A 2023 multicenter study published in the Journal for ImmunoTherapy of Cancer (JITC) analyzed
1,036 patients across multiple cancer types treated with immune checkpoint inhibitors.
The findings were striking:
Patients with persistently high CRP showed an objective response rate of only 12%, a median progression-free survival of 2.3 months, and a median overall survival of 8.1 months.
Patients with consistently normal CRP showed an objective response rate of 41%, a median progression-free survival of 8.2 months, and a median overall survival of 24.5 months.
This pattern held across cancer types — lung, kidney, bladder, melanoma, and others — suggesting CRP is not a tumor-specific marker,
but a systemic constraint on immune response.
The implication: CRP is not merely a biomarker. It is a
ceiling on what PD-1 therapy can deliver.
Read the full study →