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...

Descripción completa

Detalles 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 recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Navarra
Repositorio:Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:inglés
OAI Identifier:oai:dadun.unav.edu:10171/111319
Acceso en línea:https://hdl.handle.net/10171/111319
Access Level:acceso abierto
Palabra clave:PARP inhibitor
Ovarian cancer
BRCA mutation
Homologous recombination deficiency
Descripción
Sumario: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.