Selinexor: Changing the paradigm in patients with TP53 wild-type endometrial cancer?

Mohamed A Gouda1, Kyaw Z Thein2

  • 1Department of Investigational Cancer Therapeutics (A Phase I Program),The University of Texas M.D. Anderson Cancer Center, 1400 Holcombe Boulevard, Houston, TX 77030, USA.

Med (New York, N.Y.)
|November 11, 2023
PubMed

Insights

Recurrent endometrial cancer (EC) is difficult to treat. The SIENDO trial found selinexor may benefit patients with TP53 wild-type advanced or recurrent EC, offering new hope.

Area of Science:

  • Oncology
  • Gynecologic Oncology
  • Cancer Therapeutics

Background:

  • Recurrent endometrial cancer (EC) presents significant treatment challenges.
  • Despite advances in personalized medicine, effective therapies for recurrent EC remain limited.
  • Identifying novel therapeutic strategies is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the clinical benefit of selinexor in patients with advanced or recurrent endometrial cancer.
  • To assess the efficacy of selinexor specifically in the TP53 wild-type subgroup of EC patients.

Main Methods:

  • The study analyzed data from the SIENDO trial.
  • Patient population included those with advanced or recurrent endometrial cancer.
  • Focus was on patients with TP53 wild-type tumors.

Main Results:

  • The SIENDO trial demonstrated a potential clinical benefit of selinexor.
  • Selinexor showed promise in patients with TP53 wild-type advanced/recurrent EC.
  • These findings suggest a potential new treatment avenue.

Conclusions:

  • Selinexor may offer a therapeutic option for a specific subset of EC patients.
  • Further research is warranted to explore selinexor's role in EC treatment.
  • The quest for novel therapies in recurrent EC continues.