COLUMBUS-AD: Adjuvant Encorafenib and Binimetinib in High-risk Stage II Melanoma With a BRAF Mutation.
Study Details
Study Description
Brief Summary
The purpose of the Columbus-AD study is to evaluate the efficacy and safety of 12 months of encorafenib in combination with binimetinib in adjuvant setting of BRAF V600E/K mutant stage IIB/C melanoma versus the current standard of care (surveillance).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
This is a randomized triple-blind placebo-controlled international multicenter phase III superiority clinical trial.
Participants with completely resected cutaneous melanoma and documented BRAF V600E/K status by central assay will be randomized 1 to 1 to receive either treatment with encorafenib and binimetinib or their two placebos for 12 months. Patients will be stratified according to the stage of the disease according to AJCC version 8 between:
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stage IIB (i.e., pT3b or pT4a)
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stage IIC (i.e., pT4b).
The long-term evaluation of all endpoints (including information about the occurrence of new treatment-related adverse events, if any) will take place 10 years from the randomization of the last patient.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Arm A Encorafenib and Binimetinib |
Drug: Encorafenib and Binimetinib
Encorafenib 450 mg (6 × 75 mg capsules) once daily (QD) and binimetinib 45 mg (3 x 15 mg tablets) twice daily (BID) orally for a maximum of 12 months.
Other Names:
|
Placebo Comparator: Arm B Placebo to match Encorafenib Placebo to match Binimetinib |
Drug: Placebo to match Encorafenib ; Placebo to match Binimetinib
Encorafenib (6 × 75 mg placebo capsules) QD and binimetinib (3 × 15 mg placebo tablets) BID placebos orally for a maximum of 12 months.
|
Outcome Measures
Primary Outcome Measures
- Recurrence-free survival (RFS) [Approximately 4.4 years from the accrual of the first patient.]
RFS is defined as the time between the date of randomization and the date of 1) first recurrence (local, regional, or a distant metastasis), 2) new melanoma that is known to be either ulcerated, thick (Breslow thickness>1 mm) or requiring a treatment other than surgery or 3) death (whatever the cause), whichever occurs first.
Secondary Outcome Measures
- Distant metastasis-free survival (DMFS) [Approximately 6.0 years from first patient in]
DMFS is defined as the time between the date of randomization and the date of first distant metastasis or date of death (whatever the cause), whichever occurs first.
- Overall survival (OS) [Approximately 10 years from first Patient In.]
OS is defined as time from randomization to the date of death whatever the cause.
- Safety - Incidence, nature, severity and seriousness of treatment emergent adverse events (TEAEs) [From the signing of the ICF up to 30 days after end of treatment- approximately 14.5 months]
Incidence nature and severity of adverse events and SAEs graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
- Safety -Incidence, nature and severity of cutaneous malignancies by dermatological examination [From the signing of ICF to study completion- approximately 10 years from last patient in]
This is to monitor for the possible development of keratoacanthoma and/or squamous cell carcinoma and new primary melanoma, as these have been reported to occur with selective BRAF inhibitor treatment. Incidence, nature and severity of new cutaneous malignancies (kerantoacanthoma, squamous cell carcinoma and new primary melanoma) will be recorded and graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
- Safety -Incidence of Serious adverse events (SAEs) [From the signing of the ICF to study completion- approximately 10 years from last patient in]
Incidence nature and severity of serious adverse events will be recorded and graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
- Safety and tolerability - Incidence of treatment-emergent adverse events (TEAEs) related to notable or abnormal changes in physical examination [From the signing of the ICF up to 30 days after end of treatment- approximately up to 14.5 months]
Standard physical examinations on cardiovascular, respiratory, gastrointestinal, dermatological, ophthalmological and neurological systems will be performed and will be evaluated based on normal/abnormal and clinical significance observations. Number of participants with TEAEs related to abnormal or clinical significance observations to the physical examinations after the start of study drug will be reported.
- Safety and tolerability - Incidence of treatment-emergent adverse events (TEAEs) related to notable or abnormal changes in vital signs [From the signing of the ICF up to 30 days after end of treatment- approximately up to 14.5 months]
Clinically notable elevated values: Systolic blood pressure (BP): ≥ 160 mmHg and an increase ≥ 20 mmHg from baseline; Diastolic BP: ≥ 100 mmHg and an increase ≥ 15 mmHg from baseline; Heart rate: ≥ 100 beats/min (bpm) with increase from baseline of ≥ 15 bpm; Body temperature [°C] ≥ 38°C). Clinically notable low values: Systolic BP: <120 mmHg with decrease from baseline of ≥ 20 mmHg; Diastolic BP: < 80 mmHg with decrease from baseline of ≥ 15 mmHg; Heart rate: <50 bpm with decrease from baseline of ≥ 15 bpm; Body temperature [°C]: ≤ 35 °C
- Safety and tolerability : Incidence of TEAEs related to notable changes in clinical safety laboratory parameters from baseline. [From the signing of the ICF up to 30 days after end of treatment- approximately up to 14.5 months]
incidence of treatment-emergent adverse events (TEAEs) related to notable changes in clinical safety laboratory parameters from baseline. Number of participants with clinically notable shift from baseline in laboratory parameter values based on national cancer institute common terminology criteria (NCI-CTCAE) grade, Version 5.0 will be graded from Grades 1 to 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death. Clinically notable shift is defined as a worsening from baseline by at least 2 grades, or to grade 3 or above.
- Safety and tolerability -Incidence of treatment-emergent adverse events (TEAEs) related to notable or abnormal changes from baseline of 12-lead electrocardiograms (ECGs) [From the signing of the ICF up to 30 days after end of treatment-approximately up to 14.5 months]
12-lead ECGs will be obtained using an internationally recognized 12-lead cardiograph. Clinically notable ECG values: QT [millisecond (ms)] and QT interval (ms) corrected for heart rate using Fridericia's formula (QTcF) intervals (ms): increase from baseline > 60 ms, new > 450 ms, new > 480 ms, new > 500 ms.
- Safety and tolerability - Incidence of treatment-emergent adverse events (TEAEs) related to notable or abnormal changes from baseline of echocardiogram or multigated acquisition (ECHO/MUGA) scans. [From the signing of the ICF up to 30 days after end of treatment-approximately up to 14.5 months]
ECHO/MUGA scan assess Left Ventricular Ejection Fraction (LVEF). Changes from baseline of LVEF measurements over time will be reported
- Safety and tolerability - Incidence of treatment-emergent adverse events (TEAEs) related to notable or abnormal changes in ophtalmic examination [From the signing of the ICF up to 30 days after end of treatment-approximately up to 14.5 months]
Changes from baseline and worse value on ophthalmic examination over time will be reported. a full ophthalmic examination by an ophthalmologist will be performed (at baseline an end of treatment) including best corrected visual acuity (BCVA), slit lamp examination, intraocular pressure (IOP), dilatedfundoscopy and optical coherence tomography (OCT). Retinal examination is required to identify findings associated with retinal pigment epithelial detachments (RPED), serous detachment of the retina and RVO (OCT and angiography). the investigator will also monthly monitor visual assesment (general inspection of the eyes, examination of motility and alignment, visual disturbance including diminished central vision, blurred vision or loss of vision).
- Safety and tolerability-Treatment emergent adverse events (TEAEs) leading to dose interruption, reduction and discontinuation. [On treatment period - 12 months from randomization.]
Incidence of dose interruptions, dose modifications and discontinuation due to AEs and incidence of AEs requiring additional therapy
- Performance status using the Eastern Co-operative Oncology Group (ECOG) performance status scale. [From the signing of the ICF up to 30 days after end of treatment-approximately up to 14.5 months]
Changes from baseline and worse value on Eastern Cooperative Oncology Group (ECOG) Scale with a range from 0 to 5 with lower score mean a lower functional impairment, 5 corresponding to death .
- Patient-reported health-related (HRQoL)-European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) . [From the signing of the ICF up to 30 months.]
To determine if there is any change from baseline during the treatment and every 6 months thereafter up to 30 months in the European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) questionnaire scores. EQ-5D-5L consists of the EQ-5D descriptive system and the EQ visual analogue scale (VAS). The descriptive system has five dimension (mobility, self-care, usual activities, pain/discomfort and anxiety/depression), each is rated according to a five-point verbal rating scale (VRS): 1. no problems, 2. slight problems, 3. moderate problems, 4. severe problems and 5. extreme problems) and translated into a five-digit number that describes the participant's health state
- Patient-reported health-related (HRQoL)_European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients (EORTC QLQ-C30) [From the signing of the ICF up to 30 months.]
To determine if there is any change from baseline during the treatment and every 6 months thereafter up to 30 months in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer Patients (EORTC QLQ-C30) questionnaire scores EORTC QLQ-C30 consists of fifteen multi-item scales: five functional scales (physical, role, cognitive, emotional and social); nine symptom/items scales (fatigue, pain, nausea, vomiting, dyspnea, insomnia, apetite loss, constipation, diarrhae and financial difficulties) and a global health and Quality of Life (QoL) scale. Each scale in the questionnaire will be scored (0 to 100). High scores represents a high health/quality of life
- Pharmacokinetic (PK) parameter of encorafenib and its metabolite (LHY746)_Cmin [From randomization up to 11 months]
Minimum serum concentration (Cmin) will be calculated and reported.
- Pharmacokinetic (PK) parameter of encorafenib and its metabolite (LHY746)-Cmax [From randomization up to 11 months]
Maximum serum concentration (Cmax) will be calculated and reported.
- Pharmacokinetic (PK) parameter of encorafenib and its metabolite (LHY746)_AUC [From randomization up to 11 months]
Area under the curve (AUC) will be calculated and reported.
- Pharmacokinetic (PK) parameter of binimetinib and its metabolite (AR00426032)-Cmin [From randomization up to 11 months]
Minimum serum concentration (Cmin) will be calculated and reported
- Pharmacokinetic (PK) parameter of binimetinib and its metabolite (AR00426032)-Cmax [From randomization up to 11 months]
Maximum serum concentration (Cmax) will be calculated and reported.
- Pharmacokinetic (PK) parameter of binimetinib and its metabolite (AR00426032)-AUC [From randomization up to 11 months]
Area under the curve (AUC) will be calculated and reported.
Eligibility Criteria
Criteria
Inclusion Criteria:
Pre-Screening
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Male or female ≥ 18 years of age;
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Surgically resected, with tumour free margins, and histologically/pathologically confirmed new diagnosis of stage II (pT3b-pT4bN0) cutaneous melanomaa;
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Sentinel node (SN) biopsy within 14 weeks from initial diagnosis of melanoma.
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Sentinel node (SN) staged node negative (pN0);
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Available tumour sample for central determination of the BRAF V600E/K mutation.
Screening
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Melanoma confirmed centrally to be BRAF V600E/K mutation-positive;
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Participant still free of disease as evidenced by the required baseline imaging and physical/dermatological assessments performed respectively within 6 weeks and 2 weeks before randomization (Day 1);
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No more than 12 weeks elapsed between full surgical resection (including SLNB) and randomization;
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Recovered from definitive surgery (e.g., complete wound healing, no uncontrolled wound infections or indwelling drains);
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ECOG performance status of 0 or 1;
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Adequate haematological function as defined as Absolute neutrophil count (ANC) ≥ 1.5 x 109/L, Platelets ≥ 100 x 109/L and Hemoglobin
≥ 9.0 g/dL;
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Adequate renal function as defined as Serum creatinine ≤ 1.5 × ULN; or calculated creatinine clearance ≥ 50 mL/min;
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Adequate electrolytes, defined as serum potassium and magnesium levels within institutional normal limits;
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Adequate hepatic function as defined as Serum total bilirubin ≤ 1.5 x ULN and < 2 mg/dL, Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) ≤ 2.5 x ULN;
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Adequate cardiac function as defined as LVEF ≥ 50% as determined by MUGA scan or echocardiogram and Mean triplicate QTcF value ≤ 480 msec and no history of QT syndrome;
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Adequate coagulation function, defined as INR ≤1.5× ULN unless the patient is receiving anticoagulant therapy as long as PT or aPTT is within the therapeutic range;
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Negative serum β-HCG test (female patient of childbearing potential only) performed within 3 days prior to Day 1;
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Female patients of child-bearing potential and male patients must agree to follow the protocol's contraception guidance during the treatment period and for ≥30 days after last administration.
Exclusion Criteria:
Pre-screening
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Unknown ulceration status;
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Uveal and mucosal melanoma;
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Clinically apparent metastases (N+/M1);
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Microsatellites, satellites and/or in-transit metastases,
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Local (scar) recurrences.
Screening
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Breast feeding women;
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Pregnant women;
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History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO;
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History of thromboembolic or cerebrovascular events ≤ 12 weeks prior to randomization;
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History of previous or concurrent malignancy within preceding 3 years or any condition with a life expectancy of less than 5 years;
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Participants with a prior cancer associated with RAS mutation;
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Prior systemic anticancer therapy for melanoma or radiotherapy for melanoma;
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Hypersensitivity to the study drugs or to any of the excipients;
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Participants with severe lactose intolerance (e.g., Rare hereditary problems of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption);
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Impaired cardiovascular function or clinically significant cardiovascular diseases;
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Neuromuscular disorders that are associated with CK > ULN (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy);
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Non-infectious pneumonitis and Interstitial Lung Disease;
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Positive SARs-CoV-2 or variants of SARs-CoV2 RT-PCR test at screening or suspected to be infected with SARs-CoV2 or variants of SARsCoV2 with confirmation pending;
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Active bacterial, fungal, or viral infection, including, but not limited to HBV, HCV, and known HIV or AIDS-related illness, or an infection requiring systemic therapeutic treatment within 2 weeks prior to randomization.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Centro Oncologico Korben | Caba | Buenos Aires | Argentina | C1426 |
2 | Centro de Investigaciones Medicas Mar del Plata | Mar Del Plata | Buenos Aires | Argentina | B7600FYK |
3 | Fundacion CIDEA | Ciudad Autonoma Bs As | Ciudad Autonoma Buenos Aires | Argentina | C1121ABE |
4 | Sanatorio Britanico S.A. | Rosario | Santa Fe | Argentina | 2000 |
5 | Instituto de Oncologia de Rosario | Rosario | Santa Fe | Argentina | S2000KZE |
6 | Hospital Aleman | Ciudad Autonoma Buenos Aires | Argentina | C1118AAT | |
7 | Instituto Medico Especializado Alexander Fleming | Ciudad Autonoma Buenos Aires | Argentina | C1426ANZ | |
8 | Clinica Adventista Belgrano | Ciudad Autonoma Buenos Aires | Argentina | C1430EGF | |
9 | Port Macquarie Base Hospital | Port Macquarie | New South Wales | Australia | 2444 |
10 | Westmead Hospital | Sydney | New South Wales | Australia | 2145 |
11 | Melanoma Institute Australia | Wollstonecraft | New South Wales | Australia | 2065 |
12 | Cairns Hospital | Cairns | Queensland | Australia | 4870 |
13 | Princess Alexandra Hospital | Woolloongabba | Queensland | Australia | 4102 |
14 | Adelaide Oncology & Haematology | North Adelaide | South Australia | Australia | 5006 |
15 | Box Hill Hospital | Box Hill | Victoria | Australia | 3128 |
16 | Frankston Hospital | Frankston | Victoria | Australia | 3199 |
17 | Austin Health | Heidelberg | Victoria | Australia | 3084 |
18 | The Alfred Hospital | Prahran | Victoria | Australia | 3181 |
19 | Hollywood Private Hospital | Nedlands | Western Australia | Australia | 6009 |
20 | Sir Charles Gairdner Hospital | Nedlands | Western Australia | Australia | 6009 |
21 | Landeskrankenhaus - Universitaetsklinikum Graz | Graz | Austria | 8036 | |
22 | Krankenhaus der Elisabethinen Linz | Linz | Austria | 4020 | |
23 | Universitätsklinikum St.Pölten-Lilienfeld | St. Pölten | Austria | 3100 | |
24 | AKH - Medizinische Universität Wien | Vienna | Austria | 1090 | |
25 | Institut Jules Bordet | Anderlecht | Belgium | 1070 | |
26 | ZNA Middelheim | Antwerpen | Belgium | 2020 | |
27 | Cliniques Universitaires Saint-Luc | Brussels | Belgium | 1200 | |
28 | Universitair Ziekenhuis Brussel | Brussel | Belgium | 1090 | |
29 | UZ Gent | Gent | Belgium | 9000 | |
30 | CHU de Liège | Liège | Belgium | 4000 | |
31 | ZNA | Merksem | Belgium | 2170 | |
32 | Vitaz | Sint-Niklaas | Belgium | 9100 | |
33 | CHU UCL Namur | Yvoir | Belgium | 5530 | |
34 | AMO - Assistência Multidisciplinar em Oncologia | Salvador | Bahia | Brazil | 41950-640 |
35 | Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer | Curitiba | Paraná | Brazil | 81520-060 |
36 | Instituto de Cancer de Londrina | Londrina | Paraná | Brazil | 86015-520 |
37 | Hospital de Clínicas de Porto Alegre | Porto Alegre | Rio Grande Do Sul | Brazil | 90035-903 |
38 | HGB - Hospital Giovanni Battista - Mãe de Deus Center | Porto Alegre | Rio Grande Do Sul | Brazil | 90110-270 |
39 | Instituto de Oncologia Saint Gallen | Santa Cruz Do Sul | Rio Grande Do Sul | Brazil | 96810-110 |
40 | CEPON - Centro de Pesquisas Oncológicas de Santa Catarina | Florianópolis | Santa Catarina | Brazil | 88034-000 |
41 | Fundação Doutor Amaral Carvalho | Jaú | Sao Paulo | Brazil | 17210-120 |
42 | CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia | Santo André | Sao Paulo | Brazil | 09060-870 |
43 | A. C. Camargo Cancer Center | São Paulo | Sao Paulo | Brazil | 01509-900 |
44 | Cross Cancer Institute | Edmonton | Alberta | Canada | T6G 1Z2 |
45 | Cancer Centre of Southeastern Ontario at Kingston General Hospital | Kingston | Ontario | Canada | K7L 5P9 |
46 | London Health Sciences Centre (LHSC) - Victoria Hospital | London | Ontario | Canada | N6A 5W9 |
47 | Toronto Sunnybrook Hospital | Toronto | Ontario | Canada | M4N 3M5 |
48 | Princess Margaret Cancer Centre | Toronto | Ontario | Canada | M5G 2M9 |
49 | SMBD Jewish General Hospital d/b/a Jewish General Hospital | Montréal | Quebec | Canada | H3T 1E2 |
50 | Fakultni nemocnice Hradec Kralove | Hradec Králové | Czechia | 500 05 | |
51 | Fakultni nemocnice Olomouc | Olomouc | Czechia | 79900 | |
52 | Fakultni nemocnice Ostrava | Ostrava - Poruba | Czechia | 708 52 | |
53 | Fakultni nemocnice Kralovske Vinohrady | Praha 10 | Czechia | 100 34 | |
54 | Vseobecna fakultni nemocnice v Praze | Praha 2 | Czechia | 128 08 | |
55 | CHU Nice - Hopital de l Archet 2 | Nice cedex 3 | Alpes Maritimes | France | 06202 |
56 | Hôpital de la Timone | Marseille cedex 5 | Bouches-du-Rhône | France | 13385 |
57 | CHU de Dijon - Hôpital du Bocage | Dijon | Cote dÝOr | France | 21079 |
58 | CHU de Bordeaux - Hôpital Saint André | Bordeaux | Gironde | France | 33075 |
59 | Institut Claudius Regaud - Oncopole | Toulouse | Haute Garonne | France | 31059 |
60 | Hôpital Ambroise Paré | Boulogne-Billancourt | Hauts De Seine | France | 92100 |
61 | CRLCC Eugene Marquis | Rennes cedex | Ille Et Vilaine | France | 35042 |
62 | CHU Tours - Hôpital Trousseau | Chambray-lès-Tours | Indre Et Loire | France | 37170 |
63 | CHU de Grenoble - Hôpital André Michallon | La Tronche | Isere | France | 38700 |
64 | CHU Nantes - Hôtel Dieu | Nantes Cedex 1 | Loire Atlantique | France | 44093 |
65 | CHU Saint Etienne - Hôpital Nord | Saint Etienne Cedex 2 | Loire | France | 42055 |
66 | Hopital Claude Huriez - CHU Lille | Lille cedex | Nord | France | 59037 |
67 | Hôpital Saint-Louis | Paris Cedex 10 | Paris | France | 75010 |
68 | CAC Clermont-Ferrand Centre Jean Perrin | Clermont-Ferrand | Puy De Dome | France | 63000 |
69 | Service de Dermatologie | Pierre Bénite cedex | Rhone | France | 69495 |
70 | Institut Gustave Roussy | Villejuif cedex | Val De Marne | France | 94805 |
71 | CHU Poitiers - Hôpital la Milétrie | Poitiers | Vienne | France | 86021 |
72 | Universitaetsklinikum Heidelberg | Heidelberg | Baden Wuerttemberg | Germany | 69120 |
73 | Universitaetsklinikum Wuerzburg | Wuerzburg | Bayern | Germany | 97080 |
74 | Elbekliniken Buxtehude GmbH | Buxtehude | Niedersachsen | Germany | 21614 |
75 | Universitaetsklinikum Carl Gustav Carus TU Dresden | Dresden | Sachsen | Germany | 01307 |
76 | Universitaetsklinikum Schleswig-Holstein | Kiel | Schleswig Holstein | Germany | 24105 |
77 | Universitaetsklinikum Hamburg-Eppendorf | Hamburg | Germany | 20246 | |
78 | General Hospital of Athens Laiko | Athens | Greece | 11527 | |
79 | Metropolitan Hospital | Néo Fáliro | Greece | 18547 | |
80 | Bioclinic Thessaloniki | Thessaloníki | Greece | 54622 | |
81 | Anticancer Hospital of Thessaloniki " Theagenio" | Thessaloníki | Greece | 54639 | |
82 | Interbalkan Hospital of Thessaloniki | Thessaloníki | Greece | 57001 | |
83 | Semmelweis Egyetem | Budapest | Hungary | 1085 | |
84 | Orszagos Onkologiai Intezet | Budapest | Hungary | 1122 | |
85 | Debreceni Egyetem | Debrecen | Hungary | 4032 | |
86 | Petz Aladar Egyetemi Oktato Korhaz | Győr | Hungary | 9023 | |
87 | Pecsi Tudomanyegyetem | Pécs | Hungary | 7632 | |
88 | Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont | Szeged | Hungary | 6720 | |
89 | HaEmek Medical Center | Afula | Israel | 18101 | |
90 | Hadassah University Hospital - Ein Kerem | Jerusalem | Israel | 9112001 | |
91 | Rabin Medical Center-Beilinson Campus | Petach Tikva | Israel | 4941492 | |
92 | Chaim Sheba Medical Center | Ramat Gan | Israel | 5262001 | |
93 | IRCCS Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori "Dino Amadori" - IRST | Meldola | Forli - Cesena | Italy | 47014 |
94 | Ospedale San Vincenzo | Taormina | Messina | Italy | 98039 |
95 | Istituto Nazionale Tumori Fondazione G. Pascale | Naples | Napoli | Italy | 80131 |
96 | IRCCS Centro di Riferimento Oncologico | Aviano | Pordenone | Italy | 33081 |
97 | Istituto Tumori Giovanni Paolo II IRCCS Ospedale Oncologico Bari | Bari | Italy | 70124 | |
98 | Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII) | Bergamo | Italy | 24127 | |
99 | Azienda Sanitaria Ospedaliera S.Croce e Carle | Cuneo | Italy | 12100 | |
100 | IRCCS Ospedale Policlinico San Martino | Genova | Italy | 16132 | |
101 | Ospedale San Raffaele | Milano | Italy | 20132 | |
102 | Fondazione IRCCS Istituto Nazionale dei Tumori | Milano | Italy | 20133 | |
103 | IEO Istituto Europeo di Oncologia | Milano | Italy | 20141 | |
104 | IOV - Istituto Oncologico Veneto IRCCS | Padova | Italy | 35128 | |
105 | Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone | Palermo | Italy | 90127 | |
106 | Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia | Perugia | Italy | 06156 | |
107 | Azienda Ospedaliero Universitaria Pisana | Pisa | Italy | 56126 | |
108 | IDI-Istituto Dermopatico dell'Immacolata IRCCS | Roma | Italy | 00167 | |
109 | Policlinico Universitario di Sassari | Sassari | Italy | 07100 | |
110 | A.O.U. Senese Policlinico Santa Maria alle Scotte | Siena | Italy | 53100 | |
111 | Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino | Torino | Italy | 10126 | |
112 | Azienda Sanitaria Universitaria Friuli Centrale | Udine | Italy | 33100 | |
113 | Antoni van Leeuwenhoek | Amsterdam | Netherlands | 1066 CX | |
114 | Universitair Medisch Centrum Groningen (UMCG) | Groningen | Netherlands | 9713 GZ | |
115 | Leids Universitair Medisch Centrum | Leiden | Netherlands | 2333 ZA | |
116 | Maastricht University Medical Center | Maastricht | Netherlands | 6202 AZ | |
117 | Radboudumc | Nijmegen | Netherlands | 6525 GA | |
118 | Erasmus MC | Rotterdam | Netherlands | 3015 GD | |
119 | UMC Utrecht | Utrecht | Netherlands | 3508 GA | |
120 | Isala | Zwolle | Netherlands | 8025 AB | |
121 | Oslo University Hospital | Oslo | Norway | 0424 | |
122 | Ålesund Hospital | Ålesund | Norway | 6017 | |
123 | Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie - Panstwowy Instytut Badawczy | Gliwice | Poland | 44-102 | |
124 | Przychodnia Lekarska Komed | Konin | Poland | 62-500 | |
125 | Centrum Onkologii-Instytut im. M. Sklodowskiej-Curie | Kraków | Poland | 31-115 | |
126 | Wielkopolskie Centrum Onkologii | Poznań | Poland | 61-866 | |
127 | Centrum Medyczne Pratia Poznan | Skórzewo | Poland | 60-185 | |
128 | Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy | Warszawa | Poland | 02-781 | |
129 | Dolnoslaskie Centrum Onkologii | Wrocław | Poland | 53-413 | |
130 | Instituto Português de Oncologia de Lisboa Francisco Gentil, EPE | Lisboa | Portugal | 1099-023 | |
131 | Centro Hospitalar de Lisboa Norte, E.P.E. - Hospital de Santa Maria | Lisboa | Portugal | 1649-035 | |
132 | Instituto Português de Oncologia do Porto Francisco Gentil, EPE | Porto | Portugal | 4200-072 | |
133 | FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin" | Moscow | Russian Federation | 115478 | |
134 | BHI of Omsk region "Clinical Oncology Dispensary" | Omsk | Russian Federation | 644013 | |
135 | SPb SBIH "City Clinical Oncological Dispensary" | Saint Petersburg | Russian Federation | 197022 | |
136 | Clinical Center "Bezanijska kosa" | Belgrade | Serbia | 11000 | |
137 | Institute of Oncology and Radiology of Serbia | Belgrade | Serbia | 11000 | |
138 | Clinical Center Kragujevac | Kragujevac | Serbia | 34000 | |
139 | Clinical Center Nis | Niš | Serbia | 18000 | |
140 | Oncology Institute of Vojvodina | Sremska Kamenica | Serbia | 21204 | |
141 | National Hospital Oncology | Bloemfontein | Free State | South Africa | 9301 |
142 | Johese Clinical Research: Midstream | Centurion | Gauteng | South Africa | 1692 |
143 | Sandton Oncology Medical Group | Johannesburg | Gauteng | South Africa | 2196 |
144 | ICO Badalona - Hospital Universitari Germans Trias i Pujol | Badalona | Barcelona | Spain | 08916 |
145 | ICO l'Hospitalet - Hospital Duran i Reynals | L'Hospitalet De Llobregat | Barcelona | Spain | 08908 |
146 | Hospital Universitario Virgen de la Arrixaca | El Palmar | Murcia | Spain | 30120 |
147 | Hospital Universitari Vall d'Hebron | Barcelona | Spain | 08035 | |
148 | Hospital Clinic de Barcelona | Barcelona | Spain | 08036 | |
149 | Hospital Universitario Reina Sofia | Córdoba | Spain | 14004 | |
150 | Hospital General Universitario Gregorio Marañon | Madrid | Spain | 28007 | |
151 | Hospital Universitario Ramon y Cajal | Madrid | Spain | 28034 | |
152 | Hospital Universitario 12 de Octubre | Madrid | Spain | 28041 | |
153 | Centro Integral Oncologico Clara Campal | Madrid | Spain | 28050 | |
154 | Hospital Regional Universitario de Malaga | Málaga | Spain | 29010 | |
155 | Hospital Clinico Universitario de Valencia | Valencia | Spain | 46010 | |
156 | Hospital General Universitario de Valencia | Valencia | Spain | 46014 | |
157 | Karolinska University Hospital | Stockholm | Sweden | 17176 | |
158 | Norrlands Universitetssjukhus | Umeå | Sweden | 901 87 | |
159 | Universitaetsspital Zuerich | Zuerich | Switzerland | 8091 | |
160 | CNE"City Clin Hosp#4"of Dnipro City Council Dept of Chemotherapy SI Dnipropetrovsk MA of MOHU | Dnipro | Ukraine | 49102 | |
161 | CHI Kharkiv Regional Clinical Oncological Center | Kharkiv | Ukraine | 61070 | |
162 | SI V.T. Zaycev Institute of general & urgent surgery of National academy medical sciences of Ukraine | Kharkiv | Ukraine | 61103 | |
163 | Medical Clinic Innovacia, LLC | Kiev | Ukraine | 07352 | |
164 | MI Kirovograd Regional Oncological Dispensary | Kropyvnytskyi | Ukraine | 25011 | |
165 | National Institute of Cancer | Kyiv | Ukraine | 03022 | |
166 | Odesa Regional Oncologic Dispensary | Odesa | Ukraine | 65055 | |
167 | CNE CCCH of Uzh CC Oncological Center, Ther Dept, SHEI UNU | Úzhgorod | Ukraine | 88000 | |
168 | Royal Preston Hospital | Preston | Lancashire | United Kingdom | PR2 9HT |
169 | Mount Vernon Hospital | Northwood | Middlesex | United Kingdom | HA6 2RN |
170 | Northern Centre for Cancer Care | Newcastle Upon Tyne | Tyne & Wear | United Kingdom | NE7 7DN |
Sponsors and Collaborators
- Pierre Fabre Medicament
- European Organisation for Research and Treatment of Cancer - EORTC
Investigators
- Study Chair: Alexander C.J. van AKKOOI, MD, PhD, European Organisation for Research and Treatment of Cancer - EORTC
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- W00090GE303/EORTC-2139-MG