1.001-1.007, p = 0.003) and inferior PFS (HR 1.004, 95% CI 1.002-1.006, p < 0.001). Higher MLR at baseline was a prognostic factor for both shorter PFS (HR = 3.691, 95% CI 1.582-8.610, p = 0.003) and OS (HR = 2.876, 95% CI 1.127-7.342, p = 0.027). Conclusions: In our cohort, elevated