吉田 一彦
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Assistant Professor
Article types Original article
Language English
Peer review Peer reviewed
Title Predictive impact of prognostic nutritional index on pembrolizumab for metastatic urothelial carcinoma resistant to platinum-based chemotherapy.
Journal Formal name:Anticancer research
Abbreviation:Anticancer Res
ISSN code:02507005/17917530
Domestic / ForeginForegin
Volume, Issue, Page 41(3),pp.1607-1614
Author and coauthor ISHIYAMA Yudai†, KONDO Tsunenori*, NEMOTO Yuki, KOBARI Yuki, ISHIHARA Hiroki, TACHIBANA Hidekazu, YOSHIDA Kazuhiko, HASHIMOTO Yasunobu, TAKAGI Toshio, IIZUKA Junpei, TANABE Kazunari
Publication date 2021/03
Summary BACKGROUND/AIM:We investigated the prognostic nutritional index (PNI), comprised of lymphocytes and albumin, as a potential prognosticator of metastatic urothelial carcinoma (mUC) patients receiving pembrolizumab.PATIENTS AND METHODS:Sixty-five patients were retrospectively enrolled and classified as low (<40) and high (≥40) based on pretreatment PNI. Progression-free survival (PFS), overall survival (OS) and response rates were evaluated.RESULTS:In the low PNI group, significantly shorter PFS and OS were observed. PNI was shown to be an independent predictor of PFS and OS in the multivariate analysis. C-index for both PFS and OS improved with the addition of PNI to the model described in the KEYNOTE-045 study. Significantly more patients experienced initial disease progression in the low PNI group.CONCLUSION:PNI is a useful predictor of prognosis and disease progression in mUC patients receiving pembrolizumab.
DOI 10.21873/anticanres.14922
PMID 33788756