Evidence map›Paper›PMID 40426953›Full record

ReviewBiomedicines2025

PARP Inhibitors in Ovarian Cancer: Resistance Mechanisms, Clinical Evidence, and Evolving Strategies.

Shant Apelian, Antons Martincuks, Michelle Whittum, Maya Yasukawa, Lindsey Nguy, Begum Mathyk, Vaagn Andikyan, Matthew L Anderson, Thomas Rutherford, Mihaela Cristea and 2 more

Abstract readReview
In one paragraph

Review in Biomedicines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. PET Imaging of New Target PARP in Prostate Cancer.Pharmaceuticals (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Autophagy in Ovarian Cancer, an Opportunity or an Additional Threat?International journal of molecular sciences · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Shant ApelianDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Antons MartincuksDepartment of Immuno-Oncology, City of Hope National Medicinal Center, Duarte, CA 91010, USA.
Michelle WhittumDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Maya YasukawaDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Lindsey NguyDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Begum MathykDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Vaagn AndikyanDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Matthew L AndersonDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.
Thomas RutherfordDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.ORCID 0000-0003-0087-8748
Mihaela CristeaRegeneron Pharmaceuticals, Tarrytown, NY 10591, USA.
Daphne StewartDepartment of Medicine, Division of Medical Oncology, USC Norris Comprehensive Cancer Center and Keck School of Medicine, Los Angeles, CA 90089, USA.ORCID 0000-0001-9845-8375
Adrian KohutDepartment of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of South Florida, Tampa, FL 33620, USA.ORCID 0009-0000-5016-8838

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The introduction of poly (ADP-ribose) polymerase inhibitors (PARPi) into the management of ovarian cancer has transformed the treatment landscape for patients affected by this malignancy. However, as the use of PARPi expands into both frontline maintenance and recurrence settings, the emergence of drug resistance has become a significant clinical challenge in the treatment of these patients. Although platinum-based chemotherapy (PBC) and PARPi act through different mechanisms-PBC causes DNA damage while PARPi blocks its repair-both depend on the integrity of DNA damage repair (DDR) pathways, leading to overlapping mechanisms of resistance. Here, we review the key resistance mechanisms shared by PARPi and PBC, and then we discuss their clinical implications in the management of patients with ovarian cancer. We also examine clinical rationale supporting the hypothesis that prior PARPi exposure may reduce the efficacy of subsequent PBC in patients experiencing a disease recurrence. Furthermore, we review preliminary clinical data assessing the potential role of PARPi retreatment in patients who have previously progressed on PARPis.

Indexed as

drug resistanceovarian neoplasmsPARP inhibitorsplatinum-based chemotherapy

Identifiers

PMID40426953
PMCPMC12108591

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.