卵巢癌同源重组缺陷:全球专家对检测的共识和伴随诊断的比较。

IF 7.6 1区 医学 Q1 ONCOLOGY European Journal of Cancer Pub Date : 2025-01-17 DOI:10.1016/j.ejca.2024.115169
Stanislas Quesada , Frédérique Penault-Llorca , Xavier Matias-Guiu , Susana Banerjee , Massimo Barberis , Robert L. Coleman , Nicoletta Colombo , Anna DeFazio , Iain A. McNeish , Angélica Nogueira-Rodrigues , Ana Oaknin , Sandro Pignata , Éric Pujade-Lauraine , Étienne Rouleau , Aleš Ryška , Nerina Van Der Merwe , Toon Van Gorp , Ignace Vergote , Wilko Weichert , Xiaohua Wu , Pascal Pujol
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引用次数: 0

摘要

背景:聚(ADP核糖)聚合酶抑制剂(PARPis)是晚期高级别浆液性或子宫内膜样卵巢癌(OC)患者的治疗选择。最近的指南阐明了同源重组缺陷(HRD)如何影响这种情况下的治疗决策。因此,已经开发了许多伴随诊断测定法(CDx)来识别HRD。然而,最佳的HRD测试策略是一个有争议的领域。此外,最近发表的临床和转化数据可能会影响如何使用HRD状态来识别可能从PARPi使用中受益的患者。我们的目的是广泛比较现有的HRD CDx,并在原发性和复发性OC中建立HRD检测的全球专家共识。方法:由来自31个不同国家的99名国际专家组成。使用改进的德尔菲法,专家们旨在根据系统的文献检索和从研究者、公司和/或出版物中寻求的CDx信息建立共识声明。结果:从15个可用的HRD CDx中获得了14个技术信息,包括分析和临床验证(7个学术;7商业)。就36项声明达成共识,其中包括以下主题:1)HRD状况对原发性和复发性OC中PARPi使用的预测影响;2) HRD CDx的分析和临床验证要求;3)资源分层HRD测试;4)未来的CDx如何包含额外的方法来帮助解决未满足的测试需求。结论:本文提供了目前可用的HRD CDx的详细信息,以及来自全球专家对原发性和复发性OC患者HRD检测的最新指导。
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Homologous recombination deficiency in ovarian cancer: Global expert consensus on testing and a comparison of companion diagnostics

Background

Poly (ADP ribose) polymerase inhibitors (PARPis) are a treatment option for patients with advanced high-grade serous or endometrioid ovarian carcinoma (OC). Recent guidelines have clarified how homologous recombination deficiency (HRD) may influence treatment decision-making in this setting. As a result, numerous companion diagnostic assays (CDx) have been developed to identify HRD. However, the optimal HRD testing strategy is an area of debate. Moreover, recently published clinical and translational data may impact how HRD status may be used to identify patients likely to benefit from PARPi use. We aimed to extensively compare available HRD CDx and establish a worldwide expert consensus on HRD testing in primary and recurrent OC.

Methods

A group of 99 global experts from 31 different countries was formed. Using a modified Delphi process, the experts aimed to establish consensus statements based on a systematic literature search and CDx information sought from investigators, companies and/or publications.

Results

Technical information, including analytical and clinical validation, were obtained from 14 of 15 available HRD CDx (7 academic; 7 commercial). Consensus was reached on 36 statements encompassing the following topics: 1) the predictive impact of HRD status on PARPi use in primary and recurrent OC; 2) analytical and clinical validation requirements of HRD CDx; 3) resource-stratified HRD testing; and 4) how future CDx may include additional approaches to help address unmet testing needs.

Conclusion

This manuscript provides detailed information on currently available HRD CDx and up-to-date guidance from global experts on HRD testing in patients with primary and recurrent OC.
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来源期刊
European Journal of Cancer
European Journal of Cancer 医学-肿瘤学
CiteScore
11.50
自引率
4.80%
发文量
953
审稿时长
23 days
期刊介绍: The European Journal of Cancer (EJC) serves as a comprehensive platform integrating preclinical, digital, translational, and clinical research across the spectrum of cancer. From epidemiology, carcinogenesis, and biology to groundbreaking innovations in cancer treatment and patient care, the journal covers a wide array of topics. We publish original research, reviews, previews, editorial comments, and correspondence, fostering dialogue and advancement in the fight against cancer. Join us in our mission to drive progress and improve outcomes in cancer research and patient care.
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