Article Text
Abstract
Introduction The TQB2450-II-08 (NCT04574284) study aims to evaluate the efficacy and safety of benmelstobart alone or combined with anlotinib in patients with advanced Endometrial Cancer (EC). Here, we reported the updated safety and efficacy data for stage 2 of cohort 1.
Methods Patients with pathologically confirmed advanced, recurrent or metastatic EC failed at 1 or 2 prior lines of platinum-based chemotherapy were enrolled. In cohort 1, non-MSI-H/dMMR patients received benmelstobart (1200 mg IV D1/Q3W) + anlotinib (12 mg PO QD D1-14/Q3W) until disease progression or intolerable toxicity. Cohort 1 was carried out in 2 stages. The study would progress to stage 2 if 8 or more of the 22 patients achieved CR/PR in stage 1. Additional 85 patients would be enrolled in stage 2. The primary endpoint was ORR by IRC. The secondary endpoints included ORR by investigator, DCR, DoR, PFS, OS and safety.
Results At data cutoff (May 9, 2024), 85 patients were enrolled in stage 2 of cohort 1 (22 patients in stage 1 with 8 achieved PR), the median age was 60.0 years, 80.0% were endometrioid carcinoma. The confirmed ORR by IRC was 34.12%. The mPFS and mOS was 8.80 months (95%CI 5.75, 15.18) and 21.78 months (95%CI 19.48, 29.14). The safety analysis includes all patients of cohort 1 (n=107). The most common any-grade TEAEs were hypertension, hypothyroidism and weight loss. The incidence of grade ≥3 TEAEs were 77.57%.
Conclusion/Implications Benmelstobart plus anlotinib showed promising antitumor activity with a manageable safety profile in the treatment of recurrent or metastatic EC.