Ovarian Cancer - Phase I/IIa Clinical Trial of BC-819 - Inclusion/Exclusion Criteria
Inclusion Criteria
Patients must:
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Provide written informed consent and be at least 18 years of age.
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Have failed at least two different primary chemotherapy regimens and have primary or secondary platinum resistant disease.
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Have histopathologically documented epithelial ovarian carcinoma.
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Have evidence of intra-abdominal disease; disease may be measurable or non-measurable.
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Have at least grade 1 (mild) ascites: that is observed by ultrasound.
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Have presence of malignant cells in ascites fluid.
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Be able to tolerate placement of IP catheter.
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Be at least 4 weeks from last treatment to allow recovery from prior toxicity (with the exception of hormonal therapy where a 1-week wash-out period is sufficient, weekly chemotherapy where a two-week washout period is sufficient; and radiation therapy where a 3-week recovery period is sufficient.
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Have a Karnofsky performance status score of ≥ 70%.
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Not be of child-bearing potential.
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Have a life expectancy of ≥ 3 months.
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Have serum creatinine < 2.0 mg/dL, total bilirubin less than the institution's 3x upper limit of normal (ULN); AST and ALT ≤ 2.5 x ULN, PT, PTT, and PT/INR within normal limits, absolute neutrophil count (ANC) > 1,500 x 103 cells/mL, platelets ≥ 100,000/mL, and hemoglobin ≥ 10 mg/dL.
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Have a biopsy specimen or an ascites fluid that is positive for H19 expression.
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Have screening procedures completed within 4 weeks before starting treatment.
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No significant history of cardiac disease, i.e., uncontrolled hypertension, unstable angina or congestive heart failure.
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No prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer.
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No plans to receive concurrent chemotherapy, hormonal therapy, radiotherapy, immunotherapy or any other type of therapy for treatment of cancer while on this protocol.
Exclusion Criteria
Patients must not:
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Have evidence of extraperitoneal disease.
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Have known brain metastases.
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Have known HIV infection.
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Have known active viral or bacterial infections.
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Have presence of any psychological, familiar, sociological, or geographical condition potentially hampering compliance with the study protocol or follow up schedule.
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Have a medical condition contraindicated for laparotomy, laparoscopy, or surgery.
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Have loculated ascites (i.e. ascites compartmentalized in different "pockets").
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Have a history of coagulopathy.
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