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Legger Nivolumab til vanlig behandling for personer med avansert mage- eller spiserørskreft, PARAMMUNE-prøven

29. oktober 2026 oppdatert av: National Cancer Institute (NCI)

Randomized Phase II/III Trial of 2nd Line Nivolumab + Paclitaxel + Ramucirumab Versus Paclitaxel + Ramucirumab in Patients With PD-L1 CPS >/= 1 Advanced Gastric and Esophageal Adenocarcinoma (PARAMUNE)

This phase II/III trial compares the addition of nivolumab to the usual treatment of paclitaxel and ramucirumab to paclitaxel and ramucirumab alone in treating patients with gastric or esophageal adenocarcinoma that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced). A monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens). Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Ramucirumab is a monoclonal antibody that may prevent the growth of new blood vessels that tumors need to grow. Paclitaxel is in a class of medications called antimicrotubule agents. It stops cancer cells from growing and dividing and may kill them. Adding nivolumab to ramucirumab and paclitaxel may work better to treat patients with advanced stomach or esophageal cancer.

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

PRIMARY OBJECTIVES:

I. To assess whether progression-free survival (PFS) is sufficiently improved in participants randomized to nivolumab + paclitaxel + ramucirumab compared to those randomized to paclitaxel + ramucirumab to warrant a phase III study with overall survival (OS) as the primary endpoint. (Phase II) II. To compare OS in participants randomized to nivolumab + paclitaxel + ramucirumab versus those randomized to paclitaxel + ramucirumab. (Phase III)

SECONDARY OBJECTIVES:

I. To compare PFS between those randomized to nivolumab + paclitaxel + ramucirumab versus those randomized to paclitaxel + ramucirumab. (Phase III) II. To compare OS between participants randomized to nivolumab + paclitaxel + ramucirumab compared to those randomized to paclitaxel + ramucirumab in the event that the trial is completed before the phase III portion.

III. To compare the overall response rate (ORR, including confirmed and unconfirmed, complete, and partial response, according to Response Evaluation Criteria in Solid Tumors [RECIST 1.1] criteria) between those randomized to nivolumab + paclitaxel + ramucirumab compared to those randomized to paclitaxel + ramucirumab among participants with measurable disease.

IV. To compare the overall disease control rate (DCR = ORR + stable disease) between those randomized to nivolumab + paclitaxel + ramucirumab compared to those randomized to paclitaxel + ramucirumab among participants with measurable disease.

V. To evaluate the safety and tolerability of each treatment regimen. VI. To compare health-related quality of life (QOL) by treatment arm at 8 weeks after randomization, measured using the Functional Assessment of Cancer Therapy - Gastric (FACT-Ga) Trial Outcome Index (TOI).

VII. To compare health-related QOL between treatment arms at 8 weeks after randomization using the FACT-Ga total score.

VIII. To compare longitudinal changes in health-related QOL between treatment arms using FACT-Ga TOI up to 24 weeks after randomization.

IX. To compare patient-reported symptoms using selected Patient-Reported Outcomes-Common Terminology Criteria for Adverse Events (PRO-CTCAE) items including gastrointestinal as well as constitutional symptoms of fatigue, anorexia, and weight loss between treatment arms.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM 1: Patients receive nivolumab intravenously (IV) over 30 minutes on day 1 of each cycle, ramucirumab IV over 30-60 minutes on days 1 and 15 of each cycle, and paclitaxel IV over 60 minutes on days 1, 8 and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo computed tomography (CT) scan and magnetic resonance imaging (MRI) throughout the study. Patients may also optionally undergo blood sample collection on study.

ARM 2: Patients receive ramucirumab IV over 30-60 minutes on days 1 and 15 of each cycle and paclitaxel IV over 60 minutes on days 1, 8 and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and MRI throughout the study. Patients may also optionally undergo blood sample collection on study.

After completion of study treatment, patients are followed up at 30, 60, 90 days and then every 6 months for up to 3 years.

Studietype

Intervensjonell

Registrering (Antatt)

224

Fase

  • Fase 2
  • Fase 3

Kontakter og plasseringer

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

Studiesteder

  • Forente stater
    • Arkansas
      • Little Rock, Arkansas, Forente stater, 72205
        • Rekruttering
        • University of Arkansas for Medical Sciences
        • Hovedetterforsker:
          • Rangaswamy Govindarajan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 501-686-8274
      • Little Rock, Arkansas, Forente stater, 72205
        • Rekruttering
        • Baptist Health Medical Center - Little Rock
        • Hovedetterforsker:
          • Rangaswamy Govindarajan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 501-202-4715
    • California
      • Anaheim, California, Forente stater, 92806
        • Rekruttering
        • Kaiser Permanente-Anaheim
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Baldwin Park, California, Forente stater, 91706
        • Rekruttering
        • Kaiser Permanente-Baldwin Park
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Bellflower, California, Forente stater, 90706
        • Rekruttering
        • Kaiser Permanente-Bellflower
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Beverly Hills, California, Forente stater, 90211
      • Dublin, California, Forente stater, 94568
        • Rekruttering
        • Kaiser Permanente Dublin
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Fontana, California, Forente stater, 92335
        • Rekruttering
        • Kaiser Permanente-Fontana
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Fremont, California, Forente stater, 94538
        • Rekruttering
        • Kaiser Permanente-Fremont
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Fresno, California, Forente stater, 93720
        • Rekruttering
        • Kaiser Permanente-Fresno
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Fresno, California, Forente stater, 93720
        • Rekruttering
        • Kaiser Permanente Fresno Orchard Plaza
        • Hovedetterforsker:
          • Tilak K. Sundaresan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 833-574-2273
      • Harbor City, California, Forente stater, 90710
        • Rekruttering
        • Kaiser Permanente South Bay
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Irvine, California, Forente stater, 92618
        • Rekruttering
        • Kaiser Permanente-Irvine
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • La Jolla, California, Forente stater, 92093
        • Rekruttering
        • UC San Diego Moores Cancer Center
        • Hovedetterforsker:
          • Aaron Miller
        • Ta kontakt med:
      • Los Angeles, California, Forente stater, 90048
        • Rekruttering
        • Cedars-Sinai Medical Center
        • Hovedetterforsker:
          • Jun Gong
        • Ta kontakt med:
      • Los Angeles, California, Forente stater, 90027
        • Rekruttering
        • Kaiser Permanente Los Angeles Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Los Angeles, California, Forente stater, 90034
        • Rekruttering
        • Kaiser Permanente West Los Angeles
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Los Angeles, California, Forente stater, 90033
        • Rekruttering
        • USC / Norris Comprehensive Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 323-865-0451
        • Hovedetterforsker:
          • Syma Iqbal
      • Los Angeles, California, Forente stater, 90020
        • Rekruttering
        • Keck Medicine of USC Koreatown
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 213-388-0908
        • Hovedetterforsker:
          • Syma Iqbal
      • Los Angeles, California, Forente stater, 90033
        • Rekruttering
        • Los Angeles General Medical Center
        • Hovedetterforsker:
          • Syma Iqbal
        • Ta kontakt med:
      • Modesto, California, Forente stater, 95356
        • Rekruttering
        • Kaiser Permanente-Modesto
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Modesto, California, Forente stater, 95356
        • Rekruttering
        • Kaiser Permanente- Modesto MOB II
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Newport Beach, California, Forente stater, 92663
        • Rekruttering
        • USC Norris Oncology/Hematology-Newport Beach
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 323-865-0451
        • Hovedetterforsker:
          • Syma Iqbal
      • Oakland, California, Forente stater, 94611
        • Rekruttering
        • Kaiser Permanente-Oakland
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Ontario, California, Forente stater, 91761
        • Rekruttering
        • Kaiser Permanente-Ontario
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Panorama City, California, Forente stater, 91402
        • Rekruttering
        • Kaiser Permanente - Panorama City
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Riverside, California, Forente stater, 92505
        • Rekruttering
        • Kaiser Permanente-Riverside
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • Roseville, California, Forente stater, 95661
        • Rekruttering
        • Kaiser Permanente-Roseville
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Sacramento, California, Forente stater, 95814
        • Rekruttering
        • Kaiser Permanente Downtown Commons
        • Hovedetterforsker:
          • Tilak K. Sundaresan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: kpoct@kp.org
      • Sacramento, California, Forente stater, 95823
        • Rekruttering
        • Kaiser Permanente-South Sacramento
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Sacramento, California, Forente stater, 95817
        • Aktiv, ikke rekrutterende
        • University of California Davis Comprehensive Cancer Center
      • San Diego, California, Forente stater, 92120
        • Rekruttering
        • Kaiser Permanente-San Diego Zion
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • San Francisco, California, Forente stater, 94115
        • Rekruttering
        • Kaiser Permanente-San Francisco
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • San Jose, California, Forente stater, 95119
        • Rekruttering
        • Kaiser Permanente-Santa Teresa-San Jose
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • San Leandro, California, Forente stater, 94577
        • Rekruttering
        • Kaiser Permanente San Leandro
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • San Marcos, California, Forente stater, 92078
        • Rekruttering
        • Kaiser Permanente-San Marcos
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
      • San Rafael, California, Forente stater, 94903
        • Rekruttering
        • Kaiser San Rafael-Gallinas
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Santa Clara, California, Forente stater, 95051
        • Rekruttering
        • Kaiser Permanente Medical Center - Santa Clara
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Santa Rosa, California, Forente stater, 95403
        • Rekruttering
        • Kaiser Permanente-Santa Rosa
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • South San Francisco, California, Forente stater, 94080
        • Rekruttering
        • Kaiser Permanente-South San Francisco
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Vallejo, California, Forente stater, 94589
        • Rekruttering
        • Kaiser Permanente-Vallejo
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Walnut Creek, California, Forente stater, 94596
        • Rekruttering
        • Kaiser Permanente-Walnut Creek
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-642-4691
          • E-post: Kpoct@kp.org
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • Woodland Hills, California, Forente stater, 91367
        • Rekruttering
        • Kaiser Permanente-Woodland Hills
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary L. Buchschacher
    • Colorado
      • Colorado Springs, Colorado, Forente stater, 80909
        • Rekruttering
        • UCHealth Memorial Hospital Central
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 719-365-2406
        • Hovedetterforsker:
          • Shin Yin Lee
      • Colorado Springs, Colorado, Forente stater, 80920
        • Rekruttering
        • Memorial Hospital North
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 719-364-6700
        • Hovedetterforsker:
          • Shin Yin Lee
      • Fort Collins, Colorado, Forente stater, 80524
        • Rekruttering
        • Poudre Valley Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 970-297-6150
        • Hovedetterforsker:
          • Shin Yin Lee
      • Fort Collins, Colorado, Forente stater, 80528
        • Rekruttering
        • Cancer Care and Hematology-Fort Collins
        • Ta kontakt med:
        • Hovedetterforsker:
          • Shin Yin Lee
      • Greeley, Colorado, Forente stater, 80631
        • Rekruttering
        • UCHealth Greeley Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Shin Yin Lee
      • Loveland, Colorado, Forente stater, 80538
        • Rekruttering
        • Medical Center of the Rockies
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 970-203-7083
        • Hovedetterforsker:
          • Shin Yin Lee
    • Connecticut
      • Derby, Connecticut, Forente stater, 06418
        • Rekruttering
        • Smilow Cancer Hospital-Derby Care Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Fairfield, Connecticut, Forente stater, 06824
        • Rekruttering
        • Smilow Cancer Hospital Care Center-Fairfield
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Glastonbury, Connecticut, Forente stater, 06033
        • Rekruttering
        • Smilow Cancer Hospital Care Center at Glastonbury
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Greenwich, Connecticut, Forente stater, 06830
        • Rekruttering
        • Smilow Cancer Hospital Care Center at Greenwich
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Guilford, Connecticut, Forente stater, 06437
        • Rekruttering
        • Smilow Cancer Hospital Care Center - Guilford
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Hartford, Connecticut, Forente stater, 06105
        • Rekruttering
        • Smilow Cancer Hospital Care Center at Saint Francis
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • New Haven, Connecticut, Forente stater, 06520
        • Rekruttering
        • Yale University
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • North Haven, Connecticut, Forente stater, 06473
        • Rekruttering
        • Yale-New Haven Hospital North Haven Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Stamford, Connecticut, Forente stater, 06902
        • Rekruttering
        • Smilow Cancer Hospital Care Center at Long Ridge
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Torrington, Connecticut, Forente stater, 06790
        • Rekruttering
        • Smilow Cancer Hospital-Torrington Care Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Trumbull, Connecticut, Forente stater, 06611
        • Rekruttering
        • Smilow Cancer Hospital Care Center-Trumbull
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Waterbury, Connecticut, Forente stater, 06708
        • Rekruttering
        • Smilow Cancer Hospital-Waterbury Care Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
      • Waterford, Connecticut, Forente stater, 06385
        • Rekruttering
        • Smilow Cancer Hospital Care Center - Waterford
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
    • Delaware
      • Millville, Delaware, Forente stater, 19967
        • Rekruttering
        • Beebe South Coastal Health Campus
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gregory A. Masters
      • Newark, Delaware, Forente stater, 19713
        • Rekruttering
        • Helen F Graham Cancer Center
        • Hovedetterforsker:
          • Gregory A. Masters
        • Ta kontakt med:
      • Newark, Delaware, Forente stater, 19713
        • Rekruttering
        • Medical Oncology Hematology Consultants PA
        • Hovedetterforsker:
          • Gregory A. Masters
        • Ta kontakt med:
      • Rehoboth Beach, Delaware, Forente stater, 19971
        • Rekruttering
        • Beebe Health Campus
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gregory A. Masters
    • District of Columbia
      • Washington D.C., District of Columbia, Forente stater, 20007
        • Rekruttering
        • MedStar Georgetown University Hospital
        • Hovedetterforsker:
          • Marcus S. Noel
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 202-444-2223
    • Florida
      • Miami Beach, Florida, Forente stater, 33140
        • Rekruttering
        • Mount Sinai Medical Center
        • Hovedetterforsker:
          • Mike Cusnir
        • Ta kontakt med:
      • Orlando, Florida, Forente stater, 32803
        • Rekruttering
        • AdventHealth Orlando
        • Ta kontakt med:
        • Hovedetterforsker:
          • Mohamedtaki A. Tejani
    • Georgia
      • Atlanta, Georgia, Forente stater, 30322
        • Rekruttering
        • Emory University Hospital/Winship Cancer Institute
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 404-778-1868
        • Hovedetterforsker:
          • Oluwadunni Emiloju
      • Atlanta, Georgia, Forente stater, 30308
        • Rekruttering
        • Emory University Hospital Midtown
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 888-946-7447
        • Hovedetterforsker:
          • Oluwadunni Emiloju
      • Atlanta, Georgia, Forente stater, 30342
        • Rekruttering
        • Emory Saint Joseph's Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 404-851-7115
        • Hovedetterforsker:
          • Oluwadunni Emiloju
      • Decatur, Georgia, Forente stater, 30033
      • Johns Creek, Georgia, Forente stater, 30097
        • Rekruttering
        • Emory Johns Creek Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Oluwadunni Emiloju
    • Hawaii
      • Honolulu, Hawaii, Forente stater, 96826
        • Rekruttering
        • Kapiolani Medical Center for Women and Children
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-983-6090
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96813
        • Rekruttering
        • Hawaii Cancer Care Inc - Waterfront Plaza
        • Ta kontakt med:
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96813
        • Rekruttering
        • Queen's Cancer Cenrer - POB I
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-532-0315
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96813
        • Rekruttering
        • Queen's Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-545-8548
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96813
        • Rekruttering
        • Straub Clinic and Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-522-4333
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96817
        • Rekruttering
        • Queen's Cancer Center - Kuakini
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-531-8521
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • Honolulu, Hawaii, Forente stater, 96819
        • Rekruttering
        • Kaiser Permanente Moanalua Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tilak K. Sundaresan
      • ‘Aiea, Hawaii, Forente stater, 96701
        • Rekruttering
        • Hawaii Cancer Care - Westridge
        • Ta kontakt med:
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • ‘Aiea, Hawaii, Forente stater, 96701
        • Rekruttering
        • Pali Momi Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 808-486-6000
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
      • ‘Ewa Beach, Hawaii, Forente stater, 96706
        • Rekruttering
        • The Queen's Medical Center - West Oahu
        • Ta kontakt med:
        • Hovedetterforsker:
          • Elizabeth S. Nakasone
    • Idaho
      • Boise, Idaho, Forente stater, 83706
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Boise
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Caldwell, Idaho, Forente stater, 83605
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Caldwell
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Coeur d'Alene, Idaho, Forente stater, 83814
        • Rekruttering
        • Kootenai Health - Coeur d'Alene
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Nampa, Idaho, Forente stater, 83687
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Nampa
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Post Falls, Idaho, Forente stater, 83854
        • Rekruttering
        • Kootenai Clinic Cancer Services - Post Falls
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Sandpoint, Idaho, Forente stater, 83864
        • Rekruttering
        • Kootenai Clinic Cancer Services - Sandpoint
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
    • Illinois
      • Aurora, Illinois, Forente stater, 60506
        • Rekruttering
        • Advocate Outpatient Center - Aurora
        • Hovedetterforsker:
          • Edward S. James
        • Ta kontakt med:
      • Aurora, Illinois, Forente stater, 60504
        • Suspendert
        • Rush-Copley Medical Center
      • Barrington, Illinois, Forente stater, 60010
        • Rekruttering
        • Advocate Good Shepherd Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-842-4847
        • Hovedetterforsker:
          • Edward S. James
      • Bloomington, Illinois, Forente stater, 61704
        • Suspendert
        • Illinois CancerCare-Bloomington
      • Canton, Illinois, Forente stater, 61520
        • Suspendert
        • Illinois CancerCare-Canton
      • Carthage, Illinois, Forente stater, 62321
        • Suspendert
        • Illinois CancerCare-Carthage
      • Chicago, Illinois, Forente stater, 60611
        • Rekruttering
        • Northwestern University
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aparna Kalyan
      • Chicago, Illinois, Forente stater, 60612
        • Rekruttering
        • University of Illinois
        • Hovedetterforsker:
          • Yolande Chen
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 312-355-3046
      • Chicago, Illinois, Forente stater, 60657
        • Rekruttering
        • Advocate Illinois Masonic Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 773-296-5360
        • Hovedetterforsker:
          • Edward S. James
      • Chicago, Illinois, Forente stater, 60625
        • Rekruttering
        • Swedish Covenant Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 773-878-8200
        • Hovedetterforsker:
          • Lauren A. Wiebe
      • Chicago, Illinois, Forente stater, 60637
        • Aktiv, ikke rekrutterende
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, Forente stater, 60641
        • Rekruttering
        • Northwestern Medicine Cancer Center Old Irving Park
        • Hovedetterforsker:
          • Aparna Kalyan
        • Ta kontakt med:
      • Crystal Lake, Illinois, Forente stater, 60014
        • Rekruttering
        • AMG Crystal Lake - Oncology
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Danville, Illinois, Forente stater, 61832
        • Rekruttering
        • Carle at The Riverfront
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • DeKalb, Illinois, Forente stater, 60115
        • Rekruttering
        • Northwestern Medicine Cancer Center Kishwaukee
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aparna Kalyan
      • Decatur, Illinois, Forente stater, 62526
        • Rekruttering
        • Cancer Care Specialists of Illinois - Decatur
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
      • Decatur, Illinois, Forente stater, 62526
        • Rekruttering
        • Decatur Memorial Hospital
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
      • Dixon, Illinois, Forente stater, 61021
        • Suspendert
        • Illinois CancerCare-Dixon
      • Downers Grove, Illinois, Forente stater, 60515
        • Rekruttering
        • Advocate Good Samaritan Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Effingham, Illinois, Forente stater, 62401
        • Rekruttering
        • Carle Physician Group-Effingham
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Effingham, Illinois, Forente stater, 62401
        • Rekruttering
        • Crossroads Cancer Center
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
      • Elgin, Illinois, Forente stater, 60123
        • Rekruttering
        • Advocate Sherman Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-429-2907
        • Hovedetterforsker:
          • Edward S. James
      • Eureka, Illinois, Forente stater, 61530
        • Suspendert
        • Illinois CancerCare-Eureka
      • Evanston, Illinois, Forente stater, 60201
        • Rekruttering
        • NorthShore University HealthSystem-Evanston Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-570-2109
        • Hovedetterforsker:
          • Lauren A. Wiebe
      • Galesburg, Illinois, Forente stater, 61401
        • Suspendert
        • Illinois CancerCare-Galesburg
      • Geneva, Illinois, Forente stater, 60134
        • Rekruttering
        • Northwestern Medicine Cancer Center Delnor
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aparna Kalyan
      • Glenview, Illinois, Forente stater, 60026
        • Rekruttering
        • NorthShore University HealthSystem-Glenbrook Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-570-2109
        • Hovedetterforsker:
          • Lauren A. Wiebe
      • Glenview, Illinois, Forente stater, 60026
        • Rekruttering
        • Northwestern Medicine Glenview Outpatient Center
        • Hovedetterforsker:
          • Aparna Kalyan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 312-695-1102
      • Grayslake, Illinois, Forente stater, 60030
        • Rekruttering
        • Northwestern Medicine Grayslake Outpatient Center
        • Hovedetterforsker:
          • Aparna Kalyan
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 312-695-1102
      • Harvey, Illinois, Forente stater, 60426
        • Aktiv, ikke rekrutterende
        • Ingalls Memorial Hospital
      • Hazel Crest, Illinois, Forente stater, 60429
        • Rekruttering
        • Advocate South Suburban Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 708-799-9995
        • Hovedetterforsker:
          • Edward S. James
      • Highland Park, Illinois, Forente stater, 60035
        • Rekruttering
        • NorthShore University HealthSystem-Highland Park Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-570-2109
        • Hovedetterforsker:
          • Lauren A. Wiebe
      • Kewanee, Illinois, Forente stater, 61443
        • Suspendert
        • Illinois CancerCare-Kewanee Clinic
      • Lake Forest, Illinois, Forente stater, 60045
        • Rekruttering
        • Northwestern Medicine Lake Forest Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aparna Kalyan
      • Libertyville, Illinois, Forente stater, 60048
        • Rekruttering
        • AMG Libertyville - Oncology
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Libertyville, Illinois, Forente stater, 60048
        • Rekruttering
        • Condell Memorial Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Macomb, Illinois, Forente stater, 61455
        • Suspendert
        • Illinois CancerCare-Macomb
      • Mattoon, Illinois, Forente stater, 61938
        • Rekruttering
        • Carle Physician Group-Mattoon/Charleston
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • New Lenox, Illinois, Forente stater, 60451
        • Aktiv, ikke rekrutterende
        • UC Comprehensive Cancer Center at Silver Cross
      • O'Fallon, Illinois, Forente stater, 62269
        • Rekruttering
        • Cancer Care Center of O'Fallon
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
      • Oak Brook, Illinois, Forente stater, 60523
      • Oak Lawn, Illinois, Forente stater, 60453-2699
        • Rekruttering
        • Advocate Christ Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 800-323-8622
        • Hovedetterforsker:
          • Edward S. James
      • Orland Park, Illinois, Forente stater, 60462
        • Aktiv, ikke rekrutterende
        • University of Chicago Medicine-Orland Park
      • Orland Park, Illinois, Forente stater, 60462
      • Ottawa, Illinois, Forente stater, 61350
        • Suspendert
        • Illinois CancerCare-Ottawa Clinic
      • Park Ridge, Illinois, Forente stater, 60068
        • Rekruttering
        • Advocate Lutheran General Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 847-384-3621
        • Hovedetterforsker:
          • Edward S. James
      • Pekin, Illinois, Forente stater, 61554
        • Suspendert
        • Illinois CancerCare-Pekin
      • Peoria, Illinois, Forente stater, 61615
        • Suspendert
        • Illinois CancerCare-Peoria
      • Peru, Illinois, Forente stater, 61354
        • Suspendert
        • Illinois CancerCare-Peru
      • Princeton, Illinois, Forente stater, 61356
        • Suspendert
        • Illinois CancerCare-Princeton
      • Rockford, Illinois, Forente stater, 61114
        • Rekruttering
        • UW Health Carbone Cancer Center Rockford
        • Ta kontakt med:
        • Hovedetterforsker:
          • Fahrettin Covut
      • Rockford, Illinois, Forente stater, 61114
        • Rekruttering
        • Mercyhealth Cancer Institute - Rockford
        • Hovedetterforsker:
          • Mayur Narkhede
        • Ta kontakt med:
      • Shiloh, Illinois, Forente stater, 62269
        • Rekruttering
        • Memorial Hospital East
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
      • Springfield, Illinois, Forente stater, 62702
        • Rekruttering
        • Southern Illinois University School of Medicine
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 217-545-7929
      • Springfield, Illinois, Forente stater, 62702
        • Rekruttering
        • Springfield Clinic
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 800-444-7541
      • Springfield, Illinois, Forente stater, 62781
        • Rekruttering
        • Springfield Memorial Hospital
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
      • Urbana, Illinois, Forente stater, 61801
        • Rekruttering
        • Carle Cancer Center
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Warrenville, Illinois, Forente stater, 60555
        • Rekruttering
        • Northwestern Medicine Cancer Center Warrenville
        • Ta kontakt med:
        • Hovedetterforsker:
          • Aparna Kalyan
      • Washington, Illinois, Forente stater, 61571
        • Suspendert
        • Illinois CancerCare - Washington
    • Indiana
      • Crown Point, Indiana, Forente stater, 46307
        • Aktiv, ikke rekrutterende
        • UChicago Medicine Northwest Indiana
      • Crown Point, Indiana, Forente stater, 46307
        • Rekruttering
        • Northwest Cancer Center - Crown Point
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Dyer, Indiana, Forente stater, 46311
        • Rekruttering
        • Northwest Oncology LLC
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 219-924-8178
      • Hobart, Indiana, Forente stater, 46342
        • Rekruttering
        • Northwest Cancer Center - Hobart
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 219-947-1795
      • Hobart, Indiana, Forente stater, 46342
        • Rekruttering
        • Saint Mary Medical Center
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Indianapolis, Indiana, Forente stater, 46312
        • Rekruttering
        • Saint Catherine Hospital
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Munster, Indiana, Forente stater, 46321
        • Rekruttering
        • The Community Hospital
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 219-836-3349
      • Munster, Indiana, Forente stater, 46321
        • Rekruttering
        • Women's Diagnostic Center - Munster
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
      • Valparaiso, Indiana, Forente stater, 46383
        • Rekruttering
        • Northwest Cancer Center - Valparaiso
        • Hovedetterforsker:
          • Suparna Mantha
        • Ta kontakt med:
    • Iowa
      • Ankeny, Iowa, Forente stater, 50023
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Carroll, Iowa, Forente stater, 51401
        • Rekruttering
        • Saint Anthony Regional Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Rekruttering
        • Mercy Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 319-365-4673
        • Hovedetterforsker:
          • Deborah W. Wilbur
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Rekruttering
        • Oncology Associates at Mercy Medical Center
        • Hovedetterforsker:
          • Deborah W. Wilbur
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 319-363-2690
      • Clive, Iowa, Forente stater, 50325
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forente stater, 50314
        • Rekruttering
        • Broadlawns Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-282-2200
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forente stater, 50309
        • Rekruttering
        • Iowa Methodist Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-6727
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forente stater, 50309
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Des Moines, Iowa, Forente stater, 50314
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Hovedetterforsker:
          • Seema Harichand-Herdt
      • Fort Dodge, Iowa, Forente stater, 50501
        • Rekruttering
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
        • Hovedetterforsker:
          • Seema Harichand-Herdt
        • Ta kontakt med:
      • Waukee, Iowa, Forente stater, 50263
        • Rekruttering
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 515-241-3305
        • Hovedetterforsker:
          • Seema Harichand-Herdt
    • Kansas
      • Hays, Kansas, Forente stater, 67601
        • Rekruttering
        • HaysMed
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 785-623-5774
        • Hovedetterforsker:
          • Gary C. Doolittle
      • Lawrence, Kansas, Forente stater, 66044
        • Rekruttering
        • Lawrence Memorial Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary C. Doolittle
      • Olathe, Kansas, Forente stater, 66061
        • Rekruttering
        • The University of Kansas Cancer Center - Olathe
        • Hovedetterforsker:
          • Gary C. Doolittle
        • Ta kontakt med:
      • Salina, Kansas, Forente stater, 67401
        • Rekruttering
        • Salina Regional Health Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gary C. Doolittle
      • Topeka, Kansas, Forente stater, 66606
        • Rekruttering
        • University of Kansas Health System Saint Francis Campus
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 785-295-8000
        • Hovedetterforsker:
          • Gary C. Doolittle
    • Kentucky
      • Lexington, Kentucky, Forente stater, 40509
        • Aktiv, ikke rekrutterende
        • CommonSpirit Saint Joseph Medical Center - East Lexington
    • Louisiana
      • Covington, Louisiana, Forente stater, 70433
        • Rekruttering
        • Ochsner Hematology Oncology North Shore - Covington (West Region)
        • Hovedetterforsker:
          • Jonathan D. Mizrahi
        • Ta kontakt med:
      • New Orleans, Louisiana, Forente stater, 70121
        • Rekruttering
        • Ochsner Medical Center Jefferson
        • Hovedetterforsker:
          • Jonathan D. Mizrahi
        • Ta kontakt med:
    • Maryland
      • Cumberland, Maryland, Forente stater, 21502
        • Rekruttering
        • UPMC Western Maryland
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 240-964-1400
        • Hovedetterforsker:
          • Anwaar Saeed
    • Michigan
      • Ann Arbor, Michigan, Forente stater, 48106
        • Rekruttering
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Brighton, Michigan, Forente stater, 48114
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Brighton, Michigan, Forente stater, 48114
        • Rekruttering
        • Trinity Health Medical Center - Brighton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Brownstown, Michigan, Forente stater, 48183
        • Rekruttering
        • Henry Ford Cancer Institute-Downriver
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Canton, Michigan, Forente stater, 48188
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Canton, Michigan, Forente stater, 48188
        • Rekruttering
        • Trinity Health Medical Center - Canton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Chelsea, Michigan, Forente stater, 48118
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Chelsea, Michigan, Forente stater, 48118
      • Clinton Township, Michigan, Forente stater, 48038
        • Rekruttering
        • Henry Ford Macomb Hospital-Clinton Township
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Dearborn, Michigan, Forente stater, 48126
        • Rekruttering
        • Henry Ford Medical Center-Fairlane
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Detroit, Michigan, Forente stater, 48202
        • Rekruttering
        • Henry Ford Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Escanaba, Michigan, Forente stater, 49829
        • Rekruttering
        • OSF Saint Francis Hospital and Medical Group
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Flint, Michigan, Forente stater, 48503
        • Rekruttering
        • Genesys Hurley Cancer Institute
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Flint, Michigan, Forente stater, 48503
        • Rekruttering
        • Hurley Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Flint, Michigan, Forente stater, 48503
        • Suspendert
        • Genesee Hematology Oncology PC
      • Flint, Michigan, Forente stater, 48503
        • Rekruttering
        • Cancer Hematology Centers - Flint
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Jackson, Michigan, Forente stater, 49201
        • Rekruttering
        • Allegiance Health
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Lansing, Michigan, Forente stater, 48912
        • Rekruttering
        • University of Michigan Health - Sparrow Lansing
        • Hovedetterforsker:
          • Tareq Al baghdadi
        • Ta kontakt med:
      • Livonia, Michigan, Forente stater, 48154
        • Rekruttering
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Novi, Michigan, Forente stater, 48377
        • Rekruttering
        • Henry Ford Medical Center-Columbus
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Novi, Michigan, Forente stater, 48374
        • Suspendert
        • Henry Ford Health Providence Novi Hospital
      • Pontiac, Michigan, Forente stater, 48341
        • Rekruttering
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Southfield, Michigan, Forente stater, 48075
        • Suspendert
        • Henry Ford Health Providence Southfield Hospital
      • West Bloomfield, Michigan, Forente stater, 48322
        • Rekruttering
        • Henry Ford West Bloomfield Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Wyandotte, Michigan, Forente stater, 48192
        • Rekruttering
        • Henry Ford Wyandotte Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Gazala Khan
      • Ypsilanti, Michigan, Forente stater, 48197
        • Rekruttering
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
    • Minnesota
      • Bemidji, Minnesota, Forente stater, 56601
      • Brainerd, Minnesota, Forente stater, 56401
        • Rekruttering
        • Essentia Health Saint Joseph's Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Coon Rapids, Minnesota, Forente stater, 55433
        • Rekruttering
        • Mercy Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Deer River, Minnesota, Forente stater, 56636
        • Rekruttering
        • Essentia Health - Deer River Clinic
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Duluth, Minnesota, Forente stater, 55805
        • Rekruttering
        • Essentia Health Cancer Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Edina, Minnesota, Forente stater, 55435
        • Rekruttering
        • Fairview Southdale Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Edina, Minnesota, Forente stater, 55435
        • Rekruttering
        • Minnesota Oncology - Edina
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Hibbing, Minnesota, Forente stater, 55746
        • Rekruttering
        • Essentia Health Hibbing Clinic
        • Hovedetterforsker:
          • Bret E. Friday
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 218-786-3308
      • Maplewood, Minnesota, Forente stater, 55109
        • Rekruttering
        • Saint John's Hospital - Healtheast
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Minneapolis, Minnesota, Forente stater, 55407
        • Rekruttering
        • Abbott-Northwestern Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Saint Louis Park, Minnesota, Forente stater, 55416
        • Rekruttering
        • Park Nicollet Clinic - Saint Louis Park
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Saint Paul, Minnesota, Forente stater, 55101
        • Rekruttering
        • Regions Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Saint Paul, Minnesota, Forente stater, 55102
        • Rekruttering
        • United Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
      • Sandstone, Minnesota, Forente stater, 55072
        • Rekruttering
        • Essentia Health Sandstone
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Virginia, Minnesota, Forente stater, 55792
        • Rekruttering
        • Essentia Health Virginia Clinic
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Woodbury, Minnesota, Forente stater, 55125
        • Rekruttering
        • Minnesota Oncology Hematology PA-Woodbury
        • Ta kontakt med:
        • Hovedetterforsker:
          • David M. King
    • Missouri
      • Cape Girardeau, Missouri, Forente stater, 63703
        • Rekruttering
        • Saint Francis Medical Center
        • Hovedetterforsker:
          • Bryan A. Faller
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 573-334-2230
          • E-post: sfmc@sfmc.net
      • City of Saint Peters, Missouri, Forente stater, 63376
        • Rekruttering
        • Siteman Cancer Center at Saint Peters Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
      • Creve Coeur, Missouri, Forente stater, 63141
        • Rekruttering
        • Siteman Cancer Center at West County Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
      • Kansas City, Missouri, Forente stater, 64108
        • Rekruttering
        • University Health Truman Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 816-404-4375
        • Hovedetterforsker:
          • Gary C. Doolittle
      • St Louis, Missouri, Forente stater, 63110
        • Rekruttering
        • Washington University School of Medicine
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
      • St Louis, Missouri, Forente stater, 63129
        • Rekruttering
        • Siteman Cancer Center-South County
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
      • St Louis, Missouri, Forente stater, 63136
        • Rekruttering
        • Siteman Cancer Center at Christian Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Patrick Grierson
    • Montana
      • Anaconda, Montana, Forente stater, 59711
        • Rekruttering
        • Community Hospital of Anaconda
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Billings, Montana, Forente stater, 59101
        • Rekruttering
        • Billings Clinic Cancer Center
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Billings, Montana, Forente stater, 59102
        • Rekruttering
        • Saint Vincent Frontier Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 800-648-6274
        • Hovedetterforsker:
          • Patrick W. Cobb
      • Bozeman, Montana, Forente stater, 59715
        • Rekruttering
        • Bozeman Health Deaconess Hospital
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Great Falls, Montana, Forente stater, 59405
        • Rekruttering
        • Benefis Sletten Cancer Institute
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Kalispell, Montana, Forente stater, 59901
        • Rekruttering
        • Logan Health Medical Center
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
      • Missoula, Montana, Forente stater, 59804
        • Rekruttering
        • Community Medical Center
        • Hovedetterforsker:
          • John M. Schallenkamp
        • Ta kontakt med:
    • Nebraska
      • Bellevue, Nebraska, Forente stater, 68123
        • Rekruttering
        • Nebraska Medicine-Bellevue
        • Ta kontakt med:
        • Hovedetterforsker:
          • Mridula Krishnan
      • Omaha, Nebraska, Forente stater, 68198
        • Rekruttering
        • University of Nebraska Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Mridula Krishnan
      • Omaha, Nebraska, Forente stater, 68118
        • Rekruttering
        • Nebraska Medicine-Village Pointe
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 402-559-5600
        • Hovedetterforsker:
          • Mridula Krishnan
    • Nevada
      • Las Vegas, Nevada, Forente stater, 89102
        • Suspendert
        • OptumCare Cancer Care at Charleston
      • Las Vegas, Nevada, Forente stater, 89183
        • Suspendert
        • OptumCare Cancer Care at Fort Apache
      • Reno, Nevada, Forente stater, 89502
        • Suspendert
        • Renown Regional Medical Center
    • New Jersey
      • Cherry Hill, New Jersey, Forente stater, 08002
        • Rekruttering
        • Jefferson Cherry Hill Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Daniel Lin
      • Englewood, New Jersey, Forente stater, 07631
        • Aktiv, ikke rekrutterende
        • Englewood Hospital and Medical Center
      • Sewell, New Jersey, Forente stater, 08080
        • Rekruttering
        • Sidney Kimmel Cancer Center Washington Township
        • Ta kontakt med:
        • Hovedetterforsker:
          • Daniel Lin
    • New Mexico
      • Albuquerque, New Mexico, Forente stater, 87102
        • Rekruttering
        • Lovelace Medical Center-Saint Joseph Square
        • Hovedetterforsker:
          • Jessica Belmonte
        • Ta kontakt med:
      • Albuquerque, New Mexico, Forente stater, 87106
        • Rekruttering
        • University of New Mexico Cancer Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jessica Belmonte
    • New York
      • Bay Shore, New York, Forente stater, 11706
        • Rekruttering
        • Northwell Health Imbert Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 516-734-8896
        • Hovedetterforsker:
          • Crystal Antoine-Pepeljugoski
      • Buffalo, New York, Forente stater, 14263
        • Rekruttering
        • Roswell Park Cancer Institute
        • Hovedetterforsker:
          • Kannan Thanikachalam
        • Ta kontakt med:
      • Glens Falls, New York, Forente stater, 12801
        • Aktiv, ikke rekrutterende
        • Glens Falls Hospital
      • Greenlawn, New York, Forente stater, 11740
        • Rekruttering
        • Northwell Health Cancer Institute at Huntington
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 516-734-8896
        • Hovedetterforsker:
          • Crystal Antoine-Pepeljugoski
      • Lake Success, New York, Forente stater, 11042
        • Rekruttering
        • Northwell Health/Center for Advanced Medicine
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 516-734-8896
        • Hovedetterforsker:
          • Crystal Antoine-Pepeljugoski
      • Mineola, New York, Forente stater, 11501
        • Rekruttering
        • NYU Langone Hospital - Long Island
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jennifer W. Chuy
      • Mount Kisco, New York, Forente stater, 10549
        • Rekruttering
        • Northern Westchester Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Crystal Antoine-Pepeljugoski
      • New York, New York, Forente stater, 10016
        • Rekruttering
        • Laura and Isaac Perlmutter Cancer Center at NYU Langone
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jennifer W. Chuy
      • Rochester, New York, Forente stater, 14642
        • Rekruttering
        • University of Rochester
        • Hovedetterforsker:
          • Richard F. Dunne
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 585-275-5830
      • Sleepy Hollow, New York, Forente stater, 10591
        • Rekruttering
        • Phelps Memorial Hospital Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 914-366-1600
        • Hovedetterforsker:
          • Crystal Antoine-Pepeljugoski
      • Williamsville, New York, Forente stater, 14221
        • Rekruttering
        • Roswell Park Amherst Center
        • Hovedetterforsker:
          • Kannan Thanikachalam
        • Ta kontakt med:
    • North Carolina
      • Asheboro, North Carolina, Forente stater, 27203
        • Suspendert
        • Cone Health Cancer Center at Asheboro
      • Asheboro, North Carolina, Forente stater, 27205
        • Rekruttering
        • Cone Health MedCenter Asheboro
        • Ta kontakt med:
        • Hovedetterforsker:
          • Vinay K. Gudena
      • Burlington, North Carolina, Forente stater, 27215
        • Rekruttering
        • Cone Health Cancer Center at Alamance Regional
        • Ta kontakt med:
        • Hovedetterforsker:
          • Vinay K. Gudena
      • Clinton, North Carolina, Forente stater, 28328
        • Rekruttering
        • Southeastern Medical Oncology Center-Clinton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Samer S. Kasbari
      • Goldsboro, North Carolina, Forente stater, 27534
        • Rekruttering
        • Southeastern Medical Oncology Center-Goldsboro
        • Ta kontakt med:
        • Hovedetterforsker:
          • Samer S. Kasbari
      • Greensboro, North Carolina, Forente stater, 27403
        • Rekruttering
        • Cone Health Cancer Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Vinay K. Gudena
      • Greensboro, North Carolina, Forente stater, 27410
        • Rekruttering
        • Cone Health Cancer Center at Drawbridge Parkway
        • Ta kontakt med:
        • Hovedetterforsker:
          • Vinay K. Gudena
      • Jacksonville, North Carolina, Forente stater, 28546
        • Rekruttering
        • Southeastern Medical Oncology Center-Jacksonville
        • Hovedetterforsker:
          • Samer S. Kasbari
        • Ta kontakt med:
      • Pinehurst, North Carolina, Forente stater, 28374
        • Rekruttering
        • FirstHealth of the Carolinas-Moore Regional Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Charles S. Kuzma
      • Reidsville, North Carolina, Forente stater, 27320
        • Rekruttering
        • Annie Penn Memorial Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Vinay K. Gudena
    • North Dakota
      • Bismarck, North Dakota, Forente stater, 58501
      • Fargo, North Dakota, Forente stater, 58122
      • Fargo, North Dakota, Forente stater, 58103
        • Rekruttering
        • Essentia Health Cancer Center-South University Clinic
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Fargo, North Dakota, Forente stater, 58122
    • Ohio
      • Centerville, Ohio, Forente stater, 45459
        • Rekruttering
        • Miami Valley Hospital South
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tarek M. Sabagh
      • Cincinnati, Ohio, Forente stater, 45220
        • Aktiv, ikke rekrutterende
        • Good Samaritan Hospital - Cincinnati
      • Dayton, Ohio, Forente stater, 45409
        • Rekruttering
        • Miami Valley Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tarek M. Sabagh
      • Dayton, Ohio, Forente stater, 45415
        • Rekruttering
        • Miami Valley Hospital North
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tarek M. Sabagh
      • Dayton, Ohio, Forente stater, 45409
        • Rekruttering
        • Premier Blood and Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 937-276-8320
        • Hovedetterforsker:
          • Tarek M. Sabagh
      • Franklin, Ohio, Forente stater, 45005-1066
        • Rekruttering
        • Atrium Medical Center-Middletown Regional Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tarek M. Sabagh
      • Greenville, Ohio, Forente stater, 45331
        • Rekruttering
        • Miami Valley Cancer Care and Infusion
        • Hovedetterforsker:
          • Tarek M. Sabagh
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 937-569-7515
      • Troy, Ohio, Forente stater, 45373
        • Rekruttering
        • Upper Valley Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tarek M. Sabagh
    • Oklahoma
      • Lawton, Oklahoma, Forente stater, 73505
        • Rekruttering
        • Cancer Centers of Southwest Oklahoma Research
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-231-4440
        • Hovedetterforsker:
          • Hassan Hatoum
      • Oklahoma City, Oklahoma, Forente stater, 73104
        • Rekruttering
        • University of Oklahoma Health Sciences Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Hassan Hatoum
      • Oklahoma City, Oklahoma, Forente stater, 73109
        • Suspendert
        • Integris Southwest Medical Center
      • Oklahoma City, Oklahoma, Forente stater, 73142
        • Suspendert
        • Integris Cancer Institute of Oklahoma
      • Tulsa, Oklahoma, Forente stater, 74146
        • Aktiv, ikke rekrutterende
        • Oklahoma Cancer Specialists and Research Institute-Tulsa
    • Oregon
      • Newberg, Oregon, Forente stater, 97132
        • Rekruttering
        • Providence Newberg Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Charles W. Drescher
      • Ontario, Oregon, Forente stater, 97914
        • Rekruttering
        • Saint Alphonsus Cancer Care Center-Ontario
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Oregon City, Oregon, Forente stater, 97045
        • Rekruttering
        • Providence Willamette Falls Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Charles W. Drescher
      • Portland, Oregon, Forente stater, 97239
        • Rekruttering
        • Oregon Health and Science University
        • Ta kontakt med:
        • Hovedetterforsker:
          • Emerson Y. Chen
      • Portland, Oregon, Forente stater, 97213
        • Rekruttering
        • Providence Portland Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Charles W. Drescher
      • Portland, Oregon, Forente stater, 97225
        • Rekruttering
        • Providence Saint Vincent Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Charles W. Drescher
    • Pennsylvania
      • Allentown, Pennsylvania, Forente stater, 18103
        • Rekruttering
        • Lehigh Valley Hospital-Cedar Crest
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Beaver, Pennsylvania, Forente stater, 15009
        • Rekruttering
        • UPMC-Heritage Valley Health System Beaver
        • Ta kontakt med:
        • Hovedetterforsker:
          • Anwaar Saeed
      • Bethlehem, Pennsylvania, Forente stater, 18017
        • Rekruttering
        • Lehigh Valley Hospital - Muhlenberg
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Danville, Pennsylvania, Forente stater, 17822
        • Rekruttering
        • Geisinger Medical Center
        • Hovedetterforsker:
          • Mina Makary
        • Ta kontakt med:
      • Dickson City, Pennsylvania, Forente stater, 18519
        • Rekruttering
        • Geisinger Cancer Center Dickson City
        • Hovedetterforsker:
          • Mina Makary
        • Ta kontakt med:
      • East Stroudsburg, Pennsylvania, Forente stater, 18301
        • Rekruttering
        • Pocono Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Erie, Pennsylvania, Forente stater, 16505
        • Rekruttering
        • UPMC Hillman Cancer Center Erie
        • Hovedetterforsker:
          • Anwaar Saeed
        • Ta kontakt med:
      • Greensburg, Pennsylvania, Forente stater, 15601
        • Rekruttering
        • UPMC Cancer Centers - Arnold Palmer Pavilion
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 724-838-1900
        • Hovedetterforsker:
          • Anwaar Saeed
      • Harrisburg, Pennsylvania, Forente stater, 17109
        • Rekruttering
        • UPMC Pinnacle Cancer Center/Community Osteopathic Campus
        • Ta kontakt med:
        • Hovedetterforsker:
          • Anwaar Saeed
      • Hazleton, Pennsylvania, Forente stater, 18201
        • Rekruttering
        • Lehigh Valley Hospital-Hazleton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Tareq Al baghdadi
      • Johnstown, Pennsylvania, Forente stater, 15901
        • Rekruttering
        • UPMC-Johnstown/John P. Murtha Regional Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 814-534-4724
        • Hovedetterforsker:
          • Anwaar Saeed
      • Lancaster, Pennsylvania, Forente stater, 17601
        • Aktiv, ikke rekrutterende
        • Lancaster General Ann B Barshinger Cancer Institute
      • Lewisburg, Pennsylvania, Forente stater, 17837
        • Rekruttering
        • Geisinger Medical Oncology-Lewisburg
        • Hovedetterforsker:
          • Mina Makary
        • Ta kontakt med:
      • Mechanicsburg, Pennsylvania, Forente stater, 17050
        • Rekruttering
        • UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
        • Ta kontakt med:
        • Hovedetterforsker:
          • Anwaar Saeed
      • Monroeville, Pennsylvania, Forente stater, 15146
        • Rekruttering
        • UPMC Hillman Cancer Center - Monroeville
        • Hovedetterforsker:
          • Anwaar Saeed
        • Ta kontakt med:
      • N. Huntingdon, Pennsylvania, Forente stater, 15642
        • Rekruttering
        • Arnold Palmer Cancer Center Medical Oncology Norwin
        • Hovedetterforsker:
          • Anwaar Saeed
        • Ta kontakt med:
      • New Castle, Pennsylvania, Forente stater, 16105
        • Rekruttering
        • UPMC Hillman Cancer Center - New Castle
        • Ta kontakt med:
        • Hovedetterforsker:
          • Anwaar Saeed
      • Philadelphia, Pennsylvania, Forente stater, 19107
        • Rekruttering
        • Thomas Jefferson University Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Daniel Lin
      • Philadelphia, Pennsylvania, Forente stater, 19114
        • Rekruttering
        • Jefferson Torresdale Hospital
        • Ta kontakt med:
        • Hovedetterforsker:
          • Daniel Lin
      • Pittsburgh, Pennsylvania, Forente stater, 15215
        • Rekruttering
        • UPMC-Saint Margaret
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 412-784-4900
        • Hovedetterforsker:
          • Anwaar Saeed
      • Pittsburgh, Pennsylvania, Forente stater, 15237
        • Rekruttering
        • UPMC-Passavant Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 412-367-6454
        • Hovedetterforsker:
          • Anwaar Saeed
      • Pittsburgh, Pennsylvania, Forente stater, 15243
        • Rekruttering
        • UPMC-Saint Clair Hospital Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 412-502-3920
        • Hovedetterforsker:
          • Anwaar Saeed
      • Pittsburgh, Pennsylvania, Forente stater, 15232
        • Rekruttering
        • UPMC Hillman Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 412-647-8073
        • Hovedetterforsker:
          • Anwaar Saeed
      • Scranton, Pennsylvania, Forente stater, 18510
        • Rekruttering
        • Community Medical Center
        • Hovedetterforsker:
          • Mina Makary
        • Ta kontakt med:
      • Seneca, Pennsylvania, Forente stater, 16346
        • Rekruttering
        • UPMC Cancer Center at UPMC Northwest
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 814-676-7900
        • Hovedetterforsker:
          • Anwaar Saeed
      • Uniontown, Pennsylvania, Forente stater, 15401
        • Rekruttering
        • UPMC Cancer Center-Uniontown
        • Ta kontakt med:
        • Hovedetterforsker:
          • Anwaar Saeed
      • Wilkes-Barre, Pennsylvania, Forente stater, 18711
        • Rekruttering
        • Geisinger Wyoming Valley/Henry Cancer Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Mina Makary
      • Willow Grove, Pennsylvania, Forente stater, 19090
        • Rekruttering
        • Asplundh Cancer Pavilion
        • Ta kontakt med:
        • Hovedetterforsker:
          • Daniel Lin
    • Rhode Island
      • Westerly, Rhode Island, Forente stater, 02891
        • Rekruttering
        • Smilow Cancer Hospital Care Center - Westerly
        • Ta kontakt med:
        • Hovedetterforsker:
          • Yifei Zhang
    • South Carolina
      • Charleston, South Carolina, Forente stater, 29425
        • Rekruttering
        • Medical University of South Carolina
        • Ta kontakt med:
        • Hovedetterforsker:
          • Toros Dincman
      • Charleston, South Carolina, Forente stater, 29401
        • Rekruttering
        • Ralph H Johnson VA Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Oleksandra Lupak
    • South Dakota
      • Rapid City, South Dakota, Forente stater, 57701
        • Rekruttering
        • Rapid City Regional Hospital
        • Hovedetterforsker:
          • Abdel-Ghani Azzouqa
        • Ta kontakt med:
      • Sioux Falls, South Dakota, Forente stater, 57104
        • Rekruttering
        • Sanford Cancer Center Oncology Clinic
        • Hovedetterforsker:
          • Daniel Almquist
        • Ta kontakt med:
      • Sioux Falls, South Dakota, Forente stater, 57117-5134
    • Tennessee
      • Knoxville, Tennessee, Forente stater, 37920
        • Rekruttering
        • University of Tennessee - Knoxville
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 865-544-9773
        • Hovedetterforsker:
          • Saikrishna Gadde
      • Nashville, Tennessee, Forente stater, 37232
        • Suspendert
        • Vanderbilt University/Ingram Cancer Center
    • Texas
      • Houston, Texas, Forente stater, 77030
        • Rekruttering
        • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 713-798-1354
          • E-post: burton@bcm.edu
        • Hovedetterforsker:
          • Karen Riggins
      • Houston, Texas, Forente stater, 77030
        • Rekruttering
        • Ben Taub General Hospital
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 713-873-2000
        • Hovedetterforsker:
          • Karen Riggins
    • Utah
      • Farmington, Utah, Forente stater, 84025
        • Rekruttering
        • Farmington Health Center
        • Hovedetterforsker:
          • Christopher D. Nevala-Plagemann
        • Ta kontakt med:
      • Salt Lake City, Utah, Forente stater, 84106
        • Rekruttering
        • University of Utah Sugarhouse Health Center
        • Hovedetterforsker:
          • Christopher D. Nevala-Plagemann
        • Ta kontakt med:
      • Salt Lake City, Utah, Forente stater, 84112
        • Rekruttering
        • Huntsman Cancer Institute/University of Utah
        • Hovedetterforsker:
          • Christopher D. Nevala-Plagemann
        • Ta kontakt med:
    • Vermont
      • Berlin Corners, Vermont, Forente stater, 05602
        • Aktiv, ikke rekrutterende
        • Central Vermont Medical Center/National Life Cancer Treatment
      • Burlington, Vermont, Forente stater, 05401
        • Aktiv, ikke rekrutterende
        • University of Vermont Medical Center
      • Burlington, Vermont, Forente stater, 05405
        • Aktiv, ikke rekrutterende
        • University of Vermont and State Agricultural College
    • Virginia
      • Richmond, Virginia, Forente stater, 23235
        • Rekruttering
        • VCU Massey Cancer Center at Stony Point
        • Hovedetterforsker:
          • Jennifer L. Myers
        • Ta kontakt med:
      • Richmond, Virginia, Forente stater, 23298
        • Rekruttering
        • VCU Massey Comprehensive Cancer Center
        • Hovedetterforsker:
          • Jennifer L. Myers
        • Ta kontakt med:
    • Wisconsin
      • Antigo, Wisconsin, Forente stater, 54409
        • Rekruttering
        • Aspirus Cancer Care-Antigo-Volm Cancer Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Andrew J. Huang
      • Ashland, Wisconsin, Forente stater, 54806
        • Rekruttering
        • Duluth Clinic Ashland
        • Ta kontakt med:
        • Hovedetterforsker:
          • Bret E. Friday
      • Burlington, Wisconsin, Forente stater, 53105
        • Rekruttering
        • Aurora Cancer Care-Southern Lakes VLCC
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Cudahy, Wisconsin, Forente stater, 53110
        • Rekruttering
        • Aurora Saint Luke's South Shore
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Eau Claire, Wisconsin, Forente stater, 54701
      • Germantown, Wisconsin, Forente stater, 53022
        • Rekruttering
        • Aurora Health Care Germantown Health Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Grafton, Wisconsin, Forente stater, 53024
        • Rekruttering
        • Aurora Cancer Care-Grafton
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Green Bay, Wisconsin, Forente stater, 54311
        • Rekruttering
        • Aurora BayCare Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Green Bay, Wisconsin, Forente stater, 54301
        • Rekruttering
        • Saint Vincent Hospital Cancer Center Green Bay
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Green Bay, Wisconsin, Forente stater, 54303
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Kenosha, Wisconsin, Forente stater, 53142
        • Rekruttering
        • Aurora Cancer Care-Kenosha South
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Madison, Wisconsin, Forente stater, 53705
        • Rekruttering
        • William S Middleton VA Medical Center
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 17007 608-256-1901
        • Hovedetterforsker:
          • Sam J. Lubner
      • Madison, Wisconsin, Forente stater, 53792
        • Rekruttering
        • University of Wisconsin Carbone Cancer Center - University Hospital
        • Hovedetterforsker:
          • Nataliya V. Uboha
        • Ta kontakt med:
      • Madison, Wisconsin, Forente stater, 53718
        • Rekruttering
        • University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
        • Hovedetterforsker:
          • Nataliya V. Uboha
        • Ta kontakt med:
      • Marinette, Wisconsin, Forente stater, 54143
        • Rekruttering
        • Aurora Bay Area Medical Group-Marinette
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Marshfield, Wisconsin, Forente stater, 54449
      • Medford, Wisconsin, Forente stater, 54451
        • Rekruttering
        • Aspirus Medford Hospital
        • Hovedetterforsker:
          • Andrew J. Huang
        • Ta kontakt med:
      • Milwaukee, Wisconsin, Forente stater, 53209
        • Rekruttering
        • Aurora Cancer Care-Milwaukee
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Milwaukee, Wisconsin, Forente stater, 53215
        • Rekruttering
        • Aurora Saint Luke's Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Milwaukee, Wisconsin, Forente stater, 53233
        • Rekruttering
        • Aurora Sinai Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Minocqua, Wisconsin, Forente stater, 54548
      • Mukwonago, Wisconsin, Forente stater, 53149
        • Rekruttering
        • ProHealth D N Greenwald Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Timothy R. Wassenaar
      • Oconomowoc, Wisconsin, Forente stater, 53066
        • Rekruttering
        • ProHealth Oconomowoc Memorial Hospital
        • Hovedetterforsker:
          • Timothy R. Wassenaar
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 262-928-7878
      • Oconto Falls, Wisconsin, Forente stater, 54154
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Oshkosh, Wisconsin, Forente stater, 54904
        • Rekruttering
        • Vince Lombardi Cancer Clinic - Oshkosh
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Racine, Wisconsin, Forente stater, 53406
        • Rekruttering
        • Aurora Cancer Care-Racine
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Rhinelander, Wisconsin, Forente stater, 54501
        • Rekruttering
        • Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
        • Hovedetterforsker:
          • Andrew J. Huang
        • Ta kontakt med:
      • Rice Lake, Wisconsin, Forente stater, 54868
      • Sheboygan, Wisconsin, Forente stater, 53081
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Sheboygan
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Sheboygan, Wisconsin, Forente stater, 53081
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Sheboygan, Wisconsin, Forente stater, 53081
        • Rekruttering
        • Sheboygan Physicians Group
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Stevens Point, Wisconsin, Forente stater, 54482
      • Stevens Point, Wisconsin, Forente stater, 54481
        • Rekruttering
        • Aspirus Cancer Care - Stevens Point
        • Hovedetterforsker:
          • Andrew J. Huang
        • Ta kontakt med:
      • Sturgeon Bay, Wisconsin, Forente stater, 54235-1495
        • Rekruttering
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Hovedetterforsker:
          • Matthew L. Ryan
        • Ta kontakt med:
      • Summit, Wisconsin, Forente stater, 53066
        • Rekruttering
        • Aurora Medical Center in Summit
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Two Rivers, Wisconsin, Forente stater, 54241
        • Rekruttering
        • Vince Lombardi Cancer Clinic-Two Rivers
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Waukesha, Wisconsin, Forente stater, 53188
        • Rekruttering
        • ProHealth Waukesha Memorial Hospital
        • Hovedetterforsker:
          • Timothy R. Wassenaar
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 262-928-7632
      • Waukesha, Wisconsin, Forente stater, 53188
        • Rekruttering
        • UW Cancer Center at ProHealth Care
        • Hovedetterforsker:
          • Timothy R. Wassenaar
        • Ta kontakt med:
      • Wausau, Wisconsin, Forente stater, 54401
        • Rekruttering
        • Aspirus Cancer Care-Wausau
        • Hovedetterforsker:
          • Andrew J. Huang
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 877-405-6866
      • Wauwatosa, Wisconsin, Forente stater, 53226
        • Rekruttering
        • Aurora Cancer Care-Milwaukee West
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • West Allis, Wisconsin, Forente stater, 53227
        • Rekruttering
        • Aurora West Allis Medical Center
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edward S. James
      • Weston, Wisconsin, Forente stater, 54476
      • Wisconsin Rapids, Wisconsin, Forente stater, 54494
        • Rekruttering
        • Aspirus Cancer Care - Wisconsin Rapids
        • Hovedetterforsker:
          • Andrew J. Huang
        • Ta kontakt med:
          • Site Public Contact
          • Telefonnummer: 715-422-7718

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

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Participants must have advanced or locally unresectable gastric, gastroesophageal junction or esophageal adenocarcinoma

  • Participants must have PD-L1 CPS (Combined Positive Score) ≥ 1. This test would have been performed as part of standard of care (SOC) pathology testing, using tissue obtained within two years prior to registration and collected prior to or after a frontline regimen

  • Participants must have a histologically confirmed diagnosis of microsatellite stable (MSS) and HER2 negative gastric, gastroesophageal junction, or esophageal adenocarcinoma

  • Participants must have documented unresectable and/or metastatic disease on CT or MRI imaging completed prior to registration. Imaging must have been completed within 28 days prior to registration for participants with measurable disease. CT scans or MRIs used to assess non-measurable disease must have been completed within 42 days prior to registration. All disease must be assessed and documented on the Baseline Tumor Assessment Form

  • Participants with treated brain metastases must have no evidence of progression on the follow-up brain imaging after central nervous system (CNS)-directed therapy. All treatment for brain metastases must have been completed at least 28 days prior to registration

  • Participants must have disease progression or intolerance to frontline standard of care (SOC) chemotherapy plus either nivolumab, pembrolizumab or any other PD-1 or PD-L1 inhibitor. Peri-operative chemotherapy plus nivolumab, pembrolizumab or any other PD-1 or PD-L1 inhibitor will count as one line if disease progression occurs while on the therapy or within 6 months of completing the chemotherapy plus nivolumab or pembrolizumab or other PD-1/PD-L1 inhibitor cycle

  • Participants must not have received more than one prior line of systemic therapy defined as chemotherapy plus either nivolumab, pembrolizumab, or any other PD-1 or PD-L1 inhibitor, in the stage IV or unresectable setting. Peri-operative or adjuvant nivoluamb or other PD-1/PD-L1 inhibitors would count as one prior line of systemic therapy if patients progressed while on nivolumab (or other PD-1/PD-L1 inhibitors) or within 6 months of stopping it

    • Note: Radiation or any other regional therapy options done to address local residual disease or metastatic disease would not count as a line of therapy. Maintenance therapy with a different form of fluoropyrimidine (i.e. switching from capecitabine to fluorouracil [5FU]) would not count as another line of therapy

  • Participants must not have a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of registration. Inhaled or topical steroids and adrenal replacement doses < 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease. Participants are permitted to use topical, ocular, intra-articular, intranasal, and inhalational corticosteroids (with minimal systemic absorption). Physiologic replacement doses of systemic corticosteroids are permitted, even if < 10 mg/day prednisone equivalents. A brief course of corticosteroids for prophylaxis (e.g., contrast dye allergy) or for treatment of non-autoimmune conditions (e.g., delayed-type hypersensitivity reaction caused by contact allergen) is permitted, as long as there has been a washout period for corticosteroids of ≥ 7 days prior to registration

  • Participants must not have prior significant immunotherapy related adverse events requiring permanent discontinuation of the immunotherapy agent including events like pneumonitis, myocarditis, renal failure, Guillain barre syndrome, or myasthenia gravis. Participants with endocrinopathy events leading or not to replacement steroids, thyroid hormone, insulin, or cortisol are eligible

  • Participants must not have received a live attenuated vaccination within 28 days prior to registration

  • Participants must not have had a major surgery within 28 days or subcutaneous venous access device placement within 7 days prior registration

  • Participants must have fully recovered from the effects of prior surgery in the opinion of the treating investigator. Any participants with postoperative bleeding complications or wound complications from a surgical procedure performed in the last eight weeks should be excluded

  • Participants must not have plans to undergo elective or planned major surgery during the clinical trial

  • Participants must not have active bleeding or prior history of gastrointestinal (GI) perforation, fistula or significant GI bleeding (requiring transfusion, endoscopic or surgical intervention) within 84 days prior to registration

  • Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, investigational agents, biologic or hormonal therapy for cancer treatment while receiving treatment on this study

  • Participants must not have a history of a grade 3 or 4 allergic reaction attributed to humanized or human monoclonal antibody therapy

  • Participants must not have a history of grade 3 or 4 immunotherapy related toxicities with the exception of hormonal abnormalities like thyroiditis or thyroid derangements

  • Participants must be ≥ 18 years old

  • Participants must have Zubrod Performance Status of 0-2

  • Participants must have a complete medical history and physical exam within 28 days prior to registration

  • Leukocytes ≥ 2 x 10^3/uL (within 28 days prior to registration)

  • Absolute neutrophil count ≥ 1.2 x 10^3/uL (within 28 days prior to registration)

  • Hemoglobin ≥ 9.0 g/dL (within 28 days prior to registration)

  • Platelets ≥ 100 x 10^3/uL (within 28 days prior to registration)

  • Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (within 28 days prior to registration) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin ≤ 5 x institutional ULN

  • Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) ≤ 3 × institutional ULN (within 28 days prior to registration) (unless liver metastases are present, in which case they must be ≤ 5 x ULN)

  • Participants must have a calculated creatinine clearance ≥ 40 mL/min using the following Cockcroft-Gault Formula. This specimen must have been drawn and processed within 28 days prior to registration

  • Participants' urinary protein must be ≤ 1+ on dipstick or routine urinalysis (UA) within 28 days of registration. Random analysis of urine protein with a normal value is sufficient. If urine dipstick or routine analysis indicated proteinuria ≥ 2+, then a 24-hour urine is to be collected and demonstrate < 1000 mg of protein in 24 hours to allow participation in the study

  • Participants must have adequate cardiac function. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants must be class 2 or better

  • Participants must have recovered to baseline or < grade 2 CTCAE version (v) 5.0 from toxicities related to any prior treatments, unless AE(s) are clinically stable on supportive therapy

  • Participants must not have experienced arterial thromboembolic events, including but not limited to myocardial infarction, transient ischemic attack, cerebrovascular accident, or unstable angina, within 6 months prior to registration

  • Participants must not have uncontrolled blood pressure within 28 days prior to registration as determined by the treating investigator

  • Participants with known human immunodeficiency virus (HIV)-infection must be on effective anti-retroviral therapy at registration and have undetectable viral load on the most recent test results obtained within 6 months prior to registration

  • Participants with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load while on suppressive therapy on the most recent test results obtained within 6 months prior to registration, if indicated

  • Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. Participants currently being treated for HCV infection must have undetectable HCV viral load on the most recent test results obtained within 6 months prior to registration, if indicated

  • Participants must not have a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the investigational regimen

  • Participants must not be pregnant or nursing (nursing includes breast milk fed to an infant by any means, including from the breast, milk expressed by hand, or pumped). Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen

  • Participants must not have a history of inflammatory bowel disease, (including ulcerative colitis and Crohn's disease), symptomatic autoimmune disease (e.g., rheumatoid arthritis, systemic progressive sclerosis [scleroderma], systemic lupus erythematosus, autoimmune vasculitis [e.g., Wegener's Granulomatosis]); CNS or motor neuropathy considered of autoimmune origin (e.g., Guillain-Barre Syndrome and myasthenia gravis, multiple sclerosis). Note: Participants with Graves' disease will be allowed

  • Participants must not have a history of pneumonitis that has required oral or IV steroids within the last 12 months prior to registration

  • Participants must be offered the opportunity to participate in specimen banking. With participant consent, specimens must be collected and submitted via the Southwest Oncology Group (SWOG) Specimen Tracking System

  • Participants who can complete patient reported outcomes (FACT-Ga and PRO-CTCAE) questionnaires in English or Spanish must participate in the quality of life studies

  • Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines. For participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations

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
Eksperimentell: Arm 1 (nivolumab, ramucirumab, paclitaxel)

Patients receive nivolumab IV over 30 minutes on day 1 of each cycle, ramucirumab IV over 30-60 minutes on days 1 and 15 of each cycle, and paclitaxel IV over 60 minutes on days 1, 8 and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and MRI throughout the study. Patients may also optionally undergo blood sample collection on study.
Legemiddel: Paclitaxel

Given IV

Andre navn:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Fremgangsmåte: Magnetic Resonance Imaging

Undergo MRI

Andre navn:
  • MR
  • Magnetisk resonans
  • Magnetic Resonance Imaging Scan
  • Medisinsk bildebehandling, magnetisk resonans / kjernemagnetisk resonans
  • MR Imaging
  • MR-skanning
  • NMR-avbildning
  • NMRI
  • Kjernemagnetisk resonansavbildning
  • Magnetisk resonanstomografi (MR)
  • sMRI
  • Magnetisk resonansavbildning (prosedyre)
  • MR-er
  • Strukturell MR
Annen: Questionnaire Administration

Ancillary studies

Biologisk: Nivolumab

Given IV

Andre navn:
  • BMS-936558
  • MDX-1106
  • NIVO
  • ONO-4538
  • Opdivo
  • CMAB819
  • Nivolumab Biosimilar CMAB819
  • MDX 1106
  • MDX1106
  • BMS 936558
  • ABP 206
  • Nivolumab Biosimilar ABP 206
  • BCD-263
  • Nivolumab Biosimilar BCD-263
  • BMS936558
  • ONO 4538
  • ONO4538
Fremgangsmåte: Computed Tomography

Undergo CT scan

Andre navn:
  • CT
  • KATT
  • CAT-skanning
  • Beregnet aksial tomografi
  • Datastyrt aksialtomografi
  • Datastyrt tomografi
  • CT skann
  • tomografi
  • Datastyrt aksial tomografi (prosedyre)
  • Datastyrt tomografi (CT) skanning
  • Diagnostisk CAT -skanning
  • Diagnostisk CAT -skannertype
Biologisk: Ramucirumab

Given IV

Andre navn:
  • LY3009806
  • LY 3009806
  • IMC-1121B
  • Cyramza
  • Anti-VEGFR-2 fullt humant monoklonalt antistoff IMC-1121B
  • Monoklonalt antistoff HGS-ETR2
  • IMC 1121B
  • IMC1121B
  • LY-3009806
Fremgangsmåte: Biospecimen Collection

Undergo optional blood sample collection

Andre navn:
  • Biologisk prøvesamling
  • Bioprøve samlet
  • Prøvesamling
Aktiv komparator: Arm 2 (ramucirumab, paclitaxel)

Patients receive ramucirumab IV over 30-60 minutes on days 1 and 15 of each cycle and paclitaxel IV over 60 minutes on days 1, 8 and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan and MRI throughout the study. Patients may also optionally undergo blood sample collection on study.
Legemiddel: Paclitaxel

Given IV

Andre navn:
  • Taxol
  • Anzatax
  • Asotax
  • Bristaxol
  • Praxel
  • Taxol Konzentrat
Fremgangsmåte: Magnetic Resonance Imaging

Undergo MRI

Andre navn:
  • MR
  • Magnetisk resonans
  • Magnetic Resonance Imaging Scan
  • Medisinsk bildebehandling, magnetisk resonans / kjernemagnetisk resonans
  • MR Imaging
  • MR-skanning
  • NMR-avbildning
  • NMRI
  • Kjernemagnetisk resonansavbildning
  • Magnetisk resonanstomografi (MR)
  • sMRI
  • Magnetisk resonansavbildning (prosedyre)
  • MR-er
  • Strukturell MR
Annen: Questionnaire Administration

Ancillary studies

Fremgangsmåte: Computed Tomography

Undergo CT scan

Andre navn:
  • CT
  • KATT
  • CAT-skanning
  • Beregnet aksial tomografi
  • Datastyrt aksialtomografi
  • Datastyrt tomografi
  • CT skann
  • tomografi
  • Datastyrt aksial tomografi (prosedyre)
  • Datastyrt tomografi (CT) skanning
  • Diagnostisk CAT -skanning
  • Diagnostisk CAT -skannertype
Biologisk: Ramucirumab

Given IV

Andre navn:
  • LY3009806
  • LY 3009806
  • IMC-1121B
  • Cyramza
  • Anti-VEGFR-2 fullt humant monoklonalt antistoff IMC-1121B
  • Monoklonalt antistoff HGS-ETR2
  • IMC 1121B
  • IMC1121B
  • LY-3009806
Fremgangsmåte: Biospecimen Collection

Undergo optional blood sample collection

Andre navn:
  • Biologisk prøvesamling
  • Bioprøve samlet
  • Prøvesamling

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Progression free survival (PFS) (Phase II)
Tidsramme: From date of randomization to date of first documentation of progression or symptomatic deterioration or death due to any cause, assessed up to 3 years

The distribution of PFS will be estimated using the method of Kaplan-Meier and compared using a 1-sided stratified log-rank test.
From date of randomization to date of first documentation of progression or symptomatic deterioration or death due to any cause, assessed up to 3 years
Overall survival (OS) (Phase III)
Tidsramme: From date of randomization to date of death due to any cause, assessed up to 3 years

The distribution of OS will be estimated using the method of Kaplan-Meier and compared using a 1-sided stratified log-rank test.
From date of randomization to date of death due to any cause, assessed up to 3 years

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Forekomst av uønskede hendelser
Tidsramme: Inntil 3 år
Inntil 3 år
Objective response rate (ORR)
Tidsramme: Up to 3 years

Will be compared across arms in participants with measurable disease via Fisher's exact test.
Up to 3 years
Disease control rate (DCR)
Tidsramme: Up to 3 years

DCR = ORR + stable disease per Response Evaluation Criteria in Solid Tumors 1.1. Will be compared across arms in participants with measurable disease via Fisher's exact test.
Up to 3 years

Andre resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Disease-free survival (DFS)
Tidsramme: Up to 3 years

The hazard ratio of DFS and the corresponding 95% confidence intervals will be estimated for subgroups defined by sex, race, and ethnicity, respectively.
Up to 3 years

Samarbeidspartnere og etterforskere

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

Sponsor

National Cancer Institute (NCI)

Etterforskere

  • Hovedetterforsker: Anwaar Saeed, SWOG Cancer Research Network

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)

24. juni 2024

Primær fullføring (Antatt)

31. oktober 2027

Studiet fullført (Antatt)

31. oktober 2027

Datoer for studieregistrering

Først innsendt

10. januar 2024

Først innsendt som oppfylte QC-kriteriene

10. januar 2024

Først lagt ut (Faktiske)

12. januar 2024

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

30. oktober 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

29. oktober 2026

Sist bekreftet

1. august 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • NCI-2023-11064
  • U10CA180888 (U.S. NIH-stipend/kontrakt)
  • NCI-2023-11064 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
  • S2303 (Annen identifikator: CTEP)
  • S2303 (Annen identifikator: SWOG)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

"NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page."

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

produkt produsert i og eksportert fra USA

Nei

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