Summary
The goal of this clinical research study is to find the highest safe dose of intraperitoneal tgDCC-E1A that can be given in combination with paclitaxel as a treatment for patients with recurrent, platinum-resistant ovarian cancer. How the cancer responds to this treatment will also be studied. Researchers will also ask the patients if they will allow additional tumor samples to be collected and extra blood samples to be drawn. These samples will be used to learn about the biological response before and after treatment.
Key Facts
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Inclusion Criteria: * Age greater than or equal to 18 years * Recurrent epithelial ovarian cancer or primary peritoneal cancer with histologic confirmation of the original tumor. Recurrent disease may be manifested as an elevated cancer antigen (CA)-125 using the following criteria: (a) increase in CA-125 to at least 2 times the upper limit of normal (assayed on 2 occasions at least 7 days apart) for subjects with a history of normal pre-treatment values or values that normalized with the most recent treatment - OR - (b) increase in CA-125 to 2 times the lowest observed value on the most recent treatment (assayed on two occasions at least 7 days apart) for subjects whose CA-125 did not normalize with the most recent treatment. * Platinum-resistant disease, defined as recurrence less than six months after discontinuation of treatment with platinum therapy or platinum-refractory disease defined as progression on a platinum-containing regimen. * A treatment-free interval of at least three weeks for cytotoxic therapies, radiation therapy, or other experimental drugs prior to first treatment on this protocol. * A Zubrod performance status of two or less. Exclusion Criteria: * Previous administration of tgDCC-E1A. * Progression on any taxane-containing regimen, or recurrent within 6 months of receiving a weekly taxane-containing regimen. Previous radiation to more than 25% of marrow-bearing areas. * Any of the following laboratory values: Hemoglobin \<9.0 gm/dl, absolute neutrophil count (ANC) \<1.5 K/ml, platelet \<100 K/ml, creatinine \>2 mg/dl, bilirubin \>2 mg/dl, Aspartate Aminotransferase (AST) or Alanine Aminotransferase (ALT)\>2 times the upper limit of normal, or abnormal coagulation profiles (\>2 seconds beyond upper range of normal Prothrombin Time (PT) or Partial thromboplastin time (PTT)). * Known human immunodeficiency virus (HIV)-positive status or active systemic infection. * History of other invasive malignancies, except for non-melanoma skin cancer, unless there is no evidence of other cancer within the past 5 years. * Patients with grade 2 or greater neurotoxicity. * Patients with unstable angina or those who have had a myocardial infarction within the past six months. Patients with evidence of abnormal cardiac conduction are eligible if their disease has been stable for the past six months. Patients with an ejection fraction under 40%.