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Updated: Nov 4, 2025

Evaluating the Angiogenetic Properties of Ovarian Cancer Stem-Like Cells using the Three-Dimensional Co-Culture System, NICO-1
Published on: December 5, 2020
Recent advancements of antiangiogenic combination therapies in ovarian cancer
Daniel An1, Susana Banerjee2, Jung-Min Lee1
1Women's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Abstract:
Ovarian cancer is a deadly malignancy with a growing therapeutic armamentarium, though achieving sustained benefit in the clinic remains largely elusive. Through biomarker and genetic analysis, several pathways of resistance and sensitivity to commonly used therapeutics have been identified, expanding the potential of identifying unique drug combinations and indicating new directions for improving clinical outcomes. Here, we review the mechanisms of angiogenic response and antiangiogenic therapy in ovarian cancer, as well as the interactions it exhibits with the immune and DNA damage response pathways. We discuss results from clinical trials examining the combinations of antiangiogenics, PARP inhibitors, and immune checkpoint inhibitors are also discussed, as well as several ongoing trials.
Insights
Ovarian cancer treatments are improving, but long-term success is difficult. Understanding drug resistance and sensitivity pathways helps identify new drug combinations to improve patient outcomes.
Area of Science:
- Oncology
- Cancer Research
- Pharmacology
Background:
- Ovarian cancer remains a significant cause of cancer-related mortality.
- Despite advances, achieving durable clinical responses to therapy is challenging.
- Biomarker and genetic analyses are revealing complex resistance and sensitivity pathways.
Purpose of the Study:
- To review mechanisms of angiogenic response and antiangiogenic therapy in ovarian cancer.
- To explore interactions between antiangiogenic therapy, the immune system, and DNA damage response pathways.
- To discuss clinical trial data on combination therapies.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of mechanisms underlying therapeutic resistance and sensitivity.
- Synthesis of data from clinical trials involving combination therapies.
Main Results:
- Identification of key pathways influencing response to ovarian cancer therapies.
- Understanding of how antiangiogenic agents interact with immune and DNA damage response pathways.
- Evidence from clinical trials exploring combinations of antiangiogenics, PARP inhibitors, and immune checkpoint inhibitors.
Conclusions:
- Targeting angiogenic pathways holds promise for ovarian cancer treatment.
- Combination therapies involving antiangiogenics, PARP inhibitors, and immunotherapy may improve outcomes.
- Further clinical trials are needed to optimize these novel therapeutic strategies.
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