Role of Molecular Agents and Targeted Therapy in Clinical Trials for Women With Ovarian Cancer

International Journal of Gynecological Cancer - Tập 21 Số 4 - Trang 763-770 - 2011
Jonathan A. Ledermann1, Christian Marth2, Mark S. Carey3, Michael J. Birrer4, David D.L. Bowtell5, Stan B. Kaye6, Iain A. McNeish7, Amit M. Oza3, Giovanni Scambia8, Gordon Rustin7, Frederick B. Stehman4, David M. Gershenson9, Gillian Thomas9, Els M.J.J. Berns2,3, Antonio Casado2,3, Nelleke Ottevanger2,3, Felix Hilpert10, Byoung‐Gie Kim11, Aikou Okamoto12, Monica Bacon13, Henry C Kitchener7, Gavin Stuart3
1BSc, MD, FRCP, UCL/H Comprehensive Biomedical Research Centre, Cancer Research UK and UCL Cancer Trials Centre, 90 Tottenham Court Rd, London, W1T 4TJ, United Kingdom. E-mail: j.ledermann{at}ctc.ucl.ac.uk.
2AGO, Austria
3NCIC-CTG (Canada)
4GOG
5ANZGOG, Australia and New Zealand
6SGCTG, Scotland
7MRC/NCRI, UK;
8MITO, Italy
9National Cancer Institute
10AGO OVAR, Germany
11KGOG, Korea
12JGOG (Japan)
13GCIG;

Tóm tắt

There is now a greater understanding of the molecular pathways in ovarian cancer, and using this knowledge, a large number of new therapeutic agents can be tested. The success of these drugs will depend on selecting drugs that target known key dysfunctional molecular pathways. To make best use of these compounds, prognostic and predictive biomarkers need to be identified. Novel methods of assessment such as functional imaging need to be developed as additional biological end points to evaluate these therapies. Promising antitumor activity has been observed with some drugs, and careful consideration is needed to determine in what circumstances new agents, such as antiangiogenic compounds, could be considered as a standard therapy. These areas were discussed at the 4th Ovarian Cancer Consensus Conference.

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