Trial Condition(s):

Carcinoma, Transitional Cell

Study of rogaratinib (BAY1163877) vs chemotherapy in patients with FGFR (Fibroblast growth factor receptor)-positive locally advanced or metastatic urothelial carcinoma (FORT-1)

Bayer Identifier:

17403

ClinicalTrials.gov Identifier:

NCT03410693

EudraCT Number:

2016-004340-11

EU CT Number:

Not Available

Study Completed

Trial Purpose

This is a randomized, open-label, multicenter Phase 2/3 study to evaluate the efficacy and safety of rogaratinib (BAY 1163877) compared to chemotherapy in patients with FGFR-positive locally advanced or metastatic urothelial carcinoma who have received prior platinum-containing chemotherapy.
The primary objective is to demonstrate the superiority of rogaratinib over chemotherapy in terms of objective response rate (before: overall survivial) of urothelial carcinoma patients with FGFR positive tumors.
At randomization, patients will have locally advanced or metastatic urothelial carcinoma and have received at least one prior platinum-containing chemotherapy regimen. Only patients with FGFR1 or 3 positive tumors can be randomized into the study. Archival tumor tissue is adequate for testing of FGFR1 and 3 mRNA expressions, which will be determined centrally using an RNA in situ hybridization (RNA-ISH) test. Approximately 42 % of UC patients with locally advanced or metastatic UC are identified as FGFR-positive by the RNA-ISH cut-off applied.

Inclusion Criteria
- Existence of archival or fresh biopsy for FGFR testing. Mandatory FGFR testing of patients will be performed prior to start of screening. The timing of the FGFR test is at the discretion of the investigator. Investigators should ensure all patients will be eligible in terms of disease status and lines of treatment.
 - Documented urothelial carcinoma (transitional cell carcinoma) including urinary bladder, renal pelvis, ureters, urethra meeting all of the following criteria
 -- Histologically confirmed (Patients with mixed histologies are required to have a dominant transitional cell pattern.)
 -- Locally advanced (T4, any N; or any T, N 2−3) or metastatic disease (any T, any N and M1). Locally advanced bladder cancer must be unresectable i.e. invading the pelvic or abdominal wall (stage T4b) or presenting with bulky nodal disease (N2-3).
 - ECOG (Eastern Cooperative Oncology Group) Performance Status of 0 or 1
 - Disease progression during or following treatment with at least one platinum-containing regimen (patients should have been treated for at least 2 cycles). In patients who received prior adjuvant/ neoadjuvant platinum-containing chemotherapy, progression had to occur within 12 months of treatment.
 - High FGFR1 or 3 mRNA expression levels in archival or fresh tumor biopsy specimen quantified as outlined in the lab manual
 - At least 1 measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST v.1.1) in contrast enhanced (unless contraindicated) CT or MRI
Exclusion Criteria
- Previous or concurrent cancer except
 -- cervical carcinoma in situ
 -- treated basal-cell or squamous cell skin carcinoma
 -- any cancer curatively treated > 3 years before randomization
 -- curatively treated incidental prostate cancer (T1/T2a)
 - Ongoing or previous treatment with anti-FGFR directed therapies (e.g. receptor tyrosine kinase inhibitors including rogaratinib or FGFR-specific antibodies) or with taxanes or vinflunine
 - More than two prior lines of systemic anti-cancer therapy for urothelial carcinoma given for advanced unresectable/ metastatic disease
 - Ongoing or previous anti-cancer treatment within 4 weeks before randomization.
 - Unresolved toxicity higher than National Cancer Institute’s Common Terminology Criteria for Adverse Events, version 4.03 (CTCAE v.4.03) Grade 1 attributed to any prior therapy/ procedure excluding alopecia, anemia and/ or hypothyroidism
 - History or current condition of an uncontrolled cardiovascular disease including any of the following conditions:
 -- Congestive heart failure (CHF) NYHA (New York Heart Association) > Class 2
 -- Unstable angina (symptoms of angina at rest) or new-onset angina (within last 3 months before randomization)
 -- Myocardial infarction (MI) within past 6 months before randomization
 -- Unstable cardiac arrhythmias requiring anti-arrhythmic therapy. Patients with arrhythmia under control with anti-arrhythmic therapy such as beta-blockers or digoxin are eligible.
 - Arterial or venous thrombotic events or embolic events such as cerebrovascular accident (including transient ischemic attacks), deep vein thrombosis or pulmonary embolism within 3 months before randomization
 - Current evidence of endocrine alteration of calcium phosphate homeostasis (e.g. parathyroid disorder, history of parathyroidectomy, tumor lysis, tumoral calcinosis, paraneoplastic hypercalcemia)
 - Current diagnosis of any retinal detachment, retinal pigment epithelial detachment (RPED), serous retinopathy or retinal vein occlusion
 - Any hemorrhage / bleeding event ≥ CTCAE v.4.03 Grade 3 within 4 weeks before randomization

Trial Summary

Enrollment Goal
175
Trial Dates
black-arrow
Phase
2/3
Could I receive a placebo?
No
Products
Rogaratinib (BAY1163877)
Accepts Healthy Volunteers
No

Where to Participate

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Hospital del Mar

Barcelona, Spain, 08003

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Ciutat Sanitària i Universitaria de la Vall d'Hebron

Barcelona, Spain, 08035

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Hospital Ramón y Cajal

Madrid, Spain, 28034

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Hospital Universitari Son Espases

Palma de Mallorca, Spain, 07120

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Hospital Virgen de la Victoria

Málaga, Spain, 29010

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Instituto Valenciano de Oncología

Valencia, Spain, 46009

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Hospital Reina Sofía

Córdoba, Spain, 14004

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Institut Català d'Oncologia Badalona

Badalona, Spain, 08916

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Hospital San Pedro de Alcántara

Cáceres, Spain, 10003

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Hospital General Universitario de Valencia

Valencia, Spain, 46014

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Narodny onkologicky ustav

Bratislava, Slovakia, 833 10

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POKO Poprad s.r.o.

Poprad, Slovakia, 085 01

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UROEXAM, spol. s r.o.

Nitra, Slovakia, 949 01

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Asan Medical Center

Seoul, South Korea, 05505

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Severance Hospital, Yonsei University Health System

Seoul, South Korea, 03722

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Samsung Medical Center

Seoul, South Korea, 06351

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National Cancer Center

Goyang-si, South Korea, 10408

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Fondazione IRCCS Istituto Nazionale dei Tumori

Milano, Italy, 20133

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A.O. San Camillo-Forlanini

Roma, Italy, 00152

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IRCCS Istituto Europeo di Oncologia s.r.l. (IEO)

Milano, Italy, 20141

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A.O.U. Pisana

Pisa, Italy, 56126

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IRST Istituto Scientifico Romagnolo per studio e cura tumori

Forlì Cesena, Italy, 47014

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A.O.U. San Luigi Gonzaga

Torino, Italy, 10043

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Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, Italy, 00168

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A.O.U.I. Verona

Verona, Italy, 37134

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A.O.U. di Modena - Policlinico

Modena, Italy, 41124

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AUSL Modena

Modena, Italy, 41012

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Kantonsspital Graubünden

Chur, Switzerland, 7000

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Universitätsspital Basel

Basel, Switzerland, 4031

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Prince of Wales Hospital Hong Kong

Shatin, Hong Kong, China

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Universitätsklinikum AKH Wien

Wien, Austria, 1090

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Krankenhaus der Barmherzigen Brüder

Wien, Austria, 1020

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Klinik Ottakring - Wilhelminenspital

Wien, Austria, 1160

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Landesklinikum Krems

Krems, Austria, 3500

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Taipei Veterans General Hospital

Taipei, Taiwan, China, 11217

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Chang Gung Memorial Hospital at Linkou

Taoyuan, Taiwan, China, 33305

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National Cheng Kung University Hospital

Tainan, Taiwan, China, 704

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Taichung Veterans General Hospital

Taichung, Taiwan, China, 40705

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National Taiwan University Hospital

Taipei, Taiwan, China, 10002

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National University Hospital

Singapore, Singapore, 119074

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National Cancer Center Singapore

Singapore, Singapore, 169610

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Hopital Jean Minjoz

BESANCON, France, 25030

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Cochin - Paris

PARIS, France, 75674

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Centre Oscar Lambret - Lille

LILLE CEDEX, France, 59020

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Centre Léon Bérard

LYON CEDEX, France, 69008

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Centre de Lutte Contre le Cancer François Baclesse

CAEN CEDEX 5, France, 14076

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Institut Paoli-Calmettes - Marseille

MARSEILLE, France, 13273

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Princess Margaret Hospital-University Health Network

Toronto, Canada, M5G 2M9

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Fakultni Thomayerova Nemocnice

Praha 4 - Krc, Czech Republic, 140 59

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Fakultni nemocnice Kralovske Vinohrady

Praha 10, Czech Republic, 10034

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Fakultni nemocnice Ostrava

Ostrava, Czech Republic, 708 52

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Hadassah Hebrew University Hospital Ein Kerem

Jerusalem, Israel, 9112001

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Clalit Health Services Rabin Medical Center-Beilinson Campus

Petah Tikva, Israel, 4941492

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Chaim Sheba Medical Center

Ramat Gan, Israel, 5266202

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Meir Medical Center

Kfar Saba, Israel, 4428164

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Rambam Health Corporation

Haifa, Israel, 3109601

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Moscow Scient. Res. Institute of Oncology n.a P.A. Hertzen

Moscow, Russia, 125284

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Bashkir State Medical University

Ufa, Russia, 450008

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Clinical Oncological Dispensary of Omsk Region

Omsk, Russia, 644013

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Krasnoyarsk Regional Clinical Oncology Dispensary

Krasnoyarsk, Russia, 660133

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Volga District Med Center FMBA

Nizhny Novgorod, Russia, 603109

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Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

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Centro Hospitalar Universitario do Porto

Porto, Portugal, 4099-001

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IPO Coimbra

Coimbra, Portugal, 3000-075

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CHULN - Hospital Santa Maria

Lisboa, Portugal, 1649-035

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Hospital Beatriz Angelo

Loures, Portugal, 2674-514

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Rigshospitalet

København, Denmark, 2100

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Herlev Hospital - Oncology Research Dept.

Herlev, Denmark, 2730

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Aarhus Universitetshospital, Skejby

Aarhus N, Denmark, 8200

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Institut Català d'Oncologia Hospitalet

L'Hospitalet de Llobregat, Spain, 08907

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Kantonsspital St. Gallen

St. Gallen, Switzerland, 9007

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Docrates Klinikka

Helsinki, Finland, 00180

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Hôpital Saint André - Bordeaux

BORDEAUX, France, 33000

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Clinique Saint Anne

STRASBOURG, France, 67000

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Hôpital d'Instruction des Armées Begin

SAINT MANDE, France, 94160

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Centre Médico-Chirurgical Foch

SURESNES, France, 92151

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AMNCH

Dublin, Ireland, 24

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Cork University Hospital

Cork, Ireland

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Alaska Clinical Research Center, LLC

Anchorage, United States, 99503

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University of Arizona Cancer Center

Tuscon, United States, 85719

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Northern Cancer Institute

St Leonards, Australia, 2065

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Macquarie University Hospital

Sydney, Australia, 2109

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Mid North Coast Cancer Institute

Coffs Harbour, Australia, 2450

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Monash Medical Centre

Clayton, Australia, 3168

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Pindara Private Hospital

Benowa, Australia, 4217

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Riverina Cancer Care Centre

Wagga Wagga, Australia, 2650

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Eberhard-Karls-Universität Tübingen

Tübingen, Germany, 72076

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Heinrich-Heine-Universität Düsseldorf

Düsseldorf, Germany, 40225

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Universitätsmedizin der Johannes Gutenberg Universität Mainz

Mainz, Germany, 55131

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Hospital CUF Infante Santo

Lisboa, Portugal, 1350-070

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Södersjukhuset

Stockholm, Sweden, 118 83

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Centrum Onkologii im. Prof. Franciszka Lukaszczyka

Bydgoszcz, Poland, 85-796

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Uniwersytecki Szpital Kliniczny UM we Wroclawiu

Wroclaw, Poland, 50-556

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Swietokrzyskie Centrum Onkologii

Kielce, Poland, 25-734

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Samodzielny Publiczny Zespol Gruzlicy i Chorob Pluc

Olsztyn, Poland, 10-357

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Przychodnia Lekarska KOMED

Konin, Poland, 62-500

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Szpital Kliniczny Przemienienia Panskiego

Poznan, Poland, 60-569

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Orszagos Onkologiai Intezet

Budapest, Hungary, 1122

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Pecsi Tudomanyegyetem Klinikai Kozpont

Pecs, Hungary, 7624

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MH Egeszsegugyi Kozpont

Budapest, Hungary, 1062

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Virginia Mason Medical Center

Seattle, United States, 98101

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UC Davis Comprehensive Cancer Center

Sacramento, United States, 95817

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UZ Gent

GENT, Belgium, 9000

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Clinique Saint-Pierre

OTTIGNIES, Belgium, 1340

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UZ Leuven Gasthuisberg

LEUVEN, Belgium, 3000

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Royal Marsden Hospital (London)

London, United Kingdom, SW3 6JJ

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University of Kansas Medical Center

Westwood, United States, 66205

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Houston Methodist Hospital

Houston, United States, 77030-2707

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University of Southern California

Los Angeles, United States, 90033

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Sapporo Medical University Hospital

Sapporo, Japan, 060-8543

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Hirosaki University Hospital

Hirosaki, Japan, 036-8563

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Iwate Medical University Hospital

Morioka, Japan, 028-3695

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Niigata University Medical and Dental Hospital

Niigata, Japan, 951-8520

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University of Tsukuba Hospital

Tsukuba, Japan, 305-8576

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The Cancer Institute Hospital of JFCR

Koto-ku, Japan, 135-8550

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Nagoya University Hospital

Nagoya, Japan, 466-8560

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Osaka International Cancer Institute

Osaka, Japan, 541-8567

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Kindai University Hospital

Osakasayama, Japan, 589-8511

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Hiroshima City Hiroshima Citizens Hospital

Hiroshima, Japan, 730-8518

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Kyushu University Hospital

Fukuoka, Japan, 812-8582

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Hokkaido University Hospital

Sapporo, Japan, 060-8648

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Gunma Prefectural Cancer Center

Ota, Japan, 373-8550

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Saitama Medical University International Medical Center

Hidaka, Japan, 350-1298

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Keio University Hospital

Shinjuku-ku, Japan, 160-8582

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National Cancer Center Hospital

Chuo-ku, Japan, 104-0045

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Nippon Medical School Hospital

Bunkyo-ku, Japan, 113-8603

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Yokohama City University Hospital

Yokohama, Japan, 236-0004

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Toyama University Hospital

Toyama, Japan, 930-0194

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Kobe City Medical Center General Hospital

Kobe, Japan, 650-0047

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Kumamoto University Hospital

Kumamoto, Japan, 860-8556

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Ottawa Hospital-General Campus

Ottawa, Canada, K1H 8L6

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Sydney Adventist Hospital

Wahroonga, Australia, 2076

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Erasmus Medisch Centrum

ROTTERDAM, Netherlands, 3075 EA

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Nederlands Kanker Instituut

AMSTERDAM, Netherlands, 1066 CX

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ASST Grande Ospedale Metropolitano Niguarda

Milano, Italy, 20162

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Sir Mortimer B. Davis Jewish General Hospital

Montreal, Canada, H3T 1E2

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Centre Jean Perrin

CLERMONT FERRAND CEDEX 1, France, 63011

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Gunma University Hospital

Maebashi, Japan, 371-8511

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Karolinska Institutet

Stockholm, Sweden, 17167

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Akita University Hospital

Akita, Japan, 010-8543

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Bon Secours St. Francis Hospital

Greenville, United States, 29607

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Bata Hospital

Zlin, Czech Republic, 762 75

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Clatterbridge Centre for Oncology

Bebington, United Kingdom, CH63 4JY

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Comprehensive Cancer Centers of Nevada

Las Vegas, United States, 89169

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Sansum Clinic

Santa Barbara, United States, 93105

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University of Pittsburgh

Pittsburgh, United States, 15232

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Fudan University Shanghai Cancer Center

Shanghai, China, 200032

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Liaoning Cancer Hospital and Institute

Shengyang, China, 110042

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Jiangsu Cancer Hospital

Nanjing, China, 210009

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UF Cancer Center at Orlando Health

Orlando, United States, 32806

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First Affiliated Hospital of Guangzhou Medical University

Guangzhou, China

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FuJian Medical University Union Hospital

Fuzhou, China, 350001

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Huadong Hospital, Affiliated to Fudan University

Shanghai, China, 200040

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Fifth Medical Center, General Hospital of the Chinese People

Beijing, China, 100071

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Sun Yat-sen University Cancer Center

Guangzhou, China, 510060

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NJ Drum Tower Hospital, the Affil Hos of NJ Univ Med School

Nanjing, China, 210008

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Hubei Cancer Hospital

Wuhan, China, 430079

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Summit Cancer Center

Spokane, United States, 99208

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Rocky Mountain Cancer Centers

Littleton, United States, 80120-4413

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Texas Oncology-Denton South

Denton, United States, 76210

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Compass Oncology

Tigard, United States, 97223

Trial Design