PARP inhibitors for BRCA wild type ovarian cancer; gene alterations, homologous recombination deficiency and combination therapy

被引:30
作者
Matsumoto, Koji [1 ,2 ]
Nishimura, Meiko [1 ,2 ]
Onoe, Takuma [1 ,2 ]
Sakai, Hideki [1 ]
Urakawa, Yusaku [2 ]
Onda, Takashi [3 ]
Yaegashi, Nobuo [4 ]
机构
[1] Hyogo Canc Ctr, Div Med Oncol, Akashi, Hyogo, Japan
[2] Hyogo Canc Ctr, Div Clin Genet, Akashi, Hyogo, Japan
[3] Kitasato Univ, Sch Med, Dept Obstet & Gynecol, Tokyo, Japan
[4] Tohoku Univ, Dept Gynecol & Obstet, Sendai, Miyagi, Japan
关键词
PARP inhibitors; BRCA wild type; HRD; LOH; genetic counseling; MAINTENANCE THERAPY; BREAST-CANCER; DOUBLE-BLIND; OLAPARIB; MUTATIONS; RISK; GERMLINE; WOMEN;
D O I
10.1093/jjco/hyz090
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
After a brief summary of the current status of poly-ADP ribose polymerase (PARP) inhibitors for ovarian cancer, we summarize the current status of PARP inhibitors for BRCA wild type ovarian cancer, especially regarding gene alterations other than BRCA, homologous recombination deficiency (HRD), and combinations. Discussion of gene alterations other than BRCA include the results of multiple gene panels studying homologous recombination repair deficiency genes and cancer susceptibility genes, and influences of these alterations on efficacy of PARP inhibitors and cancer susceptibility. Discussions of HRD include the results of phase three trials using HRD assay, the definition of HRD assays, and the latest assays. Discussions of combinations include early phase trial results and ongoing trials combining PARP inhibitors with immune checkpoint inhibitors, anti-angiogenic agents, and triplets.
引用
收藏
页码:703 / 707
页数:5
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