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

Author:

Arai Junya12ORCID,Niikura Ryota3,Hayakawa Yoku1,Suzuki Nobumi1,Honda Tetsuro4,Okamura Takuma4,Hasatani Kenkei5,Yoshida Naohiro6,Nishida Tsutomu7ORCID,Sumiyoshi Tetsuya8,Kiyotoki Shu9,Ikeya Takashi10,Arai Masahiro11,Boku Narikazu1,Fujishiro Mitsuhiro1

Affiliation:

1. Department of Gastroenterology, Graduate School of Medicine The University of Tokyo Tokyo Japan

2. Department of Gastroenterology The Institute for Medical Science, Asahi Life Foundation Tokyo Japan

3. Gastroenterological Endoscopy Tokyo Medical University Tokyo Japan

4. Department of Gastroenterology Nagasaki Harbor Medical Center Nagasaki Japan

5. Department of Gastroenterology Fukui Prefectural Hospital Fukui Japan

6. Department of Gastroenterology Ishikawa Prefectural Central Hospital Kanazawa‐shi Ishikawa Japan

7. Department of Gastroenterology Toyonaka Municipal Hospital Osaka Japan

8. Department of Gastroenterology Tonan Hospital Sapporo‐shi Hokkaido Japan

9. Department of Gastroenterology Shuto General Hospital Yamaguchi Japan

10. Department of Gastroenterology St. Luke's International Hospital Tokyo Japan

11. Department of Gastroenterology Nerima Hikarigaoka Hospital Tokyo Japan

Abstract

AbstractBackgroundPrevious 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.MethodsTo 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 ConclusionsIn 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.

Funder

Japan Society for the Promotion of Science

Publisher

Wiley

Subject

Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology

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