New combo aims to slow advanced breast cancer
NCT ID NCT05306340
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new drug, giredestrant, combined with everolimus against standard hormone therapy plus everolimus in people with a common type of advanced breast cancer (ER+/HER2-). About 373 participants who have already tried other treatments will be enrolled. The goal is to see if the new combination can delay cancer growth and improve survival.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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373 people
The number who actually took part.
- Started
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Aug 2022
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: 1. Locally advanced unresectable or metastatic adenocarcinoma of the breast, not amenable to treatment with curative intent 2. Documented estrogen receptor-positive (ER+) tumor and HER2-negative tumor, assessed locally 3. Ability to provide a blood sample for circulating-tumor deoxyribonucleic acid (ctDNA) Estrogen Receptor 1 (ESR1) mutation status determination by central testing 4. Prior endocrine therapy (ET) in combination with cyclin-dependent kinase 4/6 inhibitors in either setting as follows: * Metastatic setting: Disease progression after ≥6 months on ET plus CDK4/6 inhibitor in the locally advanced or metastatic setting. If ET plus CDK4/6 inhibitor is not the most recent therapy, then patient must also have had disease progression after ≥4 months on most recent ET * Adjuvant Setting: Relapse either while taking or within 12 months of exposure to combination adjuvant ET and CDK4/6 inhibitor. Patients must have taken at least 12 months of adjuvant ET, 6 months of which was in combination with a CDK4/6 inhibitor. 5. Measurable disease as defined per RECIST v.1.1 or evaluable bone metastases. Patients with evaluable bone disease in the absence of measurable disease outside of the bone must have at least one predominantly lytic bone lesion confirmed by computed tomography (CT) or magnetic resonance imaging (MRI) which can be followed 6. Eastern Cooperative Oncology Group Performance Status 0-1 7. For women who are premenopausal or perimenopausal and for men: treatment with approved luteinizing hormone-releasing hormone (LHRH) agonist therapy for the duration of study treatment Exclusion Criteria: 1. Prior treatment with another oral selective estrogen receptor degrader (SERD), proteolysis targeting chimera (PROTAC), complete estrogen receptor antagonist (CERAN), novel oral selective estrogen receptor modulator (SERM), or everolimus in any setting. Prior fulvestrant is allowed if treatment was terminated at least 28 days prior to randomization. Prior treatment with tamoxifen is allowed. 2. Progression on more than 2 prior lines of systemic endocrine therapy in the locally advanced unresectable or metastatic breast cancer setting 3. Prior chemotherapy for locally advanced unresectable or metastatic disease 4. Treatment with strong Cytochrome P450 3A4 (CYP3A4) inhibitors or inducers within 14 days or 5 drug elimination half-lives (whichever is longer) prior to randomization 5. Treatment with any investigational therapy within 28 days prior to initiation of study treatment 6. Major surgery, chemotherapy, radiotherapy, or other anti-cancer therapy within 14 days prior to randomization 7. History of any other malignancy other than breast cancer within 5 years prior to screening, except for appropriately treated carcinoma in situ of the cervix, nonmelanoma skin carcinoma, papillary thyroid cancer treated with surgery, Stage I endometrial cancer, or other non-breast cancers at very low risk of recurrence 8. Advanced, symptomatic, visceral spread that is at risk of life-threatening complications in the short term 9. Known active uncontrolled or symptomatic central nervous system (CNS) metastases, carcinomatous meningitis, or leptomeningeal disease 10. Active cardiac disease or history of cardiac dysfunction 11. Known clinically significant history of liver disease consistent with Child-Pugh Class B or C including active viral or other hepatitis virus, current alcohol abuse, or cirrhosis 12. Active inflammatory bowel disease, chronic diarrhea, short bowel syndrome, or major upper gastrointestinal (GI) surgery including gastric resection 13. Interstitial lung disease or severe dyspnea at rest or requiring oxygen therapy 14. Serious infection requiring oral or intravenous (IV) antibiotics, or other clinically significant infection, within 14 days prior to randomization 15. Any serious medical condition or abnormality in clinical laboratory tests that, in the investigator's judgment, precludes the patient's safe participation in and completion of the study 16. Known allergy or hypersensitivity to any of the study drugs or any of their excipients 17. For premenopausal or perimenopausal women and for men: known hypersensitivity to LHRH agonists 18. Pregnant or breastfeeding
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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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"Azienda Ospedaliera Universitaria Integrata Verona Ospedale Borgo Trento"
Verona, Veneto, 37124, Italy
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Abramson Cancer Center
Philadelphia, Pennsylvania, 19104, United States
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Abramson Cancer Center Chester County Hospital
West Chester, Pennsylvania, 19380, United States
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Agios Loucas Clinic SA
Panórama, 552 36, Greece
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Aichi Cancer Center
Aichi, 464-8681, Japan
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Alaska Oncology & Hematology, LLC
Anchorage, Alaska, 99508, United States
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Alta Bates Summit Medical Center
Berkeley, California, 94704, United States
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Anne Arundel Medical Center
Annapolis, Maryland, 21401, United States
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Arizona Oncology Associates, PC-CASA
Tucson, Arizona, 85711, United States
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Asst Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, 20162, Italy
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Attikon University General Hospital
Athens, 12464, Greece
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Avera Cancer Institute
Sioux Falls, South Dakota, 57105, United States
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Azienda Ospedaliero - Universitaria di Modena Policlinico
Modena, Emilia-Romagna, 41110, Italy
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Azienda Ospedaliero Universitaria Ospedali Riuniti
Torrette Di Ancona, The Marches, 60126, Italy
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Beverly Hills Cancer Center
Beverly Hills, California, 90211, United States
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C.H. Regional Reina Sofia - PPDS
Córdoba, 14004, Spain
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Centro Medico Privado CEMAIC
Córdoba, X5008AAC, Argentina
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Centro Polivalente de Asistencia e Investigacion Clinica - CER San Juan
San Juan, J5402DIL, Argentina
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Centro de Investigaciones Médicas y Desarrollo LC S.R.L
Buenos Aires, Ciudad Autónoma de BuenosAires, C1113AAE, Argentina
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Centro de Investigación Clínica ? Clínica Viedma
Viedma, R8500ACE, Argentina
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Chang Gung Memorial Hospital
Kaohsiung Country, 833, Taiwan
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Chang Gung Memorial Hospital - Linkou Branch
Taipei, Taiwan
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Changhua Christian Hospital
Chang-hua, 500, Taiwan
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Chiba Cancer Center
Chiba, 260-8717, Japan
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Chungbuk National University Hospital
Cheongju-si, 28644, South Korea
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Complejo Hospitalario Universitario A Coruña (CHUAC, Materno Infantil), Oncología
A Coruña, LA Coruna, 15006, Spain
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Consultorios Médicos Dr. Doreski
Ciudad Autonoma Buenos Aires, C1426ABP, Argentina
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Dorset County Hospital
Dorchester, DT1 2JY, United Kingdom
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Eastern Maine Medical Center
Brewer, Maine, 04412, United States
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Fundacion Centro Oncologico de Integracion Regional (COIR)
Mendoza, M5500AYB, Argentina
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Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518, Japan
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Hiroshima University Hospital
Hiroshima, 734-8551, Japan
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Hokkaido University Hospital
Hokkaido, 060-8648, Japan
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Hospital Clinic de Barcelona
Barcelona, 08036, Spain
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Hospital Clinico San Carlos
Madrid, 28040, Spain
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Hospital Clinico Universitario de Valencia
Valencia, 46010, Spain
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Hospital Dexeus
Barcelona, 08028, Spain
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Hospital General Universitario Gregorio Marañon
Madrid, 28007, Spain
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Hospital General Universitario J.M Morales Meseguer
Murcia, 30008, Spain
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Hospital Provincial del Centenario
Rosario, S2002KDS, Argentina
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Houston Methodist Cancer Center
Houston, Texas, 77030, United States
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Hyogo Cancer Center
Hyōgo, 673-0021, Japan
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IASO Obstetrics Gynecology Clinic
Marousi, 151 23, Greece
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IRCCS AOM Azienda Ospedaliera Metropolitana
Genoa, Liguria, 16132, Italy
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
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Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202, United States
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Inova Fairfax Hospital
Fairfax, Virginia, 22031, United States
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Instituto Medico de la Fundacion Estudios Clinicos
Rosario, S2000DEJ, Argentina
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Instituto de Oncologia de Rosario
Rosario, S2013KZE, Argentina
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Instituto de Oncología Ángel H. Roffo
Agronomía, Ciudad Autónoma de BuenosAires, C1417DTB, Argentina
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Interbalkan Medical Center of Thessaloniki
Thessaloniki, 546 39, Greece
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Istituto Nazionale Tumori Regina Elena IRCCS
Rome, Lazio, 00144, Italy
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Juntendo University Hospital
Tokyo, 113-8431, Japan
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Kanagawa Cancer Center
Kanagawa, 241-8515, Japan
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Kliniken Essen-Mitte
Essen, 45136, Germany
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Knappschaft Kliniken Marienhospital Bottrop
Bottrop, 46236, Germany
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Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 112, Taiwan
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Korea University Guro Hospital
Seoul, 08308, South Korea
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Kumamoto University Hospital
Kumamoto, 860-8556, Japan
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Los Angeles Hematology Oncology Medical Group
Los Angeles, California, 90017, United States
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McGlinn Cancer Institute at Reading Hospital
West Reading, Pennsylvania, 19611, United States
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Medical Oncology Centre of Rosebank
Johannesburg, 2196, South Africa
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Memorial Ankara Hastanesi
Ankara, 06520, Turkey (Türkiye)
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Memorial Sloan Kettering - Basking Ridge
Basking Ridge, New Jersey, 07920, United States
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Memorial Sloan Kettering - Monmouth
Middletown, New Jersey, 07748, United States
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Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
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Mercy Medical Center
Baltimore, Maryland, 21202, United States
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Metaxa Cancer Hospital of Piraeus
Piraeus, 185 37, Greece
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Metro-Minnesota Community Oncology Research Consortium
Saint Louis Park, Minnesota, 55416, United States
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Metropolitan General Hospital
Cholargós, 155 62, Greece
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Millennium Research & Clinical Development
Houston, Texas, 77090, United States
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Mount Sinai Medical Center
Miami Beach, Florida, 33140, United States
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Nagoya University Hospital
Aichi, 466-8560, Japan
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National Cancer Center
Goyang-si, 10408, South Korea
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National Cancer Center Hospital East
Chiba, 277-8577, Japan
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National Cheng Kung University Hospital
Tainan, 70457, Taiwan
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National Hospital Organization Osaka National Hospital
Osaka, 540-0006, Japan
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National Taiwan University Hospital
Taipei, 100229, Taiwan
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National University Hospital
Singapore, 117599, Singapore
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New England Cancer Specialists
Scarborough, Maine, 04074, United States
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Niigata Cancer Center Hospital
Niigata, 951-8566, Japan
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North Middlesex Uni Hospital
London, N18 1QX, United Kingdom
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Northwest Georgia Oncology Centers PC - Marietta
Marietta, Georgia, 30060, United States
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Northwest Medical Specialties, PLLC
Tacoma, Washington, 98405, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Nottingham City Hospital
Nottingham, NG5 1PB, United Kingdom
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Oklahoma Cancer Specialists and Research Institute
Tulsa, Oklahoma, 74146, United States
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Olympion Clinic
Pátrai, 264 43, Greece
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Oncocare Cancer Centre
Singapore, 258500, Singapore
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Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68103, United States
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Organizacion Medica de Investigacion
San Nicolás, C1015ABO, Argentina
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Renown Regional Medical Center
Reno, Nevada, 89502, United States
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SAKARYA University Medical Faculty
Sakarya, 811, Turkey (Türkiye)
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SCRI Mark H. Zangmeister Center
Columbus, Ohio, 43219, United States
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San Juan Oncology Associates
Farmington, New Mexico, 87401, United States
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Scripps Health
La Jolla, California, 92037, United States
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Seoul National University Bundang Hospital
Seongnam-si, 13620, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Severance Hospital Yonsei University Health System - PPDS
Seoul, 03722, South Korea
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Shikoku Cancer Center
Ehime, 791-0280, Japan
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Soon Chun Hyang University Cheonan Hospital
Dongnam-gu, Cheonan-si, 31151, South Korea
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Springfield Clinic
Springfield, Illinois, 62702, United States
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St Charles Medical Center Bend
Bend, Oregon, 97701, United States
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Stony Brook University Medical Center
Stony Brook, New York, 11794, United States
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Summit Cancer Care PC
Savannah, Georgia, 31405, United States
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TOI Clinical Research
Cerritos, California, 90703, United States
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Texas Oncology - Baylor Charles A. Sammons Cancer Center
Bedford, Texas, 76022, United States
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Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246, United States
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Texas Oncology P.A.
San Antonio, Texas, 78229, United States
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Texas Oncology, P.A. - El Paso
El Paso, Texas, 79902, United States
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Texas Oncology-Denton South
Denton, Texas, 76201, United States
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The Blavatnik Family ? Chelsea Medical Center at Mount Sinai
New York, New York, 10011, United States
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The Cancer Institute Hospital of JFCR
Tokyo, 135-8550, Japan
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The Christie NHS Foundation Trust - SSC Parent
Manchester, M20 4BX, United Kingdom
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Tokai University Hospital
Kanagawa, 259-1193, Japan
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UPMC Hillman Cancer Center - Magee-Women?s Hospital
Pittsburgh, Pennsylvania, 15213, United States
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Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz
Mainz, 55101, Germany
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Universitatsklinikum Erlangen
Erlangen, 91054, Germany
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University General Hospital of Heraklion
Heraklio, 711 10, Greece
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University General Hospital of Larissa
Larissa, 412 21, Greece
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205-7199, United States
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University of Athens, Hematological Clinic,
Athens, 115 27, Greece
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University of California, Irvine Medical Center
Orange, California, 92868, United States
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University of Kansas Cancer Center
Westwood, Kansas, 66205, United States
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University of Maryland Greenebaum Cancer Center
Baltimore, Maryland, 21201, United States
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University of Tsukuba Hospital
Ibaraki, 305-8576, Japan
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Universitätsklinikum Heidelberg
Heidelberg, 69120, Germany
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Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
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Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
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West Cancer Center
Germantown, Tennessee, 38138, United States
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Women's Cancer Care
Fresno, California, 93710, United States
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Yale Cancer Center
New Haven, Connecticut, 06520, United States