LAG3-centered multiplex immune profiling as a prognostic biomarker in hepatocellular carcinoma patients receiving Anti-PD-1 antibodies plus lenvatinib therapy - Report - MDSpire

LAG3-centered multiplex immune profiling as a prognostic biomarker in hepatocellular carcinoma patients receiving Anti-PD-1 antibodies plus lenvatinib therapy

  • By

  • Juan Zhang

  • Mingzhen Zhou

  • Ziyue Jin

  • Wenyan Cao

  • Xuena Zhang

  • Fanlai Meng

  • Haiyan Wei

  • Jie Shen

  • July 1, 2026

  • 0 min

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Clinical Report: Multiplex Immune Profiling Focused on LAG3 in HCC

Overview

This study investigates LAG-3 as a prognostic biomarker in hepatocellular carcinoma (HCC) patients treated with Lenvatinib and anti-PD-1 antibodies. Key findings indicate that LAG-3 expression and immune microenvironment characteristics correlate with treatment outcomes.

Background

Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality, often diagnosed at advanced stages. Current treatment strategies include the combination of targeted therapies and immunotherapy, which have shown improved survival rates. Identifying reliable prognostic biomarkers is crucial for optimizing treatment and patient stratification.

Data Highlights

ResponseNumber of Patients
Complete Response (CR)1
Partial Response (PR)23
Stable Disease (SD)39
Progressive Disease (PD)14

Key Findings

  • Age, cirrhosis status, and ECOG performance status are associated with treatment response.
  • High pan-immune-inflammation value (PIV) is an independent risk factor for overall survival (OS).
  • Low LAG-3+ cell counts correlate with improved OS.
  • Low CD8+LAG-3+ cell density is linked to better OS outcomes.
  • Low albumin levels and high neutrophil-to-lymphocyte ratio are independent prognostic factors for progression-free survival (PFS).

Clinical Implications

The findings indicate that LAG-3 and immune microenvironment characteristics may serve as prognostic indicators in HCC patients undergoing combination therapy.

Conclusion

LAG-3 may serve as a prognostic biomarker for survival benefits in HCC patients treated with Lenvatinib and anti-PD-1 antibodies.

Related Resources & Content

  1. Journal of Neuro-Oncology, 2021 -- Expression of LAG-3 in the Glioma Inflammatory Microenvironment
  2. Gastric Cancer, 2020 -- Simultaneous Targeting of PD-1/PD-L1, Lag-3, and Tim-3 Pathways Enhances Antitumor Immune Responses in Coculture Models of Gastric Cancer T Cells
  3. Frontiers in Oncology, 2026 -- Application of patient-derived organotypic tumor spheroids to guide combination immunotherapy for advanced HCC: a case report
  4. Hepatocellular carcinoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed
  5. Lenvatinib plus pembrolizumab versus lenvatinib plus placebo for advanced hepatocellular carcinoma (LEAP-002): a randomised, double-blind, phase 3 trial - PubMed
  6. Gastric Cancer — Evaluating Gene Hyperamplification and PD-L1 Expression as Predictive Biomarkers for Tislelizumab Efficacy in Gastric and Gastroesophageal Junction Adenocarcinoma
  7. Hepatocellular carcinoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up - PubMed
  8. Lenvatinib plus pembrolizumab versus lenvatinib plus placebo for advanced hepatocellular carcinoma (LEAP-002): a randomised, double-blind, phase 3 trial - PubMed
  9. Immunohistochemical scoring of LAG-3 in conjunction with CD8 in the tumor microenvironment predicts response to immunotherapy in hepatocellular carcinoma - PMC

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