New drug combo shows promise for resistant lung cancer in early trial
NCT ID NCT03940703
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 3 times
Summary
This phase 2 trial tested a combination of two targeted drugs, tepotinib and osimertinib, in 140 people with advanced non-small cell lung cancer that has a specific genetic change (MET amplification) and had stopped responding to the standard drug osimertinib. The goal was to see if the combination could shrink tumors and control the disease. The study is no longer recruiting, and results are being analyzed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tepotinib and Osimertinib
- What this could lead to
- If successful, this combination could offer a new treatment option for people with a specific type of lung cancer that has stopped responding to standard therapy.
- What could go wrong
- This is a phase 2 trial with a small number of participants. The combination may cause significant side effects, and results may not apply to all patients with this cancer type.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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140 people
The number who actually took part.
- Started
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Sep 2019
- Finished
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Jul 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: * Locally advanced or metastatic Non-small Cell Lung Cancer (NSCLC) histology (confirmed by either histology or cytology) with documented activating Epidermal Growth Factor Receptor (EGFR) mutation * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and a minimum life expectancy of 12 weeks * Acquired resistance on previous first-line osimertinib. Participants must meet both of the following 2 criteria: * Radiological documentation of disease progression on first-line osimertinib * Objective clinical benefit documented during previous osimertinib therapy, defined by either partial or complete radiological response, or durable stable disease (SD) (SD should last greater than (\>) 6 months after initiation of osimertinib * Have received only first-line osimertinib as a prior line of therapy in the non curative advanced or metastatic NSCLC setting * MET amplification as determined by either FISH testing (central or local) on tumor tissue (TBx) or central blood-based next generation sequencing (LBx). Tumor and blood samples must be collected following progression on prior first-line osimertinib at Prescreening * Submission of tumor tissue and blood sample obtained after progression on first-line osimertinib, is mandatory for all patients for MET amplification testing * Submission of tumor tissue during Prescreening or Screening is mandatory for patients with tumor tissue tested by local FISH, to confirm MET amplification status. Central confirmation is not mandated prior to the start of study treatment * Other protocol defined inclusion criteria could apply Exclusion Criteria: * Spinal cord compression or brain metastasis unless asymptomatic, stable or not requiring steroids for at least 2 weeks prior to start of study intervention * Any unresolved toxicity Grade 2 or more according to National cancer institute common terminology criteria for adverse events( NCI-CTCAE) version 5, from previous anticancer therapy with the exception of alopecia * Inadequate hematological, liver and renal function * Impaired cardiac function * History of interstitial lung disease(ILD) or interstitial pneumonitis including radiation pneumonitis that required steroid treatment * Hypertension uncontrolled by standard therapies (not stabilized to \< 150/90 millimeter of mercury (mmHg) * Contraindication to the administration of osimertinib * Other protocol defined exclusion criteria could apply.
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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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"VitaMed" LLC
Moscow, Russia
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AO Ospedali Riuniti Cervello - Presidio Villa Sofia - U.O.S. di Neuroimmunologia
Palermo, Italy
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AZ Delta
Roeselare, Belgium
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Affiliated Tumor Hospital of Harbin Medical University
Harbin, China
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Anhui Chest Hospital
Hefei, China
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Asan Medical Center
Seoul, South Korea
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Asklepios Fachkliniken Muenchen-Gauting - Abteilung internistische Onkologie
Gauting, Germany
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Avera Cancer Institute
Sioux Falls, South Dakota, 57108, United States
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Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma) - U.O.C. Oncologia
Verona, Italy
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Azienda Ospedaliero Universitaria Pisana - U.O. Pneumologia II
Pisa, Italy
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Azienda Socio Sanitaria Territoriale Sette Laghi (Presidio Ospedale di Circolo e Fondazione Macchi) - Oncologia Medica
Varese, Italy
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Azienda Socio Sanitaria Territoriale di Monza (Presidio San Gerardo) - U.O Oncologia Medica
Monza, Italy
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BHI of Omsk region "Clinical Oncology Dispensary"
Omsk, Russia
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Bach Mai Hospital
Hanoi, Vietnam
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Baptist Cancer Center
Memphis, Tennessee, 38120, United States
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Beacon Health
South Bend, Indiana, 46601, United States
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Beacon International Specialist Centre Sdn Bhd
Kuala Selangor, Malaysia
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Beijing Hospital
Beijing, China
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Boston Medical Center - Dept. Hematology/Oncology
Boston, Massachusetts, 02118, United States
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CHU Limoges - Hôpital Dupuytren - Unite d'Oncologie Thoracique et Cutanée
Limoges, France
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CHU de Toulouse - Hôpital Larrey - Service de Pneumologie et Oncologie Pneumologique
Toulouse, France
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Cancer Specialists of North Florida
Jacksonville, Florida, 32256, United States
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Central Care Cancer Center (CCCC)
Bolivar, Missouri, 65613, United States
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Centre Francois Baclesse - Service d'Oncologie Medicale
Caen, France
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Centre Hospitalier Intercommunal de Créteil - Service de Pneumologie
Créteil, France
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Centre Léon Bérard
Lyon, France
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Chi Mei Medical Center, Liou Ying
Tainan, Taiwan
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China Medical University Hospital
Taichung, Taiwan
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Cho Ray Hospital
Ho Chi Minh City, Vietnam
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Chonnam National University Hwasun Hospital
Hwasun-gun, South Korea
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Community Cancer Trials of Utah
Ogden, Utah, 84405, United States
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Community Health Network
Indianapolis, Indiana, 46250, United States
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Compassionate Care Research Group Inc - Edinger Medical Group, Inc.
Fountain Valley, California, 92708, United States
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Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169, United States
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Eastern Connecticut Hematology & Oncology Associates
Norwich, Connecticut, 06360, United States
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Evangelisches Krankenhaus Hamm GmbH
Hamm, Germany
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Evangelisches Krankenhaus Hamm gGmbH
Hamm, Germany
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FBI "Scientific Research Institute of Oncology n. a. N. N. Petrov"
Saint Petersburg, Russia
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Oncologia Medica
Lazio, Italy
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Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46845, United States
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Frederick Health- James M Stockman Cancer Institute
Frederick, Maryland, 21702, United States
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Fujian Cancer Hospital
Fuzhou, China
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Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17325, United States
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Groupe Hospitalier Sud - Hôpital Haut-Lévêque - Maison du Ha
Pessac, France
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Guangdong General Hospital
Guangzhou, China
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HCMC Oncology Hospital
Ho Chi Minh City, Vietnam
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Hamamatsu University School of Medicine, University Hospital - Dept of Respiratory Medicine
Hamamatsu, Japan
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Hawaii Cancer Care
Honolulu, Hawaii, 96813, United States
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Hematology Oncology Associates of Fredericksburg
Fredericksburg, Virginia, 22408, United States
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Holy Cross
Fort Lauderdale, Florida, 33308, United States
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Hopital Albert Calmette - CHU Lille - service de pneumologie et immuno allergologie
Nord, France
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Hopital Tenon - service pneumologie
Paris, France
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Hospital Cochin Service, Service de Pneumologie et Mucoviscidose
Paris, France
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Hospital Pulau Pinang - Clinic Respiratory
Pulau Pinang, Malaysia
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Hospital Regional Universitario de Malaga
Málaga, Spain
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Hospital Tengku Ampuan Afzan
Kuantan, Malaysia
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Hospital Umum Sarawak
Kuching, Malaysia
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Hospital Universitari Dexeus - Servicio de Oncologia Medica
Barcelona, Spain
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Hospital Universitari Quiron Dexeus - Servicio de Oncologia Medica
Barcelona, Spain
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Hospital Universitari Son Espases - Servicio de Oncologia Medica
Palma, Spain
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Hospital Universitari Vall d'Hebron - Dept of Oncology
Barcelona, Spain
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Hospital Universitari i Politecnic La Fe - Servicio de Oncologia Medica
Valencia, Spain
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Hospital Universitario HM Madrid Sanchinarro - Servicio de Oncologia
Madrid, Spain
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Hospital Universitario Materno-Infantil de Canarias - Servicio de Oncologia
Las Palmas de Gran Canaria, Spain
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Hospital Universitario Quiron Madrid - Unidad Integral de Oncologia
Pozuelo de Alarcón, Spain
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Hospital Universitario Virgen Macarena - Servicio de Oncologia
Seville, Spain
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Hospital del Mar - Servicio de Oncologia
Barcelona, Spain
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Hubei Cancer Hospital
Wuhan, China
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Hunan Cancer Hospital
Changsha, China
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Hyogo College of Medicine Hospital - Dept of Respiratory Medicine
Nishinomiya-shi, Japan
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ICO Badalona - Hospital Germans Trias i Pujol - Servicio de Oncologia Medica
Badalona, Spain
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ICO l´Hospitalet - Hospital Duran i Reynals - Servicio de Oncologia
L'Hospitalet de Llobregat, Spain
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IEO Istituto Europeo di Oncologia
Milan, Italy
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IOV - Istituto Oncologico Veneto IRCCS - Oncologia Medica 2
Padova, Italy
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Icon Cancer Centre
Connexion, Singapore
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Innovative Clinical Research Institute
Whittier, California, 92801, United States
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Istituto Clinico Humanitas
Rozzano, Italy
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Istituto Nazionale Tumori Regina Elena IRCCS - S.C. Oncologia Medica B
Roma, Italy
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Jiangsu Province Hospital
Nanjing, China
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Jilin Cancer Hospital - Oncology
Changchun, China
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K Hospital
Hanoi, Vietnam
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Kanagawa Cancer Center - Dept of Respiratory Medicine
Yokohama, Japan
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Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, Taiwan
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Kindai University Hospital
Osakasayama-shi, Japan
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King Chulalongkorn Memorial Hospital
Pathumwan, Thailand
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Korea University Anam Hospital
Seoul, South Korea
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Kurume University Hospital
Kurume-shi, Japan
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LLC "ClinicaUZI4D"
Pyatigorsk, Russia
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LLC "Tonus"
Nizniy Novgorod, Russia
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Liaoning Cancer Hospital & Institute
Shenyang, China
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Linyi Tumor Hospital
Linyi, China
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Maastricht University Medical Center - Dept of Medical Oncology
Maastricht, Netherlands
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Maharaj Nakorn Chiang Mai Hospital
Muang, Thailand
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Mary Crowley Cancer Research
Dallas, Texas, 75230, United States
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Medstar Franklin Square Clinical Research Center
Baltimore, Maryland, 21237, United States
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Memorial Care
Long Beach, California, 90806, United States
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Memorial Healthcare System
Hollywood, Florida, 33021, United States
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Missionsärztliche Klinik
Würzburg, Germany
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Mosaic Life Care
Saint Joseph, Missouri, 64507, United States
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NHO Yamaguchi - Ube Medical Center
Ube-shi, Japan
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NYU Langone Clinical Cancer Center - NYU Langone Medical Cente
New York, New York, 10016, United States
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NYU Langone Clinical Cancer Center - NYU Langone Medical Center
New York, New York, 10016, United States
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Nagoya University Hospital - Dept of Respiratory Medicine
Nagoya, Japan
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National Cancer Center
Goyang-si, South Korea
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National Cancer Centre - Medical Oncology Pharmacy
Singapore, Singapore
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National Lungs Hospital
Hanoi, Vietnam
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National Taiwan University Hospital
Taipei, Taiwan
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New Jersey Cancer Care and Blood Disorders
Belleville, New Jersey, 07109, United States
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Niigata Cancer Center Hospital - Dept of Internal Medicine
Niigata, Japan
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Northwest Medical Specialties
Tacoma, Washington, 98405, United States
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Norton Cancer Institute
Louisville, Kentucky, 40202, United States
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Ocala Oncology
Ocala, Florida, 34474, United States
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OhioHealth
Columbus, Ohio, 43214, United States
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Okayama University Hospital - Dept of Respiratory Medicine/Allergy
Okayama, Japan
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Oklahoma Cancer Specialists and Research Institute
Tulsa, Oklahoma, 74146, United States
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Oregon Oncology Specialists
Salem, Oregon, 97301, United States
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Osaka City General Hospital
Osaka, Japan
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Ospedale Monaldi
Naples, Italy
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POIS Leipzig GbR
Leipzig, Germany
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Pantai Hospital Kuala Lumpur
Kuala Lumpur, Malaysia
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Pavlov First Saint Petersburg State Medical University - Research Institute of Pulmunology
Saint Petersburg, Russia
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Peking Union Medical College Hospital
Beijing, China
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Peking University Cancer Hospital
Beijing, China
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Pham Ngoc Thach Hospital
Ho Chi Minh City, Vietnam
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Pius-Hospital Oldenburg - Klinik f. Haematologie und Onkologie
Oldenburg, Germany
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Pontchartrain
Hammond, Louisiana, 70433, United States
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Queen Elizabeth Hospital - Department of Medicine
Hong Kong, Hong Kong
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SBHI "Krasnoyarsk Regional Oncology Dispensary n.a. A.I. Kryzhanovsky"
Krasnoyarsk, Russia
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Saitama Cancer Center
Kitaadachi-gun, Japan
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Samsung Medical Center
Seoul, South Korea
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Sanford Health
Sioux Falls, South Dakota, 57104, United States
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Seoul National University Bundang Hospital
Seongnam-si, South Korea
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Seoul National University Hospital
Seoul, South Korea
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Shanghai Cancer Hospital, Fudan University
Shanghai, China
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Shanghai Chest Hospital
Shanghai, China
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Siriraj Hospital
Bangkoknoi, Thailand
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Songklanagarind Hospital
Hat Yai, Thailand
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Southcoast Center for Cancer Care
Fairhaven, Massachusetts, 02719, United States
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Southeastern Medical Oncology Center
Goldsboro, North Carolina, 27534, United States
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Sparrow Hospital Herbert - Herman Cancer Center
Lansing, Michigan, 48912, United States
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St. Louis Cancer Care, LLP
Bridgeton, Missouri, 63044, United States
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Staedtisches Krankenhaus Kiel
Kiel, Germany
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Summit Medical Group
Florham Park, New Jersey, 07932, United States
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Sunway Medical Centre
Petaling Jaya, Selangor, Malaysia
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Taichung Veterans General Hospital
Taichung, Taiwan
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Taipei Veterans General Hospital
Taipei, Taiwan
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Tan Tock Seng Hospital - CTRU/OCS, Research
Singapore, Singapore
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Tennessee Oncology
Nashville, Tennessee, 37201, United States
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The Affiliated Cancer Hospital of Xinjiang Medical university
Ürümqi, China
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The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, South Korea
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The Center for Cancer & Blood Disorders - Maryland
Bethesda, Maryland, 20817, United States
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The Chinese University of Hong Kong - Emergency Medicine
Shatin, Hong Kong
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The First Affiliated Hospital, Zhejiang University
Hangzhou, China
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The First Hospital of Jilin University
Changchun, China
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The Netherlands Cancer Institute
Amsterdam, Netherlands
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The University of Hong Kong
Hong Kong, Hong Kong
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Thoraxklinik-Heidelberg gGmbH
Heidelberg, Germany
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Tri-Service General Hospital
Taipei, Taiwan
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UZ Antwerpen - Department of Oncology
Edegem, Belgium
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UZ Leuven
Gasthuisberg, Belgium
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Ulsan University Hospital
Ulsan, South Korea
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Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, China
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Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Germany
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Universitaetsklinikum Giessen und Marburg GmbH Standort Giessen
Giessen, Germany
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Universitaetsklinikum Koeln - Innere Medizin I, Onkologie, Haematologie
Cologne, Germany
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Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
Lübeck, Germany
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Universitaetsmedizin Goettingen
Göttingen, Germany
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Universitair Medisch Centrum Groningen - Department of Internal Medicine
Groningen, Netherlands
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University Cancer and Blood Center
Athens, Georgia, 30607, United States
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University Hospitals Seidman
Cleveland, Ohio, 44106, United States
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University Malaya Medical Centre
Kuala Lumpur, Malaysia
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University of Chicago Medical Center
Chicago, Illinois, 60637, United States
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University of Texas MD Anderson Cancer Center - Unit 432 Thoracic Head and Neck Medical Oncology
Houston, Texas, 77030, United States
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Utah Cancer Specialists
Salt Lake City, Utah, 84106, United States
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Ventura County Hematology Oncology Specialists
Oxnard, California, 93030, United States
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Weill Cornell Medical College - Gastroenterology
New York, New York, 10021, United States
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West China Hospital, Sichuan University
Chengdu, China
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Yuma Regional Medical Center
Yuma, Arizona, 85364, United States
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Zhejiang Cancer Hospital
Hangzhou, China
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