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A Study Evaluating the Efficacy and Safety of Divarasib Versus Sotorasib or Adagrasib in Participants With Previously Treated KRAS G12C-positive Advanced or Metastatic Non-Small Cell Lung Cancer

Phase 3
Recruiting
Conditions
Non-Small Cell Lung Cancer
KRAS G12C Lung Cancer
Interventions
Registration Number
NCT06497556
Lead Sponsor
Hoffmann-La Roche
Brief Summary

The purpose of this study is to assess the safety and efficacy of divarasib compared to locally approved KRAS G12C inhibitors (sotorasib or adagrasib) in participants with KRAS G12C-positive (KRAS G12C +) advanced or metastatic non-small cell lung cancer (NSCLC).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
320
Inclusion Criteria
  • Unequivocal histologically or cytologically confirmed diagnosis of metastatic or locally advanced NSCLC not amenable to treatment with surgical resection or combined chemoradiation
  • Disease progression during or after treatment with at least one prior systemic therapy but no more than three lines of prior systemic therapy in the advanced or metastatic setting
  • Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • Documentation of the presence of a KRAS G12C mutation
  • Availability of a representative formalin-fixed, paraffin-embedded (FFPE) tumor specimen in a paraffin block (preferred) or 10-15 (15 preferred) unstained, freshly cut, serial slides with an associated pathology report
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Life expectancy of >= 12 weeks
Exclusion Criteria
  • Known hypersensitivity to any of the components of divarasib, or sotorasib or adagrasib
  • Malabsorption syndrome or other condition that would interfere with enteral absorption
  • Known concomitant second oncogenic driver
  • Mixed small-cell lung cancer or large cell neuroendocrine histology
  • Known and untreated, or active central nervous system (CNS) metastases
  • Leptomeningeal disease or carcinomatous meningitis
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures biweekly or more frequently
  • Any infection that, in the opinion of the investigator, could impact patient safety, or treatment with therapeutic oral or IV antibiotics within 14 days prior to Day 1 of Cycle 1
  • Prior treatment with any KRAS G12C inhibitor or pan-KRAS/RAS inhibitor
  • More than 30 Gy of radiotherapy to the lung within 6 months of randomization
  • Uncontrolled tumor-related pain
  • Unresolved toxicities from prior anticancer therapy
  • History of malignancy within 5 years prior to screening, with the exception of the cancer under investigation in this study and malignancies with a negligible risk of metastasis or death (e.g., 5-year OS rate >90%), such as adequately treated carcinoma in situ of the cervix, nonmelanoma skin carcinoma, localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
DivarasibDivarasibParticipants will receive divarasib orally, once daily (QD).
KRAS G12C inhibitorSotorasibParticipants will receive Sotorasib orally QD or adagrasib orally twice a day (BID)
KRAS G12C inhibitorAdagrasibParticipants will receive Sotorasib orally QD or adagrasib orally twice a day (BID)
Primary Outcome Measures
NameTimeMethod
Progression-Free Survival (PFS)Up to approximately 4 years

PFS is defined as the time from randomization to the first occurrence of disease progression, as determined by blinded independent central review (BICR) according to RECIST v1.1, or death from any cause (whichever occurs first)

Secondary Outcome Measures
NameTimeMethod
TTCD on the Chest Pain Scale of the QLQ-LC13 ScalesUp to approximately 4 years
Overall Survival (OS)Up to approximately 4 years

OS is defined as the time from randomization to death from any cause

Objective ResponseUp to approximately 4 years

Objective response is defined as complete response (CR) or partial response (PR) as determined by BICR according to RECIST v1.1

Time to Confirmed Deterioration (TTCD) on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Dyspnea Item and Physical Functioning ScaleBaseline up to approximately 4 years
TTCD on the EORTC Quality-of-Life Questionnaire-Supplemental Lung Cancer Module (QLQ-LC13) Cough ScaleBaseline up to approximately 4 years
Duration of Response (DOR)Up to approximately 4 years

DOR is defined as the time from the first occurrence of a documented objective response to disease progression, as determined by BICR according to RECIST v1.1, or death from any cause (whichever occurs first)

Percentage of Participants with Adverse Events (AEs)Up to approximately 4 years
Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Treatment Toxicities Assessed by NCI Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE)Up to approximately 4 years
Change from Baseline in Diarrhea, Nausea, Vomiting, Anorexia, Alopecia, Dyspnea, Cough, Constipation, Myalgia, Headache, and Rash/Acne as Assessed Through use of the NCI PRO-CTCAEBaseline up to approximately 4 years
Frequency of Participants' Response of the Degree they are Troubled with Treatment Symptoms, as Assessed Through use of the single-item EORTC Item List (IL46)Up to approximately 4 years
Change from Baseline in Cough, Chest Pain, Dyspnea, Physical and Role Functioning, and Global Health Status score/Quality of Life Score (GHS/QoL) at Each Timepoint as Assessed Through use of the EORTC QLQ-LC13 and QLQ-C30Baseline up to approximately 4 years
TTCD on the EORTC QLQ-C30 Role Functioning and GHS/QoL scalesUp to approximately 4 years

Trial Locations

Locations (243)

Amphia Ziekenhuis

🇳🇱

Breda, Netherlands

Dolno?L?Skie Centrum Onkologii, Pulmonologii I Hematologii

🇵🇱

Wroc?aw, Poland

Hospital de Braga

🇵🇹

Braga, Portugal

Hospital Vall Hebron

🇪🇸

Barcelona, Spain

Gävle Sjukhus

🇸🇪

Gävle, Sweden

Hsin-Chu Branch of National Taiwan University Hospital

🇨🇳

Hsinchu City, Taiwan

Kaohsiung Medical University Chung-Ho Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

CHRU Brest

🇫🇷

Brest, France

Regionshospitalet Gødstrup

🇩🇰

Herning, Denmark

Hia Sainte Anne

🇫🇷

Toulon, France

Chu Toulouse

🇫🇷

Bron, France

Evangelische Lungenklinik Berlin

🇩🇪

Berlin, Germany

Hopital Louis Pradel

🇫🇷

Bron, France

CHRU Lille

🇫🇷

Lille, France

New York Cancer & Blood Specialists

🇺🇸

Bronx, New York, United States

Sanatorio Parque S.A.

🇦🇷

Rosario, Argentina

Hopital Tenon

🇫🇷

Paris, France

Renown Regional Medical Center Hospital

🇺🇸

Reno, Nevada, United States

Turku Uni Central Hospital

🇫🇮

Turku, Finland

Kinghorn Cancer Centre

🇦🇺

Darlinghurst, New South Wales, Australia

CHU Angers

🇫🇷

Angers, France

CHU Bordeaux

🇫🇷

Pessac, France

Banner Health MD Anderson AZ

🇺🇸

Gilbert, Arizona, United States

University of Arkansas For Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

UCLA Hematology / Oncology Clinic

🇺🇸

Los Angeles, California, United States

Community Clinical Trials

🇺🇸

Orange, California, United States

Centro Oncologico Korben

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

University of California, San Francisco

🇺🇸

San Francisco, California, United States

UC Health Oncology Research

🇺🇸

Colorado Springs, Colorado, United States

Yale Cancer Center

🇺🇸

New Haven, Connecticut, United States

Bay Pines Foundation Inc

🇺🇸

Bay Pines, Florida, United States

Florida Cancer Specialists

🇺🇸

West Palm Beach, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Cancer Specialists of North Florida

🇺🇸

Saint Augustine, Florida, United States

Florida Cancer Specialists.

🇺🇸

Saint Petersburg, Florida, United States

University Cancer & Blood Center, LLC

🇺🇸

Athens, Georgia, United States

Summit Cancer Care PC

🇺🇸

Savannah, Georgia, United States

University of Chicago Medical Center

🇺🇸

Chicago, Illinois, United States

IU Health Ball Memorial Hospital

🇺🇸

Muncie, Indiana, United States

Mission Cancer + Blood - IMMC

🇺🇸

Waukee, Iowa, United States

Baptist Health Lexington

🇺🇸

Lexington, Kentucky, United States

Norton Cancer Institute- Poplar

🇺🇸

Louisville, Kentucky, United States

VA Shreveport Healthcare System

🇺🇸

Shreveport, Louisiana, United States

New England Cancer Specialists

🇺🇸

Scarborough, Maine, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Henry Ford Health System;Clinical Trials Office

🇺🇸

Detroit, Michigan, United States

Cancer and Hematology Centers of Western Michigan

🇺🇸

Grand Rapids, Michigan, United States

Nebraska Methodist Estabrook Cancer Center

🇺🇸

Omaha, Nebraska, United States

CH de Saint Quentin

🇫🇷

Saint Quentin, France

New York Cancer & Blood Specialists - New Hyde Park

🇺🇸

New Hyde Park, New York, United States

New York Cancer and Blood Specialists-Central Park Hematology & Oncology

🇺🇸

New York, New York, United States

Mount SInai Medical Center

🇺🇸

New York, New York, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

North Shore Hematology Oncology Associates P.C. DBA New York Cancer and Blood Specialists

🇺🇸

Shirley, New York, United States

University of North Carolina At Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

East Carolina University

🇺🇸

Greenville, North Carolina, United States

Firsthealth of The Carolinas

🇺🇸

Pinehurst, North Carolina, United States

Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

SCRI Mark H. Zangmeister Center

🇺🇸

Columbus, Ohio, United States

Taylor Cancer Research Center

🇺🇸

Maumee, Ohio, United States

Oncology Associates of Oregon, P.C

🇺🇸

Eugene, Oregon, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

Allegheny Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Gibbs Cancer Center & Research Institute

🇺🇸

Spartanburg, South Carolina, United States

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

Tennessee Oncology, PLLC - Chattanooga

🇺🇸

Chattanooga, Tennessee, United States

Baptist Clinical Research Institute

🇺🇸

Memphis, Tennessee, United States

Tennessee Oncology

🇺🇸

Nashville, Tennessee, United States

JPS Health Network

🇺🇸

Fort Worth, Texas, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Virginia Commonwealth University - Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

Hospital Britanico

🇦🇷

Buenos Aires, Argentina

Chru de Strasbourg

🇫🇷

Strasbourg, France

Clinica Adventista Belgrano

🇦🇷

Ciudad Autonoma Buenos Aires, Argentina

Clinica Onconeo

🇧🇷

Campo Grande, Mato Grosso Do Sul, Brazil

Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

GenesisCare North Shore

🇦🇺

St Leonards, New South Wales, Australia

Sunshine Coast University Hospital

🇦🇺

Birtinya, Queensland, Australia

Lyell McEwin Hospital

🇦🇺

Elizabeth Vale, South Australia, Australia

Peter Maccallum Cancer Centre

🇦🇺

Melbourne, Victoria, Australia

Klinik Penzing

🇦🇹

Wien, Austria

Institut für Lungenforschung Wien

🇦🇹

Wien, Austria

Krankenhaus Nord - Klinik Floridsdorf

🇦🇹

Wien, Austria

AZORG Campus Aalst-Moorselbaan

🇧🇪

Aalst, Belgium

UZ Brussel

🇧🇪

Brussel, Belgium

Cliniques Universitaires St-Luc

🇧🇪

Bruxelles, Belgium

UZ Antwerpen

🇧🇪

Edegem, Belgium

Jessa Zkh (Campus Virga Jesse)

🇧🇪

Hasselt, Belgium

CHU Sart-Tilman

🇧🇪

Liège, Belgium

CHU UCL Mont-Godinne

🇧🇪

Mont-godinne, Belgium

AZ Delta (Campus Rumbeke)

🇧🇪

Roeselare, Belgium

Vitaz

🇧🇪

Sint Niklaas, Belgium

Sint Augustinus Wilrijk

🇧🇪

Wilrijk, Belgium

Hospital Sao Rafael - HSR

🇧🇷

Salvador, Bahia, Brazil

Hospital Brasilia

🇧🇷

Brasilia, Distrito Federal, Brazil

Santa Casa de Misericordia de Porto Alegre

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Hospital Nossa Senhora da Conceicao

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Hospital Mae de Deus

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Hospital de Cancer de Barretos

🇧🇷

Barretos, São Paulo, Brazil

Hospital de Base de Sao Jose do Rio Preto

🇧🇷

Sao Jose do Rio Preto, São Paulo, Brazil

Hospital Sírio-Libanês

🇧🇷

Sao Paulo, São Paulo, Brazil

Hospital Alemao Oswaldo Cruz

🇧🇷

Sao Paulo, São Paulo, Brazil

Oncoclinicas Rio de Janeiro S.A.

🇧🇷

Rio de Janeiro, Brazil

William Osler Health Centre - Brampton Civic Hospital

🇨🇦

Brampton, Ontario, Canada

Princess Margaret Cancer Center

🇨🇦

Toronto, Ontario, Canada

Jewish General Hospital

🇨🇦

Montreal, Quebec, Canada

Aarhus Universitetshospital

🇩🇰

Aarhus N, Denmark

Herlev Hospital

🇩🇰

Herlev, Denmark

Helsinki University Central Hospital

🇫🇮

Helsinki, Finland

Kuopio Uni Hospital

🇫🇮

Kuopio, Finland

Centre Leon Berard

🇫🇷

Lyon, France

CHU Montpellier

🇫🇷

Montpellier, France

Centre Antoine Lacassagne Centre Régional de Lutte Contre Le Cancer

🇫🇷

Nice, France

Charité Universitätsmedizin Berlin, Med Klinik Infekto und Pneumo

🇩🇪

Berlin, Germany

Helios Klinikum Emil von Behring GmbH

🇩🇪

Berlin, Germany

Klinikum Braunschweig

🇩🇪

Braunschweig, Germany

KEM/Evang. Kliniken Essen Mitte gGmbH

🇩🇪

Essen, Germany

Universitätsklinikum Essen

🇩🇪

Essen, Germany

Klinikum Esslingen

🇩🇪

Esslingen, Germany

Asklepios Fachkliniken GmbH

🇩🇪

Gauting, Germany

LungenClinic Großhansdorf GmbH

🇩🇪

Großhansdorf, Germany

Krankenhaus Martha-Maria Halle-Doelau gGmbH

🇩🇪

Halle, Germany

Thoraxklinik Heidelberg gGmbH

🇩🇪

Heidelberg, Germany

Lungenklinik Hemer

🇩🇪

Hemer, Germany

Queen Mary Hospital

🇭🇰

Hong Kong, Hong Kong

Universität Des Saarlandes

🇩🇪

Homburg, Germany

Lungenfachklinik Immenhausen

🇩🇪

Immenhausen, Germany

Uniklinik Schleswig-Holstein

🇩🇪

Kiel, Germany

Klinikum Koeln-Merheim

🇩🇪

Köln, Germany

SLK Kliniken Heilbronn GmbH, Standort Fachklinik Löwenstein

🇩🇪

Löwenstein, Germany

Universitätsklinikum Schleswig-Holstein

🇩🇪

Lübeck, Germany

Universität Mannheim

🇩🇪

Mannheim, Germany

Klinikum Bogenhausen

🇩🇪

München, Germany

Universitätsklinikum Münster, Medizinische Klinik A, Translationale Onkologie

🇩🇪

Münster, Germany

Pius Hospital Oldenburg

🇩🇪

Oldenburg, Germany

Universitätsklinikum Regensburg

🇩🇪

Regensburg, Germany

Klinikum Würzburg Mitte gGmbH

🇩🇪

Würzburg, Germany

Uoa Sotiria Hospital

🇬🇷

Athens, Greece

Errikos Dynan Hospital

🇬🇷

Athens, Greece

Metropolitan Hospital Fourth Oncology Clinic

🇬🇷

Faliro, Greece

University Hospital of Larissa

🇬🇷

Larissa, Greece

Theageneio Hospital

🇬🇷

Thessaloniki, Greece

Ag. Loukas Hospital

🇬🇷

Thessaloniki, Greece

Hong Kong Integrated Oncology Centre

🇭🇰

Hong Kong, Hong Kong

Tuen Mun Hospital

🇭🇰

Hong Kong, Hong Kong

Prince of Wales Hosp

🇭🇰

Shatin, Hong Kong

Az. Osp. Pugliese Ciaccio

🇮🇹

Catanzaro, Calabria, Italy

AZ.Osp S. Orsola ? Malpighi-Reparto di Oncologia Medica

🇮🇹

Bologna, Emilia-Romagna, Italy

A.O. Universitaria Di Parma

🇮🇹

Parma, Emilia-Romagna, Italy

AUSL della Romagna

🇮🇹

Ravenna, Emilia-Romagna, Italy

Azienda Sanitaria Universitaria Friuli Centrale ? PO Universitario Santa Maria della Misericordia

🇮🇹

Udine, Friuli-Venezia Giulia, Italy

IRCCS Istituto Regina Elena (IFO)

🇮🇹

Roma, Lazio, Italy

Ospedale Policlinico San Martino

🇮🇹

Genova, Liguria, Italy

Asst Papa Giovanni XXIII

🇮🇹

Bergamo, Lombardia, Italy

IRCCS Istituto Clinico Humanitas

🇮🇹

Rozzano (MI), Lombardia, Italy

A.O.U. Maggiore della Carità

🇮🇹

Novara, Piemonte, Italy

Irccs Ist. Tumori Giovanni Paolo Ii

🇮🇹

Bari, Puglia, Italy

Ospedale Civile SS Annunziata

🇮🇹

Sassari, Sardegna, Italy

AO Ospedali Riuniti Villa Sofia-Cervello-Presidio Ospedaliero Cervello

🇮🇹

Palermo, Sicilia, Italy

Azienda Ospedaliero-Universitaria Careggi

🇮🇹

Firenze, Toscana, Italy

Azienda Ospedaliero Universitaria Pisana

🇮🇹

Pisa, Toscana, Italy

IRCCS Istituto Oncologico Veneto (IOV)

🇮🇹

Padova, Veneto, Italy

Shikoku Cancer Center

🇯🇵

Ehime, Japan

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

Hokkaido University Hospital

🇯🇵

Hokkaido, Japan

Sendai Kousei Hospital

🇯🇵

Miyagi, Japan

Niigata Cancer Center Hospital

🇯🇵

Niigata, Japan

Okayama University Hospital

🇯🇵

Okayama, Japan

Kindai University Hospital

🇯🇵

Osaka, Japan

Shizuoka Cancer Center

🇯🇵

Shizuoka, Japan

National Cancer Center Hospital

🇯🇵

Tokyo, Japan

The Cancer Institute Hospital of JFCR

🇯🇵

Tokyo, Japan

Wakayama Medical University Hospital

🇯🇵

Wakayama, Japan

Pusan National University Hospital

🇰🇷

Busan, Korea, Republic of

Chungbuk National University Hospital

🇰🇷

Cheongju-si, Korea, Republic of

Kyungpook National University Chilgok Hospital

🇰🇷

Daegu, Korea, Republic of

Keimyung University Dongsan Medical Center

🇰🇷

Daegu, Korea, Republic of

St. Vincent's Hospital

🇰🇷

Gyeonggi-do, Korea, Republic of

Pusan National University Yangsan Hospital

🇰🇷

Gyeongsangnam-do, Korea, Republic of

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Chonnam National University Hwasun Hospital

🇰🇷

Jeollanam-do, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Korea University Guro Hospital

🇰🇷

Seoul, Korea, Republic of

Centro de Infusion E Investigacion Oncologia de Saltillo Sc

🇲🇽

Saltillo, Coahuila, Mexico

Hospital Civil de Guadalajara Fray Antonio Alcalde

🇲🇽

Guadalajara, Jalisco, Mexico

Clínica Integral Internacional de Oncología S de RL de CV

🇲🇽

Heroica Puebla de Zaragoza, Puebla, Mexico

PanAmerican Clinical Research, Querétaro

🇲🇽

Santiago de Querétaro, Queretaro, Mexico

ARKE Estudios Clínicos S.A. de C.V.

🇲🇽

Ciudad de México, Mexico

Jeroen Bosch Ziekenhuis

🇳🇱

'S Hertogenbosch, Netherlands

Ziekenhuis Rijnstate

🇳🇱

Arnhem, Netherlands

Ziekenhuis St. Jansdal

🇳🇱

Harderwijk, Netherlands

Medisch Centrum Haaglanden, locatie Antoniushove

🇳🇱

Leidschendam, Netherlands

Isala

🇳🇱

Zwolle, Netherlands

Instytut "Centrum Zdrowia Matki Polki"

🇵🇱

?ód?, Poland

Kujawsko-Pomorskie Centrum Pulmonologii

🇵🇱

Bydgoszcz, Poland

Uniwersyteckie Centrum Kliniczne, Klinika Onkologii i Radioterapii

🇵🇱

Gdansk, Poland

Krakowski Szpital Specjalistyczny im sw. Jana Paw?a II

🇵🇱

Kraków, Poland

Uniwersytecki Szpital Kliniczny nr 4 w Lublinie

🇵🇱

Lublin, Poland

Warminsko-Mazurskie Centrum Chorób P?uc w Olsztynie

🇵🇱

Olsztyn, Poland

Wielkopolskie Centrum Pulmonologii i Torakochirurgii w Poznaniu

🇵🇱

Poznan, Poland

Radomskie Centrum Onkologii

🇵🇱

Radom, Poland

Instytut Gruzlicy I Chorob Pluc

🇵🇱

Warszawa, Poland

Narod.Inst.Onkol. im. M.Sklodowskiej - Curie-Panst.Inst.Bad

🇵🇱

Warszawa, Poland

CHUC - Unidade de Pneumologia Oncológica

🇵🇹

Coimbra, Portugal

Centro Clinico Champalimaud

🇵🇹

Lisboa, Portugal

Centro Hospitalar do Porto ? Hospital de Santo António

🇵🇹

Porto, Portugal

IPO do Porto

🇵🇹

Porto, Portugal

National Cancer Centre

🇸🇬

Singapore, Singapore

Curie Oncology (Farrer)

🇸🇬

Singapore, Singapore

Institut Catala d Oncologia Hospitalet

🇪🇸

Hospitalet de Llobregat, Barcelona, Spain

Hospital Nuestra Senora de Valme

🇪🇸

Seville, Sevilla, Spain

Hospital de la Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Hospital General Universitario Gregorio Marañon

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Regional Universitario de Malaga

🇪🇸

Malaga, Spain

Hospital Universitario la Fe

🇪🇸

Valencia, Spain

Hospital Universitario Miguel Servet

🇪🇸

Zaragoza, Spain

Chung Shan Medical University Hospital

🇨🇳

Taichung, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei, Taiwan

Chang Gung Medical Foundation - Linkou

🇨🇳

Taoyuan, Taiwan

Vajira Hospital

🇹🇭

Bangkok, Thailand

Siriraj Hospital - Chulabhorn Bone Marrow Transplant Centre

🇹🇭

Bangkok, Thailand

Srinagarind Hospital

🇹🇭

Khon Kaen, Thailand

Songklanagarind Hospital

🇹🇭

Songkhla, Thailand

Blackpool Victoria Hospital

🇬🇧

Blackpool, United Kingdom

Addenbrooke's Hospital

🇬🇧

Cambridge, United Kingdom

Velindre NHS Trust - Velindre Cancer Centre

🇬🇧

Cardiff, United Kingdom

Castle Hill Hospital

🇬🇧

Cottingham, United Kingdom

Beatson West of Scotland Cancer Centre

🇬🇧

Glasgow, United Kingdom

St James University Hospital

🇬🇧

Leeds, United Kingdom

Guy's Hospital - Cancer Centre

🇬🇧

London, United Kingdom

Royal Marsden Hospital - London

🇬🇧

London, United Kingdom

The Christie NHS Foundation Trust

🇬🇧

Manchester, United Kingdom

Nottingham City Hospital

🇬🇧

Nottingham, United Kingdom

University Hospitals of North Midlands NHS Trust-Royal Stoke University Hospital

🇬🇧

Stoke-On-Trent, United Kingdom

Royal Marsden Hospital (Sutton)

🇬🇧

Sutton, United Kingdom

Torbay Hospital

🇬🇧

Torquay, United Kingdom

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