Testing Sacituzumab Govitecan Therapy in Patients With HER2-Negative Breast Cancer and Brain Metastases
Study Details
Study Description
Brief Summary
This phase II trial studies the effect of sacituzumab govitecan in treating patients with HER2-negative breast cancer that has spread to the brain (brain metastases). Sacituzumab govitecan is a monoclonal antibody, called sacituzumab, linked to a chemotherapy drug, called govitecan. Sacituzumab is a form of targeted therapy because it attaches to specific molecules on the surface of cancer cells, known as Trop-2 receptors, and delivers govitecan to kill them. Giving sacituzumab govitecan may shrink the cancer in the brain and/or extend the time until the cancer gets worse.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
PRIMARY OBJECTIVE:
- To evaluate the intracranial objective response rate (ORR) (complete response [CR] or partial response [PR] by Response Assessment in Neuro-Oncology Brain Metastases [RANO-BM]) with sacituzumab govitecan (IMMU-132) in patients with HER2-negative metastatic breast cancer with brain involvement.
SECONDARY OBJECTIVES:
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To evaluate bi-compartmental progression-free survival in this population. II. To evaluate overall survival in this population. III. To assess safety and tolerability of sacituzumab govitecan (IMMU-132) treatment in this population.
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To evaluate ORR by hormone-receptor (HR) subgroup (HR+, HR-).
BANKING OBJECTIVE:
- To bank specimens for future correlative studies.
OUTLINE:
Patients receive sacituzumab govitecan intravenously (IV) over 1-3 hours on days 1 and 8. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity.
After completion of study registration, patients are followed up every 3 months for 1 year and then every 6 months for 1 year.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Treatment (sacituzumab govitecan) Patients receive sacituzumab govitecan IV over 1-3 hours on days 1 and 8. Cycles repeat every 21 days for up to 2 years in the absence of disease progression or unacceptable toxicity. |
Biological: Sacituzumab Govitecan
Given IV
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Objective response rate (ORR) [Up to 2 years]
ORR will be evaluated using use a Simon two-stage minimax design.
Secondary Outcome Measures
- Overall survival [From date of registration to date of death due to any cause, assessed up to 2 years]
Will use the Kaplan-Meier curves to estimate the respective survival curves.
- Progression-free survival [From date of registration to date of first documentation of progression or symptomatic deterioration or death due to any cause, assessed up to 2 years]
Will use the Kaplan-Meier curves to estimate the respective survival curves.
- Incidence of adverse events [Up to 2 years]
Adverse events will be graded using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. The incidence of adverse events will be reported. Toxicity will be by grade and attribution to treatment.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Participants must have histologically confirmed HER2-negative (per 2018 American Society of Clinical Oncology [ASCO]/College of American Pathologists [CAP] joint guideline) invasive breast cancer that has metastasized to the brain. NOTE: Pathology report must confirm HER2-negative invasive breast cancer. Brain metastases must be confirmed by radiology report
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Participants must have an magnetic resonance imaging (MRI) of the brain within 28 days prior to registration and must have central nervous system metastases with at least one measurable brain metastasis >= 1.0 cm in size (per RANO-BM) that has not been irradiated, or has progressed despite prior radiation therapy (in the opinion of the treating physician). In the rare case that a previously irradiated brain metastasis is the sole target lesion and if there is concern about possible radiation necrosis, patient is eligible only if there is clear progression in the previously radiated lesion. Computed tomography (CT) of the head cannot substitute for brain MRI. All central nervous system (CNS) disease must be assessed and documented on the S2007 Brain Metastases Baseline Tumor Assessment Form
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Participants may have measurable or non-measurable extracranial disease. All measurable disease must be assessed within 28 days prior to registration; all non-measurable disease must be assessed within 42 days prior to registration. Participants are NOT required to have extracranial disease, but must have scans done to document disease status at baseline. All extracranial disease must be assessed and documented on the Baseline Tumor Assessment Form (Response Evaluation Criteria in Solid Tumors [RECIST] 1.1). NOTE: Brain lesions should not be included on the Baseline Tumor Assessment Form (RECIST 1.1) for this study
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Participants must have had CNS progression after previous CNS-directed therapy (radiation therapy, surgery, or any combination of therapy)
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Participants must have resolution of adverse event(s) of the most recent prior systemic anti-cancer therapy to < grade 2, with the exception of alopecia and =< grade 2 neuropathy, which are allowed
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Participants with a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
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Participants must have Zubrod performance status 0 or 1
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Participants must have history and physical exam obtained within 21 days prior to registration
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Absolute neutrophil count (ANC) >= 1,500/mcL (obtained within 21 days prior to registration)
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Platelet count >= 100,000/mcL (obtained within 21 days prior to registration)
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Hemoglobin >= 9.0 g/dL (obtained within 21 days prior to registration)
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Total bilirubin =< 1.5 times institutional upper limit of normal (ULN) (obtained within 21 days prior to registration)
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Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =< 3 x institutional ULN (obtained within 21 days prior to registration)
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Participants must have a serum creatinine =< 1.5 times the institutional upper limit of normal (IULN) OR measured OR calculated creatinine clearance >= 30 mL/min using the following Cockcroft-Gault Formula. This specimen must have been drawn and processed within 21 days prior to registration
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Participants must have adequate cardiac function. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification, and must be class 2B or better
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Participants must be offered the opportunity to participate in specimen banking. With participant consent, specimens must be collected and submitted via the Southwest Oncology Group (SWOG) Specimen Tracking System
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Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines
Exclusion Criteria:
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Participants must not have had more than 2 seizures within 28 days prior to registration
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Participants must not have received systemic therapy (including small-molecule kinase inhibitors) or non-cytotoxic hormonal therapy (e.g., tamoxifen) within 7 days prior to registration
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Participants must not have received anti-cancer biologic agents (antibodies, immune modulators, vaccines, cytokines) within 21 days prior to registration
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Participants must not have received nitrosoureas or mitomycin C within 42 days, metronomic/protracted low-dose chemotherapy within 14 days, or other cytotoxic chemotherapy within 28 days prior to registration
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Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral agents that are strong CYP3A4 inhibitors or inducers and who are unwilling or unable to change to antiretroviral therapies without such interactions are ineligible because of the potential for pharmacokinetic interactions with sacituzumab govitecan (IMMU-132)
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Due to potential drug interactions of anti-retroviral drugs with sacituzumab govitecan (IMMU-132), participants must not have known active or chronic hepatitis B virus (HBV) infection, requiring suppressive therapy or known active hepatitis C virus (HCV) infection. Participants with a known history of HCV infection must have been treated and cured
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Participants must not have received enzyme-inducing anti-epileptic agents (e.g., carbamazepine, phenytoin, phenobarbital, primidone) within 7 days prior to registration or within 14 days of planned start of cycle 1, day 1 treatment, and participants must not be planning to receive enzyme-inducing anti-epileptic agents (e.g., carbamazepine, phenytoin, phenobarbital, primidone) for the duration of protocol treatment
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Participants must not be receiving warfarin (or other coumarin derivatives) at time of registration or be planning to receive warfarin (or other coumarin derivatives) for the duration of protocol treatment. Participants who are able to switch to low molecular weight heparin (LMWH) or direct oral anticoagulants (DOACs) prior to date of registration (and plan to remain off of warfarin or other coumarin derivatives) for the duration of protocol treatment) are eligible
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Patients must not be receiving or be planning to receive concomitantly any other anti-cancer therapy, including endocrine therapy. Note: Concomitant hormone replacement therapy is allowed
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Participants must not have a condition requiring ongoing systemic treatment with corticosteroids (> 4 mg daily dexamethasone [or bioequivalent]) or other immunosuppressive medications within 7 days prior to the baseline MRI. Corticosteroids administration must be stable and planned to remain =< 4 mg daily for the duration of protocol treatment. However, use of corticosteroids for clinical symptoms is allowed based upon treating physician discretion
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Participants must not have uncontrolled diabetes in the opinion of the treating investigator 21 days prior to registration
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Participants must not be pregnant or nursing. Women of reproductive potential must have a negative serum or urine pregnancy test within 7 days prior to registration. Women and men of reproductive potential must have agreed to use an effective contraceptive method for the duration of protocol treatment and for at least 6 months after the last dose of sacituzumab govitecan (IMMU-132). A woman is considered to be of "reproductive potential" if she has had menses at any time in the preceding 12 consecutive months. In addition to routine contraceptive methods, "effective contraception" also includes heterosexual celibacy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) defined as a hysterectomy, bilateral oophorectomy or bilateral tubal ligation. However, if at any point a previously celibate participant chooses to become heterosexually active during the time period for use of contraceptive measures outlined, he/she is responsible for beginning contraceptive measures
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Anchorage Associates in Radiation Medicine | Anchorage | Alaska | United States | 98508 |
2 | Anchorage Radiation Therapy Center | Anchorage | Alaska | United States | 99504 |
3 | Alaska Breast Care and Surgery LLC | Anchorage | Alaska | United States | 99508 |
4 | Alaska Oncology and Hematology LLC | Anchorage | Alaska | United States | 99508 |
5 | Alaska Women's Cancer Care | Anchorage | Alaska | United States | 99508 |
6 | Anchorage Oncology Centre | Anchorage | Alaska | United States | 99508 |
7 | Katmai Oncology Group | Anchorage | Alaska | United States | 99508 |
8 | Providence Alaska Medical Center | Anchorage | Alaska | United States | 99508 |
9 | Fairbanks Memorial Hospital | Fairbanks | Alaska | United States | 99701 |
10 | Cancer Center at Saint Joseph's | Phoenix | Arizona | United States | 85004 |
11 | University of Arizona Cancer Center-Orange Grove Campus | Tucson | Arizona | United States | 85704 |
12 | Banner University Medical Center - Tucson | Tucson | Arizona | United States | 85719 |
13 | University of Arizona Cancer Center-North Campus | Tucson | Arizona | United States | 85719 |
14 | Mercy Hospital Fort Smith | Fort Smith | Arkansas | United States | 72903 |
15 | CHI Saint Vincent Cancer Center Hot Springs | Hot Springs | Arkansas | United States | 71913 |
16 | Mission Hope Medical Oncology - Arroyo Grande | Arroyo Grande | California | United States | 93420 |
17 | Providence Saint Joseph Medical Center/Disney Family Cancer Center | Burbank | California | United States | 91505 |
18 | UC Irvine Health Cancer Center-Newport | Costa Mesa | California | United States | 92627 |
19 | Epic Care-Dublin | Dublin | California | United States | 94568 |
20 | Bay Area Breast Surgeons Inc | Emeryville | California | United States | 94608 |
21 | Epic Care Partners in Cancer Care | Emeryville | California | United States | 94608 |
22 | Contra Costa Regional Medical Center | Martinez | California | United States | 94553-3156 |
23 | Alta Bates Summit Medical Center - Summit Campus | Oakland | California | United States | 94609 |
24 | Bay Area Tumor Institute | Oakland | California | United States | 94609 |
25 | UC Irvine Health/Chao Family Comprehensive Cancer Center | Orange | California | United States | 92868 |
26 | Pacific Central Coast Health Center-San Luis Obispo | San Luis Obispo | California | United States | 93401 |
27 | Mission Hope Medical Oncology - Santa Maria | Santa Maria | California | United States | 93444 |
28 | Saint John's Cancer Institute | Santa Monica | California | United States | 90404 |
29 | Epic Care Cyberknife Center | Walnut Creek | California | United States | 94597 |
30 | Rocky Mountain Cancer Centers-Aurora | Aurora | Colorado | United States | 80012 |
31 | The Medical Center of Aurora | Aurora | Colorado | United States | 80012 |
32 | Boulder Community Foothills Hospital | Boulder | Colorado | United States | 80303 |
33 | Rocky Mountain Cancer Centers-Boulder | Boulder | Colorado | United States | 80304 |
34 | Rocky Mountain Cancer Centers - Centennial | Centennial | Colorado | United States | 80112 |
35 | Penrose-Saint Francis Healthcare | Colorado Springs | Colorado | United States | 80907 |
36 | Rocky Mountain Cancer Centers-Penrose | Colorado Springs | Colorado | United States | 80907 |
37 | The Women's Imaging Center | Denver | Colorado | United States | 80209 |
38 | Porter Adventist Hospital | Denver | Colorado | United States | 80210 |
39 | Colorado Blood Cancer Institute | Denver | Colorado | United States | 80218 |
40 | Presbyterian - Saint Lukes Medical Center - Health One | Denver | Colorado | United States | 80218 |
41 | Rocky Mountain Cancer Centers-Midtown | Denver | Colorado | United States | 80218 |
42 | Rocky Mountain Cancer Centers-Rose | Denver | Colorado | United States | 80220 |
43 | Rose Medical Center | Denver | Colorado | United States | 80220 |
44 | Western Surgical Care | Denver | Colorado | United States | 80220 |
45 | Mercy Medical Center | Durango | Colorado | United States | 81301 |
46 | Southwest Oncology PC | Durango | Colorado | United States | 81301 |
47 | Mountain Blue Cancer Care Center - Swedish | Englewood | Colorado | United States | 80113 |
48 | Rocky Mountain Cancer Centers - Swedish | Englewood | Colorado | United States | 80113 |
49 | Swedish Medical Center | Englewood | Colorado | United States | 80113 |
50 | The Melanoma and Skin Cancer Institute | Englewood | Colorado | United States | 80113 |
51 | North Colorado Medical Center | Greeley | Colorado | United States | 80631 |
52 | Rocky Mountain Cancer Centers-Lakewood | Lakewood | Colorado | United States | 80228 |
53 | Saint Anthony Hospital | Lakewood | Colorado | United States | 80228 |
54 | Rocky Mountain Cancer Centers-Littleton | Littleton | Colorado | United States | 80120 |
55 | Littleton Adventist Hospital | Littleton | Colorado | United States | 80122 |
56 | Rocky Mountain Cancer Centers-Sky Ridge | Lone Tree | Colorado | United States | 80124 |
57 | Sky Ridge Medical Center | Lone Tree | Colorado | United States | 80124 |
58 | Longmont United Hospital | Longmont | Colorado | United States | 80501 |
59 | Rocky Mountain Cancer Centers-Longmont | Longmont | Colorado | United States | 80501 |
60 | McKee Medical Center | Loveland | Colorado | United States | 80539 |
61 | Parker Adventist Hospital | Parker | Colorado | United States | 80138 |
62 | Saint Mary Corwin Medical Center | Pueblo | Colorado | United States | 81004 |
63 | Rocky Mountain Cancer Centers-Thornton | Thornton | Colorado | United States | 80260 |
64 | Lewis Cancer and Research Pavilion at Saint Joseph's/Candler | Savannah | Georgia | United States | 31405 |
65 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
66 | Saint Luke's Cancer Institute - Boise | Boise | Idaho | United States | 83712 |
67 | Saint Alphonsus Cancer Care Center-Caldwell | Caldwell | Idaho | United States | 83605 |
68 | Kootenai Health - Coeur d'Alene | Coeur d'Alene | Idaho | United States | 83814 |
69 | Walter Knox Memorial Hospital | Emmett | Idaho | United States | 83617 |
70 | Saint Luke's Cancer Institute - Fruitland | Fruitland | Idaho | United States | 83619 |
71 | Idaho Urologic Institute-Meridian | Meridian | Idaho | United States | 83642 |
72 | Saint Luke's Cancer Institute - Meridian | Meridian | Idaho | United States | 83642 |
73 | Saint Alphonsus Medical Center-Nampa | Nampa | Idaho | United States | 83686 |
74 | Saint Luke's Cancer Institute - Nampa | Nampa | Idaho | United States | 83686 |
75 | Kootenai Clinic Cancer Services - Post Falls | Post Falls | Idaho | United States | 83854 |
76 | Kootenai Cancer Clinic | Sandpoint | Idaho | United States | 83864 |
77 | Saint Luke's Cancer Institute - Twin Falls | Twin Falls | Idaho | United States | 83301 |
78 | Saint Anthony's Health | Alton | Illinois | United States | 62002 |
79 | Rush - Copley Medical Center | Aurora | Illinois | United States | 60504 |
80 | Illinois CancerCare-Bloomington | Bloomington | Illinois | United States | 61704 |
81 | Illinois CancerCare-Canton | Canton | Illinois | United States | 61520 |
82 | Memorial Hospital of Carbondale | Carbondale | Illinois | United States | 62902 |
83 | SIH Cancer Institute | Carterville | Illinois | United States | 62918 |
84 | Illinois CancerCare-Carthage | Carthage | Illinois | United States | 62321 |
85 | Centralia Oncology Clinic | Centralia | Illinois | United States | 62801 |
86 | Northwestern University | Chicago | Illinois | United States | 60611 |
87 | Carle on Vermilion | Danville | Illinois | United States | 61832 |
88 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
89 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
90 | Illinois CancerCare-Dixon | Dixon | Illinois | United States | 61021 |
91 | Carle Physician Group-Effingham | Effingham | Illinois | United States | 62401 |
92 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
93 | Illinois CancerCare-Eureka | Eureka | Illinois | United States | 61530 |
94 | Illinois CancerCare-Galesburg | Galesburg | Illinois | United States | 61401 |
95 | Western Illinois Cancer Treatment Center | Galesburg | Illinois | United States | 61401 |
96 | Illinois CancerCare-Kewanee Clinic | Kewanee | Illinois | United States | 61443 |
97 | Illinois CancerCare-Macomb | Macomb | Illinois | United States | 61455 |
98 | Carle Physician Group-Mattoon/Charleston | Mattoon | Illinois | United States | 61938 |
99 | Good Samaritan Regional Health Center | Mount Vernon | Illinois | United States | 62864 |
100 | Cancer Care Center of O'Fallon | O'Fallon | Illinois | United States | 62269 |
101 | Illinois CancerCare-Ottawa Clinic | Ottawa | Illinois | United States | 61350 |
102 | Illinois CancerCare-Pekin | Pekin | Illinois | United States | 61554 |
103 | Illinois CancerCare-Peoria | Peoria | Illinois | United States | 61615 |
104 | Methodist Medical Center of Illinois | Peoria | Illinois | United States | 61636 |
105 | Illinois CancerCare-Peru | Peru | Illinois | United States | 61354 |
106 | Valley Radiation Oncology | Peru | Illinois | United States | 61354 |
107 | Illinois CancerCare-Princeton | Princeton | Illinois | United States | 61356 |
108 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
109 | Springfield Clinic | Springfield | Illinois | United States | 62702 |
110 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
111 | Carle Cancer Center | Urbana | Illinois | United States | 61801 |
112 | The Carle Foundation Hospital | Urbana | Illinois | United States | 61801 |
113 | Illinois CancerCare - Washington | Washington | Illinois | United States | 61571 |
114 | Rush-Copley Healthcare Center | Yorkville | Illinois | United States | 60560 |
115 | Reid Health | Richmond | Indiana | United States | 47374 |
116 | Mary Greeley Medical Center | Ames | Iowa | United States | 50010 |
117 | McFarland Clinic PC - Ames | Ames | Iowa | United States | 50010 |
118 | McFarland Clinic PC-Boone | Boone | Iowa | United States | 50036 |
119 | Saint Anthony Regional Hospital | Carroll | Iowa | United States | 51401 |
120 | Medical Oncology and Hematology Associates-West Des Moines | Clive | Iowa | United States | 50325 |
121 | Mercy Cancer Center-West Lakes | Clive | Iowa | United States | 50325 |
122 | Alegent Health Mercy Hospital | Council Bluffs | Iowa | United States | 51503 |
123 | Greater Regional Medical Center | Creston | Iowa | United States | 50801 |
124 | Iowa Methodist Medical Center | Des Moines | Iowa | United States | 50309 |
125 | Medical Oncology and Hematology Associates-Des Moines | Des Moines | Iowa | United States | 50309 |
126 | Broadlawns Medical Center | Des Moines | Iowa | United States | 50314 |
127 | Medical Oncology and Hematology Associates-Laurel | Des Moines | Iowa | United States | 50314 |
128 | Mercy Medical Center - Des Moines | Des Moines | Iowa | United States | 50314 |
129 | Iowa Lutheran Hospital | Des Moines | Iowa | United States | 50316 |
130 | McFarland Clinic PC-Trinity Cancer Center | Fort Dodge | Iowa | United States | 50501 |
131 | Trinity Regional Medical Center | Fort Dodge | Iowa | United States | 50501 |
132 | McFarland Clinic PC-Jefferson | Jefferson | Iowa | United States | 50129 |
133 | McFarland Clinic PC-Marshalltown | Marshalltown | Iowa | United States | 50158 |
134 | Methodist West Hospital | West Des Moines | Iowa | United States | 50266-7700 |
135 | Mercy Medical Center-West Lakes | West Des Moines | Iowa | United States | 50266 |
136 | Central Care Cancer Center - Garden City | Garden City | Kansas | United States | 67846 |
137 | Central Care Cancer Center - Great Bend | Great Bend | Kansas | United States | 67530 |
138 | HaysMed University of Kansas Health System | Hays | Kansas | United States | 67601 |
139 | Lawrence Memorial Hospital | Lawrence | Kansas | United States | 66044 |
140 | Olathe Health Cancer Center | Olathe | Kansas | United States | 66061 |
141 | University of Kansas Cancer Center-Overland Park | Overland Park | Kansas | United States | 66210 |
142 | Ascension Via Christi - Pittsburg | Pittsburg | Kansas | United States | 66762 |
143 | Salina Regional Health Center | Salina | Kansas | United States | 67401 |
144 | University of Kansas Health System Saint Francis Campus | Topeka | Kansas | United States | 66606 |
145 | University of Kansas Hospital-Westwood Cancer Center | Westwood | Kansas | United States | 66205 |
146 | Flaget Memorial Hospital | Bardstown | Kentucky | United States | 40004 |
147 | Commonwealth Cancer Center-Corbin | Corbin | Kentucky | United States | 40701 |
148 | Saint Joseph Radiation Oncology Resource Center | Lexington | Kentucky | United States | 40504 |
149 | Saint Joseph Hospital East | Lexington | Kentucky | United States | 40509 |
150 | Saint Joseph London | London | Kentucky | United States | 40741 |
151 | Jewish Hospital | Louisville | Kentucky | United States | 40202 |
152 | Saints Mary and Elizabeth Hospital | Louisville | Kentucky | United States | 40215 |
153 | UofL Health Medical Center Northeast | Louisville | Kentucky | United States | 40245 |
154 | Jewish Hospital Medical Center South | Shepherdsville | Kentucky | United States | 40165 |
155 | Walter Reed National Military Medical Center | Bethesda | Maryland | United States | 20889-5600 |
156 | Dana-Farber Cancer Institute | Boston | Massachusetts | United States | 02215 |
157 | Hickman Cancer Center | Adrian | Michigan | United States | 49221 |
158 | University of Michigan Comprehensive Cancer Center | Ann Arbor | Michigan | United States | 48109 |
159 | Toledo Clinic Cancer Centers-Monroe | Monroe | Michigan | United States | 48162 |
160 | Ascension Providence Hospitals - Novi | Novi | Michigan | United States | 48374 |
161 | Ascension Providence Hospitals - Southfield | Southfield | Michigan | United States | 48075 |
162 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
163 | Baptist Memorial Hospital and Cancer Center-Golden Triangle | Columbus | Mississippi | United States | 39705 |
164 | Baptist Cancer Center-Grenada | Grenada | Mississippi | United States | 38901 |
165 | Baptist Memorial Hospital and Cancer Center-Oxford | Oxford | Mississippi | United States | 38655 |
166 | Baptist Memorial Hospital and Cancer Center-Desoto | Southhaven | Mississippi | United States | 38671 |
167 | Saint Louis Cancer and Breast Institute-Ballwin | Ballwin | Missouri | United States | 63011 |
168 | Central Care Cancer Center - Bolivar | Bolivar | Missouri | United States | 65613 |
169 | Saint Francis Medical Center | Cape Girardeau | Missouri | United States | 63703 |
170 | Southeast Cancer Center | Cape Girardeau | Missouri | United States | 63703 |
171 | Parkland Health Center - Farmington | Farmington | Missouri | United States | 63640 |
172 | Capital Region Southwest Campus | Jefferson City | Missouri | United States | 65109 |
173 | Freeman Health System | Joplin | Missouri | United States | 64804 |
174 | Mercy Hospital Joplin | Joplin | Missouri | United States | 64804 |
175 | Truman Medical Centers | Kansas City | Missouri | United States | 64108 |
176 | University of Kansas Cancer Center - North | Kansas City | Missouri | United States | 64154 |
177 | University of Kansas Cancer Center - Lee's Summit | Lee's Summit | Missouri | United States | 64064 |
178 | University of Kansas Cancer Center at North Kansas City Hospital | North Kansas City | Missouri | United States | 64116 |
179 | Delbert Day Cancer Institute at PCRMC | Rolla | Missouri | United States | 65401 |
180 | Mercy Clinic-Rolla-Cancer and Hematology | Rolla | Missouri | United States | 65401 |
181 | Heartland Regional Medical Center | Saint Joseph | Missouri | United States | 64506 |
182 | Saint Louis Cancer and Breast Institute-South City | Saint Louis | Missouri | United States | 63109 |
183 | Mercy Hospital South | Saint Louis | Missouri | United States | 63128 |
184 | Missouri Baptist Medical Center | Saint Louis | Missouri | United States | 63131 |
185 | Mercy Hospital Saint Louis | Saint Louis | Missouri | United States | 63141 |
186 | Sainte Genevieve County Memorial Hospital | Sainte Genevieve | Missouri | United States | 63670 |
187 | Mercy Hospital Springfield | Springfield | Missouri | United States | 65804 |
188 | CoxHealth South Hospital | Springfield | Missouri | United States | 65807 |
189 | Missouri Baptist Sullivan Hospital | Sullivan | Missouri | United States | 63080 |
190 | Missouri Baptist Outpatient Center-Sunset Hills | Sunset Hills | Missouri | United States | 63127 |
191 | Mercy Hospital Washington | Washington | Missouri | United States | 63090 |
192 | Community Hospital of Anaconda | Anaconda | Montana | United States | 59711 |
193 | Billings Clinic Cancer Center | Billings | Montana | United States | 59101 |
194 | Bozeman Deaconess Hospital | Bozeman | Montana | United States | 59715 |
195 | Benefis Healthcare- Sletten Cancer Institute | Great Falls | Montana | United States | 59405 |
196 | Great Falls Clinic | Great Falls | Montana | United States | 59405 |
197 | Kalispell Regional Medical Center | Kalispell | Montana | United States | 59901 |
198 | Saint Patrick Hospital - Community Hospital | Missoula | Montana | United States | 59802 |
199 | Community Medical Hospital | Missoula | Montana | United States | 59804 |
200 | CHI Health Saint Francis | Grand Island | Nebraska | United States | 68803 |
201 | CHI Health Good Samaritan | Kearney | Nebraska | United States | 68847 |
202 | Saint Elizabeth Regional Medical Center | Lincoln | Nebraska | United States | 68510 |
203 | Alegent Health Immanuel Medical Center | Omaha | Nebraska | United States | 68122 |
204 | Alegent Health Bergan Mercy Medical Center | Omaha | Nebraska | United States | 68124 |
205 | Alegent Health Lakeside Hospital | Omaha | Nebraska | United States | 68130 |
206 | Creighton University Medical Center | Omaha | Nebraska | United States | 68131 |
207 | Midlands Community Hospital | Papillion | Nebraska | United States | 68046 |
208 | Solinsky Center for Cancer Care | Manchester | New Hampshire | United States | 03103 |
209 | University of New Mexico Cancer Center | Albuquerque | New Mexico | United States | 87102 |
210 | Northwell Health/Center for Advanced Medicine | Lake Success | New York | United States | 11042 |
211 | Good Samaritan Hospital Medical Center | West Islip | New York | United States | 11795 |
212 | Southeastern Medical Oncology Center-Clinton | Clinton | North Carolina | United States | 28328 |
213 | Southeastern Medical Oncology Center-Goldsboro | Goldsboro | North Carolina | United States | 27534 |
214 | Southeastern Medical Oncology Center-Jacksonville | Jacksonville | North Carolina | United States | 28546 |
215 | Dayton Physicians LLC-Miami Valley South | Centerville | Ohio | United States | 45459 |
216 | Miami Valley Hospital South | Centerville | Ohio | United States | 45459 |
217 | Good Samaritan Hospital - Cincinnati | Cincinnati | Ohio | United States | 45220 |
218 | Bethesda North Hospital | Cincinnati | Ohio | United States | 45242 |
219 | TriHealth Cancer Institute-Westside | Cincinnati | Ohio | United States | 45247 |
220 | TriHealth Cancer Institute-Anderson | Cincinnati | Ohio | United States | 45255 |
221 | Cleveland Clinic Cancer Center/Fairview Hospital | Cleveland | Ohio | United States | 44111 |
222 | Cleveland Clinic Foundation | Cleveland | Ohio | United States | 44195 |
223 | Miami Valley Hospital | Dayton | Ohio | United States | 45409 |
224 | Dayton Physician LLC-Miami Valley Hospital North | Dayton | Ohio | United States | 45415 |
225 | Miami Valley Hospital North | Dayton | Ohio | United States | 45415 |
226 | Armes Family Cancer Center | Findlay | Ohio | United States | 45840 |
227 | Dayton Physicians LLC-Atrium | Franklin | Ohio | United States | 45005 |
228 | Greater Dayton Cancer Center | Kettering | Ohio | United States | 45409 |
229 | Kettering Medical Center | Kettering | Ohio | United States | 45429 |
230 | Cleveland Clinic Cancer Center Mansfield | Mansfield | Ohio | United States | 44906 |
231 | Hillcrest Hospital Cancer Center | Mayfield Heights | Ohio | United States | 44124 |
232 | North Coast Cancer Care | Sandusky | Ohio | United States | 44870 |
233 | Springfield Regional Cancer Center | Springfield | Ohio | United States | 45504 |
234 | Mercy Health - Saint Anne Hospital | Toledo | Ohio | United States | 43623 |
235 | Toledo Clinic Cancer Centers-Toledo | Toledo | Ohio | United States | 43623 |
236 | South Pointe Hospital | Warrensville Heights | Ohio | United States | 44122 |
237 | Mercy Hospital Oklahoma City | Oklahoma City | Oklahoma | United States | 73120 |
238 | Saint Alphonsus Medical Center-Baker City | Baker City | Oregon | United States | 97814 |
239 | Saint Charles Health System | Bend | Oregon | United States | 97701 |
240 | Clackamas Radiation Oncology Center | Clackamas | Oregon | United States | 97015 |
241 | Providence Cancer Institute Clackamas Clinic | Clackamas | Oregon | United States | 97015 |
242 | Bay Area Hospital | Coos Bay | Oregon | United States | 97420 |
243 | Providence Newberg Medical Center | Newberg | Oregon | United States | 97132 |
244 | Saint Alphonsus Medical Center-Ontario | Ontario | Oregon | United States | 97914 |
245 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
246 | Providence Saint Vincent Medical Center | Portland | Oregon | United States | 97225 |
247 | Saint Charles Health System-Redmond | Redmond | Oregon | United States | 97756 |
248 | UPMC Camp Hill | Camp Hill | Pennsylvania | United States | 17011 |
249 | UPMC Pinnacle Cancer Center/Community Osteopathic Campus | Harrisburg | Pennsylvania | United States | 17109 |
250 | UPMC-Mercy Hospital | Pittsburgh | Pennsylvania | United States | 15219 |
251 | University of Pittsburgh Cancer Institute (UPCI) | Pittsburgh | Pennsylvania | United States | 15232 |
252 | UPMC Susquehanna | Williamsport | Pennsylvania | United States | 17701 |
253 | UPMC Memorial | York | Pennsylvania | United States | 17408 |
254 | Gibbs Cancer Center-Gaffney | Gaffney | South Carolina | United States | 29341 |
255 | Gibbs Cancer Center-Pelham | Greer | South Carolina | United States | 29651 |
256 | Spartanburg Medical Center | Spartanburg | South Carolina | United States | 29303 |
257 | MGC Hematology Oncology-Union | Union | South Carolina | United States | 29379 |
258 | Baptist Memorial Hospital and Cancer Center-Collierville | Collierville | Tennessee | United States | 38017 |
259 | Vanderbilt-Ingram Cancer Center Cool Springs | Franklin | Tennessee | United States | 37067 |
260 | Baptist Memorial Hospital and Cancer Center-Memphis | Memphis | Tennessee | United States | 38120 |
261 | Vanderbilt Breast Center at One Hundred Oaks | Nashville | Tennessee | United States | 37204 |
262 | Vanderbilt University/Ingram Cancer Center | Nashville | Tennessee | United States | 37232 |
263 | Saint Joseph Regional Cancer Center | Bryan | Texas | United States | 77802 |
264 | M D Anderson Cancer Center | Houston | Texas | United States | 77030 |
265 | University of Texas Health Science Center at San Antonio | San Antonio | Texas | United States | 78229 |
266 | Providence Regional Cancer System-Aberdeen | Aberdeen | Washington | United States | 98520 |
267 | PeaceHealth Saint Joseph Medical Center | Bellingham | Washington | United States | 98225 |
268 | Harrison HealthPartners Hematology and Oncology-Bremerton | Bremerton | Washington | United States | 98310 |
269 | Harrison Medical Center | Bremerton | Washington | United States | 98310 |
270 | Highline Medical Center-Main Campus | Burien | Washington | United States | 98166 |
271 | Providence Regional Cancer System-Centralia | Centralia | Washington | United States | 98531 |
272 | Swedish Cancer Institute-Edmonds | Edmonds | Washington | United States | 98026 |
273 | Saint Elizabeth Hospital | Enumclaw | Washington | United States | 98022 |
274 | Providence Regional Cancer Partnership | Everett | Washington | United States | 98201 |
275 | Saint Francis Hospital | Federal Way | Washington | United States | 98003 |
276 | Swedish Cancer Institute-Issaquah | Issaquah | Washington | United States | 98029 |
277 | Kadlec Clinic Hematology and Oncology | Kennewick | Washington | United States | 99336 |
278 | Providence Regional Cancer System-Lacey | Lacey | Washington | United States | 98503 |
279 | Saint Clare Hospital | Lakewood | Washington | United States | 98499 |
280 | PeaceHealth Saint John Medical Center | Longview | Washington | United States | 98632 |
281 | Jefferson Healthcare | Port Townsend | Washington | United States | 98368 |
282 | Harrison HealthPartners Hematology and Oncology-Poulsbo | Poulsbo | Washington | United States | 98370 |
283 | Pacific Gynecology Specialists | Seattle | Washington | United States | 98104 |
284 | Swedish Medical Center-Ballard Campus | Seattle | Washington | United States | 98107 |
285 | Swedish Medical Center-First Hill | Seattle | Washington | United States | 98122-4307 |
286 | Swedish Medical Center-Cherry Hill | Seattle | Washington | United States | 98122-5711 |
287 | PeaceHealth United General Medical Center | Sedro-Woolley | Washington | United States | 98284 |
288 | Providence Regional Cancer System-Shelton | Shelton | Washington | United States | 98584 |
289 | Franciscan Research Center-Northwest Medical Plaza | Tacoma | Washington | United States | 98405 |
290 | Northwest Medical Specialties PLLC | Tacoma | Washington | United States | 98405 |
291 | PeaceHealth Southwest Medical Center | Vancouver | Washington | United States | 98664 |
292 | Providence Saint Mary Regional Cancer Center | Walla Walla | Washington | United States | 99362 |
293 | Providence Regional Cancer System-Yelm | Yelm | Washington | United States | 98597 |
294 | Cheyenne Regional Medical Center-West | Cheyenne | Wyoming | United States | 82001 |
295 | Billings Clinic-Cody | Cody | Wyoming | United States | 82414 |
296 | Welch Cancer Center | Sheridan | Wyoming | United States | 82801 |
Sponsors and Collaborators
- Southwest Oncology Group
- National Cancer Institute (NCI)
- Gilead Sciences
Investigators
- Principal Investigator: Andrew J Brenner, Southwest Oncology Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- S2007
- NCI-2020-07706
- S2007
- S2007
- U10CA180888