Onco Wiki / Regimen

Pembrolizumab + Lenvatinib (KEYNOTE-775) — 2L pMMR endometrial

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Source YAML: complete record

ComponentsDRUG-PEMBROLIZUMAB DRUG-LENVATINIB
IDREG-PEMBRO-LENVATINIB-ENDOM
TypeRegimen
Statusreviewed 2026-04-26 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-ENDOMETRIAL-2022 SRC-NCCN-UTERINE-2025

Notes

KEYNOTE-775 (Makker 2022): 2L advanced endometrial post-platinum — pembrolizumab + lenvatinib vs investigator's-choice chemo (doxo or pacli). All-comers: mOS 18.3 vs 11.4 mo (HR 0.62), PFS 7.2 vs 3.8 mo (HR 0.56), ORR 32% vs 15%. pMMR subgroup (the practical 2L population since dMMR receives ICI 1L): mOS 17.4 vs 12.0 mo (HR 0.68). NCCN cat 1 for 2L pMMR endometrial post-platinum. Toxicity is substantial — ~67% Grade ≥3 AE, ~20% discontinuation rate for AE. Hypertension prophylaxis + dose reduction algorithm mandatory.

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