RecruitingRecruiting
Targeted Treatment for Advanced Non-Small Cell Lung Cancer That Has a MET Exon 14 Skipping Gene Change (An Expanded Lung-MAP Treatment Trial)
NCT06031688 · SWOG Cancer Research Network
In plain English
Click the button to translate this study into plain language — what it is, who qualifies, and what participation looks like.
Official title
A Randomized Phase II Study of Tepotinib With or Without Ramucirumab in Participants With MET Exon 14 Skipping Positive Stage IV or Recurrent Non-Small Cell Lung Cancer (LUNG-MAP SUB-STUDY)
About this study
PRIMARY OBJECTIVE:
I. To compare the response rate (confirmed or unconfirmed, complete or partial) between participants with MET exon 14 skipping positive non-small cell lung cancer (NSCLC) randomized to tepotinib with or without ramucirumab.
SECONDARY OBJECTIVES:
I. To compare the frequency of all-grade treatment- related peripheral edema as defined by Common Terminology Criteria for Adverse Events (CTCAE) between the arms.
II. To evaluate the frequency and severity of toxicities within each arm. III. To compare progression-free survival between the arms. IV. To compare overall survival between the arms. V. To estimate the duration of response (DoR) among responders within each arm.
TRANSLATIONAL MEDICINE OBJECTIVE:
I. To establish a tissue/blood repository for participants with MET exon 14 skipping non-small cell lung cancer (NSCLC).
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM A: Patients receive ramucirumab intravenously (IV) over 30-60 minutes on day 1 of each cycle and tepotinib orally (PO) once daily (QD) on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.
ARM B: Patients receive tepotinib PO QD on days 1-21 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Patients optionally undergo lymphoscintigraphy scan at screening prior to treatment, at the first occurrence of peripheral edema (defined as the development of grade ≥ 1 CTCAE Edema Limbs affecting either the arms, hands, or legs), and if peripheral edema increases in attribution. Patients also undergo blood collection, computed tomography (CT) scan and/or magnetic resonance imaging (MRI) throughout the trial. Additionally, patients undergo urine collection during screening and on study.
After completion of study treatment, patients are followed-up every 12 weeks or more often as clinically indicated until progression and then every 6 months for 2 years and at the end of 3 years from date of sub-study randomization.
Eligibility criteria
Inclusion Criteria:
* Participants must have been assigned to S1900K by the Southwest Oncology Group (SWOG) Statistics and Data Management Center (SDMC). Assignment to S1900K is determined by the LUNGMAP protocol
* Participants must have documentation of stage IV or recurrent NSCLC with a MET exon 14 skipping mutation determined by tissue-based or blood-based (circulating tumor DNA \[ctDNA\]) next generation sequencing (NGS) assay done within a laboratory with Clinical Laboratory Improvement Act (CLIA), International Organization for Standardization (ISO)/ International Electrotechnical Commission (IEC), College of American Pathologists (CAP), or similar certification. Documentation must either be:
* NGS test results from tissue submitted for LUNGMAP screening, or
* Submitted documentation in the LUNGMAP Rave Electronic Data Capture System of a MET exon 14 skipping mutation from a previously completed tissue or blood-based NGS test
* Participants must have measurable disease documented by CT or MRI. The CT from a combined positron emission tomography (PET)/CT may be used to document measurable disease ONLY if it is of diagnostic quality, otherwise, it may be used to document non-measurable disease only. Measurable disease must be assessed within 28 days prior to sub-study randomization. Pleural effusions, ascites and laboratory parameters are not acceptable as the only evidence of disease. Non-measurable disease must be assessed within 42 days prior to sub-study randomization. All known sites of disease must be assessed and documented on the Baseline Tumor Assessment Form. Participants whose only measurable disease is within a previous radiation therapy port must demonstrate clearly progressive disease (in the opinion of the treating investigator) prior to sub-study randomization to be considered measurable
* Participants must have a CT or MRI scan of the brain to evaluate for central nervous system (CNS) disease within 42 days prior to sub-study randomization
* Participants must not have leptomeningeal disease, spinal cord compression or brain metastases unless:
* Metastases have been locally treated and have remained clinically controlled and asymptomatic for at least 3 days following the stereotactic radiation and/or 14 days following whole brain radiation, and prior to sub-study randomization, AND
* Participant has no residual neurological dysfunction and has been off corticosteroids for at least 24 hours prior to sub-study randomization
* Participants must not have other known actionable oncogenic alterations, such as (but not limited to) EGFR sensitizing mutations, EGFR T790M mutation, ALK gene fusion, ROS1 gene rearrangement, RET gene rearrangement, NTRK rearrangement, HER2 mutation, KRAS activating mutations, and BRAF V600E mutation
* Participants who have received at least one line of systemic treatment for stage IV or recurrent NSCLC must have progressed (in the opinion of the treating physician) following the most recent line of therapy. Participants who have not yet received systemic treatment for their stage IV or recurrent NSCLC are allowed
* Participants may have received any number of lines of therapy for stage IV or recurrent NSCLC (including zero) and must be able to report prior treatment information
* Participants must have recovered (=\< grade 1) from any side effects of prior therapy for NSCLC except alopecia and vitiligo
* Participants must not have received any prior systemic therapy (systemic chemotherapy, immunotherapy or investigational drug) within 21 days prior to sub-study randomization
* Participants must not have received treatment with prior MET inhibitor therapies (e.g., crizotinib, tivantinib, savolitinib, tepotinib, cabozantinib, and foretinib).
* Participants must not have received treatment with prior angiogenesis inhibitor therapies (including but not limited to bevacizumab and ramucirumab)
* Participants must not have a history of interstitial lung disease that required steroid treatment
* Participants must not have received any radiation therapy within 7 days prior to sub-study randomization with the exceptions of
* Stereotactic radiation to CNS metastases which must have been completed at least 3 days prior to sub-study randomization and
* Palliative radiotherapy to bone metastases which must have been completed at least 1 day prior to sub-study randomization
* Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment while receiving treatment on this study
* Participants must not have had a major surgery within 14 days prior to sub-study randomization. Participants must have fully recovered from the effects of prior surgery in the opinion of the treating investigator
* Participants must not have a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the investigational regimen
* Absolute neutrophil count \>= 1.5 x 10\^3/uL (within 28 days prior to sub-study randomization)
* Hemoglobin \>= 9.0 g/dL (within 28 days prior to sub-study randomization)
* Platelets \>= 100 x 10\^3/uL (within 28 days prior to sub-study randomization)
* Total bilirubin =\< 1.5 x institutional upper limit of normal (ULN) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin =\< 5 x institutional ULN (within 28 days prior to sub-study randomization)
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 2.5 × institutional ULN. Participants with history of liver metastasis must have AST and ALT =\< 5 x ULN (within 28 days prior to sub-study randomization)
* Participants must have a serum creatinine =\< the institutional upper limit of normal (IULN) or calculated creatinine clearance \>= 30 mL/min using the following Cockcroft-Gault Formula. This specimen must have been drawn and processed within 28 days prior to sub-study randomization
* Participants must have a cystatin C test performed to obtain baseline value within 28 days prior to sub-study randomization
* Participants' most recent Zubrod performance status must be 0-1 and be documented within 28 days prior to sub-study randomization
* Participants must have a completed medical history and physical exam within 28 days prior to sub-study randomization
* Participants must have adequate cardiac function. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants must be class 2B or better
* Participants with known human immunodeficiency virus (HIV)-infection must be on effective anti-retroviral therapy and have undetectable viral load test on the most recent test results obtained within 6 months prior to sub-study randomization
* Participants with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load while on suppressive therapy on the most recent test results obtained within 6 months prior to sub-study randomization, if indicated by the treating investigator
* Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. Participants currently being treated for HCV infection must have undetectable HCV viral load test on the most recent test results obtained within 6 months prior to sub-study randomization, if indicated by the treating investigator
* Participants must not have cirrhosis at a level of Child-Pugh B (or worse) OR any degree of cirrhosis AND a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis
* Participants must not have grade \< 0 of peripheral edema within 28 days prior to sub-study randomization
* Participants must not have experienced any arterial thromboembolic events, including but not limited to transient ischemic attack or cerebrovascular accident within 6 months prior to sub-study randomization
* Participants must not have uncontrolled blood pressure and hypertension within 28 days prior to sub-study randomization
* Participants must not be pregnant or breastfeeding (nursing includes breast milk fed to an infant by any means, including from the breast, milk expressed by hand, or pumped). Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen
* Participants must also be offered participation in specimen banking. With participant consent, specimens must be collected and submitted via the SWOG Specimen Tracking System
* Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines
* NOTE: Participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations
Study design
Enrollment target: 56 participants
Allocation: randomized
Masking: none
Age groups: child, adult, older_adult
Timeline
Starts: 2024-08-08
Estimated completion: 2028-05-31
Last updated: 2026-05-05
Interventions
Procedure: Biospecimen CollectionProcedure: Computed TomographyProcedure: LymphoscintigraphyProcedure: Magnetic Resonance ImagingBiological: RamucirumabDrug: Tepotinib
Primary outcomes
- • Response rate (Up to 3 years from date of sub-study randomization)
Sponsor
SWOG Cancer Research Network · network
With: National Cancer Institute (NCI)
Contacts & investigators
InvestigatorPaul K Paik · principal_investigator, SWOG Cancer Research Network
All locations (266)
Gulf Health Hospitals Inc/Infirmary Cancer Care - MalbisRecruiting
Daphne, Alabama, United States
Thomas HospitalRecruiting
Fairhope, Alabama, United States
Mobile Infirmary Medical CenterRecruiting
Mobile, Alabama, United States
Gulf Health Hospitals Inc/Infirmary Cancer Care - SaralandRecruiting
Saraland, Alabama, United States
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - JonesboroRecruiting
Jonesboro, Arkansas, United States
University of Arkansas for Medical SciencesRecruiting
Little Rock, Arkansas, United States
Kaiser Permanente-AnaheimActive Not Recruiting
Anaheim, California, United States
Sutter Auburn Faith HospitalRecruiting
Auburn, California, United States
Kaiser Permanente-Baldwin ParkActive Not Recruiting
Baldwin Park, California, United States
Kaiser Permanente-BellflowerActive Not Recruiting
Bellflower, California, United States
Alta Bates Summit Medical Center-Herrick CampusRecruiting
Berkeley, California, United States
Tower Cancer Research FoundationRecruiting
Beverly Hills, California, United States
Kaiser Permanente-FontanaActive Not Recruiting
Fontana, California, United States
Palo Alto Medical Foundation-FremontRecruiting
Fremont, California, United States
Kaiser Permanente South BayActive Not Recruiting
Harbor City, California, United States
Kaiser Permanente-IrvineActive Not Recruiting
Irvine, California, United States
UC San Diego Moores Cancer CenterRecruiting
La Jolla, California, United States
Kaiser Permanente Los Angeles Medical CenterActive Not Recruiting
Los Angeles, California, United States
Kaiser Permanente West Los AngelesActive Not Recruiting
Los Angeles, California, United States
Cedars-Sinai Medical CenterRecruiting
Los Angeles, California, United States
Memorial Medical CenterRecruiting
Modesto, California, United States
Kaiser Permanente-OntarioActive Not Recruiting
Ontario, California, United States
Palo Alto Medical Foundation Health CareSuspended
Palo Alto, California, United States
Kaiser Permanente - Panorama CityActive Not Recruiting
Panorama City, California, United States
Eisenhower Medical CenterRecruiting
Rancho Mirage, California, United States
Kaiser Permanente-RiversideActive Not Recruiting
Riverside, California, United States
Sutter Roseville Medical CenterRecruiting
Roseville, California, United States
Sutter Medical Center SacramentoRecruiting
Sacramento, California, United States
University of California Davis Comprehensive Cancer CenterRecruiting
Sacramento, California, United States
Kaiser Permanente-San Diego ZionActive Not Recruiting
San Diego, California, United States
California Pacific Medical Center-Pacific CampusRecruiting
San Francisco, California, United States
Kaiser Permanente-San FranciscoRecruiting
San Francisco, California, United States
Kaiser Permanente-San MarcosActive Not Recruiting
San Marcos, California, United States
Mills Health CenterRecruiting
San Mateo, California, United States
Palo Alto Medical Foundation-Santa CruzRecruiting
Santa Cruz, California, United States
Sutter Pacific Medical FoundationRecruiting
Santa Rosa, California, United States
Palo Alto Medical Foundation-SunnyvaleRecruiting
Sunnyvale, California, United States
Cedars-Sinai Cancer - TarzanaRecruiting
Tarzana, California, United States
Torrance Memorial Physician Network - Cancer CareRecruiting
Torrance, California, United States
Kaiser Permanente-VallejoRecruiting
Vallejo, California, United States
Sutter Solano Medical Center/Cancer CenterRecruiting
Vallejo, California, United States
Kaiser Permanente-Woodland HillsActive Not Recruiting
Woodland Hills, California, United States
UCHealth University of Colorado HospitalRecruiting
Aurora, Colorado, United States
UCHealth Memorial Hospital CentralRecruiting
Colorado Springs, Colorado, United States
Memorial Hospital NorthRecruiting
Colorado Springs, Colorado, United States
Poudre Valley HospitalRecruiting
Fort Collins, Colorado, United States
Cancer Care and Hematology-Fort CollinsRecruiting
Fort Collins, Colorado, United States
UCHealth Greeley HospitalRecruiting
Greeley, Colorado, United States
Medical Center of the RockiesRecruiting
Loveland, Colorado, United States
Smilow Cancer Hospital-Derby Care CenterRecruiting
Derby, Connecticut, United States
Smilow Cancer Hospital Care Center-FairfieldRecruiting
Fairfield, Connecticut, United States
Smilow Cancer Hospital Care Center at GlastonburyRecruiting
Glastonbury, Connecticut, United States
Smilow Cancer Hospital Care Center at GreenwichRecruiting
Greenwich, Connecticut, United States
Smilow Cancer Hospital Care Center - GuilfordRecruiting
Guilford, Connecticut, United States
Smilow Cancer Hospital Care Center at Saint FrancisRecruiting
Hartford, Connecticut, United States
Yale UniversityRecruiting
New Haven, Connecticut, United States
Yale-New Haven Hospital North Haven Medical CenterRecruiting
North Haven, Connecticut, United States
Smilow Cancer Hospital Care Center at Long RidgeRecruiting
Stamford, Connecticut, United States
Smilow Cancer Hospital-Torrington Care CenterRecruiting
Torrington, Connecticut, United States
Smilow Cancer Hospital Care Center-TrumbullRecruiting
Trumbull, Connecticut, United States
Smilow Cancer Hospital-Waterbury Care CenterRecruiting
Waterbury, Connecticut, United States
Smilow Cancer Hospital Care Center - WaterfordRecruiting
Waterford, Connecticut, United States
Bayhealth Hospital Kent CampusRecruiting
Dover, Delaware, United States
Bayhealth Hospital Sussex CampusRecruiting
Milford, Delaware, United States
Kaiser Permanente-Capitol Hill Medical CenterRecruiting
Washington D.C., District of Columbia, United States
Moffitt Cancer CenterRecruiting
Tampa, Florida, United States
University Cancer and Blood Center LLCRecruiting
Athens, Georgia, United States
Northeast Georgia Medical Center-GainesvilleRecruiting
Gainesville, Georgia, United States
Saint Alphonsus Cancer Care Center-BoiseRecruiting
Boise, Idaho, United States
Saint Alphonsus Cancer Care Center-CaldwellRecruiting
Caldwell, Idaho, United States
Kootenai Health - Coeur d'AleneRecruiting
Coeur d'Alene, Idaho, United States
Saint Alphonsus Cancer Care Center-NampaRecruiting
Nampa, Idaho, United States
Kootenai Clinic Cancer Services - Post FallsRecruiting
Post Falls, Idaho, United States
Kootenai Clinic Cancer Services - SandpointRecruiting
Sandpoint, Idaho, United States
Illinois CancerCare-BloomingtonRecruiting
Bloomington, Illinois, United States
Illinois CancerCare-CantonRecruiting
Canton, Illinois, United States
Illinois CancerCare-CarthageRecruiting
Carthage, Illinois, United States
Northwestern UniversityRecruiting
Chicago, Illinois, United States
John H Stroger Jr Hospital of Cook CountyRecruiting
Chicago, Illinois, United States
Carle at The RiverfrontRecruiting
Danville, Illinois, United States
Cancer Care Specialists of Illinois - DecaturRecruiting
Decatur, Illinois, United States
Decatur Memorial HospitalRecruiting
Decatur, Illinois, United States
Northwestern Medicine Cancer Center KishwaukeeRecruiting
DeKalb, Illinois, United States
Illinois CancerCare-DixonRecruiting
Dixon, Illinois, United States
Carle Physician Group-EffinghamRecruiting
Effingham, Illinois, United States
Crossroads Cancer CenterRecruiting
Effingham, Illinois, United States
Illinois CancerCare-EurekaRecruiting
Eureka, Illinois, United States
Illinois CancerCare-GalesburgRecruiting
Galesburg, Illinois, United States
Northwestern Medicine Cancer Center DelnorRecruiting
Geneva, Illinois, United States
Northwestern Medicine Glenview Outpatient CenterRecruiting
Glenview, Illinois, United States
Northwestern Medicine Grayslake Outpatient CenterRecruiting
Grayslake, Illinois, United States
Edward Hines Jr VA HospitalRecruiting
Hines, Illinois, United States
Illinois CancerCare-Kewanee ClinicRecruiting
Kewanee, Illinois, United States
Northwestern Medicine Lake Forest HospitalRecruiting
Lake Forest, Illinois, United States
Illinois CancerCare-MacombRecruiting
Macomb, Illinois, United States
Carle Physician Group-Mattoon/CharlestonRecruiting
Mattoon, Illinois, United States
Loyola University Medical CenterRecruiting
Maywood, Illinois, United States
Cancer Care Center of O'FallonRecruiting
O'Fallon, Illinois, United States
Northwestern Medicine Oak BrookRecruiting
Oak Brook, Illinois, United States
Northwestern Medicine Orland ParkRecruiting
Orland Park, Illinois, United States
Illinois CancerCare-Ottawa ClinicRecruiting
Ottawa, Illinois, United States
Illinois CancerCare-PekinRecruiting
Pekin, Illinois, United States
Illinois CancerCare-PeoriaRecruiting
Peoria, Illinois, United States
Illinois CancerCare-PeruRecruiting
Peru, Illinois, United States
Illinois CancerCare-PrincetonRecruiting
Princeton, Illinois, United States
Memorial Hospital EastRecruiting
Shiloh, Illinois, United States
Southern Illinois University School of MedicineRecruiting
Springfield, Illinois, United States
Springfield ClinicRecruiting
Springfield, Illinois, United States
Springfield Memorial HospitalRecruiting
Springfield, Illinois, United States
Carle Cancer CenterRecruiting
Urbana, Illinois, United States
Northwestern Medicine Cancer Center WarrenvilleRecruiting
Warrenville, Illinois, United States
Illinois CancerCare - WashingtonRecruiting
Washington, Illinois, United States
Indiana University/Melvin and Bren Simon Cancer CenterRecruiting
Indianapolis, Indiana, United States
Mary Greeley Medical CenterRecruiting
Ames, Iowa, United States
McFarland Clinic - AmesRecruiting
Ames, Iowa, United States
UI Health Care Mission Cancer and Blood - Ankeny ClinicRecruiting
Ankeny, Iowa, United States
McFarland Clinic - BooneSuspended
Boone, Iowa, United States
UI Health Care Mission Cancer and Blood - West Des Moines ClinicRecruiting
Clive, Iowa, United States
Iowa Methodist Medical CenterRecruiting
Des Moines, Iowa, United States
UI Health Care Mission Cancer and Blood - Des Moines ClinicRecruiting
Des Moines, Iowa, United States
UI Health Care Mission Cancer and Blood - Laurel ClinicRecruiting
Des Moines, Iowa, United States
McFarland Clinic - Trinity Cancer CenterRecruiting
Fort Dodge, Iowa, United States
McFarland Clinic - JeffersonSuspended
Jefferson, Iowa, United States
McFarland Clinic - MarshalltownRecruiting
Marshalltown, Iowa, United States
UI Health Care Mission Cancer and Blood - Waukee ClinicRecruiting
Waukee, Iowa, United States
University of Kansas Clinical Research CenterRecruiting
Fairway, Kansas, United States
HaysMedRecruiting
Hays, Kansas, United States
University of Kansas Cancer CenterRecruiting
Kansas City, Kansas, United States
Lawrence Memorial HospitalRecruiting
Lawrence, Kansas, United States
The University of Kansas Cancer Center - OlatheRecruiting
Olathe, Kansas, United States
University of Kansas Cancer Center-Overland ParkRecruiting
Overland Park, Kansas, United States
University of Kansas Hospital-Indian Creek CampusRecruiting
Overland Park, Kansas, United States
Salina Regional Health CenterRecruiting
Salina, Kansas, United States
University of Kansas Health System Saint Francis CampusRecruiting
Topeka, Kansas, United States
University of Kansas Hospital-Westwood Cancer CenterRecruiting
Westwood, Kansas, United States
University of Kentucky/Markey Cancer CenterRecruiting
Lexington, Kentucky, United States
Lafayette Family Cancer Center-EMMCRecruiting
Brewer, Maine, United States
Kaiser Permanente-Woodlawn Medical CenterRecruiting
Baltimore, Maryland, United States
Kaiser Permanente-Gaithersburg Medical CenterRecruiting
Gaithersburg, Maryland, United States
Kaiser Permanente - Largo Medical CenterRecruiting
Largo, Maryland, United States
Kaiser Permanente Lutherville - Timonium Medical CenterRecruiting
Lutherville, Maryland, United States
UMass Memorial Medical Center - University CampusRecruiting
Worcester, Massachusetts, United States
Trinity Health Saint Joseph Mercy Hospital Ann ArborRecruiting
Ann Arbor, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - BrightonRecruiting
Brighton, Michigan, United States
Trinity Health Medical Center - BrightonRecruiting
Brighton, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - CantonRecruiting
Canton, Michigan, United States
Trinity Health Medical Center - CantonRecruiting
Canton, Michigan, United States
Chelsea HospitalRecruiting
Chelsea, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - Chelsea HospitalRecruiting
Chelsea, Michigan, United States
Cancer Hematology Centers - FlintRecruiting
Flint, Michigan, United States
Genesee Hematology Oncology PCSuspended
Flint, Michigan, United States
Genesys Hurley Cancer InstituteRecruiting
Flint, Michigan, United States
Hurley Medical CenterRecruiting
Flint, Michigan, United States
University of Michigan Health - Sparrow LansingRecruiting
Lansing, Michigan, United States
Trinity Health Saint Mary Mercy Livonia HospitalRecruiting
Livonia, Michigan, United States
Trinity Health Saint Joseph Mercy Oakland HospitalRecruiting
Pontiac, Michigan, United States
MyMichigan Medical Center SaginawRecruiting
Saginaw, Michigan, United States
Oncology Hematology Associates of Saginaw Valley PCSuspended
Saginaw, Michigan, United States
MyMichigan Medical Center TawasRecruiting
Tawas City, Michigan, United States
Saint Mary's Oncology/Hematology Associates of West BranchSuspended
West Branch, Michigan, United States
Huron Gastroenterology PCRecruiting
Ypsilanti, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor CampusRecruiting
Ypsilanti, Michigan, United States
Sanford Joe Lueken Cancer CenterRecruiting
Bemidji, Minnesota, United States
Essentia Health - Deer River ClinicRecruiting
Deer River, Minnesota, United States
Essentia Health Cancer CenterRecruiting
Duluth, Minnesota, United States
Essentia Health Hibbing ClinicRecruiting
Hibbing, Minnesota, United States
Essentia Health SandstoneRecruiting
Sandstone, Minnesota, United States
Essentia Health Virginia ClinicRecruiting
Virginia, Minnesota, United States
Baptist Memorial Hospital and Cancer Center-Golden TriangleRecruiting
Columbus, Mississippi, United States
Baptist Cancer Center-GrenadaRecruiting
Grenada, Mississippi, United States
Baptist Memorial Hospital and Cancer Center-Union CountyRecruiting
New Albany, Mississippi, United States
Baptist Memorial Hospital and Cancer Center-OxfordRecruiting
Oxford, Mississippi, United States
Baptist Memorial Hospital and Cancer Center-DesotoRecruiting
Southhaven, Mississippi, United States
Saint Francis Medical CenterRecruiting
Cape Girardeau, Missouri, United States
Siteman Cancer Center at Saint Peters HospitalRecruiting
City of Saint Peters, Missouri, United States
Siteman Cancer Center at West County HospitalRecruiting
Creve Coeur, Missouri, United States
University Health Truman Medical CenterRecruiting
Kansas City, Missouri, United States
Saint Luke's Hospital of Kansas CityActive Not Recruiting
Kansas City, Missouri, United States
University of Kansas Cancer Center - BriarcliffRecruiting
Kansas City, Missouri, United States
University of Kansas Cancer Center - NorthRecruiting
Kansas City, Missouri, United States
University of Kansas Cancer Center - Lee's SummitRecruiting
Lee's Summit, Missouri, United States
Saint Luke's East - Lee's SummitActive Not Recruiting
Lee's Summit, Missouri, United States
University of Kansas Cancer Center at North Kansas City HospitalSuspended
North Kansas City, Missouri, United States
Washington University School of MedicineRecruiting
St Louis, Missouri, United States
Mercy Hospital SouthRecruiting
St Louis, Missouri, United States
Siteman Cancer Center-South CountyRecruiting
St Louis, Missouri, United States
Siteman Cancer Center at Christian HospitalRecruiting
St Louis, Missouri, United States
Community Hospital of AnacondaRecruiting
Anaconda, Montana, United States
Billings Clinic Cancer CenterRecruiting
Billings, Montana, United States
Bozeman Health Deaconess HospitalRecruiting
Bozeman, Montana, United States
Benefis Sletten Cancer InstituteRecruiting
Great Falls, Montana, United States
Logan Health Medical CenterRecruiting
Kalispell, Montana, United States
Community Medical CenterRecruiting
Missoula, Montana, United States
OptumCare Cancer Care at CharlestonRecruiting
Las Vegas, Nevada, United States
OptumCare Cancer Care at Fort ApacheRecruiting
Las Vegas, Nevada, United States
New Hampshire Oncology Hematology PA-ConcordRecruiting
Concord, New Hampshire, United States
Solinsky Center for Cancer CareRecruiting
Manchester, New Hampshire, United States
Memorial Sloan Kettering Basking RidgeRecruiting
Basking Ridge, New Jersey, United States
Memorial Sloan Kettering MonmouthRecruiting
Middletown, New Jersey, United States
Memorial Sloan Kettering BergenRecruiting
Montvale, New Jersey, United States
Virtua Samson Cancer CenterRecruiting
Moorestown, New Jersey, United States
Virtua VoorheesRecruiting
Voorhees Township, New Jersey, United States
Memorial Sloan Kettering CommackRecruiting
Commack, New York, United States
Mary Imogene Bassett HospitalActive Not Recruiting
Cooperstown, New York, United States
Memorial Sloan Kettering WestchesterRecruiting
Harrison, New York, United States
Memorial Sloan Kettering Cancer CenterRecruiting
New York, New York, United States
University of RochesterRecruiting
Rochester, New York, United States
Memorial Sloan Kettering NassauRecruiting
Uniondale, New York, United States
FirstHealth of the Carolinas-Moore Regional HospitalRecruiting
Pinehurst, North Carolina, United States
Sanford Bismarck Medical CenterRecruiting
Bismarck, North Dakota, United States
Sanford Broadway Medical CenterRecruiting
Fargo, North Dakota, United States
Sanford Roger Maris Cancer CenterRecruiting
Fargo, North Dakota, United States
Aultman Health FoundationRecruiting
Canton, Ohio, United States
Miami Valley Hospital SouthRecruiting
Centerville, Ohio, United States
Ohio State University Comprehensive Cancer CenterRecruiting
Columbus, Ohio, United States
Miami Valley HospitalRecruiting
Dayton, Ohio, United States
Premier Blood and Cancer CenterRecruiting
Dayton, Ohio, United States
Miami Valley Hospital NorthRecruiting
Dayton, Ohio, United States
Atrium Medical Center-Middletown Regional HospitalRecruiting
Franklin, Ohio, United States
Miami Valley Cancer Care and InfusionRecruiting
Greenville, Ohio, United States
ProMedica Flower HospitalRecruiting
Sylvania, Ohio, United States
Upper Valley Medical CenterRecruiting
Troy, Ohio, United States
Cancer Centers of Southwest Oklahoma ResearchRecruiting
Lawton, Oklahoma, United States
University of Oklahoma Health Sciences CenterRecruiting
Oklahoma City, Oklahoma, United States
Providence Newberg Medical CenterRecruiting
Newberg, Oregon, United States
Saint Alphonsus Cancer Care Center-OntarioRecruiting
Ontario, Oregon, United States
Providence Willamette Falls Medical CenterRecruiting
Oregon City, Oregon, United States
Providence Portland Medical CenterRecruiting
Portland, Oregon, United States
Providence Saint Vincent Medical CenterRecruiting
Portland, Oregon, United States
Kaiser Permanente NorthwestRecruiting
Portland, Oregon, United States
Oregon Health and Science UniversityRecruiting
Portland, Oregon, United States
WellSpan Medical Oncology and HematologyRecruiting
Chambersburg, Pennsylvania, United States
Geisinger Medical CenterRecruiting
Danville, Pennsylvania, United States
Geisinger Cancer Center Dickson CityRecruiting
Dickson City, Pennsylvania, United States
Ephrata Cancer CenterRecruiting
Ephrata, Pennsylvania, United States
Adams Cancer CenterRecruiting
Gettysburg, Pennsylvania, United States
Sechler Family Cancer CenterRecruiting
Lebanon, Pennsylvania, United States
Geisinger Medical Oncology-LewisburgRecruiting
Lewisburg, Pennsylvania, United States
Community Medical CenterRecruiting
Scranton, Pennsylvania, United States
Geisinger Wyoming Valley/Henry Cancer CenterRecruiting
Wilkes-Barre, Pennsylvania, United States
Cancer Care Associates of YorkRecruiting
York, Pennsylvania, United States
WellSpan Health-York Cancer CenterRecruiting
York, Pennsylvania, United States
WellSpan Health-York HospitalRecruiting
York, Pennsylvania, United States
AnMed Health Cancer CenterRecruiting
Anderson, South Carolina, United States
Medical University of South CarolinaSuspended
Charleston, South Carolina, United States
Sanford Cancer Center Oncology ClinicRecruiting
Sioux Falls, South Dakota, United States
Sanford USD Medical Center - Sioux FallsRecruiting
Sioux Falls, South Dakota, United States
Baptist Memorial Hospital and Cancer Center-ColliervilleRecruiting
Collierville, Tennessee, United States
Baptist Memorial Hospital and Cancer Center-MemphisRecruiting
Memphis, Tennessee, United States
The Don and Sybil Harrington Cancer CenterRecruiting
Amarillo, Texas, United States
Huntsman Cancer Institute/University of UtahRecruiting
Salt Lake City, Utah, United States
Kaiser Permanente Tysons Corner Medical CenterRecruiting
McLean, Virginia, United States
Kaiser Permanente-Caton Hill Medical CenterRecruiting
Woodbridge, Virginia, United States
Swedish Cancer Institute-EdmondsRecruiting
Edmonds, Washington, United States
Swedish Cancer Institute-IssaquahRecruiting
Issaquah, Washington, United States
Swedish Medical Center-First HillRecruiting
Seattle, Washington, United States
Edwards Comprehensive Cancer CenterRecruiting
Huntington, West Virginia, United States
West Virginia University HealthcareRecruiting
Morgantown, West Virginia, United States
Duluth Clinic AshlandRecruiting
Ashland, Wisconsin, United States
Marshfield Medical Center-EC Cancer CenterRecruiting
Eau Claire, Wisconsin, United States
Gundersen Lutheran Medical CenterRecruiting
La Crosse, Wisconsin, United States
Marshfield Medical Center-MarshfieldRecruiting
Marshfield, Wisconsin, United States
Marshfield Medical Center - MinocquaRecruiting
Minocqua, Wisconsin, United States
Marshfield Medical Center-Rice LakeRecruiting
Rice Lake, Wisconsin, United States
Marshfield Medical Center-River Region at Stevens PointRecruiting
Stevens Point, Wisconsin, United States
Marshfield Medical Center - WestonRecruiting
Weston, Wisconsin, United States