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Brief Title: SJG-136 in Treating Patients With Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancer That Did Not Respond to Previous Treatment With Cisplatin or Carboplatin
Official Title: A Phase II Evaluation of SJG-136 in Women With Cisplatin-Refractory or Resistant Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Carcinoma
Study ID: NCT01200797
Brief Summary: This phase II trial is studying how well SJG-126 works in treating patients with epithelial ovarian, primary peritoneal, or fallopian tube cancer that did not respond to previous treatment with cisplatin or carboplatin. Drugs used in chemotherapy, such as SJG-136, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.
Detailed Description: PRIMARY OBJECTIVES: I. To estimate the overall response rate to SJG-136 in patients with persistent or recurrent platinum-refractory epithelial ovarian, primary peritoneal, or fallopian tube carcinoma. II. To assess the nature and degree of toxicity of this regimen in these patients. III. To determine other parameters of response, including progression-free survival, overall survival, and time to progression in patients treated with this regimen. Correlative Endpoints: I. To correlate response rates with the degree of DNA adduct formation in peripheral blood mononuclear cells (PBMCs) and tumor cells as measured by the single-cell gel electrophoresis (Comet) assay and γ-H2AX assay. II. To assess whether the rate of DNA adduct formation in PBMCs correlates with the rate of DNA adduct formation in tumor cells. III. To evaluate BRCA1 protein expression in archival tissue specimens from the patient's primary tumor reductive surgery. IV. To determine the ability of BRCA1 protein in repairing/removing DNA-adducts in PBMCs and tumor tissue. VI. To evaluate the effect of BRCA1 protein expression on the overall response rate to SJG-136. OUTLINE: This is a multicenter study. Patients receive SJG-136 IV over 20 minutes on days 1-3. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection at baseline and periodically during study for correlative studies. Tumor tissue samples may also be collected. After completion of study therapy, patients are followed up for 30 days and then annually thereafter.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Hartford Hospital, Hartford, Connecticut, United States
Oncology Associates PC, Hartford, Connecticut, United States
H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States
Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States
Virginia Commonwealth University, Richmond, Virginia, United States
Name: Marta Crispens
Affiliation: H. Lee Moffitt Cancer Center and Research Institute
Role: PRINCIPAL_INVESTIGATOR