TrialPath
← Back to searchRecruiting

Adding the Immunotherapy Drug Cemiplimab to Usual Treatment for People With Advanced Non-Small Cell Lung Cancer Who Had Previous Treatment With Platinum Chemotherapy and Immunotherapy (An Expanded Lung-MAP Treatment Trial)

NCT06616584 · 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/III Study of Docetaxel and Ramucirumab With or Without Cemiplimab for Participants Previously Treated With Platinum-Based Chemotherapy and Immunotherapy for Stage IV or Recurrent Non-Small Cell Lung Cancer (Lung-MAP Non-Matched Sub-Study)
About this study
PRIMARY OBJECTIVE: I. To compare overall survival (OS) between participants randomized to docetaxel and ramucirumab with or without cemiplimab (REGN2810) who have acquired resistance to platinum-based chemotherapy and immunotherapy for stage IV or recurrent non-small cell lung cancer (NSCLC). SECONDARY OBJECTIVES: I. To compare investigator-assessed progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 between the arms. II. To compare investigator-assessed response rates (confirmed or unconfirmed, complete response \[CR\] or partial response \[PR\]) per RECIST 1.1 between the arms among participants with measurable disease. III. To compare the investigator-assessed disease control rate (confirmed or unconfirmed, complete response \[CR\], or partial response \[PR\], and stable disease) between the arms. IV. To evaluate the duration of response (DoR) among responders within each arm. V. To evaluate the frequency and severity of toxicities within each arm. VI. To compare investigator-assessed PFS between the arms within the subgroups defined by the stratification factors (histology and performance status) and by PD-L1 subgroups defined as PD-L1 negative (\< 1% tumor proportion score \[TPS\]), intermediate PD-L1 (1-49% TPS), and PD-L1 high (\>= 50% TPS). VII. To compare OS between the arms within the subgroups defined by the stratification factors (histology and performance status) and by PD-L1 subgroups defined as PD-L1 negative (\< 1% TPS), intermediate PD-L1 (1-49% TPS), and PD-L1 high (\>= 50% TPS). TRANSLATIONAL MEDICINE OBJECTIVES: I. To collect, process, and bank cell-free deoxyribonucleic acid (cfDNA) at baseline, cycle 3 day 1, and progression for future development of a proposal to evaluate comprehensive next-generation sequencing of circulating tumor DNA (ctDNA). II. To establish a tissue/blood repository to pursue future studies. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients receive dexamethasone orally (PO) twice daily (BID) on days 0-2, ramucirumab intravenously (IV) over 30-60 minutes on day 1 and docetaxel IV over 60 minutes on day 1 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection, and computed tomography (CT) or magnetic resonance imaging (MRI) throughout the study. ARM II: Patients receive dexamethasone PO BID on days 0-2, ramucirumab IV over 30-60 minutes on day 1, docetaxel IV over 60 minutes on day 1, and cemiplimab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo blood sample collection, and CT or MRI throughout the study. After completion of study treatment, patients are followed up every 3-6 months for up to 3 years after randomization.
Eligibility criteria
Inclusion Criteria: * Participants must have been assigned to S1800E by the Southwest Oncology Group (SWOG) Statistics and Data Management Center (SDMC). Assignment to S1800E is determined by the LUNGMAP protocol * Participants must have measurable or non-measurable disease documented by CT or MRI. The CT from a combined positron emission tomography (PET)/CT may be used to document only non-measurable disease unless it is of diagnostic quality. Measurable disease must be assessed within 28 days prior to 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 randomization. All 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 registration * Participants must have a CT or MRI scan of the brain to evaluate for central nervous system (CNS) disease within 42 days prior to randomization * Participants must have received exactly one anti-PD-1 or anti-PD-L1 therapy for advanced disease (stage IV or recurrent disease, or stage I-III disease in certain circumstances outlined below). Anti-PD-1 or anti-PD-L1 therapy may have been given alone or in combination with other therapy. For participants who received neoadjuvant, adjuvant, and/or consolidation anti-PD-1 or anti-PD-L1 therapy for stage I-III disease: * If they experienced disease progression within (≤) 365 days from initiation (cycle 1 day 1) or anti-PD-1 or anti-PD-L1 therapy, this counts as the single allowed anti-PD-1 or anti-PD-L1 therapy for advanced disease * If they experienced disease progression more than (\>) 365 days from initiation (cycle 1 day 1) or anti-PD-1 or anti-PD-L1 therapy, this is not considered anti-PD-1 or anti-PD-L1 therapy for advance disease. These participants must have received anti-PD-1 or anti-PD-L1 therapy for stage IV or recurrent disease * Participants must have experienced disease progression (in the opinion of the treating investigator) more than (\>) 84 days following initiation (cycle 1 day 1) of their most recent anti-PD-1 or anti-PD-L1 therapy * Participants who received anti-PD-1 or anti-PD-L1 therapy for stage IV or recurrent disease must have had a best response of stable disease, partial response or complete response (in the opinion of the treating investigator) on the anti-PD-1 or anti-PD-L1 therapy for stage IV or recurrent disease * Participants must have received platinum-based chemotherapy and experienced disease progression (in the opinion of the treating investigator) during or after this regimen * Participants with a known sensitizing molecular alteration for which a Food and Drug Administration (FDA)-approved targeted therapy for NSCLC exists (e.g., EGFR, ALK, ROS1, BRAF, RET, NTRK, KRAS, HER2, and MET sensitizing mutations), must have previously received at least one of the approved therapy(s). Prior targeted therapy for participants with targetable alterations is allowed if all other eligibility criteria are also met * Participants must have recovered (≤ grade 1) from any side effects from the most recent anti-cancer treatment prior to randomization * Participants must not have received prior therapy with docetaxel for this disease * Participants must not have received any palliative radiation therapy within 14 days (or palliative bone radiation therapy within 7 days) prior to randomization * Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, or biologic therapy for cancer treatment while receiving treatment on this study * Participants must not have undergone major surgery within 28 days prior to randomization, or subcutaneous venous access device placement within 7 days prior to randomization. Participants must not have postoperative bleeding complications or wound complications from a surgical procedure performed within 2 months prior to randomization. The participant must not have elective or planned major surgery to be performed during the course of this study * Absolute neutrophil count ≥ 1.5 x 10\^3/uL (within 28 days prior to randomization) * Hemoglobin ≥ 9.0 g/dL (within 28 days prior to randomization) * Platelets ≥ 100 x 10\^3/uL (within 28 days prior to randomization) * Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (within 28 days prior to randomization) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin ≤ 5 x institutional ULN * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 x institutional ULN (within 28 days prior to randomization). Participants with history of liver metastasis must have AST and ALT ≤ 5 x ULN * Participants must have a creatinine ≤ the institutional (I)ULN or calculated creatinine clearance ≥ 50 mL/min using the following Cockcroft-Gault formula. This specimen must have been drawn and processed within 28 days prior to randomization * Participants must have a urinary protein test performed within 28 days prior to randomization * Participants' most recent Zubrod/Eastern Cooperative Oncology Group (ECOG) performance status must be 0-1 and be documented within 28 days prior to randomization * Participants must have a completed medical history and physical exam within 28 days prior to 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 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 randomization, if indicated by the treating investigator * Participants with known human immunodeficiency virus (HIV) infection are eligible, provided they are on effective anti-retroviral therapy and have undetectable viral load at their most recent viral load test and within 6 months prior to randomization * Participants must not have a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen * Participants must not have an active autoimmune disease that has required systemic treatment within 730 days prior to randomization (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed * Participants must not have any history of primary immunodeficiency * Participants must be able to safely receive study therapy and must not have experienced the following: * Any grade 3 or worse immune-mediated adverse event. Exception: asymptomatic nonbullous/nonexfoliative rash * Any unresolved grade 2 immune-mediated adverse event * Any toxicity that led to permanent discontinuation of prior anti-PD-1/PD-L1 immunotherapy * Exception to the above: Toxicities of any grade that requires replacement therapy and has stabilized on therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) are allowed * Participants must not have any history of organ transplant that requires use of immunosuppressives * Participants must not have received a live or live attenuated vaccine within 28 days prior to randomization. Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster, yellow fever rabies, Bacillus Calmette-Guerin (BCG) and typhoid vaccine. Seasonal influenza vaccines and COVID-19 vaccines are allowed, however, intranasal influenza vaccines (e.g. Flu-Mist) are live attenuated and are not allowed * Participants must not have clinical signs or symptoms of active tuberculosis infection * Participants must not have a history of (non-infectious) pneumonitis that required steroids or current pneumonitis/interstitial lung disease * Participants must not have had a serious or nonhealing wound, ulcer, or bone fracture within 28 days prior to randomization * Participants must not have a history of gastrointestinal perforation or fistula within 6 months prior to randomization * Participants must not have grade 3-4 gastrointestinal bleeding (defined by National Cancer Institute \[NCI\] Common Terminology Criteria for Adverse Events \[CTCAE\] version \[v\]5) within 3 months prior to randomization. No history of gastrointestinal (GI) bleed within 3 months prior to randomization * Participants must not have any grade III/IV cardiac disease as defined by the New York Heart Association criteria (i.e., participants with cardiac disease resulting in marked limitation of physical activity or resulting in inability to carry on any physical activity without discomfort), unstable angina pectoris, and myocardial infarction within 6 months prior to randomization, or serious uncontrolled cardiac arrhythmia * Participants must not have experienced any arterial thromboembolic events, including but not limited to myocardial infarction, transient ischemic attack, cerebrovascular accident, or unstable angina, within 6 months prior to randomization * Participants must not have gross hemoptysis within two months prior to randomization (defined as bright red blood or ≥ 1/2 teaspoon) or with radiographic evidence of intratumor cavitation or has radiologically documented evidence of major blood vessel invasion or encasement by cancer * Participants must not have been diagnosed with venous thrombosis within 3 months prior to randomization. Participants with venous thrombosis diagnosed more than 3 months prior to randomization must be on stable doses of anticoagulants * Participants must not have cirrhosis at a level of Child-Pugh B (or worse) AND a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis, OR any degree of cirrhosis * 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 agree to have blood specimens submitted for circulating tumor DNA (ctDNA) * Participants must be offered participation in specimen banking. With participant consent, specimens must be collected and submitted via the SWOG specimen tracking system * NOTE: As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the 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: 378 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2025-05-22
Estimated completion: 2028-12-31
Last updated: 2026-01-23
Interventions
Procedure: Biospecimen CollectionBiological: CemiplimabProcedure: Computed TomographyDrug: DexamethasoneDrug: DocetaxelProcedure: Magnetic Resonance ImagingBiological: Ramucirumab
Primary outcomes
  • Overall survival (OS) (From date of randomization to date of death due to any cause, assessed up to 3 years)
Sponsor
SWOG Cancer Research Network · network
With: Regeneron Pharmaceuticals, National Cancer Institute (NCI)
Contacts & investigators
ContactJennifer Beeler · contact · jbeeler@swog.org · 210-614-8808
ContactSWOG Network Operations Center · contact · protocols@swog.org
InvestigatorSaiama N Waqar · principal_investigator, SWOG Cancer Research Network
All locations (361)
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
Katmai Oncology GroupRecruiting
Anchorage, Alaska, United States
Banner University Medical Center - TucsonRecruiting
Tucson, Arizona, United States
University of Arizona Cancer Center-North CampusRecruiting
Tucson, Arizona, United States
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - JonesboroRecruiting
Jonesboro, Arkansas, United States
Kaiser Permanente-AnaheimRecruiting
Anaheim, California, United States
Kaiser Permanente-Baldwin ParkRecruiting
Baldwin Park, California, United States
Kaiser Permanente-BellflowerRecruiting
Bellflower, California, United States
Tower Cancer Research FoundationRecruiting
Beverly Hills, California, United States
Enloe Medical CenterRecruiting
Chico, California, United States
City of Hope Comprehensive Cancer CenterRecruiting
Duarte, California, United States
Kaiser Permanente-FontanaRecruiting
Fontana, California, United States
Kaiser Permanente Fresno Orchard PlazaRecruiting
Fresno, California, United States
Kaiser Permanente-FresnoRecruiting
Fresno, California, United States
Kaiser Permanente South BayRecruiting
Harbor City, California, United States
City of Hope at Irvine LennarRecruiting
Irvine, California, United States
Kaiser Permanente-IrvineRecruiting
Irvine, California, United States
UC San Diego Moores Cancer CenterRecruiting
La Jolla, California, United States
City of Hope Antelope ValleyRecruiting
Lancaster, California, United States
Loma Linda University Medical CenterRecruiting
Loma Linda, California, United States
Kaiser Permanente Los Angeles Medical CenterRecruiting
Los Angeles, California, United States
Kaiser Permanente West Los AngelesRecruiting
Los Angeles, California, United States
Cedars Sinai Medical CenterRecruiting
Los Angeles, California, United States
Fremont - Rideout Cancer CenterRecruiting
Marysville, California, United States
Mather Veteran Affairs Medical CenterRecruiting
Mather, California, United States
Kaiser Permanente-OaklandRecruiting
Oakland, California, United States
Kaiser Permanente-OntarioRecruiting
Ontario, California, United States
VA Palo Alto Health Care SystemRecruiting
Palo Alto, California, United States
Kaiser Permanente - Panorama CityRecruiting
Panorama City, California, United States
Eisenhower Medical CenterRecruiting
Rancho Mirage, California, United States
Kaiser Permanente-RiversideRecruiting
Riverside, California, United States
Kaiser Permanente-RosevilleRecruiting
Roseville, California, United States
Kaiser Permanente Downtown CommonsRecruiting
Sacramento, California, United States
University of California Davis Comprehensive Cancer CenterRecruiting
Sacramento, California, United States
Kaiser Permanente-San Diego ZionRecruiting
San Diego, California, United States
Kaiser Permanente-San FranciscoRecruiting
San Francisco, California, United States
Kaiser Permanente-Santa Teresa-San JoseRecruiting
San Jose, California, United States
Kaiser Permanente San LeandroRecruiting
San Leandro, California, United States
Kaiser Permanente-San MarcosRecruiting
San Marcos, California, United States
Mills Health CenterRecruiting
San Mateo, California, United States
Kaiser San Rafael-GallinasRecruiting
San Rafael, California, United States
Kaiser Permanente Medical Center - Santa ClaraRecruiting
Santa Clara, California, United States
Kaiser Permanente-South San FranciscoRecruiting
South San Francisco, California, United States
Cedars-Sinai Cancer - TarzanaRecruiting
Tarzana, California, United States
Torrance Memorial Physician Network - Cancer CareRecruiting
Torrance, California, United States
Gene Upshaw Memorial Tahoe Forest Cancer CenterRecruiting
Truckee, California, United States
City of Hope UplandRecruiting
Upland, California, United States
Kaiser Permanente-VallejoRecruiting
Vallejo, California, United States
Kaiser Permanente-Walnut CreekRecruiting
Walnut Creek, California, United States
Presbyterian Intercommunity HospitalRecruiting
Whittier, California, United States
Kaiser Permanente-Woodland HillsRecruiting
Woodland Hills, California, 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 GlastonburyNot Yet Recruiting
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 FrancisNot Yet Recruiting
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
Beebe South Coastal Health CampusRecruiting
Millville, Delaware, United States
Helen F Graham Cancer CenterRecruiting
Newark, Delaware, United States
Medical Oncology Hematology Consultants PARecruiting
Newark, Delaware, United States
Beebe Health CampusRecruiting
Rehoboth Beach, Delaware, United States
Kaiser Permanente-Capitol Hill Medical CenterRecruiting
Washington D.C., District of Columbia, United States
Malcom Randall Veterans Administration Medical CenterRecruiting
Gainesville, Florida, United States
Moffitt Cancer CenterRecruiting
Tampa, Florida, United States
Grady Health SystemRecruiting
Atlanta, Georgia, United States
Emory University Hospital MidtownRecruiting
Atlanta, Georgia, United States
Emory University Hospital/Winship Cancer InstituteRecruiting
Atlanta, Georgia, United States
Emory Saint Joseph's HospitalRecruiting
Atlanta, Georgia, United States
Northside HospitalRecruiting
Atlanta, Georgia, United States
Atlanta VA Medical CenterRecruiting
Decatur, Georgia, United States
Northside Hospital - DuluthRecruiting
Duluth, Georgia, United States
Northeast Georgia Medical Center-GainesvilleRecruiting
Gainesville, Georgia, United States
Emory Johns Creek HospitalRecruiting
Johns Creek, Georgia, United States
Northside Hospital - GwinnettRecruiting
Lawrenceville, Georgia, United States
Lewis Cancer and Research Pavilion at Saint Joseph's/CandlerRecruiting
Savannah, Georgia, United States
Saint Alphonsus Cancer Care Center-BoiseRecruiting
Boise, Idaho, United States
Saint Luke's Cancer Institute - 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 Luke's Cancer Institute - FruitlandRecruiting
Fruitland, Idaho, United States
Idaho Urologic Institute-MeridianRecruiting
Meridian, Idaho, United States
Saint Luke's Cancer Institute - MeridianRecruiting
Meridian, Idaho, United States
Saint Alphonsus Cancer Care Center-NampaRecruiting
Nampa, Idaho, United States
Saint Luke's Cancer Institute - 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
Advocate Outpatient Center - AuroraRecruiting
Aurora, Illinois, United States
Advocate Good Shepherd HospitalRecruiting
Barrington, Illinois, 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
Advocate Illinois Masonic Medical CenterRecruiting
Chicago, Illinois, United States
AMG Crystal Lake - OncologyRecruiting
Crystal Lake, 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
Advocate Good Samaritan HospitalRecruiting
Downers Grove, Illinois, United States
Crossroads Cancer CenterRecruiting
Effingham, Illinois, United States
Advocate Sherman HospitalRecruiting
Elgin, 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
Advocate South Suburban HospitalRecruiting
Hazel Crest, Illinois, United States
Illinois CancerCare-Kewanee ClinicRecruiting
Kewanee, Illinois, United States
Northwestern Medicine Lake Forest HospitalRecruiting
Lake Forest, Illinois, United States
AMG Libertyville - OncologyRecruiting
Libertyville, Illinois, United States
Condell Memorial HospitalRecruiting
Libertyville, Illinois, United States
Illinois CancerCare-MacombRecruiting
Macomb, Illinois, United States
Loyola University Medical CenterRecruiting
Maywood, Illinois, United States
Cancer Care Center of O'FallonRecruiting
O'Fallon, Illinois, United States
HSHS Saint Elizabeth's HospitalRecruiting
O'Fallon, Illinois, United States
Northwestern Medicine Oak BrookRecruiting
Oak Brook, Illinois, United States
Advocate Christ Medical CenterRecruiting
Oak Lawn, Illinois, United States
Advocate Outpatient Center - Oak LawnRecruiting
Oak Lawn, Illinois, United States
Northwestern Medicine Orland ParkRecruiting
Orland Park, Illinois, United States
Illinois CancerCare-Ottawa ClinicRecruiting
Ottawa, Illinois, United States
Advocate High Tech Medical ParkRecruiting
Palos Heights, Illinois, United States
Advocate Lutheran General HospitalRecruiting
Park Ridge, 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
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
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
Harold Alfond Center for Cancer CareRecruiting
Augusta, Maine, United States
MaineHealth Waldo HospitalRecruiting
Belfast, Maine, United States
Lafayette Family Cancer Center-EMMCRecruiting
Brewer, Maine, United States
MaineHealth Cancer Care and IV Therapy - BrunswickRecruiting
Brunswick, Maine, United States
Penobscot Bay Medical CenterRecruiting
Rockport, Maine, United States
MaineHealth Cancer Care Center of York CountyRecruiting
Sanford, Maine, United States
MaineHealth Cancer Care and IV Therapy - South PortlandRecruiting
South Portland, Maine, United States
Saint Agnes HospitalRecruiting
Baltimore, Maryland, United States
Kaiser Permanente-Woodlawn Medical CenterRecruiting
Baltimore, Maryland, United States
UPMC Western MarylandRecruiting
Cumberland, 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
Beverly HospitalRecruiting
Beverly, Massachusetts, United States
Lahey Hospital and Medical CenterRecruiting
Burlington, Massachusetts, United States
Addison Gilbert HospitalRecruiting
Gloucester, Massachusetts, United States
Lahey Medical Center-PeabodyRecruiting
Peabody, Massachusetts, United States
UMass Memorial Medical Center - University CampusRecruiting
Worcester, Massachusetts, United States
Trinity Health IHA Medical Group Hematology Oncology - BrightonRecruiting
Brighton, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - CantonRecruiting
Canton, 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
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
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 Saint Joseph's Medical CenterRecruiting
Brainerd, Minnesota, United States
Mercy HospitalRecruiting
Coon Rapids, Minnesota, United States
Essentia Health - Deer River ClinicRecruiting
Deer River, Minnesota, United States
Essentia Health Cancer CenterRecruiting
Duluth, Minnesota, United States
Fairview Southdale HospitalRecruiting
Edina, Minnesota, United States
Essentia Health Hibbing ClinicRecruiting
Hibbing, Minnesota, United States
Abbott-Northwestern HospitalRecruiting
Minneapolis, Minnesota, United States
Park Nicollet Clinic - Saint Louis ParkRecruiting
Saint Louis Park, Minnesota, United States
Regions HospitalRecruiting
Saint Paul, Minnesota, United States
United HospitalRecruiting
Saint Paul, Minnesota, United States
Essentia Health SandstoneRecruiting
Sandstone, Minnesota, United States
Essentia Health Virginia ClinicRecruiting
Virginia, Minnesota, United States
Minnesota Oncology Hematology PA-WoodburyRecruiting
Woodbury, Minnesota, United States
Baptist Memorial Hospital and Cancer Center-Golden TriangleRecruiting
Columbus, Mississippi, United States
Baptist Cancer Center-GrenadaRecruiting
Grenada, Mississippi, United States
Gulfport Memorial HospitalRecruiting
Gulfport, 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
Parkland Health Center - FarmingtonRecruiting
Farmington, Missouri, United States
University Health Truman Medical CenterRecruiting
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
Lake Regional HospitalRecruiting
Osage Beach, Missouri, United States
Sainte Genevieve County Memorial HospitalRecruiting
Sainte Genevieve, Missouri, United States
Washington University School of MedicineRecruiting
St Louis, Missouri, United States
Siteman Cancer Center-South CountyRecruiting
St Louis, Missouri, United States
Missouri Baptist Medical CenterRecruiting
St Louis, Missouri, United States
Siteman Cancer Center at Christian HospitalRecruiting
St Louis, Missouri, United States
Missouri Baptist Sullivan HospitalRecruiting
Sullivan, Missouri, United States
BJC Outpatient Center at Sunset HillsRecruiting
Sunset Hills, 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
New Hampshire Oncology Hematology PA-ConcordRecruiting
Concord, New Hampshire, United States
Dartmouth Hitchcock Medical Center/Dartmouth Cancer CenterRecruiting
Lebanon, New Hampshire, United States
Solinsky Center for Cancer CareRecruiting
Manchester, New Hampshire, United States
Virtua Samson Cancer CenterRecruiting
Moorestown, New Jersey, United States
Virtua VoorheesRecruiting
Voorhees Township, New Jersey, United States
University of New Mexico Cancer CenterRecruiting
Albuquerque, New Mexico, United States
The Cancer Institute at Saint Francis HospitalSuspended
East Hills, New York, United States
University of RochesterRecruiting
Rochester, New York, United States
Montefiore Medical Center-Einstein CampusRecruiting
The Bronx, New York, United States
James J Peters VA Medical CenterRecruiting
The Bronx, New York, United States
Wilmot Cancer Institute at WebsterRecruiting
Webster, New York, United States
Good Samaritan University HospitalSuspended
West Islip, New York, United States
Durham VA Medical CenterRecruiting
Durham, North Carolina, United States
FirstHealth of the Carolinas-Moore Regional HospitalRecruiting
Pinehurst, North Carolina, United States
Sanford Bismarck Medical CenterRecruiting
Bismarck, North Dakota, United States
Essentia Health Cancer Center-South University ClinicRecruiting
Fargo, North Dakota, United States
Sanford Broadway Medical CenterRecruiting
Fargo, North Dakota, United States
Sanford Roger Maris Cancer CenterRecruiting
Fargo, North Dakota, United States
OhioHealth O'Bleness HospitalRecruiting
Athens, Ohio, United States
Aultman Health FoundationRecruiting
Canton, Ohio, United States
Miami Valley Hospital SouthRecruiting
Centerville, Ohio, United States
Columbus Oncology and Hematology Associates IncRecruiting
Columbus, Ohio, United States
Riverside Methodist HospitalRecruiting
Columbus, Ohio, United States
Grant Medical CenterRecruiting
Columbus, Ohio, United States
Doctors HospitalRecruiting
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
Delaware Health Center-Grady Cancer CenterRecruiting
Delaware, Ohio, United States
Grady Memorial HospitalRecruiting
Delaware, Ohio, United States
Columbus Oncology and Hematology AssociatesRecruiting
Dublin, Ohio, United States
Dublin Methodist HospitalRecruiting
Dublin, Ohio, United States
Atrium Medical Center-Middletown Regional HospitalRecruiting
Franklin, Ohio, United States
Miami Valley Cancer Care and InfusionRecruiting
Greenville, Ohio, United States
OhioHealth Mansfield HospitalRecruiting
Mansfield, Ohio, United States
OhioHealth Marion General HospitalRecruiting
Marion, Ohio, United States
OhioHealth Pickerington Methodist HospitalRecruiting
Pickerington, Ohio, United States
ProMedica Flower HospitalRecruiting
Sylvania, Ohio, United States
Upper Valley Medical CenterRecruiting
Troy, Ohio, United States
OhioHealth Westerville Medical Campus/Westerville Cancer CenterRecruiting
Westerville, Ohio, United States
Cancer Centers of Southwest Oklahoma ResearchRecruiting
Lawton, Oklahoma, United States
University of Oklahoma Health Sciences CenterRecruiting
Oklahoma City, Oklahoma, United States
Integris Southwest Medical CenterRecruiting
Oklahoma City, Oklahoma, United States
Saint Alphonsus Cancer Care Center-Baker CityRecruiting
Baker City, Oregon, 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
Oregon Health and Science UniversityRecruiting
Portland, Oregon, United States
Salem HospitalRecruiting
Salem, Oregon, United States
UPMC-Heritage Valley Health System BeaverRecruiting
Beaver, Pennsylvania, United States
UPMC Hillman Cancer Center at Butler Health SystemRecruiting
Butler, Pennsylvania, United States
WellSpan Medical Oncology and HematologyRecruiting
Chambersburg, Pennsylvania, United States
UPMC Hillman Cancer Center - Passavant - CranberryRecruiting
Cranberry Township, Pennsylvania, United States
Ephrata Cancer CenterRecruiting
Ephrata, Pennsylvania, United States
UPMC Hillman Cancer Center ErieRecruiting
Erie, Pennsylvania, United States
UPMC Cancer Center at UPMC HorizonRecruiting
Farrell, Pennsylvania, United States
Adams Cancer CenterRecruiting
Gettysburg, Pennsylvania, United States
UPMC Cancer Centers - Arnold Palmer PavilionRecruiting
Greensburg, Pennsylvania, United States
UPMC Pinnacle Cancer Center/Community Osteopathic CampusRecruiting
Harrisburg, Pennsylvania, United States
IRMC Cancer CenterRecruiting
Indiana, Pennsylvania, United States
UPMC-Johnstown/John P. Murtha Regional Cancer CenterRecruiting
Johnstown, Pennsylvania, United States
Sechler Family Cancer CenterRecruiting
Lebanon, Pennsylvania, United States
UPMC Cancer Center at UPMC McKeesportRecruiting
McKeesport, Pennsylvania, United States
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer PavilionRecruiting
Mechanicsburg, Pennsylvania, United States
UPMC Hillman Cancer Center - MonroevilleRecruiting
Monroeville, Pennsylvania, United States
UPMC Hillman Cancer Center in CoraopolisRecruiting
Moon Township, Pennsylvania, United States
UPMC Hillman Cancer Center - Part of Frick HospitalRecruiting
Mount Pleasant, Pennsylvania, United States
Arnold Palmer Cancer Center Medical Oncology NorwinRecruiting
N. Huntingdon, Pennsylvania, United States
UPMC Cancer Center-Natrona HeightsRecruiting
Natrona Heights, Pennsylvania, United States
UPMC Hillman Cancer Center - New CastleRecruiting
New Castle, Pennsylvania, United States
Fox Chase Cancer CenterRecruiting
Philadelphia, Pennsylvania, United States
Temple University HospitalRecruiting
Philadelphia, Pennsylvania, United States
UPMC-Saint MargaretRecruiting
Pittsburgh, Pennsylvania, United States
University of Pittsburgh Cancer Institute (UPCI)Recruiting
Pittsburgh, Pennsylvania, United States
UPMC-Passavant HospitalRecruiting
Pittsburgh, Pennsylvania, United States
UPMC-Saint Clair Hospital Cancer CenterRecruiting
Pittsburgh, Pennsylvania, United States
UPMC Cancer Center at UPMC NorthwestRecruiting
Seneca, Pennsylvania, United States
UPMC Cancer Center-UniontownRecruiting
Uniontown, Pennsylvania, United States
UPMC Cancer Center-WashingtonRecruiting
Washington, Pennsylvania, United States
UPMC SusquehannaRecruiting
Williamsport, Pennsylvania, United States
Divine Providence HospitalRecruiting
Williamsport, Pennsylvania, United States
Cancer Care Associates of YorkRecruiting
York, Pennsylvania, United States
AnMed Health Cancer CenterRecruiting
Anderson, South Carolina, United States
Saint Joseph's/Candler - Bluffton CampusRecruiting
Bluffton, South Carolina, United States
South Carolina Cancer Specialists PCRecruiting
Hilton Head Island, South Carolina, United States
Rapid City Regional HospitalRecruiting
Rapid City, South Dakota, 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
Dartmouth Cancer Center - NorthRecruiting
Saint Johnsbury, Vermont, United States
White River Junction Veteran Administration Medical CenterRecruiting
White River Junction, Vermont, United States
University of Virginia Cancer CenterRecruiting
Charlottesville, Virginia, United States
Centra Alan B Pearson Regional Cancer CenterRecruiting
Lynchburg, Virginia, United States
Kaiser Permanente Tysons Corner Medical CenterRecruiting
McLean, Virginia, United States
Virginia Cancer InstituteRecruiting
Richmond, Virginia, United States
VCU Massey Cancer Center at Stony PointRecruiting
Richmond, Virginia, United States
VCU Massey Comprehensive Cancer CenterRecruiting
Richmond, Virginia, United States
VCU Community Memorial Health CenterRecruiting
South Hill, Virginia, United States
Kaiser Permanente-Caton Hill Medical CenterRecruiting
Woodbridge, Virginia, United States
United Hospital CenterRecruiting
Bridgeport, West Virginia, United States
Edwards Comprehensive Cancer CenterRecruiting
Huntington, West Virginia, United States
WVUH-Berkely Medical CenterRecruiting
Martinsburg, West Virginia, United States
West Virginia University HealthcareRecruiting
Morgantown, West Virginia, United States
Camden Clark Medical CenterRecruiting
Parkersburg, West Virginia, United States
Wheeling Hospital/Schiffler Cancer CenterRecruiting
Wheeling, West Virginia, United States
Duluth Clinic AshlandRecruiting
Ashland, Wisconsin, United States
Aurora Cancer Care-Southern Lakes VLCCRecruiting
Burlington, Wisconsin, United States
Aurora Saint Luke's South ShoreRecruiting
Cudahy, Wisconsin, United States
Aurora Health Care Germantown Health CenterRecruiting
Germantown, Wisconsin, United States
Aurora Cancer Care-GraftonRecruiting
Grafton, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green BayRecruiting
Green Bay, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary'sRecruiting
Green Bay, Wisconsin, United States
Aurora BayCare Medical CenterRecruiting
Green Bay, Wisconsin, United States
Aurora Cancer Care-Kenosha SouthRecruiting
Kenosha, Wisconsin, United States
Gundersen Lutheran Medical CenterRecruiting
La Crosse, Wisconsin, United States
University of Wisconsin Carbone Cancer Center - Eastpark Medical CenterRecruiting
Madison, Wisconsin, United States
University of Wisconsin Carbone Cancer Center - University HospitalRecruiting
Madison, Wisconsin, United States
Aurora Bay Area Medical Group-MarinetteRecruiting
Marinette, Wisconsin, United States
Aurora Cancer Care-MilwaukeeRecruiting
Milwaukee, Wisconsin, United States
Aurora Saint Luke's Medical CenterRecruiting
Milwaukee, Wisconsin, United States
Aurora Sinai Medical CenterRecruiting
Milwaukee, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Oconto FallsRecruiting
Oconto Falls, Wisconsin, United States
Vince Lombardi Cancer Clinic - OshkoshRecruiting
Oshkosh, Wisconsin, United States
Aurora Cancer Care-RacineRecruiting
Racine, Wisconsin, United States
Saint Vincent Hospital Cancer Center at SheboyganRecruiting
Sheboygan, Wisconsin, United States
Sheboygan Physicians GroupRecruiting
Sheboygan, Wisconsin, United States
Vince Lombardi Cancer Clinic-SheboyganRecruiting
Sheboygan, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Sturgeon BayRecruiting
Sturgeon Bay, Wisconsin, United States
Aurora Medical Center in SummitRecruiting
Summit, Wisconsin, United States
Vince Lombardi Cancer Clinic-Two RiversRecruiting
Two Rivers, Wisconsin, United States
Aurora Cancer Care-Milwaukee WestRecruiting
Wauwatosa, Wisconsin, United States
Aurora West Allis Medical CenterRecruiting
West Allis, Wisconsin, United States