2021
DOI: 10.7150/jca.49406
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Current Ovarian Cancer Maintenance Strategies and Promising New Developments

Abstract: While ovarian cancer typically responds well to front line treatment, many patients will relapse within 5 years. Treatment options are less effective at each recurrence highlighting the need for novel maintenance therapies. PolyADP-ribose polymerase (PARP) inhibitors have recently gained approval in ovarian cancer maintenance. Niraparib was approved regardless of BRCA mutation status, however impact on overall survival is limited. Oliparib was approved for BRCA mutant and BRCA wildtype/homologous recombination… Show more

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Cited by 42 publications
(38 citation statements)
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References 138 publications
(143 reference statements)
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“…Standard of care for newly diagnosed advanced ovarian cancer (Stage IIIb-IV) involves either primary debulking surgery followed by adjuvant chemotherapy with paclitaxel and carboplatin or neoadjuvant chemotherapy with interval debulking surgery followed by adjuvant chemotherapy [1,2]. Although the majority of patients achieve complete remission with either approach, 60-75% still relapse within 2-3 years with no significant difference in OS between the treatment options.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Standard of care for newly diagnosed advanced ovarian cancer (Stage IIIb-IV) involves either primary debulking surgery followed by adjuvant chemotherapy with paclitaxel and carboplatin or neoadjuvant chemotherapy with interval debulking surgery followed by adjuvant chemotherapy [1,2]. Although the majority of patients achieve complete remission with either approach, 60-75% still relapse within 2-3 years with no significant difference in OS between the treatment options.…”
Section: Introductionmentioning
confidence: 99%
“…Although the majority of patients achieve complete remission with either approach, 60-75% still relapse within 2-3 years with no significant difference in OS between the treatment options. Within the past few years, maintenance therapy has demonstrated benefits with optimal frontline maintenance including bevacizumab, niraparib or olaparib/bevacizumab combination [2][3][4], but most durable clinical response are seen in patients with either BRCA germline or somatic mutations [5,6] as well as HRD molecular profiles [3]. HRP patients demonstrate no to minimal benefit with PARPi therapy [3,7].…”
Section: Introductionmentioning
confidence: 99%
“…Ovarian cancer is the most lethal gynecological malignancy due to its late diagnosis and high recurrence [ 74 ], showing a low five-year survival rate of around 45% [ 75 ]. Currently, the first-line treatment consists of surgery and chemotherapy (mainly based on platinum compounds).…”
Section: Adcs For Ovarian Cancermentioning
confidence: 99%
“…Because the clinical manifestations of early OC are hidden or unspecific, OC is often called a silent killer, and approximately 70 % of them are diagnosed with an advanced stage [ 4 ]. As reported, the 5-year survival rate for FIGO stage I is 90 %, stage II is 65 %, stage III is 34 %, and stage IV is 15 % [ 5 , 6 ]. However, current improvements in treatment methods could only slightly improve OC survival rates [ 7 ].…”
Section: Introductionmentioning
confidence: 96%