- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT02699515
MSB0011359C (M7824) in Subjects With Metastatic or Locally Advanced Solid Tumors
7 de marzo de 2022 actualizado por: Merck KGaA, Darmstadt, Germany
A Phase I, Open-label, Multiple-ascending Dose Trial to Investigate the Safety, Tolerability, Pharmacokinetics, Biological and Clinical Activity of MSB0011359C (M7824) in Subjects With Metastatic or Locally Advanced Solid Tumors With Expansion to Selected Indications in Asia
The main purpose of this study is assess the safety and tolerability of MSB0011359C.
Study consists of dose-escalation part and an expansion part in subjects with metastatic or locally advanced solid tumors, for which no standard effective therapy exists or a standard therapy has failed.
Descripción general del estudio
Tipo de estudio
Intervencionista
Inscripción (Actual)
114
Fase
- Fase 1
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Seoul, Corea, república de
- Seoul National University Hospital
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Seoul, Corea, república de
- Asan Medical Center
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Seoul, Corea, república de
- Severance Hospital
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Fukuoka, Japón
- NHO Kyushu Cancer Center
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Kashiwa, Japón
- National Cancer Center East, Department of Experimental Therapeutics
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Kashiwa, Japón
- National Cancer Center East, Department of hepatobiliary and pancreatic oncology
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Kitaadachi-gun, Japón
- Saitama Cancer Center
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Matsuyama, Japón
- NHO Shikoku Cancer Center
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Nagoya, Japón
- Aichi Cancer Center Hospital
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Osakasayama, Japón
- Kinki University Hospital
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Tokyo, Japón
- National Cancer Center, Department of Experimental Therapeutics
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Tokyo, Japón
- National Cancer Center, Department of hepatobiliary and pancreatic oncology
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Yokohama, Japón
- Kanagawa Cancer Center, Department of Gastroenterology
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Yokohama, Japón
- Kanagawa Cancer Center, Department of Gastrointestinal Surgery
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Tainan, Taiwán
- National Cheng Kung University Hospital
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Taipei, Taiwán
- Mackay Memorial Hospital
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Taipei, Taiwán
- National Taiwan University Hospital
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Taoyuan, Taiwán
- Chang Gung Memorial Hospital; Linkou
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
20 años y mayores (Adulto, Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- Able and willing to give written informed consent and has signed the appropriate written informed consent form (ICF), prior to performance of any trial activities
- Eligible male and female subjects aged greater than or equal to (>=)20 years
- Histologically or cytologically proven metastatic or locally advanced solid tumors, for which no effective standard therapy exists or standard therapy has failed
- Eastern Cooperative Oncology Group performance status (ECOG) performance status of 0 to 1 at trial entry
- Life expectancy >=12 weeks as judged by the Investigator.
- Adequate hematological function defined by white blood cell (WBC) count >=3*10^9/Liter with absolute neutrophil count (ANC) >=1.5*10^9/Liter, lymphocyte count >=0.5* 10^9/Liter, platelet count >=75*10^9/Liter, and Hemoglobin (Hgb) >= 9 grams per deciliter (g/dL) (in absence of blood transfusion).
- Adequate hepatic function defined by a total bilirubin level <=1.5 × Upper limit of normal (ULN), an AST level <= 2.5 × ULN, and an ALT level <= 2.5 × ULN.
- Adequate renal function defined by an estimated creatinine clearance >50 milliliter per minute (mL/min) according to the Cockcroft-Gault formula or by measure of creatinine clearance from 24 hour urine collection.
Other protocol-defined exclusion criteria could apply.
Exclusion Criteria:
- Concurrent treatment with non-permitted drugs and other interventions
- Anticancer treatment within 28 days before the start of trial treatment, for example cyto reductive therapy, radiotherapy (with the exception of palliative bone directed radiotherapy), immune therapy, or cytokine therapy
- Major surgery within 28 days before the start of trial treatment (excluding prior diagnostic biopsy)
- Systemic therapy with immunosuppressive agents within 7 days before the start of trial treatment; or use of any investigational drug within 28 days before the start of trial treatment
- Previous malignant disease other than the target malignancy to be investigated in this trial with the exception of cervical carcinoma in situ and superficial or non invasive bladder cancer (treated with curative intent) within the last 5 years or basal cell or squamous cell carcinoma in situ within the last 3 years
- Rapidly progressive disease which, in the opinion of the Investigator, may predispose to inability to tolerate treatment or trial procedures
- Active or history of central nervous system metastases, except as in the melanoma-specific Central nervous system (CNS) criteria listed above
- Receipt of any organ transplantation, including allogeneic stem-cell transplantation, but with the exception of transplants that do not require immunosuppression (eg, corneal transplant, hair transplant)
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
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Experimental: MSB0011359C (M7824)
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Subjects with metastatic or locally advanced solid tumors will receive intravenous infusion of MSB0011359C over 1 hour once every two weeks for up to 12 months until confirmed progressive disease (PD), unacceptable toxicity, or any criterion for withdrawal from the trial or investigational medicinal product (IMP) occurs.
Otros nombres:
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Number of subjects with DLT (Dose limiting Toxicity): dose escalation part
Periodo de tiempo: Baseline up to Week 3
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A DLT is defined as any grade greater than or equal to (>=) 3 adverse event suspected to be related to investigational medicinal product (IMP) by the Investigator and / or Sponsor occurring in the DLT evaluation period confirmed by the Safety Monitoring Committee (SMC) to be relevant for the IMP treatment.
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Baseline up to Week 3
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Number of Subjects with treatment-emergent adverse events (TEAEs)
Periodo de tiempo: First trial drug administration up to 30 days after the last drug administration assessed up to 2 years
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An Adverse Event (AE) is defined as any new untoward medical occurrences/worsening of pre-existing medical condition without regard to possibility of causal relationship.
A Serious Adverse Event (SAE) is an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect.
AEs (SAEs and non-SAEs) will be considered TEAEs when emerging on treatment period defined as the time from the first trial drug administration up to 30 days after the last drug administration date or the earliest date of subsequent anticancer drug therapy minus 1 day, whichever occurs first, unless otherwise stated.
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First trial drug administration up to 30 days after the last drug administration assessed up to 2 years
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Number of subjects with treatment-related Adverse Events (AE)
Periodo de tiempo: First trial drug administration up to 30 days after the last drug administration assessed up to 2 years
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Treatment related AEs are any untoward medical occurrence in a subject who received study drug with causal relationship with the investigational product as assessed by the investigator.
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First trial drug administration up to 30 days after the last drug administration assessed up to 2 years
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Maximum serum concentration (Cmax) of MSB0011359C
Periodo de tiempo: Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Minimum serum concentration (Cmin) of MSB0011359C
Periodo de tiempo: Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Area under the concentration time curve from zero to last sampling time (AUC0-t) of MSB0011359C
Periodo de tiempo: Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Area under the concentration time curve from time zero to infinity (AUC0-inf) of MSB0011359C
Periodo de tiempo: Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Terminal half life (t1/2) of MSB0011359C
Periodo de tiempo: Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Pre-dose, 0, 4 hour post dose on Day 1, 2,8,15,29,43
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Serum titers of anti-MSB0011359C antibodies
Periodo de tiempo: Predose, Day 15, 43, 85 and every 6-weekly until progression or end of the treatment whichever occur first, assessed up to 3 years
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Predose, Day 15, 43, 85 and every 6-weekly until progression or end of the treatment whichever occur first, assessed up to 3 years
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Best Overall Response (BOR) as assessed by investigator: Dose escalation part
Periodo de tiempo: Date of randomization up to 2 years
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BOR will be assessed by investigator according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1.
BOR is defined as sum of complete response and partial response (CR+PR).
For target lesions (TLs), CR was defined as the disappearance of all TLs; PR was defined as at least a 30 percent (%) decrease in the sum of largest diameter (SLD) of the TLs, taking as a reference the baseline SLD.
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Date of randomization up to 2 years
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Best Overall Response (BOR) as assessed by investigator: Expansion part
Periodo de tiempo: Date of randomization up to 2 years
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BOR will be assessed by investigator according to RECIST Version 1.1.
BOR is defined as sum of CR and PR.
For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30 percent (%) decrease in the SLD of the TLs, taking as a reference the baseline SLD.
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Date of randomization up to 2 years
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Best Overall Response (BOR) as assessed by Independent Endpoint Review Committee (IRC): Expansion part
Periodo de tiempo: Date of randomization up to 2 years
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The BOR per Independent Endpoint Review Committee (IRC) adjudication will be determined according to RECIST 1.1.
BOR is defined as sum of CR and PR.
For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30 percent (%) decrease in the SLD of the TLs, taking as a reference the baseline SLD.
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Date of randomization up to 2 years
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Duration of response
Periodo de tiempo: Date of randomization up to 2 years
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Time from first assessment of CR to disease progression or death, for TLs, CR was defined as the disappearance of all TLs
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Date of randomization up to 2 years
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Disease control rate
Periodo de tiempo: Date of randomization up to 2 years
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The disease control rate is defined as the percentage of subjects with BOR.
The BOR per IRC adjudication will be determined according to RECIST 1.1.
BOR is defined as sum of CR and PR.
For TLs, CR was defined as the disappearance of all TLs; PR was defined as at least a 30% decrease in the SLD of the TLs, taking as a reference the baseline SLD.
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Date of randomization up to 2 years
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Progression Free survival (PFS) time
Periodo de tiempo: Date of randomization until death or progressive disease assessed up to 2 years
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PFS is defined as the time from date of randomization until date of the first documentation of progressive disease (PD) or death due to any cause in the absence of documented PD, whichever occurs first.
PFS will be assessed as RECIST v1.1 as adjudicated by IRC.
PD is defined as at least a 20 % increase in the SLD, taking as reference the smallest SLD recorded from baseline or the appearance of 1 or more new lesions.
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Date of randomization until death or progressive disease assessed up to 2 years
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Overall Survival (OS) time
Periodo de tiempo: Date of randomization until death assessed up to 2 years
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OS is defined as the time from randomization to death due to any cause.
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Date of randomization until death assessed up to 2 years
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Yoo C, Oh DY, Choi HJ, Kudo M, Ueno M, Kondo S, Chen LT, Osada M, Helwig C, Dussault I, Ikeda M. Phase I study of bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1, in patients with pretreated biliary tract cancer. J Immunother Cancer. 2020 May;8(1):e000564. doi: 10.1136/jitc-2020-000564.
- Vugmeyster Y, Grisic AM, Wilkins JJ, Loos AH, Hallwachs R, Osada M, Venkatakrishnan K, Khandelwal A. Model-informed approach for risk management of bleeding toxicities for bintrafusp alfa, a bifunctional fusion protein targeting TGF-beta and PD-L1. Cancer Chemother Pharmacol. 2022 Oct;90(4):369-379. doi: 10.1007/s00280-022-04468-6. Epub 2022 Sep 6.
- Lin CC, Doi T, Muro K, Hou MM, Esaki T, Hara H, Chung HC, Helwig C, Dussault I, Osada M, Kondo S. Bintrafusp Alfa, a Bifunctional Fusion Protein Targeting TGFbeta and PD-L1, in Patients with Esophageal Squamous Cell Carcinoma: Results from a Phase 1 Cohort in Asia. Target Oncol. 2021 Jul;16(4):447-459. doi: 10.1007/s11523-021-00810-9. Epub 2021 Apr 11.
- Wilkins JJ, Vugmeyster Y, Dussault I, Girard P, Khandelwal A. Population Pharmacokinetic Analysis of Bintrafusp Alfa in Different Cancer Types. Adv Ther. 2019 Sep;36(9):2414-2433. doi: 10.1007/s12325-019-01018-0. Epub 2019 Jul 5.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
11 de marzo de 2016
Finalización primaria (Actual)
21 de febrero de 2022
Finalización del estudio (Actual)
21 de febrero de 2022
Fechas de registro del estudio
Enviado por primera vez
1 de marzo de 2016
Primero enviado que cumplió con los criterios de control de calidad
3 de marzo de 2016
Publicado por primera vez (Estimar)
4 de marzo de 2016
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
21 de marzo de 2022
Última actualización enviada que cumplió con los criterios de control de calidad
7 de marzo de 2022
Última verificación
1 de marzo de 2022
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 200647-0008
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Tumores sólidos
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Ensayos clínicos sobre MSB0011359C
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National Cancer Institute (NCI)TerminadoCáncer de cuello uterino | Cáncer de ano | Cáncer orofaríngeo | Virus del papiloma humano | Cáncer de vagina o de peneEstados Unidos
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AIO-Studien-gGmbHMerck Serono GmbH, GermanyTerminadoColangiocarcinoma | Cáncer de vías biliaresAlemania
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)TerminadoCáncer de pulmón en estadio II AJCC v8 | Cáncer de pulmón en estadio IIA AJCC v8 | Cáncer de pulmón en estadio IIB AJCC v8 | Cáncer de pulmón en estadio IIIA AJCC v8 | Cáncer de pulmón en estadio IIIB AJCC v8 | Carcinoma de células no pequeñas de pulmón resecable | Cáncer de pulmón en estadio I... y otras condicionesEstados Unidos
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Activo, no reclutandoNeoplasia sólida maligna metastásica | Cáncer de colon en estadio IV AJCC v8 | Cáncer de recto en estadio IV AJCC v8 | Cáncer de colon en estadio IVA AJCC v8 | Cáncer de recto en estadio IVA AJCC v8 | Cáncer de colon en estadio IVB AJCC v8 | Cáncer de recto en estadio IVB AJCC v8 | Adenocarcinoma... y otras condicionesEstados Unidos
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)TerminadoCarcinoma de células escamosas de cabeza y cuello recidivante | Segundo carcinoma primario de células escamosas de cabeza y cuelloEstados Unidos
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Activo, no reclutandoCáncer de mama anatómico en estadio II AJCC v8 | Cáncer de mama anatómico en estadio IIA AJCC v8 | Cáncer de mama en estadio anatómico IIB AJCC v8 | Cáncer de mama anatómico en estadio III AJCC v8 | Cáncer de mama anatómico en estadio IIIA AJCC v8 | Cáncer de mama anatómico en estadio IIIB AJCC... y otras condicionesEstados Unidos
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M.D. Anderson Cancer CenterTerminadoCáncer de mama anatómico en estadio IV AJCC v8 | Pronóstico del cáncer de mama en estadio IV AJCC v8 | Carcinoma de mama metastásicoEstados Unidos
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National Cancer Institute (NCI)Activo, no reclutandoCancer de prostataEstados Unidos
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National Cancer Institute (NCI)Activo, no reclutandoCánceres de intestino delgado | Cánceres colorrectalesEstados Unidos