Predictive value of NRI, NLR, PLR and LMR for therapeutic efficacy and prognosis in advanced rectal cancer patients treated with PD-1/PD-L1 immunotherapy - Takeaways - MDSpire

Predictive value of NRI, NLR, PLR and LMR for therapeutic efficacy and prognosis in advanced rectal cancer patients treated with PD-1/PD-L1 immunotherapy

  • By

  • Mengli Gao

  • Zhe Gao

  • Yanan Wang

  • Wenguang Song

  • May 28, 2026

  • 0 min

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  • 1

    The study evaluated the predictive value of NRI, NLR, PLR, and LMR for treatment outcomes in advanced rectal cancer patients undergoing immunotherapy.

  • 2

    A total of 172 patients were analyzed, with optimal cut-off values for NLR, PLR, LMR, and NRI determined by ROC curves.

  • 3

    Patients with low NLR, low PLR, high LMR, and high NRI showed significantly higher objective response rates and disease control rates.

  • 4

    High NLR and high PLR were associated with significantly shorter median progression-free survival and overall survival.

  • 5

    Multivariate analysis identified TNM stage Ⅳ and high NLR as independent risk factors for poor prognosis in advanced rectal cancer.

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