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.

Cancer Treatment Reviews
|December 14, 2018
PubMed

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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