Modeling strategies to analyse longitudinal biomarker data: An illustration on predicting immunotherapy non-response in non-small cell lung cancer
Details
Publication Year 2022-10,Volume 8,Issue #10,Page e10932
Journal Title
Heliyon
Publication Type
Research article
Abstract
Serum tumor markers acquired through a blood draw are known to reflect tumor activity. Their non-invasive nature allows for more frequent testing compared to traditional imaging methods used for response evaluations. Our study aims to compare nine prediction methods to accurately, and with a low false positive rate, predict progressive disease despite treatment (i.e. non-response) using longitudinal tumor biomarker data. Bi-weekly measurements of CYFRA, CA-125, CEA, NSE, and SCC were available from a cohort of 412 advanced stage non-small cell lung cancer (NSCLC) patients treated up to two years with immune checkpoint inhibitors. Serum tumor marker measurements from the first six weeks after treatment initiation were used to predict treatment response at 6 months. Nine models with varying complexity were evaluated in this study, showing how longitudinal biomarker data can be used to predict non-response to immunotherapy in NSCLC patients.
Keywords
Ca-125; Cea; Cyfra; Immunotherapy; Nsclc; Nse; Response; Scc; Serum tumor markers
Department(s)
Health Services Research
PubMed ID
36254284
Open Access at Publisher's Site
https://doi.org/10.1016/j.heliyon.2022.e10932
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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