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.