Evidence map›Paper›PMID 42741626›Full record

ArticleMolecular and clinical oncology2026

Cumulative cytotoxic chemotherapy exposure after the introduction of PARP inhibitors in advanced high-grade serous tubo-ovarian and primary peritoneal carcinoma: A descriptive single-center historical cohort study.

Natsuki Osawa, Kenro Chikazawa, Ken Imai, Ayano Shimizu, Hiroyoshi Ko, Tomoyuki Kuwata

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Article in Molecular and clinical oncology, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Natsuki OsawaDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.
Kenro ChikazawaDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.
Ken ImaiDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.
Ayano ShimizuDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.
Hiroyoshi KoDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.
Tomoyuki KuwataDepartment of Obstetrics and Gynecology, Saitama Medical Center, Jichi Medical University, Saitama, Saitama 330-8503, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study aimed to describe real-world treatment patterns, cumulative exposure to cytotoxic chemotherapy, and exploratory survival outcomes before and after the clinical introduction of poly(ADP-ribose) polymerase (PARP) inhibitors in patients with stage III-IV high-grade serous ovarian, fallopian tube or primary peritoneal carcinoma. The medical records of patients with stage III-IV high-grade serous ovarian, fallopian tube or primary peritoneal carcinoma who received chemotherapy at Jichi Medical University Saitama Medical Center (Saitama, Japan) between January 2009 and August 2023 were retrospectively reviewed. The primary outcomes were the number of chemotherapy regimens and the cumulative number of cytotoxic chemotherapy cycles. Overall survival was evaluated as an exploratory secondary outcome. The final cohort included 86 patients, comprising 48 patients in the PARP inhibitor-untreated group and 38 patients in the PARP inhibitor-treated group. The groups exhibited differences in several baseline characteristics, including International Federation of Gynecology and Obstetrics stage, receipt of neoadjuvant chemotherapy and cytoreduction status. The cumulative number of cytotoxic chemotherapy cycles was significantly higher in the PARP inhibitor-untreated group than in the PARP inhibitor-treated group [median, 18.5 (range, 6-49) vs. 12.0 (range, 5-45); P=0.020], whereas the number of chemotherapy regimens did not differ significantly [median, 3 (range, 1-7) vs. 2 (range, 1-8); P=0.081]. Overall survival appeared to be longer in the PARP inhibitor-treated group; however, this finding should be interpreted with caution due to the retrospective historical design and baseline imbalances. In this descriptive single-center cohort restricted to advanced high-grade serous ovarian, fallopian tube or primary peritoneal carcinoma, the clinical introduction of PARP inhibitors was associated with lower cumulative exposure to cytotoxic chemotherapy. No causal inference regarding survival benefits could be made due to substantial treatment-selection bias and baseline imbalances.

Indexed as

cytotoxic chemotherapyhigh-grade serous ovarian carcinomaoverall survivalplatinum sensitivitypoly(ADP-ribose) polymerase inhibitortreatment sequencing

Identifiers

PMID42741626
PMCPMC13573280

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