Dinkins Kaitlyn, Barton Wade, Wheeler Lauren, Smith Haller J, Mythreye Karthikeyan, Arend Rebecca C
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL.
Lister Hill Library, University of Alabama at Birmingham, Birmingham, AL.
Gynecol Oncol Rep. 2024 Jul 6;54:101450. doi: 10.1016/j.gore.2024.101450. eCollection 2024 Aug.
Ovarian cancer continues to have a high mortality rate despite therapeutic advances. Traditionally, treatment has focused on surgery followed by systemic platinum- based chemotherapy. Unfortunately, most patients develop resistance to platinum agents, highlighting the need for targeted therapies. PARP inhibitors and anti-angiogenic agents, such as bevacizumab, have more recently changed upfront therapy. Unfortunately, other targeted therapies including immunotherapy have not seen the same success. Emerging therapeutic targets and modalities such as small molecule tyrosine kinase inhibitors, lipid metabolism targeting agents, gene therapy, ribosome targeted drugs as well as several other therapeutic classes have been and are currently under investigation. In this review, we discuss targeted therapies in high grade serous ovarian cancer from preclinical studies to phase III clinical trials.
尽管治疗技术取得了进展,但卵巢癌的死亡率仍然很高。传统上,治疗重点是手术,然后是基于铂类的全身化疗。不幸的是,大多数患者会对铂类药物产生耐药性,这凸显了靶向治疗的必要性。聚腺苷二磷酸核糖聚合酶(PARP)抑制剂和抗血管生成药物,如贝伐单抗,最近改变了一线治疗方案。不幸的是,包括免疫疗法在内的其他靶向治疗并未取得同样的成功。新型治疗靶点和治疗方式,如小分子酪氨酸激酶抑制剂、脂质代谢靶向药物、基因治疗、核糖体靶向药物以及其他几类治疗药物,一直并正在接受研究。在这篇综述中,我们讨论了高级别浆液性卵巢癌从临床前研究到III期临床试验的靶向治疗。