Evidence map›Paper›PMID 41013558›Full record

ArticleJournal of ovarian research2025

PARPis after PARPis in patients with recurrent epithelial ovarian cancer: a single institutional experience.

Hua Yuan, Tonghui Wang, Hongwen Yao, Lingying Wu, Ning Li

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Article in Journal of ovarian research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Hua Yuan *Department of Gynecologic Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Tonghui Wang *Department of Clinical Laboratory, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China.
Hongwen YaoDepartment of Gynecologic Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Lingying WuDepartment of Gynecologic Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Ning LiDepartment of Gynecologic Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. liningnci@126.com.

Funding

Chinese Academy of Medical Sciences Cancer Hospital - Shenzhen Hospital Cooperation Fund No. CFA202202018
6 · The paper itself

Abstract

objectiveTo explore the clinical efficacy of PARPis maintenance treatment rechallenge in patients with recurrent epithelial ovarian cancer (EOC) in China.

methodsWe included patients diagnosed with primary EOC who received 2 lines of PARPis maintenance treatment after achieving complete response (CR) or partial response (PR) with the previous chemotherapies. The patients' full medical records were included in this study. Clinical and pathologic variables, treatment modalities, and outcomes were assessed. We investigated the treatment patterns and time to next treatment (TTNT).

resultsA total of 31 ovarian cancer patients in our center were included. Among these patients, 20 of them (64.5%) had BRCA1/2 gene mutations. The median duration of PARPi1 and PARPi2 in the entire cohort was 11.2 months (range: 2.0-30.4 months) and 4.8 months (range: 1.0-16.7 months), respectively. Median TTNT1 and TTNT2 for the entire cohort was 12.4 and 7.7 months, respectively. Patients with BRCA1/2 mutation had a significantly better TTNT1 (median TTNT1: 17.3 vs 10.4 months, P = 0.005) than those without. A non- significantly better TTNT2 was observed in patients with BRCA1/2 mutation than those without (median TTNT2: 8.2 vs 5.0 months, P = 0.890). The association between previous chemotherapy response and TTNT was also analyzed. Patients who had a CR to previous chemotherapy had a significantly better TTNT1 (median TTNT1: 16.4 vs 7.6 months, P = 0.001) and TTNT2 (median TTNT2: 11.1 vs 4.9 months, P = 0.003) than those who had a PR. No grade Ⅲ-IV anemia occurred. Grade III PARPis-related thrombocytopenia was found in only 1 patient (3.2%, 1/31) who received PARPi2 treatment. For patients who developed PARPis-related anemia (n = 9) or thrombocytopenia (n = 7) during PARPi1 treatment, 7 patients (77.8%, 7/9) and 6 patients (85.7%, 6/7) developed anemia or thrombocytopenia again during PARPi2 treatment, respectively.

conclusionsPatients with PARPis resistant recurrent EOC may derive benefit from PARPis re-treatment, especially for those with complete response to the last chemotherapy. Patients with BRCA1/2 mutation were more likely to benefit from PARPis retreatment than those with wild-type. Anemia and thrombocytopenia were more common in PARPis retreatment patients. A small proportion of patients had a longer benefit from PARPis retreatment than from previous PARPis treatment.

Indexed as

Carcinoma, Ovarian EpithelialNeoplasm Recurrence, LocalOvarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsAdultAgedBRCA1 ProteinBRCA2 ProteinFemaleHumansMiddle AgedMutationTreatment OutcomeBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinPoly(ADP-ribose) Polymerase InhibitorsPARPis after PARPisRecurrent epithelial ovarian cancer

Identifiers

PMID41013558
PMCPMC12465649

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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.