New guidelines for recurrent ovarian cancer
New ASCO Guidelines for the Post-PARP Era in Recurrent Ovarian Cancer Study Reference: Journal of Clinical Oncology (2026) The Bottom Line There are new guidelines for managing recurrent ovarian cancer, prompted by the widespread adoption of front-line PARP inhibitor (PARPi) maintenance, which has fundamentally altered how recurrences behave. Ovarian cancer following PARPi therapy often regains DNA repair capability, making traditional platinum-based cytotoxic chemotherapies far less effective, with consequent limited expectation of survival. The guidelines now suggest testing for Folate Receptor Alpha (FR-alpha) to identify the one-third of patients who would benefit from combination Antibody/drug therapy (ADC). The guidelines emphasise clinical trial enrolment alongside holistic care discussions, including early integration of palliative care. Key Points Realistic Prognostic Framing & Palliative Care: The guidelines emphasise introducing supportive care early to manage s...