Immunotherapy combo shows promise in advanced lung cancer trial
NCT ID NCT04205812
First seen Jun 25, 2026 · Last updated Jul 07, 2026 · Updated 4 times
Summary
This phase 3 study tested whether adding the immunotherapy drug retifanlimab (INCMGA00012) to standard platinum-based chemotherapy helps people with advanced non-small cell lung cancer live longer. The trial enrolled 583 patients who had not received prior treatment for metastatic disease. Researchers measured overall survival and progression-free survival to see if the combination works better than chemotherapy alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Retifanlimab (also called INCMGA00012), a type of immunotherapy, given with standard chemotherapy drugs (pemetrexed, cisplatin, carboplatin, paclitaxel)
- What this could lead to
- If successful, this combination could offer a new first-line treatment option for people with advanced lung cancer, potentially improving how long they live and delaying disease progression.
- What could go wrong
- This is a completed phase 3 trial, but results are not yet widely available. Immunotherapies can cause immune-related side effects, and not all patients may benefit. The study also excludes some common patient groups, so findings may not apply to everyone.
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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583 people
The number who actually took part.
- Started
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Sep 2020
- Finished
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May 2026
- 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 NSCLC (either nonsquamous or squamous) that is Stage IV (AJCC v8). * No prior systemic treatment for the advanced/metastatic NSCLC * Able to provide a formalin-fixed archival tumor tissue sample during screening, or a fresh tumor biopsy * Measurable disease per RECIST v1.1. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Life expectancy of at least 3 months. * Willingness to avoid pregnancy or fathering children. * Adequate organ function as indicated by protocol-specified laboratory values. - Has been fully vaccinated against SARS-CoV-2 or is willing and able to be fully vaccinated against SARS-CoV-2 during the study by starting the vaccination process during screening. Exclusion Criteria: * Clinically significant cardiac disease within 6 months of start of study treatment. * Any major surgery within 3 weeks of the first dose of study treatment. * Thoracic radiation therapy of \> 30 Gy within 6 months of the first dose of study treatment. * History of peripheral neuropathy ≥ Grade 2 CTCAE v5 for participants who may receive cisplatin, paclitaxel, or nab-paclitaxel. * Untreated central nervous system metastases and/or carcinomatous meningitis. * Evidence or history of interstitial lung disease or noninfectious pneumonitis that required systemic steroids. * Active infection requiring systemic therapy or active tuberculosis. Note: If required by country or local regulations to be tested for COVID-19 during screening, a participant should be excluded if they have a positive test result for SARS CoV-2 infection until both the retesting result is negative and clinical recovery is obtained. * Superficial bladder cancer, squamous cell carcinoma of the skin, in situ cervical cancer, or other in situ cancers. * Has contraindications to chemotherapy agents used in the study. * Has an active autoimmune disease that has required systemic treatment in past 2 years. * Is receiving systemic antibiotics or steroid therapy ≤ 7 days prior to the first dose of study treatment. * Has received a live vaccine within 30 days before the first dose of study treatment (and until 90 days after last dose of study drug). Note: While based on approved SARS-CoV-2 vaccines available worldwide, many vaccines are not live (mRNA and adenovirus vaccines do not contain live virus), if a live vaccine against SARS-CoV-2 is the only available option, prior consultation with the medical monitor should be obtained. • Has known active HBV or HCV (testing must be performed to determine eligibility)
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Get notified about this study
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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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103 Military Hospital
Hanoi, 00000, Vietnam
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Acibadem Adana Hospital
Adana, 01130, Turkey (Türkiye)
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Acibadem Cityclinica Mhat Tokuda
Sofia, 01407, Bulgaria
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Adana Sehir Hastanesi
Adana, 01230, Turkey (Türkiye)
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Advanced Medical and Dental Institute Husm
Kepala Batas, 13200, Malaysia
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Archangel St. Michael Multi Profile Clinical Hospital
Tbilisi, 00102, Georgia
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Asian Hospital and Medical Center
City of Muntinlupa, 01781, Philippines
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Bach Mai Hospital
Hanoi, 100000, Vietnam
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Bacs Kiskun Megyei Oktatokorhaz
Kecskemét, 06000, Hungary
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Bakirkoy Dr Sadi Konuk Teaching and Research Hospital
Istanbul, 34147, Turkey (Türkiye)
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Beacon Hospital Sdn Bhd
Petaling Jaya, 46050, Malaysia
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Bhi of Omsk Region Clinical Oncology Dispensary
Omsk, 644013, Russia
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Can Tho Oncology Hospital
Can Tho, 00000, Vietnam
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Cancer Research Center Ltd
Tbilisi, 00177, Georgia
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Cancercare Rondebosch Oncology Centre
Cape Town, 07700, South Africa
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Cape Town Oncology Trials (Pty) Ltd
Cape Town, 07570, South Africa
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Cebu Doctors University Hospital
Cebu City, 06000, Philippines
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Centro Regional Integrado de Oncologia
Fortaleza, 60336-045, Brazil
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Centrum Medyczne Plejady
Krakow, 30-363, Poland
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Centrum Terapii Wspolczesnej J.M. Jasnorzewska Sp. Komandytowo-Akcyjna
Lodz, 90-242, Poland
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Cepho - Centro de Estudos E Pesquisas de Hematologia E Oncologia
Santo André, 09060-870, Brazil
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Ci Carpathian Clinical Oncological Center
Ivano-Frankivsk, 76018, Ukraine
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Ci of Krc Kyiv Regional Oncologic Dispensary
Kyiv, 04107, Ukraine
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Clinica de Neoplasias Litoral Ltda
Itajaí, 88301-220, Brazil
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Clinical Center Bezanijska Kosa
Belgrade, 11000, Serbia
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Clinical Center Kragujevac
Kragujevac, 34000, Serbia
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Clinical Center of Serbia
Belgrade, 11 000, Serbia
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Clinical Center of Serbia
Belgrade, 11000, Serbia
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Cne Ccch of Uzh Cc Oncological Center
Uzhhorod, 88000, Ukraine
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Communal Non-Profit Enterprise Regional Center of Oncology
Kharkiv, 61070, Ukraine
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Davao Doctors Hospital
Davao City, 08000, Philippines
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Dr. Abdurrahman Yurtaslan Onkology Teaching and Research Hospital
Ankara, 06105, Turkey (Türkiye)
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Fakultni Nemocnice Olomouc
Olomouc, 775 20, Czechia
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Fakultni Nemocnice V Motole
Prague, 150 06, Czechia
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Federal State Institution "Russian Cancer Research Center Named After N.N. Blokhin" Rams
Moscow, 121309, Russia
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Fundacao Faculdade Regional de Medicina de Sao Jose Do Rio Preto
São José, 15090-000, Brazil
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Fundacao Pio Xii Hospital de Cancer de Barretos
Barretos, 14784-400, Brazil
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Gaziantep University Gaziantep Oncology Hospital
Gaziantep, 27310, Turkey (Türkiye)
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General Hospital of Tianjin
Tianjing, 300052, China
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Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, 06100, Turkey (Türkiye)
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Hangzhou Cancer Hospital
Hangzhou, 310002, China
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Hanoi Oncology Hospital
Hanoi, 100000, Vietnam
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Harbin Medical University Cancer Hospital
Harbin, 150081, China
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Hcmc Oncology Hospital
Ho Chi Minh City, 722681, Vietnam
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Henan Cancer Hostipal
Zhengzhou, 450003, China
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Henan Provincial Peoples Hospital
Zhengzhou, 450003, China
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Hgb - Hospital Giovanni Battista - Mae de Deus Center
Porto Alegre, 90470-340, Brazil
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High Technology Hospital Medcenter
Batumi, 06000, Georgia
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High Technology Medical Center, University Clinic
Tbilisi, 00144, Georgia
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Hospital Do Cancer de Londrina
Londrina, 86015-520, Brazil
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Hospital Pulau Pinang
Pulau Pinang, 10990, Malaysia
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Hospital Tengku Ampuan Afzan
Kuantan, 25100, Malaysia
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Hunan Cancer Hospital
Changsha, 410013, China
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Inca - Instituto Nacional de Cancer
Rio de Janeiro, 20230-130, Brazil
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Incan - Instituto Do Cancer - Hospital Pompeia
Caxias do Sul, 95010-005, Brazil
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Innovative Clinical Research Institute
Whittier, California, 90603, United States
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Inonu Universitesi Turgut Ozal Tip Merkezi
Malatya, 44280, Turkey (Türkiye)
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Institut Kanser Negara - National Cancer Institute
Putrajaya, 62250, Malaysia
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Institute For Pulmonary Diseases of Vojvodina
Kamenitz, 21204, Serbia
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Institute of Clinical Oncology Ltd
Tbilisi, 00159, Georgia
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Instituto Mederi de Pesquisa E Saude
Passo Fundo, 99010-120, Brazil
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Institutul Oncologic Prof. Dr. Ion Chiricuta Cluj-Napoca
Cluj-Napoca, 400015, Romania
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Israel-Georgian Medical Research Clinic Helsicore
Tbilisi, 00112, Georgia
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Istanbul University Cerrahpasa - Cerrahpasa Medical Faculty
Istanbul, 34098, Turkey (Türkiye)
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Izmir Medicalpark Hospital
Izmir, 35530, Turkey (Türkiye)
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Jinan Central Hospital
Jinan, 250013, China
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Jsc Evex Hospitals
Kutaisi, 04600, Georgia
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Kherson Regional Oncologic Dispensary
Kherson, 73000, Ukraine
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Ko-Med Centra Kliniczne Biala Podlaska
Biała Podlaska, 21-500, Poland
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Kyiv City Clinical Oncological Center
Kyiv, 03115, Ukraine
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Linyi Cancer Hospital
Linyi, 276001, China
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Llc Tonus
Nizniy Novgorod, 603089, Russia
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Makati Medical Center
Makati, 01229, Philippines
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Makati Medical Center
Makati City, 01229, Philippines
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Mary Potter Oncology Centre
Pretoria, 00181, South Africa
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Mc Women'S Health-Nadezhda Eood
Sofia, 01330, Bulgaria
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Medical Center Asklepion Llc
Kyiv, 03126, Ukraine
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Medical Center Oncolife Llc
Zaporizhzhia, 69059, Ukraine
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Medipol University Medical Faculty
Istanbul, 34214, Turkey (Türkiye)
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Medulla Chemotherapy and Immunotherapy Clinic
Tbilisi, 00141, Georgia
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Memorial Ankara Hospital
Ankara, 06520, Turkey (Türkiye)
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Memorial Antalya Hastanesi
Antalya, 07020, Turkey (Türkiye)
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Mhat Serdika Eood
Sofia, 01632, Bulgaria
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Mi Kryviy Rih Center of Dnipropetrovsk Regional Council
Kryvyi Rih, 50048, Ukraine
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Multifield Clinical Hospital No 4
Dnipro, 49102, Ukraine
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Multiprofile Hospital For Active Treatment Central Onco Hospital Ood
Sofia, 01797, Bulgaria
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N.N. Petrov Research Institute of Oncology
Saint Petersburg, 197758, Russia
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National Cancer Hospital
Hanoi, 100000, Vietnam
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National Lung Hospital
Hanoi, 10000, Vietnam
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Necmettin Erbakan Universitesi Meram Tip Fakultesi Hastanesi
Konya, 42080, Turkey (Türkiye)
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Nemocnice Agel Ostrava - Vitkovice A.S
Ostrava - Vitkovice, 703 84, Czechia
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New Hospitals
Tbilisi, 00114, Georgia
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Oncomed Srl
Timișoara, 300239, Romania
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Oncomed-System
Belgrade, 11000, Serbia
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Oncosite - Centro de Pesquisa Clinica E Oncologia
Ijuí, 98700-000, Brazil
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Orszagos Koranyi Tbc Es Pulmonological Intezet
Budapest, 01121, Hungary
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Pacific Cancer Medical Center
Anaheim, California, 92801, United States
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Pavlov First Saint Petersburg State Medical University
Saint Petersburg, 197022, Russia
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Philippine General Hospital
Manila, 01000, Philippines
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Pp Ppc Acinus Medical and Diagnostic Centre
Kropyvnytskyi, 25006, Ukraine
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Przychodnia Lekarska Komed
Konin, 62-500, Poland
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Przychodnia Med-Polonia Sp. Z O.O.
Poznan, 60-693, Poland
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Rbih Kursk Regional Clinical Oncology Dispensary of Kursk Region Healthcare Committee
Kursk, 305035, Russia
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Reading Hospital and Medical Center
Reading, Pennsylvania, 19612, United States
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Rmi Sumy Regional Clinical Oncology Dispensary
Sumy, 40022, Ukraine
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S C Oncocenter Oncologie Medicala S R L
Timișoara, 300166, Romania
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S.C Oncopremium Team S.R.L
Baia Mare, 430295, Romania
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Sandton Oncology Centre
Johannesburg, 02196, South Africa
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Sao Camilo Oncologia
S?O Paulo, 03102-002, Brazil
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Sarawak General Hospital
Kuching, 93586, Malaysia
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Sbhi Volgograd Regional Onclogy Dispensary
Volgograd, 400138, Russia
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Sbhi of Novosibirsk Region Novosibirsk Regional Oncological Dispensary
Novosibirsk, 630108, Russia
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Sbih of Arkhangelsk Region Arkhangelsk Clinical Oncological Dispensary
Arkhangelsk, 163045, Russia
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Shanghai Chest Hospital
Shanghai, 200030, China
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Shatod Dr Marko Marko - Varna Ltd
Varna, 09002, Bulgaria
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Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, 310001, China
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Spitalul Clinic Judetean de Urgenta Constanta
Constanța, 900591, Romania
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Spitalul Clinic Militar de Urgenta Dr. Constantin Papilian Cluj-Napoca
Cluj-Napoca, 400132, Romania
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St. Lukes Medical Center
Quezon City, 01102, Philippines
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Tbilisi State Medical University First University Clinic
Tbilisi, 00141, Georgia
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The Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi, 830000, China
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The First Affiliated Hospital Sun Yat-Sen University
Guangzhou, 510080, China
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The First Affiliated Hospital of Guangxi Medical University
Nanning, 530021, China
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The First Affiliated Hospital of Zhejiang University
Hangzhou, 310003, China
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The First Affiliated Hospital of Zhengzhou University
Zhengzhou, 450052, China
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The Medical City
Pasig, 01605, Philippines
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The Second Affiliated Hospital of Nanchang University
Nanchang, 330006, China
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The Second Hospital of Anhui Medical University
Hefei, 230601, China
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Trakya Universitesi Tip Fakultesi
Edirne, 22030, Turkey (Türkiye)
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Umhat Sv. Ivan Rilski Ead
Sofia, 01431, Bulgaria
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University Hospital Hradec Kralove
Hradec Králové, 50333, Czechia
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University Malaya Medical Centre
Kuala Lumpur, 59100, Malaysia
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University of Pretoria Oncology Department
Pretoria, 00002, South Africa
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University of Science and Technology of China-First Affiliated Hospital (Anhui Provincial Hospital)
Hefei, 230001, China
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V.T.Zaycev Institute of General and Urgent Surgery of National Academy Medical Sciences of Ukraine
Kharkiv, 61103, Ukraine
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Volyn Regional Oncological Dispensary
Lutsk, 43018, Ukraine
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West Visayas State University Medical Center
Iloilo City, 05000, Philippines
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Wits Clinical Research
Johannesburg, 02193, South Africa
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Yildirim Beyazit University Ankara Ataturk Training and Research Hospital
Ankara, 06800, Turkey (Türkiye)
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Zhejiang Cancer Hospital
Hangzhou, 310022, China
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