Cardio-oncology & other

Prognostic Value of Biomarkers in Cancer Patients Treated With Immune Checkpoint Inhibitor Therapy

JACC AdvPublished Analysis of electronic health records

Main finding · Composite of acute cardiovascular hospitalization heart failure or deathResult — go to the resultAdjusted hazard ratio 1.29 95% CI 1.06–1.33

Authors' conclusion

These data highlight NT-proBNP levels as a valuable marker for identifying cancer patients at increased risk for cardiovascular events during ICI therapy.

Study context

Population
Cancer patients treated with ICI who had available baseline NT-proBNP levels35% female, age 65 years
Participants
550 patients
Comparison
Association of baseline NT-proBNP (per 1-SD increase in log-transformed biomarker) with cardiovascular hospitalization and death
Outcome
Composite of:
  • Acute cardiovascular hospitalization heart failure
  • Death
Follow-up
Median 67 weeks
Methodological detailssingle-centre (Vienna General Hospital), January 2017 to July 2022, multivariable Cox regression
  • Single-centre (Vienna General Hospital)
  • January 2017 to July 2022
  • Multivariable Cox regression

Main finding

As reported in the abstract

Adjusted hazard ratio

1.29

95% CI 1.06–1.33

1-SD increase in log-transformed NT-proBNP
adjusted HR 1.29 (95% CI 1.06–1.33)
Primary composite endpoint rate
46.7 events per 100 patient-years

Further findings

Baseline NT-proBNP levels

Median NT-proBNP
272 pg/mL (Q1-Q3: 102-742)
Patients with levels ≥125 pg/mL
388 patients (71%)

Death · median follow-up of 67 weeks

Patients who died
190 patients (35%)

Cardiovascular hospitalizations (most commonly due to stroke, coronary artery disease, and heart failure) · median follow-up of 67 weeks

Cardiovascular hospitalizations
103
Patients with a cardiovascular hospitalization
76 patients (14%)

Original publication

Prognostic Value of Biomarkers in Cancer Patients Treated With Immune Checkpoint Inhibitor Therapy. JACC Adv. Published 31 July 2025. doi:10.1016/j.jacadv.2025.102022

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