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PARP抑制剂在卵巢癌治疗中的整合应用。

Integration of PARP-inhibitors in ovarian cancer therapy.

作者信息

Pietragalla Antonella, Ciccarone Francesca, Nero Camilla, Scambia Giovanni, Lorusso Domenica, Daniele Gennaro

机构信息

Scientific Directorate, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.

Catholic University of the Sacred Heart, 00168 Rome, Italy.

出版信息

Explor Target Antitumor Ther. 2020;1(3):171-182. doi: 10.37349/etat.2020.00011. Epub 2020 Jun 29.

DOI:10.37349/etat.2020.00011
PMID:36046198
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9400691/
Abstract

Poly-ADP-ribose polymerase inhibitors (PARP-I) represent one of the most attractive and promising class of biological agents studied both in relapsed ovarian cancer (OC) and in the advanced setting. The availability of this new class of drugs has changed the clinical management of OC ensuring an unprecedented advance in such an aggressive cancer. Three oral PARP-I are currently available: olaparib, niraparib and rucaparib. Another two are in active clinical exploration: veliparib and talazoparib. Here the authors report clinical data with PARP-I with a particular emphasis on the phase II and III trials that support PARP-I approval by regulatory agencies in OC patients.

摘要

聚(ADP-核糖)聚合酶抑制剂(PARP-I)是在复发性卵巢癌(OC)和晚期治疗中研究的最具吸引力和前景的一类生物制剂。这类新药的出现改变了OC的临床管理,为这种侵袭性癌症带来了前所未有的进展。目前有三种口服PARP-I可用:奥拉帕利、尼拉帕利和鲁卡帕利。另外两种正在积极进行临床探索:维利帕利和他拉唑帕利。在此,作者报告了PARP-I的临床数据,特别强调了支持监管机构批准PARP-I用于OC患者的II期和III期试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c088/9400691/8f88d3700c71/etat-01-100211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c088/9400691/8f88d3700c71/etat-01-100211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c088/9400691/8f88d3700c71/etat-01-100211-g001.jpg

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本文引用的文献

1
Olaparib Versus Nonplatinum Chemotherapy in Patients With Platinum-Sensitive Relapsed Ovarian Cancer and a Germline BRCA1/2 Mutation (SOLO3): A Randomized Phase III Trial.奥拉帕利对比铂类敏感复发卵巢癌且携带胚系 BRCA1/2 突变患者的非铂类化疗(SOLO3):一项随机 III 期临床试验。
J Clin Oncol. 2020 Apr 10;38(11):1164-1174. doi: 10.1200/JCO.19.02745. Epub 2020 Feb 19.
2
Olaparib plus Bevacizumab as First-Line Maintenance in Ovarian Cancer.奥拉帕利联合贝伐珠单抗作为卵巢癌一线维持治疗。
N Engl J Med. 2019 Dec 19;381(25):2416-2428. doi: 10.1056/NEJMoa1911361.
3
Veliparib with First-Line Chemotherapy and as Maintenance Therapy in Ovarian Cancer.
尼拉帕利联合一线化疗及维持治疗卵巢癌
N Engl J Med. 2019 Dec 19;381(25):2403-2415. doi: 10.1056/NEJMoa1909707. Epub 2019 Sep 28.
4
Niraparib in Patients with Newly Diagnosed Advanced Ovarian Cancer.尼拉帕利治疗新诊断的晚期卵巢癌患者。
N Engl J Med. 2019 Dec 19;381(25):2391-2402. doi: 10.1056/NEJMoa1910962. Epub 2019 Sep 28.
5
Niraparib monotherapy for late-line treatment of ovarian cancer (QUADRA): a multicentre, open-label, single-arm, phase 2 trial.尼拉帕利单药治疗卵巢癌的后线治疗(QUADRA):一项多中心、开放标签、单臂、2 期临床试验。
Lancet Oncol. 2019 May;20(5):636-648. doi: 10.1016/S1470-2045(19)30029-4. Epub 2019 Apr 1.
6
Maintenance Olaparib in Patients with Newly Diagnosed Advanced Ovarian Cancer.奥拉帕利维持治疗新诊断的晚期卵巢癌患者。
N Engl J Med. 2018 Dec 27;379(26):2495-2505. doi: 10.1056/NEJMoa1810858. Epub 2018 Oct 21.
7
Safety and dose modification for patients receiving niraparib.接受尼拉帕利治疗的患者的安全性和剂量调整。
Ann Oncol. 2018 Aug 1;29(8):1784-1792. doi: 10.1093/annonc/mdy181.
8
Rucaparib maintenance treatment for recurrent ovarian carcinoma after response to platinum therapy (ARIEL3): a randomised, double-blind, placebo-controlled, phase 3 trial.芦卡帕利维持治疗铂类化疗后缓解的复发性卵巢癌(ARIEL3):一项随机、双盲、安慰剂对照、III 期临床试验。
Lancet. 2017 Oct 28;390(10106):1949-1961. doi: 10.1016/S0140-6736(17)32440-6. Epub 2017 Sep 12.
9
Antitumor activity and safety of the PARP inhibitor rucaparib in patients with high-grade ovarian carcinoma and a germline or somatic BRCA1 or BRCA2 mutation: Integrated analysis of data from Study 10 and ARIEL2.聚腺苷二磷酸核糖聚合酶抑制剂芦卡帕利治疗携带种系或体细胞 BRCA1 或 BRCA2 突变的高级别卵巢癌患者的抗肿瘤活性和安全性:来自研究 10 和 ARIEL2 的数据的综合分析
Gynecol Oncol. 2017 Nov;147(2):267-275. doi: 10.1016/j.ygyno.2017.08.022. Epub 2017 Sep 4.
10
Rucaparib: the past, present, and future of a newly approved PARP inhibitor for ovarian cancer.鲁卡帕尼:一种新获批用于卵巢癌的聚(腺苷酸)核糖聚合酶(PARP)抑制剂的过去、现在与未来
Onco Targets Ther. 2017 Jun 19;10:3029-3037. doi: 10.2147/OTT.S114714. eCollection 2017.