Phase 2 study of dostarlimab plus niraparib in stage III-IV recurrent or refractory Penile squamous cell carcinoma

Firas Hatoum1, Gabriel Roman Souza1, Jeff Johnson1

  • 1Genitourinary Oncology Department, H. Lee Moffitt Cancer Center, Tampa, FL, USA.

PubMed

Insights

This trial investigates combining PARP inhibitor niraparib with PD-1 inhibitor dostarlimab for advanced penile squamous cell carcinoma. The combination shows potential as a novel treatment strategy for refractory cases.

Area of Science:

  • Oncology
  • Immunotherapy
  • Genitourinary Cancers

Background:

  • Penile squamous cell carcinoma (PSCC) management is challenging with limited options.
  • Preclinical data suggest synergistic antitumor effects from combining PD-1 and PARP inhibitors.

Purpose of the Study:

  • To evaluate the efficacy and safety of niraparib plus dostarlimab in patients with recurrent or refractory stage III-IV PSCC.
  • To determine the objective response rate (ORR) as the primary endpoint.

Main Methods:

  • Phase II clinical trial enrolling patients with advanced PSCC.
  • Combination therapy with niraparib (PARP inhibitor) and dostarlimab (PD-1 inhibitor).
  • Primary endpoint: ORR by iRECIST; Secondary endpoints: PFS, OS, safety.

Main Results:

  • The study is currently enrolling patients in two stages.
  • The first stage will enroll 15 patients, with expansion to 10 more if ORR exceeds 13%.

Conclusions:

  • This combination therapy may offer a new treatment approach for advanced, platinum-refractory PSCC.
  • Further results are pending patient enrollment and data collection.