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Tumor Vaccine and Interferon Gamma in Treating Patients With Refractory Epithelial Ovarian Cancer

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Ovarian Cancer

Intervention: ALVAC-hB7.1 (Drug); recombinant interferon gamma (Drug)

Phase: Phase 1

Status: Completed

Sponsored by: M.D. Anderson Cancer Center

Official(s) and/or principal investigator(s):
Ralph S. Freedman, MD, PhD, Study Chair, Affiliation: M.D. Anderson Cancer Center

Summary

RATIONALE: Vaccines made from a person's cancer cells may make the body build an immune response to and kill their tumor cells. Combining vaccine therapy with interferon gamma may be a more effective treatment for epithelial ovarian cancer.

PURPOSE: Phase I trial to study the effectiveness of a tumor cell vaccine and interferon gamma in patients with refractory epithelial ovarian cancer.

Clinical Details

Official title: Intraperitoneal (IP) Autologous Therapeutic Tumor Vaccine AUT-OV-ALVAC-hB7.1 Plus IP rIFN-Gamma for Patients With Ovarian Cancer. A Pilot Study

Study design: Treatment

Detailed description: OBJECTIVES:

- Determine whether intraperitoneal (IP) injections of epithelial ovarian carcinoma cells

infected with ALVAC-hB7. 1 and IP interferon gamma have acceptable toxicity and produce any clinical responses in patients with refractory ovarian epithelial cancer.

OUTLINE: This is a dose-escalation study of ALVAC-hB7. 1 infected tumor cells.

Patients receive ALVAC-hB7. 1 infected tumor cells intraperitoneally (IP) on days 4, 11, and 18. Patients also receive interferon gamma IP on days 8, 10, 15, and 17. In the absence of disease progression, up to 6 courses of therapy may be given. If insufficient tumor cells are available to continue treatment with tumor cell derived vaccine, interferon gamma may be given alone.

Cohorts of 3 to 6 patients receive escalating doses of ALVAC-hB7. 1 infected tumor cells until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which no more than 2 of 6 patients experience dose-limiting toxicity.

Patients are followed every 6 months until disease progression.

PROJECTED ACCRUAL: A total of 12 patients will be accrued for this study.

Eligibility

Minimum age: N/A. Maximum age: N/A. Gender(s): Female.

Criteria:

DISEASE CHARACTERISTICS:

- Diagnosis of ovarian epithelial carcinoma

- Previously treated with an adequate course of platinum based chemotherapy

- Evidence of intraabdominal disease

- No significant adhesions

PATIENT CHARACTERISTICS:

Age:

- Any age

Performance status:

- Zubrod 0-2

Life expectancy:

- Not specified

Hematopoietic:

- Lymphocyte count at least 500/mm^3

Hepatic:

- Bilirubin no greater than 1. 5 mg/dL

- SGOT less than 2. 5 times upper limit of normal

Renal:

- Creatinine no greater than 1. 5 mg/dL

Cardiovascular:

- No major disorder of the cardiovascular system

Pulmonary:

- No major disorder of the pulmonary system

Other:

- Not pregnant or nursing

- Fertile patients must use effective contraception

- Successful placement of peritoneal catheter

- No overt autoimmune disease

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- See Disease Characteristics

Endocrine therapy:

- No concurrent chronic steroid therapy

Radiotherapy:

- No prior radiotherapy

Surgery:

- Prior surgery allowed

Other:

- Recovered from prior therapy

Locations and Contacts

University of Texas - MD Anderson Cancer Center, Houston, Texas 77030-4009, United States
Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: October 1997
Last updated: May 23, 2008

Page last updated: June 20, 2008

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