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Published on: February 5, 2020
Dostarlimab: A Review
Bárbara Costa1,2, Nuno Vale1,2,3
1OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Doutor Plácido da Costa, 4200-450 Porto, Portugal.
Abstract:
Dostarlimab (JEMPERLI) is a PD-1 monoclonal antibody for the treatment of adult patients, with mismatch repair deficient (dMMR), recurrent or advanced endometrial cancer that has progressed on or following prior therapy with a platinum-containing regimen. As determined by an FDA-approved test this indication was granted rapid approval based on the rate of tumor response and the duration of the response. Continued approval for this indication is conditioned on further confirmatory trials demonstrating and documenting clinical benefit. In June 2022, the clinical trial NCT04165772 reported a 100% remission rate for rectal cancer. This clinical trial brought proof that we can match a tumor and the genetics of what is driving it, with therapy. This clinical trial continues to enroll patient and is currently enrolling patients with gastric, prostate, and pancreatic cancers. Dostarlamib is being recommended for rectal cancer. The focus of this review is to summarize the existing knowledge regarding Dostarlimab and explore the possibilities of mono- and combination therapies.
Insights
Dostarlimab, a PD-1 monoclonal antibody, shows promise in treating mismatch repair deficient (dMMR) cancers. A trial reported a 100% remission rate in rectal cancer, expanding to other solid tumors.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Dostarlimab is a programmed cell death protein 1 (PD-1) monoclonal antibody.
- It is approved for adult patients with mismatch repair deficient (dMMR), recurrent or advanced endometrial cancer previously treated with a platinum-containing regimen.
- The initial approval was based on tumor response rate and duration, pending further clinical benefit confirmation.
Purpose of the Study:
- To review existing knowledge on Dostarlimab.
- To explore its potential in monotherapy and combination treatments.
- To highlight emerging applications in other dMMR cancers.
Main Methods:
- Review of existing literature and clinical trial data.
- Analysis of Dostarlimab's mechanism of action as a PD-1 inhibitor.
- Examination of clinical trial results, including NCT04165772.
Main Results:
- Dostarlimab demonstrated a 100% remission rate in a clinical trial for rectal cancer.
- This suggests a successful strategy of matching tumor genetics with targeted therapy.
- The clinical trial is ongoing and enrolling patients with gastric, prostate, and pancreatic cancers.
Conclusions:
- Dostarlimab is recommended for rectal cancer treatment.
- The drug's efficacy in dMMR cancers warrants further investigation.
- Future research should focus on optimizing mono- and combination therapy strategies.
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