此页面是自动翻译的,不保证翻译的准确性。请参阅 英文版 对于源文本。

奥希替尼用于治疗 IIIB-IV 期或复发性非小细胞肺癌患者的 EGFR 外显子 20 插入突变

2026年10月31日 更新者:National Cancer Institute (NCI)

AZD9291(奥希替尼)在 EGFR 外显子 20 插入突变的晚期 NSCLC 患者中的 II 期研究

This phase II trial studies how well osimertinib works in treating patients with non-small cell lung cancer with EGFR exon 20 insertion mutation that is stage IIIB-IV or has come back after a period of improvement (recurrent). Osimertinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

PRIMARY OBJECTIVE:

I. To evaluate the best objective response rate of osimertinib (AZD9291) among patients with EGFR exon 20 insertions.

SECONDARY OBJECTIVES:

I. To determine the safety profile of 160 mg once daily (QD) dose of osimertinib (AZD9291) in patients with EGFR Exon 20 insertion mutations.

II. To determine the progression-free survival. III. To determine the overall survival.

TERTIARY OBJECTIVES:

I. To characterize molecular markers of response to treatment in circulating tumor deoxyribonucleic acid (DNA).

II. To evaluate biomarkers of response to treatment through retrospective analyses of pre-treatment tumor tissue.

III. To identify resistance mechanisms to osimertinib (AZD9291) through post-progression tumor biopsies and circulating tumor (ct)DNA.

OUTLINE:

Patients receive osimertinib orally (PO) once daily (QD) on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients undergo echocardiography (ECHO) or multigated acquisition scan (MUGA), magnetic resonance imaging (MRI) or computed tomography (CT) with contrast, and collection of blood samples throughout the trial.

After completion of study treatment, patients are followed up at 30 days and every 3 months for up to 5 years.

研究类型

介入性

注册 (估计的)

46

阶段

  • 阶段2

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Alaska
      • Anchorage、Alaska、美国、98508
        • 主动,不招人
        • Anchorage Associates in Radiation Medicine
      • Anchorage、Alaska、美国、99504
        • 主动,不招人
        • Anchorage Radiation Therapy Center
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Alaska Breast Care and Surgery LLC
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Alaska Oncology and Hematology LLC
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Alaska Women's Cancer Care
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Anchorage Oncology Centre
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Katmai Oncology Group
      • Anchorage、Alaska、美国、99508
        • 主动,不招人
        • Providence Alaska Medical Center
      • Fairbanks、Alaska、美国、99701
    • Arkansas
      • Fort Smith、Arkansas、美国、72903
        • 招聘中
        • Mercy Hospital Fort Smith
        • 接触:
          • Site Public Contact
          • 电话号码:800-378-9373
        • 首席研究员:
          • Jay W. Carlson
      • Little Rock、Arkansas、美国、72205
        • 招聘中
        • CARTI Cancer Center
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
    • California
      • Burbank、California、美国、91505
        • 主动,不招人
        • Providence Saint Joseph Medical Center/Disney Family Cancer Center
    • District of Columbia
      • Washington D.C.、District of Columbia、美国、20007
        • 招聘中
        • MedStar Georgetown University Hospital
        • 接触:
          • Site Public Contact
          • 电话号码:202-444-2223
        • 首席研究员:
          • Chul Kim
    • Florida
      • Fort Lauderdale、Florida、美国、33308
        • 招聘中
        • Holy Cross Hospital
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
    • Georgia
      • Atlanta、Georgia、美国、30322
        • 招聘中
        • Emory University Hospital/Winship Cancer Institute
        • 首席研究员:
          • Ticiana A. Leal
        • 接触:
          • Site Public Contact
          • 电话号码:404-778-1868
      • Atlanta、Georgia、美国、30308
        • 招聘中
        • Emory University Hospital Midtown
        • 接触:
          • Site Public Contact
          • 电话号码:888-946-7447
        • 首席研究员:
          • Ticiana A. Leal
      • Atlanta、Georgia、美国、30342
        • 招聘中
        • Emory Saint Joseph's Hospital
        • 首席研究员:
          • Ticiana A. Leal
        • 接触:
          • Site Public Contact
          • 电话号码:404-851-7115
    • Idaho
      • Boise、Idaho、美国、83706
        • 招聘中
        • Saint Alphonsus Cancer Care Center-Boise
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Boise、Idaho、美国、83712
        • 主动,不招人
        • Saint Luke's Cancer Institute - Boise
      • Caldwell、Idaho、美国、83605
        • 招聘中
        • Saint Alphonsus Cancer Care Center-Caldwell
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Coeur d'Alene、Idaho、美国、83814
        • 招聘中
        • Kootenai Health - Coeur d'Alene
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Emmett、Idaho、美国、83617
        • 暂停
        • Walter Knox Memorial Hospital
      • Fruitland、Idaho、美国、83619
        • 主动,不招人
        • Saint Luke's Cancer Institute - Fruitland
      • Meridian、Idaho、美国、83642
        • 招聘中
        • Idaho Urologic Institute-Meridian
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Meridian、Idaho、美国、83642
        • 主动,不招人
        • Saint Luke's Cancer Institute - Meridian
      • Nampa、Idaho、美国、83687
        • 招聘中
        • Saint Alphonsus Cancer Care Center-Nampa
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Nampa、Idaho、美国、83687
        • 主动,不招人
        • Saint Luke's Cancer Institute - Nampa
      • Post Falls、Idaho、美国、83854
        • 招聘中
        • Kootenai Clinic Cancer Services - Post Falls
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Sandpoint、Idaho、美国、83864
        • 招聘中
        • Kootenai Clinic Cancer Services - Sandpoint
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Twin Falls、Idaho、美国、83301
        • 主动,不招人
        • Saint Luke's Cancer Institute - Twin Falls
    • Illinois
      • Alton、Illinois、美国、62002
        • 招聘中
        • OSF Saint Anthony's Health Center
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:618-463-5623
      • Aurora、Illinois、美国、60504
        • 暂停
        • Rush-Copley Medical Center
      • Bloomington、Illinois、美国、61704
        • 招聘中
        • Illinois CancerCare-Bloomington
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Canton、Illinois、美国、61520
        • 招聘中
        • Illinois CancerCare-Canton
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Carbondale、Illinois、美国、62902
        • 招聘中
        • Memorial Hospital of Carbondale
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Carterville、Illinois、美国、62918
        • 招聘中
        • SIH Cancer Institute
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Carthage、Illinois、美国、62321
        • 招聘中
        • Illinois CancerCare-Carthage
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Centralia、Illinois、美国、62801
        • 招聘中
        • Centralia Oncology Clinic
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Centralia、Illinois、美国、62801
        • 暂停
        • Saint Mary's Hospital
      • Danville、Illinois、美国、61832
        • 招聘中
        • Carle at The Riverfront
        • 首席研究员:
          • Priyank P. Patel
        • 接触:
      • Decatur、Illinois、美国、62526
        • 招聘中
        • Cancer Care Specialists of Illinois - Decatur
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Decatur、Illinois、美国、62526
        • 招聘中
        • Decatur Memorial Hospital
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Dixon、Illinois、美国、61021
        • 招聘中
        • Illinois CancerCare-Dixon
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:815-285-7800
      • Effingham、Illinois、美国、62401
        • 招聘中
        • Carle Physician Group-Effingham
        • 接触:
        • 首席研究员:
          • Priyank P. Patel
      • Effingham、Illinois、美国、62401
        • 招聘中
        • Crossroads Cancer Center
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Eureka、Illinois、美国、61530
        • 招聘中
        • Illinois CancerCare-Eureka
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Evanston、Illinois、美国、60201
        • 主动,不招人
        • NorthShore University HealthSystem-Evanston Hospital
      • Galesburg、Illinois、美国、61401
        • 招聘中
        • Illinois CancerCare-Galesburg
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Galesburg、Illinois、美国、61401
        • 暂停
        • Western Illinois Cancer Treatment Center
      • Glenview、Illinois、美国、60026
        • 主动,不招人
        • NorthShore University HealthSystem-Glenbrook Hospital
      • Highland Park、Illinois、美国、60035
        • 主动,不招人
        • NorthShore University HealthSystem-Highland Park Hospital
      • Kewanee、Illinois、美国、61443
        • 招聘中
        • Illinois CancerCare-Kewanee Clinic
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Macomb、Illinois、美国、61455
        • 招聘中
        • Illinois CancerCare-Macomb
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Mattoon、Illinois、美国、61938
        • 招聘中
        • Carle Physician Group-Mattoon/Charleston
        • 接触:
        • 首席研究员:
          • Priyank P. Patel
      • Mount Vernon、Illinois、美国、62864
        • 招聘中
        • SSM Health Good Samaritan
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • O'Fallon、Illinois、美国、62269
        • 招聘中
        • Cancer Care Center of O'Fallon
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • O'Fallon、Illinois、美国、62269
        • 招聘中
        • HSHS Saint Elizabeth's Hospital
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Ottawa、Illinois、美国、61350
        • 招聘中
        • Illinois CancerCare-Ottawa Clinic
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Pekin、Illinois、美国、61554
        • 招聘中
        • Illinois CancerCare-Pekin
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Peoria、Illinois、美国、61615
        • 招聘中
        • Illinois CancerCare-Peoria
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Peoria、Illinois、美国、61636
        • 招聘中
        • Methodist Medical Center of Illinois
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Peru、Illinois、美国、61354
        • 招聘中
        • Illinois CancerCare-Peru
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Peru、Illinois、美国、61354
        • 招聘中
        • Valley Radiation Oncology
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:815-664-4141
      • Princeton、Illinois、美国、61356
        • 招聘中
        • Illinois CancerCare-Princeton
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Skokie、Illinois、美国、60076
        • 主动,不招人
        • North Shore Medical Center
      • Springfield、Illinois、美国、62702
        • 招聘中
        • Southern Illinois University School of Medicine
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:217-545-7929
      • Springfield、Illinois、美国、62702
        • 招聘中
        • Springfield Clinic
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:800-444-7541
      • Springfield、Illinois、美国、62781
        • 招聘中
        • Springfield Memorial Hospital
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
      • Swansea、Illinois、美国、62226
        • 暂停
        • Southwest Illinois Health Services LLP
      • Urbana、Illinois、美国、61801
        • 招聘中
        • Carle Cancer Center
        • 接触:
        • 首席研究员:
          • Priyank P. Patel
      • Urbana、Illinois、美国、61801
        • 招聘中
        • The Carle Foundation Hospital
        • 接触:
        • 首席研究员:
          • Priyank P. Patel
      • Washington、Illinois、美国、61571
        • 招聘中
        • Illinois CancerCare - Washington
        • 接触:
        • 首席研究员:
          • Bryan A. Faller
      • Yorkville、Illinois、美国、60560
        • 暂停
        • Rush-Copley Healthcare Center
      • Zion、Illinois、美国、60099
        • 主动,不招人
        • Midwestern Regional Medical Center
    • Indiana
      • Richmond、Indiana、美国、47374
        • 主动,不招人
        • Reid Health
    • Iowa
      • Council Bluffs、Iowa、美国、51503
        • 主动,不招人
        • Heartland Oncology and Hematology LLP
      • Council Bluffs、Iowa、美国、51503
        • 主动,不招人
        • Methodist Jennie Edmundson Hospital
      • Council Bluffs、Iowa、美国、51503
        • 主动,不招人
        • Nebraska Cancer Specialists/Oncology Hematology West PC - MEJ
      • Des Moines、Iowa、美国、50314
        • 主动,不招人
        • Broadlawns Medical Center
      • Des Moines、Iowa、美国、50309
        • 主动,不招人
        • Iowa Methodist Medical Center
      • Des Moines、Iowa、美国、50316
        • 主动,不招人
        • Iowa Lutheran Hospital
      • Des Moines、Iowa、美国、50309
        • 主动,不招人
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
      • Fort Dodge、Iowa、美国、50501
        • 主动,不招人
        • UI Healthcare Mission Cancer and Blood - Fort Dodge
      • West Des Moines、Iowa、美国、50266-7700
        • 主动,不招人
        • Methodist West Hospital
    • Kansas
      • Garden City、Kansas、美国、67846
        • 招聘中
        • Central Care Cancer Center - Garden City
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Great Bend、Kansas、美国、67530
        • 招聘中
        • Central Care Cancer Center - Great Bend
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Pittsburg、Kansas、美国、66762
        • 招聘中
        • Mercy Hospital Pittsburg
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:888-446-3729
    • Louisiana
      • Baton Rouge、Louisiana、美国、70809
        • 主动,不招人
        • Ochsner Health Center-Summa
      • Baton Rouge、Louisiana、美国、70816
        • 主动,不招人
        • Medical Center of Baton Rouge
      • Baton Rouge、Louisiana、美国、70836
        • 主动,不招人
        • Ochsner High Grove
      • New Orleans、Louisiana、美国、70121
        • 主动,不招人
        • Ochsner Medical Center Jefferson
    • Maryland
      • Baltimore、Maryland、美国、21287
        • 主动,不招人
        • Johns Hopkins University/Sidney Kimmel Cancer Center
      • Baltimore、Maryland、美国、21237
        • 主动,不招人
        • MedStar Franklin Square Medical Center/Weinberg Cancer Institute
    • Massachusetts
      • Boston、Massachusetts、美国、02114
        • 招聘中
        • Massachusetts General Hospital Cancer Center
        • 接触:
          • Site Public Contact
          • 电话号码:877-726-5130
        • 首席研究员:
          • Zofia Piotrowska
      • Boston、Massachusetts、美国、02215
        • 暂停
        • Beth Israel Deaconess Medical Center
      • Boston、Massachusetts、美国、02115
        • 暂停
        • Brigham and Women's Hospital
      • Boston、Massachusetts、美国、02215
        • 暂停
        • Dana-Farber Cancer Institute
      • Springfield、Massachusetts、美国、01104
        • 主动,不招人
        • Mercy Medical Center
    • Michigan
      • Alma、Michigan、美国、48801
        • 招聘中
        • MyMichigan Medical Center Gratiot
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Alpena、Michigan、美国、49707
        • 招聘中
        • MyMichigan Medical Center Alpena
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Ann Arbor、Michigan、美国、48106
        • 招聘中
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Battle Creek、Michigan、美国、49017
        • 招聘中
        • Bronson Battle Creek
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Brighton、Michigan、美国、48114
        • 招聘中
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Brighton、Michigan、美国、48114
        • 招聘中
        • Trinity Health Medical Center - Brighton
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Canton、Michigan、美国、48188
        • 招聘中
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Canton、Michigan、美国、48188
        • 招聘中
        • Trinity Health Medical Center - Canton
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Caro、Michigan、美国、48723
        • 暂停
        • Caro Cancer Center
      • Chelsea、Michigan、美国、48118
        • 招聘中
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Chelsea、Michigan、美国、48118
      • Clarkston、Michigan、美国、48346
        • 招聘中
        • Hematology Oncology Consultants-Clarkston
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Clarkston、Michigan、美国、48346
        • 暂停
        • Newland Medical Associates-Clarkston
      • Clarkston、Michigan、美国、48346
        • 招聘中
        • Trinity Health IHA Medical Group - Primary Care - Clarkston
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Detroit、Michigan、美国、48202
        • 招聘中
        • Henry Ford Hospital
        • 接触:
        • 首席研究员:
          • Adam M. Forman
      • Detroit、Michigan、美国、48236
        • 招聘中
        • Henry Ford Health Saint John Hospital
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • East China Township、Michigan、美国、48054
        • 招聘中
        • Henry Ford River District Hospital
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Flint、Michigan、美国、48503
        • 招聘中
        • Genesee Hematology Oncology PC
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Flint、Michigan、美国、48503
        • 招聘中
        • Genesys Hurley Cancer Institute
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Flint、Michigan、美国、48503
        • 招聘中
        • Hurley Medical Center
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Flint、Michigan、美国、48503
        • 招聘中
        • Cancer Hematology Centers - Flint
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Gladwin、Michigan、美国、48624
        • 招聘中
        • MyMichigan Medical Center Gladwin
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Grand Rapids、Michigan、美国、49503
        • 招聘中
        • Trinity Health Grand Rapids Hospital
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Grand Rapids、Michigan、美国、49503
        • 招聘中
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Grand Rapids、Michigan、美国、49503
        • 招聘中
        • Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Grosse Pointe Woods、Michigan、美国、48236
        • 招聘中
        • Henry Ford Saint John Hospital - Breast
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Grosse Pointe Woods、Michigan、美国、48236
        • 招聘中
        • Henry Ford Saint John Hospital - Academic
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Grosse Pointe Woods、Michigan、美国、48236
        • 招聘中
        • Henry Ford Saint John Hospital - Van Elslander
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Kalamazoo、Michigan、美国、49007
        • 招聘中
        • Bronson Methodist Hospital
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Kalamazoo、Michigan、美国、49007
        • 招聘中
        • West Michigan Cancer Center
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Kalamazoo、Michigan、美国、49009
        • 招聘中
        • Beacon Kalamazoo Cancer Center
        • 首席研究员:
          • Kathleen Y. Butler
        • 接触:
          • Site Public Contact
          • 电话号码:574-647-7370
      • Kalamazoo、Michigan、美国、49048
        • 招聘中
        • Beacon Kalamazoo
        • 首席研究员:
          • Kathleen Y. Butler
        • 接触:
          • Site Public Contact
          • 电话号码:574-647-7370
      • Lansing、Michigan、美国、48912
        • 招聘中
        • University of Michigan Health - Sparrow Lansing
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Livonia、Michigan、美国、48154
        • 暂停
        • Hope Cancer Clinic
      • Livonia、Michigan、美国、48154
        • 招聘中
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Macomb、Michigan、美国、48044
        • 招聘中
        • Henry Ford Warren Hospital - Breast Macomb
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Macomb、Michigan、美国、48044
        • 招聘中
        • Henry Ford Saint John Hospital - Macomb Medical
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Marlette、Michigan、美国、48453
        • 暂停
        • Saint Mary's Oncology/Hematology Associates of Marlette
      • Midland、Michigan、美国、48670
        • 招聘中
        • MyMichigan Medical Center Midland
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Mount Pleasant、Michigan、美国、48858
        • 招聘中
        • MyMichigan Medical Center Mount Pleasant
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Muskegon、Michigan、美国、49444
        • 暂停
        • Trinity Health Muskegon Hospital
      • Niles、Michigan、美国、49120
        • 招聘中
        • Corewell Health Lakeland Hospitals - Niles Hospital
        • 接触:
          • Site Public Contact
          • 电话号码:616-391-1230
        • 首席研究员:
          • Kathleen Y. Butler
      • Norton Shores、Michigan、美国、49444
        • 暂停
        • Cancer and Hematology Centers of Western Michigan - Norton Shores
      • Novi、Michigan、美国、48374
        • 招聘中
        • Henry Ford Health Providence Novi Hospital
        • 首席研究员:
          • Susan E. Lyons
        • 接触:
      • Pontiac、Michigan、美国、48341
        • 暂停
        • Hope Cancer Center
      • Pontiac、Michigan、美国、48341
        • 招聘中
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Pontiac、Michigan、美国、48341
        • 招聘中
        • Michigan Healthcare Professionals Pontiac
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Pontiac、Michigan、美国、48341
        • 招聘中
        • Trinity Health IHA Medical Group-Alice Gustafson Center
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Reed City、Michigan、美国、49677
        • 招聘中
        • Corewell Health Reed City Hospital
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Rochester Hills、Michigan、美国、48309
        • 暂停
        • Henry Ford Rochester Hospital
      • Saginaw、Michigan、美国、48604
        • 暂停
        • Oncology Hematology Associates of Saginaw Valley PC
      • Saginaw、Michigan、美国、48601
        • 招聘中
        • MyMichigan Medical Center Saginaw
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Saint Joseph、Michigan、美国、49085
        • 招聘中
        • Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Saint Joseph、Michigan、美国、49085
        • 招聘中
        • Corewell Health Lakeland Hospitals - Saint Joseph Hospital
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Southfield、Michigan、美国、48075
        • 招聘中
        • Henry Ford Health Providence Southfield Hospital
        • 首席研究员:
          • Susan E. Lyons
        • 接触:
      • Sterling Heights、Michigan、美国、48312
        • 暂停
        • Bhadresh Nayak MD PC-Sterling Heights
      • Tawas City、Michigan、美国、48764
      • Traverse City、Michigan、美国、49684
        • 招聘中
        • Munson Medical Center
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Warren、Michigan、美国、48088
        • 暂停
        • Advanced Breast Care Center PLLC
      • Warren、Michigan、美国、48093
        • 暂停
        • Macomb Hematology Oncology PC
      • Warren、Michigan、美国、48093
        • 招聘中
        • Henry Ford Madison Heights Hospital - Breast
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Warren、Michigan、美国、48093
        • 招聘中
        • Henry Ford Health Warren Hospital
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Warren、Michigan、美国、48093
        • 招聘中
        • Henry Ford Warren Hospital - GLCMS
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • West Branch、Michigan、美国、48661
        • 暂停
        • Saint Mary's Oncology/Hematology Associates of West Branch
      • Wyoming、Michigan、美国、49519
        • 招聘中
        • University of Michigan Health - West
        • 接触:
        • 首席研究员:
          • Kathleen Y. Butler
      • Ypsilanti、Michigan、美国、48106
      • Ypsilanti、Michigan、美国、48197
        • 招聘中
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
    • Minnesota
      • Burnsville、Minnesota、美国、55337
        • 招聘中
        • Minnesota Oncology - Burnsville
        • 接触:
        • 首席研究员:
          • David M. King
      • Burnsville、Minnesota、美国、55337
        • 暂停
        • Fairview Ridges Hospital
      • Cambridge、Minnesota、美国、55008
        • 招聘中
        • Cambridge Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Chaska、Minnesota、美国、55318
        • 招聘中
        • Minnesota Oncology Hematology PA-Chaska
        • 接触:
        • 首席研究员:
          • David M. King
      • Coon Rapids、Minnesota、美国、55433
        • 招聘中
        • Mercy Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Coon Rapids、Minnesota、美国、55433
        • 招聘中
        • Minnesota Oncology - Coon Rapids
        • 接触:
        • 首席研究员:
          • David M. King
      • Edina、Minnesota、美国、55435
        • 招聘中
        • Fairview Southdale Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Edina、Minnesota、美国、55435
        • 招聘中
        • Minnesota Oncology - Edina
        • 接触:
        • 首席研究员:
          • David M. King
      • Fridley、Minnesota、美国、55432
        • 主动,不招人
        • Unity Hospital
      • Maple Grove、Minnesota、美国、55369
        • 招聘中
        • Fairview Clinics and Surgery Center Maple Grove
        • 接触:
        • 首席研究员:
          • David M. King
      • Maple Grove、Minnesota、美国、55369
        • 招聘中
        • Minnesota Oncology - Maple Grove
        • 首席研究员:
          • David M. King
        • 接触:
      • Maple Grove、Minnesota、美国、55369
        • 招聘中
        • HealthPartners Cancer Care - Park Nicollet Maple Grove
        • 首席研究员:
          • David M. King
        • 接触:
      • Maplewood、Minnesota、美国、55109
        • 招聘中
        • Minnesota Oncology Hematology PA-Maplewood
        • 接触:
        • 首席研究员:
          • David M. King
      • Maplewood、Minnesota、美国、55109
        • 招聘中
        • Saint John's Hospital - Healtheast
        • 接触:
        • 首席研究员:
          • David M. King
      • Minneapolis、Minnesota、美国、55407
        • 招聘中
        • Abbott-Northwestern Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Minneapolis、Minnesota、美国、55454
        • 招聘中
        • Health Partners Inc
        • 接触:
        • 首席研究员:
          • David M. King
      • Monticello、Minnesota、美国、55362
        • 招聘中
        • Monticello Cancer Center
        • 接触:
        • 首席研究员:
          • David M. King
      • New Ulm、Minnesota、美国、56073
        • 招聘中
        • New Ulm Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Princeton、Minnesota、美国、55371
        • 招聘中
        • Fairview Northland Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Robbinsdale、Minnesota、美国、55422
        • 招聘中
        • North Memorial Medical Health Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Saint Louis Park、Minnesota、美国、55416
        • 招聘中
        • Park Nicollet Clinic - Saint Louis Park
        • 接触:
        • 首席研究员:
          • David M. King
      • Saint Paul、Minnesota、美国、55101
        • 招聘中
        • Regions Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Saint Paul、Minnesota、美国、55102
        • 招聘中
        • United Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Shakopee、Minnesota、美国、55379
        • 招聘中
        • Saint Francis Regional Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Stillwater、Minnesota、美国、55082
        • 招聘中
        • Lakeview Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Waconia、Minnesota、美国、55387
        • 招聘中
        • Ridgeview Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
      • Willmar、Minnesota、美国、56201
        • 招聘中
        • Rice Memorial Hospital
        • 接触:
        • 首席研究员:
          • David M. King
      • Woodbury、Minnesota、美国、55125
        • 招聘中
        • Minnesota Oncology Hematology PA-Woodbury
        • 接触:
        • 首席研究员:
          • David M. King
      • Woodbury、Minnesota、美国、55125
        • 招聘中
        • Fairview Cancer Center - Woodbury
        • 首席研究员:
          • David M. King
        • 接触:
      • Wyoming、Minnesota、美国、55092
        • 招聘中
        • Fairview Lakes Medical Center
        • 接触:
        • 首席研究员:
          • David M. King
    • Missouri
      • Ballwin、Missouri、美国、63011
        • 招聘中
        • Mercy Oncology and Hematology - Clayton-Clarkson
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:888-446-3729
      • Bolivar、Missouri、美国、65613
        • 招聘中
        • Central Care Cancer Center - Bolivar
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Bonne Terre、Missouri、美国、63628
        • 暂停
        • Parkland Health Center-Bonne Terre
      • Branson、Missouri、美国、65616
        • 招聘中
        • Cox Cancer Center Branson
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:417-269-4520
      • Cape Girardeau、Missouri、美国、63703
        • 招聘中
        • Saint Francis Medical Center
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:573-334-2230
          • 邮箱:sfmc@sfmc.net
      • Cape Girardeau、Missouri、美国、63703
        • 招聘中
        • Mercy Cancer Center - Cape Girardeau
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:888-446-3729
      • Farmington、Missouri、美国、63640
        • 招聘中
        • Parkland Health Center - Farmington
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:314-996-5569
      • Jefferson City、Missouri、美国、65109
        • 暂停
        • MU Health Care Goldschmidt Cancer Center
      • Joplin、Missouri、美国、64804
        • 招聘中
        • Freeman Health System
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Joplin、Missouri、美国、64804
        • 招聘中
        • Mercy Hospital Joplin
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Osage Beach、Missouri、美国、65065
        • 招聘中
        • Lake Regional Hospital
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Rolla、Missouri、美国、65401
        • 招聘中
        • Mercy Clinic-Rolla-Cancer and Hematology
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:573-458-6379
      • Rolla、Missouri、美国、65401
        • 招聘中
        • Phelps Health Delbert Day Cancer Institute
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Saint Joseph、Missouri、美国、64506
        • 招聘中
        • Heartland Regional Medical Center
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • Sainte Genevieve、Missouri、美国、63670
        • 招聘中
        • Sainte Genevieve County Memorial Hospital
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:314-996-5569
      • Springfield、Missouri、美国、65804
        • 招聘中
        • Mercy Hospital Springfield
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:417-269-4520
      • Springfield、Missouri、美国、65807
        • 招聘中
        • CoxHealth South Hospital
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:417-269-4520
      • St Louis、Missouri、美国、63128
        • 招聘中
        • Mercy Hospital South
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
      • St Louis、Missouri、美国、63141
        • 招聘中
        • Mercy Hospital Saint Louis
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:314-251-7066
      • St Louis、Missouri、美国、63131
        • 招聘中
        • Missouri Baptist Medical Center
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:314-996-5569
      • St Louis、Missouri、美国、63109
        • 招聘中
        • Mercy Infusion Center - Chippewa
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:888-446-3729
      • Sullivan、Missouri、美国、63080
        • 招聘中
        • Missouri Baptist Sullivan Hospital
        • 首席研究员:
          • Bryan A. Faller
        • 接触:
          • Site Public Contact
          • 电话号码:314-996-5569
      • Washington、Missouri、美国、63090
        • 招聘中
        • Mercy Hospital Washington
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:636-390-1600
    • Montana
      • Anaconda、Montana、美国、59711
        • 招聘中
        • Community Hospital of Anaconda
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Billings、Montana、美国、59101
        • 招聘中
        • Billings Clinic Cancer Center
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Bozeman、Montana、美国、59715
        • 招聘中
        • Bozeman Health Deaconess Hospital
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Great Falls、Montana、美国、59405
        • 招聘中
        • Great Falls Clinic
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Great Falls、Montana、美国、59405
        • 招聘中
        • Benefis Sletten Cancer Institute
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Havre、Montana、美国、59501
        • 招聘中
        • Hi-Line Sletten Cancer Center
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Helena、Montana、美国、59601
        • 暂停
        • Saint Peter's Community Hospital
      • Helena、Montana、美国、59601
        • 招聘中
        • Benefis Helena Specialty Center
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Kalispell、Montana、美国、59901
        • 招聘中
        • Logan Health Medical Center
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Missoula、Montana、美国、59804
        • 招聘中
        • Community Medical Center
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Missoula、Montana、美国、59802
        • 主动,不招人
        • Saint Patrick Hospital - Community Hospital
    • Nebraska
      • Omaha、Nebraska、美国、68114
        • 主动,不招人
        • Nebraska Methodist Hospital
      • Omaha、Nebraska、美国、68114
        • 暂停
        • Oncology Associates PC
      • Omaha、Nebraska、美国、68114
        • 主动,不招人
        • Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
    • New York
      • Buffalo、New York、美国、14263
        • 主动,不招人
        • Roswell Park Cancer Institute
      • Middletown、New York、美国、10940
        • 暂停
        • Garnet Health Medical Center
      • White Plains、New York、美国、10601
        • 主动,不招人
        • Dickstein Cancer Treatment Center
    • North Carolina
      • Hendersonville、North Carolina、美国、28791
        • 主动,不招人
        • Margaret R Pardee Memorial Hospital
      • Pinehurst、North Carolina、美国、28374
        • 招聘中
        • FirstHealth of the Carolinas-Moore Regional Hospital
        • 接触:
        • 首席研究员:
          • Charles S. Kuzma
    • Ohio
      • Beavercreek、Ohio、美国、45431
        • 主动,不招人
        • Indu and Raj Soin Medical Center
      • Boardman、Ohio、美国、44512
        • 主动,不招人
        • Saint Elizabeth Boardman Hospital
      • Centerville、Ohio、美国、45459
        • 主动,不招人
        • Miami Valley Hospital South
      • Centerville、Ohio、美国、45459
        • 主动,不招人
        • Dayton Physicians LLC-Miami Valley South
      • Cincinnati、Ohio、美国、45236
        • 主动,不招人
        • Oncology Hematology Care Inc-Kenwood
      • Cleveland、Ohio、美国、44109
        • 主动,不招人
        • MetroHealth Medical Center
      • Columbus、Ohio、美国、43210
        • 招聘中
        • Ohio State University Comprehensive Cancer Center
        • 接触:
        • 首席研究员:
          • Regan M. Memmott
      • Dayton、Ohio、美国、45406
        • 暂停
        • Good Samaritan Hospital - Dayton
      • Dayton、Ohio、美国、45409
        • 主动,不招人
        • Miami Valley Hospital
      • Dayton、Ohio、美国、45415
        • 主动,不招人
        • Miami Valley Hospital North
      • Dayton、Ohio、美国、45415
        • 主动,不招人
        • Dayton Physician LLC - Englewood
      • Findlay、Ohio、美国、45840
        • 主动,不招人
        • Armes Family Cancer Center
      • Findlay、Ohio、美国、45840
        • 主动,不招人
        • Blanchard Valley Hospital
      • Findlay、Ohio、美国、45840
        • 主动,不招人
        • Orion Cancer Care
      • Franklin、Ohio、美国、45005-1066
        • 主动,不招人
        • Atrium Medical Center-Middletown Regional Hospital
      • Franklin、Ohio、美国、45005
        • 主动,不招人
        • Dayton Physicians LLC-Atrium
      • Greenville、Ohio、美国、45331
        • 主动,不招人
        • Dayton Physicians LLC-Wayne
      • Greenville、Ohio、美国、45331
        • 主动,不招人
        • Wayne Hospital
      • Kettering、Ohio、美国、45409
        • 主动,不招人
        • Greater Dayton Cancer Center
      • Kettering、Ohio、美国、45420
        • 主动,不招人
        • First Dayton Cancer Care
      • Kettering、Ohio、美国、45429
        • 主动,不招人
        • Kettering Medical Center
      • Springfield、Ohio、美国、45504
        • 主动,不招人
        • Springfield Regional Cancer Center
      • Springfield、Ohio、美国、45504
        • 主动,不招人
        • Springfield Regional Medical Center
      • Troy、Ohio、美国、45373
        • 主动,不招人
        • Upper Valley Medical Center
      • Troy、Ohio、美国、45373
        • 主动,不招人
        • Dayton Physicians LLC - Troy
      • Warren、Ohio、美国、44484
        • 主动,不招人
        • Saint Joseph Warren Hospital
      • Youngstown、Ohio、美国、44501
        • 主动,不招人
        • Saint Elizabeth Youngstown Hospital
    • Oklahoma
      • Oklahoma City、Oklahoma、美国、73104
        • 招聘中
        • University of Oklahoma Health Sciences Center
        • 接触:
        • 首席研究员:
          • Raid Aljumaily
      • Oklahoma City、Oklahoma、美国、73120
        • 招聘中
        • Mercy Hospital Oklahoma City
        • 首席研究员:
          • Jay W. Carlson
        • 接触:
          • Site Public Contact
          • 电话号码:405-752-3402
    • Oregon
      • Baker City、Oregon、美国、97814
        • 招聘中
        • Saint Alphonsus Cancer Care Center-Baker City
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Bend、Oregon、美国、97701
        • 主动,不招人
        • Saint Charles Health System
      • Clackamas、Oregon、美国、97015
        • 主动,不招人
        • Clackamas Radiation Oncology Center
      • Clackamas、Oregon、美国、97015
        • 主动,不招人
        • Providence Cancer Institute Clackamas Clinic
      • Coos Bay、Oregon、美国、97420
        • 主动,不招人
        • Bay Area Hospital
      • Corvallis、Oregon、美国、97330
        • 招聘中
        • Good Samaritan Hospital
        • 接触:
        • 首席研究员:
          • John Strother
      • Newberg、Oregon、美国、97132
        • 主动,不招人
        • Providence Newberg Medical Center
      • Ontario、Oregon、美国、97914
        • 招聘中
        • Saint Alphonsus Cancer Care Center-Ontario
        • 接触:
        • 首席研究员:
          • Christopher M. Reynolds
      • Oregon City、Oregon、美国、97045
        • 主动,不招人
        • Providence Willamette Falls Medical Center
      • Portland、Oregon、美国、97213
        • 主动,不招人
        • Providence Portland Medical Center
      • Portland、Oregon、美国、97225
        • 主动,不招人
        • Providence Saint Vincent Medical Center
      • Redmond、Oregon、美国、97756
        • 主动,不招人
        • Saint Charles Health System-Redmond
    • Pennsylvania
      • Allentown、Pennsylvania、美国、18103
        • 招聘中
        • Lehigh Valley Hospital-Cedar Crest
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Bethlehem、Pennsylvania、美国、18017
        • 招聘中
        • Lehigh Valley Hospital - Muhlenberg
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Bryn Mawr、Pennsylvania、美国、19010
        • 招聘中
        • Bryn Mawr Hospital
        • 接触:
        • 首席研究员:
          • Paul B. Gilman
      • Collegeville、Pennsylvania、美国、19426
        • 暂停
        • Main Line Health Center-Collegeville
      • East Stroudsburg、Pennsylvania、美国、18301
        • 招聘中
        • Pocono Medical Center
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Exton、Pennsylvania、美国、19341
        • 暂停
        • Main Line Health Center-Exton
      • Hazleton、Pennsylvania、美国、18201
        • 招聘中
        • Lehigh Valley Hospital-Hazleton
        • 首席研究员:
          • Christopher M. Reynolds
        • 接触:
      • Media、Pennsylvania、美国、19063
        • 招聘中
        • Riddle Memorial Hospital
        • 接触:
        • 首席研究员:
          • Paul B. Gilman
      • Newtown Square、Pennsylvania、美国、19073
        • 暂停
        • Bryn Mawr Health Center
      • Paoli、Pennsylvania、美国、19301
        • 招聘中
        • Paoli Memorial Hospital
        • 接触:
        • 首席研究员:
          • Paul B. Gilman
      • Philadelphia、Pennsylvania、美国、19111
        • 主动,不招人
        • Fox Chase Cancer Center
      • Philadelphia、Pennsylvania、美国、19140
        • 主动,不招人
        • Temple University Hospital
      • Reading、Pennsylvania、美国、19605
        • 暂停
        • Penn State Health Saint Joseph Medical Center
      • Wynnewood、Pennsylvania、美国、19096
        • 招聘中
        • Lankenau Medical Center
        • 接触:
        • 首席研究员:
          • Paul B. Gilman
    • Virginia
      • Charlottesville、Virginia、美国、22908
    • Washington
      • Aberdeen、Washington、美国、98520
        • 主动,不招人
        • Providence Regional Cancer System-Aberdeen
      • Bellingham、Washington、美国、98225
        • 主动,不招人
        • PeaceHealth Saint Joseph Medical Center
      • Centralia、Washington、美国、98531
        • 主动,不招人
        • Providence Regional Cancer System-Centralia
      • Edmonds、Washington、美国、98026
        • 主动,不招人
        • Swedish Cancer Institute-Edmonds
      • Everett、Washington、美国、98201
        • 主动,不招人
        • Providence Regional Cancer Partnership
      • Issaquah、Washington、美国、98029
        • 主动,不招人
        • Swedish Cancer Institute-Issaquah
      • Kennewick、Washington、美国、99336
        • 主动,不招人
        • Kadlec Clinic Hematology and Oncology
      • Lacey、Washington、美国、98503
        • 主动,不招人
        • Providence Regional Cancer System-Lacey
      • Longview、Washington、美国、98632
        • 主动,不招人
        • PeaceHealth Saint John Medical Center
      • Seattle、Washington、美国、98104
        • 暂停
        • Pacific Gynecology Specialists
      • Seattle、Washington、美国、98112
        • 主动,不招人
        • Kaiser Permanente Washington
      • Seattle、Washington、美国、98195
        • 招聘中
        • University of Washington Medical Center - Montlake
        • 接触:
          • Site Public Contact
          • 电话号码:800-804-8824
        • 首席研究员:
          • Christina S. Baik
      • Seattle、Washington、美国、98109
        • 招聘中
        • Fred Hutchinson Cancer Center
        • 接触:
          • Site Public Contact
          • 电话号码:800-804-8824
        • 首席研究员:
          • Christina S. Baik
      • Seattle、Washington、美国、98122
        • 主动,不招人
        • Swedish Medical Center-First Hill
      • Seattle、Washington、美国、98107
        • 主动,不招人
        • Swedish Medical Center-Ballard Campus
      • Seattle、Washington、美国、98122-5711
        • 主动,不招人
        • Swedish Medical Center-Cherry Hill
      • Sedro-Woolley、Washington、美国、98284
        • 主动,不招人
        • PeaceHealth United General Medical Center
      • Shelton、Washington、美国、98584
        • 主动,不招人
        • Providence Regional Cancer System-Shelton
      • Vancouver、Washington、美国、98664
        • 主动,不招人
        • PeaceHealth Southwest Medical Center
      • Walla Walla、Washington、美国、99362
        • 主动,不招人
        • Providence Saint Mary Regional Cancer Center
      • Yelm、Washington、美国、98597
        • 主动,不招人
        • Providence Regional Cancer System-Yelm
    • Wisconsin
      • Burlington、Wisconsin、美国、53105
        • 招聘中
        • Aurora Cancer Care-Southern Lakes VLCC
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Chippewa Falls、Wisconsin、美国、54729
      • Cudahy、Wisconsin、美国、53110
        • 招聘中
        • Aurora Saint Luke's South Shore
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Eau Claire、Wisconsin、美国、54701
      • Fond du Lac、Wisconsin、美国、54937
        • 招聘中
        • Aurora Health Center-Fond du Lac
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Germantown、Wisconsin、美国、53022
        • 招聘中
        • Aurora Health Care Germantown Health Center
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Grafton、Wisconsin、美国、53024
        • 招聘中
        • Aurora Cancer Care-Grafton
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Green Bay、Wisconsin、美国、54311
        • 招聘中
        • Aurora BayCare Medical Center
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Kenosha、Wisconsin、美国、53142
        • 招聘中
        • Aurora Cancer Care-Kenosha South
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • La Crosse、Wisconsin、美国、54601
        • 招聘中
        • Gundersen Lutheran Medical Center
        • 接触:
        • 首席研究员:
          • Kurt Oettel
      • Ladysmith、Wisconsin、美国、54848
      • Marinette、Wisconsin、美国、54143
        • 招聘中
        • Aurora Bay Area Medical Group-Marinette
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Marshfield、Wisconsin、美国、54449
      • Milwaukee、Wisconsin、美国、53209
        • 招聘中
        • Aurora Cancer Care-Milwaukee
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Milwaukee、Wisconsin、美国、53215
        • 招聘中
        • Aurora Saint Luke's Medical Center
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Milwaukee、Wisconsin、美国、53233
        • 招聘中
        • Aurora Sinai Medical Center
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Minocqua、Wisconsin、美国、54548
      • New Richmond、Wisconsin、美国、54017
        • 招聘中
        • Cancer Center of Western Wisconsin
        • 接触:
        • 首席研究员:
          • David M. King
      • Oshkosh、Wisconsin、美国、54904
        • 招聘中
        • Vince Lombardi Cancer Clinic - Oshkosh
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Racine、Wisconsin、美国、53406
        • 招聘中
        • Aurora Cancer Care-Racine
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Rice Lake、Wisconsin、美国、54868
      • Sheboygan、Wisconsin、美国、53081
        • 招聘中
        • Vince Lombardi Cancer Clinic-Sheboygan
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Stevens Point、Wisconsin、美国、54482
      • Summit、Wisconsin、美国、53066
        • 招聘中
        • Aurora Medical Center in Summit
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Two Rivers、Wisconsin、美国、54241
        • 招聘中
        • Vince Lombardi Cancer Clinic-Two Rivers
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Wausau、Wisconsin、美国、54401
      • Wauwatosa、Wisconsin、美国、53226
        • 招聘中
        • Aurora Cancer Care-Milwaukee West
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • West Allis、Wisconsin、美国、53227
        • 招聘中
        • Aurora West Allis Medical Center
        • 接触:
        • 首席研究员:
          • Shamsuddin Virani
      • Weston、Wisconsin、美国、54476
      • Wisconsin Rapids、Wisconsin、美国、54494
    • Wyoming
      • Cheyenne、Wyoming、美国、82001
        • 招聘中
        • Memorial Hospital of Laramie County
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Cody、Wyoming、美国、82414
        • 招聘中
        • Billings Clinic-Cody
        • 首席研究员:
          • John M. Schallenkamp
        • 接触:
      • Sheridan、Wyoming、美国、82801
        • 暂停
        • Welch Cancer Center

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Participants must have a pathologically-confirmed diagnosis of non-small cell lung cancer (NSCLC)

  • Participants must have advanced disease - either stage IV disease, stage IIIB disease not amenable to definitive multi-modality therapy, or recurrent disease after a prior diagnosis of stage I-III disease. All staging is via the American Joint Committee on Cancer (AJCC)/International Association for the Study of Lung Cancer (IASLC) 7th edition staging criteria

  • An EGFR exon 20 insertion mutation must be detected in the tumor tissue. Patients may be enrolled in the study based on an exon 20 insertion EGFR mutation detected by any Clinical Laboratory Improvement Act (CLIA)-certified tissue assay

    • NOTE: Testing results are to be submitted via Medidata Rave and the study chair or delegate will review the reports
  • Patients must have measurable disease; baseline measurements and ALL sites of disease must be obtained within 4 weeks to registration

  • Patients must have previously received at least one line of therapy for their advanced lung cancer; there are no restrictions on the maximum number of prior therapies allowed

  • Participants must not have previously received osimertinib

  • Participants must have not previously received therapies targeting PDL1, PD1 or CTLA4 within 6 months (180 days) prior to registration

  • Age >= 18 years

  • Eastern Cooperative Oncology Group (ECOG) performance status =< 1

  • Hemoglobin >= 9.0 g/L (within 4 weeks before registration)

  • Leukocytes/white blood cells >= 3,000/mcL (within 4 weeks before registration)

  • Absolute neutrophil count >= 1,500/mcL (within 4 weeks before registration)

  • Platelets >= 100,000/mcL (within 4 weeks before registration)

  • Total bilirubin =< 1.5 x upper limit of normal (ULN) if no liver metastases or =< 3 times ULN in the presence of documented Gilbert's syndrome (unconjugated hyperbilirubinemia) or liver metastases (within 4 weeks before registration)

  • Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 3 x institutional upper limit of normal; for patients with known hepatic metastases AST and/or ALT =< 5 x ULN (within 4 weeks before registration)

  • Creatinine =< 1.5 x institutional upper limit of normal (within 4 weeks before registration)

  • Participants may not have clinically active or symptomatic interstitial lung disease or interstitial pneumonitis (i.e., affecting activities of daily living or requiring therapeutic intervention), or a history of clinically significant interstitial lung disease or radiation pneumonitis

  • Participants may not have had radiation to the lung fields within four weeks (28 days) of starting treatment. For patients receiving palliative radiation to thoracic vertebrae, ribs or other sites where the radiation field includes the lungs, radiation must be completed at least two weeks before starting treatment. For all palliative radiation to all other sites, at least 7 days must have elapsed prior to starting treatment. At least six months (180 days) must have elapsed prior to starting treatment for radiation given with curative intent. Palliative radiotherapy to control symptoms (including gamma knife technique) is permitted. For stereotactic radiosurgery (SRS) to central nervous system (CNS) lesions, osimertinib can be held on the day of radiation only. For palliative radiotherapy (RT) to other sites of disease outside of the thorax osimertinib (osi) should be held for a minimum of 3 days before radiation and 3 days after RT is completed, but the duration of washout can be adjusted at the investigator's discretion with the approval of the study principal investigator (PI). For thoracic radiation, a 7-10 day washout period before the procedure and one week period after procedure before restarting osimertinib is advised to minimize the risk of pneumonitis. All radiotherapy related toxicities should be managed and ideally resolved before restarting osimertinib. Investigators should consider the radiotherapy when assessing causality if there are any localized adverse events (AEs) following the procedure

  • Participants may not have clinically symptomatic brain metastases, leptomeningeal disease, or spinal cord compression. Patients may be on a stable dose of corticosteroids to control brain metastases if they have been on a stable dose for two weeks (14 days) prior to study treatment and are clinically asymptomatic

  • Patients must have an ECHO or a nuclear study (MUGA or first pass) within 4 weeks (28 days) prior to registration to treatment and must not have a left ventricular ejection fraction (LVEF) < institutional lower limit of normal (LLN). If the LLN is not defined at a site, the LVEF must be >= 50% for the patient to be eligible

  • Participants may not have any of the following cardiac criteria:

    • Mean resting corrected QT interval (QTc) >= 470 msec obtained from 3 electrocardiograms (ECGs) using the screening clinic ECG machine-derived QTc value
    • No history of QT prolongation associated with other medications that required discontinuation of that medication
    • Patient must not be receiving any concomitant medications that are known to be associated with Torsades de Pointes
    • Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG e.g., complete left bundle branch block, third degree heart block, second degree heart block, any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as heart failure, electrolyte abnormalities (including: serum/plasma potassium < LLN; serum/plasma magnesium < LLN; serum/plasma calcium < LLN), congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval
    • Symptomatic heart failure - New York Heart Association (NYHA) grade II-IV
  • Participants may not have a second, clinically active, cancer. Patients with second cancers which have been treated with curative intent and/or are currently inactive are allowed

  • Participants may not be receiving any other investigational agents. Patients previously treated with investigational agents must complete a washout period of at least two weeks or five half-lives, whichever is longer, before starting treatment

  • Participants may not have uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements

  • Patients must have no history of hypersensitivity active or inactive excipients of osimertinib (AZD9291) or drugs with a similar chemical structure or class to osimertinib (AZD9291)

  • Patients must not currently be receiving (or unable to stop use prior to receiving the first dose of study treatment) medications or herbal supplements known to be potent inducers of CYP3A4 (at least 3 week prior). All patients must try to avoid concomitant use of any medications, herbal supplements and/or ingestion of foods with known inducer effects on CYP3A4

  • If medically feasible, patients taking regular medication, with the exception of potent inducers of CYP3A4, should be maintained on it throughout the study period. Patients taking concomitant medications whose disposition is dependent upon breast cancer resistance protein (BCRP) or P-glycoprotein (Pgp) and which have a narrow therapeutic index should be closely monitored for signs of changed tolerability as a result of increased exposure of the concomitant medication whilst receiving osimertinib (AZD9291)

    • NOTE: Use of St John's wort is a contra-indication for osimertinib (AZD9291) use
  • If applicable, it is recommended that the starting and maintenance dose of rosuvastatin (due to BCRP inhibition by AZD9291 [osimertinib]) should be as low as possible and should be guided by the statin label. Monitoring of low-density lipoprotein (LDL) cholesterol levels is advised. If the subject experiences any potentially relevant adverse events suggestive of muscle toxicity including unexplained muscle pain, tenderness, or weakness, particularly if accompanied by malaise or fever, the statin should be stopped, creatine kinase (CK) levels should be checked, and any appropriate further management should be taken

  • Subjects taking warfarin should be monitored regularly for changes in prothrombin time or international normalized ratio (INR)

  • No unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) grade 1 at the time of starting study treatment, with the exception of alopecia and grade 2, prior platinum-therapy-related neuropathy

  • Patients with refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of osimertinib (AZD9291) are ineligible

  • Women must not be pregnant or breast-feeding because osimertinib (AZD9291) has been shown to cause fetal harm in animal models. All females of childbearing potential must have a blood test or urine study within 2 weeks prior to registration to rule out pregnancy. A female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)

  • Women of childbearing potential (WOCBP) and sexually active males must use an accepted and effective method of contraception while receiving protocol treatment or abstain from sexual intercourse for the duration of their participation in the study. WOCBP must use birth control for two weeks prior to the start of the treatment and continue for 6 weeks after the last dose of the study drug. Sexually active male patients must use effective contraception from day 1 of treatment and continue for 4 months after the last dose of the study drug

  • Other anticancer agents and investigational agents should not be given while the subject is on study treatment

  • Supportive care and other medications that are considered necessary for the subject's wellbeing may be given at the discretion of the investigator

  • A guidance regarding potential interactions with concomitant medications is provided

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Treatment (osimertinib)

Patients receive osimertinib PO QD on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients undergo ECHO or MUGA, MRI or CT with contrast, and collection of blood samples throughout the trial.

Undergo MRI

其他名称:
  • 核磁共振
  • 磁共振
  • 磁共振成像扫描
  • 医学影像、磁共振/核磁共振
  • 先生
  • 磁共振成像
  • 核磁共振成像扫描
  • 核磁共振成像
  • 磁共振成像 (MRI)
  • 磁共振成像(程序)
  • 结构核磁共振

Undergo ECHO

其他名称:
  • 超声心动图
  • 欧共体

Undergo MUGA

其他名称:
  • 血池扫描
  • 平衡放射性核素血管造影
  • 门控血池成像
  • 穆加
  • 放射性核素脑室造影
  • 导航导航仪
  • 司马扫描
  • 同步多门采集扫描
  • 穆加扫描
  • 多门控采集扫描
  • 放射性核素脑室造影扫描
  • 门控心池扫描
  • RNV扫描

Undergo collection of blood samples

其他名称:
  • 生物样本采集
  • 收集的生物样本
  • 标本采集
  • 样本收集

Given PO

其他名称:
  • AZD-9291
  • AZD9291
  • 美来替尼
  • AZD 9291

Undergo CT with contrast

其他名称:
  • 对比增强计算机断层扫描
  • 对比增强 CT 扫描
  • 增强CT扫描
  • 增强CT

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Best objective response
大体时间:Up to 5 years

Will be evaluated via Response Evaluation Criteria in Solid Tumors 1.1 criteria. Categorical data, such as response rates (complete response + partial response), will be compared using Fisher's exact tests with a one-sided type I error rate of 10%; multivariable logistic regression modeling will be used to adjust for the effect of any covariates that are associated with these categorical outcomes. Any continuous outcomes will be analyzed using Wilcoxon rank sum test, and multivariable linear regression models may be used to adjust for multiple associations with outcome. Point estimates of all endpoints will be accompanied by the corresponding two-sided 80% confidence intervals. The method of Atkinson and Brown will be used for the estimation of the confidence interval for response.

Up to 5 years

次要结果测量

结果测量
措施说明
大体时间
Progression-free survival (PFS)
大体时间:From registration to documented disease progression or death from any cause, whichever occurs first, assessed up to 5 years

Will be estimated using the Kaplan-Meier method, and Cox proportional hazards models will be used to estimate hazard ratios. Comparisons of groups will be made using the logrank test and Cox modeling. Point estimates of all endpoints will be accompanied by the corresponding two-sided 80% confidence intervals. The method of Atkinson and Brown will be used for the estimation of the confidence interval for response.

From registration to documented disease progression or death from any cause, whichever occurs first, assessed up to 5 years
Overall survival (OS)
大体时间:From registration to death from any cause, assessed up to 5 years

Will be estimated using the Kaplan-Meier method, and Cox proportional hazards models will be used to estimate hazard ratios. Comparisons of groups will be made using the logrank test and Cox modeling. Point estimates of all endpoints will be accompanied by the corresponding two-sided 80% confidence intervals. The method of Atkinson and Brown will be used for the estimation of the confidence interval for response.

From registration to death from any cause, assessed up to 5 years
Incidence of adverse events
大体时间:Up to 5 years

Will be graded according to Common Terminology Criteria for Adverse Events version 5.0. Categorical data, such as toxicity, will be compared using Fisher's exact tests with a one-sided type I error rate of 10%; multivariable logistic regression modeling will be used to adjust for the effect of any covariates that are associated with these categorical outcomes. Any continuous outcomes will be analyzed using Wilcoxon rank sum test, and multivariable linear regression models may be used to adjust for multiple associations with outcome. Point estimates of all endpoints will be accompanied by the corresponding two-sided 80% confidence intervals. The method of Atkinson and Brown will be used for the estimation of the confidence interval for response.

Up to 5 years

其他结果措施

结果测量
措施说明
大体时间
Characterization of molecular markers of response to treatment in circulating tumor deoxyribonucleic acid (ctDNA)
大体时间:Baseline up to 5 years

Initial analyses of data will utilize tests for association comparing the frequency of a particular genomic aberration at baseline and at progression (for example, using McNemar's test) and association between alterations and baseline characteristics (for example, using Fisher's exact test). More sophisticated analyses may include multivariable logistic regression modeling and/or competing risks analysis, however it is expected that analyzable results will not be obtained from 100% of patients (either due to things like assay failure, inability to biopsy at progression due to poor patient health, etc).

Baseline up to 5 years
Biomarkers of response to treatment through retrospective analyses of pre-treatment tumor tissue
大体时间:Baseline up to 5 years

The rate of change in allelic fraction at a particular time point may be compared to baseline measures of ctDNA and that measure will be analyzed for association with patient demographics and/or disease characteristics using the Kruskal Wallis test. Landmark analyses of PFS and OS in which the landmark time is defined by the ctDNA measurements at a particular time point, may be used as well.

Baseline up to 5 years
Identification of resistance mechanisms to osimertinib through post-progression tumor biopsies and ctDNA
大体时间:Up to 5 years

Presence or absence of mutations in plasma will be analyzed for association with other variables using Fisher's exact test. To account for the repeated measures of plasma over time, we may potentially use these data as time varying covariates in multivariable Cox models to study their impact on outcomes like PFS and OS.

Up to 5 years

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

调查人员

  • 首席研究员:Zofia Piotrowska、ECOG-ACRIN Cancer Research Group

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2018年4月25日

初级完成 (估计的)

2027年6月30日

研究完成 (估计的)

2027年6月30日

研究注册日期

首次提交

2017年6月16日

首先提交符合 QC 标准的

2017年6月16日

首次发布 (实际的)

2017年6月19日

研究记录更新

最后更新发布 (实际的)

2026年11月3日

上次提交的符合 QC 标准的更新

2026年10月31日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

其他研究编号

  • NCI-2017-01017
  • U10CA180820 (美国 NIH 拨款/合同)
  • NCI-2017-01017 (注册表标识符:CTRP (Clinical Trial Reporting Program))
  • EA5162 (其他标识符:CTEP)
  • EA5162 (其他标识符:ECOG-ACRIN Cancer Research Group)

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.