Evidence mapPaperPMID 40896017Full record

ReviewCureus2025

Lenvatinib Plus Pembrolizumab Versus Chemotherapy in Advanced Endometrial Cancer: Efficacy and Safety Insights.

Faizah Alabi, Izuchukwu F Okpalanwaka, Bryant Azoroh, Ebenezar Okoyeocha, Temilola Balogun, Idris B Ayinde

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Faizah AlabiDepartment of Immunotherapeutics and Biotechnology, Texas Tech University Health Sciences Center, Abilene, USA.
Izuchukwu F OkpalanwakaDepartment of Immunotherapeutics and biotechnology, Texas Tech University Health Sciences Center, Abilene, USA.
Bryant AzorohDepartment of Immunotherapeutics and Biotechnology, Texas Tech University Health Sciences Center, Abilene, USA.
Ebenezar OkoyeochaPharmacology and Toxicology, Michigan State University, Michigan, USA.
Temilola BalogunCenter for Parasitology and Disease Research, School of Environmental Sciences, University of Salford, Salford, USA.
Idris B AyindePharmaceutical Chemistry, University of Lagos College of Medicine, Lagos, NGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advanced endometrial cancer (aEC) presents a formidable therapeutic challenge, particularly in patients with recurrent or metastatic disease. Historically, platinum-based chemotherapy is the mainstay treatment for aEC. However, the treatment paradigm has shifted with the emergence of immune checkpoint inhibitors (ICIs) and targeted therapies. Lenvatinib combined with pembrolizumab (LVB + PMB) has emerged as a promising regimen, particularly for patients with proficient mismatch repair (pMMR) tumors who typically respond poorly to ICI monotherapy. This review synthesizes recent data comparing LVB + PMB to chemotherapy, focusing on efficacy, safety, and molecular subtype-guided treatment selection. Findings from the KEYNOTE-775 and LEAP-001 trials are highlighted. We also delve into the molecular and immunologic landscape of aEC, providing a mechanistic rationale for treatment response and resistance. While LVB + PMB shows superior progression-free survival in second-line settings, its first-line application in unselected populations remains inconclusive. Therefore, strategic patient stratification and biomarker development remain key to maximizing clinical outcomes. Furthermore, we discuss the clinical implications of these findings, explore future research directions, including novel combinations and biomarkers, and provide recommendations for the evolving therapeutic landscape.

Indexed as

advanced endometrial cancerchemotherapyimmune checkpoint inhibitorslenvatinibmismatch repair deficientmismatch-repair proficientpembrolizumabtargeted therapy

Identifiers

PMID40896017
PMCPMC12395207

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.