MedPath

A Study Of Avelumab In Patients With Locally Advanced Or Metastatic Urothelial Cancer (JAVELIN Bladder 100)

Phase 3
Completed
Conditions
Urothelial Cancer
Interventions
Biological: Avelumab
Other: Best Supportive Care
Registration Number
NCT02603432
Lead Sponsor
Pfizer
Brief Summary

The main purpose of this study is to compare maintenance treatment with avelumab plus best supportive care (BSC) with BSC alone, to determine if avelumab has an effect on survival in patients with locally advanced or metastatic urothelial cancer that did not worsen during or following completion of first-line chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
700
Inclusion Criteria
  • Histologically confirmed, unresectable locally advanced or metastatic transitional cell carcinoma of the urothelium
  • Stage IV disease at the start of first-line chemotherapy
  • Measurable disease (per RECIST v1.1) prior to the start of first-line chemotherapy
  • Prior first-line chemotherapy must have consisted of at least 4 cycles and no more than 6 cycles of gemcitabine + cisplatin and/or gemcitabine + carboplatin
  • No evidence of progressive disease following completion of first-line chemotherapy (i.e., ongoing CR, PR, or SD per RECIST v1.1 guidelines )
Exclusion Criteria
  • Prior adjuvant or neoadjuvant systemic therapy within 12 months of randomization
  • Prior immunotherapy with IL-2, IFN-α, or an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or CTLA 4 antibody (including ipilimumab), or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways
  • Persisting toxicity related to prior therapy (Grade >1 NCI CTCAE v4.0); however, alopecia, sensory neuropathy (Grade 2 or less), or other (Grade 2 or less) adverse events not constituting a safety risk based on the investigator's judgement are acceptable.
  • Patients with known symptomatic central nervous system (CNS) metastases requiring steroids
  • Diagnosis of any other malignancy within 5 years prior to randomization, except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the breast or of the cervix, low grade prostate cancer on surveillance without any plans for treatment intervention, or prostate cancer that has been adequately treated with prostatectomy or radiotherapy and currently with no evidence of disease or symptoms.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm AAvelumabAvelumab plus Best Supportive Care (BSC)
Arm ABest Supportive CareAvelumab plus Best Supportive Care (BSC)
Arm BBest Supportive CareBest Supportive Care (BSC) alone Following the planned interim analysis for this study, eligible patients in Arm B whose cancer has not worsened and are still in the "watch and wait" part of the study will be given the option to receive Avelumab plus BSC. Prior to this, Arm B patients received BSC alone. All patients who choose not to receive Avelumab will be discontinued.
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)From randomization to discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)

Overall survival was defined as the time (in months) from the date of randomization to the date of death due to any cause. Participants last known to be alive were censored at date of last contact. Analysis was performed using Kaplan-Meier method.

Secondary Outcome Measures
NameTimeMethod
Percentage of Participants With Objective Response as Assessed by InvestigatorFrom randomization to progression of disease, start of new anti-cancer therapy or discontinuation from study or death, whichever occurred first (for a maximum duration of 41 months)

Investigator assessed objective response according to RECIST version 1.1, was defined as participants with confirmed best overall response of CR or PR. CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. A CR also required normalization of tumor marker levels and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions.

Duration of Response (DOR) as Assessed by Blinded Independent Central Review (BICR)First response subsequently confirmed to progression of disease or start of new anti-cancer therapy or discontinuation from the study or death, whichever occurred first (for a maximum duration of 41 months)

BICR assessed DOR: time from first documentation of OR (confirmed CR or PR) to date of first documentation of PD or death due to any cause. As per RECIST version 1.1, CR: complete disappearance of all target and non-target lesions, with exception of nodal disease sustained for 4 weeks. Any pathological lymph nodes reduced in short axis to \<10 mm. PR: at least 30% decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions. PD for target disease: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study and relative increase of 20%, sum also demonstrated absolute increase of at least 5 mm. PD for non-target disease: unequivocal progression of pre-existing lesions and if overall tumor burden increased sufficiently to merit discontinuation of therapy. Appearance of any new unequivocal malignant lesion was also considered PD.

Percentage of Participants With Disease Control (DC) as Assessed by Blinded Independent Central Review (BICR)From randomization to PD, death or start of new anti-cancer therapy (for a maximum duration of 41 months)

Disease Control (DC) was defined as a best overall response of CR, PR, non-CR/non-PD or stable disease (SD) as assessed by BICR. CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions. Non-CR/Non-PD was defined as persistence of any non-target lesions and/or tumor marker level above the normal limits. SD was defined as not to qualify for CR, PR or PD for target lesions and followed PR only if the sum increased by less than 20% from the nadir, but enough that a previously documented 30% decrease no longer holds.

Number of Participants With Treatment-Emergent Adverse Events (AEs) Graded Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03For "Avelumab + Best Supportive Care (BSC)'' group: Day1 up to 90 days after last dose of study drug; for BSC group: Day1 up to 90 days after EOT visit (for a maximum duration of up to approximately 70 months for both groups)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. As per NCI-CTCAE version 4.03, Grade 1: asymptomatic or mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe or medically significant but not immediately life-threatening, hospitalization or prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. Treatment-emergent AEs are events between first dose of study drug and up to 90 days after last dose of study drug or end of treatment (EOT) visit, that were absent before treatment or that worsened relative to pretreatment state.

Progression-Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR)From randomization to date of progression of disease, discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)

BICR assessed PFS: Duration from randomization until disease progression (PD) or death. PD as per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 was defined for target disease as at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study (included baseline sum if that was smallest on study). In addition to relative increase of 20%, sum must have also demonstrated an absolute increase of at least 5 millimeters. For non-target disease: PD was defined as unequivocal progression of pre-existing lesions and if overall tumor burden increased sufficiently to merit discontinuation of therapy. Appearance of any new unequivocal malignant lesion was also considered PD. Analysis was performed using Kaplan-Meier. PFS data was censored on date of last adequate tumor assessment for participants with no event (PD or death), who started new anti-cancer therapy prior to an event or with an event after 2 or more missing tumor assessments.

Time to Tumor Response (TTR) as Assessed by Blinded Independent Central Review (BICR)From the date of randomization to the first documentation of objective response (CR or PR) (for a maximum duration of 41 months)

TTR was defined, for participants with an objective response as the time from 'start date' to the first documentation of objective tumor response (CR or PR), which was confirmed subsequently. CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions.

Percentage of Participants With Disease Control (DC) as Assessed by InvestigatorFrom randomization to PD, death or start of new anti-cancer therapy (for a maximum duration of 41 months)

DC was defined as a best overall response of CR, PR, non-CR/non-PD or SD as assessed by Investigator. CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. Additionally, normalization of tumor marker levels and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions. Non-CR/Non-PD was defined as persistence of any non-target lesions and/or tumor marker level above the normal limits. SD was defined as not to qualify for CR, PR or PD for target lesions and followed PR only if the sum increased by less than 20% from the nadir, but enough that a previously documented 30% decrease no longer holds.

Maximum Plasma Concentration (Cmax) of AvelumabEnd of avelumab infusion on Day 1 of Cycle 1, 2, 3, 5, 7, 9, 11, 13 and Day 15 of Cycle 1, 2, 3 (each cycle=28 days)

The Lower Limit of Quantitation (LLQ) of avelumab was 0.20 micrograms (mcg)/milliliter (mL). Data for this outcome measure was not collected for reporting group "Best Supportive Care", since avelumab was not administered in this arm.

Number of ADA Ever Positive Participants For Each Serum of ADA Titers for AvelumabFrom randomization up to the 30-Day Follow-up visit (maximum duration of up to approximately 68 months)

Serum samples were assayed for ADA using a validated analytical method. Number of ADA ever positive participants for each serum of ADA titer (60, 180, 540, 1620, 4860, 14580, and 131220) are reported.

Percentage of Participants With Objective Response (OR) as Assessed by Blinded Independent Central Review (BICR)From randomization to progression of disease, start of new anti-cancer therapy or discontinuation from study or death, whichever occurred first (for a maximum duration of 41 months)

BICR assessed objective response according to RECIST version 1.1, was defined as participants with confirmed best overall response of complete response (CR) or partial response (PR). CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions.

Progression-Free Survival (PFS) as Assessed by InvestigatorFrom randomization to date of progression of disease, discontinuation from the study, death or date of censoring, whichever occurred first (for a maximum duration of 41 months)

Investigator assessed PFS: Duration from randomization to first documentation of PD or death, whichever occurred first. PD as per RECIST version 1.1 was defined for target disease as at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study (this included baseline sum if that was smallest on study). In addition to relative increase of 20%, sum must have also demonstrated an absolute increase of at least 5 mm. For non-target disease: PD was defined as unequivocal progression of pre-existing lesions and if overall tumor burden increased sufficiently to merit discontinuation of therapy. Appearance of any new unequivocal malignant lesion was also considered PD. Analysis was performed using Kaplan-Meier. PFS data was censored on date of last adequate tumor assessment for participants with no event (PD or death), who started a new anti-cancer therapy prior to an event or with an event after 2 or more missing tumor assessments.

Time to Tumor Response (TTR) as Assessed by InvestigatorFrom the date of randomization to the first documentation of objective response (CR or PR) (for a maximum duration of 41 months)

TTR was defined, for participants with an objective response as the time from 'start date' to the first documentation of objective tumor response (CR or PR). CR was defined as complete disappearance of all target and non-target lesions, with the exception of nodal disease and sustained for at least 4 weeks. A CR also required normalization of tumor marker levels and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least 30% decrease in the sum of the longest dimensions of target lesions taking as reference the baseline sum longest dimensions.

Duration of Response (DOR) as Assessed by InvestigatorFirst response subsequently confirmed to progression of disease or start of new anti-cancer therapy or discontinuation from the study or death, whichever occurred first (for a maximum duration of 41 months)

Investigator assessed DOR: time from first documentation of OR (confirmed CR or PR) to date of first documentation of PD or death due to any cause. As per RECIST version 1.1, CR: complete disappearance of all target and non-target lesions, with exception of nodal disease sustained for 4 weeks. Additionally, normalization of tumor marker levels and any pathological lymph nodes reduced in short axis to \<10 mm. PR: at least 30% decrease in sum of longest dimensions of target lesions taking as reference baseline sum longest dimensions. PD for target disease: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study and relative increase of 20%, sum also demonstrated absolute increase of at least 5 mm. PD for non-target disease: unequivocal progression of pre-existing lesions and if overall tumor burden increased sufficiently to merit discontinuation of therapy. Appearance of any new unequivocal malignant lesion was also considered PD.

Change From Baseline in Vital Signs - Blood Pressure at Day 1 of Cycle 2, 3, 4, 5, 6, 7 and End of Treatment (EOT) VisitBaseline (Day [D] 1 of Cycle [C] 1), Day 1 of Cycle 2, 3, 4, 5, 6, 7 , EOT visit (for a maximum duration of 41 months) (each cycle=28 days)

Vital signs included blood pressure and pulse rate. Blood pressure included sitting diastolic blood pressure (DBP) and sitting systolic blood pressure (SBP).

Predose Plasma Concentration (Ctrough) of AvelumabPre-dose (0 hour) on Day 1 of Cycle 1, 2, 3, 5, 7, 9, 11, 13 and Day 15 of Cycle 1, 2, 3 (each cycle=28 days)

The LLQ of avelumab was 0.20 mcg/mL. Data for this outcome measure was not collected for reporting group "Best Supportive Care", since avelumab was not administered in this arm.

Number of Participants With Laboratory Abnormalities Greater Than or Equal to (>=) Grade 3 (G3), Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03For "Avelumab + Best Supportive Care (BSC)'' group: Day1 up to 90 days after last dose of study drug; for BSC group: Day1 up to 90 days after EOT visit (for a maximum duration of up to approximately 70 months for both groups)

Hematology (Anemia G3: hemoglobin\<8.0 grams per deciliter \[g/dL\],\<4.9 millimoles (mmol)/liter (L),\<80 g/L, transfusion indicated, Grade 4 \[G4\]: life-threatening consequences, urgent intervention indicated, Grade 5 \[G5\]: death; platelet count decreased-G3:\<50.0 to 25.0\*10\^9/L, G4: \<25.0\*10\^9/L; lymphocyte count decreased-G3:\<0.5-0.2\*10\^9/L, G4:\<0.2\*10\^9/L; neutrophil count decreased-G3:\<1.0 to 0.5\*10\^9 /L, G4:\<0.5\*10\^9/L). Chemistry (creatinine increased-G3:\>3.0 to 6.0\*upper limit of normal \[ULN\], G4:\>6.0\*ULN; serum amylase increased, lipase increased-G3:\>2.0- 5.0\*ULN, G4:\>5.0\*ULN. Aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\]-G3:\>5.0 to 20.0\*ULN, G4:\>20.0\*ULN\]. Blood bilirubin increased-\[G3:\>3.0 to 10.0\*ULN, G4:\>10.0\*ULN\], Creatine phosphokinase \[CPK\] increased- \[G3:\>5.0 to 10.0\*ULN, G4:\>10.0\*ULN\], Hyperglycemia-\[G3:\>250 to 500 mg/dL; \>13.9 to 27.8 mmol/L hospitalization indicated, G4:\>500 mg/DL; \>27.8 mmol/L life-threatening consequences\]).

Number of Participants With Neutralizing Antibodies (nAb) Against Avelumab by Never Positive and Ever Positive StatusFrom randomization up to the 30-Day Follow-up visit (maximum duration of up to approximately 68 months)

nAb against avelumab in serum samples was determined and reported separately for nAb never positive and nAb ever positive participants. Participants were considered nAb ever-positive if they had at least one positive nAb result at any time point during study and were otherwise considered negative.

Number of Participants With Programmed Death Receptor-1 Ligand 1 (PD-L1) Biomarker Expression in Tumor Tissue as Assessed by Immunohistochemistry (IHC)Up to 41 months at the time of the analysis

PD-L1 assessment was performed using immunohistochemistry on pre-treatment tumor tissue samples. Participants were classified as having PD-L1 -positive status if at least one of the following three criteria were met: at least 25% of tumor cells stained for PD-L1, at least 25% of immune cells stained for PD-L1 if more than 1% of the tumor area contained immune cells, or 100% of immune cells stained for PD-L1 if no more than 1% of the tumor area contained immune cells.

Number of Participants With Cluster of Differentiation 8 (CD8) T Lymphocytes (Cytotoxic T Lymphocytes)Up to approximately 60 months

Number of Participants With CD8 T Lymphocytes (Cytotoxic T lymphocytes) were presented in this outcome.

Change From Baseline in Vital Signs - Pulse Rate at Day 1 of Cycle 2, 3, 4, 5, 6, 7 and End of Treatment (EOT) VisitBaseline (Day [D] 1 of Cycle [C] 1), Day 1 of Cycle 2, 3, 4, 5, 6, 7 , EOT visit (for a maximum duration of 41 months) (each cycle=28 days)

Vital signs included blood pressure and pulse rate. Changes from baseline in sitting pulse rate were summarized.

Time to Deterioration (TTD) Based on National Comprehensive Cancer Network- Functional Assessment of Cancer Therapy (NCCN-FACT) Bladder Symptom Index- 18 (FBlSI-18) Disease Related Symptoms-Physical Subscale (DRS-P) ScoresFrom randomization up to the 90-Day Follow-up Visit (maximum duration of up to 41 months)

NCCN-FACT FBlSI-18: an 18-item participant completed questionnaire, designed to assess impact of cancer therapy on urothelial cancer-related symptoms and quality of life based on numerical point scoring of symptoms/concerns. It included four subscales: Disease related symptoms-physical subscale with 9 items, disease related symptoms-emotional subscale with 2 items, treatment side effects subscale with 5 items, general function/well-being subscale with 2 items. Participants rated their level of symptoms for each item using 5-point scale ranging: 0=not at all to 4=very much. For items negatively framed, scores were reversed for analysis so that higher scores= good quality of life. DRS-P score: total 9 items, ranging from 0=severely symptomatic to 36= asymptomatic. Higher scores=better functioning or lower symptom burden. TTD: time from randomization to first time participant's score showed 3 point or greater decrease from baseline in FBlSI-DRS-P subscale for 2 consecutive assessments.

Number of Participants With Anti-Drug Antibodies (ADA) Against Avelumab by Never and Ever Positive StatusFrom randomization up to the 30-Day Follow-up visit (maximum duration of up to approximately 68 months)

ADA against avelumab in serum samples was determined and reported separately for ADA never positive and ADA ever positive participants. Participants were considered ADA ever-positive if they had at least one positive ADA result at any time point during study and were otherwise considered negative. Data for this outcome measure was not planned to be collected and analyzed for reporting arm "Best Supportive Care", since avelumab was not administered in this arm.

Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Overall Health Utility Score at Cycle 6Baseline, Day 1 of Cycle 6 (1 cycle=28 days)

The EQ-5D-5L was a 6-item participant-completed questionnaire designed to assess health status in terms of a single utility score. There were 2 components to the EQ-5D-5L, a Health State Profile which had individuals rate their level of problems (none, slight, moderate, severe, extreme/unable) in 5 areas (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), and a Visual Analogue Scale (VAS) in which participant rated their overall health status from 0 (worst imaginable) to 100 (best imaginable). Published UK weights was used to create a single summary utility score. Utility scores range from -0.594 to 1, with low scores representing lower health status.

Change From Baseline in National Comprehensive Cancer Network- Functional Assessment of Cancer Therapy (NCCN-FACT) Bladder Symptom Index- 18 (FBlSI-18) Score at Day 1 of Cycle 6Baseline, Day 1 of Cycle 6 (1 cycle=28 days)

NCCN-FACT FBlSI-18 is an 18-item participant completed questionnaire, designed to assess impact of cancer therapy on urothelial cancer-related symptoms and quality of life based on numerical point scoring of symptoms/concerns. It included four subscales: Disease related symptoms- physical subscale with 9 items, disease related symptoms- emotional subscale with 2 items, treatment side effects subscale with 5 items and general function/well-being subscale with 2 items. Participants rated their level of symptoms for each item using 5-point scale ranging from 0=not at all to 4=very much. Items that were negatively framed, and the scores were reversed for analysis so that higher scores= good quality of life. Overall score: total of 18 items, ranging from 0=severely symptomatic to 72=asymptomatic. Higher scores= better functioning or lower symptom burden.

Change From Baseline in European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) - Visual Analog Scale (VAS) Score at Cycle 6Baseline, Day 1 of Cycle 6 (1 cycle=28 days)

The EQ-5D-5L was a 6-item participant-completed questionnaire designed to assess health status in terms of a single utility score. There were 2 components to the EQ-5D-5L, a Health State Profile which had individuals rate their level of problems (none, slight, moderate, severe, extreme/unable) in 5 areas (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), and a Visual Analogue Scale (VAS) in which participant rated their overall health status from 0 (worst imaginable) to 100 (best imaginable), higher scores indicating a better health state.

Trial Locations

Locations (360)

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Bildediagnostisk avdeling

🇳🇴

Nordbyhagen, Norway

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Fundación CENIT para la Investigación en Neurociencias

🇦🇷

Caba, Argentina

Centro Oncologico Riojano Integral (Cori)

🇦🇷

La Rioja, Argentina

Chris O'Brien Lifehouse

🇦🇺

Camperdown, New South Wales, Australia

Concord Hospital

🇦🇺

Concord, New South Wales, Australia

Dubbo Base Hospital

🇦🇺

Dubbo, New South Wales, Australia

Ramsay Pharmacy

🇦🇺

Kogarah, New South Wales, Australia

St George Private Hospital

🇦🇺

Kogarah, New South Wales, Australia

Epic Pharmacy

🇦🇺

Lismore, New South Wales, Australia

North Coast Radiology St Vincents

🇦🇺

Lismore, New South Wales, Australia

Northern Rivers Pathology Service

🇦🇺

Lismore, New South Wales, Australia

St Vincent's Pathology Lismore

🇦🇺

Lismore, New South Wales, Australia

Macquarie Medical Imaging

🇦🇺

Macquarie University, New South Wales, Australia

Macquarie University Hospital Pharmacy

🇦🇺

Macquarie University, New South Wales, Australia

The Murwillumbah Hospital

🇦🇺

Murwillubah, New South Wales, Australia

The Tweed Hospital Pharmacy Department

🇦🇺

Tweed Heads, New South Wales, Australia

The Tweed Hospital

🇦🇺

Tweed Heads, New South Wales, Australia

Icon Cancer Care Wesley

🇦🇺

Auchenflower, Queensland, Australia

Oncology Pharmacy

🇦🇺

Birtinya, Queensland, Australia

Slade Health

🇦🇺

Mount Waverley, Australia

Icon Cancer Care

🇦🇺

South Brisbane, Queensland, Australia

Integrated Clinical Oncology Network (ICON) Corporate Office

🇦🇺

South Brisbane, Queensland, Australia

Flinders Medical Centre

🇦🇺

Bedford Park, South Australia, Australia

Ashford Cancer Centre Research

🇦🇺

Kurralta park, South Australia, Australia

Ballarat Oncology & Haematology Services

🇦🇺

Wendouree, Victoria, Australia

Eastern Health Clinical School

🇦🇺

Box Hill, Victoria, Australia

Moorabbin Radiology

🇦🇺

East Bentleigh, Victoria, Australia

St John of God Murdoch Hospital

🇦🇺

Murdoch, Western Australia, Australia

Macquarie Heart

🇦🇺

New South Wales, Australia

AZ Klina

🇧🇪

Brasschaat, Belgium

CHU de Liège

🇧🇪

Liège, Belgium

GZA Sint-Augustinus

🇧🇪

Wilrijk, Belgium

ONCOSITE - Centro de Pesquisa Clinica em Oncologia

🇧🇷

Ijui, RIO Grande DO SUL, Brazil

Associação Educadora São Carlos - AESC / Hospital Mãe de Deus

🇧🇷

Porto Alegre, RS, Brazil

Associação Educadora São Carlos - AESC / Hospital Mãe de Deus - Ambulatório Quimioterapia

🇧🇷

Porto Alegre, RS, Brazil

Associação Educadora São Carlos - AESC / Hospital Mãe de Deus - Centro de Abastecimento Farmaceut

🇧🇷

Porto Alegre, RS, Brazil

Uniao Brasileira de Educacao e Assistencia / Hospital Sao Lucas da PUCRS

🇧🇷

Porto Alegre, RS, Brazil

Fundação FPio XII Barretos

🇧🇷

Barretos, SP, Brazil

Fundação Pio XII Barretos

🇧🇷

Barretos, SP, Brazil

Fundacao Faculdade de Medicina / Instituto do Cancer do Estado de Sao Paulo - ICESP

🇧🇷

Sao Paulo, SP, Brazil

Hospital Alemao Oswaldo Cruz

🇧🇷

Sao Paulo, SP, Brazil

Centro Integrado de Pesquisa Clinica - CIP

🇧🇷

São José do Rio Preto, SP, Brazil

Sociedade Beneficente de Senhoras Hospital Sírio Libanês/ Instituo Sirio Libanes de Ensino e Pesqu

🇧🇷

São Paulo, Brazil

William Osler Health System

🇨🇦

Brampton, Ontario, Canada

Princess Margaret Cancer Centre

🇨🇦

Toronto, Ontario, Canada

Fakultni nemocnice Brno

🇨🇿

Brno, Czechia

Fakultni nemocnice u sv. Anny v Brne

🇨🇿

Brno, Czechia

Fakultni nemocnice u sv.Anny v Brne

🇨🇿

Brno, Czechia

Nemocnice Horovice, NH Hospital a.s.

🇨🇿

Horovice, Czechia

Nemocnice Horovice

🇨🇿

Horovice, Czechia

CT-Klinikken A/S

🇩🇰

Aarhus N, Denmark

Odense Universitetshospital

🇩🇰

Odense, Denmark

Groupe hospitalier Pitie Saleptriere

🇫🇷

Paris, Cedex 13, France

Institut de cancérologie de l'Ouest - Site Paul Papin

🇫🇷

Angers, France

Clinique CAPIO Belharra

🇫🇷

Bayonne, France

Hôpital Jean Minjoz

🇫🇷

BESANCON cedex, France

CHU Besançon - Pharmacie Unite Essais cliniques

🇫🇷

Besançon, France

CHU Besançon

🇫🇷

Besançon, France

Hôpital Privé Toulon-Hyères - Clinique Sainte Marguerite

🇫🇷

Hyères, France

Hôpital Henri Mondor

🇫🇷

CRÉTEIL Cedex, France

Clinique Victor Hugo

🇫🇷

Le Mans, France

Centre Oscar Lambret

🇫🇷

Lille, France

Centre Léon Berard

🇫🇷

LYON cedex 8, France

Institut Paoli Calmettes

🇫🇷

Marseille, France

CHU Nimes - Hopital Caremeau

🇫🇷

Nimes, France

CHU Nimes

🇫🇷

Nimes Cedex 9, France

Centre Eugene Marquis

🇫🇷

Rennes Cedex, France

Institut de Cancérologie de l'Ouest - Centre René Gauducheau

🇫🇷

Saint Herblain Cedex, France

Centre de Radiothérapie - Clinique Sainte Anne

🇫🇷

Strasbourg, France

Hopital Foch

🇫🇷

Suresnes, France

Institut Gustave Roussy

🇫🇷

Villejuif, France

Medical Center of Athens

🇬🇷

Marousi, Athens, Greece

Metropolitan General Hospital

🇬🇷

Athens, PC, Greece

University General Hospital of Patras, Division of Oncology

🇬🇷

Patra, Greece

Somogy Megyei Kaposi Mór Oktató Kórház

🇭🇺

Kaposvár, Hungary

CIMS Cancer, Care Institute of Medical Sciences, CIMS Hospital

🇮🇳

Ahmedabad, Gujarat, India

Sahyadri Super Speciality Hospital

🇮🇳

Pune, Maharashtra, India

The Chaim Sheba Medical Center

🇮🇱

Ramat - Gan, Israel

U.O. Radiologia

🇮🇹

Forli, Forli-cesena, Italy

Farmacia Oncologica

🇮🇹

Meldola, Forli-cesena, Italy

U.O. Anatomia Patologica

🇮🇹

Forli, Forli-cesena, Italy

Istituto Clinico Humanitas

🇮🇹

Rozzano, Milan, Italy

AUSL della Romagna - RAVENNA, Presidio Ospedaliero di Faenza

🇮🇹

Faenza, Ravenna, Italy

Presidio Ospedaliero San Donato

🇮🇹

Arezzo, Italy

Centro di Riferimento Oncologico - IRCCS

🇮🇹

Aviano (PN), Italy

S.O.C. di Farmacia

🇮🇹

Aviano (PN), Italy

Presidio Ospedaliero di Lugo

🇮🇹

Lugo, Ravenna, Italy

U.O. Farmacia Clinica - IDS

🇮🇹

Bologna, Italy

Instituto Europeo di Oncologia

🇮🇹

Milan, Italy

Servizio di Farmacia

🇮🇹

Milan, Italy

Istituto Nazionale per lo Studio e la Cura dei Tumori, IRCCS Fondazione Giovanni Pascale

🇮🇹

Napoli, Italy

A.O.U. Pisana Ospedale S. Chiara

🇮🇹

Pisa, Italy

Servizio Farmacia Ospedaliera - Farmacia Oncologica

🇮🇹

Ravenna, Italy

Azienda Ospedaliera San Camillo Forlanini_Oncologia Medica

🇮🇹

Rome, Italy

Presidio Ospedaliero di Ravenna

🇮🇹

Ravenna, Italy

Azienda Ospedaliera S. Maria di Terni

🇮🇹

Terni, Italy

Kobe City Medical Center General Hospital

🇯🇵

Kobe-city, Hyogo, Japan

Tsukuba Medical Center Hospital

🇯🇵

Tsukuba, Ibaraki, Japan

Iwate Medical University Hospital

🇯🇵

Shiwa-gun, Iwate, Japan

National Hospital Organization Sagamihara National Hospital

🇯🇵

Sagamihara, Kanagawa, Japan

Kindai University Hospital

🇯🇵

Osakasayama, Osaka, Japan

Kanagawa cancer center

🇯🇵

Yokohama, Kanagawa, Japan

Saitama Medical University International Medical Center

🇯🇵

Hidaka, Saitama, Japan

The Cancer Institute Hospital of JFCR

🇯🇵

Koto-Ku, Tokyo, Japan

Yamaguchi University Hospital

🇯🇵

Ube, Yamaguchi, Japan

National Hospital Organization Kyushu Cancer Center

🇯🇵

Fukuoka, Japan

Osaka City University Hospital

🇯🇵

Osaka, Japan

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

National Hospital Organization Kumamoto Medical Center

🇯🇵

Kumamoto, Japan

Kagoshima University Hospital

🇯🇵

Kagoshima, Japan

Yamagata University Hospital

🇯🇵

Yamagata, Japan

Tokushima University Hospital

🇯🇵

Tokushima, Japan

Niigata University Medical & Dental Hospital

🇯🇵

Niigata, Japan

National Cancer Center - Clinical Trial Pharmacy

🇰🇷

Goyang-si, Gyeonggi-do, Korea, Republic of

National Cancer Center Urology center for Prostate Cancer

🇰🇷

Goyang-si, Gyeonggi-do, Korea, Republic of

Seoul National University Bundang Hospital, Clinical Pharmacy

🇰🇷

Seongnam-si, Gyeonggido, Korea, Republic of

Chungnam National University Hospital, Clinical Pharmacy

🇰🇷

Daejeon, Korea, Republic of

Chungnam National University Hospital

🇰🇷

Daejeon, Korea, Republic of

Asan Medical Center - Clinical Trial Pharmacy

🇰🇷

Seoul, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center Clinical Trial Pharmacy

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Instituto Nacional de Cancerologia

🇲🇽

Mexico, Ciudad DE Mexico, Mexico

Hospital Médica Campestre (Administradora Hospitalaria S.A de C.V.)

🇲🇽

León, Guanajuato, Mexico

Radboud University Medical Center

🇳🇱

Nijmegen, Netherlands

Rijnstate Arnhem

🇳🇱

Arnhem, Netherlands

Ziekenhuis Rijnstate

🇳🇱

Arnhem, Netherlands

Auckland City Hospital Pharmacy

🇳🇿

Grafton, Auckland, New Zealand

Auckland City Hospital

🇳🇿

Grafton, Auckland, New Zealand

Slade Health Inward Goods

🇳🇿

Auckalnd, New Zealand

Christchurch Hospital

🇳🇿

Christchurch, New Zealand

Waikato Hospital

🇳🇿

Hamilton, New Zealand

Akershus University Hospital

🇳🇴

Lorenskog, Norway

Sykehusapoteket HF 23 Lørenskog

🇳🇴

Nordbyhagen, Norway

Stavanger University Hospital

🇳🇴

Stavanger, Norway

Centralny Szpital Kliniczny MSWiA w Warszawie

🇵🇱

Warszawa, Masovian, Poland

Centralny Szpital Kliniczny MSWiA

🇵🇱

Warszawa, Masovian, Poland

Centrum Onkologii Ziemi Lubelskiej im. Sw. Jana z Dukli

🇵🇱

Lublin, Poland

Lecznice CITOMED Sp. z o.o.

🇵🇱

Torun, Poland

Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu

🇵🇱

Torun, Poland

Wojewodzki Szpital Zespolony im. L. Rydygiera, Szpital Specjalistyczny dla Dzieci I Doroslych

🇵🇱

Torun, Poland

Instituto Português de Oncologia de Coimbra Francisco Gentil, EPE

🇵🇹

Coimbra, Portugal

Hospital Da Luz Coimbra, SA

🇵🇹

Coimbra, Portugal

Centro Hospitalar de Lisboa Central, E.P.E. - Hospital de Santo António dos Capuchos

🇵🇹

Lisboa, Portugal

Hospital CUF Descobertas, SA

🇵🇹

Lisboa, Portugal

Dr. Campos Costa - Consultório de Tomografia Computorizada, S.A.

🇵🇹

Porto, Portugal

Instituto Português de Oncologia do Porto Francisco Gentil, EPE

🇵🇹

Porto, Portugal

Centro Hospitalar de São João, EPE

🇵🇹

Porto, Portugal

Centro Hospitalar de Trás-os-Montes e Alto Douro, EPE

🇵🇹

Vila Real, Portugal

Dr. Campos Costa - Consultório de Tomografia Computorizada, S.A.- Matosinhos

🇵🇹

Senhora da Hora, Portugal

State Budgetary Healthcare Insti. Republican Clinical Oncology Dispensary of the MoH of Bashk. Rep.

🇷🇺

Ufa, Bashkortostan Republic, Russian Federation

Private Medical Institution "Evromedservice"

🇷🇺

Pushkin, Saint Petersburg, Russian Federation

Moscow Research Oncology Institute named after P. A. Gertsen

🇷🇺

Moscow, Russian Federation

BHI of Omsk region "Clinical oncological dispensary"

🇷🇺

Omsk, Russian Federation

FGBIH "Clinical Hospital #122 n.a. L.G. Sokolov of Federal Medico-biological agency"

🇷🇺

St. Petersburg, Russian Federation

University of Minnesota Medical Center

🇺🇸

Minneapolis, Minnesota, United States

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

FSBEI HE "First St. Petersburg State Medical University n. a. academician l.P Pavlov" MoH RF

🇷🇺

St. Petersburg, Russian Federation

FSBEI HE "First St. Petersburg State Medical University n.a. academician I.P Pavlov" MoH RF

🇷🇺

St. Petersburg, Russian Federation

FSBEI HE "First St. Petersburg State Medical University n.a. academician I.P Pavlov"

🇷🇺

St. Petersburg, Russian Federation

"Ramsay Diagnostics Rus", LLC

🇷🇺

St. Petersburg, Russian Federation

FSBI "Russian Scientific Center For Radiology and Surgical Technologies n.a. Academician A.M. Granov

🇷🇺

St. Petersburg, Russian Federation

Hospital Orkli, LLC

🇷🇺

St. Petersburg, Russian Federation

Mart, Llc

🇷🇺

St. Petersburg, Russian Federation

SHI YR "Regional Clinical Oncology Hospital"

🇷🇺

Yaroslavl, Russian Federation

Institute for Oncology and Radiology of Serbia

🇷🇸

Belgrade, Serbia

Clinical Centre Nis, Clinic of Oncology

🇷🇸

Nis, Serbia

Oncology Institute of Vojvodina

🇷🇸

Sremska Kamenica, Serbia

C.H. Univ. Santiago de Compostela

🇪🇸

Santiago de Compostela, A Coruña, Spain

Hospital Universitario Germans Trias i Pujol

🇪🇸

Badalona, Barcelona, Spain

Institut Catalá d'Oncología - Hospital Duran i Reynals

🇪🇸

l´Hospitalet de LLobregat, Barcelona, Spain

Corporacio Sanitaria Parc Tauli

🇪🇸

Sabadell, Barcelona, Spain

Hospital Clinico Universitario de Valencia

🇪🇸

Valencia, Spain

Hospital General Universitario de Elche

🇪🇸

Elche, Comunidad Valenciana, Spain

C. H. Universitario de Vigo- Hospital Álvaro Cunqueiro

🇪🇸

Vigo, Galicia, Spain

C.H. Universitario de Vigo- Hospital Meixoeiro

🇪🇸

Vigo, Galicia, Spain

Clinica Universidad de Navarra

🇪🇸

Pamplona, Navarra, Spain

Hospital del Mar

🇪🇸

Barcelona, Spain

Complejo Hospitalario de Navarra

🇪🇸

Pamplona, Navarra, Spain

Hospital Vithas Internacional Medimar

🇪🇸

Alicante, Spain

Hospital Universitario Infanta Cristina

🇪🇸

Badajoz, Spain

Hospital Quiron

🇪🇸

Barcelona, Spain

Hospital Quiron of Barcelona

🇪🇸

Barcelona, Spain

Hospital de La Santa Creu i Sant pau_Oncology department

🇪🇸

Barcelona, Spain

CETIR Grup Medic

🇪🇸

Barcelona, Spain

Cetir, Centre Mèdic, S.L

🇪🇸

Barcelona, Spain

Hospital Quirón de Barcelona

🇪🇸

Barcelona, Spain

Hospital de La Santa Creu i Sant Pau

🇪🇸

Barcelona, Spain

Hospital de Vall d'Hebron

🇪🇸

Barcelona, Spain

Hospital Universitario Vall d'Hebron

🇪🇸

Barcelona, Spain

Hospital Clinic de Barcelona

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofia

🇪🇸

Cordoba, Spain

Laboratorio Dr. F. Echevarne Analisis, S.A

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofía

🇪🇸

Cordoba, Spain

H. univ Girona Dr. Josep Trueta - lnstitut Catala d'Oncologia

🇪🇸

Gerona, Spain

Hospital Universitario Lucus Augusti

🇪🇸

Lugo, Spain

Institut Catala d'Oncologia

🇪🇸

Gerona, Spain

Institut Diagnostic de la lmatge

🇪🇸

Gerona, Spain

Gabinete Radiologico Doctor Pita

🇪🇸

Madrid, Spain

Fundacion Maria Rafols para la investigacion del Diagnostico de la imagen

🇪🇸

Madrid, Spain

Hospital General Universitario Gregorio Marañon

🇪🇸

Madrid, Spain

Hospital Ruber Internacional

🇪🇸

Madrid, Spain

Hospital Ruber International

🇪🇸

Madrid, Spain

Hospital Clinico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario Ramón y Cajal

🇪🇸

Madrid, Spain

Hospital Clínico San Carlos

🇪🇸

Madrid, Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Universitario HM Sanchinarro - CIOCC

🇪🇸

Madrid, Spain

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Spain

Instituto Valenciano de Oncología

🇪🇸

Valencia, Spain

APL

🇸🇪

Stockholm, Sweden

Hospital Clínico Universitario de Valencia

🇪🇸

Valencia, Spain

Karolinska University Hospital

🇸🇪

Stockholm, Sweden

Clinical Trial Pharmacy, China Medical University Hospital

🇨🇳

Taichung, Taiwan

Investigational Drug services, National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

National Taiwan University Hospital

🇨🇳

Taipei, Taiwan

Koo Foundation Sun Yat-Sen Cancer Center

🇨🇳

Taipei, Taiwan

Department of Pharmacy, National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

Pharmacy, Koo Foundation Sun Yat-Sen Cancer Center

🇨🇳

Taipei, Taiwan

Chang Gung Memorial Hospital, Linkou

🇨🇳

Taoyuan, Taiwan

Chemotherapy pharmacy, Chang Gung Memorial Hospital, Linkou

🇨🇳

Taoyuan, Taiwan

Royal United Hospitals Bath NHS Foundation Trust

🇬🇧

Bath, United Kingdom

St Bartholomew 's Hospital, Barts Health NHS Trust

🇬🇧

London, United Kingdom

Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital

🇬🇧

London, United Kingdom

Churchill Hospital, Oxford University Hospitals NHS Trust

🇬🇧

Oxford, United Kingdom

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Inova Schar Cancer Institute Infusion Pharmacy

🇺🇸

Fairfax, Virginia, United States

Inova Schar Cancer Institute

🇺🇸

Fairfax, Virginia, United States

Hospital Universitario Infanta Sofia

🇪🇸

San Sebastián de los Reyes, Madrid, Spain

Centro de Investigación Clínica de Leon S.C.

🇲🇽

Leon, Guanajuato, Mexico

Hospital Mãe de Deus/Aesc

🇧🇷

Porto Alegre, RIO Grande DO SUL, Brazil

Dr Ram Manohar Lohia (RML) Hospital & PGI MER

🇮🇳

New Delhi, Delhi, India

Fiona Stanley Hospital

🇦🇺

Murdoch, Western Australia, Australia

National Cheng Kung University Hospital

🇨🇳

Tainan, Taiwan

Icon Cancer Care South Brisbane

🇦🇺

South Brisbane, Queensland, Australia

Hospital Regional Dr. Enrique Vera Barros

🇦🇷

La Rioja, Argentina

Centro de Investigacion Pergamino S.A.

🇦🇷

Pergamino, Buenos Aires, Argentina

Hôpital Erasme

🇧🇪

Bruxelles, Belgium

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto

🇧🇷

Sao Jose do Rio Preto, SP, Brazil

Sociedade Beneficente de Senhoras Hospital Sírio Libanês

🇧🇷

São Paulo, SP, Brazil

Hopital de La Timone

🇫🇷

Marseille, France

Icon Cancer Care Chermside

🇦🇺

Chermside, Queensland, Australia

SA Pharmacy, Level 3 Pharmacy

🇦🇺

Bedford Park, South Australia, Australia

GP Diagnostico SRL

🇦🇷

La Rioja, Argentina

Instituto del Diagnostico

🇦🇷

La Rioja, Argentina

Box Hill Hospital - Pharmacy Department, Bulding B, Loading Dock (access via Thames St)

🇦🇺

Box Hill, Victoria, Australia

Hopital La Conception

🇫🇷

Marseille cedex 5, France

Sotiria General Chest Disease Hospital

🇬🇷

Athens, Greece

Farmacia Ospedaliera

🇮🇹

Arezzo, Italy

AOU Ospedali Riuniti di Ancona

🇮🇹

Torrette, Ancona, Italy

National Hospital Organization hokkaido Cancer Center

🇯🇵

Sapporo,, Hokkaido, Japan

River City Pharmacy

🇦🇺

Auchenflower, Queensland, Australia

Adelaide Cancer Centre

🇦🇺

Kurralta Park, South Australia, Australia

AZ Klina - Apotheek

🇧🇪

Brasschaat, Belgium

Hospital da Bahia

🇧🇷

Salvador, BA, Brazil

Associacao Hospital de Caridade Ijui

🇧🇷

Ijui, RS, Brazil

Hospital Israelita Albert Einstein - SP

🇧🇷

São Paulo, SP, Brazil

CHUM - Centre Hospitalier de l'Universite de Montreal

🇨🇦

Montréal, Quebec, Canada

Centre Leon Berard

🇫🇷

Lyon cedex 8, France

The Townsville Hospital

🇦🇺

Douglas, Queensland, Australia

Nova Pharmacy

🇦🇺

Wendouree, Victoria, Australia

The Queen Elizabeth Hospital

🇦🇺

Woodville South, South Australia, Australia

AZ Groeninge

🇧🇪

Kortrijk, Belgium

Associação Educadora São Carlos - AESC / Hospital Mãe de Deus - Farmácia Oncológica

🇧🇷

Porto Alegre, RS, Brazil

Hospital das Clinicas da Faculdade de Medicina da USP - HCFMUSP

🇧🇷

Sao Paulo, SP, Brazil

Centre d'Oncologie et de Radiothérapie du Pays-Basque

🇫🇷

Bayonne, France

Hopital Foch -Pharmacie

🇫🇷

Suresnes, France

EUROMEDICA General Clinic of Thessaloniki

🇬🇷

Thessaloniki, Greece

Kaposvári Egyetem Egészségügyi Centrum

🇭🇺

Kaposvár, Hungary

Rajiv Gandhi Cancer Institute And Research Centre

🇮🇳

Delhi, India

Hadassah University Hospital

🇮🇱

Kiryat Hadassah, Jerusalem, Israel

UOSC Farmacia

🇮🇹

Naples, Italy

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama, Ehime, Japan

Monash Medical Centre

🇦🇺

East Bentleigh, Victoria, Australia

UZ Gent

🇧🇪

Ghent, Belgium

CENOB Centro de Oncologia da Bahia S/S Ltda. / Oncovida

🇧🇷

Salvador, BA, Brazil

Instituto Nacional de Câncer - INCA

🇧🇷

Rio de Janeiro, RJ, Brazil

Centre Henri Becquerel

🇫🇷

Rouen Cedex 1, France

Clinique Sainte Anne

🇫🇷

Strasbourg, France

Farmacia Studi Clinici

🇮🇹

Rozzano, Milan, Italy

Azienda Ospedaliero-Universitaria Policlinico S.Orsola Malpighi

🇮🇹

Bologna, Italy

Fondazione IRCCS Istituto Nazionale Dei Tumori

🇮🇹

Milan, Italy

Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli"

🇮🇹

Naples, Italy

Nagoya University Hospital

🇯🇵

Nagoya, Aichi, Japan

Gunma Prefectural Cancer Center

🇯🇵

Ota, Gunma, Japan

Dokkyo Medical University Saitama Medical Center

🇯🇵

Koshigaya, Saitama, Japan

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggido, Korea, Republic of

Radboudumc

🇳🇱

Nijmegen, Netherlands

Ballarat Day Procedure Centre

🇦🇺

Wendouree, Victoria, Australia

CHU Nimes - Institut de Cancerologie du Gard

🇫🇷

Nimes Cedex 9, France

CHU de Rouen - Hôpital Charles Nicolle

🇫🇷

Rouen, France

Alexandra General Hospital, Oncology Department

🇬🇷

Athens, Greece

IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"

🇮🇹

Meldola, Forli-cesena, Italy

U.O.C. Farmacia

🇮🇹

Rome, Italy

Fondazione del Piemonte per l'Oncologia - IRCCS Candiolo

🇮🇹

Candiolo, Torino, Italy

SC Farmacia

🇮🇹

Milan, Italy

S.C. Farmacia Interna

🇮🇹

Terni, Italy

Hirosaki University School of Medicine & Hospital

🇯🇵

Hirosaki, Aomori, Japan

Hiroshima City Hiroshima Citizens Hospital

🇯🇵

Hiroshima, Japan

Groupe Hospitalier Pitié Salpêtrière

🇫🇷

Paris, France

Apollo Hospitals

🇮🇳

Hyderabad, Telangana, India

CHU de Rouen

🇫🇷

Rouen, France

Rambam Health Care Campus

🇮🇱

Haifa, Israel

U.O.S. Medicina Nucleare

🇮🇹

Forli, Forli-cesena, Italy

Hokkaido University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Keio University Hospital

🇯🇵

Shinjuku-Ku, Tokyo, Japan

IRCCS Ospedale Policlinico San Martino

🇮🇹

Genova, Liguria, Italy

St Apotheek der Haarlemse Ziekenhuizen

🇳🇱

Haarlem, Netherlands

Spaarne Gasthuis

🇳🇱

Hoofddorp, Netherlands

China Medical University Hospital

🇨🇳

Taichung, Taiwan

Severance Hospital Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

Nihon University Itabashi Hospital

🇯🇵

Itabashi-ku, Tokyo, Japan

Hamamatsu University School of Medicine, University Hospital

🇯🇵

Hamamatsu, Shizuoka, Japan

Phylasis Clinicas Research S. de R.L. de C.V.

🇲🇽

Cuautitlan Izcalli, Estado DE Mexico, Mexico

Maastricht University Medical Center

🇳🇱

Maastricht, Netherlands

Wojewodzki Szpital Zespolony im. L. Rydygiera w Toruniu Szpital Obserwacyjno-Zakazny

🇵🇱

Torun, Poland

Non-State Healthcare Institution "Railway Clinical Hospital JSC RZhD"

🇷🇺

St. Petersburg, Russian Federation

Hospital Comarcal General de Elda de Virgen de la Salud

🇪🇸

Elda, Alicante, Spain

Federal State Budgetary Institution "National medical research radiology center" MoH RF

🇷🇺

Obninsk, Kaluzhskaya Region, Russian Federation

Institut Catalá d'Oncología

🇪🇸

L´Hospitalet de Llobregat, Barcelona, Spain

Hospital Universitario Central de Asturias

🇪🇸

Oviedo, Asturias, Spain

Principal Military Clinical Hospital n.a. N.N. Burdenko

🇷🇺

Moscow, Russian Federation

Althaia. Xarxa Assistencial Universitaria de Manresa

🇪🇸

Manresa, Barcelona, Spain

Cleveland Clinic Taussing Cancer Center

🇺🇸

Cleveland, Ohio, United States

Seattle Cancer Care Alliance

🇺🇸

Seattle, Washington, United States

S.C. Farmacia Ospedaliera

🇮🇹

Napoli, Italy

Aalborg Universitetshospital Syd

🇩🇰

Aalborg, Denmark

Aalborg Universitetshospital

🇩🇰

Aalborg, Denmark

Sygehusapoteket Aalborg

🇩🇰

Aalborg, Denmark

Aarhus Universitetshospital

🇩🇰

Aarhus N, Denmark

Rigshospitalet, Onkologisk Klinik, afsnit 5073

🇩🇰

Copenhagen OE, Denmark

Herlev Hospital

🇩🇰

Herlev, Denmark

Herlev og Gentofte Hospital

🇩🇰

Herlev, Denmark

Klinik for Klinisk Fysiologi,Nuklearmedicin og PET

🇩🇰

København Ø, Denmark

Rigshospitalet

🇩🇰

København Ø, Denmark

Assaf Harofe MC

🇮🇱

Beer Yaakov, Israel

Sykehusapoteket Lorenskog

🇳🇴

Nordbyhagen, Norway

Chiba Cancer Center

🇯🇵

Chiba, Japan

St. Bartholomew's Hospital, Barts Health NHS Trust

🇬🇧

London, United Kingdom

Guy's & St. Thomas' NHS Foundation Trust

🇬🇧

London, United Kingdom

Anschutz Cancer Center Pavilion Pharmacy

🇺🇸

Aurora, Colorado, United States

University of Colorado Cancer Center

🇺🇸

Aurora, Colorado, United States

University of Colorado Denver, CTO (CTRC)

🇺🇸

Aurora, Colorado, United States

University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)

🇺🇸

Aurora, Colorado, United States

University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)

🇺🇸

Aurora, Colorado, United States

Macquarie University

🇦🇺

Macquarie University, New South Wales, Australia

Sunshine Coast University Hospital

🇦🇺

Birtinya, Queensland, Australia

Smilow Cancer Hospital at Yale New Haven

🇺🇸

New Haven, Connecticut, United States

Smilow Cancer Hospital at Yale-New Haven

🇺🇸

New Haven, Connecticut, United States

Box Hill Hospital

🇦🇺

Box Hill, Victoria, Australia

BHS Diagnostic Services

🇦🇺

Ballarat, Victoria, Australia

Lake Imaging

🇦🇺

Ballarat, Victoria, Australia

Cancer Care SA Pty Ltd

🇦🇺

Kurralta Park, South Australia, Australia

Icon Cancer Care SA trading as Icon Pharmacy Adelaide

🇦🇺

Kurralta Park, South Australia, Australia

Medica Superspecialty hospital

🇮🇳

Kolkata, WEST Bengal, India

Icon Cancer Care Southport

🇦🇺

Southport, Queensland, Australia

Department of Clinical Oncology

🇭🇰

Hong Kong, Hong Kong

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