Greenman Michelle, Bellone Stefania, Demirkiran Cem, Max Philipp Hartwich Tobias, Santin Alessandro D
Department of Obstetrics, Gynecology, and Reproductive Sciences Yale University School of Medicine, New Haven, CT 06520, USA.
Gynecol Oncol Rep. 2024 Jul 13;54:101459. doi: 10.1016/j.gore.2024.101459. eCollection 2024 Aug.
Treatment of recurrent platinum-resistant high grade serous ovarian cancer (HGSOC) remains a challenge. Novel treatment options for recurrent disease are an unmet need.
A 69-year-old with recurrent, metastatic, platinum-resistant HGSOC overexpressing TROP2 experienced a significant response to the antibody-drug conjugate (ADC) sacituzumab govitecan after multiple failed lines of chemotherapy and targeted treatment. Following sacituzumab govitecan treatment she experienced a confirmed partial response as well as a return of CA-125 to baseline. Having now completed 8 cycles (ie, over 6 months of treatment), her disease continues to demonstrate a response to sacituzumab govitecan treatment. The ADC has been well tolerated at a dose of 10 mg/kg with no dose-limiting toxicity or need for dose reductions.
Sacituzumab govitecan may represent a treatment option for platinum-resistant/recurrent HGSOC that have previously failed prior lines of chemotherapy. Clinical trials with sacituzumab govitecan in platinum-resistant ovarian cancer patients are currently ongoing (https://classic.clinicaltrials.gov/ct2/show/NCT06028932).
复发性铂耐药高级别浆液性卵巢癌(HGSOC)的治疗仍然是一项挑战。复发性疾病的新型治疗选择尚未得到满足。
一名69岁的复发性、转移性、铂耐药HGSOC患者,TROP2过表达,在多线化疗和靶向治疗失败后,对抗体药物偶联物(ADC)戈沙妥珠单抗产生了显著反应。接受戈沙妥珠单抗治疗后,她出现了确认的部分缓解,CA-125也恢复到基线水平。目前已完成8个周期(即超过6个月的治疗),她的疾病继续对戈沙妥珠单抗治疗有反应。ADC以10mg/kg的剂量耐受性良好,没有剂量限制毒性或需要降低剂量。
戈沙妥珠单抗可能是先前多线化疗失败的铂耐药/复发性HGSOC的一种治疗选择。目前正在进行戈沙妥珠单抗治疗铂耐药卵巢癌患者的临床试验(https://classic.clinicaltrials.gov/ct2/show/NCT06028932)。