改良的gustave Roussy免疫评分:评估晚期胃癌患者基线免疫预后。

IF 2.6 4区 医学 Q2 ONCOLOGY
Future oncology Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI:10.1080/14796694.2025.2564062
Yue Ma, Yuting Pan, Yue Li, Guanghai Dai
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引用次数: 0

摘要

背景:这项回顾性研究的重点是晚期胃癌(AGC)患者,传统化疗对这些患者的疗效有限,对免疫检查点抑制剂(ICI)的反应各不相同。它探索了预测免疫治疗反应的生物标志物,特别关注改良的Gustave Roussy免疫评分(mGRIm-s)。方法:回顾性研究纳入2014年12月至2021年5月在解放军总医院接受ICI治疗的268例IV期胃癌患者。根据三个危险因素:低白蛋白水平、高乳酸脱氢酶水平和中性粒细胞-淋巴细胞比率升高,将患者分为低危和高危组。结果:结果显示,低mGRIm-s组患者的无进展生存期(PFS)和总生存期(OS)明显长于高mGRIm-s组。Cox回归分析发现,高mGRIm-s是疾病进展和死亡率的重要危险因素。此外,在短期疗效评估中,低mGRIm-s组患者表现出更高的疾病控制率。结论:本回顾性研究为接受抗pd -1免疫治疗的AGC患者mGRIm-s与生存结局之间的关系提供了新的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The modified-Gustave Roussy immune score: assessing immune prognosis in advanced gastric cancer patients at baseline.

Background: This retrospective study focused on patients with advanced gastric cancer (AGC) for whom traditional chemotherapy has limited efficacy and responses to immune checkpoint inhibitors (ICI) vary. It explored biomarkers for predicting immunotherapy response, with a particular focus on the modified Gustave Roussy immune score (mGRIm-s).

Methods: The retrospective study enrolled 268 patients with stage IV gastric cancer who initiated ICI treatment at the PLA General Hospital between December 2014 and May 2021. Patients were stratified into low-risk and high-risk groups based on three risk factors: low albumin levels, high lactate dehydrogenase levels, and an elevated neutrophil-lymphocyte ratio.

Results: The results showed that patients in the low mGRIm-s group had significantly longer progression-free survival (PFS) and overall survival (OS) compared to those in the high mGRIm-s group. Cox regression analysis identified high mGRIm-s as a significant risk factor for disease progression and mortality. Additionally, patients in the low mGRIm-s group demonstrated higher disease control rates in short-term efficacy assessments.

Conclusion: This retrospective study provides new insights into the relationship between mGRIm-s and survival outcomes in AGC patients undergoing anti-PD-1 immunotherapy.

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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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