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Doxorubicinhydroklorid, cyklofosfamid og paklitaksel med eller uten bevacizumab ved behandling av pasienter med lymfeknutepositiv eller høyrisiko, lymfeknute-negativ brystkreft

27. august 2026 oppdatert av: National Cancer Institute (NCI)

En dobbeltblind fase III-studie av doksorubicin og cyklofosfamid etterfulgt av paklitaksel med bevacizumab eller placebo hos pasienter med lymfeknutepositiv og høyrisiko lymfeknute-negativ brystkreft

Denne randomiserte fase III-studien studerer doksorubicinhydroklorid, cyklofosfamid og paklitaksel for å se hvor godt de fungerer med eller uten bevacizumab i behandling av pasienter med kreft som har spredt seg til lymfeknuter (lymfeknutepositive) eller kreft som ikke har spredt seg til lymfen. noder, men har høy risiko for å komme tilbake (høyrisiko, lymfeknute-negativ brystkreft). Legemidler som brukes i kjemoterapi, som doksorubicinhydroklorid, cyklofosfamid og paklitaksel, virker på forskjellige måter for å stoppe veksten av tumorceller, enten ved å drepe cellene, ved å stoppe dem fra å dele seg eller ved å hindre dem i å spre seg. Monoklonale antistoffer, som bevacizumab, kan forstyrre tumorcellenes evne til å vokse og spre seg. Bevacizumab kan også stoppe veksten av brystkreft ved å blokkere blodstrømmen til svulsten. Å gi kjemoterapi etter operasjonen kan drepe eventuelle tumorceller som er igjen etter operasjonen og bidra til å forhindre at svulsten kommer tilbake. Det er ennå ikke kjent om doksorubicinhydroklorid, cyklofosfamid og paklitaksel er mer effektive med eller uten bevacizumab.

Studieoversikt

Detaljert beskrivelse

PRIMÆRE MÅL:

I. For å bestemme sykdomsfri overlevelse av pasienter (definert som invasiv sykdomsfri overlevelse [IFDS]) med lymfeknutepositiv og høyrisiko lymfeknute-negativ brystkreft randomisert til behandling med enten doksorubicin (doksorubicinhydroklorid)/cyklofosfamid pluss placebo fulgte med paklitaksel (AC + placebo > T + placebo) eller samme kjemoterapiregime pluss bevacizumab.

SEKUNDÆRE MÅL:

I. For å sammenligne kortsiktig (20-24 uker) versus langvarig (50-54 uker) behandling med bevacizumab.

II. For å sammenligne den totale overlevelsen. III. For å vurdere toksisitet. IV. For å evaluere sammenhengen mellom utfall i E5103 (sykdomsfri overlevelse, total overlevelse og toksisiteter) og genotype (avledet fra kandidater av enkeltnukleotidpolymorfismer og genomomfattende evalueringer).

V. Å sammenligne livskvaliteten til brystkreftpasienter behandlet med AC/paclitaxel og bevacizumab eller placebo, når det gjelder fysiske symptomer, fysisk funksjon, psykologisk tilstand og sosial funksjon over en 18 måneders periode.

VI. For å bestemme virkningen av teoretisk biomarkørinformasjon på pasienters vilje til å akseptere toksisitetene til bevacizumab for den estimerte potensielle fordelen.

VII. Å lage et bioprøvelager inkludert plasma-, serum- og CellSearch-kassetter som inneholder sirkulerende tumorceller (CTC) for å evaluere determinanter for sent tilbakefall, inkludert kandidat-biomarkører som reflekterer okkult tumorbelastning (f.eks. CTC og plasmatumor deoksyribonukleinsyre [DNA]) og vertsfaktorer ( for eksempel østrogen, insulin-insulin-lignende vekstfaktor [IGF] akse, betennelse, etc).

VIII. Å lage et biolager av metastatiske tumorprøver hos pasienter som har hatt et sent tilbakefall.

IX. For å bestemme kroppsmasseindeks (BMI) og komorbiditetsbyrde hos pasienter med operabel brystkreft fem eller flere år etter diagnosen.

X. For å fastslå om det er en sammenheng mellom sent tilbakefall og BMI ved diagnose og 5 år etter diagnose, og om BMI-assosierte inflammatoriske og/eller metabolske biomarkører er assosiert med tidlig og sent residiv.

OVERSIKT: Pasienter er randomisert til 1 av 3 behandlingsarmer.

ARM I: Pasienter får doksorubicinhydroklorid intravenøst ​​(IV), cyklofosfamid IV over 20-30 minutter og placebo IV over 30-90 minutter på dag 1. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel IV over 1 time på dag 1, 8 og 15 og placebo IV over 30-90 minutter på dag 1. Behandling med paklitaksel og placebo gjentas hver 3. uke i 4 kurer.

ARM II: Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I og bevacizumab IV over 30-90 minutter på dag 1. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel som i arm I og bevacizumab IV over 30-90 minutter på dag 1. Behandling med paklitaksel og bevacizumab gjentas hver 3. uke i 4 kurer.

ARM III: Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I og bevacizumab som i arm II. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel som i arm I og bevacizumab som i arm II. Behandling med paklitaksel og bevacizumab gjentas hver 3. uke i 4 kurer. Fra og med 2 måneder senere får pasientene bevacizumab IV over 30-90 minutter på dag 1. Behandling med bevacizumab alene gjentas hver 3. uke i 10 kurer.

I alle armer fortsetter behandlingen i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

Etter avsluttet studiebehandling følges pasientene opp i 15 år.

Studietype

Intervensjonell

Registrering (Faktiske)

4994

Fase

  • Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Alabama
      • Anniston, Alabama, Forente stater, 36202
        • Northeast Alabama Regional Medical Center
      • Birmingham, Alabama, Forente stater, 35233
        • University of Alabama at Birmingham Cancer Center
      • Mobile, Alabama, Forente stater, 36608
        • Providence Hospital
    • Alaska
      • Anchorage, Alaska, Forente stater, 99508
        • Providence Alaska Medical Center
      • Anchorage, Alaska, Forente stater, 99508
        • Alaska Regional Hospital
    • Arizona
      • Scottsdale, Arizona, Forente stater, 85259
        • Mayo Clinic in Arizona
      • Scottsdale, Arizona, Forente stater, 85258
        • Virginia G Piper Cancer Care-Del Camino
    • Arkansas
      • Fort Smith, Arkansas, Forente stater, 72903
        • Mercy Hospital Fort Smith
      • Little Rock, Arkansas, Forente stater, 72205
        • University of Arkansas for Medical Sciences
    • California
      • Antioch, California, Forente stater, 94531
        • Kaiser Permanente-Deer Valley Medical Center
      • Arroyo Grande, California, Forente stater, 93420
        • PCR Oncology
      • Berkeley, California, Forente stater, 94704
        • Alta Bates Summit Medical Center-Herrick Campus
      • Burbank, California, Forente stater, 91505
        • Providence Saint Joseph Medical Center/Disney Family Cancer Center
      • Burlingame, California, Forente stater, 94010
        • Mills-Peninsula Medical Center
      • Castro Valley, California, Forente stater, 94546
        • Eden Hospital Medical Center
      • Castro Valley, California, Forente stater, 94546
        • East Bay Radiation Oncology Center
      • Castro Valley, California, Forente stater, 94546
        • Valley Medical Oncology Consultants-Castro Valley
      • Emeryville, California, Forente stater, 94608
        • Bay Area Breast Surgeons Inc
      • Fremont, California, Forente stater, 94538
        • Kaiser Permanente-Fremont
      • Fremont, California, Forente stater, 94538
        • Valley Medical Oncology Consultants-Fremont
      • Fremont, California, Forente stater, 94538
        • Washington Health
      • Fresno, California, Forente stater, 93720
        • California Cancer Associates for Research and Excellence (cCare)
      • Glendale, California, Forente stater, 91204
        • Glendale Memorial Hospital and Health Center
      • Greenbrae, California, Forente stater, 94904
        • Marin Cancer Care Inc
      • Greenbrae, California, Forente stater, 94904
        • Marin General Hospital
      • La Jolla, California, Forente stater, 92093
        • UC San Diego Moores Cancer Center
      • Los Angeles, California, Forente stater, 90033
        • USC / Norris Comprehensive Cancer Center
      • Martinez, California, Forente stater, 94553-3156
        • Contra Costa Regional Medical Center
      • Marysville, California, Forente stater, 95901
        • Fremont - Rideout Cancer Center
      • Monterey, California, Forente stater, 93940
        • Community Hospital of Monterey Peninsula
      • Mountain View, California, Forente stater, 94040
        • El Camino Hospital
      • Mountain View, California, Forente stater, 94040
        • Palo Alto Medical Foundation-Camino Division
      • Novato, California, Forente stater, 94945
        • Sutter Cancer Research Consortium
      • Oakland, California, Forente stater, 94611
        • Kaiser Permanente-Oakland
      • Oakland, California, Forente stater, 94609
        • Alta Bates Summit Medical Center - Summit Campus
      • Oakland, California, Forente stater, 94609
        • Hematology and Oncology Associates-Oakland
      • Oakland, California, Forente stater, 94609
        • Tom K Lee Inc
      • Oakland, California, Forente stater, 94609
        • Bay Area Tumor Institute
      • Oakland, California, Forente stater, 94602
        • Wilma Chan Highland Hospital
      • Palm Springs, California, Forente stater, 92262
        • Desert Regional Medical Center
      • Palo Alto, California, Forente stater, 94304
        • Stanford Cancer Institute Palo Alto
      • Palo Alto, California, Forente stater, 94301
        • Palo Alto Medical Foundation Health Care
      • Pleasanton, California, Forente stater, 94588
        • Valley Care Health System - Pleasanton
      • Pleasanton, California, Forente stater, 94588
        • Valley Medical Oncology Consultants
      • Pomona, California, Forente stater, 91767
        • Pomona Valley Hospital Medical Center
      • Rancho Mirage, California, Forente stater, 92270
        • Eisenhower Medical Center
      • Redwood City, California, Forente stater, 94063
        • Kaiser Permanente-Redwood City
      • Richmond, California, Forente stater, 94801
        • Kaiser Permanente-Richmond
      • Roseville, California, Forente stater, 95661
        • Kaiser Permanente-Roseville
      • Sacramento, California, Forente stater, 95817
        • University of California Davis Comprehensive Cancer Center
      • Sacramento, California, Forente stater, 95823
        • Kaiser Permanente-South Sacramento
      • Sacramento, California, Forente stater, 95825
        • Kaiser Permanente Sacramento Medical Center
      • Salinas, California, Forente stater, 93901
        • Salinas Valley Memorial
      • San Diego, California, Forente stater, 92123
        • Sharp Memorial Hospital
      • San Diego, California, Forente stater, 92103
        • UC San Diego Medical Center - Hillcrest
      • San Diego, California, Forente stater, 92108
        • Kaiser Permanente-Rio San Diego
      • San Francisco, California, Forente stater, 94115
        • Kaiser Permanente-San Francisco
      • San Francisco, California, Forente stater, 94115
        • California Pacific Medical Center-Pacific Campus
      • San Francisco, California, Forente stater, 94115
        • UCSF Medical Center-Mount Zion
      • San Francisco, California, Forente stater, 94110
        • Zuckerberg San Francisco General Hospital
      • San Jose, California, Forente stater, 95119
        • Kaiser Permanente-Santa Teresa-San Jose
      • San Leandro, California, Forente stater, 94577
        • Kaiser Permanente San Leandro
      • San Pablo, California, Forente stater, 94806
        • Doctors Medical Center- JC Robinson Regional Cancer Center
      • San Rafael, California, Forente stater, 94903
        • Kaiser Permanente-San Rafael
      • Santa Clara, California, Forente stater, 95051
        • Kaiser Permanente Medical Center - Santa Clara
      • Santa Rosa, California, Forente stater, 95403
        • Kaiser Permanente-Santa Rosa
      • South San Francisco, California, Forente stater, 94080
        • Kaiser Permanente-South San Francisco
      • St. Helena, California, Forente stater, 94574
        • Saint Helena Hospital
      • Stockton, California, Forente stater, 95210
        • Kaiser Permanente-Stockton
      • Truckee, California, Forente stater, 96161
        • Gene Upshaw Memorial Tahoe Forest Cancer Center
      • Vallejo, California, Forente stater, 94589
        • Kaiser Permanente-Vallejo
      • Vallejo, California, Forente stater, 94589
        • Sutter Solano Medical Center/Cancer Center
      • Walnut Creek, California, Forente stater, 94596
        • Kaiser Permanente-Walnut Creek
    • Colorado
      • Aurora, Colorado, Forente stater, 80012
        • The Medical Center of Aurora
      • Boulder, Colorado, Forente stater, 80303
        • Boulder Community Foothills Hospital
      • Colorado Springs, Colorado, Forente stater, 80907
        • Penrose-Saint Francis Healthcare
      • Colorado Springs, Colorado, Forente stater, 80909
        • UCHealth Memorial Hospital Central
      • Denver, Colorado, Forente stater, 80205
        • Kaiser Permanente-Franklin
      • Denver, Colorado, Forente stater, 80218
        • Presbyterian - Saint Lukes Medical Center - Health One
      • Denver, Colorado, Forente stater, 80220
        • Rose Medical Center
      • Denver, Colorado, Forente stater, 80222
        • Western States Cancer Research NCORP
      • Denver, Colorado, Forente stater, 80218
        • Saint Joseph Hospital - Cancer Centers of Colorado
      • Denver, Colorado, Forente stater, 80210
        • AdventHealth Porter
      • Englewood, Colorado, Forente stater, 80113
        • Swedish Medical Center
      • Fort Collins, Colorado, Forente stater, 80524
        • Poudre Valley Hospital
      • Grand Junction, Colorado, Forente stater, 81501
        • Saint Mary's Hospital and Regional Medical Center
      • Greeley, Colorado, Forente stater, 80631
        • Banner North Colorado Medical Center
      • Lafayette, Colorado, Forente stater, 80026
        • Kaiser Permanente-Rock Creek
      • Lakewood, Colorado, Forente stater, 80228
        • CommonSpirit Saint Anthony Hospital Cancer Center
      • Lone Tree, Colorado, Forente stater, 80124
        • Sky Ridge Medical Center
      • Longmont, Colorado, Forente stater, 80501
        • Longmont United Hospital
      • Loveland, Colorado, Forente stater, 80539
        • Banner North Colorado Medical Center - Loveland Campus
      • Pueblo, Colorado, Forente stater, 81004
        • Saint Mary Corwin Medical Center
      • Thornton, Colorado, Forente stater, 80229
        • North Suburban Medical Center
      • Wheat Ridge, Colorado, Forente stater, 80401
        • Intermountain Health Lutheran Hospital
    • Connecticut
      • Danbury, Connecticut, Forente stater, 06810
        • Danbury Hospital
      • Hartford, Connecticut, Forente stater, 06105
        • Smilow Cancer Hospital Care Center at Saint Francis
      • Middletown, Connecticut, Forente stater, 06457
        • Middlesex Hospital
      • New Britain, Connecticut, Forente stater, 06050
        • The Hospital of Central Connecticut
      • Norwalk, Connecticut, Forente stater, 06856
        • Norwalk Hospital
      • Stamford, Connecticut, Forente stater, 06904
        • Stamford Hospital/Bennett Cancer Center
      • Torrington, Connecticut, Forente stater, 06790
        • Smilow Cancer Hospital-Torrington Care Center
    • Delaware
      • Dover, Delaware, Forente stater, 19901
        • Bayhealth Hospital Kent Campus
      • Lewes, Delaware, Forente stater, 19958
        • Beebe Medical Center
      • Newark, Delaware, Forente stater, 19718
        • Christiana Care Health System-Christiana Hospital
    • District of Columbia
      • Washington D.C., District of Columbia, Forente stater, 20037
        • George Washington University Medical Center
      • Washington D.C., District of Columbia, Forente stater, 20010
        • MedStar Washington Hospital Center
      • Washington D.C., District of Columbia, Forente stater, 20007
        • MedStar Georgetown University Hospital
      • Washington D.C., District of Columbia, Forente stater, 20016
        • Sibley Memorial Hospital
      • Washington D.C., District of Columbia, Forente stater, 20060
        • Howard University Hospital
    • Florida
      • Boca Raton, Florida, Forente stater, 33486
        • Boca Raton Regional Hospital
      • Boca Raton, Florida, Forente stater, 33428
        • Lynn Regional Cancer Center - West
      • Boca Raton, Florida, Forente stater, 33486
        • Boca Raton Comprehensive Cancer Center
      • Daytona Beach, Florida, Forente stater, 32114
        • Halifax Health Cancer Center for Hope - Daytona Beach
      • Deerfield Beach, Florida, Forente stater, 33064
        • Broward Health North
      • Fort Lauderdale, Florida, Forente stater, 33316
        • Broward Health Medical Center
      • Fort Lauderdale, Florida, Forente stater, 33308
        • Holy Cross Hospital
      • Gainesville, Florida, Forente stater, 32605
        • Florida Cancer Specialists-Gainesville Cancer Center
      • Hollywood, Florida, Forente stater, 33021
        • Memorial Regional Hospital/Joe DiMaggio Children's Hospital
      • Jacksonville, Florida, Forente stater, 32224-9980
        • Mayo Clinic in Florida
      • Jupiter, Florida, Forente stater, 33458
        • Jupiter Medical Center
      • Lakeland, Florida, Forente stater, 33805
        • Lakeland Regional Health Hollis Cancer Center
      • Lakeland, Florida, Forente stater, 33805
        • The Watson Clinic
      • Leesburg, Florida, Forente stater, 34788
        • Cancer Centers of Central Florida PA
      • Miami, Florida, Forente stater, 33136
        • University of Miami Miller School of Medicine-Sylvester Cancer Center
      • Miami Beach, Florida, Forente stater, 33140
        • Mount Sinai Medical Center
      • Orlando, Florida, Forente stater, 32803
        • AdventHealth Orlando
      • Weston, Florida, Forente stater, 33331
        • Cleveland Clinic-Weston
    • Georgia
      • Athens, Georgia, Forente stater, 30607
        • University Cancer and Blood Center LLC
      • Atlanta, Georgia, Forente stater, 30308
        • Emory University Hospital Midtown
      • Atlanta, Georgia, Forente stater, 30322
        • Emory University Hospital/Winship Cancer Institute
      • Atlanta, Georgia, Forente stater, 30342
        • Emory Saint Joseph's Hospital
      • Atlanta, Georgia, Forente stater, 30303
        • Grady Health System
      • Atlanta, Georgia, Forente stater, 30309
        • Piedmont Hospital
      • Atlanta, Georgia, Forente stater, 30342
        • Northside Hospital
      • Atlanta, Georgia, Forente stater, 30342
        • Atlanta Regional CCOP
      • Augusta, Georgia, Forente stater, 30912
        • Augusta University Medical Center
      • Austell, Georgia, Forente stater, 30106
        • WellStar Cobb Hospital
      • Columbus, Georgia, Forente stater, 31904
        • John B Amos Cancer Center
      • Decatur, Georgia, Forente stater, 30033
        • Emory Decatur Hospital
      • Fort Eisenhower, Georgia, Forente stater, 30905
        • Eisenhower Army Medical Center
      • Gainesville, Georgia, Forente stater, 30501
        • Northeast Georgia Medical Center-Gainesville
      • Lawrenceville, Georgia, Forente stater, 30046
        • Northside Hospital - Gwinnett
      • Macon, Georgia, Forente stater, 31201
        • Atrium Health Navicent
      • Marietta, Georgia, Forente stater, 30060
        • Wellstar Kennestone Hospital
      • Riverdale, Georgia, Forente stater, 30274
        • Southern Regional Medical Center
      • Rome, Georgia, Forente stater, 30165
        • Harbin Clinic Medical Oncology and Clinical Research
      • Savannah, Georgia, Forente stater, 31405
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
      • Savannah, Georgia, Forente stater, 31404
        • Memorial Health University Medical Center
    • Hawaii
      • Honolulu, Hawaii, Forente stater, 96813
        • Queen's Medical Center
      • Honolulu, Hawaii, Forente stater, 96817
        • The Cancer Center of Hawaii-Liliha
      • Honolulu, Hawaii, Forente stater, 96813
        • Hawaii Cancer Care Inc - Waterfront Plaza
      • Honolulu, Hawaii, Forente stater, 96813
        • Straub Clinic and Hospital
      • Honolulu, Hawaii, Forente stater, 96813
        • University of Hawaii Cancer Center
      • Honolulu, Hawaii, Forente stater, 96817
        • Queen's Cancer Center - Kuakini
      • Honolulu, Hawaii, Forente stater, 96826
        • Kapiolani Medical Center for Women and Children
      • Wailuku, Hawaii, Forente stater, 96793
        • Maui Memorial Medical Center
      • Wailuku, Hawaii, Forente stater, 96793
        • Pacific Cancer Institute of Maui
      • ‘Aiea, Hawaii, Forente stater, 96701
        • Pali Momi Medical Center
    • Idaho
      • Boise, Idaho, Forente stater, 83706
        • Saint Alphonsus Cancer Care Center-Boise
      • Boise, Idaho, Forente stater, 83712
        • Saint Luke's Cancer Institute - Boise
      • Post Falls, Idaho, Forente stater, 83854
        • Kootenai Clinic Cancer Services - Post Falls
    • Illinois
      • Alton, Illinois, Forente stater, 62002
        • OSF Saint Anthony's Health Center
      • Aurora, Illinois, Forente stater, 60504
        • Rush-Copley Medical Center
      • Berwyn, Illinois, Forente stater, 60402
        • MacNeal Hospital and Cancer Center
      • Bloomington, Illinois, Forente stater, 61704
        • Illinois CancerCare-Bloomington
      • Bloomington, Illinois, Forente stater, 61701
        • OSF Saint Joseph Medical Center
      • Canton, Illinois, Forente stater, 61520
        • Illinois CancerCare-Canton
      • Canton, Illinois, Forente stater, 61520
        • Graham Hospital Association
      • Carthage, Illinois, Forente stater, 62321
        • Illinois CancerCare-Carthage
      • Carthage, Illinois, Forente stater, 62321
        • Memorial Hospital
      • Chicago, Illinois, Forente stater, 60611
        • Northwestern University
      • Chicago, Illinois, Forente stater, 60637
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, Forente stater, 60612
        • University of Illinois
      • Chicago, Illinois, Forente stater, 60612
        • John H Stroger Jr Hospital of Cook County
      • Chicago, Illinois, Forente stater, 60657
        • UChicago Medicine Comprehensive Cancer Center - Saint Joseph Hospital
      • Chicago, Illinois, Forente stater, 60608
        • Mount Sinai Hospital Medical Center
      • Chicago, Illinois, Forente stater, 60625
        • Swedish Covenant Hospital
      • Chicago, Illinois, Forente stater, 60611
        • Hematology and Oncology Associates
      • Chicago, Illinois, Forente stater, 60631
        • Presence Resurrection Medical Center
      • Chicago, Illinois, Forente stater, 60640
        • Weiss Memorial Hospital
      • Chicago, Illinois, Forente stater, 60612
        • Rush MD Anderson Cancer Center
      • Decatur, Illinois, Forente stater, 62526
        • Decatur Memorial Hospital
      • Decatur, Illinois, Forente stater, 62526
        • Heartland Cancer Research NCORP
      • Elgin, Illinois, Forente stater, 60123
        • Advocate Sherman Hospital
      • Elk Grove Village, Illinois, Forente stater, 60007
        • Ascension Alexian Brothers - Elk Grove Village
      • Elmhurst, Illinois, Forente stater, 60126
        • Elmhurst Memorial Hospital
      • Eureka, Illinois, Forente stater, 61530
        • Illinois CancerCare-Eureka
      • Eureka, Illinois, Forente stater, 61530
        • Eureka Hospital
      • Evanston, Illinois, Forente stater, 60201
        • NorthShore University HealthSystem-Evanston Hospital
      • Evanston, Illinois, Forente stater, 60202
        • Saint Francis Hospital
      • Galesburg, Illinois, Forente stater, 61401
        • Illinois CancerCare-Galesburg
      • Galesburg, Illinois, Forente stater, 61401
        • Galesburg Cottage Hospital
      • Galesburg, Illinois, Forente stater, 61401
        • Illinois CancerCare-Cottage
      • Harvey, Illinois, Forente stater, 60426
        • Ingalls Memorial Hospital
      • Havana, Illinois, Forente stater, 62644
        • Mason District Hospital
      • Havana, Illinois, Forente stater, 62644
        • Illinois CancerCare-Havana
      • Highland Park, Illinois, Forente stater, 60035
        • Hematology Oncology Associates of Illinois-Highland Park
      • Hinsdale, Illinois, Forente stater, 60521
        • Hinsdale Hematology Oncology Associates Incorporated
      • Hopedale, Illinois, Forente stater, 61747
        • Hopedale Medical Complex - Hospital
      • Joliet, Illinois, Forente stater, 60435
        • Duly Health and Care Joliet
      • Joliet, Illinois, Forente stater, 60432
        • Midwest Center for Hematology Oncology
      • Kankakee, Illinois, Forente stater, 60901
        • Presence Saint Mary's Hospital
      • Kewanee, Illinois, Forente stater, 61443
        • Illinois CancerCare-Kewanee Clinic
      • La Grange, Illinois, Forente stater, 60525
        • AMITA Health Adventist Medical Center
      • Libertyville, Illinois, Forente stater, 60048
        • AMG Libertyville - Oncology
      • Macomb, Illinois, Forente stater, 61455
        • Illinois CancerCare-Macomb
      • Macomb, Illinois, Forente stater, 61455
        • Mcdonough District Hospital
      • Maywood, Illinois, Forente stater, 60153
        • Loyola University Medical Center
      • Moline, Illinois, Forente stater, 61265
        • Garneau, Stewart C MD (UIA Investigator)
      • Moline, Illinois, Forente stater, 61265
        • Porubcin, Michael MD (UIA Investigator)
      • Moline, Illinois, Forente stater, 61265
        • Spector, David MD (UIA Investigator)
      • Moline, Illinois, Forente stater, 61265
        • Trinity Medical Center
      • Moline, Illinois, Forente stater, 61265
        • Sharis, Christine M MD (UIA Investigator)
      • Moline, Illinois, Forente stater, 61265
        • Stoffel, Thomas J MD (UIA Investigator)
      • Monmouth, Illinois, Forente stater, 61462
        • Illinois CancerCare-Monmouth
      • Monmouth, Illinois, Forente stater, 61462
        • Holy Family Medical Center
      • Mount Vernon, Illinois, Forente stater, 62864
        • SSM Health Good Samaritan
      • Naperville, Illinois, Forente stater, 60563
        • DuPage Medical Group-Ogden
      • Niles, Illinois, Forente stater, 60714
        • Illinois Cancer Specialists-Niles
      • Normal, Illinois, Forente stater, 61761
        • Carle Cancer Institute Normal
      • Normal, Illinois, Forente stater, 61761
        • Illinois CancerCare-Community Cancer Center
      • Normal, Illinois, Forente stater, 61761
        • Mid-Illinois Hematology Oncology Associates Limited
      • Normal, Illinois, Forente stater, 61761
        • Carle BroMenn Medical Center
      • Oak Lawn, Illinois, Forente stater, 60453-2699
        • Advocate Christ Medical Center
      • Ottawa, Illinois, Forente stater, 61350
        • Illinois CancerCare-Ottawa Clinic
      • Ottawa, Illinois, Forente stater, 61350
        • Ottawa Regional Hospital and Healthcare Center
      • Park Ridge, Illinois, Forente stater, 60068
        • Advocate Lutheran General Hospital
      • Pekin, Illinois, Forente stater, 61554
        • Illinois CancerCare-Pekin
      • Pekin, Illinois, Forente stater, 61554
        • Pekin Hospital
      • Pekin, Illinois, Forente stater, 61554
        • OSF Saint Francis Radiation Oncology at Pekin
      • Peoria, Illinois, Forente stater, 61636
        • Methodist Medical Center of Illinois
      • Peoria, Illinois, Forente stater, 61637
        • OSF Saint Francis Medical Center
      • Peoria, Illinois, Forente stater, 61615
        • Illinois CancerCare-Peoria
      • Peoria, Illinois, Forente stater, 61614
        • Proctor Hospital
      • Peru, Illinois, Forente stater, 61354
        • Illinois CancerCare-Peru
      • Peru, Illinois, Forente stater, 61354
        • Illinois Valley Hospital
      • Princeton, Illinois, Forente stater, 61356
        • Illinois CancerCare-Princeton
      • Princeton, Illinois, Forente stater, 61356
        • Perry Memorial Hospital
      • River Forest, Illinois, Forente stater, 60305
        • West Suburban Medical Center
      • Rockford, Illinois, Forente stater, 61108
        • OSF Saint Anthony Medical Center
      • Rockford, Illinois, Forente stater, 61104
        • Swedish American Hospital
      • Skokie, Illinois, Forente stater, 60076
        • Hematology Oncology Associates of Illinois - Skokie
      • Skokie, Illinois, Forente stater, 60076
        • Edward H Kaplan MD and Associates
      • Spring Valley, Illinois, Forente stater, 61362
        • Saint Margaret's Hospital
      • Spring Valley, Illinois, Forente stater, 61362
        • Illinois CancerCare-Spring Valley
      • Springfield, Illinois, Forente stater, 62781
        • Springfield Memorial Hospital
      • Urbana, Illinois, Forente stater, 61801
        • Carle Cancer Center
      • Warrenville, Illinois, Forente stater, 60555
        • Northwestern Medicine Cancer Center Warrenville
      • Winfield, Illinois, Forente stater, 60190
        • Northwestern Medicine Central DuPage Hospital
    • Indiana
      • Anderson, Indiana, Forente stater, 46016
        • Ascension Saint Vincent Anderson
      • Beech Grove, Indiana, Forente stater, 46107
        • Franciscan Saint Francis Health-Beech Grove
      • Bloomington, Indiana, Forente stater, 47408
        • IU Health Bloomington
      • Elkhart, Indiana, Forente stater, 46515
        • Elkhart General Hospital
      • Elkhart, Indiana, Forente stater, 46514
        • Michiana Hematology Oncology PC-Elkhart
      • Elkhart, Indiana, Forente stater, 46514-2098
        • Elkhart Clinic
      • Fort Wayne, Indiana, Forente stater, 46845
        • Fort Wayne Medical Oncology and Hematology Inc-Parkview
      • Goshen, Indiana, Forente stater, 46526
        • Goshen Center for Cancer Care
      • Indianapolis, Indiana, Forente stater, 46237
        • Franciscan Health Indianapolis
      • Indianapolis, Indiana, Forente stater, 46202
        • Indiana University/Melvin and Bren Simon Cancer Center
      • Indianapolis, Indiana, Forente stater, 46260
        • Ascension Saint Vincent Indianapolis Hospital
      • Indianapolis, Indiana, Forente stater, 46202
        • Sidney and Lois Eskenazi Hospital
      • Kokomo, Indiana, Forente stater, 46904
        • Community Howard Regional Health
      • La Porte, Indiana, Forente stater, 46350
        • IU Health La Porte Hospital
      • Lafayette, Indiana, Forente stater, 47904
        • IU Health Arnett Cancer Care
      • Lafayette, Indiana, Forente stater, 47905
        • Horizon Oncology Research LLC
      • Merrillville, Indiana, Forente stater, 46410
        • Premier Oncology Hematology Associates
      • Michigan City, Indiana, Forente stater, 46360
        • Franciscan Saint Anthony Health-Michigan City
      • Mishawaka, Indiana, Forente stater, 46545
        • Michiana Hematology Oncology PC-Mishawaka
      • Mishawaka, Indiana, Forente stater, 46545
        • Saint Joseph Regional Medical Center-Mishawaka
      • Muncie, Indiana, Forente stater, 47303
        • IU Health Ball Memorial Hospital
      • Munster, Indiana, Forente stater, 46321
        • The Community Hospital
      • Plymouth, Indiana, Forente stater, 46563
        • Michiana Hematology Oncology PC-Plymouth
      • Richmond, Indiana, Forente stater, 47374
        • Reid Health
      • South Bend, Indiana, Forente stater, 46601
        • Memorial Hospital of South Bend
      • South Bend, Indiana, Forente stater, 46628
        • Northern Indiana Cancer Research Consortium
      • South Bend, Indiana, Forente stater, 46617
        • South Bend Clinic
      • Westville, Indiana, Forente stater, 46391
        • Michiana Hematology Oncology PC-Westville
    • Iowa
      • Ames, Iowa, Forente stater, 50010
        • McFarland Clinic - Ames
      • Bettendorf, Iowa, Forente stater, 52722
        • Constantinou, Costas L MD (UIA Investigator)
      • Bettendorf, Iowa, Forente stater, 52722
        • University of Iowa Healthcare Cancer Services Quad Cities
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Mercy Hospital
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Oncology Associates at Mercy Medical Center
      • Cedar Rapids, Iowa, Forente stater, 52402
        • Saint Luke's Hospital
      • Cedar Rapids, Iowa, Forente stater, 52402
        • Physicians' Clinic of Iowa PC
      • Clive, Iowa, Forente stater, 50325
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
      • Council Bluffs, Iowa, Forente stater, 51503
        • Heartland Oncology and Hematology LLP
      • Davenport, Iowa, Forente stater, 52804
        • MercyOne Genesis Davenport Cancer Center
      • Davenport, Iowa, Forente stater, 52803
        • MercyOne Genesis Davenport Medical Center
      • Des Moines, Iowa, Forente stater, 50309
        • Iowa Methodist Medical Center
      • Des Moines, Iowa, Forente stater, 50314
        • Mercy Medical Center - Des Moines
      • Des Moines, Iowa, Forente stater, 50316
        • Iowa Lutheran Hospital
      • Des Moines, Iowa, Forente stater, 50309
        • Iowa-Wide Oncology Research Coalition NCORP
      • Des Moines, Iowa, Forente stater, 50307
        • Mercy Capitol
      • Des Moines, Iowa, Forente stater, 50309
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
      • Des Moines, Iowa, Forente stater, 50314
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
      • Mason City, Iowa, Forente stater, 50401
        • Mercy Medical Center - North Iowa
      • Ottumwa, Iowa, Forente stater, 52501
        • Ottumwa Regional Health Center
      • Sioux City, Iowa, Forente stater, 51101
        • Siouxland Regional Cancer Center
      • Sioux City, Iowa, Forente stater, 51102
        • Mercy Medical Center-Sioux City
      • Sioux City, Iowa, Forente stater, 51104
        • Saint Luke's Regional Medical Center
      • Waterloo, Iowa, Forente stater, 50701
        • Cedar Valley Medical Specialists
      • Waterloo, Iowa, Forente stater, 50702
        • MercyOne Waterloo Cancer Center
    • Kansas
      • Chanute, Kansas, Forente stater, 66720
        • Cancer Center of Kansas - Chanute
      • Dodge City, Kansas, Forente stater, 67801
        • Cancer Center of Kansas - Dodge City
      • El Dorado, Kansas, Forente stater, 67042
        • Cancer Center of Kansas - El Dorado
      • Fort Scott, Kansas, Forente stater, 66701
        • Cancer Center of Kansas - Fort Scott
      • Independence, Kansas, Forente stater, 67301
        • Cancer Center of Kansas-Independence
      • Kansas City, Kansas, Forente stater, 66160
        • University of Kansas Cancer Center
      • Kingman, Kansas, Forente stater, 67068
        • Cancer Center of Kansas-Kingman
      • Lawrence, Kansas, Forente stater, 66044
        • Lawrence Memorial Hospital
      • Liberal, Kansas, Forente stater, 67905
        • Cancer Center of Kansas-Liberal
      • Liberal, Kansas, Forente stater, 67901
        • Southwest Medical Center
      • Newton, Kansas, Forente stater, 67114
        • Cancer Center of Kansas - Newton
      • Olathe, Kansas, Forente stater, 66061
        • Olathe Cancer Center
      • Parsons, Kansas, Forente stater, 67357
        • Cancer Center of Kansas - Parsons
      • Pratt, Kansas, Forente stater, 67124
        • Cancer Center of Kansas - Pratt
      • Salina, Kansas, Forente stater, 67401
        • Salina Regional Health Center
      • Salina, Kansas, Forente stater, 67401
        • Cancer Center of Kansas - Salina
      • Topeka, Kansas, Forente stater, 66606
        • University of Kansas Health System Saint Francis Campus
      • Topeka, Kansas, Forente stater, 66606
        • Cotton O'Neil Cancer Center / Stormont Vail Health
      • Wellington, Kansas, Forente stater, 67152
        • Cancer Center of Kansas - Wellington
      • Wichita, Kansas, Forente stater, 67214
        • Ascension Via Christi Hospitals Wichita
      • Wichita, Kansas, Forente stater, 67208
        • Cancer Center of Kansas-Wichita Medical Arts Tower
      • Wichita, Kansas, Forente stater, 67214
        • Cancer Center of Kansas - Wichita
      • Wichita, Kansas, Forente stater, 67208
        • Associates In Womens Health
      • Wichita, Kansas, Forente stater, 67214
        • Wichita NCI Community Oncology Research Program
      • Winfield, Kansas, Forente stater, 67156
        • Cancer Center of Kansas - Winfield
    • Kentucky
      • Ashland, Kentucky, Forente stater, 41101
        • King's Daughter's Medical Center
      • Louisville, Kentucky, Forente stater, 40202
        • The James Graham Brown Cancer Center at University of Louisville
      • Louisville, Kentucky, Forente stater, 40215
        • Doctors Carrol, Sheth, Raghavan
      • Owensboro, Kentucky, Forente stater, 42303
        • Owensboro Health Mitchell Memorial Cancer Center
    • Louisiana
      • Baton Rouge, Louisiana, Forente stater, 70809
        • Mary Bird Perkins Cancer Center
      • Baton Rouge, Louisiana, Forente stater, 70809
        • Ochsner Health Center-Summa
      • Baton Rouge, Louisiana, Forente stater, 70806
        • Baton Rouge General Medical Center
      • Covington, Louisiana, Forente stater, 70433
        • Ochsner Health Center-Covington
      • Mansfield, Louisiana, Forente stater, 71052
        • DeSoto Regional Health System
      • Monroe, Louisiana, Forente stater, 71202
        • Ochsner LSU Health Monroe Medical Center
      • New Orleans, Louisiana, Forente stater, 70121
        • Ochsner Medical Center Jefferson
      • New Orleans, Louisiana, Forente stater, 70112
        • University Medical Center New Orleans
      • New Orleans, Louisiana, Forente stater, 70112
        • Louisiana State University Health Science Center
      • Shreveport, Louisiana, Forente stater, 71103
        • LSU Health Sciences Center at Shreveport
      • Shreveport, Louisiana, Forente stater, 71105
        • Highland Clinic
    • Maine
      • Augusta, Maine, Forente stater, 04330
        • Harold Alfond Center for Cancer Care
      • Bangor, Maine, Forente stater, 04401
        • Eastern Maine Medical Center
      • Lewiston, Maine, Forente stater, 04240
        • Central Maine Medical Center
      • Waterville, Maine, Forente stater, 04901
        • Maine General Medical Center-Thayer
      • Westbrook, Maine, Forente stater, 04092
        • New England Cancer Specialists
      • York Village, Maine, Forente stater, 03909
        • York Hospital
    • Maryland
      • Annapolis, Maryland, Forente stater, 21401
        • Luminis Health Anne Arundel Medical Center
      • Baltimore, Maryland, Forente stater, 21237
        • MedStar Franklin Square Medical Center/Weinberg Cancer Institute
      • Baltimore, Maryland, Forente stater, 21287
        • Johns Hopkins University/Sidney Kimmel Cancer Center
      • Baltimore, Maryland, Forente stater, 21204
        • Greater Baltimore Medical Center
      • Baltimore, Maryland, Forente stater, 21201
        • University of Maryland/Greenebaum Cancer Center
      • Baltimore, Maryland, Forente stater, 21218
        • MedStar Union Memorial Hospital
      • Baltimore, Maryland, Forente stater, 21239
        • MedStar Good Samaritan Hospital
      • Bethesda, Maryland, Forente stater, 20814
        • Suburban Hospital
      • Easton, Maryland, Forente stater, 21601
        • University of Maryland Shore Medical Center at Easton
      • Elkton, Maryland, Forente stater, 21921
        • Christiana Care - Union Hospital
      • Frederick, Maryland, Forente stater, 21701
        • Frederick Memorial Hospital
      • Kensington, Maryland, Forente stater, 20895
        • Associates in Oncology Hematology PC -Kensington
      • Rockville, Maryland, Forente stater, 20850
        • Maryland Oncology Hematology PA-Aquilino Cancer Center
      • Silver Spring, Maryland, Forente stater, 20910
        • Holy Cross Hospital
    • Massachusetts
      • Attleboro, Massachusetts, Forente stater, 02703
        • Sturdy Memorial Hospital
      • Boston, Massachusetts, Forente stater, 02215
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, Forente stater, 02215
        • Dana-Farber Cancer Institute
      • Boston, Massachusetts, Forente stater, 02115
        • Brigham and Women's Hospital
      • Boston, Massachusetts, Forente stater, 02111
        • Tufts Medical Center
      • Boston, Massachusetts, Forente stater, 02118
        • Boston Medical Center
      • Boston, Massachusetts, Forente stater, 02114
        • Massachusetts General Hospital Cancer Center
      • Brighton, Massachusetts, Forente stater, 02135
        • Dana-Farber Cancer Institute at Boston Medical Center - Brighton
      • Burlington, Massachusetts, Forente stater, 01805
        • Lahey Clinic
      • Framingham, Massachusetts, Forente stater, 01702
        • MetroWest Medical Center-Framingham Union Hospital
      • Gloucester, Massachusetts, Forente stater, 01930
        • Addison Gilbert Hospital
      • Hyannis, Massachusetts, Forente stater, 02601
        • Cape Cod Hospital
      • Lowell, Massachusetts, Forente stater, 01854
        • Lowell General Hospital
      • Norwood, Massachusetts, Forente stater, 02062
        • Norwood Hospital
      • Pittsfield, Massachusetts, Forente stater, 01201
        • Berkshire Medical Center - Cancer Center
      • Springfield, Massachusetts, Forente stater, 01199
        • Baystate Medical Center
    • Michigan
      • Ann Arbor, Michigan, Forente stater, 48106
        • Michigan Cancer Research Consortium NCORP
      • Ann Arbor, Michigan, Forente stater, 48106
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
      • Battle Creek, Michigan, Forente stater, 49017
        • Bronson Battle Creek
      • Big Rapids, Michigan, Forente stater, 49307
        • Spectrum Health Big Rapids Hospital
      • Dearborn, Michigan, Forente stater, 48124
        • Corewell Health Dearborn Hospital
      • Detroit, Michigan, Forente stater, 48201
        • Wayne State University/Karmanos Cancer Institute
      • Detroit, Michigan, Forente stater, 48236
        • Henry Ford Health Saint John Hospital
      • Escanaba, Michigan, Forente stater, 49829
        • OSF Saint Francis Hospital and Medical Group
      • Flint, Michigan, Forente stater, 48532
        • Genesys Regional Medical Center-West Flint Campus
      • Flint, Michigan, Forente stater, 48503
        • Hurley Medical Center
      • Grand Rapids, Michigan, Forente stater, 49503
        • Cancer Research Consortium of West Michigan NCORP
      • Grand Rapids, Michigan, Forente stater, 49503
        • Trinity Health Grand Rapids Hospital
      • Grand Rapids, Michigan, Forente stater, 49503
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
      • Holland, Michigan, Forente stater, 49423
        • Holland Community Hospital
      • Jackson, Michigan, Forente stater, 49201
        • Allegiance Health
      • Kalamazoo, Michigan, Forente stater, 49007
        • West Michigan Cancer Center
      • Kalamazoo, Michigan, Forente stater, 49007
        • Bronson Methodist Hospital
      • Kalamazoo, Michigan, Forente stater, 49048
        • Beacon Kalamazoo
      • Lansing, Michigan, Forente stater, 48912
        • University of Michigan Health - Sparrow Lansing
      • Livonia, Michigan, Forente stater, 48154
        • Trinity Health Saint Mary Mercy Livonia Hospital
      • Midland, Michigan, Forente stater, 48670
        • MyMichigan Medical Center Midland
      • Mount Clemens, Michigan, Forente stater, 48043
        • McLaren Cancer Institute-Macomb
      • Muskegon, Michigan, Forente stater, 49442
        • Mercy Health Partners-Hackley Campus
      • Muskegon, Michigan, Forente stater, 49444
        • Trinity Health Muskegon Hospital
      • Niles, Michigan, Forente stater, 49120
        • Corewell Health Lakeland Hospitals - Niles Hospital
      • Petoskey, Michigan, Forente stater, 49770
        • McLaren Cancer Institute-Northern Michigan
      • Pontiac, Michigan, Forente stater, 48341
        • Trinity Health Saint Joseph Mercy Oakland Hospital
      • Port Huron, Michigan, Forente stater, 48060
        • Lake Huron Medical Center
      • Royal Oak, Michigan, Forente stater, 48073
        • Corewell Health William Beaumont University Hospital
      • Saginaw, Michigan, Forente stater, 48601
        • MyMichigan Medical Center Saginaw
      • Saint Joseph, Michigan, Forente stater, 49085
        • Oncology Care Associates PLLC
      • Saint Joseph, Michigan, Forente stater, 49085
        • Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
      • Saint Joseph, Michigan, Forente stater, 49085
        • Corewell Health Lakeland Hospitals - Saint Joseph Hospital
      • Southfield, Michigan, Forente stater, 48075
        • Henry Ford Health Providence Southfield Hospital
      • Traverse City, Michigan, Forente stater, 49684
        • Munson Medical Center
      • Warren, Michigan, Forente stater, 48093
        • Henry Ford Health Warren Hospital
      • Wyoming, Michigan, Forente stater, 49519
        • University of Michigan Health - West
    • Minnesota
      • Alexandria, Minnesota, Forente stater, 56308
        • Medini, Eitan MD (UIA Investigator)
      • Bemidji, Minnesota, Forente stater, 56601
        • Sanford Joe Lueken Cancer Center
      • Burnsville, Minnesota, Forente stater, 55337
        • Fairview Ridges Hospital
      • Coon Rapids, Minnesota, Forente stater, 55433
        • Mercy Hospital
      • Duluth, Minnesota, Forente stater, 55805
        • Saint Luke's Hospital of Duluth
      • Duluth, Minnesota, Forente stater, 55805
        • Essentia Health Cancer Center
      • Duluth, Minnesota, Forente stater, 55805
        • Essentia Health Saint Mary's Medical Center
      • Duluth, Minnesota, Forente stater, 55805
        • Miller-Dwan Hospital
      • Edina, Minnesota, Forente stater, 55435
        • Fairview Southdale Hospital
      • Fergus Falls, Minnesota, Forente stater, 56537
        • Lake Region Healthcare Corporation-Cancer Care
      • Fergus Falls, Minnesota, Forente stater, 56537
        • Etzell, Paul S MD (UIA Investigator)
      • Fergus Falls, Minnesota, Forente stater, 56537
        • Swenson, Wade II, MD (UIA Investigator)
      • Fridley, Minnesota, Forente stater, 55432
        • Unity Hospital
      • Hutchinson, Minnesota, Forente stater, 55350
        • Hutchinson Area Health Care
      • Litchfield, Minnesota, Forente stater, 55355
        • Meeker County Memorial Hospital
      • Mankato, Minnesota, Forente stater, 56001
        • Mayo Clinic Health Systems-Mankato
      • Maplewood, Minnesota, Forente stater, 55109
        • Saint John's Hospital - Healtheast
      • Maplewood, Minnesota, Forente stater, 55109
        • Minnesota Oncology Hematology PA-Maplewood
      • Minneapolis, Minnesota, Forente stater, 55415
        • Hennepin County Medical Center
      • Minneapolis, Minnesota, Forente stater, 55407
        • Abbott-Northwestern Hospital
      • Minneapolis, Minnesota, Forente stater, 55455
        • University of Minnesota/Masonic Cancer Center
      • Minneapolis, Minnesota, Forente stater, 55407
        • Virginia Piper Cancer Institute
      • Robbinsdale, Minnesota, Forente stater, 55422
        • North Memorial Medical Health Center
      • Rochester, Minnesota, Forente stater, 55905
        • Mayo Clinic in Rochester
      • Saint Cloud, Minnesota, Forente stater, 56303
        • Coborn Cancer Center at Saint Cloud Hospital
      • Saint Cloud, Minnesota, Forente stater, 56303
        • Saint Cloud Hospital
      • Saint Louis Park, Minnesota, Forente stater, 55416
        • Park Nicollet Clinic - Saint Louis Park
      • Saint Louis Park, Minnesota, Forente stater, 55416
        • Metro Minnesota Community Oncology Research Consortium
      • Saint Paul, Minnesota, Forente stater, 55101
        • Regions Hospital
      • Saint Paul, Minnesota, Forente stater, 55102
        • United Hospital
      • Saint Paul, Minnesota, Forente stater, 55102
        • Saint Joseph's Hospital - Healtheast
      • Shakopee, Minnesota, Forente stater, 55379
        • Saint Francis Regional Medical Center
      • Waconia, Minnesota, Forente stater, 55387
        • Ridgeview Medical Center
      • Willmar, Minnesota, Forente stater, 56201
        • Rice Memorial Hospital
      • Woodbury, Minnesota, Forente stater, 55125
        • Minnesota Oncology Hematology PA-Woodbury
      • Woodbury, Minnesota, Forente stater, 55125
        • Fairview Cancer Center - Woodbury
    • Mississippi
      • Keesler Air Force Base, Mississippi, Forente stater, 39534
        • Keesler Medical Center
    • Missouri
      • Bolivar, Missouri, Forente stater, 65613
        • Central Care Cancer Center - Bolivar
      • Cape Girardeau, Missouri, Forente stater, 63703
        • Saint Francis Medical Center
      • Cape Girardeau, Missouri, Forente stater, 63701
        • Southeast Missouri Hospital
      • Chesterfield, Missouri, Forente stater, 63017
        • Saint Luke's Hospital
      • Columbia, Missouri, Forente stater, 65201
        • Veterans Administration
      • Columbia, Missouri, Forente stater, 65212
        • MU Health - University Hospital/Ellis Fischel Cancer Center
      • Joplin, Missouri, Forente stater, 64804
        • Freeman Health System
      • Joplin, Missouri, Forente stater, 64804
        • Mercy Hospital Joplin
      • Saint Charles, Missouri, Forente stater, 63301
        • Missouri Cancer Care PC - Saint Charles
      • Springfield, Missouri, Forente stater, 65804
        • Cancer Research for the Ozarks NCORP
      • Springfield, Missouri, Forente stater, 65807
        • CoxHealth South Hospital
      • Springfield, Missouri, Forente stater, 65804
        • Mercy Hospital Springfield
      • St Louis, Missouri, Forente stater, 63110
        • Washington University School of Medicine
      • St Louis, Missouri, Forente stater, 63131
        • Missouri Baptist Medical Center
      • St Louis, Missouri, Forente stater, 63109
        • Mercy Infusion Center - Chippewa
      • St Louis, Missouri, Forente stater, 63141
        • Comprehensive Cancer Care PC
      • St Louis, Missouri, Forente stater, 63141
        • Mercy Hospital Saint Louis
      • St Louis, Missouri, Forente stater, 63141
        • Saint Louis-Cape Girardeau CCOP
      • St Louis, Missouri, Forente stater, 63141
        • Center for Cancer Care and Research
    • Montana
      • Billings, Montana, Forente stater, 59101
        • Billings Clinic Cancer Center
      • Billings, Montana, Forente stater, 59101
        • Saint Vincent Healthcare
      • Billings, Montana, Forente stater, 59102
        • Montana Cancer Consortium NCORP
      • Billings, Montana, Forente stater, 59101
        • Northern Rockies Radiation Oncology Center
      • Billings, Montana, Forente stater, 59102
        • Saint Vincent Frontier Cancer Center
      • Bozeman, Montana, Forente stater, 59715
        • Bozeman Health Deaconess Hospital
      • Butte, Montana, Forente stater, 59701
        • Saint James Community Hospital and Cancer Treatment Center
      • Great Falls, Montana, Forente stater, 59405
        • Great Falls Clinic
      • Great Falls, Montana, Forente stater, 59405
        • Berdeaux, Donald MD (UIA Investigator)
      • Great Falls, Montana, Forente stater, 59405
        • Benefis Sletten Cancer Institute
      • Havre, Montana, Forente stater, 59501
        • Northern Montana Hospital
      • Helena, Montana, Forente stater, 59601
        • Saint Peter's Community Hospital
      • Kalispell, Montana, Forente stater, 59901
        • Glacier Oncology PLLC
      • Kalispell, Montana, Forente stater, 59901
        • Kalispell Medical Oncology
      • Kalispell, Montana, Forente stater, 59901
        • Logan Health Medical Center
      • Missoula, Montana, Forente stater, 59802
        • Saint Patrick Hospital - Community Hospital
      • Missoula, Montana, Forente stater, 59804
        • Guardian Oncology and Center for Wellness
      • Missoula, Montana, Forente stater, 59802
        • Montana Cancer Specialists
      • Missoula, Montana, Forente stater, 59804
        • Community Medical Center
    • Nebraska
      • Kearney, Nebraska, Forente stater, 68847
        • CHI Health Good Samaritan
      • Lincoln, Nebraska, Forente stater, 68510
        • Nebraska Cancer Research Center
      • Omaha, Nebraska, Forente stater, 68114
        • Nebraska Methodist Hospital
      • Omaha, Nebraska, Forente stater, 68124
        • Alegent Health Bergan Mercy Medical Center
      • Omaha, Nebraska, Forente stater, 68122
        • Alegent Health Immanuel Medical Center
      • Omaha, Nebraska, Forente stater, 68106
        • Missouri Valley Cancer Consortium
      • Omaha, Nebraska, Forente stater, 68106
        • Cancer Alliance of Nebraska
    • Nevada
      • Las Vegas, Nevada, Forente stater, 89102
        • University Medical Center of Southern Nevada
      • Las Vegas, Nevada, Forente stater, 89120
        • Nevada Cancer Research Foundation NCORP
    • New Hampshire
      • Concord, New Hampshire, Forente stater, 03301
        • New Hampshire Oncology Hematology PA-Concord
      • Dover, New Hampshire, Forente stater, 03820
        • Wentworth-Douglass Hospital
      • Exeter, New Hampshire, Forente stater, 03833
        • Exeter Hospital
      • Keene, New Hampshire, Forente stater, 03431
        • Cheshire Medical Center-Dartmouth-Hitchcock Keene
      • Laconia, New Hampshire, Forente stater, 03246
        • LRGHealthcare-Lakes Region General Hospital
      • Lebanon, New Hampshire, Forente stater, 03756
        • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
      • Manchester, New Hampshire, Forente stater, 03103
        • Solinsky Center for Cancer Care
      • Manchester, New Hampshire, Forente stater, 03104
        • Dartmouth Cancer Center - Manchester/ DCC Manchester
      • Nashua, New Hampshire, Forente stater, 03060
        • Foundation Medical Partners
    • New Jersey
      • Brick, New Jersey, Forente stater, 08724
        • Ocean University Medical Center
      • Camden, New Jersey, Forente stater, 08103
        • Cooper Hospital University Medical Center
      • Englewood, New Jersey, Forente stater, 07631
        • Englewood Hospital and Medical Center
      • Flemington, New Jersey, Forente stater, 08822
        • Hunterdon Medical Center
      • Hackensack, New Jersey, Forente stater, 07601
        • Hackensack University Medical Center
      • Hamilton, New Jersey, Forente stater, 08690
        • The Cancer Institute of New Jersey Hamilton
      • Livingston, New Jersey, Forente stater, 07039
        • Cooperman Barnabas Medical Center
      • Morristown, New Jersey, Forente stater, 07960
        • Morristown Medical Center
      • Mount Holly, New Jersey, Forente stater, 08060
        • Virtua Memorial
      • Neptune City, New Jersey, Forente stater, 07753
        • Jersey Shore Medical Center
      • New Brunswick, New Jersey, Forente stater, 08903
        • Rutgers Cancer Institute of New Jersey
      • New Brunswick, New Jersey, Forente stater, 08901
        • Saint Peter's University Hospital
      • Newark, New Jersey, Forente stater, 07101
        • Rutgers New Jersey Medical School
      • Newark, New Jersey, Forente stater, 07112
        • Newark Beth Israel Medical Center
      • Newark, New Jersey, Forente stater, 07102
        • Saint Michael's Medical Center
      • Paterson, New Jersey, Forente stater, 07503
        • Saint Joseph's Regional Medical Center
      • Pennington, New Jersey, Forente stater, 08534
        • Capital Health Medical Center-Hopewell
      • Pomona, New Jersey, Forente stater, 08240
        • AtlantiCare Regional Medical Center -Main Campus
      • Red Bank, New Jersey, Forente stater, 07701
        • Riverview Medical Center/Booker Cancer Center
      • Ridgewood, New Jersey, Forente stater, 07450
        • Valley Health System Ridgewood Campus
      • Sparta, New Jersey, Forente stater, 07871
        • Sparta Cancer Treatment Center
      • Summit, New Jersey, Forente stater, 07902
        • Overlook Hospital
      • Vineland, New Jersey, Forente stater, 08360
        • Inspira Medical Center Vineland
      • Voorhees Township, New Jersey, Forente stater, 08043
        • Virtua Voorhees
    • New Mexico
      • Albuquerque, New Mexico, Forente stater, 87102
        • Lovelace Medical Center-Saint Joseph Square
      • Albuquerque, New Mexico, Forente stater, 87106
        • University of New Mexico Cancer Center
      • Albuquerque, New Mexico, Forente stater, 87106
        • Hematology Oncology Associates
      • Albuquerque, New Mexico, Forente stater, 87110
        • Presbyterian Kaseman Hospital
      • Las Cruces, New Mexico, Forente stater, 88011
        • Memorial Medical Center-Las Cruces
      • San Juan, New Mexico, Forente stater, 87401
        • San Juan Regional Medical Center
    • New York
      • Albany, New York, Forente stater, 12206
        • New York Oncology Hematology PC - Albany
      • Albany, New York, Forente stater, 12208
        • New York Oncology Hematology PC - Albany Medical Center
      • Amsterdam, New York, Forente stater, 12010
        • New York Oncology Hematology PC - Amsterdam
      • Brooklyn, New York, Forente stater, 11219
        • Maimonides Medical Center
      • Brooklyn, New York, Forente stater, 11235
        • Coney Island Hospital
      • Buffalo, New York, Forente stater, 14263
        • Roswell Park Cancer Institute
      • Clifton Park, New York, Forente stater, 12065
        • New York Oncology Hematology PC - Clifton Park
      • Clifton Springs, New York, Forente stater, 14432
        • Finger Lakes Hematology and Oncology
      • Cooperstown, New York, Forente stater, 13326
        • Mary Imogene Bassett Hospital
      • East Syracuse, New York, Forente stater, 13057
        • Hematology Oncology Associates of Central New York-East Syracuse
      • Elmhurst, New York, Forente stater, 11373
        • Elmhurst Hospital Center
      • Elmira, New York, Forente stater, 14905
        • Arnot Ogden Medical Center/Falck Cancer Center
      • Hudson, New York, Forente stater, 12534
        • New York Oncology Hematology PC-Hudson
      • Jamaica, New York, Forente stater, 11432
        • Queens Hospital Center
      • Middletown, New York, Forente stater, 10940
        • Garnet Health Medical Center
      • Mount Kisco, New York, Forente stater, 10549
        • Northern Westchester Hospital
      • Mount Kisco, New York, Forente stater, 10549-3417
        • Mount Kisco Medical Group at Northern Westchester Hospital
      • New York, New York, Forente stater, 10065
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, Forente stater, 10019
        • Mount Sinai West
      • New York, New York, Forente stater, 10029
        • Mount Sinai Hospital
      • New York, New York, Forente stater, 10032
        • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
      • New York, New York, Forente stater, 10065
        • NYP/Weill Cornell Medical Center
      • New York, New York, Forente stater, 10016
        • Laura and Isaac Perlmutter Cancer Center at NYU Langone
      • New York, New York, Forente stater, 10003
        • Mount Sinai Union Square
      • Plattsburgh, New York, Forente stater, 12901
        • Champlain Valley Physicians Hospital Medical Center
      • Poughkeepsie, New York, Forente stater, 12601
        • Vassar Brothers Medical Center
      • Poughkeepsie, New York, Forente stater, 12601
        • Hudson Valley Hematology Oncology Associates
      • Poughkeepsie, New York, Forente stater, 12601
        • The Dyson Center for Cancer Care
      • Rochester, New York, Forente stater, 14642
        • University of Rochester
      • Rochester, New York, Forente stater, 14620
        • Highland Hospital
      • Rochester, New York, Forente stater, 14623
        • Interlakes Foundation Inc-Rochester
      • Staten Island, New York, Forente stater, 10305
        • Staten Island University Hospital
      • Staten Island, New York, Forente stater, 10310
        • Richmond University Medical Center
      • Stony Brook, New York, Forente stater, 11794
        • Stony Brook University Medical Center
      • Syracuse, New York, Forente stater, 13210
        • State University of New York Upstate Medical University
      • The Bronx, New York, Forente stater, 10466
        • Montefiore Medical Center-Wakefield Campus
      • The Bronx, New York, Forente stater, 10467
        • Montefiore Medical Center - Moses Campus
      • The Bronx, New York, Forente stater, 10451
        • Lincoln Medical and Mental Health Center
      • The Bronx, New York, Forente stater, 10461
        • Montefiore Medical Center-Weiler Hospital
      • Troy, New York, Forente stater, 12180
        • New York Oncology Hematology PC - Troy
      • Utica, New York, Forente stater, 13502
        • Faxton-Saint Luke's Healthcare
    • North Carolina
      • Asheboro, North Carolina, Forente stater, 27203
        • Randolph Hospital
      • Asheville, North Carolina, Forente stater, 28801
        • Mission Hospital
      • Asheville, North Carolina, Forente stater, 28816
        • Hope Women's Cancer Centers-Asheville
      • Burlington, North Carolina, Forente stater, 27215
        • Cone Health Cancer Center at Alamance Regional
      • Cary, North Carolina, Forente stater, 27518
        • Waverly Hematology Oncology
      • Chapel Hill, North Carolina, Forente stater, 27599
        • UNC Lineberger Comprehensive Cancer Center
      • Charlotte, North Carolina, Forente stater, 28204
        • Novant Health Presbyterian Medical Center
      • Concord, North Carolina, Forente stater, 28025
        • Atrium Health Cabarrus/LCI-Concord
      • Goldsboro, North Carolina, Forente stater, 27534
        • Southeastern Medical Oncology Center-Goldsboro
      • Goldsboro, North Carolina, Forente stater, 27534
        • Wayne Memorial Hospital
      • Greensboro, North Carolina, Forente stater, 27403
        • Cone Health Cancer Center
      • Greenville, North Carolina, Forente stater, 27834
        • East Carolina University
      • Hendersonville, North Carolina, Forente stater, 28791
        • Margaret R Pardee Memorial Hospital
      • Kinston, North Carolina, Forente stater, 28501
        • ECU Health Oncology Kinston
      • Pinehurst, North Carolina, Forente stater, 28374
        • FirstHealth of the Carolinas-Moore Regional Hospital
      • Raleigh, North Carolina, Forente stater, 27607
        • UNC Health Cancer Care Raleigh
      • Reidsville, North Carolina, Forente stater, 27320
        • Annie Penn Memorial Hospital
      • Rutherfordton, North Carolina, Forente stater, 28139
        • Rutherford Hospital
      • Washington, North Carolina, Forente stater, 27889
        • Marion L Shepard Cancer Center - ECU Health Beaufort Hospital
      • Winston-Salem, North Carolina, Forente stater, 27157
        • Wake Forest University Health Sciences
      • Winston-Salem, North Carolina, Forente stater, 27104
        • Southeast Clinical Oncology Research Consortium NCORP
    • North Dakota
      • Bismarck, North Dakota, Forente stater, 58501
        • Sanford Bismarck Medical Center
      • Bismarck, North Dakota, Forente stater, 58501
        • Mid Dakota Clinic
      • Bismarck, North Dakota, Forente stater, 58501
        • Saint Alexius Medical Center
      • Fargo, North Dakota, Forente stater, 58103
        • Essentia Health Cancer Center-South University Clinic
      • Fargo, North Dakota, Forente stater, 58122
        • Sanford Broadway Medical Center
      • Grand Forks, North Dakota, Forente stater, 58201
        • Altru Cancer Center
      • Minot, North Dakota, Forente stater, 58701
        • Trinity Cancer Care Center
    • Ohio
      • Akron, Ohio, Forente stater, 44307
        • Cleveland Clinic Akron General
      • Bellefontaine, Ohio, Forente stater, 43311
        • Mary Rutan Hospital
      • Canton, Ohio, Forente stater, 44708
        • Cleveland Clinic Mercy Hospital
      • Canton, Ohio, Forente stater, 44710
        • Aultman Health Foundation
      • Chillicothe, Ohio, Forente stater, 45601
        • Adena Regional Medical Center
      • Cincinnati, Ohio, Forente stater, 45219
        • The Christ Hospital
      • Cleveland, Ohio, Forente stater, 44106
        • Case Western Reserve University
      • Cleveland, Ohio, Forente stater, 44109
        • MetroHealth Medical Center
      • Columbus, Ohio, Forente stater, 43214
        • Riverside Methodist Hospital
      • Columbus, Ohio, Forente stater, 43210
        • Ohio State University Comprehensive Cancer Center
      • Columbus, Ohio, Forente stater, 43228
        • Doctors Hospital
      • Columbus, Ohio, Forente stater, 43215
        • Grant Medical Center
      • Columbus, Ohio, Forente stater, 43222
        • Mount Carmel Health Center West
      • Columbus, Ohio, Forente stater, 43215
        • Columbus NCI Community Oncology Research Program
      • Dayton, Ohio, Forente stater, 45406
        • Good Samaritan Hospital - Dayton
      • Dayton, Ohio, Forente stater, 45409
        • Miami Valley Hospital
      • Dayton, Ohio, Forente stater, 45415
        • Miami Valley Hospital North
      • Dayton, Ohio, Forente stater, 45405
        • Grandview Hospital
      • Dayton, Ohio, Forente stater, 45459
        • Dayton NCI Community Oncology Research Program
      • Dayton, Ohio, Forente stater, 45428
        • Dayton Veterans Affairs Medical Center
      • Delaware, Ohio, Forente stater, 43015
        • Grady Memorial Hospital
      • Findlay, Ohio, Forente stater, 45840
        • Blanchard Valley Hospital
      • Franklin, Ohio, Forente stater, 45005-1066
        • Atrium Medical Center-Middletown Regional Hospital
      • Greenville, Ohio, Forente stater, 45331
        • Wayne Hospital
      • Kettering, Ohio, Forente stater, 45429
        • Kettering Medical Center
      • Lancaster, Ohio, Forente stater, 43130
        • Fairfield Medical Center
      • Lima, Ohio, Forente stater, 45801
        • Saint Rita's Medical Center
      • Marietta, Ohio, Forente stater, 45750
        • Marietta Memorial Hospital
      • Mount Vernon, Ohio, Forente stater, 43050
        • Knox Community Hospital
      • Newark, Ohio, Forente stater, 43055
        • Licking Memorial Hospital
      • Springfield, Ohio, Forente stater, 45504
        • Springfield Regional Medical Center
      • Troy, Ohio, Forente stater, 45373
        • Upper Valley Medical Center
      • Westerville, Ohio, Forente stater, 43081
        • Saint Ann's Hospital
      • Wilmington, Ohio, Forente stater, 45177
        • Clinton Memorial Hospital/Foster J Boyd Regional Cancer Center
      • Wright-Patterson Air Force Base, Ohio, Forente stater, 45433
        • Wright-Patterson Medical Center
      • Xenia, Ohio, Forente stater, 45385
        • Greene Memorial Hospital
      • Zanesville, Ohio, Forente stater, 43701
        • Genesis Healthcare System Cancer Care Center
    • Oklahoma
      • Lawton, Oklahoma, Forente stater, 73505
        • Cancer Centers of Southwest Oklahoma Research
      • Norman, Oklahoma, Forente stater, 73071
        • Cancer Care Associates-Norman
      • Oklahoma City, Oklahoma, Forente stater, 73104
        • University of Oklahoma Health Sciences Center
      • Oklahoma City, Oklahoma, Forente stater, 73120
        • Mercy Hospital Oklahoma City
      • Oklahoma City, Oklahoma, Forente stater, 73120
        • Mercy Physicians of Oklahoma-Lakeside
      • Oklahoma City, Oklahoma, Forente stater, 73120
        • Cancer Care Associates
      • Tulsa, Oklahoma, Forente stater, 74136
        • Saint Francis Children's Hospital
    • Oregon
      • Coos Bay, Oregon, Forente stater, 97420
        • Bay Area Hospital
      • Grants Pass, Oregon, Forente stater, 97527
        • Three Rivers Community Hospital
      • Gresham, Oregon, Forente stater, 97030
        • Legacy Mount Hood Medical Center
      • Medford, Oregon, Forente stater, 97504
        • Asante Health System
      • Medford, Oregon, Forente stater, 97504
        • Providence Medford Medical Center
      • Medford, Oregon, Forente stater, 97504
        • Asante Rogue Regional Medical Center
      • Milwaukie, Oregon, Forente stater, 97222
        • Providence Milwaukie Hospital
      • Portland, Oregon, Forente stater, 97239
        • Oregon Health and Science University
      • Portland, Oregon, Forente stater, 97210
        • Legacy Good Samaritan Hospital and Medical Center
      • Portland, Oregon, Forente stater, 97213
        • Providence Portland Medical Center
      • Portland, Oregon, Forente stater, 97225
        • Providence Saint Vincent Medical Center
      • Portland, Oregon, Forente stater, 97227
        • Kaiser Permanente Northwest
      • Portland, Oregon, Forente stater, 97227
        • Legacy Emanuel Hospital and Health Center
      • Portland, Oregon, Forente stater, 97216
        • Adventist Medical Center
      • Portland, Oregon, Forente stater, 97227
        • Compass Oncology Rose Quarter
      • Salem, Oregon, Forente stater, 97301
        • Salem Hospital
      • Tualatin, Oregon, Forente stater, 97062
        • Legacy Meridian Park Hospital
    • Pennsylvania
      • Abington, Pennsylvania, Forente stater, 19001
        • Jefferson Abington Hospital
      • Allentown, Pennsylvania, Forente stater, 18103
        • Lehigh Valley Hospital-Cedar Crest
      • Bethlehem, Pennsylvania, Forente stater, 18015
        • Saint Luke's University Hospital-Bethlehem Campus
      • Bryn Mawr, Pennsylvania, Forente stater, 19010
        • Bryn Mawr Hospital
      • Danville, Pennsylvania, Forente stater, 17822
        • Geisinger Medical Center
      • Darby, Pennsylvania, Forente stater, 19023-1291
        • Mercy Fitzgerald Hospital
      • Doylestown, Pennsylvania, Forente stater, 18901
        • Doylestown Hospital
      • Drexel Hill, Pennsylvania, Forente stater, 19026
        • Delaware County Memorial Hospital
      • DuBois, Pennsylvania, Forente stater, 15801
        • Oncology Hematology Associates of Northern Pennsylvania
      • East Stroudsburg, Pennsylvania, Forente stater, 18301
        • Pocono Medical Center
      • Easton, Pennsylvania, Forente stater, 18042
        • Easton Hospital
      • Ephrata, Pennsylvania, Forente stater, 17522
        • Ephrata Cancer Center
      • Erie, Pennsylvania, Forente stater, 16505
        • UPMC Hillman Cancer Center Erie
      • Erie, Pennsylvania, Forente stater, 16544
        • Saint Vincent Hospital
      • Harrisburg, Pennsylvania, Forente stater, 17109
        • UPMC Pinnacle Cancer Center/Community Osteopathic Campus
      • Hazleton, Pennsylvania, Forente stater, 18201
        • Geisinger Medical Center-Cancer Center Hazleton
      • Hershey, Pennsylvania, Forente stater, 17033-0850
        • Penn State Milton S Hershey Medical Center
      • Kittanning, Pennsylvania, Forente stater, 16201
        • Armstrong Center for Medicine and Health
      • Lancaster, Pennsylvania, Forente stater, 17602
        • Lancaster General Hospital
      • Langhorne, Pennsylvania, Forente stater, 19047
        • Saint Mary Medical and Regional Cancer Center
      • Lemoyne, Pennsylvania, Forente stater, 17043
        • Central PA Hematology-Medical Oncology Associates PC
      • Lewistown, Pennsylvania, Forente stater, 17044
        • Lewistown Hospital
      • Meadowbrook, Pennsylvania, Forente stater, 19046
        • Redeemer Health
      • Media, Pennsylvania, Forente stater, 19063
        • Riddle Memorial Hospital
      • Paoli, Pennsylvania, Forente stater, 19301
        • Paoli Memorial Hospital
      • Philadelphia, Pennsylvania, Forente stater, 19111
        • Fox Chase Cancer Center
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Thomas Jefferson University Hospital
      • Philadelphia, Pennsylvania, Forente stater, 19104
        • University of Pennsylvania/Abramson Cancer Center
      • Philadelphia, Pennsylvania, Forente stater, 19141
        • Einstein Medical Center Philadelphia
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Pennsylvania Hospital
      • Phoenixville, Pennsylvania, Forente stater, 19460
        • Reading Hospital McGlinn Cancer Institute at Phoenixville
      • Pittsburgh, Pennsylvania, Forente stater, 15212
        • Allegheny General Hospital
      • Pittsburgh, Pennsylvania, Forente stater, 15232
        • UPMC Hillman Cancer Center
      • Pittsburgh, Pennsylvania, Forente stater, 15213
        • UPMC-Magee Womens Hospital
      • Pottstown, Pennsylvania, Forente stater, 19464
        • Pottstown Hospital
      • Reading, Pennsylvania, Forente stater, 19605
        • Penn State Health Saint Joseph Medical Center
      • Sayre, Pennsylvania, Forente stater, 18840
        • Guthrie Medical Group PC-Robert Packer Hospital
      • Scranton, Pennsylvania, Forente stater, 18510
        • Scranton Hematology Oncology
      • Scranton, Pennsylvania, Forente stater, 18501
        • Mercy Hospital
      • Scranton, Pennsylvania, Forente stater, 18508
        • Hematology and Oncology Associates of North East Pennsylvania
      • Sellersville, Pennsylvania, Forente stater, 18960
        • Grand View Hospital
      • State College, Pennsylvania, Forente stater, 16801
        • Geisinger Medical Group
      • State College, Pennsylvania, Forente stater, 16803
        • Mount Nittany Medical Center
      • West Chester, Pennsylvania, Forente stater, 19380
        • Chester County Hospital
      • West Grove, Pennsylvania, Forente stater, 19390
        • Jennersville Regional Hospital
      • West Reading, Pennsylvania, Forente stater, 19611
        • Reading Hospital
      • Wilkes-Barre, Pennsylvania, Forente stater, 18711
        • Geisinger Wyoming Valley/Henry Cancer Center
      • Wilkes-Barre, Pennsylvania, Forente stater, 18765
        • Geisinger South Wilkes-Barre
      • Williamsport, Pennsylvania, Forente stater, 17701
        • UPMC Susquehanna
      • Wynnewood, Pennsylvania, Forente stater, 19096
        • Lankenau Medical Center
      • Wynnewood, Pennsylvania, Forente stater, 19096
        • Main Line Health NCORP
      • York, Pennsylvania, Forente stater, 17403
        • WellSpan Health-York Hospital
    • Rhode Island
      • Providence, Rhode Island, Forente stater, 02903
        • Rhode Island Hospital
      • Providence, Rhode Island, Forente stater, 02905
        • Women and Infants Hospital
      • Providence, Rhode Island, Forente stater, 02906
        • Miriam Hospital
      • Warwick, Rhode Island, Forente stater, 02886
        • Kent Hospital
    • South Carolina
      • Anderson, South Carolina, Forente stater, 29621
        • AnMed Health Hospital
      • Charleston, South Carolina, Forente stater, 29425
        • Medical University of South Carolina
      • Charleston, South Carolina, Forente stater, 29401
        • Roper Hospital
      • Florence, South Carolina, Forente stater, 29506
        • McLeod Regional Medical Center
      • Spartanburg, South Carolina, Forente stater, 29303
        • Spartanburg Medical Center
    • South Dakota
      • Aberdeen, South Dakota, Forente stater, 57401
        • Avera Cancer Institute-Aberdeen
      • Rapid City, South Dakota, Forente stater, 57701
        • Rapid City Regional Hospital
      • Sioux Falls, South Dakota, Forente stater, 57105
        • Avera Cancer Institute
      • Sioux Falls, South Dakota, Forente stater, 57117-5134
        • Sanford USD Medical Center - Sioux Falls
      • Sioux Falls, South Dakota, Forente stater, 57104
        • Sanford Cancer Center Oncology Clinic
      • Sioux Falls, South Dakota, Forente stater, 57105
        • Medical X-Ray Center
      • Sioux Falls, South Dakota, Forente stater, 57117-5045
        • Avera McKennan Hospital and University Health Center
    • Tennessee
      • Bristol, Tennessee, Forente stater, 37620
        • Wellmont Medical Associates Oncology and Hematology-Bristol
      • Chattanooga, Tennessee, Forente stater, 37403
        • Erlanger Medical Center
      • Franklin, Tennessee, Forente stater, 37067
        • Vanderbilt-Ingram Cancer Center Cool Springs
      • Kingsport, Tennessee, Forente stater, 37660
        • Wellmont Holston Valley Hospital and Medical Center
      • Knoxville, Tennessee, Forente stater, 37920
        • University of Tennessee - Knoxville
      • Knoxville, Tennessee, Forente stater, 37916
        • Covenant Health Cancer Centers
      • Memphis, Tennessee, Forente stater, 38163
        • University of Tennessee Health Science Center
      • Nashville, Tennessee, Forente stater, 37232
        • Vanderbilt University/Ingram Cancer Center
      • Nashville, Tennessee, Forente stater, 37204
        • Vanderbilt Breast Center at One Hundred Oaks
      • Nashville, Tennessee, Forente stater, 37208
        • Meharry Medical College
      • Nashville, Tennessee, Forente stater, 37203
        • Nashville Oncology Associates PC
    • Texas
      • Dallas, Texas, Forente stater, 75235
        • Parkland Memorial Hospital
      • Dallas, Texas, Forente stater, 75390
        • UT Southwestern/Simmons Cancer Center-Dallas
      • Dallas, Texas, Forente stater, 75230
        • Medical City Dallas Hospital
      • Dallas, Texas, Forente stater, 75390
        • Clements University Hospital
      • Fort Sam Houston, Texas, Forente stater, 78234
        • Brooke Army Medical Center
      • Houston, Texas, Forente stater, 77030
        • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
      • Lackland Air Force Base, Texas, Forente stater, 78236
        • Wilford Hall Medical Center
      • Temple, Texas, Forente stater, 76508
        • Scott and White Memorial Hospital
    • Utah
      • Salt Lake City, Utah, Forente stater, 84112
        • Huntsman Cancer Institute/University of Utah
    • Vermont
      • Bennington, Vermont, Forente stater, 05201
        • Southwestern Vermont Medical Center
      • Berlin Corners, Vermont, Forente stater, 05602
        • Central Vermont Medical Center/National Life Cancer Treatment
      • Burlington, Vermont, Forente stater, 05405
        • University of Vermont and State Agricultural College
    • Virginia
      • Charlottesville, Virginia, Forente stater, 22908
        • University of Virginia Cancer Center
      • Fairfax, Virginia, Forente stater, 22031
        • Inova Schar Cancer Institute
      • Gloucester, Virginia, Forente stater, 23061
        • Peninsula Cancer Institute-Gloucester
      • Lynchburg, Virginia, Forente stater, 24501
        • Centra Alan B Pearson Regional Cancer Center
      • Newport News, Virginia, Forente stater, 23601
        • Peninsula Cancer Institute-Newport News
      • Norton, Virginia, Forente stater, 24273
        • Ballad Health Cancer Care - Norton
      • Williamsburg, Virginia, Forente stater, 23185
        • Peninsula Cancer Institute-Williamsburg
    • Washington
      • Auburn, Washington, Forente stater, 98001
        • MultiCare Auburn Medical Center
      • Centralia, Washington, Forente stater, 98531
        • Providence Regional Cancer System-Centralia
      • Federal Way, Washington, Forente stater, 98003
        • Saint Francis Hospital
      • Lakewood, Washington, Forente stater, 98499
        • Saint Clare Hospital
      • Olympia, Washington, Forente stater, 98506-5166
        • Providence - Saint Peter Hospital
      • Puyallup, Washington, Forente stater, 98372
        • MultiCare Good Samaritan Hospital
      • Tacoma, Washington, Forente stater, 98405
        • MultiCare Tacoma General Hospital
      • Tacoma, Washington, Forente stater, 98405
        • MultiCare Allenmore Hospital
      • Tacoma, Washington, Forente stater, 98405
        • Northwest NCI Community Oncology Research Program
      • Tacoma, Washington, Forente stater, 98405
        • Saint Joseph Medical Center
      • Vancouver, Washington, Forente stater, 98686
        • Legacy Salmon Creek Hospital
      • Vancouver, Washington, Forente stater, 98664
        • PeaceHealth Southwest Medical Center
      • Walla Walla, Washington, Forente stater, 99362
        • Providence Saint Mary Regional Cancer Center
      • Yakima, Washington, Forente stater, 98902
        • North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
    • West Virginia
      • Charleston, West Virginia, Forente stater, 25304
        • West Virginia University Charleston Division
      • Huntington, West Virginia, Forente stater, 25701
        • Edwards Comprehensive Cancer Center
      • Huntington, West Virginia, Forente stater, 25702
        • Saint Mary's Medical Center
      • Morgantown, West Virginia, Forente stater, 26506
        • West Virginia University Healthcare
      • Parkersburg, West Virginia, Forente stater, 26101
        • Camden Clark Medical Center
      • Princeton, West Virginia, Forente stater, 24740
        • Princeton Community Hospital
    • Wisconsin
      • Antigo, Wisconsin, Forente stater, 54409
        • Aspirus Cancer Care-Antigo-Volm Cancer Center
      • Appleton, Wisconsin, Forente stater, 54911
        • ThedaCare Regional Cancer Center
      • Burlington, Wisconsin, Forente stater, 53105
        • Aurora Cancer Care-Southern Lakes VLCC
      • Chippewa Falls, Wisconsin, Forente stater, 54729
        • Marshfield Clinic-Chippewa Center
      • Eau Claire, Wisconsin, Forente stater, 54701
        • HSHS Sacred Heart Hospital
      • Eau Claire, Wisconsin, Forente stater, 54701
        • Marshfield Clinic Cancer Center at Sacred Heart
      • Fond du Lac, Wisconsin, Forente stater, 54935
        • Saint Agnes Hospital/Agnesian Cancer Center
      • Franklin, Wisconsin, Forente stater, 53132
        • Aurora Cancer Care-Franklin
      • Germantown, Wisconsin, Forente stater, 53022
        • Aurora Health Care Germantown Health Center
      • Glendale, Wisconsin, Forente stater, 53212
        • Aurora Cancer Care-Glendale
      • Green Bay, Wisconsin, Forente stater, 54311
        • Aurora BayCare Medical Center
      • Green Bay, Wisconsin, Forente stater, 54301
        • Saint Vincent Hospital Cancer Center Green Bay
      • Green Bay, Wisconsin, Forente stater, 54303
        • Saint Vincent Hospital Cancer Center at Saint Mary's
      • Green Bay, Wisconsin, Forente stater, 54301-3526
        • Green Bay Oncology at Saint Vincent Hospital
      • Janesville, Wisconsin, Forente stater, 53548
        • Mercyhealth Hospital and Cancer Center - Janesville
      • Johnson Creek, Wisconsin, Forente stater, 53038
        • University of Wisconsin Carbone Cancer Center - Johnson Creek
      • Kenosha, Wisconsin, Forente stater, 53142
        • Aurora Cancer Care-Kenosha South
      • La Crosse, Wisconsin, Forente stater, 54601
        • Gundersen Lutheran Medical Center
      • La Crosse, Wisconsin, Forente stater, 54601
        • Mayo Clinic Health System-Franciscan Healthcare
      • Madison, Wisconsin, Forente stater, 53792
        • University of Wisconsin Carbone Cancer Center - University Hospital
      • Madison, Wisconsin, Forente stater, 53715
        • SSM Health Dean Medical Group - South Madison Campus
      • Manitowoc, Wisconsin, Forente stater, 54221
        • Holy Family Memorial Hospital
      • Marinette, Wisconsin, Forente stater, 54143
        • Aurora Bay Area Medical Group-Marinette
      • Marinette, Wisconsin, Forente stater, 54143
        • Bay Area Medical Center
      • Marshfield, Wisconsin, Forente stater, 54449
        • Marshfield Medical Center-Marshfield
      • Marshfield, Wisconsin, Forente stater, 54449
        • Marshfield Medical Center
      • Mequon, Wisconsin, Forente stater, 53097
        • Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
      • Milwaukee, Wisconsin, Forente stater, 53215
        • Aurora Saint Luke's Medical Center
      • Milwaukee, Wisconsin, Forente stater, 53233
        • Aurora Sinai Medical Center
      • Milwaukee, Wisconsin, Forente stater, 53211
        • Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
      • Minocqua, Wisconsin, Forente stater, 54548
        • Marshfield Medical Center - Minocqua
      • Oconomowoc, Wisconsin, Forente stater, 53066
        • ProHealth Oconomowoc Memorial Hospital
      • Oconto Falls, Wisconsin, Forente stater, 54154
        • Saint Vincent Hospital Cancer Center at Oconto Falls
      • Oshkosh, Wisconsin, Forente stater, 54904
        • Vince Lombardi Cancer Clinic - Oshkosh
      • Racine, Wisconsin, Forente stater, 53406
        • Aurora Cancer Care-Racine
      • Racine, Wisconsin, Forente stater, 53405
        • Ascension All Saints Hospital-Spring Street-Racine
      • Rhinelander, Wisconsin, Forente stater, 54501
        • Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
      • Rice Lake, Wisconsin, Forente stater, 54868
        • Marshfield Medical Center-Rice Lake
      • Sheboygan, Wisconsin, Forente stater, 53081
        • Vince Lombardi Cancer Clinic-Sheboygan
      • Stevens Point, Wisconsin, Forente stater, 54481
        • Aspirus Cancer Care - Stevens Point
      • Summit, Wisconsin, Forente stater, 53066
        • Aurora Medical Center in Summit
      • Two Rivers, Wisconsin, Forente stater, 54241
        • Vince Lombardi Cancer Clinic-Two Rivers
      • Waukesha, Wisconsin, Forente stater, 53188
        • ProHealth Waukesha Memorial Hospital
      • Waukesha, Wisconsin, Forente stater, 53188
        • Aurora Cancer Care-Waukesha
      • Wausau, Wisconsin, Forente stater, 54401
        • Marshfield Clinic-Wausau Center
      • Wausau, Wisconsin, Forente stater, 54401
        • Aspirus Cancer Care-Wausau
      • Wauwatosa, Wisconsin, Forente stater, 53226
        • Aurora Cancer Care-Milwaukee West
      • West Allis, Wisconsin, Forente stater, 53227
        • Aurora West Allis Medical Center
      • Weston, Wisconsin, Forente stater, 54476
        • Marshfield Medical Center - Weston
      • Wisconsin Rapids, Wisconsin, Forente stater, 54494
        • Aspirus Cancer Care - Wisconsin Rapids
      • Wisconsin Rapids, Wisconsin, Forente stater, 54494
        • Marshfield Clinic - Wisconsin Rapids Center
    • Wyoming
      • Casper, Wyoming, Forente stater, 82609
        • Rocky Mountain Oncology
      • Sheridan, Wyoming, Forente stater, 82801
        • Welch Cancer Center
      • Lima, Peru, Lima 34
        • Instituto Nacional de Enfermedades Neoplasicas
      • Pretoria, Sør-Afrika, 0002
        • University of Pretoria

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Beskrivelse

Inklusjonskriterier:

  • Pasienter må ha histologisk bekreftet adenokarsinom i brystet med betydelig risiko for fjernt residiv basert på minst ett av følgende kriterier:

    • For aksillær lymfeknutepositiv sykdom:

      • Involvering av minst én vaktpost eller aksillær lymfeknute ved rutinemessig histologisk undersøkelse; Pasienter med negative vaktpostknuter og negative aksillære noder eller involvering kun demonstrert ved immunhistokjemi er ikke kvalifisert med mindre de oppfyller ett av de andre kvalifikasjonskriteriene nedenfor
      • MERK: betrakt intramammære noder som likeverdige med aksillære noder med hensyn til kvalifisering og stratifisering
    • For aksillær lymfeknute negativ sykdom:

      • Østrogenreseptor (ER) negativ svulst >= 1 cm
      • ER+ tumor >= 5 cm uavhengig av residivskåre
      • ER+ svulst >= 1 cm men < 5 cm med residivscore >= 11 (pasienter som er registrert i TAILORx-studien er kvalifisert)
      • MERK: aksillær disseksjon oppfordres sterkt hos pasienter med lymfeknutepåvirkning identifisert på sentinel node biopsi
  • Pasienter må ha fullført endelig brystkirurgi inkludert total mastektomi og aksillær disseksjon (modifisert radikal mastektomi), total mastektomi og vaktpostknutebiopsi, brystkonserveringskirurgi og aksillær disseksjon eller brystkonserveringskirurgi og vaktpostknutebiopsi

    • MERK: brystbevaringskirurgi inkluderer lumpektomi, delvis mastektomi og eksisjonsbiopsi
  • Marginene for brystbevaringskirurgi eller mastektomi må være histologisk fri for invasiv brystkreft og duktalt karsinom in situ (DCIS); Pasienter med reseksjonsmarginer positive for lobulært karsinom in situ (LCIS) er kvalifisert
  • Tiden fra siste operasjon for brystkreft (brystkonserveringskirurgi, mastektomi, sentinel node biopsi, aksillær disseksjon eller re-eksisjon av brystkonserveringsoperasjonsmarginer) til planlagt behandlingsstartdato må være > 28 dager og =< 84 dager
  • Eastern Cooperative Oncology Group (ECOG) ytelsesstatus 0-1
  • Innen =< 8 uker før randomisering: Absolutt nøytrofiltall >= 1000/mm^3
  • Innen =< 8 uker før randomisering: Blodplateantall >= 100 000/mm^3
  • Innen =< 8 uker før randomisering: Total bilirubin =< 1,5 mg/dL
  • Innen =< 8 uker før randomisering: Aspartataminotransferase (AST) =< 2 ganger øvre normalgrense (ULN)
  • Innen =< 8 uker før randomisering: Serumkreatinin =< 1,5 mg/dL
  • Innen =< 8 uker før randomisering: Urinprotein:kreatinin-forhold < 1,0 eller 24-timers protein
  • Innen =< 8 uker før randomisering: Partiell tromboplastintid (PTT) =< 1,5 ganger ULN
  • Innen =< 8 uker før randomisering: venstre ventrikkel ejeksjonsfraksjon (LVEF) >= institusjonelle grenser for normal ved multigated acquisition scan (MUGA) eller ekkokardiogram (ECHO)
  • Pasienter som har gjennomgått brystbevarende operasjoner må få stråling; før randomisering må etterforskeren spesifisere den planlagte stråleteknikken:

    • Helbryststråling (WBRT) etter kjemoterapi
    • Akselerert partiell bryststråling (APBI) etter kjemoterapi
    • Akselerert delvis bryststråling (APBI) før kjemoterapi
    • MERK: hvis APBI ble fullført før studiestart, må dag 1 av protokollbehandling være minst 4 uker etter fullføring av APBI
  • Postmastektomi strålebehandling (RT) er nødvendig for alle pasienter med en primærtumor på >= 5 cm eller involvering av 4 eller flere lymfeknuter; post-mastektomi RT kan administreres etter etterforskerens skjønn for alle andre mastektomipasienter
  • Pasienter med human epidermal vekstfaktorreseptor (HER)2+ (3+ ved immunhistokjemi [IHC] eller fluorescerende in situ hybridisering [FISH] ratio >= 2) brystkreft er ikke kvalifisert
  • Pasienter med synkron bilateral brystkreft (diagnostisert innen en måned) er kvalifisert hvis tumor-, node-, metastase- (TNM)-stadiet oppfyller kvalifikasjonskriteriene for denne studien
  • Pasienter må ikke ha kliniske tegn på inflammatorisk sykdom eller faste aksillære noder ved diagnose
  • Pasienter må ikke tidligere ha mottatt cellegift eller hormonbehandling for denne brystkreften; tidligere behandling med antracyklin, antracendion eller taxan for enhver tilstand er ikke tillatt

    • MERK: tidligere bruk av tamoxifen for kjemoprevensjon er tillatt, men må avbrytes ved studiestart; på samme måte er tidligere bruk av raloksifen tillatt, men må avbrytes ved studiestart
  • Pasienter skal ikke ha hatt noen større kirurgiske inngrep innen 28 dager etter planlagt behandlingsstartdato

    • MERK: ikke-operativ biopsi eller plassering av en vaskulær tilgangsenhet regnes ikke som en større operasjon
  • Pasienter kan ikke ha fått plassering av en vaskulær tilgangsanordning innen 24 timer etter planlagt dag 1 av behandlingen
  • Pasienter må ikke ha klinisk signifikant kardiovaskulær eller cerebrovaskulær sykdom, inkludert:

    • Enhver historie om

      • Cerebrovaskulær sykdom inkludert forbigående iskemisk angrep (TIA), hjerneslag eller subaraknoidal blødning
      • Iskemisk tarm
    • I løpet av de siste 12 månedene

      • Hjerteinfarkt
      • Ustabil angina
      • New York Heart Association (NYHA) klasse II eller høyere kongestiv hjertesvikt
      • Grad II eller høyere perifer vaskulær sykdom
      • Ukontrollert hypertensjon definert som systolisk blodtrykk (SBP) > 160 eller diastolisk blodtrykk (DBP) > 90
      • Ukontrollert eller klinisk signifikant arytmi
      • MERK: blodtrykket må oppnås innen =< 8 uker før randomisering
      • MERK: Pasienter med kontrollert atrieflimmer er kvalifisert
  • Pasienter som trenger full dose antikoagulasjon kan registrere seg forutsatt at de oppfyller følgende kriterier:

    • Pasienten må ha et internasjonalt normalisert forhold (INR) (vanligvis mellom 2 og 3) på en stabil dose warfarin eller ha en stabil dose av lavmolekylært heparin (LMW)
    • Pasienten må ikke ha aktiv blødning eller patologiske tilstander som medfører høy risiko for blødning (f. varicer)
    • MERK: profylaktisk bruk av antikoagulantia for å opprettholde åpenhet til en vaskulær tilgangsenhet er tillatt
  • Pasienter må ikke ha en blødende diatese, arvelig eller ervervet blødningsforstyrrelse eller koagulopati
  • Pasienter må ikke ha et ikke-helende sår eller brudd; Pasienter med abdominal fistel, gastrointestinal perforasjon eller intraabdominal abscess innen 6 måneder før randomisering er ikke kvalifisert
  • Pasienter må ikke ha overfølsomhet overfor paklitaksel eller legemidler som bruker vehikelen Cremophor, eggstokkcelleprodukter fra kinesisk hamster eller andre rekombinante humane antistoffer
  • Kvinner må ikke være gravide eller ammende; alle kvinner i fertil alder må ha en blod- eller urinprøve innen 7 dager før randomisering for å utelukke graviditet
  • Kvinner i fertil alder og seksuelt aktive menn må bruke en akseptert og effektiv prevensjonsmetode

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Arm I (kjemoterapi, placebo)
Pasienter får doksorubicinhydroklorid IV, cyklofosfamid IV over 20-30 minutter og placebo IV over 30-90 minutter på dag 1. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel IV over 1 time på dag 1, 8 og 15 og placebo IV over 30-90 minutter på dag 1. Behandling med paklitaksel og placebo gjentas hver 3. uke i 4 kurer.
Korrelative studier
Gitt IV
Andre navn:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Gitt IV
Andre navn:
  • Cytoksan
  • CTX
  • (-)-cyklofosfamid
  • 2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat
  • Carloxan
  • Ciclofosfamida
  • Ciklofosfamid
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrat
  • CYCLO-celle
  • Sykloblastin
  • Cyclofosfam
  • Cyklofosfamid monohydrat
  • Cyclophosphamidum
  • Syklofosfan
  • Cyclophosphanum
  • Syklostin
  • Cytofosfan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Asta B 518
  • B-518
  • WR-138719
  • B 518
  • B518
  • WR 138719
  • WR138719
  • Frindovyx
Gitt IV
Gitt IV
Andre navn:
  • Adriamycin
  • 5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl)
  • ADM
  • Adriacin
  • Adriamycin hydroklorid
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROKLORID
  • Adriblastina
  • Adriblastin
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroksydaunorubicin
  • Rubex
  • FI106
Hjelpestudier (stengt fra 28.05.10)
Andre navn:
  • Livskvalitetsvurdering
Eksperimentell: Arm II (kjemoterapi, bevacizumab)
Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I og bevacizumab IV over 30-90 minutter på dag 1. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel som i arm I og bevacizumab IV over 30-90 minutter på dag 1. Behandling med paklitaksel og bevacizumab gjentas hver 3. uke i 4 kurer.
Korrelative studier
Gitt IV
Andre navn:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Gitt IV
Andre navn:
  • Cytoksan
  • CTX
  • (-)-cyklofosfamid
  • 2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat
  • Carloxan
  • Ciclofosfamida
  • Ciklofosfamid
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrat
  • CYCLO-celle
  • Sykloblastin
  • Cyclofosfam
  • Cyklofosfamid monohydrat
  • Cyclophosphamidum
  • Syklofosfan
  • Cyclophosphanum
  • Syklostin
  • Cytofosfan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Asta B 518
  • B-518
  • WR-138719
  • B 518
  • B518
  • WR 138719
  • WR138719
  • Frindovyx
Gitt IV
Andre navn:
  • Adriamycin
  • 5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl)
  • ADM
  • Adriacin
  • Adriamycin hydroklorid
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROKLORID
  • Adriblastina
  • Adriblastin
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroksydaunorubicin
  • Rubex
  • FI106
Gitt IV
Andre navn:
  • Avastin
  • ABP 215
  • Anti-VEGF
  • Anti-VEGF humanisert monoklonalt antistoff
  • Anti-VEGF monoklonalt antistoff SIBP04
  • Anti-VEGF rhuMAb
  • Bevacizumab awwb
  • Bevacizumab Biosimilar ABP 215
  • Bevacizumab Biosimilar BEVZ92
  • Bevacizumab Biosimilar BI 695502
  • Bevacizumab Biosimilar CBT 124
  • Bevacizumab Biosimilar CT-P16
  • Bevacizumab Biosimilar FKB238
  • Bevacizumab Biosimilar GB-222
  • Bevacizumab Biosimilar HD204
  • Bevacizumab Biosimilar HLX04
  • Bevacizumab Biosimilar IBI305
  • Bevacizumab Biosimilar LY01008
  • Bevacizumab Biosimilar MIL60
  • Bevacizumab Biosimilar Mvasi
  • Bevacizumab Biosimilar MYL-1402O
  • Bevacizumab Biosimilar QL 1101
  • Bevacizumab Biosimilar RPH-001
  • Bevacizumab Biosimilar SCT501
  • Bevacizumab Biosimilar Zirabev
  • Bevacizumab-awwb
  • Bevacizumab-bvzr
  • BP102
  • BP102 Biosimilar
  • HD204
  • Immunoglobulin G1 (Human-mus monoklonal rhuMab-VEGF Gamma-kjede anti-human vaskulær endotelial vekstfaktor), disulfid med human-mus monoklonal rhuMab-VEGF lett kjede, dimer
  • Mvasi
  • MYL-1402O
  • Rekombinant humanisert anti-VEGF monoklonalt antistoff
  • rhuMab-VEGF
  • SCT501
  • SIBP 04
  • SIBP-04
  • SIBP04
  • Zirabev
  • Avegra
  • QL1101
  • IBI305
  • Byvasda
  • Bevacizumab Biosimilar QL1101
  • BAT1706
  • BAT 1706
  • BAT-1706
  • BAT1706 Biosimilar
  • Bevacizumab Biosimilar BAT1706
  • Bevacizumab-adcd
  • CT-P16
  • Vegzelma
  • Alymsys
  • ABP-215
  • ABP215
  • Aybintio
  • Bevacizumab-aybi
  • Bevacizumab-equi
  • Bevacizumab-maly
  • Bevacizumab-onbe
  • CT P16
  • CTP16
  • Likestilt
  • Onbevzi
  • Avzivi
  • Bevacizumab Biosimilar MB02
  • Bevacizumab-tnjn
  • FKB 238
  • FKB-238
  • FKB238
  • MB 02
  • MB-02
  • MB02
  • Oyavas
  • PF 06439535
  • PF-06439535
  • PF06439535
  • Bevacizumab-aveg
  • Bevacizumab-byva
  • Bevacizumab-nwgd
  • Jobevne
  • IBI 305
  • IBI-305
Hjelpestudier (stengt fra 28.05.10)
Andre navn:
  • Livskvalitetsvurdering
Eksperimentell: Arm III (kjemoterapi, bevacizumab monoterapi)
Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I og bevacizumab som i arm II. Behandlingen gjentas hver 2. eller 3. uke i 4 kurer. Fra og med 3 uker senere får pasientene paklitaksel som i arm I og bevacizumab som i arm II. Behandling med paklitaksel og bevacizumab gjentas hver 3. uke i 4 kurer. Fra og med 2 måneder senere får pasientene bevacizumab IV over 30-90 minutter på dag 1. Behandling med bevacizumab alene gjentas hver 3. uke i 10 kurer.
Korrelative studier
Gitt IV
Andre navn:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Gitt IV
Andre navn:
  • Cytoksan
  • CTX
  • (-)-cyklofosfamid
  • 2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat
  • Carloxan
  • Ciclofosfamida
  • Ciklofosfamid
  • Cicloxal
  • Clafen
  • Claphene
  • CP monohydrat
  • CYCLO-celle
  • Sykloblastin
  • Cyclofosfam
  • Cyklofosfamid monohydrat
  • Cyclophosphamidum
  • Syklofosfan
  • Cyclophosphanum
  • Syklostin
  • Cytofosfan
  • Fosfaseron
  • Genoxal
  • Genuxal
  • Ledoxina
  • Mitoxan
  • Neosar
  • Revimmune
  • Syklofosfamid
  • WR- 138719
  • Asta B 518
  • B-518
  • WR-138719
  • B 518
  • B518
  • WR 138719
  • WR138719
  • Frindovyx
Gitt IV
Andre navn:
  • Adriamycin
  • 5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl)
  • ADM
  • Adriacin
  • Adriamycin hydroklorid
  • Adriamycin PFS
  • Adriamycin RDF
  • ADRIAMYCIN, HYDROKLORID
  • Adriblastina
  • Adriblastin
  • Adrimedac
  • Chloridrato de Doxorrubicina
  • DOX
  • DOXO-CELL
  • Doxolem
  • Doxorubicin HCl
  • Doxorubicin.HCl
  • Doxorubin
  • Farmiblastina
  • FI 106
  • FI-106
  • hydroksydaunorubicin
  • Rubex
  • FI106
Gitt IV
Andre navn:
  • Avastin
  • ABP 215
  • Anti-VEGF
  • Anti-VEGF humanisert monoklonalt antistoff
  • Anti-VEGF monoklonalt antistoff SIBP04
  • Anti-VEGF rhuMAb
  • Bevacizumab awwb
  • Bevacizumab Biosimilar ABP 215
  • Bevacizumab Biosimilar BEVZ92
  • Bevacizumab Biosimilar BI 695502
  • Bevacizumab Biosimilar CBT 124
  • Bevacizumab Biosimilar CT-P16
  • Bevacizumab Biosimilar FKB238
  • Bevacizumab Biosimilar GB-222
  • Bevacizumab Biosimilar HD204
  • Bevacizumab Biosimilar HLX04
  • Bevacizumab Biosimilar IBI305
  • Bevacizumab Biosimilar LY01008
  • Bevacizumab Biosimilar MIL60
  • Bevacizumab Biosimilar Mvasi
  • Bevacizumab Biosimilar MYL-1402O
  • Bevacizumab Biosimilar QL 1101
  • Bevacizumab Biosimilar RPH-001
  • Bevacizumab Biosimilar SCT501
  • Bevacizumab Biosimilar Zirabev
  • Bevacizumab-awwb
  • Bevacizumab-bvzr
  • BP102
  • BP102 Biosimilar
  • HD204
  • Immunoglobulin G1 (Human-mus monoklonal rhuMab-VEGF Gamma-kjede anti-human vaskulær endotelial vekstfaktor), disulfid med human-mus monoklonal rhuMab-VEGF lett kjede, dimer
  • Mvasi
  • MYL-1402O
  • Rekombinant humanisert anti-VEGF monoklonalt antistoff
  • rhuMab-VEGF
  • SCT501
  • SIBP 04
  • SIBP-04
  • SIBP04
  • Zirabev
  • Avegra
  • QL1101
  • IBI305
  • Byvasda
  • Bevacizumab Biosimilar QL1101
  • BAT1706
  • BAT 1706
  • BAT-1706
  • BAT1706 Biosimilar
  • Bevacizumab Biosimilar BAT1706
  • Bevacizumab-adcd
  • CT-P16
  • Vegzelma
  • Alymsys
  • ABP-215
  • ABP215
  • Aybintio
  • Bevacizumab-aybi
  • Bevacizumab-equi
  • Bevacizumab-maly
  • Bevacizumab-onbe
  • CT P16
  • CTP16
  • Likestilt
  • Onbevzi
  • Avzivi
  • Bevacizumab Biosimilar MB02
  • Bevacizumab-tnjn
  • FKB 238
  • FKB-238
  • FKB238
  • MB 02
  • MB-02
  • MB02
  • Oyavas
  • PF 06439535
  • PF-06439535
  • PF06439535
  • Bevacizumab-aveg
  • Bevacizumab-byva
  • Bevacizumab-nwgd
  • Jobevne
  • IBI 305
  • IBI-305
Hjelpestudier (stengt fra 28.05.10)
Andre navn:
  • Livskvalitetsvurdering

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Invasiv sykdomsfri overlevelse (IDFS) rate ved 5 år
Tidsramme: Vurderes til 5 år
Invasiv sykdomsfri overlevelse (IDFS) ble definert som tiden fra datoen for randomisering til første behandlingssvikt (invasiv ipsilateral, lokal/regional eller fjern tilbakefall, invasiv kontralateral brystkreft, invasiv ikke-bryst andre primær malignitet eller død uansett årsak , avhengig av hva som skjedde først). Tilfeller med ufullstendig oppfølging, uten dokumentert IDFS-hendelse, inkludert de som utviklet plateepitel- eller basalcellehudkreft eller insitu-karsinomer på et hvilket som helst sted som deres eneste hendelse, ble sensurert på datoen for siste sykdomsevaluering.
Vurderes til 5 år

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
5-års total overlevelse (OS)
Tidsramme: Vurderes til 5 år
Total overlevelse (OS) ble definert som tiden fra randomiseringsdato til død uansett årsak, ellers ble tilfeller sensurert på datoen sist kjent for å være i live.
Vurderes til 5 år
Foreningen mellom IDFS og genotype
Tidsramme: Vurderes til 3 år
Invasiv sykdomsfri overlevelse (IDFS) er definert som tiden fra randomiseringsdatoen til første behandlingssvikt (invasiv ipsilateral, lokal/regional eller fjern residiv, invasiv kontralateral brystkreft, invasiv ikke-bryst andre primær malignitet eller død uansett årsak , avhengig av hva som skjedde først). Tilfeller med ufullstendig oppfølging, uten dokumentert IDFS-hendelse, inkludert de som utviklet plateepitel- eller basalcellehudkreft eller insitu-karsinomer på et hvilket som helst sted som deres eneste hendelse, ble sensurert på datoen for siste sykdomsevaluering. Tre-års IDFS-frekvens ble rapportert av genetiske aner, og IDFS ble sammenlignet mellom pasienter med europeiske aner og pasienter med afrikanske aner.
Vurderes til 3 år

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Kathy D Miller, ECOG-ACRIN Cancer Research Group

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

2. november 2007

Primær fullføring (Faktiske)

7. januar 2014

Studiet fullført (Antatt)

20. februar 2027

Datoer for studieregistrering

Først innsendt

8. februar 2007

Først innsendt som oppfylte QC-kriteriene

8. februar 2007

Først lagt ut (Antatt)

12. februar 2007

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

28. august 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

27. august 2026

Sist bekreftet

1. august 2026

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Abonnere