MedPath

A Study of ABT-414 in Participants With Newly Diagnosed Glioblastoma (GBM) With Epidermal Growth Factor Receptor (EGFR) Amplification

Phase 3
Completed
Conditions
Glioblastoma
Gliosarcoma
Interventions
Radiation: Radiation
Drug: Placebo for ABT-414
Registration Number
NCT02573324
Lead Sponsor
AbbVie
Brief Summary

This study seeks to determine whether the addition of ABT-414 to concomitant radiotherapy and temozolomide (TMZ) followed by combination of ABT-414 with adjuvant TMZ prolongs overall survival (OS) among participants with newly diagnosed glioblastoma (GBM) with epidermal growth factor receptor (EGFR) amplification.

In addition, there is a Phase 1, open-label, multicenter sub-study to assess the pharmacokinetics, safety and tolerability of ABT-414 in participants with newly diagnosed EGFR-amplified GBM who have mild or moderate hepatic impairment.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
691
Inclusion Criteria
  • Must have a clinical diagnosis of glioblastoma (GBM).
  • Must have a confirmed epidermal growth factor receptor amplification in tumor tissue.
  • Must have a Karnofsky Performance Status (KPS) >= 70 at assessment <= 14 days prior to randomization (N/A to the sub-study).
  • Must have recovered from effects of surgery, postoperative infection and other complications of surgery.
  • Must have adequate bone marrow, renal, and hepatic function (For the sub-study, the participant must have adequate bone marrow and renal function and have mild-to-moderate hepatic impairment).
Exclusion Criteria
  • Multifocal, recurrent or metastatic GBM or gliomatosis cerebri (For the sub-study, the participant can have multifocal GBM and glimatosis cerebri but can't have recurrent or metastatic GBM).
  • Prior chemo therapy or radiosensitizer for head and neck cancer.
  • Prior radiotherapy to the head or neck in overlap of radiation fields.
  • Prior therapy for glioblastoma or other invasive malignancy.
  • Prior, concomitant or planned treatment with Novo Tumor Treatment Fields (Novo-TTF), EGFR-targeted therapy, bevacizumab, Gliadel wafers or other intratumoral or intracavity anti-neoplastic therapy.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Open-Label Sub-Study: Depatuxizumab Mafodotin, Radiation and TMZTemozolomideDepatuxizumab mafodotin is given to participants with hepatic impairment on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Placebo, Radiation and TMZRadiationPlacebo is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Placebo is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Open-Label Sub-Study: Depatuxizumab Mafodotin, Radiation and TMZRadiationDepatuxizumab mafodotin is given to participants with hepatic impairment on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Depatuxizumab Mafodotin, Radiation and Temozolomide (TMZ)RadiationDepatuxizumab mafodotin is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Placebo, Radiation and TMZPlacebo for ABT-414Placebo is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Placebo is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Depatuxizumab Mafodotin, Radiation and Temozolomide (TMZ)TemozolomideDepatuxizumab mafodotin is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Placebo, Radiation and TMZTemozolomidePlacebo is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Placebo is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Open-Label Sub-Study: Depatuxizumab Mafodotin, Radiation and TMZDepatuxizumab mafodotinDepatuxizumab mafodotin is given to participants with hepatic impairment on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Depatuxizumab Mafodotin, Radiation and Temozolomide (TMZ)Depatuxizumab mafodotinDepatuxizumab mafodotin is given on Day 1 of Week 1, 3 and 5 along with the standard therapy of TMZ and radiation during the chemoradiation phase. Depatuxizumab mafodotin is given on Day 1 and 15 of each cycle along with TMZ (Days 1-5 of each cycle) per standard of care during the adjuvant phase.
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Secondary Outcome Measures
NameTimeMethod
OS for the MGMT Methylated GroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

OS for the O6-methylguaninemethlytransferese (MGMT) Unmethylated GroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Unmethylated MGMT promoter is associated with a worse prognosis in GBM

OS for the Epidermal Growth Factor Receptor (EGFR)vIII-Mutated Tumor SubgroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

Time to OS is defined as the number of days from the date of randomization to the date of death due to any cause.

Progression-Free Survival (PFS)Overall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria (see Wen et al. J Clin Oncol. 2010 Apr 10;28(11):1963-72) or to the date of death, if disease progression does not occur.

PFS for EGFRvIII-Mutated Tumor SubgroupOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

PFS will be defined as the number of days from the date of randomization to the date of earliest disease progression based on Response Assessment in Neuro-Oncology (RANO) criteria or to the date of death, if disease progression does not occur.

Deterioration Free Survival in M.D. Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) Symptom Severity ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom severity score is defined as average over 13 core symptom items and 9 brain tumor symptom items, with a total score of 0 to 10, with higher score indicating worse symptoms/interference. Changes in symptom severity score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom severity score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.

Deterioration Free Survival in MDASI-BT Symptom Interference ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

The MDASI-BT assesses the severity of multiple brain tumor-related symptoms and the impact of these symptoms on daily functioning in the last 24 hours. It consists of 22 symptom items and 6 interference items, each rated from 0 to 10. MDASI-BT symptom interference score is defined as an average of 6 interference items, with a total score of 0 to 10, where higher scores indicate worse interference. Changes in symptom interference score were classified into 3 categories: improved (≤ -1), stable (\> -1 and \< 1), and deteriorated (≥ 1). Deterioration is defined as satisfying the deterioration criteria (i.e., increase in symptom interference score by ≥ 1 unit) without further improvement (i.e., failing to satisfy deterioration criteria) within 8 weeks or occurrence of death.

Deterioration Free Survival in Neurocognitive Functioning on the Hopkins Verbal Learning Test Revised (HVLT-R) Total Recall ScoreOverall median duration of follow-up was 15.5 months (range: 0.1, 35.6).

The HVLT-R consists of 3 parts. Free call has a range of 0 to 36, delayed recall has a range from 0 to 12, and delayed recognition has a range of -12 to 12. Higher scores indicating better function in all 3 parts. When scoring the HVLT-R, the 3 learning trials are combined to calculate a total recall score (range -12 to 60). Deterioration is defined as satisfying the deterioration criteria (i.e., decrease in HVLT-R total recall score by 5 units) without further improvement within 8 weeks or occurrence of death.

Trial Locations

Locations (212)

Piedmont Hospital /ID# 145892

🇺🇸

Atlanta, Georgia, United States

Emory Midtown Infectious Disease Clinic /ID# 144015

🇺🇸

Atlanta, Georgia, United States

University of Pennsylvania Medical Center - Shadyside /ID# 144159

🇺🇸

Pittsburgh, Pennsylvania, United States

Allegheny General Hospital /ID# 144126

🇺🇸

Pittsburgh, Pennsylvania, United States

Princess Margaret Cancer Centre /ID# 166277

🇨🇦

Toronto, Ontario, Canada

Northwestern Medicine Cancer Center - Warrenville /ID# 148476

🇺🇸

Warrenville, Illinois, United States

Thomas Jefferson University /ID# 144191

🇺🇸

Philadelphia, Pennsylvania, United States

Baylor Sammons Cancer Center /ID# 155542

🇺🇸

Dallas, Texas, United States

Liverpool Hospital /ID# 144392

🇦🇺

Liverpool, New South Wales, Australia

Tufts Medical Center /ID# 145897

🇺🇸

Boston, Massachusetts, United States

Massachusetts General Hospital /ID# 144145

🇺🇸

Boston, Massachusetts, United States

Dana-Farber Cancer Institute /ID# 148475

🇺🇸

Boston, Massachusetts, United States

Cleveland Clinic Main Campus /ID# 144023

🇺🇸

Cleveland, Ohio, United States

Duplicate_Univ Hosp Cleveland /ID# 144153

🇺🇸

Cleveland, Ohio, United States

The University of Texas Health Science Center at Houston /ID# 144013

🇺🇸

Houston, Texas, United States

University of Texas MD Anderson Cancer Center /ID# 144018

🇺🇸

Houston, Texas, United States

Virginia Mason Medical Center /ID# 144022

🇺🇸

Seattle, Washington, United States

Christiana Care Health Service /ID# 144127

🇺🇸

Newark, Delaware, United States

Highlands Oncology Group, PA /ID# 142050

🇺🇸

Springdale, Arkansas, United States

Associated Neurologists of Sou /ID# 147701

🇺🇸

Fairfield, Connecticut, United States

Maine Medical Partners Neurolo /ID# 160864

🇺🇸

Scarborough, Maine, United States

Duplicate_Instituto Med Alex Flem /ID# 142884

🇦🇷

Buenos Aires, Argentina

Sanatorio Parque /ID# 142825

🇦🇷

Rosario, Santa Fe, Argentina

Medizinische Universitaet Wien /ID# 141981

🇦🇹

Vienna, Wien, Austria

St Vincent's Hospital Melbourne /ID# 143858

🇦🇺

Fitzroy Melbourne, Victoria, Australia

Duplicate_Austin Hospital /ID# 143859

🇦🇺

Heidelberg, Victoria, Australia

Royal Victoria Hospital / McGill University Health Centre /ID# 144187

🇨🇦

Montreal, Quebec, Canada

Medizinische Universitaet Graz /ID# 141982

🇦🇹

Graz, Steiermark, Austria

Duplicate_Medizinische Universitat Innsbruck,Universitatsklinik fur Innere Mediz /ID# 141984

🇦🇹

Innsbruck, Austria

UZ Gent /ID# 141647

🇧🇪

Gent, Oost-Vlaanderen, Belgium

Kepler Universitätsklinikum GmbH - Neuromed Campus /ID# 141983

🇦🇹

Linz, Austria

UCL Saint-Luc /ID# 141648

🇧🇪

Woluwe-Saint-Lambert, Bruxelles-Capitale, Belgium

Universitair Ziekenhuis Leuven /ID# 143872

🇧🇪

Leuven, Vlaams-Brabant, Belgium

Grand Hopital de Charleroi /ID# 141645

🇧🇪

Charleroi, Hainaut, Belgium

Duplicate_Centre Hospitalier Jolimont /ID# 143873

🇧🇪

La Louvière, Belgium

Centro Medico Imbanaco de Cali /ID# 143882

🇨🇴

Cali, Colombia

IPO Lisboa FG, EPE /ID# 141938

🇵🇹

Lisboa, Portugal

Centro Hospitalar Universitario de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 141941

🇵🇹

Lisboa, Portugal

Centro Hospitalar Universitario de Sao Joao, EPE /ID# 142830

🇵🇹

Porto, Portugal

Regional Clinical Hospital of Kaliningrad region /ID# 141702

🇷🇺

Kaliningrad, Kaliningradskaya Oblast, Russian Federation

GEMC - European Medical Center /ID# 141703

🇷🇺

Moscow, Moskovskaya Oblast, Russian Federation

National Medical Research Center for Neurosurgery n.a. N. N. Burdenko /ID# 141701

🇷🇺

Moscow, Moskva, Russian Federation

Federal State Budgetary Scientific Institution N.N. Blokhin /ID# 141707

🇷🇺

Moscow, Moskva, Russian Federation

Federal State Treatment and Rehabilitation center /ID# 141704

🇷🇺

Moscow, Moskva, Russian Federation

University of Free State, Universitas Annex (National Hospital Grounds) /ID# 144064

🇿🇦

Bloemfontein, Free State, South Africa

Sverdlovsk Regional Oncology Dispensary /ID# 141700

🇷🇺

Yekaterinburg, Sverdlovskaya Oblast, Russian Federation

Cape Town Oncology Trials /ID# 143948

🇿🇦

Kraaifontein, Western Cape, South Africa

Vrije Universiteit Medisch Centrum /ID# 143889

🇳🇱

Amsterdam, Netherlands

Beaumont Hospital /ID# 142969

🇮🇪

Beaumont, Dublin, Ireland

Univ Kansas Cancer Ctr - Overl /ID# 145895

🇺🇸

Westwood, Kansas, United States

Sharp Memorial Hospital /ID# 148193

🇺🇸

San Diego, California, United States

Univ California, San Francisco /ID# 145889

🇺🇸

San Francisco, California, United States

Baptist Hospital Miami /ID# 152451

🇺🇸

Miami, Florida, United States

University of Utah /ID# 144160

🇺🇸

Salt Lake City, Utah, United States

St. Josephs Hospital and Med Center /ID# 144149

🇺🇸

Phoenix, Arizona, United States

Wayne State University /ID# 145890

🇺🇸

Detroit, Michigan, United States

Henry Ford Health System /ID# 145896

🇺🇸

Detroit, Michigan, United States

Univ Oklahoma HSC /ID# 144161

🇺🇸

Oklahoma City, Oklahoma, United States

Moffitt Cancer Center /ID# 144130

🇺🇸

Tampa, Florida, United States

Nebraska Methodist Hospital /ID# 144140

🇺🇸

Omaha, Nebraska, United States

University of Nebraska Medical Center /ID# 145899

🇺🇸

Omaha, Nebraska, United States

Froedtert Memorial Lutheran Hospital /ID# 144139

🇺🇸

Milwaukee, Wisconsin, United States

University of Southern California /ID# 147543

🇺🇸

Los Angeles, California, United States

University of California, Los Angeles /ID# 149239

🇺🇸

Los Angeles, California, United States

Duplicate_St. John's Health Center /ID# 148192

🇺🇸

Santa Monica, California, United States

Cedars-Sinai Medical Center-West Hollywood /ID# 148472

🇺🇸

West Hollywood, California, United States

Univ of Colorado Cancer Center /ID# 148194

🇺🇸

Aurora, Colorado, United States

Holy Cross Hospital /ID# 156764

🇺🇸

Fort Lauderdale, Florida, United States

Boca Raton Regional Hospital /ID# 163659

🇺🇸

Boca Raton, Florida, United States

Northwestern University Feinberg School of Medicine /ID# 147895

🇺🇸

Chicago, Illinois, United States

The University of Chicago Medical Center /ID# 144158

🇺🇸

Chicago, Illinois, United States

Parkview Research Ctr, Hosp /ID# 144150

🇺🇸

Fort Wayne, Indiana, United States

Duplicate_St. Joseph Mercy Hospital /ID# 144143

🇺🇸

Ypsilanti, Michigan, United States

Mmcorc /Id# 144146

🇺🇸

Saint Louis Park, Minnesota, United States

Washington University-School of Medicine /ID# 144174

🇺🇸

Saint Louis, Missouri, United States

Columbia University Medical Center /ID# 144020

🇺🇸

New York, New York, United States

MD Anderson Cancer Center at Cooper - Camden /ID# 145891

🇺🇸

Camden, New Jersey, United States

Rutgers Cancer Institute of New Jersey /ID# 148190

🇺🇸

New Brunswick, New Jersey, United States

University of Rochester Medical Center /ID# 144166

🇺🇸

Rochester, New York, United States

University of Cincinnati /ID# 144164

🇺🇸

Cincinnati, Ohio, United States

Levine Cancer Ins, Carolina Me /ID# 144124

🇺🇸

Charlotte, North Carolina, United States

The Ohio State University /ID# 144016

🇺🇸

Columbus, Ohio, United States

University of Toledo /ID# 156763

🇺🇸

Toledo, Ohio, United States

St. Luke's Hospital /ID# 148191

🇺🇸

Bethlehem, Pennsylvania, United States

Fox Chase Cancer Center /ID# 145893

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pennsylvania /ID# 157623

🇺🇸

Philadelphia, Pennsylvania, United States

Austin Cancer Centers /ID# 151061

🇺🇸

Austin, Texas, United States

Duplicate_Scott and White Medical Center /ID# 160743

🇺🇸

Temple, Texas, United States

Intermountain Medical Center /ID# 144142

🇺🇸

Murray, Utah, United States

University of Washington /ID# 144162

🇺🇸

Seattle, Washington, United States

Inova Health System /ID# 152956

🇺🇸

Falls Church, Virginia, United States

Univ of Wisconsin Hosp/Clinics /ID# 144167

🇺🇸

Madison, Wisconsin, United States

Duplicate_The Prince of Wales Hospital /ID# 144882

🇦🇺

Randwick, New South Wales, Australia

Calvary Mater Newcastle /ID# 143860

🇦🇺

Waratah, New South Wales, Australia

Southern Medical Day Care Centre /ID# 143868

🇦🇺

Wollongong, New South Wales, Australia

Royal North Shore Hospital /ID# 143870

🇦🇺

St Leonards, New South Wales, Australia

Princess Alexandra Hospital /ID# 143857

🇦🇺

Woolloongabba, Queensland, Australia

Calvary North Adelaide Hospita /ID# 143866

🇦🇺

Adelaide, South Australia, Australia

St John Of God Subiaco Hospital /ID# 143869

🇦🇺

Subiaco, Western Australia, Australia

Liga Norte Riograndense Contra o Câncer /ID# 143878

🇧🇷

Natal, Rio Grande Do Norte, Brazil

Duplicate_UCL Mont Godinne /ID# 141644

🇧🇪

Yvoir, Belgium

Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) /ID# 143877

🇧🇷

Rio de Janeiro, Brazil

CHU de Liege /ID# 162860

🇧🇪

Liege, Belgium

Fundacao Pio XII - Hospital de Cancer de Barretos /ID# 143876

🇧🇷

Barretos, Sao Paulo, Brazil

Hospital Sao Lucas da PUCRS /ID# 143879

🇧🇷

Porto Alegre, Rio Grande Do Sul, Brazil

Juravinski Cancer Centre /ID# 152117

🇨🇦

Hamilton, Ontario, Canada

Instituto do Câncer do Estado de São Paulo - ICESP /ID# 144031

🇧🇷

São Paulo, Sao Paulo, Brazil

Victoria Hospital /ID# 144184

🇨🇦

London, Ontario, Canada

Duplicate_Hospital Maisonneuve-Rosemont /ID# 149315

🇨🇦

Montreal, Quebec, Canada

Duplicate_Jewish General Hospital /ID# 144029

🇨🇦

Montreal, Quebec, Canada

Ottawa Hospital Research Institute /ID# 150120

🇨🇦

Ottawa, Ontario, Canada

CHUM - Notre-Dame Hospital /ID# 144027

🇨🇦

Montréal, Quebec, Canada

CHU de Quebec-Universite Laval /ID# 144189

🇨🇦

Quebec City, Quebec, Canada

CHUS - Hopital Fleurimont /ID# 149771

🇨🇦

Sherbrooke, Quebec, Canada

Anhui Provincial Hospital /ID# 166320

🇨🇳

Hefei, Anhui, China

Duplicate_Xiangya Hospital Central South University /ID# 166791

🇨🇳

Changsha, Hunan, China

SanboBrain Hospital Capital Medical University /ID# 166422

🇨🇳

Beijing, Beijing, China

Tongji Hospital Tongji Medical College of HUST /ID# 163820

🇨🇳

Wuhan, Hubei, China

Sun Yat-Sen University Cancer Center /ID# 143919

🇨🇳

Guangzhou, Guangdong, China

The First Affiliated Hospital of Soochow University /ID# 165596

🇨🇳

Suzhou, Jiangsu, China

Peking Union Medical College Hospital /ID# 157430

🇨🇳

Beijing, Beijing, China

Duplicate_Tangdu Hospital /ID# 143920

🇨🇳

Xi'an, Shaanxi, China

The First Affiliated Hospital of Fujian Medical University /ID# 159166

🇨🇳

Fuzhou, China

Duplicate_The Second Affiliated Hospital of ZUSM /ID# 165593

🇨🇳

Hangzhou, Zhejiang, China

Beijing Tian Tan Hospital, Capital Medical University /ID# 167160

🇨🇳

Beijing, China

Duplicate_Huashan Hospital of Fudan University /ID# 159999

🇨🇳

Shanghai, Shanghai, China

Duplicate_Shengjing Hospital of China Medical University /ID# 167016

🇨🇳

Shenyang, China

Instituto Medico de Alta Tecnologia Oncomédica S.A /ID# 147223

🇨🇴

Monteria, Cordoba, Colombia

Administradora del Country_S.A-Clinica Del Country /ID# 143881

🇨🇴

Bogota, Cundinamarca, Colombia

Duplicate_Tianjin Med Univ General Hosp /ID# 143923

🇨🇳

Tianjin, China

Oncologos del Occidente S.A /ID# 147713

🇨🇴

Pereira, Risaralda, Colombia

Duplicate_FN Hradec Kralove /ID# 143885

🇨🇿

Hradec Kralove, Czechia

Masarykuv onkologicky ustav /ID# 143884

🇨🇿

Brno, Czechia

Hospital Pablo Tobon Uribe /ID# 143780

🇨🇴

Medellín, Antioquia, Colombia

Krajska nemocnice Liberec, a.s. /ID# 142024

🇨🇿

Liberec, Czechia

AP-HM - Hopital de la Timone /ID# 143911

🇫🇷

Marseille CEDEX 05, Bouches-du-Rhone, France

Hopital Avicenne - APHP /ID# 143910

🇫🇷

Bobigny, Ile-de-France, France

Fakultni Nemocnice v Motole /ID# 142023

🇨🇿

Praha, Czechia

Duplicate_Gustave Roussy /ID# 143912

🇫🇷

Villejuif Cedex, Ile-de-France, France

Duplicate_Univ Hosp Ostrava-Poruba /ID# 143883

🇨🇿

Ostrava, Czechia

CHRU Lille - Hopital Claude Huriez /ID# 143915

🇫🇷

Lille, Hauts-de-France, France

Insititut de Cancerologie /ID# 143908

🇫🇷

Angers, France

Institut de Cancérologie de l'Ouest René Gauducheau /ID# 143914

🇫🇷

St Herblain CEDEX, Loire-Atlantique, France

Hopital Pitie Salpetriere /ID# 143917

🇫🇷

Paris, France

CHU Nice -Hopital Pasteur /ID# 143916

🇫🇷

Nice CEDEX 1, Provence-Alpes-Cote-d Azur, France

Universitaetsklinikum Tuebingen /ID# 143926

🇩🇪

Tubingen, Baden-Wuerttemberg, Germany

Universitaetsklinik Heidelberg /ID# 143927

🇩🇪

Heidelberg, Baden-Wuerttemberg, Germany

Universitaetsklinikum Knappschaftskrankenhaus Bochum GmbH /ID# 143961

🇩🇪

Bochum, Germany

Universitaetsklinikum Leipzig /ID# 143962

🇩🇪

Leipzig, Sachsen, Germany

Prince of Wales Hospital /ID# 143952

🇭🇰

Hong Kong, Hong Kong

The Chaim Sheba Medical Center /ID# 143960

🇮🇱

Ramat Gan, Tel-Aviv, Israel

Tel Aviv Sourasky Medical Center /ID# 143956

🇮🇱

Tel Aviv-Yafo, Tel-Aviv, Israel

Rambam Health Care Campus /ID# 143959

🇮🇱

Haifa, Israel

Gastroenterology Institute, Division of Medicine /ID# 143958

🇮🇱

Jerusalem, Israel

Rabin Medical Center /ID# 143957

🇮🇱

Petakh Tikva, Israel

Duplicate_Duplicate_AOU Citta della Salute Scienza /ID# 141801

🇮🇹

Turin, Piemonte, Italy

Fondazione IRCCS Istituto Neurologico Carlo Besta /ID# 141800

🇮🇹

Milan, Italy

Duplicate_Regina Elena National Cancer I /ID# 141795

🇮🇹

Rome, Italy

National Cancer Center /ID# 141845

🇰🇷

Goyang, Gyeonggido, Korea, Republic of

Istituto Oncologico Veneto /ID# 143821

🇮🇹

Padova, Italy

Duplicate_Yonsei University Health System, Severance hospital. /ID# 141846

🇰🇷

Seoul, Seoul Teugbyeolsi, Korea, Republic of

Centro Medico Zambrano Hellion /ID# 143845

🇲🇽

San Pedro Garza Garcia, Nuevo Leon, Mexico

Universitair Medisch Centrum Groningen /ID# 141408

🇳🇱

Groningen, Netherlands

Universitair Medisch Centrum Utrecht /ID# 141406

🇳🇱

Utrecht, Netherlands

Haaglanden Medisch Centrum /ID# 141405

🇳🇱

Den Haag, Netherlands

Maastricht Universitair Medisch Centrum /ID# 143585

🇳🇱

Maastricht, Netherlands

Duplicate_Canterbury District Health Boa /ID# 143861

🇳🇿

Christchurch, New Zealand

Duplicate_Wellington Hospital (Capital and Coast District Health Board) /ID# 143890

🇳🇿

Wellington, New Zealand

CCA Braga - Hospital de Braga /ID# 141940

🇵🇹

Braga, Portugal

Centro Hospitalar Universitário do Algarve, EPE - Hospital Faro /ID# 141939

🇵🇹

Faro, Portugal

State budgetary healthcare institution Republican Clinical Oncology Dispensary /ID# 141706

🇷🇺

Ufa, Kirovskaya Oblast, Russian Federation

National University Hospital /ID# 143933

🇸🇬

Singapore, Singapore

National Cancer Ctr Singapore /ID# 143932

🇸🇬

Singapore, Singapore

Netcare Unitas Hospital /ID# 152936

🇿🇦

Centurion, Gauteng, South Africa

Netcare Oncology Intervent Ctr /ID# 143951

🇿🇦

Cape Town, Western Cape, South Africa

The Oncology Centre /ID# 143950

🇿🇦

Durban, Kwazulu-Natal, South Africa

Hospital Regional de Malaga /ID# 143902

🇪🇸

Málaga, Malaga, Spain

Hospital Clinic de Barcelona /ID# 143906

🇪🇸

Barcelona, Spain

Hospital Santa Creu i Sant Pau /ID# 143900

🇪🇸

Barcelona, Spain

Hospital Universitario 12 de Octubre /ID# 143930

🇪🇸

Madrid, Spain

Hospital Clinico Universitario San Carlos /ID# 143901

🇪🇸

Madrid, Spain

Hospital General Universitario de Valencia /ID# 143903

🇪🇸

Valencia, Spain

Linkou Chang Gung Memorial Hospital /ID# 143941

🇨🇳

Taoyuan City, Taiwan

Kantonsspital Aarau AG /ID# 141885

🇨🇭

Aarau, Aargau, Switzerland

Universitatsspital Zurich /ID# 141887

🇨🇭

Zurich, Zuerich, Switzerland

Inselspital, Universitätsspital Bern /ID# 141886

🇨🇭

Bern, Switzerland

National Taiwan University Hospital /ID# 143940

🇨🇳

Taipei City, Taiwan

Duplicate_EOC Ospedale Regionale di Bellinzona e Valli /ID# 143936

🇨🇭

Bellinzona, Switzerland

Taipei Veterans General Hosp /ID# 143955

🇨🇳

Taipei City, Taiwan

Velindre University NHS Trust /ID# 141996

🇬🇧

Cardiff, United Kingdom

University Hospitals Birmingham NHS Foundation Trust /ID# 154592

🇬🇧

Birmingham, United Kingdom

Guys and St Thomas NHS Foundation Trust /ID# 142652

🇬🇧

London, London, City Of, United Kingdom

Leeds Teaching Hospitals NHS Trust /ID# 141653

🇬🇧

Leeds, United Kingdom

Duplicate_NHS Tayside /ID# 141651

🇬🇧

Dundee, United Kingdom

NHS Lothian /ID# 141802

🇬🇧

Edinburgh, United Kingdom

University College London Hospitals NHS Foundation Trust /ID# 142658

🇬🇧

London, United Kingdom

Duplicate_The Newcastle Upon Tyne Hospitals NHS Foundation Trust /ID# 141999

🇬🇧

Newcastle Upon Tyne, United Kingdom

Royal Marsden Hospital /ID# 142827

🇬🇧

Sutton, United Kingdom

Seoul National University Hospital /ID# 143886

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center /ID# 143887

🇰🇷

Seoul, Korea, Republic of

The Catholic University of Korea, Seoul St. Mary's Hospital /ID# 141844

🇰🇷

Seoul, Korea, Republic of

Hospital Universitario HM Sanchinarro /ID# 143496

🇪🇸

Madrid, Spain

Rondebosch Oncology Center /ID# 143949

🇿🇦

Cape Town, Western Cape, South Africa

Duplicate_Cancer Care Manitoba /ID# 149253

🇨🇦

Winnipeg, Manitoba, Canada

QE II Health Sciences Centre /ID# 151600

🇨🇦

Halifax, Nova Scotia, Canada

NorthShore University HealthSystem /ID# 144017

🇺🇸

Evanston, Illinois, United States

Royal Adelaide Hospital /ID# 143867

🇦🇺

Adelaide, South Australia, Australia

Penn State University and Milton S. Hershey Medical Center /ID# 147525

🇺🇸

Hershey, Pennsylvania, United States

Yale University /ID# 144170

🇺🇸

New Haven, Connecticut, United States

Advent Health /ID# 144128

🇺🇸

Orlando, Florida, United States

Medical University of South Carolina /ID# 144141

🇺🇸

Charleston, South Carolina, United States

Virginia Commonwealth University Medical Center Main Hospital /ID# 149014

🇺🇸

Richmond, Virginia, United States

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