Oxaliplatin, Leucovorin Calcium, and Fluorouracil With or Without Celecoxib in Treating Patients With Stage III Colon Cancer Previously Treated With Surgery

Sponsor
Alliance for Clinical Trials in Oncology (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT01150045
Collaborator
National Cancer Institute (NCI) (NIH)
2,527
842
4
3

Study Details

Study Description

Brief Summary

PURPOSE: This randomized phase III trial is studying giving oxaliplatin, leucovorin calcium, and fluorouracil together to compare how well they work when given together with or without celecoxib in treating patients with stage III colon cancer previously treated with surgery.

RATIONALE: Drugs used in chemotherapy, such as oxaliplatin, leucovorin calcium, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Celecoxib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether giving oxaliplatin, leucovorin calcium, and fluorouracil is more effective with or without celecoxib in treating colon cancer.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

OUTLINE: This is a multicenter study. Patients are stratified according to number of positive lymph nodes* (1-3 vs 4 or more) and concurrent regular low-dose of aspirin (yes vs no). Patients are randomized to 1 of 4 treatment arms. Please see the "Arms" section for more information. In all arms, treatment with celecoxib or placebo continues for 3 years in the absence of disease progression or unacceptable toxicity. Blood and tissue samples maybe collected for biomarker analysis and pharmacogenomic studies. The primary and secondary objectives for the research study are described below.

Primary objective:
  1. To compare disease-free survival of patients with stage III colon cancer randomized to standard chemotherapy only FOLFOX or standard chemotherapy FOLFOX with 3 years of celecoxib 400 mg daily.
Secondary objectives:
  1. To contribute to an international prospective pooled analysis that will compare disease-free survival of patients with stage III colon cancer randomized to 6 treatments of adjuvant FOLFOX chemotherapy or 12 treatments of adjuvant FOLFOX chemotherapy.

  2. To compare overall survival of patients with stage III colon cancer randomized to standard chemotherapy only (FOLFOX) or standard chemotherapy (FOLFOX) with 3 years of celecoxib 400 mg daily.

  3. To contribute to an international prospective pooled analysis that will compare overall survival of patients with stage III colon cancer randomized to 6 treatments of adjuvant FOLFOX chemotherapy or 12 treatments of adjuvant FOLFOX chemotherapy or 12 treatments of adjuvant FOLFOX chemotherapy.

  4. To assess toxicities of celecoxib as maintenance adjuvant therapy in patients with stage III colon cancer.

  5. To assess differences in cardiovascular-specific events with celecoxib versus placebo in a population of stage III colon cancer survivors.

  6. To evaluate differences in toxicities, particularly cumulative peripheral neuropathy, for patients treated with 6 treatments of FOLFOX compared to those treated with 12 treatments of FOLFOX.

After completion of study therapy, patients are followed up every 6 months for up to 6 years.

Study Design

Study Type:
Interventional
Actual Enrollment :
2527 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase III Trial of 6 Versus 12 Treatments of Adjuvant FOLFOX Plus Celecoxib or Placebo for Patients With Resected Stage III Colon Cancer
Study Start Date :
Jun 1, 2010
Actual Primary Completion Date :
Feb 28, 2020

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Arm A - FOLFOX and placebo (12 treatments)

Patients receive FOLFOX every 2 weeks plus placebo every day for 12 treatments (24 weeks). Each 2-week period is called a cycle. FOLFOX includes oxaliplatin, leucovorin and 5-FU.Then, patients receive placebo alone every day for 3 years total.

Drug: 5-fluorouracil
Patients receive 400 mg/m^2 intravenous bolus then 2400 mg/m^2 continuous intravenous infusion over 46-48 hours.

Other: placebo
Patients receive placebo administered by mouth, once daily.

Drug: oxaliplatin
Patients receive 85 mg/m^2 intravenous over two hours.

Drug: leucovorin
Patients receive 400 mg/m^2 intravenous over two hours.

Experimental: Arm B - FOLFOX and celecoxib (12 treatments)

Patients receive FOLFOX every 2 weeks plus celecoxib every day for 12 treatments (24 weeks). Each 2-week period is called a cycle. FOLFOX includes oxaliplatin, leucovorin and 5-FU.Then, patients receive celecoxib alone every day for 3 years total.

Drug: celecoxib
Patients receive celecoxib 400 mg administered by mouth, once daily.

Drug: 5-fluorouracil
Patients receive 400 mg/m^2 intravenous bolus then 2400 mg/m^2 continuous intravenous infusion over 46-48 hours.

Drug: oxaliplatin
Patients receive 85 mg/m^2 intravenous over two hours.

Drug: leucovorin
Patients receive 400 mg/m^2 intravenous over two hours.

Active Comparator: Arm C - FOLFOX and placebo (6 treatments)

Patients receive FOLFOX every 2 weeks plus placebo every day for 6 treatments (12 weeks). Each 2-week period is called a cycle. FOLFOX includes oxaliplatin, leucovorin and 5-FU.Then, patients receive placebo alone every day for 3 years total.

Drug: 5-fluorouracil
Patients receive 400 mg/m^2 intravenous bolus then 2400 mg/m^2 continuous intravenous infusion over 46-48 hours.

Other: placebo
Patients receive placebo administered by mouth, once daily.

Drug: oxaliplatin
Patients receive 85 mg/m^2 intravenous over two hours.

Drug: leucovorin
Patients receive 400 mg/m^2 intravenous over two hours.

Experimental: Arm D - FOLFOX and celecoxib (6 treatments)

Patients receive FOLFOX every 2 weeks plus celecoxib every day for 6 treatments (12 weeks). Each 2-week period is called a cycle. FOLFOX includes oxaliplatin, leucovorin and 5-FU.Then, patients receive celecoxib alone every day for 3 years total.

Drug: celecoxib
Patients receive celecoxib 400 mg administered by mouth, once daily.

Drug: 5-fluorouracil
Patients receive 400 mg/m^2 intravenous bolus then 2400 mg/m^2 continuous intravenous infusion over 46-48 hours.

Drug: oxaliplatin
Patients receive 85 mg/m^2 intravenous over two hours.

Drug: leucovorin
Patients receive 400 mg/m^2 intravenous over two hours.

Outcome Measures

Primary Outcome Measures

  1. Disease-free Survival [At 3 years of follow-up]

    Disease-Free Survival (DFS) is defined as the time of randomization until documented progression or death from any cause. The endpoint of this trial is to compare disease-free survival of patients with stage III colon cancer randomized to standard chemotherapy only (FOLFOX; Arm A and Arm C) or standard chemotherapy (FOLFOX) with 3 years of celecoxib 400 mg daily (Arm B and Arm D). The percentage of patients who were alive and disease free after 3 years are reported here. A log-rank test stratified with the stratification factors was used to compare disease-free survival (celecoxib vs placebo)

Secondary Outcome Measures

  1. Overall Survival [up to 3 years from registration]

    Overall Survival (DFS) is defined as the time of randomization until documented death from any cause. The endpoint is to compare overall survival of patients with stage III colon cancer randomized to standard chemotherapy only (FOLFOX; Arm A and Arm C) or standard chemotherapy (FOLFOX) with 5 years of celecoxib 400 mg daily (Arm B and Arm D). The percentage of patients who were alive after 3 years are reported here.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
  1. Requirements for tumor parameters

  2. Histologically documented adenocarcinoma of the colon. The gross inferior (caudad) margin of the primary tumor must lie above the peritoneal reflection (i.e., patients with rectal cancer are not eligible). Surgeon confirmation that the entire tumor was above the peritoneal reflection is only required in cases where it is important to establish if the tumor is a rectal or colon primary.

  3. Tumors must have been completely resected. In patients with tumor adherent to adjacent structures, en bloc R0 resection must be documented in the operative report or otherwise confirmed by the surgeon. Near or positive radial margin are not exclusions as long as en bloc resection was performed. Positive proximal margin or distal margin is an exclusion.

  4. Node positive disease (N1 or N2) as designated in AJCC version 7. Either at least one pathologically confirmed positive lymph node or N1C (defined as tumor deposit(s) in the subserosa, mesentery, or nonperitonealized pericolic or perirectal tissues without regional lymph node metastases). Patients with resected stage IV disease are not eligible.

  5. No evidence of residual involved lymph node disease or metastatic disease at the time of registration.

  6. Patients with synchronous colon cancers are eligible and staging for stratification will be based on higher N stage of the more advanced primary tumor. However, patients with synchronous colon and rectal primary tumors are not eligible.

  7. NSAID use

Patients are ineligible if they plan on regular use of NSAIDs at any dose more than 2 times per week (on average) or aspirin at more than 325 mg at least three times per week, on average. Low-dose aspirin not exceeding 100 mg/day is permitted. Patients who agree to stop regular NSAIDs or higher dose aspirin are eligible and no was out period is required.

  1. Patient history

  2. No previous or concurrent malignancy, except treated basal cell or squamous cell cancer of skin, treated in situ cervical cancer, treated lobular or ductal carcinoma in situ in one breast, or any other cancer for which the patient has been disease-free for at least 5 years.

  3. No neurosensory or neuromotor toxicity ≥ grade 2 at the time of registration.

  4. No known allergy to platinum compounds.

  5. No prior allergic reaction or hypersensitivity to sulfonamides, celecoxib or NSAIDs.

  6. No history of upper gastrointestinal ulceration, upper gastrointestinal bleeding, or upper gastrointestinal perforation within the past 3 years. Patients with ulceration, bleeding or perforation in the lower bowel are not excluded.

  7. No symptomatic pulmonary fibrosis or interstitial pneumonitis ≥ grade 2.

  8. No cardiac risk factors including:

  • Uncontrolled high blood pressure (systolic blood pressure > 150).

  • Unstable angina.

  • History of documented myocardial infarction or cerebrovascular accident.

  • New York Heart Association class III or IV heart failure.

  1. Pregancy/nursing status

Non-pregnant and not nursing. Men and women of childbearing potential must agree to employ adequate contraception for the duration of chemotherapy and for as many as 8 weeks after the completion of chemotherapy due to the unknown teratogenic effects of FOLFOX on the developing fetus.

  1. Age and performance status

  2. ECOG performance status 0, 1 or 2.

  3. Age at least 18 years.

  4. Required initial laboratory values

  5. Granulocytes ≥ 1,500/μL

  6. Platelet count ≥ 100,000/μL

  7. Creatinine ≤ 1.5 times upper limit of normal (ULN)

  8. Total Bilirubin ≤ 1.5 times ULN in the absence of Gilbert's disease

  9. Direct bilirubin ≤ 1.5 x upper limit of normal for patients with Gilbert's syndrome

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of South Alabama Mitchell Cancer Institute Mobile Alabama United States 36604
2 Alaska Breast Care and Surgery LLC Anchorage Alaska United States 99508
3 Alaska Women's Cancer Care Anchorage Alaska United States 99508
4 Anchorage Oncology Centre Anchorage Alaska United States 99508
5 Katmai Oncology Group Anchorage Alaska United States 99508
6 Providence Alaska Medical Center Anchorage Alaska United States 99508
7 Fairbanks Memorial Hospital Fairbanks Alaska United States 99701
8 Fowler Family Center for Cancer Care Jonesboro Arkansas United States 72401
9 Sutter Cancer Centers Radiation Oncology Services-Auburn Auburn California United States 95603
10 Alta Bates Summit Medical Center-Herrick Campus Berkeley California United States 94704
11 Providence Saint Joseph Medical Center-Disney Family Cancer Center Burbank California United States 91505
12 Mills-Peninsula Hospitals Burlingame California United States 94010
13 Sutter Cancer Centers Radiation Oncology Services-Cameron Park Cameron Park California United States 95682
14 John Muir Medical Center-Concord Concord California United States 95420
15 Sutter Davis Hospital Davis California United States 95616
16 City of Hope Comprehensive Cancer Center Duarte California United States 91010
17 Epic Care-Dublin Dublin California United States 94568
18 Bay Area Breast Surgeons Inc Emeryville California United States 94608
19 Epic Care Partners in Cancer Care Emeryville California United States 94608
20 Comprehensive Cancer Care and Research Institute of Colorado LLC Englewood California United States 80113
21 University Oncology Associates Fresno California United States 93701
22 California Cancer Center - North Fresno Fresno California United States 93720
23 Marin Cancer Care Inc Greenbrae California United States 94904
24 Marin General Hospital Greenbrae California United States 94904
25 Kaiser Permanente Los Angeles Medical Center Los Angeles California United States 90027
26 USC/Norris Comprehensive Cancer Center Los Angeles California United States 90033-0804
27 Los Angeles County-USC Medical Center Los Angeles California United States 90033
28 Contra Costa Regional Medical Center Martinez California United States 94553
29 Memorial Medical Center Modesto California United States 95355
30 Palo Alto Medical Foundation-Camino Division Mountain View California United States 94040
31 Palo Alto Medical Foundation-Gynecologic Oncology Mountain View California United States 94040
32 Sutter Cancer Research Consortium Novato California United States 94945
33 Alta Bates Summit Medical Center - Summit Campus Oakland California United States 94609
34 Bay Area Tumor Institute Oakland California United States 94609
35 Hematology and Oncology Associates-Oakland Oakland California United States 94609
36 Saint Joseph Hospital - Orange Orange California United States 92868
37 UC Irvine Health-Chao Family Comprehensive Cancer Center Orange California United States 92868
38 Desert Regional Medical Center Palm Springs California United States 92262
39 Stanford Cancer Institute Palo Alto California United States 94304
40 Palchak David MD Pismo Beach California United States 93449
41 Valley Medical Oncology Consultants Pleasanton California United States 94588
42 Kaiser Permanente-Redwood City Redwood City California United States 94063
43 Kaiser Permanente-Richmond Richmond California United States 94801
44 Kaiser Permanente-Riverside Riverside California United States 92505
45 Kaiser Permanente-Roseville Roseville California United States 95661
46 Sutter Cancer Centers Radiation Oncology Services-Roseville Roseville California United States 95661
47 Sutter Roseville Medical Center Roseville California United States 95661
48 Sutter General Hospital Sacramento California United States 95816
49 University of California Davis Comprehensive Cancer Center Sacramento California United States 95817
50 Saint Helena Hospital Saint Helena California United States 95474
51 Salinas Valley Memorial Hospital Salinas California United States 93901
52 Salinas Valley Memorial Salinas California United States 93901
53 Kaiser Permanente-San Diego Zion San Diego California United States 92120
54 Naval Medical Center-San Diego San Diego California United States 92134
55 Kaiser Permanente-San Francisco San Francisco California United States 94115
56 UCSF Medical Center-Mount Zion San Francisco California United States 94115
57 California Pacific Medical Center-Pacific Campus San Francisco California United States 94118
58 Veterans Affairs Medical Center-San Francisco San Francisco California United States 94121
59 UCSF Medical Center-Mission Bay San Francisco California United States 94158
60 Kaiser Permanente-Santa Teresa-San Jose San Jose California United States 95119
61 Santa Clara Valley Medical Center San Jose California United States 95128
62 Kaiser Permanente San Leandro San Leandro California United States 94577
63 Kaiser Permanente-San Rafael San Rafael California United States 94903
64 Kaiser Permanente Medical Center-Santa Clara Santa Clara California United States 95051
65 Palo Alto Medical Foundation-Santa Cruz Santa Cruz California United States 95065
66 Kaiser Permanente-Santa Rosa Santa Rosa California United States 95403
67 Sutter Pacific Medical Foundation Santa Rosa California United States 95403
68 Kaiser Permanente-South San Francisco South San Francisco California United States 94080
69 Kaiser Permanente-Stockton Stockton California United States 95210
70 Palo Alto Medical Foundation-Sunnyvale Sunnyvale California United States 94806
71 Sutter Cancer Centers Radiation Oncology Services-Vacaville Vacaville California United States 95687
72 Kaiser Permanente Medical Center-Vacaville Vacaville California United States 95688
73 Kaiser Permanente-Vallejo Vallejo California United States 94589
74 Sutter Solano Medical Center/Cancer Center Vallejo California United States 94589
75 Kaiser Permanente-Walnut Creek Walnut Creek California United States 94596
76 John Muir Medical Center-Walnut Creek Walnut Creek California United States 94598
77 Rocky Mountain Cancer Centers-Aurora Aurora Colorado United States 80012
78 The Medical Center of Aurora Aurora Colorado United States 80012
79 University of Colorado Cancer Center-Anschutz Cancer Pavilion Aurora Colorado United States 80045
80 Boulder Community Hospital Boulder Colorado United States 80301
81 Rocky Mountain Cancer Centers-Boulder Boulder Colorado United States 80304
82 Penrose-Saint Francis Healthcare Colorado Springs Colorado United States 80907
83 Rocky Mountain Cancer Centers-Penrose Colorado Springs Colorado United States 80907
84 Memorial Hospital Colorado Springs Colorado Springs Colorado United States 80909
85 Porter Adventist Hospital Denver Colorado United States 80210
86 Exempla Saint Joseph Hospital Denver Colorado United States 80218
87 Presbyterian-Saint Lukes Medical Center-Health One Denver Colorado United States 80218
88 Rocky Mountain Cancer Centers-Midtown Denver Colorado United States 80218
89 Rocky Mountain Cancer Centers-Rose Denver Colorado United States 80220
90 Rose Medical Center Denver Colorado United States 80220
91 Colorado Cancer Research Program NCORP Denver Colorado United States 80222
92 Colorado Blood Cancer Institute Denver Colorado United States 80907
93 Mercy Medical Center Durango Colorado United States 81301
94 Southwest Oncology PC Durango Colorado United States 81301
95 Swedish Medical Center Englewood Colorado United States 80113
96 Poudre Valley Hospital Fort Collins Colorado United States 80524
97 Mountain Blue Cancer Care Center Golden Colorado United States 80401
98 North Colorado Medical Center Greeley Colorado United States 80631
99 Rocky Mountain Cancer Centers-Greenwood Village Greenwood Village Colorado United States 80111
100 Rocky Mountain Cancer Centers-Lakewood Lakewood Colorado United States 80228
101 Saint Anthony Hospital Lakewood Colorado United States 80228
102 Rocky Mountain Cancer Centers-Littleton Littleton Colorado United States 80120
103 Littleton Adventist Hospital Littleton Colorado United States 80122
104 Rocky Mountain Cancer Centers-Sky Ridge Lone Tree Colorado United States 80124
105 Sky Ridge Medical Center Lone Tree Colorado United States 80124
106 Longmont United Hospital Longmont Colorado United States 80501
107 Rocky Mountain Cancer Centers-Longmont Longmont Colorado United States 80501
108 McKee Medical Center Loveland Colorado United States 80539
109 Parker Adventist Hospital Parker Colorado United States 80138
110 Rocky Mountain Cancer Centers-Parker Parker Colorado United States 80138
111 Rocky Mountain Cancer Centers - Pueblo Pueblo Colorado United States 81008
112 Rocky Mountain Cancer Centers-Thornton Thornton Colorado United States 80260
113 Exempla Lutheran Medical Center Wheat Ridge Colorado United States 80033
114 Hartford Hospital Hartford Connecticut United States 06102
115 Saint Francis Hospital and Medical Center Hartford Connecticut United States 06105
116 Midstate Medical Center Meriden Connecticut United States 06451
117 The Hospital of Central Connecticut New Britain Connecticut United States 06050
118 Norwalk Hospital Norwalk Connecticut United States 06856
119 Beebe Medical Center Lewes Delaware United States 19958
120 Christiana Gynecologic Oncology LLC Newark Delaware United States 19713
121 Delaware Clinical and Laboratory Physicians PA Newark Delaware United States 19713
122 Helen F Graham Cancer Center Newark Delaware United States 19713
123 Medical Oncology Hematology Consultants PA Newark Delaware United States 19713
124 Regional Hematology and Oncology PA Newark Delaware United States 19713
125 Christiana Care Health System-Christiana Hospital Newark Delaware United States 19718
126 Beebe Health Campus Rehoboth Beach Delaware United States 19971
127 Nanticoke Memorial Hospital Sanford Delaware United States 19973
128 Christiana Care Health System-Wilmington Hospital Wilmington Delaware United States 19801
129 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
130 MedStar Washington Hospital Center Washington District of Columbia United States 20010
131 Sibley Memorial Hospital Washington District of Columbia United States 20016
132 Veterans Affairs Medical Center - Washington, DC Washington District of Columbia United States 20422
133 University of Florida-Gainesville Gainesville Florida United States 32610-0277
134 Memorial Regional Hospital-Joe DiMaggio Children's Hospital Hollywood Florida United States 33021
135 Mayo Clinic in Florida Jacksonville Florida United States 32224-9980
136 Mount Sinai Medical Center Miami Beach Florida United States 33140
137 Memorial Hospital West Pembroke Pines Florida United States 33028
138 Robert and Carol Weissman Cancer Center at Martin Health Stuart Florida United States 34994
139 Phoebe Putney Memorial Hospital Albany Georgia United States 31701
140 Emory University/Winship Cancer Institute Atlanta Georgia United States 30322
141 Atlanta VA Medical Center Decatur Georgia United States 30033
142 Dekalb Medical Center Decatur Georgia United States 30033
143 Northeast Georgia Medical Center Gainesville Georgia United States 30501
144 Medical Center of Central Georgia Macon Georgia United States 31208
145 Low Country Cancer Care Associates PC Savannah Georgia United States 31405
146 Pali Momi Medical Center 'Aiea Hawaii United States 96701
147 Oncare Hawaii Inc - POB II Honolulu Hawaii United States 96813
148 Queen's Medical Center Honolulu Hawaii United States 96813
149 Straub Clinic and Hospital Honolulu Hawaii United States 96813
150 University of Hawaii Cancer Center Honolulu Hawaii United States 96813
151 Oncare Hawaii Inc-Kuakini Honolulu Hawaii United States 96817
152 The Cancer Center of Hawaii-Liliha Honolulu Hawaii United States 96817
153 Kaiser Permanente Moanalua Medical Center Honolulu Hawaii United States 96819
154 Kapiolani Medical Center for Women and Children Honolulu Hawaii United States 96826
155 Tripler Army Medical Center Honolulu Hawaii United States 96859
156 Saint Alphonsus Cancer Care Center-Boise Boise Idaho United States 83706
157 Saint Luke's Mountain States Tumor Institute Boise Idaho United States 83712
158 Saint Luke's Mountain States Tumor Institute - Fruitland Fruitland Idaho United States 83619
159 Saint Joseph Regional Medical Center Lewiston Idaho United States 83501
160 Saint Luke's Mountain States Tumor Institute - Meridian Meridian Idaho United States 83642
161 Saint Luke's Mountain States Tumor Institute - Nampa Nampa Idaho United States 83686
162 Saint Luke's Mountain States Tumor Institute-Twin Falls Twin Falls Idaho United States 83301
163 Rush Copley Medical Center Aurora Illinois United States 60504-4206
164 Illinois CancerCare - Bloomington Bloomington Illinois United States 61701
165 Saint Joseph Medical Center Bloomington Illinois United States 61701
166 Illinois CancerCare - Canton Canton Illinois United States 61520
167 Memorial Hospital of Carbondale Carbondale Illinois United States 62902
168 Illinois CancerCare - Carthage Carthage Illinois United States 62321
169 Centralia Oncology Clinic Centralia Illinois United States 62801
170 Northwestern University Chicago Illinois United States 60611
171 John H. Stroger, Jr. Hospital of Cook County Chicago Illinois United States 60612-3785
172 University of Illinois Chicago Illinois United States 60612
173 Weiss Memorial Hospital Chicago Illinois United States 60640
174 Advocate Illinois Masonic Medical Center Chicago Illinois United States 60657
175 Presence Saint Joseph Hospital-Chicago Chicago Illinois United States 60657
176 Carle on Vermilion Danville Illinois United States 61832
177 Cancer Care Specialists of Central Illinois Decatur Illinois United States 62526
178 Decatur Memorial Hospital Cancer Care Institute Decatur Illinois United States 62526
179 Carle Physician Group-Effingham Effingham Illinois United States 62401
180 Crossroads Cancer Center Effingham Illinois United States 62401
181 Advocate Sherman Hospital Elgin Illinois United States 60123
182 Elmhurst Memorial Hospital Elmhurst Illinois United States 60126
183 Illinois CancerCare - Eureka Eureka Illinois United States 61530
184 Saint Francis Hospital Evanston Illinois United States 60202
185 Illinois CancerCare - Galesburg Galesburg Illinois United States 61401
186 Western Illinois Cancer Treatment Center Galesburg Illinois United States 61401
187 Ingalls Memorial Hospital Harvey Illinois United States 60426
188 Hematology Oncology Associates -Highland Park Highland Park Illinois United States 60035
189 Presence Saint Mary's Hospital Kankakee Illinois United States 60901
190 Illinois CancerCare - Kewanee Clinic Kewanee Illinois United States 61443
191 NorthShore Hematology Oncology-Libertyville Libertyville Illinois United States 60048
192 Illinois CancerCare - Macomb Macomb Illinois United States 61455
193 Carle Physician Group-Mattoon/Charleston Mattoon Illinois United States 61938
194 Garneau, Stewart C MD (UIA Investigator) Moline Illinois United States 61265
195 Spector, David MD (UIA Investigator) Moline Illinois United States 61265
196 Trinity Medical Center Moline Illinois United States 61265
197 Good Samaritan Regional Health Center Mount Vernon Illinois United States 62864
198 Edward Hospital Cancer Center Naperville Illinois United States 60540
199 Hematology Oncology Consultants Ltd. Naperville Illinois United States 60540
200 Illinois Cancer Specialists-Niles Niles Illinois United States 60714
201 Advocate Christ Medical Center Oak Lawn Illinois United States 60453-2699
202 Radiation Oncology of Northern Illinois Ottawa Illinois United States 61350
203 Pekin Cancer Treatment Center Pekin Illinois United States 61554
204 Illinois CancerCare - Pekin Pekin Illinois United States 61603
205 Methodist Medical Center of Illinois Peoria Illinois United States 61603
206 OSF Saint Francis Medical Center Radiation Oncology Service at the Central Illinois Comprehensive CC Peoria Illinois United States 61615
207 Illinois CancerCare - Peru Peru Illinois United States 61354
208 Valley Radiation Oncology Peru Illinois United States 61354
209 Illinois CancerCare - Princeton Princeton Illinois United States 61356
210 Quincy Medical Group - Clinic Quincy Illinois United States 62301
211 Swedish American Hospital Rockford Illinois United States 61104
212 OSF Saint Anthony Medical Center Rockford Illinois United States 61108
213 Hematology Oncology Associates - Skokie Skokie Illinois United States 60076
214 Central Illinois Hematology Oncology Center Springfield Illinois United States 62702
215 Southern Illinois University School of Medicine Springfield Illinois United States 62702
216 Springfield Clinic Springfield Illinois United States 62703
217 Memorial Medical Center Springfield Illinois United States 62781-0001
218 Cancer Care Specialists of Illinois-Swansea Swansea Illinois United States 62226
219 Carle Cancer Center Urbana Illinois United States 61801
220 The Carle Foundation Hospital Urbana Illinois United States 61801
221 Cadence Cancer Center in Warrenville Warrenville Illinois United States 60555
222 Michiana Hematology Oncology PC-Crown Point Crown Point Indiana United States 46307
223 Michiana Hematology Oncology PC-Elkhart Elkhart Indiana United States 46514
224 IU Health Central Indiana Cancer Centers-Fishers Fishers Indiana United States 46037
225 Indiana University - Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
226 IU Health Methodist Hospital Indianapolis Indiana United States 46202
227 Sidney and Lois Eskenazi Hospital Indianapolis Indiana United States 46202
228 IU Health Central Indiana Cancer Centers-East Indianapolis Indiana United States 46219
229 IU Health Arnett Cancer Care Lafayette Indiana United States 47904
230 Franciscan Saint Anthony Health-Michigan City Michigan City Indiana United States 46360
231 Memorial Regional Cancer Center Day Road Mishawaka Indiana United States 46544
232 Michiana Hematology Oncology PC-Mishawaka Mishawaka Indiana United States 46545
233 Saint Joseph Regional Medical Center-Mishawaka Mishawaka Indiana United States 46545
234 Michiana Hematology Oncology PC-Plymouth Plymouth Indiana United States 46563
235 Memorial Hospital of South Bend South Bend Indiana United States 46601
236 Michiana Hematology Oncology PC-South Bend South Bend Indiana United States 46601
237 Northern Indiana Cancer Research Consrtium South Bend Indiana United States 46628
238 Michiana Hematology Oncology PC-Westville Westville Indiana United States 46391
239 Mary Greeley Medical Center Ames Iowa United States 50010
240 McFarland Clinic PC-William R Bliss Cancer Center Ames Iowa United States 50010
241 Constantinou, Costas L MD (UIA Investigator) Bettendorf Iowa United States 52722
242 Hematology Oncology Associates - Quad Cities Bettendorf Iowa United States 52722
243 McFarland Clinic PC-Boone Boone Iowa United States 50036
244 Mercy Hospital Cedar Rapids Iowa United States 52403
245 Oncology Associates at Mercy Medical Center Cedar Rapids Iowa United States 52403
246 Physicians' Clinic of Iowa PC Cedar Rapids Iowa United States 52403
247 Medical Oncology and Hematology Associates - West Des Moines Clive Iowa United States 50325
248 Mercy Cancer Center-West Lakes Clive Iowa United States 50325
249 Alegent Health Mercy Hospital Council Bluffs Iowa United States 51503
250 Genesis Medical Center - East Campus Davenport Iowa United States 52803
251 Iowa Methodist Medical Center Des Moines Iowa United States 50309
252 Medical Oncology and Hematology Associates - Des Moines Des Moines Iowa United States 50309
253 Medical Oncology and Hematology Associates-Laurel Des Moines Iowa United States 50314
254 Mercy Medical Center - Des Moines Des Moines Iowa United States 50314
255 Iowa Lutheran Hospital Des Moines Iowa United States 50316
256 JCHC McCreery Cancer Center Fairfield Iowa United States 52556
257 McFarland Clinic PC-Trinity Cancer Center Fort Dodge Iowa United States 50501
258 McFarland Clinic PC-Jefferson Jefferson Iowa United States 50129
259 McFarland Clinic PC-Marshalltown Marshalltown Iowa United States 50158
260 Mercy Medical Center - North Iowa Mason City Iowa United States 50401
261 Ottumwa Regional Health Center Ottumwa Iowa United States 52501
262 Siouxland Regional Cancer Center Sioux City Iowa United States 51101
263 Mercy Medical Center-West Lakes West Des Moines Iowa United States 50266
264 Methodist West Hospital West Des Moines Iowa United States 50266
265 Cancer Center of Kansas - Chanute Chanute Kansas United States 66720
266 Cancer Center of Kansas - Dodge City Dodge City Kansas United States 67801
267 Cancer Center of Kansas - El Dorado El Dorado Kansas United States 67042
268 Cancer Center of Kansas - Fort Scott Fort Scott Kansas United States 66701
269 Hays Medical Center Hays Kansas United States 67601
270 Cancer Center of Kansas - Independence Independence Kansas United States 67301
271 Kansas City Cancer Centers - West Kansas City Kansas United States 66112
272 Cancer Center of Kansas - Kingman Kingman Kansas United States 67068
273 Lawrence Memorial Hospital Lawrence Kansas United States 66044
274 Cancer Center of Kansas - Liberal Liberal Kansas United States 67901
275 Cancer Center of Kansas - Newton Newton Kansas United States 67114
276 Menorah Medical Center Overland Park Kansas United States 66209
277 Kansas City Cancer Centers - Southwest Overland Park Kansas United States 66210
278 Saint Luke's South Hospital Overland Park Kansas United States 66213
279 Cancer Center of Kansas - Parsons Parsons Kansas United States 67357
280 Kansas City NCI Community Oncology Research Program Prairie Village Kansas United States 66208
281 Cancer Center of Kansas - Pratt Pratt Kansas United States 67124
282 Cancer Center of Kansas - Salina Salina Kansas United States 67401
283 Stormont-Vail Regional Health Center Topeka Kansas United States 66604
284 Cancer Center of Kansas - Wellington Wellington Kansas United States 67152
285 Associates In Womens Health Wichita Kansas United States 67208
286 Cancer Center of Kansas - Wichita Medical Arts Tower Wichita Kansas United States 67208
287 Cancer Center of Kansas - Main Office Wichita Kansas United States 67214
288 Via Christi Regional Medical Center Wichita Kansas United States 67214
289 Cancer Center of Kansas - Winfield Winfield Kansas United States 67156
290 Flaget Memorial Hospital Bardstown Kentucky United States 40004
291 Commonwealth Cancer Center-Corbin Corbin Kentucky United States 40701
292 Baptist Health Corbin Corbin Kentucky United States 40704
293 Oncology Hematology Care Inc-Crestview Crestview Hills Kentucky United States 41017
294 Hardin Memorial Hospital Elizabethtown Kentucky United States 42701
295 Baptist Health Lexington Lexington Kentucky United States 40503
296 Saint Joseph Radiation Oncology Resource Center Lexington Kentucky United States 40504
297 Saint Joseph Hospital East Lexington Kentucky United States 40509
298 Jewish Hospital Louisville Kentucky United States 40202
299 The James Graham Brown Cancer Center at University of Louisville Louisville Kentucky United States 40202
300 Baptist Health Louisville Louisville Kentucky United States 40207
301 Saints Mary and Elizabeth Hospital Louisville Kentucky United States 40215
302 Owensboro Health Mitchell Memorial Cancer Center Owensboro Kentucky United States 42303
303 LSU Health Baton Rouge-North Clinic Baton Rouge Louisiana United States 70805
304 Louisiana Hematology Oncology Associates LLC Baton Rouge Louisiana United States 70809
305 Mary Bird Perkins Cancer Center - Baton Rouge Baton Rouge Louisiana United States 70809
306 Ochsner Health Center - Covington Covington Louisiana United States 70433
307 East Jefferson General Hospital Metairie Louisiana United States 70006
308 Louisiana State University Health Sciences Center - Monroe Monroe Louisiana United States 71210
309 Interim LSU Public Hospital New Orleans Louisiana United States 70112
310 Louisiana State University Health Science Center New Orleans Louisiana United States 70112
311 Ochsner Medical Center Jefferson New Orleans Louisiana United States 70121
312 Louisiana State University Health Sciences Center - Shreveport Shreveport Louisiana United States 71130-3932
313 Harold Alfond Center for Cancer Care Augusta Maine United States 04330
314 Eastern Maine Medical Center Bangor Maine United States 04401
315 Eastern Maine Medical Center Cancer Care Brewer Maine United States 04412
316 Penobscot Bay Medical Center Rockport Maine United States 04856
317 York Hospital York Maine United States 03909
318 Sinai Hospital of Baltimore Baltimore Maryland United States 21133
319 Saint Agnes Hospital Baltimore Maryland United States 21229
320 MedStar Franklin Square Medical Center/Weinberg Cancer Institute Baltimore Maryland United States 21237
321 Western Maryland Regional Medical Center Cumberland Maryland United States 21502
322 Frederick Memorial Hospital Frederick Maryland United States 21701
323 Kaiser Permanente - Gaithersburg Medical Center Gaithersburg Maryland United States 20879
324 Meritus Medical Center Hagerstown Maryland United States 21742
325 Holy Cross Hospital Silver Spring Maryland United States 20910
326 Beverly Hospital Beverly Massachusetts United States 01915
327 Tufts Medical Center Boston Massachusetts United States 02111
328 Massachusetts General Hospital Cancer Center Boston Massachusetts United States 02114
329 Brigham and Women's Hospital Boston Massachusetts United States 02115
330 Dana Farber Cancer Institute Boston Massachusetts United States 02115
331 Lahey Hospital and Medical Center Burlington Massachusetts United States 01805
332 MetroWest Medical Center-Framingham Union Hospital Framingham Massachusetts United States 01702
333 Addison Gilbert Hospital Gloucester Massachusetts United States 01930
334 Lowell General Hospital Lowell Massachusetts United States 01854
335 Dana-Farber/Brigham and Women's Cancer Center at Milford Regional Medical Center Milford Massachusetts United States 01757
336 Newton-Wellesley Hospital Newton Massachusetts United States 02462
337 Berkshire Hematology Oncology, PC Pittsfield Massachusetts United States 01201
338 Dana-Farber/Brigham and Women's Cancer Center at South Shore South Weymouth Massachusetts United States 02190
339 University of Massachusetts Medical School Worcester Massachusetts United States 01655
340 Toledo Clinic Cancer Centers - Adrian Adrian Michigan United States 49221
341 Saint Joseph Mercy Hospital Ann Arbor Michigan United States 48106
342 University of Michigan Comprehensive Cancer Center Ann Arbor Michigan United States 48109-0912
343 Bronson Battle Creek Battle Creek Michigan United States 49017
344 Oakwood Hospital and Medical Center Dearborn Michigan United States 48124
345 Wayne State University/Karmanos Cancer Institute Detroit Michigan United States 48201
346 Saint John Hospital and Medical Center Detroit Michigan United States 48236
347 Green Bay Oncology-Escanaba Escanaba Michigan United States 49431
348 Botsford Hospital Farmington Michigan United States 48336
349 Hurley Medical Center Flint Michigan United States 48503
350 Spectrum Health at Butterworth Campus Grand Rapids Michigan United States 49503
351 Green Bay Oncology-Iron Mountain Iron Mountain Michigan United States 49801
352 Allegiance Health Jackson Michigan United States 49201
353 West Michigan Cancer Center Kalamazoo Michigan United States 49007-3731
354 Sparrow Hospital Lansing Michigan United States 48912
355 Saint Mary Mercy Hospital Livonia Michigan United States 48154
356 Toledo Clinic Cancer Centers-Monroe Monroe Michigan United States 48162
357 Lakeland Community Hospital Niles Michigan United States 49120
358 Saint Joseph Mercy Oakland Pontiac Michigan United States 48341
359 Saint Joseph Mercy Port Huron Port Huron Michigan United States 48060
360 Spectrum Health Reed City Hospital Reed City Michigan United States 49677
361 Michigan Cancer Specialists Roseville Michigan United States 48066
362 Oakland Colon and Rectal Association Royal Oak Michigan United States 48067
363 Cancer Care Associates PC Royal Oak Michigan United States 48073
364 Comprehensive Medical Center PLLC Royal Oak Michigan United States 48073
365 Hematology Oncology Consultants PC-Royal Oak Royal Oak Michigan United States 48073
366 Oakland Medical Group Royal Oak Michigan United States 48073
367 William Beaumont Hospital-Royal Oak Royal Oak Michigan United States 48073
368 Saint Mary's of Michigan Saginaw Michigan United States 48601
369 Marie Yeager Cancer Center Saint Joseph Michigan United States 49085
370 Providence Hospital - Southfield Southfield Michigan United States 48075-9975
371 Premier Hematology Oncology Care Sterling Heights Michigan United States 48312
372 Mitchell Folbe MD PC Sterling Heights Michigan United States 48314
373 Munson Medical Center Traverse City Michigan United States 49684
374 Michigan Institute of Urology-Town Center Troy Michigan United States 48084
375 Claudia BR Herke MD PC Troy Michigan United States 48085
376 Hematology Oncology Consultants PC-Troy Troy Michigan United States 48098
377 William Beaumont Hospital - Troy Troy Michigan United States 48098
378 Saint John Macomb-Oakland Hospital Warren Michigan United States 48093
379 Sanford Clinic North-Bemidji Bemidji Minnesota United States 56601
380 Fairview Ridges Hospital Burnsville Minnesota United States 55337
381 Mercy Hospital Coon Rapids Minnesota United States 55433
382 Essentia Health Cancer Center Duluth Minnesota United States 55805
383 Essentia Health Saint Mary's Medical Center Duluth Minnesota United States 55805
384 Miller-Dwan Hospital Duluth Minnesota United States 55805
385 Fairview Southdale Hospital Edina Minnesota United States 55435
386 Unity Hospital Fridley Minnesota United States 55432
387 Hutchinson Area Health Care Hutchinson Minnesota United States 55350
388 Mayo Clinic Health Systems-Mankato Mankato Minnesota United States 56001
389 Minnesota Oncology - Maplewood Maplewood Minnesota United States 55109
390 Saint John's Hospital - Healtheast Maplewood Minnesota United States 55109
391 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55102
392 Hennepin County Medical Center Minneapolis Minnesota United States 55415
393 Minneapolis Veterans Medical Center Minneapolis Minnesota United States 55417
394 Health Partners Inc Minneapolis Minnesota United States 55454
395 New Ulm Medical Center New Ulm Minnesota United States 56073
396 North Memorial Medical Health Center Robbinsdale Minnesota United States 55422
397 Mayo Clinic Cancer Center Rochester Minnesota United States 55905
398 Coborn Cancer Center at Saint Cloud Hospital Saint Cloud Minnesota United States 56303
399 Saint Cloud Hospital Saint Cloud Minnesota United States 56303
400 Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota United States 55416
401 Regions Hospital Saint Paul Minnesota United States 55101
402 United Hospital Saint Paul Minnesota United States 55102
403 Saint Francis Regional Medical Center Shakopee Minnesota United States 55379
404 Lakeview Hospital Stillwater Minnesota United States 55082
405 Ridgeview Medical Center Waconia Minnesota United States 55387
406 Rice Memorial Hospital Willmar Minnesota United States 56201
407 Minnesota Oncology - Woodbury Woodbury Minnesota United States 55125
408 Gulfport Memorial Hospital Gulfport Mississippi United States 39502
409 University of Mississippi Medical Center Jackson Mississippi United States 39216-4505
410 Singing River Hospital Pascagoula Mississippi United States 39581
411 Central Care Cancer Center - Carrie J Babb Cancer Center Bolivar Missouri United States 65613
412 Parkland Health Center-Bonne Terre Bonne Terre Missouri United States 63628
413 Cox Cancer Center Branson Branson Missouri United States 65616
414 Saint Francis Medical Center Cape Girardeau Missouri United States 63703
415 Southeast Cancer Center Cape Girardeau Missouri United States 63703
416 University of Missouri - Ellis Fischel Columbia Missouri United States 65212
417 Centerpoint Medical Center LLC Independence Missouri United States 64057
418 Capital Region Medical Center-Goldschmidt Cancer Center Jefferson City Missouri United States 65109
419 Freeman Health System Joplin Missouri United States 64804
420 Mercy Hospital-Joplin Joplin Missouri United States 64804
421 Truman Medical Center Kansas City Missouri United States 64108
422 Saint Luke's Hospital of Kansas City Kansas City Missouri United States 64111
423 North Kansas City Hospital Kansas City Missouri United States 64116
424 Heartland Hematology Oncology Associates, Incorporated Kansas City Missouri United States 64118
425 Kansas City Cancer Centers - South Kansas City Missouri United States 64131
426 Research Medical Center Kansas City Missouri United States 64132
427 Kansas City Cancer Centers - North Kansas City Missouri United States 64154
428 Saint Luke's East - Lee's Summit Lee's Summit Missouri United States 64086
429 Liberty Radiation Oncology Center Liberty Missouri United States 64068
430 Mercy Clinic-Rolla-Cancer and Hematology Rolla Missouri United States 65401
431 Phelps County Regional Medical Center Rolla Missouri United States 65401
432 Lakeland Hospital Saint Joseph Missouri United States 49085
433 Heartland Regional Medical Center Saint Joseph Missouri United States 64506
434 Saint Louis Cancer and Breast Institute - South City Saint Louis Missouri United States 63109
435 Washington University School of Medicine Saint Louis Missouri United States 63110
436 Missouri Baptist Medical Center Saint Louis Missouri United States 63131
437 Barnes-Jewish West County Hospital Saint Louis Missouri United States 63141
438 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
439 Siteman Cancer Center - Saint Peters Saint Peters Missouri United States 63376
440 Sainte Genevieve County Memorial Hospital Sainte Genevieve Missouri United States 63670
441 Mercy Hospital Springfield Springfield Missouri United States 65804
442 Cox Health South Hospital Springfield Missouri United States 65807
443 Missouri Baptist Sullivan Hospital Sullivan Missouri United States 63080
444 Missouri Baptist Outpatient Center-Sunset Hills Sunset Hills Missouri United States 63127
445 Montana Cancer Consortium NCORP Billings Montana United States 59101
446 Saint Vincent Healthcare Billings Montana United States 59101
447 Billings Clinic Cancer Center Billings Montana United States 59107
448 Bozeman Deaconess Hospital Bozeman Montana United States 59715
449 Saint James Community Hospital and Cancer Treatment Center Butte Montana United States 59701
450 Benefis Healthcare - Sletten Cancer Institute Great Falls Montana United States 59405
451 Saint Peter's Community Hospital Helena Montana United States 59601
452 Kalispell Regional Medical Center Kalispell Montana United States 59901
453 Saint Patrick Hospital - Community Hospital Missoula Montana United States 59802
454 CHI Health Saint Francis Grand Island Nebraska United States 68803
455 Heartland Hematology and Oncology Kearney Nebraska United States 68845
456 CHI Health Good Samaritan Kearney Nebraska United States 68847
457 Nebraska Cancer Research Center Lincoln Nebraska United States 68510
458 Saint Elizabeth Regional Medical Center Lincoln Nebraska United States 68510
459 Great Plains Regional Medical Center North Platte Nebraska United States 69101
460 Missouri Valley Cancer Consortium CCOP Omaha Nebraska United States 68106
461 Nebraska Methodist Hospital Omaha Nebraska United States 68114
462 Oncology Hematology West, P.C. Omaha Nebraska United States 68114
463 Alegent Health Immanuel Medical Center Omaha Nebraska United States 68122
464 Hematology and Oncology Consultants PC Omaha Nebraska United States 68122
465 Alegent Health Bergan Mercy Medical Center Omaha Nebraska United States 68124
466 Alegent Health Lakeside Hospital Omaha Nebraska United States 68130
467 Creighton University Cancer Center Omaha Nebraska United States 68131-2197
468 University of Nebraska Medical Center Omaha Nebraska United States 68198-7680
469 Midlands Community Hospital Papillion Nebraska United States 68046
470 21st Century Oncology-Henderson Henderson Nevada United States 89074
471 University Medical Center of Southern Nevada Las Vegas Nevada United States 89102
472 Cancer and Blood Specialists-Henderson Las Vegas Nevada United States 89106
473 21st Century Oncology Las Vegas Nevada United States 89109
474 HealthCare Partners Medical Group Oncology/Hematology-San Martin Las Vegas Nevada United States 89113
475 Cancer Therapy and Integrative Medicine Las Vegas Nevada United States 89121
476 21st Century Oncology-Vegas Tenaya Las Vegas Nevada United States 89128
477 Cancer and Blood Specialists-Shadow Las Vegas Nevada United States 89128
478 Cancer and Blood Specialists-Tenaya Las Vegas Nevada United States 89128
479 HealthCare Partners Medical Group Oncology/Hematology-Tenaya Las Vegas Nevada United States 89128
480 21st Century Oncology-Fort Apache Las Vegas Nevada United States 89148
481 Cancer and Blood Specialists-Fort Apache Las Vegas Nevada United States 89148
482 New Hampshire Oncology Hematology PA-Concord Concord New Hampshire United States 03301
483 Wentworth Douglass Hospital Dover New Hampshire United States 03820
484 New Hampshire Oncology-Hematology, PA - Hooksett Hooksett New Hampshire United States 03106
485 LRGHealthcare-Lakes Region General Hospital Laconia New Hampshire United States 03246
486 Dartmouth Hitchcock Medical Center Lebanon New Hampshire United States 03756
487 Norris Cotton Cancer Center-Manchester Manchester New Hampshire United States 03102
488 Cooper Hospital University Medical Center Camden New Jersey United States 08103
489 Veterans Administration New Jersey Health Care System East Orange New Jersey United States 07018
490 Saint Barnabas Medical Center Livingston New Jersey United States 07039
491 Monmouth Medical Center Long Branch New Jersey United States 07740
492 Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County Mount Holly New Jersey United States 08060
493 Newark Beth Israel Medical Center Newark New Jersey United States 07112
494 Robert Wood Johnson University Hospital Somerset Somerville New Jersey United States 08876
495 Inspira Medical Center Vineland Vineland New Jersey United States 08360
496 Virtua West Jersey Hospital Voorhees Voorhees New Jersey United States 08043
497 Inspira Medical Center Woodbury Woodbury New Jersey United States 08096
498 Lovelace Medical Center - Downtown Albuquerque New Mexico United States 87102
499 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
500 Lovelace Medical Center at Lovelace Sandia Health System Albuquerque New Mexico United States 87108
501 Memorial Medical Center-Las Cruces Las Cruces New Mexico United States 88011
502 Albert Einstein College of Medicine Bronx New York United States 10461
503 Montefiore Medical Center - Moses Campus Bronx New York United States 10467
504 Elmhurst Hospital Center Elmhurst New York United States 11373
505 Arnot Ogden Medical Center/Falck Cancer Center Elmira New York United States 14905
506 Glens Falls Hospital Glens Falls New York United States 12801
507 Queens Hospital Center Jamaica New York United States 11432
508 North Shore University Hospital Manhasset New York United States 11030
509 North Shore-LIJ Health System/Center for Advanced Medicine New Hyde Park New York United States 11040
510 Beth Israel Medical Center New York New York United States 10003
511 Saint Luke's Roosevelt Hospital Center - Saint Luke's Division New York New York United States 10025
512 Weill Medical College of Cornell University New York New York United States 10065
513 Rochester General Hospital Rochester New York United States 14621
514 University of Rochester Rochester New York United States 14642
515 Staten Island University Hospital Staten Island New York United States 10305
516 Stony Brook University Medical Center Stony Brook New York United States 11794
517 State University of New York - Upstate Medical University Syracuse New York United States 13210
518 Faxton-Saint Luke's Healthcare Utica New York United States 13502
519 Randolph Hospital Asheboro North Carolina United States 27203
520 Cancer Care of Western North Carolina Asheville North Carolina United States 28801
521 Mission Hospital-Memorial Campus Asheville North Carolina United States 28801
522 Mountain Radiation Oncology Asheville North Carolina United States 28801
523 Hope Women's Cancer Centers-Asheville Asheville North Carolina United States 28816
524 Transylvania Regional Hospital Brevard North Carolina United States 28612
525 University of North Carolina at Chapel Hill Chapel Hill North Carolina United States 27599
526 Carolinas Medical Center/Levine Cancer Institute Charlotte North Carolina United States 28203
527 Southeastern Medical Oncology Center-Clinton Clinton North Carolina United States 28328
528 Duke University Medical Center Durham North Carolina United States 27710
529 Angel Medical Center Franklin North Carolina United States 28744
530 Southeastern Medical Oncology Center-Goldsboro Goldsboro North Carolina United States 27534
531 Wayne Memorial Hospital Goldsboro North Carolina United States 27534
532 Margaret R Pardee Memorial Hospital Hendersonville North Carolina United States 28791
533 Park Ridge Health Hendersonville North Carolina United States 28792
534 Maria Parham Medical Center Henderson North Carolina United States 27536
535 Onslow Memorial Hospital Jacksonville North Carolina United States 28546
536 Southeastern Medical Oncology Center-Jacksonville Jacksonville North Carolina United States 28546
537 Kinston Medical Specialists PA Kinston North Carolina United States 28501
538 Southeastern Regional Medical Center Lumberton North Carolina United States 28359
539 McDowell Hospital Marion North Carolina United States 28754
540 Rex Cancer Center Raleigh North Carolina United States 27607
541 Duke Raleigh Hospital Raleigh North Carolina United States 27609
542 Rex Cancer Center of Wakefield Raleigh North Carolina United States 27614
543 Annie Penn Memorial Hospital Reidsville North Carolina United States 27320
544 Blue Ridge Regional Hospital Spruce Pine North Carolina United States 28777
545 Iredell Memorial Hospital Statesville North Carolina United States 28677
546 New Hanover Regional Medical Center Wilmington North Carolina United States 28402-9025
547 Wake Forest University Health Sciences Winston-Salem North Carolina United States 27157
548 Sanford Bismarck Medical Center Bismarck North Dakota United States 58501
549 Sanford Clinic North-Fargo Fargo North Dakota United States 58102
550 Sanford Medical Center-Fargo Fargo North Dakota United States 58122
551 Sanford Roger Maris Cancer Center Fargo North Dakota United States 58122
552 Trinity Cancer Care Center Minot North Dakota United States 58701
553 Summa Akron City Hospital/Cooper Cancer Center Akron Ohio United States 44304
554 Akron General Medical Center Akron Ohio United States 44307
555 Summa Barberton Hospital Barberton Ohio United States 44203
556 Cleveland Clinic Cancer Center Beachwood Beachwood Ohio United States 44122
557 Strecker Cancer Center-Belpre Belpre Ohio United States 45714
558 Aultman Health Foundation Canton Ohio United States 44710
559 Miami Valley Hospital South Centerville Ohio United States 45459
560 Adena Regional Medical Center Chillicothe Ohio United States 45601
561 Oncology Hematology Care Inc-Eden Park Cincinnati Ohio United States 45202
562 Oncology Hematology Care Inc-Mercy West Cincinnati Ohio United States 45211
563 Good Samaritan Hospital - Cincinnati Cincinnati Ohio United States 45220
564 Oncology Hematology Care Inc-Anderson Cincinnati Ohio United States 45230
565 Oncology Hematology Care Inc-Kenwood Cincinnati Ohio United States 45236
566 Bethesda North Hospital Cincinnati Ohio United States 45242
567 Oncology Hematology Care Inc-Blue Ash Cincinnati Ohio United States 45242
568 TriHealth Cancer Institute-Westside Cincinnati Ohio United States 45247
569 TriHealth Cancer Institute-Anderson Cincinnati Ohio United States 45255
570 University of Cincinnati Cincinnati Ohio United States 45267
571 Case Western Reserve Center Cleveland Ohio United States 44106
572 MetroHealth Medical Center Cleveland Ohio United States 44109
573 Cleveland Clinic Cancer Center at Fairview Hospital Cleveland Ohio United States 44111
574 Cleveland Clinic Foundation Cleveland Ohio United States 44195
575 Ohio State University Comprehensive Cancer Center Columbus Ohio United States 43210
576 Mount Carmel Hospital East Columbus Ohio United States 43213
577 Columbus Oncology and Hematology Associates Inc Columbus Ohio United States 43214
578 Riverside Methodist Hospital Columbus Ohio United States 43214
579 Columbus NCI Community Oncology Research Program Columbus Ohio United States 43215
580 Grant Medical Center Columbus Ohio United States 43215
581 The Mark H Zangmeister Center Columbus Ohio United States 43219
582 Doctors Hospital Columbus Ohio United States 43228
583 Good Samaritan Hospital - Dayton Dayton Ohio United States 45406
584 Miami Valley Hospital Dayton Ohio United States 45409
585 Dayton NCI Community Oncology Research Program Dayton Ohio United States 45420
586 Veteran Affairs Medical Center Dayton Ohio United States 45428
587 Delaware Health Center-Grady Cancer Center Delaware Ohio United States 43015
588 Delaware Radiation Oncology Delaware Ohio United States 43015
589 Grady Memorial Hospital Delaware Ohio United States 43015
590 Oncology Hematology Care Inc-Healthplex Fairfield Ohio United States 45014
591 Blanchard Valley Hospital Findlay Ohio United States 45840
592 Atrium Medical Center-Middletown Regional Hospital Franklin Ohio United States 45005-1066
593 Wayne Hospital Greenville Ohio United States 45331
594 Cleveland Clinic Cancer Center Independence Independence Ohio United States 44131
595 Kettering Medical Center Kettering Ohio United States 45429
596 Fairfield Medical Center Lancaster Ohio United States 43130
597 Cleveland Clinic Cancer Center Mansfield Mansfield Ohio United States 44906
598 Marietta Memorial Hospital Marietta Ohio United States 45750
599 Toledo Clinic Cancer Centers-Maumee Maumee Ohio United States 43537-1839
600 Toledo Radiation Oncology at Northwest Ohio Oncology Center Maumee Ohio United States 43537
601 Hillcrest Hospital Cancer Center Mayfield Heights Ohio United States 44124
602 Knox Community Hospital Mount Vernon Ohio United States 43050
603 Newark Radiation Oncology Newark Ohio United States 43055
604 Saint Charles Hospital Oregon Ohio United States 43616
605 Southern Ohio Medical Center Portsmouth Ohio United States 45662
606 North Coast Cancer Care Sandusky Ohio United States 44870
607 Springfield Regional Medical Center Springfield Ohio United States 45505
608 Trinity's Tony Teramana Cancer Center Steubenville Ohio United States 43952
609 Cleveland Clinic Foundation - Strongsville Strongsville Ohio United States 44136
610 Flower Hospital Sylvania Ohio United States 43560
611 Toledo Clinic Cancer Centers-Toledo Toledo Ohio United States 43623
612 Upper Valley Medical Center Troy Ohio United States 45373
613 South Pointe Hospital Warrensville Heights Ohio United States 44122
614 Saint Ann's Hospital Westerville Ohio United States 43081
615 UHHS Westlake Medical Center Westlake Ohio United States 44145
616 Cleveland Clinic - Wooster Specialty Center Wooster Ohio United States 44691
617 Genesis Healthcare System Cancer Care Center Zanesville Ohio United States 43701
618 Mercy Clinic Oklahoma Communities Inc-Norman Norman Oklahoma United States 73071
619 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
620 Mercy Hospital Oklahoma City Oklahoma City Oklahoma United States 73120
621 Tulsa Cancer Institute Tulsa Oklahoma United States 74146
622 Saint Charles Health System Bend Oregon United States 97701
623 Clackamas Radiation Oncology Center Clackamas Oregon United States 97015
624 Providence Oncology and Hematology Care Southeast Clackamas Oregon United States 97015
625 Legacy Mount Hood Medical Center Gresham Oregon United States 97030
626 Providence Newberg Medical Center Newberg Oregon United States 97132
627 Providence Willamette Falls Medical Center Oregon City Oregon United States 97045
628 Legacy Good Samaritan Hospital and Medical Center Portland Oregon United States 97210
629 Providence Portland Medical Center Portland Oregon United States 97213
630 Providence Saint Vincent Medical Center Portland Oregon United States 97225
631 Oregon Health and Science University Portland Oregon United States 97239
632 Legacy Meridian Park Hospital Tualatin Oregon United States 97062
633 Abington Memorial Hospital Abington Pennsylvania United States 19001
634 Lehigh Valley Hospital-Cedar Crest Allentown Pennsylvania United States 18103
635 UPMC-Heritage Valley Health System Beaver Beaver Pennsylvania United States 15009
636 Saint Luke's University Hospital-Bethlehem Campus Bethlehem Pennsylvania United States 18015
637 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
638 Bryn Mawr Hospital Bryn Mawr Pennsylvania United States 19010
639 Geisinger Medical Center Danville Pennsylvania United States 17822
640 Easton Hospital Easton Pennsylvania United States 18042
641 Adams Cancer Center Gettysburg Pennsylvania United States 17325
642 UPMC Cancer Centers - Arnold Palmer Pavilion Greensburg Pennsylvania United States 15601
643 Cherry Tree Cancer Center Hanover Pennsylvania United States 17331
644 PinnacleHealth Regional Cancer Center at Polyclinic Hospital Harrisburg Pennsylvania United States 17105
645 UPMC-Johnstown/John P. Murtha Regional Cancer Center Johnstown Pennsylvania United States 15901
646 Lewistown Hospital Lewistown Pennsylvania United States 17044
647 UPMC Cancer Center at UPMC McKeesport McKeesport Pennsylvania United States 15132
648 Forbes Hospital Monroeville Pennsylvania United States 15146
649 UPMC-Coraopolis/Heritage Valley Radiation Oncology Moon Pennsylvania United States 15108
650 Paoli Memorial Hospital Paoli Pennsylvania United States 19301
651 Allegheny General Hospital Pittsburgh Pennsylvania United States 15212
652 UPMC-Magee Womens Hospital Pittsburgh Pennsylvania United States 15213
653 UPMC-Presbyterian Hospital Pittsburgh Pennsylvania United States 15213
654 UPMC-Saint Margaret Pittsburgh Pennsylvania United States 15215
655 West Penn Hospital Pittsburgh Pennsylvania United States 15224
656 University of Pittsburgh Cancer Institute (UPCI) Pittsburgh Pennsylvania United States 15232
657 UPMC-Shadyside Hospital Pittsburgh Pennsylvania United States 15232
658 UPMC Jefferson Regional Radiation Oncology Pittsburgh Pennsylvania United States 15236
659 UPMC-Passavant Hospital Pittsburgh Pennsylvania United States 15237
660 UPMC-Saint Clair Hospital Cancer Center Pittsburgh Pennsylvania United States 15243
661 Pottstown Memorial Regional Cancer Center Pottstown Pennsylvania United States 19464
662 Geisinger Medical Oncology-Pottsville Pottsville Pennsylvania United States 17901
663 Scranton Hematology-Oncology Scranton Pennsylvania United States 18510
664 Grand View Hospital Sellersville Pennsylvania United States 18960
665 UPMC Cancer Center at UPMC Northwest Seneca Pennsylvania United States 16346
666 Geisinger Medical Group State College Pennsylvania United States 16801
667 Mount Nittany Medical Center State College Pennsylvania United States 16803
668 UPMC Uniontown Hospital Radiation Oncology Uniontown Pennsylvania United States 15401
669 UPMC Washington Hospital Radiation Oncology Washington Pennsylvania United States 15301
670 Chester County Hospital West Chester Pennsylvania United States 19380
671 Jennersville Regional Hospital West Grove Pennsylvania United States 19390-9499
672 Reading Hospital West Reading Pennsylvania United States 19611
673 Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania United States 18711
674 Susquehanna Cancer Center at Divine Providence Hospital Williamsport Pennsylvania United States 17701
675 Wellspan Health - York Cancer Center York Pennsylvania United States 17403
676 WellSpan Health-York Hospital York Pennsylvania United States 17405
677 Memorial Hospital of Rhode Island Pawtucket Rhode Island United States 02860
678 Rhode Island Hospital Providence Rhode Island United States 02903
679 Miriam Hospital Providence Rhode Island United States 02906
680 AnMed Health Cancer Center Anderson South Carolina United States 29621
681 Medical University of South Carolina Charleston South Carolina United States 29425
682 Greenville Health System Cancer Institute-Easley Easley South Carolina United States 29640
683 Greenville Health System Cancer Institute - Butternut Greenville South Carolina United States 29605
684 Greenville Health System Cancer Institute-Faris Greenville South Carolina United States 29605
685 Greenville Memorial Hospital Greenville South Carolina United States 29605
686 Saint Francis Cancer Center Greenville South Carolina United States 29607
687 Greenville Health System Cancer Institute-Eastside Greenville South Carolina United States 29615
688 Greenville Health System Cancer Institute-Greer Greer South Carolina United States 29650
689 Gibbs Cancer Center-Pelham Greer South Carolina United States 29651
690 Carolina Blood and Cancer Care Associates, PA Lancaster South Carolina United States 29720
691 Carolina Blood and Cancer Care Rock Hill South Carolina United States 29732
692 Greenville Health System Cancer Institute-Seneca Seneca South Carolina United States 29672
693 Spartanburg Medical Center Spartanburg South Carolina United States 29303
694 Greenville Health System Cancer Institute - Spartanburg Spartanburg South Carolina United States 29307
695 Avera Saint Luke's Hospital and Cancer Center Aberdeen South Dakota United States 57401
696 Rapid City Regional Hospital Rapid City South Dakota United States 57701
697 Sanford Cancer Center Oncology Clinic Sioux Falls South Dakota United States 57104
698 Avera Cancer Institute Sioux Falls South Dakota United States 57105
699 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117
700 Wellmont Medical Associates-Oncology and Hematology Bristol Tennessee United States 37620
701 Pulmonary Medicine Center of Chattanooga-Hixson Hixson Tennessee United States 37343
702 Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee United States 37660
703 Thompson Cancer Survival Center Knoxville Tennessee United States 37916
704 University of Tennessee - Knoxville Knoxville Tennessee United States 37920
705 Tennessee Oncology PLLC- Centennial Medical Center Nashville Tennessee United States 37203
706 Memorial GYN Plus Ooltewah Tennessee United States 37363
707 Lyndon Baines Johnson General Hospital Houston Texas United States 77026
708 Baylor College of Medicine Houston Texas United States 77030
709 Ben Taub General Hospital Houston Texas United States 77030
710 M D Anderson Cancer Center Houston Texas United States 77030
711 University of Texas Health Science Center at San Antonio San Antonio Texas United States 78229-3900
712 University Hospital - San Antonio San Antonio Texas United States 78229
713 Scott and White Memorial Hospital Temple Texas United States 76508
714 Central Vermont Medical Center Berlin Vermont United States 05602
715 University of Vermont College of Medicine Burlington Vermont United States 05405
716 Norris Cotton Cancer Center-North Saint Johnsbury Vermont United States 05819
717 White River Junction Veteran Administration Medical Center White River Junction Vermont United States 05009
718 Medical Oncology Hematology Associates of Northern Virginia Limited Fairfax Virginia United States 22031
719 Virginia Oncology Associates - Hampton Hampton Virginia United States 23666
720 Memorial Hospital Of Martinsville Martinsville Virginia United States 24115
721 Bon Secours Saint Francis Medical Center Midlothian Virginia United States 23114
722 Southwest VA Regional Cancer Center Norton Virginia United States 24273
723 Bon Secours Saint Mary's Hospital Richmond Virginia United States 23226
724 Virginia Cancer Institute - West End Richmond Virginia United States 23230
725 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
726 VCU Community Memorial Health Center South Hill Virginia United States 23970
727 Cancer Care Center at Island Hospital Anacortes Washington United States 98221
728 MultiCare Auburn Medical Center Auburn Washington United States 98001
729 Virginia Mason Bainbridge Island Medical Center Bainbridge Island Washington United States 98110
730 Overlake Hospital Medical Center Bellevue Washington United States 98004
731 PeaceHealth Saint Joseph Medical Center Bellingham Washington United States 98225
732 Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington United States 98310
733 Harrison Medical Center Bremerton Washington United States 98310
734 Highline Medical Center-Main Campus Burien Washington United States 98166
735 Swedish Medical Center-Edmonds Edmonds Washington United States 98026
736 Saint Elizabeth Hospital Enumclaw Washington United States 98022
737 Providence Regional Cancer Partnership Everett Washington United States 98201
738 Virginia Mason Federal Way Medical Center Federal Way Washington United States 98002
739 Saint Francis Hospital Federal Way Washington United States 98003
740 Tacoma/Valley Radiation Oncology Centers-Gig Harbor Gig Harbor Washington United States 98332
741 MultiCare Gig Harbor Medical Park Gig Harbor Washington United States 98335
742 Swedish Cancer Institute-Issaquah Issaquah Washington United States 98029
743 Kadlec Clinic Hematology and Oncology Kennewick Washington United States 99336
744 Northwest Cancer Clinic Kennewick Washington United States 99336
745 Seattle Cancer Care Alliance at EvergreenHealth Kirkland Washington United States 98034
746 Saint Clare Hospital Lakewood Washington United States 98499
747 Saint John Medical Center Longview Washington United States 98632
748 Virginia Mason Lynnwood Medical Center Lynnwood Washington United States 98036
749 Skagit Valley Hospital Mount Vernon Washington United States 98274
750 Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington United States 98370
751 Peninsula Cancer Center Poulsbo Washington United States 98370
752 MultiCare Good Samaritan Hospital Puyallup Washington United States 98372
753 Tacoma/Valley Radiation Oncology Centers-Puyallup Puyallup Washington United States 98372
754 Virginia Mason Medical Center Seattle Washington United States 98101
755 Minor and James Medical PLLC Seattle Washington United States 98104
756 Swedish Medical Center-Ballard Campus Seattle Washington United States 98107
757 Seattle Cancer Care Alliance Seattle Washington United States 98109
758 Group Health Cooperative-Seattle Seattle Washington United States 98112
759 Swedish Medical Center-First Hill Seattle Washington United States 98122
760 University of Washington Medical Center Seattle Washington United States 98195
761 Cancer Care Northwest-North Spokane Spokane Washington United States 98109
762 Cancer Care Northwest - Spokane South Spokane Washington United States 99202
763 Cancer Care Northwest-Valley Spokane Washington United States 99216
764 Evergreen Hematology and Oncology PS Spokane Washington United States 99218
765 Tacoma/Valley Radiation Oncology Centers-Jackson Hall Tacoma Washington United States 97405
766 Franciscan Research Center - Northwest Medical Plaza Tacoma Washington United States 98405
767 Northwest Medical Specialties PLLC Tacoma Washington United States 98405
768 Northwest NCI Community Oncology Research Program Tacoma Washington United States 98405
769 Tacoma/Valley Radiation Oncology Centers-Saint Joe's Tacoma Washington United States 98405
770 Multicare Health System Tacoma Washington United States 98415
771 Madigan Army Medical Center - Tacoma Tacoma Washington United States 98431
772 PeaceHealth Southwest Medical Center Vancouver Washington United States 98664
773 Legacy Salmon Creek Hospital Vancouver Washington United States 98686
774 Wenatchee Valley Hospital and Clinics Wenatchee Washington United States 98801
775 North Star Lodge Cancer Center at Yakima Valley Memorial Hospital Yakima Washington United States 98902
776 Edwards Comprehensive Cancer Center Huntington West Virginia United States 25701
777 Princeton Community Hospital Princeton West Virginia United States 24740
778 Fox Valley Hematology and Oncology Appleton Wisconsin United States 54911-3496
779 Aurora Cancer Care-Burlington Burlington Wisconsin United States 53105
780 Marshfield Clinic Cancer Center at Sacred Heart Eau Claire Wisconsin United States 54701
781 Mayo Clinic Health System-Eau Claire Clinic Eau Claire Wisconsin United States 54701
782 Mayo Clinic Health System Eau Claire Hospital-Luther Campus Eau Claire Wisconsin United States 54703
783 Aurora Cancer Care-Southern Lakes Elkhorn Wisconsin United States 53121
784 Aurora Cancer Care-Grafton Grafton Wisconsin United States 53024
785 Green Bay Oncology at Saint Vincent Hospital Green Bay Wisconsin United States 54301-3526
786 Saint Vincent Hospital Green Bay Wisconsin United States 54301
787 Green Bay Oncology Limited at Saint Mary's Hospital Green Bay Wisconsin United States 54303
788 Saint Mary's Hospital Green Bay Wisconsin United States 54303
789 Aurora BayCare Medical Center Green Bay Wisconsin United States 54311
790 UW Cancer Center Johnson Creek Johnson Creek Wisconsin United States 53038
791 Aurora Cancer Care-Kenosha South Kenosha Wisconsin United States 53142
792 University of Wisconsin Hospital and Clinics Madison Wisconsin United States 53792
793 Holy Family Memorial Hospital Manitowoc Wisconsin United States 54221
794 Bay Area Medical Center Marinette Wisconsin United States 54143
795 Vince Lombardi Cancer Clinic - Marinette Marinette Wisconsin United States 54143
796 Marshfield Clinic Marshfield Wisconsin United States 54449
797 Aurora Advanced Healthcare Inc-Menomonee Falls Menomonee Falls Wisconsin United States 53051
798 Aurora Cancer Care-Milwaukee Milwaukee Wisconsin United States 53209
799 Wheaton Franciscan Healthcare - St. Joseph Milwaukee Wisconsin United States 53210
800 Aurora Saint Luke's Medical Center Milwaukee Wisconsin United States 53215
801 Aurora Sinai Medical Center Milwaukee Wisconsin United States 53233
802 Marshfield Clinic-Minocqua Center Minocqua Wisconsin United States 54548
803 D N Greenwald Center Mukwonago Wisconsin United States 53149
804 Westfields Hospital/Cancer Center of Western Wisconsin New Richmond Wisconsin United States 54017
805 Oconomowoc Memorial Hospital-ProHealth Care Inc Oconomowoc Wisconsin United States 53066
806 Green Bay Oncology - Oconto Falls Oconto Falls Wisconsin United States 54154
807 Vince Lombardi Cancer Clinic - Oshkosh Oshkosh Wisconsin United States 54904
808 Aurora Cancer Care-Racine Racine Wisconsin United States 53406-5661
809 Marshfield Clinic at James Beck Cancer Center Rhinelander Wisconsin United States 54501
810 Marshfield Clinic-Rice Lake Center Rice Lake Wisconsin United States 54868
811 Saint Nicholas Hospital Sheboygan Wisconsin United States 53081
812 Vince Lombardi Cancer Clinic - Sheboygan Sheboygan Wisconsin United States 53081
813 Marshfield Clinic Cancer Care at Saint Michael's Hospital Stevens Point Wisconsin United States 54481
814 Green Bay Oncology - Sturgeon Bay Sturgeon Bay Wisconsin United States 54235
815 Aurora Medical Center in Summit Summit Wisconsin United States 53066
816 Vince Lombardi Cancer Clinic - Two Rivers Two Rivers Wisconsin United States 54241
817 Aurora Cancer Care-Waukesha Waukesha Wisconsin United States 53188
818 Waukesha Memorial Hospital Waukesha Wisconsin United States 53188
819 Aspirus Regional Cancer Center Wausau Wisconsin United States 54401
820 Aurora Cancer Care-Milwaukee West Wauwatosa Wisconsin United States 53226
821 Aurora West Allis Medical Center West Allis Wisconsin United States 53227
822 Diagnostic and Treatment Center Weston Wisconsin United States 54476
823 Marshfield Clinic - Weston Center Weston Wisconsin United States 54476
824 Marshfield Clinic - Wisconsin Rapids Center Wisconsin Rapids Wisconsin United States 54494
825 Cheyenne Regional Medical Center-West Cheyenne Wyoming United States 82001
826 Welch Cancer Center Sheridan Wyoming United States 82801
827 Cross Cancer Institute Edmonton Alberta Canada T6G 1Z2
828 BCCA-Cancer Centre for the Southern Interior Kelowna British Columbia Canada V1Y 5L3
829 BCCA-Vancouver Cancer Centre Vancouver British Columbia Canada V5Z 4E6
830 Horizon Health Network-Saint John Regional Hospital Saint John New Brunswick Canada E2L 4L2
831 Cambridge Memorial Hospital Cambridge Ontario Canada N1R 3G2
832 London Regional Cancer Program London Ontario Canada N6A 4L6
833 Niagara Health System-Saint Catharines General Saint Catharines Ontario Canada ON L2S 0A9
834 Health Sciences North Sudbury Ontario Canada P3E 5J1
835 Toronto East General Hospital Toronto Ontario Canada M4C 3E7
836 Mount Sinai Hospital - Toronto Toronto Ontario Canada M5G 1X5
837 PEI Cancer Treatment Centre-Queen Elizabeth Hospital Charlottetown Prince Edward Island Canada C1A 8T5
838 McGill University Department of Oncology Montreal Quebec Canada H2W 1S6
839 Centre Hospitalier Universitaire de Sherbrooke-Fleurimont Sherbrooke Quebec Canada J1H 5N4
840 Allan Blair Cancer Centre Regina Saskatchewan Canada S4T 7T1
841 Saskatoon Cancer Centre Saskatoon Saskatchewan Canada S7N 4H4
842 San Juan City Hospital San Juan Puerto Rico 00936

Sponsors and Collaborators

  • Alliance for Clinical Trials in Oncology
  • National Cancer Institute (NCI)

Investigators

  • Study Chair: Jeffrey Meyerhardt, MD, MPH, Dana-Farber Cancer Institute

Study Documents (Full-Text)

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Alliance for Clinical Trials in Oncology
ClinicalTrials.gov Identifier:
NCT01150045
Other Study ID Numbers:
  • CALGB-80702
  • U10CA031946
  • CALGB-80702
  • CDR0000675693
First Posted:
Jun 24, 2010
Last Update Posted:
Mar 22, 2022
Last Verified:
Mar 1, 2022
Keywords provided by Alliance for Clinical Trials in Oncology
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail One patient withdrew from the trial before being randomized and was excluded from any analysis.
Arm/Group Title Arm A - 12 Cycles of FOLFOX Plus Placebo Daily Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily
Arm/Group Description The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. > Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. > Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. > Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. > Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity.
Period Title: Overall Study
STARTED 615 647 646 618
COMPLETED 615 646 646 617
NOT COMPLETED 0 1 0 1

Baseline Characteristics

Arm/Group Title Arm A - FOLFOX and Placebo (12 Treatments) Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily Total
Arm/Group Description The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil.> Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil.> Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil.> Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil.> Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Total of all reporting groups
Overall Participants 615 646 646 617 2524
Age (years) [Median (Full Range) ]
Median (Full Range) [years]
61.0
61.9
61.0
61.5
61.3
Sex: Female, Male (Count of Participants)
Female
265
43.1%
297
46%
296
45.8%
276
44.7%
1134
44.9%
Male
350
56.9%
349
54%
350
54.2%
341
55.3%
1390
55.1%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
42
6.8%
45
7%
55
8.5%
49
7.9%
191
7.6%
Not Hispanic or Latino
559
90.9%
586
90.7%
571
88.4%
552
89.5%
2268
89.9%
Unknown or Not Reported
14
2.3%
15
2.3%
20
3.1%
16
2.6%
65
2.6%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
3
0.5%
5
0.8%
3
0.5%
4
0.6%
15
0.6%
Asian
22
3.6%
32
5%
21
3.3%
32
5.2%
107
4.2%
Native Hawaiian or Other Pacific Islander
0
0%
4
0.6%
2
0.3%
1
0.2%
7
0.3%
Black or African American
82
13.3%
88
13.6%
76
11.8%
73
11.8%
319
12.6%
White
487
79.2%
500
77.4%
522
80.8%
488
79.1%
1997
79.1%
More than one race
1
0.2%
2
0.3%
3
0.5%
0
0%
6
0.2%
Unknown or Not Reported
20
3.3%
15
2.3%
19
2.9%
19
3.1%
73
2.9%
Region of Enrollment (participants) [Number]
Canada
57
9.3%
44
6.8%
70
10.8%
61
9.9%
232
9.2%
United States
558
90.7%
602
93.2%
576
89.2%
556
90.1%
2292
90.8%

Outcome Measures

1. Primary Outcome
Title Disease-free Survival
Description Disease-Free Survival (DFS) is defined as the time of randomization until documented progression or death from any cause. The endpoint of this trial is to compare disease-free survival of patients with stage III colon cancer randomized to standard chemotherapy only (FOLFOX; Arm A and Arm C) or standard chemotherapy (FOLFOX) with 3 years of celecoxib 400 mg daily (Arm B and Arm D). The percentage of patients who were alive and disease free after 3 years are reported here. A log-rank test stratified with the stratification factors was used to compare disease-free survival (celecoxib vs placebo)
Time Frame At 3 years of follow-up

Outcome Measure Data

Analysis Population Description
All patients that were randomized and evaluable were included in this analysis.
Arm/Group Title FOLFOX and Placebo (Arms A +C) FOLFOX Plus Celecoxib Daily (Arms B + D)
Arm/Group Description Arm A The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm C The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm B The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm D The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity.
Measure Participants 1261 1263
Number (95% Confidence Interval) [percentage of participants]
73.4
11.9%
76.3
11.8%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection FOLFOX and Placebo (Arms A +C)
Comments
Type of Statistical Test Superiority
Comments
Statistical Test of Hypothesis p-Value 0.12
Comments
Method Log Rank
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.89
Confidence Interval (2-Sided) 95%
0.76 to 1.03
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Overall Survival
Description Overall Survival (DFS) is defined as the time of randomization until documented death from any cause. The endpoint is to compare overall survival of patients with stage III colon cancer randomized to standard chemotherapy only (FOLFOX; Arm A and Arm C) or standard chemotherapy (FOLFOX) with 5 years of celecoxib 400 mg daily (Arm B and Arm D). The percentage of patients who were alive after 3 years are reported here.
Time Frame up to 3 years from registration

Outcome Measure Data

Analysis Population Description
All patients that were randomized and evaluable were included in this analysis.
Arm/Group Title FOLFOX and Placebo (Arms A +C) FOLFOX Plus Celecoxib Daily (Arms B + D)
Arm/Group Description Arm A The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm C The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm B The FOLFOX regimen consisted of every 2 weeks cycles for 12 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Arm D The FOLFOX regimen consisted of every 2 weeks cycles for 6 cycles of 2-hour infusions of oxaliplatin at 85 mg/m2 and leucovorin at 400 mg/m2, followed by a bolus infusion of 400-mg/m2 of fluorouracil following by 46-48-hour continuous infusion of 2400-mg/m2 of fluorouracil. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity.
Measure Participants 1261 1263
Number (95% Confidence Interval) [percentage of participants]
81.6
13.3%
84.3
13%

Adverse Events

Time Frame Adverse events were collected after every 2-week cycle during treatment (up to 12 cycles or 24 weeks of treatment).
Adverse Event Reporting Description
Arm/Group Title Arm A - FOLFOX and Placebo (12 Treatments) Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily
Arm/Group Description Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Placebo was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Placebo was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity. Celecoxib was dosed at 400 mg orally daily, starting by day 1 of the second treatment of FOLFOX. Celecoxib was administered daily for 3 years from the date of initiation of the first dose or until recurrence of disease or unacceptable toxicity.
All Cause Mortality
Arm A - FOLFOX and Placebo (12 Treatments) Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 10/615 (1.6%) 8/647 (1.2%) 10/646 (1.5%) 9/618 (1.5%)
Serious Adverse Events
Arm A - FOLFOX and Placebo (12 Treatments) Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 77/615 (12.5%) 93/647 (14.4%) 72/646 (11.1%) 78/618 (12.6%)
Blood and lymphatic system disorders
Blood disorder 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Febrile neutropenia 1/615 (0.2%) 1 1/647 (0.2%) 1 2/646 (0.3%) 2 3/618 (0.5%) 4
Hemoglobin decreased 3/615 (0.5%) 3 5/647 (0.8%) 5 6/646 (0.9%) 6 6/618 (1%) 6
Hemolysis 3/615 (0.5%) 4 3/647 (0.5%) 5 2/646 (0.3%) 2 7/618 (1.1%) 7
Spleen disorder 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Cardiac disorders
Arrhythmia 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Arrhythmia supraventricular 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Asystole 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Atrial fibrillation 2/615 (0.3%) 2 2/647 (0.3%) 2 2/646 (0.3%) 2 2/618 (0.3%) 2
Cardiac disorder 0/615 (0%) 0 3/647 (0.5%) 3 3/646 (0.5%) 3 2/618 (0.3%) 2
Cardiac pain 1/615 (0.2%) 2 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Cardiac valve disease 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Cardiopulmonary arrest 1/615 (0.2%) 1 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Conduction disorder 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Left ventricular dysfunction 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Left ventricular failure 2/615 (0.3%) 3 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Myocardial ischemia 5/615 (0.8%) 5 11/647 (1.7%) 11 9/646 (1.4%) 9 7/618 (1.1%) 7
Palpitations 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Restrictive cardiomyopathy 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Sinus bradycardia 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Sinus tachycardia 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Supraventricular tachycardia 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Ear and labyrinth disorders
Hearing impaired 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Eye disorders
Eye disorder 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Optic nerve disorder 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Vision blurred 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Gastrointestinal disorders
Abdominal distension 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Abdominal pain 1/615 (0.2%) 1 2/647 (0.3%) 2 3/646 (0.5%) 3 8/618 (1.3%) 8
Anal mucositis (clin exam) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Colitis 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Colonic obstruction 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Colonic perforation 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Constipation 1/615 (0.2%) 1 0/647 (0%) 0 2/646 (0.3%) 2 1/618 (0.2%) 1
Diarrhea 27/615 (4.4%) 33 33/647 (5.1%) 35 24/646 (3.7%) 25 12/618 (1.9%) 13
Dry mouth 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Duodenal ulcer 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Dysphagia 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Enteritis 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Gastric hemorrhage 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Gastric ulcer 1/615 (0.2%) 1 0/647 (0%) 0 3/646 (0.5%) 3 0/618 (0%) 0
Gastritis 2/615 (0.3%) 2 3/647 (0.5%) 4 4/646 (0.6%) 4 1/618 (0.2%) 1
Gastrointestinal disorder 1/615 (0.2%) 1 1/647 (0.2%) 1 2/646 (0.3%) 2 1/618 (0.2%) 1
Hemorrhoids 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Ileal perforation 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Ileus 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Lower gastrointestinal hemorrhage 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Mucositis oral (clin exam) 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Mucositis oral (funct/sympt) 1/615 (0.2%) 2 1/647 (0.2%) 1 1/646 (0.2%) 1 2/618 (0.3%) 2
Nausea 23/615 (3.7%) 28 22/647 (3.4%) 24 27/646 (4.2%) 29 20/618 (3.2%) 20
Pancreatic necrosis 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Pancreatitis 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Rectal hemorrhage 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Rectal mucositis (clin exam) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Salivary gland disorder 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Small intestinal mucositis (clin exam) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Small intestinal obstruction 4/615 (0.7%) 4 1/647 (0.2%) 1 2/646 (0.3%) 2 3/618 (0.5%) 3
Small intestinal perforation 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Upper gastrointestinal hemorrhage 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Vomiting 13/615 (2.1%) 15 10/647 (1.5%) 12 17/646 (2.6%) 17 8/618 (1.3%) 8
General disorders
Chest pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Chills 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Death NOS 4/615 (0.7%) 4 0/647 (0%) 0 0/646 (0%) 0 5/618 (0.8%) 5
Edema limbs 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Fatigue 41/615 (6.7%) 47 50/647 (7.7%) 56 29/646 (4.5%) 32 30/618 (4.9%) 30
Fever 1/615 (0.2%) 1 1/647 (0.2%) 1 3/646 (0.5%) 3 0/618 (0%) 0
Flu-like symptoms 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 0/618 (0%) 0
Gait abnormal 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
General symptom 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Multi-organ failure 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Pain 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Sudden death 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 1/618 (0.2%) 1
Hepatobiliary disorders
Cholecystitis 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Gallbladder fistula 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Hepatobiliary disease 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Immune system disorders
Hypersensitivity 2/615 (0.3%) 2 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Infections and infestations
Abdominal infection 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Bladder infection(gr 0/1/2 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Bone infection(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Catheter related infection(gr 0/1/2 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Encephalitis infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Gallbladder infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Infection(gr 0/1/2 ANC) 1/615 (0.2%) 1 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Infectious colitis(gr 0/1/2 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Infectious colitis(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pharyngitis(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pneumonia(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pneumonia(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Sepsis(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Sepsis(gr 3/4 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Sepsis(unknown ANC) 1/615 (0.2%) 1 1/647 (0.2%) 1 1/646 (0.2%) 1 1/618 (0.2%) 1
Skin infection 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Soft tissue infection(gr 0/1/2 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Soft tissue infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Upper respiratory infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Urethral infection(gr 3/4 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Urinary tract infection(gr 3/4 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Wound infection 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Wound infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Injury, poisoning and procedural complications
Aortic injury 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Fracture 1/615 (0.2%) 2 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Intestinal stoma obstruction 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Intraoperative breast injury 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Vascular access complication 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Investigations
Alanine aminotransferase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Alkaline phosphatase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Amylase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Aspartate aminotransferase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 3/618 (0.5%) 5
Blood bilirubin increased 0/615 (0%) 0 1/647 (0.2%) 1 2/646 (0.3%) 2 1/618 (0.2%) 1
Cardiac troponin I increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Creatinine increased 11/615 (1.8%) 13 15/647 (2.3%) 15 11/646 (1.7%) 12 11/618 (1.8%) 11
Electrocardiogram QTc interval prolonged 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
INR increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Laboratory test abnormal 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Leukocyte count decreased 3/615 (0.5%) 3 4/647 (0.6%) 4 4/646 (0.6%) 4 2/618 (0.3%) 2
Lipase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Lymphocyte count decreased 0/615 (0%) 0 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Neutrophil count decreased 21/615 (3.4%) 23 26/647 (4%) 30 16/646 (2.5%) 18 17/618 (2.8%) 18
Platelet count decreased 25/615 (4.1%) 27 36/647 (5.6%) 41 20/646 (3.1%) 21 8/618 (1.3%) 9
Weight gain 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Weight loss 0/615 (0%) 0 1/647 (0.2%) 1 2/646 (0.3%) 2 0/618 (0%) 0
Metabolism and nutrition disorders
Acidosis 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Anorexia 5/615 (0.8%) 7 1/647 (0.2%) 1 2/646 (0.3%) 2 1/618 (0.2%) 1
Blood glucose increased 4/615 (0.7%) 4 8/647 (1.2%) 9 5/646 (0.8%) 5 5/618 (0.8%) 5
Dehydration 7/615 (1.1%) 9 7/647 (1.1%) 7 6/646 (0.9%) 6 2/618 (0.3%) 2
Glucose intolerance 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Obesity 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Serum albumin decreased 1/615 (0.2%) 1 0/647 (0%) 0 3/646 (0.5%) 3 4/618 (0.6%) 4
Serum calcium decreased 3/615 (0.5%) 3 0/647 (0%) 0 3/646 (0.5%) 3 1/618 (0.2%) 1
Serum glucose decreased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Serum magnesium decreased 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Serum magnesium increased 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Serum phosphate decreased 1/615 (0.2%) 1 0/647 (0%) 0 2/646 (0.3%) 2 1/618 (0.2%) 1
Serum potassium decreased 5/615 (0.8%) 6 4/647 (0.6%) 4 3/646 (0.5%) 3 4/618 (0.6%) 4
Serum potassium increased 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 1/618 (0.2%) 1
Serum sodium decreased 1/615 (0.2%) 1 4/647 (0.6%) 4 1/646 (0.2%) 1 1/618 (0.2%) 1
Serum sodium increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Back pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Bone pain 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Muscle weakness 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Musculoskeletal disorder 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Pain in extremity 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Nervous system disorders
Ataxia 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Cognitive disturbance 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Depressed level of consciousness 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Dizziness 1/615 (0.2%) 1 3/647 (0.5%) 5 0/646 (0%) 0 1/618 (0.2%) 1
Dysgeusia 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Headache 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Intracranial hemorrhage 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 1/618 (0.2%) 1
Ischemia cerebrovascular 4/615 (0.7%) 4 0/647 (0%) 0 2/646 (0.3%) 2 2/618 (0.3%) 2
Memory impairment 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Neurological disorder NOS 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Peripheral motor neuropathy 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Peripheral sensory neuropathy 49/615 (8%) 59 54/647 (8.3%) 64 35/646 (5.4%) 38 32/618 (5.2%) 34
Radiculitis brachial 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Syncope 1/615 (0.2%) 1 3/647 (0.5%) 3 1/646 (0.2%) 1 1/618 (0.2%) 1
Psychiatric disorders
Agitation 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Anxiety 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Confusion 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 2/618 (0.3%) 2
Depression 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 2/618 (0.3%) 2
Insomnia 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Personality change 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Psychosis 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Renal and urinary disorders
Bladder pain 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Glomerular filtration rate decreased 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Renal failure 3/615 (0.5%) 3 2/647 (0.3%) 2 1/646 (0.2%) 1 2/618 (0.3%) 2
Urogenital disorder 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Aspiration 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Cough 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 2
Dyspnea 3/615 (0.5%) 3 4/647 (0.6%) 4 0/646 (0%) 0 1/618 (0.2%) 1
Hiccups 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Hypoxia 2/615 (0.3%) 2 3/647 (0.5%) 3 1/646 (0.2%) 1 0/618 (0%) 0
Pleural effusion 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Pneumonitis 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Respiratory disorder 3/615 (0.5%) 3 4/647 (0.6%) 4 3/646 (0.5%) 3 0/618 (0%) 0
Skin and subcutaneous tissue disorders
Alopecia 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Dry skin 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Hand-and-foot syndrome/reaction 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Nail disorder 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Pain of skin 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Pruritus 1/615 (0.2%) 1 1/647 (0.2%) 2 0/646 (0%) 0 0/618 (0%) 0
Rash acneiform 0/615 (0%) 0 1/647 (0.2%) 2 0/646 (0%) 0 0/618 (0%) 0
Rash desquamating 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Skin disorder 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Skin hyperpigmentation 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Vascular disorders
Hemorrhage 0/615 (0%) 0 1/647 (0.2%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Hypertension 13/615 (2.1%) 13 17/647 (2.6%) 18 16/646 (2.5%) 18 16/618 (2.6%) 21
Hypotension 1/615 (0.2%) 1 1/647 (0.2%) 1 2/646 (0.3%) 2 1/618 (0.2%) 1
Peripheral ischemia 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Phlebitis 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Thrombosis 8/615 (1.3%) 8 12/647 (1.9%) 12 8/646 (1.2%) 17 2/618 (0.3%) 2
Vascular disorder 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Other (Not Including Serious) Adverse Events
Arm A - FOLFOX and Placebo (12 Treatments) Arm B - 12 Cycles of FOLFOX Plus Celecoxib Daily Arm C - 6 Cycles of FOLFOX Plus Placebo Daily Arm D - 6 Cycles of FOLFOX Plus Celecoxib Daily
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 574/615 (93.3%) 615/647 (95.1%) 618/646 (95.7%) 589/618 (95.3%)
Blood and lymphatic system disorders
Blood disorder 1/615 (0.2%) 1 4/647 (0.6%) 27 4/646 (0.6%) 15 3/618 (0.5%) 5
Bone marrow hypocellular 1/615 (0.2%) 3 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Febrile neutropenia 9/615 (1.5%) 11 12/647 (1.9%) 14 17/646 (2.6%) 18 15/618 (2.4%) 17
Hemoglobin decreased 13/615 (2.1%) 33 23/647 (3.6%) 51 10/646 (1.5%) 15 18/618 (2.9%) 21
Hemolysis 63/615 (10.2%) 194 53/647 (8.2%) 158 49/646 (7.6%) 102 49/618 (7.9%) 108
Thrombotic microangiopathy 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Cardiac disorders
Arrhythmia 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Arrhythmia supraventricular 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Atrial fibrillation 2/615 (0.3%) 3 4/647 (0.6%) 4 6/646 (0.9%) 10 0/618 (0%) 0
Atrial flutter 0/615 (0%) 0 2/647 (0.3%) 6 1/646 (0.2%) 4 0/618 (0%) 0
Cardiac disorder 3/615 (0.5%) 4 2/647 (0.3%) 2 1/646 (0.2%) 1 1/618 (0.2%) 1
Cardiac pain 0/615 (0%) 0 1/647 (0.2%) 4 0/646 (0%) 0 2/618 (0.3%) 2
Cardiac valve disease 1/615 (0.2%) 1 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Conduction disorder 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Left ventricular dysfunction 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Left ventricular failure 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Myocardial ischemia 3/615 (0.5%) 3 6/647 (0.9%) 7 4/646 (0.6%) 4 4/618 (0.6%) 5
Palpitations 0/615 (0%) 0 1/647 (0.2%) 7 2/646 (0.3%) 2 2/618 (0.3%) 4
Restrictive cardiomyopathy 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Sinus tachycardia 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Supraventricular tachycardia 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Ventricular tachycardia 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Ear and labyrinth disorders
Ear pain 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Hearing impaired 3/615 (0.5%) 11 2/647 (0.3%) 20 1/646 (0.2%) 7 1/618 (0.2%) 2
Middle ear inflammation 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Tinnitus 1/615 (0.2%) 10 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Endocrine disorders
Endocrine disorder 1/615 (0.2%) 6 1/647 (0.2%) 1 2/646 (0.3%) 2 1/618 (0.2%) 1
Hypothyroidism 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Eye disorders
Cataract 2/615 (0.3%) 2 0/647 (0%) 0 3/646 (0.5%) 9 1/618 (0.2%) 6
Dry eye syndrome 0/615 (0%) 0 1/647 (0.2%) 3 1/646 (0.2%) 1 1/618 (0.2%) 1
Eye disorder 1/615 (0.2%) 1 2/647 (0.3%) 3 1/646 (0.2%) 3 1/618 (0.2%) 1
Eye pain 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 3 0/618 (0%) 0
Optic nerve disorder 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 19 0/618 (0%) 0
Optic nerve edema 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Retinal detachment 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 2 0/618 (0%) 0
Vision blurred 2/615 (0.3%) 2 2/647 (0.3%) 2 4/646 (0.6%) 14 4/618 (0.6%) 10
Vitreous hemorrhage 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Watering eyes 4/615 (0.7%) 4 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Gastrointestinal disorders
Abdominal distension 3/615 (0.5%) 21 1/647 (0.2%) 1 1/646 (0.2%) 2 1/618 (0.2%) 1
Abdominal pain 21/615 (3.4%) 30 21/647 (3.2%) 31 19/646 (2.9%) 26 21/618 (3.4%) 27
Anal pain 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Cheilitis 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Colitis 3/615 (0.5%) 3 2/647 (0.3%) 2 1/646 (0.2%) 1 2/618 (0.3%) 2
Colonic hemorrhage 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Colonic obstruction 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 3/618 (0.5%) 4
Colonic perforation 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Colonic ulcer 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Constipation 15/615 (2.4%) 24 11/647 (1.7%) 21 25/646 (3.9%) 51 21/618 (3.4%) 43
Diarrhea 339/615 (55.1%) 1107 361/647 (55.8%) 1252 353/646 (54.6%) 922 326/618 (52.8%) 857
Dry mouth 3/615 (0.5%) 4 3/647 (0.5%) 5 2/646 (0.3%) 8 0/618 (0%) 0
Duodenal hemorrhage 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Duodenal obstruction 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Duodenal ulcer 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Dyspepsia 5/615 (0.8%) 26 7/647 (1.1%) 9 6/646 (0.9%) 20 7/618 (1.1%) 19
Dysphagia 1/615 (0.2%) 2 2/647 (0.3%) 2 1/646 (0.2%) 1 2/618 (0.3%) 2
Enteritis 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Esophageal mucositis (clin exam) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Esophageal mucositis (funct/sympt) 1/615 (0.2%) 1 0/647 (0%) 0 3/646 (0.5%) 3 0/618 (0%) 0
Esophageal pain 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 3 0/618 (0%) 0
Esophagitis 1/615 (0.2%) 1 1/647 (0.2%) 1 1/646 (0.2%) 4 0/618 (0%) 0
Fecal incontinence 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Flatulence 3/615 (0.5%) 9 1/647 (0.2%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Gastric hemorrhage 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Gastric mucositis (clin exam) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Gastric mucositis (funct/sympt) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Gastric ulcer 5/615 (0.8%) 9 13/647 (2%) 17 8/646 (1.2%) 9 9/618 (1.5%) 12
Gastritis 39/615 (6.3%) 70 40/647 (6.2%) 64 39/646 (6%) 63 42/618 (6.8%) 80
Gastrointestinal disorder 6/615 (1%) 7 8/647 (1.2%) 25 3/646 (0.5%) 4 7/618 (1.1%) 9
Gastrointestinal fistula 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Gastrointestinal pain 1/615 (0.2%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Hemorrhoids 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Ileal perforation 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Ileus 1/615 (0.2%) 1 2/647 (0.3%) 2 1/646 (0.2%) 1 3/618 (0.5%) 3
Jejunal obstruction 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Large intestinal mucositis (funct/sympt) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Lower gastrointestinal hemorrhage 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Malabsorption 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Mucositis oral (clin exam) 6/615 (1%) 6 2/647 (0.3%) 2 2/646 (0.3%) 2 5/618 (0.8%) 5
Mucositis oral (funct/sympt) 12/615 (2%) 16 17/647 (2.6%) 25 8/646 (1.2%) 11 9/618 (1.5%) 10
Nausea 375/615 (61%) 1151 395/647 (61.1%) 1240 393/646 (60.8%) 857 360/618 (58.3%) 844
Oral hemorrhage 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Oral pain 2/615 (0.3%) 3 2/647 (0.3%) 4 2/646 (0.3%) 3 2/618 (0.3%) 4
Pancreatitis 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Periodontal disease 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Proctitis 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 2
Rectal hemorrhage 0/615 (0%) 0 3/647 (0.5%) 5 4/646 (0.6%) 5 2/618 (0.3%) 2
Rectal mucositis (clin exam) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Rectal pain 0/615 (0%) 0 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Salivary gland disorder 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Small intestinal obstruction 4/615 (0.7%) 5 4/647 (0.6%) 4 3/646 (0.5%) 4 4/618 (0.6%) 4
Stomach pain 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Tooth disorder 0/615 (0%) 0 1/647 (0.2%) 3 0/646 (0%) 0 0/618 (0%) 0
Toothache 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Vomiting 164/615 (26.7%) 271 167/647 (25.8%) 283 143/646 (22.1%) 204 118/618 (19.1%) 195
General disorders
Chest pain 1/615 (0.2%) 3 3/647 (0.5%) 3 3/646 (0.5%) 3 0/618 (0%) 0
Chills 2/615 (0.3%) 2 1/647 (0.2%) 1 1/646 (0.2%) 2 1/618 (0.2%) 1
Edema limbs 8/615 (1.3%) 14 10/647 (1.5%) 38 9/646 (1.4%) 15 7/618 (1.1%) 8
Facial pain 0/615 (0%) 0 1/647 (0.2%) 1 3/646 (0.5%) 6 0/618 (0%) 0
Fatigue 471/615 (76.6%) 2400 500/647 (77.3%) 2649 491/646 (76%) 1972 456/618 (73.8%) 1723
Fever 5/615 (0.8%) 5 0/647 (0%) 0 0/646 (0%) 0 3/618 (0.5%) 3
Flu-like symptoms 2/615 (0.3%) 2 0/647 (0%) 0 2/646 (0.3%) 4 4/618 (0.6%) 6
Gait abnormal 1/615 (0.2%) 1 2/647 (0.3%) 8 0/646 (0%) 0 2/618 (0.3%) 2
General symptom 1/615 (0.2%) 3 2/647 (0.3%) 3 1/646 (0.2%) 6 2/618 (0.3%) 2
Hypothermia 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Ill-defined disorder 1/615 (0.2%) 1 2/647 (0.3%) 2 0/646 (0%) 0 2/618 (0.3%) 3
Injection site reaction 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 0/618 (0%) 0
Localized edema 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Pain 11/615 (1.8%) 17 12/647 (1.9%) 20 14/646 (2.2%) 22 14/618 (2.3%) 22
Hepatobiliary disorders
Cholecystitis 1/615 (0.2%) 1 0/647 (0%) 0 2/646 (0.3%) 2 1/618 (0.2%) 1
Gallbladder pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Hepatobiliary disease 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 9
Immune system disorders
Cytokine release syndrome 2/615 (0.3%) 2 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Hypersensitivity 12/615 (2%) 13 7/647 (1.1%) 8 5/646 (0.8%) 5 7/618 (1.1%) 9
Immune system disorder 2/615 (0.3%) 5 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Infections and infestations
Abdominal infection 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Abdominal infection(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Anorectal infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Bladder infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Bladder infection(gr 3/4 ANC) 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Bladder infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Bone infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Bone infection(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Bronchitis(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Bronchitis(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 2 0/646 (0%) 0 0/618 (0%) 0
Catheter related infection 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Catheter related infection(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Colitis, infectious 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Conjunctivitis 2/615 (0.3%) 3 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Device related infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Duodenal infection(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Endocarditis infective(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Gallbladder infection(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Infection(gr 0/1/2 ANC) 4/615 (0.7%) 4 6/647 (0.9%) 8 4/646 (0.6%) 5 4/618 (0.6%) 4
Infectious colitis(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Infectious colitis(gr 3/4 ANC) 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Infectious meningitis(gr 3/4 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Kidney infection(gr 0/1/2 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Kidney infection(gr 3/4 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Laryngitis(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Nail infection(gr 0/1/2 ANC) 0/615 (0%) 0 1/647 (0.2%) 3 0/646 (0%) 0 0/618 (0%) 0
Otitis media(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Peripheral nerve infection(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pneumonia(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Pneumonia(gr 3/4 ANC) 2/615 (0.3%) 2 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Pneumonia(unknown ANC) 3/615 (0.5%) 3 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Rhinitis infective(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Salivary gland infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Scrotal infection(unknown ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 2 0/618 (0%) 0
Sepsis(gr 0/1/2 ANC) 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Sepsis(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Sinusitis(gr 0/1/2 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Sinusitis(gr 3/4 ANC) 1/615 (0.2%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Skin infection 1/615 (0.2%) 1 4/647 (0.6%) 4 4/646 (0.6%) 5 3/618 (0.5%) 7
Skin infection(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 2/646 (0.3%) 2 3/618 (0.5%) 3
Skin infection(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Soft tissue infection(gr 0/1/2 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Soft tissue infection(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Tooth infection 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 3/618 (0.5%) 3
Tooth infection(gr 3/4 ANC) 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Upper respiratory infection(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 2/618 (0.3%) 2
Upper respiratory infection(unknown ANC) 0/615 (0%) 0 1/647 (0.2%) 1 2/646 (0.3%) 3 1/618 (0.2%) 1
Upper respiratory infectn(gr 0/1/2 ANC) 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Urinary tract infection(gr 0/1/2 ANC) 4/615 (0.7%) 4 3/647 (0.5%) 3 1/646 (0.2%) 1 4/618 (0.6%) 4
Urinary tract infection(gr 3/4 ANC) 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Urinary tract infection(unknown ANC) 0/615 (0%) 0 2/647 (0.3%) 2 1/646 (0.2%) 2 3/618 (0.5%) 3
Vaginal infection(gr 0/1/2 ANC) 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Viral hepatitis 1/615 (0.2%) 1 1/647 (0.2%) 3 0/646 (0%) 0 0/618 (0%) 0
Wound infection 0/615 (0%) 0 4/647 (0.6%) 5 2/646 (0.3%) 3 0/618 (0%) 0
Wound infection(gr 0/1/2 ANC) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Wound infection(gr 3/4 ANC) 1/615 (0.2%) 2 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Injury, poisoning and procedural complications
Arterial injury - Extremity-lower 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Bruising 1/615 (0.2%) 1 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Fracture 4/615 (0.7%) 5 6/647 (0.9%) 6 3/646 (0.5%) 3 1/618 (0.2%) 1
Injury to carotid artery 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Intraop. inj. - Colon 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Intraop. inj. - Joint 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Intraop. inj. - Small bowel NOS 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Intraop. inj. - Vein-major visceral vein 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Intraoperative complications 0/615 (0%) 0 2/647 (0.3%) 3 0/646 (0%) 0 0/618 (0%) 0
Intraoperative gastrointestinal injury 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 5
Intraoperative ocular injury 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Intraoperative urinary injury - Bladder 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Large intestinal anastomotic leak 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Postoperative hemorrhage 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Rectal anastomotic leak 0/615 (0%) 0 1/647 (0.2%) 2 0/646 (0%) 0 0/618 (0%) 0
Vascular access complication 4/615 (0.7%) 16 5/647 (0.8%) 5 9/646 (1.4%) 19 5/618 (0.8%) 10
Venous injury - Extremity-lower 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Wound dehiscence 2/615 (0.3%) 2 1/647 (0.2%) 7 0/646 (0%) 0 3/618 (0.5%) 3
Investigations
Activated partial throm time prolonged 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 2
Alanine aminotransferase increased 8/615 (1.3%) 17 10/647 (1.5%) 29 8/646 (1.2%) 12 10/618 (1.6%) 28
Alkaline phosphatase increased 8/615 (1.3%) 15 11/647 (1.7%) 19 1/646 (0.2%) 1 5/618 (0.8%) 10
Amylase increased 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Aspartate aminotransferase increased 16/615 (2.6%) 35 14/647 (2.2%) 39 8/646 (1.2%) 9 13/618 (2.1%) 28
Blood bilirubin increased 4/615 (0.7%) 9 4/647 (0.6%) 6 3/646 (0.5%) 4 4/618 (0.6%) 15
CD4 lymphocytes decreased 0/615 (0%) 0 1/647 (0.2%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Creatinine increased 76/615 (12.4%) 256 126/647 (19.5%) 418 85/646 (13.2%) 316 100/618 (16.2%) 306
Gamma-glutamyltransferase increased 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 9 0/618 (0%) 0
INR increased 3/615 (0.5%) 7 8/647 (1.2%) 21 5/646 (0.8%) 10 0/618 (0%) 0
Laboratory test abnormal 4/615 (0.7%) 8 2/647 (0.3%) 3 0/646 (0%) 0 3/618 (0.5%) 4
Leukocyte count decreased 23/615 (3.7%) 49 27/647 (4.2%) 43 15/646 (2.3%) 18 18/618 (2.9%) 28
Lipase increased 0/615 (0%) 0 1/647 (0.2%) 7 2/646 (0.3%) 4 0/618 (0%) 0
Lymphocyte count decreased 2/615 (0.3%) 3 6/647 (0.9%) 7 4/646 (0.6%) 4 4/618 (0.6%) 10
Neutrophil count decreased 385/615 (62.6%) 987 400/647 (61.8%) 981 303/646 (46.9%) 564 312/618 (50.5%) 583
Platelet count decreased 373/615 (60.7%) 1552 417/647 (64.5%) 1827 332/646 (51.4%) 828 315/618 (51%) 881
Weight gain 10/615 (1.6%) 19 12/647 (1.9%) 33 10/646 (1.5%) 19 8/618 (1.3%) 26
Weight loss 9/615 (1.5%) 10 4/647 (0.6%) 5 2/646 (0.3%) 3 4/618 (0.6%) 8
Metabolism and nutrition disorders
Acidosis 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 2 1/618 (0.2%) 1
Alkalosis 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Anorexia 15/615 (2.4%) 28 17/647 (2.6%) 19 8/646 (1.2%) 9 7/618 (1.1%) 18
Blood bicarbonate decreased 0/615 (0%) 0 1/647 (0.2%) 2 0/646 (0%) 0 1/618 (0.2%) 1
Blood glucose increased 31/615 (5%) 74 47/647 (7.3%) 100 37/646 (5.7%) 84 26/618 (4.2%) 55
Blood uric acid increased 0/615 (0%) 0 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Dehydration 4/615 (0.7%) 4 17/647 (2.6%) 24 9/646 (1.4%) 9 6/618 (1%) 6
Glucose intolerance 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Obesity 1/615 (0.2%) 4 2/647 (0.3%) 12 3/646 (0.5%) 5 3/618 (0.5%) 11
Serum albumin decreased 4/615 (0.7%) 9 7/647 (1.1%) 14 5/646 (0.8%) 5 9/618 (1.5%) 15
Serum calcium decreased 2/615 (0.3%) 2 3/647 (0.5%) 10 6/646 (0.9%) 10 5/618 (0.8%) 6
Serum calcium increased 3/615 (0.5%) 5 4/647 (0.6%) 5 4/646 (0.6%) 6 0/618 (0%) 0
Serum glucose decreased 1/615 (0.2%) 1 3/647 (0.5%) 3 4/646 (0.6%) 4 2/618 (0.3%) 2
Serum magnesium decreased 1/615 (0.2%) 1 2/647 (0.3%) 3 1/646 (0.2%) 1 1/618 (0.2%) 1
Serum phosphate decreased 4/615 (0.7%) 8 3/647 (0.5%) 5 4/646 (0.6%) 8 3/618 (0.5%) 3
Serum potassium decreased 28/615 (4.6%) 39 26/647 (4%) 33 23/646 (3.6%) 28 11/618 (1.8%) 12
Serum potassium increased 2/615 (0.3%) 2 3/647 (0.5%) 4 4/646 (0.6%) 4 2/618 (0.3%) 2
Serum sodium decreased 8/615 (1.3%) 20 6/647 (0.9%) 14 8/646 (1.2%) 17 5/618 (0.8%) 7
Serum sodium increased 2/615 (0.3%) 2 2/647 (0.3%) 2 1/646 (0.2%) 1 0/618 (0%) 0
Serum triglycerides increased 2/615 (0.3%) 2 1/647 (0.2%) 5 2/646 (0.3%) 3 0/618 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 5/615 (0.8%) 17 6/647 (0.9%) 11 11/646 (1.7%) 22 5/618 (0.8%) 8
Arthritis 3/615 (0.5%) 5 2/647 (0.3%) 3 1/646 (0.2%) 1 3/618 (0.5%) 9
Back pain 14/615 (2.3%) 32 12/647 (1.9%) 36 11/646 (1.7%) 15 12/618 (1.9%) 31
Bone pain 2/615 (0.3%) 4 4/647 (0.6%) 7 2/646 (0.3%) 2 2/618 (0.3%) 3
Chest wall pain 2/615 (0.3%) 2 1/647 (0.2%) 1 2/646 (0.3%) 2 0/618 (0%) 0
Joint effusion 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Joint range motion decr cervical spine 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Muscle weakness 5/615 (0.8%) 6 9/647 (1.4%) 9 1/646 (0.2%) 2 4/618 (0.6%) 4
Muscle weakness lower limb 1/615 (0.2%) 1 2/647 (0.3%) 2 0/646 (0%) 0 4/618 (0.6%) 4
Muscle weakness right-sided 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Muscle weakness upper limb 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Musculoskeletal disorder 4/615 (0.7%) 6 5/647 (0.8%) 11 5/646 (0.8%) 7 5/618 (0.8%) 24
Myalgia 6/615 (1%) 19 4/647 (0.6%) 11 4/646 (0.6%) 18 6/618 (1%) 7
Neck pain 4/615 (0.7%) 9 2/647 (0.3%) 2 2/646 (0.3%) 7 1/618 (0.2%) 1
Osteoporosis 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Pain in extremity 13/615 (2.1%) 31 9/647 (1.4%) 11 7/646 (1.1%) 7 6/618 (1%) 12
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Treatment related secondary malignancy 3/615 (0.5%) 3 3/647 (0.5%) 3 2/646 (0.3%) 2 0/618 (0%) 0
Nervous system disorders
Accessory nerve disorder 1/615 (0.2%) 3 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 6
Ataxia 3/615 (0.5%) 4 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Cognitive disturbance 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Dizziness 6/615 (1%) 11 10/647 (1.5%) 12 7/646 (1.1%) 7 5/618 (0.8%) 11
Dysgeusia 6/615 (1%) 11 10/647 (1.5%) 14 5/646 (0.8%) 10 5/618 (0.8%) 8
Extrapyramidal disorder 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Facial nerve disorder 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Headache 14/615 (2.3%) 25 12/647 (1.9%) 18 8/646 (1.2%) 14 14/618 (2.3%) 26
Hydrocephalus 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Intracranial hemorrhage 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 0/618 (0%) 0
Ischemia cerebrovascular 7/615 (1.1%) 12 7/647 (1.1%) 7 6/646 (0.9%) 6 2/618 (0.3%) 2
Memory impairment 3/615 (0.5%) 5 2/647 (0.3%) 4 0/646 (0%) 0 0/618 (0%) 0
Neuralgia 1/615 (0.2%) 1 2/647 (0.3%) 4 0/646 (0%) 0 0/618 (0%) 0
Neurological disorder NOS 4/615 (0.7%) 11 2/647 (0.3%) 5 2/646 (0.3%) 2 0/618 (0%) 0
Olfactory nerve disorder 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Peripheral motor neuropathy 1/615 (0.2%) 1 3/647 (0.5%) 6 3/646 (0.5%) 4 0/618 (0%) 0
Peripheral sensory neuropathy 516/615 (83.9%) 4338 556/647 (85.9%) 4460 501/646 (77.6%) 2756 485/618 (78.5%) 2662
Seizure 3/615 (0.5%) 4 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Speech disorder 0/615 (0%) 0 1/647 (0.2%) 5 1/646 (0.2%) 1 0/618 (0%) 0
Syncope 9/615 (1.5%) 9 9/647 (1.4%) 10 3/646 (0.5%) 3 9/618 (1.5%) 9
Syncope vasovagal 2/615 (0.3%) 2 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Tremor 2/615 (0.3%) 3 2/647 (0.3%) 3 0/646 (0%) 0 1/618 (0.2%) 1
Psychiatric disorders
Agitation 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Anxiety 6/615 (1%) 14 10/647 (1.5%) 17 10/646 (1.5%) 18 13/618 (2.1%) 20
Confusion 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Depression 5/615 (0.8%) 16 5/647 (0.8%) 8 7/646 (1.1%) 18 7/618 (1.1%) 10
Insomnia 8/615 (1.3%) 24 10/647 (1.5%) 19 7/646 (1.1%) 24 12/618 (1.9%) 29
Irritability 0/615 (0%) 0 1/647 (0.2%) 4 0/646 (0%) 0 0/618 (0%) 0
Personality change 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Psychosis 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Renal and urinary disorders
Bladder hemorrhage 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Bladder obstruction 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Cystitis 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 1/618 (0.2%) 1
Glomerular filtration rate decreased 1/615 (0.2%) 1 2/647 (0.3%) 2 1/646 (0.2%) 2 1/618 (0.2%) 1
Hemoglobin urine positive 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Hemorrhage urinary tract 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Kidney pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Proteinuria 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Renal failure 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 2/618 (0.3%) 2
Ureteric obstruction 0/615 (0%) 0 0/647 (0%) 0 3/646 (0.5%) 3 0/618 (0%) 0
Urinary frequency 2/615 (0.3%) 3 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Urinary incontinence 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 3/618 (0.5%) 4
Urinary retention 1/615 (0.2%) 2 1/647 (0.2%) 1 1/646 (0.2%) 1 0/618 (0%) 0
Urogenital disorder 1/615 (0.2%) 1 5/647 (0.8%) 5 8/646 (1.2%) 9 2/618 (0.3%) 3
Reproductive system and breast disorders
Breast pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 2
Erectile dysfunction 0/615 (0%) 0 1/647 (0.2%) 1 2/646 (0.3%) 3 0/618 (0%) 0
Irregular menstruation 0/615 (0%) 0 1/647 (0.2%) 4 0/646 (0%) 0 1/618 (0.2%) 1
Nipple deformity 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Scrotal pain 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Vaginal discharge 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 1/618 (0.2%) 1
Vaginal hemorrhage 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Vaginal inflammation 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Vaginal pain 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis 5/615 (0.8%) 5 1/647 (0.2%) 2 0/646 (0%) 0 5/618 (0.8%) 13
Apnea 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 2/618 (0.3%) 2
Aspiration 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Atelectasis 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 3
Cough 7/615 (1.1%) 7 4/647 (0.6%) 4 5/646 (0.8%) 5 10/618 (1.6%) 18
Dyspnea 10/615 (1.6%) 13 10/647 (1.5%) 12 8/646 (1.2%) 19 8/618 (1.3%) 14
Epistaxis 2/615 (0.3%) 2 5/647 (0.8%) 6 2/646 (0.3%) 3 6/618 (1%) 11
Hiccups 0/615 (0%) 0 4/647 (0.6%) 5 2/646 (0.3%) 4 0/618 (0%) 0
Hypoxia 3/615 (0.5%) 3 1/647 (0.2%) 2 2/646 (0.3%) 2 1/618 (0.2%) 1
Laryngeal fistula 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Laryngeal pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Nasal congestion 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pharyngeal mucositis (clin exam) 0/615 (0%) 0 3/647 (0.5%) 3 3/646 (0.5%) 4 0/618 (0%) 0
Pharyngeal mucositis (funct/sympt) 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Pharyngolaryngeal pain 0/615 (0%) 0 2/647 (0.3%) 2 0/646 (0%) 0 0/618 (0%) 0
Pleural effusion 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Pleuritic pain 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Pneumonitis 0/615 (0%) 0 0/647 (0%) 0 2/646 (0.3%) 2 5/618 (0.8%) 7
Pneumothorax 1/615 (0.2%) 1 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Pulmonary fibrosis 1/615 (0.2%) 1 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Respiratory disorder 2/615 (0.3%) 5 7/647 (1.1%) 8 3/646 (0.5%) 3 2/618 (0.3%) 2
Respiratory tract hemorrhage 0/615 (0%) 0 0/647 (0%) 0 0/646 (0%) 0 1/618 (0.2%) 1
Voice alteration 1/615 (0.2%) 1 1/647 (0.2%) 1 1/646 (0.2%) 1 1/618 (0.2%) 1
Skin and subcutaneous tissue disorders
Alopecia 6/615 (1%) 14 9/647 (1.4%) 15 6/646 (0.9%) 8 10/618 (1.6%) 17
Dry skin 2/615 (0.3%) 2 2/647 (0.3%) 4 2/646 (0.3%) 5 4/618 (0.6%) 10
Erythema multiforme 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Hand-and-foot syndrome/reaction 8/615 (1.3%) 13 7/647 (1.1%) 10 3/646 (0.5%) 6 5/618 (0.8%) 6
Nail disorder 1/615 (0.2%) 4 2/647 (0.3%) 3 0/646 (0%) 0 3/618 (0.5%) 4
Pain of skin 1/615 (0.2%) 1 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Pruritus 5/615 (0.8%) 6 6/647 (0.9%) 11 2/646 (0.3%) 2 6/618 (1%) 11
Rash acneiform 1/615 (0.2%) 2 8/647 (1.2%) 13 1/646 (0.2%) 1 3/618 (0.5%) 5
Rash desquamating 5/615 (0.8%) 5 4/647 (0.6%) 6 4/646 (0.6%) 8 3/618 (0.5%) 3
Skin disorder 6/615 (1%) 6 4/647 (0.6%) 4 5/646 (0.8%) 16 6/618 (1%) 8
Skin hyperpigmentation 3/615 (0.5%) 5 4/647 (0.6%) 9 0/646 (0%) 0 3/618 (0.5%) 3
Skin hypopigmentation 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Skin ulceration 1/615 (0.2%) 1 0/647 (0%) 0 3/646 (0.5%) 3 1/618 (0.2%) 1
Sweating 1/615 (0.2%) 2 0/647 (0%) 0 1/646 (0.2%) 13 1/618 (0.2%) 8
Urticaria 1/615 (0.2%) 1 2/647 (0.3%) 3 2/646 (0.3%) 2 4/618 (0.6%) 4
Vascular disorders
Flushing 0/615 (0%) 0 1/647 (0.2%) 1 0/646 (0%) 0 0/618 (0%) 0
Hematoma 2/615 (0.3%) 3 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0
Hemorrhage 2/615 (0.3%) 2 0/647 (0%) 0 2/646 (0.3%) 5 1/618 (0.2%) 1
Hot flashes 2/615 (0.3%) 3 5/647 (0.8%) 16 0/646 (0%) 0 3/618 (0.5%) 4
Hypertension 216/615 (35.1%) 1147 264/647 (40.8%) 1474 250/646 (38.7%) 1159 252/618 (40.8%) 1385
Hypotension 4/615 (0.7%) 6 4/647 (0.6%) 6 1/646 (0.2%) 1 3/618 (0.5%) 3
Peripheral ischemia 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 3 0/618 (0%) 0
Phlebitis 2/615 (0.3%) 2 0/647 (0%) 0 0/646 (0%) 0 0/618 (0%) 0
Thrombosis 6/615 (1%) 8 17/647 (2.6%) 38 16/646 (2.5%) 24 11/618 (1.8%) 28
Vascular disorder 0/615 (0%) 0 0/647 (0%) 0 1/646 (0.2%) 1 0/618 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

Results Point of Contact

Name/Title Jeffrey A. Meyerhardt, MD, MPH
Organization Alliance for Clinical Trials in Oncology
Phone 617-632-6855
Email jmeyerhardt@partners.org
Responsible Party:
Alliance for Clinical Trials in Oncology
ClinicalTrials.gov Identifier:
NCT01150045
Other Study ID Numbers:
  • CALGB-80702
  • U10CA031946
  • CALGB-80702
  • CDR0000675693
First Posted:
Jun 24, 2010
Last Update Posted:
Mar 22, 2022
Last Verified:
Mar 1, 2022