Daunorubicin and Cytarabine With or Without Uproleselan in Treating Older Adult Patients With Acute Myeloid Leukemia Receiving Intensive Induction Chemotherapy
Study Details
Study Description
Brief Summary
This phase II/III trial studies how well daunorubicin and cytarabine with or without uproleselan works in treating older adult patients with acute myeloid leukemia receiving intensive induction chemotherapy. Drugs used in chemotherapy, such as daunorubicin and cytarabine, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Uproleselan may prevent cancer from returning or getting worse. Giving daunorubicin and cytarabine with uproleselan may work better in treating patients with acute myeloid leukemia compared to daunorubicin and cytarabine alone.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2/Phase 3 |
Detailed Description
PRIMARY OBJECTIVES:
- Compare the event-free survival (EFS) of daunorubicin, cytarabine plus uproleselan versus daunorubicin and cytarabine in subjects >= age 60 with previously untreated acute myeloid leukemia. (Phase II) II. Compare the overall survival (OS) of the daunorubicin, cytarabine plus uproleselan to daunorubicin and cytarabine in this patient population. (Phase III)
SECONDARY OBJECTIVES:
-
Determine the rates of complete remission (CR), complete remission with incomplete count recovery (CRi), complete remission with incomplete hematopoietic recovery (CRh) and cytogenetic complete remission (CCyR) for each chemotherapy regimen.
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Determine the overall survival (OS), and remission duration of patients for each chemotherapy regimen.
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Describe the frequency and severity of adverse events for patients for each chemotherapy regimen.
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Describe the interaction of pretreatment disease and patient characteristics including morphology, cytogenetics, molecular genetic features, white blood cell (WBC) count and hemogram, and performance status on clinical outcomes.
CORRELATIVE SCIENCE OBJECTIVES:
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Correlate specific karyotype groups (normal or various primary and secondary chromosomal abnormalities) with clinical and laboratory parameters and with response rates, response duration, survival and cure in patients treated with various induction and post-induction regimens.
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Correlate specific karyotype groups with selected molecular abnormalities and with measurable residual disease.
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To determine karyotype changes at end of consolidation and the influence of the type of change (or no change) in karyotype at the end of consolidation on subsequent clinical course.
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To determine karyotype changes at relapse and the influence of the type of change (or no change) in karyotype at relapse on subsequent clinical course.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM 1: INDUCTION: Patients receive daunorubicin intravenously (IV) on days 1-3 and cytarabine via continuous intravenous infusion (CIVI) over 168 hours on days 1-7. Patients with residual disease indicated by bone marrow examination receive a second induction including daunorubicin IV on days 1-3 and cytarabine CIVI over 12 hours on days 1-5.
CONSOLIDATION: Patients receive cytarabine IV over 3 hours on days 1-5. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity.
ARM 2: INDUCTION: Patients receive uproleselan IV QD on day 1 and then every 12 hours on days 2-10. Patients also receive daunorubicin IV on days 2-4 and cytrarabine CIVI over 168 hours on days 2-8 over 168 hours. Patients with residual disease indicated by bone marrow examination receive a second induction including uprleselan IV QD on day 1 and then every 12 hours on days 2-8, daunorubicin IV on days 2-3, and cytarabine CIVI over 120 hours on days 2-6.
CONSOLIDATION: Patients who achieve a CR or CRi receive uproleselan IV QD on day 1 and every 12 hours on days 2-8 and cytarabine IV over 3 hours on days 2-6. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 2 months for 1 year, every 3 months in year 2, and then every 6 months for up to 5 years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Arm I (daunorubicin, cytarabine) INDUCTION: Patients receive daunorubicin IV on days 1-3 and cytarabine via CIVI over 168 hours on days 1-7. Patients with residual disease indicated by bone marrow examination receive a second induction including daunorubicin IV on days 1-3 and cytarabine CIVI over 12 hours on days 1-5. CONSOLIDATION: Patients receive cytarabine IV over 3 hours on days 1-5. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. |
Drug: Cytarabine
Given IV
Other Names:
Drug: Daunorubicin
Given IV
Other Names:
|
Experimental: Arm II (uproleselan, daunorubicin, cytarabine) INDUCTION: Patients receive uproleselan IV QD on day 1 and then every 12 hours on days 2-10. Patients also receive daunorubicin IV on days 2-4 and cytrarabine CIVI over 168 hours on days 2-8 over 168 hours. Patients with residual disease indicated by bone marrow examination receive a second induction including uprleselan IV QD on day 1 and then every 12 hours on days 2-8, daunorubicin IV on days 2-3, and cytarabine CIVI over 120 hours on days 2-6. CONSOLIDATION: Patients who achieve a CR or CRi receive uproleselan IV QD on day 1 and every 12 hours on days 2-8 and cytarabine IV over 3 hours on days 2-6. Treatment repeats every 28 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. |
Drug: Cytarabine
Given IV
Other Names:
Drug: Daunorubicin
Given IV
Other Names:
Drug: Uproleselan
Given IV
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Event-free survival (EFS) (Phase II) [Up to 5 years]
EFS is defined as the time from the date of randomization to the first of failure to achieve a complete remission (CR)/ CR with incomplete blood count recovery (CRi) during induction, relapse, or death due to any cause, with patients last known to be alive and event-free censored at the date of last contact.
- Overall survival (OS) (Phase III) [Up to 5 years]
Will be measured from the date of randomization to death from any cause, with patients last known to be alive censored at the date of last contact.
Secondary Outcome Measures
- EFS rate [Up to 1 year]
Will be formally tested hierarchically in a confirmatory setting at an overall one sided alpha of 0.025 level at the same time as the primary endpoint. Both hazard ratio and p-value for EFS will be presented.
- Impact of off-protocol transplantation [Up to 5 years]
Sensitivity analyses will be conducted. In addition, the proportion of patients who received transplantation in the two arms will be summarized and compared using a chi-square test.
- Consistency of the treatment effect among each subgroup [From baseline up to 5 years]
Non-parametric methods such as Kaplan-Meier and log-rank tests will be used within each subgroup. Univariate/multivariate Cox models will be fit within each subgroups; hazard ratios will be used to quantify the treatment effect within each subgroup, along with the 95% confidence intervals.
- Disease-free survival (DFS) [Time from achieving a complete response to time of relapse or death, assessed up to 5 years]
- Complete remission (CR) and overall response rate [Up to 5 years]
- Incidence of adverse events [Up to 5 years]
Will be assessed according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (v) 5.0. The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns.
- Prediction of CR, EFS, DFS, and OS by pretreatment characteristics such as age, morphology, cytogenetics, immunophenotype, molecular genetic features, WBC count and hemogram, and performance status with clinical outcomes [Up to 5 years]
The associations between these baseline factors and CR, EFS, DFS, and OS will be analyzed using Kaplan-Meier curves, log-rank test, contingency table and chi-square test whenever appropriate. Multivariable analysis including Cox proportional hazards models and logistic regression models will be used as well to evaluate the associations.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosis of acute myeloid leukemia (AML) based on 2017 World Health Organization (WHO) criteria excluding acute promyelocytic leukemia with PML-RARA.
-
Note: Patients with myeloid sarcoma without bone marrow involvement, acute leukemia of ambiguous lineage or blast transformation of chronic myelogenous leukemia (CML) are not eligible.
-
No activating mutation in the Fms-like tyrosine kinase-3 (FLT3) defined as a ratio of mutant to wild-type allele >= 0.05 by capillary electrophoresis or a variant allele fraction of >= 5% by next generation sequencing from either bone marrow or peripheral blood.
-
No evidence of CNS involvement of AML.
-
No prior chemotherapy for myelodysplastic syndrome (MDS), myeloproliferative neoplasm (MPN) or AML including hypomethylating agents (e.g. azacitidine and decitabine), ruxolitinib or lenalidomide with the following exceptions:
-
Emergency leukapheresis.
-
Hydroxyurea.
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Growth factor/cytokine support.
-
All-trans retinoic acid (ATRA).
-
Single dose of intrathecal cytarabine and/or methotrexate for patients undergoing lumbar puncture to evaluate for CNS involvement.
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Total bilirubin =< 3 x upper limit of normal (ULN)
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Creatinine < 3 x upper limit of normal (ULN) OR creatinine clearance >= 30 mL/min/1.73m^2
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Arkansas for Medical Sciences | Little Rock | Arkansas | United States | 72205 |
2 | Community Cancer Institute | Clovis | California | United States | 93611 |
3 | UC San Diego Moores Cancer Center | La Jolla | California | United States | 92093 |
4 | Loma Linda University Medical Center | Loma Linda | California | United States | 92354 |
5 | Cedars Sinai Medical Center | Los Angeles | California | United States | 90048 |
6 | Smilow Cancer Hospital Care Center at Saint Francis | Hartford | Connecticut | United States | 06105 |
7 | Yale University | New Haven | Connecticut | United States | 06520 |
8 | Delaware Clinical and Laboratory Physicians PA | Newark | Delaware | United States | 19713 |
9 | Helen F Graham Cancer Center | Newark | Delaware | United States | 19713 |
10 | Medical Oncology Hematology Consultants PA | Newark | Delaware | United States | 19713 |
11 | Christiana Care Health System-Christiana Hospital | Newark | Delaware | United States | 19718 |
12 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
13 | Saint Luke's Cancer Institute - Boise | Boise | Idaho | United States | 83712 |
14 | Saint Alphonsus Cancer Care Center-Caldwell | Caldwell | Idaho | United States | 83605 |
15 | Kootenai Health - Coeur d'Alene | Coeur d'Alene | Idaho | United States | 83814 |
16 | Walter Knox Memorial Hospital | Emmett | Idaho | United States | 83617 |
17 | Idaho Urologic Institute-Meridian | Meridian | Idaho | United States | 83642 |
18 | Saint Alphonsus Medical Center-Nampa | Nampa | Idaho | United States | 83686 |
19 | Kootenai Clinic Cancer Services - Post Falls | Post Falls | Idaho | United States | 83854 |
20 | Kootenai Cancer Clinic | Sandpoint | Idaho | United States | 83864 |
21 | Illinois CancerCare-Bloomington | Bloomington | Illinois | United States | 61704 |
22 | Illinois CancerCare-Canton | Canton | Illinois | United States | 61520 |
23 | Memorial Hospital of Carbondale | Carbondale | Illinois | United States | 62902 |
24 | SIH Cancer Institute | Carterville | Illinois | United States | 62918 |
25 | Illinois CancerCare-Carthage | Carthage | Illinois | United States | 62321 |
26 | Centralia Oncology Clinic | Centralia | Illinois | United States | 62801 |
27 | Northwestern University | Chicago | Illinois | United States | 60611 |
28 | University of Illinois | Chicago | Illinois | United States | 60612 |
29 | University of Chicago Comprehensive Cancer Center | Chicago | Illinois | United States | 60637 |
30 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
31 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
32 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
33 | Illinois CancerCare-Eureka | Eureka | Illinois | United States | 61530 |
34 | NorthShore University HealthSystem-Evanston Hospital | Evanston | Illinois | United States | 60201 |
35 | Illinois CancerCare-Galesburg | Galesburg | Illinois | United States | 61401 |
36 | Western Illinois Cancer Treatment Center | Galesburg | Illinois | United States | 61401 |
37 | NorthShore University HealthSystem-Glenbrook Hospital | Glenview | Illinois | United States | 60026 |
38 | NorthShore University HealthSystem-Highland Park Hospital | Highland Park | Illinois | United States | 60035 |
39 | Illinois CancerCare-Kewanee Clinic | Kewanee | Illinois | United States | 61443 |
40 | Illinois CancerCare-Macomb | Macomb | Illinois | United States | 61455 |
41 | Loyola University Medical Center | Maywood | Illinois | United States | 60153 |
42 | UC Comprehensive Cancer Center at Silver Cross | New Lenox | Illinois | United States | 60451 |
43 | Cancer Care Center of O'Fallon | O'Fallon | Illinois | United States | 62269 |
44 | University of Chicago Medicine-Orland Park | Orland Park | Illinois | United States | 60462 |
45 | Illinois CancerCare-Ottawa Clinic | Ottawa | Illinois | United States | 61350 |
46 | Illinois CancerCare-Pekin | Pekin | Illinois | United States | 61554 |
47 | Illinois CancerCare-Peoria | Peoria | Illinois | United States | 61615 |
48 | Methodist Medical Center of Illinois | Peoria | Illinois | United States | 61636 |
49 | Illinois CancerCare-Peru | Peru | Illinois | United States | 61354 |
50 | Valley Radiation Oncology | Peru | Illinois | United States | 61354 |
51 | Illinois CancerCare-Princeton | Princeton | Illinois | United States | 61356 |
52 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
53 | Springfield Clinic | Springfield | Illinois | United States | 62702 |
54 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
55 | Southwest Illinois Health Services LLP | Swansea | Illinois | United States | 62226 |
56 | Indiana University/Melvin and Bren Simon Cancer Center | Indianapolis | Indiana | United States | 46202 |
57 | Mary Greeley Medical Center | Ames | Iowa | United States | 50010 |
58 | McFarland Clinic PC - Ames | Ames | Iowa | United States | 50010 |
59 | McFarland Clinic PC-Boone | Boone | Iowa | United States | 50036 |
60 | McFarland Clinic PC-Trinity Cancer Center | Fort Dodge | Iowa | United States | 50501 |
61 | University of Iowa/Holden Comprehensive Cancer Center | Iowa City | Iowa | United States | 52242 |
62 | McFarland Clinic PC-Jefferson | Jefferson | Iowa | United States | 50129 |
63 | McFarland Clinic PC-Marshalltown | Marshalltown | Iowa | United States | 50158 |
64 | Siouxland Regional Cancer Center | Sioux City | Iowa | United States | 51101 |
65 | University of Kansas Cancer Center | Kansas City | Kansas | United States | 66160 |
66 | Lawrence Memorial Hospital | Lawrence | Kansas | United States | 66044 |
67 | Cancer Center of Kansas-Wichita Medical Arts Tower | Wichita | Kansas | United States | 67208 |
68 | Ascension Via Christi Hospitals Wichita | Wichita | Kansas | United States | 67214 |
69 | Cancer Center of Kansas - Wichita | Wichita | Kansas | United States | 67214 |
70 | Wesley Medical Center | Wichita | Kansas | United States | 67214 |
71 | University of Kentucky/Markey Cancer Center | Lexington | Kentucky | United States | 40536 |
72 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
73 | Eastern Maine Medical Center | Bangor | Maine | United States | 04401 |
74 | Lafayette Family Cancer Center-EMMC | Brewer | Maine | United States | 04412 |
75 | Dana-Farber Cancer Institute | Boston | Massachusetts | United States | 02215 |
76 | Hickman Cancer Center | Adrian | Michigan | United States | 49221 |
77 | Henry Ford Hospital | Detroit | Michigan | United States | 48202 |
78 | Mercy Health Saint Mary's | Grand Rapids | Michigan | United States | 49503 |
79 | Spectrum Health at Butterworth Campus | Grand Rapids | Michigan | United States | 49503 |
80 | Bronson Methodist Hospital | Kalamazoo | Michigan | United States | 49007 |
81 | West Michigan Cancer Center | Kalamazoo | Michigan | United States | 49007 |
82 | Ascension Borgess Cancer Center | Kalamazoo | Michigan | United States | 49009 |
83 | Toledo Clinic Cancer Centers-Monroe | Monroe | Michigan | United States | 48162 |
84 | Mercy Health Mercy Campus | Muskegon | Michigan | United States | 49444 |
85 | Cancer and Hematology Centers of Western Michigan - Norton Shores | Norton Shores | Michigan | United States | 49444 |
86 | Spectrum Health Reed City Hospital | Reed City | Michigan | United States | 49677 |
87 | Marie Yeager Cancer Center | Saint Joseph | Michigan | United States | 49085 |
88 | Munson Medical Center | Traverse City | Michigan | United States | 49684 |
89 | Metro Health Hospital | Wyoming | Michigan | United States | 49519 |
90 | Fairview Ridges Hospital | Burnsville | Minnesota | United States | 55337 |
91 | Mercy Hospital | Coon Rapids | Minnesota | United States | 55433 |
92 | Essentia Health Cancer Center | Duluth | Minnesota | United States | 55805 |
93 | Fairview Southdale Hospital | Edina | Minnesota | United States | 55435 |
94 | Unity Hospital | Fridley | Minnesota | United States | 55432 |
95 | Fairview Clinics and Surgery Center Maple Grove | Maple Grove | Minnesota | United States | 55369 |
96 | Minnesota Oncology Hematology PA-Maplewood | Maplewood | Minnesota | United States | 55109 |
97 | Saint John's Hospital - Healtheast | Maplewood | Minnesota | United States | 55109 |
98 | Abbott-Northwestern Hospital | Minneapolis | Minnesota | United States | 55407 |
99 | Hennepin County Medical Center | Minneapolis | Minnesota | United States | 55415 |
100 | Health Partners Inc | Minneapolis | Minnesota | United States | 55454 |
101 | Monticello Cancer Center | Monticello | Minnesota | United States | 55362 |
102 | New Ulm Medical Center | New Ulm | Minnesota | United States | 56073 |
103 | North Memorial Medical Health Center | Robbinsdale | Minnesota | United States | 55422 |
104 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
105 | Coborn Cancer Center at Saint Cloud Hospital | Saint Cloud | Minnesota | United States | 56303 |
106 | Park Nicollet Clinic - Saint Louis Park | Saint Louis Park | Minnesota | United States | 55416 |
107 | Regions Hospital | Saint Paul | Minnesota | United States | 55101 |
108 | United Hospital | Saint Paul | Minnesota | United States | 55102 |
109 | Saint Francis Regional Medical Center | Shakopee | Minnesota | United States | 55379 |
110 | Lakeview Hospital | Stillwater | Minnesota | United States | 55082 |
111 | Ridgeview Medical Center | Waconia | Minnesota | United States | 55387 |
112 | Rice Memorial Hospital | Willmar | Minnesota | United States | 56201 |
113 | Minnesota Oncology Hematology PA-Woodbury | Woodbury | Minnesota | United States | 55125 |
114 | Fairview Lakes Medical Center | Wyoming | Minnesota | United States | 55092 |
115 | Parkland Health Center-Bonne Terre | Bonne Terre | Missouri | United States | 63628 |
116 | Saint Francis Medical Center | Cape Girardeau | Missouri | United States | 63703 |
117 | Southeast Cancer Center | Cape Girardeau | Missouri | United States | 63703 |
118 | Siteman Cancer Center at West County Hospital | Creve Coeur | Missouri | United States | 63141 |
119 | Parkland Health Center - Farmington | Farmington | Missouri | United States | 63640 |
120 | Capital Region Southwest Campus | Jefferson City | Missouri | United States | 65109 |
121 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
122 | Siteman Cancer Center-South County | Saint Louis | Missouri | United States | 63129 |
123 | Missouri Baptist Medical Center | Saint Louis | Missouri | United States | 63131 |
124 | Siteman Cancer Center at Christian Hospital | Saint Louis | Missouri | United States | 63136 |
125 | Siteman Cancer Center at Saint Peters Hospital | Saint Peters | Missouri | United States | 63376 |
126 | Sainte Genevieve County Memorial Hospital | Sainte Genevieve | Missouri | United States | 63670 |
127 | Missouri Baptist Sullivan Hospital | Sullivan | Missouri | United States | 63080 |
128 | Missouri Baptist Outpatient Center-Sunset Hills | Sunset Hills | Missouri | United States | 63127 |
129 | Community Hospital of Anaconda | Anaconda | Montana | United States | 59711 |
130 | Billings Clinic Cancer Center | Billings | Montana | United States | 59101 |
131 | Bozeman Deaconess Hospital | Bozeman | Montana | United States | 59715 |
132 | Benefis Healthcare- Sletten Cancer Institute | Great Falls | Montana | United States | 59405 |
133 | Great Falls Clinic | Great Falls | Montana | United States | 59405 |
134 | Saint Peter's Community Hospital | Helena | Montana | United States | 59601 |
135 | Kalispell Regional Medical Center | Kalispell | Montana | United States | 59901 |
136 | Saint Patrick Hospital - Community Hospital | Missoula | Montana | United States | 59802 |
137 | Community Medical Hospital | Missoula | Montana | United States | 59804 |
138 | Nebraska Methodist Hospital | Omaha | Nebraska | United States | 68114 |
139 | OptumCare Cancer Care at Charleston | Las Vegas | Nevada | United States | 89102 |
140 | OptumCare Cancer Care at Fort Apache | Las Vegas | Nevada | United States | 89148 |
141 | Comprehensive Cancer Centers of Nevada - Central Valley | Las Vegas | Nevada | United States | 89169 |
142 | Dartmouth Hitchcock Medical Center | Lebanon | New Hampshire | United States | 03756 |
143 | Morristown Medical Center | Morristown | New Jersey | United States | 07960 |
144 | Overlook Hospital | Summit | New Jersey | United States | 07902 |
145 | Northwell Health/Center for Advanced Medicine | Lake Success | New York | United States | 11042 |
146 | North Shore University Hospital | Manhasset | New York | United States | 11030 |
147 | Long Island Jewish Medical Center | New Hyde Park | New York | United States | 11040 |
148 | Mount Sinai Hospital | New York | New York | United States | 10029 |
149 | University of Rochester | Rochester | New York | United States | 14642 |
150 | UNC Lineberger Comprehensive Cancer Center | Chapel Hill | North Carolina | United States | 27599 |
151 | Duke University Medical Center | Durham | North Carolina | United States | 27710 |
152 | East Carolina University | Greenville | North Carolina | United States | 27834 |
153 | Wake Forest Baptist Health - Wilkes Medical Center | Wilkesboro | North Carolina | United States | 28659 |
154 | Wake Forest University Health Sciences | Winston-Salem | North Carolina | United States | 27157 |
155 | Sanford Bismarck Medical Center | Bismarck | North Dakota | United States | 58501 |
156 | Sanford Broadway Medical Center | Fargo | North Dakota | United States | 58122 |
157 | Sanford Roger Maris Cancer Center | Fargo | North Dakota | United States | 58122 |
158 | Case Western Reserve University | Cleveland | Ohio | United States | 44106 |
159 | MetroHealth Medical Center | Cleveland | Ohio | United States | 44109 |
160 | Ohio State University Comprehensive Cancer Center | Columbus | Ohio | United States | 43210 |
161 | Mercy Health Perrysburg Cancer Center | Perrysburg | Ohio | United States | 43551 |
162 | Mercy Health - Saint Anne Hospital | Toledo | Ohio | United States | 43623 |
163 | Toledo Clinic Cancer Centers-Toledo | Toledo | Ohio | United States | 43623 |
164 | University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | United States | 73104 |
165 | Saint Alphonsus Medical Center-Baker City | Baker City | Oregon | United States | 97814 |
166 | Saint Alphonsus Medical Center-Ontario | Ontario | Oregon | United States | 97914 |
167 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
168 | Providence Saint Vincent Medical Center | Portland | Oregon | United States | 97225 |
169 | Geisinger Medical Center | Danville | Pennsylvania | United States | 17822 |
170 | Geisinger Wyoming Valley/Henry Cancer Center | Wilkes-Barre | Pennsylvania | United States | 18711 |
171 | Rhode Island Hospital | Providence | Rhode Island | United States | 02903 |
172 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
173 | Saint Francis Hospital | Greenville | South Carolina | United States | 29601 |
174 | Saint Francis Cancer Center | Greenville | South Carolina | United States | 29607 |
175 | Prisma Health Cancer Institute - Eastside | Greenville | South Carolina | United States | 29615 |
176 | Sanford Cancer Center Oncology Clinic | Sioux Falls | South Dakota | United States | 57104 |
177 | Sanford USD Medical Center - Sioux Falls | Sioux Falls | South Dakota | United States | 57117-5134 |
178 | Vanderbilt University/Ingram Cancer Center | Nashville | Tennessee | United States | 37232 |
179 | Kadlec Clinic Hematology and Oncology | Kennewick | Washington | United States | 99336 |
180 | Marshfield Medical Center-EC Cancer Center | Eau Claire | Wisconsin | United States | 54701 |
181 | Marshfield Medical Center-Marshfield | Marshfield | Wisconsin | United States | 54449 |
182 | Marshfield Clinic-Minocqua Center | Minocqua | Wisconsin | United States | 54548 |
183 | Cancer Center of Western Wisconsin | New Richmond | Wisconsin | United States | 54017 |
184 | Marshfield Medical Center-Rice Lake | Rice Lake | Wisconsin | United States | 54868 |
185 | Marshfield Medical Center-River Region at Stevens Point | Stevens Point | Wisconsin | United States | 54482 |
186 | Marshfield Medical Center - Weston | Weston | Wisconsin | United States | 54476 |
187 | Billings Clinic-Cody | Cody | Wyoming | United States | 82414 |
188 | Welch Cancer Center | Sheridan | Wyoming | United States | 82801 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Geoffrey L Uy, Alliance for Clinical Trials in Oncology
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCI-2018-02130
- NCI-2018-02130
- A041701
- A041701
- U10CA180821