Prüfung der Kombination von Pevonedistat mit Chemotherapie bei Gallengangskrebs der Leber
Eine Phase-2-Studie mit Pevonedistat in Kombination mit Carboplatin und Paclitaxel bei fortgeschrittenem intrahepatischem Cholangiokarzinom
This phase II trial studies how well pevonedistat alone or in combination with chemotherapy (paclitaxel and carboplatin) works in treating patients with bile duct cancer of the liver. Pevonedistat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Chemotherapy drugs, such as paclitaxel and carboplatin, 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. This study may help the study doctors find out how well pevonedistat shrinks bile duct cancer of the liver when given alone and when in combination with paclitaxel and carboplatin.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
- Stadium III Intrahepatisches Cholangiokarzinom AJCC v8
- Intrahepatisches Cholangiokarzinom im Stadium IIIA AJCC v8
- Intrahepatisches Cholangiokarzinom im Stadium IIIB AJCC v8
- Nicht resezierbares hepatozelluläres Karzinom
- Metastasierendes Cholangiokarzinom
- Hepatozelluläres Karzinom Stadium III AJCC v8
- Hepatozelluläres Karzinom im Stadium IIIA AJCC v8
- Stadium IV hepatozelluläres Karzinom AJCC v8
- Hepatozelluläres Karzinom im Stadium IVA AJCC v8
- Hepatozelluläres Karzinom im Stadium IVB AJCC v8
- Stadium IV Intrahepatisches Cholangiokarzinom AJCC v8
- Nicht resezierbares Cholangiokarzinom
- Hepatozelluläres Karzinom im Stadium IIIB AJCC v8
- Metastasierendes hepatozelluläres Karzinom
- Nicht resezierbares intrahepatisches Cholangiokarzinom
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
PRIMARY OBJECTIVE:
I. To determine the objective response rate of pevonedistat as a single agent and in combination with carboplatin and paclitaxel in patients with unresectable intrahepatic cholangiocarcinoma.
SECONDARY OBJECTIVES:
I. To evaluate the safety profile of pevonedistat alone and in combination with carboplatin and paclitaxel in patients with intrahepatic cholangiocarcinoma.
II. To determine the clinical benefit rate of patients with advanced intrahepatic cholangiocarcinoma (ICC) treated with pevonedistat monotherapy and in combination with carboplatin and paclitaxel.
III. To determine progression-free survival of patients treated with pevonedistat monotherapy and in combination with carboplatin and paclitaxel.
IV. To determine overall survival of patients treated with pevonedistat monotherapy and in combination with carboplatin and paclitaxel.
EXPLORATORY OBJECTIVES:
I. To determine whether overexpression of NEDD8, NAE1, and UBC12 predict response to treatment.
II. To identify the mutation profile of those cholangiocarcinomas with overexpression of the neddylation pathway.
III. To bank specimens for further future investigations.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM A: Patients receive pevonedistat intravenously (IV) over 60 minutes on days 1, 3, and 5. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.
ARM B: Patients receive pevonedistat IV over 1 hour on days 1, 3, and 5, paclitaxel IV over 3 hours on day 1, and carboplatin IV over 15-60 minutes on day 1. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Starting cycle 5, patients may receive pevonedistat monotherapy at the discretion of treating physician.
After completion of study treatment, patients are followed up at 30 days after last dose of study treatment, then every 3 months for the first year and every 6 months for years 2-3.
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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Alaska
-
Anchorage, Alaska, Vereinigte Staaten, 98508
- Anchorage Associates in Radiation Medicine
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Alaska Breast Care and Surgery LLC
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Alaska Oncology and Hematology LLC
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Alaska Women's Cancer Care
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Anchorage Oncology Centre
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Katmai Oncology Group
-
Anchorage, Alaska, Vereinigte Staaten, 99508
- Providence Alaska Medical Center
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Anchorage, Alaska, Vereinigte Staaten, 99504
- Anchorage Radiation Therapy Center
-
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Arizona
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Kingman, Arizona, Vereinigte Staaten, 86401
- Kingman Regional Medical Center
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Phoenix, Arizona, Vereinigte Staaten, 85004
- Cancer Center at Saint Joseph's
-
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Arkansas
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Hot Springs, Arkansas, Vereinigte Staaten, 71913
- CHI Saint Vincent Cancer Center Hot Springs
-
-
California
-
Arroyo Grande, California, Vereinigte Staaten, 93420
- PCR Oncology
-
Arroyo Grande, California, Vereinigte Staaten, 93420
- Mission Hope Medical Oncology - Arroyo Grande
-
Auburn, California, Vereinigte Staaten, 95602
- Sutter Auburn Faith Hospital
-
Auburn, California, Vereinigte Staaten, 95603
- Sutter Cancer Centers Radiation Oncology Services-Auburn
-
Berkeley, California, Vereinigte Staaten, 94704
- Alta Bates Summit Medical Center-Herrick Campus
-
Burbank, California, Vereinigte Staaten, 91505
- Providence Saint Joseph Medical Center/Disney Family Cancer Center
-
Cameron Park, California, Vereinigte Staaten, 95682
- Sutter Cancer Centers Radiation Oncology Services-Cameron Park
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Castro Valley, California, Vereinigte Staaten, 94546
- Eden Hospital Medical Center
-
Davis, California, Vereinigte Staaten, 95616
- Sutter Davis Hospital
-
Duarte, California, Vereinigte Staaten, 91010
- City of Hope Comprehensive Cancer Center
-
Fremont, California, Vereinigte Staaten, 94538
- Palo Alto Medical Foundation-Fremont
-
Modesto, California, Vereinigte Staaten, 95355
- Memorial Medical Center
-
Mountain View, California, Vereinigte Staaten, 94040
- Palo Alto Medical Foundation-Camino Division
-
Mountain View, California, Vereinigte Staaten, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
-
Palo Alto, California, Vereinigte Staaten, 94301
- Palo Alto Medical Foundation Health Care
-
Roseville, California, Vereinigte Staaten, 95661
- Sutter Cancer Centers Radiation Oncology Services-Roseville
-
Roseville, California, Vereinigte Staaten, 95661
- Sutter Roseville Medical Center
-
Sacramento, California, Vereinigte Staaten, 95816
- Sutter Medical Center Sacramento
-
San Francisco, California, Vereinigte Staaten, 94115
- California Pacific Medical Center-Pacific Campus
-
San Mateo, California, Vereinigte Staaten, 94401
- Mills Health Center
-
Santa Cruz, California, Vereinigte Staaten, 95065
- Palo Alto Medical Foundation-Santa Cruz
-
Santa Maria, California, Vereinigte Staaten, 93444
- Mission Hope Medical Oncology - Santa Maria
-
Santa Rosa, California, Vereinigte Staaten, 95403
- Sutter Pacific Medical Foundation
-
Sunnyvale, California, Vereinigte Staaten, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Vallejo, California, Vereinigte Staaten, 94589
- Sutter Solano Medical Center/Cancer Center
-
-
Colorado
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Colorado Springs, Colorado, Vereinigte Staaten, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Vereinigte Staaten, 80909
- UCHealth Memorial Hospital Central
-
Colorado Springs, Colorado, Vereinigte Staaten, 80907
- Rocky Mountain Cancer Centers-Penrose
-
Colorado Springs, Colorado, Vereinigte Staaten, 80920
- Memorial Hospital North
-
Denver, Colorado, Vereinigte Staaten, 80210
- AdventHealth Porter
-
Durango, Colorado, Vereinigte Staaten, 81301
- Mercy Medical Center
-
Durango, Colorado, Vereinigte Staaten, 81301
- CommonSpirit Cancer Center Mercy
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Fort Collins, Colorado, Vereinigte Staaten, 80524
- Poudre Valley Hospital
-
Fort Collins, Colorado, Vereinigte Staaten, 80528
- Cancer Care and Hematology-Fort Collins
-
Greeley, Colorado, Vereinigte Staaten, 80631
- UCHealth Greeley Hospital
-
Lakewood, Colorado, Vereinigte Staaten, 80228
- CommonSpirit Saint Anthony Hospital Cancer Center
-
Littleton, Colorado, Vereinigte Staaten, 80122
- AdventHealth Littleton
-
Longmont, Colorado, Vereinigte Staaten, 80501
- Longmont United Hospital
-
Longmont, Colorado, Vereinigte Staaten, 80501
- Rocky Mountain Cancer Centers-Longmont
-
Loveland, Colorado, Vereinigte Staaten, 80538
- Medical Center of the Rockies
-
Parker, Colorado, Vereinigte Staaten, 80138
- AdventHealth Parker
-
Pueblo, Colorado, Vereinigte Staaten, 81004
- Saint Mary Corwin Medical Center
-
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Florida
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Coral Gables, Florida, Vereinigte Staaten, 33146
- UM Sylvester Comprehensive Cancer Center at Coral Gables
-
Deerfield Beach, Florida, Vereinigte Staaten, 33442
- UM Sylvester Comprehensive Cancer Center at Deerfield Beach
-
Fort Lauderdale, Florida, Vereinigte Staaten, 33308
- Holy Cross Hospital
-
Miami, Florida, Vereinigte Staaten, 33136
- University of Miami Miller School of Medicine-Sylvester Cancer Center
-
Miami, Florida, Vereinigte Staaten, 33176
- UM Sylvester Comprehensive Cancer Center at Kendall
-
Plantation, Florida, Vereinigte Staaten, 33324
- UM Sylvester Comprehensive Cancer Center at Plantation
-
-
Hawaii
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Queen's Medical Center
-
Honolulu, Hawaii, Vereinigte Staaten, 96817
- The Cancer Center of Hawaii-Liliha
-
Honolulu, Hawaii, Vereinigte Staaten, 96813
- Hawaii Cancer Care Inc - Waterfront Plaza
-
Honolulu, Hawaii, Vereinigte Staaten, 96813
- Queen's Cancer Cenrer - POB I
-
Honolulu, Hawaii, Vereinigte Staaten, 96813
- Straub Clinic and Hospital
-
Honolulu, Hawaii, Vereinigte Staaten, 96813
- University of Hawaii Cancer Center
-
Honolulu, Hawaii, Vereinigte Staaten, 96817
- Hawaii Cancer Care Inc-Liliha
-
Honolulu, Hawaii, Vereinigte Staaten, 96817
- Kuakini Medical Center
-
Honolulu, Hawaii, Vereinigte Staaten, 96817
- Queen's Cancer Center - Kuakini
-
Honolulu, Hawaii, Vereinigte Staaten, 96826
- Kapiolani Medical Center for Women and Children
-
Honolulu, Hawaii, Vereinigte Staaten, 96813
- Island Urology
-
Lihue, Hawaii, Vereinigte Staaten, 96766
- Wilcox Memorial Hospital and Kauai Medical Clinic
-
‘Aiea, Hawaii, Vereinigte Staaten, 96701
- Hawaii Cancer Care - Westridge
-
‘Aiea, Hawaii, Vereinigte Staaten, 96701
- Pali Momi Medical Center
-
‘Aiea, Hawaii, Vereinigte Staaten, 96701
- Queen's Cancer Center - Pearlridge
-
‘Aiea, Hawaii, Vereinigte Staaten, 96701
- The Cancer Center of Hawaii-Pali Momi
-
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Idaho
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Boise, Idaho, Vereinigte Staaten, 83706
- Saint Alphonsus Cancer Care Center-Boise
-
Boise, Idaho, Vereinigte Staaten, 83712
- Saint Luke's Cancer Institute - Boise
-
Caldwell, Idaho, Vereinigte Staaten, 83605
- Saint Alphonsus Cancer Care Center-Caldwell
-
Coeur d'Alene, Idaho, Vereinigte Staaten, 83814
- Kootenai Health - Coeur d'Alene
-
Emmett, Idaho, Vereinigte Staaten, 83617
- Walter Knox Memorial Hospital
-
Fruitland, Idaho, Vereinigte Staaten, 83619
- Saint Luke's Cancer Institute - Fruitland
-
Meridian, Idaho, Vereinigte Staaten, 83642
- Idaho Urologic Institute-Meridian
-
Meridian, Idaho, Vereinigte Staaten, 83642
- Saint Luke's Cancer Institute - Meridian
-
Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Alphonsus Cancer Care Center-Nampa
-
Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Luke's Cancer Institute - Nampa
-
Post Falls, Idaho, Vereinigte Staaten, 83854
- Kootenai Clinic Cancer Services - Post Falls
-
Sandpoint, Idaho, Vereinigte Staaten, 83864
- Kootenai Clinic Cancer Services - Sandpoint
-
Twin Falls, Idaho, Vereinigte Staaten, 83301
- Saint Luke's Cancer Institute - Twin Falls
-
-
Illinois
-
Chicago, Illinois, Vereinigte Staaten, 60611
- Northwestern University
-
Lake Forest, Illinois, Vereinigte Staaten, 60045
- Northwestern Medicine Lake Forest Hospital
-
-
Indiana
-
Indianapolis, Indiana, Vereinigte Staaten, 46237
- Franciscan Health Indianapolis
-
Indianapolis, Indiana, Vereinigte Staaten, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
-
Mooresville, Indiana, Vereinigte Staaten, 46158
- Franciscan Health Mooresville
-
Richmond, Indiana, Vereinigte Staaten, 47374
- Reid Health
-
Terre Haute, Indiana, Vereinigte Staaten, 47804
- Union Hospital
-
-
Iowa
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Ames, Iowa, Vereinigte Staaten, 50010
- Mary Greeley Medical Center
-
Ames, Iowa, Vereinigte Staaten, 50010
- McFarland Clinic - Ames
-
Boone, Iowa, Vereinigte Staaten, 50036
- McFarland Clinic - Boone
-
Clive, Iowa, Vereinigte Staaten, 50325
- Mercy Cancer Center-West Lakes
-
Clive, Iowa, Vereinigte Staaten, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
-
Council Bluffs, Iowa, Vereinigte Staaten, 51503
- Alegent Health Mercy Hospital
-
Creston, Iowa, Vereinigte Staaten, 50801
- Greater Regional Medical Center
-
Des Moines, Iowa, Vereinigte Staaten, 50309
- Iowa Methodist Medical Center
-
Des Moines, Iowa, Vereinigte Staaten, 50314
- Mercy Medical Center - Des Moines
-
Des Moines, Iowa, Vereinigte Staaten, 50314
- Broadlawns Medical Center
-
Des Moines, Iowa, Vereinigte Staaten, 50316
- Iowa Lutheran Hospital
-
Des Moines, Iowa, Vereinigte Staaten, 50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
-
Des Moines, Iowa, Vereinigte Staaten, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
-
Fort Dodge, Iowa, Vereinigte Staaten, 50501
- McFarland Clinic - Trinity Cancer Center
-
Fort Dodge, Iowa, Vereinigte Staaten, 50501
- UI Healthcare Mission Cancer and Blood - Fort Dodge
-
Jefferson, Iowa, Vereinigte Staaten, 50129
- McFarland Clinic - Jefferson
-
Marshalltown, Iowa, Vereinigte Staaten, 50158
- McFarland Clinic - Marshalltown
-
West Des Moines, Iowa, Vereinigte Staaten, 50266-7700
- Methodist West Hospital
-
West Des Moines, Iowa, Vereinigte Staaten, 50266
- Mercy Medical Center-West Lakes
-
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Kansas
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Fairway, Kansas, Vereinigte Staaten, 66205
- University of Kansas Clinical Research Center
-
Hays, Kansas, Vereinigte Staaten, 67601
- HaysMed
-
Kansas City, Kansas, Vereinigte Staaten, 66160
- University of Kansas Cancer Center
-
Kansas City, Kansas, Vereinigte Staaten, 66112
- University of Kansas Cancer Center-West
-
Lawrence, Kansas, Vereinigte Staaten, 66044
- Lawrence Memorial Hospital
-
Olathe, Kansas, Vereinigte Staaten, 66061
- The University of Kansas Cancer Center - Olathe
-
Overland Park, Kansas, Vereinigte Staaten, 66210
- University of Kansas Cancer Center-Overland Park
-
Pittsburg, Kansas, Vereinigte Staaten, 66762
- Mercy Hospital Pittsburg
-
Salina, Kansas, Vereinigte Staaten, 67401
- Salina Regional Health Center
-
Topeka, Kansas, Vereinigte Staaten, 66606
- University of Kansas Health System Saint Francis Campus
-
Westwood, Kansas, Vereinigte Staaten, 66205
- University of Kansas Hospital-Westwood Cancer Center
-
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Kentucky
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Bardstown, Kentucky, Vereinigte Staaten, 40004
- CommonSpirit Saint Joseph Hospital - Bardstown
-
Corbin, Kentucky, Vereinigte Staaten, 40701
- Commonwealth Cancer Center-Corbin
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Lexington, Kentucky, Vereinigte Staaten, 40504
- Saint Joseph Radiation Oncology Resource Center
-
Lexington, Kentucky, Vereinigte Staaten, 40509
- CommonSpirit Saint Joseph Medical Center - East Lexington
-
London, Kentucky, Vereinigte Staaten, 40741
- CommonSpirit Saint Joseph Hospital London
-
Louisville, Kentucky, Vereinigte Staaten, 40202
- Jewish Hospital
-
Louisville, Kentucky, Vereinigte Staaten, 40245
- UofL Health Medical Center Northeast
-
Louisville, Kentucky, Vereinigte Staaten, 40215
- Saints Mary and Elizabeth Hospital
-
Shepherdsville, Kentucky, Vereinigte Staaten, 40165
- Jewish Hospital Medical Center South
-
-
Maine
-
Brewer, Maine, Vereinigte Staaten, 04412
- Lafayette Family Cancer Center-EMMC
-
-
Massachusetts
-
Springfield, Massachusetts, Vereinigte Staaten, 01104
- Mercy Medical Center
-
Worcester, Massachusetts, Vereinigte Staaten, 01655
- UMass Memorial Medical Center - University Campus
-
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Michigan
-
Ann Arbor, Michigan, Vereinigte Staaten, 48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
-
Battle Creek, Michigan, Vereinigte Staaten, 49017
- Bronson Battle Creek
-
Bay City, Michigan, Vereinigte Staaten, 48706
- McLaren Cancer Institute-Bay City
-
Brighton, Michigan, Vereinigte Staaten, 48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
-
Brighton, Michigan, Vereinigte Staaten, 48114
- Trinity Health Medical Center - Brighton
-
Canton, Michigan, Vereinigte Staaten, 48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
-
Canton, Michigan, Vereinigte Staaten, 48188
- Trinity Health Medical Center - Canton
-
Caro, Michigan, Vereinigte Staaten, 48723
- Caro Cancer Center
-
Chelsea, Michigan, Vereinigte Staaten, 48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
-
Chelsea, Michigan, Vereinigte Staaten, 48118
- Chelsea Hospital
-
Clarkston, Michigan, Vereinigte Staaten, 48346
- McLaren Cancer Institute-Clarkston
-
Clarkston, Michigan, Vereinigte Staaten, 48346
- Hematology Oncology Consultants-Clarkston
-
Clarkston, Michigan, Vereinigte Staaten, 48346
- Newland Medical Associates-Clarkston
-
Detroit, Michigan, Vereinigte Staaten, 48201
- Wayne State University/Karmanos Cancer Institute
-
Detroit, Michigan, Vereinigte Staaten, 48236
- Henry Ford Health Saint John Hospital
-
East China Township, Michigan, Vereinigte Staaten, 48054
- Henry Ford River District Hospital
-
Farmington Hills, Michigan, Vereinigte Staaten, 48334
- Weisberg Cancer Treatment Center
-
Flint, Michigan, Vereinigte Staaten, 48532
- McLaren Cancer Institute-Flint
-
Flint, Michigan, Vereinigte Staaten, 48532
- Singh and Arora Hematology Oncology PC
-
Flint, Michigan, Vereinigte Staaten, 48503
- Hurley Medical Center
-
Flint, Michigan, Vereinigte Staaten, 48503
- Genesee Hematology Oncology PC
-
Flint, Michigan, Vereinigte Staaten, 48503
- Genesys Hurley Cancer Institute
-
Flint, Michigan, Vereinigte Staaten, 48503
- Cancer Hematology Centers - Flint
-
Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Trinity Health Grand Rapids Hospital
-
Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
-
Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
-
Grosse Pointe Woods, Michigan, Vereinigte Staaten, 48236
- Henry Ford Saint John Hospital - Academic
-
Grosse Pointe Woods, Michigan, Vereinigte Staaten, 48236
- Henry Ford Saint John Hospital - Breast
-
Grosse Pointe Woods, Michigan, Vereinigte Staaten, 48236
- Henry Ford Saint John Hospital - Van Elslander
-
Kalamazoo, Michigan, Vereinigte Staaten, 49007
- West Michigan Cancer Center
-
Kalamazoo, Michigan, Vereinigte Staaten, 49007
- Bronson Methodist Hospital
-
Kalamazoo, Michigan, Vereinigte Staaten, 49048
- Beacon Kalamazoo
-
Lansing, Michigan, Vereinigte Staaten, 48912
- Mid-Michigan Physicians-Lansing
-
Lansing, Michigan, Vereinigte Staaten, 48910
- Karmanos Cancer Institute at McLaren Greater Lansing
-
Lansing, Michigan, Vereinigte Staaten, 48912
- University of Michigan Health - Sparrow Lansing
-
Lapeer, Michigan, Vereinigte Staaten, 48446
- McLaren Cancer Institute-Lapeer Region
-
Livonia, Michigan, Vereinigte Staaten, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
-
Livonia, Michigan, Vereinigte Staaten, 48154
- Hope Cancer Clinic
-
Macomb, Michigan, Vereinigte Staaten, 48044
- Henry Ford Warren Hospital - Breast Macomb
-
Macomb, Michigan, Vereinigte Staaten, 48044
- Henry Ford Saint John Hospital - Macomb Medical
-
Marlette, Michigan, Vereinigte Staaten, 48453
- Saint Mary's Oncology/Hematology Associates of Marlette
-
Mount Clemens, Michigan, Vereinigte Staaten, 48043
- McLaren Cancer Institute-Macomb
-
Mount Pleasant, Michigan, Vereinigte Staaten, 48858
- McLaren Cancer Institute-Central Michigan
-
Muskegon, Michigan, Vereinigte Staaten, 49444
- Trinity Health Muskegon Hospital
-
Niles, Michigan, Vereinigte Staaten, 49120
- Corewell Health Lakeland Hospitals - Niles Hospital
-
Norton Shores, Michigan, Vereinigte Staaten, 49444
- Cancer and Hematology Centers of Western Michigan - Norton Shores
-
Petoskey, Michigan, Vereinigte Staaten, 49770
- McLaren Cancer Institute-Northern Michigan
-
Pontiac, Michigan, Vereinigte Staaten, 48341
- Hope Cancer Center
-
Pontiac, Michigan, Vereinigte Staaten, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Pontiac, Michigan, Vereinigte Staaten, 48341
- Michigan Healthcare Professionals Pontiac
-
Pontiac, Michigan, Vereinigte Staaten, 48341
- Trinity Health IHA Medical Group-Alice Gustafson Center
-
Port Huron, Michigan, Vereinigte Staaten, 48060
- McLaren-Port Huron
-
Reed City, Michigan, Vereinigte Staaten, 49677
- Corewell Health Reed City Hospital
-
Rochester Hills, Michigan, Vereinigte Staaten, 48309
- Henry Ford Rochester Hospital
-
Saginaw, Michigan, Vereinigte Staaten, 48604
- Oncology Hematology Associates of Saginaw Valley PC
-
Saginaw, Michigan, Vereinigte Staaten, 48601
- MyMichigan Medical Center Saginaw
-
Saint Joseph, Michigan, Vereinigte Staaten, 49085
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
-
Saint Joseph, Michigan, Vereinigte Staaten, 49085
- Corewell Health Lakeland Hospitals - Saint Joseph Hospital
-
Sterling Heights, Michigan, Vereinigte Staaten, 48312
- Bhadresh Nayak MD PC-Sterling Heights
-
Tawas City, Michigan, Vereinigte Staaten, 48764
- MyMichigan Medical Center Tawas
-
Traverse City, Michigan, Vereinigte Staaten, 49684
- Munson Medical Center
-
Warren, Michigan, Vereinigte Staaten, 48088
- Advanced Breast Care Center PLLC
-
Warren, Michigan, Vereinigte Staaten, 48093
- Macomb Hematology Oncology PC
-
Warren, Michigan, Vereinigte Staaten, 48093
- Henry Ford Madison Heights Hospital - Breast
-
Warren, Michigan, Vereinigte Staaten, 48093
- Henry Ford Health Warren Hospital
-
Warren, Michigan, Vereinigte Staaten, 48093
- Henry Ford Warren Hospital - GLCMS
-
West Branch, Michigan, Vereinigte Staaten, 48661
- Saint Mary's Oncology/Hematology Associates of West Branch
-
Wyoming, Michigan, Vereinigte Staaten, 49519
- University of Michigan Health - West
-
Ypsilanti, Michigan, Vereinigte Staaten, 48197
- Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
-
Ypsilanti, Michigan, Vereinigte Staaten, 48106
- Huron Gastroenterology PC
-
-
Minnesota
-
Burnsville, Minnesota, Vereinigte Staaten, 55337
- Fairview Ridges Hospital
-
Burnsville, Minnesota, Vereinigte Staaten, 55337
- Minnesota Oncology - Burnsville
-
Cambridge, Minnesota, Vereinigte Staaten, 55008
- Cambridge Medical Center
-
Coon Rapids, Minnesota, Vereinigte Staaten, 55433
- Mercy Hospital
-
Edina, Minnesota, Vereinigte Staaten, 55435
- Fairview Southdale Hospital
-
Fridley, Minnesota, Vereinigte Staaten, 55432
- Unity Hospital
-
Maple Grove, Minnesota, Vereinigte Staaten, 55369
- Fairview Clinics and Surgery Center Maple Grove
-
Maplewood, Minnesota, Vereinigte Staaten, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, Vereinigte Staaten, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, Vereinigte Staaten, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, Vereinigte Staaten, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Vereinigte Staaten, 55454
- Health Partners Inc
-
Monticello, Minnesota, Vereinigte Staaten, 55362
- Monticello Cancer Center
-
New Ulm, Minnesota, Vereinigte Staaten, 56073
- New Ulm Medical Center
-
Princeton, Minnesota, Vereinigte Staaten, 55371
- Fairview Northland Medical Center
-
Robbinsdale, Minnesota, Vereinigte Staaten, 55422
- North Memorial Medical Health Center
-
Saint Louis Park, Minnesota, Vereinigte Staaten, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul, Minnesota, Vereinigte Staaten, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Vereinigte Staaten, 55102
- United Hospital
-
Shakopee, Minnesota, Vereinigte Staaten, 55379
- Saint Francis Regional Medical Center
-
Stillwater, Minnesota, Vereinigte Staaten, 55082
- Lakeview Hospital
-
Waconia, Minnesota, Vereinigte Staaten, 55387
- Ridgeview Medical Center
-
Willmar, Minnesota, Vereinigte Staaten, 56201
- Rice Memorial Hospital
-
Woodbury, Minnesota, Vereinigte Staaten, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
Wyoming, Minnesota, Vereinigte Staaten, 55092
- Fairview Lakes Medical Center
-
-
Missouri
-
Kansas City, Missouri, Vereinigte Staaten, 64154
- University of Kansas Cancer Center - North
-
Kansas City, Missouri, Vereinigte Staaten, 64108
- University Health Truman Medical Center
-
Lee's Summit, Missouri, Vereinigte Staaten, 64064
- University of Kansas Cancer Center - Lee's Summit
-
North Kansas City, Missouri, Vereinigte Staaten, 64116
- University of Kansas Cancer Center at North Kansas City Hospital
-
-
Montana
-
Anaconda, Montana, Vereinigte Staaten, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Vereinigte Staaten, 59101
- Billings Clinic Cancer Center
-
Bozeman, Montana, Vereinigte Staaten, 59715
- Bozeman Health Deaconess Hospital
-
Great Falls, Montana, Vereinigte Staaten, 59405
- Great Falls Clinic
-
Great Falls, Montana, Vereinigte Staaten, 59405
- Benefis Sletten Cancer Institute
-
Kalispell, Montana, Vereinigte Staaten, 59901
- Logan Health Medical Center
-
Missoula, Montana, Vereinigte Staaten, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, Vereinigte Staaten, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Vereinigte Staaten, 68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Kearney, Nebraska, Vereinigte Staaten, 68847
- CHI Health Good Samaritan
-
Lincoln, Nebraska, Vereinigte Staaten, 68510
- Saint Elizabeth Regional Medical Center
-
Omaha, Nebraska, Vereinigte Staaten, 68114
- Nebraska Methodist Hospital
-
Omaha, Nebraska, Vereinigte Staaten, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Vereinigte Staaten, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, Vereinigte Staaten, 68130
- Alegent Health Lakeside Hospital
-
Papillion, Nebraska, Vereinigte Staaten, 68046
- Midlands Community Hospital
-
-
Nevada
-
Carson City, Nevada, Vereinigte Staaten, 89703
- Carson Tahoe Regional Medical Center
-
Henderson, Nevada, Vereinigte Staaten, 89052
- Comprehensive Cancer Centers of Nevada - Henderson
-
Henderson, Nevada, Vereinigte Staaten, 89052
- Cancer and Blood Specialists-Henderson
-
Henderson, Nevada, Vereinigte Staaten, 89052
- Las Vegas Cancer Center-Henderson
-
Henderson, Nevada, Vereinigte Staaten, 89074
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Henderson, Nevada, Vereinigte Staaten, 89052
- Comprehensive Cancer Centers of Nevada-Horizon Ridge
-
Henderson, Nevada, Vereinigte Staaten, 89074
- Las Vegas Urology - Green Valley
-
Henderson, Nevada, Vereinigte Staaten, 89074
- Las Vegas Urology - Pebble
-
Henderson, Nevada, Vereinigte Staaten, 89074
- Urology Specialists of Nevada - Green Valley
-
Henderson, Nevada, Vereinigte Staaten, 89074
- Oncology Las Vegas - Henderson
-
Las Vegas, Nevada, Vereinigte Staaten, 89144
- Summerlin Hospital Medical Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89109
- Sunrise Hospital and Medical Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89102
- OptumCare Cancer Care at Charleston
-
Las Vegas, Nevada, Vereinigte Staaten, 89106
- Radiation Oncology Centers of Nevada Central
-
Las Vegas, Nevada, Vereinigte Staaten, 89119
- Radiation Oncology Centers of Nevada Southeast
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Comprehensive Cancer Centers of Nevada - Northwest
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- OptumCare Cancer Care at MountainView
-
Las Vegas, Nevada, Vereinigte Staaten, 89135
- Alliance for Childhood Diseases/Cure 4 the Kids Foundation
-
Las Vegas, Nevada, Vereinigte Staaten, 89144
- Comprehensive Cancer Centers of Nevada - Town Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89144
- Comprehensive Cancer Centers of Nevada-Summerlin
-
Las Vegas, Nevada, Vereinigte Staaten, 89148
- Comprehensive Cancer Centers of Nevada
-
Las Vegas, Nevada, Vereinigte Staaten, 89169
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Las Vegas, Nevada, Vereinigte Staaten, 89102
- University Medical Center of Southern Nevada
-
Las Vegas, Nevada, Vereinigte Staaten, 89106
- Cancer and Blood Specialists-Shadow
-
Las Vegas, Nevada, Vereinigte Staaten, 89109
- HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
-
Las Vegas, Nevada, Vereinigte Staaten, 89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Cancer and Blood Specialists-Tenaya
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
-
Las Vegas, Nevada, Vereinigte Staaten, 89148-2405
- Las Vegas Cancer Center-Medical Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89149
- HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Ann M Wierman MD LTD
-
Las Vegas, Nevada, Vereinigte Staaten, 89074
- Las Vegas Urology - Pecos
-
Las Vegas, Nevada, Vereinigte Staaten, 89102
- Desert West Surgery
-
Las Vegas, Nevada, Vereinigte Staaten, 89103
- Hope Cancer Care of Nevada
-
Las Vegas, Nevada, Vereinigte Staaten, 89106
- Urology Specialists of Nevada - Central
-
Las Vegas, Nevada, Vereinigte Staaten, 89113
- Las Vegas Prostate Cancer Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89113
- Las Vegas Urology - Sunset
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Las Vegas Urology - Cathedral Rock
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Las Vegas Urology - Smoke Ranch
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Urology Specialists of Nevada - Northwest
-
Las Vegas, Nevada, Vereinigte Staaten, 89169
- University Cancer Center
-
Las Vegas, Nevada, Vereinigte Staaten, 89113
- Urology Specialists of Nevada - Southwest
-
Las Vegas, Nevada, Vereinigte Staaten, 89128
- Oncology Las Vegas - Tenaya
-
Las Vegas, Nevada, Vereinigte Staaten, 89183
- OptumCare Cancer Care at Fort Apache
-
Pahrump, Nevada, Vereinigte Staaten, 89048
- Hope Cancer Care of Nevada-Pahrump
-
Reno, Nevada, Vereinigte Staaten, 89502
- Renown Regional Medical Center
-
Reno, Nevada, Vereinigte Staaten, 89503
- Saint Mary's Regional Medical Center
-
Reno, Nevada, Vereinigte Staaten, 89509
- Radiation Oncology Associates
-
-
New Hampshire
-
Lebanon, New Hampshire, Vereinigte Staaten, 03756
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
-
-
New Jersey
-
Teaneck, New Jersey, Vereinigte Staaten, 07666
- Holy Name Hospital
-
-
New York
-
Buffalo, New York, Vereinigte Staaten, 14263
- Roswell Park Cancer Institute
-
Rochester, New York, Vereinigte Staaten, 14642
- University of Rochester
-
-
North Carolina
-
Chapel Hill, North Carolina, Vereinigte Staaten, 27599
- UNC Lineberger Comprehensive Cancer Center
-
Greenville, North Carolina, Vereinigte Staaten, 27834
- East Carolina University
-
Hillsborough, North Carolina, Vereinigte Staaten, 27278
- University of North Carolina-Hillsborough Campus
-
-
Ohio
-
Beavercreek, Ohio, Vereinigte Staaten, 45431
- Indu and Raj Soin Medical Center
-
Boardman, Ohio, Vereinigte Staaten, 44512
- Saint Elizabeth Boardman Hospital
-
Centerville, Ohio, Vereinigte Staaten, 45459
- Miami Valley Hospital South
-
Centerville, Ohio, Vereinigte Staaten, 45459
- Dayton Physicians LLC-Miami Valley South
-
Cincinnati, Ohio, Vereinigte Staaten, 45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati, Ohio, Vereinigte Staaten, 45242
- Bethesda North Hospital
-
Cincinnati, Ohio, Vereinigte Staaten, 45236
- Oncology Hematology Care Inc-Kenwood
-
Cincinnati, Ohio, Vereinigte Staaten, 45247
- TriHealth Cancer Institute-Westside
-
Cincinnati, Ohio, Vereinigte Staaten, 45255
- TriHealth Cancer Institute-Anderson
-
Cleveland, Ohio, Vereinigte Staaten, 44109
- MetroHealth Medical Center
-
Cleveland, Ohio, Vereinigte Staaten, 44195
- Cleveland Clinic Foundation
-
Cleveland, Ohio, Vereinigte Staaten, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Dayton, Ohio, Vereinigte Staaten, 45409
- Miami Valley Hospital
-
Dayton, Ohio, Vereinigte Staaten, 45415
- Miami Valley Hospital North
-
Dayton, Ohio, Vereinigte Staaten, 45415
- Dayton Physician LLC - Englewood
-
Findlay, Ohio, Vereinigte Staaten, 45840
- Blanchard Valley Hospital
-
Findlay, Ohio, Vereinigte Staaten, 45840
- Armes Family Cancer Center
-
Findlay, Ohio, Vereinigte Staaten, 45840
- Orion Cancer Care
-
Franklin, Ohio, Vereinigte Staaten, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Franklin, Ohio, Vereinigte Staaten, 45005
- Dayton Physicians LLC-Atrium
-
Greenville, Ohio, Vereinigte Staaten, 45331
- Wayne Hospital
-
Greenville, Ohio, Vereinigte Staaten, 45331
- Dayton Physicians LLC-Wayne
-
Kettering, Ohio, Vereinigte Staaten, 45429
- Kettering Medical Center
-
Kettering, Ohio, Vereinigte Staaten, 45409
- Greater Dayton Cancer Center
-
Kettering, Ohio, Vereinigte Staaten, 45420
- First Dayton Cancer Care
-
Mansfield, Ohio, Vereinigte Staaten, 44906
- Cleveland Clinic Cancer Center Mansfield
-
Mayfield Heights, Ohio, Vereinigte Staaten, 44124
- Hillcrest Hospital Cancer Center
-
Sandusky, Ohio, Vereinigte Staaten, 44870
- North Coast Cancer Care
-
Strongsville, Ohio, Vereinigte Staaten, 44136
- Cleveland Clinic Cancer Center Strongsville
-
Troy, Ohio, Vereinigte Staaten, 45373
- Upper Valley Medical Center
-
Troy, Ohio, Vereinigte Staaten, 45373
- Dayton Physicians LLC - Troy
-
Warren, Ohio, Vereinigte Staaten, 44484
- Saint Joseph Warren Hospital
-
Warrensville Heights, Ohio, Vereinigte Staaten, 44122
- South Pointe Hospital
-
Wooster, Ohio, Vereinigte Staaten, 44691
- Cleveland Clinic Wooster Family Health and Surgery Center
-
Youngstown, Ohio, Vereinigte Staaten, 44501
- Saint Elizabeth Youngstown Hospital
-
-
Oklahoma
-
Lawton, Oklahoma, Vereinigte Staaten, 73505
- Cancer Centers of Southwest Oklahoma Research
-
Oklahoma City, Oklahoma, Vereinigte Staaten, 73104
- University of Oklahoma Health Sciences Center
-
-
Oregon
-
Baker City, Oregon, Vereinigte Staaten, 97814
- Saint Alphonsus Cancer Care Center-Baker City
-
Bend, Oregon, Vereinigte Staaten, 97701
- Saint Charles Health System
-
Clackamas, Oregon, Vereinigte Staaten, 97015
- Clackamas Radiation Oncology Center
-
Clackamas, Oregon, Vereinigte Staaten, 97015
- Providence Cancer Institute Clackamas Clinic
-
Coos Bay, Oregon, Vereinigte Staaten, 97420
- Bay Area Hospital
-
Newberg, Oregon, Vereinigte Staaten, 97132
- Providence Newberg Medical Center
-
Ontario, Oregon, Vereinigte Staaten, 97914
- Saint Alphonsus Cancer Care Center-Ontario
-
Portland, Oregon, Vereinigte Staaten, 97213
- Providence Portland Medical Center
-
Portland, Oregon, Vereinigte Staaten, 97225
- Providence Saint Vincent Medical Center
-
Redmond, Oregon, Vereinigte Staaten, 97756
- Saint Charles Health System-Redmond
-
-
Pennsylvania
-
Allentown, Pennsylvania, Vereinigte Staaten, 18103
- Lehigh Valley Hospital-Cedar Crest
-
Bethlehem, Pennsylvania, Vereinigte Staaten, 18017
- Lehigh Valley Hospital - Muhlenberg
-
East Stroudsburg, Pennsylvania, Vereinigte Staaten, 18301
- Pocono Medical Center
-
Hazleton, Pennsylvania, Vereinigte Staaten, 18201
- Lehigh Valley Hospital-Hazleton
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19104
- University of Pennsylvania/Abramson Cancer Center
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19140
- Temple University Hospital
-
Pittsburgh, Pennsylvania, Vereinigte Staaten, 15232
- UPMC Hillman Cancer Center
-
-
South Carolina
-
Boiling Springs, South Carolina, Vereinigte Staaten, 29316
- Prisma Health Cancer Institute - Spartanburg
-
Easley, South Carolina, Vereinigte Staaten, 29640
- Prisma Health Cancer Institute - Easley
-
Greenville, South Carolina, Vereinigte Staaten, 29605
- Prisma Health Cancer Institute - Faris
-
Greenville, South Carolina, Vereinigte Staaten, 29615
- Prisma Health Cancer Institute - Eastside
-
Greenville, South Carolina, Vereinigte Staaten, 29605
- Prisma Health Cancer Institute - Butternut
-
Greer, South Carolina, Vereinigte Staaten, 29650
- Prisma Health Cancer Institute - Greer
-
Seneca, South Carolina, Vereinigte Staaten, 29672
- Prisma Health Cancer Institute - Seneca
-
-
South Dakota
-
Sioux Falls, South Dakota, Vereinigte Staaten, 57105
- Avera Cancer Institute
-
-
Tennessee
-
Bristol, Tennessee, Vereinigte Staaten, 37620
- Bristol Regional Medical Center
-
Franklin, Tennessee, Vereinigte Staaten, 37067
- Vanderbilt-Ingram Cancer Center Cool Springs
-
Franklin, Tennessee, Vereinigte Staaten, 37067
- Vanderbilt-Ingram Cancer Center at Franklin
-
Kingsport, Tennessee, Vereinigte Staaten, 37660
- Ballad Health Cancer Care - Kingsport
-
Kingsport, Tennessee, Vereinigte Staaten, 37660
- Wellmont Holston Valley Hospital and Medical Center
-
Nashville, Tennessee, Vereinigte Staaten, 37232
- Vanderbilt University/Ingram Cancer Center
-
Nashville, Tennessee, Vereinigte Staaten, 37204
- Vanderbilt Breast Center at One Hundred Oaks
-
-
Texas
-
Bryan, Texas, Vereinigte Staaten, 77802
- Saint Joseph Regional Cancer Center
-
Dallas, Texas, Vereinigte Staaten, 75235
- Parkland Memorial Hospital
-
Dallas, Texas, Vereinigte Staaten, 75390
- UT Southwestern/Simmons Cancer Center-Dallas
-
Fort Worth, Texas, Vereinigte Staaten, 76104
- UT Southwestern/Simmons Cancer Center-Fort Worth
-
Richardson, Texas, Vereinigte Staaten, 75080
- UT Southwestern Clinical Center at Richardson/Plano
-
-
Virginia
-
Bristol, Virginia, Vereinigte Staaten, 24201
- Ballad Health Cancer Care - Bristol
-
Martinsville, Virginia, Vereinigte Staaten, 24112
- Sovah Health Martinsville
-
Norton, Virginia, Vereinigte Staaten, 24273
- Ballad Health Cancer Care - Norton
-
-
Washington
-
Aberdeen, Washington, Vereinigte Staaten, 98520
- Providence Regional Cancer System-Aberdeen
-
Bellevue, Washington, Vereinigte Staaten, 98004
- Overlake Medical Center
-
Bellingham, Washington, Vereinigte Staaten, 98225
- PeaceHealth Saint Joseph Medical Center
-
Burien, Washington, Vereinigte Staaten, 98166
- Saint Anne Hospital
-
Centralia, Washington, Vereinigte Staaten, 98531
- Providence Regional Cancer System-Centralia
-
Edmonds, Washington, Vereinigte Staaten, 98026
- Swedish Cancer Institute-Edmonds
-
Enumclaw, Washington, Vereinigte Staaten, 98022
- Saint Elizabeth Hospital
-
Everett, Washington, Vereinigte Staaten, 98201
- Providence Regional Cancer Partnership
-
Federal Way, Washington, Vereinigte Staaten, 98003
- Saint Francis Hospital
-
Issaquah, Washington, Vereinigte Staaten, 98029
- Swedish Cancer Institute-Issaquah
-
Kennewick, Washington, Vereinigte Staaten, 99336
- Kadlec Clinic Hematology and Oncology
-
Lacey, Washington, Vereinigte Staaten, 98503
- Providence Regional Cancer System-Lacey
-
Lakewood, Washington, Vereinigte Staaten, 98499
- Saint Clare Hospital
-
Longview, Washington, Vereinigte Staaten, 98632
- PeaceHealth Saint John Medical Center
-
Poulsbo, Washington, Vereinigte Staaten, 98370
- Harrison HealthPartners Hematology and Oncology-Poulsbo
-
Renton, Washington, Vereinigte Staaten, 98055
- Valley Medical Center
-
Seattle, Washington, Vereinigte Staaten, 98107
- Swedish Medical Center-Ballard Campus
-
Seattle, Washington, Vereinigte Staaten, 98122
- Swedish Medical Center-First Hill
-
Seattle, Washington, Vereinigte Staaten, 98104
- Pacific Gynecology Specialists
-
Seattle, Washington, Vereinigte Staaten, 98122-5711
- Swedish Medical Center-Cherry Hill
-
Sedro-Woolley, Washington, Vereinigte Staaten, 98284
- PeaceHealth United General Medical Center
-
Shelton, Washington, Vereinigte Staaten, 98584
- Providence Regional Cancer System-Shelton
-
Silverdale, Washington, Vereinigte Staaten, 98383
- Saint Joseph Medical Center Hematology and Oncology - Silverdale
-
Tacoma, Washington, Vereinigte Staaten, 98405
- Northwest Medical Specialties PLLC
-
Tacoma, Washington, Vereinigte Staaten, 98405
- Franciscan Research Center-Northwest Medical Plaza
-
Vancouver, Washington, Vereinigte Staaten, 98664
- PeaceHealth Southwest Medical Center
-
Walla Walla, Washington, Vereinigte Staaten, 99362
- Providence Saint Mary Regional Cancer Center
-
Yelm, Washington, Vereinigte Staaten, 98597
- Providence Regional Cancer System-Yelm
-
-
Wisconsin
-
Madison, Wisconsin, Vereinigte Staaten, 53792
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Menomonee Falls, Wisconsin, Vereinigte Staaten, 53051
- Froedtert Menomonee Falls Hospital
-
Milwaukee, Wisconsin, Vereinigte Staaten, 53226
- Medical College of Wisconsin
-
New Richmond, Wisconsin, Vereinigte Staaten, 54017
- Cancer Center of Western Wisconsin
-
West Bend, Wisconsin, Vereinigte Staaten, 53095
- Froedtert West Bend Hospital/Kraemer Cancer Center
-
-
Wyoming
-
Cody, Wyoming, Vereinigte Staaten, 82414
- Billings Clinic-Cody
-
Sheridan, Wyoming, Vereinigte Staaten, 82801
- Welch Cancer Center
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
-
Patient must be >= 18 years of age
-
Patient must have an Eastern Cooperative Oncology Group (ECOG) performance status 0-1
-
Patient must have a life expectancy >= 12 weeks
-
Patient must have histologically confirmed intrahepatic cholangiocarcinoma or biphasic hepatocellular carcinoma and cholangiocarcinoma that is metastatic or unresectable and who have progressed on or been intolerant of one prior line of systemic gemcitabine containing chemotherapy regimen.
- NOTE: Prior immunotherapy or targeted therapies are allowed and will not be considered a line of therapy unless administered with cytotoxic chemotherapy
-
Patient must have measurable disease. For patients who have received localized therapy (embolization, chemoembolization, radiofrequency ablation or radiation) are eligible if measurable disease is not within the treatment field or the treated disease has clearly progressed since last localized therapy
-
Leukocytes >= 3,000/mcL (obtained within 14 days prior to randomization)
-
Absolute neutrophil count >= 1,500/mcL (obtained within 14 days prior to randomization)
-
Platelets >= 100,000/mcL (obtained within 14 days prior to randomization)
-
Total bilirubin =< institutional upper limit of normal (ULN) except in patients with Gilbert's syndrome. Patients with Gilbert's syndrome may enroll if direct bilirubin =< 1.5 x ULN of the direct bilirubin (obtained within 14 days prior to randomization)
-
Hemoglobin >= 9 g/dL (obtained within 14 days prior to randomization)
-
Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 2.5 x institutional ULN (obtained within 14 days prior to randomization)
-
Creatinine =< institutional ULN, OR glomerular filtration rate (GFR) >= 40 mL/min/1.73 m^2 (obtained within 14 days prior to randomization)
-
Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. Known HIV positive patients who meet the following criteria will be considered eligible:
- CD4 count >= 350 cells/mm^3
- Undetectable viral load
- Maintained on modern therapeutic regimens utilizing non-CYP interactive agents (i.e. excluding ritonavir)
- No history of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections
-
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 an undetectable HCV viral load
-
Patients who received prior platinum or taxane chemotherapy are eligible
-
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
-
Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better. In addition, patients with any of the known cardiopulmonary disease, defined as follows, would be ineligible for this trial:
-
Unstable angina
-
Congestive heart failure (New York Heart Association [NYHA] class III or IV;);
-
Myocardial infarction within 6 months prior to randomization (patients who had ischemic heart disease such as acute coronary syndrome [ACS], myocardial infarction, and/or revascularization greater than 6 months before randomization and who are without cardiac symptoms may enroll)
-
Symptomatic cardiomyopathy
-
Clinically symptomatic pulmonary hypertension requiring pharmacologic therapy
-
Clinically significant arrhythmia, defined as:
- History of polymorphic ventricular fibrillation or torsade de pointes,
- Permanent atrial fibrillation, defined as continuous atrial fibrillation for >= 6 months,
- Persistent atrial fibrillation, defined as sustained atrial fibrillation lasting > 7 days and/or requiring cardioversion in the 4 weeks before randomization,
- Grade 3 atrial fibrillation defined as symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker), or ablation
- Patients with paroxysmal atrial fibrillation or grade < 3 atrial fibrillation for period of at least 6 months are permitted to enroll provided that their rate is controlled on a stable regimen
-
-
Patients must have the ability to understand and the willingness to sign a written informed consent document
-
Participants 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
Exclusion Criteria:
- Patients must not have had major surgery within 14 days before randomization. Patients with surgery planned during study period are ineligible
- Women must not be pregnant or breast-feeding due to the potential harm to an unborn fetus and possible risk for adverse events in nursing infants with the treatment regimens being used. Patients must also not expect to conceive or father children from the time of registration, while on study treatment, and until at least 4 months after the last dose of study treatment. All females of childbearing potential must have a blood test or urine study within 14 days prior to randomization to rule out pregnancy. A female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy; or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
- Women of childbearing potential and sexually active males must not expect to conceive or father children by using accepted and effective method(s) of contraception or by abstaining from sexual intercourse for the duration of their participation in the study and continue for at least 4 months after the last dose of protocol treatment
- Male patients must not donate sperm during the course of this study or within 4 months after receiving their last dose of protocol treatment
- Female patients must not donate eggs (ova) during the course of this study or within 4 months after receiving their last dose of protocol treatment
- Patient must not have a prolonged rate corrected QT (QTc) interval >= 480 msec calculated according to institutional guideline
- Patients who have not recovered from adverse events due to prior anti-cancer therapy (i.e. have residual toxicities > grade 1) are ineligible with the exception of alopecia
- Patients with persistent >= grade 2 diarrhea lasting more than 3 days within 14 weeks of randomization are ineligible
- Patients with known central nervous system (CNS) involvement are ineligible
- Patients must not be receiving any other investigational agents
- Patients must not have received chemotherapy or radiotherapy within 2 weeks prior to randomization. Prior treatment with radiation therapy involving >= 25% of hematopoietically active bone marrow will be ineligible
- Patients must not have received immunotherapy within 8 weeks prior to randomization
- Patients must not have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to pevonedistat, carboplatin, or paclitaxel
- Patient must not be receiving any treatment with clinically significant metabolic enzyme inducers within 14 days before the first dose of the study drug as below. Clinically significant metabolic enzyme inducers are not permitted during the study. Patients must not be receiving any medications or substances that are strong inducers of CYP3A4/5 (i.e. phenytoin, rifampin, St. Johns wort) or inhibitors of breast cancer resistance protein (BCRP) (i.e. cyclosporine). Because the lists of these agents are constantly changing, it is important to regularly consult a frequently-updated medical reference. As part of enrollment/informed consent procedures, the patient will be counseled on the risk of interactions with other agents, and what to do if a new medication need to be prescribed or if the patient is considering a new over-the-counter medicine or herbal product. Inhibitors of CYP3A4/5 are allowed
- Patients must not have uncontrolled intercurrent illness
- Patients must not have uncontrolled coagulopathy or bleeding disorder
- Patients must not have active, uncontrolled infection or severe infectious disease such as severe pneumonia, meningitis, or septicemia
- Patients with known moderate chronic obstructive pulmonary disease, interstitial lung disease, and pulmonary fibrosis are ineligible
- Patients must not have psychiatric illness/social situations that would limit compliance with study requirements
- Participants must not have had prior pevonedistat treatment
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: Arm A (pevonedistat)
Patients receive pevonedistat IV over 60 minutes on days 1, 3, and 5. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. |
Given IV
Andere Namen:
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Experimental: Arm B (pevonedistat, paclitaxel, carboplatin)
Patients receive pevonedistat IV over 1 hour on days 1, 3, and 5, paclitaxel IV over 3 hours on day 1, and carboplatin IV over 15-60 minutes on day 1. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Starting cycle 5, patients may receive pevonedistat monotherapy at the discretion of treating physician. |
Given IV
Andere Namen:
Given IV
Andere Namen:
Given IV
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Objective Response
Zeitfenster: Every 3 months for the first year and every 6 months for years 2-3
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Response was evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Objective response includes complete response (CR) and partial response (PR). CR is defined as disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. |
Every 3 months for the first year and every 6 months for years 2-3
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Clinical Benefit
Zeitfenster: Every 3 months for the first year and every 6 months for years 2-3
|
Clinical benefit was evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1), including complete response (CR), partial response (PR) and stable disease (SD) that lasted greater than or equal to 24 weeks. CR is defined as disappearance of all target and non-target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm. PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum diameters while on study. |
Every 3 months for the first year and every 6 months for years 2-3
|
|
Progression-free Survival (PFS)
Zeitfenster: Every 3 months for the first year and every 6 months for years 2-3
|
PFS was defined as the time from randomization to progression or death, whichever came first; patients alive without evidence of disease progression were censored at the date of last disease assessment. Patients who died without documented progression and the death occurred > 6 weeks of last disease assessment will be censored at the date of last disease assessment that showed progression-free. Progression was evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1), defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions is also considered as progression. |
Every 3 months for the first year and every 6 months for years 2-3
|
|
Overall Survival (OS)
Zeitfenster: Every 3 months for the first year and every 6 months for years 2-3
|
OS was defined as the time from randomization to death from any cause, and patients still living were censored at the date last known alive. |
Every 3 months for the first year and every 6 months for years 2-3
|
Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Auftreten unerwünschter Ereignisse
Zeitfenster: Die Beurteilung erfolgt alle 3 Wochen während der Behandlung und 30 Tage nach Behandlungsende, bis zu 3 Jahre lang
|
Die Beurteilung erfolgt alle 3 Wochen während der Behandlung und 30 Tage nach Behandlungsende, bis zu 3 Jahre lang
|
|
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Associations Between Response and Overexpression of NEDD8, NAE1, and UBC12
Zeitfenster: Assessed every 3 months for the first year and every 6 months for years 2-3
|
Associations between response and overexpression of NEDD8, NAE1, and UBC12 will be evaluated. |
Assessed every 3 months for the first year and every 6 months for years 2-3
|
|
Mutation Profile of Those Cholangiocarcinomas
Zeitfenster: Assessed at baseline
|
To identify the mutation profile of those cholangiocarcinomas with overexpression of the neddylation pathway |
Assessed at baseline
|
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Specimens Banking
Zeitfenster: Baseline
|
To bank specimens for further future investigations |
Baseline
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Dustin A Deming, ECOG-ACRIN Cancer Research Group
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach Standort
- Neubildungen
- Neubildungen nach histologischem Typ
- Neoplasmen des Verdauungssystems
- Erkrankungen des Verdauungssystems
- Leberkrankheiten
- Neubildungen, Drüsen und Epithelien
- Adenokarzinom
- Lebertumoren
- Karzinom
- Karzinom, hepatozellulär
- Cholangiokarzinom
- Organische Chemikalien
- Kohlenwasserstoffe
- Cycloparaffine
- Kohlenwasserstoffe, alicyclisch
- Kohlenwasserstoffe, zyklisch
- Terpene
- Koordinationskomplexe
- Taxoid
- Cyclodececane
- Diterpene
- Gesundheitsökonomie und Organisationen
- Wirtschaft
- Carboplatin
- Paclitaxel
- Steuern
- Pevonedistat
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- NCI-2019-07769
- U10CA180820 (US NIH Stipendium/Vertrag)
- NCI-2019-07769 (Registrierungskennung: CTRP (Clinical Trial Reporting Program))
- EA2187 (Andere Kennung: CTEP)
- EA2187 (Andere Kennung: ECOG-ACRIN Cancer Research Group)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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