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Debate 37A - Is there a Role for Using Immunotherapy in Endometrial Cancer?

Yes

from Section IV - Endometrial Cancer

Published online by Cambridge University Press:  20 July 2023

Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

Whilst hormonal therapy may be the preferred front-line systemic therapy for selected patients with low-grade endometrial carcinoma without rapidly progressive disease, the efficacy in advanced/recurrent endometrial cancer (EC) post chemotherapy is limited. We have entered an era where PD-1/L1 inhibitors have transformed the treatment of EC and immunotherapy should now be considered as a priority option for patients in clinical practice.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

Kandoth, C, et al. Cancer Genome Atlas Research Network,Integrated genomic characterization of endometrial carcinoma. Nature 2013;497(7447):6773.Google Scholar
Talhouk, A, et al. Confirmation of ProMisE: a simple, genomics-based clinical classifier for endometrial cancer. Cancer 2017; 123(5):802813.CrossRefGoogle ScholarPubMed
O’Malley, DM, et al. Pembrolizumab in patients with microsatellite instability-high advanced endometrial cancer: results from the KEYNOTE-158 Study. J Clin Oncol 2022;40(7):752761.CrossRefGoogle ScholarPubMed
Oaknin, A, et al. Clinical activity and safety of the anti-programmed death 1 monoclonal antibody dostarlimab for patients with recurrent or advanced mismatch repair-deficient endometrial cancer: a nonrandomized phase 1 clinical trial. JAMA Oncol 2020;6(11):17661772.CrossRefGoogle ScholarPubMed
Makker, V, et al. Lenvatinib plus pembrolizumab for advanced endometrial cancer. N Engl J Med 2022;386(5):437448.CrossRefGoogle ScholarPubMed

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