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Updated: Dec 22, 2025

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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.
Abstract:
Low-grade serous ovarian carcinoma (LGSOC) is known to exhibit chemoresistance. Effective treatment options for recurrent disease are few and often limited to hormone antagonism. Combination of endocrine therapies with MEK-inhibitors displays synergism in preclinical ovarian cancer models, however. This brief communication presents the use of combination anti-estrogenic and MEK-inhibitor therapies, fulvestrant and trametinib, as treatment in a heavily pretreated patient with estrogen receptor-positive, recurrent LGSOC. The dual-therapy regimen was well tolerated and appeared to confer 9 months of progression-free survival. Further investigation is warranted to explore this effect.
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.
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