Baseline serum cortisol as a prognostic biomarker for immune checkpoint inhibitor therapy in advanced gastric cancer - Takeaways - MDSpire

Baseline serum cortisol as a prognostic biomarker for immune checkpoint inhibitor therapy in advanced gastric cancer

  • By

  • Yufei Zhao

  • Zhanjun Guo

  • Jingjing Zhang

  • Zhidong Zhang

  • May 13, 2026

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  • 1

    Baseline serum cortisol levels are significantly associated with immune checkpoint inhibitor efficacy in advanced gastric cancer patients.

  • 2

    High baseline cortisol correlates with poorer disease control rate, progression-free survival, and overall survival in advanced gastric cancer.

  • 3

    The study identified a cutoff of 193.95 nmol/L for baseline cortisol, with an AUC of 0.673 for overall survival prediction.

  • 4

    Multivariate analysis confirmed high baseline cortisol as an independent prognostic factor for poorer overall survival.

  • 5

    This research supports further exploration of stress hormone signaling to optimize immunotherapy in advanced gastric cancer.

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