Intergroup-statement: statement of the german ovarian cancer commission, the North-Eastern German Society of gynecological Oncology (NOGGO), AGO Austria and AGO Swiss regarding the use of homologous repair deficiency (HRD) assays in advanced ovarian cancer

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Lukas Chinczewski - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Philipp Harter - , Universität Duisburg-Essen (Autor:in)
  • Lukas Heukamp - , MVZ HPH Institut für Pathologie und Hämatopathologie GmbH (Autor:in)
  • Doris Mayr - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Christoph Grimm - , Medizinische Universität Wien (Autor:in)
  • Viola Heinzelmann-Schwarz - , Universität Basel (Autor:in)
  • Pauline Wimberger - , Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Sven Mahner - , Ludwig-Maximilians-Universität München (LMU) (Autor:in)
  • Ioana Elena Braicu - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Wolfgang Schmitt - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Carsten Denkert - , Philipps-Universität Marburg (Autor:in)
  • Jalid Sehouli - , Charité – Universitätsmedizin Berlin (Autor:in)

Abstract

Introduction: Homologous recombination deficiency (HRD) is a key biomarker in the management of high-grade serous ovarian cancer (HGSOC), guiding treatment decisions, particularly regarding the use of poly(ADP-ribose) polymerase inhibitors (PARPi). As multiple HRD assays are available, each with distinct methodologies and cutoff values, the interpretation and clinical application of HRD testing remain complex. This intergroup statement, endorsed by the German Ovarian Cancer Commission, NOGGO, AGO Austria, and AGO Swiss, aims to provide guidance on the indications, appropriate use, and limitations of HRD testing in ovarian cancer. Materials and methods: The statement is based on an interdisciplinary review of available literature, clinical trial data, and expert consensus. The recommendations focus on the current landscape of HRD assays, their clinical applicability, and practical considerations regarding the optimal timing and indications for testing. Results and discussion: Various HRD assays, including established commercial tests and emerging academic-clinical approaches, are reviewed in this statement. The document outlines key eligibility criteria for HRD testing in ovarian cancer, emphasizing its relevance in specific histological subtypes and clinical scenarios. Additionally, exclusion criteria are defined, highlighting cases where HRD testing may not be appropriate due to insufficient clinical validation or lack of therapeutic implications. Finally, the statement discusses the pathological minimum requirements for tissue samples used in HRD testing, ensuring adequate sample quality and tumor content for reliable results. Conclusion: HRD testing is a valuable tool for personalizing ovarian cancer treatment, particularly in identifying patients who may benefit from PARPi therapy. However, assay selection, timing, and result interpretation require careful consideration. This statement provides a structured approach to optimize HRD testing, aiming to improve clinical decision-making and patient outcomes.

Details

OriginalspracheEnglisch
Seiten (von - bis)1445–1450
Seitenumfang6
FachzeitschriftArchives of gynecology and obstetrics
Jahrgang311
Ausgabenummer5
Frühes Online-Datum12 März 2025
PublikationsstatusVeröffentlicht - Mai 2025
Peer-Review-StatusJa

Externe IDs

PubMed 40069521

Schlagworte

Ziele für nachhaltige Entwicklung

ASJC Scopus Sachgebiete

Schlagwörter

  • Gynecological oncology, Homologous recombination deficiency testing, Intergroup statement, Maintenance therapy, Ovarian cancer