- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT04739800
Vergelijking van zorgstandaardbehandeling met een tripletcombinatie van gerichte immunotherapeutische middelen
Een gerandomiseerde fase II-studie van triplettherapie (een PD-L1-remmer Durvalumab (MEDI4736) in combinatie met Olaparib en Cediranib) vergeleken met Olaparib en Cediranib of Durvalumab (MEDI4736) en Cediranib of standaardbehandelingchemotherapie bij vrouwen met platinaresistent terugkerend epitheel Eierstokkanker, primaire peritoneale of eileiderkanker die eerder Bevacizumab hebben gekregen
This phase II trial studies the possible benefits of treatment with different combinations of the drugs durvalumab, olaparib and cediranib vs. the usual treatment in patients with ovarian, primary peritoneal, or fallopian tube cancer that has come back after a period of improvement with platinum therapy (recurrent platinum resistant). Usual treatment is the type of treatment most patients with this condition receive if they are not part of a clinical study. Combination therapies studied in this trial include MEDI4736 (durvalumab) plus olaparib and cediranib, durvalumab and cediranib, or olaparib and cediranib. Monoclonal antibodies, such as durvalumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumors cells to grow and spread. Olaparib is an inhibitor of PARP, an enzyme that helps repair deoxyribonucleic acid (DNA) when it becomes damaged. Blocking PARP may help keep cancer cells from repairing their damaged DNA, causing them to die. PARP inhibitors are a type of targeted therapy. Cediranib may stop the growth of tumor cells by blocking VEGF (an enzyme). needed for cell growth. Giving different combinations of durvalumab, olaparib and cediranib may work better in increasing the duration of time that the cancer does not progress compared to the usual treatment.
Studie Overzicht
Toestand
Conditie
- Ovarium seromucineus carcinoom
- Recidiverend hooggradig sereus adenocarcinoom van de eierstokken
- Recidiverend platinaresistent ovariumcarcinoom
- Eileiderslijmachtig adenocarcinoom
- Recidiverend eileider heldercellig adenocarcinoom
- Recidiverend endometrioïde adenocarcinoom van de eileider
- Recidiverend eileider ongedifferentieerd carcinoom
- Recidiverend heldercellig adenocarcinoom van de eierstokken
- Recidiverend ovariumendometrioïde adenocarcinoom
- Recidiverend ovarium ongedifferentieerd carcinoom
- Recidiverend platina-resistent eileidercarcinoom
- Terugkerend platina-resistent primair peritoneaal carcinoom
- Recidiverend primair peritoneaal heldercellig adenocarcinoom
- Recidiverend primair peritoneaal endometrioïde adenocarcinoom
- Recidiverend primair peritoneaal ongedifferentieerd carcinoom
- Platina-refractair eileidercarcinoom
- Platinum-refractair ovariumcarcinoom
- Platina-refractair primair peritoneaal carcinoom
- Recidiverend hooggradig sereus adenocarcinoom van de eileider
- Recidiverend eileider mucineus adenocarcinoom
- Recidiverend eileiderovergangscelcarcinoom
- Recidiverend laaggradig eileidersereus adenocarcinoom
- Recidiverend laaggradig sereus adenocarcinoom van de eierstokken
- Recidiverend ovariumslijmvlies adenocarcinoom
- Recidiverend ovarium seromucineus carcinoom
- Recidiverend ovariumtransitiecelcarcinoom
- Recidiverend primair peritoneaal hooggradig sereus adenocarcinoom
- Recidiverend primair peritoneaal laaggradig sereus adenocarcinoom
- Recidiverend primair peritoneaal overgangscelcarcinoom
- Refractair eileider heldercellig adenocarcinoom
- Refractaire endometrioïde adenocarcinoom van de eileider
- Refractair eileider Hoogwaardig sereus adenocarcinoom
- Refractair eileiderslijmvlies adenocarcinoom
- Refractair overgangscelcarcinoom van de eileider
- Refractair eileider ongedifferentieerd carcinoom
- Refractair laaggradig eileider sereus adenocarcinoom
- Refractair heldercellig adenocarcinoom van de eierstokken
- Refractair ovariumendometrioïde adenocarcinoom
- Refractair hooggradig sereus adenocarcinoom van de eierstokken
- Refractair ovarium laaggradig sereus adenocarcinoom
- Refractair ovariumslijmvlies adenocarcinoom
- Refractair ovarium seromucineus carcinoom
- Refractair ovariumovergangscelcarcinoom
- Refractair ovarium ongedifferentieerd carcinoom
- Refractair primair peritoneaal heldercellig adenocarcinoom
- Refractair primair peritoneaal endometrioïde adenocarcinoom
- Refractair primair peritoneaal hooggradig sereus adenocarcinoom
- Refractair primair peritoneaal laaggradig sereus adenocarcinoom
- Refractair primair peritoneaal overgangscelcarcinoom
- Refractair primair peritoneaal ongedifferentieerd carcinoom
Interventie / Behandeling
- Geneesmiddel: Paclitaxel
- Procedure: Computed Tomography
- Procedure: Magnetic Resonance Imaging
- Procedure: Echocardiography Test
- Procedure: Multigated Acquisition Scan
- Procedure: Biospecimen Collection
- Geneesmiddel: Cediranib Maleate
- Geneesmiddel: Olaparib
- Geneesmiddel: Pegylated Liposomal Doxorubicin Hydrochloride
- Geneesmiddel: Topotecan Hydrochloride
- Procedure: Computed Tomography with Contrast
- Biologisch: Durvalumab
Gedetailleerde beschrijving
PRIMARY OBJECTIVE:
I. To assess the efficacy of the combinations durvalumab (MEDI4736) plus olaparib and cediranib, durvalumab (MEDI4736) plus cediranib, or olaparib and cediranib, as measured by progression-free survival (PFS), as compared to physician's choice standard of care chemotherapy, in patients with recurrent platinum-resistant ovarian, primary peritoneal or fallopian tube cancer who had prior bevacizumab.
SECONDARY OBJECTIVES:
I. To assess the efficacy of the combinations durvalumab (MEDI4736) plus olaparib and cediranib, durvalumab (MEDI4736) plus cediranib, or olaparib and cediranib, as measured by overall response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, as compared to physician's choice standard of care chemotherapy, in patients with recurrent platinum-resistant ovarian, primary peritoneal or fallopian tube cancer who had prior bevacizumab.
II. To assess the efficacy of the combinations durvalumab (MEDI4736) plus olaparib and cediranib, durvalumab (MEDI4736) plus cediranib, or olaparib and cediranib, as measured by overall survival (OS), as compared to physician's choice standard of care chemotherapy, in patients with recurrent platinum-resistant ovarian, primary peritoneal or fallopian tube cancer who had prior bevacizumab.
OUTLINE: Patients are randomized to 1 of 4 arms.
ARM I: Patients receive paclitaxel intravenously (IV) over 60 minutes on days 1, 8, and 15, or pegylated liposomal doxorubicin hydrochloride IV over 60 minutes on day 1, or topotecan hydrochloride IV over 30 minutes on days 1, 8 and 15 or days 1-5 per the discretion of the treating physician. Cycles repeat every 21 or 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo echocardiography (ECHO) or multigated acquisition scan (MUGA) during screening and as clinically indicated on study. Patients also undergo collection of blood and computed tomography (CT) with contrast during screening, and CT or magnetic resonance imaging (MRI) scans throughout the trial.
ARM II: Patients receive durvalumab IV over 60 minutes on day 1, cediranib maleate orally (PO) once daily (QD) Monday through Friday, and olaparib PO twice daily (BID) on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial.
ARM III: Patients receive durvalumab IV over 60 minutes on day 1 and cediranib maleate PO QD Monday through Friday. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial.
ARM IV: Patients receive cediranib maleate PO QD on days 1-28 and olaparib PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial.
After completion of study treatment, patients are followed up periodically for up to 5 years.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Bayamón, Puerto Rico, 00959-5060
- Cancer Center-Metro Medical Center Bayamon
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Caguas, Puerto Rico, 00726
- HIMA San Pablo Oncologic Hospital
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Manati, Puerto Rico, 00674
- Doctors Cancer Center
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Ponce, Puerto Rico, 00716
- Instituto Oncologia Moderna Ponce
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San Juan, Puerto Rico, 00917
- San Juan Community Oncology Group
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San Juan, Puerto Rico, 00927
- Centro Comprensivo de Cancer de UPR
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San Juan, Puerto Rico, 00936
- San Juan City Hospital
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Alaska
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Anchorage, Alaska, Verenigde Staten, 98508
- Anchorage Associates in Radiation Medicine
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Anchorage, Alaska, Verenigde Staten, 99508
- Alaska Breast Care and Surgery LLC
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Anchorage, Alaska, Verenigde Staten, 99508
- Alaska Oncology and Hematology LLC
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Anchorage, Alaska, Verenigde Staten, 99508
- Alaska Women's Cancer Care
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Anchorage, Alaska, Verenigde Staten, 99508
- Anchorage Oncology Centre
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Anchorage, Alaska, Verenigde Staten, 99508
- Katmai Oncology Group
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Anchorage, Alaska, Verenigde Staten, 99508
- Providence Alaska Medical Center
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Anchorage, Alaska, Verenigde Staten, 99504
- Anchorage Radiation Therapy Center
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Fairbanks, Alaska, Verenigde Staten, 99701
- Fairbanks Memorial Hospital
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Arizona
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Goodyear, Arizona, Verenigde Staten, 85338
- CTCA at Western Regional Medical Center
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Phoenix, Arizona, Verenigde Staten, 85004
- Cancer Center at Saint Joseph's
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Arkansas
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Fort Smith, Arkansas, Verenigde Staten, 72903
- Mercy Hospital Fort Smith
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Hot Springs, Arkansas, Verenigde Staten, 71913
- CHI Saint Vincent Cancer Center Hot Springs
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Little Rock, Arkansas, Verenigde Staten, 72205
- University of Arkansas for Medical Sciences
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California
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Arroyo Grande, California, Verenigde Staten, 93420
- Mission Hope Medical Oncology - Arroyo Grande
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Auburn, California, Verenigde Staten, 95602
- Sutter Auburn Faith Hospital
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Auburn, California, Verenigde Staten, 95603
- Sutter Cancer Centers Radiation Oncology Services-Auburn
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Berkeley, California, Verenigde Staten, 94704
- Alta Bates Summit Medical Center-Herrick Campus
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Burbank, California, Verenigde Staten, 91505
- Providence Saint Joseph Medical Center/Disney Family Cancer Center
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Cameron Park, California, Verenigde Staten, 95682
- Sutter Cancer Centers Radiation Oncology Services-Cameron Park
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Castro Valley, California, Verenigde Staten, 94546
- Eden Hospital Medical Center
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Concord, California, Verenigde Staten, 94520
- John Muir Medical Center-Concord
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Davis, California, Verenigde Staten, 95616
- Sutter Davis Hospital
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Duarte, California, Verenigde Staten, 91010
- City of Hope Comprehensive Cancer Center
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Fremont, California, Verenigde Staten, 94538
- Palo Alto Medical Foundation-Fremont
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Lancaster, California, Verenigde Staten, 93534
- City of Hope Antelope Valley
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Los Angeles, California, Verenigde Staten, 90033
- USC / Norris Comprehensive Cancer Center
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Los Angeles, California, Verenigde Staten, 90033
- Los Angeles General Medical Center
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Modesto, California, Verenigde Staten, 95355
- Memorial Medical Center
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Mountain View, California, Verenigde Staten, 94040
- Palo Alto Medical Foundation-Camino Division
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Mountain View, California, Verenigde Staten, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Palo Alto, California, Verenigde Staten, 94301
- Palo Alto Medical Foundation Health Care
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Roseville, California, Verenigde Staten, 95661
- Sutter Cancer Centers Radiation Oncology Services-Roseville
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Roseville, California, Verenigde Staten, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Verenigde Staten, 95816
- Sutter Medical Center Sacramento
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San Francisco, California, Verenigde Staten, 94115
- California Pacific Medical Center-Pacific Campus
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San Luis Obispo, California, Verenigde Staten, 93401
- Pacific Central Coast Health Center-San Luis Obispo
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Santa Cruz, California, Verenigde Staten, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Santa Maria, California, Verenigde Staten, 93444
- Mission Hope Medical Oncology - Santa Maria
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Santa Rosa, California, Verenigde Staten, 95403
- Sutter Pacific Medical Foundation
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South Pasadena, California, Verenigde Staten, 91030
- City of Hope South Pasadena
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Sunnyvale, California, Verenigde Staten, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Upland, California, Verenigde Staten, 91786
- City of Hope Upland
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Vallejo, California, Verenigde Staten, 94589
- Sutter Solano Medical Center/Cancer Center
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Walnut Creek, California, Verenigde Staten, 94598
- John Muir Medical Center-Walnut Creek
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Colorado
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Aurora, Colorado, Verenigde Staten, 80012
- Rocky Mountain Cancer Centers-Aurora
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Boulder, Colorado, Verenigde Staten, 80304
- Rocky Mountain Cancer Centers-Boulder
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Centennial, Colorado, Verenigde Staten, 80112
- Rocky Mountain Cancer Centers - Centennial
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Colorado Springs, Colorado, Verenigde Staten, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Verenigde Staten, 80907
- Rocky Mountain Cancer Centers-Penrose
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Denver, Colorado, Verenigde Staten, 80210
- AdventHealth Porter
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Durango, Colorado, Verenigde Staten, 81301
- Mercy Medical Center
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Durango, Colorado, Verenigde Staten, 81301
- CommonSpirit Cancer Center Mercy
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Lakewood, Colorado, Verenigde Staten, 80228
- CommonSpirit Saint Anthony Hospital Cancer Center
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Littleton, Colorado, Verenigde Staten, 80120
- Rocky Mountain Cancer Centers-Littleton
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Littleton, Colorado, Verenigde Staten, 80122
- AdventHealth Littleton
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Lone Tree, Colorado, Verenigde Staten, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Longmont, Colorado, Verenigde Staten, 80501
- Longmont United Hospital
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Longmont, Colorado, Verenigde Staten, 80501
- Rocky Mountain Cancer Centers-Longmont
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Loveland, Colorado, Verenigde Staten, 80539
- Banner North Colorado Medical Center - Loveland Campus
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Parker, Colorado, Verenigde Staten, 80138
- AdventHealth Parker
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Pueblo, Colorado, Verenigde Staten, 81004
- Saint Mary Corwin Medical Center
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Connecticut
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Danbury, Connecticut, Verenigde Staten, 06810
- Danbury Hospital
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Norwalk, Connecticut, Verenigde Staten, 06856
- Norwalk Hospital
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Florida
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Pensacola, Florida, Verenigde Staten, 32504
- Sacred Heart Hospital
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Georgia
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Atlanta, Georgia, Verenigde Staten, 30342
- Northside Hospital
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Newnan, Georgia, Verenigde Staten, 30265
- CTCA at Southeastern Regional Medical Center
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Hawaii
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Honolulu, Hawaii, Verenigde Staten, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Verenigde Staten, 96826
- Kapiolani Medical Center for Women and Children
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Idaho
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Boise, Idaho, Verenigde Staten, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Boise, Idaho, Verenigde Staten, 83712
- Saint Luke's Cancer Institute - Boise
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Caldwell, Idaho, Verenigde Staten, 83605
- Saint Alphonsus Cancer Care Center-Caldwell
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Coeur d'Alene, Idaho, Verenigde Staten, 83814
- Kootenai Health - Coeur d'Alene
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Emmett, Idaho, Verenigde Staten, 83617
- Walter Knox Memorial Hospital
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Fruitland, Idaho, Verenigde Staten, 83619
- Saint Luke's Cancer Institute - Fruitland
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Meridian, Idaho, Verenigde Staten, 83642
- Idaho Urologic Institute-Meridian
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Meridian, Idaho, Verenigde Staten, 83642
- Saint Luke's Cancer Institute - Meridian
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Nampa, Idaho, Verenigde Staten, 83687
- Saint Alphonsus Cancer Care Center-Nampa
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Nampa, Idaho, Verenigde Staten, 83687
- Saint Luke's Cancer Institute - Nampa
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Post Falls, Idaho, Verenigde Staten, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Verenigde Staten, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Twin Falls, Idaho, Verenigde Staten, 83301
- Saint Luke's Cancer Institute - Twin Falls
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Illinois
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Alton, Illinois, Verenigde Staten, 62002
- OSF Saint Anthony's Health Center
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Aurora, Illinois, Verenigde Staten, 60504
- Rush-Copley Medical Center
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Bloomington, Illinois, Verenigde Staten, 61704
- Illinois CancerCare-Bloomington
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Canton, Illinois, Verenigde Staten, 61520
- Illinois CancerCare-Canton
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Carbondale, Illinois, Verenigde Staten, 62902
- Memorial Hospital of Carbondale
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Carterville, Illinois, Verenigde Staten, 62918
- SIH Cancer Institute
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Carthage, Illinois, Verenigde Staten, 62321
- Illinois CancerCare-Carthage
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Centralia, Illinois, Verenigde Staten, 62801
- Centralia Oncology Clinic
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Chicago, Illinois, Verenigde Staten, 60637
- University of Chicago Comprehensive Cancer Center
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Chicago, Illinois, Verenigde Staten, 60612
- John H Stroger Jr Hospital of Cook County
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Chicago, Illinois, Verenigde Staten, 60612
- Rush MD Anderson Cancer Center
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Danville, Illinois, Verenigde Staten, 61832
- Carle at The Riverfront
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Decatur, Illinois, Verenigde Staten, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Verenigde Staten, 62526
- Cancer Care Specialists of Illinois - Decatur
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Dixon, Illinois, Verenigde Staten, 61021
- Illinois CancerCare-Dixon
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Effingham, Illinois, Verenigde Staten, 62401
- Crossroads Cancer Center
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Effingham, Illinois, Verenigde Staten, 62401
- Carle Physician Group-Effingham
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Eureka, Illinois, Verenigde Staten, 61530
- Illinois CancerCare-Eureka
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Evanston, Illinois, Verenigde Staten, 60201
- NorthShore University HealthSystem-Evanston Hospital
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Galesburg, Illinois, Verenigde Staten, 61401
- Western Illinois Cancer Treatment Center
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Galesburg, Illinois, Verenigde Staten, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Verenigde Staten, 60134
- Northwestern Medicine Cancer Center Delnor
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Glenview, Illinois, Verenigde Staten, 60026
- NorthShore University HealthSystem-Glenbrook Hospital
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Harvey, Illinois, Verenigde Staten, 60426
- Ingalls Memorial Hospital
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Highland Park, Illinois, Verenigde Staten, 60035
- NorthShore University HealthSystem-Highland Park Hospital
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Hinsdale, Illinois, Verenigde Staten, 60521
- Sudarshan K Sharma MD Limited-Gynecologic Oncology
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Kewanee, Illinois, Verenigde Staten, 61443
- Illinois CancerCare-Kewanee Clinic
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Macomb, Illinois, Verenigde Staten, 61455
- Illinois CancerCare-Macomb
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Mattoon, Illinois, Verenigde Staten, 61938
- Carle Physician Group-Mattoon/Charleston
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Mount Vernon, Illinois, Verenigde Staten, 62864
- SSM Health Good Samaritan
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New Lenox, Illinois, Verenigde Staten, 60451
- UC Comprehensive Cancer Center at Silver Cross
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O'Fallon, Illinois, Verenigde Staten, 62269
- Cancer Care Center of O'Fallon
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Orland Park, Illinois, Verenigde Staten, 60462
- University of Chicago Medicine-Orland Park
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Ottawa, Illinois, Verenigde Staten, 61350
- Illinois CancerCare-Ottawa Clinic
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Pekin, Illinois, Verenigde Staten, 61554
- Illinois CancerCare-Pekin
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Peoria, Illinois, Verenigde Staten, 61636
- Methodist Medical Center of Illinois
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Peoria, Illinois, Verenigde Staten, 61615
- Illinois CancerCare-Peoria
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Peru, Illinois, Verenigde Staten, 61354
- Illinois CancerCare-Peru
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Peru, Illinois, Verenigde Staten, 61354
- Valley Radiation Oncology
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Princeton, Illinois, Verenigde Staten, 61356
- Illinois CancerCare-Princeton
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Springfield, Illinois, Verenigde Staten, 62702
- Southern Illinois University School of Medicine
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Springfield, Illinois, Verenigde Staten, 62702
- Springfield Clinic
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Springfield, Illinois, Verenigde Staten, 62781
- Springfield Memorial Hospital
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Urbana, Illinois, Verenigde Staten, 61801
- Carle Cancer Center
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Urbana, Illinois, Verenigde Staten, 61801
- The Carle Foundation Hospital
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Warrenville, Illinois, Verenigde Staten, 60555
- Northwestern Medicine Cancer Center Warrenville
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Washington, Illinois, Verenigde Staten, 61571
- Illinois CancerCare - Washington
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Yorkville, Illinois, Verenigde Staten, 60560
- Rush-Copley Healthcare Center
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Zion, Illinois, Verenigde Staten, 60099
- Midwestern Regional Medical Center
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Indiana
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South Bend, Indiana, Verenigde Staten, 46601
- Memorial Hospital of South Bend
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Iowa
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Ames, Iowa, Verenigde Staten, 50010
- Mary Greeley Medical Center
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Ames, Iowa, Verenigde Staten, 50010
- McFarland Clinic - Ames
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Boone, Iowa, Verenigde Staten, 50036
- McFarland Clinic - Boone
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Cedar Rapids, Iowa, Verenigde Staten, 52403
- Mercy Hospital
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Cedar Rapids, Iowa, Verenigde Staten, 52403
- Oncology Associates at Mercy Medical Center
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Clive, Iowa, Verenigde Staten, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, Verenigde Staten, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
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Council Bluffs, Iowa, Verenigde Staten, 51503
- Alegent Health Mercy Hospital
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Creston, Iowa, Verenigde Staten, 50801
- Greater Regional Medical Center
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Des Moines, Iowa, Verenigde Staten, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Verenigde Staten, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
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Fort Dodge, Iowa, Verenigde Staten, 50501
- McFarland Clinic - Trinity Cancer Center
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Iowa City, Iowa, Verenigde Staten, 52242
- University of Iowa/Holden Comprehensive Cancer Center
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Jefferson, Iowa, Verenigde Staten, 50129
- McFarland Clinic - Jefferson
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Marshalltown, Iowa, Verenigde Staten, 50158
- McFarland Clinic - Marshalltown
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West Des Moines, Iowa, Verenigde Staten, 50266
- Mercy Medical Center-West Lakes
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Kansas
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Garden City, Kansas, Verenigde Staten, 67846
- Central Care Cancer Center - Garden City
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Great Bend, Kansas, Verenigde Staten, 67530
- Central Care Cancer Center - Great Bend
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Kentucky
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Bardstown, Kentucky, Verenigde Staten, 40004
- CommonSpirit Saint Joseph Hospital - Bardstown
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Corbin, Kentucky, Verenigde Staten, 40701
- Commonwealth Cancer Center-Corbin
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Lexington, Kentucky, Verenigde Staten, 40504
- Saint Joseph Radiation Oncology Resource Center
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Lexington, Kentucky, Verenigde Staten, 40509
- CommonSpirit Saint Joseph Medical Center - East Lexington
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London, Kentucky, Verenigde Staten, 40741
- CommonSpirit Saint Joseph Hospital London
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Louisville, Kentucky, Verenigde Staten, 40202
- Jewish Hospital
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Louisville, Kentucky, Verenigde Staten, 40245
- UofL Health Medical Center Northeast
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Louisville, Kentucky, Verenigde Staten, 40215
- Saints Mary and Elizabeth Hospital
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Shepherdsville, Kentucky, Verenigde Staten, 40165
- Jewish Hospital Medical Center South
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Louisiana
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Baton Rouge, Louisiana, Verenigde Staten, 70817
- Our Lady of the Lake Medical Oncology
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Maine
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Augusta, Maine, Verenigde Staten, 04330
- Harold Alfond Center for Cancer Care
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Brewer, Maine, Verenigde Staten, 04412
- Lafayette Family Cancer Center-EMMC
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Scarborough, Maine, Verenigde Staten, 04074
- MaineHealth Maine Medical Center- Scarborough
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Maryland
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Baltimore, Maryland, Verenigde Staten, 21204
- Greater Baltimore Medical Center
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Bethesda, Maryland, Verenigde Staten, 20892
- National Institutes of Health Clinical Center
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Michigan
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Ann Arbor, Michigan, Verenigde Staten, 48109
- University of Michigan Rogel Cancer Center
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Dearborn, Michigan, Verenigde Staten, 48124
- Corewell Health Dearborn Hospital
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Royal Oak, Michigan, Verenigde Staten, 48073
- Corewell Health William Beaumont University Hospital
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Troy, Michigan, Verenigde Staten, 48085
- Corewell Health Beaumont Troy Hospital
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Minnesota
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Burnsville, Minnesota, Verenigde Staten, 55337
- Fairview Ridges Hospital
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Burnsville, Minnesota, Verenigde Staten, 55337
- Minnesota Oncology - Burnsville
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Cambridge, Minnesota, Verenigde Staten, 55008
- Cambridge Medical Center
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Coon Rapids, Minnesota, Verenigde Staten, 55433
- Mercy Hospital
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Edina, Minnesota, Verenigde Staten, 55435
- Fairview Southdale Hospital
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Fridley, Minnesota, Verenigde Staten, 55432
- Unity Hospital
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Maple Grove, Minnesota, Verenigde Staten, 55369
- Fairview Clinics and Surgery Center Maple Grove
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Maplewood, Minnesota, Verenigde Staten, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, Verenigde Staten, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, Verenigde Staten, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, Verenigde Staten, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Verenigde Staten, 55454
- Health Partners Inc
-
Minneapolis, Minnesota, Verenigde Staten, 55455
- University of Minnesota/Masonic Cancer Center
-
Monticello, Minnesota, Verenigde Staten, 55362
- Monticello Cancer Center
-
New Ulm, Minnesota, Verenigde Staten, 56073
- New Ulm Medical Center
-
Princeton, Minnesota, Verenigde Staten, 55371
- Fairview Northland Medical Center
-
Robbinsdale, Minnesota, Verenigde Staten, 55422
- North Memorial Medical Health Center
-
Saint Louis Park, Minnesota, Verenigde Staten, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul, Minnesota, Verenigde Staten, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Verenigde Staten, 55102
- United Hospital
-
Shakopee, Minnesota, Verenigde Staten, 55379
- Saint Francis Regional Medical Center
-
Stillwater, Minnesota, Verenigde Staten, 55082
- Lakeview Hospital
-
Waconia, Minnesota, Verenigde Staten, 55387
- Ridgeview Medical Center
-
Willmar, Minnesota, Verenigde Staten, 56201
- Rice Memorial Hospital
-
Woodbury, Minnesota, Verenigde Staten, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
Wyoming, Minnesota, Verenigde Staten, 55092
- Fairview Lakes Medical Center
-
-
Missouri
-
Ballwin, Missouri, Verenigde Staten, 63011
- Mercy Oncology and Hematology - Clayton-Clarkson
-
Bolivar, Missouri, Verenigde Staten, 65613
- Central Care Cancer Center - Bolivar
-
Cape Girardeau, Missouri, Verenigde Staten, 63703
- Saint Francis Medical Center
-
Cape Girardeau, Missouri, Verenigde Staten, 63703
- Mercy Cancer Center - Cape Girardeau
-
Farmington, Missouri, Verenigde Staten, 63640
- Parkland Health Center - Farmington
-
Jefferson City, Missouri, Verenigde Staten, 65109
- MU Health Care Goldschmidt Cancer Center
-
Joplin, Missouri, Verenigde Staten, 64804
- Freeman Health System
-
Joplin, Missouri, Verenigde Staten, 64804
- Mercy Hospital Joplin
-
Rolla, Missouri, Verenigde Staten, 65401
- Mercy Clinic-Rolla-Cancer and Hematology
-
Rolla, Missouri, Verenigde Staten, 65401
- Phelps Health Delbert Day Cancer Institute
-
Saint Joseph, Missouri, Verenigde Staten, 64506
- Heartland Regional Medical Center
-
Sainte Genevieve, Missouri, Verenigde Staten, 63670
- Sainte Genevieve County Memorial Hospital
-
Springfield, Missouri, Verenigde Staten, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Verenigde Staten, 65804
- Mercy Hospital Springfield
-
St Louis, Missouri, Verenigde Staten, 63110
- Washington University School of Medicine
-
St Louis, Missouri, Verenigde Staten, 63131
- Missouri Baptist Medical Center
-
St Louis, Missouri, Verenigde Staten, 63109
- Mercy Infusion Center - Chippewa
-
St Louis, Missouri, Verenigde Staten, 63141
- Mercy Hospital Saint Louis
-
St Louis, Missouri, Verenigde Staten, 63128
- Mercy Hospital South
-
Sullivan, Missouri, Verenigde Staten, 63080
- Missouri Baptist Sullivan Hospital
-
Washington, Missouri, Verenigde Staten, 63090
- Mercy Hospital Washington
-
-
Montana
-
Anaconda, Montana, Verenigde Staten, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Verenigde Staten, 59101
- Billings Clinic Cancer Center
-
Bozeman, Montana, Verenigde Staten, 59715
- Bozeman Health Deaconess Hospital
-
Great Falls, Montana, Verenigde Staten, 59405
- Great Falls Clinic
-
Great Falls, Montana, Verenigde Staten, 59405
- Benefis Sletten Cancer Institute
-
Kalispell, Montana, Verenigde Staten, 59901
- Logan Health Medical Center
-
Missoula, Montana, Verenigde Staten, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, Verenigde Staten, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Verenigde Staten, 68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Kearney, Nebraska, Verenigde Staten, 68847
- CHI Health Good Samaritan
-
Lincoln, Nebraska, Verenigde Staten, 68510
- Saint Elizabeth Regional Medical Center
-
Lincoln, Nebraska, Verenigde Staten, 68516
- Cancer Partners of Nebraska
-
Omaha, Nebraska, Verenigde Staten, 68114
- Nebraska Methodist Hospital
-
Omaha, Nebraska, Verenigde Staten, 68198
- University of Nebraska Medical Center
-
Omaha, Nebraska, Verenigde Staten, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Verenigde Staten, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, Verenigde Staten, 68130
- Alegent Health Lakeside Hospital
-
Papillion, Nebraska, Verenigde Staten, 68046
- Midlands Community Hospital
-
-
Nevada
-
Las Vegas, Nevada, Verenigde Staten, 89106
- Women's Cancer Center of Nevada
-
-
New Jersey
-
Neptune City, New Jersey, Verenigde Staten, 07753
- Jersey Shore Medical Center
-
-
New Mexico
-
Albuquerque, New Mexico, Verenigde Staten, 87106
- University of New Mexico Cancer Center
-
Las Cruces, New Mexico, Verenigde Staten, 88011
- Memorial Medical Center-Las Cruces
-
Rio Rancho, New Mexico, Verenigde Staten, 87124
- Presbyterian Rust Medical Center/Jorgensen Cancer Center
-
-
New York
-
Bay Shore, New York, Verenigde Staten, 11706
- Northwell Health Imbert Cancer Center
-
Brightwaters, New York, Verenigde Staten, 11718
- Island Gynecologic Oncology
-
Buffalo, New York, Verenigde Staten, 14263
- Roswell Park Cancer Institute
-
Lake Success, New York, Verenigde Staten, 11042
- Northwell Health/Center for Advanced Medicine
-
Syracuse, New York, Verenigde Staten, 13210
- State University of New York Upstate Medical University
-
White Plains, New York, Verenigde Staten, 10601
- Dickstein Cancer Treatment Center
-
-
North Carolina
-
Clinton, North Carolina, Verenigde Staten, 28328
- Southeastern Medical Oncology Center-Clinton
-
Goldsboro, North Carolina, Verenigde Staten, 27534
- Southeastern Medical Oncology Center-Goldsboro
-
Jacksonville, North Carolina, Verenigde Staten, 28546
- Southeastern Medical Oncology Center-Jacksonville
-
-
Ohio
-
Akron, Ohio, Verenigde Staten, 44304
- Summa Health System - Akron Campus
-
Alliance, Ohio, Verenigde Staten, 44601
- Aultman Alliance Community Hospital
-
Beachwood, Ohio, Verenigde Staten, 44122
- UHHS-Chagrin Highlands Medical Center
-
Belpre, Ohio, Verenigde Staten, 45714
- Strecker Cancer Center-Belpre
-
Canton, Ohio, Verenigde Staten, 44710
- Aultman Health Foundation
-
Centerville, Ohio, Verenigde Staten, 45459
- Miami Valley Hospital South
-
Chardon, Ohio, Verenigde Staten, 44024
- Geauga Hospital
-
Chillicothe, Ohio, Verenigde Staten, 45601
- Adena Regional Medical Center
-
Cincinnati, Ohio, Verenigde Staten, 45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati, Ohio, Verenigde Staten, 45242
- Bethesda North Hospital
-
Cincinnati, Ohio, Verenigde Staten, 45247
- TriHealth Cancer Institute-Westside
-
Cincinnati, Ohio, Verenigde Staten, 45255
- TriHealth Cancer Institute-Anderson
-
Cleveland, Ohio, Verenigde Staten, 44106
- Case Western Reserve University
-
Cleveland, Ohio, Verenigde Staten, 44195
- Cleveland Clinic Foundation
-
Cleveland, Ohio, Verenigde Staten, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Columbus, Ohio, Verenigde Staten, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, Verenigde Staten, 43210
- Ohio State University Comprehensive Cancer Center
-
Columbus, Ohio, Verenigde Staten, 43219
- The Mark H Zangmeister Center
-
Columbus, Ohio, Verenigde Staten, 43214
- Columbus Oncology and Hematology Associates Inc
-
Columbus, Ohio, Verenigde Staten, 43228
- Doctors Hospital
-
Columbus, Ohio, Verenigde Staten, 43213
- Mount Carmel East Hospital
-
Columbus, Ohio, Verenigde Staten, 43215
- Grant Medical Center
-
Columbus, Ohio, Verenigde Staten, 43222
- Mount Carmel Health Center West
-
Dayton, Ohio, Verenigde Staten, 45409
- Miami Valley Hospital
-
Delaware, Ohio, Verenigde Staten, 43015
- Delaware Health Center-Grady Cancer Center
-
Delaware, Ohio, Verenigde Staten, 43015
- Grady Memorial Hospital
-
Dublin, Ohio, Verenigde Staten, 43016
- Dublin Methodist Hospital
-
Gahanna, Ohio, Verenigde Staten, 43230
- Central Ohio Breast and Endocrine Surgery
-
Grove City, Ohio, Verenigde Staten, 43123
- Mount Carmel Grove City Hospital
-
Lancaster, Ohio, Verenigde Staten, 43130
- Fairfield Medical Center
-
Lima, Ohio, Verenigde Staten, 45801
- Saint Rita's Medical Center
-
Mansfield, Ohio, Verenigde Staten, 44903
- OhioHealth Mansfield Hospital
-
Marietta, Ohio, Verenigde Staten, 45750
- Marietta Memorial Hospital
-
Marion, Ohio, Verenigde Staten, 43302
- OhioHealth Marion General Hospital
-
Mayfield Heights, Ohio, Verenigde Staten, 44124
- Hillcrest Hospital Cancer Center
-
Mentor, Ohio, Verenigde Staten, 44060
- UH Seidman Cancer Center at Lake Health Mentor Campus
-
Mount Vernon, Ohio, Verenigde Staten, 43050
- Knox Community Hospital
-
Newark, Ohio, Verenigde Staten, 43055
- Licking Memorial Hospital
-
Newark, Ohio, Verenigde Staten, 43055
- Newark Radiation Oncology
-
Perrysburg, Ohio, Verenigde Staten, 43551
- Mercy Health - Perrysburg Hospital
-
Portsmouth, Ohio, Verenigde Staten, 45662
- Southern Ohio Medical Center
-
Toledo, Ohio, Verenigde Staten, 43623
- Mercy Health - Saint Anne Hospital
-
Toledo, Ohio, Verenigde Staten, 43608
- Mercy Health - Saint Vincent Hospital
-
Wadsworth, Ohio, Verenigde Staten, 44281
- University Hospitals Sharon Health Center
-
Westerville, Ohio, Verenigde Staten, 43081
- Saint Ann's Hospital
-
Westlake, Ohio, Verenigde Staten, 44145
- UH Seidman Cancer Center at Saint John Medical Center
-
Zanesville, Ohio, Verenigde Staten, 43701
- Genesis Healthcare System Cancer Care Center
-
-
Oklahoma
-
Lawton, Oklahoma, Verenigde Staten, 73505
- Cancer Centers of Southwest Oklahoma Research
-
Oklahoma City, Oklahoma, Verenigde Staten, 73104
- University of Oklahoma Health Sciences Center
-
Oklahoma City, Oklahoma, Verenigde Staten, 73120
- Mercy Hospital Oklahoma City
-
Tulsa, Oklahoma, Verenigde Staten, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
-
-
Oregon
-
Baker City, Oregon, Verenigde Staten, 97814
- Saint Alphonsus Cancer Care Center-Baker City
-
Bend, Oregon, Verenigde Staten, 97701
- Saint Charles Health System
-
Clackamas, Oregon, Verenigde Staten, 97015
- Clackamas Radiation Oncology Center
-
Clackamas, Oregon, Verenigde Staten, 97015
- Providence Cancer Institute Clackamas Clinic
-
Coos Bay, Oregon, Verenigde Staten, 97420
- Bay Area Hospital
-
Newberg, Oregon, Verenigde Staten, 97132
- Providence Newberg Medical Center
-
Ontario, Oregon, Verenigde Staten, 97914
- Saint Alphonsus Cancer Care Center-Ontario
-
Portland, Oregon, Verenigde Staten, 97210
- Legacy Good Samaritan Hospital and Medical Center
-
Portland, Oregon, Verenigde Staten, 97213
- Providence Portland Medical Center
-
Portland, Oregon, Verenigde Staten, 97225
- Providence Saint Vincent Medical Center
-
Redmond, Oregon, Verenigde Staten, 97756
- Saint Charles Health System-Redmond
-
Tualatin, Oregon, Verenigde Staten, 97062
- Legacy Meridian Park Hospital
-
-
Pennsylvania
-
Butler, Pennsylvania, Verenigde Staten, 16001
- UPMC Hillman Cancer Center at Butler Health System
-
Erie, Pennsylvania, Verenigde Staten, 16505
- UPMC Hillman Cancer Center Erie
-
Paoli, Pennsylvania, Verenigde Staten, 19301
- Paoli Memorial Hospital
-
Philadelphia, Pennsylvania, Verenigde Staten, 19107
- Thomas Jefferson University Hospital
-
Philadelphia, Pennsylvania, Verenigde Staten, 19114
- Jefferson Torresdale Hospital
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15224
- West Penn Hospital
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15232
- UPMC Hillman Cancer Center
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15213
- UPMC-Magee Womens Hospital
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15237
- UPMC-Passavant Hospital
-
Willow Grove, Pennsylvania, Verenigde Staten, 19090
- Asplundh Cancer Pavilion
-
Wynnewood, Pennsylvania, Verenigde Staten, 19096
- Lankenau Medical Center
-
-
Rhode Island
-
Providence, Rhode Island, Verenigde Staten, 02905
- Women and Infants Hospital
-
-
South Carolina
-
Charleston, South Carolina, Verenigde Staten, 29425
- Medical University of South Carolina
-
Greenville, South Carolina, Verenigde Staten, 29607
- Saint Francis Cancer Center
-
Greenville, South Carolina, Verenigde Staten, 29601
- Saint Francis Hospital
-
-
South Dakota
-
Rapid City, South Dakota, Verenigde Staten, 57701
- Rapid City Regional Hospital
-
-
Tennessee
-
Bristol, Tennessee, Verenigde Staten, 37620
- Bristol Regional Medical Center
-
Kingsport, Tennessee, Verenigde Staten, 37660
- Ballad Health Cancer Care - Kingsport
-
Kingsport, Tennessee, Verenigde Staten, 37660
- Wellmont Holston Valley Hospital and Medical Center
-
Knoxville, Tennessee, Verenigde Staten, 37916
- Covenant Health Cancer Centers
-
Knoxville, Tennessee, Verenigde Staten, 37932
- Covenant Health Cancer Centers - West
-
Nashville, Tennessee, Verenigde Staten, 37232
- Vanderbilt University/Ingram Cancer Center
-
Nashville, Tennessee, Verenigde Staten, 37204
- Vanderbilt Breast Center at One Hundred Oaks
-
-
Texas
-
Bryan, Texas, Verenigde Staten, 77802
- Saint Joseph Regional Cancer Center
-
Dallas, Texas, Verenigde Staten, 75235
- Parkland Memorial Hospital
-
Dallas, Texas, Verenigde Staten, 75390
- UT Southwestern/Simmons Cancer Center-Dallas
-
Houston, Texas, Verenigde Staten, 77030
- Houston Methodist Hospital
-
Houston, Texas, Verenigde Staten, 77070
- Methodist Willowbrook Hospital
-
Houston, Texas, Verenigde Staten, 77094
- Houston Methodist West Hospital
-
Sugar Land, Texas, Verenigde Staten, 77479
- Houston Methodist Sugar Land Hospital
-
The Woodlands, Texas, Verenigde Staten, 77385
- Houston Methodist The Woodlands Hospital
-
-
Virginia
-
Bristol, Virginia, Verenigde Staten, 24201
- Ballad Health Cancer Care - Bristol
-
Norton, Virginia, Verenigde Staten, 24273
- Ballad Health Cancer Care - Norton
-
-
Washington
-
Aberdeen, Washington, Verenigde Staten, 98520
- Providence Regional Cancer System-Aberdeen
-
Bellingham, Washington, Verenigde Staten, 98225
- PeaceHealth Saint Joseph Medical Center
-
Burien, Washington, Verenigde Staten, 98166
- Saint Anne Hospital
-
Centralia, Washington, Verenigde Staten, 98531
- Providence Regional Cancer System-Centralia
-
Edmonds, Washington, Verenigde Staten, 98026
- Swedish Cancer Institute-Edmonds
-
Enumclaw, Washington, Verenigde Staten, 98022
- Saint Elizabeth Hospital
-
Everett, Washington, Verenigde Staten, 98201
- Providence Regional Cancer Partnership
-
Federal Way, Washington, Verenigde Staten, 98003
- Saint Francis Hospital
-
Issaquah, Washington, Verenigde Staten, 98029
- Swedish Cancer Institute-Issaquah
-
Kennewick, Washington, Verenigde Staten, 99336
- Kadlec Clinic Hematology and Oncology
-
Lacey, Washington, Verenigde Staten, 98503
- Providence Regional Cancer System-Lacey
-
Lakewood, Washington, Verenigde Staten, 98499
- Saint Clare Hospital
-
Longview, Washington, Verenigde Staten, 98632
- PeaceHealth Saint John Medical Center
-
Port Townsend, Washington, Verenigde Staten, 98368
- Jefferson Healthcare
-
Seattle, Washington, Verenigde Staten, 98107
- Swedish Medical Center-Ballard Campus
-
Seattle, Washington, Verenigde Staten, 98122
- Swedish Medical Center-First Hill
-
Seattle, Washington, Verenigde Staten, 98104
- Pacific Gynecology Specialists
-
Seattle, Washington, Verenigde Staten, 98122-5711
- Swedish Medical Center-Cherry Hill
-
Sedro-Woolley, Washington, Verenigde Staten, 98284
- PeaceHealth United General Medical Center
-
Shelton, Washington, Verenigde Staten, 98584
- Providence Regional Cancer System-Shelton
-
Silverdale, Washington, Verenigde Staten, 98383
- Saint Joseph Medical Center Hematology and Oncology - Silverdale
-
Tacoma, Washington, Verenigde Staten, 98405
- Franciscan Research Center-Northwest Medical Plaza
-
Vancouver, Washington, Verenigde Staten, 98686
- Legacy Salmon Creek Hospital
-
Vancouver, Washington, Verenigde Staten, 98664
- PeaceHealth Southwest Medical Center
-
Walla Walla, Washington, Verenigde Staten, 99362
- Providence Saint Mary Regional Cancer Center
-
Yelm, Washington, Verenigde Staten, 98597
- Providence Regional Cancer System-Yelm
-
-
West Virginia
-
Charleston, West Virginia, Verenigde Staten, 25304
- Vandalia Health/CAMC Institute for Academic Medicine
-
-
Wisconsin
-
Green Bay, Wisconsin, Verenigde Staten, 54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay, Wisconsin, Verenigde Staten, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
La Crosse, Wisconsin, Verenigde Staten, 54601
- Gundersen Lutheran Medical Center
-
Milwaukee, Wisconsin, Verenigde Staten, 53226
- Medical College of Wisconsin
-
Mukwonago, Wisconsin, Verenigde Staten, 53149
- ProHealth D N Greenwald Center
-
New Richmond, Wisconsin, Verenigde Staten, 54017
- Cancer Center of Western Wisconsin
-
Oconomowoc, Wisconsin, Verenigde Staten, 53066
- ProHealth Oconomowoc Memorial Hospital
-
Oconto Falls, Wisconsin, Verenigde Staten, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Sturgeon Bay, Wisconsin, Verenigde Staten, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Waukesha, Wisconsin, Verenigde Staten, 53188
- UW Cancer Center at ProHealth Care
-
Waukesha, Wisconsin, Verenigde Staten, 53188
- ProHealth Waukesha Memorial Hospital
-
-
Wyoming
-
Cody, Wyoming, Verenigde Staten, 82414
- Billings Clinic-Cody
-
Sheridan, Wyoming, Verenigde Staten, 82801
- Welch Cancer Center
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
-
Women with recurrent/persistent platinum-resistant ovarian, primary peritoneal, or fallopian tube cancers; platinum-resistant disease is defined as progression within < 6 months from completion of platinum based therapy. The date should be calculated from the last administered dose of platinum therapy
-
Patients must have histologically or cytologically confirmed ovarian cancer, peritoneal cancer or fallopian tube cancer and must have a histological diagnosis of high grade serous, grade 3 endometrioid or clear cell carcinoma based on local histopathological findings. Patients with low grade serous, grade 1 or 2 endometrioid, mixed epithelial, undifferentiated carcinoma, or mucinous carcinoma histologies are also eligible, provided that the patient has a known deleterious BRCA1 or BRCA2 mutation identified through testing at a clinical laboratory. Histologic confirmation of the original primary tumor is required via the pathology report (upload of report required). Confirmation of BRCA1 and BRCA2 germline and/or somatic mutation status and hormone receptor (HR) status is required for all entered patients (if available) via testing report (upload of report[s] required)
-
Evaluable disease - defined as RECIST 1.1 measurable disease OR non-measurable disease (defined as solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST 1.1 definitions for target lesions OR ascites and/or pleural effusion that has been pathologically demonstrated to be disease-related in the setting of a CA125 >= 2 x upper limit of normal [ULN])
-
Prior therapy:
- At least two prior treatment regimens (including primary therapy) but up to 5 lines of systemic anticancer therapy. Hormonal therapy (such as tamoxifen, aromatase inhibitors) will not count as a previous treatment regimen.
- Prior use of bevacizumab in the upfront or recurrent setting is required.
- Prior use of PARP inhibitor is allowed.
- Prior use of immune checkpoint blockade (e.g., a PD-L1/PD-1inhibitor or a CTLA-4 inhibitor) is allowed
-
Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
-
Absolute neutrophil count (ANC) >= 1,500/mcL
-
Hemoglobin >= 10 g/dL
-
Platelets >= 100,000/mcL
-
Creatinine clearance (CrCL) or estimated glomerular filtration rate (eGFR) of > 50 mL/min estimated using either the Cockcroft-Gault equation, the Modification of Diet in Renal Disease Study, or as reported in the comprehensive metabolic panel/basic metabolic panel (eGFR)
-
Urine protein: creatinine ratio (UPC) of =< 1
-
Total serum bilirubin level =< 1.5 x ULN (patients with known Gilbert's disease who have bilirubin level =< 3 x ULN may be enrolled)
-
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 3 x ULN
-
Age >= 18 years
-
Body weight > 30 kg
-
Adequately controlled blood pressure (systolic blood pressure [SBP] =< 140; diastolic blood pressure [DBP] =< 90 mmHg) on a maximum of three antihypertensive medications. Patients must have a BP of =< 140/90 mmHg taken in the clinic setting by a medical professional within 2 weeks prior to study registration. It is strongly recommended that patients who are on three antihypertensive medications be followed by a cardiologist or a primary care physician for management of BP while on protocol. Patients must be willing and able to check and record daily blood pressure readings. BP cuffs will be provided to patients randomized to the cediranib-containing arms
-
Adequately controlled thyroid dysfunction with no symptoms of thyroid dysfunction and normal thyroid stimulating hormone (TSH). If TSH is not within normal range despite no symptoms of thyroid dysfunction, normal free T4 level is required
-
Able to swallow and retain oral medications and no gastrointestinal (GI) illnesses that would preclude absorption of olaparib and cediranib as judged by treating physician
-
Toxicities of prior therapy (excepting alopecia and vitiligo), should be resolved to less than or equal to grade 1 as per Common Terminology Criteria for Adverse Events (CTCAE) v5.0
-
Women of childbearing potential (WOCBP) must agree to use two forms of birth control (hormonal or barrier method of birth control; abstinence). Note: Definition of women of no longer having childbearing potential: Postmenopausal or evidence of non-childbearing status for women of childbearing potential as confirmed by a negative urine or serum pregnancy test within 7 days prior to start of study treatment. Postmenopausal is defined as: Age >= 60 years, or age < 60 with any one or more of the conditions below:
- Amenorrhoeic for >= 1 year in the absence of chemotherapy and/or hormonal treatments,
- Luteinizing hormone and/or follicle stimulating hormone and/or estradiol levels in the post-menopausal range,
- Radiation-induced oophorectomy with last menses > 1 year ago,
- Chemotherapy-induced menopause with > 1 year interval since last menses,
- Surgical sterilization (bilateral oophorectomy or hysterectomy)
-
The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and authorization permitting release of personal health information
Exclusion Criteria:
-
Primary platinum-refractory disease defined as progression during first-line platinum-based chemotherapy
-
Rising CA-125 only without RECIST 1.1 evaluable disease
-
Prior therapy:
-
Patients who have had chemotherapy, investigational drugs or radiotherapy within 3 weeks prior to study registration or those who have not recovered from adverse events due to agents administered more than 3 weeks earlier.
-
Patients may not have had hormonal therapy within 2 weeks of study registration. Patients receiving raloxifene for bone health as per Food and Drug Administration (FDA) indication may remain on raloxifene absent other drug interactions.
-
Prior use of concurrent olaparib and cediranib combination.
-
Patients who have experienced immune-mediated adverse events requiring dose modification or discontinuation.
-
For patients who have received prior PARP inhibitor:
- Patients who have required dose modification or dose reduction of olaparib will not be eligible, as they will not be able to start this study at full dose.
- Patients who have required dose reduction of non-olaparib PARP inhibitors for hematologic adverse events will not be eligible (Note: niraparib that is initiated at 200mg daily per weight and platelet guidelines is not considered a dose reduction).
- Patients who required dose-reduction of non-olaparib PARP inhibitors for non-hematologic adverse events may be eligible after discussion with the Study Chair if the treating investigator feels that they could appropriately receive olaparib at full dose.
-
-
History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 3 months prior to study registration
-
Current signs and/or symptoms of bowel obstruction or signs and/or symptoms of bowel obstruction within 3 months of study registration except temporary (< 24 hr) improved with medical management, within last 3 months
-
Any prior grade >= 3 immune-related adverse event (irAE) while receiving any previous immunotherapy agent, or any unresolved irAE > grade 1
-
Dependency on IV hydration or total parenteral nutrition (TPN)
-
Pregnant women. Because there is an unknown but potential risk of adverse events in nursing infants secondary to treatment of the mother with these drugs, breastfeeding should be discontinued. These potential risks may also apply to other agents used in this study
-
Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
-
Patients with untreated brain metastases, spinal cord compression, or evidence of symptomatic brain metastases or leptomeningeal disease as noted on computed tomography (CT) or magnetic resonance imaging (MRI) scans should not be included on this study, since neurologic dysfunction may confound the evaluation of neurologic and other adverse events. Patients with treated brain metastases and resolution of any associated symptoms must demonstrate stable post-therapeutic imaging for at least 6 months following therapy prior to starting study registration
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Patients who have the following clinical conditions are considered to be at increased risk for cardiac toxicities. Patients with any cardiac history of the following conditions:
- History of myocardial infarction or myocarditis within six months of study registration
- Unstable angina
- Resting electrocardiogram (ECG) with clinically significant abnormal findings.
- New York Heart Association functional classification of III or IV
-
If cardiac function assessment is clinically indicated or performed: left ventricular ejection fraction (LVEF) less than normal per institutional guidelines, or < 55%, if threshold for normal not otherwise specified by institutional guidelines. Patients with the following risk factors should have a baseline cardiac function assessment:
- Prior treatment with anthracyclines
- Prior treatment with trastuzumab or T-DM1
- Prior central thoracic radiation therapy (RT), including RT to the heart
- History of myocardial infarction within 6 to 12 months (Patients with history of myocardial infarction within 6 months are excluded from the study)
- Prior history of impaired cardiac function
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History of stroke or transient ischemic attack within six months of study registration
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Clinically significant peripheral vascular disease or vascular disease (aortic aneurysm or aortic dissection)
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Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of study treatment. Patients must have recovered from any effects of any major surgery and surgical wound should have healed prior to starting treatment. Note: Local surgery of isolated lesions for palliative intent is acceptable
-
Evidence of coagulopathy or bleeding diathesis. Therapeutic anticoagulation for prior thromboembolic events, including warfarin, is permitted. Patients receiving warfarin are recommended to have careful monitoring of international normalized ratio (INR)
-
Evidence suggestive of myelodysplastic syndrome (MDS) or acute myelogenous leukemia (AML) on peripheral blood smear or bone marrow biopsy, if clinically indicated. No prior allogeneic bone marrow transplant or double umbilical cord blood transplantation (dUBCT)
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Human immunodeficiency virus (HIV) positive patients due to potential drug and drug interactions
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Patients may not use any complementary or alternative medicines including natural herbal products or folk remedies as they may interfere with the effectiveness of the study treatments
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Receipt of live attenuated vaccine within 30 days prior to the first dose of study treatment. Note: Patients, if enrolled, should not receive live vaccine whilst receiving study treatment and up to 30 days after the last dose of study treatment
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Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia (other than atrial fibrillation with controlled ventricular rate), or psychiatric illness/social situations that would limit compliance with study requirements, substantially increase risk of incurring adverse events or compromise the ability of the patient to given written informed consent
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Patients receiving any medications or substances that are strong inhibitors or inducers of CYP3A4. Dihydropyridine calcium-channel blockers are permitted for management of hypertension
-
Current or prior use of immunosuppressive medication within 14 days of study registration. The following are exceptions to this criterion:
- Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intra articular injection)
- Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent
- Steroids as premedication for hypersensitivity reactions (e.g., CT scan premedication)
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History of allergic reactions attributed to compounds of similar chemical or biologic composition to durvalumab, olaparib, or cediranib
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Patients with active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment
-
Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and tuberculosis [TB] testing in line with local practice), hepatitis B (known positive hepatitis B virus [HBV] surface antigen (HBsAg) result), or hepatitis C. Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [anti-HBc] and absence of HBsAg) are eligible. Patients positive for hepatitis C (HCV) antibody are eligible only if polymerase chain reaction is negative for hepatitis C virus (HCV) ribonucleic acid (RNA)
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Patients who have a history of (non-infectious) pneumonitis that required steroids, or current pneumonitis
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Actieve vergelijker: Arm I (paclitaxel, doxorubicin, topotecan hydrochloride))
Patients receive paclitaxel IV over 60 minutes on days 1, 8, and 15, or pegylated liposomal doxorubicin hydrochloride IV over 60 minutes on day 1, or topotecan hydrochloride IV over 30 minutes on days 1, 8 and 15 or days 1-5 per the discretion of the treating physician. Cycles repeat every 21 or 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial. |
Given IV
Andere namen:
Undergo CT
Andere namen:
Undergo MRI
Andere namen:
Undergo ECHO
Andere namen:
Undergo MUGA
Andere namen:
Undergo collection of blood
Andere namen:
Given IV
Andere namen:
Given IV
Andere namen:
Undergo CT with contrast
Andere namen:
|
|
Experimenteel: Arm II (durvalumab, cediranib maleate, olaparib)
Patients receive durvalumab IV over 60 minutes on day 1, cediranib maleate PO QD Monday through Friday, and olaparib PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial. |
Undergo CT
Andere namen:
Undergo MRI
Andere namen:
Undergo ECHO
Andere namen:
Undergo MUGA
Andere namen:
Undergo collection of blood
Andere namen:
Given PO
Andere namen:
Given PO
Andere namen:
Undergo CT with contrast
Andere namen:
Given IV
Andere namen:
|
|
Experimenteel: Arm III (durvalumab, cediranib maleate)
Patients receive durvalumab IV over 60 minutes on day 1 and cediranib maleate PO QD Monday through Friday. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial. |
Undergo CT
Andere namen:
Undergo MRI
Andere namen:
Undergo ECHO
Andere namen:
Undergo MUGA
Andere namen:
Undergo collection of blood
Andere namen:
Given PO
Andere namen:
Undergo CT with contrast
Andere namen:
Given IV
Andere namen:
|
|
Experimenteel: Arm IV (cediranib maleate, olaparib)
Patients receive cediranib maleate PO QD on days 1-28 and olaparib PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients may undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo collection of blood and CT with contrast during screening, and CT or MRI scans throughout the trial. |
Undergo CT
Andere namen:
Undergo MRI
Andere namen:
Undergo ECHO
Andere namen:
Undergo collection of blood
Andere namen:
Given PO
Andere namen:
Given PO
Andere namen:
Undergo CT with contrast
Andere namen:
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Progression Free Survival
Tijdsspanne: From start of treatment to time of progression or death, whichever occurs first. Median follow-up time was 4.8 months (Inter-Quartile Range: 2.0-7.9 months).
|
The relationship of randomized treatment assignment to progression free survival. The RECIST 1.1 criteria are used for disease progression. Progression is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). |
From start of treatment to time of progression or death, whichever occurs first. Median follow-up time was 4.8 months (Inter-Quartile Range: 2.0-7.9 months).
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Objective Response Rate
Tijdsspanne: From the start of the treatment until disease progression/recurrence, or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
Determination of response should take into consideration all target and non-target lesions. Here are the definitions of CR, PR, PD and SD: Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters (i.e. the nadir) while on study. The CI is the Jeffreys interval. |
From the start of the treatment until disease progression/recurrence, or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
|
Duration of Response
Tijdsspanne: Throughout study treatment, up to 10.6 months.
|
Tumor response was assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST 1.1) criteria. Duration of response was defined as the time from the first documentation of objective tumor response (complete response (CR) or partial response (PR)) to the first documented progressive disease (PD), or to death due to any cause, whichever occurs first. Per RECIST, Complete Response (CR) is defined as the disappearance of all target lesions; Partial Response (PR) is defined as an >=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease (PD) is defined as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Reporting the number of months from complete or partial response until disease progression, death or censoring, whichever occurs first. In the absence of disease progression or death, censoring time is based on date of last CT scan. |
Throughout study treatment, up to 10.6 months.
|
|
Overall Survival
Tijdsspanne: Time from study entry to date of death from any cause, or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
Overall survival will be presented by Kaplan Meier methods. Overall Survival (OS) is defined as the duration of time from study entry to date of death from any cause. A subject who has not died will be censored on the date that they were last known to be alive. |
Time from study entry to date of death from any cause, or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
|
Count of Participants With a Grade 3 (or Higher) Adverse Event
Tijdsspanne: From the start of treatment until disease progression/recurrence or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
The number of patients (in each reporting group) who experienced a grade 3 (or higher) adverse event |
From the start of treatment until disease progression/recurrence or termination by the DMC. The median followup time was 4.3 months. The maximum followup time was 11 months. Patients are no longer being assessed.
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Jung-min Lee, NRG Oncology
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Aminozuren, peptiden en eiwitten
- Eiwitten
- Zwavelverbindingen
- Organische chemicaliën
- Heterocyclische verbindingen
- Onderzoekstechnieken
- Klinische laboratoriumtechnieken
- Diagnostische technieken en procedures
- Diagnose
- Farmacologische acties
- Chemische acties en gebruik
- Koolwaterstoffen
- Cycloparaffins
- Koolwaterstoffen, alicyclisch
- Koolwaterstoffen, cyclisch
- Terpenen
- Koolhydraten
- Camptothecin
- Alkaloïden
- Polycyclische aromatische koolwaterstoffen
- Koolwaterstoffen, aromatisch
- Polycyclische verbindingen
- Glycosiden
- Antilichamen
- Immunoglobulinen
- Immunoproteïnen
- Bloedeiwitten
- Serum -globulines
- Globulines
- Anorganische chemicaliën
- Taxoids
- Cyclodecanes
- Diterpenen
- Gezondheidszorg economie en organisaties
- Specialiteitgebruik van chemicaliën
- Chemie -technieken, analytisch
- Spectrumanalyse
- Antracyclines
- Naftacenes
- Aminoglycosides
- Immunoglobuline -isotypes
- Sulfiden
- Anionen
- Ionen
- Elektrolyten
- Waterstofsulfide
- Daunorubicine
- Diagnostisch gebruik van chemicaliën
- Economie
- Doxorubicine
- Paclitaxel
- Immunoglobuline G
- Topotecan
- Exemplaarbehandeling
- Magnetische resonantiespectroscopie
- durvalumab
- Disulfides
- liposomale doxorubicine
- Olaparib
- cediranib
- Contrast media
- Belastingen
Andere studie-ID-nummers
- NCI-2021-00615
- U10CA180868 (Subsidie/contract van de Amerikaanse NIH)
- NCI-2021-00615 (Register-ID: CTRP (Clinical Trial Reporting Program))
- NRG-GY023 (Andere identificatie: CTEP)
- NRG-GY023 (Andere identificatie: NRG Oncology)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
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Informatie over medicijnen en apparaten, studiedocumenten
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