PARP inhibitors in ovarian cancer

被引:162
作者
Franzese, Elisena [1 ]
Centonze, Sara [1 ]
Diana, Anna [1 ]
Carlino, Francesca [1 ]
Guerrera, Luigi Pio [1 ]
Di Napoli, Marilena [2 ]
De Vita, Ferdinando [1 ]
Pignata, Sandro [2 ]
Ciardiello, Fortunato [1 ]
Orditura, Michele [1 ]
机构
[1] Luigi Vanvitelli Univ Campania, Sch Med, Dept Precis Med, Div Med Oncol, I-80131 Naples, Italy
[2] IRCCS, Ist Nazl Studio Cura Tumori Fdn G Pascale, I-80131 Naples, Italy
关键词
Ovarian cancer; PARP inhibitors; Olaparib; Niraparib; Rucaparib; NEGATIVE BREAST-CANCER; HOMOLOGOUS RECOMBINATION; MAINTENANCE THERAPY; DOUBLE-BLIND; OPEN-LABEL; MUTATION CARRIERS; BRCA2; MUTATIONS; PHASE-I; OLAPARIB; CARCINOMA;
D O I
10.1016/j.ctrv.2018.12.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Poly-ADP-ribose polymerase inhibitors (PARPis) are the most active and interesting therapies approved for the treatment of epithelial ovarian cancer. They have changed the clinical management of a disease characterized, in almost half of cases, by extreme genetic complexity and alteration of DNA damage repair pathways, particularly homologous recombination (HR) deficiency. In this review, we provide an updated overview of the available results of recent clinical trials on the three Food and Drug Administration and European Medicines Agency approved PARPis in ovarian cancer: olaparib, niraparib, and rucaparib. Furthermore, we anticipate the future perspective of combination regimens with antiangiogenic, immunocheckpoint inhibitors, and other biological agents as strategies to overcome resistance mechanisms, potentiate the therapeutic efficacy, and expand their clinical use in non-HR deficient tumors.
引用
收藏
页码:1 / 9
页数:9
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