Research Article

Prognostic Value of Lymphocyte-to-Monocyte Ratio (LMR) in Cancer Patients Undergoing Immune Checkpoint Inhibitors

Table 1

The characteristics and further details of recruited studies in this meta-analysis.
(a)

AuthorYearCountryStudy typeCancer typeSample (H/L)MaleICIs agentsLine of therapyCombined medicationTesting timeLMR cut-offOutcomeAgeQuality evaluation

Man [64]2022ChinaRHCC160 (61/99)129Pembro/Nivo/+Lenva; Sinti/Camre +lenva/Sora1st-lineCombined therapyBaseline3.6OS, PFS58 (26-86)7
Takashi [65]2022JapanRUC149126Pembro2nd-line or laterNABaseline1.7OS72 (67–77)6
Eisuke [66]2022JapanRMultiple61 (32/29)49Pembro/Nivo/Nivo followed by Pembro2nd-line or laterMonotherapy, combined therapyBaseline1.8 or 2.6DCR71 (46-86)6
Xueping [67]2022ChinaRLC125 (69/56)90Nivo, Pembro, AtezoNAMonotherapy, combined therapyBaseline2.3OS556
Kosuke [68]2022JapanRRCC38 (25/13)30Nivo2nd-line or laterMonotherapyBaseline3.3OS, PFS68 (44–78)5
Chan [69]2022KoreaRBTC68(29/39)NAPembro2nd-line or laterMonotherapyBaseline2.5OS666
Hiroyuki [70]2022JapanREC41(20/21)34Nivo2nd-line or laterMonotherapyBaseline2.2OS, PFS, DCR, irAEs68 (51-81)6
Rui [31]2022ChinaRHCC110 (79/31)100Anti-PD-1NACombined therapyPosttreatment1.8OS, PFS55 (31-84)6
Xue [71]2022ChinaRMultiple1,047713Anti-PD-(L)11st-line or laterMonotherapy, combined therapyBaseline3.4irAEs606
Jia [72]2022ChinaRNSCLC85(63/22)62Pembro/Nivo/Sinti/Toripa +/- chemo +/-antiangiogenesis1st-line or laterMonotherapy, combined therapyBaseline1.8OS, DCR66 (47-80)7
Zhenzhen [73]2022ChinaRNSCLC, SCLC6647Anti-PD-(L)11st-line or laterNABaseline2.1PFSNA5
Amparo [74]2021SpainRNSCLC51(27/24)37Pembro1st-lineMonotherapyBaseline1.9OS, PFS66 (46–85)8
Shigeo [75]2021JapanRGC51(25/26)NANivo2nd-line or laterMonotherapyPosttreatment3.3OS, DCR69 (40–84)8
Yang [76]2021ChinaRGC139 (71/68)103Anti-PD-(L)1+ chemo/anti-VEGF/anti-HER/anti-CTLA-41st-line or laterMonotherapy, combined therapyBaseline, posttreatment3.5OS, PFS, DCR60 (51–67)7
Saeka [77]2021JapanRNSCLC171113Nivo2nd-line or laterMonotherapyPosttreatment2.2irAEs64 (56–69)6
Sara [78]2021ItalyRRCC571402Nivo2nd-line or lateMonotherapyBaseline2.6OS, PFS, DCR61 (49–73)8
Despina [79]2021USARMultiple390275Anti-PD-(L)1, anti-CTLA-4 or combinationNAMonotherapy, combined therapyBaseline1.4OS, irAEs656
Wei [80]2021ChinaRSCLC5334Atezo + chemo +/- trilaciclib1st-lineCombined therapyBaseline2.7OSNA6
Saeka [81]2021JapanRNSCLC9264Pembro1st-line or laterMonotherapyBaseline1.5irAEs60 (34–85)6
Xiaona [82]2021ChinaRMultiple111 (61/50)56Anti-PD-11st-line or lateNABaseline3.2OS, PFS, DCR, irAEsNA7
Haiping [83]2021ChinaRMultiple207156Sinti+/- chemo1st-, 2nd-, or 3rd-lineMonotherapy, combined therapyBaseline2.8OS, PFS56 (24-72)9
DanYun [84]2021ChinaRGC53(21/32)NAToripa2nd-line or laterMonotherapyBaseline2.8OS, PFS60 (52–66)6
Yuki [85]2020JapanRNSCLC8137Atezo2nd-line or laterMonotherapyBaseline1.5OS, PFS71 (42–84)7
Sabrina [86]2020ItalyRNSCLC65(16/49)44Nivo2nd-line or laterNABaseline, posttreatment1.4OS68 (39-86)6
Kazuki [87]2020JapanRNSCLC146NANivo, Pembro1st-line or laterNABaseline2.1PFSNA6
Hiroki [88]2019JapanRRCC58(21/37)45Nivo2nd-line or laterNABaseline3.3OS, PFS, DCR346
Jarrett [89]2017USARMelanoma133 (98/35)87PembroNANABaseline1.7OS, PFS618

(b)

AuthorYearBaselinePosttreatment
HR for OS and 95% CIHR for PFS and 95% CIOR for DCR and 95% CIOR for irAEs and 95% CIHR for OS and 95% CIHR for PFS and 95% CIOR for DCR and 95% CIOR for irAEs and 95% CI

Man20220.90 (0.56-1.47)1.50 (0.98-2.30)NANANANANANA
Takashi20220.49 (0.32-0.74)NANANANANANANA
Eisuke2022NANA1.28 (0.38-4.26)NANANANANA
Xueping20220.41(0.19-0.86)NANANANANANANA
Kosuke20220.61 (0.20-1.89)0.58 (0.27-1.24)NANANANANANA
Chan20220.33 (0.17-0.60)NANANANANANANA
Hiroyuki20220.17 (0.06-0.60)0.22 (0.10-0.51)18.00 (3.68-88.00)11.33 (2.46-52.15)NANANANA
Rui2022NANANANA0.61 (0.21-1.79)0.36 (0.13-1.06)NANA
Xue2022NANANA0.59 (0.36–0.97)NANANANA
Jia20220.32 (0.14-0.72)NA3.84 (1.39-10.65)NANANANANA
Zhenzhen2022NA0.45 (0.25-0.83)NANANANANANA
Amparo20210.34 (0.15-0.76)0.60 (0.31-1.15)NANANANANANA
Shigeo2021NANANANA2.17 (0.99-4.63)NA0.19 (0.05-0.70)NA
Yang20210.38(0.24-0.62)0.58 (0.38-0.90)2.87 (1.22-6.74)NA0.52 (0.31-0.88)0.48 (0.29-0.78)2.06 (0.81-5.20)NA
Saeka2021NANANANANANANA1.79 (0.90-3.56)
Sara20210.69 (0.53-0.91)0.81 (0.65-1.00)1.38 (0.94-2.03)NANANANANA
Despina20210.43 (0.30-0.60)NANA2.96 (1.56-5.60)NANANANA
Wei20210.78 (0.29-2.07)NANANANANANANA
Saeka2021NANANA0.12 (0.03-0.52)NANANANA
Xiaona20210.46 (0.24-0.88)0.55 (0.33-0.93)4.08 (1.76-9.46)1.01 (0.44-2.34)NANANANA
Haiping20210.48 (0.34-0.70)0.77 (0.57-1.04)NANANANANANA
DanYun20212.14 (0.39-11.69)0.62 (0.34-1.13)NANANANANANA
Yuki20200.30 (0.17-0.55)0.48 (0.30-0.79)NANANANANANA
Sabrina20200.98 (0.27-3.49)NANANA0.14 (0.01-1.66)NANANA
Kazuki2020NA0.49 (0.34-0.71)NANANANANANA
Hiroki20190.29 (0.09-1.31)0.38 (0.19-0.83)6.33 (1.60-25.20)NANANANANA
Jarrett20170.29 (0.15-0.59)0.55 (0.34-0.92)NANANANANANA

NA, not available; R, retrospective; NSCLC, non-small cell lung cancer; GC, gastric cancer; RCC, renal cell carcinoma; SCC, small cell lung cancer; UC, urothelial carcinoma; LC, lung cancer; BTC, biliary tract cancer; EC, esophageal cancer; HCC, hepatocellular carcinoma; CRC, colorectal cancer; PLC, primary liver cancer; H/L, LMR high group/ low group; chemo, chemotherapy; ICIs, immune checkpoint inhibitors; Pembro, Pembrolizumab; Nivo, Nivolumab; Atezo, Atezolizumab; Sinti, Sintilimab; Camre, Camrelizumab; Tripri, Triprizumab; Toripa, Toripalimab; Lenva, lenvatinib; Sora, Sorafenib; Apa, apatinib; PD-(L)1, programmed death- (ligands) 1; CTLA-4, cytotoxic T lymphocyte antigen 4; OS, overall survival; PFS, progression free survival; ORR, objective response rate; DCR, disease control rate; irAEs, immune-related adverse events.