Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study

Abstract Background Previous studies have revealed an association between probiotic use and effectiveness of immune checkpoint inhibitors in renal and lung cancers. However, little is known regarding other cancers, including gastrointestinal cancer. Methods To address this issue, we conducted a mult...

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Main Authors: Junya Arai, Ryota Niikura, Yoku Hayakawa, Nobumi Suzuki, Tetsuro Honda, Takuma Okamura, Kenkei Hasatani, Naohiro Yoshida, Tsutomu Nishida, Tetsuya Sumiyoshi, Shu Kiyotoki, Takashi Ikeya, Masahiro Arai, Narikazu Boku, Mitsuhiro Fujishiro
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Cancer Medicine
Subjects:
Online Access:https://doi.org/10.1002/cam4.6313
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author Junya Arai
Ryota Niikura
Yoku Hayakawa
Nobumi Suzuki
Tetsuro Honda
Takuma Okamura
Kenkei Hasatani
Naohiro Yoshida
Tsutomu Nishida
Tetsuya Sumiyoshi
Shu Kiyotoki
Takashi Ikeya
Masahiro Arai
Narikazu Boku
Mitsuhiro Fujishiro
author_facet Junya Arai
Ryota Niikura
Yoku Hayakawa
Nobumi Suzuki
Tetsuro Honda
Takuma Okamura
Kenkei Hasatani
Naohiro Yoshida
Tsutomu Nishida
Tetsuya Sumiyoshi
Shu Kiyotoki
Takashi Ikeya
Masahiro Arai
Narikazu Boku
Mitsuhiro Fujishiro
author_sort Junya Arai
collection DOAJ
description Abstract Background Previous studies have revealed an association between probiotic use and effectiveness of immune checkpoint inhibitors in renal and lung cancers. However, little is known regarding other cancers, including gastrointestinal cancer. Methods To address this issue, we conducted a multicenter retrospective cohort study and the duration of nivolumab treatment for various cancers was compared between probiotic users and non‐users. Results and Conclusions In total, 488 patients who received nivolumab therapy were included. In all cancers, no significant differences in treatment duration of nivolumab were observed between probiotic users and non‐users (median 62.0 vs. 56.0, hazard ratio = 1.02, p = 0.825), whereas probiotic use, compared with non‐use, in patients with gastric cancer was significantly associated with a longer duration of nivolumab treatment (55.0 vs. 31.0 days, hazard ratio = 0.69, p = 0.039). In conclusion, probiotics may improve the response to nivolumab and potentially prolong progression‐free survival in patients with gastric cancer.
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spelling doaj.art-5b861f1dea5f4efa9cd3ed1ef3e10e4a2024-03-27T09:11:00ZengWileyCancer Medicine2045-76342023-08-011216168761688010.1002/cam4.6313Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort studyJunya Arai0Ryota Niikura1Yoku Hayakawa2Nobumi Suzuki3Tetsuro Honda4Takuma Okamura5Kenkei Hasatani6Naohiro Yoshida7Tsutomu Nishida8Tetsuya Sumiyoshi9Shu Kiyotoki10Takashi Ikeya11Masahiro Arai12Narikazu Boku13Mitsuhiro Fujishiro14Department of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo JapanGastroenterological Endoscopy Tokyo Medical University Tokyo JapanDepartment of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Gastroenterology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Gastroenterology Nagasaki Harbor Medical Center Nagasaki JapanDepartment of Gastroenterology Fukui Prefectural Hospital Fukui JapanDepartment of Gastroenterology Ishikawa Prefectural Central Hospital Kanazawa‐shi Ishikawa JapanDepartment of Gastroenterology Toyonaka Municipal Hospital Osaka JapanDepartment of Gastroenterology Tonan Hospital Sapporo‐shi Hokkaido JapanDepartment of Gastroenterology Shuto General Hospital Yamaguchi JapanDepartment of Gastroenterology St. Luke's International Hospital Tokyo JapanDepartment of Gastroenterology Nerima Hikarigaoka Hospital Tokyo JapanDepartment of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo JapanDepartment of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo JapanAbstract Background Previous studies have revealed an association between probiotic use and effectiveness of immune checkpoint inhibitors in renal and lung cancers. However, little is known regarding other cancers, including gastrointestinal cancer. Methods To address this issue, we conducted a multicenter retrospective cohort study and the duration of nivolumab treatment for various cancers was compared between probiotic users and non‐users. Results and Conclusions In total, 488 patients who received nivolumab therapy were included. In all cancers, no significant differences in treatment duration of nivolumab were observed between probiotic users and non‐users (median 62.0 vs. 56.0, hazard ratio = 1.02, p = 0.825), whereas probiotic use, compared with non‐use, in patients with gastric cancer was significantly associated with a longer duration of nivolumab treatment (55.0 vs. 31.0 days, hazard ratio = 0.69, p = 0.039). In conclusion, probiotics may improve the response to nivolumab and potentially prolong progression‐free survival in patients with gastric cancer.https://doi.org/10.1002/cam4.6313CBM588gastric cancernivolumabprobiotics
spellingShingle Junya Arai
Ryota Niikura
Yoku Hayakawa
Nobumi Suzuki
Tetsuro Honda
Takuma Okamura
Kenkei Hasatani
Naohiro Yoshida
Tsutomu Nishida
Tetsuya Sumiyoshi
Shu Kiyotoki
Takashi Ikeya
Masahiro Arai
Narikazu Boku
Mitsuhiro Fujishiro
Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
Cancer Medicine
CBM588
gastric cancer
nivolumab
probiotics
title Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
title_full Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
title_fullStr Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
title_full_unstemmed Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
title_short Association of probiotic use with nivolumab effectiveness against various cancers: A multicenter retrospective cohort study
title_sort association of probiotic use with nivolumab effectiveness against various cancers a multicenter retrospective cohort study
topic CBM588
gastric cancer
nivolumab
probiotics
url https://doi.org/10.1002/cam4.6313
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