Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Kemoterapi kombineret med immunterapi vs immunterapi alene til ældre voksne med stadium IIIB-IV lungekræft, ACHIEVE-forsøget

4. november 2026 opdateret af: National Cancer Institute (NCI)

Et randomiseret fase III-forsøg med kemo-immunterapi vs immunterapi alene for sårbare ældre voksne med avanceret ikke-småcellet lungekræft: ACHIEVE-undersøgelsen

This phase III trial compares the effect of adding chemotherapy to immunotherapy (pembrolizumab) versus immunotherapy alone in treating patients with stage IIIB-IV lung cancer. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving pembrolizumab and chemotherapy may help stabilize lung cancer.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

PRIMARY OBJECTIVE:

I. To evaluate whether there is an improvement in overall survival (OS) with chemotherapy combined with pembrolizumab compared to single agent pembrolizumab in this vulnerable older adult patient population.

SECONDARY OBJECTIVES:

I. To evaluate any difference in progression free survival (PFS) with chemotherapy combined with pembrolizumab as compared to single agent pembrolizumab.

II. To evaluate the difference in PFS rate at 3 months and at 6 months with chemotherapy combined with pembrolizumab as compared to single agent pembrolizumab.

III. To evaluate the difference in best objective response rate using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria to assess whether chemotherapy combined with pembrolizumab results in improved response rates compared to treatment with single agent pembrolizumab.

IV. To evaluate toxicity in those treated with chemotherapy combined with pembrolizumab compared to those treated with single agent pembrolizumab.

V. To evaluate patient reported quality of life (QOL) evaluations between treatment arms.

EXPLORATORY OBJECTIVES:

I. To compare safety and tolerability between treatment arms. II. To explore factors within the pre-treatment geriatric assessment (GA) as predictors of toxicity and outcomes. To describe changes between the intended chemotherapy treatment planned versus treatment given and referrals placed by treating provider based on GA results.

III. To evaluate the assessment of a novel, composite fPFS score using disease progression/functional impairment assessment as a potential correlate to OS in this vulnerable population.

IV. To evaluate the correlation of 3-months PFS with OS as a potential surrogate of OS benefit.

V. To evaluate the correlation of 6-months PFS with OS as a potential surrogate of OS benefit.

VI. To assess elective dose intensity of chemotherapy of patients who receive doublet chemotherapy versus single agent chemotherapy.

EXPLORATORY CORRELATIVE OBJECTIVE:

I. To relate gut microbe abundances to treatment outcomes, toxicity, and geriatric assessments.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM A:

INDUCTION: Patients receive pembrolizumab intravenously (IV) over 30 minutes on day 1 of each cycle. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

MAINTENANCE: Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 or 42 days for 2 years in the absence of disease progression or unacceptable toxicity.

ARM B:

INDUCTION: Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Patients also receive investigator's choice of a chemotherapy regimen: 1) Pemetrexed IV over 10 minutes + carboplatin IV over 30-60 minutes on day 1 of each cycle; 2) Nab-paclitaxel IV over 30 on days 1, 8, and 15 of each cycle + carboplatin IV over 30-60 minutes on day 1 of each cycle; 3) Paclitaxel IV over 1 hour on day 1, 8, and 15 of each cycle or over 3 hours on day 1 of each cycle + carboplatin IV over 30-60 minutes on day 1 of each cycle; 4) Nab-paclitaxel IV over 30 minutes on days 1, 8 and 15 of each cycle; 5) Paclitaxel IV over 3 hours on day 1 of each cycle or over 1 hour on days 1, 8, and 15 of each cycle; or 6) Pemetrexed IV over 10 minutes on day 1 of each cycle. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

MAINTENANCE: Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 or 42 days for 2 years in the absence of disease progression or unacceptable toxicity.

All patients undergo magnetic resonance imaging (MRI) at baseline and computed tomography (CT) and/or positron emission tomography (PET) on the trial at baseline and throughout the trial.

After completion of study treatment, patients are followed up every 3 months if < 2 years from randomization and every 6 months if 2-5 years from Step 1 registration.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

304

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Arkansas
      • Fayetteville, Arkansas, Forenede Stater, 72703
        • Rekruttering
        • Highlands Oncology Group - Fayetteville
        • Ledende efterforsker:
          • Joseph T. Beck
        • Kontakt:
      • Fort Smith, Arkansas, Forenede Stater, 72903
        • Rekruttering
        • Mercy Hospital Fort Smith
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-378-9373
        • Ledende efterforsker:
          • Jay W. Carlson
      • Rogers, Arkansas, Forenede Stater, 72758
        • Rekruttering
        • Highlands Oncology Group - Rogers
        • Ledende efterforsker:
          • Joseph T. Beck
        • Kontakt:
      • Springdale, Arkansas, Forenede Stater, 72762
        • Rekruttering
        • Highlands Oncology Group
        • Ledende efterforsker:
          • Joseph T. Beck
        • Kontakt:
    • California
      • Burlingame, California, Forenede Stater, 94010
        • Rekruttering
        • UCSF Cancer Center Burlingame
        • Kontakt:
        • Ledende efterforsker:
          • Sirisha Tummala
      • Dublin, California, Forenede Stater, 94568
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente Dublin
      • Fremont, California, Forenede Stater, 94538
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Fremont
      • Fresno, California, Forenede Stater, 93720
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Fresno
      • Fresno, California, Forenede Stater, 93720
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente Fresno Orchard Plaza
      • Loma Linda, California, Forenede Stater, 92357
        • Rekruttering
        • Veterans Affairs Loma Linda Healthcare System
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-741-8387
        • Ledende efterforsker:
          • Jeena Chorath
      • Modesto, California, Forenede Stater, 95356
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Modesto
      • Modesto, California, Forenede Stater, 95356
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente- Modesto MOB II
      • Oakland, California, Forenede Stater, 94611
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Oakland
      • Palo Alto, California, Forenede Stater, 94304
        • Aktiv, ikke rekrutterende
        • VA Palo Alto Health Care System
      • Roseville, California, Forenede Stater, 95661
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Roseville
      • Sacramento, California, Forenede Stater, 95823
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-South Sacramento
      • Sacramento, California, Forenede Stater, 95814
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente Downtown Commons
      • San Francisco, California, Forenede Stater, 94115
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-San Francisco
      • San Jose, California, Forenede Stater, 95119
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Santa Teresa-San Jose
      • San Leandro, California, Forenede Stater, 94577
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente San Leandro
      • San Rafael, California, Forenede Stater, 94903
        • Aktiv, ikke rekrutterende
        • Kaiser San Rafael-Gallinas
      • Santa Clara, California, Forenede Stater, 95051
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente Medical Center - Santa Clara
      • Santa Rosa, California, Forenede Stater, 95403
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Santa Rosa
      • South San Francisco, California, Forenede Stater, 94080
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-South San Francisco
      • Vallejo, California, Forenede Stater, 94589
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Vallejo
      • Walnut Creek, California, Forenede Stater, 94596
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente-Walnut Creek
    • Connecticut
      • Stamford, Connecticut, Forenede Stater, 06904
        • Rekruttering
        • Stamford Hospital/Bennett Cancer Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 203-323-8944
        • Ledende efterforsker:
          • Salvatore A. Del Prete
      • West Haven, Connecticut, Forenede Stater, 06516
        • Rekruttering
        • Veterans Affairs Connecticut Healthcare System-West Haven Campus
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 2832 203-937-3421
        • Ledende efterforsker:
          • Herta H. Chao
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20037
        • Rekruttering
        • George Washington University Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 202-741-2210
        • Ledende efterforsker:
          • Prashanth Ashok Kumar
    • Florida
      • Aventura, Florida, Forenede Stater, 33180
        • Rekruttering
        • UM Sylvester Comprehensive Cancer Center at Aventura
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 954-461-2180
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Coral Gables, Florida, Forenede Stater, 33146
        • Rekruttering
        • UM Sylvester Comprehensive Cancer Center at Coral Gables
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 305-243-2647
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Deerfield Beach, Florida, Forenede Stater, 33442
        • Rekruttering
        • UM Sylvester Comprehensive Cancer Center at Deerfield Beach
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 305-243-2647
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Fort Lauderdale, Florida, Forenede Stater, 33308
        • Rekruttering
        • Holy Cross Hospital
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Gainesville, Florida, Forenede Stater, 32610
        • Rekruttering
        • Malcom Randall Veterans Administration Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Brittany K. Rogers
      • Gainesville, Florida, Forenede Stater, 32610
        • Rekruttering
        • UF Health Cancer Institute - Gainesville
        • Ledende efterforsker:
          • Aline F. Fares
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 352-273-8010
      • Lakeland, Florida, Forenede Stater, 33805
        • Rekruttering
        • The Watson Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 863-680-7780
        • Ledende efterforsker:
          • Leonard J. Gitter
      • Miami, Florida, Forenede Stater, 33136
        • Rekruttering
        • University of Miami Miller School of Medicine-Sylvester Cancer Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 305-243-2647
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Miami, Florida, Forenede Stater, 33176
        • Rekruttering
        • UM Sylvester Comprehensive Cancer Center at Kendall
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 305-243-2647
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Pensacola, Florida, Forenede Stater, 32504
        • Rekruttering
        • Sacred Heart Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Ranjith B. Dissanayake
      • Plantation, Florida, Forenede Stater, 33324
        • Rekruttering
        • UM Sylvester Comprehensive Cancer Center at Plantation
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 305-243-2647
        • Ledende efterforsker:
          • Chukwuemeka (Emeka) V. Ikpeazu
      • Tampa, Florida, Forenede Stater, 33607
        • Rekruttering
        • Moffitt Cancer Center-International Plaza
        • Ledende efterforsker:
          • Mohammed Al-Jumayli
        • Kontakt:
      • Tampa, Florida, Forenede Stater, 33612
        • Rekruttering
        • Moffitt Cancer Center - McKinley Campus
        • Ledende efterforsker:
          • Mohammed Al-Jumayli
        • Kontakt:
      • Tampa, Florida, Forenede Stater, 33612
        • Rekruttering
        • Moffitt Cancer Center
        • Ledende efterforsker:
          • Mohammed Al-Jumayli
        • Kontakt:
      • Tampa, Florida, Forenede Stater, 33612
        • Rekruttering
        • James A. Haley Veterans Affairs Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 813-972-2000
        • Ledende efterforsker:
          • Elaine Tan
      • Wesley Chapel, Florida, Forenede Stater, 33544
        • Rekruttering
        • Moffitt Cancer Center at Wesley Chapel
        • Ledende efterforsker:
          • Mohammed Al-Jumayli
        • Kontakt:
    • Georgia
      • Newnan, Georgia, Forenede Stater, 30265
        • Rekruttering
        • CTCA at Southeastern Regional Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 770-400-6629
        • Ledende efterforsker:
          • Debora S. Bruno
    • Hawaii
      • Honolulu, Hawaii, Forenede Stater, 96819
        • Aktiv, ikke rekrutterende
        • Kaiser Permanente Moanalua Medical Center
    • Idaho
      • Boise, Idaho, Forenede Stater, 83706
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Boise
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Caldwell, Idaho, Forenede Stater, 83605
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Caldwell
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Coeur d'Alene, Idaho, Forenede Stater, 83814
        • Rekruttering
        • Kootenai Health - Coeur d'Alene
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Nampa, Idaho, Forenede Stater, 83687
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Nampa
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Post Falls, Idaho, Forenede Stater, 83854
        • Rekruttering
        • Kootenai Clinic Cancer Services - Post Falls
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Sandpoint, Idaho, Forenede Stater, 83864
        • Rekruttering
        • Kootenai Clinic Cancer Services - Sandpoint
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
    • Illinois
      • Aurora, Illinois, Forenede Stater, 60504
        • Rekruttering
        • Rush-Copley Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Joseph T. Meschi
      • Aurora, Illinois, Forenede Stater, 60506
        • Rekruttering
        • Advocate Outpatient Center - Aurora
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Barrington, Illinois, Forenede Stater, 60010
        • Rekruttering
        • Advocate Good Shepherd Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-842-4847
        • Ledende efterforsker:
          • Peter J. Polewski
      • Carterville, Illinois, Forenede Stater, 62918
        • Rekruttering
        • SIH Cancer Institute
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Chicago, Illinois, Forenede Stater, 60612
        • Rekruttering
        • University of Illinois
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 312-355-3046
        • Ledende efterforsker:
          • Frank Weinberg
      • Chicago, Illinois, Forenede Stater, 60657
        • Rekruttering
        • Advocate Illinois Masonic Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 773-296-5360
        • Ledende efterforsker:
          • Peter J. Polewski
      • Chicago, Illinois, Forenede Stater, 60612
        • Rekruttering
        • Rush MD Anderson Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Joseph T. Meschi
      • Crystal Lake, Illinois, Forenede Stater, 60014
        • Rekruttering
        • AMG Crystal Lake - Oncology
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Danville, Illinois, Forenede Stater, 61832
        • Rekruttering
        • Carle at The Riverfront
        • Ledende efterforsker:
          • Tanmay Sahai
        • Kontakt:
      • Decatur, Illinois, Forenede Stater, 62526
        • Rekruttering
        • Cancer Care Specialists of Illinois - Decatur
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Decatur, Illinois, Forenede Stater, 62526
        • Rekruttering
        • Decatur Memorial Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Downers Grove, Illinois, Forenede Stater, 60515
        • Rekruttering
        • Advocate Good Samaritan Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Effingham, Illinois, Forenede Stater, 62401
        • Rekruttering
        • Carle Physician Group-Effingham
        • Kontakt:
        • Ledende efterforsker:
          • Tanmay Sahai
      • Effingham, Illinois, Forenede Stater, 62401
        • Rekruttering
        • Crossroads Cancer Center
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Elgin, Illinois, Forenede Stater, 60123
        • Rekruttering
        • Advocate Sherman Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-429-2907
        • Ledende efterforsker:
          • Peter J. Polewski
      • Hazel Crest, Illinois, Forenede Stater, 60429
        • Rekruttering
        • Advocate South Suburban Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 708-799-9995
        • Ledende efterforsker:
          • Peter J. Polewski
      • Libertyville, Illinois, Forenede Stater, 60048
        • Rekruttering
        • AMG Libertyville - Oncology
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Libertyville, Illinois, Forenede Stater, 60048
        • Rekruttering
        • Condell Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Mattoon, Illinois, Forenede Stater, 61938
        • Rekruttering
        • Carle Physician Group-Mattoon/Charleston
        • Kontakt:
        • Ledende efterforsker:
          • Tanmay Sahai
      • Maywood, Illinois, Forenede Stater, 60153
        • Rekruttering
        • Loyola University Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 708-226-4357
        • Ledende efterforsker:
          • Kathleen Kennedy
      • Mount Vernon, Illinois, Forenede Stater, 62864
        • Rekruttering
        • SSM Health Good Samaritan
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • O'Fallon, Illinois, Forenede Stater, 62269
        • Rekruttering
        • Cancer Care Center of O'Fallon
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Oak Lawn, Illinois, Forenede Stater, 60453-2699
        • Rekruttering
        • Advocate Christ Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-323-8622
        • Ledende efterforsker:
          • Peter J. Polewski
      • Park Ridge, Illinois, Forenede Stater, 60068
        • Rekruttering
        • Advocate Lutheran General Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 847-384-3621
        • Ledende efterforsker:
          • Peter J. Polewski
      • Rockford, Illinois, Forenede Stater, 61114
        • Rekruttering
        • UW Health Carbone Cancer Center Rockford
        • Kontakt:
        • Ledende efterforsker:
          • Fahrettin Covut
      • Shiloh, Illinois, Forenede Stater, 62269
        • Aktiv, ikke rekrutterende
        • Memorial Hospital East
      • Springfield, Illinois, Forenede Stater, 62702
        • Rekruttering
        • Southern Illinois University School of Medicine
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 217-545-7929
      • Springfield, Illinois, Forenede Stater, 62702
        • Rekruttering
        • Springfield Clinic
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-444-7541
      • Springfield, Illinois, Forenede Stater, 62781
        • Rekruttering
        • Springfield Memorial Hospital
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
      • Urbana, Illinois, Forenede Stater, 61801
        • Rekruttering
        • Carle Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Tanmay Sahai
    • Indiana
      • Crown Point, Indiana, Forenede Stater, 46307
        • Rekruttering
        • Northwest Cancer Center - Crown Point
        • Ledende efterforsker:
          • Tanmay Sahai
        • Kontakt:
      • Dyer, Indiana, Forenede Stater, 46311
        • Rekruttering
        • Northwest Oncology LLC
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 219-924-8178
        • Ledende efterforsker:
          • Tanmay Sahai
      • Hobart, Indiana, Forenede Stater, 46342
        • Rekruttering
        • Northwest Cancer Center - Hobart
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 219-947-1795
        • Ledende efterforsker:
          • Tanmay Sahai
      • Hobart, Indiana, Forenede Stater, 46342
        • Rekruttering
        • Saint Mary Medical Center
        • Ledende efterforsker:
          • Tanmay Sahai
        • Kontakt:
      • Indianapolis, Indiana, Forenede Stater, 46312
        • Rekruttering
        • Saint Catherine Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Tanmay Sahai
      • Munster, Indiana, Forenede Stater, 46321
        • Rekruttering
        • The Community Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 219-836-3349
        • Ledende efterforsker:
          • Tanmay Sahai
      • Munster, Indiana, Forenede Stater, 46321
        • Rekruttering
        • Women's Diagnostic Center - Munster
        • Kontakt:
        • Ledende efterforsker:
          • Tanmay Sahai
      • Valparaiso, Indiana, Forenede Stater, 46383
        • Rekruttering
        • Northwest Cancer Center - Valparaiso
        • Ledende efterforsker:
          • Tanmay Sahai
        • Kontakt:
    • Iowa
      • Ankeny, Iowa, Forenede Stater, 50023
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Cedar Rapids, Iowa, Forenede Stater, 52403
        • Rekruttering
        • Mercy Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 319-365-4673
        • Ledende efterforsker:
          • Deborah W. Wilbur
      • Cedar Rapids, Iowa, Forenede Stater, 52403
        • Rekruttering
        • Oncology Associates at Mercy Medical Center
        • Ledende efterforsker:
          • Deborah W. Wilbur
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 319-363-2690
      • Clive, Iowa, Forenede Stater, 50325
        • Rekruttering
        • Mercy Cancer Center-West Lakes
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Richard L. Deming
      • Clive, Iowa, Forenede Stater, 50325
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50314
        • Rekruttering
        • Mercy Medical Center - Des Moines
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Richard L. Deming
      • Des Moines, Iowa, Forenede Stater, 50309
        • Rekruttering
        • Iowa Methodist Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-6727
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50309
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forenede Stater, 50314
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
      • Waukee, Iowa, Forenede Stater, 50263
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Ledende efterforsker:
          • Seema Harichand-Herdt
    • Kansas
      • Fairway, Kansas, Forenede Stater, 66205
        • Aktiv, ikke rekrutterende
        • University of Kansas Clinical Research Center
      • Hays, Kansas, Forenede Stater, 67601
        • Aktiv, ikke rekrutterende
        • HaysMed
      • Kansas City, Kansas, Forenede Stater, 66160
        • Aktiv, ikke rekrutterende
        • University of Kansas Cancer Center
      • Lawrence, Kansas, Forenede Stater, 66044
        • Aktiv, ikke rekrutterende
        • Lawrence Memorial Hospital
      • Leavenworth, Kansas, Forenede Stater, 66048
        • Suspenderet
        • Veteran Administration Eastern Kansas Healthcare
      • Olathe, Kansas, Forenede Stater, 66061
        • Aktiv, ikke rekrutterende
        • The University of Kansas Cancer Center - Olathe
      • Overland Park, Kansas, Forenede Stater, 66211
        • Aktiv, ikke rekrutterende
        • University of Kansas Hospital-Indian Creek Campus
      • Overland Park, Kansas, Forenede Stater, 66210
        • Aktiv, ikke rekrutterende
        • University of Kansas Cancer Center-Overland Park
      • Salina, Kansas, Forenede Stater, 67401
        • Aktiv, ikke rekrutterende
        • Salina Regional Health Center
      • Topeka, Kansas, Forenede Stater, 66606
        • Aktiv, ikke rekrutterende
        • University of Kansas Health System Saint Francis Campus
      • Westwood, Kansas, Forenede Stater, 66205
        • Aktiv, ikke rekrutterende
        • University of Kansas Hospital-Westwood Cancer Center
    • Kentucky
      • Lexington, Kentucky, Forenede Stater, 40536
        • Rekruttering
        • University of Kentucky/Markey Cancer Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 859-257-3379
        • Ledende efterforsker:
          • John L. Villano
      • Louisville, Kentucky, Forenede Stater, 40202
        • Rekruttering
        • The James Graham Brown Cancer Center at University of Louisville
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 502-562-3429
        • Ledende efterforsker:
          • Jason A. Chesney
      • Louisville, Kentucky, Forenede Stater, 40245
        • Rekruttering
        • UofL Health Medical Center Northeast
        • Kontakt:
        • Ledende efterforsker:
          • Jason A. Chesney
    • Maine
      • Brewer, Maine, Forenede Stater, 04412
        • Rekruttering
        • Lafayette Family Cancer Center-EMMC
        • Ledende efterforsker:
          • Sarah J. Sinclair
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-987-3005
    • Maryland
      • Baltimore, Maryland, Forenede Stater, 21215
        • Rekruttering
        • Sinai Hospital of Baltimore
        • Ledende efterforsker:
          • Vishal Jindal
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 410-601-9083
      • Baltimore, Maryland, Forenede Stater, 21201
        • Rekruttering
        • University of Maryland/Greenebaum Cancer Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-888-8823
        • Ledende efterforsker:
          • Katherine A. Scilla
      • Westminster, Maryland, Forenede Stater, 21157
        • Rekruttering
        • William E Kahlert Regional Cancer Center/Sinai Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 410-871-6400
        • Ledende efterforsker:
          • Vishal Jindal
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02111
      • Brighton, Massachusetts, Forenede Stater, 02135
        • Rekruttering
        • Dana-Farber Cancer Institute at Boston Medical Center - Brighton
        • Ledende efterforsker:
          • Alys Malcolm
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 617-789-2903
      • Foxborough, Massachusetts, Forenede Stater, 02035
        • Rekruttering
        • Dana-Farber Cancer Institute at Foxborough
        • Ledende efterforsker:
          • Naeem Tahir
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 877-338-7425
      • Methuen, Massachusetts, Forenede Stater, 01844
        • Rekruttering
        • Dana Farber-Merrimack Valley
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 877-338-7425
        • Ledende efterforsker:
          • Taylor M. Ortiz
      • Milford, Massachusetts, Forenede Stater, 01757
        • Rekruttering
        • Dana-Farber/Brigham and Women's Cancer Center at Milford Regional
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 877-332-4294
        • Ledende efterforsker:
          • Alexandra S. Bailey
      • South Weymouth, Massachusetts, Forenede Stater, 02190
        • Rekruttering
        • Dana-Farber/Brigham and Women's Cancer Center at South Shore
        • Ledende efterforsker:
          • Shail Maingi
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 781-624-5000
      • Worcester, Massachusetts, Forenede Stater, 01655
        • Aktiv, ikke rekrutterende
        • UMass Memorial Medical Center - University Campus
    • Michigan
      • Battle Creek, Michigan, Forenede Stater, 49017
        • Rekruttering
        • Bronson Battle Creek
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Brighton, Michigan, Forenede Stater, 48114
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Canton, Michigan, Forenede Stater, 48188
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Chelsea, Michigan, Forenede Stater, 48118
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Genesys Hurley Cancer Institute
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Hurley Medical Center
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Flint, Michigan, Forenede Stater, 48503
        • Suspenderet
        • Genesee Hematology Oncology PC
      • Flint, Michigan, Forenede Stater, 48503
        • Rekruttering
        • Cancer Hematology Centers - Flint
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Rekruttering
        • Trinity Health Grand Rapids Hospital
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Rekruttering
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Kalamazoo, Michigan, Forenede Stater, 49007
        • Rekruttering
        • Bronson Methodist Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Kalamazoo, Michigan, Forenede Stater, 49007
        • Rekruttering
        • West Michigan Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Lansing, Michigan, Forenede Stater, 48912
        • Rekruttering
        • University of Michigan Health - Sparrow Lansing
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Livonia, Michigan, Forenede Stater, 48154
        • Rekruttering
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Muskegon, Michigan, Forenede Stater, 49444
        • Suspenderet
        • Trinity Health Muskegon Hospital
      • Niles, Michigan, Forenede Stater, 49120
        • Rekruttering
        • Corewell Health Lakeland Hospitals - Niles Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 616-391-1230
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Norton Shores, Michigan, Forenede Stater, 49444
        • Suspenderet
        • Cancer and Hematology Centers of Western Michigan - Norton Shores
      • Pontiac, Michigan, Forenede Stater, 48341
        • Rekruttering
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Pontiac, Michigan, Forenede Stater, 48341
        • Rekruttering
        • Michigan Healthcare Professionals Pontiac
        • Ledende efterforsker:
          • Christopher M. Reynolds
        • Kontakt:
      • Reed City, Michigan, Forenede Stater, 49677
        • Rekruttering
        • Corewell Health Reed City Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Saginaw, Michigan, Forenede Stater, 48604
        • Suspenderet
        • Oncology Hematology Associates of Saginaw Valley PC
      • Saginaw, Michigan, Forenede Stater, 48601
        • Rekruttering
        • MyMichigan Medical Center Saginaw
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Saint Joseph, Michigan, Forenede Stater, 49085
        • Rekruttering
        • Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Saint Joseph, Michigan, Forenede Stater, 49085
        • Rekruttering
        • Corewell Health Lakeland Hospitals - Saint Joseph Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Tawas City, Michigan, Forenede Stater, 48764
        • Rekruttering
        • MyMichigan Medical Center Tawas
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
      • Traverse City, Michigan, Forenede Stater, 49684
        • Rekruttering
        • Munson Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • West Branch, Michigan, Forenede Stater, 48661
        • Suspenderet
        • Saint Mary's Oncology/Hematology Associates of West Branch
      • Wyoming, Michigan, Forenede Stater, 49519
        • Rekruttering
        • University of Michigan Health - West
        • Kontakt:
        • Ledende efterforsker:
          • Kathleen Y. Butler
      • Ypsilanti, Michigan, Forenede Stater, 48197
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
    • Minnesota
      • Bemidji, Minnesota, Forenede Stater, 56601
      • Burnsville, Minnesota, Forenede Stater, 55337
        • Rekruttering
        • Minnesota Oncology - Burnsville
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Coon Rapids, Minnesota, Forenede Stater, 55433
        • Rekruttering
        • Mercy Hospital
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Deer River, Minnesota, Forenede Stater, 56636
        • Rekruttering
        • Essentia Health - Deer River Clinic
        • Kontakt:
        • Ledende efterforsker:
          • Bret E. Friday
      • Duluth, Minnesota, Forenede Stater, 55805
        • Rekruttering
        • Essentia Health Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Bret E. Friday
      • Edina, Minnesota, Forenede Stater, 55435
        • Rekruttering
        • Fairview Southdale Hospital
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Edina, Minnesota, Forenede Stater, 55435
        • Rekruttering
        • Minnesota Oncology - Edina
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Hibbing, Minnesota, Forenede Stater, 55746
        • Rekruttering
        • Essentia Health Hibbing Clinic
        • Ledende efterforsker:
          • Bret E. Friday
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 218-786-3308
      • Mankato, Minnesota, Forenede Stater, 56001
        • Aktiv, ikke rekrutterende
        • Mayo Clinic Health Systems-Mankato
      • Maplewood, Minnesota, Forenede Stater, 55109
        • Rekruttering
        • Saint John's Hospital - Healtheast
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Minneapolis, Minnesota, Forenede Stater, 55407
        • Rekruttering
        • Abbott-Northwestern Hospital
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • New Ulm, Minnesota, Forenede Stater, 56073
        • Rekruttering
        • New Ulm Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Robbinsdale, Minnesota, Forenede Stater, 55422
        • Rekruttering
        • North Memorial Medical Health Center
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Saint Louis Park, Minnesota, Forenede Stater, 55416
        • Rekruttering
        • Park Nicollet Clinic - Saint Louis Park
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Saint Paul, Minnesota, Forenede Stater, 55101
        • Rekruttering
        • Regions Hospital
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Saint Paul, Minnesota, Forenede Stater, 55102
        • Rekruttering
        • United Hospital
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Sandstone, Minnesota, Forenede Stater, 55072
        • Rekruttering
        • Essentia Health Sandstone
        • Kontakt:
        • Ledende efterforsker:
          • Bret E. Friday
      • Shakopee, Minnesota, Forenede Stater, 55379
        • Rekruttering
        • Saint Francis Regional Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • David M. King
      • Virginia, Minnesota, Forenede Stater, 55792
        • Rekruttering
        • Essentia Health Virginia Clinic
        • Kontakt:
        • Ledende efterforsker:
          • Bret E. Friday
    • Missouri
      • Cape Girardeau, Missouri, Forenede Stater, 63703
        • Rekruttering
        • Saint Francis Medical Center
        • Ledende efterforsker:
          • Bryan A. Faller
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 573-334-2230
          • E-mail: sfmc@sfmc.net
      • City of Saint Peters, Missouri, Forenede Stater, 63376
        • Aktiv, ikke rekrutterende
        • Siteman Cancer Center at Saint Peters Hospital
      • Creve Coeur, Missouri, Forenede Stater, 63141
        • Aktiv, ikke rekrutterende
        • Siteman Cancer Center at West County Hospital
      • Kansas City, Missouri, Forenede Stater, 64154
        • Aktiv, ikke rekrutterende
        • University of Kansas Cancer Center - North
      • Kansas City, Missouri, Forenede Stater, 64128
        • Rekruttering
        • Kansas City Veterans Affairs Medical Center
        • Ledende efterforsker:
          • Chao H. Huang
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-525-1483
      • Kansas City, Missouri, Forenede Stater, 64108
        • Aktiv, ikke rekrutterende
        • University Health Truman Medical Center
      • Kansas City, Missouri, Forenede Stater, 64116
        • Aktiv, ikke rekrutterende
        • University of Kansas Cancer Center - Briarcliff
      • Lee's Summit, Missouri, Forenede Stater, 64064
        • Aktiv, ikke rekrutterende
        • University of Kansas Cancer Center - Lee's Summit
      • Osage Beach, Missouri, Forenede Stater, 65065
        • Rekruttering
        • Lake Regional Hospital
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • St Louis, Missouri, Forenede Stater, 63110
        • Aktiv, ikke rekrutterende
        • Washington University School of Medicine
      • St Louis, Missouri, Forenede Stater, 63128
        • Rekruttering
        • Mercy Hospital South
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
      • St Louis, Missouri, Forenede Stater, 63141
        • Rekruttering
        • Mercy Hospital Saint Louis
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 314-251-7066
      • St Louis, Missouri, Forenede Stater, 63129
        • Aktiv, ikke rekrutterende
        • Siteman Cancer Center-South County
      • St Louis, Missouri, Forenede Stater, 63136
        • Aktiv, ikke rekrutterende
        • Siteman Cancer Center at Christian Hospital
    • Montana
      • Anaconda, Montana, Forenede Stater, 59711
        • Rekruttering
        • Community Hospital of Anaconda
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Billings, Montana, Forenede Stater, 59101
        • Rekruttering
        • Billings Clinic Cancer Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Bozeman, Montana, Forenede Stater, 59715
        • Rekruttering
        • Bozeman Health Deaconess Hospital
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Great Falls, Montana, Forenede Stater, 59405
        • Rekruttering
        • Benefis Sletten Cancer Institute
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Kalispell, Montana, Forenede Stater, 59901
        • Rekruttering
        • Logan Health Medical Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
      • Missoula, Montana, Forenede Stater, 59804
        • Rekruttering
        • Community Medical Center
        • Ledende efterforsker:
          • John M. Schallenkamp
        • Kontakt:
    • New Hampshire
      • Lebanon, New Hampshire, Forenede Stater, 03756
        • Rekruttering
        • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Alexander D. Fuld
      • Londonderry, New Hampshire, Forenede Stater, 03053
        • Rekruttering
        • The Dana-Farber Cancer Institute at Londonderry
        • Kontakt:
        • Ledende efterforsker:
          • Jeanna H. Walsh
    • New Jersey
      • Cherry Hill, New Jersey, Forenede Stater, 08002
        • Aktiv, ikke rekrutterende
        • Jefferson Cherry Hill Hospital
      • Mullica Hill, New Jersey, Forenede Stater, 08062
        • Suspenderet
        • Inspira Medical Center Mullica Hill
      • Plainsboro, New Jersey, Forenede Stater, 08536
        • Aktiv, ikke rekrutterende
        • Penn Medicine Princeton Health
      • Sewell, New Jersey, Forenede Stater, 08080
        • Aktiv, ikke rekrutterende
        • Sidney Kimmel Cancer Center Washington Township
    • New York
      • Glens Falls, New York, Forenede Stater, 12801
        • Rekruttering
        • Glens Falls Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 518-926-6700
        • Ledende efterforsker:
          • Aqeel A. Gillani
      • Oswego, New York, Forenede Stater, 13126
        • Rekruttering
        • Upstate Cancer Center at Oswego
        • Kontakt:
        • Ledende efterforsker:
          • Komal Akhtar
      • Rochester, New York, Forenede Stater, 14642
        • Rekruttering
        • University of Rochester
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 585-275-5830
        • Ledende efterforsker:
          • Megan A. Baumgart
      • Stony Brook, New York, Forenede Stater, 11794
        • Rekruttering
        • Stony Brook University Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-862-2215
        • Ledende efterforsker:
          • Amna Sher
      • Syracuse, New York, Forenede Stater, 13210
        • Rekruttering
        • State University of New York Upstate Medical University
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 315-464-5476
        • Ledende efterforsker:
          • Komal Akhtar
      • Syracuse, New York, Forenede Stater, 13215
        • Rekruttering
        • SUNY Upstate Medical Center-Community Campus
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 315-464-5476
        • Ledende efterforsker:
          • Komal Akhtar
      • The Bronx, New York, Forenede Stater, 10461
        • Rekruttering
        • Montefiore Medical Center-Einstein Campus
        • Kontakt:
        • Ledende efterforsker:
          • Balazs Halmos
      • The Bronx, New York, Forenede Stater, 10467
        • Rekruttering
        • Montefiore Medical Center - Moses Campus
        • Kontakt:
        • Ledende efterforsker:
          • Balazs Halmos
      • Verona, New York, Forenede Stater, 13478
        • Rekruttering
        • Upstate Cancer Center at Verona
        • Kontakt:
        • Ledende efterforsker:
          • Komal Akhtar
      • Webster, New York, Forenede Stater, 14580
    • North Carolina
      • Clinton, North Carolina, Forenede Stater, 28328
        • Rekruttering
        • Southeastern Medical Oncology Center-Clinton
        • Kontakt:
        • Ledende efterforsker:
          • Samer S. Kasbari
      • Durham, North Carolina, Forenede Stater, 27705
        • Rekruttering
        • Durham VA Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Michael J. Kelley
      • Goldsboro, North Carolina, Forenede Stater, 27534
        • Rekruttering
        • Southeastern Medical Oncology Center-Goldsboro
        • Kontakt:
        • Ledende efterforsker:
          • Samer S. Kasbari
      • Jacksonville, North Carolina, Forenede Stater, 28546
        • Rekruttering
        • Southeastern Medical Oncology Center-Jacksonville
        • Ledende efterforsker:
          • Samer S. Kasbari
        • Kontakt:
    • North Dakota
      • Bismarck, North Dakota, Forenede Stater, 58501
      • Fargo, North Dakota, Forenede Stater, 58122
      • Fargo, North Dakota, Forenede Stater, 58122
    • Ohio
      • Avon, Ohio, Forenede Stater, 44011
        • Rekruttering
        • UH Seidman Cancer Center at UH Avon Health Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-641-2422
        • Ledende efterforsker:
          • Lauren Chiec
      • Beachwood, Ohio, Forenede Stater, 44122
        • Rekruttering
        • UHHS-Chagrin Highlands Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Lauren Chiec
      • Belpre, Ohio, Forenede Stater, 45714
        • Rekruttering
        • Strecker Cancer Center-Belpre
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Canton, Ohio, Forenede Stater, 44710
        • Rekruttering
        • Aultman Health Foundation
        • Ledende efterforsker:
          • Raza A. Khan
        • Kontakt:
      • Centerville, Ohio, Forenede Stater, 45459
        • Rekruttering
        • Miami Valley Hospital South
        • Kontakt:
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Chillicothe, Ohio, Forenede Stater, 45601
        • Rekruttering
        • Adena Regional Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Cleveland, Ohio, Forenede Stater, 44106
        • Rekruttering
        • Case Western Reserve University
        • Kontakt:
        • Ledende efterforsker:
          • Lauren Chiec
      • Cleveland, Ohio, Forenede Stater, 44109
        • Rekruttering
        • MetroHealth Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter Xie
      • Columbus, Ohio, Forenede Stater, 43219
        • Rekruttering
        • The Mark H Zangmeister Center
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Columbus, Ohio, Forenede Stater, 43210
        • Rekruttering
        • Ohio State University Comprehensive Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Carolyn J. Presley
      • Dayton, Ohio, Forenede Stater, 45409
        • Rekruttering
        • Miami Valley Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Dayton, Ohio, Forenede Stater, 45415
        • Rekruttering
        • Miami Valley Hospital North
        • Kontakt:
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Dayton, Ohio, Forenede Stater, 45409
        • Rekruttering
        • Premier Blood and Cancer Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 937-276-8320
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Franklin, Ohio, Forenede Stater, 45005-1066
        • Rekruttering
        • Atrium Medical Center-Middletown Regional Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Greenville, Ohio, Forenede Stater, 45331
        • Rekruttering
        • Miami Valley Cancer Care and Infusion
        • Ledende efterforsker:
          • Tarek M. Sabagh
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 937-569-7515
      • Grove City, Ohio, Forenede Stater, 43123
        • Rekruttering
        • Mount Carmel Grove City Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Marysville, Ohio, Forenede Stater, 43040
        • Rekruttering
        • Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Mentor, Ohio, Forenede Stater, 44060
        • Rekruttering
        • UH Seidman Cancer Center at Lake Health Mentor Campus
        • Kontakt:
        • Ledende efterforsker:
          • Lauren Chiec
      • Mount Vernon, Ohio, Forenede Stater, 43050
        • Rekruttering
        • Knox Community Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Newark, Ohio, Forenede Stater, 43055
        • Rekruttering
        • Licking Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Perrysburg, Ohio, Forenede Stater, 43551
        • Rekruttering
        • Mercy Health - Perrysburg Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Springfield, Ohio, Forenede Stater, 45504
        • Rekruttering
        • Springfield Regional Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Toledo, Ohio, Forenede Stater, 43623
        • Rekruttering
        • Mercy Health - Saint Anne Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
      • Troy, Ohio, Forenede Stater, 45373
        • Rekruttering
        • Upper Valley Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Tarek M. Sabagh
      • Zanesville, Ohio, Forenede Stater, 43701
        • Rekruttering
        • Genesis Healthcare System Cancer Care Center
        • Kontakt:
        • Ledende efterforsker:
          • Aruna C. Gowda
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73120
        • Rekruttering
        • Mercy Hospital Oklahoma City
        • Ledende efterforsker:
          • Jay W. Carlson
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 405-752-3402
    • Oregon
      • Ontario, Oregon, Forenede Stater, 97914
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Ontario
        • Kontakt:
        • Ledende efterforsker:
          • Christopher M. Reynolds
    • Pennsylvania
      • Bryn Mawr, Pennsylvania, Forenede Stater, 19010
        • Rekruttering
        • Bryn Mawr Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Deric C. Savior
      • Hershey, Pennsylvania, Forenede Stater, 17033-0850
        • Rekruttering
        • Penn State Milton S Hershey Medical Center
        • Ledende efterforsker:
          • Takefumi Komiya
        • Kontakt:
      • Lancaster, Pennsylvania, Forenede Stater, 17601
        • Aktiv, ikke rekrutterende
        • Lancaster General Ann B Barshinger Cancer Institute
      • Media, Pennsylvania, Forenede Stater, 19063
        • Rekruttering
        • Riddle Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Deric C. Savior
      • Paoli, Pennsylvania, Forenede Stater, 19301
        • Rekruttering
        • Paoli Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Deric C. Savior
      • Philadelphia, Pennsylvania, Forenede Stater, 19107
        • Aktiv, ikke rekrutterende
        • Thomas Jefferson University Hospital
      • Philadelphia, Pennsylvania, Forenede Stater, 19114
        • Aktiv, ikke rekrutterende
        • Jefferson Torresdale Hospital
      • Philadelphia, Pennsylvania, Forenede Stater, 19103
      • Phoenixville, Pennsylvania, Forenede Stater, 19460
        • Rekruttering
        • Reading Hospital McGlinn Cancer Institute at Phoenixville
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 610-983-1800
        • Ledende efterforsker:
          • Rashmika R. Potdar
      • Sayre, Pennsylvania, Forenede Stater, 18840
        • Rekruttering
        • Guthrie Medical Group PC-Robert Packer Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 800-836-0388
        • Ledende efterforsker:
          • Joyson Poulose
      • West Reading, Pennsylvania, Forenede Stater, 19611
        • Rekruttering
        • Reading Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 610-988-9323
        • Ledende efterforsker:
          • Terrence P. Cescon
      • Willow Grove, Pennsylvania, Forenede Stater, 19090
        • Aktiv, ikke rekrutterende
        • Asplundh Cancer Pavilion
      • Wynnewood, Pennsylvania, Forenede Stater, 19096
        • Rekruttering
        • Lankenau Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Deric C. Savior
    • South Carolina
      • Charleston, South Carolina, Forenede Stater, 29425
        • Rekruttering
        • Medical University of South Carolina
        • Kontakt:
        • Ledende efterforsker:
          • Christopher A. Rangel
      • Charleston, South Carolina, Forenede Stater, 29401
        • Rekruttering
        • Ralph H Johnson VA Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Oleksandra Lupak
    • South Dakota
      • Rapid City, South Dakota, Forenede Stater, 57701
        • Rekruttering
        • Rapid City Regional Hospital
        • Ledende efterforsker:
          • Abdel-Ghani Azzouqa
        • Kontakt:
      • Sioux Falls, South Dakota, Forenede Stater, 57104
      • Sioux Falls, South Dakota, Forenede Stater, 57117-5134
    • Texas
      • Dallas, Texas, Forenede Stater, 75390
        • Rekruttering
        • UT Southwestern/Simmons Cancer Center-Dallas
        • Kontakt:
        • Ledende efterforsker:
          • Cynthia Wei
      • Dallas, Texas, Forenede Stater, 75235
        • Rekruttering
        • Parkland Memorial Hospital
        • Kontakt:
        • Ledende efterforsker:
          • Cynthia Wei
      • Dallas, Texas, Forenede Stater, 75237
        • Rekruttering
        • UT Southwestern Simmons Cancer Center - RedBird
        • Ledende efterforsker:
          • Cynthia Wei
        • Kontakt:
      • Fort Worth, Texas, Forenede Stater, 76104
        • Rekruttering
        • UT Southwestern/Simmons Cancer Center-Fort Worth
        • Kontakt:
        • Ledende efterforsker:
          • Cynthia Wei
      • Richardson, Texas, Forenede Stater, 75080
        • Rekruttering
        • UT Southwestern Clinical Center at Richardson/Plano
        • Kontakt:
        • Ledende efterforsker:
          • Cynthia Wei
    • Vermont
      • Saint Johnsbury, Vermont, Forenede Stater, 05819
        • Rekruttering
        • Dartmouth Cancer Center - North
        • Kontakt:
        • Ledende efterforsker:
          • Alexander D. Fuld
      • White River Junction, Vermont, Forenede Stater, 05009
        • Rekruttering
        • White River Junction Veteran Administration Medical Center
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 866-687-8387
        • Ledende efterforsker:
          • Britt H. Olmsted
    • Virginia
      • Charlottesville, Virginia, Forenede Stater, 22908
        • Aktiv, ikke rekrutterende
        • University of Virginia Cancer Center
      • Richmond, Virginia, Forenede Stater, 23235
        • Rekruttering
        • VCU Massey Cancer Center at Stony Point
        • Kontakt:
        • Ledende efterforsker:
          • Jonathan D. Berkman
      • Richmond, Virginia, Forenede Stater, 23298
        • Rekruttering
        • VCU Massey Comprehensive Cancer Center
        • Ledende efterforsker:
          • Jonathan D. Berkman
        • Kontakt:
      • South Hill, Virginia, Forenede Stater, 23970
        • Rekruttering
        • VCU Community Memorial Health Center
        • Kontakt:
        • Ledende efterforsker:
          • Jonathan D. Berkman
      • Tappahannock, Virginia, Forenede Stater, 22560
        • Rekruttering
        • VCU Health Tappahannock Hospital
        • Ledende efterforsker:
          • Jonathan D. Berkman
        • Kontakt:
    • Washington
      • Bellingham, Washington, Forenede Stater, 98225
        • Rekruttering
        • PeaceHealth Saint Joseph Medical Center
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Edmonds, Washington, Forenede Stater, 98026
        • Rekruttering
        • Swedish Cancer Institute-Edmonds
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Issaquah, Washington, Forenede Stater, 98029
        • Rekruttering
        • Swedish Cancer Institute-Issaquah
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
      • Seattle, Washington, Forenede Stater, 98122
        • Rekruttering
        • Swedish Medical Center-First Hill
        • Ledende efterforsker:
          • Alison K. Conlin
        • Kontakt:
    • West Virginia
      • Huntington, West Virginia, Forenede Stater, 25701
        • Rekruttering
        • Edwards Comprehensive Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Toni O. Pacioles
    • Wisconsin
      • Antigo, Wisconsin, Forenede Stater, 54409
        • Rekruttering
        • Aspirus Cancer Care-Antigo-Volm Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Andrew J. Huang
      • Appleton, Wisconsin, Forenede Stater, 54911
        • Rekruttering
        • ThedaCare Regional Cancer Center
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Ashland, Wisconsin, Forenede Stater, 54806
        • Rekruttering
        • Duluth Clinic Ashland
        • Kontakt:
        • Ledende efterforsker:
          • Bret E. Friday
      • Berlin, Wisconsin, Forenede Stater, 54923
        • Rekruttering
        • ThedaCare Cancer Care - Berlin
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Burlington, Wisconsin, Forenede Stater, 53105
        • Rekruttering
        • Aurora Cancer Care-Southern Lakes VLCC
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Cudahy, Wisconsin, Forenede Stater, 53110
        • Rekruttering
        • Aurora Saint Luke's South Shore
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Eau Claire, Wisconsin, Forenede Stater, 54701
      • Eau Claire, Wisconsin, Forenede Stater, 54701
        • Aktiv, ikke rekrutterende
        • Mayo Clinic Health System-Eau Claire Clinic
      • Germantown, Wisconsin, Forenede Stater, 53022
        • Rekruttering
        • Aurora Health Care Germantown Health Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Grafton, Wisconsin, Forenede Stater, 53024
        • Rekruttering
        • Aurora Cancer Care-Grafton
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Green Bay, Wisconsin, Forenede Stater, 54301
        • Rekruttering
        • Bellin Memorial Hospital
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 920-435-8326
        • Ledende efterforsker:
          • Srinandan Guntupalli
      • Green Bay, Wisconsin, Forenede Stater, 54311
        • Rekruttering
        • Aurora BayCare Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Green Bay, Wisconsin, Forenede Stater, 54301
        • Rekruttering
        • Saint Vincent Hospital Cancer Center Green Bay
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Green Bay, Wisconsin, Forenede Stater, 54303
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Janesville, Wisconsin, Forenede Stater, 53548
        • Rekruttering
        • Mercyhealth Hospital and Cancer Center - Janesville
        • Kontakt:
        • Ledende efterforsker:
          • Emily G. Robinson
      • Kenosha, Wisconsin, Forenede Stater, 53142
        • Rekruttering
        • Aurora Cancer Care-Kenosha South
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • La Crosse, Wisconsin, Forenede Stater, 54601
        • Rekruttering
        • Gundersen Lutheran Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Kurt Oettel
      • Marinette, Wisconsin, Forenede Stater, 54143
        • Rekruttering
        • Aurora Bay Area Medical Group-Marinette
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Marshfield, Wisconsin, Forenede Stater, 54449
      • Medford, Wisconsin, Forenede Stater, 54451
        • Rekruttering
        • Aspirus Medford Hospital
        • Ledende efterforsker:
          • Andrew J. Huang
        • Kontakt:
      • Milwaukee, Wisconsin, Forenede Stater, 53209
        • Rekruttering
        • Aurora Cancer Care-Milwaukee
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Milwaukee, Wisconsin, Forenede Stater, 53215
        • Rekruttering
        • Aurora Saint Luke's Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Milwaukee, Wisconsin, Forenede Stater, 53233
        • Rekruttering
        • Aurora Sinai Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Minocqua, Wisconsin, Forenede Stater, 54548
      • Mukwonago, Wisconsin, Forenede Stater, 53149
        • Rekruttering
        • ProHealth D N Greenwald Center
        • Kontakt:
        • Ledende efterforsker:
          • Timothy R. Wassenaar
      • Neenah, Wisconsin, Forenede Stater, 54956
        • Rekruttering
        • ThedaCare Regional Medical Center - Neenah
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • New London, Wisconsin, Forenede Stater, 54961
        • Rekruttering
        • ThedaCare Cancer Care - New London
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Oconomowoc, Wisconsin, Forenede Stater, 53066
        • Rekruttering
        • ProHealth Oconomowoc Memorial Hospital
        • Ledende efterforsker:
          • Timothy R. Wassenaar
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 262-928-7878
      • Oconto Falls, Wisconsin, Forenede Stater, 54154
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Rekruttering
        • Vince Lombardi Cancer Clinic - Oshkosh
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Rekruttering
        • ThedaCare Cancer Care - Oshkosh
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Racine, Wisconsin, Forenede Stater, 53406
        • Rekruttering
        • Aurora Cancer Care-Racine
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Rhinelander, Wisconsin, Forenede Stater, 54501
        • Rekruttering
        • Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
        • Ledende efterforsker:
          • Andrew J. Huang
        • Kontakt:
      • Rice Lake, Wisconsin, Forenede Stater, 54868
      • Shawano, Wisconsin, Forenede Stater, 54166
        • Rekruttering
        • ThedaCare Cancer Care - Shawano
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Sheboygan
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Rekruttering
        • Sheboygan Physicians Group
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Stevens Point, Wisconsin, Forenede Stater, 54482
      • Stevens Point, Wisconsin, Forenede Stater, 54481
        • Rekruttering
        • Aspirus Cancer Care - Stevens Point
        • Ledende efterforsker:
          • Andrew J. Huang
        • Kontakt:
      • Sturgeon Bay, Wisconsin, Forenede Stater, 54235-1495
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Ledende efterforsker:
          • Brian L. Burnette
        • Kontakt:
      • Summit, Wisconsin, Forenede Stater, 53066
        • Rekruttering
        • Aurora Medical Center in Summit
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Two Rivers, Wisconsin, Forenede Stater, 54241
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Two Rivers
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Waukesha, Wisconsin, Forenede Stater, 53188
        • Rekruttering
        • ProHealth Waukesha Memorial Hospital
        • Ledende efterforsker:
          • Timothy R. Wassenaar
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 262-928-7632
      • Waukesha, Wisconsin, Forenede Stater, 53188
        • Rekruttering
        • UW Cancer Center at ProHealth Care
        • Ledende efterforsker:
          • Timothy R. Wassenaar
        • Kontakt:
      • Waupaca, Wisconsin, Forenede Stater, 54981
        • Rekruttering
        • ThedaCare Cancer Care - Waupaca
        • Kontakt:
        • Ledende efterforsker:
          • Matthias Weiss
      • Wausau, Wisconsin, Forenede Stater, 54401
        • Rekruttering
        • Aspirus Cancer Care-Wausau
        • Ledende efterforsker:
          • Andrew J. Huang
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 877-405-6866
      • Wauwatosa, Wisconsin, Forenede Stater, 53226
        • Rekruttering
        • Aurora Cancer Care-Milwaukee West
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • West Allis, Wisconsin, Forenede Stater, 53227
        • Rekruttering
        • Aurora West Allis Medical Center
        • Kontakt:
        • Ledende efterforsker:
          • Peter J. Polewski
      • Weston, Wisconsin, Forenede Stater, 54476
      • Wisconsin Rapids, Wisconsin, Forenede Stater, 54494
        • Rekruttering
        • Aspirus Cancer Care - Wisconsin Rapids
        • Ledende efterforsker:
          • Andrew J. Huang
        • Kontakt:
          • Site Public Contact
          • Telefonnummer: 715-422-7718

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

70 år og ældre (Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • STEP 1 REGISTRATION

  • Patient must be ≥ 70 years of age

  • Patient must have histologically or cytologically confirmed non-small cell lung cancer (NSCLC) with PD-L1 Tumor Proportion Score (TPS) range of 1-49%

  • Patient must have Stage IIIB, IIIC or IV disease and not be candidates for combined chemo-radiation. NOTE: Prior chemo-radiation therapy (RT) for stage III with recurrence is allowed

  • Patient must have a tumor that is negative for EGFR mutation/ALK translocations or other actionable first line mutations in which patients would receive first-line oral tyrosine kinase inhibitors

  • Patient must have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2

  • Patient must agree not to father children while on study and for 6 months after the last dose of protocol treatment

  • Patient must have the ability to understand and the willingness to sign a written informed consent document. Patients with impaired decision-making capacity (IDMC) who have a legally authorized representative (LAR) or caregiver and/or family member available will also be considered eligible

  • Absolute neutrophil count (ANC) ≥ 1,500/uL (obtained within 14 days prior to Step 1 registration)

  • Platelets ≥ 75,000/uL (obtained within 14 days prior to Step 1 registration)

  • Hemoglobin (Hgb) ≥ 8.0 g/dL (obtained within 14 days prior to Step 1 registration)

  • Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (obtained within 14 days prior to Step 1 registration)

  • Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase [SGOT]) and alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) ≤ 3.0 × institutional ULN (obtained within 14 days prior to Step 1 registration)

  • Creatinine clearance (CrCL) ≥ 45 mL/min (estimated using Cockcroft-Gault method with actual body weight or measured) (obtained within 14 days prior to Step 1 registration)

  • Human immunodeficiency virus (HIV)-infected patients on effective antiretroviral therapy with undetectable viral load within 6 months of Step 1 registration are eligible for this trial

  • For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated

  • Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have undetectable HCV viral

  • Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial

  • Patient must be English or Spanish speaking to be eligible for the QOL component of the study

    • NOTE: Sites cannot translate the associated GA or QOL forms

  • Patient must not have symptomatic central nervous system disease (CNS) metastases. Patients with a clinical history of CNS metastases or cord compression are eligible if they have been definitively treated and are clinically stable for at least 14 days prior to Step 1 registration and off all steroids for at least 24 hours prior to Step 1 registration. Patients with asymptomatic CNS metastases are eligible

  • Patient must not have had any prior cytotoxic chemotherapy regimen for metastatic disease. Chemotherapy given in the setting of adjuvant therapy or locally advanced disease is allowed as long as treatment was completed, and they have fully recovered from treatment related adverse events prior to Step 1 registration

  • Patient must not have had any prior immunotherapy for metastatic disease. Immunotherapy given in the setting of adjuvant therapy or locally advanced disease is allowed as long as treatment was completed greater than 6 months prior to Step 1 registration

  • Patient must not have a history of uncontrolled autoimmune conditions with the following exceptions, which are allowed: alopecia, vitiligo, rheumatoid arthritis, psoriasis/psoriatic arthritis, Hashimoto's thyroiditis, lupus, inflammatory bowel disease

  • Patient must not be on immunosuppressive medication, including steroids (if doses exceed the equivalent of prednisone 10 mg daily). Short courses of steroids which are discontinued prior to randomization are acceptable. Patients on inhaled, intranasal and/or topical steroids are eligible

  • Patient must have baseline imaging done assessing all measurable or non-measurable sites of disease within 45 days prior to Step 1 registration

  • Investigator must declare their intended chemotherapy regimen should their patient be randomized to Arm B (doublet versus[vs] singlet)

  • STEP 2 RANDOMIZATION

  • Patient must have completed the baseline Geriatric Assessment (GA) after Step 1 registration and prior to Step 2 randomization

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Arm A (pembrolizumab)

INDUCTION: Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Treatment repeats every 21 days for 4 cycles in the absence of disease progression or unacceptable toxicity.

MAINTENANCE: Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 or 42 days for 2 years in the absence of disease progression or unacceptable toxicity.

Patients undergo MRI at baseline and CT and/or PET on the trial at baseline and throughout the trial.
Procedure: Magnetic Resonance Imaging

Undergo MRI

Andre navne:
  • MR
  • Magnetisk resonans
  • Magnetisk resonansbilledscanning
  • Medicinsk billeddannelse, magnetisk resonans / kernemagnetisk resonans
  • HR
  • MR billeddannelse
  • MR-scanning
  • NMR billeddannelse
  • NMRI
  • Kernemagnetisk resonansbilleddannelse
  • Magnetisk resonansbilleddannelse (MRI)
  • sMRI
  • Magnetisk resonansbilleddannelse (procedure)
  • MRI'er
  • Strukturel MR
Andet: Questionnaire Administration

Ancillary studies

Procedure: Positron Emission Tomography

Undergo PET

Andre navne:
  • Medicinsk billeddannelse, Positron Emission Tomografi
  • KÆLEDYR
  • PET-scanning
  • Positron Emission Tomografi Scan
  • Positron-emissionstomografi
  • PT
  • Positron emissionstomografi (procedure)
Biologisk: Pembrolizumab

Given IV

Andre navne:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • SCH 900475
  • MK3475
  • SCH-900475
  • BCD-201
  • Pembrolizumab Biosimilar BCD-201
  • Pembrolizumab Biosimilar QL2107
  • QL2107
  • GME 751
  • GME751
  • Pembrolizumab Biosimilar GME751
  • MK 3475
  • SCH900475
  • Pembrolizumab Biosimilar RPH-075
  • RPH 075
  • RPH-075
  • RPH075
  • Pembrolizumab Biosimilar SB27
  • SB 27
  • SB-27
  • SB27
Procedure: Computed Tomography

Undergo CT scan

Andre navne:
  • CT
  • KAT
  • CAT-scanning
  • Beregnet aksial tomografi
  • Computerstyret aksial tomografi
  • Computerstyret tomografi
  • CT-scanning
  • tomografi
  • Computerstyret aksial tomografi (procedure)
  • Computerstyret tomografi (CT) scanning
  • Diagnostisk CAT -scanning
  • Diagnostic CAT Scan Service Type
Eksperimentel: Arm B (pembrolizumab, chemotherapy)

See Detailed Description
Medicin: Carboplatin

Given IV

Andre navne:
  • Blastocarb
  • Carboplat
  • Carboplatin Hexal
  • Carboplatino
  • Carboplatin
  • Carbosin
  • Carbosol
  • Carbotec
  • CBDCA
  • Displata
  • Ercar
  • JM-8
  • Nealorin
  • Novoplatin
  • Paraplatin
  • Paraplatin AQ
  • Platinwas
  • Ribocarbo
  • JM8
Medicin: Paclitaxel

Given IV

Andre navne:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Procedure: Magnetic Resonance Imaging

Undergo MRI

Andre navne:
  • MR
  • Magnetisk resonans
  • Magnetisk resonansbilledscanning
  • Medicinsk billeddannelse, magnetisk resonans / kernemagnetisk resonans
  • HR
  • MR billeddannelse
  • MR-scanning
  • NMR billeddannelse
  • NMRI
  • Kernemagnetisk resonansbilleddannelse
  • Magnetisk resonansbilleddannelse (MRI)
  • sMRI
  • Magnetisk resonansbilleddannelse (procedure)
  • MRI'er
  • Strukturel MR
Andet: Questionnaire Administration

Ancillary studies

Procedure: Positron Emission Tomography

Undergo PET

Andre navne:
  • Medicinsk billeddannelse, Positron Emission Tomografi
  • KÆLEDYR
  • PET-scanning
  • Positron Emission Tomografi Scan
  • Positron-emissionstomografi
  • PT
  • Positron emissionstomografi (procedure)
Medicin: Pemetrexed

Given IV

Andre navne:
  • MTA
  • Multitarget antifolat
  • Pemfexy
Biologisk: Pembrolizumab

Given IV

Andre navne:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • SCH 900475
  • MK3475
  • SCH-900475
  • BCD-201
  • Pembrolizumab Biosimilar BCD-201
  • Pembrolizumab Biosimilar QL2107
  • QL2107
  • GME 751
  • GME751
  • Pembrolizumab Biosimilar GME751
  • MK 3475
  • SCH900475
  • Pembrolizumab Biosimilar RPH-075
  • RPH 075
  • RPH-075
  • RPH075
  • Pembrolizumab Biosimilar SB27
  • SB 27
  • SB-27
  • SB27
Procedure: Computed Tomography

Undergo CT scan

Andre navne:
  • CT
  • KAT
  • CAT-scanning
  • Beregnet aksial tomografi
  • Computerstyret aksial tomografi
  • Computerstyret tomografi
  • CT-scanning
  • tomografi
  • Computerstyret aksial tomografi (procedure)
  • Computerstyret tomografi (CT) scanning
  • Diagnostisk CAT -scanning
  • Diagnostic CAT Scan Service Type
Medicin: Nab-paclitaxel

Given IV

Andre navne:
  • ABI-007
  • Abraxane
  • Albumin-bundet Paclitaxel
  • ABI 007
  • Albumin-stabiliseret nanopartikel Paclitaxel
  • Nanopartikel Albumin-bundet Paclitaxel
  • Nanopartikel Paclitaxel
  • Paclitaxel Albumin
  • paclitaxel albumin-stabiliseret nanopartikelformulering
  • Proteinbundet Paclitaxel
  • ABI007
  • Paclitaxel proteinbundet
  • Paclitaxel Nanopartikel Albumin-bundet
  • Naveruclif

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Overall survival (OS)
Tidsramme: From randomization to death from any cause, and patients who are alive at the time of final analysis will be censored at the last date of contact, assessed up to 5 years

Will be estimated using the Kaplan-Meier method, and Cox proportional hazards models will be used to estimate hazard ratios. Comparison of OS will use a logrank test stratified on the randomization stratification factors with a one-sided type I error rate of 0.025. Other comparisons of groups will be made using the log rank test and Cox modeling.
From randomization to death from any cause, and patients who are alive at the time of final analysis will be censored at the last date of contact, assessed up to 5 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression free survival (PFS)
Tidsramme: From randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or death from any cause, whichever occurs first, assessed up to 5 years

Will be estimated using the Kaplan-Meier method, and Cox proportional hazards models will be used to estimate hazard ratios.
From randomization to documented disease progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or death from any cause, whichever occurs first, assessed up to 5 years
Six month PFS
Tidsramme: From randomization to documented disease progression per RECIST 1.1 or death from any cause, whichever occurs first, assessed at 6 months

Defined as the proportion of patients who remained alive and progression-free at 6 months. Will be estimated using the Kaplan-Meier method, and Cox proportional hazards models will be used to estimate hazard ratios.
From randomization to documented disease progression per RECIST 1.1 or death from any cause, whichever occurs first, assessed at 6 months
Best objective response
Tidsramme: Up to 5 years

Will be evaluated via RECIST 1.1 criteria. Best objective response rate is defined as the proportion of patients with measurable disease at baseline achieved complete response (CR) or partial response (PR) as best response from the start of the treatment until disease progression/recurrence or start of non-protocol therapy. Patients who do not start treatment and patients who do not have any follow-up disease evaluation and do not meet RECIST criteria for clinical progression are coded as not evaluable. Patients who are not evaluable are included in the calculation of response rates (as non-responders).
Up to 5 years
Incidence of adverse events
Tidsramme: Up to 2 years

Toxicity will be determined using the Common Terminology Criteria for Adverse Events (CTCAE). Toxicity will be assessed by summaries by CTCAE grade.
Up to 2 years
Evaluation of quality of life (QOL) measures
Tidsramme: Baseline up to 6 months

Quality of life evaluations will be conducted using questionnaires at time of disease evaluation per Functional Assessment of Cancer Therapy-Lung version 4. QOL assessment will be gathered and the changes in QOL between the two treatment arms will be compared using Wilcoxon rank sum test. The comparison of changes in QOL using Wilcoxon rank sum test will also be done at 6 months given the high mortality rate in this population and the expectation that we may see differences in OS by that timepoint. Point estimates of all endpoints will be accompanied by the corresponding 95% confidence intervals. Point estimates of OS and the corresponding 95% confidence intervals by sex, race and ethnicity will be provided.
Baseline up to 6 months

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Gut microbe abundances
Tidsramme: Baseline and after 4 cycles of initial treatment (Cycles = 21 days)

Will relate gut microbe abundances to treatment outcomes, toxicity, and geriatric assessments.
Baseline and after 4 cycles of initial treatment (Cycles = 21 days)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

National Cancer Institute (NCI)

Efterforskere

  • Ledende efterforsker: Megan A Baumgart, ECOG-ACRIN Cancer Research Group

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

19. juli 2024

Primær færdiggørelse (Anslået)

1. april 2039

Studieafslutning (Anslået)

1. april 2039

Datoer for studieregistrering

Først indsendt

21. oktober 2023

Først indsendt, der opfyldte QC-kriterier

21. oktober 2023

Først opslået (Faktiske)

24. oktober 2023

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. november 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. november 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • NCI-2023-08628
  • U10CA180820 (U.S. NIH-bevilling/kontrakt)
  • NCI-2023-08628 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
  • EA5221 (Anden identifikator: CTEP)
  • EA5221 (Anden identifikator: ECOG-ACRIN Cancer Research Group)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Abonner