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New combo therapy shows promise for Tough-to-Treat head and neck cancer

NCT ID NCT03258554

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 4 times

Summary

This study tested whether giving the immunotherapy drug durvalumab alongside radiation works better than the standard cetuximab plus radiation for people with advanced head and neck cancer who cannot take the usual chemotherapy drug cisplatin. A total of 196 adults took part. The main goals were to check safety and see how long patients lived without their cancer getting worse. Results help doctors understand if durvalumab is a good alternative for these patients.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 2/3

Runs two stages together: whether the treatment works, then large-scale confirmation.

Participants

196 people

The number who actually took part.

Started

Apr 2018

Finished

Sep 2025

Lead sponsor

A government research agency

The lead sponsor is the US National Institutes of Health.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * PRIOR TO STEP 1 REGISTRATION INCLUSION CRITERIA * Patients must have pathologically confirmed, previously untreated, unresected squamous cell carcinoma of the larynx, hypopharynx, oropharynx, oral cavity, or carcinoma of unknown head/neck primary prior to step 1 registration; submission of hematoxylin and eosin (H\&E) stained slides and formalin-fixed and paraffin-embedded (FFPE) tissue block (or punch biopsy of FFPE block) to the biospecimen bank at University of California, San Francisco (UCSF) for central review for oropharyngeal and unknown primaries and for p16 analysis for all other non-oropharyngeal primaries is mandatory for all patients; investigators should check with their pathology department regarding release of biospecimens before approaching patients about participation in the trial; for oropharyngeal and unknown primaries, submission of H\&E and p16 stained slides (with the required block for PD-L1) to the biospecimen bank at UCSF for central review is also required prior to step 2 registration * Note: fine needle aspirates (FNA) samples are not acceptable since they do not provide enough material for PD-L1 and p16 testing; however, if a cell block derived from the FNA is available, it is allowable if there are sufficient cells present in the block for PD-L1 testing; Dr. Jordan will determine this upon receipt; for sites submitting FNA cell blocks for ALL patients they must do so within 7-10 business days from registering the patient; sites must confirm with their cytology/pathology labs to make sure they can provide the required material as the bank must be able to retain these samples for the mandatory testing * Patients must have locoregionally advanced head and neck squamous cell carcinoma (HNSCC) * For p16-positive oropharyngeal/unknown primaries, American Joint Committee on Cancer \[AJCC\] 8th edition stage III and selected stage I-II based on smoking status in pack-years * For laryngeal, hypopharyngeal, and oral cavity primaries and p16-negative oropharyngeal/unknown primaries, AJCC 8th edition stage III-IVB * Based on the following minimum diagnostic workup within 60 days prior to step 1 registration: * General history and physical examination by a radiation oncologist or medical oncologist or ear, nose and throat (ENT) or head \& neck surgeon * For larynx, hypopharynx, and base of tongue primaries, a laryngopharyngoscopy (mirror and/or fiberoptic and/or direct procedure) is required, unless the patient cannot tolerate or refuses * Imaging of the head and neck with a neck CT or magnetic resonance imaging (MRI) (with contrast, unless contraindicated) or PET/CT; note that the CT portion of the PET/CT must be of diagnostic quality, including contrast administration unless contraindicated. If the CT portion of the PET/CT study is low-dose (non-diagnostic), then an additional CT or MRI study with contrast (unless contraindicated) is required * Chest imaging: chest CT with and without contrast (unless contraindicated) or PET/CT * Patients must have a contraindication to cisplatin as defined in the following bullet points; sites must complete the online tool at comogram.org prior to step 1 registration to determine if the patient is eligible; the scores must be recorded on a case report form (CRF) * Age \>= 70 with moderate to severe comorbidity or vulnerability to cisplatin, defined as having one or more of the following conditions within 30 days prior to step 1 registration: * Modified Charlson Comorbidity Index \>= 1 * Adult Comorbidity Evaluation (ACE)-27 Index \>= 1 * Generalized Competing Event Model for Cancer Risk (GCE) omega PFS score \< 0.80 * Geriatric screening (G-8) score =\< 14 * Cancer and Aging Research Group (CARG) toxicity score \>= 30% * Cumulative Illness Rating scale for Geriatrics (CIRS-G) score \>= 4 OR * Age \< 70 with severe comorbidity or vulnerability to cisplatin, defined as having two or more of the following conditions within 30 days prior to step 1 registration * Modified Charlson Comorbidity Index \>= 1 * ACE-27 Index \>= 1 * GCE omega PFS-score \< 0.80 * G-8 score =\< 14 * CARG Toxicity score \>= 30% * CIRS-G score \>= 4 OR * Age \>= 18 with an absolute or relative contraindication to cisplatin, defined as one or more of the following within 30 days prior to step 1 registration: * Creatinine clearance (CC) \> 30 and \< 60 cc/min; for this calculation, use the Cockcroft-Gault formula * Zubrod performance status 2 prior to step 1 registration * Pre-existing peripheral neuropathy grade \>= 1 * History of hearing loss, defined as either: * Existing need of a hearing aid OR * \>= 25 decibel shift over 2 contiguous frequencies on a pretreatment hearing test as clinically indicated * Absolute neutrophil count (ANC) \>= 1,000 cells/mm\^3 (within 14 days prior to step 1 registration) * Platelets \>= 100,000 cells/mm\^3 (within 14 days prior to step 1 registration) * Hemoglobin \>= 9.0 g/dl (Note: the use of transfusion or other intervention to achieve hemoglobin \[Hgb\] \>= 9.0 g/dl is acceptable) (within 14 days prior to step 1 registration) * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) =\< 2.5 times institutional upper limit of normal (within 14 days prior to step 1 registration) * Serum bilirubin =\< 1.5 x institutional upper limit of normal (within 14 days prior to step 1 registration) * Measured creatinine clearance (CL) \> 30 mL/min or calculated creatinine CL \> 30 mL/min by the Cockcroft-Gault formula (Cockcroft and Gault 1976) or by 24-hour urine collection for determination of creatinine clearance (within 14 days prior to step 1 registration) * For women of childbearing potential, a negative serum or urine pregnancy test within 14 days prior to step 1 registration; Note: women will be considered post-menopausal if they have been amenorrheic for 12 months without an alternative medical cause; the following age-specific requirements apply: * Women \< 50 years of age would be considered post-menopausal if they have been amenorrheic for 12 months or more following cessation of exogenous hormonal treatments and if they have luteinizing hormone and follicle-stimulating hormone levels in the post-menopausal range for the institution or underwent surgical sterilization (bilateral oophorectomy or hysterectomy) * Women \>= 50 years of age would be considered post-menopausal if they have been amenorrheic for 12 months or more following cessation of all exogenous hormonal treatments, had radiation-induced menopause with last menses \> 1 year ago, had chemotherapy-induced menopause with last menses \> 1 year ago, or underwent surgical sterilization (bilateral oophorectomy, bilateral salpingectomy or hysterectomy) * The patient or a legally authorized representative must provide study-specific informed consent prior to step 1 registration * PRIOR TO STEP 2 REGISTRATION INCLUSION CRITERIA * For patients with oropharyngeal or unknown primaries: p16 determination by immunohistochemistry (defined as greater than 70% strong nuclear or nuclear and cytoplasmic staining of tumor cells), confirmed by central pathology review * Note: for patients with oral cavity, laryngeal, and hypopharyngeal primaries, analysis of p16 status prior to step 2 registration/randomization is not required (p16 status will be analyzed centrally post-hoc); step 2 registration for these patients can be completed after step 1 registration Exclusion Criteria: * PRIOR TO STEP 1 REGISTRATION EXCLUSION CRITERIA * Prior invasive malignancy within the past 3 years (except for non-melanomatous skin cancer, and early stage treated prostate cancer); synchronous head and neck primaries are ineligible * Prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields * Note: Prior external beam radiotherapy is excluded, but iodine 131 is allowed * Prior immunotherapy * Prior systemic therapy, including cytotoxic chemotherapy, biologic/targeted therapy, or immune therapy for the study cancer * Major surgery within 28 days prior to step 1 registration * Proven evidence of distant metastases * If both of the following conditions are present, the patient is ineligible: * =\< 10 pack-year smoking history * p16-positive carcinoma of the oropharynx or unknown primary that are T0-3, N0-1 (AJCC 8th Edition) * Note: in the event that a registered patient with =\< 10 pack-years has a p16-positive result on central review with the tumor and nodal stage T0-3, N0-1 (AJCC 8th Edition), then the site will be notified that the patient is ineligible * Zubrod performance status \>= 3 * Body weight =\< 30 kg * Patients with oral cavity cancer are excluded from participation if the patient is medically operable and resection of the primary tumor is considered technically feasible by an oral or head and neck cancers surgical subspecialist;(please consult the surgical oncology co-principal investigator \[PI\], Steven Chang, Doctor of Medicine \[MD\], if clarification is needed on an individual case) * Sodium \< 130 mmol/L or \> 155 mmol/L (within 14 days of step 1 registration, unless corrected prior to step 1 registration) * Potassium \< 3.5 mmol/L or \> 6 mmol/L (within 14 days of step 1 registration, unless corrected prior to step 1 registration) * Fasting glucose \< 40 mg/dl or \> 400 mg/dl (within 14 days of step 1 registration, unless corrected prior to step 1 registration) * Serum calcium (ionized or adjusted for albumin) \< 7 mg/dl or \> 12.5 mg/dl (within 14 days of step 1 registration, unless corrected prior to step 1 registration) * Magnesium \< 0.9 mg/dl or \> 3 mg/dl (within 14 days of step 1 registration, unless corrected prior to step 1 registration) * Unstable angina and/or congestive heart failure requiring hospitalization within 3 months prior to step 1 registration * Transmural myocardial infarction within 3 months prior to step 1 registration * Respiratory illness requiring hospitalization at the time of step 1 registration * Note: if the respiratory illness is resolved and the patient meets the eligibility status above, then the patient can be considered for the trial * Idiopathic pulmonary fibrosis or other severe interstitial lung disease that requires oxygen therapy or is thought to require oxygen therapy within 1 year prior to step 1 registration * History of (non-infectious) pneumonitis that required steroids or current pneumonitis * Clinically apparent jaundice and/or known coagulation defects * Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease \[e.g., colitis or Crohn's disease\], diverticulitis \[with the exception of diverticulosis\], systemic lupus erythematosus, Sarcoidosis syndrome, or Wegener syndrome \[granulomatosis with polyangiitis\], Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.) * The following are exceptions to this criterion: * Patients with vitiligo or alopecia; * Patients with hypothyroidism (e.g., following Hashimoto syndrome) stable on hormone replacement; * Any chronic skin condition that does not require systemic therapy; * Patients without active disease in the last 5 years may be included but only after consultation with the medical oncology study chair; * Patients with celiac disease controlled by diet alone * History of active primary immunodeficiency including, but not limited to acquired immune deficiency syndrome (AIDS) based upon current Centers for Disease Control and Prevention (CDC) definition; Note: human immunodeficiency virus (HIV) testing is not required for entry into this protocol; the need to exclude patients with AIDS from this protocol is necessary because the treatment involved in this protocol may be immunosuppressive; patients with known HIV, CD4 counts \>= 200/uL, and undetectable viral loads who are stable on an antiretroviral regimen may be included * Current or prior use of immunosuppressive medication within 14 days before step 1 registration, with the exceptions of intranasal and inhaled corticosteroids or systemic corticosteroids at physiological doses, which are not to exceed 10 mg/day of prednisone, or an equivalent corticosteroid * Receipt of live attenuated vaccination within 30 days prior to step 1 registration * Medical or psychiatric illness which would compromise the patient's ability to tolerate treatment or limit compliance with study requirements * Pregnancy or women of childbearing potential and men who are sexually active and not willing/able to use medically acceptable forms of contraception during treatment and for 6 months after the last dose of cetuximab or MEDI14736 (durvalumab); this exclusion is necessary because the treatment involved in this study may be significantly teratogenic; women who are breastfeeding are also excluded * Prior allergic reaction or hypersensitivity to cetuximab or MEDI4736 (durvalumab) or any of study drug excipients * History of allogenic organ transplantation * Uncontrolled hypertension * Uncontrolled cardiac arrhythmia * Uncontrolled serious chronic gastrointestinal condition associated with diarrhea * Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and tuberculosis \[TB\] testing in line with local practice), hepatitis B (known positive hepatitis B virus \[HBV\] surface antigen \[HBsAg\] result), hepatitis C; patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody \[anti-HBc\] and absence of HBsAg) are eligible; patients positive for hepatitis C (hepatitis C virus \[HCV\]) antibody are eligible only if polymerase chain reaction is negative for HCV ribonucleic acid (RNA)

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Allan Blair Cancer Centre

    Regina, Saskatchewan, S4T 7T1, Canada

  • Allegheny General Hospital

    Pittsburgh, Pennsylvania, 15212, United States

  • Allegiance Health

    Jackson, Michigan, 49201, United States

  • Alta Bates Summit Medical Center-Herrick Campus

    Berkeley, California, 94704, United States

  • Ascension Via Christi Hospitals Wichita

    Wichita, Kansas, 67214, United States

  • Aspirus Regional Cancer Center

    Wausau, Wisconsin, 54401, United States

  • Asplundh Cancer Pavilion

    Willow Grove, Pennsylvania, 19090, United States

  • Atrium Health Cabarrus/LCI-Concord

    Concord, North Carolina, 28025, United States

  • Atrium Health Pineville/LCI-Pineville

    Charlotte, North Carolina, 28210, United States

  • Atrium Health Stanly/LCI-Albemarle

    Albemarle, North Carolina, 28002, United States

  • Atrium Health Union/LCI-Union

    Monroe, North Carolina, 28112, United States

  • Augusta University Medical Center

    Augusta, Georgia, 30912, United States

  • Aultman Health Foundation

    Canton, Ohio, 44710, United States

  • Aurora Bay Area Medical Group-Marinette

    Marinette, Wisconsin, 54143, United States

  • Aurora BayCare Medical Center

    Green Bay, Wisconsin, 54311, United States

  • Aurora Cancer Care-Kenosha South

    Kenosha, Wisconsin, 53142, United States

  • Aurora Medical Center in Summit

    Summit, Wisconsin, 53066, United States

  • Aurora Saint Luke's Medical Center

    Milwaukee, Wisconsin, 53215, United States

  • Aurora West Allis Medical Center

    West Allis, Wisconsin, 53227, United States

  • Avera Cancer Institute

    Sioux Falls, South Dakota, 57105, United States

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234, United States

  • Banner McKee Medical Center

    Loveland, Colorado, 80539, United States

  • Banner University Medical Center - Tucson

    Tucson, Arizona, 85719, United States

  • Baptist MD Anderson Cancer Center

    Jacksonville, Florida, 32207, United States

  • Beebe Health Campus

    Rehoboth Beach, Delaware, 19971, United States

  • Beebe South Coastal Health Campus

    Millville, Delaware, 19967, United States

  • Billings Clinic Cancer Center

    Billings, Montana, 59101, United States

  • Boston Medical Center

    Boston, Massachusetts, 02118, United States

  • CTCA at Western Regional Medical Center

    Goodyear, Arizona, 85338, United States

  • Carle Cancer Center

    Urbana, Illinois, 61801, United States

  • Carolinas Medical Center/Levine Cancer Institute

    Charlotte, North Carolina, 28203, United States

  • Case Western Reserve University

    Cleveland, Ohio, 44106, United States

  • Cedars Sinai Medical Center

    Los Angeles, California, 90048, United States

  • Chelsea Hospital

    Chelsea, Michigan, 48118, United States

  • Christiana Care Health System-Concord Health Center

    Chadds Ford, Pennsylvania, 19317, United States

  • City of Hope Comprehensive Cancer Center

    Duarte, California, 91010, United States

  • City of Hope South Pasadena

    South Pasadena, California, 91030, United States

  • Cleveland Clinic Cancer Center Mansfield

    Mansfield, Ohio, 44906, United States

  • Cleveland Clinic Foundation

    Cleveland, Ohio, 44195, United States

  • Cleveland Clinic Mercy Hospital

    Canton, Ohio, 44708, United States

  • Cleveland Clinic Wooster Family Health and Surgery Center

    Wooster, Ohio, 44691, United States

  • Coborn Cancer Center at Saint Cloud Hospital

    Saint Cloud, Minnesota, 56303, United States

  • Community Cancer Center East

    Indianapolis, Indiana, 46219, United States

  • Community Cancer Center North

    Indianapolis, Indiana, 46256, United States

  • Community Cancer Center South

    Indianapolis, Indiana, 46227, United States

  • Crossroads Cancer Center

    Effingham, Illinois, 62401, United States

  • Crozer-Keystone Regional Cancer Center at Broomall

    Broomall, Pennsylvania, 19008, United States

  • Dartmouth Cancer Center - North

    Saint Johnsbury, Vermont, 05819, United States

  • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center

    Lebanon, New Hampshire, 03756, United States

  • Decatur Memorial Hospital

    Decatur, Illinois, 62526, United States

  • East Jefferson General Hospital

    Metairie, Louisiana, 70006, United States

  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308, United States

  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322, United States

  • Fairview Ridges Hospital

    Burnsville, Minnesota, 55337, United States

  • Fairview Southdale Hospital

    Edina, Minnesota, 55435, United States

  • Forbes Hospital

    Monroeville, Pennsylvania, 15146, United States

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111, United States

  • Fresno Cancer Center

    Fresno, California, 93720, United States

  • Froedtert Menomonee Falls Hospital

    Menomonee Falls, Wisconsin, 53051, United States

  • Froedtert West Bend Hospital/Kraemer Cancer Center

    West Bend, Wisconsin, 53095, United States

  • Geauga Hospital

    Chardon, Ohio, 44024, United States

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822, United States

  • Geisinger Medical Oncology-Lewisburg

    Lewisburg, Pennsylvania, 17837, United States

  • Geisinger Wyoming Valley/Henry Cancer Center

    Wilkes-Barre, Pennsylvania, 18711, United States

  • Gene Upshaw Memorial Tahoe Forest Cancer Center

    Truckee, California, 96161, United States

  • Gibbs Cancer Center-Pelham

    Greer, South Carolina, 29651, United States

  • Good Samaritan Hospital

    Corvallis, Oregon, 97330, United States

  • Grady Health System

    Atlanta, Georgia, 30303, United States

  • Greater Baltimore Medical Center

    Baltimore, Maryland, 21204, United States

  • Gundersen Lutheran Medical Center

    La Crosse, Wisconsin, 54601, United States

  • Guthrie Medical Group PC-Robert Packer Hospital

    Sayre, Pennsylvania, 18840, United States

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601, United States

  • Hawaii Cancer Care Inc - Waterfront Plaza

    Honolulu, Hawaii, 96813, United States

  • Helen F Graham Cancer Center

    Newark, Delaware, 19713, United States

  • Hennepin County Medical Center

    Minneapolis, Minnesota, 55415, United States

  • Henry Ford Cancer Institute-Downriver

    Brownstown, Michigan, 48183, United States

  • Henry Ford Hospital

    Detroit, Michigan, 48202, United States

  • Henry Ford Macomb Hospital-Clinton Township

    Clinton Township, Michigan, 48038, United States

  • Henry Ford West Bloomfield Hospital

    West Bloomfield, Michigan, 48322, United States

  • IU Health North Hospital

    Carmel, Indiana, 46032, United States

  • Indiana University/Melvin and Bren Simon Cancer Center

    Indianapolis, Indiana, 46202, United States

  • Iowa Methodist Medical Center

    Des Moines, Iowa, 50309, United States

  • James J Peters VA Medical Center

    The Bronx, New York, 10468, United States

  • Jefferson Abington Hospital

    Abington, Pennsylvania, 19001, United States

  • John H Stroger Jr Hospital of Cook County

    Chicago, Illinois, 60612, United States

  • Kaiser Permanente Cancer Treatment Center

    South San Francisco, California, 94080, United States

  • Kaiser Permanente Downtown Commons

    Sacramento, California, 95814, United States

  • Kaiser Permanente Dublin

    Dublin, California, 94568, United States

  • Kaiser Permanente Medical Center - Santa Clara

    Santa Clara, California, 95051, United States

  • Kaiser Permanente Medical Center-Vacaville

    Vacaville, California, 95688, United States

  • Kaiser Permanente Northwest

    Portland, Oregon, 97227, United States

  • Kaiser Permanente Oakland-Broadway

    Oakland, California, 94611, United States

  • Kaiser Permanente San Leandro

    San Leandro, California, 94577, United States

  • Kaiser Permanente-Deer Valley Medical Center

    Antioch, California, 94531, United States

  • Kaiser Permanente-Fremont

    Fremont, California, 94538, United States

  • Kaiser Permanente-Fresno

    Fresno, California, 93720, United States

  • Kaiser Permanente-Modesto

    Modesto, California, 95356, United States

  • Kaiser Permanente-Oakland

    Oakland, California, 94611, United States

  • Kaiser Permanente-Rancho Cordova Cancer Center

    Rancho Cordova, California, 95670, United States

  • Kaiser Permanente-Richmond

    Richmond, California, 94801, United States

  • Kaiser Permanente-Roseville

    Roseville, California, 95661, United States

  • Kaiser Permanente-San Francisco

    San Francisco, California, 94115, United States

  • Kaiser Permanente-Santa Rosa

    Santa Rosa, California, 95403, United States

  • Kaiser Permanente-Santa Teresa-San Jose

    San Jose, California, 95119, United States

  • Kaiser Permanente-South Sacramento

    Sacramento, California, 95823, United States

  • Kaiser Permanente-South San Francisco

    South San Francisco, California, 94080, United States

  • Kaiser Permanente-Stockton

    Stockton, California, 95210, United States

  • Kaiser Permanente-Vallejo

    Vallejo, California, 94589, United States

  • Kaiser Permanente-Walnut Creek

    Walnut Creek, California, 94596, United States

  • Kaiser San Rafael-Gallinas

    San Rafael, California, 94903, United States

  • Karmanos Cancer Institute at McLaren Greater Lansing

    Lansing, Michigan, 48910, United States

  • Lahey Hospital and Medical Center

    Burlington, Massachusetts, 01805, United States

  • Langlade Hospital and Cancer Center

    Antigo, Wisconsin, 54409, United States

  • Laura and Isaac Perlmutter Cancer Center at NYU Langone

    New York, New York, 10016, United States

  • Lewistown Hospital

    Lewistown, Pennsylvania, 17044, United States

  • Logan Health Medical Center

    Kalispell, Montana, 59901, United States

  • London Regional Cancer Program

    London, Ontario, N6A 4L6, Canada

  • M D Anderson Cancer Center

    Houston, Texas, 77030, United States

  • Margaret R Pardee Memorial Hospital

    Hendersonville, North Carolina, 28791, United States

  • Mayo Clinic in Rochester

    Rochester, Minnesota, 55905, United States

  • McLaren Cancer Institute-Bay City

    Bay City, Michigan, 48706, United States

  • McLaren Cancer Institute-Clarkston

    Clarkston, Michigan, 48346, United States

  • McLaren Cancer Institute-Flint

    Flint, Michigan, 48532, United States

  • McLaren Cancer Institute-Lapeer Region

    Lapeer, Michigan, 48446, United States

  • McLaren Cancer Institute-Macomb

    Mount Clemens, Michigan, 48043, United States

  • McLaren Cancer Institute-Northern Michigan

    Petoskey, Michigan, 49770, United States

  • McLaren-Port Huron

    Port Huron, Michigan, 48060, United States

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226, United States

  • Medical University of South Carolina

    Charleston, South Carolina, 29425, United States

  • Memorial Hospital North

    Colorado Springs, Colorado, 80920, United States

  • Memorial Sloan Kettering Basking Ridge

    Basking Ridge, New Jersey, 07920, United States

  • Memorial Sloan Kettering Bergen

    Montvale, New Jersey, 07645, United States

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065, United States

  • Memorial Sloan Kettering Commack

    Commack, New York, 11725, United States

  • Memorial Sloan Kettering Monmouth

    Middletown, New Jersey, 07748, United States

  • Memorial Sloan Kettering Nassau

    Uniondale, New York, 11553, United States

  • Memorial Sloan Kettering Westchester

    Harrison, New York, 10604, United States

  • Mercy Cancer Center-West Lakes

    Clive, Iowa, 50325, United States

  • Mercy Hospital Saint Louis

    St Louis, Missouri, 63141, United States

  • Mercy Medical Center - Des Moines

    Des Moines, Iowa, 50314, United States

  • Methodist Medical Center of Illinois

    Peoria, Illinois, 61636, United States

  • MetroHealth Medical Center

    Cleveland, Ohio, 44109, United States

  • Mid-Michigan Physicians-Lansing

    Lansing, Michigan, 48912, United States

  • Miller-Dwan Hospital

    Duluth, Minnesota, 55805, United States

  • Moffitt Cancer Center

    Tampa, Florida, 33612, United States

  • Montefiore Medical Center - Moses Campus

    The Bronx, New York, 10467, United States

  • MyMichigan Medical Center Saginaw

    Saginaw, Michigan, 48601, United States

  • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

    New York, New York, 10032, United States

  • Nebraska Cancer Specialists/Oncology Hematology West PC

    Grand Island, Nebraska, 68803, United States

  • New Mexico Oncology Hematology Consultants

    Albuquerque, New Mexico, 87109, United States

  • North Coast Cancer Care

    Sandusky, Ohio, 44870, United States

  • Northwestern University

    Chicago, Illinois, 60611, United States

  • Norton Brownsboro Hospital and Medical Campus

    Louisville, Kentucky, 40241, United States

  • Norton Hospital Pavilion and Medical Campus

    Louisville, Kentucky, 40202, United States

  • OSF Saint Francis Medical Center

    Peoria, Illinois, 61637, United States

  • Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210, United States

  • Parkview Hospital Randallia

    Fort Wayne, Indiana, 46805, United States

  • Parkview Regional Medical Center

    Fort Wayne, Indiana, 46845, United States

  • Penn State Milton S Hershey Medical Center

    Hershey, Pennsylvania, 17033-0850, United States

  • Penrose-Saint Francis Healthcare

    Colorado Springs, Colorado, 80907, United States

  • Poudre Valley Hospital

    Fort Collins, Colorado, 80524, United States

  • ProHealth D N Greenwald Center

    Mukwonago, Wisconsin, 53149, United States

  • ProHealth Oconomowoc Memorial Hospital

    Oconomowoc, Wisconsin, 53066, United States

  • ProMedica Flower Hospital

    Sylvania, Ohio, 43560, United States

  • Providence Portland Medical Center

    Portland, Oregon, 97213, United States

  • Providence Saint Vincent Medical Center

    Portland, Oregon, 97225, United States

  • Queen's Medical Center

    Honolulu, Hawaii, 96813, United States

  • Reading Hospital

    West Reading, Pennsylvania, 19611, United States

  • Regions Hospital

    Saint Paul, Minnesota, 55101, United States

  • Rock Hill Radiation Therapy Center

    Rock Hill, South Carolina, 29730, United States

  • Rohnert Park Cancer Center

    Rohnert Park, California, 94928, United States

  • Roswell Park Cancer Institute

    Buffalo, New York, 14263, United States

  • Rush University Medical Center

    Chicago, Illinois, 60612, United States

  • Saint Alphonsus Cancer Care Center-Caldwell

    Caldwell, Idaho, 83605, United States

  • Saint Alphonsus Cancer Care Center-Nampa

    Nampa, Idaho, 83687, United States

  • Saint Francis Medical Center

    Cape Girardeau, Missouri, 63703, United States

  • Saint Vincent Hospital Cancer Center Green Bay

    Green Bay, Wisconsin, 54301, United States

  • Saint Vincent Hospital Cancer Center at Saint Mary's

    Green Bay, Wisconsin, 54303, United States

  • Salina Regional Health Center

    Salina, Kansas, 67401, United States

  • Sanford Joe Lueken Cancer Center

    Bemidji, Minnesota, 56601, United States

  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota, 58122, United States

  • Sanford USD Medical Center - Sioux Falls

    Sioux Falls, South Dakota, 57117-5134, United States

  • Sentara Norfolk General Hospital

    Norfolk, Virginia, 23507, United States

  • Sidney and Lois Eskenazi Hospital

    Indianapolis, Indiana, 46202, United States

  • Singh and Arora Hematology Oncology PC

    Flint, Michigan, 48532, United States

  • Siteman Cancer Center at Saint Peters Hospital

    City of Saint Peters, Missouri, 63376, United States

  • Siteman Cancer Center at West County Hospital

    Creve Coeur, Missouri, 63141, United States

  • Smilow Cancer Hospital Care Center - Waterford

    Waterford, Connecticut, 06385, United States

  • Smilow Cancer Hospital Care Center-Trumbull

    Trumbull, Connecticut, 06611, United States

  • Smilow Cancer Hospital-Hamden Care Center

    Hamden, Connecticut, 06518, United States

  • South Sacramento Cancer Center

    Sacramento, California, 95823, United States

  • Spartanburg Medical Center

    Spartanburg, South Carolina, 29303, United States

  • Springfield Memorial Hospital

    Springfield, Illinois, 62781, United States

  • Stanford Cancer Institute Palo Alto

    Palo Alto, California, 94304, United States

  • State University of New York Upstate Medical University

    Syracuse, New York, 13210, United States

  • Stony Brook University Medical Center

    Stony Brook, New York, 11794, United States

  • Sutter Cancer Centers Radiation Oncology Services-Auburn

    Auburn, California, 95603, United States

  • Sutter Cancer Centers Radiation Oncology Services-Roseville

    Roseville, California, 95661, United States

  • Sutter Medical Center Sacramento

    Sacramento, California, 95816, United States

  • Temple University Hospital

    Philadelphia, Pennsylvania, 19140, United States

  • The Cancer Center of Hawaii-Liliha

    Honolulu, Hawaii, 96817, United States

  • The James Graham Brown Cancer Center at University of Louisville

    Louisville, Kentucky, 40202, United States

  • The Permanente Medical Group-Roseville Radiation Oncology

    Roseville, California, 95678, United States

  • The Research Institute of the McGill University Health Centre (MUHC)

    Montreal, Quebec, H3H 2R9, Canada

  • Torrance Memorial Medical Center

    Torrance, California, 90509, United States

  • Torrance Memorial Physician Network - Cancer Care

    Torrance, California, 90505, United States

  • Trinity Health Medical Center - Brighton

    Brighton, Michigan, 48114, United States

  • Trinity Health Medical Center - Canton

    Canton, Michigan, 48188, United States

  • Trinity Health Saint Joseph Mercy Hospital Ann Arbor

    Ann Arbor, Michigan, 48106, United States

  • UC San Diego Moores Cancer Center

    La Jolla, California, 92093, United States

  • UCHealth Memorial Hospital Central

    Colorado Springs, Colorado, 80909, United States

  • UCHealth University of Colorado Hospital

    Aurora, Colorado, 80045, United States

  • UCSF Medical Center-Mission Bay

    San Francisco, California, 94158, United States

  • UCSF Medical Center-Mount Zion

    San Francisco, California, 94115, United States

  • UH Seidman Cancer Center at Lake Health Mentor Campus

    Mentor, Ohio, 44060, United States

  • UHHS-Westlake Medical Center

    Westlake, Ohio, 44145, United States

  • UM Sylvester Comprehensive Cancer Center at Coral Gables

    Coral Gables, Florida, 33146, United States

  • UM Sylvester Comprehensive Cancer Center at Deerfield Beach

    Deerfield Beach, Florida, 33442, United States

  • UNC Lineberger Comprehensive Cancer Center

    Chapel Hill, North Carolina, 27599, United States

  • UPMC-Shadyside Hospital

    Pittsburgh, Pennsylvania, 15232, United States

  • UW Cancer Center at ProHealth Care

    Waukesha, Wisconsin, 53188, United States

  • Unity Hospital

    Fridley, Minnesota, 55432, United States

  • University Health Network-Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9, Canada

  • University of Alabama at Birmingham Cancer Center

    Birmingham, Alabama, 35233, United States

  • University of Arizona Cancer Center-North Campus

    Tucson, Arizona, 85719, United States

  • University of California Davis Comprehensive Cancer Center

    Sacramento, California, 95817, United States

  • University of Cincinnati Cancer Center-UC Medical Center

    Cincinnati, Ohio, 45219, United States

  • University of Cincinnati Cancer Center-West Chester

    West Chester, Ohio, 45069, United States

  • University of Illinois

    Chicago, Illinois, 60612, United States

  • University of Kansas Cancer Center

    Kansas City, Kansas, 66160, United States

  • University of Kansas Cancer Center-Overland Park

    Overland Park, Kansas, 66210, United States

  • University of Kansas Hospital-Westwood Cancer Center

    Westwood, Kansas, 66205, United States

  • University of Kentucky/Markey Cancer Center

    Lexington, Kentucky, 40536, United States

  • University of Miami Miller School of Medicine-Sylvester Cancer Center

    Miami, Florida, 33136, United States

  • University of Michigan Comprehensive Cancer Center

    Ann Arbor, Michigan, 48109, United States

  • University of Michigan Health - Sparrow Lansing

    Lansing, Michigan, 48912, United States

  • University of New Mexico Cancer Center

    Albuquerque, New Mexico, 87106, United States

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104, United States

  • University of Rochester

    Rochester, New York, 14642, United States

  • University of South Alabama Mitchell Cancer Institute

    Mobile, Alabama, 36688, United States

  • University of Virginia Cancer Center

    Charlottesville, Virginia, 22908, United States

  • University of Washington Medical Center - Montlake

    Seattle, Washington, 98195, United States

  • University of Wisconsin Carbone Cancer Center - Johnson Creek

    Johnson Creek, Wisconsin, 53038, United States

  • University of Wisconsin Carbone Cancer Center - University Hospital

    Madison, Wisconsin, 53792, United States

  • VA Palo Alto Health Care System

    Palo Alto, California, 94304, United States

  • VCU Massey Cancer Center at Stony Point

    Richmond, Virginia, 23235, United States

  • VCU Massey Comprehensive Cancer Center

    Richmond, Virginia, 23298, United States

  • Vince Lombardi Cancer Clinic-Sheboygan

    Sheboygan, Wisconsin, 53081, United States

  • Washington University School of Medicine

    St Louis, Missouri, 63110, United States

  • Wayne State University/Karmanos Cancer Institute

    Detroit, Michigan, 48201, United States

  • Weisberg Cancer Treatment Center

    Farmington Hills, Michigan, 48334, United States

  • West Virginia University Healthcare

    Morgantown, West Virginia, 26506, United States

  • Western Illinois Cancer Treatment Center

    Galesburg, Illinois, 61401, United States

  • Wexford Health and Wellness Pavilion

    Wexford, Pennsylvania, 15090, United States

  • Yale University

    New Haven, Connecticut, 06520, United States

  • Zablocki Veterans Administration Medical Center

    Milwaukee, Wisconsin, 53295, United States

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