AMG 706 in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

DISEASE CHARACTERISTICS:

• Histologically confirmed ovarian epithelial, fallopian tube, or primary peritoneal carcinoma
• Recurrent or persistent disease
• Measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest dimension to be recorded) as ≥ 20 mm by conventional techniques or as ≥ 10 mm by spiral CT scan
• Must have at least one "target lesion" that can be used to assess response, as defined by RECIST criteria
• Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented OR a biopsy is obtained to confirm persistent disease ≥ 90 days following completion of radiotherapy
• Must have received one prior platinum-based chemotherapeutic regimen containing carboplatin, cisplatin, or another organoplatinum compound for management of primary disease
• Initial treatment may have included high-dose therapy, consolidation therapy, or extended therapy administered after surgical or non-surgical assessment
• One additional cytotoxic regimen for management of recurrent or persistent disease allowed
• Patients must have a platinum-free interval of < 12 months, have progressed during platinum-based therapy, or have persistent disease after a platinum-based therapy
• Ineligible for a higher priority GOG protocol
• No pleural effusion or ascites causing grade 2 or greater dyspnea
• No history of uncontrolled CNS metastases
• Patients with a history of CNS metastases must have their disease controlled by radiotherapy and/or surgery; have at least two imaging scans following treatment (that were no less than 30 days apart) showing no progression of any lesions and no new lesions; and be clinically stable off corticosteroids for ≥ 14 days prior to study randomization

PATIENT CHARACTERISTICS:

• GOG performance status (PS) 0-2* NOTE: *Patients who have received 2 prior regimen must have a GOG PS of 0-2 and patients who have received 2 prior regimens must have a GOG PS of 0-1
• ANC ≥ 1,500/mm³
• Platelet count ≥ 100,000/mm³
• Creatinine ≤ 1.5 times upper limit of normal (ULN)
• Urine protein < 30 mg/dL by urinalyses or ≤ 1+ by urine dipstick (unless quantitative protein is < 500 mg by 24-hour urine collection)
• Bilirubin ≤ 1.5 times ULN (< 3 times ULN in patients with UGT1A1 promoter polymorphism [i.e., Gilbert syndrome] confirmed by genotyping or Invader® UGT1A1 Molecular Assay)
• AST and ALT ≤ 2.5 times ULN (5 times ULN if liver metastases are present)
• Alkaline phosphatase ≤ 2 times ULN (5 times ULN if liver or bone metastases are present)
• PTT normal
• INR ≤ 1.5 times ULN
• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective contraception
• Able to swallow oral medications
• Cardiac ejection fraction normal
• No sensory and motor neuropathy > grade 2
• No other invasive malignancies within the past 5 years, except nonmelanoma skin cancer or other specific malignancies
• No bleeding diathesis or hypercoagulopathy within the past 14 days
• No arterial or venous thrombosis within the past 12 months
• None of the following within the past 12 months:
• Myocardial infarction
• Cerebrovascular accident
• Transient ischemic attack
• Grade 2 or greater peripheral vascular disease
• Percutaneous transluminal coronary angioplasty/stent
• Congestive heart failure
• Ongoing arrhythmias requiring medication
• Unstable angina
• No average systolic blood pressure ≥ 150 mm Hg and average diastolic blood pressure ≥ 90 mm Hg
• Patients with hypertension that is stable on a current dose of anti-hypertensives are eligible
• No history of impaired cardiac status (e.g., severe heart disease, cardiomyopathy, or congestive heart failure)
• No psychiatric, addictive, or other kind of disorder that would compromise the ability of the patient to give written informed consent
• No open wounds, ulcers, or fractures
• No active infection requiring antibiotics (with the exception of uncomplicated UTI)
• No known HIV, hepatitis B, or hepatitis C positivity
• No known hypersensitivity to AMG 706

PRIOR CONCURRENT THERAPY:

• See Disease Characteristics
• Recovered form prior surgery, radiotherapy, or chemotherapy
• At least 1 week since prior hormonal therapy for the malignant tumor
• Concurrent hormone replacement therapy allowed
• At least 3 weeks since other prior therapy directed at the malignant tumor, including biologic or immunologic agents (i.e., small molecules or murine monoclonal antibodies)
• At least 12 weeks since prior chimeric, human, or humanized monoclonal antibodies
• More than 30 days since prior investigational therapy
• More than 12 weeks since prior bevacizumab
• More than 30 days since prior VEGFR-targeted therapy, including, but not limited to, any of the following:
• SU5416
• SU6668
• Sunitinib malate
• Vandetanib
• Vatalanib
• AZD2171
• AEE 788
• Sorafenib
• More than 28 days since prior major surgery
• More than 14 days since prior minor surgery, including open breast biopsy
• More than 7 days since prior core needle biopsy or placement of a central venous access device (including portion, tunneled, or non-tunneled catheters)
• No prior cancer treatment that would contraindicate study therapy
• No prior therapy AMG 706
• No prior chemotherapy for any abdominal or pelvic tumor other than for the treatment of ovarian, fallopian tube, or primary peritoneal cancer
• Prior adjuvant chemotherapy for localized breast cancer allowed provided it was completed > 3 years ago, and the patient remains free of recurrent or metastatic disease
• No prior non-cytotoxic chemotherapy for management of recurrent or persistent disease
• No prior radiotherapy to any portion of the abdominal cavity or pelvis other than for the treatment of ovarian, fallopian tube, or primary peritoneal cancer
• Prior radiotherapy for localized cancer of the breast, head and neck, or skin allowed provided it was completed > 3 years ago, and the patient remains free of recurrent or metastatic disease
• No concurrent coumadin-type anticoagulants, including warfarin, at doses > 1 mg/day
• Concurrent low molecular weight heparin or low dose warfarin (i.e., ≤ 1 mg daily) for prophylaxis against central venous catheter thrombosis is allowed
• No other concurrent investigational or antineoplastic agents