Systemic Inflammatory Markers As a Prognostic Index for B-cell Neoplasm , Single Center Experience .
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Determination of Optimal Cut-off Values for Systemic Inflammatory Indices in B-cell Neoplasms Using Laboratory Blood Tests
研究概览
简要总结
This study was to evaluate the role of systemic inflammatory markers in predicting outcome for patients with B cell neoplasm
详细描述
In malignant tumors, Inflammation plays a crucial role in the development, invasion, and metastasis of malignant tumors. Cancer is often described as a wound that does not heal, highlighting the significance of inflammation in cancer progression. Many tumors are heavily infiltrated by immune cells, including macrophages, neutrophils, and lymphocytes. Therefore, markers related to inflammation and the host immune response are pertinent as biological indicators of B-cell neoplasm progression. Inflammation contributes significantly to the initiation and advancement of B-cell neoplasms by providing nutrients to tumor cells, promoting cell growth, and disrupting immune homeostasis. Various composite indices based on circulating inflammatory cells have been developed as straightforward measures to assess systemic inflammation. Elevated serum inflammatory markers reflect the body's response to malignant tumors. Pro-inflammatory cytokines and inflammatory cells within the tumor microenvironment have been shown to promote tumor growth, induce DNA damage, facilitate angiogenesis, suppress the immune system, and correlate with poor patient survival outcomes. Targeting cytokine receptors or other components in inflammatory pathways involved in metastasis may offer therapeutic potential for malignant tumors. Given the pivotal role of inflammation in cancer biology, identifying novel immune markers is essential for predicting the prognosis of patients with Diffuse Large B-Cell Lymphoma (DLBCL). patients
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals newly diagnosed with B-cell neoplasms, including:
- •Burkitt's lymphoma (BL)
- •Chronic lymphocytic leukemia (CLL)
- •Diffuse large B-cell lymphoma (DLBCL)
- •Follicular lymphoma (FL)
- •Hairy cell leukemia (HCL)
- •Splenic B-cell lymphoma/leukemia with prominent nucleoli (SBLPN)
- •High-grade B-cell lymphoma (HGBL)
- •Lymphoplasmacytic lymphoma (LPL)/Waldenström macroglobulinemia
- •Mantle cell lymphoma (MCL)
- •Splenic marginal zone lymphoma (MZL)
- •Monoclonal B-cell lymphocytosis (MBL)
- •Multiple myeloma (plasma cell myeloma)
- •Monoclonal gammopathy of undetermined significance (MGUS)
- •Age 18 years or older.
排除标准
- •Individuals previously diagnosed with B-cell neoplasms.
- •Individuals younger than 18 years.
结局指标
主要结局
Determination of Optimal Cut-off Values for Systemic Inflammatory Indices in B-cell Neoplasms Using Laboratory Blood Tests
时间窗: Baseline
This outcome measure aims to establish the optimal cut-off values for systemic inflammatory indices-including Neutrophil-to-Lymphocyte Ratio (NLR), Platelet-to-Lymphocyte Ratio (PLR), and Lymphocyte-to-Monocyte Ratio (LMR)-using routine laboratory blood tests. The blood tests will include serum lactate dehydrogenase (LDH), globulin, albumin, C-reactive protein (CRP), platelet count, neutrophil count, lymphocyte count, and monocyte count. Receiver Operating Characteristic (ROC) curve analysis will be employed to determine the optimal cut-off values for each inflammatory marker.
次要结局
- Prognostic Value of Baseline Systemic Inflammatory Markers on Overall Survival in B-cell Neoplasm Patients(From baseline up to 8 months)
研究者
Marline Wiliam Fayez Abdel-Shahid
Resident Doctor
Assiut University
