Cancer drug kadcyla gets extended safety check in 720 patients
NCT ID NCT00781612
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 2 times
Summary
This study offers continued treatment with trastuzumab emtansine (Kadcyla), alone or with other drugs, to 720 patients with metastatic cancer who were already benefiting from it in a previous trial. The main goal is to monitor long-term safety and side effects. It is an open-label extension, meaning everyone knows what they are getting, and no new patients are being enrolled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- trastuzumab emtansine (Kadcyla), with possible addition of docetaxel, paclitaxel, pertuzumab, or trastuzumab
- What this could lead to
- If successful, this study could confirm the long-term safety and benefit of trastuzumab emtansine for controlling metastatic cancer.
- What could go wrong
- This is an extension study, not a new test of effectiveness. Side effects may still occur, and the drug may not work for everyone long-term.
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
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
378 people
The number who actually took part.
- Started
-
Oct 2008
- Expected to finish
-
Jun 2027
An estimate. End dates often move.
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 Hide 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: * Completed single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment in the parent study or who continue to receive single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment at the time of the parent study closure and received the last study drug dose within the 6 weeks (42 days) prior to the first dose of study therapy on the extension study or Continue to receive treatment in the control arm of study BO21976/TDM4450g (NCT00679341) at the time of the parent study closure if the participant received the last dose of control arm study drug within the 6 weeks (42 days) prior to the first dose of control arm study therapy in the extension study * Participants in the control arm from Study BO21976/TDM4450g whose disease progression has occurred during the transition interval between the parent study and this extension study may initiate trastuzumab emtansine treatment at the time of enrollment into study TDM4529g (NCT00781612) * Expectation by the investigator that the participant may continue to benefit from additional single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment or Expectation of the investigator that the participant may continue to benefit from control arm treatment as given in study BO21976/TDM4450g and at the time of disease progression may benefit from single-agent trastuzumab emtansine treatment * Women of childbearing potential and men with partners of childbearing potential, must be willing to use a highly effective form of non-hormonal contraception or two effective forms of non-hormonal contraception by the participants and/or partner, and to continue the use of contraception for the duration of study treatment and for at least 5 months after the final dose of atezolizumab (if applicable) or 7 months after the final dose of trastuzumab, trastuzumab emtansine or pertuzumab, whichever is later. Women must refrain from donating eggs during this same period * Male participants whose partners are pregnant should use condoms for the duration of the pregnancy. Men must refrain from donating sperm during this same period Exclusion Criteria: * AEs leading to single-agent trastuzumab emtansine or combination trastuzumab emtansine treatment discontinuation in the parent study * Ongoing SAEs from the parent study * Progressive disease on single-agent trastuzumab emtansine or a trastuzumab emtansine-containing regimen during the parent study or before starting the extension study, with the exception of participants from study TDM4688g (NCT00943670) with early disease progression who went on to receive pertuzumab + trastuzumab emtansine treatment and have not experienced further disease progression on the combination regimen * Peripheral neuropathy of Grade greater than or equal to (\>/=) 3 per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 3.0, 4.0 or 5.0, as utilized in the parent study * History of symptomatic congestive heart failure (\[CHF\]; New York Heart Association \[NYHA\] Classes II-IV), ventricular arrhythmia requiring treatment, current unstable angina, or history of myocardial infarction within 6 months prior to study entry * Severe dyspnea at rest due to complications of advanced malignancy or current requirement for continuous oxygen therapy * Current severe, uncontrolled systemic disease (for example \[e.g.\] clinically significant cardiovascular, pulmonary, or metabolic disease) * Major surgical procedure or significant traumatic injury within 28 days prior to study entry or anticipation of the need for major surgery during the course of study treatment * Current pregnancy or lactation * History of receiving any investigational treatment or other systemic therapy directed at controlling cancer (e.g., chemotherapy, trastuzumab, etc.) since the participant's last study drug dose in the parent study * History of hypersensitivity with previous trastuzumab emtansine or any agent used with trastuzumab emtansine in the parent study, precluding further dosing * Assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol
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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
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?wi?tokrzyskie Centrum Onkologii
Kielce, 25-734, Poland
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Abertawe and Bro Morgannwg NHS Trust
Swansea, SA6 6NL, United Kingdom
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Anne Arundel Medical Center
Annapolis, Maryland, 21401, United States
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Asan Medical Center
Seoul, 05505, South Korea
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Auckland city hospital
Auckland, 1023, New Zealand
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Azienda Ospedaliero-Universitaria Dipartimento Interaziendale Di Oncologia
Udine, Friuli Venezia Giulia, 33100, Italy
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BC Cancer ? Kelowna (Sindi Ahluwalia Hawkins Centre)
Kelowna, British Columbia, V1Y 5L3, Canada
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Bashkirian Republican Clinical Oncology Dispensary
Ufa, Bashkortostan Republic, 450054, Russia
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Beijing Cancer Hospital
Beijing, 100142, China
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Blokhin Cancer Research Center
Moskva, Moscow Oblast, 115478, Russia
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Bumrungrad International Hosp
Bangkok, 10110, Thailand
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CHU de Québec ? Hôpital du Saint-Sacrement / ONCOLOGY
Québec, G1S 4L8, Canada
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Campus Universitario S.Venuta
Catanzaro, Calabria, 88100, Italy
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Can Care Assoc Med Group Inc
Redondo Beach, California, 90277, United States
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Cancer Therapy & Research Center
San Antonio, Texas, 78229, United States
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Cardinal Santos Medical Center
San Juan City, 1502, Philippines
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Carolina Oncology Specialists, PA - Hickory
Hickory, North Carolina, 28602, United States
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Cebu Cancer Institute
Cebu City, 6000, Philippines
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Central Coast Medical Oncology
San Luis Obispo, California, 93454, United States
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Centre Francois Baclesse
Caen, 14076, France
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Centre Georges Francois Leclerc
Dijon, 21079, France
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Centro Hospitalar do Porto ? Hospital de Santo António
Porto, 4099-001, Portugal
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Centro de Investigacion
Acapulco de Juárez, Guerrero, 39670, Mexico
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Chi-Mei Medical Center
Tainan, 736, Taiwan
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Christie Hospital NHS Trust
Manchester, M20 4BX, United Kingdom
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Christina Care Institutional Review Board
Newark, Delaware, 19713, United States
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City Clinical Oncology Hospital
Moscow, Moscow Oblast, 143423, Russia
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City Oncology Dispensary
Saint Petersburg, Sankt-Peterburg, Russia
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City of Hope National Medical Center
Duarte, California, 91010, United States
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Clinica de Neoplasias Litoral
Itajaí, Santa Catarina, 88301-220, Brazil
-
Clinica de Oncologia de Porto Alegre - CliniOnco
Porto Alegre, Rio Grande do Sul, 90430-090, Brazil
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Clinical Research Alliance
Lake Success, New York, 11042, United States
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Comp Cancer Centers of Nevada
Las Vegas, Nevada, 89148, United States
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Complex Oncology Center - Plovdiv First Internal Chemotherapy Department
Plovdiv, 4004, Bulgaria
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Consultorio de Medicina Especializada
Distrito Federal, 03100, Mexico
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Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
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Debreceni Egyetem, Klinikai Kozpont, Onkologiai Klinika
Debrecen, 4032, Hungary
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Diana Princess of Wales Hosp.
Grimsby, DN33 2BA, United Kingdom
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Europejskie Centrum Zdrowia Otwock Szpital im. Fryderyka Chopina, Klinika Onkologii
Otwock, 05-400, Poland
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FSBI?National Medical Research Center of Oncology named after N.N.Petrov? MHRF
Saint Petersburg, Sankt-Peterburg, 197758, Russia
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Faculdade de Medicina do ABC - FMABC
Santo André, São Paulo, 09060-650, Brazil
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Fakultni Poliklinika Vseobecne Fakultni Niemocnice
Prague, 128 08, Czechia
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Fakultni nemocnice Olomouc
Olomouc, 775 20, Czechia
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Florida Cancer Specialists
Fort Myers, Florida, 33916, United States
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Florida Cancer Specialists (St. Petersburg ? St. Anthony?s Professional Building)
St. Petersburg, Florida, 33705, United States
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Florida Cancer Specialists - Tampa (Dr. MLK Blvd)
Tampa, Florida, 33607, United States
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Fondazione Del Piemonte Per L'oncologia Ircc Di Candiolo
Candiolo, Piedmont, 10060, Italy
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Frauenarzt-Zentrum Zehlendorf an der Teltower Eiche
Berlin, 12163, Germany
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Fudan University Shanghai Cancer Center
Shanghai, 200120, China
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Fundacion Arturo Lopez Perez
Santiago, 7500921, Chile
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Gachon University Gil Medical Center
Incheon, 21565, South Korea
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Grupo Angeles
Guatemala City, 01015, Guatemala
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HELIOS Klinikum Berlin-Buch
Berlin, 13125, Germany
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Harbin Medical University Cancer Hospital
Harbin, 150081, China
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Hematology-Oncology
Bettendorf, Iowa, 52722, United States
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Hiroshima University Hospital
Hiroshima, 734-8551, Japan
-
Hopital Tenon
Paris, 75020, France
-
Hospital Duran i Reynals
Barcelona, 08907, Spain
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Hospital General Universitario Gregorio Marañon
Madrid, 28007, Spain
-
Hospital General Universitario de Elche
Elche, Alicante, 03203, Spain
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Hospital Nossa Senhora da Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200, Brazil
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Hospital Perola Byington
São Paulo, São Paulo, 01317-000, Brazil
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Hospital Ramon y Cajal
Madrid, 28034, Spain
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Hospital San Pedro De Alcantara
Cáceres, 10003, Spain
-
Hospital Universitari Arnau de Vilanova de Lleida
Lleida, 25198, Spain
-
Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
-
Hospital da Luz
Lisbon, 1500-650, Portugal
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Hospital de Donostia
Donostia / San Sebastian, Guipuzcoa, 20080, Spain
-
Hospital de Jerez de la Frontera
Jerez de la Frontera, Cadiz, 11407, Spain
-
Hospital del Mar
Barcelona, 08003, Spain
-
Humanitas Istituto Clinico Catanese S.p.A
Misterbianco (CT), Sicily, 95045, Italy
-
Hyogo Cancer Center
Hyōgo, 673-8558, Japan
-
IPO do Porto
Porto, 4200-072, Portugal
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IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola
Meldola, Emilia-Romagna, 47014, Italy
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Ico Rene Gauducheau
Saint-Herblain, 44805, France
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Illinois Cancer Care
Peoria, Illinois, 61615, United States
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Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202, United States
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Institut Curie
Paris, 75231, France
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Institut Curie - Hopital Rene Huguenin
Saint-Cloud, 92211, France
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Institut Paoli Calmettes
Marseille, 13273, France
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Institut régional du Cancer Montpellier
Montpellier, 34298, France
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Institute of Oncology Ljubljana
Ljubljana, 1000, Slovenia
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Instituto
Lima, 18, Peru
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Instituto Nacional de Cancer
D.F., Mexico CITY (federal District), 14080, Mexico
-
Instituto Nacional de Cancer - INCa
Rio de Janeiro, 20560-120, Brazil
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Instituto Nacional de Enfermedades Neoplasicas
Lima, 15038, Peru
-
Irccs Istituto Nazionale Dei Tumori (Int)
Milan, Lombardy, 20133, Italy
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Istituto Europeo Di Oncologia
Milan, Lombardy, 20141, Italy
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Istituto Nazionale Tumori Irccs Fondazione g. PASCALE
Naples, Campania, 80131, Italy
-
Jiangsu Cancer Hospital
Nanjing, 211100, China
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Jiangsu Province Hospital (the First Affiliated Hospital With Nanjing Medical University)
Nanjing, 210029, China
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Johns Hopkins Univ Med Center
Baltimore, Maryland, 21231-1000, United States
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Kaiser Permanente - Walnut Creek
Walnut Creek, California, 94596, United States
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Klinikum der Universität München
München, 81377, Germany
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Kootenai Cancer Center
Post Falls, Idaho, 83854, United States
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Kyungpook National University Medical Center
Daegu, 702-210, South Korea
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Laura and ISAAC Perlmutter Cancer Center at NYU Langone.
New York, New York, 10016, United States
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Loyola University Med Center
Maywood, Illinois, 60153, United States
-
Markusovszky Hospital
Szombathely, 9700, Hungary
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Mayo Clinic - Rochester
Rochester, Minnesota, 55905, United States
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Memorial Cancer Institute at Memorial West
Pembroke Pines, Florida, 33028, United States
-
Mercy Clinic Cancer & Hematology
Springfield, Missouri, 65804, United States
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Minnesota Oncology Hematology, Pa
Minneapolis, Minnesota, 55407, United States
-
Mount Vernon Hospital
Middlesex, HA6 2RN, United Kingdom
-
NS-Long Island Jewish Hlth Sys
Lake Success, New York, 11042, United States
-
Narodowy Instytut Onkologii im. M.Sklodowskiej-Curie
Warsaw, 02-781, Poland
-
National Cancer Center
Gyeonggi-do, 10408, South Korea
-
National Taiwan Uni Hospital
Taipei, 100, Taiwan
-
Ninewells Hospital
Dundee, DD12 9SY, United Kingdom
-
Northwest Cancer Specialists - Portland (N Broadway)
Portland, Oregon, 97227, United States
-
Northwest Georgia Oncology Centers PC - Marietta
Marietta, Georgia, 30060, United States
-
Northwest Medical Specialties
Tacoma, Washington, 98405, United States
-
Nottingham City Hospital
Nottingham, NG5 1PB, United Kingdom
-
Odense Universitetshospital, Onkologisk Afdeling R
Odense, 5000, Denmark
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Oncology Assoc of Cedar Rapids
Cedar Rapids, Iowa, 52403, United States
-
Oslo Universitetssykehus HF
Oslo, 0310, Norway
-
Ospedale Civile
Sassari, Sardinia, 07100, Italy
-
Ospedale Regionale Di Parma
Parma, Emilia-Romagna, 43100, Italy
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Ospedale San Carlo
Potenza, Basilicate, 85100, Italy
-
Ottawa Regional Cancer Centre
Ottawa, Ontario, K1Y 4K7, Canada
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Peninsula and South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199, Australia
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Peter MacCallum Cancer Center
Melbourne, Victoria, 3000, Australia
-
Poole General Hospital
Poole, BH15 2JB, United Kingdom
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Private Health Organization Acibadem Sistina Hospital
Skopje, 1000, North Macedonia
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Queen Mary Hospital
Hong Kong, Hong Kong
-
Queen's Hospital
Romford, RM7 0AG, United Kingdom
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RCCS - Centro di Riferimento
Aviano (PN), Friuli Venezia Giulia, 33081, Italy
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Rajavithi Hospital
Bangkok, 10400, Thailand
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Rocky Mountain Cancer Center - Denver
Denver, Colorado, 80220, United States
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Rotkreuzklinikum München
München, 80637, Germany
-
Royal Cornwall Hospital
Truro, TR1 3LJ, United Kingdom
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Royal Free Hospital
London, NW3 2QG, United Kingdom
-
Royal Lancaster Infirmary, Morecambe Bay Hospitals Nhs Trust
Lancaster, LA1 4RP, United Kingdom
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SBI of Healthcare of Stavropol region Stavropol Regional Clinical Oncology Dispensary
Stavropol, 355045, Russia
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SBIH Republican Clinical Oncological Dispensary of the MoH of Republic Bashkortostan
Ufa, Bashkortostan Republic, 450054, Russia
-
SHATO - Sofia
Sofia, 1756, Bulgaria
-
Samsung Medical Center
Seoul, 135-710, South Korea
-
Sarah Cannon Research Institute / Tennessee Oncology
Chattanooga, Tennessee, 37404, United States
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Sarah Cannon Research Institute / Tennessee Oncology
Nashville, Tennessee, 37203, United States
-
Saskatoon Cancer Centre
Saskatoon, Saskatchewan, SK S7N 4H4, Canada
-
Seoul National University Hospital
Seoul, 110744, South Korea
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
-
Shaare Zedek Medical Center
Jerusalem, 91031, Israel
-
St. Barnabas Health Care Sys
Livingston, New Jersey, 07039, United States
-
St. John's Mercy Medical Ctr
St Louis, Missouri, 63141, United States
-
Stanford Cancer Institute
Stanford, California, 94305-5456, United States
-
Studienzentrum Aschaffenburg
Aschaffenburg, 63739, Germany
-
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, 510120, China
-
Sun Yet-sen University Cancer Center
Guangzhou, 510060, China
-
Szent Margit Hospital
Budapest, 1031, Hungary
-
Tel Aviv Sourasky Medical Ctr
Tel Aviv, 6423906, Israel
-
Texas Oncology
Bedford, Texas, 76022, United States
-
Texas Oncology - Dallas Presbyterian Hospital
Dallas, Texas, 75231, United States
-
The Affiliated Hospital of Military Medical Sciences(The 307th Hospital of Chinese PLA)
Beijing, 100071, China
-
The Mark H. Zangmeister Ctr
Columbus, Ohio, 43219, United States
-
The Panama Clinic
Panama City, 0832, Panama
-
UCLA Oncology Office
Santa Monica, California, 90404, United States
-
USO
Plano, Texas, 75075-7787, United States
-
USO - Tyler Cancer Ctr
Tyler, Texas, 75702, United States
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UZ Gent
Ghent, 9000, Belgium
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Uni of Washington Medical Center
Seattle, Washington, 98109-1023, United States
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Univ of Calif, San Francisco
San Francisco, California, 94115, United States
-
Univ of Colorado Canc Ctr
Aurora, Colorado, 80045, United States
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Univ of WA Medical Center
Seattle, Washington, 98109, United States
-
University of Colorado
Aurora, Colorado, 80045, United States
-
University of Minnesota.
Minneapolis, Minnesota, 55455, United States
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Universitätsspital Zürich
Zurich, 8091, Switzerland
-
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
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Vall d'Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035, Spain
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Vejle Sygehus
Vejle, 7100, Denmark
-
Veterans Memorial Medical Ctr
Quezon City, 1101, Philippines
-
Western General Hospital
Edinburgh, EH4 2XU, United Kingdom
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Wielkopolskie Centrum Onkologii
Poznan, 61-866, Poland
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Wojewódzki Szpital Specjalistyczny Nr 3
Rybnik, 44-200, Poland
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ZAS Sint Augustinus Wilrijk, Pharmacy
Wilrijk, 2610, Belgium
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Zhejiang Cancer Hospital
Hangzhou, 310022, China
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Zhejiang Provincial People's Hospital
Hangzhou, 310014, China
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the First Hospital of Jilin University
Changchun, 130021, China
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