RATIONALE: Some tumors need growth factors produced by the body's white blood cells to keep
growing. Goserelin may interfere with the growth factor and may stop the tumor from growing.
Bicalutamide may prevent androgens from stimulating the growth of cancer cells.
PURPOSE: Phase II trial to study the effectiveness of goserelin plus bicalutamide in
treating patients who have refractory or recurrent cancer of the ovary, fallopian tube, or
OBJECTIVES: I. Determine the time-to-treatment failure in patients with ovarian epithelial,
fallopian tube, or peritoneal carcinoma, in second or greater remission, treated with
bicalutamide and goserelin. II. Assess luteinizing hormone and follicle-stimulating hormone
suppression in correlation with serum vascular endothelial growth factor levels, and
determine if these levels are related to time to treatment failure in these patients. III.
Correlate the presence or absence of androgen receptor tissue expression by
immunohistochemistry and androgen receptor gene trinucleotide repeat length to time to
treatment failure in these patients.
OUTLINE: Patients receive oral bicalutamide once daily and goserelin subcutaneously once
every 4 weeks. Treatment continues in the absence of unacceptable toxicity until disease
PROJECTED ACCRUAL: A total of 35 patients will be accrued for this study.
DISEASE CHARACTERISTICS: Histologically confirmed epithelial carcinoma arising in the
ovary, fallopian tube, or peritoneum, in second or greater remission Failed initial
therapy with persistent or recurrent disease Cytoreductive surgery AND At least 1
platinum-based chemotherapy regimen No evidence of disease within 4 months of salvage
chemotherapy CA-125 less than 35 U Negative physical exam No abdominal or pelvic disease
PATIENT CHARACTERISTICS: Age: Adult Performance status: Karnofsky 60-100% Life expectancy:
Not specified Hematopoietic: Absolute neutrophil count at least 1,000/mm3 Platelet count
at least 100,000/mm3 Hepatic: Bilirubin less than 2 times upper limit of normal (ULN) SGOT
less than 2 times ULN Alkaline phosphatase less than 2 times ULN Renal: Not specified
Other: No other active invasive malignancy No inability to receive subcutaneous injection
No inability to tolerate oral medication
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease
Characteristics Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: See
Disease Characteristics Other: No concurrent oral anticoagulants