Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer

We explored the prognostic impact of simple indices that reflect the immunological milieu (neutrophils to lymphocyte ratio [NLR] and systemic immune-inflammation [SII]) in 49 platinum-resistant relapsed ovarian cancer patients. The median progression-free survival (PFS) and overall survival (OS) wer...

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Main Authors: Luxitaa Goenka, Nakka Thejeswar, Biswajit Dubashi, Smita Kayal, Prasanth Ganesan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2024-10-01
Series:Indian Journal of Medical and Paediatric Oncology
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1749399
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author Luxitaa Goenka
Nakka Thejeswar
Biswajit Dubashi
Smita Kayal
Prasanth Ganesan
author_facet Luxitaa Goenka
Nakka Thejeswar
Biswajit Dubashi
Smita Kayal
Prasanth Ganesan
author_sort Luxitaa Goenka
collection DOAJ
description We explored the prognostic impact of simple indices that reflect the immunological milieu (neutrophils to lymphocyte ratio [NLR] and systemic immune-inflammation [SII]) in 49 platinum-resistant relapsed ovarian cancer patients. The median progression-free survival (PFS) and overall survival (OS) were 4 and 8 months, respectively. Patients with a lower NLR (≤2.89) had a better PFS (5 vs. 2 months [p = 0.02]) and OS (9 vs. 5 months [p = 0.20]). Factors associated with a worse PFS were NLR > 2.8 (hazard ratio [HR] =2.32, p = 0.02) and SII > 639 (HR =3.70, p = 0.002). SII > 639 independently predicted PFS (HR =4.13, p = 0.03). Future studies should study the validity of inflammatory markers and could consider incorporating it as a biomarker in clinical trials.
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institution OA Journals
issn 0971-5851
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language English
publishDate 2024-10-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-ba39d76a89bc458dbf6a8a2322b902782025-08-20T02:22:20ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292024-10-01450543043310.1055/s-0042-1749399Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian CancerLuxitaa Goenka0Nakka Thejeswar1https://orcid.org/0000-0001-9282-0564Biswajit Dubashi2https://orcid.org/0000-0001-9852-2525Smita Kayal3Prasanth Ganesan4https://orcid.org/0000-0003-2762-6591Department of Medical Oncology, JIPMER, Puducherry, IndiaDepartment of Medical Oncology, JIPMER, Puducherry, IndiaDepartment of Medical Oncology, JIPMER, Puducherry, IndiaDepartment of Medical Oncology, JIPMER, Puducherry, IndiaDepartment of Medical Oncology, JIPMER, Puducherry, IndiaWe explored the prognostic impact of simple indices that reflect the immunological milieu (neutrophils to lymphocyte ratio [NLR] and systemic immune-inflammation [SII]) in 49 platinum-resistant relapsed ovarian cancer patients. The median progression-free survival (PFS) and overall survival (OS) were 4 and 8 months, respectively. Patients with a lower NLR (≤2.89) had a better PFS (5 vs. 2 months [p = 0.02]) and OS (9 vs. 5 months [p = 0.20]). Factors associated with a worse PFS were NLR > 2.8 (hazard ratio [HR] =2.32, p = 0.02) and SII > 639 (HR =3.70, p = 0.002). SII > 639 independently predicted PFS (HR =4.13, p = 0.03). Future studies should study the validity of inflammatory markers and could consider incorporating it as a biomarker in clinical trials.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1749399platinum-resistant ovarian cancertreatmentoutcomessystemic immune-inflammation indexneutrophil to lymphocyte ratio
spellingShingle Luxitaa Goenka
Nakka Thejeswar
Biswajit Dubashi
Smita Kayal
Prasanth Ganesan
Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
Indian Journal of Medical and Paediatric Oncology
platinum-resistant ovarian cancer
treatment
outcomes
systemic immune-inflammation index
neutrophil to lymphocyte ratio
title Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
title_full Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
title_fullStr Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
title_full_unstemmed Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
title_short Systemic Immune-Inflammation Index Predicts Outcomes in Platinum-Resistant Relapsed Ovarian Cancer
title_sort systemic immune inflammation index predicts outcomes in platinum resistant relapsed ovarian cancer
topic platinum-resistant ovarian cancer
treatment
outcomes
systemic immune-inflammation index
neutrophil to lymphocyte ratio
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1749399
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AT nakkathejeswar systemicimmuneinflammationindexpredictsoutcomesinplatinumresistantrelapsedovariancancer
AT biswajitdubashi systemicimmuneinflammationindexpredictsoutcomesinplatinumresistantrelapsedovariancancer
AT smitakayal systemicimmuneinflammationindexpredictsoutcomesinplatinumresistantrelapsedovariancancer
AT prasanthganesan systemicimmuneinflammationindexpredictsoutcomesinplatinumresistantrelapsedovariancancer