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A Study to Describe Treatment Patterns and Disease Control in Participants With cHL and sALCL in Routine Clinical Practice in the Russian Federation

Completed
Conditions
Hodgkin Disease
Lymphoma, Large-cell, Anaplastic
Registration Number
NCT03942263
Lead Sponsor
Takeda
Brief Summary

The purpose of this study is to describe patterns of treatment used for cHL and sALCL in real world setting.

Detailed Description

This is a non-interventional, prospective and retrospective study of participants with cHL and sALCL. The study will collect information on therapy and outcome of cHL and sALCL in real-life clinical practice.

The study will enroll approximately 2000 participants. Based on the diagnosis of the disease, participants will be assigned to one of the following groups:

* Newly Diagnosed and RR cHL Participants

* Newly Diagnosed and RR sALCL Participants

This multi-center trial will be conducted in Russia. The retrospective data will be collected for the participants with RR cHL or RR sALCL at the time of enrollment and for participants with RR cHL or RR sALCL within 3 years prior to inclusion in the study at Visit 1 (Baseline). The prospective data will be collected for a period of 2 years from Visit 1 (Baseline) to Visit 5 (Month 24, Final Visit), both for newly diagnosed participants with cHL or sALCL and participants with RR cHL or RR sALCL at the time of enrolment, and participants with RR cHL or RR sALCL within 3 years prior to inclusion in the study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2000
Inclusion Criteria
  1. Male and female participants 18 years or older by the time of enrollment.
  2. Histologically confirmed diagnosis of cHL or sALCL.
  3. Newly diagnosed participants, or participants with RR cHL or RR sALCL at the time of enrollment, or participants with RR cHL or RR sALCL within 3 years prior to inclusion in the Study.
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Exclusion Criteria
  1. Unconfirmed diagnosis of cHL or sALCL.
  2. Current, previous (within the last 3 years) or planned (for the next 2 years) participation in interventional clinical trials.
  3. Participation in the non-interventional study CHL-5001 "An international, multi-centre, non-interventional retrospective study to describe treatment pathways, outcomes, and resource use in participants with classical Hodgkin lymphoma (B-HOLISTIC)" (Sponsor is Takeda Pharmaceuticals International AG).
  4. Participants for whom the minimum study dataset was not available from their hospital medical records.
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Description of Treatment Patterns Used for cHL or sALCLFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants Receiving Various Chemotherapy RegimensFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants who Were Eligible for AutoSCT did not Receive it (Including Reasons)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Distribution of Pre-SCT Therapy RegimensFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Distribution of Relapse/Refractory (RR) Treatment PatternsFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants who Received Chemotherapy Regimens as per National GuidelinesFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants who Received Radiotherapy Including Site (Extended/Involved) and Total DosingFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants who Received Autologous Stem Cell Transplantation (AutoSCT)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants who Received Allogeneic Stem Cell Transplantation (AlloSCT)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Distribution of First Line Treatment Patterns According to Prognostic GroupFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Secondary Outcome Measures
NameTimeMethod
Disease Free Survival-1 (DSF1)From date of complete remission after first line of therapy up to relapse or till the latest date of participant observed (up to Month 24)

DFS1 is defined as the time from the date of complete remission after first line of therapy till relapse or till the latest date of participant observed.

Overall Survival (OS)From the date of cHL or sALCL diagnosis confirmation until the date of death from any cause or till the latest date of participant observed (up to Month 24)

OS is defined as the time passed from the date of cHL or sALCL diagnosis confirmation until the date of death from any cause or till the latest date of participant observed.

Freedom From Treatment Failure-1 (FFTF1)From date of initiation first therapy until any treatment failures such as disease progression, not achieving complete remission after therapy, relapse, discontinuation of therapy for complications, death from any cause or till observed (up to Month 24)

FFTF1 is defined as the time passed from date of initiation first therapy until any treatment failures such as disease progression, do not achieving complete remission after therapy, relapse, discontinuation of therapy for complications, death from any cause or till the latest date of participant observed.

Percentage of Participants with Complete Remission (CR) Achieved by the end of Treatment RegimenFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

CR based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 is defined as complete disappearance of all target lesions and all nodes with long axis less than (\<) 10 millimeter (mm).

Percentage of Participants With Partial Remission (PR) Achieved by the end of Treatment RegimenFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

PR based on RECIST 1.1 is defined as greater than or equal to (\>=) 30 percent (%) decrease in the sum of longest diameters (SLD) of target lesions but not a CR. CR is defined as complete disappearance of all target lesions and all nodes with long axis \<10 mm.

Event Free Survival-1 (EFS1)From date of initiation first therapy until therapy discontinuation, not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till observed (up to Month 24)

EFS-1 is defined as the time passed from date of initiation first line therapy until any events such as discontinuation of therapy for any reasons, do not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till the latest date of participant observed.

Percentage of Participants With Progression Disease (PD) While on the TreatmentFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

PD based on RECIST 1.1 is defined as \>20% increase in the SLD of target lesions. For small lymph nodes measuring \<15 mm post therapy, a minimum absolute increase of 5 mm and the long diameter should exceed 15 mm.

Percentage of Participants With Relapse (Both Early [<12 Months After the end of First Line Treatment] and Late Relapses)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants With Primary ResistanceFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants With Overall Response Achieved by the end of Treatment RegimenFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Overall response based on RECIST 1.1 is defined as the percentage of participants who have a PR or CR to therapy; it does not include stable disease and is a direct measure of drug tumoricidal activity. PR is defined as \>=30% decrease in the SLD of target lesions but not a CR. CR is defined as complete disappearance of all target lesions and all nodes with long axis \<10 mm.

Percentage of Participants With Stable Disease (SD) Achieved by the end of Treatment RegimenFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

SD based on RECIST 1.1 is defined as changes in the SLD of targeted lesions ranging between reduction of \<10% to an increase by \<20% without the appearance of a new lesion, and irrespective of positron emission tomography (PET) results.

Percentage of Resistant Participants to the Second and Later Treatment LinesFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants in Whom Brentuximab Vedotin was UsedFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Distribution of Treatment Patterns Containing Brentuximab Vedotin in Clinical PracticeFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Disease Free Survival (DFS) After the Treatment Line Including Brentuximab Vedotin Based on the Number of Cycles of Brentuximab Vedotin Performed Within this Treatment LineFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

DFS will be assessed after the treatment line including brentuximab vedotin based on the number of cycles of brentuximab vedotin performed within this Treatment Line. DFS is defined as the time from the date of complete remission till relapse or till the latest date of participant observed.

Percentage of Participants With CR Achieved to the end of the Given Treatment Regimen Based on the Number of the Cycles of Brentuximab Vedotin Performed Within This Treatment LineFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

CR based on RECIST 1.1 is defined as complete disappearance of all target lesions and all nodes with long axis \<10 mm.

Distribution of Clinical Variables for cHL and sALCL at the Time of Resistance/RelapsesFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Clinical variable will include stage, histological types, immunohistochemistry data (yes/no) and ALK-status (negative/positive).

Percentage of Participants for Whom PET and PET/Computed Tomography (CT) was Used for Primary Disease Diagnostic and StagingFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants for Whom PET and PET/CT Scan was Used for Interim Treatment Response EvaluationFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
OS Based on use of PET/CT Scan for Initial Disease Staging, Interim and Final Response Assessment During Frontline and Second Line TreatmentFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

OS is defined as the time passed from the date of initiation of cHL or sALCL treatment until the date of death from any cause or till the latest date of participant observed. OS will be analyzed by Cox regression.

Timepoint of Performing Interim Response Evaluation With PET/CT Scan (Number of Cycle After Which the Evaluation is Performed, Time From the Start of Last Cycle of Therapy)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Timepoints will include number of cycle after which the evaluation is performed and time from the start of last cycle of therapy.

FFTF Based on the Number of Cycles of Brentuximab Vedotin Performed Within the Treatment LineFrom initiation therapy date until any treatment failures such as disease progression, not achieving complete remission after therapy, relapse, discontinuation of therapy for complication, death from any cause, or till observed (up to Month 24)

FFTF will be assessed based on the number of cycles of brentuximab vedotin performed within this treatment line. FFTF is defined as the time passed from date of initiation therapy until any treatment failures such as disease progression, do not achieving complete remission after therapy, relapse, discontinuation of therapy for complications, death from any cause or till the latest date of participant observed.

EFS Based on the Number of Cycles of Brentuximab Vedotin Performed Within this Treatment LineFrom initiation therapy date until therapy discontinuation, not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till observed (up to Month 24)

EFS will be assessed based on the number cycles of brentuximab vedotin performed within this treatment line. EFS is defined as the time passed from date of initiation therapy until any events such as discontinuation of therapy for any reasons, do not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till the latest date of participant observed.

Percentage of Participants With Overall Response Achieved to the end of the Given Treatment Regimen Based on the Number of the Cycles of Brentuximab Vedotin Performed Within This Treatment LineFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Overall response is defined as the percentage of participants who have a partial or complete response to therapy; it does not include stable disease and is a direct measure of drug tumoricidal activity. PR is defined as \>=30 % decrease in the SLD of target lesions but not a CR. CR is defined as complete disappearance of all target lesions and all nodes with long axis \<10 mm.

Distribution of Clinical Variables for cHL and sALCL at the Time of Primary DiagnosisFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Clinical variable will include stage, histological types, immunohistochemistry data (yes/no), ALK-status (negative/positive), prognostic groups, prognostic risk factors (International Prognostic Score (IPS), International Prognostic Index, Age-adjusted International Prognostic Index, International T-cell Lymphoma Project Score, Prognostic Index for peripheral T-cell lymphoma unspecified \[PTCL-U\] \[PIT\]), prognostic risk factors, and risk factors for relapse.

Distribution of Imaging Patterns Used for Disease Control of the Participants Being in RemissionFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Event Free Survival-2 (EFS2)From date of initiation second therapy until therapy discontinuation, not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till observed (up to Month 24)

EFS-2 is defined as the time passed from date of initiation second line therapy until any events such as discontinuation of therapy for any reasons, do not achieving complete remission after therapy, progression, relapse, death from any cause, late therapy complications including second malignancies or till the latest date of participant observed.

Percentage of Participants With Progressive Disease Developed While on the Treatment Regimen Including Brentuximab Vedotin Achieved Based on the Number of the Cycles of Brentuximab Vedotin Performed Within This Treatment LineFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

PD based on RECIST 1.1 is defined as \>20% increase in the SLD of target lesions. For small lymph nodes measuring \<15 mm post therapy, a minimum absolute increase of 5 mm and the long diameter should exceed 15 mm.

Number of Cycles of Brentuximab Vedotin Before and After Stem Cell Transplantation (SCT)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of Participants for Whom PET and PET/CT Scan Were Used to Evaluate Final Treatment ResponseFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Timepoint of Performing Final Response Evaluation With PET/CT scan (Number of Cycle After Which the Evaluation is Performed, Time From the Start of Last Cycle of Therapy)From frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Timepoints will include number of cycle after which the evaluation is performed and time from the start of last cycle of therapy.

Time of Performing PET and PET/CT Scan After SCTFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Distribution of Imaging Patterns Used for Primary Disease Diagnostic and Staging in Different Regions of RussiaFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Percentage of cHL or sALCL Participants who Used Healthcare Resources: Hospitalizations, Sick Leave SheetFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Healthcare resources will include hospitalizations and sick leave sheet.

Distribution of Imaging Patterns Used for Treatment Response EvaluationFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Number of HospitalizationsFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Number of Days Spent on Hospital BedsFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Number of Sick LeavesFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Number of Days Spent on Sick LeavesFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)
Disease Free Survival-2 (DSF2)From date of complete remission after second line of therapy up to relapse or till the latest date of participant observed (up to Month 24)

DFS2 is defined as the time from the date of complete remission after second line of therapy till relapse or till the latest date of participant observed.

Freedom From Treatment Failure-2 (FFTF2)From date of initiation second therapy until any treatment failures such as disease progression, not achieving complete remission after therapy, relapse, discontinuation of therapy for complications, death from any cause or till observed (up to Month 24)

FFTF2 is defined as the time passed from date of initiation second line therapy until any treatment failures such as disease progression, do not achieving complete remission after therapy, relapse, discontinuation of therapy for complications, death from any cause or till the latest date of participant observed.

Number of Cycles of Brentuximub Vedotin Administered in Routine Clinical PracticeFrom frontline treatment for newly diagnosed participants or within 3 years prior to inclusion in the study for RR cHL or RR sALCL participants till end of participant observation in scope of the study (approximately 5 years)

Trial Locations

Locations (50)

State Budget Public Health Institution "Regional Oncological Dispensary"

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Irkutsk, Russian Federation

The State Budgetary Institution of Healthcare "Regional Oncologic Dispensary"

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Penza, Russian Federation

Kaluga Regional Clinical Oncologic Dispensary

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Kaluga, Russian Federation

Regional State Budgetary Institution of Health "Kostroma Oncological Dispensary"

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Kostroma, Russian Federation

Public health institution Lipetsk Regional Oncology Center

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Lipetsk, Russian Federation

State budgetary health care institution "Chelyabinsk Regional Clinical Center for Oncology and Nuclear Medicine"

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Chelyabinsk, Russian Federation

Regional State Budgetary Institution of Healthcare Krasnoyarsk Regional Clinical Oncologic Dispensary named after A.I. Kryzhanovsky"

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Krasnoyarsk, Russian Federation

State budgetary institution of health care of the Nizhny Novgorod region "Regional Clinical Hospital named after NA Semashko"

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Nizhny Novgorod, Russian Federation

State Budgetary Institution of Healthcare Leningrad Regional Clinical Hospital

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Saint-Petersburg, Russian Federation

Tatarstan Regional Clinical Cancer Center

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Kazan, Russian Federation

State budgetary health care institution "Regional Oncology Center 2"

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Magnitogorsk, Russian Federation

Federal State Budgetary Institution "National Medical-Surgical Center named after N.I. Pirogov" Ministry of Health of the Russian Federation

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Moscow, Russian Federation

Federal State Institution National Medical Research Center of Hematology of the Ministry of Health of the Russian Federation

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Moscow, Russian Federation

State Budgetary Institution of Healthcare of the Novosibirsk Region "City Clinical Hospital No. 2"

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Novosibirsk, Russian Federation

Federal State Budgetary Institution of Public Health of the Novosibirsk Region "Research Institute of Fundamental and Clinical Immunology"

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Novosibirsk, Russian Federation

State Budgetary Institution of Healthcare of the Republic of Karelia Republican Hospital named after V. A. Baranova "

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Petrozavodsk, Russian Federation

State Budgetary Institution of Healthcare of the Novosibirsk Region "State Novosibirsk Regional Clinical Hospital"

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Novosibirsk, Russian Federation

Medical Radiological Research Center. A.F. Tsyba - a branch of the Federal State Budgetary Institution "Scientific Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation

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Obninsk, Russian Federation

Budget institution of healthcare of Omsk region "Clinical Oncologic dispensary"

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Omsk, Russian Federation

State budgetary institution of public health "Orenburg regional clinical hospital 1"

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Orenburg, Russian Federation

State Budgetary Institution of Healthcare "Pskov Regional Clinical Oncologic Dispensary"

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Pskov, Russian Federation

Federal State Budgetary Educational Institution of Higher Education Rostov State Medical University of the Ministry of Health of the Russian Federation

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Rostov-on-Don, Russian Federation

Federal State Budgetary Educational Institution of Higher Education "North-Western State Medical University named after II Mechnikov" of the Ministry of Health of the Russian Federation

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Saint-Petersburg, Russian Federation

Federal State Budgetary Institution "N. N. Petrov National Medical Research Center of Oncology" of the Ministry of Health of Russia

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Saint-Petersburg, Russian Federation

Federal State Budgetary Institution "Russian Research Institute of Hematology and Transfusiology of the Federal Medical and Biological Agency"

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Saint-Petersburg, Russian Federation

Study State Budgetary Institution of Health "Oncology Dispensary No. 2" of the Ministry of Health of the Krasnodar Territory

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Sochi, Russian Federation

State Budgetary Institution of Healthcare of the Stavropol Territory "Stavropol Regional Clinical Oncology Dispensary"

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Stavropol, Russian Federation

Budgetary institution of the Khanty-Mansiysk Autonomous Okrug Ugra

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Surgut, Russian Federation

State Healthcare Institution of Tula Region "Tula Regional Clinical Hospital"

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Tula, Russian Federation

State institution of the Komi Republic "Komi Republican Oncological Dispensary"

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Syktyvkar, Russian Federation

State autonomous health care institution of the Tyumen region "Multidisciplinary clinical medical center "Medical City"

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Tyumen, Russian Federation

Ministry of Health of the Republic of Bashkortostan State Autonomous Healthcare Institution Republican Clinical Oncologic Dispensary

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Ufa, Russian Federation

State Healthcare Institution "Regional Clinical Oncologic Dispensary"

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Ulyanovsk, Russian Federation

State budgetary health care institution "Volgograd Regional Clinical Oncology Center"

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Volgograd, Russian Federation

Budget institution of health care of the Vologda region "Vologda regional clinical hospital"

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Vologda, Russian Federation

State budgetary institution of health care of the Yaroslavl region "Regional Clinical Hospital"

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Yaroslavl, Russian Federation

State budgetary healthcare institution of the Astrakhan region Alexander-Mariinsky regional clinical hospital

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Astrakhan, Russian Federation

Autonomous Institution "Republican Clinical Oncology Dispensary" of the Ministry of Health of Chuvashia

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Cheboksary, Russian Federation

State budgetary institution of health care of the Kemerovo region "Regional Clinical Oncology Center"

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Kemerovo, Russian Federation

Regional State Budgetary Institution of Health "Regional Clinical Hospital 1" named after Professor S.I. Sergeeva, Ministry of Health of the Khabarovsk Territory

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Khabarovsk, Russian Federation

Federal State Budgetary Institution "Main Military Clinical Hospital named after Academician N.N.Burdenko" of the Ministry of Defense of the Russian Federation

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Moscow, Russian Federation

Federal State Budgetary Institution of Science "Kirov Research Institute of Hematology and Blood Transfusion of the Federal Medical and Biological Agency"

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Kirov, Russian Federation

Regional State Budgetary Institution of Health "Regional Clinical Hospital"

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Krasnoyarsk, Russian Federation

Federal State Budgetary Institution "National Medical Research Center of Oncology named after N.N. Blokhina "of the Ministry of Health of the Russian Federation

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Moscow, Russian Federation

State Budgetary Healthcare Facility of Nizhny Novgorod Region "City Clinical Hospital 12"

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Nizhny Novgorod, Russian Federation

Federal State Budgetary Educational Institution of Higher Education Ryazan State Medical University named after Academician I.P. Pavlova" of the Ministry of Health of the Russian Federation

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Ryazan, Russian Federation

Saratov State Medical University named after V.I.Razumovsky of the Ministry of Health of Russia "Clinic of Physiopathology and Hematology named after Professor V.Ya. Shustov"

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Saratov, Russian Federation

State Budgetary Institution of Healthcare of the Moscow Region Moscow Regional Research Clinical Institute named after M.F. Vladimirskoye

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Moscow, Russian Federation

The Moscow State Clinical Hospital No. 52 of the Moscow City Department of Healthcare, State Budgetary Institution of Health Care

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Moscow, Russian Federation

Moscow City Hematology Center on the basis of the State Budgetary Institution of Healthcare of the City of Moscow City Clinical Hospital named after S.P. Botkin Moscow Department of Health

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Moscow, Russian Federation

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