Dual Fulvestrant-Trametinib Therapy in Recurrent Low-Grade Serous Ovarian Cancer

Parker L Bussies1, Matthew Schlumbrecht1,2

  • 1Miller School of Medicine, University of Miami, Miami, Florida, USA.

The Oncologist
|May 6, 2020
PubMed

Insights

This study explored combining anti-estrogenic therapy with a MEK-inhibitor for recurrent low-grade serous ovarian carcinoma (LGSOC). The combination showed promise, offering 9 months of progression-free survival in a heavily pretreated patient.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Low-grade serous ovarian carcinoma (LGSOC) often presents with chemoresistance.
  • Limited effective treatment options exist for recurrent LGSOC, frequently relying on hormone antagonism.

Purpose of the Study:

  • To evaluate the efficacy and tolerability of a combination therapy for heavily pretreated, estrogen receptor-positive, recurrent LGSOC.
  • To investigate the potential synergistic effect of combining endocrine therapy with a MEK-inhibitor in a clinical setting.

Main Methods:

  • A case study involving a heavily pretreated patient with estrogen receptor-positive, recurrent LGSOC.
  • Administration of a dual-therapy regimen comprising an anti-estrogenic agent (fulvestrant) and a MEK-inhibitor (trametinib).

Main Results:

  • The combination therapy was well tolerated by the patient.
  • The dual-therapy regimen appeared to provide 9 months of progression-free survival.

Conclusions:

  • Combination anti-estrogenic and MEK-inhibitor therapy may be a viable treatment strategy for recurrent LGSOC.
  • Further clinical investigation is warranted to validate these preliminary findings and explore the therapeutic potential.