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Description

The PILE score is predictive of prognosis for a cancer patient treated with immune checkpoint inhibitors anti-PD-1/anti-PD-L1.


PILE is acronym for PIV, LDH and ECOG.

 

Parameters prior to administration of first dose of immune checkpoint inhibitor):

(1) blood PIV (Pan-Immune-Inflammation Value)

(2) median value for blood PIV

(3) serum LDH in U/L

(4) upper limit of normal (ULN) for serum LDH

(5) ECOG status

 

Parameter

Finding

Points

PIV

< median

0

 

>= median

1

serum LDH

<= ULN

0

 

> ULN

1

ECOG status

0 or 1

0

 

>= 2

1

 

PILE score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

• A score of 2 or 3 is high risk and is associated with a decreased overall survival.

 

Performance:

• The area under the ROC curve is 0.65 for overall survival.


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