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Niraparib Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer
Ist Teil von
The New England journal of medicine, 2016-12, Vol.375 (22), p.2154-2164
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2016
Link zum Volltext
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
Among patients with platinum-sensitive, recurrent ovarian cancer, the use of niraparib, a PARP inhibitor, was associated with a significantly longer duration of progression-free survival than placebo, with moderate bone marrow toxicity.
Ovarian cancer is a leading cause of death from gynecologic cancers worldwide.
1
,
2
Despite a high initial response rate to platinum and taxane treatment in patients with advanced cancer, the effectiveness of the treatments diminishes over time, and most patients have a relapse.
3
Platinum retreatment is used in patients in whom there is an assumed platinum sensitivity, with diminishing effectiveness and a cumulative increase in toxicity.
3
Niraparib is a highly selective inhibitor of poly(adenosine diphosphate [ADP]–ribose) polymerase (PARP) 1/2,
4
nuclear proteins that detect DNA damage and promote its repair. Clinical studies have evaluated PARP inhibitors in patients with recurrent ovarian . . .