ISS IV: Trivia Challenge: How Well Do You Know the Maintenance Therapy Landscape in Advanced Ovarian Cancer? (AstraZeneca)
Saturday, March 15 | 12:30-2:00 p.m. | Room: 6E
Faculty: TBD
ISS V: Building a Comprehensive Treatment Pathway in Ovarian Cancer (Medscape Education)
Sunday, March 16 | 7:00-8:15 a.m. | Room 6AB
Faculty: Bradley J. Monk, MD, FACS, FACOG, Ursula A. Matulonis, MD, and Domenica Lorusso, MD, PhD
The pathways of care in advanced ovarian cancer have become increasingly complicated with the addition of numerous therapies and biomarkers that guide treatment decisions. Join us in Seattle as top ovarian cancer experts draw a roadmap to care based on real-world patient case scenarios, including the role of biomarkers in the treatment decision-making process, selection of first-line therapeutic regimens, management of treatment-related adverse events, and other practical considerations. Don’t miss your opportunity to interact with the experts!
ISS VI: Expanding the Arsenal: Innovative Strategies to Treat Platinum Resistant Ovarian Cancer (Corcept Therapeutics)
Sunday, March 16 | 7:00-8:15 a.m. | Room 6E
Moderator: Thomas J. Herzog, MD
Faculty: Nicoletta Colombo, MD, PhD, Alexander B. Olawaiye, MD, Lyndsay Willmott, MD
This symposium will focus on the latest advancements in the treatment of advanced, platinum-resistant high-grade epithelial ovarian cancer. Ovarian cancer remains a significant challenge in oncology, particularly for heavily pretreated patients. This symposium aims to provide critical insights into the efficacy of new treatment options beyond antibody drug conjugates (ADCs). This session will provide a comprehensive overview discussing the competitive landscape, treatment outcomes, and learning about new innovative therapies beyond ADCs.
ISS VII: WHAT CLINICIANS WANT TO KNOW: Addressing Current Questions and Controversies in the Management of Patients with Ovarian Cancer (Research to Practice)
Sunday March, 16 | 12:30-2:00 p.m. | Room 6AB
Moderator: Angeles Alvarez Secord, MD, MHSc
Faculty: Kathleen N Moore, MD, MS, Ritu Salani, MD, MBA, Shannon N Westin, MD, MPH, FASCO, FACOG
Module 1: Up-Front Treatment for Advanced Ovarian Cancer (OC)
- Optimal approaches to biomarker testing for patients with newly diagnosed advanced OC; significance of somatic and germline BRCA mutations and homologous recombination deficiency status for treatment decision-making
- Long-term data with olaparib, niraparib and olaparib/bevacizumab maintenance therapy for patients with newly diagnosed OC; factors affecting selection among these strategies
- Early findings with niraparib/bevacizumab maintenance after front-line platinum-based chemotherapy/bevacizumab; ongoing evaluation and potential clinical role
- Biological rationale for combining PARP inhibitors with anti-PD-1/PD-L1 antibodies with or without bevacizumab for OC
- Major efficacy and safety findings from the Phase III DUO-O study of up-front durvalumab in combination with chemotherapy and bevacizumab followed by durvalumab, bevacizumab and olaparib as maintenance therapy
- Other ongoing Phase III research efforts evaluating PARP inhibitors in combination with immune checkpoint inhibitors for advanced OC; anticipated completion dates
Module 2: Management of Relapsed/Refractory OC
- Long-term follow-up from pivotal trials evaluating PARP inhibitors for platinum-sensitive and platinum-resistant recurrent OC; implications of updated indications for these agents in relapsed disease
- Clinical utility, if any, of rechallenge with a PARP inhibitor for patients who have experienced disease progression on or after prior PARP inhibitor therapy
- Incidence and clinical relevance of folate receptor alpha (FRα)-positive OC; optimal approaches to and timing of FRα testing
- Available efficacy and safety data, including findings from the Phase III MIRASOL trial, with mirvetuximab soravtansine for patients with FRα-positive, platinum-resistant OC
- Available findings from the Phase II PICCOLO trial of mirvetuximab soravtansine for FRα-positive, platinum-sensitiveOC; ongoing Phase III evaluation and potential clinical role in this setting
- Optimal integration of mirvetuximab soravtansine into OC management algorithms
- Prevalence of HER2 overexpression in advanced OC; outcomes achieved with trastuzumab deruxtecan (T-DXd) among patients with advanced HER2-positive OC in the DESTINY-PanTumor02 study
- Recent FDA approval of T-DXd for pretreated HER2-positive solid tumors; implications for OC management
- Module 3: Novel Investigational Therapies for Advanced OC
- Frequency of CDH6 expression in OC; mechanism of antitumor activity of the novel CDH6-directed antibody-drug conjugate raludotatug deruxtecan (R-DXd)
- Early research findings with R-DXd for patients with heavily pretreated platinum-resistant advanced OC
- Ongoing evaluation of R-DXd for platinum-resistant advanced OC in the Phase II/III REJOICE-Ovarian01 trial
- Mechanism of action of the novel engineered cytokine nemvaleukin alfa
- Activity and safety observed with nemvaleukin alfa in combination with pembrolizumab in the platinum-resistant OC cohort of the Phase I/II ARTISTRY-1 study
- Design, eligibility criteria and primary and secondary endpoints of the Phase III ARTISTRY-7 trial of nemvaleukin alfa/pembrolizumab versus chemotherapy for platinum-resistant advanced OC; estimated completion date
- Other novel agents and strategies under evaluation for the treatment of advanced OC
Module 4: Diagnosis and Management of Adverse Events Associated with Commonly Employed Therapies for Advanced OC
- Spectrum, incidence and severity of common class- and agent-specific toxicities associated with PARP inhibitors in patients with OC
- Reported risk of long-term serious side effects, such as acute myeloid leukemia and myelodysplastic syndromes, with PARP inhibitor therapy
- Initial dosing of approved PARP inhibitors and appropriate dose-modification strategies for patients experiencing treatment-related toxicity
- Pathogenesis and incidence of ocular adverse reactions associated with mirvetuximab soravtansine, such as visual impairment, keratopathy, dry eye, photophobia, eye pain and uveitis
- Recommended approaches to monitoring for, preventing and ameliorating mirvetuximab soravtansine-associated ocular toxicities
- Spectrum, frequency, severity and management of other side effects, such as peripheral neuropathy, pneumonitis and gastrointestinal toxicities, in patients receiving mirvetuximab soravtansine
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ISS XI: Navigating the Evolving Landscape of Endometrial Cancer (Karyopharm)
Monday, March 17 | 12:00-1:30 p.m. | Room 6AB
Moderator: Kathleen Moore, MD
Faculty: Linda Duska, MD and Scott Jordan, MD
This ninety-minute symposium will address the evolving landscape of endometrial cancer treatment, with a particular focus on an XPO1 inhibitor endometrial cancer program. As treatment strategies for advanced endometrial cancer continue to evolve, this session will explore the currently enrolling Phase 3 trial evaluating selinexor maintenance therapy in patients with TP53 wild-type (WT) advanced/recurrent endometrial cancer.
Additionally, the latest clinical trial data will be reviewed, along with practical case studies on patients that may be eligible for the XPORT-042 study. By the end of the session, participants will have a deeper understanding of the unmet needs in advanced endometrial cancer and the XPO1 inhibitor endometrial program, with practical insights on potentially eligible patients.