ovarian cancer
Ovarian cancer trials are shaped by the central role of BRCA1/2 mutation status and homologous recombination deficiency (HRD) in predicting response to PARP inhibitors — now standard maintenance therapy after first-line platinum-based chemotherapy for BRCA-mutated and HRD-positive disease. Despite PARP inhibitor approvals, platinum-resistant and BRCA wild-type advanced ovarian cancer remains a major unmet need driving frontline clinical research.
Active research includes next-generation PARP inhibitor combinations with anti-angiogenic agents and immune checkpoint inhibitors, mirvetuximab soravtansine (ADC targeting folate receptor alpha) in platinum-resistant disease, niraparib dose optimization, and VEGF/angiopoietin bispecific antibodies. Trials also evaluate intraperitoneal and heated intraperitoneal approaches for recurrent disease.
Most ovarian cancer trials require germline BRCA testing and often somatic tumor HRD testing; prior platinum therapy and number of prior lines determine eligibility for many studies.