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Molecular profile and targeted therapies for ovarian clear cell ovarian cancer

Title: Molecular profile and targeted therapies for ovarian clear cell ovarian cancer
Authors: Sachdeva, Manavi; Tan, David S. P.
Contributors: national medical research council; Pangestu Family Foundation Gynaecological Cancer Research Fund
Source: Therapeutic Advances in Medical Oncology ; volume 18 ; ISSN 1758-8359 1758-8359
Publisher Information: SAGE Publications
Publication Year: 2026
Description: Ovarian clear cell carcinoma (OCCC) is a distinct epithelial ovarian cancer subtype with unique molecular features, and a notable resistance to conventional platinum-based chemotherapy in advanced disease. Key molecular hallmarks include frequent ARID1A loss and PIK3CA activation, which often co-occur and contribute to early tumorigenesis. Emerging targeted therapies—including anti-angiogenic agents, immune checkpoint inhibitors, ATR and PI3K pathway inhibitors, and antibody-drug conjugates—demonstrate promising activity, particularly in molecularly defined subgroups, though most evidence to date remains largely limited to early-phase trials. Given its rarity, chemoresistance, and underrepresentation in large trials, OCCC requires histology-specific therapeutic strategies informed by molecular profiling. Ongoing research into biomarker-driven therapies and combination regimens holds the potential to transform outcomes for this challenging ovarian cancer subtype.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/17588359261425693
Availability: https://doi.org/10.1177/17588359261425693; https://journals.sagepub.com/doi/pdf/10.1177/17588359261425693; https://journals.sagepub.com/doi/full-xml/10.1177/17588359261425693
Rights: https://creativecommons.org/licenses/by-nc/4.0/ ; https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsbas.7F0B3757
Database: BASE