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Debate 19B - What is the Optimal Therapeutic Option for Platinum-resistant Recurrent Ovarian Cancer?

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from Section III - Ovarian Cancer

Published online by Cambridge University Press:  20 July 2023

Dennis S. Chi
Affiliation:
Memorial Sloan-Kettering Cancer Center, New York
Nisha Lakhi
Affiliation:
Richmond University Medical Center, Staten Island
Nicoletta Colombo
Affiliation:
University of Milan-Bicocca
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Summary

The management of patients with platinum-resistant recurrent epithelial ovarian cancer (EOC) poses a significant challenge. Traditionally treatment has involved the use of non-platinum chemotherapeutic agents, including PEGylated liposomal doxorubicin (PLD), topotecan, gemcitabine, and paclitaxel, used as monotherapy with response rates of 10–15%, progression-free survival (PFS) of three to four months and overall survival (OS) of approximately 12 months [1]. These agents have had limited efficacy and failed to demonstrate a meaningful OS benefit at the risk of chemotherapy toxicity. Through advancements in integrated genomic analysis, an increased understanding of the underlying molecular characteristics of EOC has led to the development of various molecularly targeted strategies designed to advance the field beyond single agent chemotherapy.

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Publisher: Cambridge University Press
Print publication year: 2023

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References

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