Evidence map›Paper›PMID 42845259›Full record

ArticleJournal of gastric cancer2026

The CALLY Index for Unresectable or Recurrent Gastric Cancer Treated With Nivolumab: A Multicenter Retrospective Study.

Kenji Takeshita, Muneharu Fujisaki, Motohiro Shionozaki, Kazuhide Sato, Mizuki Fukuda, Naoko Fukushima, Yoshitaka Ishikawa, Yuta Takano, Fumiaki Yano, Ken Eto

Abstract readMulticenter Study
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

10 authors.

Kenji TakeshitaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan. ken.take0817@gmail.com.ORCID https://orcid.org/0009-0006-5427-4869
Muneharu FujisakiDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-0835-0764
Motohiro ShionozakiDepartment of Surgery, The Jikei University Katsushika Medical Center, Tokyo, Japan.ORCID https://orcid.org/0009-0001-2596-8638
Kazuhide SatoDepartment of Surgery, The Jikei University Katsushika Medical Center, Tokyo, Japan.ORCID https://orcid.org/0009-0007-1296-7082
Mizuki FukudaDepartment of Surgery, The Jikei University Katsushika Medical Center, Tokyo, Japan.ORCID https://orcid.org/0009-0007-7048-5807
Naoko FukushimaDepartment of Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Japan.ORCID https://orcid.org/0000-0002-7656-3198
Yoshitaka IshikawaDepartment of Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Japan.ORCID https://orcid.org/0000-0001-6258-525X
Yuta TakanoDepartment of Surgery, The Jikei University Katsushika Medical Center, Tokyo, Japan.ORCID https://orcid.org/0009-0003-3683-3602
Fumiaki YanoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6682-4166
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3628-4493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe C-reactive protein-albumin-lymphocyte (CALLY) index is a novel immuno-nutritional marker in various cancers. We investigated its prognostic value in patients with unresectable or recurrent gastric cancer who were treated with nivolumab monotherapy. MATERIALS AND

methodsThis multicenter retrospective study included 126 patients treated with third- or later-line nivolumab monotherapy. The CALLY index was calculated as (Albumin × Lymphocyte Count)/(C-Reactive Protein × 10⁴) and dichotomized at 1.08. The operating characteristics of this cutoff were evaluated using receiver operating characteristic analysis for 1-year overall survival (OS). OS and progression-free survival (PFS) were evaluated.

resultsThe CALLY-low group exhibited a significantly shorter median OS (164 vs. 377 days; P=0.004) and median PFS (56 vs. 104 days; P<0.001) than the CALLY-high group. In multivariable models from which posttreatment immune-related adverse events were excluded, the CALLY index was an independent prognostic factor for both OS (hazard ratio [HR], 2.05; 95% confidence interval [CI], 1.31-3.21; P=0.002) and PFS (HR, 2.00; 95% CI, 1.33-3.02; P<0.001) after adjustment for clinically relevant factors.

conclusionsThe pretreatment CALLY index was an independent prognostic biomarker for both OS and PFS in patients with unresectable or recurrent gastric cancer receiving third- or later-line nivolumab monotherapy. By integrating the C-reactive protein levels, albumin levels, and lymphocyte counts, the CALLY index may serve as a practical tool for pretreatment risk stratification in this setting.

Indexed as

Antineoplastic Agents, ImmunologicalC-Reactive ProteinNeoplasm Recurrence, LocalNivolumabStomach NeoplasmsAdultAgedBiomarkers, TumorFemaleHumansLymphocyte CountMaleMiddle AgedPrognosisRetrospective StudiesAntineoplastic Agents, ImmunologicalBiomarkers, TumorC-Reactive ProteinNivolumabBiomarkersImmune checkpoint inhibitorsNivolumabPrognosisStomach neoplasms

Identifiers

PMID42845259
PMCPMC13655675

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.