Systemic Treatment of Ovarian Cancer Recurrence: ASCO Living Guideline, Version 2026.1.0.
Jamie L Lesnock, Sarah Temin, Sara Bouberhan et al.
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In 30 seconds
The ASCO Living Guideline provides updated recommendations for the systemic treatment of recurrent high-grade serous and/or endometrioid epithelial ovarian cancer. A systematic review of 819 publications identified 147 relevant studies, with 36 directly informing the guidelines. For platinum-sensitive cases, platinum-based combinations are recommended, while mirvetuximab soravtansine is strongly recommended for platinum-resistant cases with validated folate receptor alpha expression.
Key findings
- For recurrent platinum-sensitive EOC, platinum-based combinations like PLD plus carboplatin are recommended.
- Mirvetuximab soravtansine is strongly recommended for platinum-resistant EOC with validated FRα expression.
- Secondary cytoreduction may be discussed for platinum-sensitive recurrences with achievable complete resection.
Why it matters
These guidelines synthesize current evidence to inform clinical decision-making in the management of recurrent ovarian cancer, ensuring that patients receive the most effective systemic therapies based on their disease characteristics.