Maintenance treatment of newly diagnosed advanced ovarian cancer: time for a paradigm shift?

Advanced epithelial ovarian cancer has a poor prognosis, but targeted therapies have been developed and are providing new hope. We reviewed recent results with PARP inhibitors as treatment and/or maintenance therapy following chemotherapy in newly diagnosed advanced ovarian cancer. Data confirm the...

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Detalhes bibliográficos
Autores: DiSilvestro, P. (Paul)|||/items/baa12800-3093-4db8-b395-cf4602412ed2, Colombo, N. (Nicoletta)|||/items/82e62d1e-e826-4c0f-809f-1a9fec13be3e, Harter, P. (P.)|||/items/262661b2-4b5b-463b-a599-bbc50796f3ca, González-Martín, A. (Antonio)|||/items/47e72e63-32d3-4a8a-91d5-2624d704fb4e, Ray-Coquard, I. (Isabelle)|||/items/942f3eb2-dcc1-4420-a88b-4222f6aeec45, Coleman, R.L. (Robert L.)|||/items/ba6aa402-ee1c-48e2-b247-d8e45e4cecb3
Tipo de documento: artigo
Data de publicação:2021
País:España
Recursos:Universidad de Navarra
Repositório:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglês
OAI Identifier:oai:dadun.unav.edu:10171/111319
Acesso em linha:https://hdl.handle.net/10171/111319
Access Level:Acceso aberto
Palavra-chave:PARP inhibitor
Ovarian cancer
BRCA mutation
Homologous recombination deficiency
Descrição
Resumo:Advanced epithelial ovarian cancer has a poor prognosis, but targeted therapies have been developed and are providing new hope. We reviewed recent results with PARP inhibitors as treatment and/or maintenance therapy following chemotherapy in newly diagnosed advanced ovarian cancer. Data confirm the benefit of PARP inhibitors in this setting, especially in subgroups with genomic instability. We describe the implications of these trial results for clinical practice, focusing on the need for a personalized treatment approach based on biomarker profile and other factors, including tolerability, cost considerations, and physician and patient preference. We have developed a systemic treatment algorithm for newly diagnosed advanced ovarian cancer, intended as a tool for clinicians to aid decision making in their daily practice. We also consider areas of future research, such as exploring further options for patients whose disease relapses following PARP inhibitor treatment.