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Which PARP inhibitor do you recommend for maintenance therapy in BRCA mutated ovarian cancer after primary chemotherapy and why?

Does germline vs somatic BRCA mutation affect your decision?
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What PARP inhibitor do you recommend for maintenance therapy in BRCA+ ovarian cancer after chemotherapy?

108 physicians have voted

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3 Answers
Mednet Member
Mednet MemberInvited Expert
Gynecologic Oncology · UCSD Moores Cancer Center
Answered on

Given the abundance of both efficacy and safety data available for Olaparib in this setting, I use Olaparib for maintenance therapy in BRCA+ ovarian cancer patients after primary chemotherapy. The 5-year PFS data from SOLO-1, confirming sustained benefit beyond the end of treatment, further speaks t...

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Mednet Member
Mednet Member
Gynecologic Oncology · Roswell Park Cancer Institute
Answered on

Either olaparib or niraparib. I most commonly start with olaparib, as this has the most favorable toxicity profile. If not tolerated even after dose adjustments, I would consider switching to niraparib.

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Mednet Member
Mednet Member
Gynecologic Oncology · University of Oklahoma Health Sciences Center
Answered on

Use the one you are comfortable using. They are otherwise equally as efficacious.

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