

S14 Ep18: Patient Characteristics and Disease Factors Guide the Use of Dostarlimab in Recurrent Endometrial Cancer: With Dana M. Chase, MD
Sep 17, 2025
Dr. Dana M. Chase, a medical oncologist specializing in gynecologic cancers, dives into the management of recurrent endometrial cancer. She discusses how biomarker profiles, like MMR status, influence treatment decisions involving carboplatin, paclitaxel, and dostarlimab. The conversation highlights insights from the RUBY trial, showcasing significant survival improvements with dostarlimab in various patient groups. Dr. Chase also stresses the growing incidence of endometrial cancer, its symptoms, and the vital role of clinical trials in shaping future therapies.
AI Snips
Chapters
Transcript
Episode notes
Biomarkers Drive Treatment Decisions
- Biomarker profiling now guides treatment selection for recurrent endometrial cancer.
- Knowing MMR, HER2, and p53 status changes sequencing and therapy choices.
Add Immunotherapy For DMMR First Recurrence
- For first recurrence after radiation-only, offer carboplatin and paclitaxel and add immunotherapy for DMMR tumors.
- Use either pembrolizumab or dostarlimab added to chemo for DMMR patients.
Nonchemo Option For PMMR Patients
- For PMMR patients previously treated with carboplatin/paclitaxel, offer either chemo±immunotherapy or pembrolizumab plus lenvatinib.
- Choose LenPem when patients want to avoid repeat chemotherapy toxicities like hair loss and neuropathy.