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DUO-E Trial: Dostarlimab Plus Chemotherapy Shows Promise in Endometrial Cancer

• The Phase 3 DUO-E trial investigated dostarlimab in combination with chemotherapy for endometrial cancer. • Results indicate a potential benefit in progression-free survival with the addition of dostarlimab. • The study highlights the evolving treatment landscape for endometrial cancer and the role of immunotherapy. • Further research is needed to fully understand the long-term benefits and optimal use of this combination.

The Phase 3 DUO-E trial has explored the efficacy of dostarlimab, an immunotherapy agent, in combination with chemotherapy for the treatment of endometrial cancer. The study, led by Dr. Shannon N. Westin, aims to improve outcomes for patients with this challenging disease.

Trial Design and Objectives

The DUO-E trial is a Phase 3, randomized, double-blind, placebo-controlled study evaluating dostarlimab in combination with carboplatin and paclitaxel, followed by dostarlimab maintenance therapy, versus carboplatin and paclitaxel plus placebo, followed by placebo maintenance therapy in patients with advanced or recurrent endometrial cancer. The primary endpoint is progression-free survival (PFS).

Key Findings

Initial results from the DUO-E trial suggest a potential benefit in progression-free survival with the addition of dostarlimab to standard chemotherapy. The data indicate that the combination therapy may offer a more effective treatment option for patients with advanced or recurrent endometrial cancer. Further analysis is underway to assess overall survival and long-term outcomes.

Implications for Endometrial Cancer Treatment

The findings from the DUO-E trial contribute to the evolving treatment landscape for endometrial cancer. Immunotherapy, particularly checkpoint inhibitors like dostarlimab, is increasingly being investigated for its potential to improve outcomes in various cancers. This study provides evidence supporting the use of dostarlimab in combination with chemotherapy as a potential new treatment strategy for endometrial cancer. The results of the DUO-E trial may lead to changes in clinical practice, offering a new treatment option for patients with advanced or recurrent endometrial cancer. However, further research is needed to fully understand the long-term benefits and optimal use of this combination therapy.
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Reference News

[1]
Chemotherapy Combinations and the Phase 3 DUO-E Trial - Cancer Network
cancernetwork.com · Oct 24, 2024

Shannon N. Westin, MD, discusses chemotherapy options for endometrial cancer and the results of her phase 3 DUO-E trial.

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