MedPath

LUME-Lung 1: BIBF 1120 Plus Docetaxel as Compared to Placebo Plus Docetaxel in 2nd Line Non Small Cell Lung Cancer

Phase 3
Completed
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
Registration Number
NCT00805194
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The present trial will be performed to evaluate whether BIBF 1120 in combination with standard therapy of docetaxel in patients with stage IIIB/IV or recurrent NSCLC is more effective as compared to placebo in combination with standard therapy of docetaxel. A secondary aim is to obtain safety information as well as information on quality of life of patients treated with BIBF 1120 in combination to standard therapy with docetaxel. In addition, blood will be collected for pharmacokinetic analysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1314
Inclusion Criteria

Not provided

Read More
Exclusion Criteria

Not provided

Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo plus docetaxelplacebo plus docetaxelPlacebo matching BIBF 1120 2 times daily along with standard therapy of docetaxel
BIBF 1120 plus docetaxelBIBF 1120 plus docetaxelBIBF 1120 2 times daily along with standard therapy of docetaxel
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS) as Assessed by Central Independent ReviewFrom randomisation until cut-off date 2 November 2010 (when 713 PFS events were observed)

Progression Free Survival (PFS) as assessed by central independent review according to the modified Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) . Progression free survival (PFS) is defined as the duration of time from date of randomisation to date of progression or death (whatever occurs earlier).

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

Secondary Outcome Measures
NameTimeMethod
Duration of Confirmed Objective Tumour ResponseFrom randomisation until cut-off date 15 February 2013

The duration of objective response is the time from first documented (CR) or (PR) to the time of progression or death and evaluated according to the modified RECIST criteria version 1.0.

As per RECIST v1.0, Complete Response (CR), disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Time to Confirmed Objective Tumour ResponseFrom randomisation until cut-off date 15 February 2013

Time to confirmed objective response is defined as time from randomisation to the date of first documented (CR) or (PR) and evaluated according to the modified RECIST criteria version 1.0.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Disease ControlFrom randomisation until cut-off date 15 February 2013

Disease control was defined as a best overall response of Complete Response (CR), Partial Response (PR), or Stable Disease (SD) and evaluated according to the modified RECIST criteria version 1.0.

As per RECIST v1.0 for target lesions : Complete Response (CR), disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; progression, as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for disease progression.

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Quality of Life (QoL)From randomisation until cut-off date 15 February 2013

Quality of life (QoL) was measured by standardised questionnaires (Health Status Self-Assessment Questionnaire (EQ-5D), EORTC Quality of life questionnaire - Core 30 (EORTC QLQ-C30), Quality of life questionnaire - lung cancer module (EORTC QLQ-LC13). The EORTC QLQ-C30 comprises of 30 questions, using both multi-item scales and single-item measures. EORTC LC-13 comprises of 13 questions incorporating 1 multi-item scale and a series of single items.

The following were the main points of interest:

Time to deterioration of cough (EORTC QLQ-LC13 question 1), Time to deterioration of dyspnoea (QLQ-LC13, composite of questions 3 to 5), Time to deterioration of pain (QLQ- C30, composite of questions 9 and 19).

Time to deterioration of cough, dyspnoea and pain was defined as the time to a 10-point increase from the baseline score.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve

Duration of Disease ControlFrom randomisation until cut-off date 15 February 2013

The duration of disease control was defined as the time from randomisation to the date of disease progression or death (which ever occurs first) for patients with disease control.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Clinical ImprovementFrom randomisation until cut-off date 15 February 2013

Clinical improvement was defined as the time from randomisation to deterioration in body weight and/or Eastern Cooperative Oncology group performance score (ECOG PS) whichever occurred first.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

Dose Normalised Predose Plasma Concentration at Steady State (Cpre,ss,Norm) of Nintedanib and of Its Metabolites BIBF 1202 and BIBF 1202 GlucuronideBefore the administration of nintedanib or placebo and between a window of 30 mins to an hour after administration of trial drug during Course 2 and between 1 and 3 hours after administration of trial drug during Course 3

Geometric mean of dose normalised predose plasma concentration (Cpre,ss,norm) of nintedanib and of its metabolites BIBF 1202 and BIBF 1202 glucuronide evaluated at steady state based on course 2 and 3. If only one value was available and valid, then this value was used for calculation of Cpre,ss,norm.

Overall Survival (Key Secondary Endpoint)From randomisation until cut-off date 15 February 2013 (approximately 48 months or 1151 deaths among all patients )

Overall Survival (OS) defined as the duration from randomisation to death (irrespective of the reason of death). Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

A fixed-sequence-testing was implemented for key secondary endpoint if both the primary and the follow-up analysis showed a treatment benefit (P\<0.05) of nintedanib over placebo. In this case, the OS would be tested using hierarchical testing of statistical hypotheses in (1) patients with adenocarcinoma and \<9 months since start of first-line therapy, (2) patients with adenocarcinoma, and (3) all patients. Each hypothesis could be only tested at the pre-specified alpha level if the previous null hypothesis in the testing sequence had been.

Follow-up Analysis of Progression Free Survival (PFS) as Assessed by Central Independent ReviewFrom randomisation until cut-off date 15 February 2013

Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by central independent review according to the modified RECIST (version 1.0) criteria.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

Follow-up Analysis of Progression Free Survival (PFS) as Assessed by InvestigatorFrom randomisation until cut-off date 15 February 2013

Follow-up analysis was conducted at the time of overall survival analysis. Progression Free Survival (PFS) as assessed by investigator according to the modified RECIST (version 1.0) criteria.

Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve.

Objective Tumour ResponseFrom randomisation until cut-off date 15 February 2013

Confirmed objective response is defined as confirmed Complete Response (CR) and Partial Response (PR) and evaluated according to the modified RECIST criteria version 1.0.

As per RECIST v1.0, Complete Response (CR), disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions.

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Change From Baseline in Tumour SizeFrom randomisation until cut-off date 15 February 2013

Percentage change from baseline in tumour size is defined as decrease in the sum of the longest diameter of the target lesion.

Presented means are in fact adjusted best means percentage changes generated from ANOVA model adjusted for baseline ECOG PS (0 vs. 1), tumour histology (squamous vs non-squamous), brain metastases at baseline (yes vs no) and prior treatment with bevacizumab (yes vs no)

This endpoint was analysed based on the central independent reviewer as well as the investigator.

Incidence and Intensity of Adverse EventsFrom the first drug administration until 28 days after the last drug administration, up to 42 months

Incidence and intensity of adverse events according to the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0. The worst CTCAE grade per patient is reported and MedDRA version 15.1 used.

Serious signs and symptoms of progressive disease were reported as an adverse event in analysis of this endpoint.

Trial Locations

Locations (208)

Brest Regional Clinical

🇧🇾

Brest Region, Belarus

KH St. Vinzenz, Zams, Int. Abtlg.

🇦🇹

Kufstein, Austria

Specialized Hospital for Active Treatment in Oncolcogy

🇧🇬

Sofia, Bulgaria

Interdistrict Oncology Dispensary, Ruse

🇧🇬

Ruse, Bulgaria

Jiangsu Cancer Hospital

🇨🇳

Nanjing, China

Jilin Province Cancer Hospital

🇨🇳

Changchun, China

Southwest Hospital

🇨🇳

Chongqing, China

Multiprofile Hospital for Active Treatment

🇧🇬

Gabrovo, Bulgaria

District Oncology Dispensary Shumen

🇧🇬

Shumen, Bulgaria

Centre Hospitalier Universitaire de Liège

🇧🇪

Liège, Belgium

First Hospital of Jilin University

🇨🇳

Changchun, China

District Oncology Dispensary Plovdiv

🇧🇬

Plovdiv, Bulgaria

West China Hospital

🇨🇳

Chengdu, China

Zhejiang Cancer Hospital

🇨🇳

Hangzhou, China

Shanghai Pulmonary Hospital

🇨🇳

Shanghai, China

Hospital Arnau de Vilanova

🇪🇸

Valencia, Spain

University Hospital Brno

🇨🇿

Brno, Czechia

Faculty Hospital Trnava

🇸🇰

Trnava, Slovakia

Parklands Hospital

🇿🇦

Durban, South Africa

FSBI "N.N. Petrov National Medical Research Center of Oncology" of MoH of RF

🇷🇺

St. Petersburg, Russian Federation

GVI oncology Medi Clinic

🇿🇦

Cape Town, South Africa

GUZ Sverdlovsky Regional Oncology Dispensary

🇷🇺

Yekaterinburg, Russian Federation

HOP Nord Laënnec

🇫🇷

Saint Herblain cedex, France

Hospital Jerez de la Frontera

🇪🇸

Jerez De La Frontera-Cádiz, Spain

Langenhoven Drive Oncology Centre

🇿🇦

Port Elizabeth, South Africa

Amtel Hospital first Clinical LLC

🇬🇪

Tbilisi, Georgia

Fundación Instituto Valenciano de Oncologia

🇪🇸

Valencia, Spain

Hospital Universitario de Elche

🇪🇸

Elche, Spain

Kantonsspital Aarau

🇨🇭

Aarau, Switzerland

Wilgers oncology

🇿🇦

Pretoria, South Africa

Kantonsspital Baden AG

🇨🇭

Baden, Switzerland

Chernigiv Regional Oncology Centre

🇺🇦

Chernigiv, Ukraine

Ternopil regional communal clinical oncology centre

🇺🇦

Ternopil, Ukraine

Hospital Clínic de Barcelona

🇪🇸

Barcelona, Spain

SBIH of Stavropol territory "Pyatigorsk Oncol. Dispensary"

🇷🇺

Pyatigorsk, Russian Federation

Pretoria Academic Hospital

🇿🇦

Pretoria, South Africa

Hospital Quirónsalud Madrid

🇪🇸

Pozuelo de Alarcon, Spain

Wythenshawe Hospital

🇬🇧

Manchester, United Kingdom

Chmelnytskyi Oblasnnyi Oncologichnyi Tsentr

🇺🇦

Chmelnytskyi, Ukraine

Kharkiv Medical Acadamy of Postgraduate education

🇺🇦

Kharkiv, Ukraine

Poole Hospital

🇬🇧

Poole, United Kingdom

Bukovynsk State Medical University

🇺🇦

Chernivtsi, Ukraine

Royal Bournemouth and Christchurch Hospital

🇬🇧

Bournemouth, United Kingdom

Independent Public Hospital in Suwalki

🇵🇱

Suwalki, Poland

Uzhgorod National University, Oncology Centre

🇺🇦

Uzhgorod, Ukraine

Papageorgiou Hospital, 1st Cardiological Cl., Thessaloniki

🇬🇷

Thessaloniki, Greece

Liège - HOSP CHR de la Citadelle

🇧🇪

Liège, Belgium

Herlev Hospital

🇩🇰

Herlev, Denmark

First Affiliated Hospital of Dalian Medical University

🇨🇳

Dalian, China

Fujian Provincial Tumor Hospital

🇨🇳

Fujian, China

Fudan University Shanghai Cancer Center

🇨🇳

Shanghai, China

Zhongshan Hospital Fudan University

🇨🇳

Xuhui Area, Shanghai, China

Fond. Poliambulanza Istituto

🇮🇹

Brescia, Italy

AKH d. Stadt Linz, Pulmologie

🇦🇹

Linz, Austria

Mogilov Regional Oncological Dispensary

🇧🇾

Mogilov, Belarus

Public Health Inst. Minsk City Clinical Oncology Dispensary

🇧🇾

Minsk, Belarus

LKH-Univ. Hospital Graz

🇦🇹

Graz, Austria

Bobruisk Inter-distict

🇧🇾

Bobruisk, Belarus

Vitebsk Regional Clinical Oncology Dispensary

🇧🇾

Vitebsk, Belarus

Vedanta Institute of Medical Sciences

🇮🇳

Ahmedabad, India

Indraprastha Apollo Hospitals

🇮🇳

New Delhi, India

Regional Cancer Center

🇮🇳

Trivandrum, Kerala, India

King George Hospital

🇮🇳

Visakhapatnam, India

Gomel Regional Clinical

🇧🇾

Gomel, Belarus

Scientific Research Minsk

🇧🇾

Minsk Region, Belarus

Sir Gangaram Hospital

🇮🇳

New Delhi, India

Rajiv Gandhi Cancer Institute and Research Centre

🇮🇳

New Delhi, India

City Cancer Centre, Cancer Hospital & Research

🇮🇳

Vijayawada, India

Hospital of Lithuanian Univ.of HealthSciences Kauno Klinikos

🇱🇹

Kaunas, Lithuania

Jawaharlal Nehru Cancer Hospital & Research Centre

🇮🇳

Bhopal, M.P., India

Chemotherapy & Immunotherapy Clinic 'Medulla', Tbilisi

🇬🇪

Tbilisi, Georgia

Institute of Oncology 'Prof. Dr. Alexandru Trestioreanu'

🇷🇴

Bucuresti, Romania

Birla Cancer Centre

🇮🇳

Jaipur, India

Bhagwan Mahaveer Cancer Hospital & Research Center, Jawahar

🇮🇳

Jaipur, India

Siauliu ligonine, Siauliai

🇱🇹

Siauliai, Lithuania

Spitalul Clinic Judetean de Urgenta Brasov

🇷🇴

Brasov, Romania

IPO Lisboa Francisco Gentil, EPE

🇵🇹

Lisboa, Portugal

CHLN, EPE - Hospital de Santa Maria

🇵🇹

Lisboa, Portugal

Oncomed SRL

🇷🇴

Timisoara, Romania

Klinikum Frankfurt Höchst GmbH

🇩🇪

Frankfurt/Main, Germany

Universitätsklinikum Freiburg

🇩🇪

Freiburg, Germany

Evangelisches Krankenhaus, Witten

🇩🇪

Witten, Germany

RBIH "Kursk regional clinical oncology dispensary"

🇷🇺

Kursk, Russian Federation

GUZ "Regional Clinical Oncology Dispensary"

🇷🇺

Ryazan, Russian Federation

Hospital La Princesa

🇪🇸

Madrid, Spain

District Hospital Pribram, Oncology Centrum

🇨🇿

Pribram, Czechia

Univ.Multiprofile Hospital "Dr. Georgy Stranski" EAD, Pleven

🇧🇬

Pleven, Bulgaria

307 Hospital of PLA

🇨🇳

Beijing, China

The Second Affiliated Hospital of Dalian Medical University

🇨🇳

Dalian, China

Sir Run Run Shaw Hospital

🇨🇳

Hangzhou, China

Sun Yat-Sen University Cancer Center

🇨🇳

Guangzhou, China

The Third Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, China

Guangdong General Hospital

🇨🇳

Guangzhou, China

Shanghai Chest Hospital

🇨🇳

Shanghai, China

Tongji Hospital, Tongji University

🇨🇳

Wuhan, China

UHC Zagreb

🇭🇷

Zagreb, Croatia

Clinical Hospital Centar Sestre Milosrdnice

🇭🇷

Zagreb, Croatia

St. Anna Hospital, 2nd Internal Department

🇨🇿

Brno, Czechia

Institut onkologie a rehabilitace Na Plesi s.r.o.

🇨🇿

Nova Ves pod Plesi, Czechia

District Hospital Liberec

🇨🇿

Liberec, Czechia

Odense Universitetshospital

🇩🇰

Odense C, Denmark

HOP Croix Rousse, Pneumo, Lyon

🇫🇷

Lyon Cedex 4, France

HOP Lyon Sud

🇫🇷

Pierre Bénite cedex, France

CHU de Rouen - Hôpital de Bois Guillaume

🇫🇷

ROUEN cedex, France

INS Paoli-Calmettes

🇫🇷

Marseille Cedex 9, France

Oncology Institute of the Loire

🇫🇷

Saint-Priest en Jarez, France

HOP Civil

🇫🇷

Strasbourg cedex, France

Sainte Anne Training hospital for the armies

🇫🇷

Toulon Cedex 09, France

National Centre of Oncology

🇬🇪

Tbilisi, Georgia

Zentralklinik Bad Berka GmbH

🇩🇪

Bad Berka, Germany

Evangelische Lungenklinik Berlin

🇩🇪

Berlin-Buch, Germany

Gemeinschaftspraxis Dr. Brudler / Dr. Heinrich, Augsburg

🇩🇪

Augsburg, Germany

Helios Klinikum Emil von Behring

🇩🇪

Berlin, Germany

Krankenhaus Nordwest, Frankfurt

🇩🇪

Frankfurt/Main, Germany

Universitätsklinikum Benjamin Franklin, Berlin

🇩🇪

Berlin, Germany

Universitätsklinikum Frankfurt

🇩🇪

Frankfurt, Germany

Pneumologisches Forschungsinstitut an der LungenClinic Grosshansdorf GmbH

🇩🇪

Großhansdorf, Germany

Krankenhaus Martha-Maria Halle-Dölau gGmbH

🇩🇪

Halle/Saale, Germany

Asklepios Fachkliniken München-Gauting

🇩🇪

Gauting, Germany

Universitätsklinikum Heidelberg

🇩🇪

Heidelberg, Germany

Klinikum Kassel GmbH

🇩🇪

Kassel, Germany

POIS Leipzig GbR

🇩🇪

Leipzig, Germany

Allgemeines Krankenhaus Harburg, 21075 Hamburg

🇩🇪

Hamburg, Germany

Universitätsklinikum Leipzig

🇩🇪

Leipzig, Germany

Gemeinschaftspraxis für Hämatologie und Onkologie, Köln

🇩🇪

Köln, Germany

Katholisches Klinikum St. Hildegardiskrankenhaus, Mainz

🇩🇪

Mainz, Germany

Universitätsklinikum Schleswig-Holstein, Campus Kiel

🇩🇪

Lübeck, Germany

Klinik, Löwenstein

🇩🇪

Löwenstein, Germany

Pius-Hospital, Oldenburg

🇩🇪

Oldenburg, Germany

Universitätsklinik links der Isar, München, Ziemssenstr. 1

🇩🇪

München, Germany

Universitätsmedizin der Johannes Gutenberg-Universität Mainz

🇩🇪

Mainz, Germany

Klinikum rechts der Isar der Technischen Universität München

🇩🇪

München, Germany

Städt. Krankenhaus, München-Bogenhausen

🇩🇪

München, Germany

Helios Dr. Horst Schmidt Kliniken Wiesbaden

🇩🇪

Wiesbaden, Germany

Universitätsklinikum Tübingen

🇩🇪

Tübingen, Germany

General Hospital of Thessaloniki "G. Papanikolaou"

🇬🇷

Thessaloniki, Greece

Athens Hospital of Chest Diseasea "SOTIRIA"

🇬🇷

Athens, Greece

University Hospital of Heraklion, University Pulmonology Cl

🇬🇷

Heraklio, Greece

Iaso General Hospital

🇬🇷

Holargos, Athens, Greece

KIDWAI memoraial Institute of oncology

🇮🇳

Bangalore, India

Apollo Hospital

🇮🇳

Chennai, India

Rajalakshmi Multispeciality Hospital

🇮🇳

Bangalore, India

SEAROC cancer center,S.K.soni Hospital

🇮🇳

Jaipur, Rajasthan, India

B. P .Poddar Hospital & Medical Research Ltd.

🇮🇳

Kolkata, West Bengal, India

Tata Memorial Centre

🇮🇳

Mumbai, India

Shatabdi Superspeciality Hospital

🇮🇳

Nashik, India

Kasturba Medical College and Hospital

🇮🇳

Mangalore, India

Jehangir Hospital Oncology Department

🇮🇳

Pune, Maharahtra, India

E. Wolfson Medical Center, Holon 58100

🇮🇱

Holon, Israel

Hadassah Medical Center, Ein-Karem

🇮🇱

Jerusalem, Israel

Meir Medical Center

🇮🇱

Kfar Saba, Israel

The Chaim Sheba Medical Center Tel Hashomer

🇮🇱

Tel Hashomer, Israel

Sourasky Medical Center

🇮🇱

Tel-Aviv, Israel

Assaf Harofe Medical Center

🇮🇱

Zerifin, Israel

ASST Grande Ospedale Metropolitano Niguarda

🇮🇹

Milano, Italy

Azienda Sanitaria Ospedale S. Luigi Gonzaga

🇮🇹

Orbassano, Italy

Azienda Ospedaliera Careggi

🇮🇹

Firenze, Italy

Policlinico S. Orsola Malpighi

🇮🇹

Bologna, Italy

Az. Ospedaliere Umberto I di Ancona

🇮🇹

Ancona, Italy

Centro di riferimento Oncologico

🇮🇹

Aviano, Italy

Ospedale Civile

🇮🇹

Ivrea (TO), Italy

Fondazione Salvatore Maugeri

🇮🇹

Pavia, Italy

Istituto Scientifico Romagnolo

🇮🇹

Meldola, Italy

Gachon University Gil Medical Center

🇰🇷

Incheon, Korea, Republic of

Ospedale S.Maria della Misericordia, AO di Perugia

🇮🇹

Perugia, Italy

The Catholic University of Korea, Seoul St.Mary's Hospital

🇰🇷

Seoul, Korea, Republic of

Regional Complex Hospital

🇵🇱

Elblag, Poland

VHS Medical Center

🇰🇷

Seoul, Korea, Republic of

Vilniaus Universiteto

🇱🇹

Vilnius, Lithuania

Institute of Tuberculosis & Pulmonology, III. Dept., Olsztyn

🇵🇱

Olsztyn, Poland

Regional Specialist Hospital

🇵🇱

Slupsk, Poland

Greater PL Cent.Pulmo.&Thor.Surg.Eugenia&Janusz Zeyland

🇵🇱

Poznan, Poland

Mazowieckiego Centrum

🇵🇱

Otwock, Poland

Specialist Hospital, Szczecin-Zdunowo

🇵🇱

Szczecin, Poland

Onco.Cent. - Instit. of Maria Sklodowskiej-Curie

🇵🇱

Warszawa, Poland

IPO Porto Francisco Gentil, EPE

🇵🇹

Porto, Portugal

Baia Mare Emergency County Hospital

🇷🇴

Baia Mare, Romania

Centro Hospitalar São João,EPE

🇵🇹

Porto, Portugal

CHS, EPE - Hospital de São Bernardo

🇵🇹

Setúbal, Portugal

Centro Hospitalar de Vila Nova de Gaia

🇵🇹

Vila Nova de Gaia, Portugal

Institutul Oncologic "Prof. Dr. Ion Chiricuta"

🇷🇴

Cluj-Napoca, Romania

Centrul de Oncologie Medicala

🇷🇴

Iasi, Romania

County Hospital "Dr. Alex Simionescu"

🇷🇴

Hunedoara, Romania

Onesti County Hospital

🇷🇴

Onesti, Romania

Emergency County Hospital "Sf.loan cel Nou"

🇷🇴

Suceava, Romania

Emergency Clinical County Hospital "Sf Spiridon", Iasi

🇷🇴

Iasi, Romania

SBIH of Arkhangelsk reg. "Arkhangelsk Clin. Onc. Dispensary"

🇷🇺

Arkhangelsk, Russian Federation

GUZ Irkutsk Regional Oncology Dispensary

🇷🇺

Irkutsk, Russian Federation

St.Auton.Heal.Inst."Rep.Clin.Onc.Disp.of MoH of Rep. Tatarstan"

🇷🇺

Kazan, Russian Federation

GLPU Cheliabinsky

🇷🇺

Chelyabinsk, Russian Federation

FSBI "N.N Blokhin Med.Res.Cent.Onc."MoH of RF

🇷🇺

Moscow, Russian Federation

GUZ Regional Oncology Dispensary, Magnitogorsk

🇷🇺

Magnitogorsk, Russian Federation

GUZ Leningradskaya Regional Clin. Hospital, St. Petersburg

🇷🇺

St. Petersburg, Russian Federation

GUZ "Oncological Dispesary #2"

🇷🇺

Sochi, Russian Federation

SPb SBIH "City Clinical Oncological Dispensary"

🇷🇺

St. Petersburg, Russian Federation

1stPavlov St.Med.Univ.St.-Petersburg Res.Inst.

🇷🇺

St. Petersburg, Russian Federation

Medical Oncology Centre of Rosebank

🇿🇦

Johannesburg, South Africa

WCR CMJAH Clinical Trial Site

🇿🇦

Johannesburg, South Africa

Servicio de Oncologia Radiotherapica

🇪🇸

Valencia, Spain

Odesa Regional Oncological Centre

🇺🇦

Odesa, Ukraine

Vinnytsia Regional Clinical Oncological Dispensary

🇺🇦

Vinnytsia, Ukraine

Broomfield Hospital

🇬🇧

Chelmsford, United Kingdom

Bristol Haematology & Onc. Ctr

🇬🇧

Bristol, United Kingdom

Pulmonology Center in Bydgoszcz

🇵🇱

Bydgoszcz, Poland

City Clinical Hospital #4, Dnipropetrovsk State Medical Academy

🇺🇦

Dnipropetrovsk, Ukraine

Kryvorizskyi regional communal clinical oncology centre

🇺🇦

Kryvyi Rig, Ukraine

Donetsk Regional Antitumor Centre

🇺🇦

Donetsk, Ukraine

the 81th Hospital of PLA

🇨🇳

Nanjing, China

© Copyright 2025. All Rights Reserved by MedPath