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What would you offer a patient with MSI-high metastatic endometrial cancer after disease progression on pembrolizumab?

The patient was initially treated with Carboplatin/Paclitaxel and progressed after 1 year. She was switched to pembrolizumab and had significant progression after 1 year. Would you consider rechallenging her with platinum therapy, adding TKI, or switching to a different therapy?
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When a patient with MSI-high / MMRd endometrial cancer has disease progression on immune checkpoint inhibitor therapy, what is your next step?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Utah School of Medicine
Answered on

It appears that it has been two years since the last platinum therapy (progressed after 1 year, then on immunotherapy for one year) so it's very reasonable to consider the use of platinum-based chemotherapy again, an option could include platinum + taxane + bevacizumab to add a targeted therapy to t...

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