Division of Medical Oncology & Hematology, Bras Family Drug Development Program, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, ON M5G 2M9, Canada.
Department of Pharmacy, Princess Margaret Cancer Centre, 610 University Avenue, Toronto, ON M5G 2M9, Canada.
Future Oncol. 2021 Mar;17(8):877-892. doi: 10.2217/fon-2020-0655. Epub 2020 Nov 30.
Immune checkpoint inhibitors have demonstrated significant clinical activity across various tumor subtypes; however, their utility in gynecologic malignancies has thus far proven modest. Since the identification of a molecular subclassification system for endometrial cancer (EC), research in immune checkpoint inhibitor therapies has been focusing on certain subgroups predictive for response, particularly microsatellite instability hypermutated/DNA mismatch repair-deficient subtype. Dostarlimab, a PD-1 inhibitor, has demonstrated preliminary evidence of clinical activity and acceptable safety profile in patients with across recurrent EC, particularly microsatellite instability-hypermutated/DNA mismatch repair-deficient EC. This review outlines existing data for the efficacy and safety of dostarlimab in recurrent or advanced-stage EC.
免疫检查点抑制剂在各种肿瘤亚型中均显示出显著的临床活性;然而,其在妇科恶性肿瘤中的应用迄今为止效果有限。自从确定了子宫内膜癌 (EC) 的分子亚分类系统以来,免疫检查点抑制剂治疗的研究一直集中在某些对反应有预测作用的亚组上,特别是微卫星不稳定高突变/DNA 错配修复缺陷型。PD-1 抑制剂 dostarlimab 在复发性 EC 患者中,特别是微卫星不稳定高突变/DNA 错配修复缺陷型 EC 患者中,初步显示出临床活性和可接受的安全性。这篇综述概述了 dostarlimab 在复发性或晚期 EC 中的疗效和安全性的现有数据。