Evidence map›Paper›PMID 39943944›Full record

ArticleTherapeutic advances in medical oncology2025

Association of baseline inflammatory biomarkers and clinical outcomes in patients with advanced renal cell carcinoma treated with immune checkpoint inhibitors.

Ahmet Yildirim, Mengting Wei, Yuan Liu, Bassel Nazha, Jacqueline T Brown, Bradley C Carthon, Yujin Choi, Lauren Suh, Rohit V Goswamy, Greta R McClintock and 8 more

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
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

18 authors.

Ahmet YildirimDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.ORCID https://orcid.org/0009-0006-2542-3714
Mengting WeiEmory University, Atlanta, GA, USA.
Yuan LiuDepartments of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Bassel NazhaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Jacqueline T BrownDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Bradley C CarthonDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Yujin ChoiUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Lauren SuhDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Rohit V GoswamyDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Greta R McClintockDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Caitlin HartmanDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Sarah CaulfieldDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Jordan CiuroDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Jamie M GoldmanDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Wayne B HarrisDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Omer KucukDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Viraj A MasterWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Mehmet A BilenGenitourinary Medical Oncology Program, Department of Hematology and Medical Oncology, Winship Cancer Institute of Emory University, 1365B Clifton Road NE, Suite B4000, Office 4212, Atlanta, GA 30322, USA.ORCID https://orcid.org/0000-0003-4003-1103

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) have become the mainstay treatment of metastatic kidney cancer, demonstrating enhanced outcomes and durable responses in select patient subgroups. However, identifying reliable prognostic biomarkers for treatment outcomes remains challenging. Objectives: This study aimed to assess the correlation between baseline inflammatory markers and overall survival (OS), progression-free survival (PFS), and clinical benefit (CB) in metastatic kidney cancer patients receiving ICIs. CB was defined as patients achieving stable disease, partial response, or complete response. Design: Retrospective, single-center study. Methods: A retrospective analysis was conducted on 401 adult patients with advanced kidney cancer treated with ICIs at Emory Winship Cancer Institute between 2018 and 2023. Modified Glasgow Prognostic Score (mGPS), neutrophil-to-lymphocyte (NLR), monocyte-to-lymphocyte (MLR), platelet-to-lymphocyte (PLR), and neutrophil-to-eosinophil ratios (NER) were collected from baseline blood samples. Results: Among 401 patients (median age, 66; 71% male; 21% Black/African American), median follow-up was 43.0 months (95% CI, 36.6-51.4). Patients with mGPS scores of 0 had longer OS than those with a score of 1 (hazard ratio (HR), 0.38; 95% CI, 0.23-0.62; Conclusion: Lower levels of systemic inflammatory markers are associated with more favorable clinical outcomes with ICI treatment. Prospective studies are needed for further validation.

Indexed as

biomarkerscheckpoint inhibitorsimmunotherapyinflammationinflammatory biomarkersrenal cell carcinoma

Identifiers

PMID39943944
PMCPMC11815817

What OpenQuestion holds

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Registered trials

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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.