gunma Prefectural Cancer Center, Ohta, Japan.
Atsushi NaganumaDepartment of Gastroenterology, National Hospital Organization Takasaki General Medical Center, Takasaki, Japan.
Masanori SekiguchiDepartment of Gastroenterology, Isesaki Municipal Hospital, Isesaki, Japan.
Kana SaitoDepartment of Surgery, Japan Community Healthcare Organization Gunma Central Hospital, Maebashi, Japan.
Kyoichi OgataDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Akihiko SanoDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Makoto SakaiDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hiroomi OgawaDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Ken ShirabeDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hiroshi SaekiDepartment of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Japan.
Gunma University · JPHyogo Prefectural Cancer Center · JPIsesaki Fukushima Hospital · JPJapan Community Healthcare Organization · JPNational Hospital Organization Takasaki Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimEstablishment of powerful and easy-to-evaluate biomarkers that can predict immune checkpoint inhibitor sensitivity in patients with gastric cancer (GC) would be highly useful. The albumin-derived neutrophil-to-lymphocyte ratio (Alb-dNLR) score reportedly is an excellent measure of both immunity and nutritional status. However, the association between nivolumab treatment sensitivity and Alb-dNLR in GC has also not been adequately investigated. This multicenter retrospective study was designed to evaluate the association of Alb-dNLR with therapeutic sensitivity of nivolumab in GC patients. PATIENTS AND

methodsThis was a retrospective multicenter study with patients from five sites. The data from 58 patients who received nivolumab for postoperative recurrent or unresectable advanced GC between October 2017 and December 2018 were analyzed. Blood tests had been performed before nivolumab administration. We analyzed the correlation between the Alb-dNLR score and clinicopathological factors, including best overall response.

resultsOf the 58 patients, 21 (36.2%) comprised the disease control (DC) group and 37 (63.8%) comprised the progressive disease (PD) group. The nivolumab treatment responses were subjected to receiver operating characteristic analysis. The cutoff value was set to 2.90 g/dl for Alb and to 3.55 for dNLR. All eight patients in the high Alb-dNLR group had PD (p=0.0049). The low Alb-dNLR group had significantly better overall survival (p=0.0023) and progression-free survival rates (p<0.0001).

conclusionThe Alb-dNLR score was a very simple and sensitive predictor of nivolumab therapeutic sensitivity and has very good biomarker properties.

Indexed as

NivolumabStomach NeoplasmsAlbuminsHumansLymphocytesNeutrophilsRetrospective StudiesAlbuminsNivolumabAlb-dNLRbiomarkerGastric cancernivolumab

Identifiers

PMID36881071
PMCPMC10026635
OpenAlexW4323348777

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.