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Ovarian cancer may be caused by a build-up of genetic defects, or damaged genes within the body's cells. When genes are damaged, the body may be unable to produce a group of proteins, called cytokines, used by the immune system to fight cancer and some infections. The investigational gene transfer agent EGEN-001 contains the human gene for the cytokine interleukin-12 (IL-12) in a special carrier system designed to enter the cells and help the body to produce cytokines. Therefore, the purpose of the EGEN-001 therapy is to attempt to enhance the body's natural ability to recognize and fight cancer cells. Funding Source - FDA OOPD
This study has two purposes:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EGEN-001 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EGEN-001 (phIL-12-005/PPC) | Genetic | In stage 1, patients will receive standard doses of IV carboplatin and docetaxel for 2 treatment cycles with a 3 week interval. Patients will also receive 4 IP infusions of EGEN-001 at 12mg/m2 EGEN-001, 18mg/m2, or 24mg/m2, 10-11 days apart. Stage 2 of the study will involve cycle escalation at the highest EGEN-001 dose identified from Stage 1. All patients will receive up to 8 doses of EGEN-001, 10-11 days apart plus up to 4 IV carboplatin and docetaxel cycles with 3 week intervals. After receiving the assigned number of treatments of EGEN-001, carboplatin, and docetaxel, patients may continue to receive up to 4 additional infusions of EGEN-001 and 2 IV carboplatin and docetaxel cycles with 3 week intervals. |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the MTD and treatment-related toxicities of intra-peritoneal (IP) infusion of EGEN-001 in combination with carboplatin and docetaxel for recurrent, platinum-sensitive, ovarian cancer. | 12-14 months |
| Measure | Description | Time Frame |
|---|---|---|
| Examine the optimal EGEN-001 treatment regimen in combination with carboplatin and docetaxel in recurrent, platinum-sensitive ovarian cancer, and assess EGEN-001's impact on tumor, CA-125, and activity markers of biological activity. | 10 months |
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Inclusion Criteria:
Exclusion Criteria:
Ovarian cancer other than documented epithelial cancer;
Intra-abdominal disease > 5 cm in diameter;
Any serious, uncontrolled, intercurrent medical illness or disorder including, but not limited to:
An active infection within 4 weeks of study entry;
Any condition/anomaly that would interfere with the appropriate placement of the IP catheter for study drug administration
Prior treatment with whole abdominal irradiation;
Currently receiving or have received any investigational agents within 28 days of study entry;
Received prior chemotherapy for ovarian cancer administered by the IP route;
Received any chemotherapy between completion of primary chemotherapy for ovarian cancer and study entry (e.g. consolidation therapy);
Receipt of immunotherapy and/or any medications with the potential to affect the activity of EGEN 001;
Known history of HIV infection, hepatitis B, or hepatitis C;
Known hypersensitivity to any of the components of carboplatin or docetaxel;
Life expectancy of less than 3 months;
Known, current, recreational drug or alcohol abuse;
Breast feeding an infant;
Psychiatric illness/social situations which would limit compliance with study requirements;
Any other known condition which in the Investigator's opinion would make the patient a poor candidate for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Ronald D. Alvarez, MD | Division of Gynecologic Oncology at University of Alabama at Birmingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States | ||
| Oncology Specialties, PC |
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| ID | Term |
|---|---|
| D010051 | Ovarian Neoplasms |
| ID | Term |
|---|---|
| D004701 | Endocrine Gland Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
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| ID | Term |
|---|---|
| C000723557 | GEN-1 |
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|
| Huntsville |
| Alabama |
| 35805 |
| United States |
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| D000291 |
| Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |