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Updated: Feb 1, 2026

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
PARP inhibitors in ovarian cancer
Elisena Franzese1, Sara Centonze1, Anna Diana1
1Division of Medical Oncology, Department of Precision Medicine, School of Medicine, "Luigi Vanvitelli" University of Campania, 80131 Naples, Italy.
Abstract:
Poly-ADP-ribosepolymerase inhibitors (PARPis) are the most active and interesting therapies approved for the treatment of epithelial ovarian cancer. They have changed the clinical management of a disease characterized, in almost half of cases, by extreme genetic complexity and alteration of DNA damage repair pathways, particularly homologous recombination (HR) deficiency. In this review, we provide an updated overview of the available results of recent clinical trials on the three Food and Drug Administrationand European Medicines Agency approved PARPis in ovarian cancer: olaparib, niraparib, and rucaparib. Furthermore, we anticipate the future perspective of combination regimens with antiangiogenic, immunocheckpoint inhibitors, and other biological agents as strategies to overcome resistance mechanisms, potentiate the therapeutic efficacy, and expand their clinical use in non-HR deficient tumors.
Insights
Poly-ADP-ribosepolymerase inhibitors (PARPis) offer effective treatment for ovarian cancer, particularly in cases with DNA repair deficiencies. Future strategies involve combining PARPis with other agents to enhance efficacy and broaden clinical application.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Epithelial ovarian cancer (EOC) presents significant genetic complexity, often involving DNA damage repair pathway alterations.
- Homologous recombination (HR) deficiency is a key feature in nearly half of EOC cases, influencing therapeutic response.
Purpose of the Study:
- To review current clinical trial data for approved Poly-ADP-ribosepolymerase inhibitors (PARPis) in ovarian cancer.
- To explore future combination strategies for PARPis to overcome resistance and expand treatment options.
Main Methods:
- Review of recent clinical trial results for olaparib, niraparib, and rucaparib in ovarian cancer.
- Analysis of emerging combination therapies including antiangiogenic and immunocheckpoint inhibitors.
Main Results:
- PARPis have demonstrated significant efficacy in treating ovarian cancer, especially in HR-deficient tumors.
- Current data supports PARPis as a cornerstone therapy, altering clinical management.
Conclusions:
- Approved PARPis (olaparib, niraparib, rucaparib) have transformed ovarian cancer treatment.
- Future research directions include combining PARPis with other agents to improve outcomes in both HR-deficient and non-deficient tumors.
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