Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting

Ovarian cancer (OC) is the eighth most common cancer among the female population and the most lethal of all the female reproductive system malignancies. Poly (ADP-ribose) polymerase inhibitors (PARPis) have reshaped the treatment scenario of metastatic OC in the maintenance setting post platinum-bas...

Full description

Bibliographic Details
Main Authors: Mauro Francesco Pio Maiorano, Brigida Anna Maiorano, Annalucia Biancofiore, Gennaro Cormio, Evaristo Maiello
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/16/9/1261
_version_ 1827724580435787776
author Mauro Francesco Pio Maiorano
Brigida Anna Maiorano
Annalucia Biancofiore
Gennaro Cormio
Evaristo Maiello
author_facet Mauro Francesco Pio Maiorano
Brigida Anna Maiorano
Annalucia Biancofiore
Gennaro Cormio
Evaristo Maiello
author_sort Mauro Francesco Pio Maiorano
collection DOAJ
description Ovarian cancer (OC) is the eighth most common cancer among the female population and the most lethal of all the female reproductive system malignancies. Poly (ADP-ribose) polymerase inhibitors (PARPis) have reshaped the treatment scenario of metastatic OC in the maintenance setting post platinum-based chemotherapy. Niraparib is the first Food and Drug Administration (FDA)- and European Medical Agency (EMA)-approved PARPi as maintenance therapy for platinum-sensitive OC, regardless of BReast CAncer gene (BRCA) status, in first-line patients, with a recent restriction to germline BRCA mutations in second-line patients. In this review, we comprehensively summarized the pharmacological properties of niraparib, alongside the efficacy and safety data of the main trials leading to the current approvals, and discussed the future development of this agent.
first_indexed 2024-03-10T22:17:20Z
format Article
id doaj.art-d5e116fc4b1a481fa7f0248f57c0cdf6
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-10T22:17:20Z
publishDate 2023-09-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-d5e116fc4b1a481fa7f0248f57c0cdf62023-11-19T12:24:49ZengMDPI AGPharmaceuticals1424-82472023-09-01169126110.3390/ph16091261Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated SettingMauro Francesco Pio Maiorano0Brigida Anna Maiorano1Annalucia Biancofiore2Gennaro Cormio3Evaristo Maiello4Obstetrics and Gynecology Unit, Department of Biomedical Sciences and Human Oncology, University of Bari “Aldo Moro”, 70126 Bari, ItalyOncology Unit, Casa Sollievo della Sofferenza IRCCS, 71013 San Giovanni Rotondo, ItalyPharmacy Unit, Casa Sollievo della Sofferenza IRCCS, 71013 San Giovanni Rotondo, ItalyGynecologic Oncology Unit, IRCCS Istituto Tumori “Giovanni Paolo II”, 70124 Bari, ItalyOncology Unit, Casa Sollievo della Sofferenza IRCCS, 71013 San Giovanni Rotondo, ItalyOvarian cancer (OC) is the eighth most common cancer among the female population and the most lethal of all the female reproductive system malignancies. Poly (ADP-ribose) polymerase inhibitors (PARPis) have reshaped the treatment scenario of metastatic OC in the maintenance setting post platinum-based chemotherapy. Niraparib is the first Food and Drug Administration (FDA)- and European Medical Agency (EMA)-approved PARPi as maintenance therapy for platinum-sensitive OC, regardless of BReast CAncer gene (BRCA) status, in first-line patients, with a recent restriction to germline BRCA mutations in second-line patients. In this review, we comprehensively summarized the pharmacological properties of niraparib, alongside the efficacy and safety data of the main trials leading to the current approvals, and discussed the future development of this agent.https://www.mdpi.com/1424-8247/16/9/1261niraparib (ZEJULA<sup>®</sup>)PARPovarian cancerBRCAtarget therapy
spellingShingle Mauro Francesco Pio Maiorano
Brigida Anna Maiorano
Annalucia Biancofiore
Gennaro Cormio
Evaristo Maiello
Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
Pharmaceuticals
niraparib (ZEJULA<sup>®</sup>)
PARP
ovarian cancer
BRCA
target therapy
title Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
title_full Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
title_fullStr Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
title_full_unstemmed Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
title_short Niraparib and Advanced Ovarian Cancer: A Beacon in the Non-BRCA Mutated Setting
title_sort niraparib and advanced ovarian cancer a beacon in the non brca mutated setting
topic niraparib (ZEJULA<sup>®</sup>)
PARP
ovarian cancer
BRCA
target therapy
url https://www.mdpi.com/1424-8247/16/9/1261
work_keys_str_mv AT maurofrancescopiomaiorano niraparibandadvancedovariancancerabeaconinthenonbrcamutatedsetting
AT brigidaannamaiorano niraparibandadvancedovariancancerabeaconinthenonbrcamutatedsetting
AT annaluciabiancofiore niraparibandadvancedovariancancerabeaconinthenonbrcamutatedsetting
AT gennarocormio niraparibandadvancedovariancancerabeaconinthenonbrcamutatedsetting
AT evaristomaiello niraparibandadvancedovariancancerabeaconinthenonbrcamutatedsetting