An integrated body composition– immunonutritional signature for predicting immunotherapy response and prognosis in gastric cancer: a multicenter retrospective cohort study - Takeaways - MDSpire

An integrated body composition– immunonutritional signature for predicting immunotherapy response and prognosis in gastric cancer: a multicenter retrospective cohort study

  • By

  • Fang Li

  • Tao Zheng

  • Honghai Guo

  • Peigang Yang

  • Ning Meng

  • Xiaolong Li

  • Zhenjiang Guo

  • Yuan Tian

  • Qun Zhao

  • July 15, 2026

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  • 1

    The study developed the Body Composition and Immunonutritional Signature (BCIS) to predict outcomes in gastric cancer patients receiving neoadjuvant therapy.

  • 2

    BCIS classified patients into favorable, intermediate, and unfavorable groups, with major pathological response rates significantly differing among these strata.

  • 3

    Each point increase in BCIS was associated with a 40% reduction in odds of major pathological response and a nearly 50% reduction in odds of pathological complete response.

  • 4

    BCIS improved the area under the curve for predicting major pathological response, indicating enhanced predictive capability beyond traditional tumor biomarkers.

  • 5

    At a median follow-up of 42.5 months, higher BCIS scores correlated with increased hazards of progression and death, demonstrating its prognostic value.

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