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. 2021 Aug 20;11:16992. doi: 10.1038/s41598-021-96538-7

Table 2.

Impact of clinical, hematological factors and prognostic score on clinical outcomes in recurrence or metastatic head and neck cancer patients treated with nivolumab.

Variables N Progression-free survival Overall survival
Univariate Multivariate Univariate Multivariate
HR 95% CI p-value HR 95% CI p-value HR 95% CI p-value HR 95% CI p-value
ECOG PS
0, 1 102 1.00 1.00 1.00 1.00
2, 3 24 1.90 1.18–3.06 0.008 2.17 1.30–3.63 0.003 3.14 1.77–5.57 < 0.001 2.94 1.55–5.55 < 0.001
IrAE
Without 85 1.00 1.00 1.00 1.00
With 41 0.55 0.36–0.84 0.006 0.52 0.34–0.80 0.003 0.49 0.27–0.87 0.016 0.47 0.26–0.86 0.015
Modified Glasgow Prognostic Score
0 70 1.00 1.00 1.00 1.00
1, 2 47 2.02 1.34–3.03 < 0.001 2.37 1.55–3.63 < 0.001 2.40 1.41–4.10 0.001 2.51 1.45–4.35 < 0.001
Relative eosinophil count
< 1.5 71 1.00 1.00 1.00 1.00
≥ 1.5 53 0.68 0.46–1.00 0.049 0.68 0.46–1.00 0.048 0.51 0.31–0.86 0.011 0.49 0.29–0.83 0.008
Neutrophil/lymphocyte ratio
< 5 71 1.00 1.00 1.00 1.00
≥ 5 53 1.28 0.87–1.88 0.218 1.32 0.89–1.95 0.167 1.54 0.93–2.56 0.094 1.56 0.92–2.65 0.096
Platelet/lymphocyte ratio
< 253 62 1.00 1.00 1.00 1.00
≧ 253 63 1.04 0.71–1.53 0.830 1.10 0.75–1.63 0.626 1.37 0.82–2.29 0.236 1.37 0.80–2.35 0.246
Best overall response
SD, PD 97 1.00 1.00 1.00 1.00
CR, PR 29 0.19 0.11–0.33 < 0.001 0.17 0.10–0.30 < 0.001 0.18 0.08–0.41 < 0.001 0.18 0.07–0.42 < 0.001
Prognostic score
0–1 27 1.00 1.00 1.00 1.00
2–3 61 2.78 1.60–4.83 < 0.001 3.44 1.95–6.06 < 0.001 6.67 2.04–21.90 < 0.001 7.63 2.29–25.37 < 0.001
4–5 28 6.11 3.22–11.61 < 0.001 7.77 3.98–15.15 < 0.001 15.06 4.43–51.13 < 0.001 14.66 4.28–50.22 < 0.001
Ptrend < 0.001 Ptrend < 0.001 Ptrend < 0.001 Ptrend < 0.001

Adjusted for age, sex, primary tumor site, platinum sensitivity, and site of recurrence.

ECOG PS Eastern Cooperative Oncology Group Performance Status, irAE immune-related adverse events.