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Ovarian Cancer: What’s New
Stephanie V. Blank, MD
Professor, Department of Obstetrics, Gynecology and Reproductive
Science, Icahn School of Medicine at Mount Sinai
Director of Gynecologic Oncology for the Mount Sinai Health System
Disclosures
• No financial disclosures
• Research collaborations with Roche, Tesaro, Astra Zeneca, Merck
• Will be discussing off label uses of various agents
• (tried something new)
SGO 2019 Themes
• 50 years of progress
• Parp inhibitors
• Immunotherapy
• New combinations
• Risk reducing salpingectomy
Tolerating PARP inhibitors
• TWIST: PFS without toxicity due to nausea, vomiting and fatigue
• How to tailor dosing
• Good for all ages
PARPi after PARPi
• Clinical benefit rate: over 70%
• BRCA mutation carriers: 85%
• Prior exposure to PARPi does not necessarily confer resistance to
future PARPi
• Toxicity after initial PARPi was not associated with toxicity after
second PARPi
SGO 2019
Different ways of looking at results
• Disease control rate
• Overall survival more important than progression free survival
• Importance of composite endpoints—not only how long, but how
well
IOM 2016 Ovarian Cancer:
Evolving Paradigms in Research
and Care
Negative trials
• Javelin: PLD +/- avelumab for recurrent ovarian cancer
• PLD +/- trabectedin for recurrent ovarian cancer
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?
Ovarian Cancer: What's New?

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Ovarian Cancer: What's New?

  • 1. Ovarian Cancer: What’s New Stephanie V. Blank, MD Professor, Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai Director of Gynecologic Oncology for the Mount Sinai Health System
  • 2. Disclosures • No financial disclosures • Research collaborations with Roche, Tesaro, Astra Zeneca, Merck • Will be discussing off label uses of various agents • (tried something new)
  • 3. SGO 2019 Themes • 50 years of progress • Parp inhibitors • Immunotherapy • New combinations • Risk reducing salpingectomy
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  • 15. Tolerating PARP inhibitors • TWIST: PFS without toxicity due to nausea, vomiting and fatigue • How to tailor dosing • Good for all ages
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  • 17. PARPi after PARPi • Clinical benefit rate: over 70% • BRCA mutation carriers: 85% • Prior exposure to PARPi does not necessarily confer resistance to future PARPi • Toxicity after initial PARPi was not associated with toxicity after second PARPi
  • 19. Different ways of looking at results • Disease control rate • Overall survival more important than progression free survival • Importance of composite endpoints—not only how long, but how well
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  • 47. IOM 2016 Ovarian Cancer: Evolving Paradigms in Research and Care
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  • 52. Negative trials • Javelin: PLD +/- avelumab for recurrent ovarian cancer • PLD +/- trabectedin for recurrent ovarian cancer

Editor's Notes

  1. poly ADP ribose polymerase