The invention belongs to the technical field of medical examination, and relates to a
drug sensitivity prediction method based on a blood NMR (
nuclear magnetic resonance) editing spectrum, for example, a
cancer immunotherapy drug-
immune checkpoint inhibitor (ICIs) with ubiquitous
drug resistance. The method comprises the following steps: firstly, acquiring
pathological indexes before and after
drug treatment and NMR (
nuclear magnetic resonance) editing spectrum
fingerprint data of
plasma or serum, then constructing a drug sensitivity prediction model and screening predictive biomarkers by adopting a
machine learning
algorithm, and finally performing drug sensitivity prediction on blood
NMR data of a patient needing to be treated by using the biomarkers. The NMR editing spectrum adopted by the invention is non-destructive to a sample, interaction information of a drug and an
organism is retained while large and small molecules in blood are comprehensively observed, uncertainty caused by prediction based on upstream data sets such as
genomics and the like can be avoided by blood
metabolism phenotype analysis, prediction accuracy is improved, and the method has a good application prospect. The method is expected to be applied to clinical medication guidance of drugs with
drug resistance.