Expanding therapeutic opportunities for progressive uterine cancer: clinical experience

The incidence of uterine cancer in Russia increased by 28.8 % over the last 10 years. This trend is partly associated with an increasing prevalence of overweight and aging of the female population. Despite the fact that uterine cancer is limited to the uterine body in 84 % of cases, searching for ne...

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Main Authors: A. G. Kedrova, S. E. Krasilnikov, A. I. Berishvili, E. A. Zvezdkina
Format: Article
Language:Russian
Published: ABV-press 2022-05-01
Series:Опухоли женской репродуктивной системы
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Online Access:https://ojrs.abvpress.ru/ojrs/article/view/940
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author A. G. Kedrova
S. E. Krasilnikov
A. I. Berishvili
E. A. Zvezdkina
author_facet A. G. Kedrova
S. E. Krasilnikov
A. I. Berishvili
E. A. Zvezdkina
author_sort A. G. Kedrova
collection DOAJ
description The incidence of uterine cancer in Russia increased by 28.8 % over the last 10 years. This trend is partly associated with an increasing prevalence of overweight and aging of the female population. Despite the fact that uterine cancer is limited to the uterine body in 84 % of cases, searching for new treatment regimens for patients with progressive disease is still relevant because of their poor outcomes of chemotherapy and high mortality among patients with stage III– IV cancer.The aim of this study was to present our own view on the effectiveness of lenvatinib + pembrolizumab in patients with advanced or recurrent endometrial cancer on the basis of international and own experience.The international experience with lenvatinib + pembrolizumab for advanced endometrial cancer without high microsatellite instability or impairments of DNA repair mechanisms after disease progression following previous systemic therapy showed their efficacy (38.3 %), while the effect lasting more than 6 months was observed in 69 % of cases. We report two cases of progressive uterine cancer in patients who developed complete clinical remission and demonstrated good tolerability of the therapy.
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issn 1994-4098
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language Russian
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publisher ABV-press
record_format Article
series Опухоли женской репродуктивной системы
spelling doaj-art-71d4fb0b3b8f447abcc5e12db84914912025-08-20T03:01:59ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272022-05-0118110311010.17650/1994-4098-2022-18-1-103-110730Expanding therapeutic opportunities for progressive uterine cancer: clinical experienceA. G. Kedrova0S. E. Krasilnikov1A. I. Berishvili2E. A. Zvezdkina3Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation; Academy of Postgraduate Education, Federal Research and Clinical Center, Federal Medical and Biological Agency of RussiaInstitute of Oncology and Neurosurgery, E. N. Meshalkin National Medical Research Center, Ministry of Health of RussiaFederal Research and Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical and Biological Agency of the Russian Federation; Academy of Postgraduate Education, Federal Research and Clinical Center, Federal Medical and Biological Agency of RussiaL.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow Healthcare Department; O. K. Skobelkin State Research Center for Laser Medicine, Federal Medical and Biological Agency of the Russian FederationThe incidence of uterine cancer in Russia increased by 28.8 % over the last 10 years. This trend is partly associated with an increasing prevalence of overweight and aging of the female population. Despite the fact that uterine cancer is limited to the uterine body in 84 % of cases, searching for new treatment regimens for patients with progressive disease is still relevant because of their poor outcomes of chemotherapy and high mortality among patients with stage III– IV cancer.The aim of this study was to present our own view on the effectiveness of lenvatinib + pembrolizumab in patients with advanced or recurrent endometrial cancer on the basis of international and own experience.The international experience with lenvatinib + pembrolizumab for advanced endometrial cancer without high microsatellite instability or impairments of DNA repair mechanisms after disease progression following previous systemic therapy showed their efficacy (38.3 %), while the effect lasting more than 6 months was observed in 69 % of cases. We report two cases of progressive uterine cancer in patients who developed complete clinical remission and demonstrated good tolerability of the therapy.https://ojrs.abvpress.ru/ojrs/article/view/940uterine cancerrecurrent endometrial cancerendometrial cancer progressionlenvatinibpembrolizumabchemotherapyimmunotherap
spellingShingle A. G. Kedrova
S. E. Krasilnikov
A. I. Berishvili
E. A. Zvezdkina
Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
Опухоли женской репродуктивной системы
uterine cancer
recurrent endometrial cancer
endometrial cancer progression
lenvatinib
pembrolizumab
chemotherapy
immunotherap
title Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
title_full Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
title_fullStr Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
title_full_unstemmed Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
title_short Expanding therapeutic opportunities for progressive uterine cancer: clinical experience
title_sort expanding therapeutic opportunities for progressive uterine cancer clinical experience
topic uterine cancer
recurrent endometrial cancer
endometrial cancer progression
lenvatinib
pembrolizumab
chemotherapy
immunotherap
url https://ojrs.abvpress.ru/ojrs/article/view/940
work_keys_str_mv AT agkedrova expandingtherapeuticopportunitiesforprogressiveuterinecancerclinicalexperience
AT sekrasilnikov expandingtherapeuticopportunitiesforprogressiveuterinecancerclinicalexperience
AT aiberishvili expandingtherapeuticopportunitiesforprogressiveuterinecancerclinicalexperience
AT eazvezdkina expandingtherapeuticopportunitiesforprogressiveuterinecancerclinicalexperience