antineoplaston therapy in treating patients with stage iii or stage iv ovarian cancer

Conditions: Stage III Ovarian Cancer; Stage IV Ovarian Cancer

Summary: current therapies for stage iii or iv ovarian cancer provide very limited benefit to the patient. the anti-cancer properties of antineoplaston therapy suggest that it may prove beneficial in the treatment of stage iii or iv ovarian cancer. purpose: this study is being performed to determine the effects (good and bad) that antineoplaston therapy has on patients with stage iii or iv ovarian cancer.

stage iii or iv ovarian cancer patients receive gradually escalating doses of intravenous antineoplaston therapy (atengenal + astugenal) until the maximum tolerated dose is reached. treatment continues up to 12 months in the absence of disease progression or unacceptable toxicity. objectives: * to determine the efficacy of antineoplaston therapy in patients with stage iii or iv ovarian cancer, as measured by an objective response to therapy (complete response, partial response or stable disease). * to determine the safety and tolerance of antineoplaston therapy in patients with stage iii or iv ovarian cancer. * to determine objective response, tumor size is measured utilizing mri scans, which are performed every 8 weeks for the first two years, every 3 months for the third and fourth years, every 6 months for the 5th and sixth years, and annually thereafter.

Eligibility criteria:
disease characteristics: * histologically confirmed stage iii or iv epithelial or germ cell ovarian cancer that is unlikely to respond to existing therapy and for which no curative therapy exists * measurable disease by ct scan or mri patient characteristics: age: * 18 and over performance status: * karnofsky 60-100% life expectancy: * at least 2 months hematopoietic: * wbc at least 2,000/mm\^3 * platelet count at least 50,000/mm\^3 hepatic: * bilirubin no greater than 2.5 mg/dl * sgot/sgpt no greater than 5 times upper limit of normal * no hepatic failure renal: * creatinine no greater than 2.5 mg/ml * no renal insufficiency * no history of renal conditions that contraindicate high dosages of sodium cardiovascular: * no uncontrolled hypertension * no history of congestive heart failure * no other cardiovascular conditions that contraindicate high dosages of sodium pulmonary: * no serious lung disease (e.g., chronic obstructive pulmonary disease) other: * not pregnant or nursing * fertile patients must use effective contraception for 4 weeks before, during, and for 4 weeks after study participation * no active infection * no concurrent serious systemic disease prior concurrent therapy: biologic therapy: * at least 4 weeks since prior immunotherapy and recovered * no concurrent immunomodulating agents chemotherapy: * at least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered endocrine therapy: * concurrent corticosteroids allowed (e.g., dexamethasone or methylprednisone) radiotherapy: * at least 8 weeks since prior radiotherapy and recovered surgery: * recovered from prior surgery other: * prior cytodifferentiating agents allowed * no prior antineoplaston therapy * no other concurrent antineoplastic agents

Keywords: stage iii ovarian epithelial cancer stage iv ovarian epithelial cancer stage iii ovarian germ cell tumor stage iv ovarian germ cell tumor