Current and emerging treatment options in the management of advanced ovarian cancer

Victor Rodriguez-Freixinos1, Helen J Mackay2, Katherine Karakasis1

  • 1a Division of Medical Oncology and Hematology, Princess Margaret Hospital , University of Toronto , Toronto , Ontario , Canada.

Abstract

Insights

Precision medicine advances ovarian cancer treatment. Targeted therapies like PARP inhibitors and anti-angiogenics are improving outcomes by targeting specific tumor biology and incorporating genomic complexity into clinical trial designs.

Area of Science:

  • Gynecologic Oncology
  • Molecular Oncology
  • Clinical Trial Design

Background:

  • Epithelial ovarian cancer is a highly lethal gynecologic malignancy.
  • Understanding its molecular and histological diversity drives new therapeutic strategies.
  • Mechanism-based therapies include PARP inhibitors and anti-angiogenics.

Purpose of the Study:

  • To review current ovarian cancer management strategies.
  • To summarize novel and promising therapeutic approaches.
  • To highlight the evolution of clinical trial design in ovarian cancer.

Main Methods:

  • Literature review of English peer-reviewed articles from MEDLINE.
  • Inclusion of abstracts from major international oncology meetings.
  • Synthesis of current and emerging treatment modalities.

Main Results:

  • Poly-ADP-ribose polymerase (PARP) inhibitors and anti-angiogenic therapies show efficacy in clinical trials.
  • These targeted therapies have received regulatory approval.
  • Genomic complexity and predictive biomarkers are crucial for treatment selection.

Conclusions:

  • Ovarian cancer management is shifting towards precision medicine.
  • Improved understanding of disease biology is key.
  • Histological and molecular subtyping, alongside novel trial designs, will enhance precision treatment and patient outcomes.

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