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1Military Institute of Medicine, Department of Oncology, Warsaw, Poland. anna.skrzypczyk@gmail.com.
Abstract:
Epithelial ovarian cancers are gynecological malignancies with the poorest prognosis. Intensive research over the past few years has demonstrated ovarian cancer is a type of cancer in which new molecularly targeted drugs significantly affect patients' fate and prognosis. These drugs are poly [ADP-ribose] polymerase (PARP) inhibitors, which are used for maintenance treatment. These molecules continue to be intensively studied--their combination with other targeted therapies is carefully evaluated as more of them are discovered. Four PARP inhibitors have been approved by the U.S. Food and Drug Administration (FDA) so far. Olaparib, rucaparib and niraparib are approved for various indications in epithelial ovarian cancer, fallopian tube or primary peritoneal cancer, while the PARP inhibitors for the treatment of breast cancer are olaparib and talazoparib. Olaparib is also approved for the treatment of pancreatic cancer as well as prostate cancer, and rucaparib is also approved for prostate cancer. Pamiparib (Partruvix) is a new, selective inhibitor of PARP-1 and PARP-2 which was discovered by BeiGene Ltd. On April 30, 2021, pamiparib obtained its first registration worldwide--it was approved in China for the treatment of women with recurrent ovarian, fallopian tube or primary peritoneal cancer with confirmed germline BRCA mutation.
Insights
New targeted therapies, poly [ADP-ribose] polymerase (PARP) inhibitors, are improving outcomes for ovarian cancer patients. Pamiparib is a novel PARP inhibitor recently approved in China for specific ovarian cancer cases.
Area of Science:
- Oncology
- Pharmacology
- Genetics
Background:
- Epithelial ovarian cancer has a poor prognosis, necessitating novel therapeutic strategies.
- Targeted therapies, particularly poly [ADP-ribose] polymerase (PARP) inhibitors, have emerged as significant advancements.
- PARP inhibitors are crucial in maintenance treatment and are under continuous investigation for combination therapies.
Purpose of the Study:
- To highlight the role of PARP inhibitors in treating gynecological malignancies.
- To introduce pamiparib, a new selective PARP-1 and PARP-2 inhibitor.
- To report the initial global registration of pamiparib in China.
Main Methods:
- Review of existing literature on PARP inhibitors in gynecological cancers.
- Identification of FDA-approved PARP inhibitors and their indications.
- Summary of pamiparib's development and regulatory status.
Main Results:
- Four PARP inhibitors (olaparib, rucaparib, niraparib, talazoparib) are FDA-approved for various cancers.
- Olaparib and rucaparib have expanded approvals for pancreatic and prostate cancers.
- Pamiparib received its first worldwide approval in China for recurrent ovarian, fallopian tube, or primary peritoneal cancer with germline BRCA mutation.
Conclusions:
- PARP inhibitors represent a significant therapeutic advance in ovarian cancer.
- Pamiparib's approval marks a milestone for this new targeted therapy.
- Further research into PARP inhibitor combinations is ongoing and essential.
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