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Opinion|Videos|January 9, 2026

Endometrial Cancer: Evaluating Platinum Re-Challenge Strategies Through the ECHO-EU Lens

Panelists discuss how real-world findings suggest platinum re-challenge offers limited, short-lived benefit in this disease and is often less favorable than newer systemic options after recurrence.

The ECHO EU findings help clarify the limited value of platinum re challenge in advanced or recurrent endometrial cancer. Unlike ovarian cancer, where platinum sensitivity has established patterns, the biology of endometrial cancer does not follow the same behavior. Patients who recur after adjuvant carboplatin and paclitaxel often demonstrate underlying resistance, reducing the likelihood of meaningful benefit from re treatment.ECHO EU supports the clinical observation that platinum re challenge produces modest responses with limited durability. Outcomes are generally inferior to those achieved with modern options such as lenvatinib plus pembrolizumab. These findings reinforce the need to move away from older paradigms and prioritize newer therapies when recurrence occurs, especially now that more effective agents are available.

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