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The Pan-Immune-Inflammation Value is a new prognostic biomarker in metastatic colorectal cancer: results from a pooled-analysis of the Valentino and TRIBE first-line trials

Open access
Fucà, Giovanni, Guarini, Vincenzo, Antoniotti, Carlotta, Morano, Federica, Moretto, Roberto, Corallo, Salvatore, Marmorino, Federica, Lonardi, Sara, Rimassa, Lorenza, Sartore-Bianchi, Andrea, Borelli, Beatrice, Tampellini, Marco, Bustreo, Sara, Claravezza, Matteo, Boccaccino, Alessandra, Murialdo, Roberto, Zaniboni, Alberto, Tomasello, Gianluca, Loupakis, Fotios, Adamo, Vincenzo, Tonini, Giuseppe, Cortesi, Enrico, de Braud, Filippo, Cremolini, Chiara, Pietrantonio, Filippo·2020·British Journal of Cancer

Abstract

Background: Immune-inflammatory biomarkers (IIBs) showed a prognostic relevance in patients with metastatic CRC (mCRC). We aimed at evaluating the prognostic power of a new comprehensive biomarker, the Pan-Immune-Inflammation Value (PIV), in patients with mCRC receiving first-line therapy. Methods: In the present pooled-analysis, we included patients enrolled in the Valentino and TRIBE trials. PIV was calculated as: (neutrophil count × platelet count × monocyte count)/lymphocyte count. A cut-off was determined using the maximally selected rank statistics method. Generalised boosted regression (GBR), the Kaplan–Meier method and Cox hazards regression models were used for survival analyses. Results: A total of 438 patients were included. Overall, 208 patients (47%) had a low-baseline PIV and 230 (53%) had a high-baseline PIV. Patients with high PIV experienced a worse PFS (HR, 1.66; 95% CI, 1.36–2.03, P < 0.001) and worse OS (HR, 2.01; 95% CI, 1.57–2.57; P < 0.001) compared to patients with low PIV. PIV outperformed the other IIBs in the GBR model and in the multivariable models. Conclusion: PIV is a strong predictor of survival outcomes with better performance than other well-known IIBs in patients with mCRC treated with first-line therapy. PIV should be prospectively validated to better stratify mCRC patients undergoing first-line therapy.

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Metadata

Authors
Fucà, G., Guarini, V., Antoniotti, C., Morano, F., Moretto, R., Corallo, S., Marmorino, F., Lonardi, S., Rimassa, L., Sartore-Bianchi, A., Borelli, B., Tampellini, M., Bustreo, S., Claravezza, M., Boccaccino, A., Murialdo, R., Zaniboni, A., Tomasello, G., Loupakis, F., Adamo, V., Tonini, G., Cortesi, E., de Braud, F., Cremolini, C., & Pietrantonio, F.
Venue
British Journal of Cancer
Published
2020-05-19
Volume
123
Issue
3
Pages
403-409
ISSN
  • 0007-0920 (ISSN-L)
  • 1532-1827
OpenAlex
W3024839384
Cited by
398
References
22
FWCI
6.98
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: The Pan-Immune-Inflammation Value is a new prognostic biomarker in metastatic colorectal cancer: results from a pooled-analysis of the Valentino and TRIBE first-line trials. https://app.cochat.ai/papers/10.1038/s41416-020-0894-7
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Fucà, G., Guarini, V., Antoniotti, C., Morano, F., Moretto, R., Corallo, S., Marmorino, F., Lonardi, S., Rimassa, L., Sartore-Bianchi, A., Borelli, B., Tampellini, M., Bustreo, S., Claravezza, M., Boccaccino, A., Murialdo, R., Zaniboni, A., Tomasello, G., Loupakis, F., . . . Pietrantonio, F. (2020). The Pan-Immune-Inflammation Value is a new prognostic biomarker in metastatic colorectal cancer: results from a pooled-analysis of the Valentino and TRIBE first-line trials. British Journal of Cancer. https://doi.org/10.1038/s41416-020-0894-7

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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