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  • Landscape of systemic thera...
    Fujiwara, Keiichi; Hasegawa, Kosei; Nagao, Shoji

    Cancer, 15 December 2019, Letnik: 125, Številka: S24
    Journal Article

    According to the statement from the 5th Ovarian Cancer Consensus Conference in 2015, the primary systemic chemotherapy for advanced ovarian cancer is a combination of paclitaxel plus carboplatin administered every 3 weeks (PCq3w). Optional alternatives include weekly dose‐dense paclitaxel, in combination and maintenance therapy with bevacizumab, and intraperitoneal chemotherapy. Since then, in addition to the PCq3w strategy, there has been emerging new evidence, especially for poly(adenosine diphosphate–ribose) polymerase inhibitors. Moreover, there are multiple randomized, phase 3 trials testing the addition of antiangiogenic and/or immune checkpoint inhibitors in this patient population. In this article, current and future perspectives of systemic chemotherapy for advanced ovarian cancer are discussed. The backbone of systemic chemotherapy for advanced ovarian cancer remains the combination of paclitaxel and carboplatin. However, the incorporation of poly(adenosine diphosphate–ribose) polymerase inhibitors as a maintenance therapy has been dramatically changing the landscape.