Targeted therapy for mucinous ovarian carcinoma: evidence from clinical trials
Journal Title
International Journal of Gynecological Cancer
Publication Type
Review
Abstract
Mucinous ovarian carcinoma is a rare subtype of epithelial ovarian cancer. Despite being a chemoresistant tumour type, surgical resection and chemotherapy are still the current standard for management. This narrative review aims to explore the current evidence for targeted therapies in mucinous ovarian carcinoma. A review of the literature was performed to identify clinical trials and case reports of targeted therapy in patients with mucinous ovarian carcinoma. The databases and registers (PubMed, MEDLINE, Embase, Europe PMC, Cochrane Central Register of Clinical Trials, clinicaltrials.gov) were searched for articles published between January 2009 to June 2021 using keywords specific for mucinous ovarian carcinoma and targeted therapy. Records were screened and assessed for eligibility based on inclusion and exclusion criteria. From 684 records, 21 studies met the criteria to be included in the review. A total of 11 different targeted therapies were identified, each demonstrating varying degrees of clinical evidence supporting further investigation in patients with mucinous ovarian carcinoma. Targeted therapies identified in this review that warrant further investigations are bevacizumab, trastuzumab, nintedanib, AZD1775, sunitinib, cediranib and pazopanib. Many of the therapeutic agents may be investigated further in combination with other targeted therapies or chemotherapy. More clinical trials focusing on targeted therapy specifically in patients with mucinous ovarian cancer are required to inform clinical use. Multinational efforts are likely to be required to successfully conduct trials in this rare tumor type.
Publisher
BMJ
Keywords
Female; Humans; Carcinoma, Ovarian Epithelial/drug therapy; *Ovarian Neoplasms/drug therapy/pathology; Bevacizumab/therapeutic use; Trastuzumab; Europe
Department(s)
Laboratory Research
PubMed ID
36603894
Open Access at Publisher's Site
https://doi.org/10.1136/ijgc-2022-003658
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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