Temozolomide With or Without Veliparib in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
Study Details
Study Description
Brief Summary
This randomized phase II/III trial studies how well temozolomide and veliparib work compared to temozolomide alone in treating patients with newly diagnosed glioblastoma multiforme. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Veliparib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known whether temozolomide is more effective with or without veliparib in treating glioblastoma multiforme.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2/Phase 3 |
Detailed Description
PRIMARY OBJECTIVE:
- Test whether the experimental combination of ABT-888 (veliparib) combined with TMZ (temozolomide), compared to the control of placebo combined with TMZ, significantly extends overall survival in newly diagnosed glioblastoma multiforme (GBM) patients with tumor MGMT promoter hypermethylation.
SECONDARY OBJECTIVES:
-
Test whether the experimental treatment significantly extends progression-free survival.
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Test whether the experimental treatment improves objective tumor response. III. Test whether the experimental treatment is associated with significantly greater rates of grade 3 or higher adverse events.
CORRELATIVE SCIENCE OBJECTIVES:
-
Evaluate the utility of dynamic susceptibility contrast (DSC) and diffusion weighted imaging (DWI) magnetic resonance imaging (MRI) techniques in defining time to progression in the setting of a large multi-institutional clinical trial.
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Test the concordance between site-determined MGMT methylation status and central laboratory determination of MGMT status in cases with local testing.
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Evaluate whether genetic or epigenetic alterations in deoxyribonucleic acid (DNA) repair or replication genes are associated with overall survival, progression-free survival, and objective tumor response.
-
Test whether polymorphisms in MGMT, PARP1, or other DNA repair proteins, are associated with overall survival, progression-free survival, objective tumor response, or rates of grade 3 or higher adverse events.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive temozolomide orally (PO) once daily (QD) on days 1-5 and veliparib PO twice daily (BID) on days 1-7. Treatment repeats every 28 days for 6 cycles in the absence of disease progression (confirmed progression) or unacceptable toxicity.
ARM II: Patients receive temozolomide as in Arm I and placebo PO BID on days 1-7. Treatment repeats every 28 days for 6 cycles in the absence of disease progression (confirmed progression) or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 3 years, every 6 months for 2 years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Arm I (temozolomide, veliparib) Patients receive temozolomide PO QD on days 1-5 and veliparib PO BID on days 1-7. Treatment repeats every 28 days for 6 cycles in the absence of disease progression (confirmed progression) or unacceptable toxicity. |
Other: Laboratory Biomarker Analysis
Correlative studies
Other: Quality-of-Life Assessment
Ancillary studies
Other Names:
Drug: Temozolomide
Given PO
Other Names:
Drug: Veliparib
Given PO
Other Names:
|
Placebo Comparator: Arm II (temozolomide, placebo) Patients receive temozolomide as in Arm I and placebo PO BID on days 1-7. Treatment repeats every 28 days for 6 cycles in the absence of disease progression (confirmed progression) or unacceptable toxicity. |
Other: Laboratory Biomarker Analysis
Correlative studies
Other: Placebo Administration
Given PO
Other: Quality-of-Life Assessment
Ancillary studies
Other Names:
Drug: Temozolomide
Given PO
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Overall survival (OS) [From study registration to the date of death due to any cause, assessed up to 10 years]
The distribution of OS for each arm will be estimated using the Kaplan-Meier method and compared with a stratified logrank test. Stratified Cox proportional hazard models will be used to estimate the hazard ratio for the treatment effect.
Secondary Outcome Measures
- Interaction with Optune device [Up to 5 years]
Cox proportional hazards model will be used to evaluate whether there is a potential interaction between the treatment arm and the Optune device. If an interaction is detected, separate analyses of treatment effect (using Cox models) will be done for patients treated with the Optune device and patients who were not treated with the Optune device.
- Progression-free survival (PFS) [From study registration to the date of first observation of disease progression or death due to any cause (whichever comes first), assessed up to 10 years]
The distribution of PFS for each arm will be estimated using the Kaplan-Meier method, and be compared using Cox proportional hazard models with all stratification factors adjusted.
- Objective tumor response [Up to 5 years]
Defined as complete response or partial response as specified in the Revised Assessment in Neuro-Oncology criteria. An objective tumor response will be evaluated for each patient and the tumor response rate will be summarized for each arm and compared using the Chi-square test.
- Overall adverse event rates for grade 3 or higher adverse events [Up to 5 years]
Assessed using National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0 (version 5 beginning April 1, 2018). The overall adverse event rates for grade 3 or higher adverse events will be summarized and be compared using Chi-Square or Fisher's Exact tests between treatment arms. The maximum grade for each type of treatment-related adverse event will be recorded for each patient, and frequency tables for each arm will be reviewed to determine patterns. Treatment-related adverse events will be tabulated for each arm.
- Change in quality of life (QOL) [Baseline to up to 5 years]
Measured by the fatigue/uniscale tool. The fatigue/uniscale tool will be used as a measure of QOL. Potential differences in fatigue levels of patients treated on the two different arms will be evaluated. Changes in this measure will be evaluated over the course of treatment for both arms and will be compared using a two-sample t-test at each timepoint. Will also compute a normalized area under the curve (AUC) for the values of each patient over time and compare the mean AUCs for patients on the two arms.
Other Outcome Measures
- MGMT status [Baseline]
The concordance between site-determined MGMT methylation status and central laboratory determination of MGMT status will be analyzed using the Chi-Square test of proportions and 95% confidence intervals for the proportion of tests in disagreement with the local site.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Histologic documentation: newly diagnosed World Health Organization (WHO) grade IV intracranial glioblastoma or gliosarcoma; GBM with oligodendroglial features are NOT PERMITTED in this study if they are 1p19q codeleted; sites submitting GBM with oligodendroglial features will be asked to provide results of 1p/19q codeletion status
-
Sufficient tissue available for central pathology review and MGMT methylation status evaluation
-
Patients who have had a local MGMT testing that is unmethylated are not allowed to participate
-
Tumor MGMT promoter hypermethylation determined by central testing at MD Anderson
-
Confirmation by central pathology review of WHO grade IV glioblastoma or gliosarcoma
-
Absolute neutrophil count (ANC) >= 1500 cells/mm^3 (within 14 days prior to study registration)
-
Platelets >= 100,000 cells/mm^3 (within 14 days prior to study registration)
-
Creatinine =< 1.5 x upper limit of normal (ULN) (within 14 days prior to study registration)
-
Bilirubin =< 1.5 x ULN (within 14 days prior to study registration; unless patient has Gilbert's disease)
-
Alanine aminotransferase (ALT) =< 3 x ULN (within 14 days prior to study registration)
-
Aspartate aminotransferase (AST) =< 3 x ULN (within 14 days prior to study registration)
-
Eastern Cooperative Oncology Group (ECOG) performance status =< 2
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Measurable disease or non-measurable disease; extent of resection: patients with complete resection, partial resection, or biopsy are eligible
-
Progression: patients deemed to have progressive disease based on clinical deterioration after chemoradiation or radiographic progression outside of the radiation field are not eligible; patients deemed to have pseudoprogression are eligible
-
Prior treatment:
-
Must have completed standard radiotherapy and concomitant TMZ therapy as defined and determined by the study oncologist
-
Besides concomitant TMZ with radiation, no other therapy (neo-adjuvant or adjuvant) can be given prior to study registration, including chemotherapy (also including Gliadel/carmustine [BCNU] wafers), biologics, immunotherapy, radiation therapy; the only exception is the Optune device (NovoTTF-100A), which may be started any time after end of radiation therapy up through the initiation of Cycle 1; intent to use Optune must be declared at registration for stratification
-
No prior allogeneic bone marrow transplant or double umbilical cord blood transplantation
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Not pregnant and not nursing; females of childbearing potential must have negative urine or serum pregnancy test within 7 days of registration but before start of treatment; a female of childbearing potential is a sexually mature female who:
-
Has not undergone a hysterectomy or bilateral oophorectomy; or
-
Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months)
-
Concomitant medications: patients receiving anticoagulation should be on stable dose 2 weeks prior to registration
-
Comorbid conditions: patients are unable to participate due to the following:
-
Generalized or partial seizure disorder that is uncontrolled at the time of registration; the definition of controlled generalized seizures is patients must be on a stable dose of anti-seizure medication and without generalized seizures for at least 10 days prior to registration; the definition of controlled partial seizures is patients must be on a stable dose of anti-seizure medication for at least 10 days prior to registration; patients with occasional breakthrough partial seizures are allowed at treating physician's discretion
-
Grade 3 or 4 thromboembolic disease within 6 months (mo) of registration
-
Known history of prolonged QT syndrome
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No history of major surgery =< 14 days prior to registration
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Patients must have adequate organ and marrow function measured within 28 days prior to administration of ABT-888 as defined below:
-
= 10.0 g/dL hemoglobin (Hb) with no blood transfusion in the past 28 days
-
No Patients with treatment-related acute myeloid leukemia (AML) (t-AML)/myelodysplastic syndrome (MDS) or with features suggestive of AML/MDS
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Alabama at Birmingham Cancer Center | Birmingham | Alabama | United States | 35233 |
2 | Katmai Oncology Group | Anchorage | Alaska | United States | 99508 |
3 | Providence Alaska Medical Center | Anchorage | Alaska | United States | 99508 |
4 | Mayo Clinic in Arizona | Scottsdale | Arizona | United States | 85259 |
5 | Banner University Medical Center - Tucson | Tucson | Arizona | United States | 85719 |
6 | University of Arkansas for Medical Sciences | Little Rock | Arkansas | United States | 72205 |
7 | Kaiser Permanente-Deer Valley Medical Center | Antioch | California | United States | 94531 |
8 | Providence Saint Joseph Medical Center/Disney Family Cancer Center | Burbank | California | United States | 91505 |
9 | Mills-Peninsula Medical Center | Burlingame | California | United States | 94010 |
10 | John Muir Medical Center-Concord Campus | Concord | California | United States | 94520 |
11 | Kaiser Permanente-Fremont | Fremont | California | United States | 94538 |
12 | Fresno Cancer Center | Fresno | California | United States | 93720 |
13 | Kaiser Permanente-Fresno | Fresno | California | United States | 93720 |
14 | Saint Jude Medical Center | Fullerton | California | United States | 92835 |
15 | UC San Diego Moores Cancer Center | La Jolla | California | United States | 92093 |
16 | Kaiser Permanente Los Angeles Medical Center | Los Angeles | California | United States | 90027 |
17 | Los Angeles County-USC Medical Center | Los Angeles | California | United States | 90033 |
18 | USC / Norris Comprehensive Cancer Center | Los Angeles | California | United States | 90033 |
19 | Kaiser Permanente-Modesto | Modesto | California | United States | 95356 |
20 | USC Norris Oncology/Hematology-Newport Beach | Newport Beach | California | United States | 92663 |
21 | Kaiser Permanente Oakland-Broadway | Oakland | California | United States | 94611 |
22 | Kaiser Permanente-Oakland | Oakland | California | United States | 94611 |
23 | Saint Joseph Hospital - Orange | Orange | California | United States | 92868 |
24 | Kaiser Permanente-Rancho Cordova Cancer Center | Rancho Cordova | California | United States | 95670 |
25 | Kaiser Permanente-Redwood City | Redwood City | California | United States | 94063 |
26 | Kaiser Permanente-Richmond | Richmond | California | United States | 94801 |
27 | Rohnert Park Cancer Center | Rohnert Park | California | United States | 94928 |
28 | Kaiser Permanente-Roseville | Roseville | California | United States | 95661 |
29 | Sutter Roseville Medical Center | Roseville | California | United States | 95661 |
30 | The Permanente Medical Group-Roseville Radiation Oncology | Roseville | California | United States | 95678 |
31 | Sutter Medical Center Sacramento | Sacramento | California | United States | 95816 |
32 | University of California Davis Comprehensive Cancer Center | Sacramento | California | United States | 95817 |
33 | Kaiser Permanente-South Sacramento | Sacramento | California | United States | 95823 |
34 | South Sacramento Cancer Center | Sacramento | California | United States | 95823 |
35 | Kaiser Permanente - Sacramento | Sacramento | California | United States | 95825 |
36 | UC San Diego Medical Center - Hillcrest | San Diego | California | United States | 92103 |
37 | Kaiser Permanente-San Francisco | San Francisco | California | United States | 94115 |
38 | UCSF Medical Center-Parnassus | San Francisco | California | United States | 94143 |
39 | Kaiser Permanente-Santa Teresa-San Jose | San Jose | California | United States | 95119 |
40 | Kaiser Permanente San Leandro | San Leandro | California | United States | 94577 |
41 | Kaiser Permanente-San Rafael | San Rafael | California | United States | 94903 |
42 | Kaiser Permanente Medical Center - Santa Clara | Santa Clara | California | United States | 95051 |
43 | Palo Alto Medical Foundation-Santa Cruz | Santa Cruz | California | United States | 95065 |
44 | Kaiser Permanente-Santa Rosa | Santa Rosa | California | United States | 95403 |
45 | Kaiser Permanente Cancer Treatment Center | South San Francisco | California | United States | 94080 |
46 | Kaiser Permanente-South San Francisco | South San Francisco | California | United States | 94080 |
47 | Kaiser Permanente-Stockton | Stockton | California | United States | 95210 |
48 | Northbay Cancer Center | Vacaville | California | United States | 95687 |
49 | Kaiser Permanente Medical Center-Vacaville | Vacaville | California | United States | 95688 |
50 | Kaiser Permanente-Vallejo | Vallejo | California | United States | 94589 |
51 | Kaiser Permanente-Walnut Creek | Walnut Creek | California | United States | 94596 |
52 | John Muir Medical Center-Walnut Creek | Walnut Creek | California | United States | 94598 |
53 | University of Colorado Hospital | Aurora | Colorado | United States | 80045 |
54 | Boulder Community Hospital | Boulder | Colorado | United States | 80301 |
55 | Rocky Mountain Cancer Centers-Boulder | Boulder | Colorado | United States | 80304 |
56 | Penrose-Saint Francis Healthcare | Colorado Springs | Colorado | United States | 80907 |
57 | Rocky Mountain Cancer Centers-Penrose | Colorado Springs | Colorado | United States | 80907 |
58 | Kaiser Permanente-Franklin | Denver | Colorado | United States | 80205 |
59 | Swedish Medical Center | Englewood | Colorado | United States | 80113 |
60 | Poudre Valley Hospital | Fort Collins | Colorado | United States | 80524 |
61 | North Colorado Medical Center | Greeley | Colorado | United States | 80631 |
62 | Kaiser Permanente-Rock Creek | Lafayette | Colorado | United States | 80026 |
63 | Rocky Mountain Cancer Centers-Littleton | Littleton | Colorado | United States | 80120 |
64 | Littleton Adventist Hospital | Littleton | Colorado | United States | 80122 |
65 | Kaiser Permanente-Lone Tree | Lone Tree | Colorado | United States | 80124 |
66 | Rocky Mountain Cancer Centers-Longmont | Longmont | Colorado | United States | 80501 |
67 | McKee Medical Center | Loveland | Colorado | United States | 80539 |
68 | SCL Health Lutheran Medical Center | Wheat Ridge | Colorado | United States | 80033 |
69 | Hartford Hospital | Hartford | Connecticut | United States | 06102 |
70 | Smilow Cancer Hospital Care Center at Saint Francis | Hartford | Connecticut | United States | 06105 |
71 | Midstate Medical Center | Meriden | Connecticut | United States | 06451 |
72 | The Hospital of Central Connecticut | New Britain | Connecticut | United States | 06050 |
73 | Yale University | New Haven | Connecticut | United States | 06520 |
74 | Boca Raton Regional Hospital | Boca Raton | Florida | United States | 33486 |
75 | UM Sylvester Comprehensive Cancer Center at Deerfield Beach | Deerfield Beach | Florida | United States | 33442 |
76 | Memorial Regional Hospital/Joe DiMaggio Children's Hospital | Hollywood | Florida | United States | 33021 |
77 | Mayo Clinic in Florida | Jacksonville | Florida | United States | 32224-9980 |
78 | Lakeland Regional Health Hollis Cancer Center | Lakeland | Florida | United States | 33805 |
79 | Mount Sinai Medical Center | Miami Beach | Florida | United States | 33140 |
80 | University of Miami Miller School of Medicine-Sylvester Cancer Center | Miami | Florida | United States | 33136 |
81 | AdventHealth Orlando | Orlando | Florida | United States | 32803 |
82 | Orlando Health Cancer Institute | Orlando | Florida | United States | 32806 |
83 | Memorial Hospital West | Pembroke Pines | Florida | United States | 33028 |
84 | Moffitt Cancer Center | Tampa | Florida | United States | 33612 |
85 | Piedmont Hospital | Atlanta | Georgia | United States | 30309 |
86 | Emory University Hospital/Winship Cancer Institute | Atlanta | Georgia | United States | 30322 |
87 | Northside Hospital | Atlanta | Georgia | United States | 30342 |
88 | John B Amos Cancer Center | Columbus | Georgia | United States | 31904 |
89 | Northeast Georgia Medical Center-Gainesville | Gainesville | Georgia | United States | 30501 |
90 | Hawaii Cancer Care Inc - Waterfront Plaza | Honolulu | Hawaii | United States | 96813 |
91 | Queen's Cancer Cenrer - POB I | Honolulu | Hawaii | United States | 96813 |
92 | Queen's Medical Center | Honolulu | Hawaii | United States | 96813 |
93 | Straub Clinic and Hospital | Honolulu | Hawaii | United States | 96813 |
94 | Hawaii Cancer Care Inc-Liliha | Honolulu | Hawaii | United States | 96817 |
95 | Queen's Cancer Center - Kuakini | Honolulu | Hawaii | United States | 96817 |
96 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
97 | Kootenai Clinic Cancer Services - Post Falls | Post Falls | Idaho | United States | 83854 |
98 | Saint Joseph Medical Center | Bloomington | Illinois | United States | 61701 |
99 | Northwestern University | Chicago | Illinois | United States | 60611 |
100 | Rush University Medical Center | Chicago | Illinois | United States | 60612 |
101 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
102 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
103 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
104 | NorthShore University HealthSystem-Evanston Hospital | Evanston | Illinois | United States | 60201 |
105 | Northwestern Medicine Cancer Center Delnor | Geneva | Illinois | United States | 60134 |
106 | NorthShore University HealthSystem-Glenbrook Hospital | Glenview | Illinois | United States | 60026 |
107 | NorthShore University HealthSystem-Highland Park Hospital | Highland Park | Illinois | United States | 60035 |
108 | Edward Hospital/Cancer Center | Naperville | Illinois | United States | 60540 |
109 | Advocate Lutheran General Hospital | Park Ridge | Illinois | United States | 60068 |
110 | Illinois CancerCare-Peoria | Peoria | Illinois | United States | 61615 |
111 | Methodist Medical Center of Illinois | Peoria | Illinois | United States | 61636 |
112 | OSF Saint Francis Medical Center | Peoria | Illinois | United States | 61637 |
113 | Edward Hospital/Cancer Center?Plainfield | Plainfield | Illinois | United States | 60585 |
114 | Central Illinois Hematology Oncology Center | Springfield | Illinois | United States | 62702 |
115 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
116 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
117 | Carle Cancer Center | Urbana | Illinois | United States | 61801 |
118 | Northwestern Medicine Cancer Center Warrenville | Warrenville | Illinois | United States | 60555 |
119 | Parkview Hospital Randallia | Fort Wayne | Indiana | United States | 46805 |
120 | Franciscan Health Indianapolis | Indianapolis | Indiana | United States | 46237 |
121 | Reid Health | Richmond | Indiana | United States | 47374 |
122 | Memorial Hospital of South Bend | South Bend | Indiana | United States | 46601 |
123 | Physicians' Clinic of Iowa PC | Cedar Rapids | Iowa | United States | 52402 |
124 | Medical Oncology and Hematology Associates-West Des Moines | Clive | Iowa | United States | 50325 |
125 | Mercy Cancer Center-West Lakes | Clive | Iowa | United States | 50325 |
126 | Iowa Methodist Medical Center | Des Moines | Iowa | United States | 50309 |
127 | Medical Oncology and Hematology Associates-Laurel | Des Moines | Iowa | United States | 50314 |
128 | Mercy Medical Center - Des Moines | Des Moines | Iowa | United States | 50314 |
129 | Mercy Medical Center - North Iowa | Mason City | Iowa | United States | 50401 |
130 | Siouxland Regional Cancer Center | Sioux City | Iowa | United States | 51101 |
131 | Mercy Medical Center-West Lakes | West Des Moines | Iowa | United States | 50266 |
132 | Cancer Center of Kansas - Chanute | Chanute | Kansas | United States | 66720 |
133 | Cancer Center of Kansas - Dodge City | Dodge City | Kansas | United States | 67801 |
134 | Cancer Center of Kansas - El Dorado | El Dorado | Kansas | United States | 67042 |
135 | Cancer Center of Kansas - Fort Scott | Fort Scott | Kansas | United States | 66701 |
136 | Cancer Center of Kansas-Independence | Independence | Kansas | United States | 67301 |
137 | Cancer Center of Kansas-Kingman | Kingman | Kansas | United States | 67068 |
138 | Lawrence Memorial Hospital | Lawrence | Kansas | United States | 66044 |
139 | Cancer Center of Kansas-Liberal | Liberal | Kansas | United States | 67905 |
140 | Cancer Center of Kansas - McPherson | McPherson | Kansas | United States | 67460 |
141 | Cancer Center of Kansas - Newton | Newton | Kansas | United States | 67114 |
142 | Menorah Medical Center | Overland Park | Kansas | United States | 66209 |
143 | Cancer Center of Kansas - Parsons | Parsons | Kansas | United States | 67357 |
144 | Cancer Center of Kansas - Pratt | Pratt | Kansas | United States | 67124 |
145 | Cancer Center of Kansas - Salina | Salina | Kansas | United States | 67401 |
146 | Cancer Center of Kansas - Wellington | Wellington | Kansas | United States | 67152 |
147 | Cancer Center of Kansas-Wichita Medical Arts Tower | Wichita | Kansas | United States | 67208 |
148 | Ascension Via Christi Hospitals Wichita | Wichita | Kansas | United States | 67214 |
149 | Cancer Center of Kansas - Wichita | Wichita | Kansas | United States | 67214 |
150 | Cancer Center of Kansas - Winfield | Winfield | Kansas | United States | 67156 |
151 | Baptist Health Corbin | Corbin | Kentucky | United States | 40701 |
152 | Baptist Health Lexington | Lexington | Kentucky | United States | 40503 |
153 | University of Kentucky/Markey Cancer Center | Lexington | Kentucky | United States | 40536 |
154 | Baptist Health Louisville | Louisville | Kentucky | United States | 40207 |
155 | Baptist Health Madisonville/Merle Mahr Cancer Center | Madisonville | Kentucky | United States | 42431 |
156 | Baptist Health Paducah | Paducah | Kentucky | United States | 42003 |
157 | Mary Bird Perkins Cancer Center | Baton Rouge | Louisiana | United States | 70809 |
158 | The NeuroMedical Center-Clinic | Baton Rouge | Louisiana | United States | 70810 |
159 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
160 | Eastern Maine Medical Center | Bangor | Maine | United States | 04401 |
161 | Lafayette Family Cancer Center-EMMC | Brewer | Maine | United States | 04412 |
162 | Maine Center for Cancer Medicine-Scarborough | Scarborough | Maine | United States | 04074 |
163 | Maine Center for Cancer Medicine-Topsham | Topsham | Maine | United States | 04086 |
164 | Anne Arundel Medical Center | Annapolis | Maryland | United States | 21401 |
165 | Sinai Hospital of Baltimore | Baltimore | Maryland | United States | 21215 |
166 | Northwest Hospital Center | Randallstown | Maryland | United States | 21133 |
167 | TidalHealth Peninsula Regional | Salisbury | Maryland | United States | 21801 |
168 | Massachusetts General Hospital Cancer Center | Boston | Massachusetts | United States | 02114 |
169 | Dana-Farber Cancer Institute | Boston | Massachusetts | United States | 02215 |
170 | Simonds-Sinon Regional Cancer Center | Fitchburg | Massachusetts | United States | 01420 |
171 | Lowell General Hospital | Lowell | Massachusetts | United States | 01854 |
172 | UMass Memorial Medical Center - University Campus | Worcester | Massachusetts | United States | 01655 |
173 | Saint Joseph Mercy Hospital | Ann Arbor | Michigan | United States | 48106 |
174 | University of Michigan Comprehensive Cancer Center | Ann Arbor | Michigan | United States | 48109 |
175 | Ascension Saint John Hospital | Detroit | Michigan | United States | 48236 |
176 | Green Bay Oncology - Escanaba | Escanaba | Michigan | United States | 49829 |
177 | Genesys Hurley Cancer Institute | Flint | Michigan | United States | 48503 |
178 | Mercy Health Saint Mary's | Grand Rapids | Michigan | United States | 49503 |
179 | Spectrum Health at Butterworth Campus | Grand Rapids | Michigan | United States | 49503 |
180 | Green Bay Oncology - Iron Mountain | Iron Mountain | Michigan | United States | 49801 |
181 | West Michigan Cancer Center | Kalamazoo | Michigan | United States | 49007 |
182 | Sparrow Hospital | Lansing | Michigan | United States | 48912 |
183 | Trinity Health Saint Mary Mercy Livonia Hospital | Livonia | Michigan | United States | 48154 |
184 | Ascension Providence Hospitals - Novi | Novi | Michigan | United States | 48374 |
185 | Saint Joseph Mercy Oakland | Pontiac | Michigan | United States | 48341 |
186 | Spectrum Health Reed City Hospital | Reed City | Michigan | United States | 49677 |
187 | William Beaumont Hospital-Royal Oak | Royal Oak | Michigan | United States | 48073 |
188 | Ascension Saint Mary's Hospital | Saginaw | Michigan | United States | 48601 |
189 | Lakeland Medical Center Saint Joseph | Saint Joseph | Michigan | United States | 49085 |
190 | Marie Yeager Cancer Center | Saint Joseph | Michigan | United States | 49085 |
191 | Ascension Providence Hospitals - Southfield | Southfield | Michigan | United States | 48075 |
192 | Munson Medical Center | Traverse City | Michigan | United States | 49684 |
193 | Metro Health Hospital | Wyoming | Michigan | United States | 49519 |
194 | Sanford Joe Lueken Cancer Center | Bemidji | Minnesota | United States | 56601 |
195 | Mercy Hospital | Coon Rapids | Minnesota | United States | 55433 |
196 | Essentia Health Cancer Center | Duluth | Minnesota | United States | 55805 |
197 | Saint Luke's Hospital of Duluth | Duluth | Minnesota | United States | 55805 |
198 | Fairview Southdale Hospital | Edina | Minnesota | United States | 55435 |
199 | Abbott-Northwestern Hospital | Minneapolis | Minnesota | United States | 55407 |
200 | Hennepin County Medical Center | Minneapolis | Minnesota | United States | 55415 |
201 | Health Partners Inc | Minneapolis | Minnesota | United States | 55454 |
202 | North Memorial Medical Health Center | Robbinsdale | Minnesota | United States | 55422 |
203 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
204 | Coborn Cancer Center at Saint Cloud Hospital | Saint Cloud | Minnesota | United States | 56303 |
205 | Regions Hospital | Saint Paul | Minnesota | United States | 55101 |
206 | United Hospital | Saint Paul | Minnesota | United States | 55102 |
207 | Rice Memorial Hospital | Willmar | Minnesota | United States | 56201 |
208 | Minnesota Oncology Hematology PA-Woodbury | Woodbury | Minnesota | United States | 55125 |
209 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216 |
210 | Southeast Cancer Center | Cape Girardeau | Missouri | United States | 63703 |
211 | Saint Luke's Hospital | Chesterfield | Missouri | United States | 63017 |
212 | Centerpoint Medical Center LLC | Independence | Missouri | United States | 64057 |
213 | Saint Luke's Hospital of Kansas City | Kansas City | Missouri | United States | 64111 |
214 | Saint Luke's East - Lee's Summit | Lee's Summit | Missouri | United States | 64086 |
215 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
216 | Missouri Baptist Medical Center | Saint Louis | Missouri | United States | 63131 |
217 | Mercy Hospital Saint Louis | Saint Louis | Missouri | United States | 63141 |
218 | Mercy Hospital Springfield | Springfield | Missouri | United States | 65804 |
219 | CoxHealth South Hospital | Springfield | Missouri | United States | 65807 |
220 | Billings Clinic Cancer Center | Billings | Montana | United States | 59101 |
221 | Bozeman Deaconess Hospital | Bozeman | Montana | United States | 59715 |
222 | Benefis Healthcare- Sletten Cancer Institute | Great Falls | Montana | United States | 59405 |
223 | CHI Health Saint Francis | Grand Island | Nebraska | United States | 68803 |
224 | CHI Health Good Samaritan | Kearney | Nebraska | United States | 68847 |
225 | Faith Regional Health Services Carson Cancer Center | Norfolk | Nebraska | United States | 68701 |
226 | Nebraska Methodist Hospital | Omaha | Nebraska | United States | 68114 |
227 | Alegent Health Immanuel Medical Center | Omaha | Nebraska | United States | 68122 |
228 | Alegent Health Bergan Mercy Medical Center | Omaha | Nebraska | United States | 68124 |
229 | Nebraska Cancer Specialists - Omaha | Omaha | Nebraska | United States | 68124 |
230 | Creighton University Medical Center | Omaha | Nebraska | United States | 68131 |
231 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
232 | Renown Regional Medical Center | Reno | Nevada | United States | 89502 |
233 | New Hampshire Oncology Hematology PA-Concord | Concord | New Hampshire | United States | 03301 |
234 | Dartmouth Hitchcock Medical Center | Lebanon | New Hampshire | United States | 03756 |
235 | Solinsky Center for Cancer Care | Manchester | New Hampshire | United States | 03103 |
236 | Portsmouth Regional Hospital | Portsmouth | New Hampshire | United States | 03802 |
237 | John F Kennedy Medical Center | Edison | New Jersey | United States | 08818 |
238 | Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
239 | Saint Barnabas Medical Center | Livingston | New Jersey | United States | 07039 |
240 | Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital | New Brunswick | New Jersey | United States | 08903 |
241 | Rutgers Cancer Institute of New Jersey | New Brunswick | New Jersey | United States | 08903 |
242 | The Valley Hospital-Luckow Pavilion | Paramus | New Jersey | United States | 07652 |
243 | Valley Hospital | Ridgewood | New Jersey | United States | 07450 |
244 | Overlook Hospital | Summit | New Jersey | United States | 07902 |
245 | Valley Health System-Hematology/Oncology | Westwood | New Jersey | United States | 07675 |
246 | Montefiore Medical Center - Moses Campus | Bronx | New York | United States | 10467 |
247 | Roswell Park Cancer Institute | Buffalo | New York | United States | 14263 |
248 | Mary Imogene Bassett Hospital | Cooperstown | New York | United States | 13326 |
249 | Mount Sinai Hospital | New York | New York | United States | 10029 |
250 | University of Rochester | Rochester | New York | United States | 14642 |
251 | State University of New York Upstate Medical University | Syracuse | New York | United States | 13210 |
252 | Mission Hospital | Asheville | North Carolina | United States | 28801 |
253 | UNC Lineberger Comprehensive Cancer Center | Chapel Hill | North Carolina | United States | 27599 |
254 | East Carolina University | Greenville | North Carolina | United States | 27834 |
255 | Vidant Oncology-Kinston | Kinston | North Carolina | United States | 28501 |
256 | Wake Forest University Health Sciences | Winston-Salem | North Carolina | United States | 27157 |
257 | Sanford Broadway Medical Center | Fargo | North Dakota | United States | 58122 |
258 | Sanford Clinic North-Fargo | Fargo | North Dakota | United States | 58122 |
259 | Sanford Roger Maris Cancer Center | Fargo | North Dakota | United States | 58122 |
260 | Altru Cancer Center | Grand Forks | North Dakota | United States | 58201 |
261 | Cleveland Clinic Akron General | Akron | Ohio | United States | 44307 |
262 | Cleveland Clinic Mercy Hospital | Canton | Ohio | United States | 44708 |
263 | Adena Regional Medical Center | Chillicothe | Ohio | United States | 45601 |
264 | University of Cincinnati Cancer Center-UC Medical Center | Cincinnati | Ohio | United States | 45219 |
265 | Cleveland Clinic Foundation | Cleveland | Ohio | United States | 44195 |
266 | Ohio State University Comprehensive Cancer Center | Columbus | Ohio | United States | 43210 |
267 | Mount Carmel East Hospital | Columbus | Ohio | United States | 43213 |
268 | Riverside Methodist Hospital | Columbus | Ohio | United States | 43214 |
269 | Grant Medical Center | Columbus | Ohio | United States | 43215 |
270 | Good Samaritan Hospital - Dayton | Dayton | Ohio | United States | 45406 |
271 | Miami Valley Hospital | Dayton | Ohio | United States | 45409 |
272 | Dayton Physician LLC-Miami Valley Hospital North | Dayton | Ohio | United States | 45415 |
273 | Miami Valley Hospital North | Dayton | Ohio | United States | 45415 |
274 | Armes Family Cancer Center | Findlay | Ohio | United States | 45840 |
275 | Blanchard Valley Hospital | Findlay | Ohio | United States | 45840 |
276 | Orion Cancer Care | Findlay | Ohio | United States | 45840 |
277 | Wayne Hospital | Greenville | Ohio | United States | 45331 |
278 | Toledo Clinic Cancer Centers-Maumee | Maumee | Ohio | United States | 43537 |
279 | Saint Charles Hospital | Oregon | Ohio | United States | 43616 |
280 | Mercy Health Perrysburg Cancer Center | Perrysburg | Ohio | United States | 43551 |
281 | ProMedica Flower Hospital | Sylvania | Ohio | United States | 43560 |
282 | Mercy Health - Saint Anne Hospital | Toledo | Ohio | United States | 43623 |
283 | Toledo Clinic Cancer Centers-Toledo | Toledo | Ohio | United States | 43623 |
284 | University of Cincinnati Cancer Center-West Chester | West Chester | Ohio | United States | 45069 |
285 | University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | United States | 73104 |
286 | Oklahoma Cancer Specialists and Research Institute-Tulsa | Tulsa | Oklahoma | United States | 74146 |
287 | Legacy Good Samaritan Hospital and Medical Center | Portland | Oregon | United States | 97210 |
288 | Providence Portland Medical Center | Portland | Oregon | United States | 97213 |
289 | Providence Saint Vincent Medical Center | Portland | Oregon | United States | 97225 |
290 | Kaiser Permanente Northwest | Portland | Oregon | United States | 97227 |
291 | Jefferson Abington Hospital | Abington | Pennsylvania | United States | 19001 |
292 | Lehigh Valley Hospital-Cedar Crest | Allentown | Pennsylvania | United States | 18103 |
293 | Bryn Mawr Hospital | Bryn Mawr | Pennsylvania | United States | 19010 |
294 | Geisinger Medical Center | Danville | Pennsylvania | United States | 17822 |
295 | UPMC Pinnacle Cancer Center/Community Osteopathic Campus | Harrisburg | Pennsylvania | United States | 17109 |
296 | Lancaster General Hospital | Lancaster | Pennsylvania | United States | 17602 |
297 | Paoli Memorial Hospital | Paoli | Pennsylvania | United States | 19301 |
298 | Allegheny General Hospital | Pittsburgh | Pennsylvania | United States | 15212 |
299 | University of Pittsburgh Cancer Institute (UPCI) | Pittsburgh | Pennsylvania | United States | 15232 |
300 | Guthrie Medical Group PC-Robert Packer Hospital | Sayre | Pennsylvania | United States | 18840 |
301 | Geisinger Wyoming Valley/Henry Cancer Center | Wilkes-Barre | Pennsylvania | United States | 18711 |
302 | UPMC Susquehanna | Williamsport | Pennsylvania | United States | 17701 |
303 | Lankenau Medical Center | Wynnewood | Pennsylvania | United States | 19096 |
304 | Rhode Island Hospital | Providence | Rhode Island | United States | 02903 |
305 | Prisma Health Cancer Institute - Spartanburg | Boiling Springs | South Carolina | United States | 29316 |
306 | Roper Hospital | Charleston | South Carolina | United States | 29401 |
307 | Charleston Oncology - Roper | Charleston | South Carolina | United States | 29403 |
308 | Lowcountry Hematology Oncology PA-North Charleston | Charleston | South Carolina | United States | 29406 |
309 | Bon Secours Saint Francis Hospital | Charleston | South Carolina | United States | 29414 |
310 | Charleston Oncology - Saint Francis | Charleston | South Carolina | United States | 29414 |
311 | Lowcountry Hematology Oncology PA-West Ashley | Charleston | South Carolina | United States | 29414 |
312 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
313 | Prisma Health Cancer Institute - Easley | Easley | South Carolina | United States | 29640 |
314 | Gibbs Cancer Center-Gaffney | Gaffney | South Carolina | United States | 29341 |
315 | Greenville Health System Cancer Institute-Andrews | Greenville | South Carolina | United States | 29601 |
316 | Saint Francis Hospital | Greenville | South Carolina | United States | 29601 |
317 | Prisma Health Cancer Institute - Butternut | Greenville | South Carolina | United States | 29605 |
318 | Prisma Health Cancer Institute - Faris | Greenville | South Carolina | United States | 29605 |
319 | Prisma Health Greenville Memorial Hospital | Greenville | South Carolina | United States | 29605 |
320 | Saint Francis Cancer Center | Greenville | South Carolina | United States | 29607 |
321 | Prisma Health Cancer Institute - Eastside | Greenville | South Carolina | United States | 29615 |
322 | Prisma Health Cancer Institute - Greer | Greer | South Carolina | United States | 29650 |
323 | Gibbs Cancer Center-Pelham | Greer | South Carolina | United States | 29651 |
324 | Lowcountry Hematology Oncology PA-Mount Pleasant | Mount Pleasant | South Carolina | United States | 29464 |
325 | Prisma Health Cancer Institute - Seneca | Seneca | South Carolina | United States | 29672 |
326 | Spartanburg Medical Center | Spartanburg | South Carolina | United States | 29303 |
327 | Avera Cancer Institute-Aberdeen | Aberdeen | South Dakota | United States | 57401 |
328 | Rapid City Regional Hospital | Rapid City | South Dakota | United States | 57701 |
329 | Sanford Cancer Center Oncology Clinic | Sioux Falls | South Dakota | United States | 57104 |
330 | Avera Cancer Institute | Sioux Falls | South Dakota | United States | 57105 |
331 | Sanford USD Medical Center - Sioux Falls | Sioux Falls | South Dakota | United States | 57117-5134 |
332 | Wellmont Holston Valley Hospital and Medical Center | Kingsport | Tennessee | United States | 37660 |
333 | University of Tennessee - Knoxville | Knoxville | Tennessee | United States | 37920 |
334 | Vanderbilt University/Ingram Cancer Center | Nashville | Tennessee | United States | 37232 |
335 | UT Southwestern/Simmons Cancer Center-Dallas | Dallas | Texas | United States | 75390 |
336 | Brooke Army Medical Center | Fort Sam Houston | Texas | United States | 78234 |
337 | Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center | Houston | Texas | United States | 77030 |
338 | Ben Taub General Hospital | Houston | Texas | United States | 77030 |
339 | M D Anderson Cancer Center | Houston | Texas | United States | 77030 |
340 | Memorial Hermann Texas Medical Center | Houston | Texas | United States | 77030 |
341 | Huntsman Cancer Institute/University of Utah | Salt Lake City | Utah | United States | 84112 |
342 | University of Vermont and State Agricultural College | Burlington | Vermont | United States | 05405 |
343 | University of Virginia Cancer Center | Charlottesville | Virginia | United States | 22908 |
344 | Danville Regional Medical Center | Danville | Virginia | United States | 24541 |
345 | Inova Fairfax Hospital | Falls Church | Virginia | United States | 22042 |
346 | MultiCare Auburn Medical Center | Auburn | Washington | United States | 98001 |
347 | PeaceHealth Saint Joseph Medical Center | Bellingham | Washington | United States | 98225 |
348 | Highline Medical Center-Main Campus | Burien | Washington | United States | 98166 |
349 | MultiCare Gig Harbor Medical Park | Gig Harbor | Washington | United States | 98335 |
350 | Jefferson Healthcare | Port Townsend | Washington | United States | 98368 |
351 | MultiCare Good Samaritan Hospital | Puyallup | Washington | United States | 98372 |
352 | Virginia Mason Medical Center | Seattle | Washington | United States | 98101 |
353 | Franciscan Research Center-Northwest Medical Plaza | Tacoma | Washington | United States | 98405 |
354 | MultiCare Tacoma General Hospital | Tacoma | Washington | United States | 98405 |
355 | Northwest Medical Specialties PLLC | Tacoma | Washington | United States | 98405 |
356 | PeaceHealth Southwest Medical Center | Vancouver | Washington | United States | 98664 |
357 | Edwards Comprehensive Cancer Center | Huntington | West Virginia | United States | 25701 |
358 | West Virginia University Healthcare | Morgantown | West Virginia | United States | 26506 |
359 | Aurora Cancer Care-Southern Lakes VLCC | Burlington | Wisconsin | United States | 53105 |
360 | HSHS Sacred Heart Hospital | Eau Claire | Wisconsin | United States | 54701 |
361 | Marshfield Clinic Cancer Center at Sacred Heart | Eau Claire | Wisconsin | United States | 54701 |
362 | Aurora Health Center-Fond du Lac | Fond Du Lac | Wisconsin | United States | 54937 |
363 | Aurora Health Care Germantown Health Center | Germantown | Wisconsin | United States | 53022 |
364 | Aurora Cancer Care-Grafton | Grafton | Wisconsin | United States | 53024 |
365 | Green Bay Oncology at Saint Vincent Hospital | Green Bay | Wisconsin | United States | 54301-3526 |
366 | Saint Vincent Hospital Cancer Center Green Bay | Green Bay | Wisconsin | United States | 54301 |
367 | Green Bay Oncology Limited at Saint Mary's Hospital | Green Bay | Wisconsin | United States | 54303 |
368 | Saint Vincent Hospital Cancer Center at Saint Mary's | Green Bay | Wisconsin | United States | 54303 |
369 | Aurora BayCare Medical Center | Green Bay | Wisconsin | United States | 54311 |
370 | Mercyhealth Hospital and Cancer Center - Janesville | Janesville | Wisconsin | United States | 53548 |
371 | Gundersen Lutheran Medical Center | La Crosse | Wisconsin | United States | 54601 |
372 | University of Wisconsin Carbone Cancer Center | Madison | Wisconsin | United States | 53792 |
373 | Aurora Bay Area Medical Group-Marinette | Marinette | Wisconsin | United States | 54143 |
374 | Marshfield Medical Center-Marshfield | Marshfield | Wisconsin | United States | 54449 |
375 | Marshfield Medical Center | Marshfield | Wisconsin | United States | 54449 |
376 | Aurora Cancer Care-Milwaukee | Milwaukee | Wisconsin | United States | 53209 |
377 | Aurora Saint Luke's Medical Center | Milwaukee | Wisconsin | United States | 53215 |
378 | Medical College of Wisconsin | Milwaukee | Wisconsin | United States | 53226 |
379 | Aurora Sinai Medical Center | Milwaukee | Wisconsin | United States | 53233 |
380 | Marshfield Clinic-Minocqua Center | Minocqua | Wisconsin | United States | 54548 |
381 | ProHealth D N Greenwald Center | Mukwonago | Wisconsin | United States | 53149 |
382 | ProHealth Oconomowoc Memorial Hospital | Oconomowoc | Wisconsin | United States | 53066 |
383 | Saint Vincent Hospital Cancer Center at Oconto Falls | Oconto Falls | Wisconsin | United States | 54154 |
384 | Vince Lombardi Cancer Clinic - Oshkosh | Oshkosh | Wisconsin | United States | 54904 |
385 | Aurora Cancer Care-Racine | Racine | Wisconsin | United States | 53406 |
386 | Lakeview Medical Center-Marshfield Clinic | Rice Lake | Wisconsin | United States | 54868 |
387 | Marshfield Medical Center-Rice Lake | Rice Lake | Wisconsin | United States | 54868 |
388 | Vince Lombardi Cancer Clinic-Sheboygan | Sheboygan | Wisconsin | United States | 53081 |
389 | Saint Vincent Hospital Cancer Center at Sturgeon Bay | Sturgeon Bay | Wisconsin | United States | 54235-1495 |
390 | Green Bay Oncology - Sturgeon Bay | Sturgeon Bay | Wisconsin | United States | 54235 |
391 | Aurora Medical Center in Summit | Summit | Wisconsin | United States | 53066 |
392 | Vince Lombardi Cancer Clinic-Two Rivers | Two Rivers | Wisconsin | United States | 54241 |
393 | Aurora Cancer Care-Waukesha | Waukesha | Wisconsin | United States | 53188 |
394 | ProHealth Waukesha Memorial Hospital | Waukesha | Wisconsin | United States | 53188 |
395 | UW Cancer Center at ProHealth Care | Waukesha | Wisconsin | United States | 53188 |
396 | Aurora Cancer Care-Milwaukee West | Wauwatosa | Wisconsin | United States | 53226 |
397 | Aurora West Allis Medical Center | West Allis | Wisconsin | United States | 53227 |
398 | Diagnostic and Treatment Center | Weston | Wisconsin | United States | 54476 |
399 | Marshfield Medical Center - Weston | Weston | Wisconsin | United States | 54476 |
400 | Fundacion De Investigacion de Diego | San Juan | Puerto Rico | 00927 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Jann N Sarkaria, Alliance for Clinical Trials in Oncology
Study Documents (Full-Text)
More Information
Publications
None provided.- NCI-2014-00616
- NCI-2014-00616
- A071102
- CALGB-A071102
- A071102
- A071102
- P50CA108961
- U10CA180821
- U10CA031946