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DRUG:

Jemperli (dostarlimab-gxly)

i
Other names: TSR-042, ANB011, GSK4057190, ANB 011, WBP-285, TSR 042, TSR042
Company:
AnaptysBio, GSK
Drug class:
PD1 inhibitor
Related drugs:
3d
New P1/2 trial • Metastases
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Jemperli (dostarlimab-gxly) • Zepzelca (lurbinectedin)
14d
New P2 trial
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
1m
TSR-042 in Addition to Standard of Care Definitive Radiation for Inoperable Endometrial Cancer (clinicaltrials.gov)
P1, N=18, Recruiting, Washington University School of Medicine | N=12 --> 18
Enrollment change
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Jemperli (dostarlimab-gxly)
1m
New P2 trial • Metastases
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cisplatin • carboplatin • 5-fluorouracil • doxorubicin hydrochloride • capecitabine • albumin-bound paclitaxel • oxaliplatin • irinotecan • Jemperli (dostarlimab-gxly)
1m
NIRADO: Basket Trial Exploring the Efficacy and Safety of the Combination of Niraparib and Dostarlimab (clinicaltrials.gov)
P2, N=51, Suspended, Gustave Roussy, Cancer Campus, Grand Paris | N=112 --> 51 | Trial completion date: Mar 2027 --> Dec 2027 | Recruiting --> Suspended | Trial primary completion date: Mar 2024 --> Dec 2024
Enrollment change • Trial completion date • Trial suspension • Trial primary completion date • Pan tumor
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HER-2 (Human epidermal growth factor receptor 2) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • ARID1A (AT-rich interaction domain 1A) • PBRM1 (Polybromo 1) • CDK12 (Cyclin dependent kinase 12) • CHEK2 (Checkpoint kinase 2) • RAD51 (RAD51 Homolog A) • FANCA (FA Complementation Group A) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • RAD51C (RAD51 paralog C) • RAD51D (RAD51 paralog D) • ARID2 (AT-Rich Interaction Domain 2) • BARD1 (BRCA1 Associated RING Domain 1) • NBN (Nibrin Nijmegen Breakage Syndrome 1 (Nibrin)) • RAD54L (DNA Repair And Recombination Protein RAD54) • DRD (DNA Repair Deficiency)
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HER-2 positive • HER-2 amplification • DDR • PBRM1 mutation • CDK12 mutation • CHEK2 mutation • BRIP1 mutation • RAD51C mutation • FANCA mutation • RAD51D mutation • BARD1 mutation • NBN mutation • DRD
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
1m
If it's a target, it's a pan-cancer target: Tissue is not the issue. (PubMed, Cancer Treat Rev)
Hence, we now have multiple genomic biomarker-based, tissue-agnostic Food and Drug Administration approvals for both gene- and immune-targeted therapies (larotrectinib/entrectinib, for NTRK fusions; selpercatinib, RET fusions; dabrafenib plus trametinib, BRAFV600E mutations; pembrolizumab/dostarlimab, microsatellite instability; and pembrolizumab for high tumor mutational burden; pemigatinib is also approved for FGFR1-rearranged myeloid/lymphoid neoplasms). Resistance to biomarker-driven therapeutics is often due to secondary mutations or co-driver gene defects; studies are now addressing the need for customized drug combinations matched to the complex molecular alteration portfolio in each tumor. Future investigation should expand tissue-agnostic therapeutics to encompass both hematologic and solid malignancies and include biomarkers beyond those that are DNA-based.
Review • Journal • Tumor mutational burden • BRCA Biomarker • PD(L)-1 Biomarker • Pan tumor
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HER-2 (Human epidermal growth factor receptor 2) • KRAS (KRAS proto-oncogene GTPase) • ALK (Anaplastic lymphoma kinase) • TMB (Tumor Mutational Burden) • MSI (Microsatellite instability) • RET (Ret Proto-Oncogene) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • IDH2 (Isocitrate Dehydrogenase (NADP(+)) 2) • FGFR1 (Fibroblast growth factor receptor 1) • NRG1 (Neuregulin 1) • BRCA (Breast cancer early onset) • NTRK (Neurotrophic receptor tyrosine kinase)
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BRAF V600E • TMB-H • KRAS G12C • BRAF V600 • RET fusion • KRAS G12 • NTRK fusion
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Keytruda (pembrolizumab) • Mekinist (trametinib) • Tafinlar (dabrafenib) • Vitrakvi (larotrectinib) • Rozlytrek (entrectinib) • Retevmo (selpercatinib) • Jemperli (dostarlimab-gxly) • Pemazyre (pemigatinib)
1m
New P1 trial • Metastases
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Opdivo (nivolumab) • cisplatin • carboplatin • docetaxel • pemetrexed • Jemperli (dostarlimab-gxly) • cobolimab (TSR-022) • encelimab (TSR-033)
1m
New P2 trial • Combination therapy • Metastases
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carboplatin • paclitaxel • Jemperli (dostarlimab-gxly)
2ms
TOPAZ: A Safety Study Adding Niraparib and Dostarlimab to Radiation Therapy for Rectal Cancers (clinicaltrials.gov)
P1/2, N=38, Recruiting, Joseph Caster, Ph.D., M.D. | Phase classification: P1b/2 --> P1/2
Phase classification • Metastases
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
2ms
Dostarlimab and Cobolimab in Advanced Cervical Cancer (clinicaltrials.gov)
P2, N=66, Recruiting, Meghan Shea | Not yet recruiting --> Recruiting | Initiation date: Jul 2024 --> Mar 2024
Enrollment open • Trial initiation date • Combination therapy • Metastases
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Jemperli (dostarlimab-gxly) • cobolimab (TSR-022)
2ms
Cost effectiveness of immunotherapy combination therapies for endometrial cancer. (PubMed, Gynecol Oncol Rep)
As such, we reviewed FDA approvals from 2019 to 2013 and identified the following approvals in gynecologic oncology: pembrolizumab plus lenvatinib, pembrolizumab for recurrent endometrial cancer that is MSI-H/dMMR, tisotumab vedotin, dostarlimab as single-agent therapy, and dostarlimab plus chemotherapy. We focused on approvals for endometrial cancer, and conducted a cost-effectiveness analysis for combination options approved in treating recurrent or advanced endometrial cancer (i.e. pembrolizumab plus lenvatinib versus placebo; dostarlimab plus chemotherapy versus placebo), and found neither regimen was cost-effective at a willingness-to-pay of $100,000 per Equal Value of Life Years Gained (evLYG). While these costs may not necessarily be translated to an individual patient, these costs are absorbed by healthcare systems and insurance providers on a larger scale with downstream effects on individuals contributing to healthcare costs a whole.
Journal • HEOR • Combination therapy • Cost-effectiveness • Cost effectiveness
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MSI (Microsatellite instability)
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MSI-H/dMMR
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Keytruda (pembrolizumab) • Lenvima (lenvatinib) • Jemperli (dostarlimab-gxly) • Tivdak (tisotumab vedotin-tftv)
2ms
Safety and Efficacy of Targeting PP2A in Ovarian Clear Cell Carcinoma Using Dostarlimab and LB-100 (clinicaltrials.gov)
P1/2, N=21, Recruiting, M.D. Anderson Cancer Center | Trial completion date: Jan 2025 --> Jan 2026 | Trial primary completion date: Jan 2025 --> Jan 2026
Trial completion date • Trial primary completion date
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CD4 (CD4 Molecule)
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Jemperli (dostarlimab-gxly) • LB-100
2ms
Enrollment change
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Avastin (bevacizumab) • Herceptin (trastuzumab) • Tecentriq (atezolizumab) • Zelboraf (vemurafenib) • Rozlytrek (entrectinib) • Alecensa (alectinib) • Perjeta (pertuzumab) • Zejula (niraparib) • Zykadia (ceritinib) • Jemperli (dostarlimab-gxly) • Erivedge (vismodegib) • Phesgo (pertuzumab/trastuzumab/hyaluronidase-zzxf)
2ms
New P2 trial
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Jemperli (dostarlimab-gxly)
2ms
DORA: DOstarlimab in Patients With Recurrent or dMMR/MSI-H Endometrial Cancer (clinicaltrials.gov)
P=N/A, N=100, Recruiting, Grupo Español de Investigación en Cáncer de Ovario | Trial completion date: Sep 2023 --> Sep 2024 | Trial primary completion date: Aug 2023 --> Apr 2024
Trial completion date • Trial primary completion date • Real-world evidence • Mismatch repair • Real-world • Metastases
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MSI (Microsatellite instability)
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MSI-H/dMMR
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Jemperli (dostarlimab-gxly)
2ms
Trial completion date • Trial primary completion date • Combination therapy
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
2ms
ACCeSs: Study on TSR-042 in Advanced Clear Cell Sarcoma (clinicaltrials.gov)
P2, N=3, Terminated, Italian Sarcoma Group | N=16 --> 3 | Trial completion date: May 2024 --> Jan 2024 | Active, not recruiting --> Terminated | Trial primary completion date: May 2024 --> Jan 2024; Difficulty of enrollment
Enrollment change • Trial completion date • Trial termination • Trial primary completion date • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1)
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Jemperli (dostarlimab-gxly)
2ms
New P3 trial • Metastases
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Jemperli (dostarlimab-gxly)
2ms
New P2 trial • Combination therapy • Metastases
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Jemperli (dostarlimab-gxly) • cobolimab (TSR-022)
3ms
DEWI: Watch-and-Wait Approach With Dostarlimab in Localized dMMR/MSI-H Gastric Cancer: GERCOR Phase II Study (clinicaltrials.gov)
P2, N=59, Recruiting, GERCOR - Multidisciplinary Oncology Cooperative Group | Not yet recruiting --> Recruiting
Enrollment open
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MSI (Microsatellite instability) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2)
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MSI-H/dMMR
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Jemperli (dostarlimab-gxly)
3ms
Phase 2 Platform Study of Novel Immunotherapy Combinations as First-Line Treatment in Participants With PD-L1 Positive Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck (clinicaltrials.gov)
P2, N=360, Recruiting, GlaxoSmithKline | Not yet recruiting --> Recruiting | Trial completion date: Mar 2027 --> Aug 2027 | Trial primary completion date: Mar 2027 --> Sep 2025
Enrollment open • Trial completion date • Trial primary completion date • Metastases
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PD-L1 (Programmed death ligand 1)
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PD-L1 expression
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Jemperli (dostarlimab-gxly) • GSK6097608
3ms
Niraparib and Dostarlimab for the Treatment of Germline or Somatic BRCA1/2 and PALB2 Mutated Metastatic Pancreatic Cancer (clinicaltrials.gov)
P2, N=22, Active, not recruiting, Mayo Clinic | Trial primary completion date: Sep 2024 --> Dec 2023
Trial primary completion date • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • RAD51C (RAD51 paralog C) • RAD51D (RAD51 paralog D) • BARD1 (BRCA1 Associated RING Domain 1)
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PD-L1 expression • PD-1 expression
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
4ms
Trial initiation date
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MSI (Microsatellite instability) • PD-1 (Programmed cell death 1) • WT1 (WT1 Transcription Factor)
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Avastin (bevacizumab) • gemcitabine • paclitaxel • Jemperli (dostarlimab-gxly) • pegylated liposomal doxorubicin
4ms
DEWI: Watch-and-Wait Approach With Dostarlimab in Localized dMMR/MSI-H Gastric Cancer: GERCOR Phase II Study (clinicaltrials.gov)
P2, N=59, Not yet recruiting, GERCOR - Multidisciplinary Oncology Cooperative Group | Initiation date: Sep 2023 --> Jan 2024
Trial initiation date • Mismatch repair
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MSI (Microsatellite instability) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2)
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MSI-H/dMMR
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Jemperli (dostarlimab-gxly)
4ms
TIG-006: Study of EOS-448 With Standard of Care and/or Investigational Therapies in Participants With Advanced Solid Tumors (clinicaltrials.gov)
P1/2, N=254, Recruiting, iTeos Belgium SA | N=376 --> 254 | Trial completion date: Sep 2024 --> Jan 2025 | Trial primary completion date: Jan 2024 --> Sep 2024
Enrollment change • Trial completion date • Trial primary completion date • Combination therapy • Pan tumor • Metastases
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Keytruda (pembrolizumab) • Jemperli (dostarlimab-gxly) • belrestotug (EOS-448) • inupadenant (EOS-850)
4ms
DIDO: Niraparib and Dostarlimab in HRD Solid Tumors (clinicaltrials.gov)
P2, N=30, Recruiting, West Cancer Center | Not yet recruiting --> Recruiting
Enrollment open • Combination therapy • Metastases
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BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • HRD (Homologous Recombination Deficiency) • CDK12 (Cyclin dependent kinase 12) • CHEK2 (Checkpoint kinase 2) • RAD51B (RAD51 Paralog B) • BRIP1 (BRCA1 Interacting Protein C-terminal Helicase 1) • RAD51C (RAD51 paralog C) • RAD51D (RAD51 paralog D) • CHEK1 (Checkpoint kinase 1) • BARD1 (BRCA1 Associated RING Domain 1) • RAD54L (DNA Repair And Recombination Protein RAD54) • FANCL (FA Complementation Group L) • PPP2R2A (Protein Phosphatase 2, Regulatory Subunit B, Alpha) • FANCI (FA Complementation Group I)
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BRCA1 mutation • HRD • ATM mutation • PALB2 mutation • CHEK2 mutation • BRIP1 mutation • HRD + BRCA1 mutation • RAD51C mutation • RAD51D mutation • RAD51B mutation • BARD1 mutation • RAD54L mutation • FANCI mutation • RAD51 mutation
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
4ms
Niraparib plus Dostarlimab in Pleural Mesothelioma or Non-Small Cell Lung Cancer harboring HRR mutations: interim results of the UNITO-001 phase 2 prospective trial. (PubMed, Clin Cancer Res)
This preliminary analysis highlighted the lack of antitumor activity for the combination of niraparib and dostarlimab in patients with PM and/or advanced NSCLC harboring BAP1 somatic mutations. A potential antitumor activity emerged for PM with germline BAP1 and/or BRCA2 somatic mutations along with a good tolerability profile.
P2 data • Journal • BRCA Biomarker • PARP Biomarker • PD(L)-1 Biomarker • IO biomarker
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PD-L1 (Programmed death ligand 1) • BRCA2 (Breast cancer 2, early onset) • HRD (Homologous Recombination Deficiency) • BAP1 (BRCA1 Associated Protein 1)
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BRCA2 mutation • BAP1 mutation
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
5ms
Trial completion date • Trial primary completion date • Metastases
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cisplatin • Zejula (niraparib) • Jemperli (dostarlimab-gxly)
5ms
Phase classification
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Keytruda (pembrolizumab) • Avastin (bevacizumab) • carboplatin • Zejula (niraparib) • albumin-bound paclitaxel • pemetrexed • Jemperli (dostarlimab-gxly) • cobolimab (TSR-022)
5ms
ACCeSs: Study on TSR-042 in Advanced Clear Cell Sarcoma (clinicaltrials.gov)
P2, N=16, Active, not recruiting, Italian Sarcoma Group | Recruiting --> Active, not recruiting
Enrollment closed • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1)
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Jemperli (dostarlimab-gxly)
5ms
Clinical • P3 data
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MSI (Microsatellite instability)
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MSI-H/dMMR
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5-fluorouracil • Jemperli (dostarlimab-gxly) • leucovorin calcium
5ms
Radiation and TSR-042 (Dostarlimab) in People With Endometrial Cancer After They Receive Surgery (clinicaltrials.gov)
P2, N=31, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Recruiting --> Active, not recruiting
Enrollment closed • Checkpoint inhibition • Mismatch repair • Surgery • Checkpoint block • Metastases
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MSI (Microsatellite instability) • POLE (DNA Polymerase Epsilon) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2)
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MSI-H/dMMR • POLE mutation
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Jemperli (dostarlimab-gxly)
5ms
Phase 1 First Time in Human (FTIH), Open Label Study of GSK3745417 Administered to Participants With Advanced Solid Tumors (clinicaltrials.gov)
P1, N=98, Active, not recruiting, GlaxoSmithKline | Trial completion date: Aug 2024 --> Apr 2024
Trial completion date • Metastases
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Jemperli (dostarlimab-gxly) • GSK3745417
5ms
Niraparib and dostarlimab for the treatment of recurrent platinum-resistant ovarian cancer: results of a Phase II study (MOONSTONE/GOG-3032). (PubMed, Gynecol Oncol)
The study was terminated due to the observed ORR at the interim futility analysis. This highlights a need for effective therapies in treating patients with recurrent BRCAwt PROC.
Clinical • P2 data • Journal
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BRCA (Breast cancer early onset)
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BRCA wild-type
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Avastin (bevacizumab) • Zejula (niraparib) • Jemperli (dostarlimab-gxly)
5ms
Globally shared TCR repertoires within the tumor-infiltrating lymphocytes of patients with metastatic gynecologic cancer. (PubMed, Sci Rep)
Immunotherapy, while not yet a mainstream treatment for gynecologic cancers, is advancing, with Dostarlimab recently receiving approval as a treatment for endometrial cancer...To explore the relationship between distant tissue biopsy regions and blood circulation, we investigated the TCR beta chain (TCRβ) in bulk tumor and matched blood samples from 39 patients with gynecologic cancer. We found that the TCR clones of TILs at different tumor sites were globally shared within patients and had high overlap with the TCR clones in peripheral blood.
Journal • Tumor-infiltrating lymphocyte • BRCA Biomarker • PD(L)-1 Biomarker • IO biomarker • Metastases
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PD-L1 (Programmed death ligand 1) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • TRB (T Cell Receptor Beta Locus)
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BRCA1 expression • BRCA2 expression
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Jemperli (dostarlimab-gxly)
5ms
Safety and Efficacy of Targeting PP2A in Ovarian Clear Cell Carcinoma Using Dostarlimab and LB-100 (clinicaltrials.gov)
P1/2, N=21, Recruiting, M.D. Anderson Cancer Center | Not yet recruiting --> Recruiting | Initiation date: Mar 2024 --> Nov 2023
Enrollment open • Trial initiation date
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CD4 (CD4 Molecule)
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Jemperli (dostarlimab-gxly) • LB-100
5ms
RADIAN: Two-cohort Study of Niraparib and Dostarlimab Plus (Chemo)RadIotherapy in Locally-Advanced Head and Neck Squamous Cell Carcinoma (clinicaltrials.gov)
P1/2, N=34, Recruiting, Grupo Español de Tratamiento de Tumores de Cabeza y Cuello | Not yet recruiting --> Recruiting
Enrollment open • Metastases
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cisplatin • Zejula (niraparib) • Jemperli (dostarlimab-gxly)
6ms
Trial primary completion date • Metastases
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HER-2 (Human epidermal growth factor receptor 2) • PD-L1 (Programmed death ligand 1)
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HER-2 amplification • HER-2 negative • PD-L1 negative
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PD-L1 IHC 22C3 pharmDx • VENTANA PD-L1 (SP142) Assay
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Zejula (niraparib) • Jemperli (dostarlimab-gxly)
6ms
Outcomes of dostarlimab versus chemotherapy in post-platinum patients with recurrent/advanced endometrial cancer: data from the GARNET trial and the National Cancer Registration Service in England. (PubMed, Int J Gynecol Cancer)
In this adjusted indirect dataset, patients with recurrent/advanced mismatch repair deficient/microsatellite instability-high endometrial cancer post-platinum-based chemotherapy who received dostarlimab in the GARNET trial had significantly improved overall survival compared with patients receiving current second-line treatment in England.
Journal • Metastases
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MSI (Microsatellite instability)
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MSI-H/dMMR
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Jemperli (dostarlimab-gxly)
6ms
DREAMM 5: Platform Study of Belantamab Mafodotin as Monotherapy and in Combination With Anti-cancer Treatments in Participants With Relapsed/Refractory Multiple Myeloma (RRMM) (clinicaltrials.gov)
P1/2, N=464, Recruiting, GlaxoSmithKline | Trial completion date: Feb 2028 --> Feb 2029 | Trial primary completion date: Feb 2025 --> Feb 2026
Trial completion date • Trial primary completion date • Combination therapy
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lenalidomide • Jemperli (dostarlimab-gxly) • dexamethasone • pomalidomide • Sarclisa (isatuximab-irfc) • Blenrep (belantamab mafodotin-blmf) • Ogsiveo (nirogacestat) • feladilimab (GSK3359609) • GSK3174998
6ms
Enrollment closed • Metastases • Cost of therapy
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docetaxel • Jemperli (dostarlimab-gxly) • cobolimab (TSR-022)
6ms
Radiation and TSR-042 (Dostarlimab) in People With Endometrial Cancer After They Receive Surgery (clinicaltrials.gov)
P2, N=31, Recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Feb 2024 --> Feb 2025 | Trial primary completion date: Feb 2024 --> Feb 2025
Trial completion date • Trial primary completion date • Checkpoint inhibition • Mismatch repair • Surgery • Checkpoint block • Metastases
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MSI (Microsatellite instability) • POLE (DNA Polymerase Epsilon) • MLH1 (MutL homolog 1) • MSH6 (MutS homolog 6) • MSH2 (MutS Homolog 2)
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MSI-H/dMMR • POLE mutation
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Jemperli (dostarlimab-gxly)