New targeted therapy shows promise for rare lung cancer subtype
NCT ID NCT04194944
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called selpercatinib against standard chemotherapy for people with a certain type of advanced lung cancer (RET fusion-positive non-small cell lung cancer). The goal is to see if selpercatinib can delay cancer growth better than current treatments. About 261 participants will receive either selpercatinib or standard therapy, and those on standard therapy may switch to selpercatinib if their cancer worsens.
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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261 people
The number who actually took part.
- Started
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Feb 2020
- Expected to finish
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Jun 2030
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: * Histologically or cytologically confirmed, Stage IIIB-IIIC or Stage IV non-squamous NSCLC that is not suitable for radical surgery or radiation therapy. * A RET gene fusion in tumor and/or blood from a qualified laboratory. * Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. * Adequate hematologic, hepatic and renal function. * Willingness of men and women of reproductive potential to observe conventional and highly effective birth control for the duration of treatment and for 6 months after. * Ability to swallow capsules. Exclusion Criteria: * Additional validated oncogenic drivers in NSCLC if known. * Prior systemic therapy for metastatic disease. Treatment (chemotherapy, immunotherapy, or biological therapy) in the adjuvant/neoadjuvant setting is permitted if it was completed at least 6 months prior to randomization. * Major surgery within 3 weeks prior to planned start of selpercatinib. * Radiotherapy for palliation within 1 week of the first dose of study treatment or any radiotherapy within 6 months prior to the first dose of study treatment if more than 30 Gy to the lung. * Symptomatic central nervous system (CNS) metastases, carcinomatous meningitis, or untreated spinal cord compression. * Clinically significant active cardiovascular disease or history of myocardial infarction within 6 months prior to planned start of selpercatinib or prolongation of the QT interval corrected for heart rate using Fridericia's formula (QTcF) \> 470 milliseconds. * Active uncontrolled systemic bacterial, viral, or fungal infection or serious ongoing intercurrent illness, such as hypertension or diabetes, despite optimal treatment. * Clinically significant active malabsorption syndrome or other condition likely to affect gastrointestinal absorption of the study drug. * Pregnancy or lactation. * Other malignancy unless nonmelanoma skin cancer, carcinoma in situ of the cervix or other in situ cancers or a malignancy diagnosed ≥2 years previously and not currently active. * Uncontrolled, disease related pericardial effusion or pleural effusion. * Requiring chronic treatment with steroids. Exclusion Criteria for Participants Receiving Pembrolizumab: * History of interstitial lung disease or interstitial pneumonitis. * Active autoimmune disease or any illness or treatment that could compromise the immune system.
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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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"Oncolife" LLC
Zaporizhya, Zaporizhzhia Oblast, 69059, Ukraine
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ASST Grande Ospedale Metropolitano Niguarda
Milan, Milano, 20162, Italy
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AZ Delta
Roeselare, West Flanders, 8800, Belgium
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AZ Nikolaas
Sint-Niklaas, Oost-Vlaanderen, B-9100, Belgium
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AZ Sint-Maarten, Campus Leopoldstraat 2
Mechelen, 2800, Belgium
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Abdurrahman Yurtaslan Ankara Oncology, education and Research Hospital
Ankara, 6200, Turkey (Türkiye)
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Actualidad Basada en la Investigación del Cáncer
Guadalajara, Jalisco, 44680, Mexico
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Acıbadem Maslak Hastanesi
Sariyer, 34457, Turkey (Türkiye)
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Alexander Fleming
Ciudad de Buenos Aires, C1426ANZ, Argentina
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Amsterdam UMC, locatie VUmc
Amsterdam, 1081 HV, Netherlands
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Arkhangelsk Clinical Oncological Dispensary
Arkhangelsk, 163045, Russia
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Asan Medical Center
Seoul, Korea, 05505, South Korea
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Asklepios Fachkliniken München-Gauting
Gauting, Bavaria, 82131, Germany
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Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone
Marseille, Bouches-du-Rhône, 13385, France
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Azienda Ospedaliera San Camillo Forlanini
Rome, Lazio, 00152, Italy
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Azienda Ospedaliera San Giuseppe Moscati
Avellino, 83100, Italy
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Azienda Ospedaliera Universitaria Pisana
Pisa, 56126, Italy
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Azienda Sanitaria Ospedaliera S Luigi Gonzaga
Orbassano, Torino, 10043, Italy
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Baskent University Dr. Turgut Noyan Research and Training Center
Adana, 1250, Turkey (Türkiye)
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Beijing Cancer hospital
Beijing, Beijing Municipality, 100142, China
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Boramae Medical Center
Dongjak-gu, Seoul-teukbyeolsi [Seoul], 07061, South Korea
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Buddhist Dalin Tzu Chi General Hospital
Dalin Town, Chiayi, 622, Taiwan
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CHU UCL Namur/Site Sainte Elisabeth
Namur, 5000, Belgium
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CHUS - Hospital Clinico Universitario
Santiago de Compostela, Galicia [Galicia], 15706, Spain
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CNPE "Regional Center of Oncology"
Kharkiv, Kharkiv Oblast, 61070, Ukraine
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Cabinet Medical Oncomed
Timișoara, Timiș County, 300239, Romania
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Calvary Mater Newcastle
Waratah, New South Wales, 2298, Australia
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Centre Jean Perrin - Centre Régional de Lutte contre le Cancer d'Auvergne
Clermont-Ferrand, Puy-de-Dôme, 63011, France
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Centre Leon Berard
Lyon, Auvergne-Rhône-Alpes, 69373, France
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Centro de Oncología e Investigación de Buenos Aires
Berazategui, Buenos Aires, B1884BBF, Argentina
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Centro de Tratamento de Tumores Botafogo para Oncoclinicas Rio de Janeiro SA
Rio de Janeiro, 22250-905, Brazil
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Chang Gung Memorial Hospital - Linkou
Guei Shan Township, Taoyuan County, 333, Taiwan
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Chang Gung Memorial Hospital at Kaohsiung
Kaohsiung City, 83301, Taiwan
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Changhua Christian Hospital
Changhua County, Changhua, 50006, Taiwan
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Changzhou No.2 People's Hospital
Changzhou, Jiangsu, China
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Charite Universitätsmedizin Berlin Campus Benjamin Franklin
Berlin, 12203, Germany
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Chi Mei Hospital - Liouying Branch
Tainan, 73657, Taiwan
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China Medical University Hospital
Taichung, 40447, Taiwan
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Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050, Australia
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Chu Grenoble Alpes
La Tronche, Isère, 38700, France
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Chung Shan Medical University Hospital
Taichung, 402, Taiwan
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City Hospital, Nottingham University Hospitals
Nottingham, Nottinghamshire, NG5 1PB, United Kingdom
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Clinica Universidad de Navarra
Madrid, 28027, Spain
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Clinica Universitaria De Navarra
Pamplona, Navarre, 31008, Spain
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Clinica Viedma
Viedma, Río Negro Province, R8500ACE, Argentina
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Clínica El Castaño
San Juan, 5400, Argentina
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Communal Noncommercial Enterprise "Podillia Regional Oncology Center Of Vinnytsia Regional Council"
Vinnytsia, Vinnytsia Oblast, 21029, Ukraine
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Complejo Hospitalario de Jaén
Jaén, 23007, Spain
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Complejo Hospitalario de Navarra
Pamplona, 31009, Spain
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Constanta County Emergency Clinical Hospital Sf.Ap.Andrei
Constanța, Constanța County, 900591, Romania
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Cro-Irccs
Aviano, Friuli Venezia Giulia, 33081, Italy
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Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2, Canada
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Dicle Üniversitesi
Diyarbakır, 21100, Turkey (Türkiye)
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E-Da hospital
Kaohsiung City, 82445, Taiwan
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Ege Universitesi Hastanesi
Bornova, İzmir, 35100, Turkey (Türkiye)
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Erasmus Medisch Centrum
Rotterdam, South Holland, 3015 CE, Netherlands
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European Interbalkan Medical Center
Thessaloniki, Thessaloníki, 570 01, Greece
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Fakultni nemocnice Bulovka
Prague, 180 81, Czechia
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Fakultni nemocnice Olomouc
Olomouc, 779 00, Czechia
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First Affiliated Hosp of College of Med, Zhejiang University
Hangzhou, 310003, China
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First Moscow State Medical University I.M. Sechenov
Moscow, 119991, Russia
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First affiliated Hospital of Sun Yat-Sen University
Guangzhou, Guangdong, 510080, China
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Fondazione Policlinico Universitario Agostino Gemelli
Rome, Lazio, 00168, Italy
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Franziskus-Hospital Harderberg
Georgsmarienhütte, Lower Saxony, 49124, Germany
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Fundacion CENIT para la Investigacion en Neurociencias
Caba, Buenos Aires, 1125, Argentina
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Fundação Pio XII - Hospital de Câncer de Barretos
Barretos, São Paulo, 14784-400, Brazil
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G. Papanikolaou General Hospital
Thessaloniki, Thessaloníki, 570 10, Greece
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GBUZ Republican Clinical Oncological Dispensary
Ufa, Baškortostan, Respublika, 450054, Russia
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Gachon University Gil Medical Center
Incheon, Korea, 21565, South Korea
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Gral Medical Diagnostic Center
Bucharest, Bucharest, 031422, Romania
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Grupo COI - Clínicas Oncológicas Integradas
Rio de Janeiro, Rio de Janeiro, 22775-001, Brazil
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Gyeongsang National University Hospital
Jinju, Kyǒngsangnam-do, 52727, South Korea
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Hacettepe University Faculty of Medicine
Ankara, 6230, Turkey (Türkiye)
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Hadassah Medical
Moscow, 121205, Russia
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Hadassah Medical Center
Jerusalem, 9112001, Israel
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Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081, China
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Health Pharma Professional Research S.A. de C.V:
Mexico City, Federal District, 03100, Mexico
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Hong Kong United Oncology Centre
Jordan, Kowloon, 999077, Hong Kong
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Hopitaux Universitaires Paris Centre-Hopital Cochin
Paris, 75014, France
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Hospital Clinico San Carlos
Madrid, 28040, Spain
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Hospital Clínico Universitario de Valencia
Valencia, 46010, Spain
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Hospital Fundacion Son Llatzer
Palma de Mallorca, Balearic Islands, 07198, Spain
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Hospital General Universitario de Alicante
Alicante, 03010, Spain
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Hospital Insular de Gran Canaria
Las Palmas de Gran Canaria, Las Palmas, 35016, Spain
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Hospital Regional Universitario
Málaga, 29011, Spain
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Hospital São Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Hospital Sírio Libanês
São Paulo, Brazil, 01308-060, Brazil
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Hospital Sírio Libanês
São Paulo, 01308-060, Brazil
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Hospital Universitari Dexeus
Barcelona, 08028, Spain
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Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario La Paz
Madrid, 28046, Spain
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Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Hospital Universitario Virgen Del Rocio
Seville, 41013, Spain
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Hospital Universitario Virgen Macarena
Seville, 41009, Spain
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Hospital de Cancer de Londrina
Londrina, Paraná, 86015-520, Brazil
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Hospital de la Santa Creu i Sant Pau
Barcelona, 8041, Spain
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Humanitas
Rozzano, Milano, 20089, Italy
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Hunan Cancer Hospital
Changsha, Hunan, 410013, China
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Hunan Provincial People's Hospital
Changsha, Hunan, 410005, China
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IRCCS - AOU di Bologna
Bologna, 40138, Italy
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Icesp - Instituto Do Câncer Do Estado de São Paulo
São Paulo, 01246000, Brazil
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Inonu Universitesi Turgut Ozal Tıp Merkezi
Malatya, 44280, Turkey (Türkiye)
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Institut Català d'Oncologia (ICO) - Badalona
Badalona, Barcelona [Barcelona], 08916, Spain
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Institut Régional du Cancer Montpellier
Montpellier, Hérault, 34298, France
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Instituto Catalan de Oncologia - Hospital Duran i Reynals
Barcelona, 08908, Spain
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Instituto D'Or de Pesquisa e Ensino (IDOR)
São Paulo, São Paulo, 04543-000, Brazil
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Instituto Nacional de Câncer - INCA
Rio de Janeiro, 20231-050, Brazil
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Institutul Oncologic
Bucharest, Bucharest, 22328, Romania
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Institutul Oncologic
Cluj-Napoca, 400015, Romania
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Istanbul Medeniyet University
Istanbul, 34722, Turkey (Türkiye)
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Istituto Nazionale Tumori IRCCS Fondazione Pascale
Naples, Campania, 80131, Italy
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Istituto Nazionale Tumori Regina Elena
Roma, 00144, Italy
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Izmir Medical Park Hospital
Izmir, 9035575, Turkey (Türkiye)
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Japanese Foundation for Cancer Research
Koto, Tokyo, 135-8550, Japan
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Jeroen Bosch Hospital
's-Hertogenbosch, North Brabant, 5223 GZ, Netherlands
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Jilin Cancer Hospital
Changchun, Jilin, China
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Kaluga Regional Clinical Oncology Center
Kaluga, Kalužskaja Oblast, 248007, Russia
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Kanagawa cancer center
Yokohama, Kanagawa, 241-8515, Japan
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Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641, Japan
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Kindai University Hospital- Osakasayama Campus
Osaka Sayama-shi, Osaka, 589 8511, Japan
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Klinikverbund Kempten-Oberallgäu
Immenstadt im Allgäu, Bavaria, 87509, Germany
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Konyang University Hospital
Daejeon, 35365, South Korea
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LungenClinic Grosshansdorf
Großhansdorf, Schleswig-Holstein, 22927, Germany
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Medical Center "Mriya Med-Service", LLC
Kryvyi Rig, 50000, Ukraine
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Memorial Antalya Hastanesi
Antalya, 7090, Turkey (Türkiye)
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Monash Health
Clayton, Victoria, 3168, Australia
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Municipal Enterprise "Volyn Regional Medical Oncology Centre" of the Volyn Regional Council
Lutsk, Volyn Oblast, 43018, Ukraine
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Municipal Non-profit Enterprise "City Clinical Hospital #4" of Dnipro City Council, "Dnipro State Medical University"
Dnipro, Dnipropetrovsk Oblast, 49102, Ukraine
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Municipal non-profit enterprise "Kyiv City Clinical Oncology Center" of executive body of Kyiv City Counci -T
Kyiv, 03115, Ukraine
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Municipal non-profit enterprise'Odesa Regional Clinical Hospital'of Odesa Regional Council
Odesa, 65025, Ukraine
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Murmansk Regional Clinical Hospital P.A. Bayandina
Murmansk, Murmansk Oblast, 183047, Russia
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Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Warsaw, 02-781, Poland
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National Cancer Center
Goyang-si, Gyeonggi-do, 10408, South Korea
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National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577, Japan
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National Cheng-Kung Uni. Hosp.
Tainan, 704, Taiwan
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National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804, Japan
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National Taiwan University Hospital
Taipei, 10048, Taiwan
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Nemocnice AGEL Ostrava - Vitkovice a.s.
Ostrava - Vitkovice, 70384, Czechia
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Núcleo de Oncologia da Bahia
Salvador, Estado de Bahia, 40170-070, Brazil
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Odessa Regional Oncology Center
Odesa, Odesa Oblast, 65055, Ukraine
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Okayama University Hospital
Okayama, 700-8558, Japan
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Oncologico Potosino, S.C.
San Luis Potosí City, 78209, Mexico
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Osaka International Cancer Institute
Osaka, 541-8567, Japan
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Ospedale San Gerardo-ASST Monza
Monza, Lombardy, 20900, Italy
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Ospedale Santa Maria delle Croci
Ravenna, Emilia-Romagna, 48121, Italy
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Parc de Salut Mar - Hospital del Mar
Barcelona, 08003, Spain
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Peninsula Oncology Centre
Frankston, 3199, Australia
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Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000, Australia
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Prince of Wales Hospital
Shatin, 852, Hong Kong
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Rambam Health Care Campus
Haifa, Ḥeifā, 3109601, Israel
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Regional Municipal Non-profit Enterprise "Bukovinian Clinical Oncology Center"
Chernivtsi, 58013, Ukraine
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Republican Clinical Oncology Dispensary
Kazan', 420029, Russia
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Saint-Petersburg Scientific-Practical Center of Specialized Kinds of Medical Care (oncological) named afte -T
Saint Petersburg, Sankt-Peterburg, 197758, Russia
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Samara Regional Clinical Oncology Center
Samara, Samara Oblast, 443031, Russia
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Samsung Medical Center
Seoul, 06351, South Korea
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Scientific research institution of oncology named after N.N. Petrov
Saint Petersburg, Sankt-Peterburg, 197758, Russia
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Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
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Seoul National University Hospital
Seoul, Seoul, Korea, 03080, South Korea
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Shaare Zedek Medical Center
Jerusalem, 9103102, Israel
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Shanghai Chest Hospital
Shanghai, 200030, China
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Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200433, China
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Sheba Medical Center
Ramat Gan, 5262100, Israel
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Soroka Medical Center
Beersheba, 8400000, Israel
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Sotiria Thoracic Diseases Hospital of Athens
Athens, Attikí, 115 27, Greece
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Spitalul Județean Sfântul Ioan cel Nou Suceava
Suceava, 720237, Romania
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Spitalul Universitar de Urgență București
Bucharest, 050098, Romania
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St Vincent's Hospital
Melbourne, Victoria, 3065, Australia
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Sumy regional clinical oncological dispensary
Sumy, Sumska Oblast, 40022, Ukraine
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Taichung Veterans General Hospital
Taichung, 407, Taiwan
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Taipei Medical University Shuang Ho Hospital
New Taipei City, 235, Taiwan
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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Tan Tock Seng Hospital
Singapore, 308433, Singapore
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The First Affiated Hospital Of Guangzhou Medical Collage
Guangzhou, Guangzhou, 510120, China
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Thoraxklinik-Heidelberg gGmbH
Heidelberg, Baden-Wurttemberg, 69126, Germany
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Tominaga Hospital
Nakatogari, Shizuoka, 411-8777, Japan
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Tottori University Hospital
Yonago, Tottori, 683-8504, Japan
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Trakya University
Edirne, 22030, Turkey (Türkiye)
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Tri-Service General Hospital
Neihu Taipei, 114, Taiwan
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UZ Brussel
Brussels, Bruxelles-Capitale, Région de, 1090, Belgium
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UZ Gent Hospital
Ghent, 9000, Belgium
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UZ Leuven
Leuven, Vlaams-Brabant, 3000, Belgium
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University General Hospital of Heraklion
Heraklion, Krítí, 711 10, Greece
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University Hospital of Cologne
Cologne, North Rhine-Westphalia, 50937, Germany
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Universitätsmedizin Göttingen
Göttingen, Lower Saxony, 37075, Germany
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Uniwersyteckie Centrum Kliniczne
Gdansk, 80-952, Poland
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West China Hospital of Sichuan University
Chengdu, Sichuan, 610041, China
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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Wuhan Union Hospital
Wuhan, Hubei, 430022, China
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Xinjiang Medical University Cancer Hospital - Urumqi
Ürümqi, Xinjiang, 830000, China
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Zhejiang Cancer Hospital
Hangzhou, Zhejiang, China
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Ziekenhuis St. Jansdal
Harderwijk, Gelderland, 3844 DG, Netherlands
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zmir Katip Çelebi Üniversitesi Atatürk Eitim Ve Aratrma Hastanesi
Izmir, 35360, Turkey (Türkiye)
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