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September 2, 2026Journal of Personalized MedicineOpen Access

Body Mass Index and Body Fat Percentage Are Associated with Clinical Outcomes in Patients Receiving PD-1/PD-L1 Inhibitors: A Prospective Exploratory Study

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Authors

AMAngela MorellAMAlberto MorellAAAinhoa Aranguren

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Overview

Prospective observational study reveals higher body mass index and fat percentage predict improved survival in solid tumor patients receiving PD-1/PD-L1 inhibitors, highlighting adiposity's...

Key Points

  • To determine whether baseline body composition measured via bioelectrical impedance analysis is a prognostic factor for survival outcomes in patients with solid tumours receiving PD-1/PD-L1 inhibitors.
  • Conducted a prospective, single-centre observational study in 80 patients (median age 67 years; 60% male) with solid tumours initiating PD-1/PD-L1 inhibitor therapy.
  • Assessed baseline body composition using multifrequency bioelectrical impedance analysis (BIA).
  • Evaluated overall survival, progression-free survival, and treatment-related adverse events using Kaplan–Meier curves and multivariable Cox regression models adjusted for tumour stage and metastatic status.
  • Baseline BMI ≥ 25 kg/m² was independently associated with a lower risk of death compared to BMI < 25 kg/m² (adjusted HR 0.286, 95% CI 0.087–0.941; p = 0.039).
  • Elevated body fat percentage independently predicted reduced mortality after adjusting for tumour stage and metastatic status (adjusted HR 0.289, 95% CI 0.087–0.963; p = 0.036).
  • Neither baseline BMI nor body fat percentage was significantly associated with the incidence of confirmed immune-related adverse events.

Cite This Study

Morell et al. (2026) studied this question.

synapsesocial.com/papers/6a97e28dc562ede874ec6ae9https://doi.org/10.3390/jpm16090457
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