MedPath

Study of Pembrolizumab/Vibostolimab (MK-7684A) in Combination With Concurrent Chemoradiotherapy Followed by Pembrolizumab/Vibostolimab Versus Concurrent Chemoradiotherapy Followed by Durvalumab in Participants With Stage III Non-small Cell Lung Cancer (MK-7684A-006)

Phase 3
Active, not recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Registration Number
NCT05298423
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

Researchers are looking for new ways to treat people with locally advanced non-small cell lung cancer (NSCLC). The goal of this study is to learn if people who receive the combination of vibostolimab and pembrolizumab (MK-7684A) live longer without the cancer getting worse and live longer overall than people who receive durvalumab.

Detailed Description

As of protocol amendment 4, participants receiving combination vibostolimab and pembrolizumab (MK-7684A) discontinued treatment due to lack of efficacy observed in other MK-7684A studies, and are given the option to transition to durvalumab therapy.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
611
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapypembrolizumab/vibostolimabFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapydurvalumabFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapycisplatinFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapypemetrexedFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapyetoposideFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapycarboplatinFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapypaclitaxelFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
pembrolizumab/vibostolimab coformulation+chemotherapy+radiotherapythoracic radiotherapyFor the first 3 cycles, participants receive pembrolizumab/vibostolimab (coformulation of 200 mg pembrolizumab and 200 mg vibostolimab) intravenously (IV) on Day 1 plus 3 cycles of investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2, 3. Participants receive pembrolizumab/vibostolimab for Cycles 4-20 or until discontinuation (up to \~14 months). Cycles 1-20 are 21-day cycles. As of protocol amendment 4, participants receiving pembrolizumab/vibostolimab must stop ongoing treatment with pembrolizumab/vibostolimab and will be offered the option to transition to post-cCRT durvalumab consolidation therapy, to complete up to 1 year of consolidation immunotherapy.
chemotherapy+radiotherapy+durvalumabdurvalumabFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabcisplatinFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabpemetrexedFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabetoposideFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabcarboplatinFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabpaclitaxelFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
chemotherapy+radiotherapy+durvalumabthoracic radiotherapyFor the first 3 cycles, participants will receive investigator's choice of platinum doublet chemotherapy and concurrent standard thoracic radiotherapy during Cycles 2 and 3. Following concurrent chemoradiotherapy (cCRT), participants receive durvalumab 10 mg/kg every 2 weeks for up to an additional 26 cycles or until discontinuation (up to approximately 14 months). cCRT Cycles 1-3=21-day cycles; durvalumab Cycles 1-26=14-day cycles.
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Experience at Least One Adverse Event (AE)Up to approximately 48 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Number of Participants Who Discontinue Study Treatment Due to an Adverse Event (AE)Up to approximately 48 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (160)

VA Long Beach Healthcare System ( Site 2831)

🇺🇸

Long Beach, California, United States

VA West Los Angeles Medical Center ( Site 2808)

🇺🇸

Los Angeles, California, United States

Millennium Oncology Research Clinic ( Site 2801)

🇺🇸

Hollywood, Florida, United States

Mid Florida Hematology and Oncology Center ( Site 2800)

🇺🇸

Orange City, Florida, United States

Moffitt Cancer Center ( Site 2818)

🇺🇸

Tampa, Florida, United States

University of Chicago Medical Center ( Site 2828)

🇺🇸

Chicago, Illinois, United States

Franciscan St. Francis Health ( Site 2812)

🇺🇸

Indianapolis, Indiana, United States

MFSMC-HJWCI ( Site 2804)

🇺🇸

Baltimore, Maryland, United States

Boston Medical Center ( Site 2829)

🇺🇸

Boston, Massachusetts, United States

University of Massachusetts Chan Medical School ( Site 2815)

🇺🇸

Worcester, Massachusetts, United States

University of Missouri Hospital ( Site 2839)

🇺🇸

Columbia, Missouri, United States

Cox Medical Center North-Cox Medical Center/Hulston Cancer Center/ Radiation Oncology ( Site 2837)

🇺🇸

Springfield, Missouri, United States

Rutgers Cancer Institute of New Jersey ( Site 2805)

🇺🇸

New Brunswick, New Jersey, United States

Icahn School of Medicine at Mount Sinai ( Site 2821)

🇺🇸

New York, New York, United States

White Plains Hospital ( Site 2835)

🇺🇸

White Plains, New York, United States

Kaiser Permanente Northwest-Central Interstate--Oncology ( Site 2816)

🇺🇸

Portland, Oregon, United States

Lancaster General Hospital - Ann B Barshinger Cancer Institute ( Site 2827)

🇺🇸

Lancaster, Pennsylvania, United States

Thomas Jefferson University - Clinical Research Institute ( Site 2813)

🇺🇸

Philadelphia, Pennsylvania, United States

Millennium Research & Clinical Development ( Site 2811)

🇺🇸

Houston, Texas, United States

Central Texas Veterans health care-Oncology & Hematology ( Site 2819)

🇺🇸

Temple, Texas, United States

MultiCare Health System ( Site 2817)

🇺🇸

Tacoma, Washington, United States

Instituto Médico Río Cuarto ( Site 3600)

🇦🇷

Rio Cuarto, Cordoba, Argentina

Sanatorio Parque ( Site 3602)

🇦🇷

Rosario, Santa Fe, Argentina

Clinica Adventista Belgrano ( Site 3601)

🇦🇷

Caba, Argentina

Canberra Hospital ( Site 0010)

🇦🇺

Canberra, Australian Capital Territory, Australia

Icon Cancer Centre Hobart ( Site 0003)

🇦🇺

Hobart, Tasmania, Australia

Ballarat Health Services-Medical Oncology ( Site 0002)

🇦🇺

Ballarat Central, Victoria, Australia

Frankston Hospital-Oncology and Haematology ( Site 0009)

🇦🇺

Frankston, Victoria, Australia

St Vincent's Hospital-Oncology Clinical Trials ( Site 0005)

🇦🇺

Melbourne, Victoria, Australia

Hospital Nossa Senhora da Conceição ( Site 0111)

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Instituto de Educação, Pesquisa e Gestão em Saúde ( Site 0105)

🇧🇷

Rio de Janeiro, Brazil

A. C. Camargo Cancer Center-CAPEC ( Site 0102)

🇧🇷

Sao Paulo, Brazil

James Lind Centro de Investigacion del Cancer ( Site 0202)

🇨🇱

Temuco, Araucania, Chile

Biocenter ( Site 0208)

🇨🇱

Concepcion, Biobio, Chile

FALP-UIDO ( Site 0205)

🇨🇱

Santiago, Region M. De Santiago, Chile

Centro de Oncología de Precisión ( Site 0209)

🇨🇱

Santiago, Region M. De Santiago, Chile

Bradfordhill ( Site 0200)

🇨🇱

Santiago, Region M. De Santiago, Chile

ONCOCENTRO APYS-ACEREY ( Site 0203)

🇨🇱

Viña del Mar, Valparaiso, Chile

Beijing Cancer hospital-intrathoratic deparmtment II ( Site 0328)

🇨🇳

Beijing, Beijing, China

Beijing Cancer hospital-Oncology Radiotherapy Department ( Site 0309)

🇨🇳

Beijing, Beijing, China

Beijing Peking Union Medical College Hospital-pneumology department ( Site 0300)

🇨🇳

Beijing, Beijing, China

Army Medical Center of People's Liberation Army-Oncology Department ( Site 0321)

🇨🇳

Chongqing, Chongqing, China

Fujian Medical University Union Hospital-1 Bingfanglou ( Site 0330)

🇨🇳

Fuzhou Fujian, Fujian, China

Fujian Provincial Cancer Hospital ( Site 0316)

🇨🇳

Fuzhou, Fujian, China

The First Affiliated hospital of Xiamen University-oncology ( Site 0317)

🇨🇳

Xiamen, Fujian, China

Southern Medical University Nanfang Hospital-Department of Oncology ( Site 0336)

🇨🇳

Guangzhou, Guangdong, China

Fourth Hospital of Hebei Medical University ( Site 0331)

🇨🇳

Shijiazhuang, Hebei, China

Henan Cancer Hospital ( Site 0333)

🇨🇳

Zhengzhou, Henan, China

Union Hospital Tongji Medical College Huazhong University of Science and Technology ( Site 0315)

🇨🇳

Wuhan, Hubei, China

Hubei Cancer Hospital ( Site 0311)

🇨🇳

Wuhan, Hubei, China

Xiangya Hospital Central South University-Oncology department ( Site 0310)

🇨🇳

Changsha, Hunan, China

Hunan Cancer Hospital ( Site 0307)

🇨🇳

Changsha, Hunan, China

The Second Affiliated Hospital of Soochow University ( Site 0314)

🇨🇳

Suzhou, Jiangsu, China

Affiliated Hospital of Jiangsu University ( Site 0305)

🇨🇳

Zhenjiang, Jiangsu, China

Jilin Cancer Hospital-oncology department ( Site 0319)

🇨🇳

Changchun, Jilin, China

Shandong Provincial Hospital ( Site 0326)

🇨🇳

Jinan, Shandong, China

Qingdao Central Hospital-Endocrinology ( Site 0332)

🇨🇳

Qingdao, Shandong, China

Shanghai Chest Hospital-Radiotherapy Department ( Site 0306)

🇨🇳

Shanghai, Shanghai, China

Fudan University Shanghai Cancer Center ( Site 0304)

🇨🇳

Shanghai, Shanghai, China

Shanghai Pulmonary Hospital-Radiotherapy department ( Site 0335)

🇨🇳

Shanghai, Shanghai, China

Shanxi Cancer Hospital-Pulmonology ( Site 0322)

🇨🇳

Taiyuan, Shanxi, China

West China Hospital of Sichuan University ( Site 0324)

🇨🇳

Cheng Du, Sichuan, China

Tianjin Cancer Hospital ( Site 0329)

🇨🇳

Tianjin, Tianjin, China

Hangzhou Cancer Hospital-Medical Oncology ( Site 0302)

🇨🇳

Hangzhou, Zhejiang, China

The Second Affiliated hospital of Zhejiang University school of medicine ( Site 0301)

🇨🇳

Hangzhou, Zhejiang, China

Zhejiang Cancer Hospital ( Site 0308)

🇨🇳

Hangzhou, Zhejiang, China

CIMCA ( Site 0501)

🇨🇷

San José, San Jose, Costa Rica

PROCLINICAL Pharma ( Site 0504)

🇨🇷

San José, San Jose, Costa Rica

Hospital Metropolitano - Sede Lindora ( Site 0503)

🇨🇷

Santa Ana, San Jose, Costa Rica

Masarykuv onkologicky ustav ( Site 3500)

🇨🇿

Brno, Brno-mesto, Czechia

Fakultni nemocnice Ostrava-Klinika onkologicka ( Site 3502)

🇨🇿

Ostrava, Moravskoslezsky Kraj, Czechia

Instituto de Oncologia ( Site 3003)

🇩🇴

Santo Domingo, Distrito Nacional, Dominican Republic

Onconet ( Site 3002)

🇩🇴

Distrito Nacional, Santo Domingo, Dominican Republic

Klinikum Chemnitz-Klinik für Innere Medizin IV ( Site 0607)

🇩🇪

Chemnitz, Sachsen, Germany

LungenClinic Grosshansdorf-Onkologie ( Site 0602)

🇩🇪

Grosshansdorf, Schleswig-Holstein, Germany

Universitaetsklinikum Schleswig-Holstein Campus Kiel-Medizinische Klinik II, Hämatologie und Onkolo

🇩🇪

Kiel, Schleswig-Holstein, Germany

Charité Campus Virchow-Klinikum-Department of Infectious Diseases and Pulmonary Medicine ( Site 0603

🇩🇪

Berlin, Germany

Errikos Dunant Hospital Center-Second Department of Oncology and Clinical Trials Unit ( Site 0703)

🇬🇷

Athens, Attiki, Greece

Alexandra General Hospital of Athens-ONCOLOGY DEPT. ( Site 0706)

🇬🇷

Athens, Attiki, Greece

Sotiria Thoracic Diseases Hospital of Athens ( Site 0704)

🇬🇷

Athens, Attiki, Greece

Metropolitan Hospital ( Site 0702)

🇬🇷

Athens, Attiki, Greece

General Oncology Hospital of Kifissia "Agioi Anargiroi"-2nd Department of Medical Oncology ( Site 07

🇬🇷

Nea Kifissia, Attiki, Greece

University General Hospital of Heraklion-Internal Medicine-Oncology ( Site 0700)

🇬🇷

Heraklion, Irakleio, Greece

European Interbalkan Medical Center ( Site 0701)

🇬🇷

Thessaloniki, Greece

Private Practice- Dr. Rixci Augusto Lenin Ramírez ( Site 0802)

🇬🇹

Ciudad de Guatemala, Guatemala

MEDI-K ( Site 0807)

🇬🇹

Guatemala, Guatemala

Centro Regional de Sub Especialidades Médicas SA ( Site 0801)

🇬🇹

Quetzaltenango, Guatemala

Centro Medico Integral De Cancerología (CEMIC) ( Site 0805)

🇬🇹

Quetzaltenango, Guatemala

Rambam Health Care Campus-Oncology ( Site 1001)

🇮🇱

Haifa, Israel

Shaare Zedek Medical Center ( Site 1003)

🇮🇱

Jerusalem, Israel

Rabin Medical Center ( Site 1004)

🇮🇱

Petah Tikva, Israel

Sheba Medical Center-ONCOLOGY ( Site 1000)

🇮🇱

Ramat Gan, Israel

Sourasky Medical Center ( Site 1002)

🇮🇱

Tel Aviv, Israel

Istituto Nazionale Tumori IRCCS Fondazione Pascale-Oncologia medica Toraco-Polmonare ( Site 1107)

🇮🇹

Napoli, Campania, Italy

Policlinico Universitario Campus Bio-Medico-Radiation Oncology ( Site 1101)

🇮🇹

Roma, Lazio, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1100)

🇮🇹

Milan, Lombardia, Italy

Ospedale San Gerardo-ASST Monza-Oncologia ( Site 1102)

🇮🇹

Monza, Lombardia, Italy

Fondazione IRCCS Policlinico San Matteo ( Site 1103)

🇮🇹

Pavia, Lombardia, Italy

Azienda Ospedaliera Spedali Civili di Brescia ( Site 1105)

🇮🇹

Brescia, Italy

Ospedale San Raffaele ( Site 1104)

🇮🇹

Milano, Italy

National Hospital Organization Shikoku Cancer Center ( Site 1211)

🇯🇵

Matsuyama, Ehime, Japan

Kurume University Hospital ( Site 1212)

🇯🇵

Kurume, Fukuoka, Japan

Kobe Minimally Invasive Cancer Center ( Site 1210)

🇯🇵

Kobe, Hyogo, Japan

Kanagawa cancer center ( Site 1204)

🇯🇵

Yokohama, Kanagawa, Japan

Miyagi Cancer Center ( Site 1200)

🇯🇵

Natori, Miyagi, Japan

Sendai Kousei Hospital ( Site 1213)

🇯🇵

Sendai, Miyagi, Japan

Niigata Cancer Center Hospital ( Site 1205)

🇯🇵

Niigata-shi, Niigata, Japan

Kansai Medical University Hospital ( Site 1207)

🇯🇵

Hirakata, Osaka, Japan

Osaka Medical and Pharmaceutical University Hospital ( Site 1208)

🇯🇵

Takatsuki, Osaka, Japan

Saitama Prefectural Cancer Center ( Site 1201)

🇯🇵

Ina-machi, Saitama, Japan

Japanese Foundation for Cancer Research ( Site 1202)

🇯🇵

Koto, Tokyo, Japan

Showa University Hospital ( Site 1203)

🇯🇵

Shinagawa, Tokyo, Japan

Osaka International Cancer Institute ( Site 1209)

🇯🇵

Osaka, Japan

Chungbuk National University Hospital-Internal medicine ( Site 2400)

🇰🇷

Cheongju-si, Chungbuk, Korea, Republic of

The Catholic University Of Korea St. Vincent's Hospital-Medical Oncology ( Site 2401)

🇰🇷

Suwon-si, Kyonggi-do, Korea, Republic of

Ajou University Hospital-Hematology-Oncology ( Site 2402)

🇰🇷

Suwon-si, Kyonggi-do, Korea, Republic of

Severance Hospital, Yonsei University Health System-Lung Cancer Center ( Site 2403)

🇰🇷

Seoul, Korea, Republic of

University Malaya Medical Centre-Clinical Oncology ( Site 1402)

🇲🇾

Lembah Pantai, Kuala Lumpur, Malaysia

Hospital Pulau Pinang ( Site 1400)

🇲🇾

George Town, Pulau Pinang, Malaysia

Hospital Kuala Lumpur-Radiotherapy and Oncology ( Site 1401)

🇲🇾

Kuala Lumpur, Malaysia

Arké SMO S.A. de C.V. ( Site 1504)

🇲🇽

Mexico, Distrito Federal, Mexico

Actualidad Basada en la Investigación del Cáncer-Lung Cancer ( Site 1505)

🇲🇽

Guadalajara, Jalisco, Mexico

Centro Oncologico de Chihuahua-Unidad de Investigacion Clinica ( Site 1507)

🇲🇽

Chihuahua, Mexico

Centro de Investigacion Clinica de Oaxaca ( Site 1501)

🇲🇽

Oaxaca, Mexico

THE MEDICAL CITY-Cancer Research Center ( Site 3200)

🇵🇭

Pasig, National Capital Region, Philippines

Veterans Memorial Medical Center-Section of Oncology ( Site 3201)

🇵🇭

Quezon City, National Capital Region, Philippines

Champalimaud Foundation ( Site 2003)

🇵🇹

Lisbon, Lisboa, Portugal

Hospital CUF Descobertas ( Site 2006)

🇵🇹

Lisbon, Lisboa, Portugal

Unidade Local de Saude de Santo António - Hospital Santo António ( Site 2004)

🇵🇹

Porto, Portugal

Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 2001)

🇵🇹

Porto, Portugal

Centrul Medical Medicover Victoria ( Site 2106)

🇷🇴

Bucharest, Bucuresti, Romania

Amethyst Radiotherapy Center ( Site 2102)

🇷🇴

Florești, Cluj, Romania

Centrul de Oncologie "Sfântul Nectarie" ( Site 2100)

🇷🇴

Craiova, Dolj, Romania

Cabinet Medical Oncomed ( Site 2101)

🇷🇴

Timisoara, Timis, Romania

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 2610)

🇹🇷

Istanbul, Turkey

Radiology Therapeutic Center ( Site 2108)

🇷🇴

Otopeni, Ilfov, Romania

Centrul Medical Neolife- Baneasa ( Site 2110)

🇷🇴

Bucuresti, Romania

Abraham Oncology ( Site 2303)

🇿🇦

Richards Bay, Kwazulu-Natal, South Africa

Cape Town Oncology Trials ( Site 2306)

🇿🇦

Cape Town, Western Cape, South Africa

Hospital Universitari Vall d'Hebron ( Site 2501)

🇪🇸

Barcelona, Cataluna, Spain

HOSPITAL CLÍNIC DE BARCELONA-ICHMO- Clinic Institut of Haematological and Oncological diseases ( Sit

🇪🇸

Barcelona, Cataluna, Spain

CHUS - Hospital Clinico Universitario-Servicio de Oncologia ( Site 2502)

🇪🇸

Santiago de Compostela, La Coruna, Spain

Ege University Medicine of Faculty-Chest Diseases Department ( Site 2603)

🇹🇷

Bornova, Izmir, Turkey

Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 2607)

🇹🇷

Adana, Turkey

Ankara Gülhane Eitim ve Aratrma Hastanesi-Oncology ( Site 2602)

🇹🇷

Ankara, Turkey

Hacettepe Universitesi-oncology hospital ( Site 2605)

🇹🇷

Ankara, Turkey

Memorial Ankara Hastanesi-Medical Oncology ( Site 2609)

🇹🇷

Ankara, Turkey

Ankara City Hospital-Medical Oncology ( Site 2601)

🇹🇷

Ankara, Turkey

CANCERCARE LANGENHOVEN DRIVE ONCOLOGY CENTRE ( Site 2304)

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Port Elizabeth, Eastern Cape, South Africa

The Oncology Centre ( Site 2300)

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Durban, Kwazulu-Natal, South Africa

HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-ONCOLOGIA MEDICA ( Site 2504)

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Pozuelo de Alarcon, Madrid, Comunidad De, Spain

Medipol Mega Universite Hastanesi-oncology ( Site 2611)

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Stanbul, Istanbul, Turkey

Wilgers Oncology Centre ( Site 2301)

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Pretoria, Gauteng, South Africa

I.E.U. Medical Point Hastanesi-Oncology ( Site 2612)

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Izmir, Turkey

Limited Liability Company Ukrainian Center of Tomotherapy-Department of Chemotherapy ( Site 2905)

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Kropyvnytskyi, Kirovohradska Oblast, Ukraine

Municipal non-profit enterprise "Lviv Territorial Medical Union "Multidisciplinary Clinical Hospital

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Lviv, Lvivska Oblast, Ukraine

Rivne Regional Clinical Hospital ( Site 2919)

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Rivne, Rivnenska Oblast, Ukraine

Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council"

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Vinnytsia, Vinnytska Oblast, Ukraine

Volyn Regional clinical hospital. Regional Medical Oncology Centre. Oncology chemotherapy department

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Lutsk, Volynska Oblast, Ukraine

Universal Clinic Oberig-Oncology Center ( Site 2916)

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Kyiv, Ukraine

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