Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma

Endometrial cancer is one of the most common gynaecological cancers in both the United States and the Russian Federation, and the rate continues to rise. Although early-stage endometrial cancer is associated with a favourable 5-year survival rate (96%), this rate in patients with distant metastases...

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Main Authors: K. V. Menshikov, A. V. Sultanbaev, Sh. I. Musin, I. A. Menshikova, N. I. Sultanbaeva, A. A. Izmailov, A. A. Fatikhova, D. O. Lipatov, G. A. Serebrennikov
Format: Article
Language:English
Published: Bashkir State Medical University 2023-01-01
Series:Креативная хирургия и онкология
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Online Access:https://www.surgonco.ru/jour/article/view/738
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author K. V. Menshikov
A. V. Sultanbaev
Sh. I. Musin
I. A. Menshikova
N. I. Sultanbaeva
A. A. Izmailov
A. A. Fatikhova
D. O. Lipatov
G. A. Serebrennikov
author_facet K. V. Menshikov
A. V. Sultanbaev
Sh. I. Musin
I. A. Menshikova
N. I. Sultanbaeva
A. A. Izmailov
A. A. Fatikhova
D. O. Lipatov
G. A. Serebrennikov
author_sort K. V. Menshikov
collection DOAJ
description Endometrial cancer is one of the most common gynaecological cancers in both the United States and the Russian Federation, and the rate continues to rise. Although early-stage endometrial cancer is associated with a favourable 5-year survival rate (96%), this rate in patients with distant metastases accounts for only 18%. A combination of paclitaxel and carboplatin is standard first-line therapy for advanced, recurrent and metastatic endometrial carcinoma. Pembrolizumab, a monoclonal antibody targeting the programmed death-1 receptor, is approved for therapy of metastatic solid tumors with high microsatellite instability that have progressed aft er previous therapy and have no alternative treatment options. Lenvatinib is an oral multikinase inhibitor that blocks vascular endothelial growth factor receptors 1-3, fibroblast growth factor receptors 1-4, platelet-derived growth factor receptor alpha, RET and KIT. Phase II and III studies (KEYNOTE-146/ Study111 and KEYNOTE-775) on the combination of lenvatinib and pembrolizumab in advanced endometrial carcinoma, irrespective of MMR and MSI status, have shown new potential for the treatment of this pathology. Th e results obtained, including progression-free and overall survival, allow the combination of lenvatinib and pembrolizumab to be considered a new standard for the treatment of this pathology.
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spelling doaj-art-7fae7ffaa58d4d01ae2f639ddb4838072025-08-20T03:19:20ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012023-01-0112430931910.24060/2076-3093-2022-12-4-309-319503Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinomaK. V. Menshikov0A. V. Sultanbaev1Sh. I. Musin2I. A. Menshikova3N. I. Sultanbaeva4A. A. Izmailov5A. A. Fatikhova6D. O. Lipatov7G. A. Serebrennikov8Republican Clinical Oncology Dispensary; Bashkir State Medical UniversityRepublican Clinical Oncology DispensaryRepublican Clinical Oncology DispensaryBashkir State Medical UniversityRepublican Clinical Oncology DispensaryRepublican Clinical Oncology Dispensary; Bashkir State Medical UniversityRepublican Clinical Oncology DispensaryBashkir State Medical UniversityRepublican Clinical Oncology DispensaryEndometrial cancer is one of the most common gynaecological cancers in both the United States and the Russian Federation, and the rate continues to rise. Although early-stage endometrial cancer is associated with a favourable 5-year survival rate (96%), this rate in patients with distant metastases accounts for only 18%. A combination of paclitaxel and carboplatin is standard first-line therapy for advanced, recurrent and metastatic endometrial carcinoma. Pembrolizumab, a monoclonal antibody targeting the programmed death-1 receptor, is approved for therapy of metastatic solid tumors with high microsatellite instability that have progressed aft er previous therapy and have no alternative treatment options. Lenvatinib is an oral multikinase inhibitor that blocks vascular endothelial growth factor receptors 1-3, fibroblast growth factor receptors 1-4, platelet-derived growth factor receptor alpha, RET and KIT. Phase II and III studies (KEYNOTE-146/ Study111 and KEYNOTE-775) on the combination of lenvatinib and pembrolizumab in advanced endometrial carcinoma, irrespective of MMR and MSI status, have shown new potential for the treatment of this pathology. Th e results obtained, including progression-free and overall survival, allow the combination of lenvatinib and pembrolizumab to be considered a new standard for the treatment of this pathology.https://www.surgonco.ru/jour/article/view/738endometrial carcinomamicrosatellite instabilityimmunotherapychemotherapytyrosine kinase inhibitorslenvatinibpembrolizumab
spellingShingle K. V. Menshikov
A. V. Sultanbaev
Sh. I. Musin
I. A. Menshikova
N. I. Sultanbaeva
A. A. Izmailov
A. A. Fatikhova
D. O. Lipatov
G. A. Serebrennikov
Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
Креативная хирургия и онкология
endometrial carcinoma
microsatellite instability
immunotherapy
chemotherapy
tyrosine kinase inhibitors
lenvatinib
pembrolizumab
title Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
title_full Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
title_fullStr Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
title_full_unstemmed Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
title_short Possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
title_sort possible applications for combined lenvatinib and pembrolizumab in advanced endometrial carcinoma
topic endometrial carcinoma
microsatellite instability
immunotherapy
chemotherapy
tyrosine kinase inhibitors
lenvatinib
pembrolizumab
url https://www.surgonco.ru/jour/article/view/738
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