May 7, 2026 · Gynecologic oncology reports · DOI: 10.1016/j.gore.2026.102084

Real World Outcomes of Pembrolizumab and Reduced-Dose Lenvatinib in Recurrent Endometrial Cancer by Platinum and p53 Status

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This study aimed to evaluate the efficacy of pembrolizumab and reduced-dose lenvatinib in patients with recurrent endometrial cancer, specifically examining outcomes based on platinum resistance and p53 mutation status. The findings indicated that a lower starting dose of lenvatinib (≤10 mg) was non-inferior to higher doses in terms of objective response rate and was better tolerated, while p53 mutation status was associated with improved progression-free survival. These results support the potential for individualized dosing strategies and highlight p53 mutation as a possible predictive biomarker in this patient population.

Alexa Dzienny, Yasmin Abozenah, James Griffith, Sidra Sohail, Yifang Eva Pan, Christina Vlamis, Katelyn Yamartino, Jessica Leclair, Gary Israel, Michelle Greenman, Blair McNamara, Masoud Azodi, Elena S Ratner, Alessandro Santin, Peter Dottino, Katyayani Papatla, Aparna Kailasam, Pei Hui, Natalia Buza, Gary Altwerger

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