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Surface-enhanced Resonance Raman Scattering Nanoprobe Ratiometry for Detecting Microscopic Ovarian Cancer via Folate Receptor Targeting
Published on: March 25, 2019
Targeted agents in ovarian cancer
T S Kristedja1, R J Morgan, M Cristea
1Department of Medical Oncology & Therapeutics Research, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA.
Abstract:
Despite recent advances in the treatment of ovarian cancer, a large majority of women with this diagnosis will die from recurrence of their disease. Targeted therapies, in the form of monoclonal antibodies and small molecule tyrosine kinase inhibitors have significantly altered the management of many solid tumors and hematologic malignancies. No such agents have been approved by the US FDA for use in ovarian cancer, although Phase II data suggests excellent single-agent activity of some of these drugs. Antiangiogenic agents in combination with chemotherapy are being evaluated in Phase III clinical trials, both in the adjuvant setting and in recurrent platinum-sensitive disease. Poly-ADP-ribose polymerase inhibitors are promising agents in BRCA1/2-mutated breast and ovarian cancers. Ongoing clinical trials are exploring the anti-tumor effect of poly-ADP-ribose polymerase inhibitors administered as single agents and in combination with chemotherapy. Many other new drugs are in earlier grades of development. In this article, we review the state of the art in targeted therapies for ovarian cancer and identify future directions for their development in the management of this often devastating disease.
Insights
Targeted therapies show promise for ovarian cancer, offering new hope against disease recurrence. Ongoing trials explore novel agents like poly-ADP-ribose polymerase inhibitors for improved patient outcomes.
Area of Science:
- Gynecologic Oncology
- Medical Oncology
- Pharmacology
Background:
- Ovarian cancer frequently recurs despite treatment advances.
- Targeted therapies have transformed other cancer care but lack FDA approval for ovarian cancer.
- Existing Phase II data shows promise for targeted agents in ovarian cancer management.
Purpose of the Study:
- To review the current landscape of targeted therapies for ovarian cancer.
- To identify promising agents and future directions in ovarian cancer treatment.
Main Methods:
- Review of existing clinical trial data (Phase II and III).
- Analysis of targeted therapy classes including monoclonal antibodies, tyrosine kinase inhibitors, antiangiogenic agents, and poly-ADP-ribose polymerase inhibitors.
- Discussion of ongoing research and development.
Main Results:
- No targeted therapies are FDA-approved for ovarian cancer, but Phase II trials show potential.
- Antiangiogenic agents are in Phase III trials for adjuvant and recurrent settings.
- Poly-ADP-ribose polymerase inhibitors demonstrate promise, especially in BRCA1/2-mutated cancers, with ongoing trials.
Conclusions:
- Targeted therapies represent a significant area of development for ovarian cancer.
- Further research and clinical trials are crucial to realize the potential of these agents.
- Future directions include combination therapies and agents targeting specific mutations.
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