A Study of Tucatinib With Trastuzumab and mFOLFOX6 Versus Standard of Care Treatment in First-line HER2+ Metastatic Colorectal Cancer

Registration Number
NCT05253651
Lead Sponsor
Seagen Inc.
Brief Summary

This study is being done to find out if tucatinib with other cancer drugs works better than standard of care to treat participants with HER2 positive colorectal cancer. This study will also determine what side effects happen when participants take this combination of drugs. A side effect is anything a drug does to the body besides treating your disease.
...

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
400
Inclusion Criteria
  • Histologically and/or cytologically confirmed adenocarcinoma of the colon or rectum which is locally advanced unresectable or metastatic

  • Able to provide the most recently available formalin-fixed paraffin-embedded (FFPE) tumor tissue blocks (or freshly sectioned slides) obtained prior to treatment initiation to a central laboratory

    • If archival tissue is not available, a newly-obtained baseline biopsy of an accessible tumor lesion is required within 35 days prior to start of study treatment
  • HER2+ disease as determined by a tissue based assay performed at a central laboratory.

  • Participant has rat sarcoma viral oncogene homolog wild-type (RAS WT) disease as determined by local or central testing. For central RAS analysis, tissue sample must be analyzed within 1 year of biopsy date.

  • Radiographically measurable disease per RECIST v1.1 with:

    • At least one site of disease that is measurable and that has not been previously irradiated, or
    • If the participant has had previous radiation to the target lesion(s), there must be evidence of progression since the radiation
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

  • CNS Inclusion - based on contrast brain magnetic resonance imaging, participants may have any of the following:

    • No evidence of brain metastases
    • Previously treated brain metastases which are asymptomatic
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Exclusion Criteria
  • Prior systemic anticancer therapy for colorectal cancer (CRC) in the locally advanced unresectable or metastatic setting; note that participants may have received a maximum of 2 doses of mFOLFOX6 in the locally advanced/unresectable or metastatic setting prior to randomization.

    • Note: May have received chemotherapy for CRC in the adjuvant setting if it was completed >6 months prior to enrollment
  • Radiation therapy within 14 days prior to enrollment (or within 7 days in the setting of stereotactic radiosurgery)

  • Previous treatment with anti-HER2 therapy

  • Ongoing Grade 3 or higher neuropathy

  • Active or untreated gastrointestinal (GI) perforation at the time of screening.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Tucatinib ArmtucatinibTucatinib + trastuzumab + mFOLFOX6
Tucatinib ArmtrastuzumabTucatinib + trastuzumab + mFOLFOX6
Tucatinib ArmoxaliplatinTucatinib + trastuzumab + mFOLFOX6
Tucatinib ArmleucovorinTucatinib + trastuzumab + mFOLFOX6
Tucatinib ArmlevoleucovorinTucatinib + trastuzumab + mFOLFOX6
Tucatinib ArmfluorouracilTucatinib + trastuzumab + mFOLFOX6
Standard of Care ArmbevacizumabmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Standard of Care ArmcetuximabmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Standard of Care ArmoxaliplatinmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Standard of Care ArmleucovorinmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Standard of Care ArmlevoleucovorinmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Standard of Care ArmfluorouracilmFOLFOX6 + (bevacizumab OR cetuximab). Either (1) mFOLFOX6, (2) mFOLFOX6 and bevacizumab, or (3) mFOLFOX6 and cetuximab
Primary Outcome Measures
NameTimeMethod
Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) by Blinded Independent Central Review (BICR)Up to approximately 3 years

The time from the date of randomization to the BICR assessment of disease progression according to RECIST v1.1 or death from any cause

Secondary Outcome Measures
NameTimeMethod
Duration of response (DOR) per RECIST v1.1 by BICRUp to approximately 3 years

The time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of disease progression per RECIST v1.1 or death from any cause

DOR per RECIST v1.1 by investigator assessmentUp to approximately 3 years

The time from first documentation of objective response (CR or PR that is subsequently confirmed) to the first documentation of disease progression per RECIST v1.1 or death from any cause

Time to second progression or death (PFS2)Up to approximately 3 years

The time from randomization to disease progression on the next-line of therapy, or death from any cause

Incidence of adverse events (AEs)Through 30 days after the last study treatment; approximately 1 year

Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

Trough concentration (Ctrough)Approximately 4 months

PK parameter

Overall survival (OS)Up to approximately 6 years

The time from randomization to death from any cause

Confirmed objective response rate (cORR) per RECIST v1.1 by BICRUp to approximately 3 years

The proportion of participants with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1, as assessed by BICR

PFS per RECIST v1.1 by investigator assessmentUp to approximately 3 years

The time from the date of randomization to the investigator assessment of disease progression according to RECIST v1.1 or death from any cause

cORR per RECIST v1.1 by investigator assessmentUp to approximately 3 years

The proportion of participants with confirmed CR or PR according to RECIST v1.1, as assessed by investigators

Incidence of dose alterationsThrough 30 days after the last study treatment; approximately 1 year
Change from baseline in European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQC30) scoreThrough 30-37 days after the last study treatment; approximately 1 year

Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scores. Scale scores range from 0-100. For functioning and global health status/quality of life (QoL) scales, higher scores indicate better functioning or global health status/quality of life (QoL). For symptom scales, higher s...

Time to meaningful change in EORTC QLQ30 scoreThrough 30-37 days after the last study treatment; approximately 1 year

The time from baseline to the first onset of a ≥10-point changes in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scores. Scale scores range from 0-100.
...

Trial Locations

Locations (232)

Palo Verde Cancer Specialists

🇺🇸

Glendale, Arizona, United States

Mayo Clinic Arizona

🇺🇸

Phoenix, Arizona, United States

Pacific Cancer Medical Center

🇺🇸

Anaheim, California, United States

Los Angeles Cancer Network

🇺🇸

Los Angeles, California, United States

Kaiser Permanente Southern California

🇺🇸

Los Angeles, California, United States

University of Southern California

🇺🇸

Newport Beach, California, United States

Providence Medical Foundation

🇺🇸

Santa Rosa, California, United States

Rocky Mountain Cancer Centers - Aurora

🇺🇸

Denver, Colorado, United States

Mount Sinai Medical Center / Florida

🇺🇸

Miami Beach, Florida, United States

Woodlands Medical Specialists

🇺🇸

Pensacola, Florida, United States

Winship Cancer Institute / Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

MidAmerica Cancer Center, LLC

🇺🇸

Merriam, Kansas, United States

Baptist Health Lexington

🇺🇸

Lexington, Kentucky, United States

Norton Cancer Institute

🇺🇸

Louisville, Kentucky, United States

Mayo Clinic Rochester

🇺🇸

Rochester, Minnesota, United States

HealthPartners Institute

🇺🇸

Saint Louis Park, Minnesota, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

FirstHealth of the Carolinas

🇺🇸

Pinehurst, North Carolina, United States

Gabrail Cancer Center Research

🇺🇸

Canton, Ohio, United States

Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Texas Oncology - Baylor Sammons Cancer Center

🇺🇸

Dallas, Texas, United States

MD Anderson Cancer Center / University of Texas

🇺🇸

Houston, Texas, United States

Texas Oncology - McKinney

🇺🇸

McKinney, Texas, United States

Texas Oncology - Northeast Texas

🇺🇸

Paris, Texas, United States

Oncology & Hematology Associates of Southwest Virginia Inc dba Blue Ridge Cancer Care

🇺🇸

Roanoke, Virginia, United States

Providence Regional Medical Center Everett

🇺🇸

Everett, Washington, United States

Northwest Cancer Specialists, P.C.

🇺🇸

Vancouver, Washington, United States

Hospital Britanico de Buenos Aires

🇦🇷

Ciudad Autonoma Buenos Aires, Other, Argentina

Instituto Alexander Fleming

🇦🇷

Ciudad Autonoma Buenos Aires, Other, Argentina

CEMAIC - Centro Medico Privado

🇦🇷

Cordoba, Other, Argentina

Instituto Oncologico de Cordoba

🇦🇷

Córdoba, Other, Argentina

Centro de Investigacion Pergamino SA

🇦🇷

Pergamino, Other, Argentina

Instituto Medico de la Fundacion Estudios Clinicos

🇦🇷

Rosario, Other, Argentina

St Vincent's Hospital Melbourne

🇦🇺

Fitzroy, Other, Australia

The Alfred Hospital

🇦🇺

Melbourne, Other, Australia

Townsville Cancer Center

🇦🇺

Townsville, Other, Australia

Salzburg Cancer Research Institute

🇦🇹

Salzburg, Other, Austria

Klinikum Wels-Grieskirchen GmbH

🇦🇹

Wels, Other, Austria

Landesklinikum Wiener Neustadt

🇦🇹

Wiener Neustadt, Other, Austria

Institut Jules Bordet

🇧🇪

Anderlecht, Other, Belgium

Cliniques Universitaires Saint Luc

🇧🇪

Brussels, Other, Belgium

Universitair Ziekenhuis Antwerpen

🇧🇪

Edegem, Other, Belgium

Centre Hospitalier Chretien - Clinique MontLegia

🇧🇪

Liège, Other, Belgium

Az Turnhout

🇧🇪

Turnhout, Other, Belgium

CHU Helora Hopital de La Louviere Site Jolimont

🇧🇪

Haine-Saint-Paul, Belgium

Universitair Ziekenhuis Leuven

🇧🇪

Leuven, Belgium

Hospital de Cancer de Barretos - Fundacao Pio XII

🇧🇷

Barretos, Other, Brazil

CIONC-Centro Integrado de Oncologia de Curitiba

🇧🇷

Curitiba, Other, Brazil

Fundacao Doutor Amaral Carvalho

🇧🇷

Jaú, Other, Brazil

Hospital Nossa Senhora da Conceicao

🇧🇷

Porto Alegre, Other, Brazil

Instituto COI de Pesquisa

🇧🇷

Rio de Janeiro, Other, Brazil

CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia

🇧🇷

Santo Andre, Other, Brazil

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto

🇧🇷

Sao Jose Rio Preto, Other, Brazil

ICESP - Instituto do Cancer do Estado de Sao Paulo Octavio Frias de Oliveira

🇧🇷

São Paulo, Other, Brazil

University of Ottawa / Ottawa General Hospital

🇨🇦

Ottawa, Ontario, Canada

Sunnybrook Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

Mount Sinai Hospital - Toronto

🇨🇦

Toronto, Ontario, Canada

Jewish General Hospital

🇨🇦

Montreal, Quebec, Canada

Saskatoon Cancer Centre

🇨🇦

Saskatoon, Saskatchewan, Canada

BIOCENTER Centro Clinico de Investigacion

🇨🇱

Concepción, Other, Chile

Centro de Estudios Clinicos SAGA

🇨🇱

Santiago, Other, Chile

Oncocentro APYS

🇨🇱

Viña del Mar, Other, Chile

Beijing Cancer Hospital

🇨🇳

Beijing, Other, China

The Second Xiangya Hospital of Central South University

🇨🇳

Changsha, Other, China

Hunan Cancer Hospital

🇨🇳

Changsha, Other, China

Changzhou Tumor Hospital

🇨🇳

Changzhou, Other, China

The First People's Hospital of Changzhou

🇨🇳

Changzhou, Other, China

Affiliated Hospital of Chengde Medical University

🇨🇳

Chengde, Other, China

Army Specialty Medical Center of The Chinese People's Liberation Army

🇨🇳

Chongqing, Other, China

Fujian Medical University Union Hospital

🇨🇳

Fuzhou, Other, China

900TH Hospital of Joint Logistics Support Force

🇨🇳

Fuzhou, Other, China

The Sixth Affiliated Hospital of Sun Yat-sen University

🇨🇳

Guangzhou, Other, China

The Second Affiliated Hospital of Hainan Medical University

🇨🇳

Haikou, Other, China

Hainan General Hospital

🇨🇳

Haikou, Other, China

The Second Affiliated Hospital of Zhejiang University School of Medicine

🇨🇳

Hangzhou, Other, China

Zhejiang University School of Medicine

🇨🇳

Hangzhou, Other, China

Harbin Medical University Cancer Hospital

🇨🇳

Harbin, Other, China

Jinan Central Hospital

🇨🇳

Jinan, Other, China

Shandong Cancer Hospital

🇨🇳

Jinan, Other, China

The First Hospital Affiliated to Liaoning Medical College

🇨🇳

Jinzhou, Other, China

The First Hospital of Lanzhou University

🇨🇳

Lanzhou, Other, China

Linyi Cancer Hospital

🇨🇳

Linyi, Other, China

Meizhou People's Hospital - Guangdong Province

🇨🇳

Meizhou, Other, China

The First Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Other, China

The Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Other, China

Nanyang Second General Hospital

🇨🇳

Nanyang, Other, China

Shanghai General Hospital

🇨🇳

Shanghai, Other, China

Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

🇨🇳

Shanghai, Other, China

The First Hospital of China Medical University

🇨🇳

Shenyang, Other, China

Liaoning Cancer Hospital and Institute

🇨🇳

Shenyang, Other, China

The First Affiliated Hospital of Soochow University

🇨🇳

Suzhou, Other, China

Shanxi Province Cancer Hospital

🇨🇳

Taiyuan, Other, China

Tangshan People's Hospital

🇨🇳

Tangshan, Other, China

Hubei Cancer Hospital

🇨🇳

Wuhan, Other, China

Xuzhou Central Hospital

🇨🇳

Xuzhou, Other, China

Henan Provincial People's Hospital

🇨🇳

Zhengzhou, Other, China

Sainte Catherine Institut du Cancer Avignon Provence

🇫🇷

Avignon, Other, France

Centre Hospitalier Regional et Universitaire de Besancon - Hopital Jean-Minjoz

🇫🇷

Besancon Cedex, Other, France

Center Georges Francois Leclerc

🇫🇷

Dijon, Other, France

Hospital Edouard Herriot (HEH)

🇫🇷

Lyon, Other, France

Hopital Saint Joseph de Marseille

🇫🇷

Marseille, Other, France

Centre Hospitalier Universitaire Nantes-Hotel Dieu

🇫🇷

Nantes, Other, France

Centre de Lutte contre le Cancer (CLCC) - Centre Antoine Lacassagne

🇫🇷

Nice Cedex 2, Other, France

Hopital Saint Louis, APHP

🇫🇷

Paris Cedex 10, Other, France

Hopital Saint-Antoine

🇫🇷

Paris, Other, France

Hopital Europeen Georges Pompidou

🇫🇷

Paris, Other, France

CHU Bordeaux Hopital Haut-Leveque

🇫🇷

Pessac, Other, France

Centre Hospitalier Universitaire de Poitiers

🇫🇷

Poitiers, Other, France

CHU de Rouen

🇫🇷

Rouen, Other, France

CHU Saint Etienne Hopital Nord

🇫🇷

Saint-Priest en Jarez, Other, France

Institut de Cancerologie de I'Ouest - Site Saint-Herblain

🇫🇷

St Herblain, Other, France

Institut de cancerologie Strasbourg Europe

🇫🇷

Strasbourg, Other, France

CHU Brest Hopital Cavale Blanche

🇫🇷

Brest, France

Klinikum St. Marien

🇩🇪

Amberg, Other, Germany

Charite Universitatsmedizin Berlin - Campus Virchow Kinikum

🇩🇪

Berlin, Other, Germany

Gemeinschaftspraxis Haematologie - Onkologie: Freiberg-Richter, Jacobasch, Illmer, Wolf

🇩🇪

Dresden, Other, Germany

Universitaetsklinikum Carl Gustav Carus Dresden

🇩🇪

Dresden, Other, Germany

Agaplesion Markus Krankenhaus

🇩🇪

Frankfurt Am Main, Other, Germany

Facharztzentrum Eppendorf

🇩🇪

Hamburg, Other, Germany

Asklepios Klinik Altona

🇩🇪

Hamburg, Other, Germany

Medizinische Hochschule Hannover

🇩🇪

Hannover, Other, Germany

Universitaeres Krebszentrum Leipzig (UCCL)

🇩🇪

Leipzig, Other, Germany

Klinikum Rechts der Isar der Technischen Universitaet Muenchen

🇩🇪

Muenchen, Other, Germany

Kliniken Maria Hilf GmbH

🇩🇪

Mönchengladbach, Other, Germany

LMU - Klinikum der Universitaet Muenchen - Campus Grosshadern - Medizinische Klinik und Poliklinik III

🇩🇪

München, Other, Germany

Universitatsklinikum Ulm

🇩🇪

Ulm, Other, Germany

Evgenidion Clinic Agia Trias

🇬🇷

Athens, Other, Greece

University Hospital Attikon

🇬🇷

Haidari, Other, Greece

Tolna Varmegyei Balassa Janos Korhaz

🇭🇺

Szekszard, Other, Hungary

Bon Secours Hospital Cork

🇮🇪

Cork, Other, Ireland

St Vincents University Hospital

🇮🇪

Dublin 4, Other, Ireland

Mater Misericordiae University Hospital (MMUH)

🇮🇪

Dublin, Other, Ireland

Beaumont Hospital

🇮🇪

Dublin, Other, Ireland

University Hospital Waterford

🇮🇪

Waterford, Other, Ireland

Cork University Hospital

🇮🇪

Wilton, Other, Ireland

Mater Private Hospital (MPH)

🇮🇪

Dublin, Ireland

Fondazione Poliambulanza Istituto Ospedaliero

🇮🇹

Brescia, Other, Italy

Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione Garibaldi - Presido Ospedale Garibaldi - Nesima

🇮🇹

Catania, Other, Italy

Ospedali Riuniti Universita' di Foggia

🇮🇹

Foggia, Other, Italy

Ospedale Policlinico San Martino

🇮🇹

Genova, Other, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milano, Other, Italy

Istituto Europeo di Oncologia

🇮🇹

Milano, Other, Italy

Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

🇮🇹

Milano, Other, Italy

Azienda Ospedaliera Universitaria Cagliari

🇮🇹

Monserrato, Other, Italy

Universita degli studi della Campania Luigi Vanvitelli

🇮🇹

Naploli, Other, Italy

Istituto Oncologico Veneto - IRCCS

🇮🇹

Padova, Other, Italy

IRCSS Policlinico San Matteo

🇮🇹

Pavia, Other, Italy

Azienda Ospedaliero Universitaria Pisana

🇮🇹

Pisa, Other, Italy

AUSL- IRCCS di Reggio Emilia

🇮🇹

Reggio Emilia, Other, Italy

Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione

🇮🇹

Avellino, Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCSU

🇮🇹

Roma, Other, Italy

ASST Valtellina e Alto Lario

🇮🇹

Sondrio, Other, Italy

Azienda Ospedaliera Cardinale Giovanni Panico

🇮🇹

Tricase, Other, Italy

Azienda Ospedaliera Universitaria Integrata di Verona

🇮🇹

Verona, Other, Italy

Azienda Ospedaliero Universitaria Careggi

🇮🇹

Firenze, Italy

Chiba Cancer Center

🇯🇵

Chiba, Other, Japan

Osaka University Hospital

🇯🇵

Suita-shi, Other, Japan

Osaka Medical and Pharmaceutical University Hospital

🇯🇵

Takatsuki-shi, Other, Japan

National Cancer Center Hospital

🇯🇵

Chuo-ku, Other, Japan

National Hospital Organization Kyushu Cancer Center

🇯🇵

Fukuoka-shi, Other, Japan

National Cancer Center Hospital East

🇯🇵

Kashiwa-shi, Other, Japan

St. Marianna University School of Medicine

🇯🇵

Kawasaki-shi, Other, Japan

Kagawa University Hospital

🇯🇵

Kita-gun, Other, Japan

Saitama Cancer Center

🇯🇵

Kitaadachi-gun, Other, Japan

Kobe City Hospital Organization Kobe City Medical Center General Hospital

🇯🇵

Kobe-shi, Other, Japan

The Cancer Institute Hospital of JFCR

🇯🇵

Koto-ku, Other, Japan

NHO Shikoku Cancer Center

🇯🇵

Matsuyama-shi, Other, Japan

National Hospital Organization Osaka

🇯🇵

Osaka-shi, Other, Japan

Osaka General Medical Center (Kyuseiki Sogo Iryo C)

🇯🇵

Osaka-shi, Other, Japan

Kindai University Hospital

🇯🇵

Osakasayama-Shi, Other, Japan

National Hospital Organization Hokkaido Cancer Center

🇯🇵

Sapporo-shi, Other, Japan

Gachon University Gil Medical Center

🇰🇷

Incheon, Other, Korea, Republic of

Korea University Anam Hospital

🇰🇷

Seoul, Other, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Other, Korea, Republic of

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Other, Korea, Republic of

Asan Medical Center - Oncology

🇰🇷

Seoul, Other, Korea, Republic of

Hospital Universitari Arnau de Vilanova

🇪🇸

Lleida, Other, Spain

Korea University Guro Hospital

🇰🇷

Seoul, Other, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Other, Korea, Republic of

Netherlands Cancer Institute

🇳🇱

Amsterdam, Other, Netherlands

Kanagawa Cancer Center

🇯🇵

Yokohama, Other, Japan

St. Antonius Hospital

🇳🇱

Nieuwegein, Other, Netherlands

VieCuri Medisch Centrum

🇳🇱

Venlo, Other, Netherlands

Haukeland Universitetssjukehus

🇳🇴

Bergen, Other, Norway

Oslo University Hospital

🇳🇴

Oslo, Other, Norway

Katedra i Klinika Onkologii i Radioterapii

🇵🇱

Gdansk, Other, Poland

Przychodnia Lekarska KOMED Roman Karaszewski

🇵🇱

Konin, Other, Poland

Salve Medica

🇵🇱

Lodz, Other, Poland

Mruk-Med - Sp. z o.o.

🇵🇱

Rzeszow, Other, Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy

🇵🇱

Warsaw, Other, Poland

Hospital Sousa Martins

🇵🇹

Guarda, Other, Portugal

The Champalimaud Centre for the Unknown

🇵🇹

Lisboa, Other, Portugal

Centro Hospitalar Universitario do Porto - Hospital Geral de Santo Antonio

🇵🇹

Porto, Other, Portugal

Narodny Onkologicky Ustav

🇸🇰

Bratislava, Other, Slovakia

POKO Poprad

🇸🇰

Poprad, Other, Slovakia

Hospital General Universitario Alicante

🇪🇸

Alicante, Other, Spain

Hospital Universitari Vall d'Hebron

🇪🇸

Barcelona, Other, Spain

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Other, Spain

Institut Catala d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)

🇪🇸

Barcelona, Other, Spain

Hospital Universitario Reina Sofia

🇪🇸

Cordoba, Other, Spain

Hospital General Universitario Gregorio Maranon

🇪🇸

Madrid, Other, Spain

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Other, Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Other, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Other, Spain

Hospital Regional Universitario de Malaga - Hospital General

🇪🇸

Malaga, Other, Spain

Complejo Hospitalario Universitario de Ourense (CHOU)

🇪🇸

Ourense, Other, Spain

Hospital Universitario Central de Asturias

🇪🇸

Oviedo, Other, Spain

Complejo Hospitalario de Navarra

🇪🇸

Pamplona, Other, Spain

Hospital Universitario Marques de Valdecilla

🇪🇸

Santander, Other, Spain

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Other, Spain

Consorcio Hospital General Universitario de Valencia (CHGUV)

🇪🇸

Valencia, Other, Spain

Hospital Universitario Miguel Servet

🇪🇸

Zaragoza, Other, Spain

Kantonsspital Winterthur (KSW)

🇨🇭

Winterthur, Other, Switzerland

Universitatsspital Zurich

🇨🇭

Zurich, Other, Switzerland

Chang Gung Memorial Hospital - Kaohsiung

🇨🇳

Kaohsiung City, Other, Taiwan

National Cheng-Kung University Hospital

🇨🇳

Tainan, Other, Taiwan

Taipei Veterans General Hospital

🇨🇳

Taipei City, Other, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Other, Taiwan

Chang Gung Memorial Hospital - Linkou

🇨🇳

Taoyuan, Other, Taiwan

University Hospitals Bristol and Weston NHS Foundation Trust

🇬🇧

Bristol, Other, United Kingdom

Cambridge University Hospitals NHS Foundation Trust

🇬🇧

Cambridge, Other, United Kingdom

Hull University Teaching Hospitals NHS Trust

🇬🇧

Cottingham, Other, United Kingdom

The Beatson West of Scotland Cancer Centre

🇬🇧

Glasgow, Other, United Kingdom

Leeds Teaching Hospitals Trust

🇬🇧

Leeds, Other, United Kingdom

Guy's and St Thomas' NHS Foundation

🇬🇧

London, Other, United Kingdom

The Royal Marsden NHS Foundation Trust (RM)

🇬🇧

Surrey, Other, United Kingdom

Imperial College Healthcare NHS Trust

🇬🇧

London, Other, United Kingdom

The Christie NHS Foundation Trust

🇬🇧

Manchester, Other, United Kingdom

The Newcastle upon Tyne Hospitals NHS Foundation Trust

🇬🇧

Newcastle upon Tyne, Other, United Kingdom

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