MedPath

Study Evaluating The Effects Of Neratinib After Adjuvant Trastuzumab In Women With Early Stage Breast Cancer

Phase 3
Completed
Conditions
Breast Cancer
Interventions
Other: placebo
Registration Number
NCT00878709
Lead Sponsor
Puma Biotechnology, Inc.
Brief Summary

The purpose of this study is to investigate whether neratinib can further reduce the risk of recurrence from previously diagnosed HER-2 positive breast cancer after adjuvant treatment with trastuzumab.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
2840
Inclusion Criteria
  • Stage II through IIIC HER-2/erbB-2 positive breast cancer with node positive disease.
  • Been treated for early breast cancer with standard of care duration of trastuzumab.
  • Could have been treated neoadjuvantly but have not reached pathologic complete response.
Exclusion Criteria
  • Positive clinical and radiologic assessments for local or regional recurrence of disease at the time of study entry.
  • History of heart disease.
  • Corrected QT (QTc) interval >0.45 seconds
  • History of gastrointestinal disease with diarrhea as the major symptom.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Neratinibneratinib240 mg orally daily for one year
Placeboplaceboorally daily for one year
Primary Outcome Measures
NameTimeMethod
Invasive Disease-free Survival (iDFS) in Neratinib Arm Compared to Placebo Arm at Year 2From randomization until time of event up to 2 years

Invasive disease-free survival time is defined as the time from date of randomization until the first disease recurrence of the following events: invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, distant recurrence and death from any cause.

Kaplan-Meier Estimates of Invasive Disease-free Survival (iDFS) at Year 2 by Treatment ArmsFrom randomization until time of event up to 2 years
Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Randomization until death due to any cause (up to 119 Months)

OS was defined as the time from randomization to death due to any cause, censored at the last date known alive.

Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) in Neratinib Arm Compared to Placebo Arm at Year 2From randomization until time of event up to 2 years

Disease-free survival including DCIS time is defined as the time from date of randomization until the first occurrence of DCIS or an iDFS event (an iDFS event including invasive ipsilateral breast tumor recurrence, invasive contralateral breast cancer, local/regional invasive recurrence, or distant recurrence and death from any.

Kaplan-Meier Estimates of Disease-free Survival Including Ductal Carcinoma in Situ (DFS-DCIS) at Year 2 by Treatment ArmsFrom randomization until time of event up to 2 years
Distant Disease-free Survival (DDFS) in Neratinib Arm Compared to Placebo Arm at Year 2From randomization until time of event up to 2 years

Distant disease-free survival time is defined as the time from date of randomization until the first occurrence of distant recurrence or death from any cause.

Kaplan-Meier Estimates of Distant Disease-free Survival (DDFS) at Year 2 by Treatment ArmsFrom randomization until time of event up to 2 years
Percentage of Participants With Time to Distant Recurrence (TTDR) Event in Neratinib Arm Compared to Placebo Arm at Year 2From randomization until time of event up to 2 years

Percentage of Participants with TTDR events is reported. TTDR is defined as the time from date of randomization until the first occurrence of distant recurrence or death from breast cancer.

Kaplan-Meier Estimates of Time to Distant Recurrence (TTDR) Survival at Year 2 by Treatment ArmsFrom randomization until time of event up to 2 years
Central Nervous System Recurrence in Neratinib Arm Compared to Placebo Arm at Year 2From randomization until time of event up to 2 years

CNS recurrence is defined as the time from randomization to CNS as the first distant recurrence. Competing events include distant recurrence at other sites as the first distant recurrence and death from any cause prior to distant recurrence.

Cumulative Incidence of Central Nervous System Recurrence (CNS) at Year 2From randomization until time of event up to 2 years

Cumulative incidence of Central Nervous System Recurrence (CNS) is estimated by Gray's method (Gray,1988).

Trial Locations

Locations (485)

Mercy Hospital Oncology/Hematology Center

🇺🇸

Portland, Maine, United States

Cancer Specialists of South Texas, P.A.

🇺🇸

Corpus Christi, Texas, United States

University Hospitals, Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Texas Oncology - Memorial City

🇺🇸

Houston, Texas, United States

Medicus Alliance Clinical Research Org., Inc.

🇺🇸

Houston, Texas, United States

The Methodist Hospital Breast Center

🇺🇸

Houston, Texas, United States

Central Indiana Cancer Centers

🇺🇸

Indianapolis, Indiana, United States

Hematology Oncology of Indiana

🇺🇸

Indianapolis, Indiana, United States

University Hospital of Patras

🇬🇷

Rio Patras, Greece

The Christ Hospital Cancer Center

🇺🇸

Cincinnati, Ohio, United States

Hospital Universitario de Canarias

🇪🇸

La Laguna, Santa Cruz De Tenerife, Spain

Helen Diller Family University of California San Francisco Comprehensive Cancer Center

🇺🇸

San Francisco, California, United States

San Francisco Oncology Associates

🇺🇸

San Francisco, California, United States

Nashville Breast Center

🇺🇸

Nashville, Tennessee, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

Cancer Care Centers of South Texas

🇺🇸

San Antonio, Texas, United States

Utah Cancer Specialists

🇺🇸

Salt Lake City, Utah, United States

Arizona Oncology Associates, PC - HAL

🇺🇸

Phoenix, Arizona, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Næstved Sygehus

🇩🇰

Naestved, Denmark

Birmingham Hematology and Oncology Associates, LLC

🇺🇸

Birmingham, Alabama, United States

Azienda Ospedaliera San Luigi Gonzaga

🇮🇹

Orbassano (TO), Italy

Azienda Ospedaliero-Universitaria Pisana

🇮🇹

Pisa, Italy

Istituto Oncologico del Mediterraneo

🇮🇹

Viagrande (CT), Italy

Jichi Medical University Hospital

🇯🇵

Tochigi, Japan

Frauenklinik der J.W. Goethe-Universitaet

🇩🇪

Frankfurt am Main, Germany

Universitaetsfrauenklinikum Schleswig-Holstein

🇩🇪

Luebeck, Germany

Universitaetsklinikum Magdeburg A.oe.R.

🇩🇪

Magdeburg, Germany

Praxis Gynaekologie Arabella Muenchen

🇩🇪

Muenchen, Germany

Oncologianova GmbH

🇩🇪

Recklinghausen, Germany

St. Marienhospital Vechta

🇩🇪

Vechta, Germany

Gemeinschaftspraxis fuer Haematologie und Onkologie

🇩🇪

Westerstede, Germany

Pole Hospitalier Mutualiste

🇫🇷

Saint-Nazaire, France

Hospital Puerta de Hierro-Majadahonda

🇪🇸

Majadahonda, Madrid, Spain

Hospital De Basurto

🇪🇸

Bilbao, Vizcaya, Spain

Hospital Universitario Vall D´Hebron

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofia

🇪🇸

Cordoba, Spain

Hospital Universitario de Guadalajara

🇪🇸

Guadalajara, Spain

Hospital Clinico Universitario Virgen de La Victoria

🇪🇸

Malaga, Spain

Hospital Virgen de la Salud

🇪🇸

Toledo, Spain

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Spain

Fundacion Instituto Valenciano de Oncologia

🇪🇸

Valencia, Spain

Hospital Clinico Universitario de Valencia

🇪🇸

Valencia, Spain

Hospital Provincial de Zamora

🇪🇸

Zamora, Spain

Hospital Universitario Miguel Servet

🇪🇸

Zaragoza, Spain

Skanes Onkologiska Kliniken

🇸🇪

Lund, Sweden

Spital STS AG

🇨🇭

Thun, Switzerland

Cancer Center of Central Connecticut

🇺🇸

Southington, Connecticut, United States

Cedars-Sinai Medical Group

🇺🇸

Beverly Hills, California, United States

Piedmont Cancer Institute

🇺🇸

Atlanta, Georgia, United States

Arizona Oncology Associates, PC - NAHOA

🇺🇸

Sedona, Arizona, United States

Breastlink Medical Group

🇺🇸

Long Beach, California, United States

Broward General Medical Center

🇺🇸

Fort Lauderdale, Florida, United States

Northeast Arkansas Clinic

🇺🇸

Jonesboro, Arkansas, United States

Gynecologic Oncology Associates

🇺🇸

Newport Beach, California, United States

California Cancer Care

🇺🇸

Greenbrae, California, United States

Redwood Regional Medical Group

🇺🇸

Santa Rosa, California, United States

Ventura County Hematology-Oncology Specialists

🇺🇸

Oxnard, California, United States

Beaver Medical Group, L.P.

🇺🇸

Highland, California, United States

Washington Cancer Institute at Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

Glendale Adventist Medical Center Cancer Services

🇺🇸

Glendale, California, United States

Long Beach Memorial Medical Center

🇺🇸

Long Beach, California, United States

North Broward Medical Center

🇺🇸

Deerfield Beach, Florida, United States

Lakeland Regional Cancer Center

🇺🇸

Lakeland, Florida, United States

Florida Cancer Affiliates - Ocala

🇺🇸

Ocala, Florida, United States

El Paso Cancer Treatment Center - West

🇺🇸

El Paso, Texas, United States

Oncology and Hematology of West Broward

🇺🇸

Tamarac, Florida, United States

Advocate Medical Group

🇺🇸

Niles, Illinois, United States

Florida Cancer Specialists, P.L.

🇺🇸

Saint Petersburg, Florida, United States

Washington University School of Medicine Siteman Cancer Center

🇺🇸

Saint Louis, Missouri, United States

Northern Michigan Hematology/Oncology

🇺🇸

Petoskey, Michigan, United States

Florida Medical Clinic, P.A.

🇺🇸

Zephyrhills, Florida, United States

Harry and Jeanette Weinberg Cancer Center

🇺🇸

Baltimore, Maryland, United States

Augusta Oncology Associates (ACORN), P.C.

🇺🇸

Augusta, Georgia, United States

Phoebe Cancer Center

🇺🇸

Albany, Georgia, United States

Portneuf Medical Center

🇺🇸

Pocatello, Idaho, United States

Fakultni nemocnice Brno

🇨🇿

Brno, Czechia

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Midwestern Regional Medical Center

🇺🇸

Zion, Illinois, United States

Dwight David Eisenhower Army Medical Center

🇺🇸

Fort Gordon, Georgia, United States

Orchard Research, LLC

🇺🇸

Skokie, Illinois, United States

Medical Arts Associates, Ltd

🇺🇸

Moline, Illinois, United States

Ashland-Bellefonte Cancer Center

🇺🇸

Ashland, Kentucky, United States

Quincy Medical Group, Cancer Center at Blessing Hospital

🇺🇸

Quincy, Illinois, United States

Hematology-Oncology Clinic

🇺🇸

Baton Rouge, Louisiana, United States

North Mississippi Hematology and Oncology Associates, Ltd.

🇺🇸

Tupelo, Mississippi, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Medical Specialty Associates

🇺🇸

Grand Rapids, Michigan, United States

Oncology and Hematology Specialist

🇺🇸

Mountain Lakes, New Jersey, United States

Jersey Shore University Medical Center

🇺🇸

Neptune, New Jersey, United States

Massachusetts General Hospital - Gillette Center

🇺🇸

Boston, Massachusetts, United States

Central Maine Healthcare Corp

🇺🇸

Lewiston, Maine, United States

Montana Cancer Specialists

🇺🇸

Missoula, Montana, United States

Thompson Cancer Survival Center

🇺🇸

Knoxville, Tennessee, United States

Bend Memorial Clinic

🇺🇸

Bend, Oregon, United States

Center for Oncology Research

🇺🇸

Dallas, Texas, United States

Aurora BayCare Medical Center

🇺🇸

Green Bay, Wisconsin, United States

Cancer Care Northwest-North

🇺🇸

Spokane, Washington, United States

Texas Oncology P.A.

🇺🇸

Sugar Land, Texas, United States

Inova Schar Cancer Institute

🇺🇸

Fairfax, Virginia, United States

Hospital Sao Lucas da Pontificia Universidade Catolica do Rio Grande do Sul

🇧🇷

Porto Alegre, RS, Brazil

District Dispensary for Oncology Diseases Internal Unit- Plovdiv EOOD, Ist

🇧🇬

Plovdiv, Bulgaria

Centre Hospitalier Regional de La Citadelle

🇧🇪

Liege, Belgium

Saint Barnabas Health Care System

🇺🇸

Livingston, New Jersey, United States

Great Plains Regional Medical Center

🇺🇸

North Platte, Nebraska, United States

Southeast Nebraska Hematology & Oncology Consultants, PC

🇺🇸

Lincoln, Nebraska, United States

North Utah Associates

🇺🇸

Ogden, Utah, United States

East Texas Medical Center Cancer Institute

🇺🇸

Tyler, Texas, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

AZ Zusters van Barmhartigheid

🇧🇪

Ronse, Belgium

University of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Az. St. Jan

🇧🇪

Brugge, Belgium

C.H.U. Ambroise Paré

🇧🇪

Mons, Belgium

AZ Nikolaas

🇧🇪

Sint Niklaas, Belgium

Sint-Elisabethziekenhuis

🇧🇪

Turnhout, Belgium

VZW Jesseziekenhuis - Campus Virga Jesse

🇧🇪

Hasselt, Belgium

Jan Yperman Ziekenhuis

🇧🇪

Ieper, Belgium

AZ Groeninge ampus Maria's Voorzienigheid (MV) Oncologisch Centrum

🇧🇪

Kortrijk, Belgium

CHU de Liège - Domaine Universitaire du Sart Tilman

🇧🇪

Liège, Belgium

Iron Cancer Care South Brisbane

🇦🇺

South Brisbane, Queensland, Australia

Royal Melbourne Hospital

🇦🇺

Melbourne, Victoria, Australia

Affinity Research Limited

🇧🇸

Nassau, Bahamas

Hollywood Private Hospital

🇦🇺

Nedlands, Western Australia, Australia

OLVZ Medische Oncologie

🇧🇪

Aalst, Belgium

Sydney West Cancer Trials Centre

🇦🇺

Sydney, New South Wales, Australia

Center for Integrative Cancer Medicine, PA

🇺🇸

El Paso, Texas, United States

Virginia Cancer Specialists, PC

🇺🇸

Fairfax, Virginia, United States

University Health Network, Princess Margaret Hospital

🇨🇦

Toronto, Ontario, Canada

BC Cancer Agency

🇨🇦

Vancouver, British Columbia, Canada

Aalborg Sygehus

🇩🇰

Aalborg, Denmark

Humber River Regional Hospital - Church Street Site

🇨🇦

Weston, Ontario, Canada

Interdistrict Dispensary for Oncology Diseases

🇧🇬

Varna, Bulgaria

Peking Union Medical College Hospital of Chinese Academy of Medical Sciences

🇨🇳

Beijing, China

District Dispensary for Oncology Diseases Internal Unit- Plovdiv EOOD, Second

🇧🇬

Plovdiv, Bulgaria

Jack Ady Cancer Centre

🇨🇦

Lethbridge, Alberta, Canada

Rigshospitalet

🇩🇰

Copenhagen, Denmark

Herlev Hospital

🇩🇰

Herlev, Denmark

Odense Universitetshospital

🇩🇰

Odense C, Denmark

Roskilde University Hospital

🇩🇰

Roskilde, Denmark

Sygehus Sonderjylland

🇩🇰

Sonderborg, Denmark

CancerCare Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

District Dispensary for Oncology Diseases Internal Unit- Sofia EOOD

🇧🇬

Sofia, Bulgaria

Specialised Hospital of Active Treatment in Oncology

🇧🇬

Sofia, Bulgaria

General Hospital Varazdin

🇭🇷

Varazdin, Croatia

Klinicki bolnicki centar "Sestre Milosrdnice"

🇭🇷

Zagreb, Croatia

University Hospital Center Zagreb

🇭🇷

Zagreb, Croatia

Oncologos del Occidente

🇨🇴

Pereira, Risaralda, Colombia

Tianjin Cancer Hospital

🇨🇳

Tianjin, China

Hillerod Hospital

🇩🇰

Hillerod, Denmark

Regionshospital Viborg

🇩🇰

Viborg, Denmark

Institut Curie, Département d'Oncologie Médicale

🇫🇷

Paris, France

Centre François Baclesse

🇫🇷

Caen, France

Cancer Hospital, Chinese Academy of Medical Sciences

🇨🇳

Beijing, China

Masarykuv Onkologicky ustav

🇨🇿

Brno, Czechia

Nemocnice Jihlava

🇨🇿

Jihlava, Czechia

Centre Hospitalier de Montluçon

🇫🇷

Clermont-Ferrand, France

Oncologie department, Hopital albert Michalon

🇫🇷

Grenoble, France

Chinese People's Liberation Army General Hospital

🇨🇳

Beijing, China

The Hospital Affiliated Academy Military Medical Science, Chinese People's

🇨🇳

Beijing, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, Zhejiang, China

Sun Yat-Sen University Cancer Center

🇨🇳

Guangzhou, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, China

Aarhus University Hospital

🇩🇰

Aarhus C, Denmark

Sydvestjysk Sygehus

🇩🇰

Esbjerg, Denmark

Vejle Sygehus

🇩🇰

Vejle, Denmark

R.S. McLaughlin Durham Regional Cancer Centre

🇨🇦

Oshawa, Ontario, Canada

Centre Hospitalier Affilie Universitaire de Quebec Hopital du St-Sacrement

🇨🇦

Quebec, Canada

Administradora Country S.A-Clinica del Country

🇨🇴

Bogota, Colombia

University Hospital Centre Osijek, Department of Radiotherapy and Oncology

🇭🇷

Osijek, Croatia

Southern Medical University Nanfang Hospital

🇨🇳

Guangzhou, China

Oncomedica S.A. IMAT

🇨🇴

Monteria, Cordoba, Colombia

Centre Rene Gauducheau

🇫🇷

Saint Herblain, Cedex, France

C.H.U. De Bordeaux Saint Andre

🇫🇷

Bordeaux, Cedex, France

Sozialstiftung Bamberg Klinik fuer Haematologie und Internistische Onkologie

🇩🇪

Bamberg, Germany

Hopital de Versailles

🇫🇷

Le Chesnay, France

Hopital Saint Louis

🇫🇷

Paris Cedex 10, France

Hopital La Pitie-Salpetriere

🇫🇷

Paris cedex 13, France

Staedtische Kliniken Frankfurt am Main-Hoechst Frauenklinik

🇩🇪

Frankfurt am Main, Germany

Praxisklinik Krebsheilkunde fuer Frauen

🇩🇪

Berlin, Germany

Centre Henri Becquerel

🇫🇷

Rouen, Cedex 1, France

Service d'Oncologie et de Radiotherapie, Polyclinique Francheville, 38

🇫🇷

Perigueux, France

Centre Georges Francois Leclerc

🇫🇷

Dijon, France

Nationales Centrum fuer Tumorerkrankungen

🇩🇪

Heidelberg, Germany

Klinikum St. Georg/Franziskus, Abteilung fuer Senologie

🇩🇪

Georgsmarienhuette, Germany

Klinikum Kempten - Oberallgaeu

🇩🇪

Kempten, Germany

CHU Strasbourg

🇫🇷

Strasbourg, France

Onkologische Praxis

🇩🇪

Augsburg, Germany

MTV Abts & Partner Kiel

🇩🇪

Kiel, Germany

Universitaetsfrauenklinik Tuebingen

🇩🇪

Tuebingen, Germany

Institute de Cancerologie de la Loire

🇫🇷

Saint Priest en Jarez, France

Institut Gustave Roussy

🇫🇷

Villejuif, France

Praxis für interdisziplinaere Onkologie & Haematologie GbR

🇩🇪

Freiburg, Germany

Klinikum Oldenburg GmbH

🇩🇪

Oldenburg, Germany

Kreiskrankenhaus Hameln, Onkologische Ambulanz

🇩🇪

Hameln, Germany

Universitaetsklinikum Duesseldorf, Frauenklinik

🇩🇪

Duesseldorf, Germany

CHU Bretonneau Centre Henry Kaplan

🇫🇷

Tours, France

University Hospital of Heraklion

🇬🇷

Heraklion, Creete, Greece

University General Hospital of Alexandroupoli, Department of Medical Oncology

🇬🇷

Alexandroúpoli, Greece

Fachpraxis fuer Innere Medizin

🇩🇪

Muenchen, Germany

Klinikum der Johannes-Gutenberg-Universitaet

🇩🇪

Mainz, Germany

Klinik und Poliklinik fuer

🇩🇪

Muenchen, Germany

Azienda Ospedaliera Universitaria "Policlinico Vittorio Emanuele"

🇮🇹

Catania, Italy

Azienda Ospedaliera San Gerardo

🇮🇹

Monza, Italy

IRCCS Istituto Oncologico Veneto di Padova

🇮🇹

Padova, Italy

Ospedale SS Trinita

🇮🇹

Sora (FR), Italy

National Cancer Center Hospital East

🇯🇵

Chiba, Japan

Chiba Cancer Center

🇯🇵

Chiba, Japan

Ospedale San Pietro Fatebenefratelli

🇮🇹

Roma, Italy

Marienhospital Witten

🇩🇪

Witten, Germany

Hippokratio General Hospital of Athens

🇬🇷

Athens, Greece

Hippokration Hospital Athens

🇬🇷

Athens, Greece

Azienda Ospedaliera S. Maria

🇮🇹

Terni, Italy

Hiroshima City Hospital

🇯🇵

Hiroshima, Japan

Hyogo Cancer Center

🇯🇵

Hyogo, Japan

Kurume Daiichi Social Insurance Hospital

🇯🇵

Fukuoka, Japan

Queen Mary Hospital, Department of Medicine, Blk K

🇭🇰

Hong Kong, Hong Kong

Universita Campus Bio-Medico

🇮🇹

Roma, Italy

Bekes M. Kepviselotest. Pandy Kalman Korhaz, Megyei Onkol. Kp., Klin. Onkol. es Sugartherapias Oszt.

🇭🇺

Gyula, Hungary

Bacs-Kiskun Megyei Korhaz Onkoradiologiai Kozpont

🇭🇺

Kecskemet, Hungary

Orszagos Onkologiai Intezet "B" Belgyogyaszati osztaly

🇭🇺

Budapest, Hungary

Shizuoka Cancer Center

🇯🇵

Shizuoka, Japan

Veszprem Megyei Csolnoky Ferenc Korhaz Nonprofit Zrt.

🇭🇺

Veszprem, Hungary

Fovarosi Onkormanyzat Szent Imre Korhaz

🇭🇺

Budapest, Hungary

Rambam Health care campus, Oncology institute

🇮🇱

Haifa, Israel

Presidio Ospedaliero di Summa - Antonio Perrino

🇮🇹

Brindisi, Italy

Fondazione per la Ricerca e la Cura dei Tumori Tommaso Campanella

🇮🇹

Catanzaro, Italy

Unita' Operativa Complessa Oncologia Medica, A.O.R.N. "Cardarelli"

🇮🇹

Napoli, Italy

Sir Paul Boffa Hospital

🇲🇹

Floriana, Malta

Centrum Onkologii im. prof. Franciszka Łukaszczyka

🇵🇱

Bydgoszcz, Poland

Niigata Cancer Center Hospital 2-15-3

🇯🇵

Niigata, Japan

National Hospital Organization Hokkaido Cancer Center

🇯🇵

Hokkaido, Japan

Samsung Medical Center

🇰🇷

Seoul, Korea, Korea, Republic of

Azienda Ospedaliera San Giuseppe Moscati

🇮🇹

Avellino, Italy

Fondazione Giovanni Pascale

🇮🇹

Napoli, Italy

Azienda Ospedaliera Bianchi Melacrino Morelli

🇮🇹

Reggio Calabria, Italy

Ospedale Belcolle Viterbo

🇮🇹

Viterbo, Italy

Borsod-Abauj-Zemplen M. Korhaz es Egyetemi Okt. K., Klin. Onk., Sugarterapias es Kozp. Szuro Centrum

🇭🇺

Miskolc, Hungary

National Hospital Organization Osaka National Hospital

🇯🇵

Osaka, Japan

Kaplan Medical Center, Department of Oncology

🇮🇱

Rehovot, Israel

Hospital de Barbastro

🇪🇸

Barbastro, Huesca, Spain

Kyoto University Hospital

🇯🇵

Kyoto, Japan

Oncologia Medica A, Istituti Fisioterapici Ospitalieri

🇮🇹

Roma, Italy

Haga Ziekenhuis

🇳🇱

Den Haag, Netherlands

Maxima Medisch Centrum

🇳🇱

Eindhoven, Netherlands

Tokai University Hospital

🇯🇵

Kanagawa, Japan

Osaka Medical Center for Cancer and Cardiovascular Diseases

🇯🇵

Osaka, Japan

Osaka University Hospital

🇯🇵

Osaka, Japan

Saitama Cancer Center

🇯🇵

Saitama, Japan

University Malaya Medical Centre

🇲🇾

Kuala Lumpur, Malaysia

Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Wojewodzki Oddzial

🇵🇱

Jelenia Gora, Poland

Olsztynski Osrodek Onkologiczny Kopernik Sp. z o.o.

🇵🇱

Olsztyn, Poland

Hakuaikai Medical Corporation Sagara Hospital

🇯🇵

Kagoshima, Japan

National Hospital Organization Kyushu Cancer Center

🇯🇵

Fukuoka, Japan

Ziekenhuis Amstelland

🇳🇱

Amstelveen, Netherlands

Gelre ZH

🇳🇱

Apeldoorn, Netherlands

Auckland Hospital

🇳🇿

Auckland, New Zealand

Amphia Ziekenhuis - Interne Geneeskunde

🇳🇱

Breda, Netherlands

The Cancer Institute Hospital of Japanese Foundation for Cancer Research

🇯🇵

Tokyo, Japan

The Hospital of Lithuanian University of Health Sciences Kauno klinikos Oncology and Haematology Clinic

🇱🇹

Kaunas, Lithuania

Oncology Institute of Vilnius University

🇱🇹

Vilnius, Lithuania

Seoul National University Hospital, Department of Internal Medicine

🇰🇷

Seoul, Korea, Republic of

University Clinic for Radiotherapy and Oncology

🇲🇰

Skopje, North Macedonia

Bialostockie Centrum Onkologii im. M. Sklodowskiej- Curie w Bialymstoku

🇵🇱

Bialystok, Poland

Institutul Oncologic "Prof. Dr. Ion Chiricuta"

🇷🇴

Cluj-Napoca, Cluj, Romania

Institute of Oncology and Radiology of Serbia

🇷🇸

Belgrade, Serbia

National Cancer Centre Singapore

🇸🇬

Singapore, Singapore

Poliklinika ADUS

🇸🇰

Poprad, Slovakia

Hospital General Universitario de Elche

🇪🇸

Elche, Alicante, Spain

Zaklad Opieki Zdrowotnej MSWiA z Warminsko - Mazurskim Centrum Onkologii w

🇵🇱

Olsztyn, Poland

Szpital Wojewodzki im. Sw. Lukasza Samodzielny Publiczny Zaklad Opieki

🇵🇱

Tarnow, Poland

SC Oncolab S.R.L.

🇷🇴

Craiova, Dolj, Romania

Oddelenie radioterapie a onkologie

🇸🇰

Kosice, Slovakia

Hospital Universitari Son Espases

🇪🇸

Palma de Mallorca, Islas Baleares, Spain

Hospital Universitario Fundacion de Alcorcon

🇪🇸

Alcorcon, Madrid, Spain

Hospital Mutua de Terrassa

🇪🇸

Terrassa, Barcelona, Spain

Hospital Clinic i Provincial de Barcelona

🇪🇸

Barcelona, Spain

Hospital San Pedro de Alcantara

🇪🇸

Caceres, Spain

Consorcio Hospitalario Provincial de Castellon

🇪🇸

Castellon, Spain

Complejo Hospitalario de Jaen

🇪🇸

Jaen, Spain

Hospital Universitari Arnau de Vilanova de Lleida

🇪🇸

Lleida, Spain

Hospital Universitario Insular de Gran Canaria

🇪🇸

Las Palmas de Gran Canaria, Spain

Hospital Universitario Nuestra Señora de Candelaria

🇪🇸

Santa Cruz de Tenerife, Spain

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Spain

Onkologiska Kliniken

🇸🇪

Lund, Sweden

Uludag Universitesi Tip Fakultesi

🇹🇷

Gorukle/Bursa, Turkey

Istanbul Universitesi Istanbul Tip Fakultesi

🇹🇷

Capa/Istanbul, Turkey

Hirslanden Medical Center Tumor Center

🇨🇭

Aarau, Switzerland

Kantonsspital Olten-Medizinische Onkologie

🇨🇭

Olten, Switzerland

St James's University Hospital

🇬🇧

Leeds, United Kingdom

Kaohsiung Medical University Chung-Ho memorial Hospital

🇨🇳

Kaohsiung, Taiwan

Gazi Universitesi Tip Fakultesi

🇹🇷

Besevler/Ankara, Turkey

Ege Universitesi Tip Fakultesi

🇹🇷

Bornova/Izmir, Turkey

Istanbul Universitesi Cerrahpasa Tip Fakultesi, Ic Hastaliklari Anabilim Dali

🇹🇷

Cerrahpasa/Istanbul, Turkey

Dr. Abdurrahman Yurtaslan Onkoloji Egitim ve Arastirma Hastanesi

🇹🇷

Demetevler/Ankara, Turkey

Dokuz Eylul Universitesi Tip Fakultesi

🇹🇷

Inciralti/Izmir, Turkey

Marmara Universitesi Pendik Egitim ve Arastirma Hastanesi

🇹🇷

Istanbul, Turkey

Gaziantep Universitesi

🇹🇷

Sehitkamil/Gaziantep, Turkey

Queens Hospital

🇬🇧

Burton-on-Trent, Staffs, United Kingdom

National Taiwan University Hospital

🇨🇳

Taipei TOC, Taiwan

Betsi Cadwaladr University Health Board

🇬🇧

Rhyl, Denbighshire, United Kingdom

Christie Hospital

🇬🇧

Manchester, United Kingdom

St. Bartholomew's Hospital

🇬🇧

London, United Kingdom

Norfolk & Norwich University Hospitals

🇬🇧

Norwich, United Kingdom

Weston Park Hospital

🇬🇧

Sheffield, United Kingdom

University Hospitals of Leicester

🇬🇧

Leicester, United Kingdom

Nottingham City Hospital

🇬🇧

Nottingham, United Kingdom

Singleton Hospital

🇬🇧

Swansea, United Kingdom

Charing Cross Hospital, Department Of Medical Oncology

🇬🇧

London, United Kingdom

Southend University Hospital

🇬🇧

Westcliff-on-Sea, United Kingdom

Capitol Comprehensive Cancer Care Clinic

🇺🇸

Jefferson City, Missouri, United States

Anniston Oncology

🇺🇸

Anniston, Alabama, United States

Institut Onkologie a Reahabilitace na Plesi

🇨🇿

Nova Ves pod Plesi, Czechia

Fakultni Nemocnice v Motole

🇨🇿

Praha, Czechia

Multiscan s. r. o.

🇨🇿

Pardubice, Czechia

Ashford Cancer Centre Research

🇦🇺

Kurralta Park, South Australia, Australia

The Queen Elizabeth Hospital

🇦🇺

Adelaide, South Australia, Australia

North Adelaide Oncology Calvary Hospital North Adelaide

🇦🇺

North Adelaide, South Australia, Australia

The Western Hospital

🇦🇺

Melbourne, Victoria, Australia

Northwest Cancer Specialist, P.C.

🇺🇸

Portland, Oregon, United States

Kaiser Permanente Northwest Region Oncology Hematology

🇺🇸

Portland, Oregon, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Rutland Regional Medical Center

🇺🇸

Rutland, Vermont, United States

Minnesota Oncology Hematology, PA

🇺🇸

Minneapolis, Minnesota, United States

Park Nicollet Institute

🇺🇸

Saint Louis Park, Minnesota, United States

Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

Jabboury Foundation for Cancer Research, Inc.

🇺🇸

Houston, Texas, United States

Florida Cancer Research Institute

🇺🇸

Plantation, Florida, United States

Springfield Clinic, LLP

🇺🇸

Springfield, Illinois, United States

Hematology Oncology Associates of Treasure Coast

🇺🇸

Port Saint Lucie, Florida, United States

ICO de Girona - Hospital Universitario de Girona Dr. Josep Trueta

🇪🇸

Girona, Spain

Hematology Oncology Associates

🇺🇸

Loxahatchee Groves, Florida, United States

Facharzt fuer Frauenheilkunde

🇩🇪

Hannover, Germany

Stronach Regional Cancer Centre at Southlake

🇨🇦

Newmarket, Ontario, Canada

Mid-Florida Hematology & Oncology Centers, PA

🇺🇸

Orange City, Florida, United States

Cancer Care & Hematology Specialists of Chicagoland

🇺🇸

Niles, Illinois, United States

Simmons Cancer Institute

🇺🇸

Springfield, Illinois, United States

Trinitas Comprehensive Cancer Center

🇺🇸

Elizabeth, New Jersey, United States

Mercy Medical Research Institute

🇺🇸

Springfield, Missouri, United States

Marienhospital

🇩🇪

Aachen, Germany

Texas Oncology Cancer Care and Research Center

🇺🇸

Waco, Texas, United States

Pius-Hospital Oldenburg

🇩🇪

Oldenburg, Germany

CHU Paul Brousse

🇫🇷

Villejuif, France

Arizona Oncology Associates

🇺🇸

Tucson, Arizona, United States

Facey Medical Group

🇺🇸

Mission Hills, California, United States

Ronald Yanagihara, M.D.

🇺🇸

Gilroy, California, United States

Hematology Oncology, PC

🇺🇸

Stamford, Connecticut, United States

Connecticut Oncology and Hematology

🇺🇸

Torrington, Connecticut, United States

The Cancer Prevention and Treatment Center

🇺🇸

Soquel, California, United States

Innovative Medical Research of South Florida, Inc.

🇺🇸

Aventura, Florida, United States

University Cancer Institute, LLC

🇺🇸

Boynton Beach, Florida, United States

Midwest Center for Hematology/Oncology

🇺🇸

Joliet, Illinois, United States

Cancer Care Specialists of Illinois, Decatur Memorial Hospital Clinical Research

🇺🇸

Decatur, Illinois, United States

North Shore Cancer Research Associates

🇺🇸

Skokie, Illinois, United States

Orchard Healthcare Research, Inc.

🇺🇸

Skokie, Illinois, United States

Community Hospital

🇺🇸

Munster, Indiana, United States

Purchase Cancer Group

🇺🇸

Paducah, Kentucky, United States

Medical Oncology & Hematology Mercy Medical Center

🇺🇸

Baltimore, Maryland, United States

York Hospital Oncology Treatment Center

🇺🇸

York, Maine, United States

Alliance Hematology Oncology, PA Carroll County Cancer Center

🇺🇸

Westminster, Maryland, United States

University of Massachusetts Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

Cancer and Hematology Centers of Western Michigan

🇺🇸

Grand Rapids, Michigan, United States

St. Joseph's Oncology

🇺🇸

Saint Joseph, Missouri, United States

The Center for Cancer and Hematologic Disease

🇺🇸

Cherry Hill, New Jersey, United States

Cooper University Hospital

🇺🇸

Voorhees, New Jersey, United States

The Valley Hospital, Luckow Pavilion

🇺🇸

Paramus, New Jersey, United States

ProHealth Care Associates

🇺🇸

Lake Success, New York, United States

NYU Clinical Cancer Center

🇺🇸

New York, New York, United States

Columbia University Medical Center, Herbert Irving Comprehensive Cancer Center

🇺🇸

New York, New York, United States

Raleigh Hematology Oncology Associates Cancer Centers of North Carolina

🇺🇸

Raleigh, North Carolina, United States

Duke University Medical Center Medical Oncology

🇺🇸

Durham, North Carolina, United States

Mid Dakota Clinic, PC

🇺🇸

Bismarck, North Dakota, United States

Mercy Physicians of Oklahoma

🇺🇸

Oklahoma City, Oklahoma, United States

Samaritan Hematology & Oncology Consultants

🇺🇸

Corvallis, Oregon, United States

Providence Cancer Center Oncology and Hematology Care - Westside

🇺🇸

Portland, Oregon, United States

Signal Point Hematology/Oncology, Inc.

🇺🇸

Middletown, Ohio, United States

Willamette Valley Cancer Institute and Research Center

🇺🇸

Springfield, Oregon, United States

Oncology-Hematology of Lehigh Valley, PC

🇺🇸

Bethlehem, Pennsylvania, United States

Pinnacle Health Cancer Center Community Campus

🇺🇸

Harrisburg, Pennsylvania, United States

Sweeney-Melenyser Pavillion

🇺🇸

Monongahela, Pennsylvania, United States

Abington Hematology Oncology Associates, Inc

🇺🇸

Willow Grove, Pennsylvania, United States

Guthrie Clinic, Limited

🇺🇸

Sayre, Pennsylvania, United States

Pawtuket Memorial Hospital

🇺🇸

Pawtucket, Rhode Island, United States

University Hematology/Oncology Associates PLLC

🇺🇸

Chattanooga, Tennessee, United States

South Carolina Cancer Specialists

🇺🇸

Hilton Head Island, South Carolina, United States

Santee Hematology Oncology

🇺🇸

Sumter, South Carolina, United States

Avera Medical Oncology and Hematology - Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

McLeod Oncology and Hematology Associates

🇺🇸

Florence, South Carolina, United States

Cookeville Regional Cancer Center

🇺🇸

Cookeville, Tennessee, United States

The Jones Clinic, PC

🇺🇸

Germantown, Tennessee, United States

Coastal Bend Cancer Center

🇺🇸

Corpus Christi, Texas, United States

Texas Oncology, P.A.

🇺🇸

Paris, Texas, United States

South Texas Institute of Cancer

🇺🇸

Corpus Christi, Texas, United States

Frauenarzt-Zentrum-Zehlendorf

🇩🇪

Berlin, Germany

Texas Oncology - Baylor Charles A. Sammons Cancer Center

🇺🇸

Dallas, Texas, United States

University of Texas Southwestern Medical Center Simmons Cancer Center

🇺🇸

Dallas, Texas, United States

Texas Oncology

🇺🇸

Tyler, Texas, United States

South Texas Oncology & Hematology

🇺🇸

San Antonio, Texas, United States

Cascade Cancer Center

🇺🇸

Kirkland, Washington, United States

Virginia Oncology Associates

🇺🇸

Norfolk, Virginia, United States

Southwestern Vermont Regional Cancer Center

🇺🇸

Bennington, Vermont, United States

Northwest Medical Specialties PLLC

🇺🇸

Tacoma, Washington, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

West Virginia University Mary Babb Randolph Cancer Center

🇺🇸

Morgantown, West Virginia, United States

Wheeling Hospital

🇺🇸

Wheeling, West Virginia, United States

Cliniques Universitaires de Bruxelles

🇧🇪

Bruxelles, Belgium

Wheaton Franciscan Cancer Care-All Saints

🇺🇸

Racine, Wisconsin, United States

AZ Damiaan - Site Sint-Jozef

🇧🇪

Oostende, Belgium

Hopital Maisonneuve Rosemont

🇨🇦

Montreal, Quebec, Canada

London Regional Cancer Program

🇨🇦

London, Ontario, Canada

C.H.U.M. - Hopital Notre-Dame, Departement d'Oncologie

🇨🇦

Montreal, Quebec, Canada

CSSS Alphonse-Desjardins

🇨🇦

Quebec, Canada

Hopital du Sacre-Coeur de Montreal

🇨🇦

Montreal, Quebec, Canada

Centre Oscar Lambret

🇫🇷

Lille, France

Clinique Sainte Anne Centre de Radiothérapie

🇫🇷

Strasbourg, France

Onkologische Schwerpunktpraxis

🇩🇪

Heidelberg, Germany

Luisenkrankenhaus

🇩🇪

Duesseldorf, Germany

Universitaetsklinikum Duesseldorf

🇩🇪

Düsseldorf, Germany

Facharzt fuer Frauenheilkunde und Geburtshilfe

🇩🇪

Erfurt, Germany

Onkologische Gemeinschaftspraxis Frankfurt

🇩🇪

Frankfurt am Main, Germany

Klinik für Gynaekologie und gyn. Onkologie

🇩🇪

Wiesbaden, Germany

General Hospital of Chania Ag. Georgios

🇬🇷

Chania, Crete, Greece

University General Hospital of Larissa

🇬🇷

Larissa, Greece

Kaposi Mor Oktato Korhaz, Onkologiai Centrum

🇭🇺

Kaposvar, Hungary

Department of Clinical Oncology, Tuen Mun Hospital

🇭🇰

Hong Kong, Hong Kong

Euromedica General Clinic

🇬🇷

Thessaloniki, Greece

Josa Andras Oktatokorhaz Egeszsegugyi Szolgaltato Nonprofit Kft. / Onkoradiologiai Osztaly

🇭🇺

Nyiregyhaza, Hungary

Soroka University MC, Department of Oncology

🇮🇱

Beer Sheva, Israel

Sheba Medical Center, Oncology Institute Tel Hashomer

🇮🇱

Tel Hashomer, Israel

Kumamoto Municipal Hospital

🇯🇵

Kumamoto, Japan

Ospedale Treviglio e Caravaggio, UO Oncologia Medica

🇮🇹

Treviglio, BG, Italy

Aichi Cancer Center

🇯🇵

Aichi, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Ehime, Japan

Kanagawa Cancer Center

🇯🇵

Kanagawa, Japan

Tokyo Metropolitan Cancer and Infectious disease Center Komagome Hp

🇯🇵

Tokyo, Japan

National Cancer Center, Center for Breast Cancer

🇰🇷

Gyeonggi-do, Korea, Republic of

Korea University Anam Hospital, Department of Oncology/Hematology

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Orbis Medisch Centrum

🇳🇱

Sittard-Geleen, Netherlands

Vlietland Ziekenhuis

🇳🇱

Schiedam, Netherlands

Clínica Vista Alegre / Unidad de Investigacion

🇵🇪

Surco, Lima, Peru

Uniwersyteckie Centrum Kliniczne w Gdansku

🇵🇱

Gdansk, Poland

Centrum Medyczne Ostrobramska Niepubliczny Zaklad Opieki Zdrowotnej "Magodent"

🇵🇱

Warszawa, Poland

Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w

🇵🇱

Krakow, Poland

Hospital de Torrevieja

🇪🇸

Torrevieja, Alicante, Spain

Spitalul Universitar de Urgenta Bucuresti

🇷🇴

Bucuresti, Romania

Interna onkologicka klinika

🇸🇰

Bratislava, Slovakia

Clinical centre Nis

🇷🇸

Nis, Serbia

ICO de Barcelona - Hospital Duran i Reynals, Hospitalet de Llobregat Consorci Sanitari de Terrassa

🇪🇸

Hospitalet de Llobregat, Barcelona, Spain

Hospital Universitario Puerta del Mar

🇪🇸

Cadiz, Spain

Centro Oncologico de Galicia

🇪🇸

A Coruna, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Hospital Madrid Norte Sanchinarro. Centro Integral Oncologico Clara Campal

🇪🇸

Madrid, Spain

Hospital General Universitario Gregorio Marañon

🇪🇸

Madrid, Spain

Kantonsspital Baden

🇨🇭

Baden, Switzerland

Hacettepe Universitesi Tip Fakultesi

🇹🇷

Sihhiye/Ankara, Turkey

Desert Hematology Oncology Medical Group, Inc

🇺🇸

Rancho Mirage, California, United States

Summit Medical Group

🇺🇸

Morristown, New Jersey, United States

Albert Einstein Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Crescent City Research Consortium, LLC

🇺🇸

Marrero, Louisiana, United States

NorthEast Oncology Associates Carolinas Medical Center NorthEast

🇺🇸

Concord, North Carolina, United States

Hanover Medical Specialists, PA

🇺🇸

Wilmington, North Carolina, United States

Gettysburg Cancer Center

🇺🇸

Gettysburg, Pennsylvania, United States

Perelman Center for Advanced Medicine

🇺🇸

Philadelphia, Pennsylvania, United States

Klinik fuer Gynaekologie und Geburtshilfe

🇩🇪

Offenbach, Germany

Cross Cancer Institute

🇨🇦

Edmonton, Alberta, Canada

Francisco Gonzalez MD PA

🇺🇸

Columbia, South Carolina, United States

Straub Clinic & Hospital

🇺🇸

Honolulu, Hawaii, United States

Semmelweis Egyetem Radiologiai és Onkoterapias Klinika

🇭🇺

Budapest, Hungary

Chang Gung Medical Foundation, Linkou Branch

🇨🇳

Kwei-Shan, Taoyuan, Taiwan

Queen Mary Hospital, Department of Clinical Oncology, Professorial Block

🇭🇰

Hong Kong, Hong Kong

Szpital Morski im. PCK Gdynskie Centrum Onkologii Oddzial Chemioterapii

🇵🇱

Gdynia, Poland

Cancer Centers of Florida

🇺🇸

Orlando, Florida, United States

M.D. Anderson Cancer Center Orlando

🇺🇸

Orlando, Florida, United States

Medical University of South Carolina Hollings Cancer Center

🇺🇸

Charleston, South Carolina, United States

Charleston Hematology Oncology Associates, PA

🇺🇸

Charleston, South Carolina, United States

Florida Cancer Specialists and Research Institute

🇺🇸

Gainesville, Florida, United States

Eastchester Center for Cancer Care

🇺🇸

Bronx, New York, United States

Nucleo de Especialidades Oncológicas

🇲🇽

Guadalajara, Jalisco, Mexico

Hospital Universitari Germans Trias i Pujol

🇪🇸

Badalona, Barcelona, Spain

Consorci Sanitari de Terrassa

🇪🇸

Terrassa, Barcelona, Spain

Guy's Hospital

🇬🇧

London, United Kingdom

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

UNIMED Medical Institute, Comprehensive Centre for Breast Diseases

🇭🇰

Hong Kong, Wanchai, Hong Kong

Queen Mary Hospital, Department of Medicine

🇭🇰

Hong Kong, Hong Kong

© Copyright 2025. All Rights Reserved by MedPath