Study Of Intraperitoneal EGEN-001 Administered In Combination With Pegylated Liposomal-Doxorubicin In Patients With Recurrent Or Persistent Epithelial Ovarian, Fallopian Tube Or Peritoneal Cancer



Status:Completed
Conditions:Ovarian Cancer, Cancer, Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/30/2013
Start Date:September 2012
End Date:December 2013
Contact:Khursheed Anwer, Ph.D.
Email:KAnwer@egeninc.com
Phone:256-327-0536

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A Phase I Study Of Intraperitoneal EGEN-001 (Il-12 Plasmid Formulated With PEG-PEI-Cholesterol Lipopolymer) Administered In Combination With Pegylated Liposomal-Doxorubicin In Patients With Recurrent Or Persistent Epithelial Ovarian, Fallopian Tube Or Peritoneal Cancer


Pegylated liposomal doxorubicin (PLD; e.g., Doxil®, Lipodox™) will be administered
intravenously on Day 1 and EGEN-001 will be administered intraperitoneally on Day 1, 8, 15,
and 22 of a 28-day cycle to determine:

- The maximum tolerated dose (MTD) and dose limiting toxicities (DLTs) of EGEN-001 when
administered in combination with pegylated liposomal doxorubicin (PLD; Doxil®,
Lipodox™), every 28 days and the associated DLTs based on adverse events that occur in
cycle 1 for this combination in women with recurrent or persistent, epithelial ovarian,
fallopian tube or primary peritoneal cancer.

- The tolerability of the combination at the MTD of EGEN-001 assessed in combination with
PLD.

- The recommended phase II dose (RP2D) of EGEN-001 in combination with PLD.


Inclusion Criteria:

- Histologic diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal
carcinoma which is now recurrent.

- Patients with the following histologic epithelial cell types are eligible: High grade
serous adenocarcinoma, endometrioid adenocarcinoma, undifferentiated carcinoma, clear
cell adenocarcinoma, mixed epithelial carcinoma, or adenocarcinoma not otherwise
specified (N.O.S.).

- Must have recurrence documented by elevated CA-125 (biochemical recurrence) or
clinically evident measurable or non-measurable recurrent disease.

- Must have adequate bone marrow, renal, hepatic, cardiac, neurologic function (as
defined in protocol), and absolute neutrophil count greater than or to 1,500/mcl.

- Must have recovered from effects of recent surgery, radiotherapy, or chemotherapy.

- Must have had one prior platinum-based chemotherapeutic regimen for management of
primary disease containing carboplatin, cisplatin, or another organoplatinum
compound.

- Must have a GOG performance status of 0 or 1.

- Patients of childbearing potential must have a negative pregnancy test prior to the
study entry and be practicing an effective form of contraception. If applicable,
patients must discontinue breastfeeding prior to study entry.

- Must meet the pre-entry requirements.

- Must sign an IRB-approved informed consent and authorization permitting release of
personal health information.

Exclusion Criteria:

- Prior treatment with EGEN-001.

- Prior treatment with PLD, doxorubicin, or other anthracyclines.

- History of allergic reactions attributed to compounds of similar chemical or biologic
composition to EGEN-001 or other agents used in this study.

- Oral or parenteral corticosteroids within 2 weeks of study entry or a clinical
requirement for ongoing systemic immunosuppressive therapy.

- Receiving treatment for active autoimmune disease.

- Other invasive malignancies, with the exception of non-melanoma skin cancer and other
specific malignancies as noted in Sections 3.27 and 3.28 of the protocol if there is
any evidence of other malignancy being present within the last three years.

- If previous cancer treatment contraindicates this protocol therapy.

- Prior radiotherapy to any portion of the abdominal cavity or pelvis, however prior
radiation for localized cancer of the breast, head and neck, or skin is permitted,
provided that it was completed more than three years prior to registration, and the
patient remains free of recurrent or metastatic disease.

- Prior chemotherapy for any abdominal or pelvic tumor (other than ovarian, fallopian
tube and primary peritoneal). Patients may have received prior adjuvant chemotherapy
for localized breast cancer, provided that it was completed more than three years
prior to registration, and that the patient remains free of recurrent or metastatic
disease.

- Known active hepatitis.

- Concurrent severe medical problems unrelated to the malignancy that would
significantly limit full compliance with the study or expose the patient to extreme
risk or decreased life expectancy.

- Patients of childbearing potential, not practicing adequate contraception, patients
who are pregnant, or patients who are breastfeeding.

- History or evidence upon physical examination of CNS disease, including primary brain
tumor, seizures not controlled with standard medical therapy, any brain metastases,
or history of cerebrovascular accident (CVA, stroke), transient ischemic attack (TIA)
or subarachnoid hemorrhage within six months of the first date of treatment on this
study.

- Clinically significant cardiovascular disease.

- Any condition/anomaly that would interfere with the appropriate placement of the IP
catheter for study drug administration.
We found this trial at
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Cleveland, Ohio 44195
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666 Elm Street
Buffalo, New York 14263
(716) 845-2300
Roswell Park Cancer Institute Welcome to Roswell Park Cancer Institute (RPCI), America's first cancer center...
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5801 South Ellis Avenue
Chicago, Illinois 60637
 773.702.1234
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9500 Euclid Avenue
Cleveland, Ohio 44106
216.444.2200
Cleveland Clinic Cleveland Clinic is committed to principles as presented in the United Nations Global...
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1275 York Avenue
New York, New York 10065
212-639-2000
Memorial Sloan-Kettering Cancer Center Memorial Sloan-Kettering Cancer Center — the world's oldest and largest private...
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401 College Street
Richmond, Virginia 23298
(804) 828-0450
Virginia Commonwealth University Massey Cancer Center Founded in 1974, VCU Massey Cancer Center is a...
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1120 15th Street
Augusta, Georgia 30912
(706) 721-0211
Med College of Georgia Georgia Regents University, home of the Medical College of Georgia, is...
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13001 E. 17th Pl.
Aurora, Colorado 80045
303-724-5000
University of Colorado Cancer Center - Anschutz Cancer Pavilion The University of Colorado Denver |...
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Baltimore, Maryland 21237
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Baltimore, Maryland 21231
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Birmingham, Alabama 35294
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Charlottesville, Virginia 22903
(434) 924-0311
University of Virginia The University of Virginia is distinctive among institutions of higher education. Founded...
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2500 Metrohealth Dr
Cleveland, Ohio 44109
(216) 778-7800
MetroHealth Med Ctr The MetroHealth System is one of the largest, most comprehensive health care...
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10900 Euclid Ave
Cleveland, Ohio 44106
216-368-2000
Case Western Reserve Univ Continually ranked among America's best colleges, Case Western Reserve University has...
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200 Hawkins Dr,
Iowa City, Iowa 52242
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Lexington, Kentucky
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940 NE 13th St
Oklahoma City, Oklahoma 73190
(405) 271-6458
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333 Cottman Ave
Philadephia, Pennsylvania 19111
(215) 728-6900
Fox Chase Cancer Center Fox Chase has earned the prestigious designation from the National Cancer...
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101 Dudley St
Providence, Rhode Island 02905
(401) 274-1100
Women and Infants Hospital of Rhode Island Women & Infants Hospital of Rhode Island, a...
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660 S Euclid Ave
Saint Louis, Missouri 63110
(314) 362-5000
Washington University School of Medicine Washington University Physicians is the clinical practice of the School...
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