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On June 13, 2018, the U.S. Food and Drug Administration (FDA) approved adding bevacizumab to adjuvant intravenous chemotherapy followed by maintenance based on the results of Gynecologic Oncology Group protocol 218. Maintenance olaparib was FDA-approved on December 19, 2018, for frontline maintenance among those with advanced EOC who respond to frontline chemotherapy and harbor a germline or somatic BRCA1 or BRCA2 mutation. This was based on the results of SOLO-1. Despite a strong rationale and extensive study, intraperitoneal chemotherapy has not been adopted in clinical practice. Alternatively, heated intraperitoneal chemotherapy has shown promise as a more tolerable and technically feasible method of regional therapy, but widespread application will require more evidence. Significant strides have also been made in understanding the biology of EOC, resulting in a personalized approach to first-line therapy. One approach calls for recognizing differences in histologic subtypes and molecular alterations, which may open up alternative therapeutic interventions. <\/jats:p>","DOI":"10.1200\/edbk_239007","type":"journal-article","created":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T14:29:36Z","timestamp":1558103376000},"page":"e141-e151","source":"Crossref","is-referenced-by-count":19,"title":["The Evolving Landscape of Chemotherapy in Newly Diagnosed Advanced Epithelial Ovarian Cancer"],"prefix":"10.1200","author":[{"given":"Bradley J.","family":"Monk","sequence":"first","affiliation":[{"name":"Creighton University School of Medicine at St. Joseph's Hospital, Phoenix, AZ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie M.","family":"Randall","sequence":"additional","affiliation":[{"name":"University of California Irvine Health, Orange, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel N.","family":"Grisham","sequence":"additional","affiliation":[{"name":"Weill Cornell Medical College, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"233","reference":[{"key":"bibr1-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.5.1248"},{"key":"bibr2-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908806"},{"key":"bibr3-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30566-7"},{"key":"bibr4-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1038\/nrclinonc.2013.5"},{"key":"bibr5-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.11.5345"},{"key":"bibr6-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1104390"},{"key":"bibr7-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1103799"},{"key":"bibr8-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70363-2"},{"key":"bibr9-EDBK_239007","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1505067"},{"key":"bibr10-EDBK_239007","doi-asserted-by":"crossref","unstructured":"Clamp AR, McNeish I, Dean A, et al. 9290_PR \u2013 ICON8: a GCIG phase III randomized trial evaluating weekly dose-dense chemotherapy integration in first-line epithelial ovarian\/fallopian tube\/primary peritoneal carcinoma (EOC) treatment: results of primary progression-free survival (PFS) analysis. 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