Guo Ziwei, Liang Jun
Medical Oncology, Peking University International Hospital, Beijing, People's Republic of China.
Medical Oncology, Peking University Cancer Hospital and Institute, Beijing, People's Republic of China.
Cancer Manag Res. 2021 May 24;13:4169-4180. doi: 10.2147/CMAR.S307272. eCollection 2021.
Immunotherapy has become the standard treatment for advanced tumors so that many biomarkers play parts in predicting prognosis and clinical outcome. Use of FARI is increasing, but there are no studies on its use prior to immunotherapy.
A retrospective study prior to immunotherapies in advanced carcinoma used FARI and other biomarkers as clinical parameters from which to analyse data from January 2014 to November 2020. Data were presented in GraphPad Prism 7 and X-Tile and analyzed using IBM SPSS.
A total of 146 patients were enrolled in our study. FARI (with an optimal cut-off value of 11.1%) was divided into a high group, in connection with shorter OS mainly in patients with bone metastasis (120m vs 11.5m, 95% Cl: 12.17-23.83, SE: 2.974, =0.03), and a low group with a longer PFS (11.0m vs 5.0m, 95% Cl: 3.303-12.697, SE: 2.397, =0.03) in NSCLC but a shorter PFS (3.5m vs 5.5m, 95% Cl: 3.757-6.243, SE: 0.634, =0.01) in liver metastasis. FARI was not determined as an independent predictor of OS in patients undergoing medical therapies (>11.1% vs ≤11.1%, HR: 1.296, 95% Cl: 0.687-2.032, =0.314). ECOG (HR: 2.892, 95% Cl: 1.911-4.378, <0.001) can be an independent predictor for PFS and OS in advanced carcinoma.
Our findings highlight certain potential values for predicting prognosis but no outstanding biomarkers prior to immunotherapy according to FARI.
免疫疗法已成为晚期肿瘤的标准治疗方法,因此许多生物标志物在预测预后和临床结果中发挥作用。FARI的使用正在增加,但尚无关于其在免疫治疗前使用情况的研究。
一项针对晚期癌症免疫治疗前的回顾性研究,使用FARI和其他生物标志物作为临床参数,分析2014年1月至2020年11月的数据。数据用GraphPad Prism 7和X-Tile呈现,并使用IBM SPSS进行分析。
我们的研究共纳入146例患者。FARI(最佳临界值为11.1%)分为高分组,主要在骨转移患者中与较短的总生存期相关(120个月对11.5个月,95%可信区间:12.17 - 23.83,标准误:2.974,P = 0.03),以及低分组,在非小细胞肺癌中具有较长的无进展生存期(11.0个月对5.0个月,95%可信区间:3.303 - 12.697,标准误:2.397,P = 0.03),但在肝转移中无进展生存期较短(3.5个月对5.5个月,95%可信区间:3.757 - 6.243,标准误:0.634,P = 0.01)。在接受药物治疗的患者中,FARI未被确定为总生存期的独立预测因子(>11.1%对≤11.1%,风险比:1.296,95%可信区间:0.687 - 2.032,P = 0.314)。ECOG(风险比:2.892,95%可信区间:1.911 - 4.378,P < 0.001)可作为晚期癌症无进展生存期和总生存期的独立预测因子。
我们的研究结果突出了某些预测预后的潜在价值,但根据FARI,在免疫治疗前没有突出的生物标志物。