Disparity in the era of personalized medicine for epithelial ovarian cancer

The treatment of high-grade serous ovarian cancer and high-grade endometrioid ovarian cancer has seen significant improvements in recent years, with BRCA1/2 and homologous recombination status guiding a personalized approach which has resulted in improved patient outcomes. However, for other epithel...

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Main Authors: Michael-John Devlin, Rowan E. Miller
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Therapeutic Advances in Medical Oncology
Online Access:https://doi.org/10.1177/17588359221148024
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author Michael-John Devlin
Rowan E. Miller
author_facet Michael-John Devlin
Rowan E. Miller
author_sort Michael-John Devlin
collection DOAJ
description The treatment of high-grade serous ovarian cancer and high-grade endometrioid ovarian cancer has seen significant improvements in recent years, with BRCA1/2 and homologous recombination status guiding a personalized approach which has resulted in improved patient outcomes. However, for other epithelial ovarian cancer subtypes, first-line treatment remains unchanged from the platinum–paclitaxel trials of the early 2000s. In this review, we explore novel therapeutic approaches being adopted in the treatment of clear cell, mucinous, carcinosarcoma and low-grade serous ovarian cancer and the biological rational behind them. We discuss why such disparities exist, the challenges faced in conducting dedicated trials in these rarer histologies and look towards new approaches being adopted to overcome them.
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spelling doaj.art-d71dbbb9f5b24a6c92dfc8f3a3621cf62023-01-11T14:33:19ZengSAGE PublishingTherapeutic Advances in Medical Oncology1758-83592023-01-011510.1177/17588359221148024Disparity in the era of personalized medicine for epithelial ovarian cancerMichael-John DevlinRowan E. MillerThe treatment of high-grade serous ovarian cancer and high-grade endometrioid ovarian cancer has seen significant improvements in recent years, with BRCA1/2 and homologous recombination status guiding a personalized approach which has resulted in improved patient outcomes. However, for other epithelial ovarian cancer subtypes, first-line treatment remains unchanged from the platinum–paclitaxel trials of the early 2000s. In this review, we explore novel therapeutic approaches being adopted in the treatment of clear cell, mucinous, carcinosarcoma and low-grade serous ovarian cancer and the biological rational behind them. We discuss why such disparities exist, the challenges faced in conducting dedicated trials in these rarer histologies and look towards new approaches being adopted to overcome them.https://doi.org/10.1177/17588359221148024
spellingShingle Michael-John Devlin
Rowan E. Miller
Disparity in the era of personalized medicine for epithelial ovarian cancer
Therapeutic Advances in Medical Oncology
title Disparity in the era of personalized medicine for epithelial ovarian cancer
title_full Disparity in the era of personalized medicine for epithelial ovarian cancer
title_fullStr Disparity in the era of personalized medicine for epithelial ovarian cancer
title_full_unstemmed Disparity in the era of personalized medicine for epithelial ovarian cancer
title_short Disparity in the era of personalized medicine for epithelial ovarian cancer
title_sort disparity in the era of personalized medicine for epithelial ovarian cancer
url https://doi.org/10.1177/17588359221148024
work_keys_str_mv AT michaeljohndevlin disparityintheeraofpersonalizedmedicineforepithelialovariancancer
AT rowanemiller disparityintheeraofpersonalizedmedicineforepithelialovariancancer