The Use of PARP Inhibitors in Ovarian Cancer


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PARP Inhibitors in Ovarian Cancer Treatment

Key Themes:

  • Biomarker-directed PARP inhibitor use in frontline treatment
  • Current FDA approvals and indications
  • Overall survival concerns in platinum-sensitive settings

Notable Insights:

  • Current frontline approvals:
  • Olaparib monotherapy maintenance for BRCA1/2 mutations after response to platinum
  • Olaparib with bevacizumab for HRD-positive tumors
  • Niraparib approved for all-comers whose tumors responded to chemotherapy
  • Platinum response serves as a clinical biomarker indicating potential DNA repair deficiency.
  • The FDA restricted platinum-sensitive setting approvals to BRCA-positive patients only due to concerns about potential survival detriment in non-BRCA populations.

Dr Moore stated: “PARP inhibitors are the first truly targeted therapy to benefit patients with ovarian cancer…transformative in a biomarker selected way” and noted: “Best place to use them is in frontline…there is the chance we are curing more patients. We believe that.”



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