Evidence map›Paper›PMID 40611329›Full record

ArticleBiology direct2025

Prognostic model integrating histology, systemic inflammation, and recurrence status predicts immunotherapy response in advanced non-small-cell lung cancer patients.

F V Moiseenko, M A Krasavina, I R Agranov, E V Artemieva, A P Oganesian, A S Gabina, M L Makarkina, E O Elsakova, V A Henshtein, N M Volkov and 6 more

Abstract read
In one paragraph

Article in Biology direct, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

F V MoiseenkoN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
M A KrasavinaN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
I R AgranovN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
E V ArtemievaN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
A P OganesianN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
A S GabinaN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
M L MakarkinaN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
E O ElsakovaN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
V A HenshteinN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
N M VolkovN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
V V EgorenkovN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
V M MoiseenkoN.P. Napalkov St. Petersburg City Cancer Hospital, St. Petersburg, Russia.
M Yu FedyaninMoscow Medical City Hospital "Kommunarka", Moscow, Russia.
G S KopeinaEngelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia.
B ZhivotovskyEngelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia. boris.zhivotovsky@ki.se.
A V ZamaraevEngelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia. a-zamaraev@yandex.ru.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-small-cell lung cancer (NSCLC) exhibits variable outcomes and remains a leading cause of cancer-related mortality, despite advances in immunotherapy. This study aimed to develop a prognostic model using real-world data (RWD) to stratify patients by survival outcomes and evaluate the benefit of immunotherapy across risk groups.

methodsA retrospective cohort of 270 patients with NSCLC (2015-2024) treated with chemotherapy alone (54%) or chemoimmunotherapy (46%) was analyzed. Clinical, laboratory (neutrophil-to-lymphocyte ratio [NLR], platelet-to-lymphocyte ratio [PLR], monocyte-to-lymphocyte ratio [MLR]), and histopathological data were collected. Multivariate Cox regression identified prognostic factors for overall survival (OS) and validated them via bootstrapping.

resultsThe cohort (median age, 65; 78% male) had a median OS of 11.2 months and a median progression-free survival (PFS) of 7.7 months. The final prognostic model incorporated histology (adenocarcinoma vs. large cell/squamous cell carcinoma/rare subtypes: HR = 1.6-2.03), recurrence state (HR = 0.51), and NLR (HR = 1.13). Patients were stratified into low- (median OS = 14.6 months) and high-risk (median OS = 9.6 months; p < 0.001) groups. Immunotherapy significantly increased PFS in low-risk patients (12.2 vs. 7.1 months, p = 0.002) and showed an increasing trend in OS (16.9 vs. 11.3 months, p = 0.12). High-risk patients derived no OS/PFS benefit (p ≥ 0.56).

conclusionThis RWD-derived prognostic model effectively stratifies NSCLC patients into distinct risk groups. Immunotherapy-chemotherapy provided meaningful PFS improvement in low-risk patients but minimal benefit in high-risk subgroups, underscoring the need for tailored therapeutic strategies.

Indexed as

Carcinoma, Non-Small-Cell LungImmunotherapyInflammationLung NeoplasmsNeoplasm Recurrence, LocalAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesImmunotherapyNLRNon-small-cell lung cancerPrognostic model

Identifiers

PMID40611329
PMCPMC12224361

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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.