Table 3.
Landmark trials and registrational data for ICIs for the treatment of endometrial cancer
| Trial info | Patients (n) | Agent(s) investigated | Primary endpoint(s) | |
| PFS | OS | |||
| KEYNOTE-775* (NCT03517449)13 125 | 697† | Pembrolizumab+lenvatinib | HR versus chemotherapy 0.60 (95% CI 0.50 to 0.72; p<0.0001) Median PFS: 6.6 months (95% CI 5.6 to 7.4) |
HR versus chemotherapy 0.68 (95% CI 0.56 to 0.84; p=0.0001) Median OS: 17.4 months (95% CI 14.2 to 19.9) |
| Investigator’s choice chemotherapy (paclitaxel or doxorubicin) | Median PFS: 3.8 months (95% CI 3.6 to 5.0) | Median OS: 12 months (95% CI 10.8 to 13.3) | ||
| ORR | DOR | |||
| GARNET (NCT02715284)7 | 71‡ | Dostarlimab | 42.3% (95% CI 30.6% to 54.6%)§ | Median DOR: NR§ |
| ORR | ||||
| KEYNOTE-158 (NCT02628067)13 | 90‡ | Pembrolizumab | 46% (95% CI 35% to 56%) | |
*KEYNOTE-775 supported regular approval of pembrolizumab plus lenvatinib. Accelerated approval was based on KEYNOTE-146 (see the pMMR endometrial cancer section).
†Patients with tumors that are pMMR/MSS.
‡Patient with tumors that are dMMR.
§Data supporting original accelerated approval, which was subsequently converted to regular approval.
CI, confidence interval; dMMR, mismatch repair deficiency; DOR, duration of response; HR, hazard ratio; ICI, immune checkpoint inhibitor; MSS, microsatellite stable; NR, not reached; ORR, objective response rate; OS, overall survival; PFS, progression-free survival; pMMR, mismatch repair proficient.