- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05215340
Study of Dato-DXd Plus Pembrolizumab vs Pembrolizumab Alone in the First-line Treatment of Subjects With Advanced or Metastatic NSCLC Without Actionable Genomic Alterations (TROPION-Lung08)
A Randomized, Open-label, Phase 3 Trial of Dato-DXd Plus Pembrolizumab vs Pembrolizumab Alone in Treatment-naïve Subjects With Advanced or Metastatic PD-L1 High (TPS ≥50%) Non-small Cell Lung Cancer Without Actionable Genomic Alterations (TROPION-Lung08)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The primary objective of the study is to compare the efficacy of Dato-DXd and pembrolizumab with pembrolizumab alone in terms of either Progression Free Survival (PFS) or Overall Survival (OS) for participants with advanced or metastatic NSCLC without actionable genomic alterations whose tumor has high programmed death-ligand 1 (PD-L1) expression (tumor proportion score; TPS ≥50%) and who have not previously received systemic therapy for advanced or metastatic NSCLC.
Eligible participants will be randomized in a 1:1 ratio to the control arm (pembrolizumab alone) or the experimental arm (Dato-DXd and pembrolizumab). The study will be divided into 4 periods: Tissue Screening Period, Screening Period, Treatment Period, and Follow-up Period.
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Contact
- Name: (US Sites) Daiichi Sankyo Contact for Clinical Trial Information
- Phone Number: 908-992-6400
- Email: CTRinfo@dsi.com
Study Contact Backup
- Name: (Asia Sites) Daiichi Sankyo Contact for Clinical Trial Informat
- Phone Number: +81-3-6225-1111(M-F 9-5 JST)
- Email: dsclinicaltrial@daiichisankyo.co.jp
Study Locations
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Ciudad Autonoma de Buenos Aire, Argentina, 1125
- Recruiting
- Fundación CENIT para la Investigación en Neurociencias
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Contact:
- Principal Investigator
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Pergamino, Argentina, 2700
- Recruiting
- Centro de Investigación Pergamino S. A.
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Contact:
- Principal Investigator
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Rosario, Argentina, S2000
- Recruiting
- Instituto de Oncología de Rosario
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Contact:
- Principal Investigator
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Rosario, Argentina, S2001
- Recruiting
- Sanatorio Parque
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Contact:
- Principal Investigator
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Rosario, Argentina, S2002
- Recruiting
- Sanatorio Britanico de Rosario
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Contact:
- Principal Investigator
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San Juan, Argentina, 5400
- Recruiting
- CER SAN JUAN - Centro Polivalente de Asistencia e Investigación Clínica
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Viedma, Argentina, 8500
- Recruiting
- Clinica Viedma SA
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Contact:
- Principal Investigator
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Camperdown, Australia, 2050
- Recruiting
- Chris OBrien Lifehouse
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Contact:
- Principal Investigator
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Woodville South, Australia, 5011
- Recruiting
- The Queen Elizabeth Hospital
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Contact:
- Principal Investigator
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Victoria
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Heidelberg, Victoria, Australia, 3084
- Recruiting
- Austin Hospital
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Contact:
- Principal Investigator
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Mount Waverley, Victoria, Australia, 3149
- Recruiting
- Peninsula and South Eastern Haematology and Oncology Group
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Klagenfurt, Austria
- Recruiting
- Klinikum Klagenfurt am Wörthersee Abteilung für Lungenkrankheiten
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Vienna, Austria, 1090
- Recruiting
- Karl-Landsteiner Institute for Lung Research and Pulmonary Oncology c/o Klinik Floridsdorf
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Aalst, Belgium, 9300
- Recruiting
- Onze-Lieve-Vrouwziekenhuis Olvz - Campus Aalst
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Contact:
- Principal Investigator
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Charleroi, Belgium, 6000
- Recruiting
- Grand Hopital de Charleroi - Hopital Saint Joseph
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Contact:
- Principal Investigator
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Gent, Belgium, 9000
- Recruiting
- Az Maria Middelares - Campus Maria Middelares
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Contact:
- Principal Investigator
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Sint-Niklaas, Belgium, 9100
- Recruiting
- AZ Nikolaas
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Contact:
- Principal Investigator
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Caxias Do Sul, Brazil, 95020-972
- Recruiting
- Instituto de Pesquisas em Saúde - IPS
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Contact:
- Principal Investigator
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Curitiba, Brazil, 81520-060
- Recruiting
- Hospital Erasto Gaertner
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Ijui, Brazil, 98700-000
- Recruiting
- Oncosite - Centro de Pesquisa Clinica Oncologia
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Contact:
- Principal Investigator
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Itajaí, Brazil, 88301-220
- Recruiting
- Clinica de Neoplasias Litoral
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Pelotas, Brazil, 96020-080
- Recruiting
- UPCO - Unidade de Pesquisas Clínicas em Oncologia - Clinica Lacks
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Contact:
- Principal Investigator
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Porto Alegre, Brazil, 90050-170
- Recruiting
- Santa Casa de Misericordia de Porto Alegre
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Contact:
- Principal Investigator
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Rio De Janeiro, Brazil, 20231-050
- Recruiting
- Instituto Nacional de Câncer - INCA
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Contact:
- Principal Investigator
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Santo Andre, Brazil, 09060-870
- Recruiting
- Centro de Estudos e Pesquisa de Hematologia e Oncologia - CEPHO
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Contact:
- Principal Investigator
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Sao Paulo, Brazil, 01236-030
- Recruiting
- Instituto de Ensino e Pesquisas Sao Lucas
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Contact:
- Principal Investigator
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Montreal, Canada, H4A 3J2
- Recruiting
- McGill University Health Centre
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Montréal, Canada, H1T 2M4
- Recruiting
- Santa Cabrini Hospital
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Contact:
- Principal Investigator
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Santiago, Chile, 7500000
- Recruiting
- Oncovida
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Contact:
- Principal Investigator
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Santiago, Chile, 7500921
- Recruiting
- Fundación Arturo Pérez López
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Contact:
- Principal Investigator
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Santiago, Chile, 7501010
- Recruiting
- Orlandi Oncologia
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Vina Del Mar, Chile, 254-0488
- Recruiting
- Centro de Investigaciones Clinicas Viña del Mar
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Contact:
- Principal Investigator
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Metropolitana
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Santiago de Chile, Metropolitana, Chile, 7500653
- Recruiting
- Centro de Estudios Clinicos SAGA
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Contact:
- Principal Investigator
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Beijing, China, 100142
- Recruiting
- Peking University Cancer Hospital
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Contact:
- Principal Investigator
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Beijing, China, 100044
- Recruiting
- Peking University Peoples Hospital
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Contact:
- Principal Investigator
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Cangzhou, China, 610001
- Recruiting
- Cangzhou People's Hospital
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Changsha, China, 410013
- Recruiting
- Hunan Cancer Hospital
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Contact:
- Principal Investigator
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Chongqing, China, 400042
- Recruiting
- Army Medical Center of PLA
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Guangzhou, China, 510095
- Recruiting
- Affiliated Cancer Hospital and Institute of Guangzhou Medical University
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Contact:
- Principal Investigator
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Haikou, China, 570208
- Recruiting
- Haikou People's Hospital
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Contact:
- Principal Investigator
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Hanghzou, China, 310003
- Recruiting
- The First Affiliated Hospital of College of Medicine Zhejiang University
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Contact:
- Principal Investigator
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Hangzhou, China, 310022
- Withdrawn
- Zhejiang Cancer Hospital
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Harbin, China, 150081
- Recruiting
- Harbin Medical University Cancer Hospital
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Contact:
- Principal Investigator
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Hohhot, China, 10050
- Recruiting
- Inner Mongolia Medical University- the Affiliated Hospital
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Contact:
- Principal Investigator
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Jiamusi, China, 154007
- Recruiting
- Jiamusi Tumor and Tuberculosis Hospital
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Contact:
- Principal Investigator
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Kunming, China, 650118
- Recruiting
- Yunnan Cancer Hospital
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Contact:
- Principal Investigator
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Linyi, China, 276000
- Recruiting
- Linyi Cancer Hospital
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Contact:
- Principal Investigator
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Nanchang, China, 330006
- Recruiting
- The First Affiliated Hospital of Nanchang University
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Contact:
- Principal Investigator
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Nanjing, China, 210029
- Recruiting
- Jiangsu Province Hospital
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Contact:
- Principal Investigator
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Neijiang, China, 641000
- Recruiting
- The second people's hospital of neijiang
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Contact:
- Principal Investigator
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Shanghai, China, 200433
- Recruiting
- Shanghai Pulmonary Hospital
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Contact:
- Principal Investigator
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Shanghai Shi, China, 200032
- Recruiting
- Fudan University Shanghai Cancer Center
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Contact:
- Principal Investigator
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Shenyang, China, 110001
- Recruiting
- The First Hospital of China Medical University
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Contact:
- Principal Investigator
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Shenyang City, China, 110801
- Recruiting
- Liaoning Cancer Hospital& Institute
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Contact:
- Principal Investigator
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Tianjin, China, 300052
- Recruiting
- Tianjin Medical University General Hospital
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Wuhan, China, 430079
- Recruiting
- Hubei Cancer Hospital
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Contact:
- Principal Investigator
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Wuhan, China, 430022
- Recruiting
- Union Hospital Affiliated With Tongji Medical College Huazhong University of Science and Technology
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Contact:
- Principal Investigator
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Xi'an, China, 710061
- Recruiting
- The First Affiliate Hospitalof Xi'An Jiaotong University
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Contact:
- Principal Investigator
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Xiamen, China, 361001
- Recruiting
- The First Affiliated Hospital Xiamen University
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Contact:
- Principal Investigator
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Xiangyang, China, 441000
- Recruiting
- Xiangyang Central Hospital- 5 Lumen Avenue
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Ürümqi, China, 830000
- Recruiting
- Xinjiang Tumor Hospital
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Contact:
- Principal Investigator
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Guangxi
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Nanning, Guangxi, China, 530021
- Recruiting
- Guangxi Medical University Affiliated Tumor Hospital
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Contact:
- Principal Investigator
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Henan
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Zhengzhou, Henan, China, 450008
- Recruiting
- Henan Cancer Hospital
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Contact:
- Principal Investigator
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Jilin
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Changchun, Jilin, China, 130012
- Recruiting
- Jilin Cancer Hospital
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Contact:
- Principal Investigator
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Sichuan
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Chengdu, Sichuan, China, 610049
- Recruiting
- Sichuan Cancer Hospital
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Bordeaux, France, 33076
- Recruiting
- Institut Bergonie
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Contact:
- Principal Investigator
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Bordeaux, France, 33075
- Recruiting
- Bordeaux University Hospital - Hopital Saint Andre
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Lille, France, 59000
- Recruiting
- Centre Hospitalier Universitaire de Lille
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Contact:
- Principal Investigator
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Lyon, France, 69008
- Recruiting
- Centre Léon Bérard
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Marseille, France, 13015
- Recruiting
- APHM - Hôpital Nord
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Contact:
- Principal Investigator
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Montpellier, France, 34295
- Recruiting
- Centre Hospitalier Universitaire de Montpellier
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Contact:
- Principal Investigator
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Nantes, France, 44093
- Recruiting
- CHU de Nantes
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Contact:
- Principal Investigator
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Nantes Cedex 2, France, 44277
- Recruiting
- Hopital Prive du Confluent
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Contact:
- Principal Investigator
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Paris, France, 75970
- Recruiting
- AP-HP - Hôpital Tenon
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Contact:
- Principal Investigator
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Poitiers, France, 86000
- Recruiting
- CHU de Poitier Pole Regional de Cancerologie
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Contact:
- Principal Investigator
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Suresnes, France, 92150
- Recruiting
- Hopital Foch
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Contact:
- Principal Investigator
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Berlin, Germany, 13125
- Recruiting
- Evangelische Lungenklinik Berlin
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Contact:
- Principal Investigator
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Esslingen, Germany, 73730
- Recruiting
- Klinikum Esslingen GmbH
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Contact:
- Principal Investigator
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Grosshansdorf, Germany, 22927
- Recruiting
- LungenClinic Grosshansdorf
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Contact:
- Principal Investigator
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Muenchen, Germany, 80336
- Recruiting
- Klinikum der Universitaet Muenchen
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Contact:
- Principal Investigator
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Athens, Greece, 11527
- Recruiting
- Sotiria General Hosptial of Chest Diseases
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Contact:
- Principal Investigator
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Ioannina, Greece, 45500
- Recruiting
- University Hospital of Ioannina Uhi
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Contact:
- Principal Investigator
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Neo Faliro, Greece, 18547
- Recruiting
- Metropolitan Hospital
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Contact:
- Principal Investigator
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Thessaloniki, Greece, 54622
- Recruiting
- Bioclinic Thessaloniki
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Athens
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Neo Faliro, Athens, Greece, 14564
- Recruiting
- Metropolitan Hospital
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Contact:
- Principal Investigator
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Hong Kong, Hong Kong
- Recruiting
- Queen Elizabeth Hospital
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Contact:
- Principal Investigator
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Hong Kong, Hong Kong, 99999
- Recruiting
- Prince of Wales Hospital / The Chinese University of Hong Kong 99999
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Pok Fu Lam, Hong Kong, 999077
- Recruiting
- Queen Mary Hospital
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Contact:
- Principal Investigator
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Budapest, Hungary, 1083
- Recruiting
- Semmelweis University Department of Pulmonology
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Contact:
- Principal Investigator
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Farkasgyepű, Hungary, 8582
- Recruiting
- Veszprem Megyei Tudogyogyintezet Farkasgyepu
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Contact:
- Principal Investigator
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KecskemĂŠt, Hungary, 6000
- Recruiting
- BKMK Hospital
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Contact:
- Principal Investigator
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Szekesfehervar, Hungary, 8000
- Recruiting
- Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
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Contact:
- Principal Investigator
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Torokbalint, Hungary, 2045
- Recruiting
- Pulmonology Hospital Torokbalint
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Contact:
- Principal Investigator
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Bari, Italy, 70124
- Recruiting
- IRCCS Istituto Oncologico Giovanni Paolo II
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Contact:
- Principal Investigator
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Chieti, Italy, 66100
- Recruiting
- UOC Oncologia
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Contact:
- Principal Investigator
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Milano, Italy, 20132
- Recruiting
- IRCCS Ospedale San Raffaele
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Contact:
- Principal Investigator
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Milano, Italy, 20141
- Recruiting
- IRCCS Istituto Europeo di Oncologia
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Contact:
- Principal Investigator
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Naples, Italy, 80131
- Recruiting
- Azienda Ospedaliera dei Colli
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Contact:
- Principal Investigator
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Perugia, Italy, 06132
- Recruiting
- A.O. Perugia Santa Maria della Misericordia
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Contact:
- Principal Investigator
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Rome, Italy, 144
- Recruiting
- IFO Regina Elena
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Contact:
- Principal Investigator
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Rome, Italy, 133
- Recruiting
- Policlinico Tor Vergata
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Contact:
- Principal Investigator
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Varese, Italy, 21100
- Recruiting
- Asst Sette Laghi Ospedale di Circolo e Fondazione Macchi
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Contact:
- Principal Investigator
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Kofu-shi, Japan
- Recruiting
- Yamanashi Prefectural Central Hospital
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Kyoto-shi, Japan, 602-8566
- Recruiting
- University Hospital Kyoto Prefectural University of Medicine
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Osaka, Japan, 560-8552
- Recruiting
- Osaka Toneyama Medical Center
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Sapporo, Japan, 006-8555
- Recruiting
- Teine Keijinkai Hospital
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Aomori
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Aomori-shi, Aomori, Japan, 030-8553
- Recruiting
- Aomori Prefectural Central Hospital
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Contact:
- Principal Investigator
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Chiba
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Kashiwa-shi, Chiba, Japan, 277-8577
- Recruiting
- National Cancer Center Hospital East
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Contact:
- Principal Investigator
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Ehime
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Matsuyama-shi, Ehime, Japan, 791-0280
- Recruiting
- NHO Shikoku Cancer Center
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Contact:
- Principal Investigator
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Fukuoka
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Fukuoka-shi, Fukuoka, Japan, 812-8582
- Recruiting
- Kyushu University Hospital
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Contact:
- Principal Investigator
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Fukuoka-shi, Fukuoka, Japan, 811-1395
- Recruiting
- National Hospital Organization Kyushu Cancer Center
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Contact:
- Principal Investigator
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Kurume-shi, Fukuoka, Japan, 830-0011
- Recruiting
- Kurume University Hospital
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Contact:
- Principal Investigator
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Ishikawa
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Kanazawa-shi, Ishikawa, Japan, 920-8641
- Recruiting
- Kanazawa University Hospital
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Contact:
- Principal Investigator
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Kanagawa
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Yokohama-shi, Kanagawa, Japan, 241-8515
- Recruiting
- Kanagawa Cancer Center
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Contact:
- Principal Investigator
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Kumamoto
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Kumamoto-shi, Kumamoto, Japan, 861- 4193
- Recruiting
- Saiseikai Kumamoto Hospital
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Contact:
- Principal Investigator
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Mie
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Matsusaka-shi, Mie, Japan, 515-8544
- Recruiting
- Matsusaka Municipal Hospital
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Contact:
- Principal Investigator
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Miyagi
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Sendai-shi, Miyagi, Japan, 980-0873
- Recruiting
- Sendai Kousei Hospital
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Contact:
- Principal Investigator
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Niigata
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Niigata-shi, Niigata, Japan, 961-8566
- Recruiting
- Niigata Cancer Center Hospital
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Contact:
- Principal Investigator
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Osaka
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Hirakata-shi, Osaka, Japan, 573-1191
- Recruiting
- Kansai Medical University Hospital
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Contact:
- Principal Investigator
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Osaka-shi, Osaka, Japan, 541-8567
- Recruiting
- Osaka International Cancer Institute
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Contact:
- Principal Investigator
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Sakai-shi, Osaka, Japan, 591-8555
- Recruiting
- NHO Kinki-Chuo Chest Medical Center
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Contact:
- Principal Investigator
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Saitama
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Ina-machi, Saitama, Japan, 362-0806
- Recruiting
- Saitama Cancer Center
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Contact:
- Principal Investigator
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Tochigi
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Shimotsuga-gun, Tochigi, Japan, 321-0293
- Recruiting
- Dokkyo Medical University Hospital
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Contact:
- Principal Investigator
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8431
- Recruiting
- Juntendo University Hospital
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Contact:
- Principal Investigator
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Bunkyō-Ku, Tokyo, Japan, 113-8677
- Recruiting
- Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital
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Contact:
- Principal Investigator
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Toyko
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Koto-ku, Toyko, Japan, 135-8550
- Recruiting
- The Cancer Institute Hospital of JFCR
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Contact:
- Principal Investigator
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Ota-ku, Toyko, Japan, 143-8541
- Recruiting
- Toho University Omori Medical Center
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Contact:
- Principal Investigator
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Yamaguchi
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Iwakuni-shi, Yamaguchi, Japan, 740-8510
- Recruiting
- NHO Iwakuni Clinical Center
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Contact:
- Principal Investigator
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Ube-shi, Yamaguchi, Japan, 755-0241
- Recruiting
- Yamaguchi-Ube Medical Center
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Contact:
- Principal Investigator
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Daegu, Korea, Republic of, 42119
- Recruiting
- Kyungpook National University Chilgok Hospital
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Contact:
- Principal Investigator
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Goyang-si, Korea, Republic of, 10408
- Recruiting
- National Cancer Center
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Contact:
- Principal Investigator
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Seoul, Korea, Republic of, 6351
- Recruiting
- Samsung Medical Center
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Contact:
- Principal Investigator
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Seoul, Korea, Republic of, 6591
- Recruiting
- The Catholic Univ. of Korea, Seoul St. Mary'S Hospital
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Contact:
- Principal Investigator
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Songpa-gu, Korea, Republic of, 5505
- Recruiting
- Asan Medical Center
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Contact:
- Principal Investigator
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Chungbuk
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Cheongju-si, Chungbuk, Korea, Republic of, 28644
- Recruiting
- Chungbuk National University Hospital
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Contact:
- Principal Investigator
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Gyeonggi-do
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Seongnam, Gyeonggi-do, Korea, Republic of, 13620
- Recruiting
- Seoul National University Bundang Hospital
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Contact:
- Principal Investigator
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Gyeongsangnam-do
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Jinju-si, Gyeongsangnam-do, Korea, Republic of, 52727
- Recruiting
- Gyeongsang National University Hospital
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Cuauhtémoc, Mexico, 06100
- Recruiting
- Cryptex Investigacion Clinica SA de CV
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Contact:
- Principal Investigator
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Guadalajara, Mexico, 44280
- Recruiting
- Hospital Civil de Guadalajara Fray Antonio Alcalde
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Contact:
- Principal Investigator
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Monterrey, Mexico, 64460
- Recruiting
- Hospital Universitario Dr. Jose Eleuterio Gonzalez
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Contact:
- Principal Investigator
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Oaxaca de Juarez, Mexico, 68020
- Recruiting
- Centro de Investigacion Clinica de Oaxaca (CICLO)
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Contact:
- Principal Investigator
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San Luis Potosí, Mexico, 78209
- Recruiting
- Oncologico Potosino
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Contact:
- Principal Investigator
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Amsterdam, Netherlands, 1081 HZ
- Recruiting
- Amsterdam UMC, location VUmc
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Contact:
- Principal Investigator
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Leiden, Netherlands, 2333 ZA
- Recruiting
- Leiden University Medical Center
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Contact:
- Principal Investigator
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s-Hertogenbosch, Netherlands, 5223 GZ
- Recruiting
- Jeroen Bosch Ziekenhuis J BZ Hieronymus Bosch Hospital
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Contact:
- Principal Investigator
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Gelderland
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Arnhem, Gelderland, Netherlands, 6815 AD
- Recruiting
- Rijnstate Ziekenhuis
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Contact:
- Principal Investigator
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Bialystok, Poland, 15-450
- Recruiting
- II Klinika Chorob Pluc i Gruzlicy
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Contact:
- Principal Investigator
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Lublin, Poland, 20-064
- Recruiting
- MS Pneumed Janusz Milanowski, Katarzyna Szmygin-Milanowska Sp. Jawna
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Iodzkie
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Lodz, Iodzkie, Poland, 93-338
- Recruiting
- Instytut Centrum Zdrowia Matki Polki
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Contact:
- Principal Investigator
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Pomorskie
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Gdynia, Pomorskie, Poland, 81-519
- Recruiting
- Szpitale Pomorskie Sp. z o.o.
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Zachodniopomorskie
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Szczecin, Zachodniopomorskie, Poland, 70-784
- Recruiting
- Dom Lekarski SA
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Contact:
- Principal Investigator
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Lisboa, Portugal, 1400-038
- Recruiting
- Centro Clinico Champalimau
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Contact:
- Principal Investigator
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Porto, Portugal, 4200-319
- Recruiting
- Centro Hospitalar Universitário de São João
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Porto, Portugal, 4100-180
- Recruiting
- Hospital CUF Porto
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Contact:
- Principal Investigator
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Porto, Portugal, 4099-001
- Recruiting
- Centro Hospitalar e Universitário do Porto
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Contact:
- Principal Investigator
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Porto, Portugal, 4200-072
- Recruiting
- Instituto Portuguas de Oncologia do Porto Francisco Gentil
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Craiova, Romania, 200094
- Recruiting
- Onco Clinic Consult SA
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Suceava, Romania, 720214
- Recruiting
- Sc Sigmedical Services Srl
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Timisoara, Romania, 300239
- Recruiting
- SC Oncomed SRL
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Timisoara, Romania, 300166
- Recruiting
- Oncocenter-Oncologie Clinica SRL
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Barcelona, Spain, 8035
- Recruiting
- Hospital Universitari Vall d'Hebron
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Contact:
- Principal Investigator
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Barcelona, Spain, 08036
- Recruiting
- Hospital Clinic i Provincial de Barcelona
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Contact:
- Principal Investigator
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Lleida, Spain, 25198
- Recruiting
- Hospital Universitario Arnau de Vilanova - Lleida
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Contact:
- Principal Investigator
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Madrid, Spain, 28040
- Recruiting
- Hospital Clinico San Carlos
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Contact:
- Principal Investigator
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Madrid, Spain, 28007
- Recruiting
- Hospital General Universitario Gregorio Maranon
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Contact:
- Principal Investigator
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Madrid, Spain, 28040
- Recruiting
- Hospital Universitario Fundacion Jimenez Diaz
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Contact:
- Principal Investigator
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Malaga, Spain, 29010
- Recruiting
- Hospital Regional Universitario Malaga
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Contact:
- Principal Investigator
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Ourense, Spain, 32005
- Recruiting
- CHUO
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Contact:
- Principal Investigator
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Sevilla, Spain, 41009
- Recruiting
- Hospital Universitario Virgen Macarena
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Contact:
- Principal Investigator
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Sevilla, Spain, 41014
- Recruiting
- Hospital Universitario de Valme
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Valencia, Spain, 46026
- Recruiting
- Hospital Universitari i Politecnic La Fe
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Contact:
- Principal Investigator
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Zaragoza, Spain, 50009
- Recruiting
- Hospital Universitario Miguel Servet
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Contact:
- Principal Investigator
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Baden, Switzerland, 5404
- Recruiting
- Kantonsspital Baden
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Contact:
- Principal Investigator
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Basel, Switzerland, 4031
- Recruiting
- University Hospital Basel
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Contact:
- Principal Investigator
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Liestal, Switzerland, A4410
- Recruiting
- Kantonsspital Baselland
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Contact:
- Principal Investigator
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-
-
-
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Kaohsiung, Taiwan, 833
- Recruiting
- Chang Gung Memorial Hospital CGMH - Kaohsiung Branch
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Contact:
- Principal Investigator
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Kaohsiung City, Taiwan, 824
- Recruiting
- E-DA hospital
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Contact:
- Principal Investigator
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Taichung, Taiwan, 40705
- Recruiting
- Taichung Veterans General Hospital
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Contact:
- Principal Investigator
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Taichung, Taiwan, 40201
- Recruiting
- Chung Shan Medical University Hospital
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Contact:
- Principal Investigator
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Tainan, Taiwan, 704
- Recruiting
- National Cheng Kung University Hospital NCKUH
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Contact:
- Principal Investigator
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Taipei, Taiwan, 100
- Recruiting
- National Taiwan University Hospital
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Contact:
- Principal Investigator
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Taipei, Taiwan, 112
- Recruiting
- Koo Foundation Sun Yat-Sen Cancer Center
-
Contact:
- Principal Investigator
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Taipei City, Taiwan, 11217
- Recruiting
- Taipei Veterans General Hospital
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Contact:
- Principal Investigator
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Taoyuan, Taiwan, 333
- Recruiting
- Chang Gung Memorial Hospital Linkou
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Contact:
- Principal Investigator
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-
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Bangkok, Thailand, 10700
- Recruiting
- Siriraj Hospital
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Contact:
- Principal Investigator
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Bangkok, Thailand, 10330
- Recruiting
- Faculty of Medicine Chulalongkorn University
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Contact:
- Principal Investigator
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Khon Kaen
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Muaeng, Khon Kaen, Thailand, 40002
- Recruiting
- Srinagarind Hospital
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Contact:
- Principal Investigator
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Songkhla
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Hat Yai, Songkhla, Thailand, 90110
- Recruiting
- Prince of Songkla University PSU - Faculty of Medicine
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Contact:
- Principal Investigator
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Adana, Turkey, 1130
- Recruiting
- Adana Acibadem Hospital
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Bornova-İzmir, Turkey, 35100
- Recruiting
- Ege University
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Seyhan /Adana, Turkey, 1140
- Recruiting
- Medical Park Seyhan Hospital
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İstanbul, Turkey, 34772
- Recruiting
- Goztepe Prof. Dr. Suleyman Yalcin City Hospital
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-
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Birmingham, United Kingdom, B9 5SS
- Recruiting
- Birmingham Heartlands Hospital
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Contact:
- Principal Investigator
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Glasgow, United Kingdom, G12 0YN
- Recruiting
- Beatson West of Scotland Cancer Centre
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Contact:
- Principal Investigator
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Nottingham, United Kingdom, NG5 1PB
- Recruiting
- Nottingham University Hospitals
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Contact:
- Principal Investigator
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Arizona
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Chandler, Arizona, United States, 85224
- Recruiting
- Ironwood Cancer and Research Center
-
Contact:
- Principal Investigator
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California
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Los Angeles, California, United States, 90095
- Recruiting
- UCLA HemOnc - Clinical Research Unit
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Riverside, California, United States, 92501
- Recruiting
- Compassionate Cancer Care Medical Group
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Contact:
- Principal Investigator
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San Francisco, California, United States, 94158
- Recruiting
- UCSF Helen Diller Family Comprehensive Cancer Center
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Santa Barbara, California, United States, 93105
- Recruiting
- Ridley-Tree Cancer Center
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Whittier, California, United States, 90603
- Recruiting
- The Oncology Institute of Hope and Innovation
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Contact:
- Principal Investigator
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Whittier, California, United States, 90602
- Recruiting
- PIH Health Whittier Hospital
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Contact:
- Principal Investigator
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Colorado
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Colorado Springs, Colorado, United States, 80909
- Recruiting
- Uch-Mhs D/B/A Memorial Health System
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Contact:
- Principal Investigator
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Maryland
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Baltimore, Maryland, United States, 21205
- Recruiting
- Johns Hopkins University
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Contact:
- Principal Investigator
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Bethesda, Maryland, United States, 20817
- Recruiting
- American Oncology Partners of Maryland
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Contact:
- Principal Investigator
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Recruiting
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, United States, 02115
- Recruiting
- Dana-Farber Cancer Institute
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Contact:
- Principal Investigator
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Boston, Massachusetts, United States, 02215
- Recruiting
- DFCI - Steward St. Elizabeth's Medical Center
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Foxboro, Massachusetts, United States, 02035
- Recruiting
- Dana Farber Cancer Institute - Foxborough
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Milford, Massachusetts, United States, 01757
- Recruiting
- Dana Farber Cancer Institute - Milford Medical Center
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South Weymouth, Massachusetts, United States, 02190
- Recruiting
- DFCI - South Shore Hospital
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New Hampshire
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Lebanon, New Hampshire, United States, 03766
- Recruiting
- Dartmouth Hitchcock Medical Center
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Contact:
- Principal Investigator
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New Jersey
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East Brunswick, New Jersey, United States, 08816
- Recruiting
- Astera Cancer Care
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Contact:
- Principal Investigator
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Freehold, New Jersey, United States, 07728
- Recruiting
- Regional Cancer Care Associates LLC
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Contact:
- Principal Investigator
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New Brunswick, New Jersey, United States, 08901
- Recruiting
- Cooperman Barnabas Medical Center
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Contact:
- Principal Investigator
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Paramus, New Jersey, United States, 07652
- Recruiting
- The Valley Hospital
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Contact:
- Principal Investigator
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New York
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Bronx, New York, United States, 10461
- Recruiting
- Montefiore Medical Center
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Contact:
- Principal Investigator
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Texas
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Irving, Texas, United States, 75063
- Recruiting
- Arizona Oncology NAHOA
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Irving, Texas, United States, 75063
- Recruiting
- Cancer Care Center of Brevard
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Irving, Texas, United States, 75063
- Recruiting
- Maryland Oncology Hematology
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Irving, Texas, United States, 75063
- Recruiting
- Southern Cancer Center
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Irving, Texas, United States, 75063
- Recruiting
- Texas Oncology - Northeast Texas
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Irving, Texas, United States, 75063
- Recruiting
- Texas Oncology Gulf Coast
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Irving, Texas, United States, 75063
- Recruiting
- Texas Oncology McAllen
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Irving, Texas, United States, 75063
- Recruiting
- Illinois Cancer Specialists
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Irving, Texas, United States, 75063
- Recruiting
- Woodlands Medical
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San Antonio, Texas, United States, 78229
- Recruiting
- University of Texas Health Science Center San Antonio
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Contact:
- Principal Investigator
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Utah
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Salt Lake City, Utah, United States, 84106
- Recruiting
- Utah Cancer Specialists
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Contact:
- Principal Investigator
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Washington
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Lacey, Washington, United States, 98503
- Recruiting
- Providence Regional Cancer System
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Contact:
- Principal Investigator
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Recruiting
- Medical College of Wisconsin
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Contact:
- Principal Investigator
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Participants eligible for inclusion in the study must meet all inclusion criteria within 28 days of randomization into the study.
- Sign and date the Tissue Screening and Main Informed Consent Forms, prior to the start of any study-specific qualification procedures.
- Adults ≥18 years or the minimum legal adult age (whichever is greater) at the time of informed consent.
Histologically documented NSCLC that meets all of the following criteria:
- Stage IIIB or IIIC disease and not candidates for surgical resection or definitive chemoradiation, or Stage IV NSCLC disease at the time of randomization (based on the American Joint Committee on Cancer, Eighth Edition). Participants with early-stage NSCLC who have relapsed should be restaged during screening to ensure their eligibility for the study.
- Documented negative test results for epidermal growth factor receptor (EGFR), lymphoma kinase (ALK), and proto-oncogene1 (ROS1) actionable genomic alterations based on analysis of tumor tissue.
- No known actionable genomic alterations in neurotrophic tyrosine receptor kinase (NTRK), proto-oncogene B-raf (BRAF), rearranged during transfection (RET), mesenchymal-epithelial transition factor (MET), or other actionable driver kinases with locally approved therapies.
- Has provided a formalin-fixed tumor tissue sample for the measurement of trophoblast cell surface protein 2 (TROP2) protein expression and for the assessment of other exploratory biomarkers.
- Tumor has high programmed death receptor-1 (PD-L1) expression (TPS ≥50%) as determined by PD-L1 immunohistochemistry (IHC) 22C3 pharmDx assay by central testing (minimum of 6 slides).
- Has an adequate treatment washout period before Cycle 1 Day 1.
- Measurable disease based on local imaging assessment using RECIST Version 1.1.
- Has left ventricular ejection fraction (LVEF) ≥50% by either an echocardiogram (ECHO) or multigated acquisition scan (MUGA) within 28 days before randomization.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1 at screening.
- Has a life expectancy of at least 3 months.
- Adequate bone marrow function within 7 days before randomization.
Exclusion Criteria:
- Has received prior systemic treatment for advanced or metastatic NSCLC.
Has received prior treatment for NSCLC with any of the following, including in the adjuvant/neoadjuvant setting:
- Any agent, including an antibody-drug conjugate, containing a chemotherapeutic agent targeting topoisomerase I.
- TROP2-targeted therapy.
- Any anti-programmed death receptor-1 (PD-1), anti-PD-L1, or anti-PD-ligand 2 (L2) agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX40, CD137).
- Any other immune checkpoint inhibitors. Participants who received adjuvant or neoadjuvant therapy OTHER than those listed above, are eligible if the adjuvant/neoadjuvant therapy was completed at least 6 months prior to the diagnosis of advanced/metastatic disease.
- Has spinal cord compression or active and untreated central nervous system (CNS) metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable.
- Has received prior radiotherapy ≤4 weeks of start of study intervention or more than 30 Gy (unit of ionizing radiation dose in the International System of Units) to the lung within 6 months of Cycle 1 Day 1.
History of another primary malignancy (beyond NSCLC) except for:
- Malignancy treated with curative intent and with no known active disease ≥3 years before the first dose of study treatment and of low potential risk for recurrence.
- Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease.
- Adequately treated carcinoma in situ without evidence of disease.
- Participants with a history of prostate cancer (tumor/node/metastasis stage) of Stage ≤T2cN0M0 without biochemical recurrence or progression and who in the opinion of the Investigator are not deemed to require active intervention.
- Has a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis including radiation pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
- Clinically severe pulmonary compromise, as judged by the investigator, resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder, or any autoimmune, connective tissue or inflammatory disorders with pulmonary involvement or prior complete pneumonectomy.
Uncontrolled or significant cardiovascular disease, including:
- Mean QT interval corrected for heart rate using Fridericia's formula (QTcF) interval >470 msec regardless of sex (based on the average of the 12-lead electrocardiogram determination at screening).
- Myocardial infarction within 6 months prior to randomization.
- Uncontrolled angina pectoris within 6 months prior to randomization.
- LVEF <50% by ECHO or MUGA scan within 28 days before randomization.
- New York Heart Association Class 2 to 4 congestive heart failure (CHF) at screening.
- Uncontrolled hypertension (resting systolic blood pressure >180 mmHg or diastolic blood pressure >110 mmHg) within 28 days before randomization.
Participants with a history of Class 2 to 4 CHF prior to screening, must have returned to Class 1 CHF and have LVEF ≥50% (by either an ECHO or MUGA scan within 28 days before randomization) in order to be eligible.
- Clinically significant corneal disease.
- Has received a live vaccine or live-attenuated vaccine (messenger ribonucleic acid and replication-incompetent adenoviral vaccines are not considered attenuated live vaccines) within 30 days prior to the first dose of study drug. For any participant receiving an approved severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) vaccine, please follow the vaccine label and/or local guidance.
- Active, known, or suspected autoimmune disease (has an active autoimmune disease that has required systemic treatment in the past 2 years).
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosage >10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy ≤7 days prior to the first dose of study drug.
- Has known human immunodeficiency virus (HIV) infection that is not well controlled.
- Has an active hepatitis or uncontrolled hepatitis B or active hepatitis C infection.
- Has an uncontrolled infection requiring IV antibiotics, antivirals, or antifungals.
- Had an allogeneic tissue/solid organ transplant.
- Has a history of severe hypersensitivity reactions to either the drug or inactive ingredients (including but not limited to polysorbate 80) of Dato-DXd or pembrolizumab.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Pembrolizumab + Datopotamab Deruxtecan (Dato-DXd)
Participants will be randomized to receive 200 mg pembrolizumab followed by 6.0mg/kg Dato-DXd.
|
Dato-DXd will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
Other Names:
Pembrolizumab will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
Other Names:
|
Active Comparator: Pembrolizumb
Participants will be randomized to receive 200 mg pembrolizumab.
|
Pembrolizumab will be administered as an intravenous (IV) infusion every 3 weeks on Day 1 of each 21-day cycle.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free Survival Based on Blinded Independent Central Review in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Overall Survival in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until date of death due to any cause, up to approximately 53 months
|
Overall Survival (OS) is defined as the time from randomization to death due to any cause.
|
From randomization until date of death due to any cause, up to approximately 53 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Objective Response Rate by Blinded Independent Central Review in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Objective Response Rate (ORR) is defined as the proportion of participants who achieved a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), assessed by BICR per RECIST Version 1.1.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Progression-free Survival by Investigator in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Progression-free Survival (PFS) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by the Investigator per RECIST Version 1.1.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Progression-free Survival 2 in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 53 months
|
Progression-free Survival 2 (PFS2) is defined as the time from randomization to the first documented radiographic disease progression or death due to any cause, whichever occurs first, assessed by local standard clinical practice.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 53 months
|
Objective Response Rate by Investigator in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Objective Response Rate (ORR) is defined as the proportion of participants who achieved a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR), assessed by the Investigator per RECIST Version 1.1.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Duration of Response by BICR and Investigator in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From date of first objective response (CR or PR) to date of first radiographic disease progression or death due to any cause (whichever occurs first), up to approximately 32 months
|
Duration of Response (DoR) is defined as the time from the date of the first documentation of objective response (confirmed CR or confirmed PR) to the date of the first radiographic disease progression or death due to any cause, whichever occurs first, assessed by BICR and by the Investigator per RECIST Version 1.1.
|
From date of first objective response (CR or PR) to date of first radiographic disease progression or death due to any cause (whichever occurs first), up to approximately 32 months
|
Time to Response by BICR and Investigator in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization to date of first objective response (CR or PR), up to approximately 32 months
|
Time to Response (TTR) is defined as the time from randomization to the date of the first documentation of objective response (confirmed CR or confirmed PR) in responding participants, assessed by BICR and by the Investigator per RECIST Version 1.1.
|
From randomization to date of first objective response (CR or PR), up to approximately 32 months
|
Disease Control Rate by BICR and Investigator in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Disease Control Rate (DCR) is defined as the proportion of participants who achieved a BOR of confirmed CR, confirmed PR, or stable disease (SD), assessed by BICR and by the Investigator per RECIST Version 1.1.
|
From randomization until disease progression or death (whichever occurs first), up to approximately 32 months
|
Time to Deterioration in Participants Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: From randomization until disease progression or death (whichever occurs first), up to approximately 53 months
|
Time to Deterioration (TTD) is defined as the time from randomization to first onset of a ≥10-point increase in cough, chest pain, or dyspnea, confirmed by a second adjacent ≥10-point increase from randomization in the same symptom, or confirmed by death within 21 days of a ≥10-point increase from randomization, assessed the European Organization for Research and Treatment of Cancer Lung cancer module (EORTC-QLQ-LC13).
|
From randomization until disease progression or death (whichever occurs first), up to approximately 53 months
|
Number of Participants With Treatment-emergent Adverse Events (TEAE) Who Were Administered Dato-DXd in Combination With Pembrolizumab Compared With Pembrolizumab
Time Frame: Up to 53 months
|
A TEAE is defined as an AE with a start or worsening date on or after the start date of study treatment until 37 days after the end date of study treatment.
|
Up to 53 months
|
Proportion of Participants Who Are Anti-Drug Antibody (ADA)-Positive (Baseline and Post-Baseline) and Proportion of Participants Who Have Treatment-emergent ADA
Time Frame: Baseline and up to 53 months
|
The immunogenicity of Dato-DXd in combination with pembrolizumab will be assessed.
|
Baseline and up to 53 months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Global Clinical Leader, Daiichi Sankyo
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Neoplasms
- Lung Diseases
- Neoplasms by Site
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Lung Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Pembrolizumab
Other Study ID Numbers
- DS1062-A-U304
- 2021-002555-10 (EudraCT Number)
- KEYNOTE-C73 (Other Identifier: Merck)
- MK3475-C73 (Other Identifier: Merck)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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