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Exemestane con o senza entinostat nel trattamento di pazienti con carcinoma mammario ricorrente positivo al recettore ormonale che è localmente avanzato o metastatico

21 ottobre 2026 aggiornato da: National Cancer Institute (NCI)

Uno studio randomizzato di fase III di terapia endocrina più entinostat/placebo in pazienti con carcinoma mammario avanzato positivo al recettore ormonale

This randomized phase III trial studies exemestane and entinostat to see how well they work compared to exemestane alone in treating patients with hormone receptor-positive breast cancer that has spread to nearby tissue or lymph nodes (locally advanced) or another place in the body (metastatic). Estrogen can cause the growth of breast cancer cells. Endocrine therapy using exemestane may fight breast cancer by lowering the amount of estrogen the body makes. Entinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether exemestane is more effective with or without entinostat in treating breast cancer.

Panoramica dello studio

Stato

Stato

Indica lo stato di reclutamento attuale o lo stato di accesso ampliato.
Attivo, non reclutante

Condizioni

Condizioni

La malattia, il disturbo, la sindrome, la malattia o la lesione oggetto di studio. Su ClinicalTrials.gov, le condizioni possono includere anche altri problemi relativi alla salute, come la durata della vita, la qualità della vita e i rischi per la salute.

Intervento / Trattamento

Intervento / Trattamento

Un processo o un'azione che è al centro di uno studio clinico. Gli interventi includono farmaci, dispositivi medici, procedure, vaccini e altri prodotti sperimentali o già disponibili. Gli interventi possono anche includere approcci non invasivi, come l'educazione o la modifica della dieta e dell'esercizio fisico.

Descrizione dettagliata

PRIMARY OBJECTIVES:

I. To evaluate whether the addition of entinostat to endocrine therapy (exemestane) improves progression-free survival (PFS) and/or overall survival (OS) in patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer who have previously progressed on a non-steroidal aromatase inhibitor (Al).

SECONDARY OBJECTIVES:

I. To evaluate the safety and tolerability of entinostat in combination with exemestane, and to compare the safety profile to that of endocrine therapy with placebo.

II. To evaluate the objective response rate of exemestane in combination with entinostat or placebo.

III. To evaluate whether the efficacy of exemestane with entinostat varies with changes in acetylation status in peripheral blood mononuclear cells (PBMCs).

IV. To evaluate the time to treatment deterioration (as defined by decrease in health-related quality of life [HRQL], progression, death) of exemestane + entinostat versus exemestane + placebo arms.

V. To evaluate the differences in overall health-related quality of life (HRQL) between the exemestane + entinostat versus exemestane + placebo arms.

VI. To evaluate the difference with respect to specific symptoms that are associated with entinostat, i.e., fatigue, nausea, anorexia and diarrhea, between the exemestane + entinostat versus exemestane + placebo arms.

VII. To measure adherence to protocol therapy. VIII. To evaluate the pharmacokinetics of entinostat in patients with advanced breast cancer.

IX. To evaluate what, if any, patient variables alter the pharmacokinetic profile of entinostat in patients with advanced breast cancer.

EXPLORATORY OBJECTIVES:

I. To collect archival tumor samples and germline deoxyribonucleic acid (DNA) to explore other potential biomarkers of therapeutic efficacy.

II. To collect patient ratings of adverse events (AEs) using select patient-reported outcomes (PRO)-Common Terminology Criteria for Adverse Events (CTCAE) items to evaluate the psychometric properties of PRO-CTCAE items and explore the incorporation of PRO-CTCAE items into a phase III double-blind placebo-controlled trial.

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

ARM A: Patients receive exemestane orally (PO) once daily (QD) on days 1-28 and entinostat PO on days 1, 8, 15, and 22. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo computed tomography (CT) or magnetic resonance imaging (MRI) at baseline, at the end of cycle 3, every 3 cycles, at treatment discontinuation, and during follow-up, collection of blood samples at baseline and day 15 of cycle 1, and collection of archived tissue at baseline.

ARM B: Patients receive exemestane as in Arm A and placebo PO on days 1, 8, 15, and 22. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT or MRI at baseline, at the end of cycle 3, every 3 cycles, at treatment discontinuation, and during follow-up, collection of blood samples at baseline and day 15 of cycle 1, and collection of archived tissue at baseline.

In both arms, pre/perimenopausal female patients and all male patients also receive goserelin acetate subcutaneously (SC) on day 1.

After completion of study treatment, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually for 5 years.

Tipo di studio

Tipo di studio

Descrive la natura di uno studio clinico. I tipi di studio includono studi interventistici (chiamati anche studi clinici), studi osservazionali (compresi i registri dei pazienti) e accesso allargato.
Interventistico

Iscrizione (Effettivo)

Iscrizione

Il numero di partecipanti a uno studio clinico. L'iscrizione "anticipata" è il numero target di partecipanti di cui i ricercatori hanno bisogno per lo studio.
608

Fase

Fase

La fase di una sperimentazione clinica che studia un farmaco o un prodotto biologico, sulla base delle definizioni sviluppate dalla Food and Drug Administration (FDA) statunitense. La fase si basa sull'obiettivo dello studio, sul numero di partecipanti e su altre caratteristiche. Ci sono cinque fasi: Early Phase 1 (precedentemente indicata come Fase 0), Phase 1, Phase 2, Phase 3 e Phase 4. Not Applicable è usato per descrivere sperimentazioni senza fasi definite dalla FDA, incluse sperimentazioni di dispositivi o interventi comportamentali.
  • Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Stati Uniti
    • Alabama
      • Birmingham, Alabama, Stati Uniti, 35233
        • University of Alabama at Birmingham Cancer Center
    • Arkansas
      • Jonesboro, Arkansas, Stati Uniti, 72401
        • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
    • California
      • Carmichael, California, Stati Uniti, 95608
        • Mercy San Juan Medical Center
      • Chico, California, Stati Uniti, 95973
        • Adventist Health Cancer Care Center Chico
      • Chico, California, Stati Uniti, 95926
        • Enloe Medical Center
      • Clovis, California, Stati Uniti, 93611
        • Community Cancer Institute
      • Clovis, California, Stati Uniti, 93611
        • University Oncology Associates
      • Rancho Mirage, California, Stati Uniti, 92270
        • Eisenhower Medical Center
      • Sacramento, California, Stati Uniti, 95816
        • Mercy Cancer Center - Sacramento
      • St. Helena, California, Stati Uniti, 94574
        • Saint Helena Hospital
      • Whittier, California, Stati Uniti, 90602
        • Presbyterian Intercommunity Hospital
      • Woodland, California, Stati Uniti, 95695
        • Woodland Memorial Hospital
    • Colorado
      • Aurora, Colorado, Stati Uniti, 80012
        • Rocky Mountain Cancer Centers-Aurora
      • Aurora, Colorado, Stati Uniti, 80012
        • The Medical Center of Aurora
      • Boulder, Colorado, Stati Uniti, 80303
        • Boulder Community Foothills Hospital
      • Boulder, Colorado, Stati Uniti, 80304
        • Rocky Mountain Cancer Centers-Boulder
      • Colorado Springs, Colorado, Stati Uniti, 80907
        • Penrose-Saint Francis Healthcare
      • Colorado Springs, Colorado, Stati Uniti, 80909
        • UCHealth Memorial Hospital Central
      • Colorado Springs, Colorado, Stati Uniti, 80907
        • Rocky Mountain Cancer Centers-Penrose
      • Denver, Colorado, Stati Uniti, 80218
        • Presbyterian - Saint Lukes Medical Center - Health One
      • Denver, Colorado, Stati Uniti, 80220
        • Rose Medical Center
      • Denver, Colorado, Stati Uniti, 80218
        • Rocky Mountain Cancer Centers-Midtown
      • Denver, Colorado, Stati Uniti, 80220
        • Rocky Mountain Cancer Centers-Rose
      • Denver, Colorado, Stati Uniti, 80218
        • Colorado Blood Cancer Institute
      • Denver, Colorado, Stati Uniti, 80218
        • Saint Joseph Hospital - Cancer Centers of Colorado
      • Denver, Colorado, Stati Uniti, 80210
        • AdventHealth Porter
      • Durango, Colorado, Stati Uniti, 81301
        • Mercy Medical Center
      • Durango, Colorado, Stati Uniti, 81301
        • CommonSpirit Cancer Center Mercy
      • Englewood, Colorado, Stati Uniti, 80113
        • Mountain Blue Cancer Care Center - Swedish
      • Englewood, Colorado, Stati Uniti, 80113
        • Swedish Medical Center
      • Golden, Colorado, Stati Uniti, 80401
        • Mountain Blue Cancer Care Center
      • Greeley, Colorado, Stati Uniti, 80631
        • Banner North Colorado Medical Center
      • Greenwood Village, Colorado, Stati Uniti, 80111
        • Rocky Mountain Cancer Centers-Greenwood Village
      • Lakewood, Colorado, Stati Uniti, 80228
        • Rocky Mountain Cancer Centers-Lakewood
      • Lakewood, Colorado, Stati Uniti, 80228
        • CommonSpirit Saint Anthony Hospital Cancer Center
      • Littleton, Colorado, Stati Uniti, 80120
        • Rocky Mountain Cancer Centers-Littleton
      • Littleton, Colorado, Stati Uniti, 80122
        • AdventHealth Littleton
      • Lone Tree, Colorado, Stati Uniti, 80124
        • Sky Ridge Medical Center
      • Lone Tree, Colorado, Stati Uniti, 80124
        • Rocky Mountain Cancer Centers-Sky Ridge
      • Longmont, Colorado, Stati Uniti, 80501
        • Longmont United Hospital
      • Longmont, Colorado, Stati Uniti, 80501
        • Rocky Mountain Cancer Centers-Longmont
      • Loveland, Colorado, Stati Uniti, 80539
        • Banner North Colorado Medical Center - Loveland Campus
      • Parker, Colorado, Stati Uniti, 80138
        • Rocky Mountain Cancer Centers-Parker
      • Parker, Colorado, Stati Uniti, 80138
        • AdventHealth Parker
      • Pueblo, Colorado, Stati Uniti, 81004
        • Saint Mary Corwin Medical Center
      • Pueblo, Colorado, Stati Uniti, 81008
        • Rocky Mountain Cancer Centers - Pueblo
      • Thornton, Colorado, Stati Uniti, 80260
        • Rocky Mountain Cancer Centers-Thornton
      • Wheat Ridge, Colorado, Stati Uniti, 80401
        • Intermountain Health Lutheran Hospital
    • Connecticut
      • Guilford, Connecticut, Stati Uniti, 06437
        • Smilow Cancer Hospital Care Center - Guilford
      • Hartford, Connecticut, Stati Uniti, 06105
        • Smilow Cancer Hospital Care Center at Saint Francis
      • Manchester, Connecticut, Stati Uniti, 06040
        • Manchester Memorial Hospital
      • Middletown, Connecticut, Stati Uniti, 06457
        • Middlesex Hospital
      • New Britain, Connecticut, Stati Uniti, 06050
        • The Hospital of Central Connecticut
      • New Haven, Connecticut, Stati Uniti, 06520
        • Yale University
      • Orange, Connecticut, Stati Uniti, 06477
        • Smilow Cancer Hospital-Orange Care Center
      • Torrington, Connecticut, Stati Uniti, 06790
        • Smilow Cancer Hospital-Torrington Care Center
      • Waterford, Connecticut, Stati Uniti, 06385
        • Smilow Cancer Hospital Care Center - Waterford
    • Delaware
      • Dover, Delaware, Stati Uniti, 19901
        • Bayhealth Hospital Kent Campus
      • Lewes, Delaware, Stati Uniti, 19958
        • Beebe Medical Center
      • Newark, Delaware, Stati Uniti, 19713
        • Helen F Graham Cancer Center
      • Newark, Delaware, Stati Uniti, 19713
        • Medical Oncology Hematology Consultants PA
      • Newark, Delaware, Stati Uniti, 19718
        • Christiana Care Health System-Christiana Hospital
      • Rehoboth Beach, Delaware, Stati Uniti, 19971
        • Beebe Health Campus
      • Seaford, Delaware, Stati Uniti, 19973
        • TidalHealth Nanticoke / Allen Cancer Center
      • Wilmington, Delaware, Stati Uniti, 19801
        • Christiana Care Health System-Wilmington Hospital
    • District of Columbia
      • Washington D.C., District of Columbia, Stati Uniti, 20010
        • MedStar Washington Hospital Center
      • Washington D.C., District of Columbia, Stati Uniti, 20007
        • MedStar Georgetown University Hospital
      • Washington D.C., District of Columbia, Stati Uniti, 20016
        • Sibley Memorial Hospital
    • Florida
      • Deerfield Beach, Florida, Stati Uniti, 33442
        • UM Sylvester Comprehensive Cancer Center at Deerfield Beach
      • Gainesville, Florida, Stati Uniti, 32610
        • UF Health Cancer Institute - Gainesville
      • Jacksonville, Florida, Stati Uniti, 32207
        • Baptist MD Anderson Cancer Center
      • Lakeland, Florida, Stati Uniti, 33805
        • Lakeland Regional Health Hollis Cancer Center
      • Miami, Florida, Stati Uniti, 33136
        • University of Miami Miller School of Medicine-Sylvester Cancer Center
      • Miami, Florida, Stati Uniti, 33176
        • UM Sylvester Comprehensive Cancer Center at Kendall
      • Plantation, Florida, Stati Uniti, 33324
        • UM Sylvester Comprehensive Cancer Center at Plantation
      • Weston, Florida, Stati Uniti, 33331
        • Cleveland Clinic-Weston
    • Georgia
      • Atlanta, Georgia, Stati Uniti, 30308
        • Emory University Hospital Midtown
      • Atlanta, Georgia, Stati Uniti, 30322
        • Emory University Hospital/Winship Cancer Institute
      • Atlanta, Georgia, Stati Uniti, 30342
        • Emory Saint Joseph's Hospital
      • Atlanta, Georgia, Stati Uniti, 30303
        • Grady Health System
      • Columbus, Georgia, Stati Uniti, 31904
        • John B Amos Cancer Center
      • Macon, Georgia, Stati Uniti, 31201
        • Atrium Health Navicent
      • Savannah, Georgia, Stati Uniti, 31405
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
    • Hawaii
      • Honolulu, Hawaii, Stati Uniti, 96813
        • Queen's Medical Center
      • Honolulu, Hawaii, Stati Uniti, 96813
        • Hawaii Cancer Care Inc - Waterfront Plaza
      • Honolulu, Hawaii, Stati Uniti, 96813
        • Queen's Cancer Cenrer - POB I
      • Honolulu, Hawaii, Stati Uniti, 96813
        • Straub Clinic and Hospital
      • Honolulu, Hawaii, Stati Uniti, 96813
        • University of Hawaii Cancer Center
      • Honolulu, Hawaii, Stati Uniti, 96817
        • Hawaii Cancer Care Inc-Liliha
      • Honolulu, Hawaii, Stati Uniti, 96817
        • Queen's Cancer Center - Kuakini
      • ‘Aiea, Hawaii, Stati Uniti, 96701
        • Pali Momi Medical Center
      • ‘Aiea, Hawaii, Stati Uniti, 96701
        • Queen's Cancer Center - Pearlridge
    • Idaho
      • Boise, Idaho, Stati Uniti, 83706
        • Saint Alphonsus Cancer Care Center-Boise
      • Boise, Idaho, Stati Uniti, 83712
        • Saint Luke's Cancer Institute - Boise
      • Coeur d'Alene, Idaho, Stati Uniti, 83814
        • Kootenai Health - Coeur d'Alene
      • Fruitland, Idaho, Stati Uniti, 83619
        • Saint Luke's Cancer Institute - Fruitland
      • Post Falls, Idaho, Stati Uniti, 83854
        • Kootenai Clinic Cancer Services - Post Falls
      • Sandpoint, Idaho, Stati Uniti, 83864
        • Kootenai Clinic Cancer Services - Sandpoint
      • Twin Falls, Idaho, Stati Uniti, 83301
        • Saint Luke's Cancer Institute - Twin Falls
    • Illinois
      • Aurora, Illinois, Stati Uniti, 60504
        • Rush-Copley Medical Center
      • Bloomington, Illinois, Stati Uniti, 61704
        • Illinois CancerCare-Bloomington
      • Bloomington, Illinois, Stati Uniti, 61701
        • OSF Saint Joseph Medical Center
      • Canton, Illinois, Stati Uniti, 61520
        • Illinois CancerCare-Canton
      • Carbondale, Illinois, Stati Uniti, 62902
        • Memorial Hospital of Carbondale
      • Carthage, Illinois, Stati Uniti, 62321
        • Illinois CancerCare-Carthage
      • Centralia, Illinois, Stati Uniti, 62801
        • Centralia Oncology Clinic
      • Chicago, Illinois, Stati Uniti, 60611
        • Northwestern University
      • Chicago, Illinois, Stati Uniti, 60637
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, Stati Uniti, 60612
        • John H Stroger Jr Hospital of Cook County
      • Chicago, Illinois, Stati Uniti, 60657
        • UChicago Medicine Comprehensive Cancer Center - Saint Joseph Hospital
      • Chicago, Illinois, Stati Uniti, 60625
        • Swedish Covenant Hospital
      • Chicago, Illinois, Stati Uniti, 60640
        • Weiss Memorial Hospital
      • Danville, Illinois, Stati Uniti, 61832
        • Carle at The Riverfront
      • Decatur, Illinois, Stati Uniti, 62526
        • Decatur Memorial Hospital
      • Decatur, Illinois, Stati Uniti, 62526
        • Cancer Care Specialists of Illinois - Decatur
      • Effingham, Illinois, Stati Uniti, 62401
        • Crossroads Cancer Center
      • Effingham, Illinois, Stati Uniti, 62401
        • Carle Physician Group-Effingham
      • Elk Grove Village, Illinois, Stati Uniti, 60007
        • Ascension Alexian Brothers - Elk Grove Village
      • Elmhurst, Illinois, Stati Uniti, 60126
        • Elmhurst Memorial Hospital
      • Eureka, Illinois, Stati Uniti, 61530
        • Illinois CancerCare-Eureka
      • Evanston, Illinois, Stati Uniti, 60202
        • Saint Francis Hospital
      • Freeport, Illinois, Stati Uniti, 61032
        • Freeport Memorial Hospital/Leonard C Ferguson Cancer Center
      • Galesburg, Illinois, Stati Uniti, 61401
        • Western Illinois Cancer Treatment Center
      • Galesburg, Illinois, Stati Uniti, 61401
        • Illinois CancerCare-Galesburg
      • Geneva, Illinois, Stati Uniti, 60134
        • Northwestern Medicine Cancer Center Delnor
      • Harvey, Illinois, Stati Uniti, 60426
        • Ingalls Memorial Hospital
      • Joliet, Illinois, Stati Uniti, 60435
        • Duly Health and Care Joliet
      • Kankakee, Illinois, Stati Uniti, 60901
        • Presence Saint Mary's Hospital
      • Kewanee, Illinois, Stati Uniti, 61443
        • Illinois CancerCare-Kewanee Clinic
      • Macomb, Illinois, Stati Uniti, 61455
        • Illinois CancerCare-Macomb
      • Mattoon, Illinois, Stati Uniti, 61938
        • Carle Physician Group-Mattoon/Charleston
      • Maywood, Illinois, Stati Uniti, 60153
        • Loyola University Medical Center
      • Mount Vernon, Illinois, Stati Uniti, 62864
        • SSM Health Good Samaritan
      • Naperville, Illinois, Stati Uniti, 60540
        • Edward Hospital/Cancer Center
      • Normal, Illinois, Stati Uniti, 61761
        • Carle Cancer Institute Normal
      • Oak Lawn, Illinois, Stati Uniti, 60453-2699
        • Advocate Christ Medical Center
      • Ottawa, Illinois, Stati Uniti, 61350
        • Illinois CancerCare-Ottawa Clinic
      • Ottawa, Illinois, Stati Uniti, 61350
        • Radiation Oncology of Northern Illinois
      • Pekin, Illinois, Stati Uniti, 61554
        • Illinois CancerCare-Pekin
      • Pekin, Illinois, Stati Uniti, 61554
        • OSF Saint Francis Radiation Oncology at Pekin
      • Peoria, Illinois, Stati Uniti, 61636
        • Methodist Medical Center of Illinois
      • Peoria, Illinois, Stati Uniti, 61637
        • OSF Saint Francis Medical Center
      • Peoria, Illinois, Stati Uniti, 61615
        • Illinois CancerCare-Peoria
      • Peoria, Illinois, Stati Uniti, 61615
        • OSF Saint Francis Radiation Oncology at Peoria Cancer Center
      • Peru, Illinois, Stati Uniti, 61354
        • Illinois CancerCare-Peru
      • Peru, Illinois, Stati Uniti, 61354
        • Valley Radiation Oncology
      • Plainfield, Illinois, Stati Uniti, 60585
        • Edward Hospital/Cancer Center?Plainfield
      • Princeton, Illinois, Stati Uniti, 61356
        • Illinois CancerCare-Princeton
      • River Forest, Illinois, Stati Uniti, 60305
        • West Suburban Medical Center
      • Rockford, Illinois, Stati Uniti, 61114
        • UW Health Carbone Cancer Center Rockford
      • Springfield, Illinois, Stati Uniti, 62702
        • Southern Illinois University School of Medicine
      • Springfield, Illinois, Stati Uniti, 62702
        • Springfield Clinic
      • Springfield, Illinois, Stati Uniti, 62702
        • Central Illinois Hematology Oncology Center
      • Springfield, Illinois, Stati Uniti, 62781
        • Springfield Memorial Hospital
      • Urbana, Illinois, Stati Uniti, 61801
        • Carle Cancer Center
      • Urbana, Illinois, Stati Uniti, 61801
        • The Carle Foundation Hospital
      • Warrenville, Illinois, Stati Uniti, 60555
        • Northwestern Medicine Cancer Center Warrenville
      • Yorkville, Illinois, Stati Uniti, 60560
        • Rush-Copley Healthcare Center
    • Indiana
      • Carmel, Indiana, Stati Uniti, 46032
        • IU Health North Hospital
      • Fishers, Indiana, Stati Uniti, 46037
        • IU Health Central Indiana Cancer Centers-Fishers
      • Fort Wayne, Indiana, Stati Uniti, 46845
        • Fort Wayne Medical Oncology and Hematology Inc-Parkview
      • Indianapolis, Indiana, Stati Uniti, 46237
        • Franciscan Health Indianapolis
      • Indianapolis, Indiana, Stati Uniti, 46202
        • Indiana University/Melvin and Bren Simon Cancer Center
      • Indianapolis, Indiana, Stati Uniti, 46202
        • Sidney and Lois Eskenazi Hospital
      • Indianapolis, Indiana, Stati Uniti, 46219
        • IU Health Central Indiana Cancer Centers-East
      • Indianapolis, Indiana, Stati Uniti, 46290
        • Springmill Medical Center
      • Indianapolis, Indiana, Stati Uniti, 46202
        • IU Health Methodist Hospital
      • Lafayette, Indiana, Stati Uniti, 47904
        • IU Health Arnett Cancer Care
      • Michigan City, Indiana, Stati Uniti, 46360
        • Woodland Cancer Care Center
      • Mooresville, Indiana, Stati Uniti, 46158
        • Franciscan Health Mooresville
      • Muncie, Indiana, Stati Uniti, 47303
        • IU Health Ball Memorial Hospital
      • Richmond, Indiana, Stati Uniti, 47374
        • Reid Health
      • Terre Haute, Indiana, Stati Uniti, 47804
        • Union Hospital
    • Iowa
      • Ames, Iowa, Stati Uniti, 50010
        • Mary Greeley Medical Center
      • Ames, Iowa, Stati Uniti, 50010
        • McFarland Clinic - Ames
      • Bettendorf, Iowa, Stati Uniti, 52722
        • University of Iowa Healthcare Cancer Services Quad Cities
      • Boone, Iowa, Stati Uniti, 50036
        • McFarland Clinic - Boone
      • Cedar Rapids, Iowa, Stati Uniti, 52403
        • Mercy Hospital
      • Cedar Rapids, Iowa, Stati Uniti, 52403
        • Oncology Associates at Mercy Medical Center
      • Clive, Iowa, Stati Uniti, 50325
        • Mercy Cancer Center-West Lakes
      • Clive, Iowa, Stati Uniti, 50325
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
      • Council Bluffs, Iowa, Stati Uniti, 51503
        • Alegent Health Mercy Hospital
      • Davenport, Iowa, Stati Uniti, 52803
        • MercyOne Genesis Davenport Medical Center
      • Des Moines, Iowa, Stati Uniti, 50309
        • Iowa Methodist Medical Center
      • Des Moines, Iowa, Stati Uniti, 50314
        • Mercy Medical Center - Des Moines
      • Des Moines, Iowa, Stati Uniti, 50314
        • Broadlawns Medical Center
      • Des Moines, Iowa, Stati Uniti, 50309
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
      • Des Moines, Iowa, Stati Uniti, 50314
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
      • Fort Dodge, Iowa, Stati Uniti, 50501
        • McFarland Clinic - Trinity Cancer Center
      • Fort Dodge, Iowa, Stati Uniti, 50501
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
      • Iowa City, Iowa, Stati Uniti, 52242
        • University of Iowa/Holden Comprehensive Cancer Center
      • Jefferson, Iowa, Stati Uniti, 50129
        • McFarland Clinic - Jefferson
      • Marshalltown, Iowa, Stati Uniti, 50158
        • McFarland Clinic - Marshalltown
      • Mason City, Iowa, Stati Uniti, 50401
        • Mercy Medical Center - North Iowa
      • Sioux City, Iowa, Stati Uniti, 51101
        • Siouxland Regional Cancer Center
      • West Des Moines, Iowa, Stati Uniti, 50266
        • Mercy Medical Center-West Lakes
    • Kansas
      • Chanute, Kansas, Stati Uniti, 66720
        • Cancer Center of Kansas - Chanute
      • Dodge City, Kansas, Stati Uniti, 67801
        • Cancer Center of Kansas - Dodge City
      • El Dorado, Kansas, Stati Uniti, 67042
        • Cancer Center of Kansas - El Dorado
      • Fort Scott, Kansas, Stati Uniti, 66701
        • Cancer Center of Kansas - Fort Scott
      • Garden City, Kansas, Stati Uniti, 67846
        • Saint Catherine Hospital
      • Great Bend, Kansas, Stati Uniti, 67530
        • Central Care Cancer Center - Great Bend
      • Great Bend, Kansas, Stati Uniti, 67530
        • Saint Rose Ambulatory and Surgery Center
      • Hays, Kansas, Stati Uniti, 67601
        • HaysMed
      • Independence, Kansas, Stati Uniti, 67301
        • Cancer Center of Kansas-Independence
      • Kansas City, Kansas, Stati Uniti, 66112
        • University of Kansas Cancer Center-West
      • Kingman, Kansas, Stati Uniti, 67068
        • Cancer Center of Kansas-Kingman
      • Lawrence, Kansas, Stati Uniti, 66044
        • Lawrence Memorial Hospital
      • Lenexa, Kansas, Stati Uniti, 66219
        • Kansas Institute of Medicine Cancer and Blood Center
      • Lenexa, Kansas, Stati Uniti, 66219
        • Minimally Invasive Surgery Hospital
      • Liberal, Kansas, Stati Uniti, 67905
        • Cancer Center of Kansas-Liberal
      • Manhattan, Kansas, Stati Uniti, 66502
        • Cancer Center of Kansas-Manhattan
      • McPherson, Kansas, Stati Uniti, 67460
        • Cancer Center of Kansas - McPherson
      • Newton, Kansas, Stati Uniti, 67114
        • Cancer Center of Kansas - Newton
      • Olathe, Kansas, Stati Uniti, 66061
        • The University of Kansas Cancer Center - Olathe
      • Overland Park, Kansas, Stati Uniti, 66210
        • University of Kansas Cancer Center-Overland Park
      • Overland Park, Kansas, Stati Uniti, 66209
        • Menorah Medical Center
      • Parsons, Kansas, Stati Uniti, 67357
        • Cancer Center of Kansas - Parsons
      • Pratt, Kansas, Stati Uniti, 67124
        • Cancer Center of Kansas - Pratt
      • Salina, Kansas, Stati Uniti, 67401
        • Salina Regional Health Center
      • Salina, Kansas, Stati Uniti, 67401
        • Cancer Center of Kansas - Salina
      • Topeka, Kansas, Stati Uniti, 66606
        • University of Kansas Health System Saint Francis Campus
      • Wellington, Kansas, Stati Uniti, 67152
        • Cancer Center of Kansas - Wellington
      • Wichita, Kansas, Stati Uniti, 67214
        • Ascension Via Christi Hospitals Wichita
      • Wichita, Kansas, Stati Uniti, 67208
        • Cancer Center of Kansas-Wichita Medical Arts Tower
      • Wichita, Kansas, Stati Uniti, 67214
        • Cancer Center of Kansas - Wichita
      • Wichita, Kansas, Stati Uniti, 67208
        • Associates In Womens Health
      • Winfield, Kansas, Stati Uniti, 67156
        • Cancer Center of Kansas - Winfield
    • Kentucky
      • Bardstown, Kentucky, Stati Uniti, 40004
        • CommonSpirit Saint Joseph Hospital - Bardstown
      • Corbin, Kentucky, Stati Uniti, 40701
        • Baptist Health Corbin
      • Crestview Hills, Kentucky, Stati Uniti, 41017
        • Oncology Hematology Care Inc-Crestview
      • Edgewood, Kentucky, Stati Uniti, 41017
        • Saint Elizabeth Healthcare Edgewood
      • Elizabethtown, Kentucky, Stati Uniti, 42701
        • Baptist Health Hardin
      • Fort Thomas, Kentucky, Stati Uniti, 41075
        • Saint Elizabeth Healthcare Fort Thomas
      • Lexington, Kentucky, Stati Uniti, 40536
        • University of Kentucky/Markey Cancer Center
      • Lexington, Kentucky, Stati Uniti, 40504
        • Saint Joseph Radiation Oncology Resource Center
      • Lexington, Kentucky, Stati Uniti, 40503
        • Baptist Health Lexington
      • Lexington, Kentucky, Stati Uniti, 40509
        • CommonSpirit Saint Joseph Medical Center - East Lexington
      • Louisville, Kentucky, Stati Uniti, 40202
        • Jewish Hospital
      • Louisville, Kentucky, Stati Uniti, 40245
        • UofL Health Medical Center Northeast
      • Louisville, Kentucky, Stati Uniti, 40207
        • Baptist Health Louisville
      • Madisonville, Kentucky, Stati Uniti, 42431
        • Baptist Health Madisonville/Merle Mahr Cancer Center
      • Paducah, Kentucky, Stati Uniti, 42003
        • Baptist Health Paducah
    • Louisiana
      • Baton Rouge, Louisiana, Stati Uniti, 70805
        • LSU Health Baton Rouge-North Clinic
      • Baton Rouge, Louisiana, Stati Uniti, 70809
        • Louisiana Hematology Oncology Associates LLC
      • Baton Rouge, Louisiana, Stati Uniti, 70809
        • Mary Bird Perkins Cancer Center
      • Baton Rouge, Louisiana, Stati Uniti, 70809
        • Ochsner Health Center-Summa
      • Baton Rouge, Louisiana, Stati Uniti, 70816
        • Medical Center of Baton Rouge
      • Baton Rouge, Louisiana, Stati Uniti, 70809
        • Hematology/Oncology Clinic PLLC
      • Baton Rouge, Louisiana, Stati Uniti, 70808
        • Our Lady of the Lake Physician Group
      • Covington, Louisiana, Stati Uniti, 70433
        • Mary Bird Perkins Cancer Center - Covington
      • Covington, Louisiana, Stati Uniti, 70433
        • Northshore Oncology Associates-Covington
      • Houma, Louisiana, Stati Uniti, 70360
        • Mary Bird Perkins Cancer Center - Houma
      • Houma, Louisiana, Stati Uniti, 70360
        • Oncology Center of The South Incorporated
      • New Orleans, Louisiana, Stati Uniti, 70121
        • Ochsner Medical Center Jefferson
      • New Orleans, Louisiana, Stati Uniti, 70112
        • University Medical Center New Orleans
      • New Orleans, Louisiana, Stati Uniti, 70112
        • Louisiana State University Health Science Center
    • Maine
      • Augusta, Maine, Stati Uniti, 04330
        • Harold Alfond Center for Cancer Care
      • Bangor, Maine, Stati Uniti, 04401
        • Eastern Maine Medical Center
      • Brewer, Maine, Stati Uniti, 04412
        • Lafayette Family Cancer Center-EMMC
      • Rockport, Maine, Stati Uniti, 04856
        • Penobscot Bay Medical Center
      • York Village, Maine, Stati Uniti, 03909
        • York Hospital
    • Maryland
      • Annapolis, Maryland, Stati Uniti, 21401
        • Luminis Health Anne Arundel Medical Center
      • Baltimore, Maryland, Stati Uniti, 21237
        • MedStar Franklin Square Medical Center/Weinberg Cancer Institute
      • Baltimore, Maryland, Stati Uniti, 21287
        • Johns Hopkins University/Sidney Kimmel Cancer Center
      • Baltimore, Maryland, Stati Uniti, 21215
        • Sinai Hospital of Baltimore
      • Baltimore, Maryland, Stati Uniti, 21204
        • Greater Baltimore Medical Center
      • Baltimore, Maryland, Stati Uniti, 21201
        • University of Maryland/Greenebaum Cancer Center
      • Bel Air, Maryland, Stati Uniti, 21014
        • UM Upper Chesapeake Medical Center
      • Cumberland, Maryland, Stati Uniti, 21502
        • UPMC Western Maryland
      • Easton, Maryland, Stati Uniti, 21601
        • University of Maryland Shore Medical Center at Easton
      • Olney, Maryland, Stati Uniti, 20832
        • MedStar Montgomery Medical Center
      • Randallstown, Maryland, Stati Uniti, 21133
        • Northwest Hospital Center
    • Massachusetts
      • Beverly, Massachusetts, Stati Uniti, 01915
        • Beverly Hospital
      • Burlington, Massachusetts, Stati Uniti, 01805
        • Lahey Clinic
      • Fall River, Massachusetts, Stati Uniti, 02721
        • Saint Anne's Hospital
      • Gloucester, Massachusetts, Stati Uniti, 01930
        • Addison Gilbert Hospital
      • Newton, Massachusetts, Stati Uniti, 02462
        • Newton-Wellesley Hospital
      • Pittsfield, Massachusetts, Stati Uniti, 01201
        • Berkshire Medical Center - Cancer Center
      • Winchester, Massachusetts, Stati Uniti, 01890
        • Beth Israel Deaconess Medical Center/Winchester Center for Cancer Care
      • Worcester, Massachusetts, Stati Uniti, 01655
        • UMass Memorial Medical Center - University Campus
    • Michigan
      • Adrian, Michigan, Stati Uniti, 49221
        • Hickman Cancer Center
      • Ann Arbor, Michigan, Stati Uniti, 48106
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
      • Brownstown, Michigan, Stati Uniti, 48183
        • Henry Ford Cancer Institute-Downriver
      • Chelsea, Michigan, Stati Uniti, 48118
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
      • Clinton Township, Michigan, Stati Uniti, 48038
        • Henry Ford Macomb Hospital-Clinton Township
      • Dearborn, Michigan, Stati Uniti, 48126
        • Henry Ford Medical Center-Fairlane
      • Dearborn, Michigan, Stati Uniti, 48124
        • Corewell Health Dearborn Hospital
      • Detroit, Michigan, Stati Uniti, 48202
        • Henry Ford Hospital
      • Detroit, Michigan, Stati Uniti, 48201
        • Wayne State University/Karmanos Cancer Institute
      • Detroit, Michigan, Stati Uniti, 48236
        • Henry Ford Health Saint John Hospital
      • Escanaba, Michigan, Stati Uniti, 49829
        • OSF Saint Francis Hospital and Medical Group
      • Farmington Hills, Michigan, Stati Uniti, 48334
        • Weisberg Cancer Treatment Center
      • Flint, Michigan, Stati Uniti, 48503
        • Hurley Medical Center
      • Flint, Michigan, Stati Uniti, 48503
        • Genesys Hurley Cancer Institute
      • Grand Rapids, Michigan, Stati Uniti, 49503
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
      • Grosse Pointe, Michigan, Stati Uniti, 48230
        • William Beaumont Hospital-Grosse Pointe
      • Jackson, Michigan, Stati Uniti, 49201
        • Allegiance Health
      • Kalamazoo, Michigan, Stati Uniti, 49007
        • West Michigan Cancer Center
      • Kalamazoo, Michigan, Stati Uniti, 49048
        • Beacon Kalamazoo
      • Livonia, Michigan, Stati Uniti, 48154
        • Trinity Health Saint Mary Mercy Livonia Hospital
      • Novi, Michigan, Stati Uniti, 48377
        • Henry Ford Medical Center-Columbus
      • Pontiac, Michigan, Stati Uniti, 48341
        • Trinity Health Saint Joseph Mercy Oakland Hospital
      • Port Huron, Michigan, Stati Uniti, 48060
        • Lake Huron Medical Center
      • Royal Oak, Michigan, Stati Uniti, 48073
        • Corewell Health William Beaumont University Hospital
      • Saginaw, Michigan, Stati Uniti, 48601
        • MyMichigan Medical Center Saginaw
      • Troy, Michigan, Stati Uniti, 48085
        • Corewell Health Beaumont Troy Hospital
      • Warren, Michigan, Stati Uniti, 48093
        • Henry Ford Health Warren Hospital
      • West Bloomfield, Michigan, Stati Uniti, 48322
        • Henry Ford West Bloomfield Hospital
    • Minnesota
      • Bemidji, Minnesota, Stati Uniti, 56601
        • Sanford Joe Lueken Cancer Center
      • Brainerd, Minnesota, Stati Uniti, 56401
        • Essentia Health Saint Joseph's Medical Center
      • Coon Rapids, Minnesota, Stati Uniti, 55433
        • Mercy Hospital
      • Duluth, Minnesota, Stati Uniti, 55805
        • Essentia Health Cancer Center
      • Fergus Falls, Minnesota, Stati Uniti, 56537
        • Lake Region Healthcare Corporation-Cancer Care
      • Maplewood, Minnesota, Stati Uniti, 55109
        • Saint John's Hospital - Healtheast
      • Maplewood, Minnesota, Stati Uniti, 55109
        • Minnesota Oncology Hematology PA-Maplewood
      • Minneapolis, Minnesota, Stati Uniti, 55407
        • Abbott-Northwestern Hospital
      • Minneapolis, Minnesota, Stati Uniti, 55454
        • Health Partners Inc
      • New Ulm, Minnesota, Stati Uniti, 56073
        • New Ulm Medical Center
      • Saint Cloud, Minnesota, Stati Uniti, 56303
        • Coborn Cancer Center at Saint Cloud Hospital
      • Saint Paul, Minnesota, Stati Uniti, 55101
        • Regions Hospital
      • Stillwater, Minnesota, Stati Uniti, 55082
        • Lakeview Hospital
      • Willmar, Minnesota, Stati Uniti, 56201
        • Rice Memorial Hospital
    • Mississippi
      • Columbus, Mississippi, Stati Uniti, 39705
        • Baptist Memorial Hospital and Cancer Center-Golden Triangle
      • Grenada, Mississippi, Stati Uniti, 38901
        • Baptist Cancer Center-Grenada
      • Hattiesburg, Mississippi, Stati Uniti, 39401
        • Hattiesburg Clinic - Hematology/Oncology Clinic
      • Hattiesburg, Mississippi, Stati Uniti, 39404
        • Forrest General Hospital / Cancer Center
      • Jackson, Mississippi, Stati Uniti, 39216
        • University of Mississippi Medical Center
      • New Albany, Mississippi, Stati Uniti, 38652
        • Baptist Memorial Hospital and Cancer Center-Union County
      • Oxford, Mississippi, Stati Uniti, 38655
        • Baptist Memorial Hospital and Cancer Center-Oxford
      • Pascagoula, Mississippi, Stati Uniti, 39581
        • Singing River Hospital
      • Southhaven, Mississippi, Stati Uniti, 38671
        • Baptist Memorial Hospital and Cancer Center-Desoto
    • Missouri
      • Ballwin, Missouri, Stati Uniti, 63011
        • Mercy Oncology and Hematology - Clayton-Clarkson
      • Bonne Terre, Missouri, Stati Uniti, 63628
        • Parkland Health Center-Bonne Terre
      • Branson, Missouri, Stati Uniti, 65616
        • Cox Cancer Center Branson
      • Cape Girardeau, Missouri, Stati Uniti, 63703
        • Saint Francis Medical Center
      • Cape Girardeau, Missouri, Stati Uniti, 63703
        • Mercy Cancer Center - Cape Girardeau
      • Chesterfield, Missouri, Stati Uniti, 63017
        • Saint Luke's Hospital
      • City of Saint Peters, Missouri, Stati Uniti, 63376
        • Siteman Cancer Center at Saint Peters Hospital
      • Columbia, Missouri, Stati Uniti, 65212
        • MU Health - University Hospital/Ellis Fischel Cancer Center
      • Creve Coeur, Missouri, Stati Uniti, 63141
        • Siteman Cancer Center at West County Hospital
      • Independence, Missouri, Stati Uniti, 64057
        • Centerpoint Medical Center LLC
      • Jefferson City, Missouri, Stati Uniti, 65109
        • MU Health Care Goldschmidt Cancer Center
      • Kansas City, Missouri, Stati Uniti, 64154
        • University of Kansas Cancer Center - North
      • Kansas City, Missouri, Stati Uniti, 64131
        • The University of Kansas Cancer Center-South
      • Kansas City, Missouri, Stati Uniti, 64132
        • Research Medical Center
      • Kansas City, Missouri, Stati Uniti, 64108
        • University Health Truman Medical Center
      • Lee's Summit, Missouri, Stati Uniti, 64064
        • University of Kansas Cancer Center - Lee's Summit
      • Sainte Genevieve, Missouri, Stati Uniti, 63670
        • Sainte Genevieve County Memorial Hospital
      • Springfield, Missouri, Stati Uniti, 65807
        • CoxHealth South Hospital
      • Springfield, Missouri, Stati Uniti, 65804
        • Mercy Hospital Springfield
      • St Louis, Missouri, Stati Uniti, 63110
        • Washington University School of Medicine
      • St Louis, Missouri, Stati Uniti, 63131
        • Missouri Baptist Medical Center
      • St Louis, Missouri, Stati Uniti, 63109
        • Mercy Infusion Center - Chippewa
      • St Louis, Missouri, Stati Uniti, 63141
        • Mercy Hospital Saint Louis
      • Sullivan, Missouri, Stati Uniti, 63080
        • Missouri Baptist Sullivan Hospital
    • Montana
      • Billings, Montana, Stati Uniti, 59101
        • Saint Vincent Healthcare
      • Bozeman, Montana, Stati Uniti, 59715
        • Bozeman Health Deaconess Hospital
      • Butte, Montana, Stati Uniti, 59701
        • Saint James Community Hospital and Cancer Treatment Center
      • Great Falls, Montana, Stati Uniti, 59405
        • Benefis Sletten Cancer Institute
      • Helena, Montana, Stati Uniti, 59601
        • Saint Peter's Community Hospital
      • Kalispell, Montana, Stati Uniti, 59901
        • Logan Health Medical Center
      • Missoula, Montana, Stati Uniti, 59802
        • Saint Patrick Hospital - Community Hospital
    • Nebraska
      • Grand Island, Nebraska, Stati Uniti, 68803
        • Nebraska Cancer Specialists/Oncology Hematology West PC
      • Kearney, Nebraska, Stati Uniti, 68847
        • CHI Health Good Samaritan
      • Omaha, Nebraska, Stati Uniti, 68124
        • Alegent Health Bergan Mercy Medical Center
      • Omaha, Nebraska, Stati Uniti, 68122
        • Alegent Health Immanuel Medical Center
      • Omaha, Nebraska, Stati Uniti, 68130
        • Alegent Health Lakeside Hospital
    • New Hampshire
      • Dover, New Hampshire, Stati Uniti, 03820
        • Wentworth-Douglass Hospital
      • Keene, New Hampshire, Stati Uniti, 03431
        • Cheshire Medical Center-Dartmouth-Hitchcock Keene
      • Lebanon, New Hampshire, Stati Uniti, 03756
        • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
      • Manchester, New Hampshire, Stati Uniti, 03104
        • Dartmouth Cancer Center - Manchester/ DCC Manchester
      • Nashua, New Hampshire, Stati Uniti, 03060
        • Saint Joseph Hospital
      • Nashua, New Hampshire, Stati Uniti, 03063
        • Dartmouth Cancer Center - Nashua
    • New Jersey
      • Cape May Court House, New Jersey, Stati Uniti, 08210
        • AtlantiCare Health Park-Cape May Court House
      • Egg Harbor, New Jersey, Stati Uniti, 08234
        • AtlantiCare Surgery Center
      • Englewood, New Jersey, Stati Uniti, 07631
        • Englewood Hospital and Medical Center
      • Hackensack, New Jersey, Stati Uniti, 07601
        • Hackensack University Medical Center
      • Hamilton, New Jersey, Stati Uniti, 08690
        • The Cancer Institute of New Jersey Hamilton
      • Long Branch, New Jersey, Stati Uniti, 07740
        • Monmouth Medical Center
      • Mount Holly, New Jersey, Stati Uniti, 08060
        • Virtua Memorial
      • Mullica Hill, New Jersey, Stati Uniti, 08062
        • Inspira Medical Center Mullica Hill
      • Neptune City, New Jersey, Stati Uniti, 07753
        • Jersey Shore Medical Center
      • Somerville, New Jersey, Stati Uniti, 08876
        • Robert Wood Johnson University Hospital Somerset
      • Vineland, New Jersey, Stati Uniti, 08360
        • Inspira Medical Center Vineland
      • Voorhees Township, New Jersey, Stati Uniti, 08043
        • Virtua Voorhees
    • New Mexico
      • Albuquerque, New Mexico, Stati Uniti, 87109
        • New Mexico Oncology Hematology Consultants
      • Albuquerque, New Mexico, Stati Uniti, 87106
        • University of New Mexico Cancer Center
      • Albuquerque, New Mexico, Stati Uniti, 87110
        • Presbyterian Kaseman Hospital
      • Las Cruces, New Mexico, Stati Uniti, 88011
        • Memorial Medical Center-Las Cruces
      • Santa Fe, New Mexico, Stati Uniti, 87505
        • Christus Saint Vincent Regional Cancer Center
    • New York
      • Auburn, New York, Stati Uniti, 13021
        • Hematology Oncology Associates of Central New York-Auburn
      • Brooklyn, New York, Stati Uniti, 11203
        • Kings County Hospital
      • Brooklyn, New York, Stati Uniti, 11203
        • State University of New York Downstate Medical Center
      • Buffalo, New York, Stati Uniti, 14263
        • Roswell Park Cancer Institute
      • Camillus, New York, Stati Uniti, 13031
        • Hematology Oncology Associates of CNY at Camillus
      • East Syracuse, New York, Stati Uniti, 13057
        • Hematology Oncology Associates of Central New York-East Syracuse
      • Elmira, New York, Stati Uniti, 14905
        • Arnot Ogden Medical Center/Falck Cancer Center
      • New York, New York, Stati Uniti, 10019
        • Mount Sinai West
      • New York, New York, Stati Uniti, 10032
        • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
      • New York, New York, Stati Uniti, 10065
        • NYP/Weill Cornell Medical Center
      • New York, New York, Stati Uniti, 10003
        • Mount Sinai Union Square
      • Rochester, New York, Stati Uniti, 14642
        • University of Rochester
      • Staten Island, New York, Stati Uniti, 10305
        • Staten Island University Hospital
      • The Bronx, New York, Stati Uniti, 10461
        • Montefiore Medical Center-Einstein Campus
      • The Bronx, New York, Stati Uniti, 10467
        • Montefiore Medical Center - Moses Campus
      • The Bronx, New York, Stati Uniti, 10461
        • Montefiore Medical Center-Weiler Hospital
      • White Plains, New York, Stati Uniti, 10601
        • Dickstein Cancer Treatment Center
    • North Carolina
      • Asheboro, North Carolina, Stati Uniti, 27203
        • Randolph Hospital
      • Asheville, North Carolina, Stati Uniti, 28801
        • Mission Hospital
      • Asheville, North Carolina, Stati Uniti, 28816
        • Hope Women's Cancer Centers-Asheville
      • Asheville, North Carolina, Stati Uniti, 28806
        • Messino Cancer Centers
      • Burlington, North Carolina, Stati Uniti, 27215
        • Cone Health Cancer Center at Alamance Regional
      • Chapel Hill, North Carolina, Stati Uniti, 27599
        • UNC Lineberger Comprehensive Cancer Center
      • Clinton, North Carolina, Stati Uniti, 28328
        • Southeastern Medical Oncology Center-Clinton
      • Goldsboro, North Carolina, Stati Uniti, 27534
        • Southeastern Medical Oncology Center-Goldsboro
      • Goldsboro, North Carolina, Stati Uniti, 27534
        • Wayne Memorial Hospital
      • Greensboro, North Carolina, Stati Uniti, 27403
        • Cone Health Cancer Center
      • Hendersonville, North Carolina, Stati Uniti, 28791
        • Margaret R Pardee Memorial Hospital
      • Jacksonville, North Carolina, Stati Uniti, 28546
        • Southeastern Medical Oncology Center-Jacksonville
      • Kinston, North Carolina, Stati Uniti, 28501
        • ECU Health Oncology Kinston
      • Mebane, North Carolina, Stati Uniti, 27302
        • Cone Heath Cancer Center at Mebane
      • Reidsville, North Carolina, Stati Uniti, 27320
        • Annie Penn Memorial Hospital
      • Washington, North Carolina, Stati Uniti, 27889
        • Marion L Shepard Cancer Center - ECU Health Beaufort Hospital
      • Winston-Salem, North Carolina, Stati Uniti, 27157
        • Wake Forest University Health Sciences
    • North Dakota
      • Bismarck, North Dakota, Stati Uniti, 58501
        • Sanford Bismarck Medical Center
      • Fargo, North Dakota, Stati Uniti, 58122
        • Sanford Roger Maris Cancer Center
      • Fargo, North Dakota, Stati Uniti, 58103
        • Essentia Health Cancer Center-South University Clinic
      • Fargo, North Dakota, Stati Uniti, 58122
        • Sanford Broadway Medical Center
      • Grand Forks, North Dakota, Stati Uniti, 58201
        • Altru Cancer Center
      • Minot, North Dakota, Stati Uniti, 58701
        • Trinity Cancer Care Center
    • Ohio
      • Akron, Ohio, Stati Uniti, 44307
        • Cleveland Clinic Akron General
      • Akron, Ohio, Stati Uniti, 44304
        • Summa Health System - Akron Campus
      • Belpre, Ohio, Stati Uniti, 45714
        • Strecker Cancer Center-Belpre
      • Bowling Green, Ohio, Stati Uniti, 43402
        • Toledo Clinic Cancer Centers-Bowling Green
      • Chillicothe, Ohio, Stati Uniti, 45601
        • Adena Regional Medical Center
      • Cincinnati, Ohio, Stati Uniti, 45220
        • Good Samaritan Hospital - Cincinnati
      • Cincinnati, Ohio, Stati Uniti, 45242
        • Bethesda North Hospital
      • Cincinnati, Ohio, Stati Uniti, 45242
        • Oncology Hematology Care Inc-Blue Ash
      • Cincinnati, Ohio, Stati Uniti, 45202
        • Oncology Hematology Care Inc-Eden Park
      • Cincinnati, Ohio, Stati Uniti, 45211
        • Oncology Hematology Care Inc-Mercy West
      • Cincinnati, Ohio, Stati Uniti, 45230
        • Oncology Hematology Care Inc-Anderson
      • Cincinnati, Ohio, Stati Uniti, 45236
        • Oncology Hematology Care Inc-Kenwood
      • Cincinnati, Ohio, Stati Uniti, 45247
        • TriHealth Cancer Institute-Westside
      • Cincinnati, Ohio, Stati Uniti, 45255
        • TriHealth Cancer Institute-Anderson
      • Cleveland, Ohio, Stati Uniti, 44195
        • Cleveland Clinic Foundation
      • Cleveland, Ohio, Stati Uniti, 44111
        • Cleveland Clinic Cancer Center/Fairview Hospital
      • Columbus, Ohio, Stati Uniti, 43214
        • Riverside Methodist Hospital
      • Columbus, Ohio, Stati Uniti, 43210
        • Ohio State University Comprehensive Cancer Center
      • Columbus, Ohio, Stati Uniti, 43219
        • The Mark H Zangmeister Center
      • Columbus, Ohio, Stati Uniti, 43214
        • Columbus Oncology and Hematology Associates Inc
      • Columbus, Ohio, Stati Uniti, 43228
        • Doctors Hospital
      • Columbus, Ohio, Stati Uniti, 43213
        • Mount Carmel East Hospital
      • Columbus, Ohio, Stati Uniti, 43215
        • Grant Medical Center
      • Columbus, Ohio, Stati Uniti, 43222
        • Mount Carmel Health Center West
      • Delaware, Ohio, Stati Uniti, 43015
        • Delaware Health Center-Grady Cancer Center
      • Delaware, Ohio, Stati Uniti, 43015
        • Delaware Radiation Oncology
      • Delaware, Ohio, Stati Uniti, 43015
        • Grady Memorial Hospital
      • Fairfield, Ohio, Stati Uniti, 45014
        • Oncology Hematology Care Inc-Healthplex
      • Independence, Ohio, Stati Uniti, 44131
        • Cleveland Clinic Cancer Center Independence
      • Lancaster, Ohio, Stati Uniti, 43130
        • Fairfield Medical Center
      • Lima, Ohio, Stati Uniti, 45801
        • Saint Rita's Medical Center
      • Mansfield, Ohio, Stati Uniti, 44906
        • Cleveland Clinic Cancer Center Mansfield
      • Marietta, Ohio, Stati Uniti, 45750
        • Marietta Memorial Hospital
      • Marion, Ohio, Stati Uniti, 43302
        • OhioHealth Marion General Hospital
      • Maumee, Ohio, Stati Uniti, 43537
        • Toledo Clinic Cancer Centers-Maumee
      • Mayfield Heights, Ohio, Stati Uniti, 44124
        • Hillcrest Hospital Cancer Center
      • Mount Vernon, Ohio, Stati Uniti, 43050
        • Knox Community Hospital
      • Newark, Ohio, Stati Uniti, 43055
        • Licking Memorial Hospital
      • Newark, Ohio, Stati Uniti, 43055
        • Newark Radiation Oncology
      • Oregon, Ohio, Stati Uniti, 43616
        • Saint Charles Hospital
      • Oregon, Ohio, Stati Uniti, 43616
        • Toledo Clinic Cancer Centers-Oregon
      • Perrysburg, Ohio, Stati Uniti, 43551
        • Mercy Health - Perrysburg Hospital
      • Portsmouth, Ohio, Stati Uniti, 45662
        • Southern Ohio Medical Center
      • Sandusky, Ohio, Stati Uniti, 44870
        • North Coast Cancer Care
      • Springfield, Ohio, Stati Uniti, 45504
        • Springfield Regional Cancer Center
      • Springfield, Ohio, Stati Uniti, 45504
        • Springfield Regional Medical Center
      • Strongsville, Ohio, Stati Uniti, 44136
        • Cleveland Clinic Cancer Center Strongsville
      • Sylvania, Ohio, Stati Uniti, 43560
        • ProMedica Flower Hospital
      • Toledo, Ohio, Stati Uniti, 43623
        • Mercy Health - Saint Anne Hospital
      • Toledo, Ohio, Stati Uniti, 43623
        • Toledo Clinic Cancer Centers-Toledo
      • Toledo, Ohio, Stati Uniti, 43617
        • Toledo Community Hospital Oncology Program CCOP
      • Troy, Ohio, Stati Uniti, 45373
        • Upper Valley Medical Center
      • Warrensville Heights, Ohio, Stati Uniti, 44122
        • South Pointe Hospital
      • Westerville, Ohio, Stati Uniti, 43081
        • Saint Ann's Hospital
      • Wooster, Ohio, Stati Uniti, 44691
        • Cleveland Clinic Wooster Family Health and Surgery Center
      • Wright-Patterson Air Force Base, Ohio, Stati Uniti, 45433
        • Wright-Patterson Medical Center
      • Zanesville, Ohio, Stati Uniti, 43701
        • Genesis Healthcare System Cancer Care Center
    • Oklahoma
      • Lawton, Oklahoma, Stati Uniti, 73505
        • Cancer Centers of Southwest Oklahoma Research
      • Oklahoma City, Oklahoma, Stati Uniti, 73104
        • University of Oklahoma Health Sciences Center
    • Oregon
      • Bend, Oregon, Stati Uniti, 97701
        • Saint Charles Health System
      • Clackamas, Oregon, Stati Uniti, 97015
        • Providence Cancer Institute Clackamas Clinic
      • Coos Bay, Oregon, Stati Uniti, 97420
        • Bay Area Hospital
      • Medford, Oregon, Stati Uniti, 97504
        • Asante Rogue Regional Medical Center
      • Newberg, Oregon, Stati Uniti, 97132
        • Providence Newberg Medical Center
      • Oregon City, Oregon, Stati Uniti, 97045
        • Providence Willamette Falls Medical Center
      • Portland, Oregon, Stati Uniti, 97213
        • Providence Portland Medical Center
      • Portland, Oregon, Stati Uniti, 97225
        • Providence Saint Vincent Medical Center
    • Pennsylvania
      • Bryn Mawr, Pennsylvania, Stati Uniti, 19010
        • Bryn Mawr Hospital
      • Chadds Ford, Pennsylvania, Stati Uniti, 19317
        • Christiana Care Health System-Concord Health Center
      • Danville, Pennsylvania, Stati Uniti, 17822
        • Geisinger Medical Center
      • Doylestown, Pennsylvania, Stati Uniti, 18901
        • Doylestown Hospital
      • Harrisburg, Pennsylvania, Stati Uniti, 17109
        • UPMC Pinnacle Cancer Center/Community Osteopathic Campus
      • Hazleton, Pennsylvania, Stati Uniti, 18201
        • Geisinger Medical Center-Cancer Center Hazleton
      • Hershey, Pennsylvania, Stati Uniti, 17033-0850
        • Penn State Milton S Hershey Medical Center
      • Jefferson Hills, Pennsylvania, Stati Uniti, 15025
        • Jefferson Hospital
      • Lancaster, Pennsylvania, Stati Uniti, 17602
        • Lancaster General Hospital
      • Lewisburg, Pennsylvania, Stati Uniti, 17837
        • Geisinger Medical Oncology-Lewisburg
      • Lewistown, Pennsylvania, Stati Uniti, 17044
        • Lewistown Hospital
      • Media, Pennsylvania, Stati Uniti, 19063
        • Riddle Memorial Hospital
      • Monroeville, Pennsylvania, Stati Uniti, 15146
        • Forbes Hospital
      • Natrona Heights, Pennsylvania, Stati Uniti, 15065
        • Allegheny Valley Hospital
      • Paoli, Pennsylvania, Stati Uniti, 19301
        • Paoli Memorial Hospital
      • Philadelphia, Pennsylvania, Stati Uniti, 19111
        • Fox Chase Cancer Center
      • Philadelphia, Pennsylvania, Stati Uniti, 19140
        • Temple University Hospital
      • Philadelphia, Pennsylvania, Stati Uniti, 19141
        • Einstein Medical Center Philadelphia
      • Phoenixville, Pennsylvania, Stati Uniti, 19460
        • Reading Hospital McGlinn Cancer Institute at Phoenixville
      • Pittsburgh, Pennsylvania, Stati Uniti, 15212
        • Allegheny General Hospital
      • Pittsburgh, Pennsylvania, Stati Uniti, 15224
        • West Penn Hospital
      • Pittsburgh, Pennsylvania, Stati Uniti, 15232
        • UPMC Hillman Cancer Center
      • Pottsville, Pennsylvania, Stati Uniti, 17901
        • Geisinger Cancer Services-Pottsville
      • Reading, Pennsylvania, Stati Uniti, 19605
        • Penn State Health Saint Joseph Medical Center
      • Sayre, Pennsylvania, Stati Uniti, 18840
        • Guthrie Medical Group PC-Robert Packer Hospital
      • State College, Pennsylvania, Stati Uniti, 16801
        • Geisinger Medical Group
      • State College, Pennsylvania, Stati Uniti, 16803
        • Mount Nittany Medical Center
      • West Chester, Pennsylvania, Stati Uniti, 19380
        • Chester County Hospital
      • West Reading, Pennsylvania, Stati Uniti, 19611
        • Reading Hospital
      • Wexford, Pennsylvania, Stati Uniti, 15090
        • Wexford Health and Wellness Pavilion
      • Wilkes-Barre, Pennsylvania, Stati Uniti, 18711
        • Geisinger Wyoming Valley/Henry Cancer Center
      • Williamsport, Pennsylvania, Stati Uniti, 17701
        • UPMC Susquehanna
      • Wynnewood, Pennsylvania, Stati Uniti, 19096
        • Lankenau Medical Center
    • Rhode Island
      • Providence, Rhode Island, Stati Uniti, 02905
        • Women and Infants Hospital
    • South Carolina
      • Anderson, South Carolina, Stati Uniti, 29621
        • AnMed Health Cancer Center
      • Boiling Springs, South Carolina, Stati Uniti, 29316
        • Prisma Health Cancer Institute - Spartanburg
      • Charleston, South Carolina, Stati Uniti, 29425
        • Medical University of South Carolina
      • Easley, South Carolina, Stati Uniti, 29640
        • Prisma Health Cancer Institute - Easley
      • Gaffney, South Carolina, Stati Uniti, 29341
        • Gibbs Cancer Center-Gaffney
      • Greenville, South Carolina, Stati Uniti, 29605
        • Prisma Health Cancer Institute - Faris
      • Greenville, South Carolina, Stati Uniti, 29607
        • Saint Francis Cancer Center
      • Greenville, South Carolina, Stati Uniti, 29615
        • Prisma Health Cancer Institute - Eastside
      • Greenville, South Carolina, Stati Uniti, 29605
        • Prisma Health Cancer Institute - Butternut
      • Greenville, South Carolina, Stati Uniti, 29601
        • Saint Francis Hospital
      • Greer, South Carolina, Stati Uniti, 29650
        • Prisma Health Cancer Institute - Greer
      • Greer, South Carolina, Stati Uniti, 29651
        • Gibbs Cancer Center-Pelham
      • Seneca, South Carolina, Stati Uniti, 29672
        • Prisma Health Cancer Institute - Seneca
      • Spartanburg, South Carolina, Stati Uniti, 29303
        • Spartanburg Medical Center
    • South Dakota
      • Aberdeen, South Dakota, Stati Uniti, 57401
        • Avera Cancer Institute-Aberdeen
      • Rapid City, South Dakota, Stati Uniti, 57701
        • Rapid City Regional Hospital
      • Sioux Falls, South Dakota, Stati Uniti, 57105
        • Avera Cancer Institute
      • Sioux Falls, South Dakota, Stati Uniti, 57117-5134
        • Sanford USD Medical Center - Sioux Falls
      • Sioux Falls, South Dakota, Stati Uniti, 57104
        • Sanford Cancer Center Oncology Clinic
    • Tennessee
      • Jackson, Tennessee, Stati Uniti, 38301
        • Jackson-Madison County General Hospital
      • Kingsport, Tennessee, Stati Uniti, 37660
        • Ballad Health Cancer Care - Kingsport
      • Kingsport, Tennessee, Stati Uniti, 37660
        • Wellmont Holston Valley Hospital and Medical Center
      • Memphis, Tennessee, Stati Uniti, 38120
        • Baptist Memorial Hospital and Cancer Center-Memphis
      • Memphis, Tennessee, Stati Uniti, 38120
        • Baptist Memorial Hospital for Women
      • Memphis, Tennessee, Stati Uniti, 38120
        • Family Cancer Center-Memphis
      • Nashville, Tennessee, Stati Uniti, 37208
        • Meharry Medical College
    • Texas
      • Abilene, Texas, Stati Uniti, 79601
        • Hendrick Medical Center
      • Dallas, Texas, Stati Uniti, 75235
        • Parkland Memorial Hospital
      • Dallas, Texas, Stati Uniti, 75390
        • UT Southwestern/Simmons Cancer Center-Dallas
      • El Paso, Texas, Stati Uniti, 79905
        • Texas Tech University Health Sciences Center-El Paso
      • Fort Worth, Texas, Stati Uniti, 76104
        • UT Southwestern/Simmons Cancer Center-Fort Worth
      • Tyler, Texas, Stati Uniti, 75708
        • University of Texas Health Science Center at Tyler
    • Vermont
      • Saint Johnsbury, Vermont, Stati Uniti, 05819
        • Dartmouth Cancer Center - North
    • Virginia
      • Charlottesville, Virginia, Stati Uniti, 22908
        • University of Virginia Cancer Center
      • Fredericksburg, Virginia, Stati Uniti, 22408
        • Hematology Oncology Associates of Fredericksburg Inc
      • Lynchburg, Virginia, Stati Uniti, 24501
        • Centra Alan B Pearson Regional Cancer Center
      • Martinsville, Virginia, Stati Uniti, 24112
        • Sovah Health Martinsville
      • Mechanicsville, Virginia, Stati Uniti, 23116
        • Bon Secours Memorial Regional Medical Center
      • Midlothian, Virginia, Stati Uniti, 23114
        • Bon Secours Saint Francis Medical Center
      • Norton, Virginia, Stati Uniti, 24273
        • Ballad Health Cancer Care - Norton
      • Richmond, Virginia, Stati Uniti, 23229
        • Virginia Cancer Institute
      • Richmond, Virginia, Stati Uniti, 23226
        • Bon Secours Saint Mary's Hospital
      • Richmond, Virginia, Stati Uniti, 23298
        • VCU Massey Comprehensive Cancer Center
      • South Hill, Virginia, Stati Uniti, 23970
        • VCU Community Memorial Health Center
      • Winchester, Virginia, Stati Uniti, 22601
        • Shenandoah Oncology PC
    • Washington
      • Burien, Washington, Stati Uniti, 98166
        • Saint Anne Hospital
      • Edmonds, Washington, Stati Uniti, 98026
        • Swedish Cancer Institute-Edmonds
      • Issaquah, Washington, Stati Uniti, 98029
        • Swedish Cancer Institute-Issaquah
      • Kennewick, Washington, Stati Uniti, 99336
        • Kadlec Clinic Hematology and Oncology
      • Kirkland, Washington, Stati Uniti, 98034
        • FHCC at EvergreenHealth
      • Longview, Washington, Stati Uniti, 98632
        • PeaceHealth Saint John Medical Center
      • Mount Vernon, Washington, Stati Uniti, 98274
        • Skagit Valley Hospital
      • Mount Vernon, Washington, Stati Uniti, 98274
        • Skagit Regional Health Cancer Care Center
      • Poulsbo, Washington, Stati Uniti, 98370
        • Harrison HealthPartners Hematology and Oncology-Poulsbo
      • Seattle, Washington, Stati Uniti, 98107
        • Swedish Medical Center-Ballard Campus
      • Seattle, Washington, Stati Uniti, 98122
        • Swedish Medical Center-First Hill
      • Seattle, Washington, Stati Uniti, 98195
        • University of Washington Medical Center - Montlake
      • Seattle, Washington, Stati Uniti, 98112
        • Kaiser Permanente Washington
      • Seattle, Washington, Stati Uniti, 98104
        • Minor and James Medical PLLC
      • Seattle, Washington, Stati Uniti, 98109
        • Fred Hutchinson Cancer Center
      • Silverdale, Washington, Stati Uniti, 98383
        • Saint Joseph Medical Center Hematology and Oncology - Silverdale
      • Tacoma, Washington, Stati Uniti, 98405
        • Northwest Medical Specialties PLLC
      • Tacoma, Washington, Stati Uniti, 98405
        • Franciscan Research Center-Northwest Medical Plaza
      • Vancouver, Washington, Stati Uniti, 98664
        • PeaceHealth Southwest Medical Center
      • Walla Walla, Washington, Stati Uniti, 99362
        • Providence Saint Mary Regional Cancer Center
      • Yakima, Washington, Stati Uniti, 98902
        • North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
    • West Virginia
      • Charleston, West Virginia, Stati Uniti, 25304
        • Vandalia Health/CAMC Institute for Academic Medicine
      • Huntington, West Virginia, Stati Uniti, 25701
        • Edwards Comprehensive Cancer Center
      • Morgantown, West Virginia, Stati Uniti, 26506
        • West Virginia University Healthcare
    • Wisconsin
      • Antigo, Wisconsin, Stati Uniti, 54409
        • Aspirus Cancer Care-Antigo-Volm Cancer Center
      • Burlington, Wisconsin, Stati Uniti, 53105
        • Aurora Cancer Care-Southern Lakes VLCC
      • Chippewa Falls, Wisconsin, Stati Uniti, 54729
        • Marshfield Clinic-Chippewa Center
      • Eau Claire, Wisconsin, Stati Uniti, 54701
        • Marshfield Clinic Cancer Center at Sacred Heart
      • Fond du Lac, Wisconsin, Stati Uniti, 54937
        • Aurora Health Center-Fond du Lac
      • Germantown, Wisconsin, Stati Uniti, 53022
        • Aurora Health Care Germantown Health Center
      • Grafton, Wisconsin, Stati Uniti, 53024
        • Aurora Cancer Care-Grafton
      • Green Bay, Wisconsin, Stati Uniti, 54311
        • Aurora BayCare Medical Center
      • Green Bay, Wisconsin, Stati Uniti, 54301
        • Saint Vincent Hospital Cancer Center Green Bay
      • Green Bay, Wisconsin, Stati Uniti, 54303
        • Saint Vincent Hospital Cancer Center at Saint Mary's
      • Green Bay, Wisconsin, Stati Uniti, 54301
        • Bellin Memorial Hospital
      • Janesville, Wisconsin, Stati Uniti, 53548
        • Mercyhealth Hospital and Cancer Center - Janesville
      • Johnson Creek, Wisconsin, Stati Uniti, 53038
        • University of Wisconsin Carbone Cancer Center - Johnson Creek
      • Kenosha, Wisconsin, Stati Uniti, 53142
        • Aurora Cancer Care-Kenosha South
      • La Crosse, Wisconsin, Stati Uniti, 54601
        • Gundersen Lutheran Medical Center
      • Madison, Wisconsin, Stati Uniti, 53792
        • University of Wisconsin Carbone Cancer Center - University Hospital
      • Manitowoc, Wisconsin, Stati Uniti, 54221
        • Holy Family Memorial Hospital
      • Marinette, Wisconsin, Stati Uniti, 54143
        • Aurora Bay Area Medical Group-Marinette
      • Marinette, Wisconsin, Stati Uniti, 54143
        • Saint Vincent Hospital Cancer Center at Marinette
      • Marshfield, Wisconsin, Stati Uniti, 54449
        • Marshfield Medical Center-Marshfield
      • Milwaukee, Wisconsin, Stati Uniti, 53209
        • Aurora Cancer Care-Milwaukee
      • Milwaukee, Wisconsin, Stati Uniti, 53215
        • Aurora Saint Luke's Medical Center
      • Milwaukee, Wisconsin, Stati Uniti, 53233
        • Aurora Sinai Medical Center
      • Minocqua, Wisconsin, Stati Uniti, 54548
        • Marshfield Medical Center - Minocqua
      • Mukwonago, Wisconsin, Stati Uniti, 53149
        • ProHealth D N Greenwald Center
      • New Richmond, Wisconsin, Stati Uniti, 54017
        • Cancer Center of Western Wisconsin
      • Oconomowoc, Wisconsin, Stati Uniti, 53066
        • ProHealth Oconomowoc Memorial Hospital
      • Oconto Falls, Wisconsin, Stati Uniti, 54154
        • Saint Vincent Hospital Cancer Center at Oconto Falls
      • Oshkosh, Wisconsin, Stati Uniti, 54904
        • Vince Lombardi Cancer Clinic - Oshkosh
      • Racine, Wisconsin, Stati Uniti, 53406
        • Aurora Cancer Care-Racine
      • Racine, Wisconsin, Stati Uniti, 53405
        • Ascension All Saints Hospital-Spring Street-Racine
      • Rhinelander, Wisconsin, Stati Uniti, 54501
        • Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
      • Rice Lake, Wisconsin, Stati Uniti, 54868
        • Marshfield Medical Center-Rice Lake
      • Sheboygan, Wisconsin, Stati Uniti, 53081
        • Vince Lombardi Cancer Clinic-Sheboygan
      • Sheboygan, Wisconsin, Stati Uniti, 53081
        • HSHS Saint Nicholas Hospital
      • Stevens Point, Wisconsin, Stati Uniti, 54482
        • Marshfield Medical Center-River Region at Stevens Point
      • Stevens Point, Wisconsin, Stati Uniti, 54481
        • Aspirus Cancer Care - Stevens Point
      • Sturgeon Bay, Wisconsin, Stati Uniti, 54235-1495
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
      • Summit, Wisconsin, Stati Uniti, 53066
        • Aurora Medical Center in Summit
      • Two Rivers, Wisconsin, Stati Uniti, 54241
        • Vince Lombardi Cancer Clinic-Two Rivers
      • Waukesha, Wisconsin, Stati Uniti, 53188
        • UW Cancer Center at ProHealth Care
      • Waukesha, Wisconsin, Stati Uniti, 53188
        • ProHealth Waukesha Memorial Hospital
      • Waukesha, Wisconsin, Stati Uniti, 53188
        • Aurora Cancer Care-Waukesha
      • Wausau, Wisconsin, Stati Uniti, 54401
        • Marshfield Clinic-Wausau Center
      • Wausau, Wisconsin, Stati Uniti, 54401
        • Aspirus Cancer Care-Wausau
      • Wauwatosa, Wisconsin, Stati Uniti, 53226
        • Aurora Cancer Care-Milwaukee West
      • West Allis, Wisconsin, Stati Uniti, 53227
        • Aurora West Allis Medical Center
      • Weston, Wisconsin, Stati Uniti, 54476
        • Marshfield Medical Center - Weston
      • Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
        • Aspirus Cancer Care - Wisconsin Rapids
      • Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
        • Marshfield Clinic - Wisconsin Rapids Center
    • Wyoming
      • Cheyenne, Wyoming, Stati Uniti, 82001
        • Cheyenne Regional Medical Center-West
  • Sud Africa
      • Pretoria, Sud Africa, 0002
        • University Of Pretoria

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Criteri di ammissibilità

I requisiti chiave che devono soddisfare le persone che vogliono partecipare a uno studio clinico o le caratteristiche che devono avere. I criteri di ammissibilità sono costituiti sia da criteri di inclusione (necessari a una persona per partecipare allo studio) sia da criteri di esclusione (che impediscono a una persona di partecipare). I tipi di criteri di ammissibilità includono se uno studio accetta volontari sani, ha requisiti di età o gruppo di età o è limitato dal sesso.

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Estrogen receptor (ER) and/or progesterone receptor (PR) positive histologically confirmed adenocarcinoma of the breast with staining of >= 1% cells will be considered positive; receptor status may be based on any time during treatment prior to study randomization, and from any site (i.e. primary, recurrent, or metastatic)

  • Patients whose tumors have HER2 immunohistochemistry (IHC) 3+, in situ hybridization (ISH) >= 2.0, or average HER2 copy number >= 6.0 signals per cell are not eligible; receptor status may be based on any time during treatment prior to study randomization, and from any site (i.e. primary, recurrent, or metastatic)

  • Patients must have measurable or non-measurable stage III/locally advanced or metastatic carcinoma of the breast where local therapy with curative intent is not possible; lesions must be evaluated =< 4 weeks prior to study randomization; diagnostic-quality computed tomography (CT) scans with both oral and intravenous (IV) contrast are the expected radiologic method, unless an alternative is approved

    • NOTE: Where baseline imaging has already been performed =< 6 weeks prior to study randomization, repeat imaging may not be required
    • NOTE: As of October 16, 2016, accrual of new patients having non-measurable disease has stopped; the planned accrual for this target population has been reached

  • Pre/peri- and postmenopausal women and all men are eligible for this trial; postmenopausal is defined as:

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

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

    • Age < 55 with prior hysterectomy but intact ovaries, with estradiol < 20 pg/ml

    • Prior bilateral oophorectomy

      • NOTE: Women who do not fit the criteria for being postmenopausal as above are deemed pre-or peri-menopausal; pre/perimenopausal women and all men can enroll provided they agree to receive concomitant luteinizing hormone-releasing hormone (LHRH) agonist; pre/perimenopausal women must have commenced treatment with LHRH agonist at least 4 weeks prior to randomization; if patients have received alternative LHRH agonist prior to study entry, they must switch to goserelin for the duration of the trial

  • Sexually active males and pre/perimenopausal women must agree to use an accepted and effective method of contraception or to abstain from sexual intercourse for the duration of their participation in the study and for 3 months after discontinuation of therapy

  • Women must not be pregnant or breast-feeding; all females of childbearing potential must have a blood test or urine study =< 2 weeks prior to randomization

    • A female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)

  • Patients must not have known central nervous system metastasis or a history of central nervous system (CNS) metastases; patients with leptomeningeal disease are not eligible

  • Patients must be disease-free of prior invasive malignancies for > 5 years with the exception of curatively-treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix

    • NOTE: If there is a history of prior malignancy, patients must not be receiving other specific treatment for that cancer

  • Patients must meet at least one of the following criteria:

    • Disease progression any time after non-steroidal AI use in the advanced disease setting
    • Relapse while on or within =< 12 months of end of adjuvant non-steroidal AI therapy with or without prior endocrine therapy for advanced disease
    • NOTE: In either setting, treatment with any prior endocrine therapy must be completed >= 2 weeks prior to cycle 1 day 1 (C1D1) of study treatment with the exception of exemestane which is permitted in the advanced disease setting within =< 4 weeks immediately prior to C1D1; prior adjuvant exemestane is allowed if the disease free interval is > 12 months from the discontinuation of exemestane; prior faslodex, everolimus, palbociclib or other cyclin-dependent kinase (CDK) inhibitor (e.g. ribociclib, abemaciclib) use are allowed and must have been completed >= 2 weeks prior to C1D1; failure to adhere to this washout guideline will result in a protocol violation

  • Patients may have received only one prior chemotherapy regimen for metastatic disease provided treatment was completed >= 3 weeks prior to randomization

  • Patients may be treated with bone modifying agents such as bisphosphonates or RANK-ligand agents (e.g. denosumab) per American Society of Clinical Oncology (ASCO) guidelines; whenever possible, patients requiring bone modifying agents should start treatment >= 7 days prior to study therapy and should continue the same agent throughout study unless clinically compelled to change

  • Prior radiotherapy must in general have been completed >= 2 weeks prior to randomization and patients must have recovered from the toxicity of the radiation

    • NOTE: Patients may receive concurrent radiation therapy to painful sites of bony disease or areas of impending fracture as long as sites of measurable or non-measurable disease outside the radiation therapy port are available to follow

  • Patients must NOT receive concurrent anti-cancer therapy or investigational agent unless specified in protocol

  • Patients must NOT be receiving valproic acid, an histone deacetylase (HDAC) inhibitor, and may not have previously received any HDAC inhibitor prior to enrollment (e.g. valproic acid, entinostat, vorinostat) unless discussed with the study chair; patients must not have received prior HDAC therapy for the treatment of their malignancy

  • Patients must have no known allergies to exemestane, entinostat, or medications that have a benzamide structure (e.g., tiapride, remoxipride, clebropride)

  • Patients must NOT suffer from medical or psychiatric conditions that would interfere with protocol compliance, the ability to provide informed consent, or assessment of response or anticipated toxicities; this includes uncontrolled intercurrent illness including, but not limited to ongoing or active infection

  • Patients must have recovered from all clinically relevant adverse events to grade 1 or baseline due to previous agents administered (except alopecia)

  • Patients must have adequate hematologic, liver and renal function =< 28 days prior to randomization

    • NOTE: It is preferred that laboratory values for eligibility be assessed after the last dose of prior treatment, especially in cases where most-recent treatment prior to study entry is chemotherapy

  • Hemoglobin (HgB) >= 9.0 g/dL (=< 28 days prior to randomization)

  • Platelet count >= 100,000/mcL (=< 28 days prior to randomization)

  • Absolute neutrophil count >= 1,500/mcL (=< 28 days prior to randomization)

  • Creatinine =< 2.0 mg/dL (=< 28 days prior to randomization)

  • Total bilirubin < 1.5 x institutional upper limit of normal (=< 3 mg/dL in case of Gilbert's syndrome) (=< 28 days prior to randomization)

  • Transaminases (alanine aminotransferase [ALT], aspartate aminotransferase [AST]) =< 2.5 x institutional upper limit normal (=< 28 days prior to randomization)

  • Known human immunodeficiency virus (HIV)-positive patients should have a cluster of differentiation (CD)4 count > 250/mm^3

  • Patients must have Eastern Cooperative Oncology Group (ECOG) performance status 0-1

  • Patients must have a life expectancy >= 12 weeks

  • Patients must be able to swallow tablets

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Doppio

Armi e interventi

Gruppo di partecipanti / Arm

Gruppo di partecipanti / Arm

Un gruppo o sottogruppo di partecipanti a uno studio clinico che riceve un intervento/trattamento specifico o nessun intervento, secondo il protocollo dello studio.
Intervento / Trattamento

Intervento / Trattamento

Un processo o un'azione che è al centro di uno studio clinico. Gli interventi includono farmaci, dispositivi medici, procedure, vaccini e altri prodotti sperimentali o già disponibili. Gli interventi possono anche includere approcci non invasivi, come l'educazione o la modifica della dieta e dell'esercizio fisico.
Sperimentale: Arm A (exemestane, entinostat)

Patients receive exemestane PO QD on days 1-28 and entinostat PO on days 1, 8, 15, and 22. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT or MRI at baseline, at the end of cycle 3, every 3 cycles, at treatment discontinuation, and during follow-up, collection of blood samples at baseline and day 15 of cycle 1, and collection of archived tissue at baseline.

Pre/perimenopausal female patients and all male patients also receive goserelin acetate SC on day 1.
Droga: Exemestane

Given PO

Altri nomi:
  • Aromasin
  • FCE-24304
Altro: Quality-of-Life Assessment

Ancillary studies

Altri nomi:
  • Valutazione della qualità della vita
Procedura: Computed Tomography

Undergo CT

Altri nomi:
  • CT
  • GATTO
  • TAC
  • Tomografia assiale computerizzata
  • Tomografia computerizzata
  • tomografia
  • Tomografia assiale computerizzata (procedura)
  • Scansione tomografia computerizzata (CT).
  • Scansione CAT diagnostica
  • Tipo di servizio di scansione CAT diagnostica
Procedura: Magnetic Resonance Imaging

Undergo MRI

Altri nomi:
  • Risonanza magnetica
  • Scansione di immagini a risonanza magnetica
  • Imaging medico, risonanza magnetica/risonanza magnetica nucleare
  • SIG
  • Imaging RM
  • Scansione MRI
  • Imaging NMR
  • RMN
  • Risonanza Magnetica Nucleare
  • Imaging a risonanza magnetica (MRI)
  • sMRI
  • Imaging a risonanza magnetica (procedura)
  • RM strutturale
Droga: Goserelin Acetate

Given SC

Altri nomi:
  • ZDX
  • Zoladex
Procedura: Biospecimen Collection

Undergo collection of blood and archived tissue samples

Altri nomi:
  • Raccolta di campioni biologici
  • Biocampione raccolto
  • Raccolta di campioni
  • Raccolta campione
Droga: Entinostat

Given PO

Altri nomi:
  • Inibitore HDAC SNDX-275
  • SM 27-275
  • MS-275
  • SNDX-275
  • MS275
  • MS 275
  • SNDX275
Droga: Goserelin

Given PO

Altri nomi:
  • ICI-118630
Comparatore placebo: Arm B (exemestane, placebo)

Patients receive exemestane as in Arm A and placebo PO on days 1, 8, 15, and 22. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT or MRI at baseline, at the end of cycle 3, every 3 cycles, at treatment discontinuation, and during follow-up, collection of blood samples at baseline and day 15 of cycle 1, and collection of archived tissue at baseline.

Pre/perimenopausal female patients and all male patients also receive goserelin acetate SC on day 1.
Droga: Exemestane

Given PO

Altri nomi:
  • Aromasin
  • FCE-24304
Altro: Quality-of-Life Assessment

Ancillary studies

Altri nomi:
  • Valutazione della qualità della vita
Procedura: Computed Tomography

Undergo CT

Altri nomi:
  • CT
  • GATTO
  • TAC
  • Tomografia assiale computerizzata
  • Tomografia computerizzata
  • tomografia
  • Tomografia assiale computerizzata (procedura)
  • Scansione tomografia computerizzata (CT).
  • Scansione CAT diagnostica
  • Tipo di servizio di scansione CAT diagnostica
Procedura: Magnetic Resonance Imaging

Undergo MRI

Altri nomi:
  • Risonanza magnetica
  • Scansione di immagini a risonanza magnetica
  • Imaging medico, risonanza magnetica/risonanza magnetica nucleare
  • SIG
  • Imaging RM
  • Scansione MRI
  • Imaging NMR
  • RMN
  • Risonanza Magnetica Nucleare
  • Imaging a risonanza magnetica (MRI)
  • sMRI
  • Imaging a risonanza magnetica (procedura)
  • RM strutturale
Altro: Placebo Administration

Given PO

Droga: Goserelin Acetate

Given SC

Altri nomi:
  • ZDX
  • Zoladex
Procedura: Biospecimen Collection

Undergo collection of blood and archived tissue samples

Altri nomi:
  • Raccolta di campioni biologici
  • Biocampione raccolto
  • Raccolta di campioni
  • Raccolta campione
Droga: Goserelin

Given PO

Altri nomi:
  • ICI-118630

Cosa sta misurando lo studio?

Misure di risultato primarie

Misure di risultato primarie

Nel protocollo di uno studio clinico, la misura dell'esito pianificato più importante per valutare l'effetto di un intervento/trattamento. La maggior parte degli studi clinici ha una misura di esito primaria, ma alcuni ne hanno più di una.
Misura del risultato
Misura Descrizione
Lasso di tempo
Progression-free Survival (PFS)
Lasso di tempo: Assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression

Progression-free survival (PFS) was defined to be time from randomization to the earliest documented disease progression as defined by the RECIST criteria, new primary breast cancer, or death without progression. Disease assessment was to continue until disease progression, even after non-protocol anti-cancer therapy was started. Cases with incomplete follow up or without adequate disease evaluations were censored at the date last documented to be free of progression, regardless of whether non-protocol anti-cancer therapy was started or not. Disease progression was based on central review, and defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. In addition, the appearance of one or more new lesions was also considered progression. Kaplan-Meier method was used to estimate PFS rate.
Assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression
Overall Survival (OS)
Lasso di tempo: Assessed every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until death

Overall survival (OS) was defined to be time from randomization to death from any cause. Cases who were still alive were censored at the date last known alive.
Assessed every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until death

Misure di risultato secondarie

Misure di risultato secondarie

Nel protocollo di uno studio clinico, una misura dell'esito pianificato che non è importante quanto la misura dell'esito primario per valutare l'effetto di un intervento ma è comunque di interesse. La maggior parte degli studi clinici ha più di una misura di esito secondaria.
Misura del risultato
Misura Descrizione
Lasso di tempo
Objective Response Rate (ORR)
Lasso di tempo: Assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression

Objective response rate was defined as number of patients with complete response (CR) or partial response (PR) divided by all randomized patients. Responses were evaluated using the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline. CR was defined as disappearance of all target and non-target lesions. PR was defined as at least a 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameters), and/or persistence of one or more non-target lesion(s).
Assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression
Time-to-treatment Deterioration (TTD)
Lasso di tempo: Disease assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression

Time-to-treatment deterioration (TTD) was defined as time from randomization to disease progression or death or worsening of symptoms, whichever occurred first. Disease progression was assessed per RECIST v1.1. Symptoms deterioration was measured by 6 items (GP1, GP2, GP4, GF7, B1, P2, scored 0-24) from the 8-item FACT-Breast Symptom Index (FBSI). Symptom deterioration was defined as two consecutive available decreases of at least 3 points from baseline using the 6-item FBSI in this trial, and the second visit time was used as the time of symptom deterioration in this case, unless it was the final score, for which one decrease was sufficient. Kaplan-Meier method was used to estimate the median TTD and TTD rate at a certain time point. Symptoms were assessed every cycle for the first six months after randomization, every two cycles between 6 months and 1 year. It then were assessed based on the same schedule for tumor assessments until disease progression as specified below.
Disease assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression
Lysine Acetylation Change in CD45 Blood Mononuclear Cells Between C1D1 and C1D15 and PFS in Patients on Arm A
Lasso di tempo: Disease assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression

Peripheral blood samples (PBMCs) were collected prior to therapy and on Days 8 and 15 of cycle 1, for assessment of lysine acetylation, using an assay developed by the Trepel Laboratory, NCI/NIH. CD45 blood mononuclear cells were measured. Patients with lysine acetylation change of 1.5 folds or higher were compared to patients with lysine acetylation change of less than 1.5 folds.
Disease assessed at baseline, then every 12 weeks until treatment discontinuation, then every 3 months within 2 years from study entry, every 6 months between 2-5 years and annually between 6-10 years from study entry, until first disease progression
Patient-reported Health-related Quality of Life
Lasso di tempo: Assessed at baseline and end of cycle 3

Health-related quality of life (HRQL) was measured using Functional Assessment of Cancer Therapy - General (FACT-G). The primary endpoint for HRQL was the FACT-G Trial Outcome Index (TOI) which was an aggregate score of 5 items from the FACT-G-Physical subscale (GP2, GP3, GP4, GP6, and GP7) and 6 items from the FACT-G-Functional subscale (GF1, GF2, GF3, GF4, GF6, and GF7). All items were rated on a 5-point Likert scale from 0 to 4. FACT-G TOI subscale score was calculated based on the scoring manual, subscale score ranges from 0 to 44, and higher scores indicate better quality of life. The primary comparison of HRQL between treatment arms was based on the end of cycle 3 assessment.
Assessed at baseline and end of cycle 3
Patient-reported Diarrhea
Lasso di tempo: Assessed at baseline and end of cycle 3

Diarrhea was measured by Functional Assessment of Chronic Illness Therapy for Patients With Diarrhea (FACIT-Diarrhea) subscale form, which had 11 items, all items were rated on a 5-point Likert scale from 0 to 4. FACIT-Diarrhea subscale score was calculated based on the scoring manual, subscale score ranges from 0 to 44, and higher score indicates less diarrhea. The primary comparison of patient-reported diarrhea between treatment arms was based on the end of cycle 3 assessment.
Assessed at baseline and end of cycle 3
Patient-reported Fatigue
Lasso di tempo: Assessed at baseline and end of cycle 3

Fatigue was measured by PROMIS Fatigue short form, it had 7 items and all items were rated on a 5-point Likert scale from 1 to 5. The PROMIS Fatigue total score and T score were calculated based on the scoring manual. The total score ranges from 7 to 35, the T score ranges from 29.4 to 83.2, higher scores indicate more fatigue. The PROMIS Fatigue T score was used for arm comparison. The primary comparison of patient-reported fatigue between treatment arms was based on the end of cycle 3 assessment.
Assessed at baseline and end of cycle 3
Patient-reported Nausea and Anorexia
Lasso di tempo: Assessed at baseline and end of cycle 3

Nausea and anorexia were measured by The Functional Assessment of Anorexia/Cachexia Treatment (FAACT)-additional concerns, which had 12 items, all items were rated on a 5-point Likert scale from 0 to 4. FAACT-additional concerns subscale score was calculated based on scoring manual. Subscale score ranges from 0 to 48, and higher scores indicate less nausea and anorexia. The primary comparison of patient-reported nausea and anorexia between treatment arms was based on the end of cycle 3 assessment.
Assessed at baseline and end of cycle 3

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Sponsor

L'organizzazione o la persona che avvia lo studio e che ha autorità e controllo sullo studio.
National Cancer Institute (NCI)

Investigatori

Investigatori

Un ricercatore coinvolto in uno studio clinico. I termini correlati includono il ricercatore principale del sito, il ricercatore secondario del sito, il presidente dello studio, il direttore dello studio e il ricercatore principale dello studio.
  • Investigatore principale: Roisin M Connolly, ECOG-ACRIN Cancer Research Group

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Collegamenti utili

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

Inizio studio

La data effettiva in cui il primo partecipante è stato arruolato in uno studio clinico. La data di inizio dello studio "prevista" è la data che i ricercatori pensano sarà la data di inizio dello studio.
29 marzo 2014

Completamento primario (Effettivo)

Completamento primario

La data in cui l'ultimo partecipante a uno studio clinico è stato esaminato o ha ricevuto un intervento per raccogliere i dati finali per la misura dell'esito primario. Il fatto che lo studio clinico sia terminato secondo il protocollo o sia stato interrotto non influisce su questa data. Per gli studi clinici con più di una misura di esito primario con diverse date di completamento, questo termine si riferisce alla data in cui la raccolta dei dati è completata per tutte le misure di esito primario. La data di completamento principale "prevista" è la data che i ricercatori ritengono sarà la data di completamento principale per lo studio.
5 maggio 2020

Completamento dello studio (Stimato)

Completamento dello studio

La data in cui l'ultimo partecipante a uno studio clinico è stato esaminato o ha ricevuto un intervento/trattamento per raccogliere i dati finali per le misure di esito primarie, le misure di esito secondarie e gli eventi avversi (ovvero l'ultima visita dell'ultimo partecipante). La data di completamento dello studio "prevista" è la data che i ricercatori ritengono sarà la data di completamento dello studio.
2 giugno 2027

Date di iscrizione allo studio

Primo inviato

Primo inviato

La data in cui lo sponsor o il ricercatore dello studio ha inviato per la prima volta un record di studio a ClinicalTrials.gov. In genere c'è un ritardo di alcuni giorni tra la prima data di invio e la disponibilità del record su ClinicalTrials.gov (la prima data di invio).
14 aprile 2014

Primo inviato che soddisfa i criteri di controllo qualità

Primo inviato che soddisfa i criteri di controllo qualità

La data in cui lo sponsor dello studio o il ricercatore invia per la prima volta un record di studio che è coerente con i criteri di revisione del controllo di qualità (QC) della National Library of Medicine (NLM). Lo sponsor o lo sperimentatore potrebbe dover rivedere e inviare un record di studio una o più volte prima che i criteri di revisione QC di NLM siano soddisfatti. È responsabilità dello sponsor o dello sperimentatore garantire che il record dello studio sia coerente con i criteri di revisione QC NLM.
14 aprile 2014

Primo Inserito (Stimato)

Primo Inserito

La data in cui il record dello studio è stato disponibile per la prima volta su ClinicalTrials.gov dopo la conclusione della revisione del controllo di qualità (QC) della National Library of Medicine (NLM). In genere c'è un ritardo di alcuni giorni tra la data in cui lo sponsor dello studio o lo sperimentatore ha presentato il record dello studio e la prima data pubblicata.
16 aprile 2014

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

Ultimo aggiornamento pubblicato

La data più recente in cui le modifiche al record di uno studio sono state rese disponibili su ClinicalTrials.gov. Potrebbe esserci un ritardo tra il momento in cui le modifiche sono state inviate a ClinicalTrials.gov dallo sponsor o dallo sperimentatore dello studio (data di invio dell'ultimo aggiornamento) e la data di pubblicazione dell'ultimo aggiornamento.
22 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

Ultimo aggiornamento inviato che soddisfa i criteri QC

La data più recente in cui lo sponsor dello studio o il ricercatore ha presentato modifiche a un record di studio che sono coerenti con i criteri di revisione del controllo di qualità (QC) della National Library of Medicine (NLM). È responsabilità dello sponsor o dello sperimentatore garantire che il record dello studio sia coerente con i criteri di revisione QC NLM.
21 ottobre 2026

Ultimo verificato

Ultimo verificato

La data più recente in cui lo sponsor dello studio o il ricercatore ha confermato che le informazioni su uno studio clinico su ClinicalTrials.gov sono accurate e aggiornate. Se uno studio con stato di reclutamento di reclutamento; non ancora reclutamento; o attivo, non reclutamento non è stato confermato negli ultimi 2 anni, lo stato di reclutamento dello studio viene mostrato come sconosciuto.
1 giugno 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

Altri numeri di identificazione dello studio

Identificatori o numeri ID diversi dal numero NCT assegnati a uno studio clinico dallo sponsor, dai finanziatori o da altri dello studio. Questi numeri possono includere identificatori univoci di altri registri di sperimentazione e numeri di sovvenzioni del National Institutes of Health.
  • NCI-2014-00746
  • U10CA180820 (Sovvenzione/contratto NIH degli Stati Uniti)
  • U24CA196172 (Sovvenzione/contratto NIH degli Stati Uniti)
  • U10CA021115 (Sovvenzione/contratto NIH degli Stati Uniti)
  • NCI-2014-00746 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
  • E2112 (Altro identificatore: CTEP)
  • ECOG-E2112
  • E2112 (Altro identificatore: ECOG-ACRIN Cancer Research Group)

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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