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Published on: July 25, 2020
Potential Targeted Therapies in Ovarian Cancer
Yagmur Sisman1,2, Lau Kræsing Vestergaard1, Douglas Nogueira Perez de Oliveira1
1Molecular Unit, Department of Pathology, Herlev Hospital, University of Copenhagen, DK-2730 Herlev, Denmark.
Background:
We aimed to identify somatic pathogenic and likely pathogenic mutations using next-generation sequencing (NGS). The mutational findings were held against clinically well-described data to identify potential targeted therapies in Danish patients diagnosed with high-grade serous ovarian cancer (HGSC).
Methods:
We characterized the mutational profile of 128 HGSC patients. Clinical data were obtained from the Danish Gynecological Database and tissue samples were collected through the Danish CancerBiobank. DNA was analyzed using NGS.
Results:
47 (37%) patients were platinum-sensitive, 32 (25%) partially platinum-sensitive, 35 (27%) platinum-resistant, and three (2%) platinum-refractory, while 11 (9%) patients did not receive chemotherapy. Overall, 27 (21%) had known druggable targets. Twelve (26%) platinum-sensitive patients had druggable targets for PARP inhibitors: one for tyrosine kinase inhibitors and one for immunotherapy treatment. Eight (25%) partially platinum-sensitive patients had druggable targets: seven were eligible for PARP inhibitors and one was potentially eligible for alpesilib and hormone therapy. Seven (20%) platinum-resistant patients had druggable targets: six (86%) were potentially eligible for PARP inhibitors, one for immunotherapy, and one for erdafitinib.
Conclusions:
PARP inhibitors are the most frequent potential targeted therapy in HGSC. However, other targeted therapies remain relevant for investigation according to our mutational findings.
Insights
Next-generation sequencing identified actionable mutations in high-grade serous ovarian cancer (HGSC) patients. PARP inhibitors were the most frequent targeted therapy, but other options warrant investigation.
Area of Science:
- Oncology
- Genomics
- Precision Medicine
Background:
- High-grade serous ovarian cancer (HGSC) is a significant health concern.
- Identifying actionable mutations is crucial for developing targeted therapies.
Purpose of the Study:
- To identify somatic pathogenic and likely pathogenic mutations in HGSC patients.
- To correlate mutational findings with clinical data for targeted therapy identification.
Main Methods:
- Next-generation sequencing (NGS) was employed to analyze the mutational profile of 128 HGSC patients.
- Clinical data were sourced from the Danish Gynecological Database and tissue samples from the Danish CancerBiobank.
Main Results:
- 21% of patients had known druggable targets.
- PARP inhibitors were identified as potential targeted therapies for platinum-sensitive and partially platinum-sensitive HGSC patients.
- Other targeted therapies, including tyrosine kinase inhibitors, immunotherapy, alpelisib, and erdafitinib, were also identified for specific patient subgroups.
Conclusions:
- PARP inhibitors represent the most common potential targeted therapy for HGSC based on mutational findings.
- Further investigation into other identified targeted therapies is warranted for HGSC treatment.
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