DOMENICA: dostarlimab versus chemotherapy alone in first-line MMR-deficient advanced endometrial cancer patients.

IF 3 4区 医学 Q2 ONCOLOGY
Future oncology Pub Date : 2025-06-01 Epub Date: 2025-05-05 DOI:10.1080/14796694.2025.2496133
François Cherifi, Isabelle Ray-Coquard, Maria Jesus Rubio, Xavier Paoletti, Domenica Lorusso, Chel Hun Choi, Kosei Hasegawa, David Shao Peng Tan, Emma Hudson, Alison Davis, Germana Tognon, Stéphanie Lheureux, Mehmet Ali Vardar Key, Jean Emmanuel Kurtz, Jerome Alexandre, Florence Joly
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引用次数: 0

Abstract

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].

多米尼卡:多斯塔利单抗与化疗单独治疗一线mmr缺陷晚期子宫内膜癌患者
免疫治疗(IO)在子宫内膜癌(EC)是标准的护理在二线设置联合抗血管生成药物。随机临床试验报告的结果支持在全球人口中晚期EC患者的一线环境中将IO添加到化疗(紫杉醇加卡铂)中,对错配修复缺陷(MMRd)患者具有很高的疗效。这些试验并不是为了在MMRd人群中回答这个降级问题而设计的,MMRd人群从IO中受益匪浅。国际随机III期DOMENICA试验比较了一线多司达单抗与单独化疗(计划交叉)治疗晚期MMRd EC的疗效。我们的主要终点是无进展生存期。关键次要终点将是总生存期、安全性和生活质量[NCT05201547]。
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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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