MedPath

A Clinical Study of Intismeran Autogene (V940) Plus Pembrolizumab in People With High-Risk Melanoma (V940-001)

Phase 3
Active, not recruiting
Conditions
Melanoma
Interventions
Registration Number
NCT05933577
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

The purpose of this study is to learn if intismeran autogene which is an individualized neoantigen therapy (INT; formerly, called messenger ribonucleic acid \[mRNA\]-4157) with pembrolizumab (MK-3475) is safe and prevents cancer from returning in people with high-risk melanoma. Researchers want to know if intismeran autogene with pembrolizumab is better than receiving pembrolizumab alone at preventing the cancer from returning.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
1089
Inclusion Criteria

The main inclusion criteria include but are not limited to the following:

  • Has surgically resected and histologically/pathologically confirmed diagnosis of Stage IIB or IIC, III, or IV cutaneous melanoma
  • Has not received any prior systemic therapy for their melanoma beyond surgical resection
  • No more than 13 weeks have passed between final surgical resection that rendered the participant disease-free and the first dose of pembrolizumab
  • Is disease free at the time of providing documented consent for the study
  • Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on anti-retroviral therapy (ART)
Exclusion Criteria

The main exclusion criteria include but are not limited to the following:

  • Has ocular or mucosal melanoma
  • Has cancer that has spread to other parts of the body and cannot be removed with surgery
  • Has heart failure within the past 6 months
  • Has received prior cancer therapy or another cancer vaccine
  • Has another known cancer that that has spread to other parts of the body or has required treatment within the past 3 years
  • Has severe reaction to study medications or any of their substance used to prepare a drug
  • Have not recovered from major surgery or have ongoing surgical complications

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intismeran autogene + PembrolizumabIntismeran autogeneParticipants receive up to 9 doses of intismeran autogene via an intramuscular (IM) injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an intravenous (IV) infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner.
Intismeran autogene + PembrolizumabPembrolizumabParticipants receive up to 9 doses of intismeran autogene via an intramuscular (IM) injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an intravenous (IV) infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner.
Placebo + PembrolizumabPembrolizumabParticipants receive up to 9 doses of dose matched placebo to intismeran autogene via an IM injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an IV infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner.
Placebo + PembrolizumabPlaceboParticipants receive up to 9 doses of dose matched placebo to intismeran autogene via an IM injection (every 3 weeks) plus up to 9 doses of pembrolizumab via an IV infusion (once every 6 weeks) until disease recurrence or unacceptable toxicity, or for a total treatment duration of up to approximately 56 weeks, whichever is sooner.
Primary Outcome Measures
NameTimeMethod
Recurrence-Free Survival (RFS)Up to approximately 74 months

RFS is defined as the length of time from when the participant starts the study until either the cancer comes back, or the cancer spreads as assessed by the investigator, or death due to any cause.

Secondary Outcome Measures
NameTimeMethod
Overall-Survival (OS)Up to approximately 85 months

OS is the length of time that people are alive after joining the study.

Number of Participants Who Discontinue Study Treatment Due to an AEUp to approximately 56 weeks

An AE is a health problem that happens or worsens during a study. Number of participants who discontinue study treatment will be reported.

Distant Metastasis-Free Survival (DMFS)Up to approximately 85 months

DMFS is the length of time from when the participant starts the study until either the cancer spreads from where it started to other parts of the body as assessed by the investigator, or death due to any cause.

Number of Participants Who Experience an Adverse Event (AE)Up to approximately 68 weeks

An AE is a health problem that happens or worsens during a study. Number of participants who experience an AE will be reported.

Change from Baseline in the EORTC QLQ-C30 Physical Functioning (Items 1-5) Combined Score on the EORTC QLQ-C30Baseline and up to approximately 85 months

The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to 5 questions about their physical functioning will be scored on a 4-point scale (1=Not at All to 4=Very Much). Using linear transformation, raw scores will be standardized, so that scores range from 0 to 100. Higher scores indicate a better level of physical functioning. The change from baseline in Physical Functioning (EORTC QLQ-C30 Items 1-5) combined score will be presented.

Change from Baseline in the EORTC QLQ-C30 Role Functioning (Items 6 and 7) Combined Score on the EORTC QLQ-C30Baseline and up to approximately 85 months

The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "Were you limited in doing either your work or other daily activities during the past week?" and " Were you limited in pursuing your hobbies or other leisure time activities during the past week?" will be scored on a 4-point scale (1=Not at All to 4=Very Much). Higher scores indicate a more impaired level of role functioning. Change from baseline in the role functioning (EORTC QLQ-C30 Items 6-7) combined score will be presented.

Change from Baseline in the European Organization for Research and Treatment of Cancer (EORTC)-Quality of Life Questionnaire-Core 30 (QLQ-C30) Global Health Status/Quality of Life (Items 29 and 30) Combined ScoreBaseline and up to approximately 85 months

The EORTC QLQ-C30 is a 30-item questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions "How would you rate your overall health during the past week?" and "How would you rate your overall quality of life during the past week?" will be scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores will be standardized, so that scores range from 0 to 100. Higher scores indicate a better overall health status. Per protocol, the change from baseline in EORTC QLQ-C30 Items 29 and 30 combined score will be presented.

Trial Locations

Locations (165)

Chang Gung Memorial Hospital at Kaohsiung (Site 4000)

🇨🇳

Kaohsiung, Taiwan

National Cheng Kung University Hospital-Clinical Trial Center ( Site 4004)

🇨🇳

Tainan, Taiwan

National Taiwan University Hospital (Site 4001)

🇨🇳

Taipei, Taiwan

Chang Gung Medical Foundation-Linkou Branch ( Site 4003)

🇨🇳

Taoyuan, Taiwan

Highlands Oncology Group ( Site 1943)

🇺🇸

Springdale, Arkansas, United States

UCLA Hematology/Oncology - Westwood (Building 100) ( Site 1918)

🇺🇸

Los Angeles, California, United States

UCSF Medical Center at Mission Bay ( Site 1929)

🇺🇸

San Francisco, California, United States

Yale-New Haven Hospital-Yale Cancer Center ( Site 1933)

🇺🇸

New Haven, Connecticut, United States

Orlando Health Cancer Institute ( Site 1937)

🇺🇸

Orlando, Florida, United States

Moffitt Cancer Center, Richard M. Shulze Family Foundation Outpatient Center ( Site 1945)

🇺🇸

Tampa, Florida, United States

Winship Cancer Institute of Emory University ( Site 1940)

🇺🇸

Atlanta, Georgia, United States

Northwest Georgia Oncology Centers, a Service of Wellstar Cobb Hospital ( Site 1950)

🇺🇸

Marietta, Georgia, United States

University of Iowa-Holden Comprehensive Cancer Center ( Site 1935)

🇺🇸

Iowa City, Iowa, United States

Johns Hopkins Hospital-Sidney Kimmel Comprehensive Cancer Center - Melanoma ( Site 1912)

🇺🇸

Baltimore, Maryland, United States

Massachusetts General Hospital ( Site 1927)

🇺🇸

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center ( Site 1957)

🇺🇸

Boston, Massachusetts, United States

Dana-Farber Cancer Institute ( Site 1956)

🇺🇸

Boston, Massachusetts, United States

University of Michigan ( Site 1915)

🇺🇸

Ann Arbor, Michigan, United States

Cancer and Hematology Centers of Western Michigan ( Site 1932)

🇺🇸

Grand Rapids, Michigan, United States

John Theurer Cancer Center at Hackensack University Medical Center ( Site 1944)

🇺🇸

Hackensack, New Jersey, United States

Atlantic Health System ( Site 1925)

🇺🇸

Morristown, New Jersey, United States

Valley Health Systems - Ridgewood Campus ( Site 1947)

🇺🇸

Ridgewood, New Jersey, United States

Perlmutter Cancer Center at NYU Langone Hospital - Long Island ( Site 1958)

🇺🇸

Mineola, New York, United States

NYU Langone Health-Perlmutter Cancer Center ( Site 1917)

🇺🇸

New York, New York, United States

Columbia University Irving Medical Center-CUIMC Herbert Irving Comprehensive Cancer Center Clinical

🇺🇸

New York, New York, United States

Memorial Sloan Kettering Cancer Center ( Site 1914)

🇺🇸

New York, New York, United States

University of North Carolina Medical Center-Lineberger Comprehensive Cancer Center ( Site 1949)

🇺🇸

Chapel Hill, North Carolina, United States

Duke Cancer Institute ( Site 1911)

🇺🇸

Durham, North Carolina, United States

Hospital of the University of Pennsylvania Perelman Center for Advanced Medicine ( Site 1905)

🇺🇸

Philadelphia, Pennsylvania, United States

UPMC Hillman Cancer Center ( Site 1909)

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina-Hollings Cancer Center ( Site 1934)

🇺🇸

Charleston, South Carolina, United States

Sanford Cancer Center ( Site 1951)

🇺🇸

Sioux Falls, South Dakota, United States

SCRI Oncology Partners ( Site 1910)

🇺🇸

Nashville, Tennessee, United States

Texas Oncology - Austin ( Site 1903)

🇺🇸

Austin, Texas, United States

Texas Oncology - Dallas (Sammons) ( Site 1902)

🇺🇸

Dallas, Texas, United States

University of Texas MD Anderson Cancer Center ( Site 1920)

🇺🇸

Houston, Texas, United States

Inova Schar Cancer Institute ( Site 1900)

🇺🇸

Fairfax, Virginia, United States

Fred Hutchinson Cancer Center ( Site 1901)

🇺🇸

Seattle, Washington, United States

Hospital Italiano de Buenos Aires-Clinical Oncology ( Site 2202)

🇦🇷

Caba, Buenos Aires, Argentina

Instituto Alexander Fleming-Alexander Fleming ( Site 2203)

🇦🇷

Ciudad Autónoma de Buenos Aires, Caba, Argentina

Centro Privado de RMI Río Cuarto S.A. II ( Site 2201)

🇦🇷

Río Cuarto, Cordoba, Argentina

Hospital Aleman ( Site 2200)

🇦🇷

Buenos Aires, Argentina

Sanatorio Finochietto ( Site 2205)

🇦🇷

Buenos Aires, Argentina

Clinica Adventista Belgrano-Oncology ( Site 2204)

🇦🇷

Caba, Argentina

Westmead Hospital-Department of Medical Oncology ( Site 1001)

🇦🇺

Westmead, New South Wales, Australia

Melanoma Institute Australia-Clinical Trials Unit ( Site 1000)

🇦🇺

Wollstonecraft, New South Wales, Australia

Princess Alexandra Hospital ( Site 1003)

🇦🇺

Brisbane, Queensland, Australia

Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 1005)

🇦🇺

Melbourne, Victoria, Australia

Paula Fox Melanoma & Cancer Centre ( Site 1004)

🇦🇺

Melbourne, Victoria, Australia

One Clinical Research ( Site 1002)

🇦🇺

Nedlands, Western Australia, Australia

UZ Brussel-Medische oncologie ( Site 3405)

🇧🇪

Brussels, Bruxelles-Capitale, Region De, Belgium

Ziekenhuis Oost-Limburg, Campus St.-Jan ( Site 3402)

🇧🇪

Genk, Limburg, Belgium

UZ Gent ( Site 3403)

🇧🇪

Gent, Oost-Vlaanderen, Belgium

UZ Leuven ( Site 3400)

🇧🇪

Leuven, Vlaams-Brabant, Belgium

AZ Groeninge Campus Kennedylaan-Oncology ( Site 3401)

🇧🇪

Kortrijk, West-Vlaanderen, Belgium

Centro Avançado de Tratamento Oncológico- CENANTRON ( Site 2303)

🇧🇷

Belo Horizonte, Minas Gerais, Brazil

ONCOSITE - Centro de Pesquisa Clinica em Oncologia ( Site 2302)

🇧🇷

Ijui, Rio Grande Do Sul, Brazil

Hospital Nossa Senhora da Conceição ( Site 2309)

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Instituto Nacional de Câncer - INCA-Pesquisa Clinica HC II ( Site 2305)

🇧🇷

Rio de Janeiro, Brazil

ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 2300)

🇧🇷

Sao Paulo, Brazil

Cross Cancer Institute ( Site 1104)

🇨🇦

Edmonton, Alberta, Canada

BC Cancer Vancouver-Clinical Trials Unit ( Site 1106)

🇨🇦

Vancouver, British Columbia, Canada

William Osler Health System ( Site 1105)

🇨🇦

Brampton, Ontario, Canada

Sunnybrook Research Institute ( Site 1103)

🇨🇦

Toronto, Ontario, Canada

Princess Margaret Cancer Centre-Division of Medical Oncology and Hematology ( Site 1102)

🇨🇦

Toronto, Ontario, Canada

Centre Hospitalier de l'Université de Montréal-Unité de Recherche Clinique en Oncologie et Hématolo

🇨🇦

Montréal, Quebec, Canada

Centre intégré de cancérologie du CHU de Québec Université L-Hemato-Oncology ( Site 1101)

🇨🇦

Quebec City, Quebec, Canada

FALP-UIDO ( Site 2400)

🇨🇱

Santiago, Region M. De Santiago, Chile

Clínica UC San Carlos de Apoquindo-Hemato-Oncology ( Site 2402)

🇨🇱

Santiago, Region M. De Santiago, Chile

Bradfordhill ( Site 2401)

🇨🇱

Santiago, Region M. De Santiago, Chile

Clinica Somer-Unidad de Investigacion y Docencia ( Site 2506)

🇨🇴

Rionegro, Antioquia, Colombia

Oncomedica S.A.S ( Site 2503)

🇨🇴

Montería, Cordoba, Colombia

Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia-Center Investigator ( Site 2500)

🇨🇴

Bogota, Distrito Capital De Bogota, Colombia

Fundación Valle del Lili ( Site 2505)

🇨🇴

Cali, Valle Del Cauca, Colombia

Herlev and Gentofte Hospital ( Site 3301)

🇩🇰

Copenhagen, Hovedstaden, Denmark

Aalborg Universitetshospital, Syd ( Site 3302)

🇩🇰

Aalborg, Nordjylland, Denmark

Odense Universitetshospital ( Site 3300)

🇩🇰

Odense C, Syddanmark, Denmark

Centre Hospitalier Universitaire de Nice - Hôpital l'Archet-Dermatology Department ( Site 1211)

🇫🇷

Nice cedex 3, Alpes-Maritimes, France

Assistance Publique Hôpitaux de Marseille - Hôpital de la Ti-Service de Dermatologie et Cancérologi

🇫🇷

Marseille, Bouches-du-Rhone, France

Centre Georges François Leclerc ( Site 1210)

🇫🇷

Dijon, Cote-d Or, France

CHU Besançon ( Site 1209)

🇫🇷

Besançon, Doubs, France

CHU de Bordeaux Hop St ANDRE-Service de Dermatologie ( Site 1204)

🇫🇷

Bordeaux, Gironde, France

Centre Eugène Marquis Rennes - Centre de Lutte Contre le Cancer ( Site 1206)

🇫🇷

Rennes, Ille-et-Vilaine, France

Hopital Claude Huriez - CHU de Lille ( Site 1207)

🇫🇷

Lille, Nord, France

centre hospitalier lyon sud-Service de dermatologie ( Site 1202)

🇫🇷

Pierre-Bénite, Rhone, France

CHU d'Amiens-Picardie - Hôpital Sud-Dermatologie ( Site 1208)

🇫🇷

Amiens, Somme, France

Gustave Roussy-Dermatologie ( Site 1201)

🇫🇷

Villejuif, Val-de-Marne, France

Hôpital Saint-Louis ( Site 1200)

🇫🇷

Paris, France

Universitätsmedizin Mannheim ( Site 1305)

🇩🇪

Mannheim, Baden-Wurttemberg, Germany

Universitaetsklinikum Augsburg ( Site 1312)

🇩🇪

Augsburg, Bayern, Germany

Klinik und Poliklinik für Dermatologie und Allergologie-Dermato-oncology ( Site 1315)

🇩🇪

München, Bayern, Germany

Universitätsmedizin Rostock-Klinik und Poliklinik für Dermatologie und Venerologie ( Site 1310)

🇩🇪

Rostock, Mecklenburg-Vorpommern, Germany

Universitätsmedizin Göttingen - Georg-August-Universität-Dermatology ( Site 1308)

🇩🇪

Göttingen, Niedersachsen, Germany

Universitaetsklinikum Essen-Klinik für Dermatologie, Venerologie und Allergologie ( Site 1300)

🇩🇪

Essen, Nordrhein-Westfalen, Germany

Universitaetsklinikum Koeln ( Site 1307)

🇩🇪

Köln, Nordrhein-Westfalen, Germany

Johannes Wesling Klinikum Minden-Skin Cancer Center Minden ( Site 1301)

🇩🇪

Minden, Nordrhein-Westfalen, Germany

Universitaetsklinikum des Saarlandes ( Site 1313)

🇩🇪

Homburg, Saarland, Germany

SRH Wald-Klinikum Gera-Zentrum für klinische Studien ( Site 1306)

🇩🇪

Gera, Thuringen, Germany

Charité Universitaetsmedizin Berlin - Campus Mitte-Hauttumorcentrum Charité (HTCC) ( Site 1302)

🇩🇪

Berlin, Germany

Universitaetsklinikum Hamburg-Eppendorf ( Site 1309)

🇩🇪

Hamburg, Germany

General Hospital of Athens "Laiko"-First Department of Internal Medicine ( Site 3700)

🇬🇷

Athens, Attiki, Greece

Metropolitan Hospital-A' Oncology Dpt ( Site 3701)

🇬🇷

Neo Faliro, Attiki, Greece

Bioclinic Thessalonikis Private Clinic Single Member S.A.-Oncology ( Site 3703)

🇬🇷

Thessaloniki, Kentriki Makedonia, Greece

European Interbalkan Medical Center-Oncology Department ( Site 3702)

🇬🇷

Thessaloniki, Greece

Emek Medical Center ( Site 2003)

🇮🇱

Afula, Israel

Hadassah Medical Center ( Site 2004)

🇮🇱

Jerusalem, Israel

Rabin Medical Center ( Site 2000)

🇮🇱

Petah Tikva, Israel

Sheba Medical Center ( Site 2001)

🇮🇱

Ramat Gan, Israel

Istituto Europeo di Oncologia IRCCS ( Site 1404)

🇮🇹

Milano, Lombardia, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori ( Site 1401)

🇮🇹

Milan, Lombardia, Italy

Azienda Ospedaliero Universitaria Senese-U.O.C. Immunoterapia Oncologica ( Site 1402)

🇮🇹

Siena, Toscana, Italy

AO Santa Maria della Misericordia ( Site 1403)

🇮🇹

Perugia, Umbria, Italy

Istituto Nazionale Tumori IRCCS Fondazione Pascale-s.c. melanoma, immunoterapia oncologica e terapi

🇮🇹

Napoli, Italy

Nagoya University Hospital ( Site 4201)

🇯🇵

Nagoya, Aichi, Japan

Shizuoka Cancer Center ( Site 4202)

🇯🇵

Nagaizumi-cho,Sunto-gun, Shizuoka, Japan

National Cancer Center Hospital ( Site 4200)

🇯🇵

Chuo, Tokyo, Japan

Kyungpook National University Chilgok Hospital-Hematology/oncology ( Site 3904)

🇰🇷

Daegu, Taegu-Kwangyokshi, Korea, Republic of

Chungnam national university hospital-Department of Internal Medicine ( Site 3903)

🇰🇷

Daejeon, Taejon-Kwangyokshi, Korea, Republic of

Seoul National University Hospital-Oncology ( Site 3902)

🇰🇷

Seoul, Korea, Republic of

Severance Hospital, Yonsei University Health System-Medical oncology ( Site 3901)

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center-Division of Hematology/Oncology ( Site 3900)

🇰🇷

Seoul, Korea, Republic of

Capital, Coast and Hutt Valley District - Wellington Regional Hospital ( Site 1502)

🇳🇿

Newtown, Wellington, New Zealand

Harbour Cancer & Wellness ( Site 1500)

🇳🇿

Auckland, New Zealand

Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 2908)

🇵🇱

Bydgoszcz, Kujawsko-pomorskie, Poland

Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2903)

🇵🇱

Siedlce, Mazowieckie, Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie (

🇵🇱

Warszawa, Mazowieckie, Poland

Bialostockie Centrum Onkologii ( Site 2905)

🇵🇱

Bialystok, Podlaskie, Poland

Uniwersyteckie Centrum Kliniczne-Klinika Chirurgii Onkologicznej, Transplantacyjnej i Ogólnej ( Site

🇵🇱

Gdańsk, Pomorskie, Poland

Narodowy Instytut Onkologii - Oddzial w Gliwicach ( Site 2907)

🇵🇱

Gliwice, Slaskie, Poland

Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zakl-Klinika Onkologii Klinicznej, Dzial Ch

🇵🇱

Kielce, Swietokrzyskie, Poland

Uniwersytecki Szpital Kliniczny w Poznaniu ( Site 2909)

🇵🇱

Poznan, Wielkopolskie, Poland

Zachodniopomorskie Centrum Onkologii ( Site 2904)

🇵🇱

Szczecin, Zachodniopomorskie, Poland

Instituto Português de Oncologia de Lisboa Francisco Gentil ( Site 3601)

🇵🇹

Lisbon, Lisboa, Portugal

Unidade Local de Saude de Santa Maria - Hospital de Santa Maria ( Site 3603)

🇵🇹

Lisbon, Lisboa, Portugal

Unidade Local de Saude Lisboa Ocidental - Hospital de São Francisco Xavier ( Site 3602)

🇵🇹

Lisboa, Portugal

Instituto Português de Oncologia do Porto Francisco Gentil, EPE ( Site 3604)

🇵🇹

Porto, Portugal

Medical Oncology Centre of Rosebank ( Site 4106)

🇿🇦

Johannesburg, Gauteng, South Africa

Wilgers Oncology Centre ( Site 4103)

🇿🇦

Pretoria, Gauteng, South Africa

Cape Town Oncology Trials ( Site 4100)

🇿🇦

Cape Town, Western Cape, South Africa

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

🇪🇸

Barcelona, Cataluna, Spain

Hospital Universitario Ramón y Cajal ( Site 1602)

🇪🇸

Madrid, Madrid, Comunidad De, Spain

HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID ( Site 1603)

🇪🇸

Pozuelo de Alarcon, Madrid, Spain

H.R.U Málaga - Hospital General-Oncology ( Site 1605)

🇪🇸

Málaga, Malaga, Spain

HOSPITAL CLINICO DE VALENCIA ( Site 1604)

🇪🇸

Valencia, Valenciana, Comunitat, Spain

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1601)

🇪🇸

Barcelona, Spain

Skånes Universitetssjukhus Lund ( Site 3201)

🇸🇪

Lund, Skane Lan, Sweden

Sahlgrenska Universitetssjukhuset ( Site 3200)

🇸🇪

Gothenburg, Vastra Gotalands Lan, Sweden

Kantonsspital Graubünden-Medizin ( Site 1703)

🇨🇭

Chur, Grisons, Switzerland

UniversitätsSpital Zürich-Dermatology ( Site 1700)

🇨🇭

Zürich Flughafen, Zurich, Switzerland

Hacettepe Universite Hastaneleri ( Site 3006)

🇹🇷

Ankara, Turkey

Memorial Ankara Hastanesi-Medical Oncology ( Site 3010)

🇹🇷

Ankara, Turkey

Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 3002)

🇹🇷

Ankara, Turkey

Acibadem Universitesi Atakent Hastanesi-Medical Oncology ( Site 3008)

🇹🇷

Istanbul, Turkey

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 3003)

🇹🇷

Istanbul, Turkey

Ege University Medical Faculty Hospital ( Site 3011)

🇹🇷

Izmir, Turkey

I.E.U. Medical Point Hastanesi-Oncology ( Site 3005)

🇹🇷

Izmir, Turkey

Bristol Haematology and Oncology Centre ( Site 1811)

🇬🇧

Bristol, Bristol, City Of, United Kingdom

Addenbrooke's Hospital ( Site 1800)

🇬🇧

Cambridge, Cambridgeshire, United Kingdom

Norfolk and Norwich University Hospitals NHS Foundation Trust ( Site 1813)

🇬🇧

Cringleford, England, United Kingdom

ROYAL MARSDEN HOSPITAL (CHELSEA) ( Site 1804)

🇬🇧

London, Kensington And Chelsea, United Kingdom

University College London Hospital ( Site 1807)

🇬🇧

London, London, City Of, United Kingdom

Western General Hospital ( Site 1806)

🇬🇧

Edinburgh, Midlothian, United Kingdom

The Churchill Hospital ( Site 1805)

🇬🇧

Oxford, Oxfordshire, United Kingdom

St James's University Hospital-Leeds Cancer Centre ( Site 1808)

🇬🇧

Leeds, United Kingdom

The Christie NHS Foundation Trust ( Site 1814)

🇬🇧

Manchester, United Kingdom

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