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clinical / clinicalRUBY trial, dostarlimab, endometrial cancer immunotherapy, MMR-deficient tumorsBispecific T-cell Engager Pioneer

Domenica Lorusso

多梅尼卡·洛鲁索

MD, PhD

🏢Humanitas University and IRCCS Humanitas Research Hospital, Milan; Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome(意大利米兰人文大学及人文大学研究医院;罗马格梅利综合医院)🌐Italy

Full Professor of Gynecologic Oncology, Humanitas University; Head, Gynecologic Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS人文大学妇科肿瘤学全职教授;格梅利综合医院妇科肿瘤科主任

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Key Papers
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Key Contributions

👥Biography 个人简介

Domenica Lorusso, MD, PhD is Full Professor of Gynecologic Oncology at Humanitas University and Head of the Gynecologic Oncology Unit at Fondazione Policlinico Universitario A. Gemelli IRCCS in Rome, where she has built one of Europe's most active clinical trial programs in gynecologic cancers. She is best known internationally as the principal investigator and corresponding author of the RUBY trial (ENGOT-EN6/GOG3031/NSGO), a landmark randomized phase III study demonstrating that adding dostarlimab — a PD-1 checkpoint inhibitor — to standard carboplatin/paclitaxel chemotherapy significantly prolonged progression-free survival in advanced or recurrent endometrial cancer, with particularly dramatic benefit in patients with mismatch repair-deficient (dMMR) tumors. The RUBY results, published in the New England Journal of Medicine in 2023, were practice-changing and contributed to regulatory approvals of dostarlimab in endometrial cancer across multiple jurisdictions. Professor Lorusso has also been a leading investigator in trials of PARP inhibitors, antiangiogenic agents, and novel immunotherapy combinations in ovarian, cervical, and endometrial cancers. She serves as Principal Investigator for multiple ENGOT (European Network of Gynaecological Oncological Trial groups) studies and has authored over 200 peer-reviewed publications. Her work on MMR status as a predictive biomarker for immunotherapy in endometrial cancer has reshaped molecular subtyping approaches in standard clinical practice.

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🧪Research Fields 研究领域

Endometrial Cancer — Immunotherapy Integration and MMR/MSI Biomarker-Directed Therapy子宫内膜癌——免疫治疗整合与MMR/MSI生物标志物导向治疗
RUBY Trial — Dostarlimab plus Carboplatin/Paclitaxel in Advanced Endometrial CancerRUBY试验——dostarlimab联合卡铂/紫杉醇治疗晚期子宫内膜癌
PD-1/PD-L1 Checkpoint Inhibitors in Gynecologic MalignanciesPD-1/PD-L1检查点抑制剂在妇科恶性肿瘤中的应用
Cervical Cancer — Systemic Therapy and Novel Combinations宫颈癌——系统治疗与新型联合方案
Clinical Trial Leadership in European Cooperative Gynecologic Oncology Groups欧洲妇科肿瘤合作组临床试验领导

🎓Key Contributions 主要贡献

RUBY Trial — Dostarlimab plus Chemotherapy in Advanced Endometrial Cancer

Served as global principal investigator and corresponding author of the RUBY trial (ENGOT-EN6/GOG3031/NSGO), a pivotal randomized phase III trial enrolling 494 patients with primary advanced or recurrent endometrial cancer. Patients were randomized to carboplatin/paclitaxel plus dostarlimab or placebo. The dostarlimab arm achieved a statistically significant improvement in progression-free survival — particularly in dMMR/MSI-high patients with a 72% reduction in the risk of disease progression or death (HR 0.28) — and an overall survival benefit. Published in the New England Journal of Medicine in 2023, RUBY established immunochemotherapy as a new standard of care for advanced endometrial cancer and reinforced MMR status as the principal biomarker for treatment selection.

MMR/MSI Biomarker Strategy in Endometrial Cancer

Championed prospective MMR testing in endometrial cancer clinical trials, demonstrating that dMMR/MSI-high status is the dominant predictive biomarker for checkpoint inhibitor benefit in this disease. Through correlative analyses within RUBY and other trials, contributed pivotal data showing that dMMR endometrial cancer achieves near-complete durable responses to PD-1 blockade, while proficient MMR patients also derive meaningful benefit from immunochemotherapy combinations. This work has influenced international guidelines recommending routine dMMR/MSI testing at diagnosis for all advanced endometrial cancers.

European Gynecologic Oncology Trial Network Leadership (ENGOT)

Played a central role in designing and activating multiple ENGOT-collaborative phase II/III trials spanning endometrial, cervical, and ovarian cancers, including studies of niraparib, dostarlimab, bevacizumab combinations, and antibody-drug conjugates. As an ENGOT steering committee member and national Italian coordinator, helped construct pan-European enrollment infrastructure enabling rapid accrual to definitive trials and translational correlative sub-studies that advance molecular understanding of gynecologic tumor biology.

Cervical Cancer Systemic Therapy — Novel Combinations

Contributed to phase I/II investigation of checkpoint inhibitor combinations and antibody-drug conjugates in recurrent/metastatic cervical cancer. Participated in early clinical development and translational correlative programs examining PD-L1, tumor mutational burden, and HPV status as predictive biomarkers, informing patient selection strategies for immunotherapy in cervical cancer.

Representative Works 代表性著作

[1]

Dostarlimab for Primary Advanced or Recurrent Endometrial Cancer (RUBY)

New England Journal of Medicine (2023)

Practice-changing phase III trial demonstrating dostarlimab plus carboplatin/paclitaxel significantly improved PFS versus chemotherapy alone in advanced endometrial cancer, with dramatic benefit in dMMR/MSI-high patients.

[2]

Updated Survival Results from RUBY: Dostarlimab plus Chemotherapy in Primary Advanced or Recurrent Endometrial Cancer

New England Journal of Medicine (2024)

Updated RUBY overall survival analysis confirming durable OS benefit with dostarlimab plus chemotherapy, cementing immunochemotherapy as the new first-line standard for advanced endometrial cancer.

[3]

Carboplatin and Paclitaxel Versus Carboplatin and Paclitaxel Plus Bevacizumab as First-Line Chemotherapy for Advanced Ovarian Cancer: A MITO16B–MaNGO OV2B–ENGOT OV17 Randomised Trial

Journal of Clinical Oncology (2022)

ENGOT-OV17/MITO16B randomized trial examining bevacizumab maintenance in platinum-sensitive ovarian cancer, contributing large-scale Italian and European data on antiangiogenic consolidation.

[4]

Niraparib Maintenance Therapy in Patients with Newly Diagnosed Advanced Ovarian Cancer

New England Journal of Medicine (2019)

PRIMA/ENGOT-OV26/GOG-3012 trial of niraparib maintenance across all comers regardless of BRCA/HRD status, demonstrating PFS benefit in newly diagnosed advanced ovarian cancer.

🏆Awards & Recognition 奖项与荣誉

🏆ESGO (European Society of Gynaecological Oncology) Distinguished Service Award
🏆ENGOT Distinguished Investigator Award
🏆Italian Society of Gynecologic Oncology (MITO) Leadership Award
🏆SGO International Collaborative Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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