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CompletedNCT00019136Updated Apr 29, 2015

Gene Therapy and Biological Therapy in Treating Patients With Ovarian Epithelial Cancer

A Phase 1 interventional study of MOv-gamma chimeric receptor gene and aldesleukin in Ovarian Cancer, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-04-29.

Sponsored by National Cancer Institute (NCI) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Ages
18 Years and older
Sex
Female
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Study summary

RATIONALE: Interleukin-2 may stimulate a person's white blood cells to kill ovarian cancer cells. Interleukin-2 combined with white blood cells that are gene-modified to recognize and kill ovarian cancer cells may be an effective treatment for recurrent or residual ovarian cancer.

PURPOSE: Phase I trial to study the effectiveness of interleukin-2 plus gene-modified white blood cells in treating patients who have advanced ovarian epithelial cancer.

Read the detailed description

OBJECTIVES:

  • Determine the clinical response in patients with advanced ovarian epithelial cancer treated with intravenously administered allogeneic peripheral blood mononuclear cell-stimulated, gene-modified lymphocytes (MOv-PBL).
  • Evaluate the ability of intravenously administered MOv-PBL to traffic to sites of ovarian cancer.
  • Determine the duration of survival of transduced lymphocytes in the systemic circulation and at the tumor site in these patients.

OUTLINE: This is a dose-escalation study. Patients are stratified by eligibility to receive interleukin-2 (IL-2) (yes vs no).

Patients undergo leukapheresis. The collected peripheral blood lymphocytes (PBLs) are stimulated with allogeneic peripheral blood mononuclear cells (PBMCs) followed by retroviral transduction with antiovarian cancer MOv-gamma chimeric receptor gene (MOv-PBL). MOv-PBL are then reinfused IV over 30-60 minutes followed by IL-2 IV over 15-30 minutes every 12 hours for up to 8 doses (if eligible). This course may be repeated at least once, beginning 2-3 weeks later. Patients receiving allogeneic PBMC-stimulated PBLs receive donor PBMCs subcutaneously at 1 and 8 days after each MOv-PBL infusion instead of IL-2.

Cohorts of 3-6 patients in each stratum receive escalating doses of MOv-PBL until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. An additional 10 patients receive MOv-PBL, without IL-2, followed by immunization with donor PBMCs as above.

Patients are followed at 4 and 8 weeks and then periodically for survival.

PROJECTED ACCRUAL: Approximately 13-50 patients will be accrued for this study.

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Conditions studied

  • Ovarian Cancer

Keywords

  • recurrent ovarian epithelial cancer
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In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

Browse Ovarian Neoplasms studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically proven recurrent, resected recurrent, or residual ovarian epithelial cancer
  • Failed prior standard effective therapy including cisplatin/carboplatin or paclitaxel
  • Tumor positive for folate-binding protein by monoclonal antibody MOv18 binding
  • Measurable disease by CT scan, MRI, ultrasound, or physical exam OR
  • Minimal residual disease on laparotomy, laparoscopy, or peritoneal washings (i.e., disease not evaluable radiologically or on physical exam)

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • ECOG 0 or 1

Hematopoietic:

  • WBC greater than 3,000/mm\^3
  • Platelet count greater than 100,000/mm\^3
  • Hemoglobin greater than 9.0 g/dL
  • No coagulation disorder

Hepatic:

  • Bilirubin no greater than 2.0 mg/dL
  • Other liver function tests less than 3 times upper limit of normal
  • Hepatitis B antigen negative

Renal:

  • Creatinine no greater than 2.0 mg/dL

Cardiovascular:

  • No major cardiovascular illness
  • If history of ischemic heart disease, congestive heart failure, or cardiac arrhythmias, not eligible to receive interleukin-2

Pulmonary:

  • FEV_1 and DLCO greater than 70% predicted
  • No major respiratory illness

Immunologic:

  • Must have an intact immune system as evidenced by a positive reaction to Candida albicans, mumps, or tetanus toxoid skin tests on a standard anergy panel
  • HIV negative
  • No active systemic infection

Other:

  • Not pregnant
  • Negative pregnancy test
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • More than 2 weeks since prior biologic therapy

Chemotherapy:

  • See Disease Characteristics
  • More than 2 weeks since prior chemotherapy

Endocrine therapy:

  • More than 2 weeks since prior endocrine therapy
  • No concurrent steroids

Radiotherapy:

  • More than 2 weeks since prior radiotherapy

Surgery:

  • See Disease Characteristics
  • Prior debulking allowed
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Study design

Phase
Phase 1
Primary purpose
Treatment

Interventions

  • BiologicalMOv-gamma chimeric receptor gene
  • Biologicalaldesleukin
  • Biologicaltherapeutic allogeneic lymphocytes
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Study locations

1 site
  • Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
    Bethesda, Maryland 20892-1182, United States
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References and documents

Publications

  • Pinte L, Cunningham A, Trebeden-Negre H, Nikiforow S, Ritz J. Global Perspective on the Development of Genetically Modified Immune Cells for Cancer Therapy. Front Immunol. 2021 Feb 15;11:608485. doi: 10.3389/fimmu.2020.608485. eCollection 2020. PubMed 33658994 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00019136
Lead sponsor
National Cancer Institute (NCI)
First posted
Jan 27, 2003
Start date
Feb 1997
Last update
Apr 29, 2015

Study contacts

Steven A. Rosenberg, MD, PhD
study chair · NCI - Surgery Branch
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2003. You cannot join it, but the record below documents what was studied.

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