- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT02446600
Тестирование использования одного препарата (олапариба) или комбинации двух препаратов (кедираниба и олапариба) по сравнению с обычной химиотерапией у женщин с чувствительным к платине раком яичников, фаллопиевых труб или первичным раком брюшины
Исследование фазы III, сравнивающее олапариб в монорежиме или комбинацию цедираниба и олапариба со стандартной химиотерапией на основе платины у женщин с рецидивирующим чувствительным к платине раком яичников, фаллопиевых труб или первичным раком брюшины
This phase III trial studies olaparib or cediranib maleate and olaparib to see how well they work compared with standard platinum-based chemotherapy in treating patients with platinum-sensitive ovarian, fallopian tube, or primary peritoneal cancer that has come back. Olaparib and cediranib maleate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Cediranib maleate may stop the growth of ovarian, fallopian tube, or primary peritoneal cancer by blocking the growth of new blood vessels necessary for tumor growth. Drugs used in chemotherapy, such as carboplatin, paclitaxel, gemcitabine hydrochloride, and pegylated liposomal doxorubicin hydrochloride work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether olaparib or cediranib maleate and olaparib is more effective than standard platinum-based chemotherapy in treating patients with platinum-sensitive ovarian, fallopian tube, or primary peritoneal cancer.
Обзор исследования
Статус
Условия
- Рецидивирующая карцинома маточной трубы
- Рецидивирующая карцинома яичников
- Рецидивирующая первичная перитонеальная карцинома
- Серомуцинозный рак яичников
- Недифференцированная карцинома яичников
- Светлоклеточная аденокарцинома яичников
- Переходно-клеточная карцинома фаллопиевых труб
- Переходно-клеточная карцинома яичников
- Светлоклеточная аденокарцинома фаллопиевых труб
- Недифференцированная карцинома фаллопиевых труб
- Рецидивирующая эндометриоидная аденокарцинома яичников
- Эндометриоидная опухоль яичников
- Серозная опухоль яичников
Вмешательство/лечение
- Лекарство: Carboplatin
- Лекарство: Paclitaxel
- Другой: Laboratory Biomarker Analysis
- Другой: Quality-of-Life Assessment
- Процедура: Biospecimen Collection
- Процедура: Computed Tomography
- Процедура: Magnetic Resonance Imaging
- Процедура: Echocardiography Test
- Процедура: Multigated Acquisition Scan
- Другой: Pharmacological Study
- Лекарство: Gemcitabine Hydrochloride
- Лекарство: Cediranib Maleate
- Лекарство: Olaparib
- Лекарство: Gemcitabine
- Лекарство: Pegylated Liposomal Doxorubicin Hydrochloride
Подробное описание
PRIMARY OBJECTIVE:
I. Assess the efficacy of either single agent olaparib or the combination of cediranib (cediranib maleate) and olaparib, as measured by progression free survival (PFS), as compared to standard platinum-based chemotherapy in the setting of recurrent platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.
SECONDARY OBJECTIVES:
I. Assess the efficacy of single agent olaparib or the combination of cediranib and olaparib, as measured by response rate and overall survival as compared to standard platinum-based chemotherapy in the setting of recurrent platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.
II. Assess the efficacy of single agent olaparib or the combination of cediranib and olaparib, as measured by PFS, in women with or without deleterious germline breast cancer (BRCA) mutations (gBRCAmt) in the setting of recurrent platinum-sensitive ovarian, primary peritoneal, or fallopian tube cancer.
III. Assess the effect on disease-related symptoms (DRS) as measured by the 9-item DRS-P subscale of the National Comprehensive Cancer Network-Functional Assessment of Cancer Therapy (NCCN-FACT) Ovarian Symptom Index-18 (NFOSI-18), of single agent olaparib or cediranib and olaparib, compared to standard platinum-based chemotherapy, in the setting of recurrent platinum sensitive ovarian, primary peritoneal or fallopian tube cancer.
IV. Assess the efficacy of single agent olaparib or the combination of cediranib and olaparib, as measured by PFS, in women with or without homologous repair deficiencies as measured by BROCA in the setting of recurrent platinum-sensitive ovarian, primary peritoneal, or fallopian tube cancer.
V. To assess changes in the number of circulating endothelial cells (CECs) following three days of treatment with olaparib, combination olaparib/cediranib, or standard platinum-based chemotherapy in women with recurrent platinum-sensitive ovarian, primary peritoneal, or fallopian tube cancer.
VI. To assess whether change in the number of circulating endothelial cells (CECs) following three days of treatment with olaparib, combination olaparib/cediranib, or standard platinum-based chemotherapy in women with recurrent platinum-sensitive ovarian, primary peritoneal, or fallopian tube cancer is prognostic for PFS.
VII. To develop a profile from a panel of angiogenic biomarkers in women with recurrent platinum-sensitive ovarian, primary peritoneal, or fallopian tube cancer which is associated with PFS, and then validate the predictive value of this biomarker profile.
EXPLORATORY OBJECTIVES:
I. To assess the time from randomization to the first non-study, anti-cancer therapy, surgery or death (TFST) for single-agent olaparib or combination cediranib and olaparib relative to standard platinum-based chemotherapy in the setting of recurrent platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.
II. To assess the time from randomization to the second non-study, anti-cancer therapy, surgery or death (TSST) for single-agent olaparib or combination cediranib and olaparib relative to standard platinum-based chemotherapy in the setting of recurrent platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.
III. Assess the effect on secondary measures of quality of life, as assessed by the treatment side effects (TSE) and function/well-being (F/WB) subscales of the NFOSI-18, sensory neuropathy as measured by the FACT/Gynecologic Oncology Group-Neurotoxicity version 4 (GOG-Ntx-4), and health utility as measured by the Euro Quality of Life-5 Dimension (EQ-5D), of single agent olaparib or cediranib and olaparib, compared to standard platinum-based chemotherapy, in the setting of recurrent platinum sensitive ovarian, primary peritoneal or fallopian tube cancer.
OUTLINE: Patients are randomized to 1 of 3 treatment arms.
ARM I: Patients may be treated with one of the three regimens per investigator discretion.
REGIMEN I: Patients receive paclitaxel intravenously (IV) over 3 hours and carboplatin IV over 30-60 minutes and on day 1. Treatment repeats every 21 days for at least 4 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo echocardiography (ECHO) or multigated acquisition scan (MUGA) during screening. Patients also undergo computed tomography (CT) or magnetic resonance imaging (MRI) as well as blood sample collection throughout the trial.
REGIMEN II: Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and carboplatin IV over 30-60 minutes on day 1. Treatment repeats every 21 for at least 4 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening. Patients also undergo CT or MRI as well as blood sample collection throughout the trial.
REGIMEN III: Patients receive pegylated liposomal doxorubicin hydrochloride IV and carboplatin IV over 30-60 minutes and on day 1. Treatment repeats every 28 days for at least 4 cycles in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo CT or MRI as well as blood sample collection throughout the trial.
ARM II: Patients receive olaparib orally (PO) twice daily (BID). Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening. Patients also undergo CT or MRI as well as blood sample collection throughout the trial.
ARM III: Patients receive olaparib PO BID and cediranib maleate PO once daily (QD). Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo CT or MRI as well as blood sample collection throughout the trial.
After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
Тип исследования
Регистрация (Действительный)
Фаза
- Фаза 3
Контакты и местонахождение
Места учебы
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Alberta
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Calgary, Alberta, Канада, T2N 5G2
- Arthur J E Child Comprehensive Cancer Centre
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Edmonton, Alberta, Канада, T6G 1Z2
- Cross Cancer Institute
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Ontario
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Hamilton, Ontario, Канада, L8V 5C2
- Juravinski Cancer Centre at Hamilton Health Sciences
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London, Ontario, Канада, N6A 4L6
- London Regional Cancer Program
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Ottawa, Ontario, Канада, K1H 8L6
- Ottawa Hospital and Cancer Center-General Campus
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Sault Ste. Marie, Ontario, Канада, P6B 0A8
- Algoma District Cancer Program Sault Area Hospital
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Toronto, Ontario, Канада, M5G 2M9
- University Health Network-Princess Margaret Hospital
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Toronto, Ontario, Канада, M4N 3M5
- Odette Cancer Centre- Sunnybrook Health Sciences Centre
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Quebec
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Montreal, Quebec, Канада, H3T 1E2
- Jewish General Hospital
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Montreal, Quebec, Канада, H2X 3E4
- CHUM - Centre Hospitalier de l'Universite de Montreal
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Montreal, Quebec, Канада, H1T 2M4
- CIUSSSEMTL-Hopital Maisonneuve-Rosemont
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Québec, Quebec, Канада, G1R 2J6
- CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
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Sherbrooke, Quebec, Канада, J1H 5N4
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
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Alabama
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Birmingham, Alabama, Соединенные Штаты, 35233
- University of Alabama at Birmingham Cancer Center
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Mobile, Alabama, Соединенные Штаты, 36688
- University of South Alabama Mitchell Cancer Institute
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Alaska
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Anchorage, Alaska, Соединенные Штаты, 99508
- Alaska Women's Cancer Care
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Anchorage, Alaska, Соединенные Штаты, 99508
- Providence Alaska Medical Center
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Arizona
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Tucson, Arizona, Соединенные Штаты, 85704
- Arizona Oncology Associates-West Orange Grove
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Tucson, Arizona, Соединенные Штаты, 85710
- Arizona Oncology Associates-Wilmot
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Arkansas
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Little Rock, Arkansas, Соединенные Штаты, 72205
- University of Arkansas for Medical Sciences
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California
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Arroyo Grande, California, Соединенные Штаты, 93420
- PCR Oncology
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Carmichael, California, Соединенные Штаты, 95608
- Mercy San Juan Medical Center
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Greenbrae, California, Соединенные Штаты, 94904
- Marin Cancer Care Inc
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La Jolla, California, Соединенные Штаты, 92093
- UC San Diego Moores Cancer Center
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Los Angeles, California, Соединенные Штаты, 90048
- Cedars-Sinai Medical Center
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Mountain View, California, Соединенные Штаты, 94040
- Palo Alto Medical Foundation-Camino Division
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Mountain View, California, Соединенные Штаты, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Oakland, California, Соединенные Штаты, 94611
- Kaiser Permanente-Oakland
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Palo Alto, California, Соединенные Штаты, 94301
- Palo Alto Medical Foundation Health Care
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Roseville, California, Соединенные Штаты, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Соединенные Штаты, 95816
- Sutter Medical Center Sacramento
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Sacramento, California, Соединенные Штаты, 95817
- University of California Davis Comprehensive Cancer Center
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Sacramento, California, Соединенные Штаты, 95825
- Kaiser Permanente Sacramento Medical Center
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Sacramento, California, Соединенные Штаты, 95816
- Mercy Cancer Center - Sacramento
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San Francisco, California, Соединенные Штаты, 94115
- Kaiser Permanente-San Francisco
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San Francisco, California, Соединенные Штаты, 94158
- UCSF Medical Center-Mission Bay
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San Francisco, California, Соединенные Штаты, 94115
- California Pacific Medical Center-Pacific Campus
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San Luis Obispo, California, Соединенные Штаты, 93401
- Pacific Central Coast Health Center-San Luis Obispo
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Santa Clara, California, Соединенные Штаты, 95051
- Kaiser Permanente Medical Center - Santa Clara
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Santa Cruz, California, Соединенные Штаты, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Santa Rosa, California, Соединенные Штаты, 95403
- Sutter Pacific Medical Foundation
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Sunnyvale, California, Соединенные Штаты, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Vallejo, California, Соединенные Штаты, 94589
- Kaiser Permanente-Vallejo
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Walnut Creek, California, Соединенные Штаты, 94596
- Kaiser Permanente-Walnut Creek
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Woodland, California, Соединенные Штаты, 95695
- Woodland Memorial Hospital
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Colorado
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Aurora, Colorado, Соединенные Штаты, 80012
- Rocky Mountain Cancer Centers-Aurora
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Aurora, Colorado, Соединенные Штаты, 80045
- UCHealth University of Colorado Hospital
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Colorado Springs, Colorado, Соединенные Штаты, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Соединенные Штаты, 80909
- UCHealth Memorial Hospital Central
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Denver, Colorado, Соединенные Штаты, 80205
- Kaiser Permanente-Franklin
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Denver, Colorado, Соединенные Штаты, 80220
- Rocky Mountain Cancer Centers-Rose
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Fort Collins, Colorado, Соединенные Штаты, 80524
- Poudre Valley Hospital
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Lafayette, Colorado, Соединенные Штаты, 80026
- Kaiser Permanente-Rock Creek
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Littleton, Colorado, Соединенные Штаты, 80120
- Rocky Mountain Cancer Centers-Littleton
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Lone Tree, Colorado, Соединенные Штаты, 80124
- Kaiser Permanente-Lone Tree
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Lone Tree, Colorado, Соединенные Штаты, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Wheat Ridge, Colorado, Соединенные Штаты, 80401
- Intermountain Health Lutheran Hospital
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Connecticut
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Fairfield, Connecticut, Соединенные Штаты, 06824
- Smilow Cancer Hospital Care Center-Fairfield
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Hartford, Connecticut, Соединенные Штаты, 06105
- Smilow Cancer Hospital Care Center at Saint Francis
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Hartford, Connecticut, Соединенные Штаты, 06102
- Hartford Hospital
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Middletown, Connecticut, Соединенные Штаты, 06457
- Middlesex Hospital
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New Britain, Connecticut, Соединенные Штаты, 06050
- The Hospital of Central Connecticut
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New Haven, Connecticut, Соединенные Штаты, 06520
- Yale University
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Torrington, Connecticut, Соединенные Штаты, 06790
- Smilow Cancer Hospital-Torrington Care Center
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Trumbull, Connecticut, Соединенные Штаты, 06611
- Smilow Cancer Hospital Care Center-Trumbull
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Delaware
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Newark, Delaware, Соединенные Штаты, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Соединенные Штаты, 19718
- Christiana Care Health System-Christiana Hospital
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Rehoboth Beach, Delaware, Соединенные Штаты, 19971
- Beebe Health Campus
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Seaford, Delaware, Соединенные Штаты, 19973
- TidalHealth Nanticoke / Allen Cancer Center
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District of Columbia
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Washington D.C., District of Columbia, Соединенные Штаты, 20016
- Sibley Memorial Hospital
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Florida
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Gainesville, Florida, Соединенные Штаты, 32610
- UF Health Cancer Institute - Gainesville
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Georgia
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Athens, Georgia, Соединенные Штаты, 30607
- University Cancer and Blood Center LLC
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Atlanta, Georgia, Соединенные Штаты, 30309
- Piedmont Hospital
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Atlanta, Georgia, Соединенные Штаты, 30342
- Northside Hospital
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Decatur, Georgia, Соединенные Штаты, 30033
- Emory Decatur Hospital
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Macon, Georgia, Соединенные Штаты, 31201
- Atrium Health Navicent
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Savannah, Georgia, Соединенные Штаты, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
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Savannah, Georgia, Соединенные Штаты, 31404
- Memorial Health University Medical Center
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Hawaii
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Honolulu, Hawaii, Соединенные Штаты, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Соединенные Штаты, 96826
- Kapiolani Medical Center for Women and Children
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Idaho
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Boise, Idaho, Соединенные Штаты, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Boise, Idaho, Соединенные Штаты, 83712
- Saint Luke's Cancer Institute - Boise
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Fruitland, Idaho, Соединенные Штаты, 83619
- Saint Luke's Cancer Institute - Fruitland
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Meridian, Idaho, Соединенные Штаты, 83642
- Saint Luke's Cancer Institute - Meridian
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Nampa, Idaho, Соединенные Штаты, 83687
- Saint Luke's Cancer Institute - Nampa
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Illinois
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Aurora, Illinois, Соединенные Штаты, 60504
- Rush-Copley Medical Center
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Bloomington, Illinois, Соединенные Штаты, 61704
- Illinois CancerCare-Bloomington
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Canton, Illinois, Соединенные Штаты, 61520
- Illinois CancerCare-Canton
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Carthage, Illinois, Соединенные Штаты, 62321
- Illinois CancerCare-Carthage
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Centralia, Illinois, Соединенные Штаты, 62801
- Centralia Oncology Clinic
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Chicago, Illinois, Соединенные Штаты, 60611
- Northwestern University
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Chicago, Illinois, Соединенные Штаты, 60612
- John H Stroger Jr Hospital of Cook County
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Chicago, Illinois, Соединенные Штаты, 60657
- UChicago Medicine Comprehensive Cancer Center - Saint Joseph Hospital
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Chicago, Illinois, Соединенные Штаты, 60612
- Rush MD Anderson Cancer Center
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Decatur, Illinois, Соединенные Штаты, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Соединенные Штаты, 62526
- Cancer Care Specialists of Illinois - Decatur
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Effingham, Illinois, Соединенные Штаты, 62401
- Crossroads Cancer Center
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Eureka, Illinois, Соединенные Штаты, 61530
- Illinois CancerCare-Eureka
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Evanston, Illinois, Соединенные Штаты, 60201
- NorthShore University HealthSystem-Evanston Hospital
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Galesburg, Illinois, Соединенные Штаты, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Соединенные Штаты, 60134
- Northwestern Medicine Cancer Center Delnor
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Glenview, Illinois, Соединенные Штаты, 60026
- NorthShore University HealthSystem-Glenbrook Hospital
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Highland Park, Illinois, Соединенные Штаты, 60035
- NorthShore University HealthSystem-Highland Park Hospital
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Hinsdale, Illinois, Соединенные Штаты, 60521
- Sudarshan K Sharma MD Limited-Gynecologic Oncology
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Kewanee, Illinois, Соединенные Штаты, 61443
- Illinois CancerCare-Kewanee Clinic
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Macomb, Illinois, Соединенные Штаты, 61455
- Illinois CancerCare-Macomb
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O'Fallon, Illinois, Соединенные Штаты, 62269
- Cancer Care Center of O'Fallon
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Ottawa, Illinois, Соединенные Штаты, 61350
- Illinois CancerCare-Ottawa Clinic
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Park Ridge, Illinois, Соединенные Штаты, 60068
- Advocate Lutheran General Hospital
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Pekin, Illinois, Соединенные Штаты, 61554
- Illinois CancerCare-Pekin
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Peoria, Illinois, Соединенные Штаты, 61615
- Illinois CancerCare-Peoria
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Peru, Illinois, Соединенные Штаты, 61354
- Illinois CancerCare-Peru
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Princeton, Illinois, Соединенные Штаты, 61356
- Illinois CancerCare-Princeton
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Springfield, Illinois, Соединенные Штаты, 62702
- Springfield Clinic
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Springfield, Illinois, Соединенные Штаты, 62781
- Springfield Memorial Hospital
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Warrenville, Illinois, Соединенные Штаты, 60555
- Northwestern Medicine Cancer Center Warrenville
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Indiana
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Indianapolis, Indiana, Соединенные Штаты, 46260
- Ascension Saint Vincent Indianapolis Hospital
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Iowa
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Clive, Iowa, Соединенные Штаты, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, Соединенные Штаты, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
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Des Moines, Iowa, Соединенные Штаты, 50309
- Iowa Methodist Medical Center
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Des Moines, Iowa, Соединенные Штаты, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Соединенные Штаты, 50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
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Des Moines, Iowa, Соединенные Штаты, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
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Iowa City, Iowa, Соединенные Штаты, 52242
- University of Iowa/Holden Comprehensive Cancer Center
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West Des Moines, Iowa, Соединенные Штаты, 50266
- Mercy Medical Center-West Lakes
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Kansas
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Kansas City, Kansas, Соединенные Штаты, 66160
- University of Kansas Cancer Center
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Pittsburg, Kansas, Соединенные Штаты, 66762
- Mercy Hospital Pittsburg
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Topeka, Kansas, Соединенные Штаты, 66606
- Cotton O'Neil Cancer Center / Stormont Vail Health
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Wichita, Kansas, Соединенные Штаты, 67214
- Ascension Via Christi Hospitals Wichita
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Wichita, Kansas, Соединенные Штаты, 67208
- Associates In Womens Health
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Kentucky
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Lexington, Kentucky, Соединенные Штаты, 40536
- University of Kentucky/Markey Cancer Center
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Louisville, Kentucky, Соединенные Штаты, 40202
- Norton Hospital Pavilion and Medical Campus
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Louisville, Kentucky, Соединенные Штаты, 40241
- Norton Brownsboro Hospital and Medical Campus
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Louisville, Kentucky, Соединенные Штаты, 40207
- Norton Suburban Hospital and Medical Campus
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Louisiana
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Baton Rouge, Louisiana, Соединенные Штаты, 70809
- Mary Bird Perkins Cancer Center
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Baton Rouge, Louisiana, Соединенные Штаты, 70817
- Woman's Hospital
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Covington, Louisiana, Соединенные Штаты, 70433
- Women's Cancer Care-Covington
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New Orleans, Louisiana, Соединенные Штаты, 70121
- Ochsner Medical Center Jefferson
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Maine
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Bangor, Maine, Соединенные Штаты, 04401
- Eastern Maine Medical Center
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Brewer, Maine, Соединенные Штаты, 04412
- Lafayette Family Cancer Center-EMMC
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Scarborough, Maine, Соединенные Штаты, 04074
- MaineHealth Maine Medical Center- Scarborough
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Maryland
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Baltimore, Maryland, Соединенные Штаты, 21237
- MedStar Franklin Square Medical Center/Weinberg Cancer Institute
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Baltimore, Maryland, Соединенные Штаты, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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Baltimore, Maryland, Соединенные Штаты, 21204
- Greater Baltimore Medical Center
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Easton, Maryland, Соединенные Штаты, 21601
- University of Maryland Shore Medical Center at Easton
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Massachusetts
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Boston, Massachusetts, Соединенные Штаты, 02215
- Dana-Farber Cancer Institute
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Boston, Massachusetts, Соединенные Штаты, 02115
- Brigham and Women's Hospital
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Boston, Massachusetts, Соединенные Штаты, 02111
- Tufts Medical Center
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Burlington, Massachusetts, Соединенные Штаты, 01805
- Lahey Clinic
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Michigan
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Ann Arbor, Michigan, Соединенные Штаты, 48109
- University of Michigan Rogel Cancer Center
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Ann Arbor, Michigan, Соединенные Штаты, 48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
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Brownstown, Michigan, Соединенные Штаты, 48183
- Henry Ford Cancer Institute-Downriver
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Clinton Township, Michigan, Соединенные Штаты, 48038
- Henry Ford Macomb Hospital-Clinton Township
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Detroit, Michigan, Соединенные Штаты, 48202
- Henry Ford Hospital
-
Detroit, Michigan, Соединенные Штаты, 48201
- Wayne State University/Karmanos Cancer Institute
-
Escanaba, Michigan, Соединенные Штаты, 49829
- OSF Saint Francis Hospital and Medical Group
-
Farmington Hills, Michigan, Соединенные Штаты, 48334
- Weisberg Cancer Treatment Center
-
Flint, Michigan, Соединенные Штаты, 48503
- Hurley Medical Center
-
Flint, Michigan, Соединенные Штаты, 48503
- Genesys Hurley Cancer Institute
-
Grand Rapids, Michigan, Соединенные Штаты, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
-
Kalamazoo, Michigan, Соединенные Штаты, 49007
- West Michigan Cancer Center
-
Lansing, Michigan, Соединенные Штаты, 48912
- University of Michigan Health - Sparrow Lansing
-
Manistique, Michigan, Соединенные Штаты, 49854
- Schoolcraft Memorial Hospital
-
Pontiac, Michigan, Соединенные Штаты, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Southfield, Michigan, Соединенные Штаты, 48075
- Henry Ford Health Providence Southfield Hospital
-
Traverse City, Michigan, Соединенные Штаты, 49684
- Munson Medical Center
-
West Bloomfield, Michigan, Соединенные Штаты, 48322
- Henry Ford West Bloomfield Hospital
-
-
Minnesota
-
Bemidji, Minnesota, Соединенные Штаты, 56601
- Sanford Joe Lueken Cancer Center
-
Burnsville, Minnesota, Соединенные Штаты, 55337
- Fairview Ridges Hospital
-
Coon Rapids, Minnesota, Соединенные Штаты, 55433
- Mercy Hospital
-
Edina, Minnesota, Соединенные Штаты, 55435
- Fairview Southdale Hospital
-
Mankato, Minnesota, Соединенные Штаты, 56001
- Mayo Clinic Health Systems-Mankato
-
Maple Grove, Minnesota, Соединенные Штаты, 55369
- Fairview Clinics and Surgery Center Maple Grove
-
Maplewood, Minnesota, Соединенные Штаты, 55109
- Saint John's Hospital - Healtheast
-
Minneapolis, Minnesota, Соединенные Штаты, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Соединенные Штаты, 55455
- University of Minnesota/Masonic Cancer Center
-
Rochester, Minnesota, Соединенные Штаты, 55905
- Mayo Clinic in Rochester
-
Saint Louis Park, Minnesota, Соединенные Штаты, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul, Minnesota, Соединенные Штаты, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Соединенные Штаты, 55102
- United Hospital
-
Shakopee, Minnesota, Соединенные Штаты, 55379
- Saint Francis Regional Medical Center
-
Woodbury, Minnesota, Соединенные Штаты, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
-
Mississippi
-
Jackson, Mississippi, Соединенные Штаты, 39216
- University of Mississippi Medical Center
-
Jackson, Mississippi, Соединенные Штаты, 39216
- Saint Dominic-Jackson Memorial Hospital
-
-
Missouri
-
Cape Girardeau, Missouri, Соединенные Штаты, 63703
- Saint Francis Medical Center
-
Joplin, Missouri, Соединенные Штаты, 64804
- Mercy Hospital Joplin
-
Springfield, Missouri, Соединенные Штаты, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Соединенные Штаты, 65804
- Mercy Hospital Springfield
-
St Louis, Missouri, Соединенные Штаты, 63110
- Barnes-Jewish Hospital
-
St Louis, Missouri, Соединенные Штаты, 63110
- Washington University School of Medicine
-
-
Montana
-
Billings, Montana, Соединенные Штаты, 59101
- Billings Clinic Cancer Center
-
Great Falls, Montana, Соединенные Штаты, 59405
- Benefis Sletten Cancer Institute
-
Kalispell, Montana, Соединенные Штаты, 59901
- Logan Health Medical Center
-
Missoula, Montana, Соединенные Штаты, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Соединенные Штаты, 68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Kearney, Nebraska, Соединенные Штаты, 68847
- CHI Health Good Samaritan
-
Omaha, Nebraska, Соединенные Штаты, 68114
- Nebraska Methodist Hospital
-
Omaha, Nebraska, Соединенные Штаты, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Соединенные Штаты, 68130
- Alegent Health Lakeside Hospital
-
-
Nevada
-
Las Vegas, Nevada, Соединенные Штаты, 89106
- Women's Cancer Center of Nevada
-
-
New Hampshire
-
Dover, New Hampshire, Соединенные Штаты, 03820
- Wentworth-Douglass Hospital
-
Lebanon, New Hampshire, Соединенные Штаты, 03756
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
-
Nashua, New Hampshire, Соединенные Штаты, 03063
- Dartmouth Cancer Center - Nashua
-
-
New Jersey
-
Basking Ridge, New Jersey, Соединенные Штаты, 07920
- Memorial Sloan Kettering Basking Ridge
-
Camden, New Jersey, Соединенные Штаты, 08103
- Cooper Hospital University Medical Center
-
Englewood, New Jersey, Соединенные Штаты, 07631
- Englewood Hospital and Medical Center
-
Voorhees Township, New Jersey, Соединенные Штаты, 08043
- MD Anderson Cancer Center at Cooper-Voorhees
-
-
New Mexico
-
Albuquerque, New Mexico, Соединенные Штаты, 87106
- Southwest Gynecologic Oncology Associates Inc
-
Albuquerque, New Mexico, Соединенные Штаты, 87106
- University of New Mexico Cancer Center
-
Las Cruces, New Mexico, Соединенные Штаты, 88011
- Memorial Medical Center-Las Cruces
-
-
New York
-
Brooklyn, New York, Соединенные Штаты, 11203
- State University of New York Downstate Medical Center
-
Buffalo, New York, Соединенные Штаты, 14263
- Roswell Park Cancer Institute
-
Commack, New York, Соединенные Штаты, 11725
- Memorial Sloan Kettering Commack
-
Harrison, New York, Соединенные Штаты, 10604
- Memorial Sloan Kettering Westchester
-
New York, New York, Соединенные Штаты, 10065
- Memorial Sloan Kettering Cancer Center
-
New York, New York, Соединенные Штаты, 10016
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
-
Rochester, New York, Соединенные Штаты, 14642
- University of Rochester
-
The Bronx, New York, Соединенные Штаты, 10461
- Montefiore Medical Center-Einstein Campus
-
Uniondale, New York, Соединенные Штаты, 11553
- Memorial Sloan Kettering Nassau
-
White Plains, New York, Соединенные Штаты, 10601
- Dickstein Cancer Treatment Center
-
-
North Carolina
-
Chapel Hill, North Carolina, Соединенные Штаты, 27599
- UNC Lineberger Comprehensive Cancer Center
-
Durham, North Carolina, Соединенные Штаты, 27710
- Duke University Medical Center
-
Goldsboro, North Carolina, Соединенные Штаты, 27534
- Southeastern Medical Oncology Center-Goldsboro
-
Jacksonville, North Carolina, Соединенные Штаты, 28546
- Southeastern Medical Oncology Center-Jacksonville
-
Pinehurst, North Carolina, Соединенные Штаты, 28374
- FirstHealth of the Carolinas-Moore Regional Hospital
-
Raleigh, North Carolina, Соединенные Штаты, 27609
- Duke Cancer Center Raleigh
-
Wilmington, North Carolina, Соединенные Штаты, 28401
- Novant Health New Hanover Regional Medical Center
-
Winston-Salem, North Carolina, Соединенные Штаты, 27157
- Wake Forest University Health Sciences
-
-
North Dakota
-
Bismarck, North Dakota, Соединенные Штаты, 58501
- Sanford Bismarck Medical Center
-
Fargo, North Dakota, Соединенные Штаты, 58122
- Sanford Roger Maris Cancer Center
-
Fargo, North Dakota, Соединенные Штаты, 58122
- Sanford Broadway Medical Center
-
Minot, North Dakota, Соединенные Штаты, 58701
- Trinity Cancer Care Center
-
-
Ohio
-
Akron, Ohio, Соединенные Штаты, 44307
- Cleveland Clinic Akron General
-
Akron, Ohio, Соединенные Штаты, 44304
- Summa Health System - Akron Campus
-
Beachwood, Ohio, Соединенные Штаты, 44122
- UHHS-Chagrin Highlands Medical Center
-
Cincinnati, Ohio, Соединенные Штаты, 45219
- University of Cincinnati Cancer Center-UC Medical Center
-
Cincinnati, Ohio, Соединенные Штаты, 45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati, Ohio, Соединенные Штаты, 45247
- TriHealth Cancer Institute-Westside
-
Cleveland, Ohio, Соединенные Штаты, 44106
- Case Western Reserve University
-
Cleveland, Ohio, Соединенные Штаты, 44109
- MetroHealth Medical Center
-
Cleveland, Ohio, Соединенные Штаты, 44195
- Cleveland Clinic Foundation
-
Cleveland, Ohio, Соединенные Штаты, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Columbus, Ohio, Соединенные Штаты, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, Соединенные Штаты, 43210
- Ohio State University Comprehensive Cancer Center
-
Columbus, Ohio, Соединенные Штаты, 43219
- The Mark H Zangmeister Center
-
Columbus, Ohio, Соединенные Штаты, 43214
- Columbus Oncology and Hematology Associates Inc
-
Dayton, Ohio, Соединенные Штаты, 45405
- Grandview Hospital
-
Findlay, Ohio, Соединенные Штаты, 45840
- Orion Cancer Care
-
Mayfield Heights, Ohio, Соединенные Штаты, 44124
- Hillcrest Hospital Cancer Center
-
Mentor, Ohio, Соединенные Штаты, 44060
- UH Seidman Cancer Center at Lake Health Mentor Campus
-
Sylvania, Ohio, Соединенные Штаты, 43560
- ProMedica Flower Hospital
-
Toledo, Ohio, Соединенные Штаты, 43606
- ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
-
Wadsworth, Ohio, Соединенные Штаты, 44281
- University Hospitals Sharon Health Center
-
Westlake, Ohio, Соединенные Штаты, 44145
- UHHS-Westlake Medical Center
-
Wright-Patterson Air Force Base, Ohio, Соединенные Штаты, 45433
- Wright-Patterson Medical Center
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Соединенные Штаты, 73104
- University of Oklahoma Health Sciences Center
-
Tulsa, Oklahoma, Соединенные Штаты, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
-
-
Oregon
-
Bend, Oregon, Соединенные Штаты, 97701
- Saint Charles Health System
-
Eugene, Oregon, Соединенные Штаты, 97401
- Willamette Valley Cancer Center
-
Gresham, Oregon, Соединенные Штаты, 97030
- Legacy Mount Hood Medical Center
-
Portland, Oregon, Соединенные Штаты, 97210
- Legacy Good Samaritan Hospital and Medical Center
-
Portland, Oregon, Соединенные Штаты, 97227
- Kaiser Permanente Northwest
-
Tualatin, Oregon, Соединенные Штаты, 97062
- Legacy Meridian Park Hospital
-
-
Pennsylvania
-
Abington, Pennsylvania, Соединенные Штаты, 19001
- Jefferson Abington Hospital
-
Bethlehem, Pennsylvania, Соединенные Штаты, 18015
- Saint Luke's University Hospital-Bethlehem Campus
-
Danville, Pennsylvania, Соединенные Штаты, 17822
- Geisinger Medical Center
-
Ephrata, Pennsylvania, Соединенные Штаты, 17522
- Ephrata Cancer Center
-
Gettysburg, Pennsylvania, Соединенные Штаты, 17325
- Adams Cancer Center
-
Lancaster, Pennsylvania, Соединенные Штаты, 17602
- Lancaster General Hospital
-
Philadelphia, Pennsylvania, Соединенные Штаты, 19107
- Thomas Jefferson University Hospital
-
Philadelphia, Pennsylvania, Соединенные Штаты, 19104
- University of Pennsylvania/Abramson Cancer Center
-
Pittsburgh, Pennsylvania, Соединенные Штаты, 15224
- West Penn Hospital
-
Pittsburgh, Pennsylvania, Соединенные Штаты, 15232
- UPMC Hillman Cancer Center
-
Sayre, Pennsylvania, Соединенные Штаты, 18840
- Guthrie Medical Group PC-Robert Packer Hospital
-
Selinsgrove, Pennsylvania, Соединенные Штаты, 17870
- Geisinger Medical Oncology-Selinsgrove
-
West Reading, Pennsylvania, Соединенные Штаты, 19611
- Reading Hospital
-
Williamsport, Pennsylvania, Соединенные Штаты, 17701
- UPMC Susquehanna
-
York, Pennsylvania, Соединенные Штаты, 17403
- WellSpan Health-York Hospital
-
-
Rhode Island
-
Providence, Rhode Island, Соединенные Штаты, 02905
- Women and Infants Hospital
-
-
South Carolina
-
Anderson, South Carolina, Соединенные Штаты, 29621
- AnMed Health Cancer Center
-
Charleston, South Carolina, Соединенные Штаты, 29425
- Medical University of South Carolina
-
Gaffney, South Carolina, Соединенные Штаты, 29341
- Gibbs Cancer Center-Gaffney
-
Greenville, South Carolina, Соединенные Штаты, 29605
- Prisma Health Cancer Institute - Faris
-
Greenville, South Carolina, Соединенные Штаты, 29607
- Saint Francis Cancer Center
-
Greenville, South Carolina, Соединенные Штаты, 29601
- Saint Francis Hospital
-
Greer, South Carolina, Соединенные Штаты, 29651
- Gibbs Cancer Center-Pelham
-
Hilton Head Island, South Carolina, Соединенные Штаты, 29926-3827
- South Carolina Cancer Specialists PC
-
Spartanburg, South Carolina, Соединенные Штаты, 29303
- Spartanburg Medical Center
-
Union, South Carolina, Соединенные Штаты, 29379
- SMC Center for Hematology Oncology Union
-
-
South Dakota
-
Rapid City, South Dakota, Соединенные Штаты, 57701
- Rapid City Regional Hospital
-
Sioux Falls, South Dakota, Соединенные Штаты, 57105
- Avera Cancer Institute
-
Sioux Falls, South Dakota, Соединенные Штаты, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Соединенные Штаты, 57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Johnson City, Tennessee, Соединенные Штаты, 37604
- Wellmont Medical Associates Oncology and Hematology-Johnson City
-
Kingsport, Tennessee, Соединенные Штаты, 37660
- Ballad Health Cancer Care - Kingsport
-
Kingsport, Tennessee, Соединенные Штаты, 37660
- Wellmont Holston Valley Hospital and Medical Center
-
Knoxville, Tennessee, Соединенные Штаты, 37916
- Covenant Health Cancer Centers
-
Knoxville, Tennessee, Соединенные Штаты, 37932
- Covenant Health Cancer Centers - West
-
Nashville, Tennessee, Соединенные Штаты, 37232
- Vanderbilt University/Ingram Cancer Center
-
-
Texas
-
Austin, Texas, Соединенные Штаты, 78731
- Texas Oncology - Central Austin Cancer Center
-
Austin, Texas, Соединенные Штаты, 78745
- Texas Oncology - South Austin Cancer Center
-
Bedford, Texas, Соединенные Штаты, 76022
- Texas Oncology Bedford
-
Dallas, Texas, Соединенные Штаты, 75235
- Parkland Memorial Hospital
-
Dallas, Texas, Соединенные Штаты, 75390
- UT Southwestern/Simmons Cancer Center-Dallas
-
Fort Worth, Texas, Соединенные Штаты, 76104
- Texas Oncology - Fort Worth Cancer Center
-
Houston, Texas, Соединенные Штаты, 77030
- Houston Methodist Hospital
-
Houston, Texas, Соединенные Штаты, 77070
- Methodist Willowbrook Hospital
-
Sugar Land, Texas, Соединенные Штаты, 77479
- Houston Methodist Sugar Land Hospital
-
The Woodlands, Texas, Соединенные Штаты, 77380
- Texas Oncology-The Woodlands
-
-
Utah
-
Murray, Utah, Соединенные Штаты, 84107
- Intermountain Medical Center
-
Salt Lake City, Utah, Соединенные Штаты, 84106
- Utah Cancer Specialists-Salt Lake City
-
St. George, Utah, Соединенные Штаты, 84770
- Saint George Regional Medical Center
-
-
Virginia
-
Charlottesville, Virginia, Соединенные Штаты, 22908
- University of Virginia Cancer Center
-
Richmond, Virginia, Соединенные Штаты, 23298
- VCU Massey Comprehensive Cancer Center
-
-
Washington
-
Kennewick, Washington, Соединенные Штаты, 99336
- Kadlec Clinic Hematology and Oncology
-
Mount Vernon, Washington, Соединенные Штаты, 98274
- Skagit Valley Hospital
-
Mount Vernon, Washington, Соединенные Штаты, 98274
- Skagit Regional Health Cancer Care Center
-
Seattle, Washington, Соединенные Штаты, 98122
- Swedish Medical Center-First Hill
-
Seattle, Washington, Соединенные Штаты, 98195
- University of Washington Medical Center - Montlake
-
Seattle, Washington, Соединенные Штаты, 98104
- Pacific Gynecology Specialists
-
Seattle, Washington, Соединенные Штаты, 98109
- Fred Hutchinson Cancer Center
-
Seattle, Washington, Соединенные Штаты, 98133
- University of Washington Medical Center - Northwest
-
Seattle, Washington, Соединенные Штаты, 98133
- Women's Cancer Center of Seattle
-
Vancouver, Washington, Соединенные Штаты, 98686
- Legacy Salmon Creek Hospital
-
Wenatchee, Washington, Соединенные Штаты, 98801
- Wenatchee Valley Hospital and Clinics
-
-
West Virginia
-
Charleston, West Virginia, Соединенные Штаты, 25304
- Vandalia Health/CAMC Institute for Academic Medicine
-
Huntington, West Virginia, Соединенные Штаты, 25701
- Edwards Comprehensive Cancer Center
-
-
Wisconsin
-
Chippewa Falls, Wisconsin, Соединенные Штаты, 54729
- Marshfield Clinic-Chippewa Center
-
Eau Claire, Wisconsin, Соединенные Штаты, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
-
Green Bay, Wisconsin, Соединенные Штаты, 54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay, Wisconsin, Соединенные Штаты, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
La Crosse, Wisconsin, Соединенные Штаты, 54601
- Gundersen Lutheran Medical Center
-
Ladysmith, Wisconsin, Соединенные Штаты, 54848
- Marshfield Medical Center - Ladysmith
-
Madison, Wisconsin, Соединенные Штаты, 53792
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Marinette, Wisconsin, Соединенные Штаты, 54143
- Saint Vincent Hospital Cancer Center at Marinette
-
Marshfield, Wisconsin, Соединенные Штаты, 54449
- Marshfield Medical Center-Marshfield
-
Milwaukee, Wisconsin, Соединенные Штаты, 53226
- Medical College of Wisconsin
-
Minocqua, Wisconsin, Соединенные Штаты, 54548
- Marshfield Medical Center - Minocqua
-
Mukwonago, Wisconsin, Соединенные Штаты, 53149
- ProHealth D N Greenwald Center
-
Oconomowoc, Wisconsin, Соединенные Штаты, 53066
- ProHealth Oconomowoc Memorial Hospital
-
Oconto Falls, Wisconsin, Соединенные Штаты, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Rice Lake, Wisconsin, Соединенные Штаты, 54868
- Marshfield Medical Center-Rice Lake
-
Stevens Point, Wisconsin, Соединенные Штаты, 54482
- Marshfield Medical Center-River Region at Stevens Point
-
Stevens Point, Wisconsin, Соединенные Штаты, 54481
- Aspirus Cancer Care - Stevens Point
-
Sturgeon Bay, Wisconsin, Соединенные Штаты, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Waukesha, Wisconsin, Соединенные Штаты, 53188
- UW Cancer Center at ProHealth Care
-
Waukesha, Wisconsin, Соединенные Штаты, 53188
- ProHealth Waukesha Memorial Hospital
-
Wausau, Wisconsin, Соединенные Штаты, 54401
- Marshfield Clinic-Wausau Center
-
Weston, Wisconsin, Соединенные Штаты, 54476
- Marshfield Medical Center - Weston
-
Wisconsin Rapids, Wisconsin, Соединенные Штаты, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
-
-
-
-
Seoul, Южная Корея, 110-744
- Seoul National University Hospital
-
-
-
-
-
Saitama, Япония, 350-1298
- Saitama Medical University International Medical Center
-
Tokyo, Япония, 104 0045
- National Cancer Center Hospital
-
-
Iwate
-
Shiwa-gun, Iwate, Япония, 028-3695
- Iwate Medical University Hospital
-
-
Kagoshima-ken
-
Kagoshima, Kagoshima-ken, Япония, 890-8760
- Kagoshima City Hospital
-
-
Tokyo
-
Koto-ku, Tokyo, Япония, 135-8550
- The Cancer Institute Hospital Of JFCR
-
-
Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
Принимает здоровых добровольцев
Полы, имеющие право на обучение
Описание
Inclusion Criteria:
-
Patients must have platinum-sensitive recurrent high-grade serous or high-grade endometrioid ovarian, primary peritoneal, or fallopian tube cancers; patients with other (clear cell, mixed epithelial, undifferentiated carcinoma, or transitional cell carcinoma) high-risk histologies are also eligible, provided that the patient has a known deleterious germline BRCA1 or BRCA2 mutation identified through testing at a clinical laboratory; Note: Due to the long acceptance of germline BRCA testing through Myriad, Myriad testing will be accepted; if testing for germline BRCA is done by other organizations, documentation from a qualified medical professional (e.g., ovarian cancer specialty physician involved in the field, high risk genetics physician, genetics counselor) listing the mutation and confirming that the laboratory results showed a recognized germline deleterious BRCA1 or BRCA2 mutation or BRCA rearrangement is required; please collect a copy of Myriad or other BRCA mutational analysis (positive or VUS or negative) reports
- Platinum-sensitive disease defined as no clinical or radiographic evidence of disease recurrence for > 6 months (or 182 days) after last receipt of platinum-based therapy
- Patients must have had a complete clinical response to their prior line of platinum therapy and cannot have had progression through prior platinum-based therapy
-
Patients must have signed an approved informed consent and authorization permitting release of personal health information
-
Patients must have evaluable disease - defined as one of the following:
- Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 measurable disease OR
- Evaluable disease (defined as solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST 1.1 definitions for target lesions OR ascites and/or pleural effusion that has been pathologically demonstrated to be disease-related) AND a cancer antigen 125 (CA125) that has doubled from the post-treatment nadir and is also greater than 2 times upper limit of normal (ULN)
-
Prior therapy:
- Prior chemotherapy must have included a first-line platinum-based regimen with or without intravenous consolidation chemotherapy
- Patients may have received an unlimited number of platinum-based therapies in the recurrent setting
- Patients may have received up to 1 non-platinum-based line of therapy in the recurrent setting; prior hormonal therapy will not be considered to count as this non-platinum-based line
- Patients may not have had a prior anti-angiogenic agent in the recurrent setting; prior use of bevacizumab in the upfront or upfront maintenance setting is allowed
- Patients may not have previously received a poly adenosine diphosphate (ADP) ribose polymerase (PARP)-inhibitor
- Prior hormonal-based therapy for ovarian, primary peritoneal, or fallopian tube cancer is acceptable
-
Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 (Karnofsky >= 60%)
-
Absolute neutrophil count >= 1,500/mcL
-
Platelets >= 100,000/mcL
-
Hemoglobin >= 10 g/dL
-
Creatinine =< the institutional upper limit of normal (ULN) OR creatinine clearance >= 60 mL/min/1.73 m^2 for patients with creatinine levels above institutional normal
-
Urine protein: creatinine ratio (UPC) of =< 1 or less than or equal to 2+ proteinuria on two consecutive dipsticks taken no less than 1 week apart; UPC is the preferred test; patients with >= 2+ proteinuria on dipstick must also have a 24 hour urine collection demonstrating =< 500 mg over 24 hours
-
Total bilirubin =< 1.5 x the institutional ULN
-
Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) and alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 3 times institutional ULN
-
Toxicities of prior therapy (excepting alopecia) should be resolved to less than or equal to grade 1 as per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE); patients with long-standing stable grade 2 neuropathy may be considered after discussion with the overall principal investigator (PI), but may not receive carboplatin and paclitaxel as the reference regimen, if randomized to that arm
-
Patients must be able to swallow and retain oral medications and without gastrointestinal illnesses that would preclude absorption of cediranib or olaparib
-
Patients must have adequately controlled blood pressure (BP), with a BP no greater than 140 mmHg (systolic) and 90 mmHg (diastolic) for eligibility; patients must have a BP of =< 140/90 mmHg taken in the clinic setting by a medical professional within 2 weeks prior to starting study; patients with hypertension may be managed with up to a maximum of three antihypertensive medications; it is strongly recommended that patients who are on three antihypertensive medications be followed by a cardiologist or blood pressure specialist for management of blood pressure while on protocol
-
Patients must be willing and able to check and record daily blood pressure readings; blood pressure cuffs will be provided to patients randomized to Arm III
-
Cediranib has been shown to terminate fetal development in the rat, as expected for a process dependent on VEGF signaling; for this reason, women of child-bearing potential must have a negative pregnancy test prior to study entry; women of child-bearing potential must agree to use two reliable forms of contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 6 weeks after cediranib discontinuation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately
-
Adequately controlled thyroid function, with no symptoms of thyroid dysfunction and thyroid stimulating hormone (TSH) within normal limits
-
Age >= 18
Exclusion Criteria:
-
Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) of starting treatment or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier; patients may not have had hormonal therapy within 2 weeks prior to entering the study; patients receiving raloxifene for bone health as per Food and Drug Administration (FDA) indication may remain on raloxifene absent other drug interactions
-
Patients may not be receiving any other investigational agents nor have participated in an investigational trial within the past 4 weeks
-
Patients may not be receiving any medication that may markedly affect renal function (e.g., vancomycin, amphotericin, pentamidine)
-
Patients may not have received prior treatment affecting the vascular endothelial growth factor (VEGF) pathway (including, but not limited to thalidomide, sunitinib, pazopanib, sorafenib, and nintedanib); bevacizumab used in the upfront setting in conjunction with chemotherapy and/or as maintenance to treat newly diagnosed disease will be allowed
-
Patients may not have previously received a PARP inhibitor
-
CA-125 only disease without RECIST 1.1 measurable or otherwise evaluable disease
-
Patients with untreated brain metastases, spinal cord compression, or evidence of symptomatic brain metastases or leptomeningeal disease as noted on CT or MRI scans should not be included on this study, since neurologic dysfunction may confound the evaluation of neurologic and other adverse events; screening imaging to rule out brain metastases is not required for screening, but should be performed prior to study enrollment if clinically indicated; patients with treated brain metastases and resolution of any associated symptoms must demonstrate stable post-therapeutic imaging for at least 6 months following therapy prior to starting study drug
-
History of allergic reactions attributed to compounds of similar chemical or biologic composition to cediranib or olaparib
-
Participants receiving any medications or substances that are strong inhibitors or inducers of cytochrome P450, family 3, subfamily A, polypeptide 4 (CYP3A4) are ineligible; strong inhibitors and inducers of UGT/PgP should be used with caution
-
History of gastrointestinal perforation; patients with a history of abdominal fistula will be considered eligible if the fistula was surgically repaired or has healed, there has been no evidence of fistula for at least 6 months, and patient is deemed to be at low risk of recurrent fistula
-
History of intra-abdominal abscess within the past 3 months
-
Current signs and/or symptoms of bowel obstruction or signs and/or symptoms of bowel obstruction within 3 months prior to starting study drugs
-
Dependency on intravenous (IV) hydration or total parenteral nutrition (TPN)
-
Any concomitant or prior invasive malignancies with the following curatively treated exceptions:
- Treated limited stage basal cell or squamous cell carcinoma of the skin
- Carcinoma in situ of the breast or cervix
- Primary endometrial cancer meeting the following conditions: stage not greater than IA, grade 1 or 2, no more than superficial myometrial invasion, without vascular or lymphatic invasion; no poorly differentiated subtypes, including papillary serous/serous, clear cell, or other International Federation of Gynecology and Obstetrics (FIGO) grade 3 lesions
- Prior cancer treated with a curative intent with no evidence of recurrent disease 3 years following diagnosis and judged by the investigator to be at low risk of recurrence
-
Patients with any of the following:
- History of myocardial infarction within six months
- Unstable angina
- Resting electrocardiogram (ECG) with clinically significant abnormal findings
- New York Heart Association (NYHA) classification of III or IV
-
If cardiac function assessment is clinically indicated or performed: left ventricular ejection fraction (LVEF) less than normal per institutional guidelines, or < 55%, if threshold for normal not otherwise specified by institutional guidelines
-
Patients with the following risk factors should have a baseline cardiac function assessment:
- Prior treatment with anthracyclines
- Prior treatment with trastuzumab
- Prior central thoracic radiation therapy (RT), including RT to the heart
- History of myocardial infarction within 6 to 12 months (patients with history of myocardial infarction within 6 months are excluded from the study)
- Prior history of impaired cardiac function
-
-
History of stroke or transient ischemic attack within six months
-
Any prior history of hypertensive crisis or hypertensive encephalopathy
-
Clinically significant peripheral vascular disease or vascular disease (including aortic aneurysm or aortic dissection)
-
Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to starting cediranib
-
Uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia (other than atrial fibrillation with controlled ventricular rate), or psychiatric illness/social situations that would limit compliance with study requirements
-
Pregnant women are excluded from this study because cediranib and olaparib are agents with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk of adverse events in nursing infants secondary to treatment of the mother with cediranib and olaparib, breastfeeding should be discontinued if the mother is treated with cediranib or olaparib; these potential risks may also apply to other agents used in this study
-
Known HIV-positive individuals are ineligible because of the potential for pharmacokinetic interactions with cediranib or olaparib; in addition, these individuals are at increased risk of lethal infections when treated with marrow-suppressive therapy
-
Patients may not use any complementary or alternative medicines including natural herbal products or folk remedies as they may interfere with the effectiveness of the study treatments
-
No features suggestive of myelodysplastic syndrome (MDS) or acute myelogenous leukemia (AML) on peripheral blood smear or bone marrow biopsy, if clinically indicated
-
No prior allogeneic bone marrow transplant or double umbilical cord blood transplantation (dUBCT)
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Активный компаратор: Arm I (platinum-based chemotherapy)
See detailed description. |
Given IV
Другие имена:
Given IV
Другие имена:
Correlative studies Ancillary studies
Другие имена:
Undergo CT
Другие имена:
Undergo MRI
Другие имена:
Undergo ECHO
Другие имена:
Undergo MUGA
Другие имена:
Given IV
Другие имена:
Given IV
Другие имена:
Given IV
Другие имена:
|
|
Экспериментальный: Arm II (olaparib)
Patients receive olaparib PO BID. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening. Patients also undergo CT or MRI as well as blood sample collection throughout the trial. |
Correlative studies Ancillary studies
Другие имена:
Undergo blood sample collection
Другие имена:
Undergo CT
Другие имена:
Undergo MRI
Другие имена:
Undergo ECHO
Другие имена:
Undergo MUGA
Другие имена:
Correlative studies Given PO
Другие имена:
|
|
Экспериментальный: Arm III (olaparib, cediranib maleate)
Patients receive olaparib PO BID and cediranib maleate PO QD. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA during screening and as clinically indicated on study. Patients also undergo CT or MRI as well as blood sample collection throughout the trial. |
Correlative studies Ancillary studies
Другие имена:
Undergo blood sample collection
Другие имена:
Undergo CT
Другие имена:
Undergo MRI
Другие имена:
Undergo ECHO
Другие имена:
Undergo MUGA
Другие имена:
Correlative studies Given PO
Другие имена:
Given PO
Другие имена:
|
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Progression Free Survival Determined Using Response Evaluation Criteria in Solid Tumors Version 1.1 Criteria
Временное ограничение: The protocol required lesion assessments every 9 weeks from cycle 1, day 1 for the first year, then every 12 weeks thereafter until disease progression. An average of approximately 10 months.
|
Progression free survival (PFS) was defined as the number of months between study enrollment and documentation of disease progression (RECIST 1.1) or death from any cause. Patients still alive and disease free at the last follow-up were censored on the date of last CT Scan, or the CT Scan date prior to two missed assessments. Japanese cohort not included in progression free survival analysis, only included in toxicity assessments. |
The protocol required lesion assessments every 9 weeks from cycle 1, day 1 for the first year, then every 12 weeks thereafter until disease progression. An average of approximately 10 months.
|
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Overall Survival
Временное ограничение: Approximately 30 months
|
Overall survival (OS) was defined as the number of months between study enrollment and death from any cause. Patients still alive at the last follow-up were censored on the date of last contact. Japanese cohort not included in overall survival analysis, the cohort was only included in toxicity assessments. |
Approximately 30 months
|
|
Frequency and Severity of Adverse Effects
Временное ограничение: During treatment period and up to 100 days after stopping the study treatment, up to 39 months.
|
Number of treated patients with Adverse Events (grade 3 or higher) observed while receiving randomized therapy, by Preferred term with incidence rate greater than 5%. |
During treatment period and up to 100 days after stopping the study treatment, up to 39 months.
|
|
Patient Reported Scores of Disease-related Symptoms as Measured by the National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Ovarian Symptom Index-18 Disease-Related Symptom-Physical
Временное ограничение: Prior to cycle 1, week 12, week 24, week 36, week 48, week 60, week 72, week 84, week 96 and 108 weeks after starting treatment
|
Disease-related physical symptoms were measured by the Disease-Related Symptom-Physical (DRS-P) subscale of the National Comprehensive Cancer Network/Functional Assessment of Cancer Therapy Ovarian Symptom Index-18 (NCCN/FOSI-18). The DRS-P subscale is composed of 9 items. For the negative statements (or questions), reversal was performed prior to score calculation. According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the subscale. The DRS-P score ranges 0-36 with a larger score suggesting better QOL (Quality of Life) or less symptoms. This analysis did not include the Japanese cohort. |
Prior to cycle 1, week 12, week 24, week 36, week 48, week 60, week 72, week 84, week 96 and 108 weeks after starting treatment
|
Другие показатели результатов
Мера результата |
Временное ограничение |
|---|---|
|
Время от рандомизации до первого отсутствия исследования, противоракового лечения или смерти
Временное ограничение: До 5 лет
|
До 5 лет
|
|
Время от рандомизации до второго отсутствия исследования, противоракового лечения или смерти
Временное ограничение: До 5 лет
|
До 5 лет
|
Соавторы и исследователи
Спонсор
Следователи
- Главный следователь: Joyce F Liu, NRG Oncology
Публикации и полезные ссылки
Общие публикации
- Tattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.
- Liu JF, Brady MF, Matulonis UA, Miller A, Kohn EC, Swisher EM, Cella D, Tew WP, Cloven NG, Muller CY, Bender DP, Moore RG, Michelin DP, Waggoner SE, Geller MA, Fujiwara K, D'Andre SD, Carney M, Alvarez Secord A, Moxley KM, Bookman MA. Olaparib With or Without Cediranib Versus Platinum-Based Chemotherapy in Recurrent Platinum-Sensitive Ovarian Cancer (NRG-GY004): A Randomized, Open-Label, Phase III Trial. J Clin Oncol. 2022 Jul 1;40(19):2138-2147. doi: 10.1200/JCO.21.02011. Epub 2022 Mar 15.
- Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Действительный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Оцененный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Дополнительные соответствующие термины MeSH
- Урогенитальные заболевания
- Генитальные заболевания
- Заболевания эндокринной системы
- Урогенитальные новообразования
- Новообразования по локализации
- Новообразования
- Женские урогенитальные заболевания
- Женские мочеполовые заболевания и осложнения беременности
- Заболевания половых органов, Женский
- Новообразования эндокринных желез
- Заболевания яичников
- Заболевания придатков
- Генитальные Новообразования, Женщины
- Заболевания гонад
- Заболевания фаллопиевых труб
- Новообразования яичников
- Новообразования фаллопиевых труб
- Органические химические вещества
- Гетероциклические соединения, 1-кольцо
- Гетероциклические соединения
- Следственные методы
- Клинические лабораторные методы
- Диагностические методы и процедуры
- Диагноз
- Углеводороды
- Циклопарафины
- Углеводороды, алициклический
- Углеводороды, циклические
- Терпена
- Углеводы
- Полициклические ароматические углеводороды
- Углеводороды, ароматные
- Полициклические соединения
- Гликозиды
- Координационные комплексы
- Таксииды
- Циклодеканы
- Diterpenes
- Дезоксицитидин
- Цитидин
- Пиримидиновые нуклеозиды
- Пиримидины
- Экономика здравоохранения и организации
- Химические методы, аналитические
- Анализ спектра
- Антрациклины
- Нафтацены
- Аминогликозиды
- Даунорубицин
- Экономика
- Гемцитабин
- Карбоплатин
- Доксорубицин
- Паклитаксел
- Обработка образца
- Магнитно -резонансная спектроскопия
- Липосомальный доксорубицин
- Олапариб
- Седираниб
- Налоги
Другие идентификационные номера исследования
- NCI-2015-00606
- U10CA180868 (Грант/контракт NIH США)
- NCI-2015-00606 (Идентификатор реестра: CTRP (Clinical Trial Reporting Program))
- s16-01480
- NRG-GY004 (Другой идентификатор: CTEP)
- NRG-GY004
- NRG-GY004 (Другой идентификатор: NRG Oncology)
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .