Table 1 Baseline characteristics of non-LRRT and LRRT cohorts before matching

From: Who may omit locoregional radiotherapy in de novo metastatic nasopharyngeal carcinoma: a failure-pattern–based strategy in the immunotherapy era

Characteristic

Non-LRRT cohort (N = 178)

LRRT cohort (N = 220)

P value

Demographic features

Median age at diagnosis, years (IQR)

47.0 (38.0–56.3)

46.0 (37.0–54.8)

0.82

Sex

  

0.94

Male

141 (79.2)

175 (79.5)

 

Female

37 (20.8)

45 (20.5)

 

Clinical characteristics

Smoking

  

0.46

No

106 (59.6)

139 (63.2)

 

Yes

72 (40.4)

81 (36.8)

 

Median BMI (IQR)

22.4 (20.1–24.9)

22.9 (20.7–25.1)

0.78

ECOG PS

  

0.45

0

111 (62.4)

129 (58.6)

 

1

67 (37.6)

91 (41.4)

 

T stage at diagnosis

  

0.052

T1-2

11 (6.2)

25 (11.3)

 

T3

100 (56.2)

100 (45.5)

 

T4

67 (37.6)

95 (43.2)

 

N stage at diagnosis

  

0.035

N0-1

11 (6.2)

31 (14.1)

 

N2

58 (32.6)

70 (31.8)

 

N3

109 (61.2)

119 (54.1)

 

No. of metastatic organs at diagnosis

  

0.002

1

92 (51.7)

147 (66.8)

 

>1

86 (48.3)

73 (33.2)

 

No. of metastatic lesions at diagnosis

  

0.027

≤3

74 (41.6)

116 (52.7)

 

>3

104 (58.4)

104 (47.3)

 

Bone metastasis at diagnosis

  

0.64

No

54 (30.3)

62 (28.2)

 

Yes

124 (69.7)

158 (71.8)

 

Liver metastasis at diagnosis

  

0.008

No

101 (56.7)

153 (69.5)

 

Yes

77 (43.3)

67 (30.5)

 

Lung metastasis at diagnosis

  

0.55

No

133 (74.7)

170 (77.3)

 

Yes

45 (25.3)

50 (22.7)

 

Distant lymph nodes metastasis at diagnosis

  

0.019

No

128 (71.9)

180 (81.8)

 

Yes

50 (28.1)

40 (18.2)

 

Response evaluation after first-line immunochemotherapy

  

0.012

CR or PR

147 (82.6)

200 (90.9)

 

SD

27 (15.2)

20 (9.1)

 

PD

4 (2.2)

0 (0.0)

 

Serological indicators

   

EBV DNA level at diagnosis (copies/mL)

  

<0.001

<95000

132 (74.2)

201 (91.4)

 

≥95000

46 (25.8)

19 (8.6)

 

EBV DNA level after first-line immunochemotherapy

  

<0.001

Undetectable

121 (68.0)

188 (85.5)

 

Detectable

57 (32.0)

32 (14.5)

 

LDH level at diagnosis (U/L)

  

<0.001

<500

146 (82.0)

207 (94.1)

 

≥500

32 (18.0)

13 (5.9)

 

ALB level at diagnosis (g/L)

  

<0.001

<40

38 (21.3)

18 (8.2)

 

≥40

140 (78.7)

202 (91.8)

 

CRP level at diagnosis (mg/L)

  

<0.001

<10

106 (59.6)

170 (77.3)

 

≥10

72 (40.4)

50 (22.7)

 

Absolute lymphocyte counts at diagnosis (109/L, IQR)

1.49 (1.15–1.97)

1.68 (1.37–2.19)

0.34

NLR at diagnosis

  

0.13

<3

85 (47.8)

122 (55.5)

 

≥3

93 (52.2)

98 (44.5)

 

Treatment

Platinum-based chemotherapy plus anti-PD-1 antibody immunotherapy

178 (100.0)

220 (100.0)

 

LRRT after first-line immunochemotherapy

0 (0.0)

220 (100.0)

 

Failure detailsa

Median progression-free interval, months (IQR)

15.4 (8.4–26.1)

27.2 (14.6–36.6)

 

Sustained control

45 (25.3)

120 (54.5)

 

Any locoregional failure

86 (48.3)

14 (6.4)

 

Local failure

36 (20.2)

9 (4.1)

 

Regional failure

71 (39.9)

8 (3.6)

 

Local and regional failure

21 (11.8)

3 (1.4)

 

Any distant failure

79 (44.4)

91 (41.4)

 

Bone failure

33 (18.5)

31 (14.1)

 

Liver failure

34 (19.1)

40 (18.2)

 

Lung failure

20 (11.2)

32 (14.5)

 

Distant lymph node failure

24 (13.5)

27 (12.3)

 

Development of new metastatic lesions

18 (10.1)

32 (14.5)

 
  1. aIn this section, each row represents the number of patients who developed failure at the corresponding site, regardless of whether progression occurred at other sites.
  2. LRRT locoregional radiotherapy, IQR interquartile range, BMI Body Mass Index, ECOG PS Eastern Cooperative Oncology Group performance status, CR complete response, PR partial response, SD stable disease, PD progressive disease, EBV Epstein-Barr virus, LDH lactate dehydrogenase, ALB, albumin, CRP, C-reactive protein, NLR, neutrophil-to-lymphocyte ratio, PD-1 programmed cell death protein 1.