MedPath

Study of Magrolimab Versus Placebo in Combination With Venetoclax and Azacitidine in Participants With Acute Myeloid Leukemia

Phase 3
Terminated
Conditions
Acute Myeloid Leukemia
Interventions
Registration Number
NCT05079230
Lead Sponsor
Gilead Sciences
Brief Summary

The goal of this clinical study is to compare the study drugs, magrolimab + venetoclax + azacitidine, versus placebo + venetoclax + azacitidine in participants with untreated acute myeloid leukemia (AML) who are not able to have chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
378
Inclusion Criteria
  • Previously untreated individuals with histological confirmation of acute myeloid leukemia (AML) by World Health Organization (WHO) criteria who are ineligible for treatment with a standard cytarabine and anthracycline induction regimen due to age, or comorbidity. Individuals must be considered ineligible for intensive chemotherapy, defined by the following:

    • ≥ 75 years of age; Or

    • ≥ 18 to 74 years of age with at least 1 of the following comorbidities:

      • Eastern Cooperative Oncology Group (ECOG) performance status of 2 or 3
      • Diffusing capacity of the lung of carbon monoxide ≤ 65% or forced expiratory volume in 1 second ≤ 65%
      • Left ventricular ejection fraction ≤ 50%
      • Baseline creatinine clearance ≥ 30 mL/min to < 45 mL/min calculated by the Cockcroft Gault formula or measured by 24-hour urine collection
      • Hepatic disorder with total bilirubin > 1.5 x upper limit of normal (ULN)
      • Any other comorbidity that the investigator judges to be incompatible with intensive chemotherapy
    • ECOG performance status:

      • Of 0 to 2 for individuals ≥ 75 years of age Or
      • Of 0 to 3 for individuals ≥ 18 to 74 years of age
  • Individuals with white blood cell (WBC) count ≤ 20 x 10^3/μL prior to randomization. If the individual's WBC is > 20 x10^3/μL prior to randomization, the individual can be enrolled, assuming all other eligibility criteria are met. However, the WBC should be ≤ 20 x 10^3/μL prior to the first dose of study treatment and prior to each magrolimab/placebo dose during Cycle 1.

    • Note: Individuals can be treated with hydroxyurea and/or leukapheresis prior to randomization and throughout the study to reduce the WBC to ≤ 20 x 10^3/μL to enable eligibility for study drug dosing
  • Hemoglobin must be ≥ 9 g/dL prior to initial dose of study treatment

    • Note: Transfusions are allowed to meet hemoglobin eligibility
  • Pretreatment blood cross-match completed

Key

Exclusion Criteria
  • Prior treatment with any of the following:

    • cluster of differentiation 47 (CD47) or signal regulatory protein alpha (SIRPα)-targeting agents

    • Antileukemic therapy for the treatment of AML (eg, hypomethylating agents (HMAs), low-dose cytarabine, and/or venetoclax), excluding hydroxyurea

      • Note: Individuals with prior MDS who have not received prior HMAs or venetoclax or chemotherapeutic agents for MDS may be enrolled in the study. Prior treatment with myelodysplastic syndrome (MDS) therapies including, but not limited to lenalidomide, erythroid-stimulating agents, or similar red blood cell negative (RBC-), white blood cell negative (WBC-), or platelet-direct therapies or growth factors is allowed for these individuals.
  • Clinical suspicion of or documented active central nervous system (CNS) involvement with AML

  • Individuals who have acute promyelocytic leukemia

  • Second malignancy, except MDS, treated basal cell or localized squamous skin carcinomas, localized prostate cancer, or other malignancies for which individuals are not on active anticancer therapies and have had no evidence of active malignancy for at least 1 year

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Magrolimab + Venetoclax + AzacitidineMagrolimabParticipants will receive * magrolimab: 1 mg/kg priming dose on Days 1 and 4; 15 mg/kg on Day 8; and 30 mg/kg on Days 11, 15, and then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Magrolimab + Venetoclax + AzacitidineVenetoclaxParticipants will receive * magrolimab: 1 mg/kg priming dose on Days 1 and 4; 15 mg/kg on Day 8; and 30 mg/kg on Days 11, 15, and then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Magrolimab + Venetoclax + AzacitidineAzacitidineParticipants will receive * magrolimab: 1 mg/kg priming dose on Days 1 and 4; 15 mg/kg on Day 8; and 30 mg/kg on Days 11, 15, and then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Magrolimab Matching Placebo + Venetoclax + AzacitidineVenetoclaxParticipants will receive * magrolimab matching placebo: Days 1, 4, 8, 11, and 15, then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Magrolimab Matching Placebo + Venetoclax + AzacitidineAzacitidineParticipants will receive * magrolimab matching placebo: Days 1, 4, 8, 11, and 15, then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Magrolimab Matching Placebo + Venetoclax + AzacitidinePlaceboParticipants will receive * magrolimab matching placebo: Days 1, 4, 8, 11, and 15, then every week for 5 doses and every 2 weeks thereafter * venetoclax: 100 mg on Cycle 1 Day 1, 200 mg on Cycle 1 Day 2, 400 mg on Cycle 1 Day 3 and daily thereafter * azacitidine: 75 mg/m\^2 on Days 1-7 or Days 1-5 and 8-9 of each cycle Each cycle is 28 days.
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)Up to 1.6 years

OS was measured from the date of randomization to the date of death from any cause. Participants were censored at last known alive date. Kaplan-Meier (KM) estimates were used in outcome measure analysis.

Secondary Outcome Measures
NameTimeMethod
Rate of Complete Remission (CR)Up to 1.6 years

CR was defined as the percentage of the participants who achieved CR (including CRMRD- and CRMRD+/unk) within 6 cycles of treatment as determined by the investigator while on study prior to initiation of any new anti-acute myeloid leukemia (AML) therapy or stem cell transplant (SCT) within the response assessment window of 1.6 years. Definitions for CRMRD- and CRMRD+/unk were mentioned in outcome measure #2. Percentages were rounded-off. Clopper-Pearson method were used in outcome measure analysis. Each cycle was of 28 days.

Rate of Complete Remission (CR) + Complete Remission With Partial Hematologic Recovery (CRh)Up to 1.6 years

The CR + CRh rate was defined as the percentage of participants who achieved a CR (including CR without minimal residual disease (CRMRD-) and CR with positive or unknown MRD (CRMRD+/unk)) or CRh as defined by CR with partial platelet and absolute neutrophil count recovery within 6 cycles of treatment while on study prior to initiation of any new anti-acute myeloid leukemia (AML) therapy or stem cell transplant (SCT). CRMRD- and CRMRD+/unk: neutrophils \>1.0 ×10\^9/L, platelets \>100 ×10\^9/L, \<5% bone marrow blasts, no circulating blasts or extramedullary disease (confirmed by flow cytometry \<0.1% sensitivity for CRMRD-) within the response assessment window of 1.6 years. Percentages were rounded-off. Clopper-Pearson method were used in outcome measure analysis. Each cycle was of 28 days.

Event-Free Survival (EFS)Up to 1.6 years

EFS was defined as time from the date of randomization to the earliest date of the documented relapse from CR, treatment failure (defined as failure to achieve CR within 6 cycles of treatment), or death from any cause within the response window. KM estimates were used in outcome measure analysis. CR is defined in outcome measure 2.

Duration of CR + CRh in Participants Who Achieved Complete Remission (CR) or Complete Remission With Partial Hematologic Recovery (CRh)Up to 1.6 years

The duration of CR + CRh was measured from the time the assessment criteria were first met for CR (including CRMRD- and CRMRD+/unk) or CRh within 6 cycles of treatment until the first date of AML relapse or death (including assessments post SCT). Those who were not observed to have relapsed disease or death while on study were censored at the date of their last response assessment with no evidence of relapse on or prior to the data cut off date within the response assessment window of 1.6 years. Participants started taking new anti-AML therapies (excluding post-SCT maintenance therapy) before relapse, duration of CR + CRh were censored at the last response assessment before the initiation of the new anti-AML therapies. CR and CRh are defined in Outcome Measure #2. Each cycle was of 28 days.

Duration of Complete Remission (DCR) in Participants Who Achieved Complete Remission (CR)Up to 1.6 years

The DCR was measured from the time the assessment criteria were first met for CR (including CRMRD- and CRMRD+/unk) within 6 cycles of treatment until the first date of AML relapse or death (including assessments post SCT). Those who were not observed to have relapsed disease or death while on study were censored at the date of their last response assessment with no evidence of relapse on or prior to the data cutoff date within the response assessment window of 1.6 years. Participants started taking new anti-AML therapies (excluding post-SCT maintenance therapy) before relapse, DCR were censored at the last response assessment before the initiation of the new anti-AML therapies. KM estimates were used in outcome measure analysis. CRMRD- and CRMRD+/unk are defined in outcome measure #2. Each cycle was of 28 days.

Red Blood Cell (RBC) Transfusion Independence Conversion RateUp to 1.6 years

The RBC transfusion independence conversion rate was the percentage of participants who had a 56-day or longer period with no RBC or whole blood transfusions at any time between the date of the first dose of study treatment and discontinuation of study treatment among all participants who were RBC transfusion dependent at baseline. Percentages were rounded-off. Clopper-Pearson method were used in outcome measure analysis.

Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)First dose date up to 1.4 years plus 70 days

An AE was defined as any unfavorable and unintended sign, symptom, or disease temporally associated with the use of an investigational product or other protocol-imposed intervention, regardless of attribution. TEAEs were defined as any AEs with an onset date on or after the study drug start date and no later than 70 days after the study drug last dose date or the day before initiation of new anti-AML therapy including stem cell transplantation, whichever is earlier. Percentages were rounded-off.

Percentage of Participants With Anti-Magrolimab AntibodiesUp to 1.6 years

Percentages were rounded off.

Maximum Levels of Serum Anti-Magrolimab AntibodiesUp to 1.6 years
Rate of CR/CRh Without Minimal Residual Disease (CR/CRhMRD-)Up to 1.6 years

The CR/CRhMRD- rate was the percentage of participants who achieved a CRMRD- or CRhMRD- within 6 cycles of treatment while on study prior to initiation of any new anti-AML therapy or SCT within the response assessment window of 1.6 years. Each cycle was of 28 days. KM estimates were used for outcome measure analysis. CRhMRD- : neutrophils \> 0.5 x 10\^9/L; platelets \> 50 x 10\^9/L; bone marrow blasts \< 5%; MRD negative (determined using multiparameter flow cytometry with a sensitivity of \< 0.1%). Absence of circulating blasts and blasts with Auer rods; absence of extramedullary disease. Percentages were rounded off.

Rate of CR Without Minimal Residual Disease (CRMRD-)Up to 1.6 years

The CRMRD- rate was the percentage of participants who achieved a CRMRD- within 6 cycles of treatment SCT within the response assessment window of 1.6 years. Percentages were rounded-off. Clopper-Pearson method were used in outcome measure analysis. CRMRD is defined in outcome measure #2. Each cycle was of 28 days. Percentages were rounded off

Platelet Transfusion Independence Conversion RateUp to 1.6 years

The platelet transfusion independence conversion rate was the percentage of participants who had a 56-day or longer period with no platelet transfusions at any time between the date of the first dose of study treatment and discontinuation of study treatment among all participants who were platelet transfusion dependent at baseline. Percentages were rounded-off. Clopper-Pearson method were used in outcome measure analysis.

Time to First Deterioration (TTD) on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Global Health Status/Quality of Life (GHS/QoL) ScaleUp to 1.6 years

The TTD on the EORTC QLQ-C30 GHS/QoL scale was defined as time from the date of randomization to the time a participant experienced at least 1 threshold value deterioration from baseline or death, whichever was earlier. Questionnaire includes 30 questions resulting in 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning), 1 GHS/QoL scale, 3 symptom scales (fatigue, nausea and vomiting, pain), and 6 single items (dyspnea, insomnia, loss of appetite, constipation, diarrhea, financial difficulties). After linear transformation, all scales and single item measures range in score from 0-100. Higher score on GHS/QoL scale meant better GHS/QoL. KM estimates were used in outcome measure analysis.

Time to First Deterioration (TTD) on the EORTC QLQ-C30 Physical Functioning ScaleUp to 1.6 years

The TTD on the EORTC QLQ-C30 physical functioning scale was defined as time from the date of randomization to the time a participant experienced at least 1 threshold value deterioration from baseline or death, whichever is earlier. Physical functioning scale is one of the five functional scales of the EORTC QLQ C30 questionnaire. After linear transformation, scale range in score from 0-100. A higher score on functional scales means better functioning and better quality of life. KM estimates were used in outcome measure analysis.

Percentage of Participants Experiencing Grade 3 or Higher Treatment-Emergent Laboratory AbnormalitiesFirst dose date up to 1.4 years, plus 70 days

Treatment-emergent laboratory abnormalities were defined as values that increased by at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of the last dose of study drug plus 70 days or the day before the initiation of new anti-AML therapy including SCT, whichever came first, and were summarized by treatment group. Severity grades were defined by the CTCAE Version 5.0. 1 = Mild; 2 = Moderate; 3 = Severe; 4 = Life-Threatening; 5 = Death. Percentages were rounded-off.

Serum Concentration of Magrolimab Over TimePredose on Day 1, Day 8, Day 15, Day 29; Predose on Day 57 and 1 hour post-dose; Predose on Day 113, Day 169, Day 253, and Day 337.

Trial Locations

Locations (164)

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

UC Irvine Health- Chao Family Comprehensive Cancer Center

🇺🇸

Orange, California, United States

The University of Iowa Hospitals and Clinics

🇺🇸

Iowa City, Iowa, United States

SSM Health Saint Louis University Hospital

🇺🇸

Saint Louis, Missouri, United States

Rutgers Cancer Institute of New Jersey

🇺🇸

New Brunswick, New Jersey, United States

Novant Health Cancer Institute Hematology- Charlotte

🇺🇸

Charlotte, North Carolina, United States

City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

🇺🇸

Duarte, California, United States

Icahn School of Medicine at Mount Sinai and The Mount Sinai Hospital

🇺🇸

New York, New York, United States

John Theurer Cancer Center at Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Community Cancer Institute

🇺🇸

Fresno, California, United States

Baptist MD Anderson Cancer Center

🇺🇸

Jacksonville, Florida, United States

Hanusch Krankenhaus

🇦🇹

Vienna, Austria

Rabin Medical Center

🇮🇱

Petah Tikva, Israel

IRCCS Istituto Clinico Humanitas

🇮🇹

Milano, Italy

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Canberra Hospital

🇦🇺

Woden, Australian Capital Territory, Australia

Hospital General Universitario Gregorio Maranon

🇪🇸

Madrid, Spain

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Kaohsiung Chang Gung Memorial Hospital

🇨🇳

Kaohsiung, Taiwan

Szpital Wojewodozki w Opolu Sp. z 0.0. Oddzial Klinixzny Hematologii, Onkologii Hematologicznej i Chorob Wemnetrznych

🇵🇱

Opole, Poland

Hospital Universitari I Politecnic La Fe

🇪🇸

Valencia, Spain

Hadassah University Hospital Ein Kerem

🇮🇱

Jerusalem, Israel

The Chaim Sheba Medical Center

🇮🇱

Ramat Gan, Israel

Shaare Zedek Medical Center

🇮🇱

Jerusalem, Israel

Wojewódzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M.Kopernika w Lodzi, Oddzial Hematologii Ogolnej

🇵🇱

Łódź, Poland

Meander Medisch Centrum

🇳🇱

Amersfoort, Netherlands

Azienda Ospedaliero Universitaria delle Marche - SOD Clinica di Ematologia

🇮🇹

Ancona, Italy

Azienda Ospedaliero Universitaria di Bologna Policlinico Sant'Orsola-Malpighi

🇮🇹

Bologna, Italy

ASST Monza-Ospedale San Gerardo

🇮🇹

Monza, Italy

Oslo University Hospital, Department of Hematology

🇳🇴

Oslo, Norway

King's College Hospital

🇬🇧

London, United Kingdom

Clatterbridge Cancer Centre NHS Foundation Trust

🇬🇧

Liverpool, United Kingdom

Complejo Asistencial Universitario de Salamanca - Hospital Clinico

🇪🇸

Salamanca, Spain

The Catholic University of Korea Seoul Saint Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Azienda Ospedaliera di Perugia - Santa Maria della Misericordia

🇮🇹

Perugia, Italy

Hospital Universitario Araba

🇪🇸

Alava, Spain

Newcastle upon Tyne Hospitals Foundation Trust

🇬🇧

Newcastle upon Tyne, United Kingdom

Hospital Universitario Reina Sofia

🇪🇸

Cordoba, Spain

Hospital Universitario Ramon y Cajal

🇪🇸

Madrid, Spain

Inselspital Universitätsspital Bern

🇨🇭

Berne, Switzerland

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Universitair Medisch Centrum Groningen

🇳🇱

Groningen, Netherlands

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

The Christie NHS Foundation Trust

🇬🇧

Manchester, United Kingdom

Complejo Hospitalario Universitario de Santiago de Compostela

🇪🇸

Santiago de Compostela, Spain

Hospital Universitario Quironsalud Madrid

🇪🇸

Madrid, Spain

Leeds Teaching Hospitals NHS Trust

🇬🇧

Leeds, United Kingdom

Oxford University Hospitals NHS Foundation Trust, Churchill Hospital

🇬🇧

Oxford, United Kingdom

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

West Penn Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

University of Maryland, Greenebaum Comprehensive Cancer Center

🇺🇸

Baltimore, Maryland, United States

Amphia Hospital, department Oncologie, Route 43

🇳🇱

Breda, Netherlands

HagaZiekenhuis

🇳🇱

Den Haag, Netherlands

Medisch Spectrum Twente - Enschede Koningsplein

🇳🇱

Enschede, Netherlands

Medisch Centrum Leeuwarden

🇳🇱

Leeuwarden, Netherlands

Erasmus Medisch Centrum

🇳🇱

Rotterdam, Netherlands

Indiana Blood and Marrow Transplantation - Clinic

🇺🇸

Indianapolis, Indiana, United States

Houston Methodist Hospital Cancer Center

🇺🇸

Houston, Texas, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Virginia Mason Franciscan Health

🇺🇸

Seattle, Washington, United States

Fred Hutchinson Cancer Center

🇺🇸

Seattle, Washington, United States

University Hospital Gent

🇧🇪

Gent, Belgium

University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

OU Health Stephenson Cancer Center

🇺🇸

Oklahoma City, Oklahoma, United States

Intermountain Health - LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

Centre Hospitalier Lyon-Sud (CHLS)

🇫🇷

Pierre-Bénite, France

Barts Health NHS Trust

🇬🇧

London, United Kingdom

Marien Hospital Dusseldorf GmbH, Klinik Fur Onkologie, Hamatologie Und Palliativmedizin

🇩🇪

Düsseldorf, Germany

Debreceni Egyetem Klinikai Központ Belgyogyaszati Klinika B epulet Hematologia

🇭🇺

Hajdu-bihar, Hungary

Parkview Research Center

🇺🇸

Fort Wayne, Indiana, United States

Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

University of Massachusetts Worcester

🇺🇸

Worcester, Massachusetts, United States

New York-Presbyterian/Weill Cornell Medical Center

🇺🇸

New York, New York, United States

University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

Baylor University Medical Center

🇺🇸

Dallas, Texas, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

Border Medical Oncology Research Unit

🇦🇺

Albury, New South Wales, Australia

Concord Repatriation General Hospital

🇦🇺

Concord, New South Wales, Australia

Liverpool Hospital

🇦🇺

Liverpool, New South Wales, Australia

St George Hospital, Clinical Research Unit Haemotology, Division of Cancer Services

🇦🇺

Sydney, New South Wales, Australia

Gold Coast University Hospital

🇦🇺

Southport, Queensland, Australia

Ziekenhuis Netwerk Antwerp (ZNA) - Stuivenberg

🇧🇪

Antwerp, Belgium

Peter MacCallum Cancer Centre

🇦🇺

Melbourne, Victoria, Australia

Northern Health

🇦🇺

Epping, Victoria, Australia

Monash University, Eastern Health-Box Hill Hospital

🇦🇺

Box Hill, Victoria, Australia

Centre Integre Universitaire de Sante et de Services Sociaux(CIUSSS) de l'Est-de-L'Ile-de- Montreal - Hopital Maisonneuve-Rosemont

🇨🇦

Montreal, Canada

Queen Elizabeth II (QEII) Health Sciences Centre

🇨🇦

Halifax, Canada

Princess Margaret Cancer Centre - University Health Network

🇨🇦

Toronto, Canada

CancerCare Manitoba

🇨🇦

Winnipeg, Canada

Fakultni nemocnice Ostrava, Klinika hematoonkologie

🇨🇿

Ostrava, Czechia

Fakultni nemocine Olomouc, Hemato-onkologicka klinika

🇨🇿

Olomouc, Czechia

Fakultni nemocnice Brno, Interni hematologicka a onkologicka klinika FN Brno a LF MU

🇨🇿

Jihormoravsky KRAJ, Czechia

CHU d'Angers

🇫🇷

Angers, France

Fakulti nemocnice Kralovske Vinohrady, Internf hematologicka klinika FNKV a 3. LF UK

🇨🇿

Prague, Czechia

Vseobecna fakultni nemocnice v Praze, Fakultni poliklinika, Hematologicka ambulance

🇨🇿

Praha 2, Czechia

Hopital Avicenne

🇫🇷

Bobigny, France

CHU Amiens Picardie

🇫🇷

Amiens Cedex 1, France

Hopitaux Universitaires Henri Mondor

🇫🇷

Creteil, France

Centre Hospitalier de Versailles

🇫🇷

Le Chesnay Cedex, France

Centre Hospitalier Universitaire Grenoble Alpes

🇫🇷

La Tronche, France

Hôpital Claude Huriez (CHRU de Lillle)

🇫🇷

Lille Cedex, France

Hopital Saint-Louis

🇫🇷

Paris, France

Centre Leon Berard

🇫🇷

Lyon Cedex 08, France

Centre Hospitalier Universitaire Nantes - Hotel Dieu

🇫🇷

Nantes, France

Institut Universitaire du Cancer de Toulouse (IUCT)-Oncopole

🇫🇷

Toulouse, France

CHU de Nancy - Hopitaux de Brabois

🇫🇷

Vandoeuvre-les-Nancy, France

Institut de Cancérologie Strasbourg Europe (ICANS)

🇫🇷

Strasbourg, France

Universitatsklinikum Dusseldorf, Klink fur Hamatologie, Onkologie und Klinische Immunologie

🇩🇪

Dusseldorf, Germany

Universitätsklinikum Bonn

🇩🇪

Bonn, Germany

Charite - Universitatsmedizin Berlin, Campus Virchow Klinikum, Medizinische Klinik mit Schwerpunkt Hamatologie, Onkologie und Tumorimmunologie

🇩🇪

Berlin, Germany

Städtisches Klinikum Braunschweig GmbH Medizinische Klinik III/Hämatologie und Onkologie

🇩🇪

Braunschweig, Germany

Asklepios Klink St.Georg

🇩🇪

Hamburg, Germany

Medizinische Hochschule Hannover, Hamatologie, Hamostaseologie, Onkologie und Stammzelltrandsplantation

🇩🇪

Hannover, Germany

Malteser Krankenhaus St. Franziskus Hospital,Med.Klinik I

🇩🇪

Flensburg, Germany

Universitatsklinikum Frankfurt Goethe Universitat Med. Klink II

🇩🇪

Frankfurt, Germany

Universitätsklinikum Magdeburg

🇩🇪

Magdeburg, Germany

Johannes Wesling Klinikum Minden Universitätsklinik fur Hämatologie, Onkologie, Hämostaseologie und Pastativrndezin, Universitatsklinik der Ruhr-Unive

🇩🇪

Minden, Germany

Klinikum rechts der Isar Technischen Universitat Munchen

🇩🇪

Muenchen, Germany

Universitatsklinikum Regensburg, Klink fur Innere Medizin III

🇩🇪

Regensburg, Germany

Klinikum Oldenburg, Rahel-Straus-Straße 10

🇩🇪

Oldenburg, Germany

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital

🇭🇰

Hong Kong, Hong Kong

Universitatsklinikum Ulm, Zentrum fur Innere Medizin, Klinik fur Innere Medizin III

🇩🇪

Ulm, Germany

Queen Mary Hospital

🇭🇰

Hong Kong, Hong Kong

Tuen Mun Hospital

🇭🇰

Hong Kong, Hong Kong

Semmelweis Egyetem Belgyogyaszati es Hematologiai Klinika

🇭🇺

Budapest, Hungary

Petz Aladár Egyetemi Oktató Kórház II. Belgyógyaszat - Haematológia

🇭🇺

Gyor, Hungary

Rambam Health Care Campus

🇮🇱

Haifa, Israel

Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Kozpont

🇭🇺

Szeged, Hungary

ASST Papa Giovanni XXIII

🇮🇹

Bergamo, Italy

Azienda Sanitaria Territoriale Pesaro e Urbino - "Stabilimento Ospedaliero San Salvatore - Muraglia" - U.O. Ematologia e Centro Trapianti

🇮🇹

Pesaro, Italy

St. Antonius Ziekenhuis, Nieuwegein

🇳🇱

Nieuwegein, Netherlands

Masstricht Universitair Medisch Centrum

🇳🇱

Maastricht, Netherlands

Jeroen Bosch Ziekenhuis

🇳🇱

's-Hertogenbosch, Netherlands

Centrum Onkologii Ziemi Lubelskiej im. Sw. Jana z Dukli, Oddzial Hematologiczny

🇵🇱

Lublin, Poland

Amsterdam Universitair Medische Centra-Locatie Vrije Universiteit Medisch Centrum

🇳🇱

Amsterdam, Netherlands

Canisius Wilhelmina Ziekenhuis

🇳🇱

Nijmegen, Netherlands

Hospital Regional Universitario de Malaga

🇪🇸

Malaga, Spain

University Hospitals Bristol and Weston NHS Foundation Trust

🇬🇧

Bristol, United Kingdom

National Cheng Kung University Hospital

🇨🇳

Taipei, Taiwan

The Royal Wolverhampton NHS Trust

🇬🇧

Wolverhampton, United Kingdom

South Warwickshire University NHS Foundation Trust

🇬🇧

Warwick, United Kingdom

Moffitt Cancer Center

🇺🇸

Tampa, Florida, United States

Novant Health Cancer Institute Hematology - Forsyth

🇺🇸

Winston-Salem, North Carolina, United States

Wake Forest Baptist Health

🇺🇸

Winston-Salem, North Carolina, United States

Providence Cancer Institute Franz Clinic

🇺🇸

Portland, Oregon, United States

Froedtert Hospital and the Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Wiener Gesundheitsverbund, Klinik Hietzing

🇦🇹

Wien, Austria

Penn State Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Ordensklinikum Linz GmbH Elisabethinen

🇦🇹

Linz, Austria

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

University Hospital Leuven (UZ Leuven) - Campus Gasthuisberg

🇧🇪

Leuven, Belgium

Centre Hospitalier Universitaire de Liege

🇧🇪

Liege, Belgium

Hopital de Jolimont

🇧🇪

Haine-Saint-Paul, Belgium

Cliniques Universitaires Saint-Luc

🇧🇪

Brussels, Belgium

MidAmerica Division, Inc., c/o Research Medical Center

🇺🇸

Kansas City, Missouri, United States

UNC Hospitals, The University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Blackpool Teaching Hospitals NHS Foundation Trust

🇬🇧

Blackpool, United Kingdom

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

Princess Margaret Hospital

🇭🇰

Hong Kong, Hong Kong

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