Evidence map›Paper›PMID 41908508›Full record

ArticleImmunotherapy advances2026

Overall survival by baseline and on-treatment systemic immune-inflammation index in patients with advanced cancer receiving immune checkpoint inhibitors: a large single-centre cohort study.

Oliver John Kennedy, Rebecca Lee, Fiona Blackhall, Ananya Choudhury, Robert Metcalf, Tom Waddell, Paul Lorigan

Abstract read
In one paragraph

Article in Immunotherapy advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Oliver John KennedyDivision of Cancer Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.ORCID https://orcid.org/0009-0008-0902-6078
Rebecca LeeDivision of Cancer Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.
Fiona BlackhallDivision of Cancer Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.
Ananya ChoudhuryDivision of Cancer Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.
Robert MetcalfChristie NHS Foundation Trust, Wilmslow Rd, Manchester, M20 4BX, United Kingdom.
Tom WaddellChristie NHS Foundation Trust, Wilmslow Rd, Manchester, M20 4BX, United Kingdom.
Paul LoriganDivision of Cancer Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Systemic Immune-Inflammation Index (SIII; neutrophils/lymphocytes × platelets) is a low-cost biomarker proposed to predict outcomes with immune checkpoint inhibitors (ICIs). This study evaluated associations of baseline and early on-treatment changes in SIII with overall survival (OS) for common ICI regimens. Patients with advanced cancer treated with ICIs at a UK centre were categorized by baseline SIII (above vs. below the median) and by changes at 3-6 weeks (increase/decrease). OS was analysed using Kaplan-Meier estimates. Adjusted hazard ratios (aHRs) with 95% confidence intervals (CIs) were calculated using multivariable Cox regression. Among 2578 patients included, 1514 deaths occurred over a median follow-up of 2.6 years. Common regimens included pembrolizumab or atezolizumab with (15.9%) or without chemotherapy (13.9%) for NSCLC, and nivolumab plus ipilimumab for melanoma (12.6%). Lower baseline SIII was associated with improved OS (28.1 vs. 11.1 months; aHR 0.56, 0.50-0.62), with a weaker association observed in those receiving ICI-targeted therapy combinations. An on-treatment increase in SIII was linked to reduced OS (16.8 vs. 21.5 months; aHR 1.33, 1.18-1.49). Patients with low baseline SIII and an on-treatment decline had the longest OS (33.2 months), whereas those with high baseline SIII and an on-treatment increase had the shortest (8.2 months; aHR 2.88, 2.41-3.44; interaction between baseline and on-treatment SIII

Indexed as

immune checkpoint inhibitorsimmunotherapylung cancermelanomaoverall survivalSystemic Immune-Inflammation Index

Identifiers

PMID41908508
PMCPMC13023032

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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.