Ta strona została przetłumaczona automatycznie i dokładność tłumaczenia nie jest gwarantowana. Proszę odnieść się do angielska wersja za tekst źródłowy.

S0124: Cisplatin Combined With Irinotecan or Etoposide For Extensive-Stage Small Cell Lung Cancer

3 lipca 2018 zaktualizowane przez: Southwest Oncology Group

Randomized Phase III Trial of Cisplatin and Irinotecan (NSC-616348) Versus Cisplatin and Etoposide in Patients With Extensive Stage Small Cell Lung Cancer (E-SCLC)

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known whether cisplatin combined with irinotecan is more effective than cisplatin combined with etoposide in treating extensive-stage small cell lung cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of cisplatin combined with either irinotecan or etoposide in treating patients who have extensive-stage small cell lung cancer.

Przegląd badań

Status

Zakończony

Warunki

Szczegółowy opis

OBJECTIVES:

  • Compare the survival of patients with extensive stage small cell lung cancer treated with cisplatin and irinotecan vs cisplatin and etoposide.
  • Compare the objective response rate and progression-free survival of patients treated with these regimens.
  • Compare the toxic effects of these regimens in these patients.
  • Determine the association between UGT1A1 polymorphisms and irinotecan-associated toxic effects in these patients.
  • Determine the association between ERCC-1 and XRCC-1 polymorphisms and non-response of patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to number of metastatic sites (single vs multiple), lactic dehydrogenase (no greater than upper limit of normal (ULN) vs greater than ULN), and weight loss in the past 6 months (5% or less vs more than 5%). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive irinotecan IV over 90 minutes on days 1, 8, and 15 and cisplatin IV over 30-60 minutes on day 1. Courses repeat every 4 weeks.
  • Arm II: Patients receive etoposide IV over 30-60 minutes on days 1-3 and cisplatin IV over 30-60 minutes on day 1. Courses repeat every 3 weeks.

Treatment in both arms continues for 4 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months for 1 year and then every 6 months for 2 years.

PROJECTED ACCRUAL: A total of 620 patients (310 per treatment arm) will be accrued for this study within 4 years.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

671

Faza

  • Faza 3

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

    • Saskatchewan
      • Regina, Saskatchewan, Kanada, S4T 7T1
        • Allan Blair Cancer Centre at Pasqua Hospital
      • Saskatoon, Saskatchewan, Kanada, S7N 4H4
        • Saskatoon Cancer Centre at the University of Saskatchewan
    • Alabama
      • Anniston, Alabama, Stany Zjednoczone, 36202
        • Northeast Alabama Regional Medical Center
      • Huntsville, Alabama, Stany Zjednoczone, 35801
        • Huntsville Hospital
      • Mobile, Alabama, Stany Zjednoczone, 36652-2144
        • Mobile Infirmary Medical Center
      • Opelika, Alabama, Stany Zjednoczone, 36801-5452
        • East Alabama Medical Center
    • Alaska
      • Anchorage, Alaska, Stany Zjednoczone, 99508
        • Alaska Regional Hospital Cancer Center
    • Arizona
      • Scottsdale, Arizona, Stany Zjednoczone, 85259-5499
        • Mayo Clinic Scottsdale
      • Tucson, Arizona, Stany Zjednoczone, 85724-5024
        • Arizona Cancer Center at University of Arizona Health Sciences Center
    • Arkansas
      • Fort Smith, Arkansas, Stany Zjednoczone, 72903
        • Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
      • Little Rock, Arkansas, Stany Zjednoczone, 72205
        • Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
    • California
      • Burbank, California, Stany Zjednoczone, 91505
        • Providence Saint Joseph Medical Center - Burbank
      • Concord, California, Stany Zjednoczone, 94524-4110
        • Cancer Care Center at John Muir Health - Concord Campus
      • Fremont, California, Stany Zjednoczone, 94538
        • Washington Township Hospital
      • Fresno, California, Stany Zjednoczone, 93720
        • California Cancer Center - Woodward Park Office
      • Los Angeles, California, Stany Zjednoczone, 90089-9181
        • USC/Norris Comprehensive Cancer Center and Hospital
      • Palm Springs, California, Stany Zjednoczone, 92262
        • Desert Regional Medical Center Comprehensive Cancer Center
      • Redding, California, Stany Zjednoczone, 96001
        • Shasta Regional Medical Center
      • Roseville, California, Stany Zjednoczone, 95661
        • Sutter Cancer Center at Roseville Medical Center
      • Sacramento, California, Stany Zjednoczone, 95816
        • Sutter Cancer center
      • Sacramento, California, Stany Zjednoczone, 95817
        • University of California Davis Cancer Center
      • Santa Rosa, California, Stany Zjednoczone, 95405
        • CCOP - Santa Rosa Memorial Hospital
      • Walnut Creek, California, Stany Zjednoczone, 94598
        • John Muir/Mt. Diablo Comprehensive Cancer Center
    • Colorado
      • Colorado Springs, Colorado, Stany Zjednoczone, 80909
        • Memorial Hospital
    • Connecticut
      • Norwich, Connecticut, Stany Zjednoczone, 06360
        • Eastern Connecticut Hematology and Oncology Associates
    • Florida
      • Daytona Beach, Florida, Stany Zjednoczone, 32115
        • Halifax Medical Center - Daytona Beach
      • Fort Lauderdale, Florida, Stany Zjednoczone, 33316
        • Broward General Medical Center Cancer Center
      • Pensacola, Florida, Stany Zjednoczone, 32514
        • West Florida Cancer Institute at West Florida Hospital - Pensacola
    • Georgia
      • Atlanta, Georgia, Stany Zjednoczone, 30309
        • Piedmont Hospital
      • Atlanta, Georgia, Stany Zjednoczone, 30342-1611
        • Northside Hospital Cancer Center
      • Atlanta, Georgia, Stany Zjednoczone, 30342-1701
        • Saint Joseph's Hospital of Atlanta
      • Atlanta, Georgia, Stany Zjednoczone, 30342
        • CCOP - Atlanta Regional
      • Augusta, Georgia, Stany Zjednoczone, 30901
        • Augusta Oncology Associates - Walton Way
      • Austell, Georgia, Stany Zjednoczone, 30106
        • WellStar Cobb Hospital
      • Decatur, Georgia, Stany Zjednoczone, 30033
        • Charles B. Eberhart Cancer Center at DeKalb Medical Center
      • Lawrenceville, Georgia, Stany Zjednoczone, 30045
        • Gwinnett Medical Center
      • Marietta, Georgia, Stany Zjednoczone, 30060
        • Kennestone Cancer Center at Wellstar Kennestone Hospital
      • Riverdale, Georgia, Stany Zjednoczone, 30274-2600
        • Southern Regional Medical Center
      • Savannah, Georgia, Stany Zjednoczone, 31403-3089
        • Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
      • Valdosta, Georgia, Stany Zjednoczone, 31603
        • Pearlman Comprehensive Cancer Center at South Georgia Medical Center
    • Hawaii
      • Honolulu, Hawaii, Stany Zjednoczone, 96859
        • Tripler Army Medical Center
    • Idaho
      • Idaho Falls, Idaho, Stany Zjednoczone, 83404
        • Hematology Oncology Associates of Eastern Idaho
    • Illinois
      • Alton, Illinois, Stany Zjednoczone, 62002
        • Saint Anthony's Hospital at Saint Anthony's Health Center
      • Aurora, Illinois, Stany Zjednoczone, 60507
        • Rush-Copley Cancer Care Center
      • Decatur, Illinois, Stany Zjednoczone, 62526
        • Decatur Memorial Hospital Cancer Care Institute
      • Elmhurst, Illinois, Stany Zjednoczone, 60126
        • Elmhurst Memorial Hospital
      • Hines, Illinois, Stany Zjednoczone, 60141
        • Veterans Affairs Medical Center - Hines
      • Joliet, Illinois, Stany Zjednoczone, 60435
        • Joliet Oncology-Hematology Associates, Limited - West
      • La Grange, Illinois, Stany Zjednoczone, 60525
        • La Grange Memorial Hospital
      • Maywood, Illinois, Stany Zjednoczone, 60153
        • Cardinal Bernardin Cancer Center at Loyola University Medical Center
      • Moline, Illinois, Stany Zjednoczone, 61265
      • Moline, Illinois, Stany Zjednoczone, 61265
        • Trinity Medical Center - East
      • Mount Vernon, Illinois, Stany Zjednoczone, 62864
        • Good Samaritan Regional Health Center
      • River Forest, Illinois, Stany Zjednoczone, 60305
        • West Suburban Center for Cancer Care
      • Rockford, Illinois, Stany Zjednoczone, 61104-2315
        • Swedish-American Regional Cancer Center
      • Springfield, Illinois, Stany Zjednoczone, 62781-0001
        • Regional Cancer Center at Memorial Medical Center
      • Urbana, Illinois, Stany Zjednoczone, 61801
        • Carle Cancer Center at Carle Foundation Hospital
      • Urbana, Illinois, Stany Zjednoczone, 61801
        • CCOP - Carle Cancer Center
    • Indiana
      • Beech Grove, Indiana, Stany Zjednoczone, 46107
        • St. Francis Hospital and Health Centers - Beech Grove Campus
      • Elkhart, Indiana, Stany Zjednoczone, 46515
        • Elkhart General Hospital
      • Kokomo, Indiana, Stany Zjednoczone, 46904
        • Howard Community Hospital at Howard Regional Health System
      • La Porte, Indiana, Stany Zjednoczone, 46350
        • Center for Cancer Therapy at LaPorte Hospital and Health Services
      • Michigan City, Indiana, Stany Zjednoczone, 46360
        • Saint Anthony Memorial Health Centers
      • Richmond, Indiana, Stany Zjednoczone, 47374
        • Reid Hospital & Health Care Services, Incorporated
      • South Bend, Indiana, Stany Zjednoczone, 46601
        • Memorial Hospital of South Bend
      • South Bend, Indiana, Stany Zjednoczone, 46601
        • CCOP - Northern Indiana CR Consortium
      • South Bend, Indiana, Stany Zjednoczone, 46617
        • Saint Joseph Regional Medical Center
    • Iowa
      • Bettendorf, Iowa, Stany Zjednoczone, 52722
      • Bettendorf, Iowa, Stany Zjednoczone, 52722
        • Hematology Oncology Associates of the Quad Cities
      • Cedar Rapids, Iowa, Stany Zjednoczone, 52402
        • St. Luke's Hospital
      • Cedar Rapids, Iowa, Stany Zjednoczone, 52403
        • Cedar Rapids Oncology Associates
      • Cedar Rapids, Iowa, Stany Zjednoczone, 52403
        • Mercy Regional Cancer Center at Mercy Medical Center
      • Council Bluffs, Iowa, Stany Zjednoczone, 51503
        • Heartland Oncology & Hematology
      • Davenport, Iowa, Stany Zjednoczone, 52804
        • Genesis Medical Center - West Campus
      • Davenport, Iowa, Stany Zjednoczone, 52803
        • Genesis Regional Cancer Center at Genesis Medical Center
      • Des Moines, Iowa, Stany Zjednoczone, 50309
        • CCOP - Iowa Oncology Research Association
      • Des Moines, Iowa, Stany Zjednoczone, 50309
        • John Stoddard Cancer Center at Iowa Methodist Medical Center
      • Des Moines, Iowa, Stany Zjednoczone, 50309
        • Medical Oncology and Hematology Associates at John Stoddard Cancer Center
      • Des Moines, Iowa, Stany Zjednoczone, 50314
        • Medical Oncology and Hematology Associates at Mercy Cancer Center
      • Des Moines, Iowa, Stany Zjednoczone, 50314
        • Mercy Cancer Center at Mercy Medical Center - Des Moines
      • Des Moines, Iowa, Stany Zjednoczone, 50307
        • Mercy Capitol Hospital
      • Des Moines, Iowa, Stany Zjednoczone, 50316-2301
        • John Stoddard Cancer Center at Iowa Lutheran Hospital
      • Mason City, Iowa, Stany Zjednoczone, 50401
        • Mercy Cancer Center at Mercy Medical Center - North Iowa
      • Ottumwa, Iowa, Stany Zjednoczone, 52501
        • McCreery Cancer Center at Ottumwa Regional
      • Sioux City, Iowa, Stany Zjednoczone, 51101
        • Siouxland Regional Cancer Center
      • Sioux City, Iowa, Stany Zjednoczone, 51101
        • Siouxland Hematology-Oncology Associates, LLP
      • Sioux City, Iowa, Stany Zjednoczone, 51104
        • St. Luke's Regional Medical Center
      • Sioux City, Iowa, Stany Zjednoczone, 51104
        • Mercy Medical Center - Sioux City
      • Waterloo, Iowa, Stany Zjednoczone, 50702
        • Covenant Cancer Treatment Center
      • Waterloo, Iowa, Stany Zjednoczone, 50702
        • Cedar Valley Medical Specialists, PC - West Ridgeway Avenue
    • Kansas
      • Chanute, Kansas, Stany Zjednoczone, 66720
        • Cancer Center of Kansas, PA - Chanute
      • Dodge City, Kansas, Stany Zjednoczone, 67801
        • Cancer Center of Kansas, PA - Dodge City
      • El Dorado, Kansas, Stany Zjednoczone, 67042
        • Cancer Center of Kansas, PA - El Dorado
      • Kansas City, Kansas, Stany Zjednoczone, 64128
        • Veterans Affairs Medical Center - Kansas City
      • Kingman, Kansas, Stany Zjednoczone, 67068
        • Cancer Center of Kansas, PA - Kingman
      • Liberal, Kansas, Stany Zjednoczone, 67901
        • Southwest Medical Center
      • Newton, Kansas, Stany Zjednoczone, 67114
        • Cancer Center of Kansas, PA - Newton
      • Parsons, Kansas, Stany Zjednoczone, 67357
        • Cancer Center of Kansas, PA - Parsons
      • Pratt, Kansas, Stany Zjednoczone, 67124
        • Cancer Center of Kansas, PA - Pratt
      • Salina, Kansas, Stany Zjednoczone, 67042
        • Cancer Center of Kansas, PA - Salina
      • Salina, Kansas, Stany Zjednoczone, 67401
        • Tammy Walker Cancer Center at Salina Regional Health Center
      • Topeka, Kansas, Stany Zjednoczone, 66604
        • Stormont-Vail Cancer Center
      • Wellington, Kansas, Stany Zjednoczone, 67152
        • Cancer Center of Kansas, PA - Wellington
      • Wichita, Kansas, Stany Zjednoczone, 67203
        • Associates in Womens Health, PA - North Review
      • Wichita, Kansas, Stany Zjednoczone, 67208
        • Cancer Center of Kansas, PA - Medical Arts Tower
      • Wichita, Kansas, Stany Zjednoczone, 67214
        • Cancer Center of Kansas, PA - Wichita
      • Wichita, Kansas, Stany Zjednoczone, 67214
        • CCOP - Wichita
      • Wichita, Kansas, Stany Zjednoczone, 67214
        • Via Christi Cancer Center at Via Christi Regional Medical Center
      • Winfield, Kansas, Stany Zjednoczone, 67156
        • Cancer Center of Kansas, PA - Winfield
    • Kentucky
      • Madisonville, Kentucky, Stany Zjednoczone, 42431
        • Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County
    • Louisiana
      • Alexandria, Louisiana, Stany Zjednoczone, 71315-3198
        • Tulane Cancer Center
      • Monroe, Louisiana, Stany Zjednoczone, 71210
        • Louisiana State University Health Sciences Center - Monroe
      • Shreveport, Louisiana, Stany Zjednoczone, 71130-3932
        • Feist-Weiller Cancer Center at Louisiana State University Health Sciences
      • Shreveport, Louisiana, Stany Zjednoczone, 71101
        • Veterans Affairs Medical Center - Shreveport
      • Shreveport, Louisiana, Stany Zjednoczone, 71101
        • Christus Schumpert Cancer Treatment Center
    • Maine
      • Bangor, Maine, Stany Zjednoczone, 04401
        • CancerCare of Maine at Eastern Maine Medial Center
      • Waterville, Maine, Stany Zjednoczone, 04901
        • MaineGeneral Medical Center - Waterville Campus
    • Massachusetts
      • Attleboro, Massachusetts, Stany Zjednoczone, 02703
        • Sturdy Memorial Hospital
      • Boston, Massachusetts, Stany Zjednoczone, 02118
        • Cancer Research Center at Boston Medical Center
      • Gloucester, Massachusetts, Stany Zjednoczone, 01930
        • Addison Gilbert Hospital
      • Worcester, Massachusetts, Stany Zjednoczone, 01655
        • UMASS Memorial Cancer Center - University Campus
    • Michigan
      • Adrian, Michigan, Stany Zjednoczone, 49221
        • Hickman Cancer Center at Bixby Medical Center
      • Ann Arbor, Michigan, Stany Zjednoczone, 48106-0995
        • Saint Joseph Mercy Cancer Center
      • Ann Arbor, Michigan, Stany Zjednoczone, 48106
        • CCOP - Michigan Cancer Research Consortium
      • Battle Creek, Michigan, Stany Zjednoczone, 49017
        • Battle Creek Health System Cancer Care Center
      • Big Rapids, Michigan, Stany Zjednoczone, 49307
        • Mecosta County Medical Center
      • Detroit, Michigan, Stany Zjednoczone, 48202
        • Josephine Ford Cancer Center at Henry Ford Hospital
      • Escanaba, Michigan, Stany Zjednoczone, 49431
        • Green Bay Oncology, Limited - Escanaba
      • Flint, Michigan, Stany Zjednoczone, 48503
        • Hurley Medical Center
      • Flint, Michigan, Stany Zjednoczone, 48503
        • Genesys Hurley Cancer Institute
      • Grand Rapids, Michigan, Stany Zjednoczone, 49503
        • CCOP - Grand Rapids
      • Grand Rapids, Michigan, Stany Zjednoczone, 49503
        • Lacks Cancer Center at Saint Mary's Health Care
      • Grand Rapids, Michigan, Stany Zjednoczone, 49506
        • Metro Health Hospital
      • Grand Rapids, Michigan, Stany Zjednoczone, 49503
        • Spectrum Health Hospital - Butterworth Campus
      • Grosse Pointe Woods, Michigan, Stany Zjednoczone, 48236
        • Van Elslander Cancer Center at St. John Hospital and Medical Center
      • Holland, Michigan, Stany Zjednoczone, 49423
        • Holland Community Hospital
      • Iron Mountain, Michigan, Stany Zjednoczone, 49801
        • Green Bay Oncology, Limited - Iron Mountain
      • Jackson, Michigan, Stany Zjednoczone, 49201
        • Foote Hospital
      • Kalamazoo, Michigan, Stany Zjednoczone, 49007
        • Bronson Methodist Hospital
      • Kalamazoo, Michigan, Stany Zjednoczone, 49001
        • Borgess Medical Center
      • Kalamazoo, Michigan, Stany Zjednoczone, 49007-3731
        • West Michigan Cancer Center
      • Lansing, Michigan, Stany Zjednoczone, 48909
        • Sparrow Regional Cancer Center
      • Marquette, Michigan, Stany Zjednoczone, 49855
        • Upper Michigan Cancer Center at Marquette General Hospital
      • Midland, Michigan, Stany Zjednoczone, 48670
        • MidMichigan Medical Center - Midland
      • Monroe, Michigan, Stany Zjednoczone, 48162
        • Community Cancer Center of Monroe
      • Monroe, Michigan, Stany Zjednoczone, 48162
        • Mercy Memorial Hospital System
      • Mount Clemens, Michigan, Stany Zjednoczone, 48043
        • Ted B. Wahby Cancer Center at Mount Clemens General Hospital
      • Muskegon, Michigan, Stany Zjednoczone, 49442
        • Hackley Hospital
      • Petoskey, Michigan, Stany Zjednoczone, 49770
        • Northern Michigan Hospital
      • Port Huron, Michigan, Stany Zjednoczone, 48060
        • Mercy Regional Cancer Center at Mercy Hospital
      • Saginaw, Michigan, Stany Zjednoczone, 48601
        • Seton Cancer Institute - Saginaw
      • Saint Joseph, Michigan, Stany Zjednoczone, 49085
        • Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
      • Traverse City, Michigan, Stany Zjednoczone, 49684
        • Munson Medical Center
      • Warren, Michigan, Stany Zjednoczone, 48093
        • St. John Macomb Hospital
    • Minnesota
      • Alexandria, Minnesota, Stany Zjednoczone, 56308
      • Bemidji, Minnesota, Stany Zjednoczone, 56601
        • MeritCare Clinic - Bemidji
      • Burnsville, Minnesota, Stany Zjednoczone, 55337
        • Fairview Ridges Hospital
      • Coon Rapids, Minnesota, Stany Zjednoczone, 55433
        • Mercy and Unity Cancer Center at Mercy Hospital
      • Duluth, Minnesota, Stany Zjednoczone, 55805
        • CCOP - Duluth
      • Duluth, Minnesota, Stany Zjednoczone, 55805
        • St. Mary's - Duluth Clinic Cancer Center
      • Duluth, Minnesota, Stany Zjednoczone, 55805
        • Miller-Dwan Medical Center
      • Duluth, Minnesota, Stany Zjednoczone, 55805
        • Cancer Care Center at St. Luke's Hospital
      • Edina, Minnesota, Stany Zjednoczone, 55435
        • Fairview Southdale Hospital
      • Fergus Falls, Minnesota, Stany Zjednoczone, 56537
      • Fridley, Minnesota, Stany Zjednoczone, 55432
        • Mercy and Unity Cancer Center at Unity Hospital
      • Hutchinson, Minnesota, Stany Zjednoczone, 55350
        • Hutchinson Area Health Care
      • Litchfield, Minnesota, Stany Zjednoczone, 55355
        • Meeker County Memorial Hospital
      • Mankato, Minnesota, Stany Zjednoczone, 56002
        • Immanuel St. Joseph's Clinic
      • Maplewood, Minnesota, Stany Zjednoczone, 55109
        • HealthEast Cancer Care at St. John's Hospital
      • Maplewood, Minnesota, Stany Zjednoczone, 55109
        • Minnesota Oncology Hematology, PA at Maplewood Cancer Center
      • Minneapolis, Minnesota, Stany Zjednoczone, 55415
        • Hennepin County Medical Center - Minneapolis
      • Minneapolis, Minnesota, Stany Zjednoczone, 55407
        • Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
      • Montevideo, Minnesota, Stany Zjednoczone, 56265
        • Chippewa County - Montevideo Hospital
      • Robbinsdale, Minnesota, Stany Zjednoczone, 55422-2900
        • Hubert H. Humphrey Cancer Center at North Memorial Medical Center
      • Rochester, Minnesota, Stany Zjednoczone, 55905
        • Mayo Clinic Cancer Center
      • Saint Cloud, Minnesota, Stany Zjednoczone, 56303
        • CentraCare Clinic - River Campus
      • Saint Cloud, Minnesota, Stany Zjednoczone, 56303
        • Coborn Cancer Center
      • Saint Louis Park, Minnesota, Stany Zjednoczone, 55416
        • CCOP - Metro-Minnesota
      • Saint Louis Park, Minnesota, Stany Zjednoczone, 55416
        • Park Nicollet Health Services
      • Saint Paul, Minnesota, Stany Zjednoczone, 55102
        • St. Joseph's Hospital
      • Saint Paul, Minnesota, Stany Zjednoczone, 55102
        • United Hospital
      • Saint Paul, Minnesota, Stany Zjednoczone, 55101
        • Regions Hospital Cancer Care Center
      • Shakopee, Minnesota, Stany Zjednoczone, 55379
        • Saint Francis Cancer Center
      • Waconia, Minnesota, Stany Zjednoczone, 55387
        • Ridgeview Medical Center
      • Willmar, Minnesota, Stany Zjednoczone, 56201
        • Willmar Cancer Center at Rice Memorial Hospital
      • Woodbury, Minnesota, Stany Zjednoczone, 55125
        • Woodwinds Health Campus
      • Woodbury, Minnesota, Stany Zjednoczone, 55125
        • Minnesota Oncology Hematology, PA - Woodbury
    • Mississippi
      • Jackson, Mississippi, Stany Zjednoczone, 39216
        • University of Mississippi Medical Center
    • Missouri
      • Cape Girardeau, Missouri, Stany Zjednoczone, 63701
        • Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital
      • Cape Girardeau, Missouri, Stany Zjednoczone, 63701
        • Saint Francis Medical Center
      • Columbia, Missouri, Stany Zjednoczone, 65201
        • Veterans Affairs Medical Center - Columbia (Truman Memorial)
      • Columbia, Missouri, Stany Zjednoczone, 65203
        • Ellis Fischel Cancer Center at University of Missouri - Columbia
      • Jefferson City, Missouri, Stany Zjednoczone, 65101
        • Capital Region Cancer Center
      • Joplin, Missouri, Stany Zjednoczone, 64804
        • Freeman Cancer Institute at Freeman Health System
      • Kansas City, Missouri, Stany Zjednoczone, 64131
        • CCOP - Kansas City
      • Saint Louis, Missouri, Stany Zjednoczone, 63131
        • Missouri Baptist Cancer Center
      • Saint Louis, Missouri, Stany Zjednoczone, 63141
        • CCOP - St. Louis-Cape Girardeau
      • Saint Louis, Missouri, Stany Zjednoczone, 63141
        • David C. Pratt Cancer Center at St. John's Mercy
      • Saint Louis, Missouri, Stany Zjednoczone, 63141
        • Arch Medical Services, Incorporated at Center for Cancer Care Research
      • Springfield, Missouri, Stany Zjednoczone, 65802
        • CCOP - Cancer Research for the Ozarks
      • Springfield, Missouri, Stany Zjednoczone, 65804
        • St. John's Regional Health Center
      • Springfield, Missouri, Stany Zjednoczone, 65807
        • Hulston Cancer Center at Cox Medical Center South
    • Montana
      • Billings, Montana, Stany Zjednoczone, 59101
        • CCOP - Montana Cancer Consortium
      • Billings, Montana, Stany Zjednoczone, 59101
        • Hematology-Oncology Centers of the Northern Rockies - Billings
      • Billings, Montana, Stany Zjednoczone, 59101
        • Northern Rockies Radiation Oncology Center
      • Billings, Montana, Stany Zjednoczone, 59101
        • St. Vincent Healthcare
      • Billings, Montana, Stany Zjednoczone, 59107-5100
        • Billings Clinic Cancer Center
      • Billings, Montana, Stany Zjednoczone, 59107-7000
        • Deaconess Billings Clinic - Downtown
      • Bozeman, Montana, Stany Zjednoczone, 59715
        • Bozeman Deaconess Cancer Center
      • Butte, Montana, Stany Zjednoczone, 59701
        • St. James Community Hospital
      • Great Falls, Montana, Stany Zjednoczone, 59405
        • Great Falls Clinic
      • Great Falls, Montana, Stany Zjednoczone, 59405
      • Great Falls, Montana, Stany Zjednoczone, 59405
        • Big Sky Oncology
      • Great Falls, Montana, Stany Zjednoczone, 59405
        • Sletten Regional Cancer Institute at Benefis Healthcare
      • Helena, Montana, Stany Zjednoczone, 59601
        • St. Peter's Hospital
      • Kalispell, Montana, Stany Zjednoczone, 59901
        • Kalispell Regional Medical Center
      • Kalispell, Montana, Stany Zjednoczone, 59901
        • Glacier Oncology, PLLC
      • Kalispell, Montana, Stany Zjednoczone, 59901
        • Kalispell Medical Oncology
      • Missoula, Montana, Stany Zjednoczone, 59801
        • Community Medical Center
      • Missoula, Montana, Stany Zjednoczone, 59804
        • Guardian Oncology and Center for Wellness
      • Missoula, Montana, Stany Zjednoczone, 59807-7877
        • Montana Cancer Specialists at Montana Cancer Center
      • Missoula, Montana, Stany Zjednoczone, 59807
        • Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
    • Nebraska
      • Kearney, Nebraska, Stany Zjednoczone, 68848-1990
        • Good Samaritan Cancer Center at Good Samaritan Hospital
      • Lincoln, Nebraska, Stany Zjednoczone, 68510
        • Cancer Resource Center - Lincoln
      • Omaha, Nebraska, Stany Zjednoczone, 68106
        • CCOP - Missouri Valley Cancer Consortium
      • Omaha, Nebraska, Stany Zjednoczone, 68122
        • Immanuel Medical Center
      • Omaha, Nebraska, Stany Zjednoczone, 68124
        • Alegant Health Cancer Center at Bergan Mercy Medical Center
      • Omaha, Nebraska, Stany Zjednoczone, 68131-2197
        • Creighton University Medical Center
      • Omaha, Nebraska, Stany Zjednoczone, 68114
        • Methodist Cancer Center at Methodist Hospital - Omaha
    • Nevada
      • Las Vegas, Nevada, Stany Zjednoczone, 89102
        • University Medical Center of Southern Nevada
      • Las Vegas, Nevada, Stany Zjednoczone, 89106
        • CCOP - Nevada Cancer Research Foundation
    • New Jersey
      • Flemington, New Jersey, Stany Zjednoczone, 08822
        • Hunterdon Regional Cancer Center at Hunterdon Medical Center
      • Morristown, New Jersey, Stany Zjednoczone, 07962
        • Carol G. Simon Cancer Center at Morristown Memorial Hospital
      • Neptune, New Jersey, Stany Zjednoczone, 07754-0397
        • Jersey Shore Cancer Center at Jersey Shore University Medical Center
      • Summit, New Jersey, Stany Zjednoczone, 07902
        • Overlook Hospital
    • New York
      • Bronx, New York, Stany Zjednoczone, 10461
        • Albert Einstein Cancer Center at Albert Einstein College of Medicine
      • Buffalo, New York, Stany Zjednoczone, 14215
        • Veterans Affairs Medical Center - Buffalo
      • Clifton Springs, New York, Stany Zjednoczone, 14432
        • Finger Lakes Hematology and Oncology
      • Glens Falls, New York, Stany Zjednoczone, 12801
        • Adirondack Cancer Care - Glens Falls
      • Manhasset, New York, Stany Zjednoczone, 11030
        • CCOP - North Shore University Hospital
      • Manhasset, New York, Stany Zjednoczone, 11030
        • Don Monti Comprehensive Cancer Center at North Shore University Hospital
      • Middletown, New York, Stany Zjednoczone, 10940-4199
        • Tucker Center for Cancer Care at Orange Regional Medical Center
      • Mineola, New York, Stany Zjednoczone, 11501
        • Winthrop University Hospital
      • New Hyde Park, New York, Stany Zjednoczone, 11042
        • Long Island Jewish Medical Center
      • Rochester, New York, Stany Zjednoczone, 14642
        • James P. Wilmot Cancer Center at University of Rochester Medical Center
      • Rochester, New York, Stany Zjednoczone, 14623
        • Interlakes Oncology/Hematology PC
      • Syracuse, New York, Stany Zjednoczone, 13210
        • SUNY Upstate Medical University Hospital
    • North Carolina
      • Goldsboro, North Carolina, Stany Zjednoczone, 27534
        • Wayne Memorial Hospital, Incorporated
      • Kinston, North Carolina, Stany Zjednoczone, 28501
        • Lenoir Memorial Cancer Center
      • Rutherfordton, North Carolina, Stany Zjednoczone, 28139
        • Rutherford Hospital
      • Wilmington, North Carolina, Stany Zjednoczone, 28401
        • Zimmer Cancer Center at New Hanover Regional Medical Center
    • North Dakota
      • Bismarck, North Dakota, Stany Zjednoczone, 58501
        • Bismarck Cancer Center
      • Bismarck, North Dakota, Stany Zjednoczone, 58501
        • Medcenter One Hospital Cancer Care Center
      • Bismarck, North Dakota, Stany Zjednoczone, 58501
        • Mid Dakota Clinic, PC
      • Bismarck, North Dakota, Stany Zjednoczone, 58502
        • St. Alexius Medical Center Cancer Center
      • Fargo, North Dakota, Stany Zjednoczone, 58122
        • CCOP - MeritCare Hospital
      • Fargo, North Dakota, Stany Zjednoczone, 58122
        • MeritCare Broadway
      • Fargo, North Dakota, Stany Zjednoczone, 58103
        • Dakota Cancer Institute at Dakota Clinic - South University
    • Ohio
      • Akron, Ohio, Stany Zjednoczone, 44307
        • McDowell Cancer Center at Akron General Medical Center
      • Bowling Green, Ohio, Stany Zjednoczone, 43402
        • Wood County Oncology Center
      • Canton, Ohio, Stany Zjednoczone, 44708
        • Mercy Cancer Center at Mercy Medical Center
      • Chillicothe, Ohio, Stany Zjednoczone, 45601
        • Adena Regional Medical Center
      • Cincinnati, Ohio, Stany Zjednoczone, 45267
        • Charles M. Barrett Cancer Center at University Hospital
      • Cleveland, Ohio, Stany Zjednoczone, 44195
        • Cleveland Clinic Taussig Cancer Center
      • Cleveland, Ohio, Stany Zjednoczone, 44109
        • MetroHealth's Cancer Care Center at MetroHealth Medical Center
      • Columbus, Ohio, Stany Zjednoczone, 43214-3998
        • Riverside Methodist Hospital Cancer Care
      • Columbus, Ohio, Stany Zjednoczone, 43222
        • Mount Carmel Health - West Hospital
      • Columbus, Ohio, Stany Zjednoczone, 43215
        • CCOP - Columbus
      • Columbus, Ohio, Stany Zjednoczone, 43228
        • Doctors Hospital at Ohio Health
      • Columbus, Ohio, Stany Zjednoczone, 43215
        • Grant Riverside Cancer Services
      • Dayton, Ohio, Stany Zjednoczone, 45428
        • Veterans Affairs Medical Center - Dayton
      • Dayton, Ohio, Stany Zjednoczone, 45405
        • Grandview Hospital
      • Dayton, Ohio, Stany Zjednoczone, 45406
        • Good Samaritan Hospital
      • Dayton, Ohio, Stany Zjednoczone, 45415
        • Samaritan North Cancer Care Center
      • Dayton, Ohio, Stany Zjednoczone, 45429
        • CCOP - Dayton
      • Delaware, Ohio, Stany Zjednoczone, 43015
        • Grady Memorial Hospital
      • Findlay, Ohio, Stany Zjednoczone, 45840
        • Blanchard Valley Medical Associates
      • Fremont, Ohio, Stany Zjednoczone, 43420
        • Fremont Memorial Hospital
      • Independence, Ohio, Stany Zjednoczone, 44131
        • Community Oncology Group at Cleveland Clinic Cancer Center
      • Kenton, Ohio, Stany Zjednoczone, 43326
        • Kenton Oncology, Incorporated
      • Kettering, Ohio, Stany Zjednoczone, 45429
        • Charles F. Kettering Memorial Hospital
      • Lancaster, Ohio, Stany Zjednoczone, 43130
        • Fairfield Medical Center
      • Lima, Ohio, Stany Zjednoczone, 45804
        • Lima Memorial Hospital
      • Lima, Ohio, Stany Zjednoczone, 45801
        • St. Rita's Medical Center
      • Mansfield, Ohio, Stany Zjednoczone, 44903
        • MedCentral - Mansfield Hospital
      • Marietta, Ohio, Stany Zjednoczone, 45750
        • Strecker Cancer Center at Marietta Memorial Hospital
      • Maumee, Ohio, Stany Zjednoczone, 43537
        • St. Luke's Hospital
      • Maumee, Ohio, Stany Zjednoczone, 43623
        • Northwest Ohio Oncology Center
      • Middletown, Ohio, Stany Zjednoczone, 45044
        • Middletown Regional Hospital
      • Newark, Ohio, Stany Zjednoczone, 43055
        • Licking Memorial Cancer Care Program at Licking Memorial Hospital
      • Oregon, Ohio, Stany Zjednoczone, 43616
        • St. Charles Mercy Hospital
      • Oregon, Ohio, Stany Zjednoczone, 43616
        • Toledo Clinic - Oregon
      • Sandusky, Ohio, Stany Zjednoczone, 44870
        • Firelands Regional Medical Center
      • Sandusky, Ohio, Stany Zjednoczone, 44870
        • North Coast Cancer Care, Incorporated
      • Springfield, Ohio, Stany Zjednoczone, 45505
        • Community Hospital of Springfield and Clark County
      • Springfield, Ohio, Stany Zjednoczone, 45504
        • Mercy Medical Center
      • Sylvania, Ohio, Stany Zjednoczone, 43560
        • Flower Hospital Cancer Center
      • Toledo, Ohio, Stany Zjednoczone, 43608
        • St. Vincent Mercy Medical Center
      • Toledo, Ohio, Stany Zjednoczone, 43606
        • Toledo Hospital
      • Toledo, Ohio, Stany Zjednoczone, 43614
        • Medical University of Ohio Cancer Center
      • Toledo, Ohio, Stany Zjednoczone, 43617
        • CCOP - Toledo Community Hospital
      • Toledo, Ohio, Stany Zjednoczone, 43623
        • Toledo Clinic, Incorporated - Main Clinic
      • Troy, Ohio, Stany Zjednoczone, 45373-1300
        • UVMC Cancer Care Center at Upper Valley Medical Center
      • Wauseon, Ohio, Stany Zjednoczone, 43567
        • Fulton County Health Center
      • Westerville, Ohio, Stany Zjednoczone, 43081
        • Mount Carmel Cancer Services at Mount Carmel St. Ann's Hospital
      • Wooster, Ohio, Stany Zjednoczone, 44691
        • Cleveland Clinic - Wooster
      • Xenia, Ohio, Stany Zjednoczone, 45385
        • Ruth G. McMillan Cancer Center at Greene Memorial Hospital
      • Youngstown, Ohio, Stany Zjednoczone, 44501
        • Tod Children's Hospital - Forum Health
      • Zanesville, Ohio, Stany Zjednoczone, 43701
        • Genesis - Good Samaritan Hospital
    • Oregon
      • Klamath Falls, Oregon, Stany Zjednoczone, 97601
        • Merle West Medical Center Cancer Treatment Center
      • Portland, Oregon, Stany Zjednoczone, 97207
        • Veterans Affairs Medical Center - Portland
      • Portland, Oregon, Stany Zjednoczone, 97239-3098
        • Oregon Health & Science University Cancer Institute
      • Portland, Oregon, Stany Zjednoczone, 97232
        • Kaiser Permanente Health Care - Portland
      • Salem, Oregon, Stany Zjednoczone, 97309-5014
        • Salem Hospital Regional Cancer Care Services
    • Pennsylvania
      • Allentown, Pennsylvania, Stany Zjednoczone, 18105
        • Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest
      • Danville, Pennsylvania, Stany Zjednoczone, 17822-0001
        • Geisinger Medical Center
      • DuBois, Pennsylvania, Stany Zjednoczone, 15801
        • Oncology Hematology Associates of Northern Pennsylvania, PC at Hahne Regional Cancer Center
      • Easton, Pennsylvania, Stany Zjednoczone, 18042
        • Easton Regional Cancer Center at Easton Hospital
      • Harrisburg, Pennsylvania, Stany Zjednoczone, 17105
        • PinnacleHealth Regional Cancer Center at Polyclinic Hospital
      • Lancaster, Pennsylvania, Stany Zjednoczone, 17604
        • Lancaster General Hospital
      • Langhorne, Pennsylvania, Stany Zjednoczone, 19047
        • St. Mary Regional Cancer Center
      • Pittsburgh, Pennsylvania, Stany Zjednoczone, 15212
        • Allegheny Cancer Center at Allegheny General Hospital
      • Scranton, Pennsylvania, Stany Zjednoczone, 18501
        • Mercy Hospital Cancer Center - Scranton
      • Scranton, Pennsylvania, Stany Zjednoczone, 18510
        • Hematology and Oncology Associates of Northeastern Pennsylvania
      • State College, Pennsylvania, Stany Zjednoczone, 16801
        • Geisinger Medical Group - Scenery Park
      • Wilkes-Barre, Pennsylvania, Stany Zjednoczone, 18711
        • Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
    • South Carolina
      • Anderson, South Carolina, Stany Zjednoczone, 29621
        • AnMed Cancer Center
      • Charleston, South Carolina, Stany Zjednoczone, 29425
        • Hollings Cancer Center at Medical University of South Carolina
      • Greenville, South Carolina, Stany Zjednoczone, 29615
        • CCOP - Greenville
      • Greenville, South Carolina, Stany Zjednoczone, 29601
        • Bon Secours St. Francis Health System
      • Spartanburg, South Carolina, Stany Zjednoczone, 29303
        • CCOP - Upstate Carolina
      • Spartanburg, South Carolina, Stany Zjednoczone, 29303
        • Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
    • South Dakota
      • Rapid City, South Dakota, Stany Zjednoczone, 57701
        • Rapid City Regional Hospital
      • Sioux Falls, South Dakota, Stany Zjednoczone, 57105
        • Avera Cancer Institute
      • Sioux Falls, South Dakota, Stany Zjednoczone, 57117-5039
        • Sioux Valley Hospital and University of South Dakota Medical Center
      • Sioux Falls, South Dakota, Stany Zjednoczone, 57105
        • Medical X-Ray Center, PC
    • Tennessee
      • Knoxville, Tennessee, Stany Zjednoczone, 37916
        • Thompson Cancer Survival Center
      • Knoxville, Tennessee, Stany Zjednoczone, 37920-6999
        • U.T. Cancer Institute at University of Tennessee Medical Center
      • Memphis, Tennessee, Stany Zjednoczone, 38104
        • University of Tennessee Cancer Institute - Medical Center
    • Texas
      • Dallas, Texas, Stany Zjednoczone, 75230
        • Medical City Dallas Hospital
      • Fort Sam Houston, Texas, Stany Zjednoczone, 78234
        • Brooke Army Medical Center
      • Houston, Texas, Stany Zjednoczone, 77030
        • Ben Taub General Hospital
      • Houston, Texas, Stany Zjednoczone, 77030
        • Methodist Hospital
      • Houston, Texas, Stany Zjednoczone, 77030
        • Veterans Affairs Medical Center - Houston
      • Houston, Texas, Stany Zjednoczone, 77030
        • Baylor University Medical Center - Houston
      • Houston, Texas, Stany Zjednoczone, 77030
        • St. Luke's Texas Cancer Institute at St. Luke's Episcopal Hospital
      • Lackland Air Force Base, Texas, Stany Zjednoczone, 78236
        • Wilford Hall Medical Center
      • Lubbock, Texas, Stany Zjednoczone, 79415-3364
        • UMC Southwest Cancer and Research Center
      • San Antonio, Texas, Stany Zjednoczone, 78229
        • Cancer Therapy and Research Center
      • San Antonio, Texas, Stany Zjednoczone, 78209
        • Veterans Affairs Medical Center - San Antonio (Murphy)
      • San Antonio, Texas, Stany Zjednoczone, 78229-3900
        • University of Texas Health Science Center at San Antonio
      • San Antonio, Texas, Stany Zjednoczone, 78229
        • University Hospital - San Antonio
      • Temple, Texas, Stany Zjednoczone, 76508
        • CCOP - Scott and White Hospital
    • Utah
      • American Fork, Utah, Stany Zjednoczone, 84003
        • American Fork Hospital
      • Logan, Utah, Stany Zjednoczone, 84321
        • Logan Regional Hospital
      • Murray, Utah, Stany Zjednoczone, 84107
        • Cottonwood Hospital Medical Center
      • Ogden, Utah, Stany Zjednoczone, 84403
        • McKay-Dee Hospital Center
      • Provo, Utah, Stany Zjednoczone, 84604
        • Utah Valley Regional Medical Center - Provo
      • Saint George, Utah, Stany Zjednoczone, 84770
        • Dixie Regional Medical Center - East Campus
      • Salt Lake City, Utah, Stany Zjednoczone, 84112
        • Huntsman Cancer Institute at University of Utah
      • Salt Lake City, Utah, Stany Zjednoczone, 84106
        • Utah Cancer Specialists at UCS Cancer Center
      • Salt Lake City, Utah, Stany Zjednoczone, 84143
        • Latter Day Saints Hospital
    • Virginia
      • Charlottesville, Virginia, Stany Zjednoczone, 22901
        • Martha Jefferson Hospital Cancer Care Center
      • Danville, Virginia, Stany Zjednoczone, 24541
        • Danville Regional Medical Center
      • Lynchburg, Virginia, Stany Zjednoczone, 24501
        • Lynchburg Hematology-Oncology Clinic
      • Newport News, Virginia, Stany Zjednoczone, 23601
        • Peninsula Cancer Institute - Newport News Office
      • Richmond, Virginia, Stany Zjednoczone, 23249
        • Veterans Affairs Medical Center - Richmond
    • Washington
      • Auburn, Washington, Stany Zjednoczone, 98002
        • Auburn Regional Center for Cancer Care
      • Bellingham, Washington, Stany Zjednoczone, 98225
        • St. Joseph Cancer Center
      • Bremerton, Washington, Stany Zjednoczone, 98310
        • Olympic Hematology and Oncology
      • Centralia, Washington, Stany Zjednoczone, 98531-9027
        • Providence Centralia Hospital Regional Cancer Center
      • Federal Way, Washington, Stany Zjednoczone, 98003
        • St. Francis Hospital
      • Mount Vernon, Washington, Stany Zjednoczone, 98273
        • Skagit Valley Hospital Cancer Care Center
      • Olympia, Washington, Stany Zjednoczone, 98506-5166
        • Providence St. Peter Hospital Regional Cancer Center
      • Puyallup, Washington, Stany Zjednoczone, 98372
        • Good Samaritan Cancer Center
      • Seattle, Washington, Stany Zjednoczone, 98104
        • Harborview Medical Center
      • Seattle, Washington, Stany Zjednoczone, 98104
        • Fred Hutchinson Cancer Research Center
      • Seattle, Washington, Stany Zjednoczone, 98104
        • Minor and James Medical, PLLC
      • Seattle, Washington, Stany Zjednoczone, 98112
        • Group Health Central Hospital
      • Seattle, Washington, Stany Zjednoczone, 98122-4307
        • Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
      • Seattle, Washington, Stany Zjednoczone, 98122
        • Polyclinic First Hill
      • Seattle, Washington, Stany Zjednoczone, 98195-6043
        • University Cancer Center at University of Washington Medical Center
      • Spokane, Washington, Stany Zjednoczone, 99202
        • Cancer Care Northwest - Spokane South
      • Spokane, Washington, Stany Zjednoczone, 99204-2967
        • Rockwood Clinic Cancer Treatment Center
      • Spokane, Washington, Stany Zjednoczone, 99204
        • Providence Cancer Center at Sacred Heart Medical Center
      • Spokane, Washington, Stany Zjednoczone, 99207
        • Providence Cancer Center at Holy Family Hospital
      • Tacoma, Washington, Stany Zjednoczone, 98405
        • Allenmore Hospital
      • Tacoma, Washington, Stany Zjednoczone, 98405
        • CCOP - Northwest
      • Tacoma, Washington, Stany Zjednoczone, 98405
        • MultiCare Regional Cancer Center at Tacoma General Hospital
      • Tacoma, Washington, Stany Zjednoczone, 98499
        • St. Clare Hospital
      • Tacoma, Washington, Stany Zjednoczone, 98405-3004
        • St. Joseph Medical Center at Franciscan Health System
      • Wenatchee, Washington, Stany Zjednoczone, 98801-2028
        • Wenatchee Valley Medical Center
    • Wisconsin
      • Appleton, Wisconsin, Stany Zjednoczone, 54911-3496
        • Fox Valley Hematology and Oncology - East Grant Street
      • Green Bay, Wisconsin, Stany Zjednoczone, 54307-3508
        • St. Vincent Hospital Regional Cancer Center
      • Green Bay, Wisconsin, Stany Zjednoczone, 54303
        • Green Bay Oncology, Limited at St. Mary's Hospital
      • Green Bay, Wisconsin, Stany Zjednoczone, 54303
        • St. Mary's Hospital Medical Center - Green Bay
      • Green Bay, Wisconsin, Stany Zjednoczone, 54301-3526
        • Green Bay Oncology, Limited at St. Vincent Hospital
      • Janesville, Wisconsin, Stany Zjednoczone, 53547
        • Mercy Regional Cancer Center
      • La Crosse, Wisconsin, Stany Zjednoczone, 54601
        • Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
      • Manitowoc, Wisconsin, Stany Zjednoczone, 54221-1450
        • Holy Family Memorial Medical Center Cancer Care Center
      • Marinette, Wisconsin, Stany Zjednoczone, 54143
        • Bay Area Cancer Care Center at Bay Area Medical Center
      • Marshfield, Wisconsin, Stany Zjednoczone, 54449
        • Marshfield Clinic - Marshfield Center
      • Oconto Falls, Wisconsin, Stany Zjednoczone, 54154
        • Green Bay Oncology, Limited - Oconto Falls
      • Racine, Wisconsin, Stany Zjednoczone, 53405
        • All Saints Cancer Center at Wheaton Franciscan Healthcare
      • Rice Lake, Wisconsin, Stany Zjednoczone, 54868
        • Marshfield Clinic - Indianhead Center
      • Sturgeon Bay, Wisconsin, Stany Zjednoczone, 54235
        • Green Bay Oncology, Limited - Sturgeon Bay
      • Wausau, Wisconsin, Stany Zjednoczone, 54401
        • University of Wisconcin Cancer Center at Aspirus Wausau Hospital
    • Wyoming
      • Sheridan, Wyoming, Stany Zjednoczone, 82801
        • Welch Cancer Center at Sheridan Memorial Hospital

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat do 120 lat (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed extensive stage small cell lung cancer (SCLC)
  • Measurable or evaluable disease by CT scan, MRI, x-ray, physical exam, or nuclear exam
  • Brain metastases allowed if previously treated with radiotherapy and/or surgery and are neurologically stable (i.e., no progressing symptoms and off steroids and anticonvulsants)

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Zubrod 0-1

Life expectancy

  • Not specified

Hematopoietic

  • WBC at least 3,000/mm^3
  • Absolute granulocyte count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • AST or ALT no greater than 2.5 times ULN

Renal

  • Creatinine normal
  • Creatinine clearance at least 50 mL/min

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix
  • HIV negative
  • No concurrent AIDS-related illness

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior biologic therapy for SCLC
  • No filgrastim (G-CSF) within 24 hours of chemotherapy

Chemotherapy

  • No prior systemic chemotherapy for SCLC

Endocrine therapy

  • See Disease Characteristics

Radiotherapy

  • See Disease Characteristics
  • At least 21 days since prior brain radiotherapy and recovered
  • No other prior radiotherapy for SCLC

Surgery

  • See Disease Characteristics
  • At least 21 days since prior thoracic or other major surgery and recovered

Other

  • No concurrent enzyme inducing antiepileptic drugs (phenytoin, phenobarbital, oxcarboxepine, or carbamazepine)

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Aktywny komparator: 2

Arm 1: 60 mg/m2 IV (over 30-60 min) on Day 1, Q 4 weeks x 4 Cycles

Arm 2: 80 mg/m2 IV (over 30-60 min) on Day 1, Q 4 weeks x 4 Cycles

100 mg/m2 IV (over 30-60 min) on Days 1 , 2 & 3. Q 3 weeks x 4 Cycles
Aktywny komparator: 1

Arm 1: 60 mg/m2 IV (over 30-60 min) on Day 1, Q 4 weeks x 4 Cycles

Arm 2: 80 mg/m2 IV (over 30-60 min) on Day 1, Q 4 weeks x 4 Cycles

60 mg/m2 IV (over 90 min)on Days 1, 8 & 15. Q 4 weeks x 4 Cycles

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Overall Survival
Ramy czasowe: Weekly while on treatment, then every 3 months for first year, then every 6 months unitl a maximum of 3 years from enrollment.
Overall survival was defined as the duration between the date of randomization( enrollment) and the date of death due to any cause. Patients last known to be alive were censored at the date of last contact.
Weekly while on treatment, then every 3 months for first year, then every 6 months unitl a maximum of 3 years from enrollment.

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Progression-free Survival
Ramy czasowe: Every 6 weeks until disease progression or a maximum of 3 years from the date of enrollment.
Progression-Free Survival was defined as the duration from the date of randomization (enrollment) until the date of documentation of progression as defined by RECIST (a 20% increase over nadir in the sum of longest diameters of target lesions, clear progression of a non-target lesion in the opinion of the treating investigator, appearance of new lesions, or symptomatic deterioration) or death due to any cause. Patients last known to be alive and without evidence of progression were censored at the date of last contact.
Every 6 weeks until disease progression or a maximum of 3 years from the date of enrollment.
Confirmed and Unconfirmed Complete and Partial Responses.
Ramy czasowe: Every 6 weeks while on protocol treatment for a maximum of 12 weeks
Patients underwent chest CT/MRI every 6 weeks while on treatment and tumor response was evaluated by RECIST in the subset of patients with at least one target lesion at baseline. A target lesion was defined as a lesion with a longest diameter of at least 2 cm ( or at least 1 cm if by spiral CT). A complete response (CR) was defined as the disappearance of all disease, including non-target lesions. A partial response (PR) was defined as a 30% or greater decrease in the sum of the longest diameters. Confirmation of a CR or PR was defined as a second determination of CR or PR at least 4 weeks after the first determination.
Every 6 weeks while on protocol treatment for a maximum of 12 weeks
Number of Patients With a Given Type and Grade of Adverse Event.
Ramy czasowe: Every 4 weeks while subject on protocol treatment for a maximum of 12 weeks.
Only adverse events that are possibly, probably or definitely related to study drug are reported. Only patients who received protocol treatment and were assessed for adverse events are included.
Every 4 weeks while subject on protocol treatment for a maximum of 12 weeks.

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Śledczy

  • Główny śledczy: Primo N. Lara, MD, University of California, Davis
  • Główny śledczy: Ronald B. Natale, MD, Cedars-Sinai Medical Center
  • Główny śledczy: David R. Gandara, MD, University of California, Davis
  • Główny śledczy: James R. Jett, MD, Mayo Clinic
  • Główny śledczy: Jane Carleton, MD, Don Monti Comprehensive Cancer Center at North Shore University Hospital

Publikacje i pomocne linki

Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.

Publikacje ogólne

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów

1 listopada 2002

Zakończenie podstawowe (Rzeczywisty)

1 marca 2008

Ukończenie studiów (Rzeczywisty)

1 grudnia 2009

Daty rejestracji na studia

Pierwszy przesłany

6 września 2002

Pierwszy przesłany, który spełnia kryteria kontroli jakości

26 stycznia 2003

Pierwszy wysłany (Oszacować)

27 stycznia 2003

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

31 lipca 2018

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

3 lipca 2018

Ostatnia weryfikacja

1 lipca 2018

Więcej informacji

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

Badania kliniczne na Rak płuc

Badania kliniczne na cisplatin

Subskrybuj