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Date publication

mai 2025

Journal

Future oncology (London, England)

Auteurs

Membres identifiés du Cancéropôle Est :
Pr KURTZ Jean-Emmanuel


Tous les auteurs :
Cherifi F, Ray-Coquard I, Rubio MJ, Paoletti X, Lorusso D, Choi CH, Hasegawa K, Tan DSP, Hudson E, Davis A, Tognon G, Lheureux S, Vardar Key MA, Kurtz JE, Alexandre J, Joly F

Résumé

Immunotherapy (IO) in endometrial cancer (EC) is the standard of care in the second line setting in combination with an anti-angiogenic agent. Randomized clinical trials have reported results supporting the addition of IO to chemotherapy (paclitaxel plus carboplatin) in the first-line setting in advanced EC patients in the global population, with high efficacy in mismatch repair deficient (MMRd) patients. These trials were not designed to answer this de-escalation question in the MMRd population, who benefit greatly from IO.The international, randomized phase III, DOMENICA trial compares first-line dostarlimab versus chemotherapy alone (with planned cross-over) for advanced MMRd EC. Our primary endpoint will be progression-free survival. The key secondary endpoints will be overall survival, safety and quality of life [NCT05201547].

Mots clés

Mismatch repair deficient, advanced/metastatic, de-escalation, dostarlimab, endometrial cancer, immunotherapy, progression-free survival, treatment-related biomarkers

Référence

Future Oncol. 2025 05 5;:1-11