A Study of Dato-DXd With or Without Durvalumab Versus Investigator's Choice of Therapy in Patients With Stage I-III Triple-negative Breast Cancer Without Pathological Complete Response Following Neoadjuvant Therapy (TROPION-Breast03)
Study Details
Study Description
Brief Summary
This is a Phase III, randomized, open-label, 3-arm, multicenter, international study assessing the efficacy and safety of Dato-DXd with or without durvalumab compared with ICT in participants with stage I to III TNBC with residual invasive disease in the breast and/or axillary lymph nodes at surgical resection following neoadjuvant systemic therapy.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 3 |
Detailed Description
The study will investigate the efficacy and safety of Dato-DXd with or without durvalumab when compared with ICT (capecitabine and/or pembrolizumab) in participants with stage I to III TNBC who have residual invasive disease in the breast and/or axillary lymph nodes at surgical resection following neoadjuvant systemic therapy.
The primary objective of the study is to demonstrate superiority of Dato-DXd in combination with durvalumab relative to ICT by assessment of iDFS in participants with stage I to III TNBC with residual invasive disease at surgical resection following neoadjuvant therapy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Dato-DXd in combination with Durvalumab Arm 1: Dato-DXd 6 mg/kg IV Q3W x 8 cycles + Durvalumab 1120 mg IV Q3W x 9 cycles |
Drug: Dato-DXd
Experimental drug. Provided in 100mg vials. IV infusion
Other Names:
Drug: Durvalumab
Experimental drug. Provided in 50mg vials. IV infusion
Other Names:
|
Experimental: Dato-DXd Arm 2: Dato-DXd 6 mg/kg IV Q3W x 8 cycles |
Drug: Dato-DXd
Experimental drug. Provided in 100mg vials. IV infusion
Other Names:
|
Active Comparator: Investigators Choice Therapy Arm 3: Capecitabine (1000 or 1250 mg/m2 oral BID on Days 1 to 14, Q3W) for 8 cycles Pembrolizumab* (200 mg IV on Day 1, Q3W) for 9 cycles Capecitabine (1000 or 1250 mg/m2 oral BID on Days 1 to 14, Q3W) for 8 cycles + pembrolizumab* (200 mg IV on Day 1, Q3W) for 9 cycles * Only participants who have received prior pembrolizumab in the neoadjuvant setting should receive pembrolizumab as part of their adjuvant therapy on Arm 3. |
Drug: Capecitabine
Active Comparator. Tablet. Oral route of administration
Other Names:
Drug: Pembrolizumab
Active Comparator. Provided in 100mg vials. IV infusion
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Invasive disease-free survival (iDFS) for Dato-DXd + durvalumab vs. ICT [From randomization until recurrence as assessed by investigator or death due to any cause up to 57 months from first subject in]
iDFS is defined as time from randomisation until date of first occurrence of one of the following events: ipsilateral invasive breast tumour (local) recurrence, regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and skin of ipsilateral breast), or distant recurrence (metastatic breast cancer that has either been biopsy-confirmed or clinically diagnosed as recurrent invasive breast cancer); contralateral invasive breast cancer; second primary non-breast invasive cancer (other than squamous or basal cell skin cancer); or death from any cause. iDFS will be determined based on disease recurrence per investigator assessment based on all available clinical assessments. The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy or receives another anticancer therapy. The measure of interest will be the HR (hazard ratio) of iDFS for Dato-DXd + durvalumab vs ICT.
Secondary Outcome Measures
- Distant disease-free survival (DDFS) for Dato-DXd + durvalumab vs ICT [Randomization to date of the event, up to 57 months from first subject in]
DDFS is defined as time from randomization to date of first distant recurrence, occurrence of second primary non-breast invasive cancer, or death from any cause. DDFS is determined based on disease recurrence per investigators assessment based on all available clinical assessments. The analysis will include all randomized participants, as randomized regardless of whether the participant withdraws from randomized therapy or received another anticancer therapy. The measure of interest will be the HR (hazard ratio) of DDFS for Dato-DXd + durvalumab vs ICT.
- DDFS for Dato-DXd vs ICT [Randomization to date of the event, up to 57 months from first subject in]
DDFS is defined as time from randomization to date of first distant recurrence, occurrence of second primary non-breast invasive cancer, or death from any cause. DDFS is determined based on disease recurrence per investigators assessment based on all available clinical assessments. The measure of interest will be the HR of DDFS for Dato-DXd vs ICT.
- DDFS for Dato-DXd + durvalumab vs Dato-DXd [Randomization to date of the event, up 57 months from first subject in]
DDFS is defined as time from randomization to date of first distant recurrence, occurrence of second primary non-breast invasive cancer, or death from any cause. DDFS is determined based on disease recurrence per investigators assessment based on all available clinical assessments. The measure of interest will be the HR of DDFS for Dato-DXd + durvalumab vs Dato-DXd.
- Overall Survival (OS) for Dato-DXd + durvalumab vs ICT [Randomization to date of death, due to any cause, up to 87 months from first subject in]
OS is defined as time from randomization until date of death due to any cause. The analysis will include all randomised participants, as randomised regardless of whether the participant withdraws from randomised therapy or received another anticancer therapy. The measure of interest will be the HR (hazard ratio) of OS for Dato-DXd + durvalumab vs ICT.
- OS for Dato-DXd vs ICT [Randomization to date of death, due to any cause, up to 87 months from first subject in]
OS is defined as time from randomization until date of death due to any cause. The measure of interest will be the HR of OS for Dato-DXd vs ICT.
- iDFS for Dato-DXd vs ICT [Randomization to event, up to 57 months from first subject in]
iDFS is defined as time from randomisation until date of first occurrence of one of the following events: ipsilateral invasive breast tumour (local) recurrence, regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and skin of ipsilateral breast), or distant recurrence (metastatic breast cancer that has either been biopsy-confirmed or clinically diagnosed as recurrent invasive breast cancer); contralateral invasive breast cancer; second primary non-breast invasive cancer (other than squamous or basal cell skin cancer); or death from any cause. iDFS will be determined based on disease recurrence per investigator assessment based on all available clinical assessments. The analysis will include all randomised participants, as randomised, regardless of whether the participant withdraws from randomised therapy or receives another anticancer therapy. The measure of interest will be the HR of iDFS for Dato-DXd vs ICT.
- iDFS for Dato-DXd + durvalumab vs Dato-DXd [Randomization to event, up to 57 months from first subject in]
iDFS is defined as time from randomisation until date of first occurrence of one of the following events: ipsilateral invasive breast tumour (local) recurrence, regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and skin of ipsilateral breast), or distant recurrence (metastatic breast cancer that has either been biopsy-confirmed or clinically diagnosed as recurrent invasive breast cancer); contralateral invasive breast cancer; second primary non-breast invasive cancer (other than squamous or basal cell skin cancer); or death from any cause. The measure of interest will be the HR of iDFS for Dato-DXd + durvalumab vs Dato-DXd.
- Time to Deterioration (TTD) in physical functioning in participants treated with Dato-DXd with or without durvalumab compared with ICT [Randomization to date of the event, up to 36 months after randomization]
TTD in physical function as measured by the PROMIS Physical Function Short Form 8c.TTD is defined as time from the date of randomisation to the date of deterioration. Deterioration is defined as change from baseline that reaches a clinically meaningful deterioration threshold. The analysis will include all dosed participants. The measure of interest is the HR (hazard ratio) of TTD in physical function for Dato-DXd with or without durvalumab compared with ICT.
- Time to Deterioration (TTD) in GHS/QoL in participants treated with Dato-DXd with or without durvalumab compared with ICT [Randomization to date of the event, up to 36 months after randomization]
TTD in GHS/QoL as measured by the GHS/QoL scale from the EORTC IL172. TTD is defined as time from the date of randomisation to the date of deterioration. Deterioration is defined as change from baseline that reaches a clinically meaningful deterioration threshold. The analysis will include all randomised participants. The measure of interest is the HR (hazard ratio) of TTD in GHS/QoL for Dato-DXd with or without durvalumab compared with ICT.
- Fatigue in participants treated with Dato-DXd with or without durvalumab vs ICT [Randomization to 24 months after randomization]
Proportion of participants experiencing different levels of fatigue at 3 months (13weeks), 6 months (26 weeks), and 12 months (52 weeks) as measured by PROMIS Fatigue Short Form 7a. The analysis will include all dosed participants. The measure of interest will be the proportion of participants reporting different levels of fatigue.
- Pharmacokinetics of Dato-DXd [Day 1 of cycles 1,2,4,6,8 (Each cycle is 21 days)]
Concentration of Dato- DXd, total anti-TROP2 antibody, and MAAA-1181 in plasma.
- Immunogenicity of Dato-DXd [Day 1 of cycles 1,2,4,6,8 (Each cycle is 21 days) and within 35 days of completion of or discontinuation of study intervention (at an average of 6 months following randomization)]
Presence of ADAs for Dato-DXd (confirmatory results: positive or negative; titres).
- Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) [Randomization to final safety follow-up visit, either 90 days after last dose of study intervention for those who complete planned study intervention or 90 days after date of discontinuation for those who discontinue study intervention prematurely]
Safety and tolerability will be evaluated in terms of AEs (graded by CTCAE version 5.0).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Participant must be ≥ 18 years at the time of screening.
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Histologically confirmed invasive TNBC, as defined by the ASCO/CAP guidelines.
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Residual invasive disease in the breast and/or axillary lymph node(s) at surgical resection following neoadjuvant therapy.
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Completed at least 6 cycles of neoadjuvant therapy containing an anthracycline and/or a taxane with or without carboplatin, with or without pembrolizumab.
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No evidence of locoregional or distant relapse.
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Surgical removal of all clinically evident disease in the breast and lymph nodes.
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ECOG performance status of 0 or 1 with no deterioration over the previous 2 weeks prior to randomisation.
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All participants must provide an FFPE tumour sample from residual invasive disease at surgery for tissue-based analysis.
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No adjuvant systemic therapy.
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Radiotherapy (if indicated) delivered before the start of study intervention.
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If post-operative radiation therapy is given, an interval of no more than 6 weeks between the completion of radiation therapy and the date of randomisation (radiation therapy can be completed during screening period). If no post-operative radiation therapy is given, an interval of no more than 16 weeks between the date of breast surgery and the date of randomisation.
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Has LVEF ≥ 50% by either an ECHO or MUGA scan within 28 days before randomisation.
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Eligible for one of the therapy options listed as investigator's choice per investigator assessment.
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No known germline BRCA1 or BRCA2 mutation.
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Adequate bone marrow reserve and organ function within 7 days before randomisation.
Exclusion Criteria:
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Stage IV (metastatic) TNBC.
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History of prior invasive breast cancer, or evidence of recurrent disease following preoperative therapy and surgery.
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Severe or uncontrolled medical conditions including systemic diseases, history of allogeneic organ transplant and active bleeding diseases, ongoing or active infection, serious chronic gastrointestinal conditions associated with diarrhea .
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History of another primary malignancy except for adequately resected basal cell carcinoma of the skin or squamous cell carcinoma of the skin, in situ disease that has undergone potentially curative therapy, or other solid malignancy treated with curative intent with no known active disease within 5 years before randomisation and of low potential risk for recurrence.
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Persistent toxicities caused by previous anticancer therapy, excluding alopecia, not yet improved to Grade ≤ 1 or baseline. Participants with irreversible toxicity that is not reasonably expected to be exacerbated by study intervention may be included (eg, hearing loss).
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Active or prior documented autoimmune or inflammatory disorders.
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Clinically significant corneal disease.
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Active or uncontrolled hepatitis B or C virus infection.
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Known to have tested positive for HIV (positive HIV 1/2 antibodies).
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Active tuberculosis infection.
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Mean resting corrected QTcF > 470 ms regardless of gender, obtained from triplicate 12-lead ECGs performed at screening.
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Uncontrolled or significant cardiac disease.
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History of non-infectious ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening.
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Clinically severe pulmonary function compromise resulting from intercurrent pulmonary illnesses.
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Any known active liver disease.
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Grade ≥ 2 peripheral neuropathy of any aetiology.
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Prior exposure to a PD-1/PD-L1 inhibitor other than pembrolizumab.
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Current or prior use of immunosuppressive medication within 14 days prior to randomisation.
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Participants with a known severe hypersensitivity to Dato-DXd or any of the excipients of these products including but not limited to polysorbate 80 or other monoclonal antibodies.
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Participants with a known severe hypersensitivity to PD-1/PD-L1 inhibitors.
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Participation in another clinical study with a study intervention or investigational medicinal device administered in the last 4 weeks prior to randomisation, randomisation into a prior Dato-DXd, T-DXd, or durvalumab study regardless of treatment assignment.
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Currently pregnant (confirmed with positive pregnancy test), breastfeeding or planning to become pregnant.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Research Site | Gilbert | Arizona | United States | 85234 |
2 | Research Site | Little Rock | Arkansas | United States | 72205 |
3 | Research Site | Springdale | Arkansas | United States | 72762 |
4 | Research Site | Beverly Hills | California | United States | 90211 |
5 | Research Site | Duarte | California | United States | 91010 |
6 | Research Site | Fountain Valley | California | United States | 92708 |
7 | Research Site | Harbor City | California | United States | 90710 |
8 | Research Site | Los Angeles | California | United States | 90017 |
9 | Research Site | Los Angeles | California | United States | 90095 |
10 | Research Site | Orange | California | United States | 92868 |
11 | Research Site | Aurora | Colorado | United States | 80045 |
12 | Research Site | New Haven | Connecticut | United States | 06510 |
13 | Research Site | Newark | Delaware | United States | 19713 |
14 | Research Site | Fort Myers | Florida | United States | 33901 |
15 | Research Site | Saint Petersburg | Florida | United States | 33705 |
16 | Research Site | West Palm Beach | Florida | United States | 33401 |
17 | Research Site | Atlanta | Georgia | United States | 30318 |
18 | Research Site | Atlanta | Georgia | United States | 30322 |
19 | Research Site | Marietta | Georgia | United States | 30060 |
20 | Research Site | Honolulu | Hawaii | United States | 96813 |
21 | Research Site | Maywood | Illinois | United States | 60153 |
22 | Research Site | Iowa City | Iowa | United States | 52242 |
23 | Research Site | Westwood | Kansas | United States | 66205 |
24 | Research Site | Lexington | Kentucky | United States | 40503 |
25 | Research Site | Louisville | Kentucky | United States | 40202 |
26 | Research Site | Louisville | Kentucky | United States | 40241 |
27 | Research Site | Baton Rouge | Louisiana | United States | 70809 |
28 | Research Site | New Orleans | Louisiana | United States | 70121 |
29 | Research Site | Baltimore | Maryland | United States | 21201 |
30 | Research Site | Baltimore | Maryland | United States | 21202 |
31 | Research Site | Boston | Massachusetts | United States | 02114 |
32 | Research Site | Saint Louis | Missouri | United States | 63110 |
33 | Research Site | Billings | Montana | United States | 59102 |
34 | Research Site | Camden | New Jersey | United States | 08103 |
35 | Research Site | Hackensack | New Jersey | United States | 07601 |
36 | Research Site | Albuquerque | New Mexico | United States | 87102 |
37 | Research Site | New York | New York | United States | 10021 |
38 | Research Site | New York | New York | United States | 10065 |
39 | Research Site | Charlotte | North Carolina | United States | 28204 |
40 | Research Site | Cleveland | Ohio | United States | 44195 |
41 | Research Site | Hershey | Pennsylvania | United States | 17033 |
42 | Research Site | Philadelphia | Pennsylvania | United States | 19104 |
43 | Research Site | Philadelphia | Pennsylvania | United States | 19111 |
44 | Research Site | Pittsburgh | Pennsylvania | United States | 15212 |
45 | Research Site | Pittsburgh | Pennsylvania | United States | 15213 |
46 | Research Site | Providence | Rhode Island | United States | 02903 |
47 | Research Site | Chattanooga | Tennessee | United States | 37404 |
48 | Research Site | Nashville | Tennessee | United States | 37203 |
49 | Research Site | Fort Worth | Texas | United States | 76104 |
50 | Research Site | Houston | Texas | United States | 77030 |
51 | Research Site | Midlothian | Virginia | United States | 23114 |
52 | Research Site | Kennewick | Washington | United States | 99336 |
53 | Research Site | Seattle | Washington | United States | 98104 |
54 | Research Site | Spokane Valley | Washington | United States | 99216 |
55 | Research Site | Madison | Wisconsin | United States | 53792 |
56 | Research Site | Milwaukee | Wisconsin | United States | 53226 |
57 | Research Site | Anderlecht | Belgium | 1070 | |
58 | Research Site | Brussel | Belgium | 1090 | |
59 | Research Site | Bruxelles | Belgium | 1200 | |
60 | Research Site | Charleroi | Belgium | 6000 | |
61 | Research Site | Edegem | Belgium | 2650 | |
62 | Research Site | Gent | Belgium | 9000 | |
63 | Research Site | Hasselt | Belgium | 3500 | |
64 | Research Site | Liège | Belgium | 4000 | |
65 | Research Site | Sint-Niklaas | Belgium | 9100 | |
66 | Research Site | Wilrijk | Belgium | 2610 | |
67 | Research Site | Sao Paulo | Brazil | 01508-010 | |
68 | Research Site | North Vancouver | British Columbia | Canada | V7L 2L7 |
69 | Research Site | Barrie | Ontario | Canada | L4M 6M2 |
70 | Research Site | Oakville | Ontario | Canada | L9T 6G2 |
71 | Research Site | Ottawa | Ontario | Canada | K1H 8L6 |
72 | Research Site | Toronto | Ontario | Canada | M5G 1X5 |
73 | Research Site | Toronto | Ontario | Canada | M5G 2M9 |
74 | Research Site | Montreal | Quebec | Canada | H2X 0C1 |
75 | Research Site | Montreal | Quebec | Canada | H3T 1E2 |
76 | Research Site | Montreal | Quebec | Canada | H4A 3J1 |
77 | Research Site | Quebec City | Quebec | Canada | G1S 4L8 |
78 | Research Site | Saskatoon | Saskatchewan | Canada | S7N 4H4 |
79 | Research Site | Beijing | China | 100044 | |
80 | Research Site | Beijing | China | 100142 | |
81 | Research Site | Bengbu | China | 233060 | |
82 | Research Site | Changchun | China | 130021 | |
83 | Research Site | Changsha | China | 410008 | |
84 | Research Site | Chengdu | China | 610000 | |
85 | Research Site | Chengdu | China | 610072 | |
86 | Research Site | Chongqing | China | 400030 | |
87 | Research Site | Fuzhou | China | 350011 | |
88 | Research Site | Guangzhou | China | 510060 | |
89 | Research Site | Guangzhou | China | 510100 | |
90 | Research Site | Guangzhou | China | 510120 | |
91 | Research Site | Guangzhou | China | 510700 | |
92 | Research Site | Haikou | China | 570311 | |
93 | Research Site | Hangzhou | China | 310020 | |
94 | Research Site | Harbin | China | 150081 | |
95 | Research Site | Hefei | China | 230001 | |
96 | Research Site | Jinan | China | 250030 | |
97 | Research Site | Nanchang | China | 330009 | |
98 | Research Site | Nanjing | China | 210008 | |
99 | Research Site | Nanning | China | 530021 | |
100 | Research Site | Qingdao | China | 110016 | |
101 | Research Site | Shanghai | China | 200025 | |
102 | Research Site | Shanghai | China | 200032 | |
103 | Research Site | Shenzhen | China | 518020 | |
104 | Research Site | Taiyuan | China | 030000 | |
105 | Research Site | Tianjin | China | 300060 | |
106 | Research Site | Wuhan | China | 430022 | |
107 | Research Site | Wuhan | China | 430060 | |
108 | Research Site | Xiamen | China | 361003 | |
109 | Research Site | Zhengzhou | China | ||
110 | Research Site | Augsburg | Germany | 86156 | |
111 | Research Site | Frankfurt am Main | Germany | 65929 | |
112 | Research Site | Hamburg | Germany | 20357 | |
113 | Research Site | Heilbronn | Germany | 74078 | |
114 | Research Site | Kiel | Germany | 24105 | |
115 | Research Site | Langen | Germany | 63225 | |
116 | Research Site | Ludwigsburg | Germany | 71640 | |
117 | Research Site | Mönchengladbach | Germany | 41061 | |
118 | Research Site | München | Germany | 80337 | |
119 | Research Site | Troisdorf | Germany | 53840 | |
120 | Research Site | Tübingen | Germany | 72076 | |
121 | Research Site | Witten | Germany | 58452 | |
122 | Research Site | Wuppertal | Germany | 42283 | |
123 | Research Site | Brescia | Italy | 25123 | |
124 | Research Site | Roma | Italy | 00168 | |
125 | Research Site | Hiroshima-shi | Japan | 730-8518 | |
126 | Research Site | Osaka-shi | Japan | 541-8567 | |
127 | Research Site | Yokohama-shi | Japan | 241-8515 | |
128 | Research Site | Busan | Korea, Republic of | 49241 | |
129 | Research Site | Daegu | Korea, Republic of | 41404 | |
130 | Research Site | Goyang-si | Korea, Republic of | 10408 | |
131 | Research Site | Seongnam-si | Korea, Republic of | 463-712 | |
132 | Research Site | Seoul | Korea, Republic of | 02841 | |
133 | Research Site | Seoul | Korea, Republic of | 03722 | |
134 | Research Site | Seoul | Korea, Republic of | 05505 | |
135 | Research Site | Seoul | Korea, Republic of | 06273 | |
136 | Research Site | Seoul | Korea, Republic of | 06351 | |
137 | Research Site | Seoul | Korea, Republic of | 13620 | |
138 | Research Site | Barcelona | Spain | 08028 | |
139 | Research Site | Barcelona | Spain | 8035 | |
140 | Research Site | Bilbao (Vizcaya) | Spain | 48013 | |
141 | Research Site | Elche(Alicante) | Spain | 03202 | |
142 | Research Site | Madrid | Spain | 28040 | |
143 | Research Site | Madrid | Spain | 28041 | |
144 | Research Site | Malaga | Spain | 29010 | |
145 | Research Site | Palma de Mallorca | Spain | 07010 | |
146 | Research Site | Toledo | Spain | 45007 | |
147 | Research Site | Valencia | Spain | 46010 | |
148 | Research Site | Hsinchu | Taiwan | 300 | |
149 | Research Site | Taichung | Taiwan | 40447 | |
150 | Research Site | Tainan City | Taiwan | 70403 | |
151 | Research Site | Taipei | Taiwan | 10002 | |
152 | Research Site | Taipei | Taiwan | 10449 | |
153 | Research Site | Taipei | Taiwan | 112 | |
154 | Research Site | Taoyuan | Taiwan | 333 | |
155 | Research Site | Yung Kang City | Taiwan | 71044 | |
156 | Research Site | Cambridge | United Kingdom | CB2 0QQ | |
157 | Research Site | Cardiff | United Kingdom | CF14 2TL | |
158 | Research Site | Derry | United Kingdom | BT47 6SB | |
159 | Research Site | Edinburgh | United Kingdom | EH4 2XU | |
160 | Research Site | Greater London | United Kingdom | SW3 6JJ | |
161 | Research Site | London | United Kingdom | EC1A 7BE | |
162 | Research Site | London | United Kingdom | SE1 9RT | |
163 | Research Site | Manchester | United Kingdom | M20 4BX | |
164 | Research Site | Newcastle upon Tyne | United Kingdom | NE7 7AF | |
165 | Research Site | Surrey | United Kingdom | SM2 5PT | |
166 | Research Site | Taunton | United Kingdom | TA1 5DA |
Sponsors and Collaborators
- AstraZeneca
- Daiichi Sankyo, Inc.
- SWOG Clinical Trials Partnerships
Investigators
- Study Chair: Aditya Bardia, MD, MPH, Massachusetts General Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- D926XC00001