Interferon beta adenoviral gene therapy in a patient with ovarian cancer.
Background A 47-year-old woman with a history of ovarian cancer and a 6-year disease-free remission presented with dyspnea and increased abdominal girth. The patient was found to have ascites and a large left pleural effusion, both of which contained malignant cells consistent with recurrent ovarian cancer. Her disease progressed despite treatment with chemotherapeutic and hormonal agents. She was then enrolled in a phase I clinical trial of adenoviral-mediated interferon beta gene therapy. Investigations Abdominal and chest CT scans, 2-[(18)F]fluoro-2-deoxyglucose PET scan, viral cultures, interferon cytokine analysis, immunophenotyping, and tumor cytotoxicity analyses. Diagnosis Stage IV ovarian cancer with malignant ascites and pleural effusion. Management Tunneled pleural catheter and intrapleural adenoviral-mediated interferon beta gene therapy.
Sterman
Daniel H
DH
Thoracic Oncology Research Laboratory, University of Pennsylvania, Philadelphia, PA, USA.
Gillespie
Colin T
CT
Carroll
Richard G
RG
Coughlin
Christina M
CM
Lord
Elaina M
EM
Sun
Jing
J
Haas
Andrew
A
Recio
Adri
A
Kaiser
Larry R
LR
Coukos
George
G
June
Carl H
CH
Albelda
Steven M
SM
Vonderheide
Robert H
RH
D000256:Adenoviridae; D001201:Ascites / Q000209:etiology; D005260:Female; D015316:Genetic Therapy; D005822:Genetic Vectors; D006801:Humans; D016899:Interferon-beta / Q000235:genetics* / Q000627:therapeutic use*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000628:therapy*; D010996:Pleural Effusion / Q000209:etiology; D013601:T-Lymphocytes / Q000276:immunology; D016896:Treatment Outcome
D016899:Interferon-beta