- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT05256225
Prüfung der Zugabe von Trastuzumab oder Trastuzumab/Pertuzumab zur üblichen Chemotherapie bei HER2-positivem serösem Endometriumkarzinom oder Karzinosarkom
Eine Phase-II/III-Studie mit Paclitaxel/Carboplatin allein oder in Kombination mit entweder Trastuzumab und Hyaluronidase-Oysk (HERCEPTIN HYLECTA) oder Pertuzumab, Trastuzumab und Hyaluronidase-Zzxf (PHESGO) bei HER2-positivem serösem Endometriumkarzinom oder Karzinosarkom im Stadium I-IV
This phase III trial tests whether adding trastuzumab and hyaluronidase-oysk (Herceptin Hylecta [TM]) or pertuzumab, trastuzumab and hyaluronidase-zzxf (Phesgo [TM]) to the usual chemotherapy (paclitaxel and carboplatin) works to shrink tumors in patients with HER2 positive endometrial cancer. Trastuzumab and pertuzumab are monoclonal antibodies and forms of targeted therapy that attach to specific molecules (receptors) on the surface of tumor cells, known as HER2 receptors. When trastuzumab or pertuzumab attach to HER2 receptors, the signals that tell the cells to grow are blocked and the tumor cell may be marked for destruction by the body's immune system. Hyaluronidase is an endoglycosidase. It helps to keep pertuzumab and trastuzumab in the body longer, so that these medications will have a greater effect. Hyaluronidase also allows trastuzumab and trastuzumab/pertuzumab to be given by injection under the skin and shortens their administration time compared to trastuzumab or pertuzumab alone. Paclitaxel is a taxane and in a class of medications called antimicrotubule agents. It stops tumor cells from growing and dividing and may kill them. Carboplatin is in a class of medications known as platinum-containing compounds. It works in a way similar to the anticancer drug cisplatin, but may be better tolerated than cisplatin. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Giving Herceptin Hylecta or Phesgo in combination with paclitaxel and carboplatin may shrink the tumor and prevent the cancer from coming back in patients with HER2 positive endometrial cancer.
Studienübersicht
Status
Bedingungen
- Endometriumkarzinom
- Klarzelliges Adenokarzinom des Endometriums
- Endometriales dedifferenziertes Karzinom
- Endometrium Endometrioides Adenokarzinom
- Endometrium gemischtzelliges Adenokarzinom
- Seröses Adenokarzinom des Endometriums
- Undifferenziertes Karzinom des Endometriums
- Maligner gemischter mesodermaler (Müller'scher) Tumor des Corpus uteri
Intervention / Behandlung
- Arzneimittel: Carboplatin
- Arzneimittel: Paclitaxel
- Verfahren: Computed Tomography
- Verfahren: Echocardiography Test
- Verfahren: Multigated Acquisition Scan
- Verfahren: Biospecimen Collection
- Strahlung: High-Dose-Rate Vaginal Cuff Brachytherapy
- Sonstiges: Survey Administration
- Arzneimittel: Trastuzumab/Hyaluronidase-oysk
- Arzneimittel: Hyaluronidase-zzxf/Pertuzumab/Trastuzumab
Detaillierte Beschreibung
PRIMARY OBJECTIVES:
I. To evaluate the efficacy of trastuzumab and hyaluronidase-oysk (HERCEPTIN HYLECTA) and pertuzumab, trastuzumab, and hyaluronidase-zzxf (PHESGO) in combination with paclitaxel/carboplatin in patients with HER2 positive endometrial cancer.
SECONDARY OBJECTIVES:
I. To evaluate the efficacy of trastuzumab and hyaluronidase-oysk (HERCEPTIN HYLECTA) and pertuzumab, trastuzumab, and hyaluronidase-zzxf (PHESGO) in combination with paclitaxel/carboplatin in patients with HER2 positive endometrial cancer.
II. To evaluate the overall response rate (ORR) in patients with measurable disease.
III. To evaluate the duration of objective response in patients with measurable disease as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
IV. To determine the nature, frequency and degree of toxicity as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version (v.) 5.0 for each treatment arm.
V. To compare quality of life (QOL), as measured by Functional Assessment of Cancer Therapy - Endometrial Trial Outcome Index (FACT-En-TOI), in the experimental versus control arms.
VI. To compare patient-reported treatment-associated symptoms (diarrhea and rash) as measured with the Patient Reported Outcomes (PRO) - CTCAE, patient-reported fatigue as measured with the Patient Reported Outcomes Measurement Information System (PROMIS)-Fatigue short form, and worry concerning side effects of treatment as measured by the item 'bothered by side effect', in the FACT-En TOI, respectively, in the experimental and control arms.
VII. To assess the correlation of HER2 immunohistochemistry (IHC) expression and in situ hybridization (ISH) amplification with clinical outcome and response to HER2 targeted therapies.
EXPLORATORY OBJECTIVE:
I. To explore time to sustained deterioration in quality of life, as measured by a drop in the FACT-En-TOI by 6 or more points lasting for more than one PRO time point, in the experimental and control arms.
OUTLINE: Patients are randomized to 1 of 3 arms.
ARM I: Patients receive paclitaxel intravenously (IV) over 3 hours and carboplatin IV over 30-60 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with stable disease (SD) or partial response (PR) who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician.
ARM II: Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30-60 minutes, and trastuzumab/hyaluronidase-oysk subcutaneously (SC) over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician.
MAINTENANCE: Patients receive trastuzumab/hyaluronidase-oysk SC over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients with SD or PR may continue maintenance therapy for up to 3 years from the start of treatment.
ARM III: Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30-60 minutes, and pertuzumab/trastuzumab/hyaluronidase-zzxf SC over 5-8 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician.
MAINTENANCE: Patients receive pertuzumab/trastuzumab/ hyaluronidase-zzxf SC over 5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for up to 1 year in absence of disease progression or unacceptable toxicity. Patients with SD or PR may continue maintenance for up to 3 years from the start of treatment.
Patients undergo echocardiography (ECHO) or multigated acquisition scan (MUGA) and computed tomography (CT) throughout the study. Additionally, patients may optionally undergo blood sample collection throughout the study, vaginal brachytherapy on study, and urine sample collection prior to treatment.
After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
Studientyp
Einschreibung (Geschätzt)
Phase
- Phase 3
Kontakte und Standorte
Studienorte
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San Juan, Puerto Rico, 00927
- Centro Comprensivo de Cancer de UPR
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Seoul, Südkorea, 06273
- Gangnam Severance Hospital
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Daegu
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Dalseo-gu, Daegu, Südkorea, 42601
- Keimyung University-Dongsan Medical Center
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Gyeongsangnam-do
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Seoul, Gyeongsangnam-do, Südkorea, 51353
- Samsung Changwon Hospital
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Kyeonggi-do
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Seongnam, Kyeonggi-do, Südkorea, 463-707
- Seoul National University Bundang Hospital
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Alabama
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Birmingham, Alabama, Vereinigte Staaten, 35233
- University of Alabama at Birmingham Cancer Center
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Alaska
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Anchorage, Alaska, Vereinigte Staaten, 99508
- Alaska Women's Cancer Care
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Arizona
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Tucson, Arizona, Vereinigte Staaten, 85719
- Banner University Medical Center - Tucson
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Tucson, Arizona, Vereinigte Staaten, 85719
- University of Arizona Cancer Center-North Campus
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Arkansas
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Little Rock, Arkansas, Vereinigte Staaten, 72205
- University of Arkansas for Medical Sciences
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California
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Auburn, California, Vereinigte Staaten, 95602
- Sutter Auburn Faith Hospital
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Berkeley, California, Vereinigte Staaten, 94704
- Alta Bates Summit Medical Center-Herrick Campus
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Concord, California, Vereinigte Staaten, 94520
- John Muir Medical Center-Concord
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Duarte, California, Vereinigte Staaten, 91010
- City of Hope Comprehensive Cancer Center
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Huntington Beach, California, Vereinigte Staaten, 92648
- City of Hope Seacliff
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Irvine, California, Vereinigte Staaten, 92618
- Kaiser Permanente-Irvine
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Irvine, California, Vereinigte Staaten, 92618
- City of Hope at Irvine Lennar
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Irvine, California, Vereinigte Staaten, 92612
- UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
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Long Beach, California, Vereinigte Staaten, 90813
- City of Hope at Long Beach Elm
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Los Angeles, California, Vereinigte Staaten, 90027
- Kaiser Permanente Los Angeles Medical Center
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Modesto, California, Vereinigte Staaten, 95355
- Memorial Medical Center
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Mountain View, California, Vereinigte Staaten, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Orange, California, Vereinigte Staaten, 92868
- UC Irvine Health/Chao Family Comprehensive Cancer Center
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Orange, California, Vereinigte Staaten, 92868
- Saint Joseph Hospital - Orange
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Palo Alto, California, Vereinigte Staaten, 94304
- Stanford Cancer Institute Palo Alto
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Panorama City, California, Vereinigte Staaten, 91402
- Kaiser Permanente - Panorama City
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Riverside, California, Vereinigte Staaten, 92505
- Kaiser Permanente-Riverside
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Roseville, California, Vereinigte Staaten, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Vereinigte Staaten, 95816
- Sutter Medical Center Sacramento
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Sacramento, California, Vereinigte Staaten, 95817
- University of California Davis Comprehensive Cancer Center
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San Francisco, California, Vereinigte Staaten, 94115
- California Pacific Medical Center-Pacific Campus
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Santa Cruz, California, Vereinigte Staaten, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Sunnyvale, California, Vereinigte Staaten, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Upland, California, Vereinigte Staaten, 91786
- City of Hope Upland
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Walnut Creek, California, Vereinigte Staaten, 94598
- John Muir Medical Center-Walnut Creek
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80045
- UCHealth University of Colorado Hospital
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Denver, Colorado, Vereinigte Staaten, 80206
- UCHealth - Cherry Creek
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Denver, Colorado, Vereinigte Staaten, 80210
- AdventHealth Porter
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Grand Junction, Colorado, Vereinigte Staaten, 81505
- Grand Valley Oncology
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Greeley, Colorado, Vereinigte Staaten, 80631
- Banner North Colorado Medical Center
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Highlands Ranch, Colorado, Vereinigte Staaten, 80129
- UCHealth Highlands Ranch Hospital
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Loveland, Colorado, Vereinigte Staaten, 80539
- Banner North Colorado Medical Center - Loveland Campus
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Connecticut
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Danbury, Connecticut, Vereinigte Staaten, 06810
- Danbury Hospital
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Derby, Connecticut, Vereinigte Staaten, 06418
- Smilow Cancer Hospital-Derby Care Center
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Fairfield, Connecticut, Vereinigte Staaten, 06824
- Smilow Cancer Hospital Care Center-Fairfield
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Glastonbury, Connecticut, Vereinigte Staaten, 06033
- Smilow Cancer Hospital Care Center at Glastonbury
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Greenwich, Connecticut, Vereinigte Staaten, 06830
- Smilow Cancer Hospital Care Center at Greenwich
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Guilford, Connecticut, Vereinigte Staaten, 06437
- Smilow Cancer Hospital Care Center - Guilford
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Hartford, Connecticut, Vereinigte Staaten, 06105
- Smilow Cancer Hospital Care Center at Saint Francis
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New Haven, Connecticut, Vereinigte Staaten, 06520
- Yale University
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North Haven, Connecticut, Vereinigte Staaten, 06473
- Yale-New Haven Hospital North Haven Medical Center
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Norwalk, Connecticut, Vereinigte Staaten, 06856
- Norwalk Hospital
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Stamford, Connecticut, Vereinigte Staaten, 06902
- Smilow Cancer Hospital Care Center at Long Ridge
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Torrington, Connecticut, Vereinigte Staaten, 06790
- Smilow Cancer Hospital-Torrington Care Center
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Trumbull, Connecticut, Vereinigte Staaten, 06611
- Smilow Cancer Hospital Care Center-Trumbull
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Waterbury, Connecticut, Vereinigte Staaten, 06708
- Smilow Cancer Hospital-Waterbury Care Center
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Waterford, Connecticut, Vereinigte Staaten, 06385
- Smilow Cancer Hospital Care Center - Waterford
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Delaware
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Newark, Delaware, Vereinigte Staaten, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Vereinigte Staaten, 19713
- Medical Oncology Hematology Consultants PA
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District of Columbia
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Washington D.C., District of Columbia, Vereinigte Staaten, 20037
- George Washington University Medical Center
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Washington D.C., District of Columbia, Vereinigte Staaten, 20016
- Sibley Memorial Hospital
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Florida
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Fort Lauderdale, Florida, Vereinigte Staaten, 33316
- Broward Health Medical Center
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Jupiter, Florida, Vereinigte Staaten, 33458
- Jupiter Medical Center
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N. Venice, Florida, Vereinigte Staaten, 34275
- Sarasota Memorial Hospital-Venice
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Orlando, Florida, Vereinigte Staaten, 32803
- AdventHealth Orlando
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Sarasota, Florida, Vereinigte Staaten, 34239
- Sarasota Memorial Hospital
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Sarasota, Florida, Vereinigte Staaten, 34239
- Florida Cancer Specialists - Sarasota Downtown
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Sarasota, Florida, Vereinigte Staaten, 34239
- FPG - Surgical Oncology Clinics Gynecologic Oncology Surgery
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Venice, Florida, Vereinigte Staaten, 34275
- Florida Cancer Specialists - Venice Pinebrook
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Georgia
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Atlanta, Georgia, Vereinigte Staaten, 30308
- Emory University Hospital Midtown
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Atlanta, Georgia, Vereinigte Staaten, 30322
- Emory University Hospital/Winship Cancer Institute
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Atlanta, Georgia, Vereinigte Staaten, 30342
- Emory Saint Joseph's Hospital
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Atlanta, Georgia, Vereinigte Staaten, 30303
- Grady Health System
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Atlanta, Georgia, Vereinigte Staaten, 30309
- Piedmont Hospital
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Augusta, Georgia, Vereinigte Staaten, 30912
- Augusta University Medical Center
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Decatur, Georgia, Vereinigte Staaten, 30033
- Emory Decatur Hospital
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Savannah, Georgia, Vereinigte Staaten, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
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Hawaii
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Vereinigte Staaten, 96826
- Kapiolani Medical Center for Women and Children
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Idaho
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Boise, Idaho, Vereinigte Staaten, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Boise, Idaho, Vereinigte Staaten, 83712
- Saint Luke's Cancer Institute - Boise
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Caldwell, Idaho, Vereinigte Staaten, 83605
- Saint Alphonsus Cancer Care Center-Caldwell
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Coeur d'Alene, Idaho, Vereinigte Staaten, 83814
- Kootenai Health - Coeur d'Alene
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Fruitland, Idaho, Vereinigte Staaten, 83619
- Saint Luke's Cancer Institute - Fruitland
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Meridian, Idaho, Vereinigte Staaten, 83642
- Saint Luke's Cancer Institute - Meridian
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Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Alphonsus Cancer Care Center-Nampa
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Nampa, Idaho, Vereinigte Staaten, 83687
- Saint Luke's Cancer Institute - Nampa
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Post Falls, Idaho, Vereinigte Staaten, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Vereinigte Staaten, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Twin Falls, Idaho, Vereinigte Staaten, 83301
- Saint Luke's Cancer Institute - Twin Falls
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Illinois
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Arlington Heights, Illinois, Vereinigte Staaten, 60005
- Northwest Community Hospital
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Aurora, Illinois, Vereinigte Staaten, 60504
- Rush-Copley Medical Center
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Centralia, Illinois, Vereinigte Staaten, 62801
- Centralia Oncology Clinic
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Chicago, Illinois, Vereinigte Staaten, 60611
- Northwestern University
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Chicago, Illinois, Vereinigte Staaten, 60637
- University of Chicago Comprehensive Cancer Center
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Chicago, Illinois, Vereinigte Staaten, 60612
- John H Stroger Jr Hospital of Cook County
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Chicago, Illinois, Vereinigte Staaten, 60612
- Rush MD Anderson Cancer Center
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Danville, Illinois, Vereinigte Staaten, 61832
- Carle at The Riverfront
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DeKalb, Illinois, Vereinigte Staaten, 60115
- Northwestern Medicine Cancer Center Kishwaukee
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Decatur, Illinois, Vereinigte Staaten, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Vereinigte Staaten, 62526
- Cancer Care Specialists of Illinois - Decatur
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Effingham, Illinois, Vereinigte Staaten, 62401
- Crossroads Cancer Center
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Effingham, Illinois, Vereinigte Staaten, 62401
- Carle Physician Group-Effingham
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Evanston, Illinois, Vereinigte Staaten, 60201
- NorthShore University HealthSystem-Evanston Hospital
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Geneva, Illinois, Vereinigte Staaten, 60134
- Northwestern Medicine Cancer Center Delnor
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Glenview, Illinois, Vereinigte Staaten, 60026
- NorthShore University HealthSystem-Glenbrook Hospital
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Glenview, Illinois, Vereinigte Staaten, 60026
- Northwestern Medicine Glenview Outpatient Center
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Grayslake, Illinois, Vereinigte Staaten, 60030
- Northwestern Medicine Grayslake Outpatient Center
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Harvey, Illinois, Vereinigte Staaten, 60426
- Ingalls Memorial Hospital
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Highland Park, Illinois, Vereinigte Staaten, 60035
- NorthShore University HealthSystem-Highland Park Hospital
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Hinsdale, Illinois, Vereinigte Staaten, 60521
- Sudarshan K Sharma MD Limited-Gynecologic Oncology
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Lake Forest, Illinois, Vereinigte Staaten, 60045
- Northwestern Medicine Lake Forest Hospital
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Mattoon, Illinois, Vereinigte Staaten, 61938
- Carle Physician Group-Mattoon/Charleston
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New Lenox, Illinois, Vereinigte Staaten, 60451
- UC Comprehensive Cancer Center at Silver Cross
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Normal, Illinois, Vereinigte Staaten, 61761
- Carle Cancer Institute Normal
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O'Fallon, Illinois, Vereinigte Staaten, 62269
- Cancer Care Center of O'Fallon
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Orland Park, Illinois, Vereinigte Staaten, 60462
- University of Chicago Medicine-Orland Park
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Orland Park, Illinois, Vereinigte Staaten, 60462
- Northwestern Medicine Orland Park
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Rockford, Illinois, Vereinigte Staaten, 61114
- UW Health Carbone Cancer Center Rockford
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Springfield, Illinois, Vereinigte Staaten, 62702
- Southern Illinois University School of Medicine
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Springfield, Illinois, Vereinigte Staaten, 62702
- Springfield Clinic
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Springfield, Illinois, Vereinigte Staaten, 62781
- Springfield Memorial Hospital
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Urbana, Illinois, Vereinigte Staaten, 61801
- Carle Cancer Center
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Warrenville, Illinois, Vereinigte Staaten, 60555
- Northwestern Medicine Cancer Center Warrenville
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Yorkville, Illinois, Vereinigte Staaten, 60560
- Rush-Copley Healthcare Center
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Indiana
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Carmel, Indiana, Vereinigte Staaten, 46032
- IU Health North Hospital
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Crown Point, Indiana, Vereinigte Staaten, 46307
- UChicago Medicine Northwest Indiana
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Crown Point, Indiana, Vereinigte Staaten, 46307
- Northwest Cancer Center - Crown Point
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Dyer, Indiana, Vereinigte Staaten, 46311
- Northwest Oncology LLC
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Goshen, Indiana, Vereinigte Staaten, 46526
- Goshen Center for Cancer Care
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Hobart, Indiana, Vereinigte Staaten, 46342
- Northwest Cancer Center - Hobart
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Hobart, Indiana, Vereinigte Staaten, 46342
- Saint Mary Medical Center
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Indianapolis, Indiana, Vereinigte Staaten, 46237
- Franciscan Health Indianapolis
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Indianapolis, Indiana, Vereinigte Staaten, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
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Indianapolis, Indiana, Vereinigte Staaten, 46260
- Ascension Saint Vincent Indianapolis Hospital
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Indianapolis, Indiana, Vereinigte Staaten, 46312
- Saint Catherine Hospital
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Lafayette, Indiana, Vereinigte Staaten, 47905
- Franciscan Saint Elizabeth Health - Lafayette East
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Mooresville, Indiana, Vereinigte Staaten, 46158
- Franciscan Health Mooresville
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Munster, Indiana, Vereinigte Staaten, 46321
- The Community Hospital
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Munster, Indiana, Vereinigte Staaten, 46321
- Women's Diagnostic Center - Munster
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South Bend, Indiana, Vereinigte Staaten, 46601
- Memorial Hospital of South Bend
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Valparaiso, Indiana, Vereinigte Staaten, 46383
- Northwest Cancer Center - Valparaiso
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Iowa
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Ames, Iowa, Vereinigte Staaten, 50010
- Mary Greeley Medical Center
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Ames, Iowa, Vereinigte Staaten, 50010
- McFarland Clinic - Ames
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Boone, Iowa, Vereinigte Staaten, 50036
- McFarland Clinic - Boone
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Council Bluffs, Iowa, Vereinigte Staaten, 51503
- Heartland Oncology and Hematology LLP
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Council Bluffs, Iowa, Vereinigte Staaten, 51503
- Nebraska Cancer Specialists/Oncology Hematology West PC - MEJ
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Fort Dodge, Iowa, Vereinigte Staaten, 50501
- McFarland Clinic - Trinity Cancer Center
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Iowa City, Iowa, Vereinigte Staaten, 52242
- University of Iowa/Holden Comprehensive Cancer Center
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Jefferson, Iowa, Vereinigte Staaten, 50129
- McFarland Clinic - Jefferson
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Marshalltown, Iowa, Vereinigte Staaten, 50158
- McFarland Clinic - Marshalltown
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Kansas
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Shawnee Mission, Kansas, Vereinigte Staaten, 66204
- AdventHealth Shawnee Mission
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Kentucky
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Edgewood, Kentucky, Vereinigte Staaten, 41017
- Saint Elizabeth Healthcare Edgewood
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Lexington, Kentucky, Vereinigte Staaten, 40503
- Baptist Health Lexington
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Louisville, Kentucky, Vereinigte Staaten, 40207
- Baptist Health Louisville
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Louisiana
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Baton Rouge, Louisiana, Vereinigte Staaten, 70805
- LSU Health Baton Rouge-North Clinic
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Baton Rouge, Louisiana, Vereinigte Staaten, 70817
- Our Lady of the Lake Medical Oncology
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Baton Rouge, Louisiana, Vereinigte Staaten, 70808
- Our Lady of the Lake Physician Group
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Covington, Louisiana, Vereinigte Staaten, 70433
- Ochsner Hematology Oncology North Shore - Covington (West Region)
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Marrero, Louisiana, Vereinigte Staaten, 70072
- West Jefferson Medical Center
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Metairie, Louisiana, Vereinigte Staaten, 70006
- East Jefferson General Hospital
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Metairie, Louisiana, Vereinigte Staaten, 70006
- LSU Healthcare Network / Metairie Multi-Specialty Clinic
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New Orleans, Louisiana, Vereinigte Staaten, 70121
- Ochsner Medical Center Jefferson
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New Orleans, Louisiana, Vereinigte Staaten, 70112
- University Medical Center New Orleans
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New Orleans, Louisiana, Vereinigte Staaten, 70115
- Ochsner Baptist Medical Center
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Maine
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Augusta, Maine, Vereinigte Staaten, 04330
- Harold Alfond Center for Cancer Care
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Scarborough, Maine, Vereinigte Staaten, 04074
- MaineHealth Maine Medical Center- Scarborough
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Maryland
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Baltimore, Maryland, Vereinigte Staaten, 21237
- MedStar Franklin Square Medical Center/Weinberg Cancer Institute
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Baltimore, Maryland, Vereinigte Staaten, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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Baltimore, Maryland, Vereinigte Staaten, 21215
- Sinai Hospital of Baltimore
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Baltimore, Maryland, Vereinigte Staaten, 21204
- Greater Baltimore Medical Center
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Bethesda, Maryland, Vereinigte Staaten, 20889-5600
- Walter Reed National Military Medical Center
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Westminster, Maryland, Vereinigte Staaten, 21157
- William E Kahlert Regional Cancer Center/Sinai Hospital
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Massachusetts
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Springfield, Massachusetts, Vereinigte Staaten, 01199
- Baystate Medical Center
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Michigan
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Ann Arbor, Michigan, Vereinigte Staaten, 48109
- University of Michigan Rogel Cancer Center
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Battle Creek, Michigan, Vereinigte Staaten, 49017
- Bronson Battle Creek
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Brighton, Michigan, Vereinigte Staaten, 48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
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Canton, Michigan, Vereinigte Staaten, 48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
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Chelsea, Michigan, Vereinigte Staaten, 48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
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Detroit, Michigan, Vereinigte Staaten, 48201
- Wayne State University/Karmanos Cancer Institute
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Farmington Hills, Michigan, Vereinigte Staaten, 48334
- Weisberg Cancer Treatment Center
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Farmington Hills, Michigan, Vereinigte Staaten, 48336
- Corewell Health Farmington Hills Hospital
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Flint, Michigan, Vereinigte Staaten, 48503
- Hurley Medical Center
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Flint, Michigan, Vereinigte Staaten, 48503
- Genesee Hematology Oncology PC
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Flint, Michigan, Vereinigte Staaten, 48503
- Genesys Hurley Cancer Institute
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Flint, Michigan, Vereinigte Staaten, 48503
- Cancer Hematology Centers - Flint
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Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Trinity Health Grand Rapids Hospital
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Grand Rapids, Michigan, Vereinigte Staaten, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
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Kalamazoo, Michigan, Vereinigte Staaten, 49007
- West Michigan Cancer Center
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Kalamazoo, Michigan, Vereinigte Staaten, 49007
- Bronson Methodist Hospital
-
Kalamazoo, Michigan, Vereinigte Staaten, 49009
- Beacon Kalamazoo Cancer Center
-
Lansing, Michigan, Vereinigte Staaten, 48912
- University of Michigan Health - Sparrow Lansing
-
Livonia, Michigan, Vereinigte Staaten, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
-
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
-
Pontiac, Michigan, Vereinigte Staaten, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Reed City, Michigan, Vereinigte Staaten, 49677
- Corewell Health Reed City Hospital
-
Royal Oak, Michigan, Vereinigte Staaten, 48073
- Corewell Health William Beaumont University 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
-
Tawas City, Michigan, Vereinigte Staaten, 48764
- MyMichigan Medical Center Tawas
-
Traverse City, Michigan, Vereinigte Staaten, 49684
- Munson Medical Center
-
Troy, Michigan, Vereinigte Staaten, 48085
- Corewell Health Beaumont Troy Hospital
-
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
-
-
Minnesota
-
Coon Rapids, Minnesota, Vereinigte Staaten, 55433
- Mercy Hospital
-
Edina, Minnesota, Vereinigte Staaten, 55435
- Fairview Southdale Hospital
-
Edina, Minnesota, Vereinigte Staaten, 55435
- Minnesota Oncology - Edina
-
Maplewood, Minnesota, Vereinigte Staaten, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Marshall, Minnesota, Vereinigte Staaten, 56258
- Avera Cancer Institute at Marshall
-
Minneapolis, Minnesota, Vereinigte Staaten, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Vereinigte Staaten, 55455
- University of Minnesota/Masonic Cancer 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
-
Woodbury, Minnesota, Vereinigte Staaten, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
-
Missouri
-
Columbia, Missouri, Vereinigte Staaten, 65212
- MU Health - University Hospital/Ellis Fischel Cancer Center
-
Rolla, Missouri, Vereinigte Staaten, 65401
- Phelps Health Delbert Day Cancer Institute
-
Springfield, Missouri, Vereinigte Staaten, 65807
- CoxHealth South Hospital
-
St Louis, Missouri, Vereinigte Staaten, 63110
- Washington University School of Medicine
-
St Louis, Missouri, Vereinigte Staaten, 63141
- Mercy Hospital Saint Louis
-
St Louis, Missouri, Vereinigte Staaten, 63128
- Mercy Hospital South
-
-
Montana
-
Anaconda, Montana, Vereinigte Staaten, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Vereinigte Staaten, 59101
- Billings Clinic Cancer Center
-
Billings, Montana, Vereinigte Staaten, 59102
- Saint Vincent Frontier Cancer Center
-
Billings, Montana, Vereinigte Staaten, 59106
- Intermountain Health West End Clinic
-
Bozeman, Montana, Vereinigte Staaten, 59715
- Bozeman Health Deaconess Hospital
-
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
-
Omaha, Nebraska, Vereinigte Staaten, 68114
- Nebraska Methodist Hospital
-
Omaha, Nebraska, Vereinigte Staaten, 68198
- University of Nebraska Medical Center
-
Omaha, Nebraska, Vereinigte Staaten, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Vereinigte Staaten, 68114
- Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
-
-
Nevada
-
Las Vegas, Nevada, Vereinigte Staaten, 89102
- OptumCare Cancer Care at Charleston
-
Las Vegas, Nevada, Vereinigte Staaten, 89106
- Women's Cancer Center of Nevada
-
Las Vegas, Nevada, Vereinigte Staaten, 89183
- OptumCare Cancer Care at Fort Apache
-
-
New Jersey
-
Basking Ridge, New Jersey, Vereinigte Staaten, 07920
- Memorial Sloan Kettering Basking Ridge
-
Camden, New Jersey, Vereinigte Staaten, 08103
- Cooper Hospital University Medical Center
-
Hackensack, New Jersey, Vereinigte Staaten, 07601
- Hackensack University Medical Center
-
Lakewood, New Jersey, Vereinigte Staaten, 08701
- Monmouth Medical Center Southern Campus
-
Livingston, New Jersey, Vereinigte Staaten, 07039
- Cooperman Barnabas Medical Center
-
Long Branch, New Jersey, Vereinigte Staaten, 07740
- Monmouth Medical Center
-
Middletown, New Jersey, Vereinigte Staaten, 07748
- Memorial Sloan Kettering Monmouth
-
Montvale, New Jersey, Vereinigte Staaten, 07645
- Memorial Sloan Kettering Bergen
-
Moorestown, New Jersey, Vereinigte Staaten, 08057
- Virtua Samson Cancer Center
-
Neptune City, New Jersey, Vereinigte Staaten, 07753
- Jersey Shore Medical Center
-
New Brunswick, New Jersey, Vereinigte Staaten, 08903
- Rutgers Cancer Institute of New Jersey
-
Newark, New Jersey, Vereinigte Staaten, 07101
- Rutgers New Jersey Medical School
-
Red Bank, New Jersey, Vereinigte Staaten, 07701
- Riverview Medical Center/Booker Cancer Center
-
Sewell, New Jersey, Vereinigte Staaten, 08080
- Sidney Kimmel Cancer Center Washington Township
-
Somerville, New Jersey, Vereinigte Staaten, 08876
- Robert Wood Johnson University Hospital Somerset
-
Toms River, New Jersey, Vereinigte Staaten, 08755
- Community Medical Center
-
Voorhees Township, New Jersey, Vereinigte Staaten, 08043
- Virtua Voorhees
-
-
New Mexico
-
Albuquerque, New Mexico, Vereinigte Staaten, 87106
- University of New Mexico Cancer Center
-
Albuquerque, New Mexico, Vereinigte Staaten, 87110
- Presbyterian Kaseman Hospital
-
Rio Rancho, New Mexico, Vereinigte Staaten, 87124
- Presbyterian Rust Medical Center/Jorgensen Cancer Center
-
-
New York
-
Albany, New York, Vereinigte Staaten, 12208
- Women's Cancer Care Associates LLC
-
Commack, New York, Vereinigte Staaten, 11725
- Memorial Sloan Kettering Commack
-
Harrison, New York, Vereinigte Staaten, 10604
- Memorial Sloan Kettering Westchester
-
Mineola, New York, Vereinigte Staaten, 11501
- NYU Langone Hospital - Long Island
-
New York, New York, Vereinigte Staaten, 10065
- Memorial Sloan Kettering Cancer Center
-
New York, New York, Vereinigte Staaten, 10029
- Mount Sinai Hospital
-
New York, New York, Vereinigte Staaten, 10011
- Mount Sinai Chelsea
-
New York, New York, Vereinigte Staaten, 10016
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
-
Rochester, New York, Vereinigte Staaten, 14642
- University of Rochester
-
Syracuse, New York, Vereinigte Staaten, 13210
- State University of New York Upstate Medical University
-
The Bronx, New York, Vereinigte Staaten, 10461
- Montefiore Medical Center-Einstein Campus
-
The Bronx, New York, Vereinigte Staaten, 10467
- Montefiore Medical Center - Moses Campus
-
The Bronx, New York, Vereinigte Staaten, 10461
- Montefiore Medical Center-Weiler Hospital
-
Uniondale, New York, Vereinigte Staaten, 11553
- Memorial Sloan Kettering Nassau
-
Webster, New York, Vereinigte Staaten, 14580
- Wilmot Cancer Institute at Webster
-
-
North Carolina
-
Cary, North Carolina, Vereinigte Staaten, 27518
- Duke Cancer Center Cary
-
Chapel Hill, North Carolina, Vereinigte Staaten, 27599
- UNC Lineberger Comprehensive Cancer Center
-
Durham, North Carolina, Vereinigte Staaten, 27710
- Duke University Medical Center
-
Greenville, North Carolina, Vereinigte Staaten, 27834
- ECU Health Medical Center
-
High Point, North Carolina, Vereinigte Staaten, 27262
- Hayworth Cancer Center
-
Raleigh, North Carolina, Vereinigte Staaten, 27607
- Duke Women's Cancer Care Raleigh
-
Wilmington, North Carolina, Vereinigte Staaten, 28401
- Novant Health New Hanover Regional Medical Center
-
Winston-Salem, North Carolina, Vereinigte Staaten, 27157
- Wake Forest University Health Sciences
-
-
North Dakota
-
Bismarck, North Dakota, Vereinigte Staaten, 58501
- Sanford Bismarck Medical Center
-
Fargo, North Dakota, Vereinigte Staaten, 58122
- Sanford Roger Maris Cancer Center
-
Fargo, North Dakota, Vereinigte Staaten, 58122
- Sanford Broadway Medical Center
-
-
Ohio
-
Beachwood, Ohio, Vereinigte Staaten, 44122
- UHHS-Chagrin Highlands Medical Center
-
Belpre, Ohio, Vereinigte Staaten, 45714
- Strecker Cancer Center-Belpre
-
Canton, Ohio, Vereinigte Staaten, 44710
- Aultman Health Foundation
-
Centerville, Ohio, Vereinigte Staaten, 45459
- Miami Valley Hospital South
-
Chardon, Ohio, Vereinigte Staaten, 44024
- Geauga Hospital
-
Chillicothe, Ohio, Vereinigte Staaten, 45601
- Adena Regional Medical Center
-
Cincinnati, Ohio, Vereinigte Staaten, 45220
- Good Samaritan Hospital - Cincinnati
-
Cleveland, Ohio, Vereinigte Staaten, 44106
- Case Western Reserve University
-
Cleveland, Ohio, Vereinigte Staaten, 44109
- MetroHealth Medical Center
-
Columbus, Ohio, Vereinigte Staaten, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, Vereinigte Staaten, 43210
- Ohio State University Comprehensive Cancer Center
-
Columbus, Ohio, Vereinigte Staaten, 43219
- The Mark H Zangmeister Center
-
Columbus, Ohio, Vereinigte Staaten, 43213
- Mount Carmel East Hospital
-
Dayton, Ohio, Vereinigte Staaten, 45409
- Miami Valley Hospital
-
Dayton, Ohio, Vereinigte Staaten, 45415
- Miami Valley Hospital North
-
Franklin, Ohio, Vereinigte Staaten, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Greenville, Ohio, Vereinigte Staaten, 45331
- Miami Valley Cancer Care and Infusion
-
Grove City, Ohio, Vereinigte Staaten, 43123
- Mount Carmel Grove City Hospital
-
Lancaster, Ohio, Vereinigte Staaten, 43130
- Fairfield Medical Center
-
Lima, Ohio, Vereinigte Staaten, 45801
- Saint Rita's Medical Center
-
Marietta, Ohio, Vereinigte Staaten, 45750
- Marietta Memorial Hospital
-
Marysville, Ohio, Vereinigte Staaten, 43040
- Memorial Hospital
-
Mentor, Ohio, Vereinigte Staaten, 44060
- UH Seidman Cancer Center at Lake Health Mentor Campus
-
Mount Vernon, Ohio, Vereinigte Staaten, 43050
- Knox Community Hospital
-
Newark, Ohio, Vereinigte Staaten, 43055
- Licking Memorial Hospital
-
Parma, Ohio, Vereinigte Staaten, 44129
- University Hospitals Parma Medical Center
-
Perrysburg, Ohio, Vereinigte Staaten, 43551
- Mercy Health - Perrysburg Hospital
-
Portsmouth, Ohio, Vereinigte Staaten, 45662
- Southern Ohio Medical Center
-
Springfield, Ohio, Vereinigte Staaten, 45504
- Springfield Regional Cancer Center
-
Springfield, Ohio, Vereinigte Staaten, 45504
- Springfield Regional Medical Center
-
Sylvania, Ohio, Vereinigte Staaten, 43560
- ProMedica Flower Hospital
-
Toledo, Ohio, Vereinigte Staaten, 43623
- Mercy Health - Saint Anne Hospital
-
Toledo, Ohio, Vereinigte Staaten, 43608
- Mercy Health - Saint Vincent Hospital
-
Troy, Ohio, Vereinigte Staaten, 45373
- Upper Valley Medical Center
-
Westerville, Ohio, Vereinigte Staaten, 43081
- Saint Ann's Hospital
-
Westlake, Ohio, Vereinigte Staaten, 44145
- UH Seidman Cancer Center at Saint John Medical Center
-
Zanesville, Ohio, Vereinigte Staaten, 43701
- Genesis Healthcare System Cancer Care Center
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Vereinigte Staaten, 73104
- University of Oklahoma Health Sciences Center
-
Oklahoma City, Oklahoma, Vereinigte Staaten, 73120
- Mercy Hospital Oklahoma City
-
Tulsa, Oklahoma, Vereinigte Staaten, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
-
-
Oregon
-
Clackamas, Oregon, Vereinigte Staaten, 97015
- Providence Cancer Institute Clackamas Clinic
-
Newberg, Oregon, Vereinigte Staaten, 97132
- Providence Newberg Medical Center
-
Ontario, Oregon, Vereinigte Staaten, 97914
- Saint Alphonsus Cancer Care Center-Ontario
-
Portland, Oregon, Vereinigte Staaten, 97239
- Oregon Health and Science University
-
Portland, Oregon, Vereinigte Staaten, 97210
- Legacy Good Samaritan Hospital and Medical Center
-
Portland, Oregon, Vereinigte Staaten, 97213
- Providence Portland Medical Center
-
Portland, Oregon, Vereinigte Staaten, 97225
- Providence Saint Vincent Medical Center
-
Tualatin, Oregon, Vereinigte Staaten, 97062
- Legacy Meridian Park Hospital
-
-
Pennsylvania
-
Allentown, Pennsylvania, Vereinigte Staaten, 18103
- Lehigh Valley Hospital-Cedar Crest
-
Allentown, Pennsylvania, Vereinigte Staaten, 18104
- Saint Luke's Cancer Center - Allentown
-
Bethlehem, Pennsylvania, Vereinigte Staaten, 18017
- Lehigh Valley Hospital - Muhlenberg
-
Bethlehem, Pennsylvania, Vereinigte Staaten, 18015
- Saint Luke's University Hospital-Bethlehem Campus
-
Bryn Mawr, Pennsylvania, Vereinigte Staaten, 19010
- Bryn Mawr Hospital
-
East Stroudsburg, Pennsylvania, Vereinigte Staaten, 18301
- Pocono Medical Center
-
Easton, Pennsylvania, Vereinigte Staaten, 18045
- Saint Luke's Hospital-Anderson Campus
-
Erie, Pennsylvania, Vereinigte Staaten, 16544
- Saint Vincent Hospital
-
Hazleton, Pennsylvania, Vereinigte Staaten, 18201
- Lehigh Valley Hospital-Hazleton
-
Jefferson Hills, Pennsylvania, Vereinigte Staaten, 15025
- Jefferson Hospital
-
Media, Pennsylvania, Vereinigte Staaten, 19063
- Riddle Memorial Hospital
-
Monroeville, Pennsylvania, Vereinigte Staaten, 15146
- Forbes Hospital
-
Paoli, Pennsylvania, Vereinigte Staaten, 19301
- Paoli Memorial Hospital
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19111
- Fox Chase Cancer Center
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19107
- Thomas Jefferson University Hospital
-
Philadelphia, Pennsylvania, Vereinigte Staaten, 19107
- Pennsylvania Hospital
-
Pittsburgh, Pennsylvania, Vereinigte Staaten, 15224
- West Penn Hospital
-
Quakertown, Pennsylvania, Vereinigte Staaten, 18951
- Saint Luke's Hospital - Upper Bucks Campus
-
West Chester, Pennsylvania, Vereinigte Staaten, 19380
- Chester County Hospital
-
Wexford, Pennsylvania, Vereinigte Staaten, 15090
- Wexford Health and Wellness Pavilion
-
Willow Grove, Pennsylvania, Vereinigte Staaten, 19090
- Asplundh Cancer Pavilion
-
Wynnewood, Pennsylvania, Vereinigte Staaten, 19096
- Lankenau Medical Center
-
-
Rhode Island
-
Providence, Rhode Island, Vereinigte Staaten, 02905
- Women and Infants Hospital
-
Westerly, Rhode Island, Vereinigte Staaten, 02891
- Smilow Cancer Hospital Care Center - Westerly
-
-
South Carolina
-
Bluffton, South Carolina, Vereinigte Staaten, 29910
- Saint Joseph's/Candler - Bluffton Campus
-
Charleston, South Carolina, Vereinigte Staaten, 29425
- Medical University of South Carolina
-
-
South Dakota
-
Aberdeen, South Dakota, Vereinigte Staaten, 57401
- Avera Cancer Institute-Aberdeen
-
Rapid City, South Dakota, Vereinigte Staaten, 57701
- Rapid City Regional Hospital
-
Sioux Falls, South Dakota, Vereinigte Staaten, 57105
- Avera Cancer Institute
-
Sioux Falls, South Dakota, Vereinigte Staaten, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Vereinigte Staaten, 57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Germantown, Tennessee, Vereinigte Staaten, 38138
- The West Clinic - Wolf River
-
-
Texas
-
Austin, Texas, Vereinigte Staaten, 78712
- University of Texas at Austin
-
Austin, Texas, Vereinigte Staaten, 78701
- Dell Seton Medical Center at The University of Texas
-
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
-
Fort Worth, Texas, Vereinigte Staaten, 76104
- Tarrant County Hospital District/JPS Health Network
-
Houston, Texas, Vereinigte Staaten, 77030
- Houston Methodist Hospital
-
Houston, Texas, Vereinigte Staaten, 77030
- Memorial Hermann Texas Medical Center
-
Houston, Texas, Vereinigte Staaten, 77070
- Methodist Willowbrook Hospital
-
Houston, Texas, Vereinigte Staaten, 77094
- Houston Methodist West Hospital
-
Nassau Bay, Texas, Vereinigte Staaten, 77058
- Houston Methodist Saint John Hospital
-
Richardson, Texas, Vereinigte Staaten, 75080
- UT Southwestern Clinical Center at Richardson/Plano
-
Sugar Land, Texas, Vereinigte Staaten, 77479
- Houston Methodist Sugar Land Hospital
-
The Woodlands, Texas, Vereinigte Staaten, 77385
- Houston Methodist The Woodlands Hospital
-
-
Utah
-
Salt Lake City, Utah, Vereinigte Staaten, 84112
- Huntsman Cancer Institute/University of Utah
-
South Jordan, Utah, Vereinigte Staaten, 84009
- South Jordan Health Center
-
-
Virginia
-
Charlottesville, Virginia, Vereinigte Staaten, 22908
- University of Virginia Cancer Center
-
Richmond, Virginia, Vereinigte Staaten, 23235
- VCU Massey Cancer Center at Stony Point
-
Richmond, Virginia, Vereinigte Staaten, 23229
- Henrico Doctor's Hospital
-
Richmond, Virginia, Vereinigte Staaten, 23298
- VCU Massey Comprehensive Cancer Center
-
Roanoke, Virginia, Vereinigte Staaten, 24033
- Carilion Roanoke Memorial Hospital
-
-
Washington
-
Edmonds, Washington, Vereinigte Staaten, 98026
- Swedish Cancer Institute-Edmonds
-
Seattle, Washington, Vereinigte Staaten, 98122
- Swedish Medical Center-First Hill
-
Vancouver, Washington, Vereinigte Staaten, 98686
- Legacy Salmon Creek Hospital
-
-
West Virginia
-
Charleston, West Virginia, Vereinigte Staaten, 25304
- Vandalia Health/CAMC Institute for Academic Medicine
-
Morgantown, West Virginia, Vereinigte Staaten, 26506
- West Virginia University Healthcare
-
-
Wisconsin
-
Eau Claire, Wisconsin, Vereinigte Staaten, 54701
- Marshfield Medical Center-EC Cancer Center
-
Green Bay, Wisconsin, Vereinigte Staaten, 54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay, Wisconsin, Vereinigte Staaten, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
La Crosse, Wisconsin, Vereinigte Staaten, 54601
- Gundersen Lutheran Medical Center
-
Madison, Wisconsin, Vereinigte Staaten, 53792
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Madison, Wisconsin, Vereinigte Staaten, 53718
- University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
-
Marshfield, Wisconsin, Vereinigte Staaten, 54449
- Marshfield Medical Center-Marshfield
-
Milwaukee, Wisconsin, Vereinigte Staaten, 53226
- Medical College of Wisconsin
-
Minocqua, Wisconsin, Vereinigte Staaten, 54548
- Marshfield Medical Center - Minocqua
-
Mukwonago, Wisconsin, Vereinigte Staaten, 53149
- ProHealth D N Greenwald Center
-
New Richmond, Wisconsin, Vereinigte Staaten, 54017
- Cancer Center of Western Wisconsin
-
Oconomowoc, Wisconsin, Vereinigte Staaten, 53066
- ProHealth Oconomowoc Memorial Hospital
-
Oconto Falls, Wisconsin, Vereinigte Staaten, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Rice Lake, Wisconsin, Vereinigte Staaten, 54868
- Marshfield Medical Center-Rice Lake
-
Sheboygan, Wisconsin, Vereinigte Staaten, 53081
- Saint Vincent Hospital Cancer Center at Sheboygan
-
Sheboygan, Wisconsin, Vereinigte Staaten, 53081
- Sheboygan Physicians Group
-
Stevens Point, Wisconsin, Vereinigte Staaten, 54482
- Marshfield Medical Center-River Region at Stevens Point
-
Sturgeon Bay, Wisconsin, Vereinigte Staaten, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Waukesha, Wisconsin, Vereinigte Staaten, 53188
- UW Cancer Center at ProHealth Care
-
Weston, Wisconsin, Vereinigte Staaten, 54476
- Marshfield Medical Center - Weston
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
-
Federation of Gynecology and Obstetrics (FIGO) 2009 stage IA-IVB, non-recurrent, chemotherapy (chemo)-naive, HER2-positive endometrial cancer. The following endometrial cancer types are eligible:
-
Serous
-
Other endometrial cancers (including clear cell, endometrioid, mixed epithelial, dedifferentiated/undifferentiated)
-
Carcinosarcoma
- NOTE: Endometrial cancers that are mismatch repair deficient (dMMR) by IHC are not eligible
-
-
Histologic confirmation of the original primary tumor is required. Submission of surgical pathology report (or endometrial biopsy pathology report in patients who never undergo hysterectomy) is required
-
Patients must be within 8 weeks of primary surgery (or endometrial biopsy in patients who never undergo hysterectomy) at the time of study registration
-
Patients may have measurable disease, non-measurable disease, or no measurable disease. In patients with measurable disease, lesions will be defined and monitored by RECIST v 1.1. Measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded). Each lesion must be >= 10 mm when measured by CT or magnetic resonance imaging (MRI). Lymph nodes must be >= 15 mm in short axis when measured by CT or MRI
-
For patients with uterine-confined (stage I) disease, the tumor must be invasive into the myometrium. Any amount of myoinvasion is acceptable for eligibility. Patients with non-invasive disease, endometrial intraepithelial carcinoma alone, or disease confined to a polyp will be excluded
-
All patients must have tumors that are HER2 positive as defined by American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) 2018 Breast Cancer guidelines. IHC and ISH testing will be done locally, at each participating institution and interpreted by local pathologists. In general HER2 positivity is defined as any of the following:
- 3+ immunohistochemistry (IHC),
- 2+ IHC with positive in situ hybridization (ISH) Alternatively, patients could be eligible if next generation sequencing (NGS) demonstrates HER2 (ERBB2) amplification. NGS testing can be performed through any designated labs as per the National Cancer Institute (NCI) MATCH/NCI Combo-MATCH trial.
Pathology report showing results of institutional HER2 testing (or NGS testing results) must be submitted.
Sites must submit all results available (IHC, ISH, and NGS)
-
Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
-
Age >= 18
-
Platelets >= 100,000/mcl (within 14 days prior to registration)
-
Absolute neutrophil count (ANC) >= 1,500/mcl (within 14 days prior to registration)
-
Creatinine =< 1.5 x institutional/laboratory upper limit of normal (ULN) or estimated Glomerular filtration rate (eGFR) >= 50 mL/min using either the Cockcroft-Gault equation, the Modification of Diet in Renal Disease Study, or as reported in the comprehensive metabolic panel/basic metabolic panel (eGFR) (within 14 days prior to registration)
-
Total serum bilirubin level =< 1.5 x ULN (patients with known Gilbert's disease who have bilirubin level =< 3 x ULN may be enrolled) (within 14 days prior to registration)
-
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 3 x ULN (within 14 days prior to registration)
-
Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months of registration are eligible for this trial
-
Although the uterus will have been removed in the vast majority of patients, for patients of child-bearing potential: negative urine or serum pregnancy test. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test is required. Patients will be considered of non-reproductive potential if they are either:
- Postmenopausal (defined as at least 12 months with no menses without an alternative medical cause; in women < 45 years of age, a high follicle stimulating hormone [FSH] level in the postmenopausal range may be used to confirm a postmenopausal state in women not using hormonal contraception or hormonal replacement therapy. In the absence of 12 months of amenorrhea, a single FSH measurement is insufficient); OR
- Have had a hysterectomy and/or bilateral oophorectomy, bilateral salpingectomy or bilateral tubal ligation/occlusion at least 6 weeks prior to registration
- Have a congenital or acquired condition that prevents childbearing
-
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 evidence of chronic hepatitis B virus (HBV) infection must have an undetectable HBV viral load 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 with treated brain metastases are eligible if follow-up brain imaging after central nervous system (CNS)-directed therapy shows no evidence of progression
-
The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and, for patients treated in the United States (U.S.), authorization permitting release of personal health information
Exclusion Criteria:
-
Prior Therapy:
-
Patients must NOT have received prior chemotherapy, biologic therapy, or targeted therapy for treatment of endometrial carcinoma
-
Patients must NOT have received prior radiation therapy for treatment of endometrial carcinoma. Prior radiation includes external beam pelvic radiation therapy, external beam extended field pelvic/para-aortic radiation therapy, and/or intravaginal brachytherapy
- NOTE: Vaginal brachytherapy for treatment of endometrial cancer is permitted during study treatment. Planned use of vaginal brachytherapy must be declared at time of registration
-
Patients may have received prior hormonal therapy for treatment of endometrial carcinoma. All hormonal therapy must be discontinued at least one week prior to registration
-
-
Patients may not have a planned interval cytoreduction or hysterectomy, prior to documentation of progression, after study registration
-
Patients may not have planned external beam radiotherapy, prior to documentation of progression, after study registration
-
Significant cardiovascular disease including:
- Uncontrolled hypertension, defined as systolic > 150 mm Hg or diastolic > 90 mm Hg despite antihypertensive medications
- Myocardial infarction or unstable angina within 6 months prior to registration
- New York Heart Association functional classification II, III or IV
- Serious cardiac arrhythmia requiring medication. This does not include asymptomatic, atrial fibrillation with controlled ventricular rate
-
Significant lung disease: dyspnea at rest grade 2 or greater (resulting from extensive tumor involvement or other causes), pneumonitis grade 2 or greater, interstitial lung disease grade 2 or greater, idiopathic pulmonary fibrosis, cystic fibrosis, Aspergillosis, active tuberculosis, or history of opportunistic infections (pneumocystis pneumonia or cytomegalovirus pneumonia)
-
Patients with uncontrolled intercurrent illness including, but not limited to: ongoing or active infection (except for uncomplicated urinary tract infection), uncontrolled interstitial lung disease, symptomatic congestive heart failure, or psychiatric illness/social situations that would limit compliance with study requirements
-
Treatment with strong CYP2C8 or CYP3A4 inhibitors or inducers within 14 days or 5 drug-elimination half-lives, whichever is longer, prior to registration
-
Women who are unwilling to discontinue nursing
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Aktiver Komparator: Arm I (paclitaxel, carboplatin)
Patients receive paclitaxel IV over 3 hours and carboplatin IV over 30-60 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician. Patients undergo ECHO or MUGA and CT throughout the study. Additionally, patients may optionally undergo blood sample collection throughout the study, vaginal brachytherapy on study, and urine sample collection prior to treatment. |
Given IV
Andere Namen:
Given IV
Andere Namen:
Undergo CT
Andere Namen:
Undergo ECHO
Andere Namen:
Undergo MUGA
Andere Namen:
Undergo blood and urine sample collection
Andere Namen:
Undergo vaginal brachytherapy
Andere Namen:
|
|
Experimental: Arm II (paclitaxel, carboplatin, Herceptin Hylecta)
Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30-60 minutes, and trastuzumab/hyaluronidase-oysk SC over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician. MAINTENANCE: Patients receive trastuzumab/hyaluronidase-oysk SC over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients with SD or PR may continue maintenance therapy for up to 3 years from the start of treatment. Patients undergo ECHO or MUGA and CT throughout the study. Additionally patients may optionally undergo blood sample collection throughout the study, vaginal brachytherapy on study, and urine sample collection prior to treatment. |
Given IV
Andere Namen:
Given IV
Andere Namen:
Undergo CT
Andere Namen:
Undergo ECHO
Andere Namen:
Undergo MUGA
Andere Namen:
Undergo blood and urine sample collection
Andere Namen:
Undergo vaginal brachytherapy
Andere Namen:
Ancillary studies Given SC
Andere Namen:
|
|
Experimental: Arm III (paclitaxel, carboplatin, Phesgo)
See Detailed Description. |
Given IV
Andere Namen:
Given IV
Andere Namen:
Undergo CT
Andere Namen:
Undergo ECHO
Andere Namen:
Undergo MUGA
Andere Namen:
Undergo blood and urine sample collection
Andere Namen:
Undergo vaginal brachytherapy
Andere Namen:
Ancillary studies Given SC
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Progression free survival
Zeitfenster: From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed up to 5 years from randomization
|
At the end of Phase 2 analysis, if both experimental arms demonstrate superiority to the reference, the experimental arms will be compared to each other. |
From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed up to 5 years from randomization
|
|
Overall survival
Zeitfenster: From study entry to time of death or the date of last contact, assessed up to 5 years from randomization
|
If both experimental arms demonstrate superiority to the reference arm, the experimental arms will be compared to each other. |
From study entry to time of death or the date of last contact, assessed up to 5 years from randomization
|
|
Incidence of dose limiting toxicities
Zeitfenster: Up to end of cycle 3 (week 12)
|
A dose limiting toxicity is any treatment-related adverse event requiring permanent discontinuation of the experimental therapy prior to the completion of treatment cycle 3. |
Up to end of cycle 3 (week 12)
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Objective response rate (ORR)
Zeitfenster: Within 12 months of initiating maintenance therapy
|
Defined as the binomial proportion of evaluable patients with a best overall response of complete response or partial response (by Response Evaluation Criteria in Solid Tumors 1.1) within 12 months of initiating maintenance therapy. Responses reported by the treating physician will be used for these analyses. The ORR estimates by treatment arm will be supported by their 2-sided, 95% Wilson-Score confidence intervals (Wilson, 1927; Agresti, 1998). The relative odds of response in each experimental group (versus [vs] the reference group) will be estimated using a multivariable logistic regression model specified with main effects for the treatment groups and covariate adjustments for the stratification factors reported at baseline. |
Within 12 months of initiating maintenance therapy
|
|
Duration of objective response
Zeitfenster: From documentation of either partial response or complete response until disease progression or death, whichever is observed first, assessed up to 5 years from randomization
|
Treatment group differences in response duration will be graphed using Kaplan-Meier methods and compared using logrank tests, stratified by the minimization factors defined at randomization. The relative hazards of progression or death in each experimental group (vs the reference group) will be estimated using a multivariable proportional hazards regression model specified with main effects for the treatment indicators and covariate adjustments for the stratification factors reported at baseline. |
From documentation of either partial response or complete response until disease progression or death, whichever is observed first, assessed up to 5 years from randomization
|
|
Incidence of adverse events (AEs)
Zeitfenster: Up to 5 years from randomization
|
The nature, frequency, and degree of toxicity will be tabulated at the System Organ Class and AE-specific term levels using Common Terminology Criteria version 5.0. Each patient will be represented according to the maximum grade observed for each term. Tabulations will show the number and percentage of patients by maximum grade, within the treatment group received, regardless of the randomized treatment assignment. |
Up to 5 years from randomization
|
|
HER2 expression
Zeitfenster: Up to 5 years from randomization
|
Correlation of HER2 immunohistochemistry expression and in situ hybridization amplification with clinical outcome and response to HER2 targeted therapies will be explored. |
Up to 5 years from randomization
|
|
Quality of life (QoL)
Zeitfenster: Up to 5 years from randomization
|
Measured by Functional Assessment of Cancer Therapy - Endometrial Trial Outcome Index (FACT-En TOI). |
Up to 5 years from randomization
|
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
QoL deterioration
Zeitfenster: Baseline up to 5 years
|
The deterioration in QoL will be measured by a drop of >= 6 points in the FACT-En TOI score from baseline and lasting for more than one patient reported outcome time point in experimental and control arms. |
Baseline up to 5 years
|
Mitarbeiter und Ermittler
Sponsor
Mitarbeiter
Ermittler
- Hauptermittler: Britt K Erickson, NRG Oncology
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Urogenitale Erkrankungen
- Genitalerkrankungen
- Urogenitale Neoplasmen
- Neubildungen nach Standort
- Weibliche Urogenitalerkrankungen
- Weibliche Urogenitalerkrankungen und Schwangerschaftskomplikationen
- Uteruserkrankungen
- Genitalerkrankungen, weiblich
- Genitale Neubildungen, weiblich
- Uterusneoplasmen
- Neubildungen
- Endometriale Neubildungen
- Aminosäuren, Peptide und Proteine
- Proteine
- Organische Chemikalien
- Untersuchungstechniken
- Klinische Labortechniken
- Diagnosetechniken und Verfahren
- Diagnose
- Kohlenwasserstoffe
- Cycloparaffine
- Kohlenwasserstoffe, alicyclisch
- Kohlenwasserstoffe, zyklisch
- Terpene
- Glykosidhydrolasen
- Hydrolasen
- Enzyme
- Enzyme und Coenzyme
- Polysaccharid-Lyasen
- Kohlenstoffoxygen-Lyasen
- Lyasen
- Antikörper, monoklonal, humanisiert
- Antikörper, monoklonal
- Antikörper
- Immunglobuline
- Immunoproteine
- Blutproteine
- Serumglobuline
- Globuline
- Koordinationskomplexe
- Taxoid
- Cyclodececane
- Diterpene
- Gesundheitsökonomie und Organisationen
- Wirtschaft
- Trastuzumab
- Carboplatin
- Paclitaxel
- Hyaluronoglucosaminidase
- Handhabung von Proben
- Pertuzumab
- Steuern
Andere Studien-ID-Nummern
- NCI-2022-01540
- U10CA180868 (US NIH Stipendium/Vertrag)
- NCI-2022-01540 (Registrierungskennung: CTRP (Clinical Trial Reporting Program))
- NRG-GY026 (Andere Kennung: CTEP)
- NRG-GY026 (Andere Kennung: NRG Oncology)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
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
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