Tamoxifen Citrate or Letrozole With or Without Bevacizumab in Treating Women With Stage IIIB or Stage IV Breast Cancer

Endocrine Therapy With or Without Anti-VEGF Therapy: A Randomized, Phase III Trial of Endocrine Therapy Alone or Endocrine Therapy Plus Bevacizumab (NSC 704865) for Women With Hormone Receptor-Positive Advanced Breast Cancer

Patrocinadores

Patrocinador principal: National Cancer Institute (NCI)

Fuente National Cancer Institute (NCI)
Resumen breve

This randomized phase III trial studies tamoxifen citrate or letrozole together with bevacizumab to see how well it works compared with tamoxifen citrate or letrozole alone in treating women with stage IIIB or stage IV breast cancer. Estrogen can cause the growth of breast cancer cells. Hormone therapy using tamoxifen citrate or letrozole may fight breast cancer by blocking the use of estrogen by the tumor cells. Immunotherapy with monoclonal antibodies, such as bevacizumab, may induce changes in the body's immune system and may interfere with the ability of tumor cells to grow and spread. It is not yet known whether giving hormone therapy is more effective with or without bevacizumab in treating advanced breast cancer.

Descripción detallada

PRIMARY OBJECTIVES:

I. To compare the progression-free survival of letrozole therapy alone with the combination of letrozole therapy plus bevacizumab as first-line treatment in women with estrogen- and/or progesterone-receptor-positive advanced breast cancer.

SECONDARY OBJECTIVES:

I. To compare the proportion of patients receiving letrozole alone, who remain progression-free at 6 and 12 months, to those receiving letrozole plus bevacizumab.

II. To compare the incidence of objective response (complete response [CR] + partial response [PR]) in patients receiving letrozole with and without bevacizumab, as determined by Response Evaluation Criteria in Solid Tumors (RECIST) criteria, excluding patients with non-measurable disease.

III. To compare the incidence of clinical benefit (CR + PR + stable disease >= 6 months) in patients receiving letrozole with and without bevacizumab.

IV. To compare the duration of objective response in patients receiving letrozole with and without bevacizumab.

V. To compare the time to treatment failure in patients receiving letrozole with and without bevacizumab.

VI. To compare the overall survival of patients receiving letrozole with and without bevacizumab, including the probability of survival until 36 months.

VII. To compare toxicity levels between the bevacizumab arm and the arm without bevacizumab in both the letrozole-treated patients and in the tamoxifen-treated patients.

VIII. To compare progression-free survival and overall survival of all patients receiving endocrine therapy with and without bevacizumab (by combining both letrozole and tamoxifen* patient subgroups).

CORRELATIVE OBJECTIVES:

I. To compare baseline and changes in serial levels of circulating endothelial cells and circulating tumor cells in patients treated with endocrine therapy alone or endocrine therapy plus bevacizumab, and to explore the relationship of these markers with progression free survival.

II. To conduct proteomic analysis of longitudinal samples from patients with advanced-stage disease undergoing hormonal therapy to define new serum-based biomarkers related to disease activity.

III. To identify biologic correlates that will predict progression-free survival (PFS) and response to therapy.

IV. To conduct pharmacogenomic assessment of candidate variants in the VEGF, CYP2D6, and CYP19 genes and evaluate their association with PFS and other study outcomes.

V. To identify single nucleotide polymorphisms (SNPs) associated with progression free survival in the genome-wide approach (GWAS).

VI. To identify factors other than chronological age that predict the risk of grade 3, 4 or 5 toxicity with bevacizumab and endocrine therapy by means of functional age assessment measures.

VII. To perform an exploratory analysis of the ability of the other factors included in the functional age assessment (either individual or in combination), to predict the risk of grade 3, 4 or 5 toxicity.

VIII. To evaluate longitudinal changes in the parameters of the factors described in objective VI while on therapy.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

NOTE: The placebo-controlled portion of the study was canceled on 5-15-10.

ARM I: Patients receive endocrine therapy* (tamoxifen citrate or letrozole) orally (PO) once daily (QD) on days 1-21 and bevacizumab intravenously (IV) over 30-90 minutes on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive endocrine therapy* (tamoxifen citrate or letrozole) PO QD on days 1-21. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study therapy, patients are followed up every 6 months for the first 2 years and then annually for up to 3 years.

* NOTE: As of 5/15/2011, patients only receive letrozole.

Estado general Active, not recruiting
Fecha de inicio May 15, 2008
Fecha de finalización primaria June 30, 2014
Fase Phase 3
Tipo de estudio Interventional
Resultado primario
Medida Periodo de tiempo
Progression-free Survival From randomization until disease progression or death whichever occurs first, assessed up to 5 years
Resultado secundario
Medida Periodo de tiempo
12 Month Progression Free Survival Rate At 12 months
6 Month Progression-Free Survival Rate At 6 months
Objective Response Rate Assessed up to 5 years
Overall Survival (OS) Assessed up to 5 years
Duration of Tumor Response From the time measurement criteria are met for CR/PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented, assessed up to 5 years
Probability of Surviving Until 36 Months At 36 months
Site of Progression Up to 5 years
Time-to-treatment Failure Up to 5 years
Treatment Related Toxicity Up to 5 years
Inscripción 394
Condición
Intervención

Tipo de intervención: Biological

Nombre de intervención: Bevacizumab

Descripción: Given IV

Etiqueta de grupo de brazo: Arm I (endocrine therapy with monoclonal antibody)

Tipo de intervención: Other

Nombre de intervención: Laboratory Biomarker Analysis

Descripción: Correlative studies

Tipo de intervención: Drug

Nombre de intervención: Letrozole

Descripción: Given PO

Tipo de intervención: Other

Nombre de intervención: Questionnaire Administration

Descripción: Ancillary studies

Tipo de intervención: Drug

Nombre de intervención: Tamoxifen Citrate

Descripción: Given PO

Elegibilidad

Criterios:

Inclusion Criteria:

- Histologic confirmation of invasive cancer of the female breast in either the primary or metastatic setting

- Stage IV disease or stage IIIB disease (using American Joint Committee on Cancer [AJCC] criteria, 6th edition) not amenable to local therapy

- Patients may not have a "currently active" second malignancy other than non-melanoma skin cancers; patients are not considered to have a "currently active" malignancy if they have completed therapy and are considered by their physician to be at less than 30% risk of relapse

- Tumors (from either primary or metastatic sites) must express estrogen receptor (ER) and/or progesterone receptor (PgR) in >= 1% of cells will be considered positive

- Postmenopausal women are eligible for this trial; before study registration, menopausal status must be defined according to the criteria below:

- Age >= 55 years and one year or more of amenorrhea

- Age < 55 years and one year or more of amenorrhea, with an estradiol assay < 20 pg/ml

- For women age < 55 with prior hysterectomy but intact ovaries, with an estradiol assay < 20 pg/ml

- Surgical menopause with bilateral oophorectomy (at least 28 days must elapse from surgery to time of study registration)

- Ovarian suppression on a luteinizing hormone-releasing hormone (LH-RH) agonist

- Premenopausal women who do not meet the postmenopausal criteria above are also eligible, but are required to undergo ovarian suppression; this can be initiated any time prior to or on day 1 of protocol therapy, regardless of chosen endocrine therapy, and will continue for the duration of protocol therapy

- Patients must have measurable or non-measurable disease by RECIST criteria, with radiologic scans within 28 days of study registration

- Measurable disease: lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 2.0 cm with conventional techniques or as >= 1.0 cm with spiral computed tomography (CT) scan

- Non-measurable disease: all other lesions, including small lesions (longest diameter < 2.0 cm with conventional techniques or < 1.0 cm with spiral CT scan) and truly non-measurable lesions

- Lesions that are considered non-measurable include the following:

- Bone lesions

- Leptomeningeal disease

- Ascites

- Pleural/pericardial effusion

- Inflammatory breast disease

- Abdominal masses that are not confirmed and followed by imaging techniques

- Cystic lesions

- Prior endocrine therapy is not required

- Prior endocrine therapy in the metastatic setting is not permitted (unless tamoxifen or an aromatase inhibitor was initiated within 4 weeks prior to registration to facilitate enrollment of patients who recently started first-line endocrine therapy for metastatic breast cancer); if prior letrozole therapy was initiated within the past 4 weeks, the patients should remain on letrozole as the study therapy; patients who began therapy with tamoxifen, anastrozole or exemestane must switch to letrozole to be eligible to participate in this study

- Prior endocrine therapy in the adjuvant setting is permitted; there is no time restriction for how long the patient must be on the adjuvant endocrine therapy, nor is there a time restriction for how long the patient needs to be off prior adjuvant endocrine therapy before beginning protocol therapy on 40503

- Prior treatment with ovarian suppression is allowed in either the adjuvant or metastatic setting; if medical ovarian suppression is being administered it can be initiated any time prior to or at the start of protocol therapy, and continued throughout the duration of the trial; surgical castration with bilateral oophorectomy must be performed at least 28 days prior to study registration (due to concerns of poor wound healing on bevacizumab)

- Patients may not have received any prior anti-VEGF or VEGFR tyrosine kinase inhibitor therapy

- Prior radiotherapy must have been completed and all toxicities resolved at least two weeks prior to registration

- Chemotherapy in the adjuvant or neoadjuvant setting is permitted; at least twelve months prior to registration must have elapsed since the completion of adjuvant or neoadjuvant chemotherapy and all toxicities must have resolved; taxane-related neurotoxicity must have resolved to sensory grade < 2 and no motor neuropathy of any grade is allowed

- Patients may have received one prior chemotherapy regimen for metastatic disease; the final dose of prior chemotherapy must have been administered at least 3 weeks prior to study registration

- Treatment with bisphosphonates is allowed and recommended as per American Society of Clinical Oncology (ASCO) guidelines

- Patients must not have had a major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study registration, and must have fully recovered from any such procedure

- Patients must not have anticipation of need for major surgical procedure during the course of the study

- Patients must not have had a core biopsy or other minor surgical procedure, within 7 days prior to study registration; placement of a vascular access device is allowed within 7 days of registration

- Patients must not have a history of abdominal fistula, or intra-abdominal abscess within 6 months prior to study registration

- Patients with a history of gastrointestinal (GI) perforation within 12 months prior to registration are not eligible

- Patients with a history of significant bleeding episodes (e.g., hemoptysis, upper or lower GI bleeding) within 6 months prior to registration are not eligible

- Patients must not have clinically significant cardiovascular disease that includes the following:

- Uncontrolled hypertension defined as systolic blood pressure > 150 and/or diastolic blood pressure > 90 mmHg on antihypertensive medications or any prior history of hypertensive crisis or hypertensive encephalopathy

- History of myocardial infarction or unstable angina within past 6 months

- New York Heart Association (NYHA) grade 2 or greater congestive heart failure

- Symptomatic peripheral vascular disease

- Significant vascular disease (e.g., aortic aneurysm, aortic dissection) or arterial thrombotic events

- Full dose anticoagulation therapy is allowed for the treatment of prior conditions such as venous thrombosis or atrial fibrillation, but not for the treatment of prior arterial thrombotic events; patients on full dose anticoagulants must be on a stable dose of warfarin and have an in-range international normalized ratio (INR) (usually between 2 and 3) or be on a stable dose of low-molecular weight (LMW) heparin; patients receiving antiplatelet agents are eligible, as are patients on daily prophylactic aspirin or anticoagulation for atrial fibrillation

- Patients may not have a history of stroke or transient ischemic attack within 6 months prior to study registration

- Patients with a history of seizures must be well controlled with standard medication

- Patients must not have known central nervous system (CNS) metastases or leptomeningeal disease (screening with brain imaging is not required for asymptomatic patients)

- In aromatase inhibitor (AI)-treated patients: no known allergies to imidazole drugs, (e.g. clotrimazole, ketoconazole, miconazole, econazole, sulconazole, tioconazole, or terconazole) or compounds structurally similar to bevacizumab

- In tamoxifen treated patients: no known allergies to selective estrogen receptor modulators (e.g. tamoxifen, raloxifene or toremifene) or compounds structurally similar to bevacizumab; for patients enrolled after Update #5, endocrine therapy will consist of letrozole only and this criterion will no longer apply

- Eastern Cooperative Oncology Group (ECOG) (Zubrod) performance status =< 1

- No serious, non-healing wound, ulcer, or bone fracture

- Life expectancy of >= 12 weeks

- All patients who are premenopausal (if not already receiving ovarian suppression therapy/surgical oophorectomy) must have a negative beta-human chorionic gonadotropin (beta-Hcg) prior to starting on study treatment; patients may not be pregnant or nursing at any time during the study; ovarian suppression is required in women of childbearing potential by the start of protocol therapy, and will continue for the duration of protocol therapy

- Granulocytes >= 1,000/ul

- Platelet count >= 100,000/ul

- Creatinine =< 2.0 mg/dL

- Bilirubin =< 1.5 times upper limit of normal (ULN) unless due to Gilbert's syndrome

- Transaminases (alanine aminotransferase [ALT], aspartate aminotransferase [AST]) =< 2.5 times ULN

- International normalized ratio (INR) =< 1.6, unless on full dose warfarin

- Beta-Hcg negative in premenopausal women

- Urine protein =< 1+ or urine to plasma creatinine (UPC) < 1

- Patients discovered to have >= 2+ proteinuria at baseline must undergo a 24-hour urine collection that must demonstrate < 1 g of protein/24 hr, or UPC ratio < 1 to allow participation in the study

Género: Female

Edad mínima: 18 Years

Edad máxima: N/A

Voluntarios Saludables: No

Oficial general
Apellido Papel Afiliación
Hope S Rugo Principal Investigator Alliance for Clinical Trials in Oncology
Ubicación
Instalaciones:
Providence Hospital | Mobile, Alabama, 36608, United States
Sparks Regional Medical Center | Fort Smith, Arkansas, 72901, United States
East Bay Medical Oncology Hematology Medical Associates-Antioch | Antioch, California, 94531, United States
Alta Bates Summit Medical Center-Herrick Campus | Berkeley, California, 94704, United States
Providence Saint Joseph Medical Center/Disney Family Cancer Center | Burbank, California, 91505, United States
Mills-Peninsula Medical Center | Burlingame, California, 94010, United States
East Bay Radiation Oncology Center | Castro Valley, California, 94546, United States
Eden Hospital Medical Center | Castro Valley, California, 94546, United States
Valley Medical Oncology Consultants-Castro Valley | Castro Valley, California, 94546, United States
Adventist Health Cancer Care Center Chico | Chico, California, 95973, United States
Community Cancer Institute | Clovis, California, 93611, United States
Bay Area Breast Surgeons Inc | Emeryville, California, 94608, United States
Valley Medical Oncology Consultants-Fremont | Fremont, California, 94538, United States
Marin General Hospital | Greenbrae, California, 94904, United States
Los Angeles County-USC Medical Center | Los Angeles, California, 90033, United States
USC / Norris Comprehensive Cancer Center | Los Angeles, California, 90033, United States
Contra Costa Regional Medical Center | Martinez, California, 94553-3156, United States
Fremont - Rideout Cancer Center | Marysville, California, 95901, United States
Memorial Medical Center | Modesto, California, 95355, United States
El Camino Hospital | Mountain View, California, 94040, United States
Sutter Cancer Research Consortium | Novato, California, 94945, United States
Highland General Hospital | Oakland, California, 94602, United States
Alta Bates Summit Medical Center - Summit Campus | Oakland, California, 94609, United States
Bay Area Tumor Institute | Oakland, California, 94609, United States
Hematology and Oncology Associates-Oakland | Oakland, California, 94609, United States
Tom K Lee Inc | Oakland, California, 94609, United States
UC Irvine Health/Chao Family Comprehensive Cancer Center | Orange, California, 92868, United States
Diablo Valley Oncology and Hematology Medical Group-Pleasant Hill | Pleasant Hill, California, 94523, United States
East Bay Medical Oncology Hematology Medical Associates Inc-Pleasant Hill | Pleasant Hill, California, 94523, United States
Valley Care Health System - Pleasanton | Pleasanton, California, 94588, United States
Valley Medical Oncology Consultants | Pleasanton, California, 94588, United States
Pomona Valley Hospital Medical Center | Pomona, California, 91767, United States
University of California Davis Comprehensive Cancer Center | Sacramento, California, 95817, United States
Saint Helena Hospital | Saint Helena, California, 94574, United States
Zuckerberg San Francisco General Hospital | San Francisco, California, 94110, United States
California Pacific Medical Center-Pacific Campus | San Francisco, California, 94115, United States
UCSF Medical Center-Mount Zion | San Francisco, California, 94115, United States
East Bay Medical Oncology Hematology Associates Inc | San Leandro, California, 94578, United States
Doctors Medical Center- JC Robinson Regional Cancer Center | San Pablo, California, 94806, United States
Gene Upshaw Memorial Tahoe Forest Cancer Center | Truckee, California, 96161, United States
Northbay Cancer Center | Vacaville, California, 95687, United States
Sutter Solano Medical Center/Cancer Center | Vallejo, California, 94589, United States
The Medical Center of Aurora | Aurora, Colorado, 80012, United States
Boulder Community Hospital | Boulder, Colorado, 80301, United States
Penrose-Saint Francis Healthcare | Colorado Springs, Colorado, 80907, United States
Porter Adventist Hospital | Denver, Colorado, 80210, United States
Presbyterian - Saint Lukes Medical Center - Health One | Denver, Colorado, 80218, United States
SCL Health Saint Joseph Hospital | Denver, Colorado, 80218, United States
Rose Medical Center | Denver, Colorado, 80220, United States
Western States Cancer Research NCORP | Denver, Colorado, 80222, United States
Swedish Medical Center | Englewood, Colorado, 80113, United States
Poudre Valley Hospital | Fort Collins, Colorado, 80524, United States
Saint Mary's Hospital and Regional Medical Center | Grand Junction, Colorado, 81501, United States
North Colorado Medical Center | Greeley, Colorado, 80631, United States
Saint Anthony Hospital | Lakewood, Colorado, 80228, United States
Littleton Adventist Hospital | Littleton, Colorado, 80122, United States
Sky Ridge Medical Center | Lone Tree, Colorado, 80124, United States
Longmont United Hospital | Longmont, Colorado, 80501, United States
McKee Medical Center | Loveland, Colorado, 80539, United States
Saint Mary Corwin Medical Center | Pueblo, Colorado, 81004, United States
North Suburban Medical Center | Thornton, Colorado, 80229, United States
SCL Health Lutheran Medical Center | Wheat Ridge, Colorado, 80033, United States
Hartford Hospital | Hartford, Connecticut, 06102, United States
Smilow Cancer Hospital Care Center at Saint Francis | Hartford, Connecticut, 06105, United States
Middlesex Hospital | Middletown, Connecticut, 06457, United States
The Hospital of Central Connecticut | New Britain, Connecticut, 06050, United States
Yale University | New Haven, Connecticut, 06520, United States
Stamford Hospital/Bennett Cancer Center | Stamford, Connecticut, 06904, United States
Beebe Medical Center | Lewes, Delaware, 19958, United States
Christiana Care Health System-Christiana Hospital | Newark, Delaware, 19718, United States
Sibley Memorial Hospital | Washington, District of Columbia, 20016, United States
Boca Raton Regional Hospital | Boca Raton, Florida, 33486, United States
Holy Cross Hospital | Fort Lauderdale, Florida, 33308, United States
Florida Cancer Specialists-Gainesville Cancer Center | Gainesville, Florida, 32605, United States
Jupiter Medical Center | Jupiter, Florida, 33458, United States
Mount Sinai Medical Center | Miami Beach, Florida, 33140, United States
University Cancer and Blood Center LLC | Athens, Georgia, 30607, United States
Piedmont Hospital | Atlanta, Georgia, 30309, United States
Atlanta Regional CCOP | Atlanta, Georgia, 30342, United States
Emory Saint Joseph's Hospital | Atlanta, Georgia, 30342, United States
Northside Hospital | Atlanta, Georgia, 30342, United States
Augusta University Medical Center | Augusta, Georgia, 30912, United States
WellStar Cobb Hospital | Austell, Georgia, 30106, United States
John B Amos Cancer Center | Columbus, Georgia, 31904, United States
Dekalb Medical Center | Decatur, Georgia, 30033, United States
Dublin Hematology Oncology Care PC | Dublin, Georgia, 31021, United States
Piedmont Fayette Hospital | Fayetteville, Georgia, 30214, United States
Eisenhower Army Medical Center | Fort Gordon, Georgia, 30905-5650, United States
Northeast Georgia Medical Center-Gainesville | Gainesville, Georgia, 30501, United States
Northside Hospital - Gwinnett | Lawrenceville, Georgia, 30046, United States
Medical Center of Central Georgia | Macon, Georgia, 31201, United States
Wellstar Kennestone Hospital | Marietta, Georgia, 30060, United States
Southern Regional Medical Center | Riverdale, Georgia, 30274, United States
Harbin Clinic Medical Oncology and Clinical Research | Rome, Georgia, 30165, United States
Pali Momi Medical Center | 'Aiea, Hawaii, 96701, United States
Hawaii Cancer Care Inc-POB II | Honolulu, Hawaii, 96813, United States
Queen's Medical Center | Honolulu, Hawaii, 96813, United States
Straub Clinic and Hospital | Honolulu, Hawaii, 96813, United States
University of Hawaii Cancer Center | Honolulu, Hawaii, 96813, United States
Queen's Cancer Center - Kuakini | Honolulu, Hawaii, 96817, United States
The Cancer Center of Hawaii-Liliha | Honolulu, Hawaii, 96817, United States
Kapiolani Medical Center for Women and Children | Honolulu, Hawaii, 96826, United States
Maui Memorial Medical Center | Wailuku, Hawaii, 96793, United States
Pacific Cancer Institute of Maui | Wailuku, Hawaii, 96793, United States
Saint Anthony's Health | Alton, Illinois, 62002, United States
Rush - Copley Medical Center | Aurora, Illinois, 60504, United States
Saint Joseph Medical Center | Bloomington, Illinois, 61701, United States
Illinois CancerCare-Bloomington | Bloomington, Illinois, 61704, United States
Graham Hospital Association | Canton, Illinois, 61520, United States
Illinois CancerCare-Canton | Canton, Illinois, 61520, United States
Illinois CancerCare-Carthage | Carthage, Illinois, 62321, United States
Memorial Hospital | Carthage, Illinois, 62321, United States
Mount Sinai Hospital Medical Center | Chicago, Illinois, 60608, United States
John H Stroger Jr Hospital of Cook County | Chicago, Illinois, 60612, United States
Mercy Hospital and Medical Center | Chicago, Illinois, 60616, United States
Presence Resurrection Medical Center | Chicago, Illinois, 60631, United States
University of Chicago Comprehensive Cancer Center | Chicago, Illinois, 60637, United States
Advocate Illinois Masonic Medical Center | Chicago, Illinois, 60657, United States
Decatur Memorial Hospital | Decatur, Illinois, 62526, United States
Heartland Cancer Research NCORP | Decatur, Illinois, 62526, United States
Good Samaritan Hospital | Downers Grove, Illinois, 60515, United States
AMITA Health Alexian Brothers Medical Center | Elk Grove Village, Illinois, 60007, United States
Elmhurst Memorial Hospital | Elmhurst, Illinois, 60126, United States
Eureka Hospital | Eureka, Illinois, 61530, United States
Illinois CancerCare-Eureka | Eureka, Illinois, 61530, United States
Freeport Memorial Hospital/Leonard C Ferguson Cancer Center | Freeport, Illinois, 61032, United States
Illinois CancerCare-Galesburg | Galesburg, Illinois, 61401, United States
Ingalls Memorial Hospital | Harvey, Illinois, 60426, United States
Illinois CancerCare-Havana | Havana, Illinois, 62644, United States
Mason District Hospital | Havana, Illinois, 62644, United States
Joliet Oncology-Hematology Associates Limited | Joliet, Illinois, 60435, United States
Presence Saint Mary's Hospital | Kankakee, Illinois, 60901, United States
Illinois CancerCare-Kewanee Clinic | Kewanee, Illinois, 61443, United States
AMITA Health Adventist Medical Center | La Grange, Illinois, 60525, United States
Illinois CancerCare-Macomb | Macomb, Illinois, 61455, United States
Mcdonough District Hospital | Macomb, Illinois, 61455, United States
Garneau, Stewart C MD (UIA Investigator) | Moline, Illinois, 61265, United States
Porubcin, Michael MD (UIA Investigator) | Moline, Illinois, 61265, United States
Sharis, Christine M MD (UIA Investigator) | Moline, Illinois, 61265, United States
Spector, David MD (UIA Investigator) | Moline, Illinois, 61265, United States
Stoffel, Thomas J MD (UIA Investigator) | Moline, Illinois, 61265, United States
Trinity Medical Center | Moline, Illinois, 61265, United States
Holy Family Medical Center | Monmouth, Illinois, 61462, United States
Illinois CancerCare-Monmouth | Monmouth, Illinois, 61462, United States
Good Samaritan Regional Health Center | Mount Vernon, Illinois, 62864, United States
Bromenn Regional Medical Center | Normal, Illinois, 61761, United States
Community Cancer Center Foundation | Normal, Illinois, 61761, United States
Illinois CancerCare-Community Cancer Center | Normal, Illinois, 61761, United States
Illinois CancerCare-Ottawa Clinic | Ottawa, Illinois, 61350, United States
Ottawa Regional Hospital and Healthcare Center | Ottawa, Illinois, 61350, United States
Illinois CancerCare-Pekin | Pekin, Illinois, 61554, United States
OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center | Pekin, Illinois, 61554, United States
Proctor Hospital | Peoria, Illinois, 61614, United States
Illinois CancerCare-Peoria | Peoria, Illinois, 61615, United States
Methodist Medical Center of Illinois | Peoria, Illinois, 61636, United States
OSF Saint Francis Medical Center | Peoria, Illinois, 61637, United States
Illinois CancerCare-Peru | Peru, Illinois, 61354, United States
Illinois Valley Hospital | Peru, Illinois, 61354, United States
Illinois CancerCare-Princeton | Princeton, Illinois, 61356, United States
Perry Memorial Hospital | Princeton, Illinois, 61356, United States
Illinois CancerCare-Spring Valley | Spring Valley, Illinois, 61362, United States
Memorial Medical Center | Springfield, Illinois, 62781, United States
Carle Cancer Center | Urbana, Illinois, 61801, United States
Franciscan Saint Francis Health-Beech Grove | Beech Grove, Indiana, 46107, United States
Elkhart Clinic | Elkhart, Indiana, 46514-2098, United States
Michiana Hematology Oncology PC-Elkhart | Elkhart, Indiana, 46514, United States
Elkhart General Hospital | Elkhart, Indiana, 46515, United States
Fort Wayne Medical Oncology and Hematology Inc-Parkview | Fort Wayne, Indiana, 46845, United States
Saint Vincent Hospital and Health Care Center | Indianapolis, Indiana, 46260, United States
Community Howard Regional Health | Kokomo, Indiana, 46904, United States
IU Health La Porte Hospital | La Porte, Indiana, 46350, United States
IU Health Arnett Cancer Care | Lafayette, Indiana, 47904, United States
Franciscan Saint Anthony Health-Michigan City | Michigan City, Indiana, 46360, United States
Michiana Hematology Oncology PC-Mishawaka | Mishawaka, Indiana, 46545, United States
Saint Joseph Regional Medical Center-Mishawaka | Mishawaka, Indiana, 46545, United States
Michiana Hematology Oncology PC-Plymouth | Plymouth, Indiana, 46563, United States
Reid Health | Richmond, Indiana, 47374, United States
Memorial Hospital of South Bend | South Bend, Indiana, 46601, United States
Michiana Hematology Oncology PC-South Bend | South Bend, Indiana, 46601, United States
Northern Indiana Cancer Research Consortium | South Bend, Indiana, 46628, United States
Michiana Hematology Oncology PC-Westville | Westville, Indiana, 46391, United States
McFarland Clinic PC - Ames | Ames, Iowa, 50010, United States
Constantinou, Costas L MD (UIA Investigator) | Bettendorf, Iowa, 52722, United States
University of Iowa Healthcare Cancer Services Quad Cities | Bettendorf, Iowa, 52722, United States
Medical Oncology and Hematology Associates-West Des Moines | Clive, Iowa, 50325, United States
Mercy Capitol | Des Moines, Iowa, 50307, United States
Iowa Methodist Medical Center | Des Moines, Iowa, 50309, United States
Iowa-Wide Oncology Research Coalition NCORP | Des Moines, Iowa, 50309, United States
Medical Oncology and Hematology Associates-Des Moines | Des Moines, Iowa, 50309, United States
Medical Oncology and Hematology Associates-Laurel | Des Moines, Iowa, 50314, United States
Mercy Medical Center - Des Moines | Des Moines, Iowa, 50314, United States
Iowa Lutheran Hospital | Des Moines, Iowa, 50316, United States
University of Iowa/Holden Comprehensive Cancer Center | Iowa City, Iowa, 52242, United States
Ottumwa Regional Health Center | Ottumwa, Iowa, 52501, United States
Siouxland Regional Cancer Center | Sioux City, Iowa, 51101, United States
Mercy Medical Center-Sioux City | Sioux City, Iowa, 51102, United States
Saint Luke's Regional Medical Center | Sioux City, Iowa, 51104, United States
HaysMed University of Kansas Health System | Hays, Kansas, 67601, United States
Hutchinson Regional Medical Center | Hutchinson, Kansas, 67502, United States
University of Kansas Cancer Center | Kansas City, Kansas, 66160, United States
Olathe Cancer Center | Olathe, Kansas, 66061, United States
Ascension Via Christi - Pittsburg | Pittsburg, Kansas, 66762, United States
Salina Regional Health Center | Salina, Kansas, 67401, United States
Cotton O'Neil Cancer Center / Stormont Vail Health | Topeka, Kansas, 66606, United States
University of Kansas Health System Saint Francis Campus | Topeka, Kansas, 66606, United States
Our Lady Bellefonte Hospital | Ashland, Kentucky, 41101, United States
Doctors Carrol, Sheth, Raghavan | Louisville, Kentucky, 40215, United States
Hematology/Oncology Clinic PLLC | Baton Rouge, Louisiana, 70809, United States
Mary Bird Perkins Cancer Center | Baton Rouge, Louisiana, 70809, United States
Ochsner Health Center-Summa | Baton Rouge, Louisiana, 70809, United States
Ochsner Health Center-Covington | Covington, Louisiana, 70433, United States
Louisiana State University Health Science Center | New Orleans, Louisiana, 70112, United States
Tulane University Health Sciences Center | New Orleans, Louisiana, 70112, United States
Ochsner Baptist Medical Center | New Orleans, Louisiana, 70115, United States
Ochsner Medical Center Jefferson | New Orleans, Louisiana, 70121, United States
Harold Alfond Center for Cancer Care | Augusta, Maine, 04330, United States
Eastern Maine Medical Center | Bangor, Maine, 04401, United States
Maine Center for Cancer Medicine-Scarborough | Scarborough, Maine, 04074, United States
University of Maryland/Greenebaum Cancer Center | Baltimore, Maryland, 21201, United States
Veterans Administration Medical Center-Baltimore | Baltimore, Maryland, 21201, United States
Greater Baltimore Medical Center | Baltimore, Maryland, 21204, United States
Sinai Hospital of Baltimore | Baltimore, Maryland, 21215, United States
Union Hospital of Cecil County | Elkton, Maryland, 21921, United States
Frederick Memorial Hospital | Frederick, Maryland, 21701, United States
Meritus Medical Center | Hagerstown, Maryland, 21742, United States
Kaiser Permanente - Largo Medical Center | Largo, Maryland, 20774, United States
Kaiser Permanente - Towson Medical Center | Lutherville, Maryland, 21093, United States
Kaiser Permanente - Shady Grove Medical Center | Rockville, Maryland, 20850, United States
Holy Cross Hospital | Silver Spring, Maryland, 20910, United States
Brigham and Women's Hospital | Boston, Massachusetts, 02115, United States
Beth Israel Deaconess Medical Center | Boston, Massachusetts, 02215, United States
Dana-Farber Cancer Institute | Boston, Massachusetts, 02215, United States
Addison Gilbert Hospital | Gloucester, Massachusetts, 01930, United States
Cape Cod Hospital | Hyannis, Massachusetts, 02601, United States
Lowell General Hospital | Lowell, Massachusetts, 01854, United States
Holy Family Hospital | Methuen, Massachusetts, 01844, United States
Dana-Farber/Brigham and Women's Cancer Center at Milford Regional | Milford, Massachusetts, 01757, United States
Newton-Wellesley Hospital | Newton, Massachusetts, 02462, United States
Michigan Cancer Research Consortium NCORP | Ann Arbor, Michigan, 48106, United States
Saint Joseph Mercy Hospital | Ann Arbor, Michigan, 48106, United States
Bronson Battle Creek | Battle Creek, Michigan, 49017, United States
McLaren Cancer Institute-Bay City | Bay City, Michigan, 48706, United States
Spectrum Health Big Rapids Hospital | Big Rapids, Michigan, 49307, United States
Beaumont Hospital - Dearborn | Dearborn, Michigan, 48124, United States
Wayne State University/Karmanos Cancer Institute | Detroit, Michigan, 48201, United States
Ascension Saint John Hospital | Detroit, Michigan, 48236, United States
Michigan State University Clinical Center | East Lansing, Michigan, 48824-7016, United States
Green Bay Oncology - Escanaba | Escanaba, Michigan, 49829, United States
Hurley Medical Center | Flint, Michigan, 48503, United States
Genesys Regional Medical Center-West Flint Campus | Flint, Michigan, 48532, United States
McLaren Cancer Institute-Flint | Flint, Michigan, 48532, United States
Cancer Research Consortium of West Michigan NCORP | Grand Rapids, Michigan, 49503, United States
Mercy Health Saint Mary's | Grand Rapids, Michigan, 49503, United States
Spectrum Health at Butterworth Campus | Grand Rapids, Michigan, 49503, United States
Green Bay Oncology - Iron Mountain | Iron Mountain, Michigan, 49801, United States
Allegiance Health | Jackson, Michigan, 49201, United States
Bronson Methodist Hospital | Kalamazoo, Michigan, 49007, United States
West Michigan Cancer Center | Kalamazoo, Michigan, 49007, United States
Borgess Medical Center | Kalamazoo, Michigan, 49048, United States
McLaren-Greater Lansing | Lansing, Michigan, 48910, United States
Sparrow Hospital | Lansing, Michigan, 48912, United States
Saint Mary Mercy Hospital | Livonia, Michigan, 48154, United States
UP Health System Marquette | Marquette, Michigan, 49855, United States
Mid-Michigan Medical Center - Midland | Midland, Michigan, 48670, United States
Mercy Health Partners-Hackley Campus | Muskegon, Michigan, 49442, United States
Mercy Health Mercy Campus | Muskegon, Michigan, 49444, United States
Lakeland Hospital Niles | Niles, Michigan, 49120, United States
McLaren Cancer Institute-Northern Michigan | Petoskey, Michigan, 49770, United States
Saint Joseph Mercy Oakland | Pontiac, Michigan, 48341, United States
Lake Huron Medical Center | Port Huron, Michigan, 48060, United States
Ascension Saint Mary's Hospital | Saginaw, Michigan, 48601, United States
Lakeland Medical Center Saint Joseph | Saint Joseph, Michigan, 49085, United States
Marie Yeager Cancer Center | Saint Joseph, Michigan, 49085, United States
Ascension Providence Hospitals - Southfield | Southfield, Michigan, 48075, United States
Munson Medical Center | Traverse City, Michigan, 49684, United States
Saint John Macomb-Oakland Hospital | Warren, Michigan, 48093, United States
Metro Health Hospital | Wyoming, Michigan, 49519, United States
Medini, Eitan MD (UIA Investigator) | Alexandria, Minnesota, 56308, United States
Essentia Health Cancer Center | Duluth, Minnesota, 55805, United States
Essentia Health Saint Mary's Medical Center | Duluth, Minnesota, 55805, United States
Miller-Dwan Hospital | Duluth, Minnesota, 55805, United States
Etzell, Paul S MD (UIA Investigator) | Fergus Falls, Minnesota, 56537, United States
Swenson, Wade II, MD (UIA Investigator) | Fergus Falls, Minnesota, 56537, United States
Mayo Clinic Health Systems-Mankato | Mankato, Minnesota, 56001, United States
Coborn Cancer Center at Saint Cloud Hospital | Saint Cloud, Minnesota, 56303, United States
Saint Cloud Hospital | Saint Cloud, Minnesota, 56303, United States
Rice Memorial Hospital | Willmar, Minnesota, 56201, United States
University of Mississippi Medical Center | Jackson, Mississippi, 39216, United States
Singing River Hospital | Pascagoula, Mississippi, 39581, United States
Central Care Cancer Center - Bolivar | Bolivar, Missouri, 65613, United States
Cox Cancer Center Branson | Branson, Missouri, 65616, United States
Southeast Missouri Hospital | Cape Girardeau, Missouri, 63701, United States
Saint Francis Medical Center | Cape Girardeau, Missouri, 63703, United States
Southeast Cancer Center | Cape Girardeau, Missouri, 63703, United States
University of Missouri - Ellis Fischel | Columbia, Missouri, 65212, United States
Capital Region Southwest Campus | Jefferson City, Missouri, 65109, United States
Freeman Health System | Joplin, Missouri, 64804, United States
Truman Medical Centers | Kansas City, Missouri, 64108, United States
Delbert Day Cancer Institute at PCRMC | Rolla, Missouri, 65401, United States
Saint Louis Cancer and Breast Institute-South City | Saint Louis, Missouri, 63109, United States
Washington University School of Medicine | Saint Louis, Missouri, 63110, United States
Missouri Baptist Medical Center | Saint Louis, Missouri, 63131, United States
Comprehensive Cancer Care PC | Saint Louis, Missouri, 63141, United States
Mercy Hospital Saint Louis | Saint Louis, Missouri, 63141, United States
Saint Louis-Cape Girardeau CCOP | Saint Louis, Missouri, 63141, United States
Cancer Research for the Ozarks NCORP | Springfield, Missouri, 65804, United States
Mercy Hospital Springfield | Springfield, Missouri, 65804, United States
CoxHealth South Hospital | Springfield, Missouri, 65807, United States
Billings Clinic Cancer Center | Billings, Montana, 59101, United States
Northern Rockies Radiation Oncology Center | Billings, Montana, 59101, United States
Saint Vincent Healthcare | Billings, Montana, 59101, United States
Montana Cancer Consortium NCORP | Billings, Montana, 59102, United States
Saint Vincent Frontier Cancer Center | Billings, Montana, 59102, United States
Bozeman Deaconess Hospital | Bozeman, Montana, 59715, United States
Saint James Community Hospital and Cancer Treatment Center | Butte, Montana, 59701, United States
Benefis Healthcare- Sletten Cancer Institute | Great Falls, Montana, 59405, United States
Berdeaux, Donald MD (UIA Investigator) | Great Falls, Montana, 59405, United States
Great Falls Clinic | Great Falls, Montana, 59405, United States
Northern Montana Hospital | Havre, Montana, 59501, United States
Saint Peter's Community Hospital | Helena, Montana, 59601, United States
Glacier Oncology PLLC | Kalispell, Montana, 59901, United States
Kalispell Medical Oncology | Kalispell, Montana, 59901, United States
Kalispell Regional Medical Center | Kalispell, Montana, 59901, United States
Montana Cancer Specialists | Missoula, Montana, 59802, United States
Saint Patrick Hospital - Community Hospital | Missoula, Montana, 59802, United States
Community Medical Hospital | Missoula, Montana, 59804, United States
Guardian Oncology and Center for Wellness | Missoula, Montana, 59804, United States
CHI Health Saint Francis | Grand Island, Nebraska, 68803, United States
Nebraska Cancer Research Center | Lincoln, Nebraska, 68510, United States
Great Plains Health Callahan Cancer Center | North Platte, Nebraska, 69101, United States
Missouri Valley Cancer Consortium | Omaha, Nebraska, 68106, United States
Alegent Health Immanuel Medical Center | Omaha, Nebraska, 68122, United States
Alegent Health Bergan Mercy Medical Center | Omaha, Nebraska, 68124, United States
Creighton University Medical Center | Omaha, Nebraska, 68131, United States
University of Nebraska Medical Center | Omaha, Nebraska, 68198, United States
Renown Regional Medical Center | Reno, Nevada, 89502, United States
New Hampshire Oncology Hematology PA-Concord | Concord, New Hampshire, 03301, United States
New Hampshire Oncology Hematology PA-Hooksett | Hooksett, New Hampshire, 03106, United States
Cheshire Medical Center-Dartmouth-Hitchcock Keene | Keene, New Hampshire, 03431, United States
LRGHealthcare-Lakes Region General Hospital | Laconia, New Hampshire, 03246, United States
Dartmouth Hitchcock Medical Center | Lebanon, New Hampshire, 03756, United States
Saint Joseph Hospital | Nashua, New Hampshire, 03060, United States
Cooper Hospital University Medical Center | Camden, New Jersey, 08103, United States
CentraState Medical Center | Freehold, New Jersey, 07728, United States
Hackensack University Medical Center | Hackensack, New Jersey, 07601, United States
Morristown Medical Center | Morristown, New Jersey, 07960, United States
Newark Beth Israel Medical Center | Newark, New Jersey, 07112, United States
Overlook Hospital | Summit, New Jersey, 07902, United States
Inspira Medical Center Vineland | Vineland, New Jersey, 08360, United States
Montefiore Medical Center-Weiler Hospital | Bronx, New York, 10461, United States
Montefiore Medical Center-Wakefield Campus | Bronx, New York, 10466, United States
Montefiore Medical Center - Moses Campus | Bronx, New York, 10467, United States
Hematology Oncology Associates of Central New York-East Syracuse | East Syracuse, New York, 13057, United States
Elmhurst Hospital Center | Elmhurst, New York, 11373, United States
Arnot Ogden Medical Center/Falck Cancer Center | Elmira, New York, 14905, United States
Adirondack Cancer Center | Glens Falls, New York, 12801, United States
Queens Hospital Center | Jamaica, New York, 11432, United States
Mount Sinai Union Square | New York, New York, 10003, United States
Mount Sinai West | New York, New York, 10019, United States
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center | New York, New York, 10032, United States
Ralph Lauren Center for Cancer Care and Prevention | New York, New York, 10035, United States
Memorial Sloan Kettering Cancer Center | New York, New York, 10065, United States
NYP/Weill Cornell Medical Center | New York, New York, 10065, United States
Highland Hospital | Rochester, New York, 14620, United States
Interlakes Foundation Inc-Rochester | Rochester, New York, 14623, United States
University of Rochester | Rochester, New York, 14642, United States
Staten Island University Hospital | Staten Island, New York, 10305, United States
Faxton-Saint Luke's Healthcare | Utica, New York, 13502, United States
Randolph Hospital | Asheboro, North Carolina, 27203, United States
UNC Lineberger Comprehensive Cancer Center | Chapel Hill, North Carolina, 27599, United States
Carolinas Medical Center/Levine Cancer Institute | Charlotte, North Carolina, 28203, United States
Wayne Memorial Hospital | Goldsboro, North Carolina, 27534, United States
Cone Health Cancer Center | Greensboro, North Carolina, 27403, United States
Vidant Oncology-Kinston | Kinston, North Carolina, 28501, United States
Annie Penn Memorial Hospital | Reidsville, North Carolina, 27320, United States
Rutherford Hospital | Rutherfordton, North Carolina, 28139, United States
Southeast Clinical Oncology Research Consortium NCORP | Winston-Salem, North Carolina, 27104, United States
Wake Forest University Health Sciences | Winston-Salem, North Carolina, 27157, United States
Mid Dakota Clinic | Bismarck, North Dakota, 58501, United States
Saint Alexius Medical Center | Bismarck, North Dakota, 58501, United States
Sanford Bismarck Medical Center | Bismarck, North Dakota, 58501, United States
Altru Cancer Center | Grand Forks, North Dakota, 58201, United States
Trinity Cancer Care Center | Minot, North Dakota, 58701, United States
Mary Rutan Hospital | Bellefontaine, Ohio, 43311, United States
Aultman Health Foundation | Canton, Ohio, 44710, United States
Adena Regional Medical Center | Chillicothe, Ohio, 45601, United States
MetroHealth Medical Center | Cleveland, Ohio, 44109, United States
Ohio State University Comprehensive Cancer Center | Columbus, Ohio, 43210, United States
Riverside Methodist Hospital | Columbus, Ohio, 43214, United States
Columbus NCI Community Oncology Research Program | Columbus, Ohio, 43215, United States
Grant Medical Center | Columbus, Ohio, 43215, United States
Mount Carmel Health Center West | Columbus, Ohio, 43222, United States
Doctors Hospital | Columbus, Ohio, 43228, United States
Grandview Hospital | Dayton, Ohio, 45405, United States
Good Samaritan Hospital - Dayton | Dayton, Ohio, 45406, United States
Miami Valley Hospital | Dayton, Ohio, 45409, United States
Miami Valley Hospital North | Dayton, Ohio, 45415, United States
Dayton Veterans Affairs Medical Center | Dayton, Ohio, 45428, United States
Grady Memorial Hospital | Delaware, Ohio, 43015, United States
Blanchard Valley Hospital | Findlay, Ohio, 45840, United States
Atrium Medical Center-Middletown Regional Hospital | Franklin, Ohio, 45005-1066, United States
Wayne Hospital | Greenville, Ohio, 45331, United States
Kettering Medical Center | Kettering, Ohio, 45429, United States
Fairfield Medical Center | Lancaster, Ohio, 43130, United States
Saint Rita's Medical Center | Lima, Ohio, 45801, United States
Marietta Memorial Hospital | Marietta, Ohio, 45750, United States
Knox Community Hospital | Mount Vernon, Ohio, 43050, United States
Licking Memorial Hospital | Newark, Ohio, 43055, United States
Southern Ohio Medical Center | Portsmouth, Ohio, 45662, United States
Springfield Regional Medical Center | Springfield, Ohio, 45505, United States
Upper Valley Medical Center | Troy, Ohio, 45373, United States
Saint Ann's Hospital | Westerville, Ohio, 43081, United States
Clinton Memorial Hospital | Wilmington, Ohio, 45177, United States
Greene Memorial Hospital | Xenia, Ohio, 45385, United States
Genesis Healthcare System Cancer Care Center | Zanesville, Ohio, 43701, United States
Natalie Warren Bryant Cancer Center at Saint Francis | Tulsa, Oklahoma, 74136, United States
Saint Charles Health System | Bend, Oregon, 97701, United States
Clackamas Radiation Oncology Center | Clackamas, Oregon, 97015, United States
Legacy Mount Hood Medical Center | Gresham, Oregon, 97030, United States
Providence Milwaukie Hospital | Milwaukie, Oregon, 97222, United States
Providence Newberg Medical Center | Newberg, Oregon, 97132, United States
Providence Willamette Falls Medical Center | Oregon City, Oregon, 97045, United States
Legacy Good Samaritan Hospital and Medical Center | Portland, Oregon, 97210, United States
Providence Portland Medical Center | Portland, Oregon, 97213, United States
Adventist Medical Center | Portland, Oregon, 97216, United States
Providence Saint Vincent Medical Center | Portland, Oregon, 97225, United States
Kaiser Permanente Northwest | Portland, Oregon, 97227, United States
Legacy Emanuel Hospital and Health Center | Portland, Oregon, 97227, United States
Legacy Meridian Park Hospital | Tualatin, Oregon, 97062, United States
Abington Memorial Hospital | Abington, Pennsylvania, 19001, United States
Lehigh Valley Hospital-Cedar Crest | Allentown, Pennsylvania, 18103, United States
Bryn Mawr Hospital | Bryn Mawr, Pennsylvania, 19010, United States
Doylestown Hospital | Doylestown, Pennsylvania, 18901, United States
Paoli Memorial Hospital | Paoli, Pennsylvania, 19301, United States
West Penn Hospital | Pittsburgh, Pennsylvania, 15224, United States
University of Pittsburgh Cancer Institute (UPCI) | Pittsburgh, Pennsylvania, 15232, United States
Guthrie Medical Group PC-Robert Packer Hospital | Sayre, Pennsylvania, 18840, United States
Mercy Hospital | Scranton, Pennsylvania, 18501, United States
Scranton Hematology Oncology | Scranton, Pennsylvania, 18510, United States
Grand View Hospital | Sellersville, Pennsylvania, 18960, United States
Chester County Hospital | West Chester, Pennsylvania, 19380, United States
Reading Hospital | West Reading, Pennsylvania, 19611, United States
UPMC Susquehanna | Williamsport, Pennsylvania, 17701, United States
Lankenau Medical Center | Wynnewood, Pennsylvania, 19096, United States
Hematology and Oncology Associates of Rhode Island Inc | Cranston, Rhode Island, 02920, United States
Memorial Hospital of Rhode Island | Pawtucket, Rhode Island, 02860, United States
Kent Hospital | Warwick, Rhode Island, 02886, United States
AnMed Health Cancer Center | Anderson, South Carolina, 29621, United States
AnMed Health Hospital | Anderson, South Carolina, 29621, United States
McLeod Regional Medical Center | Florence, South Carolina, 29506, United States
Saint Francis Hospital | Greenville, South Carolina, 29601, United States
Spartanburg Medical Center | Spartanburg, South Carolina, 29303, United States
Avera Cancer Institute-Aberdeen | Aberdeen, South Dakota, 57401, United States
Rapid City Regional Hospital | Rapid City, South Dakota, 57701, United States
Sanford Cancer Center Oncology Clinic | Sioux Falls, South Dakota, 57104, United States
Avera Cancer Institute | Sioux Falls, South Dakota, 57105, United States
Medical X-Ray Center | Sioux Falls, South Dakota, 57105, United States
Avera McKennan Hospital and University Health Center | Sioux Falls, South Dakota, 57117-5045, United States
Sanford USD Medical Center - Sioux Falls | Sioux Falls, South Dakota, 57117-5134, United States
Erlanger Medical Center | Chattanooga, Tennessee, 37403, United States
Doctor's Hospital of Laredo | Laredo, Texas, 78041, United States
Sentara Martha Jefferson Hospital | Charlottesville, Virginia, 22901, United States
Danville Regional Medical Center | Danville, Virginia, 24541, United States
Kaiser Permanente - Fair Oaks Medical Center | Fairfax, Virginia, 22033, United States
Providence Regional Cancer System-Centralia | Centralia, Washington, 98531, United States
Saint Francis Hospital | Federal Way, Washington, 98003, United States
Saint Clare Hospital | Lakewood, Washington, 98499, United States
Providence - Saint Peter Hospital | Olympia, Washington, 98506-5166, United States
MultiCare Good Samaritan Hospital | Puyallup, Washington, 98372, United States
Providence Sacred Heart Medical Center and Children's Hospital | Spokane, Washington, 99204, United States
Providence Holy Family Hospital | Spokane, Washington, 99208, United States
Rockwood Clinic | Spokane, Washington, 99220, United States
MultiCare Allenmore Hospital | Tacoma, Washington, 98405, United States
Saint Joseph Medical Center | Tacoma, Washington, 98405, United States
PeaceHealth Southwest Medical Center | Vancouver, Washington, 98664, United States
West Virginia University Charleston Division | Charleston, West Virginia, 25304, United States
Wheeling Hospital/Schiffler Cancer Center | Wheeling, West Virginia, 26003, United States
Langlade Hospital and Cancer Center | Antigo, Wisconsin, 54409, United States
Aurora Cancer Care-Southern Lakes VLCC | Burlington, Wisconsin, 53105, United States
Marshfield Clinic-Chippewa Center | Chippewa Falls, Wisconsin, 54729, United States
Marshfield Clinic Cancer Center at Sacred Heart | Eau Claire, Wisconsin, 54701, United States
Aurora Cancer Care-Franklin | Franklin, Wisconsin, 53132, United States
Aurora Health Care Germantown Health Center | Germantown, Wisconsin, 53022, United States
Aurora Cancer Care-Glendale | Glendale, Wisconsin, 53212, United States
Green Bay Oncology at Saint Vincent Hospital | Green Bay, Wisconsin, 54301-3526, United States
Bellin Memorial Hospital | Green Bay, Wisconsin, 54301, United States
Saint Vincent Hospital Cancer Center Green Bay | Green Bay, Wisconsin, 54301, United States
Green Bay Oncology Limited at Saint Mary's Hospital | Green Bay, Wisconsin, 54303, United States
Saint Vincent Hospital Cancer Center at Saint Mary's | Green Bay, Wisconsin, 54303, United States
Aurora BayCare Medical Center | Green Bay, Wisconsin, 54311, United States
Mercyhealth Hospital and Cancer Center - Janesville | Janesville, Wisconsin, 53548, United States
Aurora Cancer Care-Kenosha South | Kenosha, Wisconsin, 53142, United States
Gundersen Lutheran Medical Center | La Crosse, Wisconsin, 54601, United States
Dean Hematology and Oncology Clinic | Madison, Wisconsin, 53717, United States
Holy Family Memorial Hospital | Manitowoc, Wisconsin, 54221, United States
Aurora Bay Area Medical Group-Marinette | Marinette, Wisconsin, 54143, United States
Bay Area Medical Center | Marinette, Wisconsin, 54143, United States
Marshfield Medical Center-Marshfield | Marshfield, Wisconsin, 54449, United States
Marshfield Medical Center | Marshfield, Wisconsin, 54449, United States
Aurora Saint Luke's Medical Center | Milwaukee, Wisconsin, 53215, United States
Medical College of Wisconsin | Milwaukee, Wisconsin, 53226, United States
Aurora Sinai Medical Center | Milwaukee, Wisconsin, 53233, United States
Marshfield Clinic-Minocqua Center | Minocqua, Wisconsin, 54548, United States
ProHealth Oconomowoc Memorial Hospital | Oconomowoc, Wisconsin, 53066, United States
Saint Vincent Hospital Cancer Center at Oconto Falls | Oconto Falls, Wisconsin, 54154, United States
Vince Lombardi Cancer Clinic - Oshkosh | Oshkosh, Wisconsin, 54904, United States
Aurora Cancer Care-Racine | Racine, Wisconsin, 53406, United States
Ascension Saint Mary's Hospital | Rhinelander, Wisconsin, 54501, United States
Marshfield Medical Center-Rice Lake | Rice Lake, Wisconsin, 54868, United States
HSHS Saint Nicholas Hospital | Sheboygan, Wisconsin, 53081, United States
Vince Lombardi Cancer Clinic-Sheboygan | Sheboygan, Wisconsin, 53081, United States
Ascension Saint Michael's Hospital | Stevens Point, Wisconsin, 54481, United States
Green Bay Oncology - Sturgeon Bay | Sturgeon Bay, Wisconsin, 54235, United States
Aurora Medical Center in Summit | Summit, Wisconsin, 53066, United States
Vince Lombardi Cancer Clinic-Two Rivers | Two Rivers, Wisconsin, 54241, United States
Aurora Cancer Care-Waukesha | Waukesha, Wisconsin, 53188, United States
ProHealth Waukesha Memorial Hospital | Waukesha, Wisconsin, 53188, United States
Aspirus Regional Cancer Center | Wausau, Wisconsin, 54401, United States
Aurora Cancer Care-Milwaukee West | Wauwatosa, Wisconsin, 53226, United States
Aurora West Allis Medical Center | West Allis, Wisconsin, 53227, United States
Marshfield Clinic - Weston Center | Weston, Wisconsin, 54476, United States
Aspirus UW Cancer Center | Wisconsin Rapids, Wisconsin, 54494, United States
Marshfield Clinic - Wisconsin Rapids Center | Wisconsin Rapids, Wisconsin, 54494, United States
Rocky Mountain Oncology | Casper, Wyoming, 82609, United States
Welch Cancer Center | Sheridan, Wyoming, 82801, United States
San Juan City Hospital | San Juan, 00936, Puerto Rico
Ubicacion Paises

Puerto Rico

United States

Fecha de verificación

July 2020

Fiesta responsable

Tipo: Sponsor

Tiene acceso ampliado No
Condición Examinar
Número de brazos 2
Grupo de brazo

Etiqueta: Arm I (endocrine therapy with monoclonal antibody)

Tipo: Experimental

Descripción: Patients receive endocrine therapy* (tamoxifen citrate* or letrozole) PO QD on days 1-21 and bevacizumab 15 mg/kg IV over 30-90 minutes on day 1. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.

Etiqueta: Arm II (endocrine therapy)

Tipo: Active Comparator

Descripción: Patients receive endocrine therapy* (tamoxifen citrate* or letrozole) PO QD on days 1-21. Treatment repeats every 21 days in the absence of disease progression or unacceptable toxicity.

Información de diseño del estudio

Asignación: Randomized

Modelo de intervención: Parallel Assignment

Propósito primario: Treatment

Enmascaramiento: None (Open Label)

Fuente: ClinicalTrials.gov