Muscle loss linked to immunotherapy response in lung cancer
NCT ID NCT07192926
First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times
Summary
This study looked at 115 adults with advanced non-small cell lung cancer to see if muscle loss (sarcopenia) and a blood-based score called CTI affect how well immunotherapy works. Researchers reviewed medical records to measure muscle on CT scans and calculate CTI from routine blood tests. The goal is to find simple markers that could help doctors predict which patients will benefit most from treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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155 people
The number who actually took part.
- Started
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Dec 2022
- Finished
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Jun 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population comprised 155 adult patients with histologically confirmed metastatic non-small cell lung cancer (mNSCLC) who initiated immune checkpoint inhibitor (ICI)-based therapy at Ankara Etlik City Hospital between December 2022 and March 2025. All included patients had available baseline clinical and laboratory data, including the variables required to calculate the C-reactive protein-triglyceride glucose index (CTI) and cachexia index (CXI), as well as an eligible abdominal computed tomography scan obtained within 30 days before ICI initiation for L3-level body composition assessment. Longitudinal body composition analyses were conducted in a landmark cohort of 140 patients who also underwent an early follow-up CT assessment 8-12 weeks after ICI initiation and were alive and progression-assessable at the landmark time point.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years. * Histologically confirmed diagnosis of metastatic non-small cell lung cancer (mNSCLC). * Received at least one cycle of immune checkpoint inhibitor (PD-1 or PD-L1 inhibitor) as part of routine clinical care. * Availability of baseline CT imaging (within 4 weeks before treatment initiation) and follow-up CT imaging at approximately 3 months. * Availability of baseline laboratory data including C-reactive protein (CRP), triglycerides, and fasting glucose. * Adequate clinical records for evaluation of treatment response and survival outcomes. Exclusion Criteria: * Age \<18 years. * Patients without immunotherapy treatment. * Incomplete or missing CT imaging or laboratory data required for sarcopenia or CTI assessment. * Patients lost to follow-up before first radiological evaluation. * Prior malignancy within 5 years (except adequately treated basal cell carcinoma of the skin or carcinoma in situ of the cervix).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Etlik City Hospital Medical Oncology Department
Ankara, Yenimahalle, 06270, Turkey (Türkiye)
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Etlik City Hospital Radiology Department
Ankara, Yenimahalle, 06270, Turkey (Türkiye)
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