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预测接受 PD-1 抑制剂治疗的鳞状和非鳞状非小细胞肺癌患者生存的临床参数。

Clinical Parameters for Predicting the Survival in Patients with Squamous and Non-squamous-cell NSCLC Receiving PD-1 Inhibitor Therapy.

机构信息

First Department of Internal Medicine, Toyama University Hospital, Sugitani 2630, Toyama City, 930-0194, Japan.

Department of Medical Oncology, Toyama University Hospital, Toyama City, Japan.

出版信息

Pathol Oncol Res. 2020 Jan;26(1):327-333. doi: 10.1007/s12253-018-0473-x. Epub 2018 Sep 19.

Abstract

We explored the associations between progression-free survival (PFS) after the initiation of PD-1 inhibitor therapy and the clinical parameters in patients with NSCLC. We reviewed the clinical data of patients with NSCLC treated with PD-1 inhibitor. Data of a total of 36 patients, including 16 patients with squamous cell NSCLC and 20 patients with non-squamous cell NSCLC were reviewed. Multivariate analyses identified EGFR status, C-reactive protein (CRP), and PFS following previous therapy as being significantly associated with the PFS after initiation of PD-1 inhibitor therapy in patients with NSCLC. In patients with squamous cell NSCLC, the blood neutrophil/lymphocyte ratio (NLR), serum lactate dehydrogenase (LDH), serum C-reactive protein (CRP), and PFS following previous therapy were identified as being significantly associated with the PFS after initiation of PD-1 inhibitor therapy. However, none of these associations, except for PFS following previous therapy, were found in patients with non-squamous cell NSCLC. NLR, LDH and CRP were associated with the PFS after initiation of PD-1 inhibitor therapy in patients with squamous cell NSCLC, and PFS following previous therapy was the common parameter associated with the PFS after initiation of PD-1 inhibitor therapy in both squamous-cell NSCLC and non-squamous-cell NSCLC patients.

摘要

我们探讨了 PD-1 抑制剂治疗起始后无进展生存期(PFS)与非小细胞肺癌(NSCLC)患者临床参数之间的关系。我们回顾了接受 PD-1 抑制剂治疗的 NSCLC 患者的临床数据。共回顾了 36 例患者的数据,其中包括 16 例鳞状细胞 NSCLC 患者和 20 例非鳞状细胞 NSCLC 患者。多变量分析确定 EGFR 状态、C-反应蛋白(CRP)和先前治疗后的 PFS 与 NSCLC 患者 PD-1 抑制剂治疗起始后 PFS 显著相关。在鳞状细胞 NSCLC 患者中,血液中性粒细胞/淋巴细胞比值(NLR)、血清乳酸脱氢酶(LDH)、血清 C-反应蛋白(CRP)和先前治疗后的 PFS 与 PD-1 抑制剂治疗起始后 PFS 显著相关。然而,除了先前治疗后的 PFS 外,这些关联在非鳞状细胞 NSCLC 患者中均未发现。NLR、LDH 和 CRP 与鳞状细胞 NSCLC 患者 PD-1 抑制剂治疗起始后的 PFS 相关,而先前治疗后的 PFS 是鳞状细胞 NSCLC 和非鳞状细胞 NSCLC 患者 PD-1 抑制剂治疗起始后 PFS 相关的共同参数。

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