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Bevacizumab, Sorafenib Tosylate, and Temsirolimus in Treating Patients With Metastatic Kidney Cancer

15 ottobre 2018 aggiornato da: National Cancer Institute (NCI)

The BeST Trial: A Randomized Phase II Study of VEGF, RAF Kinase, and mTOR Combination Targeted Therapy (CTT) With Bevacizumab, Sorafenib, and Temsirolimus in Advanced Renal Cell Carcinoma

This randomized phase II trial studies different combinations of bevacizumab, temsirolimus, and sorafenib tosylate to see how well they work compared with bevacizumab alone in treating patients with kidney cancer that has spread to other places in the body. Monoclonal antibodies, such as bevacizumab, may interfere with the ability of tumor cells to grow and spread. Bevacizumab and sorafenib tosylate may stop the growth of tumor cells by blocking blood flow to the tumor. Temsirolimus and sorafenib tosylate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving different combinations of bevacizumab, sorafenib tosylate, and temsirolimus may be more effective than bevacizumab alone in treating metastatic kidney cancer.

Panoramica dello studio

Stato

Completato

Condizioni

Intervento / Trattamento

Descrizione dettagliata

PRIMARY OBJECTIVES:

I. To assess progression-free survival on each arm of combination targeted therapy (CTT) compared to that of bevacizumab alone.

SECONDARY OBJECTIVES:

I. To assess the significance of changes in tumor size over early time points as a predictor of progression-free survival (PFS).

II. To quantify the number and percent of patients who have stable disease at 6 months of therapy (failure to progress) in each treatment arm of CTT in patients with metastatic renal cell carcinoma (RCC).

III. To evaluate the safety of each treatment arm of combination targeted therapy (CTT) in patients with metastatic RCC.

IV. To assess overall survival in each arm of the study. V. To assess the objective response rate in each treatment arm of CTT in patients with metastatic RCC.

VI. To assess pathology, angiogenesis histology and to assess activation status of mitogen activated protein (MAP) kinase and vascular endothelial growth factor receptor 2 (VEGFR2) pathways and relate to clinical outcome.

TERTIARY OBJECTIVES:

I. To analyze the pharmacokinetic and pharmacogenetic properties of sorafenib (sorafenib tosylate) including angiogenesis, monooxygenases polymorphisms and multi-drug resistance (MDR).

II. To relate changes in tumor perfusion and vascular permeability on serial dynamic contrast-enhanced magnetic resonance imaging (MRI) to clinical outcome and radiologic regression detected by other standard methods.

III. To assess the potential of dynamic contrast-enhanced (DCE)-MRI imaging as a biomarker for response to therapy and/or as a prognostic indicator of disease progression.

IV. To assess site readiness and ability in acquiring DCE-MRI data. V. To determine the relationship between tumor and blood biomarkers and clinical outcomes of patients treated with the combination of targeted agents.

OUTLINE: Patients are randomized to 1 of 4 treatment arms.

ARM A: Patients receive bevacizumab intravenously (IV) over 30-90 minutes on days 1 and 15.

ARM B: Patients receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22 and bevacizumab as in Arm A.

ARM C: Patients receive bevacizumab as in Arm A and sorafenib tosylate orally (PO) twice daily (BID) on days 1-5, 8-12, 15-19, and 22-26.

ARM D: Patients receive sorafenib tosylate PO BID on days 1-28 and temsirolimus as in Arm B.

In all arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up periodically for 5 years.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

361

Fase

Fase 2

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

Perù
- - Lima, Perù, Lima 34
    - Instituto Nacional de Enfermedades Neoplasicas
Stati Uniti
- Alabama
  - Birmingham, Alabama, Stati Uniti, 35233
    - University of Alabama at Birmingham Cancer Center
  - Mobile, Alabama, Stati Uniti, 36608
    - Providence Hospital
- Arizona
  - Scottsdale, Arizona, Stati Uniti, 85259
    - Mayo Clinic in Arizona
  - Tucson, Arizona, Stati Uniti, 85724
    - The University of Arizona Medical Center-University Campus
- Arkansas
  - Fort Smith, Arkansas, Stati Uniti, 72903
    - Mercy Hospital Fort Smith
  - Jonesboro, Arkansas, Stati Uniti, 72401
    - NEA Baptist Memorial Hospital
  - Little Rock, Arkansas, Stati Uniti, 72205
    - University of Arkansas for Medical Sciences
- California
  - Berkeley, California, Stati Uniti, 94704
    - Alta Bates Summit Medical Center-Herrick Campus
  - Burbank, California, Stati Uniti, 91505
    - Providence Saint Joseph Medical Center/Disney Family Cancer Center
  - Burlingame, California, Stati Uniti, 94010
    - Mills-Peninsula Medical Center
  - Castro Valley, California, Stati Uniti, 94546
    - Eden Hospital Medical Center
  - Castro Valley, California, Stati Uniti, 94546
    - East Bay Radiation Oncology Center
  - Castro Valley, California, Stati Uniti, 94546
    - Valley Medical Oncology Consultants-Castro Valley
  - Emeryville, California, Stati Uniti, 94608
    - Bay Area Breast Surgeons Inc
  - Fremont, California, Stati Uniti, 94538
    - Valley Medical Oncology Consultants-Fremont
  - Glendale, California, Stati Uniti, 91204
    - Glendale Memorial Hospital and Health Center
  - Greenbrae, California, Stati Uniti, 94904
    - Marin Cancer Care Inc
  - Greenbrae, California, Stati Uniti, 94904
    - Marin General Hospital
  - La Jolla, California, Stati Uniti, 92093
    - UC San Diego Moores Cancer Center
  - Los Angeles, California, Stati Uniti, 90033
    - USC / Norris Comprehensive Cancer Center
  - Martinez, California, Stati Uniti, 94553-3156
    - Contra Costa Regional Medical Center
  - Marysville, California, Stati Uniti, 95901
    - Fremont - Rideout Cancer Center
  - Mountain View, California, Stati Uniti, 94040
    - El Camino Hospital
  - Mountain View, California, Stati Uniti, 94040
    - Palo Alto Medical Foundation-Camino Division
  - Novato, California, Stati Uniti, 94945
    - Sutter Cancer Research Consortium
  - Oakland, California, Stati Uniti, 94609
    - Alta Bates Summit Medical Center - Summit Campus
  - Oakland, California, Stati Uniti, 94609
    - Hematology and Oncology Associates-Oakland
  - Oakland, California, Stati Uniti, 94602
    - Highland General Hospital
  - Oakland, California, Stati Uniti, 94609
    - Tom K Lee Inc
  - Oakland, California, Stati Uniti, 94609
    - Bay Area Tumor Institute
  - Orange, California, Stati Uniti, 92868
    - Saint Joseph Hospital - Orange
  - Palo Alto, California, Stati Uniti, 94301
    - Palo Alto Medical Foundation Health Care
  - Pleasanton, California, Stati Uniti, 94588
    - Valley Care Health System - Pleasanton
  - Pleasanton, California, Stati Uniti, 94588
    - Valley Medical Oncology Consultants
  - Sacramento, California, Stati Uniti, 95817
    - University of California Davis Comprehensive Cancer Center
  - San Diego, California, Stati Uniti, 92103
    - University of California San Diego
  - San Diego, California, Stati Uniti, 92161
    - Veterans Administration-San Diego Medical Center
  - San Francisco, California, Stati Uniti, 94115
    - California Pacific Medical Center-Pacific Campus
  - San Pablo, California, Stati Uniti, 94806
    - Doctors Medical Center- JC Robinson Regional Cancer Center
  - Truckee, California, Stati Uniti, 96161
    - Gene Upshaw Memorial Tahoe Forest Cancer Center
  - Vallejo, California, Stati Uniti, 94589
    - Sutter Solano Medical Center/Cancer Center
- Colorado
  - Aurora, Colorado, Stati Uniti, 80045
    - University Of Colorado Hospital
  - Aurora, Colorado, Stati Uniti, 80012
    - The Medical Center of Aurora
  - Boulder, Colorado, Stati Uniti, 80301
    - Boulder Community Hospital
  - Colorado Springs, Colorado, Stati Uniti, 80907
    - Penrose-Saint Francis Healthcare
  - Colorado Springs, Colorado, Stati Uniti, 80909
    - UCHealth Memorial Hospital Central
  - Denver, Colorado, Stati Uniti, 80210
    - Porter Adventist Hospital
  - Denver, Colorado, Stati Uniti, 80217-3364
    - University of Colorado
  - Denver, Colorado, Stati Uniti, 80218
    - Presbyterian - Saint Lukes Medical Center - Health One
  - Denver, Colorado, Stati Uniti, 80218
    - SCL Health Saint Joseph Hospital
  - Denver, Colorado, Stati Uniti, 80220
    - Rose Medical Center
  - Denver, Colorado, Stati Uniti, 80222
    - Colorado Cancer Research Program NCORP
  - Edwards, Colorado, Stati Uniti, 81632
    - The Shaw Regional Cancer Center
  - Englewood, Colorado, Stati Uniti, 80113
    - Swedish Medical Center
  - Fort Collins, Colorado, Stati Uniti, 80524
    - Poudre Valley Hospital
  - Glenwood Springs, Colorado, Stati Uniti, 81601
    - Valley View Hospital Cancer Center
  - Grand Junction, Colorado, Stati Uniti, 81501
    - Saint Mary's Hospital and Regional Medical Center
  - Greeley, Colorado, Stati Uniti, 80631
    - North Colorado Medical Center
  - Lakewood, Colorado, Stati Uniti, 80228
    - Saint Anthony Hospital
  - Lone Tree, Colorado, Stati Uniti, 80124
    - Sky Ridge Medical Center
  - Longmont, Colorado, Stati Uniti, 80501
    - Longmont United Hospital
  - Loveland, Colorado, Stati Uniti, 80539
    - McKee Medical Center
  - Montrose, Colorado, Stati Uniti, 81401
    - Montrose Memorial Hospital
  - Pueblo, Colorado, Stati Uniti, 81004
    - Saint Mary Corwin Medical Center
  - Thornton, Colorado, Stati Uniti, 80229
    - North Suburban Medical Center
  - Wheat Ridge, Colorado, Stati Uniti, 80033
    - SCL Health Lutheran Medical Center
- Connecticut
  - Hartford, Connecticut, Stati Uniti, 06102
    - Hartford Hospital
- Delaware
  - Lewes, Delaware, Stati Uniti, 19958
    - Beebe Medical Center
  - Newark, Delaware, Stati Uniti, 19718
    - Christiana Care Health System-Christiana Hospital
- Florida
  - Boca Raton, Florida, Stati Uniti, 33486
    - Boca Raton Regional Hospital
  - Jacksonville, Florida, Stati Uniti, 32224-9980
    - Mayo Clinic in Florida
  - Orlando, Florida, Stati Uniti, 32806
    - UF Cancer Center at Orlando Health
- Georgia
  - Columbus, Georgia, Stati Uniti, 31904
    - John B Amos Cancer Center
  - Gainesville, Georgia, Stati Uniti, 30501
    - Northeast Georgia Medical Center-Gainesville
  - Macon, Georgia, Stati Uniti, 31201
    - Medical Center of Central Georgia
- Idaho
  - Post Falls, Idaho, Stati Uniti, 83854
    - Kootenai Cancer Center
- Illinois
  - Alton, Illinois, Stati Uniti, 62002
    - Saint Anthony's Health
  - Aurora, Illinois, Stati Uniti, 60504
    - Rush - Copley Medical Center
  - Berwyn, Illinois, Stati Uniti, 60402
    - MacNeal Hospital and Cancer Center
  - Bloomington, Illinois, Stati Uniti, 61704
    - Illinois CancerCare-Bloomington
  - Bloomington, Illinois, Stati Uniti, 61701
    - Saint Joseph Medical Center
  - Canton, Illinois, Stati Uniti, 61520
    - Illinois CancerCare-Canton
  - Canton, Illinois, Stati Uniti, 61520
    - Graham Hospital Association
  - Carthage, Illinois, Stati Uniti, 62321
    - Illinois CancerCare-Carthage
  - Carthage, Illinois, Stati Uniti, 62321
    - Memorial Hospital
  - Chicago, Illinois, Stati Uniti, 60611
    - Northwestern University
  - Chicago, Illinois, Stati Uniti, 60637
    - University of Chicago Comprehensive Cancer Center
  - Chicago, Illinois, Stati Uniti, 60612
    - University of Illinois
  - Chicago, Illinois, Stati Uniti, 60611
    - Hematology and Oncology Associates
  - Chicago, Illinois, Stati Uniti, 60631
    - Presence Resurrection Medical Center
  - Chicago, Illinois, Stati Uniti, 60612
    - Jesse Brown Veterans Affairs Medical Center
  - Decatur, Illinois, Stati Uniti, 62526
    - Decatur Memorial Hospital
  - Decatur, Illinois, Stati Uniti, 62526
    - Heartland Cancer Research NCORP
  - Elgin, Illinois, Stati Uniti, 60123
    - Advocate Sherman Hospital
  - Elk Grove Village, Illinois, Stati Uniti, 60007
    - AMITA Health Alexian Brothers Medical Center
  - Eureka, Illinois, Stati Uniti, 61530
    - Illinois CancerCare-Eureka
  - Eureka, Illinois, Stati Uniti, 61530
    - Eureka Hospital
  - Evanston, Illinois, Stati Uniti, 60201
    - NorthShore University HealthSystem-Evanston Hospital
  - Galesburg, Illinois, Stati Uniti, 61401
    - Illinois CancerCare-Galesburg
  - Galesburg, Illinois, Stati Uniti, 61401
    - Galesburg Cottage Hospital
  - Galesburg, Illinois, Stati Uniti, 61401
    - Illinois CancerCare-Cottage
  - Harvey, Illinois, Stati Uniti, 60426
    - Ingalls Memorial Hospital
  - Havana, Illinois, Stati Uniti, 62644
    - Mason District Hospital
  - Havana, Illinois, Stati Uniti, 62644
    - Illinois CancerCare-Havana
  - Highland Park, Illinois, Stati Uniti, 60035
    - Hematology Oncology Associates of Illinois-Highland Park
  - Hopedale, Illinois, Stati Uniti, 61747
    - Hopedale Medical Complex - Hospital
  - Joliet, Illinois, Stati Uniti, 60435
    - Joliet Oncology-Hematology Associates Limited
  - Joliet, Illinois, Stati Uniti, 60432
    - Midwest Center for Hematology Oncology
  - Kewanee, Illinois, Stati Uniti, 61443
    - Illinois CancerCare-Kewanee Clinic
  - Kewanee, Illinois, Stati Uniti, 61443
    - Kewanee Hospital
  - La Grange, Illinois, Stati Uniti, 60525
    - AMITA Health Adventist Medical Center
  - Libertyville, Illinois, Stati Uniti, 60048
    - NorthShore Hematology Oncology-Libertyville
  - Macomb, Illinois, Stati Uniti, 61455
    - Illinois CancerCare-Macomb
  - Macomb, Illinois, Stati Uniti, 61455
    - Mcdonough District Hospital
  - Moline, Illinois, Stati Uniti, 61265
    - Garneau, Stewart C MD (UIA Investigator)
  - Moline, Illinois, Stati Uniti, 61265
    - Porubcin, Michael MD (UIA Investigator)
  - Moline, Illinois, Stati Uniti, 61265
    - Spector, David MD (UIA Investigator)
  - Moline, Illinois, Stati Uniti, 61265
    - Trinity Medical Center
  - Moline, Illinois, Stati Uniti, 61265
    - Sharis, Christine M MD (UIA Investigator)
  - Moline, Illinois, Stati Uniti, 61265
    - Stoffel, Thomas J MD (UIA Investigator)
  - Monmouth, Illinois, Stati Uniti, 61462
    - Illinois CancerCare-Monmouth
  - Monmouth, Illinois, Stati Uniti, 61462
    - Holy Family Medical Center
  - Mount Vernon, Illinois, Stati Uniti, 62864
    - Good Samaritan Regional Health Center
  - Naperville, Illinois, Stati Uniti, 60563
    - DuPage Medical Group-Ogden
  - Naperville, Illinois, Stati Uniti, 60540
    - AMG Oncology - Naperville
  - Niles, Illinois, Stati Uniti, 60714
    - Illinois Cancer Specialists-Niles
  - Normal, Illinois, Stati Uniti, 61761
    - Community Cancer Center Foundation
  - Normal, Illinois, Stati Uniti, 61761
    - Bromenn Regional Medical Center
  - Normal, Illinois, Stati Uniti, 61761
    - Illinois CancerCare-Community Cancer Center
  - Ottawa, Illinois, Stati Uniti, 61350
    - Illinois CancerCare-Ottawa Clinic
  - Ottawa, Illinois, Stati Uniti, 61350
    - Ottawa Regional Hospital and Healthcare Center
  - Pekin, Illinois, Stati Uniti, 61554
    - Illinois CancerCare-Pekin
  - Pekin, Illinois, Stati Uniti, 61554
    - OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
  - Pekin, Illinois, Stati Uniti, 61554
    - Pekin Hospital
  - 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, 61614
    - Proctor Hospital
  - Peru, Illinois, Stati Uniti, 61354
    - Illinois CancerCare-Peru
  - Peru, Illinois, Stati Uniti, 61354
    - Illinois Valley Hospital
  - Princeton, Illinois, Stati Uniti, 61356
    - Illinois CancerCare-Princeton
  - Princeton, Illinois, Stati Uniti, 61356
    - Perry Memorial Hospital
  - Rockford, Illinois, Stati Uniti, 61114
    - SwedishAmerican Regional Cancer Center/ACT
  - Rockford, Illinois, Stati Uniti, 61104
    - Swedish American Hospital
  - Skokie, Illinois, Stati Uniti, 60076
    - Hematology Oncology Associates of Illinois - Skokie
  - Spring Valley, Illinois, Stati Uniti, 61362
    - Saint Margaret's Hospital
  - Spring Valley, Illinois, Stati Uniti, 61362
    - Illinois CancerCare-Spring Valley
  - Springfield, Illinois, Stati Uniti, 62781
    - Memorial Medical Center
  - Urbana, Illinois, Stati Uniti, 61801
    - Carle Cancer Center
- Indiana
  - Beech Grove, Indiana, Stati Uniti, 46107
    - Franciscan Saint Francis Health-Beech Grove
  - Elkhart, Indiana, Stati Uniti, 46515
    - Elkhart General Hospital
  - Elkhart, Indiana, Stati Uniti, 46514
    - Michiana Hematology Oncology PC-Elkhart
  - Elkhart, Indiana, Stati Uniti, 46514-2098
    - Elkhart Clinic
  - Fort Wayne, Indiana, Stati Uniti, 46845
    - Fort Wayne Medical Oncology and Hematology Inc-Parkview
  - 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, 46202
    - Richard L. Roudebush Veterans Affairs Medical Center
  - Kokomo, Indiana, Stati Uniti, 46904
    - Community Howard Regional Health
  - La Porte, Indiana, Stati Uniti, 46350
    - IU Health La Porte Hospital
  - Lafayette, Indiana, Stati Uniti, 47905
    - Horizon Oncology Research LLC
  - Michigan City, Indiana, Stati Uniti, 46360
    - Franciscan Saint Anthony Health-Michigan City
  - Mishawaka, Indiana, Stati Uniti, 46545
    - Michiana Hematology Oncology PC-Mishawaka
  - Mishawaka, Indiana, Stati Uniti, 46545
    - Saint Joseph Regional Medical Center-Mishawaka
  - Plymouth, Indiana, Stati Uniti, 46563
    - Michiana Hematology Oncology PC-Plymouth
  - Richmond, Indiana, Stati Uniti, 47374
    - Reid Health
  - South Bend, Indiana, Stati Uniti, 46601
    - Memorial Hospital of South Bend
  - South Bend, Indiana, Stati Uniti, 46601
    - Michiana Hematology Oncology PC-South Bend
  - South Bend, Indiana, Stati Uniti, 46628
    - Northern Indiana Cancer Research Consortium
  - South Bend, Indiana, Stati Uniti, 46617
    - South Bend Clinic
  - Westville, Indiana, Stati Uniti, 46391
    - Michiana Hematology Oncology PC-Westville
- Iowa
  - Ames, Iowa, Stati Uniti, 50010
    - McFarland Clinic PC - Ames
  - Bettendorf, Iowa, Stati Uniti, 52722
    - Constantinou, Costas L MD (UIA Investigator)
  - Bettendorf, Iowa, Stati Uniti, 52722
    - University of Iowa Healthcare Cancer Services Quad Cities
  - Cedar Rapids, Iowa, Stati Uniti, 52403
    - Mercy Hospital
  - Cedar Rapids, Iowa, Stati Uniti, 52403
    - Oncology Associates at Mercy Medical Center
  - Davenport, Iowa, Stati Uniti, 52803
    - Genesis Medical Center - East Campus
  - Davenport, Iowa, Stati Uniti, 52804
    - Genesis Medical Center - West Campus
  - 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, 50309
    - Medical Oncology and Hematology Associates-Des Moines
  - Des Moines, Iowa, Stati Uniti, 50316
    - Iowa Lutheran Hospital
  - Des Moines, Iowa, Stati Uniti, 50309
    - Iowa-Wide Oncology Research Coalition NCORP
  - Des Moines, Iowa, Stati Uniti, 50314
    - Medical Oncology and Hematology Associates-Laurel
  - Des Moines, Iowa, Stati Uniti, 50307
    - Mercy Capitol
  - Iowa City, Iowa, Stati Uniti, 52242
    - University of Iowa/Holden Comprehensive Cancer Center
  - Mason City, Iowa, Stati Uniti, 50401
    - Mercy Medical Center - North Iowa
  - Ottumwa, Iowa, Stati Uniti, 52501
    - Ottumwa Regional Health Center
  - Sioux City, Iowa, Stati Uniti, 51101
    - Siouxland Regional Cancer Center
  - Sioux City, Iowa, Stati Uniti, 51104
    - Saint Luke's Regional Medical Center
  - Sioux City, Iowa, Stati Uniti, 51104
    - Mercy Medical Center-Sioux City
- Kansas
  - Anthony, Kansas, Stati Uniti, 67003
    - Hospital District Sixth of Harper County
  - 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
  - Independence, Kansas, Stati Uniti, 67301
    - Cancer Center of Kansas-Independence
  - Kingman, Kansas, Stati Uniti, 67068
    - Cancer Center of Kansas-Kingman
  - Lawrence, Kansas, Stati Uniti, 66044
    - Lawrence Memorial Hospital
  - Liberal, Kansas, Stati Uniti, 67901
    - Southwest Medical Center
  - Newton, Kansas, Stati Uniti, 67114
    - Cancer Center of Kansas - Newton
  - Overland Park, Kansas, Stati Uniti, 66209
    - Menorah Medical Center
  - Overland Park, Kansas, Stati Uniti, 66213
    - Saint Luke's South Hospital
  - Overland Park, Kansas, Stati Uniti, 66210
    - Radiation Oncology Practice Corporation Southwest
  - 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
    - Cancer Center of Kansas - Salina
  - Shawnee Mission, Kansas, Stati Uniti, 66204
    - Shawnee Mission Medical Center-KCCC
  - Topeka, Kansas, Stati Uniti, 66606
    - Cotton O'Neil Cancer Center / Stormont Vail Health
  - Topeka, Kansas, Stati Uniti, 66606
    - Saint Francis Hospital and Medical Center - Topeka
  - Wellington, Kansas, Stati Uniti, 67152
    - Cancer Center of Kansas - Wellington
  - 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
  - Wichita, Kansas, Stati Uniti, 67214
    - Wichita NCI Community Oncology Research Program
  - Wichita, Kansas, Stati Uniti, 67214
    - Via Christi Regional Medical Center
  - Winfield, Kansas, Stati Uniti, 67156
    - Cancer Center of Kansas - Winfield
- Kentucky
  - Louisville, Kentucky, Stati Uniti, 40215
    - Doctors Carrol, Sheth, Raghavan
- Louisiana
  - 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, 70806
    - Baton Rouge General Medical Center
  - 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
  - Bangor, Maine, Stati Uniti, 04401
    - Eastern Maine Medical Center
  - Lewiston, Maine, Stati Uniti, 04240
    - Saint Mary's Regional Medical Center
- Maryland
  - Baltimore, Maryland, Stati Uniti, 21215
    - Sinai Hospital of Baltimore
  - Baltimore, Maryland, Stati Uniti, 21204
    - Greater Baltimore Medical Center
  - Elkton, Maryland, Stati Uniti, 21921
    - Union Hospital of Cecil County
  - Frederick, Maryland, Stati Uniti, 21701
    - Frederick Memorial Hospital
- Massachusetts
  - Boston, Massachusetts, Stati Uniti, 02215
    - Beth Israel Deaconess Medical Center
- Michigan
  - Adrian, Michigan, Stati Uniti, 49221
    - Bixby Medical Center
  - Adrian, Michigan, Stati Uniti, 49221
    - Hickman Cancer Center
  - Ann Arbor, Michigan, Stati Uniti, 48106
    - Saint Joseph Mercy Hospital
  - Ann Arbor, Michigan, Stati Uniti, 48106
    - Michigan Cancer Research Consortium NCORP
  - Battle Creek, Michigan, Stati Uniti, 49017
    - Bronson Battle Creek
  - Big Rapids, Michigan, Stati Uniti, 49307
    - Spectrum Health Big Rapids Hospital
  - Dearborn, Michigan, Stati Uniti, 48124
    - Beaumont Hospital-Dearborn
  - Detroit, Michigan, Stati Uniti, 48236
    - Ascension Saint John Hospital
  - Escanaba, Michigan, Stati Uniti, 49829
    - Green Bay Oncology - Escanaba
  - Flint, Michigan, Stati Uniti, 48532
    - Genesys Regional Medical Center-West Flint Campus
  - Flint, Michigan, Stati Uniti, 48503
    - Hurley Medical Center
  - Flint, Michigan, Stati Uniti, 48503
    - Genesys Hurley Cancer Institute
  - Grand Rapids, Michigan, Stati Uniti, 49503
    - Spectrum Health at Butterworth Campus
  - Grand Rapids, Michigan, Stati Uniti, 49503
    - Mercy Health Saint Mary's
  - Grand Rapids, Michigan, Stati Uniti, 49503
    - Cancer Research Consortium of West Michigan NCORP
  - Iron Mountain, Michigan, Stati Uniti, 49801
    - Green Bay Oncology - Iron Mountain
  - Jackson, Michigan, Stati Uniti, 49201
    - Allegiance Health
  - Kalamazoo, Michigan, Stati Uniti, 49007
    - West Michigan Cancer Center
  - Kalamazoo, Michigan, Stati Uniti, 49007
    - Bronson Methodist Hospital
  - Kalamazoo, Michigan, Stati Uniti, 49048
    - Borgess Medical Center
  - Lansing, Michigan, Stati Uniti, 48912
    - Sparrow Hospital
  - Livonia, Michigan, Stati Uniti, 48154
    - Saint Mary Mercy Hospital
  - Monroe, Michigan, Stati Uniti, 48162
    - Mercy Memorial Hospital
  - Monroe, Michigan, Stati Uniti, 48162
    - Toledo Clinic Cancer Centers-Monroe
  - Muskegon, Michigan, Stati Uniti, 49444
    - Mercy Health Mercy Campus
  - Muskegon, Michigan, Stati Uniti, 49442
    - Mercy Health Partners-Hackley Campus
  - Niles, Michigan, Stati Uniti, 49120
    - Lakeland Hospital Niles
  - Pontiac, Michigan, Stati Uniti, 48341
    - Saint Joseph Mercy Oakland
  - Port Huron, Michigan, Stati Uniti, 48060
    - Lake Huron Medical Center
  - Saginaw, Michigan, Stati Uniti, 48601
    - Saint Mary's of Michigan
  - Saint Joseph, Michigan, Stati Uniti, 49085
    - Lakeland Medical Center Saint Joseph
  - Saint Joseph, Michigan, Stati Uniti, 49085
    - Marie Yeager Cancer Center
  - Saint Joseph, Michigan, Stati Uniti, 49085
    - Oncology Care Associates PLLC
  - Southfield, Michigan, Stati Uniti, 48075
    - Providence Hospital-Southfield Cancer Center
  - Traverse City, Michigan, Stati Uniti, 49684
    - Munson Medical Center
  - Warren, Michigan, Stati Uniti, 48093
    - Saint John Macomb-Oakland Hospital
  - Wyoming, Michigan, Stati Uniti, 49519
    - Metro Health Hospital
- Minnesota
  - Alexandria, Minnesota, Stati Uniti, 56308
    - Medini, Eitan MD (UIA Investigator)
  - Burnsville, Minnesota, Stati Uniti, 55337
    - Fairview Ridges Hospital
  - Coon Rapids, Minnesota, Stati Uniti, 55433
    - Mercy Hospital
  - Duluth, Minnesota, Stati Uniti, 55805
    - Essentia Health Cancer Center
  - Duluth, Minnesota, Stati Uniti, 55805
    - Essentia Health Saint Mary's Medical Center
  - Duluth, Minnesota, Stati Uniti, 55805
    - Miller-Dwan Hospital
  - Edina, Minnesota, Stati Uniti, 55435
    - Fairview-Southdale Hospital
  - Fergus Falls, Minnesota, Stati Uniti, 56537
    - Etzell, Paul S MD (UIA Investigator)
  - Fergus Falls, Minnesota, Stati Uniti, 56537
    - Swenson, Wade II, MD (UIA Investigator)
  - Fridley, Minnesota, Stati Uniti, 55432
    - Unity Hospital
  - Hutchinson, Minnesota, Stati Uniti, 55350
    - Hutchinson Area Health Care
  - Litchfield, Minnesota, Stati Uniti, 55355
    - Meeker County Memorial Hospital
  - Maplewood, Minnesota, Stati Uniti, 55109
    - Saint John's Hospital - Healtheast
  - Maplewood, Minnesota, Stati Uniti, 55109
    - Minnesota Oncology Hematology PA-Maplewood
  - Minneapolis, Minnesota, Stati Uniti, 55415
    - Hennepin County Medical Center
  - Minneapolis, Minnesota, Stati Uniti, 55407
    - Abbott-Northwestern Hospital
  - Minneapolis, Minnesota, Stati Uniti, 55407
    - Virginia Piper Cancer Institute
  - Robbinsdale, Minnesota, Stati Uniti, 55422
    - North Memorial Medical Health Center
  - Rochester, Minnesota, Stati Uniti, 55905
    - Mayo Clinic
  - Saint Cloud, Minnesota, Stati Uniti, 56303
    - Coborn Cancer Center at Saint Cloud Hospital
  - Saint Cloud, Minnesota, Stati Uniti, 56303
    - Saint Cloud Hospital
  - Saint Louis Park, Minnesota, Stati Uniti, 55416
    - Park Nicollet Clinic - Saint Louis Park
  - Saint Louis Park, Minnesota, Stati Uniti, 55416
    - Metro Minnesota Community Oncology Research Consortium
  - Saint Paul, Minnesota, Stati Uniti, 55101
    - Regions Hospital
  - Saint Paul, Minnesota, Stati Uniti, 55102
    - United Hospital
  - Saint Paul, Minnesota, Stati Uniti, 55102
    - Saint Joseph's Hospital - Healtheast
  - Shakopee, Minnesota, Stati Uniti, 55379
    - Saint Francis Regional Medical Center
  - Waconia, Minnesota, Stati Uniti, 55387
    - Ridgeview Medical Center
  - Willmar, Minnesota, Stati Uniti, 56201
    - Rice Memorial Hospital
  - Woodbury, Minnesota, Stati Uniti, 55125
    - Minnesota Oncology Hematology PA-Woodbury
  - Woodbury, Minnesota, Stati Uniti, 55125
    - Woodwinds Health Campus
- Mississippi
  - Jackson, Mississippi, Stati Uniti, 39216
    - University of Mississippi Medical Center
  - Pascagoula, Mississippi, Stati Uniti, 39581
    - Singing River Hospital
- Missouri
  - Cape Girardeau, Missouri, Stati Uniti, 63703
    - Saint Francis Medical Center
  - Cape Girardeau, Missouri, Stati Uniti, 63701
    - Southeast Missouri Hospital
  - Independence, Missouri, Stati Uniti, 64057
    - Centerpoint Medical Center LLC
  - Joplin, Missouri, Stati Uniti, 64804
    - Mercy Hospital Joplin
  - Kansas City, Missouri, Stati Uniti, 64116
    - North Kansas City Hospital
  - Kansas City, Missouri, Stati Uniti, 64111
    - Saint Luke's Hospital of Kansas City
  - Kansas City, Missouri, Stati Uniti, 64132
    - Research Medical Center
  - Kansas City, Missouri, Stati Uniti, 64108
    - Truman Medical Center
  - Kansas City, Missouri, Stati Uniti, 64118
    - Heartland Hematology and Oncology Associates Incorporated
  - Kansas City, Missouri, Stati Uniti, 64114
    - Saint Joseph Health Center
  - Kansas City, Missouri, Stati Uniti, 64114
    - Radiation Oncology Practice Corporation South
  - Kansas City, Missouri, Stati Uniti, 64154
    - Radiation Oncology Practice Corporation - North
  - Lee's Summit, Missouri, Stati Uniti, 64086
    - Saint Luke's East - Lee's Summit
  - Liberty, Missouri, Stati Uniti, 64068
    - Liberty Radiation Oncology Center
  - Saint Joseph, Missouri, Stati Uniti, 64507
    - Saint Joseph Oncology Inc
  - Saint Joseph, Missouri, Stati Uniti, 64507
    - Heartland Regional Medical Center
  - Saint Louis, Missouri, Stati Uniti, 63110
    - Washington University School of Medicine
  - Saint Louis, Missouri, Stati Uniti, 63110
    - Saint Louis University Hospital
  - Saint Louis, Missouri, Stati Uniti, 63131
    - Missouri Baptist Medical Center
  - Saint Louis, Missouri, Stati Uniti, 63141
    - Mercy Hospital Saint Louis
  - Saint Louis, Missouri, Stati Uniti, 63109
    - Saint Louis Cancer and Breast Institute-South City
  - Saint Louis, Missouri, Stati Uniti, 63141
    - Saint Louis-Cape Girardeau CCOP
  - Saint Louis, Missouri, Stati Uniti, 63141
    - Center for Cancer Care and Research
  - Springfield, Missouri, Stati Uniti, 65807
    - CoxHealth South Hospital
  - Springfield, Missouri, Stati Uniti, 65804
    - Mercy Hospital Springfield
- Montana
  - Billings, Montana, Stati Uniti, 59101
    - Billings Clinic Cancer Center
  - Billings, Montana, Stati Uniti, 59101
    - Saint Vincent Healthcare
  - Billings, Montana, Stati Uniti, 59102
    - Montana Cancer Consortium NCORP
  - Billings, Montana, Stati Uniti, 59101
    - Northern Rockies Radiation Oncology Center
  - Billings, Montana, Stati Uniti, 59102
    - Saint Vincent Frontier Cancer Center
  - Bozeman, Montana, Stati Uniti, 59715
    - Bozeman Deaconess Hospital
  - Butte, Montana, Stati Uniti, 59701
    - Saint James Community Hospital and Cancer Treatment Center
  - Great Falls, Montana, Stati Uniti, 59405
    - Great Falls Clinic
  - Great Falls, Montana, Stati Uniti, 59405
    - Benefis Healthcare- Sletten Cancer Institute
  - Great Falls, Montana, Stati Uniti, 59405
    - Berdeaux, Donald MD (UIA Investigator)
  - Great Falls, Montana, Stati Uniti, 59405
    - Big Sky Oncology
  - Havre, Montana, Stati Uniti, 59501
    - Northern Montana Hospital
  - Helena, Montana, Stati Uniti, 59601
    - Saint Peter's Community Hospital
  - Kalispell, Montana, Stati Uniti, 59901
    - Kalispell Regional Medical Center
  - Kalispell, Montana, Stati Uniti, 59901
    - Glacier Oncology PLLC
  - Kalispell, Montana, Stati Uniti, 59901
    - Kalispell Medical Oncology
  - Missoula, Montana, Stati Uniti, 59804
    - Community Medical Hospital
  - Missoula, Montana, Stati Uniti, 59802
    - Saint Patrick Hospital - Community Hospital
  - Missoula, Montana, Stati Uniti, 59804
    - Guardian Oncology and Center for Wellness
  - Missoula, Montana, Stati Uniti, 59802
    - Montana Cancer Specialists
- Nebraska
  - Grand Island, Nebraska, Stati Uniti, 68803
    - CHI Health Saint Francis
  - Kearney, Nebraska, Stati Uniti, 68847
    - CHI Health Good Samaritan
  - North Platte, Nebraska, Stati Uniti, 69101
    - Great Plains Health Callahan Cancer Center
  - Omaha, Nebraska, Stati Uniti, 68198
    - University of Nebraska Medical Center
- Nevada
  - Las Vegas, Nevada, Stati Uniti, 89102
    - University Medical Center of Southern Nevada
  - Las Vegas, Nevada, Stati Uniti, 89106
    - Nevada Cancer Research Foundation CCOP
- New Hampshire
  - Portsmouth, New Hampshire, Stati Uniti, 03802
    - Portsmouth Regional Hospital
- New Jersey
  - Camden, New Jersey, Stati Uniti, 08103
    - Cooper Hospital University Medical Center
  - East Orange, New Jersey, Stati Uniti, 07018-1095
    - Veterans Adminstration New Jersey Health Care System
  - Morristown, New Jersey, Stati Uniti, 07960
    - Morristown Medical Center
  - Mount Holly, New Jersey, Stati Uniti, 08060
    - Virtua Memorial
  - Newark, New Jersey, Stati Uniti, 07101
    - Rutgers New Jersey Medical School
  - Summit, New Jersey, Stati Uniti, 07902
    - Overlook Hospital
  - Vineland, New Jersey, Stati Uniti, 08360
    - Inspira Medical Center Vineland
  - Voorhees, New Jersey, Stati Uniti, 08043
    - Virtua Voorhees
- New York
  - Bronx, New York, Stati Uniti, 10467
    - Montefiore Medical Center - Moses Campus
  - Bronx, New York, Stati Uniti, 10466
    - Montefiore Medical Center-Wakefield Campus
  - 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
  - Cooperstown, New York, Stati Uniti, 13326
    - Mary Imogene Bassett Hospital
  - East Syracuse, New York, Stati Uniti, 13057
    - Hematology Oncology Associates of Central New York-East Syracuse
  - Glens Falls, New York, Stati Uniti, 12801
    - Glens Falls Hospital
  - Lake Success, New York, Stati Uniti, 11042
    - Northwell Health NCORP
  - Manhasset, New York, Stati Uniti, 11030
    - North Shore University Hospital
  - Middletown, New York, Stati Uniti, 10940
    - Orange Regional Medical Center
  - New Hyde Park, New York, Stati Uniti, 11040
    - Long Island Jewish Medical Center
  - New York, New York, Stati Uniti, 10032
    - Columbia University/Herbert Irving Cancer Center
  - Rochester, New York, Stati Uniti, 14642
    - University of Rochester
- North Carolina
  - Asheville, North Carolina, Stati Uniti, 28801
    - Mission Hospital Inc-Memorial Campus
  - Burlington, North Carolina, Stati Uniti, 27215
    - Cone Health Cancer Center at Alamance Regional
  - Charlotte, North Carolina, Stati Uniti, 28204
    - Novant Health Presbyterian Medical Center
  - Goldsboro, North Carolina, Stati Uniti, 27534
    - Southeastern Medical Oncology Center-Goldsboro
  - Goldsboro, North Carolina, Stati Uniti, 27534
    - Wayne Memorial Hospital
  - Hendersonville, North Carolina, Stati Uniti, 28791
    - Margaret R Pardee Memorial Hospital
  - Kinston, North Carolina, Stati Uniti, 28501
    - Vidant Oncology-Kinston
  - Pinehurst, North Carolina, Stati Uniti, 28374
    - FirstHealth of the Carolinas-Moore Regional Hospital
  - Rutherfordton, North Carolina, Stati Uniti, 28139
    - Rutherford Hospital
  - Winston-Salem, North Carolina, Stati Uniti, 27157
    - Wake Forest University Health Sciences
  - Winston-Salem, North Carolina, Stati Uniti, 27104
    - Southeast Clinical Oncology Research (SCOR) Consortium NCORP
- North Dakota
  - Bismarck, North Dakota, Stati Uniti, 58501
    - Sanford Bismarck Medical Center
  - Bismarck, North Dakota, Stati Uniti, 58501
    - Mid Dakota Clinic
  - Bismarck, North Dakota, Stati Uniti, 58501
    - Saint Alexius Medical Center
- Ohio
  - Akron, Ohio, Stati Uniti, 44307
    - Cleveland Clinic Akron General
  - Bellefontaine, Ohio, Stati Uniti, 43311
    - Mary Rutan Hospital
  - Bowling Green, Ohio, Stati Uniti, 43402
    - Toledo Clinic Cancer Centers-Bowling Green
  - Canton, Ohio, Stati Uniti, 44710
    - Aultman Health Foundation
  - Canton, Ohio, Stati Uniti, 44708
    - Mercy Medical Center
  - Chillicothe, Ohio, Stati Uniti, 45601
    - Adena Regional Medical Center
  - Cincinnati, Ohio, Stati Uniti, 45219
    - The Christ Hospital
  - Cleveland, Ohio, Stati Uniti, 44109
    - MetroHealth Medical Center
  - Clyde, Ohio, Stati Uniti, 43410
    - North Coast Cancer Care-Clyde
  - Columbus, Ohio, Stati Uniti, 43214
    - Riverside Methodist Hospital
  - Columbus, Ohio, Stati Uniti, 43228
    - Doctors Hospital
  - Columbus, Ohio, Stati Uniti, 43215
    - Grant Medical Center
  - Columbus, Ohio, Stati Uniti, 43222
    - Mount Carmel Health Center West
  - Columbus, Ohio, Stati Uniti, 43215
    - Columbus NCI Community Oncology Research Program
  - Dayton, Ohio, Stati Uniti, 45406
    - Good Samaritan Hospital - Dayton
  - Dayton, Ohio, Stati Uniti, 45409
    - Miami Valley Hospital
  - Dayton, Ohio, Stati Uniti, 45415
    - Samaritan North Health Center
  - Dayton, Ohio, Stati Uniti, 45420
    - Dayton NCI Community Oncology Research Program
  - Dayton, Ohio, Stati Uniti, 45405
    - Grandview Hospital
  - Dayton, Ohio, Stati Uniti, 45428
    - Veteran Affairs Medical Center
  - Delaware, Ohio, Stati Uniti, 43015
    - Grady Memorial Hospital
  - Elyria, Ohio, Stati Uniti, 44035
    - Mercy Cancer Center-Elyria
  - Elyria, Ohio, Stati Uniti, 44035
    - Hematology Oncology Center Incorporated
  - Findlay, Ohio, Stati Uniti, 45840
    - Blanchard Valley Hospital
  - Franklin, Ohio, Stati Uniti, 45005-1066
    - Atrium Medical Center-Middletown Regional Hospital
  - Fremont, Ohio, Stati Uniti, 43420
    - Fremont Memorial Hospital
  - Greenville, Ohio, Stati Uniti, 45331
    - Wayne Hospital
  - Kettering, Ohio, Stati Uniti, 45429
    - Kettering Medical Center
  - Lancaster, Ohio, Stati Uniti, 43130
    - Fairfield Medical Center
  - Lima, Ohio, Stati Uniti, 45801
    - Saint Rita's Medical Center
  - Lima, Ohio, Stati Uniti, 45804
    - Lima Memorial Hospital
  - Marietta, Ohio, Stati Uniti, 45750
    - Marietta Memorial Hospital
  - Maumee, Ohio, Stati Uniti, 43537
    - Toledo Clinic Cancer Centers-Maumee
  - Maumee, Ohio, Stati Uniti, 43537
    - Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
  - Maumee, Ohio, Stati Uniti, 43537
    - Saint Luke's Hospital
  - Mount Vernon, Ohio, Stati Uniti, 43050
    - Knox Community Hospital
  - Newark, Ohio, Stati Uniti, 43055
    - Licking Memorial Hospital
  - Norwalk, Ohio, Stati Uniti, 44857
    - Fisher-Titus Medical Center
  - Oregon, Ohio, Stati Uniti, 43616
    - Saint Charles Hospital
  - Oregon, Ohio, Stati Uniti, 43616
    - Toledo Clinic Cancer Centers-Oregon
  - Sandusky, Ohio, Stati Uniti, 44870
    - North Coast Cancer Care
  - Sandusky, Ohio, Stati Uniti, 44870
    - Firelands Regional Medical Center
  - Springfield, Ohio, Stati Uniti, 45505
    - Springfield Regional Medical Center
  - Sylvania, Ohio, Stati Uniti, 43560
    - ProMedica Flower Hospital
  - Tiffin, Ohio, Stati Uniti, 44883
    - Mercy Hospital of Tiffin
  - Toledo, Ohio, Stati Uniti, 43608
    - Saint Vincent Mercy Medical Center
  - Toledo, Ohio, Stati Uniti, 43623
    - Toledo Clinic Cancer Centers-Toledo
  - Toledo, Ohio, Stati Uniti, 43614
    - University of Toledo
  - Toledo, Ohio, Stati Uniti, 43617
    - Toledo Community Hospital Oncology Program CCOP
  - Toledo, Ohio, Stati Uniti, 43606
    - The Toledo Hospital/Toledo Children's Hospital
  - Toledo, Ohio, Stati Uniti, 43623
    - Mercy Saint Anne Hospital
  - Troy, Ohio, Stati Uniti, 45373
    - Upper Valley Medical Center
  - Wauseon, Ohio, Stati Uniti, 43567
    - Fulton County Health Center
  - Westerville, Ohio, Stati Uniti, 43081
    - Saint Ann's Hospital
  - Wilmington, Ohio, Stati Uniti, 45177
    - Clinton Memorial Hospital
  - Xenia, Ohio, Stati Uniti, 45385
    - Greene Memorial Hospital
  - Zanesville, Ohio, Stati Uniti, 43701
    - Genesis Healthcare System Cancer Care Center
- Oklahoma
  - Oklahoma City, Oklahoma, Stati Uniti, 73104
    - University of Oklahoma Health Sciences Center
  - Tulsa, Oklahoma, Stati Uniti, 74136
    - Natalie Warren Bryant Cancer Center at Saint Francis
- Oregon
  - Coos Bay, Oregon, Stati Uniti, 97420
    - Bay Area Hospital
  - Portland, Oregon, Stati Uniti, 97227
    - Kaiser Permanente Northwest
- Pennsylvania
  - Allentown, Pennsylvania, Stati Uniti, 18103
    - Lehigh Valley Hospital-Cedar Crest
  - Bethlehem, Pennsylvania, Stati Uniti, 18015
    - Saint Luke's University Hospital-Bethlehem Campus
  - Bryn Mawr, Pennsylvania, Stati Uniti, 19010
    - Bryn Mawr Hospital
  - Danville, Pennsylvania, Stati Uniti, 17822
    - Geisinger Medical Center
  - Hazleton, Pennsylvania, Stati Uniti, 18201
    - Geisinger Medical Center-Cancer Center Hazleton
  - Lancaster, Pennsylvania, Stati Uniti, 17604
    - Lancaster General Hospital
  - Lemoyne, Pennsylvania, Stati Uniti, 17043
    - Central PA Hematology-Medical Oncology Associates PC
  - Media, Pennsylvania, Stati Uniti, 19063
    - Riddle Memorial Hospital
  - Paoli, Pennsylvania, Stati Uniti, 19301
    - Paoli Memorial Hospital
  - Philadelphia, Pennsylvania, Stati Uniti, 19111
    - Fox Chase Cancer Center
  - Philadelphia, Pennsylvania, Stati Uniti, 19107
    - Thomas Jefferson University Hospital
  - Philadelphia, Pennsylvania, Stati Uniti, 19104
    - University of Pennsylvania/Abramson Cancer Center
  - Philadelphia, Pennsylvania, Stati Uniti, 19141
    - Einstein Medical Center Philadelphia
  - Philadelphia, Pennsylvania, Stati Uniti, 19107
    - Pennsylvania Hospital
  - Pittsburgh, Pennsylvania, Stati Uniti, 15232
    - University of Pittsburgh Cancer Institute (UPCI)
  - Scranton, Pennsylvania, Stati Uniti, 18510
    - Scranton Hematology Oncology
  - Scranton, Pennsylvania, Stati Uniti, 18501
    - Mercy Hospital
  - Scranton, Pennsylvania, Stati Uniti, 18508
    - Hematology and Oncology Associates of North East Pennsylvania
  - State College, Pennsylvania, Stati Uniti, 16801
    - Geisinger Medical Group
  - West Reading, Pennsylvania, Stati Uniti, 19611
    - Reading Hospital
  - Wilkes-Barre, Pennsylvania, Stati Uniti, 18711
    - Geisinger Wyoming Valley/Henry Cancer Center
  - Wilkes-Barre, Pennsylvania, Stati Uniti, 18765
    - Geisinger South Wilkes-Barre
  - Wynnewood, Pennsylvania, Stati Uniti, 19096
    - Lankenau Medical Center
- Rhode Island
  - Pawtucket, Rhode Island, Stati Uniti, 02860
    - Memorial Hospital of Rhode Island
- South Carolina
  - Anderson, South Carolina, Stati Uniti, 29621
    - AnMed Health Hospital
  - Spartanburg, South Carolina, Stati Uniti, 29303
    - Spartanburg Medical Center
- South Dakota
  - 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
  - Sioux Falls, South Dakota, Stati Uniti, 57105
    - Medical X-Ray Center
  - Sioux Falls, South Dakota, Stati Uniti, 57105
    - Avera McKennan Hospital and University Health Center
- Tennessee
  - Franklin, Tennessee, Stati Uniti, 37067
    - Vanderbilt-Ingram Cancer Center Cool Springs
  - Jackson, Tennessee, Stati Uniti, 38301
    - Jackson-Madison County General Hospital
  - Knoxville, Tennessee, Stati Uniti, 37916
    - Thompson Cancer Survival Center
  - Knoxville, Tennessee, Stati Uniti, 37920
    - University of Tennessee - Knoxville
  - Knoxville, Tennessee, Stati Uniti, 37909
    - Tennessee Cancer Specialists-Dowell Springs
  - Knoxville, Tennessee, Stati Uniti, 37920
    - East Tennessee Baptist Hospital-Mercy Health Partners
  - Memphis, Tennessee, Stati Uniti, 38163
    - University of Tennessee Health Science Center
  - Nashville, Tennessee, Stati Uniti, 37232
    - Vanderbilt University/Ingram Cancer Center
- Texas
  - Amarillo, Texas, Stati Uniti, 79106
    - The Don and Sybil Harrington Cancer Center
  - Austin, Texas, Stati Uniti, 78705
    - Texas Oncology-Austin Midtown
  - Austin, Texas, Stati Uniti, 78731
    - Texas Oncology - Central Austin Cancer Center
  - Austin, Texas, Stati Uniti, 78745
    - Texas Oncology - South Austin Cancer Center
  - Austin, Texas, Stati Uniti, 78758
    - Texas Oncology-Austin North
  - Austin, Texas, Stati Uniti, 78759
    - Texas Oncology Seton Northwest
  - Burleson, Texas, Stati Uniti, 76115
    - The Center for Cancer and Blood Disorders-Burleson
  - Cedar Park, Texas, Stati Uniti, 78613
    - Texas Oncology-Cedar Park
  - Cleburne, Texas, Stati Uniti, 76033
    - The Center for Cancer and Blood Disorders-Cleburne
  - Fort Worth, Texas, Stati Uniti, 76104
    - The Center for Cancer and Blood Disorders-Fort Worth
  - Houston, Texas, Stati Uniti, 77030
    - Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
  - Houston, Texas, Stati Uniti, 77030
    - Michael E DeBakey VA Medical Center
  - Houston, Texas, Stati Uniti, 77030
    - The Methodist Hospital System
  - Houston, Texas, Stati Uniti, 77030
    - Ben Taub General Hospital
  - Houston, Texas, Stati Uniti, 77030
    - Baylor Saint Luke's Medical Center
  - Mineral Wells, Texas, Stati Uniti, 76067
    - The Center for Cancer and Blood Disorders-Mineral Wells
  - Round Rock, Texas, Stati Uniti, 78665
    - Texas Oncology-Seton Williamson
  - Round Rock, Texas, Stati Uniti, 78681
    - Texas Oncology - Round Rock Cancer Center
  - San Marcos, Texas, Stati Uniti, 78666
    - Texas Oncology- San Marcos
  - Weatherford, Texas, Stati Uniti, 76086
    - The Center for Cancer and Blood Disorders-Weatherford
- Virginia
  - Danville, Virginia, Stati Uniti, 24541
    - Danville Regional Medical Center
  - Fredericksburg, Virginia, Stati Uniti, 22401
    - Fredericksburg Oncology Inc
  - Martinsville, Virginia, Stati Uniti, 24115
    - Sovah Health Martinsville
  - Richmond, Virginia, Stati Uniti, 23298
    - Virginia Commonwealth University/Massey Cancer Center
- Washington
  - Bellingham, Washington, Stati Uniti, 98225
    - PeaceHealth Saint Joseph Medical Center
  - Bremerton, Washington, Stati Uniti, 98310
    - Harrison HealthPartners Hematology and Oncology-Bremerton
  - Kennewick, Washington, Stati Uniti, 99336
    - Kadlec Clinic Hematology and Oncology
  - Mount Vernon, Washington, Stati Uniti, 98274
    - Skagit Valley Hospital
  - Poulsbo, Washington, Stati Uniti, 98370
    - Harrison HealthPartners Hematology and Oncology-Poulsbo
  - Seattle, Washington, Stati Uniti, 98195
    - University of Washington Medical Center
  - Seattle, Washington, Stati Uniti, 98112
    - Kaiser Permanente Washington
  - Seattle, Washington, Stati Uniti, 98104
    - Minor and James Medical PLLC
  - Seattle, Washington, Stati Uniti, 98122-4307
    - Swedish Medical Center-First Hill
  - Spokane, Washington, Stati Uniti, 99218
    - Evergreen Hematology and Oncology PS
  - Spokane, Washington, Stati Uniti, 99202
    - Cancer Care Northwest - Spokane South
  - Spokane, Washington, Stati Uniti, 99220
    - Rockwood Clinic
  - Wenatchee, Washington, Stati Uniti, 98801
    - Wenatchee Valley Hospital and Clinics
- West Virginia
  - Charleston, West Virginia, Stati Uniti, 25304
    - West Virginia University Charleston Division
- Wisconsin
  - Appleton, Wisconsin, Stati Uniti, 54913
    - Fox Valley Hematology and Oncology SC-Appleton
  - Chippewa Falls, Wisconsin, Stati Uniti, 54729
    - Marshfield Clinic-Chippewa Center
  - Eau Claire, Wisconsin, Stati Uniti, 54701
    - HSHS Sacred Heart Hospital
  - Eau Claire, Wisconsin, Stati Uniti, 54701
    - Marshfield Clinic Cancer Center at Sacred Heart
  - 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, 54303
    - Green Bay Oncology Limited at Saint Mary's Hospital
  - Green Bay, Wisconsin, Stati Uniti, 54301-3526
    - Green Bay Oncology at Saint Vincent Hospital
  - Johnson Creek, Wisconsin, Stati Uniti, 53038
    - UW Cancer Center Johnson Creek
  - La Crosse, Wisconsin, Stati Uniti, 54601
    - Gundersen Lutheran Medical Center
  - Madison, Wisconsin, Stati Uniti, 53792
    - University of Wisconsin Hospital and Clinics
  - Madison, Wisconsin, Stati Uniti, 53717
    - Dean Hematology and Oncology Clinic
  - Madison, Wisconsin, Stati Uniti, 53715
    - UW Health Oncology-One South Park
  - Manitowoc, Wisconsin, Stati Uniti, 54221
    - Holy Family Memorial Hospital
  - Marinette, Wisconsin, Stati Uniti, 54143
    - Bay Area Medical Center
  - Marshfield, Wisconsin, Stati Uniti, 54449
    - Marshfield Clinic
  - Marshfield, Wisconsin, Stati Uniti, 54449
    - Marshfield Medical Center
  - Milwaukee, Wisconsin, Stati Uniti, 53226
    - Froedtert and The Medical College of Wisconsin
  - Minocqua, Wisconsin, Stati Uniti, 54548
    - Marshfield Clinic-Minocqua Center
  - Oconto Falls, Wisconsin, Stati Uniti, 54154
    - Green Bay Oncology - Oconto Falls
  - Rhinelander, Wisconsin, Stati Uniti, 54501
    - Ascension Saint Mary's Hospital
  - Rice Lake, Wisconsin, Stati Uniti, 54868
    - Marshfield Clinic-Rice Lake Center
  - Stevens Point, Wisconsin, Stati Uniti, 54481
    - Saint Michael's Hospital
  - Sturgeon Bay, Wisconsin, Stati Uniti, 54235
    - Green Bay Oncology - Sturgeon Bay
  - Wausau, Wisconsin, Stati Uniti, 54401
    - Marshfield Clinic-Wausau Center
  - Weston, Wisconsin, Stati Uniti, 54476
    - Diagnostic and Treatment Center
  - Weston, Wisconsin, Stati Uniti, 54476
    - Marshfield Clinic - Weston Center
  - Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
    - Marshfield Clinic - Wisconsin Rapids Center
  - Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
    - Aspirus UW Cancer Center
- Wyoming
  - Casper, Wyoming, Stati Uniti, 82609
    - Rocky Mountain Oncology
  - Sheridan, Wyoming, Stati Uniti, 82801
    - Welch Cancer Center

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

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

Patients will be required to have the clear cell variant of renal cell carcinoma with less than 25% of any other histology (including, but not limited to, papillary or chromophobe or oncocytic); there must be histologic confirmation by treating center of either primary or metastatic lesion
Patients will be required to have measurable metastatic disease that is not curable by standard radiation therapy or surgery; all sites must be assessed within 4 weeks prior to study entry
Previous nephrectomy is required with the following exceptions:
- Primary tumor =< 5 cm, or
- Extensive liver (> 30% of liver parenchymal) or multiple (> 5) bone metastases, making nephrectomy a clinically questionable procedure
- Unresectable primary tumor due to invasion into adjacent organs or encasing the aorta or vena cava
No prior cytotoxic chemotherapy; a maximum of one prior regimen of either vaccine or cytokine-based immunotherapy disease is permitted
No prior anti-angiogenic therapy including, but not limited to, SU11248, ZD6474 or VEGF Trap; no prior therapy with bevacizumab, mammalian target of rapamycin (mTOR) inhibitors (including, but not limited to, temsirolimus), or sorafenib will be allowed; thalidomide or interferon alpha (IFNalpha) are allowed either for adjuvant therapy or stage IV disease
No immunotherapy within 4 weeks of randomization; toxicities from immunotherapy must have resolved and a minimum of two weeks must pass prior to enrollment
Prior radiation therapy is permitted, but toxicities from radiation must have resolved and a minimum of 2 weeks must pass prior to randomization
No history or clinical evidence of central nervous system (CNS) disease, including primary brain tumor, seizures not controlled with standard medical therapy, any brain metastasis, or history of stroke within the past 48 weeks
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Life expectancy of greater than 12 weeks
Hemoglobin (Hgb) >= 9.0 g/dL (transfusions allowed prior to enrollment)
White blood count (WBC) >= 3,000/mm^3
Absolute granulocyte count (AGC) >= 1,200/mm^3
Platelet count >= 100,000/mm^3
Serum creatinine =< 1.5 x upper limit of normal (ULN) or serum creatinine clearance (CrCl) >= 55 ml/min
Total bilirubin =< 1.5 x ULN
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 2.5 x ULN (or =< 5.0 x ULN in the presence of liver metastases)
International normalized ratio (INR) =< 1.5
Activated partial thromboplastin time (aPTT) within normal limits
Fasting cholesterol < 350 mg/dL (9.0 mmol/L)
Fasting triglycerides < 400 mg/dL (4.56 mmol/L)
Patients must not have other current malignancies, other than basal cell skin cancer, squamous cell skin cancer, in situ cervical cancer, and ductal or lobular carcinoma in situ of the breast; patients with other malignancies are eligible if they have been continuously disease-free for >= 5 years prior to the time of randomization
No history of allergic reactions attributed to Chinese hamster ovary cell products, other recombinant human antibodies, or compounds of similar chemical or biologic composition to sorafenib, temsirolimus or bevacizumab
No history of bleeding diathesis or coagulopathy
Any condition that impairs patient's ability to swallow pills will make patient ineligible
No major surgical procedure, open biopsy or significant traumatic injury within 28 days prior to randomization
No anticipated need for major surgery during the course of the study
No current or recent (within 4 weeks of enrollment) use of full-dose of anticoagulants or thrombolytic agents (except as required to maintain patency of preexisting or permanent indwelling IV catheters, for those patients receiving warfarin, INR must be =< 1.5)
No clinically significant cardiovascular disease, defined as one of the following:
- Patients with uncontrolled hypertension (blood pressure > 150/100 mm/Hg at the time of enrollment); patients with hypertension and blood pressure =< 150/100 mm/Hg on stable antihypertensive regimen are eligible
- Myocardial infarction or unstable angina < 24 weeks prior to registration
- New York Heart Association grade II or greater congestive heart failure, serious cardiac arrhythmia requiring medication, unstable angina pectoris
- Grade II or greater peripheral vascular disease
No serious, non-healing wound, ulcer, or bone fracture
No significant proteinuria at baseline; urine protein must be screened within 2 weeks prior to randomization by urine analysis for urine protein creatinine (UPC) ratio; if UPC ratio is > 0.5, 24-hour urine protein is to be obtained and the level must be < 1000 mg for patient enrollment
- NOTE: UPC ratio of spot urine is an estimation of the 24 urine protein excretion; a UPC ratio of 1 is roughly equivalent to a 24-hour urine protein of 1 gm
No uncontrolled intercurrent illness including, but not limited to, ongoing or active infection requiring parenteral antibiotics on day 0 or psychiatric illness/social situations that would limit compliance with study requirements
Patients currently taking any of the following cytochrome P450 enzyme-inducing drugs are ineligible:
- Phenytoin
- Carbamazepine
- Phenobarbital
- Rifampin
Pregnant and breastfeeding women are excluded from the study; breastfeeding should be discontinued while receiving therapy; patients must have pregnancy test within 7 days prior to patient randomization if woman is of child-bearing capacity
Human immunodeficiency virus (HIV)-positive patients receiving combination anti-retroviral therapy are excluded from the study

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: Nessuno (etichetta aperta)

Numero di armi

Armi e interventi

Gruppo di partecipanti / Arm	Intervento / Trattamento
Comparatore attivo: Arm A (bevacizumab) Patients receive bevacizumab IV over 30-90 minutes on days 1 and 15.	Altro: Analisi dei biomarcatori di laboratorio Studi correlati Altro: Studio farmacologico Studi correlati Biologico: Bevacizumab Dato IV Altri nomi: Avastin Anti-VEGF Anticorpo monoclonale umanizzato anti-VEGF Anti-VEGF rhuMAb Bevacizumab biosimilare BEVZ92 Bevacizumab biosimilare BI 695502 Bevacizumab biosimilare CBT 124 Bevacizumab biosimilare FKB238 Bevacizumab biosimilare MIL60 Bevacizumab biosimilare QL 1101 Immunoglobulina G1 (fattore di crescita endoteliale vascolare monoclonale umano-topo rhuMab-VEGF anti-catena gamma), disolfuro con catena leggera monoclonale umano-topo rhuMab-VEGF, dimero Anticorpo monoclonale anti-VEGF umanizzato ricombinante rhuMab-VEGF BEVACIZUMAB, TITOLARE DI LICENZA NON SPECIFICATO
Sperimentale: Arm B (bevacizumab and temsirolimus) Patients receive temsirolimus IV over 30 minutes on days 1, 8, 15, and 22 and bevacizumab as in Arm A.	Altro: Analisi dei biomarcatori di laboratorio Studi correlati Altro: Studio farmacologico Studi correlati Biologico: Bevacizumab Dato IV Altri nomi: Avastin Anti-VEGF Anticorpo monoclonale umanizzato anti-VEGF Anti-VEGF rhuMAb Bevacizumab biosimilare BEVZ92 Bevacizumab biosimilare BI 695502 Bevacizumab biosimilare CBT 124 Bevacizumab biosimilare FKB238 Bevacizumab biosimilare MIL60 Bevacizumab biosimilare QL 1101 Immunoglobulina G1 (fattore di crescita endoteliale vascolare monoclonale umano-topo rhuMab-VEGF anti-catena gamma), disolfuro con catena leggera monoclonale umano-topo rhuMab-VEGF, dimero Anticorpo monoclonale anti-VEGF umanizzato ricombinante rhuMab-VEGF BEVACIZUMAB, TITOLARE DI LICENZA NON SPECIFICATO Droga: Temsirolimus Dato IV Altri nomi: Torisel CCI-779 Analogo della rapamicina CCI-779 Inibitore del ciclo cellulare 779 Analogo della rapamicina
Sperimentale: Arm C (bevacizumab and sorafenib tosylate) Patients receive bevacizumab as in Arm A and sorafenib tosylate PO BID on days 1-5, 8-12, 15-19, and 22-26.	Altro: Analisi dei biomarcatori di laboratorio Studi correlati Altro: Studio farmacologico Studi correlati Biologico: Bevacizumab Dato IV Altri nomi: Avastin Anti-VEGF Anticorpo monoclonale umanizzato anti-VEGF Anti-VEGF rhuMAb Bevacizumab biosimilare BEVZ92 Bevacizumab biosimilare BI 695502 Bevacizumab biosimilare CBT 124 Bevacizumab biosimilare FKB238 Bevacizumab biosimilare MIL60 Bevacizumab biosimilare QL 1101 Immunoglobulina G1 (fattore di crescita endoteliale vascolare monoclonale umano-topo rhuMab-VEGF anti-catena gamma), disolfuro con catena leggera monoclonale umano-topo rhuMab-VEGF, dimero Anticorpo monoclonale anti-VEGF umanizzato ricombinante rhuMab-VEGF BEVACIZUMAB, TITOLARE DI LICENZA NON SPECIFICATO Droga: Sorafenib tosilato Dato PO Altri nomi: BAIA 54-9085 Nexavar BAY 43-9006 Tosilato sorafenib
Sperimentale: Arm D (sorafenib tosylate and temsirolimus) Patients receive sorafenib tosylate PO BID on days 1-28 and temsirolimus as in Arm B.	Altro: Analisi dei biomarcatori di laboratorio Studi correlati Altro: Studio farmacologico Studi correlati Droga: Temsirolimus Dato IV Altri nomi: Torisel CCI-779 Analogo della rapamicina CCI-779 Inibitore del ciclo cellulare 779 Analogo della rapamicina Droga: Sorafenib tosilato Dato PO Altri nomi: BAIA 54-9085 Nexavar BAY 43-9006 Tosilato sorafenib

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Progression-free Survival (PFS) Lasso di tempo: Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years	Progression-free survival is defined as time from randomization to clinical evidence of disease progression or death from any cause without progression. Patients alive without progression were censored at the date of last disease assessment.	Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years

Misure di risultato secondarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Proportion of Patients With Stable Disease at 6 Months Lasso di tempo: Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years	Patients whose date of progression was after 6 months or who were disease-free at last follow-up beyond 6 months were considered to be stable at 6 months and all other patients were not.	Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years
Overall Survival Lasso di tempo: Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years	Overall survival was defined as the time from randomization to death. Patients alive at last contact were censored on the date of last contact.	Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years
Objective Response Rate Lasso di tempo: Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years	Response was assessed using Solid Tumor Response Criteria (RECIST). Patients with complete responses or partial responses are considered having an objective response.	Assessed every 2 cycles for the first 12 cycles, then every 3 cycles until treatment discontinuation, then every 8 weeks until disease progression or up to 5 years

Collaboratori e investigatori

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

Sponsor

National Cancer Institute (NCI)

Investigatori

Investigatore principale: Keith Flaherty, 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

Flaherty KT, Manola JB, Pins M, McDermott DF, Atkins MB, Dutcher JJ, George DJ, Margolin KA, DiPaola RS. BEST: A Randomized Phase II Study of Vascular Endothelial Growth Factor, RAF Kinase, and Mammalian Target of Rapamycin Combination Targeted Therapy With Bevacizumab, Sorafenib, and Temsirolimus in Advanced Renal Cell Carcinoma--A Trial of the ECOG-ACRIN Cancer Research Group (E2804). J Clin Oncol. 2015 Jul 20;33(21):2384-91. doi: 10.1200/JCO.2015.60.9727. Epub 2015 Jun 15.

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)

14 settembre 2007

Completamento primario (Effettivo)

7 febbraio 2014

Completamento dello studio (Effettivo)

21 marzo 2017

Date di iscrizione allo studio

Primo inviato

19 settembre 2006

Primo inviato che soddisfa i criteri di controllo qualità

19 settembre 2006

Primo Inserito (Stima)

21 settembre 2006

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

14 novembre 2018

Ultimo aggiornamento inviato che soddisfa i criteri QC

15 ottobre 2018

Ultimo verificato

1 ottobre 2018

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

NCI-2009-00533 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
U10CA180820 (Sovvenzione/contratto NIH degli Stati Uniti)
U10CA021115 (Sovvenzione/contratto NIH degli Stati Uniti)
ECOG-E2804
CDR0000499788
E2804 (Altro identificatore: CTEP)

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 .

Bevacizumab, Sorafenib Tosylate, and Temsirolimus in Treating Patients With Metastatic Kidney Cancer

The BeST Trial: A Randomized Phase II Study of VEGF, RAF Kinase, and mTOR Combination Targeted Therapy (CTT) With Bevacizumab, Sorafenib, and Temsirolimus in Advanced Renal Cell Carcinoma

Panoramica dello studio

Stato

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Tipo di studio

Iscrizione (Effettivo)

Fase

Contatti e Sedi

Luoghi di studio

Criteri di partecipazione

Criteri di ammissibilità

Età idonea allo studio

Accetta volontari sani

Sessi ammissibili allo studio

Descrizione

Piano di studio

Come è strutturato lo studio?

Dettagli di progettazione

Numero di armi

Armi e interventi

Gruppo di partecipanti / Arm

Intervento / Trattamento

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato

Misura Descrizione

Lasso di tempo

Misure di risultato secondarie

Misura del risultato

Misura Descrizione

Lasso di tempo

Collaboratori e investigatori

Sponsor

Investigatori

Pubblicazioni e link utili

Pubblicazioni generali

Studiare le date dei record

Studia le date principali

Inizio studio (Effettivo)

Completamento primario (Effettivo)

Completamento dello studio (Effettivo)

Date di iscrizione allo studio

Primo inviato

Primo inviato che soddisfa i criteri di controllo qualità

Primo Inserito (Stima)

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

Ultimo aggiornamento inviato che soddisfa i criteri QC

Ultimo verificato

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio