S1602: Different Strains of BCG With or Without Vaccine in High Grade Non- Muscle Invasive Bladder Cancer
Study Details
Study Description
Brief Summary
This randomized phase III trial studies Tokyo-172 strain bacillus Calmette-Guerin (BCG) solution with or without a vaccination using Tokyo-172 strain BCG to see how well it works compared with TICE BCG solution in treating patients with bladder cancer that has not spread to muscle. BCG is a non-infectious bacteria that when instilled into the bladder may stimulate the immune system to fight bladder cancer. Giving different versions of BCG with vaccine therapy may prevent bladder cancer from returning.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
PRIMARY OBJECTIVES:
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To compare whether time to high grade recurrence (TTHGR) for patients with BCG-naïve, non-muscle invasive bladder cancer (NMIBC) receiving Tokyo-172 BCG strain (Arm II) is non-inferior to patients receiving TICE BCG strain (Arm I).
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To test whether TTHGR for patients with BCG-naïve, NMIBC receiving intradermal Tokyo-172 BCG vaccination followed by intravesical Tokyo-172 BCG instillation (Arm III) is superior to patients receiving intravesical Tokyo-172BCG instillation without prior intradermal BCG vaccination (Arm II).
SECONDARY OBJECTIVES:
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To compare time to recurrence (TTR) with any-grade (AG) bladder cancer between patients receiving Tokyo-172 versus TICE BCG strain.
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To compare TTR with AG bladder cancer between patients receiving intradermal + intravesical versus intravesical only Tokyo-172 BCG.
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To compare progression-free survival (PFS) between patients receiving Tokyo-172 versus TICE BCG strain.
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To compare PFS between patients receiving intradermal + intravesical versus intravesical only Tokyo-172 BCG.
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To compare 6-month complete response in patients with carcinoma in situ (CIS) with or without Ta or T1 cancer present at baseline receiving Tokyo-172 versus TICE BCG strain.
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To compare 6-month complete response in patients with CIS with or without Ta or T1 cancer present at baseline receiving intradermal + intravesical versus intravesical only Tokyo-172 BCG.
TERTIARY OBJECTIVES:
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To test the hypothesis that purified protein derivative (PPD) test conversion (positive PPD at 3 or 6 months) following BCG immunotherapy will predict time to high grade recurrence (TTHGR).
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To test the hypothesis that urinary cytokine levels following BCG immunotherapy will predict time to high grade recurrence (TTHGR).
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To test the hypothesis that tumor neoantigen burden and T lymphocyte infiltration are associated with BCG response.
OUTLINE: Patients are randomized to 1 of 3 treatment arms.
ARM I:
INDUCTION: Patients receive TICE BCG solution intravesically once a week for 6 weeks.
MAINTENANCE: Patients receive TICE BCG solution once a week for 3 consecutive weeks at months 3, 6, 12, 18, 24, 30, and 36 for up to 7 doses.
ARM II:
INDUCTION: Patients receive Tokyo-172 strain BCG solution intravesically once a week for 6 weeks.
MAINTENANCE: Patients receive Tokyo-172 strain BCG solution once a week for 3 consecutive weeks at months 3, 6, 12, 18, 24, 30, and 36 for up to 7 doses.
ARM III:
PRIME: Patients receive Tokyo-172 strain BCG vaccine once intradermally (ID).
INDUCTION: Within 21 days, patients receive Tokyo-172 strain BCG solution as in Arm II.
MAINTENANCE: Patients receive Tokyo-172 strain BCG solution as in Arm II.
After completion of study treatment, patients are followed up for 5 years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Arm I (BCG solution) INDUCTION: Patients receive TICE BCG solution intravesically once a week for 6 weeks. MAINTENANCE: Patients receive TICE BCG solution once a week for 3 consecutive weeks at months 3, 6, 12, 18, 24, 30, and 36 for up to 7 doses. |
Biological: BCG Solution
Given intravesically
Other Names:
Other: Laboratory Biomarker Analysis
Correlative studies
|
Experimental: Arm II (Tokyo-172 strain BCG solution) INDUCTION: Patients receive Tokyo-172 strain BCG solution intravesically once a week for 6 weeks. MAINTENANCE: Patients receive Tokyo-172 strain BCG solution once a week for 3 consecutive weeks at months 3, 6, 12, 18, 24, 30, and 36 for up to 7 doses. |
Biological: BCG Tokyo-172 Strain Solution
Given intravesically
Other Names:
Other: Laboratory Biomarker Analysis
Correlative studies
|
Experimental: Arm III (Tokyo-172 strain BCG solution with priming) PRIME: Patients receive Tokyo-172 strain BCG vaccine once ID. INDUCTION: Within 21 days, patients receive Tokyo-172 strain BCG solution as in Arm II. MAINTENANCE: Patients receive Tokyo-172 strain BCG solution as in Arm II. |
Biological: BCG Tokyo-172 Strain Solution
Given intravesically
Other Names:
Biological: BCG Tokyo-172 Strain Vaccine
Given ID
Other Names:
Other: Laboratory Biomarker Analysis
Correlative studies
|
Outcome Measures
Primary Outcome Measures
- TTHGR for Arm I compared to Arm II [Time from randomization to first high grade recurrence assessed up to 5 years]
Time to High Grade Recurrence
- TTHGR for Arm II compared to Arm III [Time from randomization to first high grade recurrence assessed up to 5 years]
Time to High Grade Recurrence
Secondary Outcome Measures
- Disease free rates [At 6 months]
Rates of patients who are disease free at six months versus not
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients must have histologically proven Ta, carcinoma in situ (CIS) or T1 stage urothelial cell carcinoma of the bladder within 90 days of registration
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Patients must have had all grossly visible papillary tumors removed within 30 days prior to registration or cystoscopy confirming no grossly visible papillary tumors within 30 days prior to registration
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Patients with T1 disease must have cross-sectional imaging of abdomen/pelvis demonstrating no evidence of metastatic disease (magnetic resonance imaging [MRI] or computed tomography [CT] scan) within 90 days prior to registration; patients with T1 disease must have re-resection confirming =< T1 disease within 90 days prior to registration
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Patients must have high-grade bladder cancer as defined by 2004 World Health Organization (WHO)/International Society of Urological Pathology (ISUP) classification
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Patients must not have pure squamous cell carcinoma or adenocarcinoma
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Patients' disease must not have micropapillary components
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Patients must have no evidence of upper tract (renal pelvis or ureters) cancer confirmed by one of the following tests performed within 90 days prior to registration: CT urogram, intravenous pyelogram, magnetic resonance (MR) urogram, or retrograde pyelograms
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Patients must not have nodal involvement or metastatic disease
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No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years; patients with localized prostate cancer who are being followed by an active surveillance program are also eligible
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Patients must have a Zubrod performance status of 0-2
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Patients must not have received prior intravesical BCG
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Patients must not have known history of tuberculosis
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Patients must be PPD negative within 90 days prior to registration; PPD negativity is defined as < 10 mm diameter induration (palpable, raised hardened area) in the volar forearm at 48-72 hours following injection with standard tuberculin dose (5 units, 0.1 ml)
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Patients must be >= 18 years of age
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Patients must not be taking oral glucocorticoids at the time of registration
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Patients must not be planning to receive concomitant biologic therapy, hormonal therapy, chemotherapy, surgery, or other cancer therapy while on study
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Prestudy history and physical must be obtained within 90days prior to registration
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Patients must not be pregnant or nursing; women/men of reproductive potential must have agreed to use an effective contraceptive method; a woman is considered to be of "reproductive potential" if she has had menses at any time in the preceding 12 consecutive months; in addition to routine contraceptive methods, "effective contraception" also includes heterosexual celibacy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) defined as a hysterectomy, bilateral oophorectomy or bilateral tubal ligation; however, if at any point a previously celibate patient chooses to become heterosexually active during the time period for use of contraceptive measures outlined in the protocol, he/she is responsible for beginning contraceptive measures
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Patients must be offered the opportunity to participate in specimen banking for future studies to include translational medicine studies
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of South Alabama Mitchell Cancer Institute | Mobile | Alabama | United States | 36688 |
2 | Banner MD Anderson Cancer Center | Gilbert | Arizona | United States | 85234 |
3 | Mayo Clinic Hospital in Arizona | Phoenix | Arizona | United States | 85054 |
4 | Mayo Clinic in Arizona | Scottsdale | Arizona | United States | 85259 |
5 | City of Hope Comprehensive Cancer Center | Duarte | California | United States | 91010 |
6 | Los Angeles County-USC Medical Center | Los Angeles | California | United States | 90033 |
7 | USC / Norris Comprehensive Cancer Center | Los Angeles | California | United States | 90033 |
8 | Cedars Sinai Medical Center | Los Angeles | California | United States | 90048 |
9 | Kaiser Permanente-Oakland | Oakland | California | United States | 94611 |
10 | UC Irvine Health/Chao Family Comprehensive Cancer Center | Orange | California | United States | 92868 |
11 | Stanford Cancer Institute Palo Alto | Palo Alto | California | United States | 94304 |
12 | Kaiser Permanente-South Sacramento | Sacramento | California | United States | 95823 |
13 | UCSF Medical Center-Mission Bay | San Francisco | California | United States | 94158 |
14 | Kaiser Permanente-Vallejo | Vallejo | California | United States | 94589 |
15 | Kaiser Permanente-Walnut Creek | Walnut Creek | California | United States | 94596 |
16 | University of Colorado Hospital | Aurora | Colorado | United States | 80045 |
17 | Smilow Cancer Center/Yale-New Haven Hospital | New Haven | Connecticut | United States | 06510 |
18 | Yale University | New Haven | Connecticut | United States | 06520 |
19 | MedStar Washington Hospital Center | Washington | District of Columbia | United States | 20010 |
20 | George Washington University Medical Center | Washington | District of Columbia | United States | 20037 |
21 | University of Florida Health Science Center - Gainesville | Gainesville | Florida | United States | 32610 |
22 | Baptist MD Anderson Cancer Center | Jacksonville | Florida | United States | 32207 |
23 | Moffitt Cancer Center - McKinley Campus | Tampa | Florida | United States | 33612 |
24 | Moffitt Cancer Center | Tampa | Florida | United States | 33612 |
25 | Atlanta VA Medical Center | Decatur | Georgia | United States | 30033 |
26 | Hawaii Cancer Care - Savio | 'Aiea | Hawaii | United States | 96701 |
27 | Pali Momi Medical Center | 'Aiea | Hawaii | United States | 96701 |
28 | Queen's Cancer Center - Pearlridge | 'Aiea | Hawaii | United States | 96701 |
29 | Island Urology-Hilo | Hilo | Hawaii | United States | 96720 |
30 | Hawaii Cancer Care Inc - Waterfront Plaza | Honolulu | Hawaii | United States | 96813 |
31 | Island Urology | Honolulu | Hawaii | United States | 96813 |
32 | Queen's Cancer Cenrer - POB I | Honolulu | Hawaii | United States | 96813 |
33 | Queen's Medical Center | Honolulu | Hawaii | United States | 96813 |
34 | Straub Clinic and Hospital | Honolulu | Hawaii | United States | 96813 |
35 | University of Hawaii Cancer Center | Honolulu | Hawaii | United States | 96813 |
36 | Queen's Cancer Center - Kuakini | Honolulu | Hawaii | United States | 96817 |
37 | Saint Alphonsus Cancer Care Center-Boise | Boise | Idaho | United States | 83706 |
38 | Saint Luke's Cancer Institute - Boise | Boise | Idaho | United States | 83712 |
39 | Saint Alphonsus Cancer Care Center-Caldwell | Caldwell | Idaho | United States | 83605 |
40 | Saint Luke's Cancer Institute - Fruitland | Fruitland | Idaho | United States | 83619 |
41 | Saint Luke's Cancer Institute - Meridian | Meridian | Idaho | United States | 83642 |
42 | Saint Alphonsus Medical Center-Nampa | Nampa | Idaho | United States | 83686 |
43 | Saint Luke's Cancer Institute - Nampa | Nampa | Idaho | United States | 83686 |
44 | Saint Luke's Cancer Institute - Twin Falls | Twin Falls | Idaho | United States | 83301 |
45 | Centralia Oncology Clinic | Centralia | Illinois | United States | 62801 |
46 | Northwestern University | Chicago | Illinois | United States | 60611 |
47 | University of Illinois | Chicago | Illinois | United States | 60612 |
48 | Carle on Vermilion | Danville | Illinois | United States | 61832 |
49 | Cancer Care Specialists of Illinois - Decatur | Decatur | Illinois | United States | 62526 |
50 | Decatur Memorial Hospital | Decatur | Illinois | United States | 62526 |
51 | Carle Physician Group-Effingham | Effingham | Illinois | United States | 62401 |
52 | Crossroads Cancer Center | Effingham | Illinois | United States | 62401 |
53 | Carle Physician Group-Mattoon/Charleston | Mattoon | Illinois | United States | 61938 |
54 | Loyola University Medical Center | Maywood | Illinois | United States | 60153 |
55 | Good Samaritan Regional Health Center | Mount Vernon | Illinois | United States | 62864 |
56 | Cancer Care Center of O'Fallon | O'Fallon | Illinois | United States | 62269 |
57 | Southern Illinois University School of Medicine | Springfield | Illinois | United States | 62702 |
58 | Springfield Clinic | Springfield | Illinois | United States | 62702 |
59 | Memorial Medical Center | Springfield | Illinois | United States | 62781 |
60 | Carle Cancer Center | Urbana | Illinois | United States | 61801 |
61 | The Carle Foundation Hospital | Urbana | Illinois | United States | 61801 |
62 | University of Iowa/Holden Comprehensive Cancer Center | Iowa City | Iowa | United States | 52242 |
63 | University of Kansas Hospital-Westwood Cancer Center | Westwood | Kansas | United States | 66205 |
64 | East Jefferson General Hospital | Metairie | Louisiana | United States | 70006 |
65 | LSU Healthcare Network / Metairie Multi-Specialty Clinic | Metairie | Louisiana | United States | 70006 |
66 | Louisiana State University Health Science Center | New Orleans | Louisiana | United States | 70112 |
67 | University Medical Center New Orleans | New Orleans | Louisiana | United States | 70112 |
68 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
69 | LSU Health Sciences Center at Shreveport | Shreveport | Louisiana | United States | 71103 |
70 | Johns Hopkins University/Sidney Kimmel Cancer Center | Baltimore | Maryland | United States | 21287 |
71 | Brigham and Women's Hospital | Boston | Massachusetts | United States | 02115 |
72 | Saint Joseph Mercy Hospital | Ann Arbor | Michigan | United States | 48106 |
73 | University of Michigan Comprehensive Cancer Center | Ann Arbor | Michigan | United States | 48109 |
74 | Henry Ford Cancer Institute-Downriver | Brownstown | Michigan | United States | 48183 |
75 | Henry Ford Macomb Hospital-Clinton Township | Clinton Township | Michigan | United States | 48038 |
76 | Henry Ford Medical Center-Fairlane | Dearborn | Michigan | United States | 48126 |
77 | Henry Ford Hospital | Detroit | Michigan | United States | 48202 |
78 | Sparrow Hospital | Lansing | Michigan | United States | 48912 |
79 | Henry Ford Medical Center-Columbus | Novi | Michigan | United States | 48377 |
80 | Saint John Macomb-Oakland Hospital | Warren | Michigan | United States | 48093 |
81 | Henry Ford West Bloomfield Hospital | West Bloomfield | Michigan | United States | 48322 |
82 | Saint Francis Medical Center | Cape Girardeau | Missouri | United States | 63703 |
83 | Mercy Hospital Saint Louis | Saint Louis | Missouri | United States | 63141 |
84 | Mercy Hospital Springfield | Springfield | Missouri | United States | 65804 |
85 | Benefis Healthcare- Sletten Cancer Institute | Great Falls | Montana | United States | 59405 |
86 | Comprehensive Cancer Centers of Nevada - Henderson | Henderson | Nevada | United States | 89052 |
87 | Comprehensive Cancer Centers of Nevada-Horizon Ridge | Henderson | Nevada | United States | 89052 |
88 | OptumCare Cancer Care at Seven Hills | Henderson | Nevada | United States | 89052 |
89 | Comprehensive Cancer Centers of Nevada-Southeast Henderson | Henderson | Nevada | United States | 89074 |
90 | Las Vegas Urology - Green Valley | Henderson | Nevada | United States | 89074 |
91 | Las Vegas Urology - Pebble | Henderson | Nevada | United States | 89074 |
92 | Urology Specialists of Nevada - Green Valley | Henderson | Nevada | United States | 89074 |
93 | Las Vegas Urology - Pecos | Las Vegas | Nevada | United States | 89074 |
94 | OptumCare Cancer Care at Oakey | Las Vegas | Nevada | United States | 89102 |
95 | Hope Cancer Care of Nevada | Las Vegas | Nevada | United States | 89103 |
96 | Radiation Oncology Centers of Nevada Central | Las Vegas | Nevada | United States | 89106 |
97 | Urology Specialists of Nevada - Central | Las Vegas | Nevada | United States | 89106 |
98 | Las Vegas Prostate Cancer Center | Las Vegas | Nevada | United States | 89113 |
99 | Las Vegas Urology - Sunset | Las Vegas | Nevada | United States | 89113 |
100 | Comprehensive Cancer Centers of Nevada - Northwest | Las Vegas | Nevada | United States | 89128 |
101 | Las Vegas Urology - Cathedral Rock | Las Vegas | Nevada | United States | 89128 |
102 | Las Vegas Urology - Smoke Ranch | Las Vegas | Nevada | United States | 89128 |
103 | OptumCare Cancer Care at MountainView | Las Vegas | Nevada | United States | 89128 |
104 | Urology Specialists of Nevada - Northwest | Las Vegas | Nevada | United States | 89128 |
105 | Comprehensive Cancer Centers of Nevada - Town Center | Las Vegas | Nevada | United States | 89144 |
106 | Comprehensive Cancer Centers of Nevada-Summerlin | Las Vegas | Nevada | United States | 89144 |
107 | Comprehensive Cancer Centers of Nevada | Las Vegas | Nevada | United States | 89148 |
108 | OptumCare Cancer Care at Fort Apache | Las Vegas | Nevada | United States | 89148 |
109 | Urology Specialists of Nevada - Southwest | Las Vegas | Nevada | United States | 89148 |
110 | Comprehensive Cancer Centers of Nevada - Central Valley | Las Vegas | Nevada | United States | 89169 |
111 | Renown Regional Medical Center | Reno | Nevada | United States | 89502 |
112 | Memorial Sloan Kettering Basking Ridge | Basking Ridge | New Jersey | United States | 07920 |
113 | Englewood Hospital and Medical Center | Englewood | New Jersey | United States | 07631 |
114 | Memorial Sloan Kettering Monmouth | Middletown | New Jersey | United States | 07748 |
115 | Roswell Park Cancer Institute | Buffalo | New York | United States | 14263 |
116 | Memorial Sloan Kettering Commack | Commack | New York | United States | 11725 |
117 | Arnot Ogden Medical Center/Falck Cancer Center | Elmira | New York | United States | 14905 |
118 | Memorial Sloan Kettering Westchester | Harrison | New York | United States | 10604 |
119 | Laura and Isaac Perlmutter Cancer Center at NYU Langone | New York | New York | United States | 10016 |
120 | Memorial Sloan Kettering Cancer Center | New York | New York | United States | 10065 |
121 | University of Rochester | Rochester | New York | United States | 14642 |
122 | State University of New York Upstate Medical University | Syracuse | New York | United States | 13210 |
123 | Memorial Sloan Kettering Nassau | Uniondale | New York | United States | 11553 |
124 | UNC Lineberger Comprehensive Cancer Center | Chapel Hill | North Carolina | United States | 27599 |
125 | Indu and Raj Soin Medical Center | Beavercreek | Ohio | United States | 45431 |
126 | Ohio State University Comprehensive Cancer Center | Columbus | Ohio | United States | 43210 |
127 | Kettering Medical Center | Kettering | Ohio | United States | 45429 |
128 | University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | United States | 73104 |
129 | Mercy Hospital Oklahoma City | Oklahoma City | Oklahoma | United States | 73120 |
130 | Bay Area Hospital | Coos Bay | Oregon | United States | 97420 |
131 | Rogue Valley Medical Center | Medford | Oregon | United States | 97504 |
132 | Saint Alphonsus Medical Center-Ontario | Ontario | Oregon | United States | 97914 |
133 | Oregon Health and Science University | Portland | Oregon | United States | 97239 |
134 | Portland VA Medical Center | Portland | Oregon | United States | 97239 |
135 | Thomas Jefferson University Hospital | Philadelphia | Pennsylvania | United States | 19107 |
136 | Prisma Health Cancer Institute - Spartanburg | Boiling Springs | South Carolina | United States | 29316 |
137 | Ralph H Johnson VA Medical Center | Charleston | South Carolina | United States | 29401 |
138 | Prisma Health Cancer Institute - Laurens | Clinton | South Carolina | United States | 29325 |
139 | Prisma Health Cancer Institute - Easley | Easley | South Carolina | United States | 29640 |
140 | Prisma Health Cancer Institute - Butternut | Greenville | South Carolina | United States | 29605 |
141 | Prisma Health Cancer Institute - Faris | Greenville | South Carolina | United States | 29605 |
142 | Prisma Health Greenville Memorial Hospital | Greenville | South Carolina | United States | 29605 |
143 | Prisma Health Cancer Institute - Eastside | Greenville | South Carolina | United States | 29615 |
144 | Prisma Health Cancer Institute - Greer | Greer | South Carolina | United States | 29650 |
145 | Prisma Health Cancer Institute - Seneca | Seneca | South Carolina | United States | 29672 |
146 | UT Southwestern/Simmons Cancer Center-Dallas | Dallas | Texas | United States | 75390 |
147 | University of Texas Medical Branch | Galveston | Texas | United States | 77555-0565 |
148 | Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center | Houston | Texas | United States | 77030 |
149 | Houston Methodist Hospital | Houston | Texas | United States | 77030 |
150 | M D Anderson Cancer Center | Houston | Texas | United States | 77030 |
151 | UTMB Cancer Center at Victory Lakes | League City | Texas | United States | 77573 |
152 | Audie L Murphy VA Hospital | San Antonio | Texas | United States | 78229 |
153 | University Hospital | San Antonio | Texas | United States | 78229 |
154 | University of Texas Health Science Center at San Antonio | San Antonio | Texas | United States | 78229 |
155 | Farmington Health Center | Farmington | Utah | United States | 84025 |
156 | Huntsman Cancer Institute/University of Utah | Salt Lake City | Utah | United States | 84112 |
157 | South Jordan Health Center | South Jordan | Utah | United States | 84009 |
158 | Fred Hutchinson Cancer Research Center | Seattle | Washington | United States | 98109 |
159 | Seattle Cancer Care Alliance | Seattle | Washington | United States | 98109 |
160 | University of Washington Medical Center - Montlake | Seattle | Washington | United States | 98195 |
161 | Madigan Army Medical Center | Tacoma | Washington | United States | 98431 |
162 | West Virginia University Healthcare | Morgantown | West Virginia | United States | 26506 |
163 | Marshfield Clinic-Chippewa Center | Chippewa Falls | Wisconsin | United States | 54729 |
164 | Marshfield Medical Center-EC Cancer Center | Eau Claire | Wisconsin | United States | 54701 |
165 | Gundersen Lutheran Medical Center | La Crosse | Wisconsin | United States | 54601 |
166 | Marshfield Clinic - Ladysmith Center | Ladysmith | Wisconsin | United States | 54848 |
167 | Marshfield Medical Center-Marshfield | Marshfield | Wisconsin | United States | 54449 |
168 | Medical College of Wisconsin | Milwaukee | Wisconsin | United States | 53226 |
169 | Marshfield Clinic-Minocqua Center | Minocqua | Wisconsin | United States | 54548 |
170 | Marshfield Medical Center-Rice Lake | Rice Lake | Wisconsin | United States | 54868 |
171 | Marshfield Clinic Stevens Point Center | Stevens Point | Wisconsin | United States | 54482 |
172 | Marshfield Clinic-Wausau Center | Wausau | Wisconsin | United States | 54401 |
173 | Marshfield Medical Center - Weston | Weston | Wisconsin | United States | 54476 |
174 | Marshfield Clinic - Wisconsin Rapids Center | Wisconsin Rapids | Wisconsin | United States | 54494 |
Sponsors and Collaborators
- Southwest Oncology Group
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Robert Svatek, Southwest Oncology Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- S1602
- NCI-2016-00451
- S1602
- S1602
- U10CA180888