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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00079274
Other study ID # NCI-2009-00639
Secondary ID N0147U10CA025224
Status Completed
Phase Phase 3
First received
Last updated
Start date February 2004
Est. completion date November 2012

Study information

Verified date April 2020
Source National Cancer Institute (NCI)
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This randomized phase III trial was originally designed to compare three different combination chemotherapy regimens to see how well they work. As of September 1, 2004, the study was expanded to a total of 6 arms (the original 3 arms (A, B, C) and 3 additional arms which were the same as the first 3 but with cetuximab) in treating patients who have undergone surgery for stage III colon cancer. Drugs used in chemotherapy, such as irinotecan hydrochloride, fluorouracil, leucovorin calcium, and oxaliplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as cetuximab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining more than one chemotherapy drug with monoclonal antibody therapy and giving them after surgery may kill any remaining tumor cells. It was not known at the time this study was developed which combination chemotherapy regimen is more effective after surgery in treating colon cancer. This study had several key changes, based on the results of other phase III trials. As of 6/1/2005, patients no longer received irinotecan on this study and treatment arms B, C, E, and F were discontinued. Patients on arms B and C crossed to arm A. Patients on arms E and F crossed to arm D. Patients on arms C and F who had not gotten to irinotecan continued on arms A and D, respectively. As of 8/18/2008, pre-screening for Kirsten rat sarcoma (KRAS) status was added with mutant KRAS (or KRAS not evaluable) patients put on arm G and wild-type KRAS patients randomized between arm A and arm D. Patients on arm G were treated per physician discretion and followed for disease and survival status. KRAS was determined in a central laboratory and was process for all patients on this study. The primary endpoint of this study was modified on 8/18/2008 to focus on patients having wild-type KRAS tumors. All modifications were approved by the Central Institution Review Board, local Institutional Review Boards, NCI, and the NCCTG Data Safety Monitoring Board.


Description:

PRIMARY OBJECTIVES:

I. Disease-free Survival (Arms A and D: Wild-type KRAS Patients)

SECONDARY OBJECTIVES:

I. Disease-free Survival (Arms A and D: Mutant KRAS Patients) II. Disease-free Survival III. Overall Survival IV. Toxicity

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to positive lymph node involvement (1-3 vs 4 or more), histology (high [poorly differentiated or undifferentiated] vs low [well to moderately differentiated]), and clinical T stage (T1 or T2 vs T3 vs T4). Patients are randomized to 1 of 6 treatment arms (as of 6/1/2005, patients are randomized to treatment arms I and IV only; arms II, III, V, and VI are closed to accrual). As of 8/18/2008, pre-screening for KRAS status was added with mutant KRAS (or KRAS not evaluable) patients put on arm G and wild-type KRAS patients randomized between arm A and arm D.

ARM A: Patients receive oxaliplatin intravenously (IV) over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46-48 hours on days 1. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM B (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm I for remainder of therapy): Patients receive irinotecan hydrochloride IV over 2 hours on day 1 and leucovorin calcium and fluorouracil as in arm A. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM C (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm I for remainder of therapy): Patients receive the same treatment as in arm A for 6 courses followed by the same treatment as in arm B for 6 courses (total of 12 courses). Treatment continues in the absence of unacceptable toxicity or recurrent disease.

ARM D: Patients receive cetuximab* IV over 1 hour on days 1 and 8 and oxaliplatin, leucovorin calcium, and fluorouracil as in arm A. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM E (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm D for remainder of therapy): Patients receive cetuximab* as in arm D and irinotecan hydrochloride, leucovorin calcium, and fluorouracil as in arm B. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM F (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm D for remainder of therapy): Patients receive cetuximab* as in arm D and chemotherapy as in arm C.

ARM G (added as of 8/18/2008, mutant KRAS (or KRAS not evaluable) patients): Locally directed therapy.

NOTE: *Cetuximab is administered over 2 hours at a higher dose on day 1 of course 1 only.

Quality of life (QOL) is assessed at baseline, 3 months, and at the end of therapy. As of 8/18/2008, QOL was discontinued.

Patients are followed for a maximum of 8 years from randomization.


Other known NCT identifiers
  • NCT00170092

Recruitment information / eligibility

Status Completed
Enrollment 3397
Est. completion date November 2012
Est. primary completion date November 2012
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria:

- Histologically confirmed adenocarcinoma of the colon

- Stage III disease

- No resected stage IV disease

- No rectal cancer

- Gross inferior (caudad) margin of the primary tumor must be = 12 cm from the anal verge by rigid proctoscopy

- Stage III tumor must have been completely resected within the past 56 days

- Must have documented en bloc resection in patients with tumor adherence to adjacent structures

- Tumor-related obstructions and colonic perforation are allowed

- Tumor samples must be available

- At least 1 pathologically confirmed positive lymph node

- No evidence of residual involved lymph node disease

- Synchronous primary colon cancer allowed

- No distant metastatic disease

- Performance status - Eastern Cooperative Oncology Group (ECOG) 0-2

- Absolute neutrophil count = 1,500/mm^3

- Platelet count = 100,000/mm^3

- Hemoglobin = 9 g/dL

- Bilirubin = 1.5 times upper limit of normal (ULN)

- Creatinine = 1.5 times ULN

- No uncontrolled high blood pressure

- No unstable angina

- No symptomatic congestive heart failure

- No myocardial infarction with the past 6 months

- No New York Heart Association class III or IV heart disease

- No symptomatic pulmonary fibrosis

- No symptomatic interstitial pneumonitis

- No prior allergic reaction (known sensitivity) to chimerized or murine monoclonal antibody therapy

- No known allergy to platinum compounds

- No documented presence of human anti-mouse antibodies (HAMA)

- No active uncontrolled bacterial, viral, or systemic fungal infection

- HIV negative

- No clinically defined AIDS

- Not pregnant or nursing

- Negative pregnancy test

- No men or women of childbearing potential who are unwilling to employ adequate contraception

- No inadequately treated gastrointestinal bleeding

- No = grade 2 pre-existing peripheral sensory or motor neuropathy

- No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or lobular carcinoma in situ in 1 breast

- No other concurrent medical condition that would preclude study participation

- No concurrent biologic therapy

- No prior chemotherapy for colon cancer

- No other concurrent chemotherapy

- No prior radiotherapy for colon cancer

- No concurrent targeted agents

- No prior agents directed against epidermal growth factor-receptor

- No other concurrent anticancer therapy

Study Design


Intervention

Drug:
irinotecan hydrochloride
Given IV
oxaliplatin
Given IV
leucovorin calcium
Given IV
fluorouracil
Given IV
Biological:
cetuximab
Given IV
Drug:
Locally Directed Therapy
Patients determined to have mutated KRAS (or KRAS not evaluable) will be assigned to an event monitoring arm in which adjuvant therapy will be determined and assigned by the treating oncologist. The determination of the type of therapy, duration of treatment, and dose modification will be the responsibility of the treating oncologists.

Locations

Country Name City State
Canada The Royal Victoria Hospital Barrie Ontario
Canada Tom Baker Cancer Centre Calgary Alberta
Canada Cambridge Memorial Hospital Cambridge Ontario
Canada PEI Cancer Treatment Centre-Queen Elizabeth Hospital Charlottetown Prince Edward Island
Canada Cross Cancer Institute Edmonton Alberta
Canada Juravinski Cancer Centre at Hamilton Health Sciences Hamilton Ontario
Canada Cancer Centre of Southeastern Ontario at Kingston General Hospital Kingston Ontario
Canada Grand River Regional Cancer Centre at Grand River Hospital Kitchener Ontario
Canada London Regional Cancer Program London Ontario
Canada Credit Valley Hospital Mississauga Ontario
Canada The Moncton Hospital Moncton New Brunswick
Canada McGill University Department of Oncology Montreal Quebec
Canada Lions Gate Hospital North Vancouver British Columbia
Canada Ottawa Health Research Institute-General Division Ottawa Ontario
Canada Allan Blair Cancer Centre Regina Saskatchewan
Canada Atlantic Health Sciences Corporation-Saint John Regional Hospital Saint John New Brunswick
Canada Saskatoon Cancer Centre Saskatoon Saskatchewan
Canada Algoma District Cancer Program Sault Area Hospital Sault Ste Marie Ontario
Canada Niagara Health System-Saint Catharines General St. Catharines Ontario
Canada Regional Cancer Program of The Hopital Regional de Sudbury Regional Hopital Sudbury Ontario
Canada BCCA-Fraser Valley Cancer Centre Surrey British Columbia
Canada Thunder Bay Regional Health Science Centre Thunder Bay Ontario
Canada Mount Sinai Hospital Toronto Ontario
Canada Odette Cancer Centre- Sunnybrook Health Sciences Centre Toronto Ontario
Canada Saint Michael's Hospital Toronto Ontario
Canada Toronto East General Hospital Toronto Ontario
Canada Trillium Health Centre-West Toronto Toronto Ontario
Canada University Health Network-Princess Margaret Hospital Toronto Ontario
Canada BCCA-Vancouver Cancer Centre Vancouver British Columbia
Canada Windsor Regional Cancer Centre Windsor Ontario
Canada CancerCare Manitoba Winnipeg Manitoba
Puerto Rico Andres Grillasca Hospital Ponce
Puerto Rico Hato Rey Hematology Oncology Group San Juan
Puerto Rico I Gonzales Martinez-Oncologic Hospital San Juan
Puerto Rico San Juan City Hospital San Juan
Puerto Rico San Juan Veterans Affairs Medical Center San Juan
United States Kapiolani Medical Center at Pali Momi 'Aiea Hawaii
United States Conklin Regional Cancer Center Aberdeen South Dakota
United States Abington Memorial Hospital Abington Pennsylvania
United States Bixby Medical Center Adrian Michigan
United States Hickman Cancer Center Adrian Michigan
United States Akron City Hospital Akron Ohio
United States Akron General Medical Center Akron Ohio
United States Phoebe Putney Memorial Hospital Albany Georgia
United States Hematology Oncology Associates Albuquerque New Mexico
United States New Mexico Oncology Hematology Consultants Albuquerque New Mexico
United States Presbyterian Kaseman Hospital Albuquerque New Mexico
United States University of New Mexico Albuquerque New Mexico
United States University of New Mexico at Lovelace Medical Center Albuquerque New Mexico
United States Harris, John Gilbert MD (UIA Investigator) Alexandria Minnesota
United States Medini, Eitan MD (UIA Investigator) Alexandria Minnesota
United States Lehigh Valley Hospital Allentown Pennsylvania
United States Saint Anthony's Health Alton Illinois
United States The Don and Sybil Harrington Cancer Center Amarillo Texas
United States McFarland Clinic Ames Iowa
United States Providence Alaska Medical Center Anchorage Alaska
United States AnMed Health Hospital Anderson South Carolina
United States Michigan Cancer Research Consortium Community Clinical Oncology Program Ann Arbor Michigan
United States Saint Joseph Mercy Hospital Ann Arbor Michigan
United States Anne Arundel Medical Center Annapolis Maryland
United States Northeast Alabama Regional Medical Center Anniston Alabama
United States Langlade Hospital and Cancer Center Antigo Wisconsin
United States Memorial Hospital of Arkansas City Arkansas City Kansas
United States Mission Hospitals Inc Asheville North Carolina
United States Our Lady Bellefonte Hospital Ashland Kentucky
United States Atlanta Regional CCOP Atlanta Georgia
United States Northside Hospital Atlanta Georgia
United States Piedmont Hospital Atlanta Georgia
United States Saint Joseph's Hospital of Atlanta Atlanta Georgia
United States Auburn Regional Medical Center Auburn Washington
United States Augusta Oncology Associates PC Augusta Georgia
United States Rush - Copley Medical Center Aurora Illinois
United States The Medical Center of Aurora Aurora Colorado
United States Well Star Cobb Hospital Austell Georgia
United States Franklin Square Hospital Center Baltimore Maryland
United States Good Samaritan Hospital of Maryland Baltimore Maryland
United States Greater Baltimore Medical Center Baltimore Maryland
United States Johns Hopkins University Baltimore Maryland
United States The Union Memorial Hospital Baltimore Maryland
United States Eastern Maine Medical Center Bangor Maine
United States Summa Barberton Hospital Barberton Ohio
United States Baton Rouge General Medical Center Baton Rouge Louisiana
United States Mary Bird Perkins Cancer Center Baton Rouge Louisiana
United States Ochsner Clinic Foundation-Baton Rouge Baton Rouge Louisiana
United States Battle Creek Health System Battle Creek Michigan
United States Bay Regional Medical Center Bay City Michigan
United States Saint Francis Hospital and Health Centers Beech Grove Indiana
United States Mary Rutan Hospital Bellefontaine Ohio
United States Saint Joseph Hospital Bellingham Washington
United States Merit Care Clinic Bemidji Bemidji Minnesota
United States Southwestern Oncology Research Department Bennington Vermont
United States Highlands Oncology Group-Bentonville Bentonville Arkansas
United States Alta Bates Medical Center-Herrick Campus Berkeley California
United States Saint Luke's Hospital Bethlehem Pennsylvania
United States Constantinou, Costas L MD (UIA Investigator) Bettendorf Iowa
United States Hematology Oncology Associates-Quad Cities Bettendorf Iowa
United States Beverly Hospital Beverly Massachusetts
United States Mecosta County Medical Center Big Rapids Michigan
United States Billings Clinic Billings Montana
United States Deaconess Medical Center Billings Montana
United States Hematology-Oncology Centers of the Northern Rockies PC Billings Montana
United States Montana Cancer Consortium CCOP Billings Montana
United States Northern Rockies Radiation Oncology Center Billings Montana
United States Saint Vincent Healthcare Billings Montana
United States Bismarck Cancer Center Bismarck North Dakota
United States Medcenter One Health Systems Bismarck North Dakota
United States Mid Dakota Clinic Bismarck North Dakota
United States Saint Alexius Medical Center Bismarck North Dakota
United States Saint Joseph Medical Center Bloomington Illinois
United States The Boardman Cancer Center Boardman Ohio
United States Saint Alphonsus Regional Medical Center Boise Idaho
United States Saint Luke's Mountain States Tumor Institute Boise Idaho
United States Beth Israel Deaconess Medical Center Boston Massachusetts
United States Boston Medical Center Boston Massachusetts
United States Brigham and Women's Hospital Boston Massachusetts
United States Dana-Farber Cancer Institute Boston Massachusetts
United States Massachusetts General Hospital Cancer Center Boston Massachusetts
United States Boulder Community Hospital Boulder Colorado
United States Wood County Oncology Center Bowling Green Ohio
United States Bozeman Deaconess Cancer Center Bozeman Montana
United States Bozeman Deaconess Hospital Bozeman Montana
United States Internal Medicine of Bozeman Bozeman Montana
United States Brainerd Medical Center Inc Brainerd Minnesota
United States Saint Joseph's Medical Center Brainerd Minnesota
United States Harrison Bremerton Hematology and Oncology Bremerton Washington
United States Ocean Medical Center Brick New Jersey
United States Bridgeport Hospital Bridgeport Connecticut
United States Caritas Saint Elizabeth's Medical Center Brighton Massachusetts
United States Albert Einstein College of Medicine Bronx New York
United States Montefiore Medical Center Bronx New York
United States The North Division of Montefiore Medical Center Bronx New York
United States Long Island College Hospital Brooklyn New York
United States Bryn Mawr Hospital Bryn Mawr Pennsylvania
United States Roswell Park Cancer Institute Buffalo New York
United States Veterans Affairs Western New York Health Care System-Buffalo Buffalo New York
United States Providence Saint Joseph Medical Center Burbank California
United States Mills - Peninsula Hospitals Burlingame California
United States Alamance Regional Medical Center Burlington North Carolina
United States University of Vermont Burlington Vermont
United States Fairview Ridges Hospital Burnsville Minnesota
United States Saint James Community Hospital and Cancer Treatment Center Butte Montana
United States Cooper Hospital University Medical Center Camden New Jersey
United States Aultman Health Foundation Canton Ohio
United States Graham Hospital Association Canton Illinois
United States Mercy Medical Center Canton Ohio
United States Saint Francis Medical Center Cape Girardeau Missouri
United States Southeast Missouri Hospital Cape Girardeau Missouri
United States Marion Community Hospital Carbondale Pennsylvania
United States Saint Anthony Regional Hospital Carroll Iowa
United States Memorial Hospital Carthage Illinois
United States East Bay Radiation Oncology Center Castro Valley California
United States Eden Hospital Medical Center Castro Valley California
United States Valley Medical Oncology Consultants-Castro Valley Castro Valley California
United States Cedar Rapids Oncology Association Cedar Rapids Iowa
United States Iowa Blood and Cancer Care PLC Cedar Rapids Iowa
United States Mercy Hospital Cedar Rapids Iowa
United States Oncology Associates Cedar Rapids Iowa
United States Saint Luke's Hospital Cedar Rapids Iowa
United States Providence Centralia Hospital Centralia Washington
United States Cancer Center of Kansas - Chanute Chanute Kansas
United States University of North Carolina Chapel Hill North Carolina
United States Medical University of South Carolina Charleston South Carolina
United States Carolinas Medical Center Charlotte North Carolina
United States Hematology and Oncology Associates Chicago Illinois
United States Illinois Masonic Medical Center Chicago Illinois
United States John H Stroger Jr Hospital of Cook County Chicago Illinois
United States Mercy Hospital and Medical Center Chicago Illinois
United States Mount Sinai Hospital Medical Center Chicago Illinois
United States Northwestern University Chicago Illinois
United States Resurrection Healthcare Chicago Illinois
United States Swedish Covenant Hospital Chicago Illinois
United States University of Chicago Comprehensive Cancer Center Chicago Illinois
United States Weiss Memorial Hospital Chicago Illinois
United States Adena Regional Medical Center Chillicothe Ohio
United States Case Western Reserve University Cleveland Ohio
United States Cleveland Clinic Foundation Cleveland Ohio
United States MetroHealth Medical Center Cleveland Ohio
United States Medical Oncology and Hematology Associates-West Des Moines Clive Iowa
United States Memorial Hospital Colorado Springs Colorado Springs Colorado
United States Penrose-Saint Francis Healthcare Colorado Springs Colorado
United States Missouri Cancer Associates Columbia Missouri
United States Columbus CCOP Columbus Ohio
United States Doctors Hospital Columbus Ohio
United States Grant Medical Center Columbus Ohio
United States John B Amos Cancer Center Columbus Georgia
United States Mount Carmel Health Center West Columbus Ohio
United States Ohio State University Medical Center Columbus Ohio
United States Riverside Methodist Hospital Columbus Ohio
United States New Hampshire Oncology-Hematology PA Concord New Hampshire
United States Mercy Hospital Coon Rapids Minnesota
United States Mary Imogene Bassett Hospital Cooperstown New York
United States Bay Area Hospital Coos Bay Oregon
United States Alegent Health Mercy Hospital Council Bluffs Iowa
United States Hematology and Oncology Associates of Rhode Island Inc Cranston Rhode Island
United States Texas Health Presbyterian Hospital Dallas Dallas Texas
United States Danbury Hospital Danbury Connecticut
United States Danville Regional Medical Center Danville Virginia
United States Geisinger Medical Center Danville Pennsylvania
United States Mercy Fitzgerald Hospital Darby Pennsylvania
United States Genesis Medical Center - East Campus Davenport Iowa
United States Genesis Medical Center - West Campus Davenport Iowa
United States Dayton CCOP Dayton Ohio
United States Good Samaritan Hospital - Dayton Dayton Ohio
United States Grandview Hospital Dayton Ohio
United States Miami Valley Hospital Dayton Ohio
United States Samaritan North Health Center Dayton Ohio
United States Veteran Affairs Medical Center Dayton Ohio
United States Halifax Medical Center-Centers for Oncology Daytona Beach Florida
United States Oakwood Hospital Dearborn Michigan
United States Decatur Memorial Hospital Decatur Illinois
United States Dekalb Medical Center Decatur Georgia
United States Veterans Administration Medical Center Decatur Georgia
United States North Broward Medical Center Deerfield Beach Florida
United States Grady Memorial Hospital Delaware Ohio
United States Colorado Cancer Research Program CCOP Denver Colorado
United States Exempla Saint Joseph Hospital Denver Colorado
United States Porter Adventist Hospital Denver Colorado
United States Presbyterian - Saint Lukes Medical Center - Health One Denver Colorado
United States Rose Medical Center Denver Colorado
United States Saint Anthony Central Hospital Denver Colorado
United States Columbia Parkland Medical Center Derry New Hampshire
United States Iowa Lutheran Hospital Des Moines Iowa
United States Iowa Methodist Medical Center Des Moines Iowa
United States Iowa Oncology Research Association CCOP Des Moines Iowa
United States Medical Oncology and Hematology Associates Des Moines Iowa
United States Medical Oncology and Hematology Associates-Des Moines Des Moines Iowa
United States Mercy Capitol Des Moines Iowa
United States Mercy Medical Center - Des Moines Des Moines Iowa
United States Saint John Hospital and Medical Center Detroit Michigan
United States Wayne State University Detroit Michigan
United States Cancer Center of Kansas - Dodge City Dodge City Kansas
United States Bayhealth Medical Center at Kent General Dover Delaware
United States Doylestown Hospital Doylestown Pennsylvania
United States Delaware County Memorial Hospital Drexel Hill Pennsylvania
United States City of Hope Duarte California
United States Finley Hospital Dubuque Iowa
United States Duluth Clinic CCOP Duluth Minnesota
United States Miller-Dwan Hospital Duluth Minnesota
United States Saint Luke's Hospital of Duluth Duluth Minnesota
United States Saint Mary's Medical Center Duluth Minnesota
United States Michigan State University - Breslin Cancer Center East Lansing Michigan
United States Veterans Adminstration New Jersey Health Care System East Orange New Jersey
United States Pocono Medical Center East Stroudsburg Pennsylvania
United States Hematology Oncology Associates of Central New York East Syracuse New York
United States Easton Hospital Easton Pennsylvania
United States Marshfield Clinic Cancer Care at Regional Cancer Center Eau Claire Wisconsin
United States Mayo Clinic Health System Eau Claire Hospital - Luther Campus Eau Claire Wisconsin
United States Midelfort Clinic-Clairemont Campus Eau Claire Wisconsin
United States Sacred Heart Hospital Eau Claire Wisconsin
United States Fairview-Southdale Hospital Edina Minnesota
United States Saint Anthony Memorial Hospital Effingham Illinois
United States Cancer Center of Kansas - El Dorado El Dorado Kansas
United States The Center for Integrative Cancer Medicine El Paso Texas
United States Sherman Hospital Elgin Illinois
United States Cancer Institute at Alexian Brothers Elk Grove Village Illinois
United States Elkhart General Hospital Elkhart Indiana
United States Union Hospital of Cecil County Elkton Maryland
United States Hematology Oncology Center Incorporated Elyria Ohio
United States Englewood Hospital and Medical Center Englewood New Jersey
United States Swedish Medical Center Englewood Colorado
United States Ephrata Cancer Center Ephrata Pennsylvania
United States Green Bay Oncology - Escanaba Escanaba Michigan
United States Eureka Hospital Eureka Illinois
United States Evanston CCOP-NorthShore University HealthSystem Evanston Illinois
United States Saint Francis Hospital Evanston Illinois
United States Exeter Hospital Exeter New Hampshire
United States Northbay Cancer Center Fairfield California
United States Innovis Health South University Fargo North Dakota
United States Meritcare Hospital Fargo North Dakota
United States MeritCare Medical Group Fargo North Dakota
United States Veterans Administration Medical Center Fargo North Dakota
United States Saint Francis Hospital Federal Way Washington
United States Etzell, Paul S MD (UIA Investigator) Fergus Falls Minnesota
United States Swenson, Wade II, MD (UIA Investigator) Fergus Falls Minnesota
United States Blanchard Valley Hospital Findlay Ohio
United States Hunterdon Medical Center Flemington New Jersey
United States Genesys Regional Medical Center Flint Michigan
United States Hurley Medical Center Flint Michigan
United States McLaren Regional Medical Center Flint Michigan
United States Central Wisconsin Cancer Program Fond Du Lac Wisconsin
United States Front Range Cancer Specialists Fort Collins Colorado
United States Poudre Valley Hospital Fort Collins Colorado
United States Broward General Medical Center Fort Lauderdale Florida
United States Brooke Army Medical Center Fort Sam Houston Texas
United States Saint Edward Mercy Medical Center Fort Smith Arkansas
United States Fort Wayne Medical Oncology and Hematology Inc - State Boulevard Fort Wayne Indiana
United States Atrium Medical Center-Middletown Regional Hospital Franklin Ohio
United States Frederick Memorial Hospital Frederick Maryland
United States Fredericksburg Oncology Inc Fredericksburg Virginia
United States CentraState Medical Center Freehold New Jersey
United States Fremont Area Medical Center Fremont Nebraska
United States Fremont Memorial Hospital Fremont Ohio
United States Kaiser Permanente, Fremont Fremont California
United States Valley Medical Oncology Consultants-Fremont Fremont California
United States California Cancer Center - North Fresno Fresno California
United States Cancer Care Associates Fresno California
United States Unity Hospital Fridley Minnesota
United States Northeast Georgia Medical Center Gainesville Georgia
United States University of Florida Gainesville Florida
United States Galesburg Clinic Galesburg Illinois
United States Galesburg Cottage Hospital Galesburg Illinois
United States Intercommunity Cancer Center Galesburg Illinois
United States University of Texas Medical Branch Galveston Texas
United States Gaston Memorial Hospital Gastonia North Carolina
United States Banner Thunderbird Medical Center Glendale Arizona
United States Adirondack Cancer Center Glens Falls New York
United States Addison Gilbert Hospital Gloucester Massachusetts
United States Riverside Middle Peninsula Cancer Center Gloucester Virginia
United States Southeastern Medical Oncology Center Goldsboro North Carolina
United States Wayne Memorial Hospital Goldsboro North Carolina
United States Wayne Radiation Oncology Goldsboro North Carolina
United States Altru Cancer Center Grand Forks North Dakota
United States Saint Francis Medical Center Grand Island Nebraska
United States Saint Mary's Hospital and Regional Medical Center Grand Junction Colorado
United States Grand Rapids Clinical Oncology Program Grand Rapids Michigan
United States Saint Mary's Health Care Grand Rapids Michigan
United States Spectrum Health at Butterworth Campus Grand Rapids Michigan
United States Spectrum Health-Blodgett Campus Grand Rapids Michigan
United States Benefis Healthcare- Sletten Cancer Institute Great Falls Montana
United States Berdeaux, Donald MD (UIA Investigator) Great Falls Montana
United States Big Sky Oncology Great Falls Montana
United States Great Falls Clinic Great Falls Montana
United States North Colorado Medical Center Greeley Colorado
United States Aurora BayCare Medical Center Green Bay Wisconsin
United States Green Bay Oncology at Saint Vincent Hospital Green Bay Wisconsin
United States Green Bay Oncology Limited at Saint Mary's Hospital Green Bay Wisconsin
United States Saint Mary's Hospital Green Bay Wisconsin
United States Saint Vincent Hospital Green Bay Wisconsin
United States California Cancer Care - Greenbrae Greenbrae California
United States Sutter Health Western Division Cancer Research Group Greenbrae California
United States Franklin Medical Center Greenfield Massachusetts
United States Greenville CCOP Greenville South Carolina
United States Greenville Memorial Hospital Greenville South Carolina
United States Wayne Hospital Greenville Ohio
United States Legacy Mount Hood Medical Center Gresham Oregon
United States Washington County Hospital Hagerstown Maryland
United States Cancer Institute of New Jersey At Hamilton Hamilton New Jersey
United States Catskill Regional Medical Center Harris New York
United States PinnacleHealth Regional Cancer Center at Polyclinic Hospital Harrisburg Pennsylvania
United States Hartford Hospital Hartford Connecticut
United States Saint Francis Hospital and Medical Center Hartford Connecticut
United States Ingalls Memorial Hospital Harvey Illinois
United States Mason District Hospital Havana Illinois
United States Kaiser Permanente, Hayward Hayward California
United States Saint Rose Hospital Hayward California
United States Geisinger South Wilkes Barre-Hazelton Cancer Center Hazleton Pennsylvania
United States Saint Peter's Community Hospital Helena Montana
United States Margaret R Pardee Memorial Hospital Hendersonville North Carolina
United States Holland Community Hospital Holland Michigan
United States Holyoke Medical Center Holyoke Massachusetts
United States Hawaii Medical Center East Honolulu Hawaii
United States Kapiolani Medical Center for Women and Children Honolulu Hawaii
United States Oncare Hawaii Inc-Kuakini Honolulu Hawaii
United States Oncare Hawaii Inc-POB II Honolulu Hawaii
United States Queen's Medical Center Honolulu Hawaii
United States Straub Clinic and Hospital Honolulu Hawaii
United States Tripler Army Medical Center Honolulu Hawaii
United States University of Hawaii Honolulu Hawaii
United States New Hampshire Oncology Hematology Associates Hooksett New Hampshire
United States Hopedale Medical Complex - Hospital Hopedale Illinois
United States Baylor College of Medicine Houston Texas
United States Ben Taub General Hospital Houston Texas
United States Methodist Hospital Houston Texas
United States Saint Luke's Episcopal Hospital Houston Texas
United States Veterans Administration Medical Center Houston Texas
United States Edwards Comprehensive Cancer Center Huntington West Virginia
United States Clearview Cancer Institute Huntsville Alabama
United States Hutchinson Area Health Care Hutchinson Minnesota
United States Cancer Center of Kansas-Independence Independence Kansas
United States Cleveland Clinic Cancer Center Independence Independence Ohio
United States Independence Regional Health Center Independence Missouri
United States Indiana University Medical Center Indianapolis Indiana
United States Richard L. Roudebush Veterans Affairs Medical Center Indianapolis Indiana
United States Saint Vincent Hospital and Health Services Indianapolis Indiana
United States Wishard Hospital Indianapolis Indiana
United States University of Iowa Hospitals and Clinics Iowa City Iowa
United States Green Bay Oncology - Iron Mountain Iron Mountain Michigan
United States Allegiance Health Jackson Michigan
United States Veterans Affairs Medical Center Jackson Mississippi
United States Edna Williams Cancer Center at the Baptist Cancer Institute Jacksonville Florida
United States Mayo Clinic in Florida Jacksonville Florida
United States Mercy Health System Janesville Wisconsin
United States UW Cancer Center Johnson Creek Johnson Creek Wisconsin
United States Joliet Oncology-Hematology Associates Limited Joliet Illinois
United States Midwest Center for Hematology Oncology Joliet Illinois
United States Freeman Health System Joplin Missouri
United States Saint John's Regional Medical Center Joplin Missouri
United States Borgess Medical Center Kalamazoo Michigan
United States Bronson Methodist Hospital Kalamazoo Michigan
United States Kalamazoo Center for Medical Studies Kalamazoo Michigan
United States West Michigan Cancer Center Kalamazoo Michigan
United States Glacier Oncology PLLC Kalispell Montana
United States Kalispell Medical Oncology Kalispell Montana
United States Kalispell Regional Medical Center Kalispell Montana
United States Provena Saint Mary's Hospital Kankakee Illinois
United States Kansas City Veterans Affairs Medical Center Kansas City Missouri
United States Liberty Radiation Oncology Clinic Kansas City Missouri
United States North Kansas City Hospital Kansas City Missouri
United States Providence Medical Center Kansas City Kansas
United States Radiation Oncology Practice Corporation - North Kansas City Missouri
United States Radiation Oncology Practice Corporation South Kansas City Missouri
United States Research Medical Center Kansas City Missouri
United States Saint Joseph Health Center Kansas City Missouri
United States Saint Luke's Cancer Institute Kansas City Missouri
United States Saint Luke's Hospital of Kansas City Kansas City Missouri
United States Truman Medical Center Kansas City Missouri
United States University of Kansas Medical Center Kansas City Kansas
United States Good Samaritan Hospital Kearney Nebraska
United States Cheshire Medical Center-Dartmouth-Hitchcock Keene Keene New Hampshire
United States Keesler Medical Center Keesler Air Force Base Mississippi
United States Columbia Basin Hematology and Oncology PLLC Kennewick Washington
United States Associates in Oncology Hematology PC -Kensington Kensington Maryland
United States Cole, Sharon, K. M.D. (UIA Investigator) Kenton Ohio
United States Kettering Medical Center Kettering Ohio
United States Kewanee Hospital Kewanee Illinois
United States Cancer Center of Kansas-Kingman Kingman Kansas
United States Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee
United States Kinston Medical Specialists PA Kinston North Carolina
United States Evergreen Hospital Medical Center Kirkland Washington
United States Thompson Cancer Survival Center Knoxville Tennessee
United States Howard Regional Healthcare System Kokomo Indiana
United States Franciscan Skemp Healthcare La Crosse Wisconsin
United States La Grange Memorial Hospital La Grange Illinois
United States Laporte Hospital La Porte Indiana
United States Wilford Hall Medical Center Lackland Air Force Base Texas
United States LRGHealthcare-Lakes Region General Hospital Laconia New Hampshire
United States Clarian Arnett Cancer Care Lafayette Indiana
United States Deerpath Medical Associates Lake Forest Illinois
United States The Watson Clinic Lakeland Florida
United States Fairfield Medical Center Lancaster Ohio
United States Lancaster General Hospital Lancaster Pennsylvania
United States Ingham Regional Medical Center Lansing Michigan
United States Sparrow Hospital Lansing Michigan
United States Lapeer Regional Hospital Lapeer Michigan
United States Doctor's Hospital of Laredo Laredo Texas
United States Memorial Medical Center - Las Cruces Las Cruces New Mexico
United States Nevada Cancer Institute Las Vegas Nevada
United States Nevada Cancer Research Foundation CCOP Las Vegas Nevada
United States University Medical Center of Southern Nevada Las Vegas Nevada
United States Lawrence Memorial Hospital Lawrence Kansas
United States Gwinnett Medical Center Lawrenceville Georgia
United States Cancer Centers of Southwest Oklahoma Research - Lawton Lawton Oklahoma
United States Dartmouth Hitchcock Medical Center Lebanon New Hampshire
United States Cancer Centers of Central Florida PA Leesburg Florida
United States Central PA Hematology-Medical Oncology Associates PC Lemoyne Pennsylvania
United States Beebe Medical Center Lewes Delaware
United States Central Baptist Hospital Lexington Kentucky
United States Liberty Hospital Liberty Missouri
United States North Shore Hematology Oncology Libertyville Illinois
United States Lima Memorial Hospital Lima Ohio
United States Saint Rita's Medical Center Lima Ohio
United States Bryan LGH Medical Center East Lincoln Nebraska
United States Bryan LGH Medical Center West Lincoln Nebraska
United States Lincoln Medical Education Foundation Cancer Resource Center Lincoln Nebraska
United States Saint Elizabeth Regional Medical Center Lincoln Nebraska
United States Meeker County Memorial Hospital Litchfield Minnesota
United States University of Arkansas for Medical Sciences Little Rock Arkansas
United States Veteran's Administration Medical Center Little Rock Arkansas
United States Saint Barnabas Medical Center Livingston New Jersey
United States Saint Mary Mercy Hospital Livonia Michigan
United States Loma Linda University Medical Center Loma Linda California
United States Sky Ridge Medical Center Lone Tree Colorado
United States Monmouth Medical Center Long Branch New Jersey
United States Longmont United Hospital Longmont Colorado
United States University of Southern California Los Angeles California
United States University of Louisville Louisville Kentucky
United States McKee Medical Center Loveland Colorado
United States Lowell General Hospital Lowell Massachusetts
United States Lynchburg Hematology-Oncology Clinic Lynchburg Virginia
United States Mcdonough District Hospital Macomb Illinois
United States Dean Hematology and Oncology Clinic Madison Wisconsin
United States University of Wisconsin Hospital and Clinics Madison Wisconsin
United States UW Health Oncology - 1 South Park Madison Wisconsin
United States Merle Mahr Cancer Center Madisonville Kentucky
United States Elliot Hospital Manchester New Hampshire
United States Manchester Memorial Hospital Manchester Connecticut
United States Immanuel-Saint Joseph Hospital-Mayo Health System Mankato Minnesota
United States DeSoto Regional Health System Mansfield Louisiana
United States Mansfield General Hospital-MedCentral Health System Mansfield Ohio
United States Minnesota Oncology Hematology PA-Maplewood Maplewood Minnesota
United States Saint John's Hospital - Healtheast Maplewood Minnesota
United States Marietta Memorial Hospital Marietta Ohio
United States Wellstar Kennestone Hospital Marietta Georgia
United States Bay Area Medical Center Marinette Wisconsin
United States Vince Lombardi Cancer Clinic-Marinette Marinette Wisconsin
United States Marshfield Clinic Marshfield Wisconsin
United States Saint Joseph's Hospital Marshfield Wisconsin
United States Contra Costa Regional Medical Center Martinez California
United States Fremont - Rideout Cancer Center Marysville California
United States Mercy Medical Center - North Iowa Mason City Iowa
United States Northwest Ohio Oncology Center Maumee Ohio
United States Saint Luke's Hospital Maumee Ohio
United States Toledo Radiation Oncology at Northwest Ohio Onocolgy Center Maumee Ohio
United States Loyola University Medical Center Maywood Illinois
United States Cancer Center of Kansas - McPherson McPherson Kansas
United States Lawrence Memorial Medford Massachusetts
United States Riddle Hospital Media Pennsylvania
United States Veterans Affairs Medical Center - Memphis Memphis Tennessee
United States Premier Oncology Hematology Associates Merrillville Indiana
United States Banner Baywood Medical Center Mesa Arizona
United States Banner Desert Medical Center Mesa Arizona
United States Metairie Oncologists Metairie Louisiana
United States Holy Family Hospital Methuen Massachusetts
United States Baptist Hospital of Miami Miami Florida
United States Saint Anthony Memorial Health Center Michigan City Indiana
United States Middlesex Hospital Middletown Connecticut
United States Orange Regional Medical Center Middletown New York
United States Mid-Michigan Medical Center - Midland Midland Michigan
United States Eastern Montana Cancer Center Miles City Montana
United States Providence Milwaukie Hospital Milwaukie Oregon
United States Winthrop University Hospital Mineola New York
United States Abbott-Northwestern Hospital Minneapolis Minnesota
United States Hennepin County Medical Center Minneapolis Minnesota
United States Minneapolis Veterans Medical Center Minneapolis Minnesota
United States Virginia Piper Cancer Institute Minneapolis Minnesota
United States Marshfield Clinic-Minocqua Center Minocqua Wisconsin
United States Trinity Cancer Care Center Minot North Dakota
United States Community Medical Hospital Missoula Montana
United States Montana Cancer Specialists Missoula Montana
United States Saint Patrick Hospital - Community Hospital Missoula Montana
United States Community Memorial Hospital Missouri Valley Iowa
United States Mobile Infirmary Medical Center Mobile Alabama
United States Providence Hospital Mobile Alabama
United States Memorial Medical Center Modesto California
United States Garneau, Stewart C MD (UIA Investigator) Moline Illinois
United States Porubcin, Michael MD (UIA Investigator) Moline Illinois
United States Sharis, Christine M MD (UIA Investigator) Moline Illinois
United States Stoffel, Thomas J MD (UIA Investigator) Moline Illinois
United States Trinity Medical Center Moline Illinois
United States Vigliotti, Antonio, P.G. M.D. (UIA Investigator) Moline Illinois
United States Community Cancer Center of Monroe Monroe Michigan
United States Louisiana State University Sciences Center- Monroe Monroe Louisiana
United States Mercy Memorial Hospital Monroe Michigan
United States Mountainside Hospital Montclair New Jersey
United States Community Hospital of Monterey Peninsula Monterey California
United States Chippewa County - Montevideo Hospital Montevideo Minnesota
United States West Virginia University Morgantown West Virginia
United States Morristown Memorial Hospital Morristown New Jersey
United States Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County Mount Holly New Jersey
United States Good Samaritan Regional Medical Center Mount Vernon Illinois
United States El Camino Hospital Mountain View California
United States Palo Alto Medical Foundation-Camino Division Mountain View California
United States Ball Memorial Hospital Muncie Indiana
United States The Community Hospital Munster Indiana
United States Mercy Health Partners-Hackley Campus Muskegon Michigan
United States Mercy Health Partners-Mercy Campus Muskegon Michigan
United States Edward Hospital Naperville Illinois
United States Hematology Oncology Consultants Limited Naperville Illinois
United States Meharry Medical College Nashville Tennessee
United States Tennessee Oncology PLLC- Centennial Medical Center Nashville Tennessee
United States Vanderbilt University Nashville Tennessee
United States Metrowest Medical Center Incorporated Natick Massachusetts
United States The Hospital of Central Connecticut New Britain Connecticut
United States Cancer Institute of New Jersey New Brunswick New Jersey
United States Louisiana State University Health Science Center New Orleans Louisiana
United States Medical Center of Louisiana New Orleans Louisiana
United States Ochsner Clinic CCOP New Orleans Louisiana
United States Ochsner Clinic Foundation New Orleans Louisiana
United States Beth Israel Medical Center New York New York
United States Columbia University Medical Center New York New York
United States Memorial Sloan Kettering Cancer Center New York New York
United States New York University Langone Medical Center New York New York
United States Saint Luke's Roosevelt Hospital Center - Saint Luke's Division New York New York
United States Licking Memorial Hospital Newark Ohio
United States Peninsula Cancer Institute-Newport News Newport News Virginia
United States Cancer Center of Kansas - Newton Newton Kansas
United States Cancer Care and Hematology Specialists of Chicagoland PC Niles Illinois
United States Bromenn Regional Medical Center Normal Illinois
United States Community Cancer Center Foundation Normal Illinois
United States Great Plains Regional Medical Center North Platte Nebraska
United States Southwest VA Regional Cancer Center Norton Virginia
United States Eastern Connecticut Hematology and Oncology Associates Norwich Connecticut
United States Norwood Hospital Norwood Massachusetts
United States Nyack Hospital Nyack New York
United States Advocate Christ Medical Center Oak Lawn Illinois
United States Alta Bates Summit Medical Center - Summit Campus Oakland California
United States Bay Area Breast Surgeons Inc Oakland California
United States Bay Area Tumor Institution CCOP Oakland California
United States Highland General Hospital Oakland California
United States Kaiser Permanente-Oakland Oakland California
United States Larry G Strieff MD Medical Corporation Oakland California
United States Tom K Lee Inc Oakland California
United States Oconomowoc Memorial Hospital-ProHealth Care Inc Oconomowoc Wisconsin
United States Green Bay Oncology - Oconto Falls Oconto Falls Wisconsin
United States Cancer Care Associates Oklahoma City Oklahoma
United States University of Oklahoma Health Sciences Center Oklahoma City Oklahoma
United States Olathe Medical Center Olathe Kansas
United States Capital Medical Center Olympia Washington
United States Providence - Saint Peter Hospital Olympia Washington
United States Alegent Health Bergan Mercy Medical Center Omaha Nebraska
United States Alegent Health Immanuel Medical Center Omaha Nebraska
United States Creighton University Medical Center Omaha Nebraska
United States Methodist Estabrook Cancer Center Omaha Nebraska
United States Missouri Valley Cancer Consortium CCOP Omaha Nebraska
United States University of Nebraska Medical Center Omaha Nebraska
United States Burgess Memorial Hospital Onawa Iowa
United States Saint Joseph Hospital Orange California
United States Integrated Community Oncology Network - Orange Park Cancer Center Orange Park Florida
United States Bayview Oncology Associates Oregon Ohio
United States Saint Charles Hospital Oregon Ohio
United States Florida Hospital Orlando Florida
United States M D Anderson Cancer Center- Orlando Orlando Florida
United States Cancer Center of Kansas - Ottawa Ottawa Kansas
United States Illinois CancerCare-Ottawa Clinic Ottawa Illinois
United States Ottawa Regional Hospital and Healthcare Center Ottawa Illinois
United States Menorah Medical Center Overland Park Kansas
United States Radiation Oncology Practice Corporation Southwest Overland Park Kansas
United States Desert Regional Medical Center Palm Springs California
United States Palo Alto Medical Foundation Heath Care Palo Alto California
United States Paoli Memorial Hospital Paoli Pennsylvania
United States Midlands Community Hospital Papillion Nebraska
United States Camden-Clark Memorial Hospital Parkersburg West Virginia
United States Cancer Center of Kansas - Parsons Parsons Kansas
United States Singing River Hospital Pascagoula Mississippi
United States North Shore Medical Center Cancer Center Peabody Massachusetts
United States Pekin Cancer Treatment Center Pekin Illinois
United States Pekin Hospital Pekin Illinois
United States Sacred Heart Hospital Pensacola Florida
United States Sacred Heart Medical Oncology Group - Davis Highway Pensacola Florida
United States Illinois CancerCare-Peoria Peoria Illinois
United States Illinois Oncology Research Association CCOP Peoria Illinois
United States Methodist Medical Center of Illinois Peoria Illinois
United States OSF Saint Francis Medical Center Peoria Illinois
United States Proctor Hospital Peoria Illinois
United States Illinois Valley Hospital Peru Illinois
United States Northern Michigan Regional Hospital Petoskey Michigan
United States Abramson Cancer Center of The University of Pennsylvania Philadelphia Pennsylvania
United States Albert Einstein Medical Center Philadelphia Pennsylvania
United States Aria Health-Torresdale Campus Philadelphia Pennsylvania
United States Fox Chase Cancer Center Philadelphia Pennsylvania
United States Pennsylvania Hospital Philadelphia Pennsylvania
United States Thomas Jefferson University Hospital Philadelphia Pennsylvania
United States Warren Hospital Phillipsburg New Jersey
United States Banner Good Samaritan Medical Center Phoenix Arizona
United States Phoenix Indian Medical Center Phoenix Arizona
United States Western Regional CCOP Phoenix Arizona
United States Mount Carmel Regional Cancer Center Pittsburg Kansas
United States Allegheny Cancer Center at Allegheny General Hospital Pittsburgh Pennsylvania
United States University of Pittsburgh Pittsburgh Pennsylvania
United States Western Pennsylvania Hospital Pittsburgh Pennsylvania
United States Berkshire Hematology Oncology PC Pittsfield Massachusetts
United States Valley Care Health System - Pleasanton Pleasanton California
United States Valley Medical Oncology Consultants Pleasanton California
United States Saint Joseph Mercy Oakland Pontiac Michigan
United States Olympic Medical Center Port Angeles Washington
United States Saint Joseph Mercy Port Huron Port Huron Michigan
United States Adventist Medical Center Portland Oregon
United States Columbia River Oncology Program Portland Oregon
United States Kaiser Permanente Portland Oregon
United States Legacy Emanuel Hospital and Health Center Portland Oregon
United States Legacy Good Samaritan Hospital and Medical Center Portland Oregon
United States Northwest Cancer Specialists-Rose Quarter Cancer Center Portland Oregon
United States Oregon Health and Science University Portland Oregon
United States Providence Portland Medical Center Portland Oregon
United States Providence Saint Vincent Medical Center Portland Oregon
United States Portsmouth Regional Hospital Portsmouth New Hampshire
United States Pottstown Memorial Medical Center Pottstown Pennsylvania
United States Cancer Center of Kansas - Pratt Pratt Kansas
United States Perry Memorial Hospital Princeton Illinois
United States Princeton Community Hospital Princeton West Virginia
United States Miriam Hospital Providence Rhode Island
United States Rhode Island Hospital Providence Rhode Island
United States Saint Mary Corwin Medical Center Pueblo Colorado
United States Good Samaritan Community Hospital Puyallup Washington
United States Commonwealth Hematology Oncology PC-Quincy Quincy Massachusetts
United States Rapid City Regional Hospital Rapid City South Dakota
United States Saint Joseph Medical Center Reading Pennsylvania
United States Booker Cancer Center at Riverview Medical Center Red Bank New Jersey
United States Shasta Regional Medical Center Redding California
United States Kaiser Permanente-Redwood City Redwood City California
United States Valley Medical Center Renton Washington
United States Marshfield Clinic at James Beck Cancer Center Rhinelander Wisconsin
United States Marshfield Clinic-Rice Lake Center Rice Lake Wisconsin
United States Kaiser Permanente-Richmond Richmond California
United States Reid Hospital and Health Care Services Richmond Indiana
United States West Suburban Cancer Center River Forest Illinois
United States Southern Regional Medical Center Riverdale Georgia
United States North Memorial Medical Health Center Robbinsdale Minnesota
United States Highland Hospital Rochester New York
United States Interlakes Foundation Inc-Rochester Rochester New York
United States Mayo Clinic Rochester Minnesota
United States University of Rochester Rochester New York
United States Swedish American Hospital Rockford Illinois
United States Associates In Oncology Hematology PC-Rockville Rockville Maryland
United States Kaiser Permanente-Roseville Roseville California
United States Sutter Roseville Medical Center Roseville California
United States William Beaumont Hospital Royal Oak Michigan
United States Sarah Culbertson Memorial Hospital Rushville Illinois
United States Rutherford Hospital Rutherfordton North Carolina
United States Kaiser Permanente - Sacramento Sacramento California
United States Kaiser Permanente-South Sacramento Sacramento California
United States Sutter General Hospital Sacramento California
United States UC Davis Comprehensive Cancer Center Sacramento California
United States Saint Mary's of Michigan Saginaw Michigan
United States Montgomery and Associates MD PA Saint Augustine Florida
United States Missouri Cancer Care PC - Saint Charles Saint Charles Missouri
United States CentraCare Clinic Saint Cloud Minnesota
United States Saint Cloud Hospital Saint Cloud Minnesota
United States Heartland Regional Medical Center Saint Joseph Missouri
United States Lakeland Hospital Saint Joseph Michigan
United States Center for Cancer Care and Research Saint Louis Missouri
United States Christian Hospital Northeast - Northwest Saint Louis Missouri
United States Missouri Baptist Medical Center Saint Louis Missouri
United States Saint Anthony's Medical Center Saint Louis Missouri
United States Saint John's Mercy Medical Center Saint Louis Missouri
United States Saint Louis Cancer and Breast Institute Saint Louis Missouri
United States Saint Louis University Hospital Saint Louis Missouri
United States Saint Louis-Cape Girardeau CCOP Saint Louis Missouri
United States Washington University School of Medicine Saint Louis Missouri
United States Metro-Minnesota CCOP Saint Louis Park Minnesota
United States Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota
United States Regions Hospital Saint Paul Minnesota
United States Saint Joseph's Hospital - Healtheast Saint Paul Minnesota
United States United Hospital Saint Paul Minnesota
United States Cancer Care Center, Incorporated Salem Ohio
United States Salem Hospital Salem Oregon
United States Cancer Center of Kansas - Salina Salina Kansas
United States Audie L Murphy Veterans Affairs Hospital San Antonio Texas
United States Cancer Therapy and Research Center at The UT Health Science Center at San Antonio San Antonio Texas
United States South Texas Oncology and Hematology PA San Antonio Texas
United States University Hospital San Antonio Texas
United States University of Texas Health Science Center San Antonio Texas
United States Kaiser Permanente San Diego California
United States Naval Medical Center -San Diego San Diego California
United States University of California San Diego - Veterans Administration San Diego California
United States California Pacific Medical Center San Francisco California
United States Kaiser Permanente-San Francisco San Francisco California
United States University of California San Francisco Medical Center-Mount Zion San Francisco California
United States Kaiser Permanente-Santa Teresa-San Jose San Jose California
United States Doctors Medical Center- JC Robinson Regional Cancer Center San Pablo California
United States Kaiser Permanente-San Rafael San Rafael California
United States Firelands Regional Medical Center Sandusky Ohio
United States North Coast Cancer Care Sandusky Ohio
United States Kaiser Permanente Medical Center - Santa Clara Santa Clara California
United States New Mexico Cancer Care Associates Santa Fe New Mexico
United States Kaiser Permanente-Santa Rosa Santa Rosa California
United States Santa Rosa Memorial Hospital Santa Rosa California
United States Florida Cancer Specialists - Sarasota Downtown Sarasota Florida
United States Adult and Pediatric Urology PLLP Sartell Minnesota
United States Memorial Health University Medical Center Savannah Georgia
United States Saint Joseph's-Candler Health System Savannah Georgia
United States Guthrie Clinic - Sayre Sayre Pennsylvania
United States Mayo Clinic in Arizona Scottsdale Arizona
United States Scottsdale Healthcare Scottsdale Arizona
United States Community Medical Center Scranton Pennsylvania
United States Hematology and Oncology Associates of North East Pennsylvania Scranton Pennsylvania
United States Mercy Hospital Scranton Pennsylvania
United States Moses Taylor Hospital Scranton Pennsylvania
United States Scranton Hematology Oncology Scranton Pennsylvania
United States Group Health Cooperative Seattle Washington
United States Minor and James Medical PLLC Seattle Washington
United States Puget Sound Oncology Consortium Seattle Washington
United States Swedish Medical Center-First Hill Seattle Washington
United States The Polyclinic Seattle Washington
United States University of Washington Medical Center Seattle Washington
United States Virginia Mason CCOP Seattle Washington
United States Grand View Hospital Sellersville Pennsylvania
United States Saint Francis Regional Medical Center Shakopee Minnesota
United States Shawnee Mission Medical Center Shawnee Mission Kansas
United States Welch Cancer Center Sheridan Wyoming
United States Highland Clinic Shreveport Louisiana
United States Louisiana State University Shreveport Louisiana
United States Mercy Medical Center-Sioux City Sioux City Iowa
United States Saint Luke's Regional Medical Center Sioux City Iowa
United States Siouxland Hematology - Oncology Associates Sioux City Iowa
United States Siouxland Regional Cancer Center Sioux City Iowa
United States Avera Cancer Institute Sioux Falls South Dakota
United States Avera McKennan Hospital and University Health Center Sioux Falls South Dakota
United States Medical X-Ray Center Sioux Falls South Dakota
United States Sanford Cancer Center-Oncology Clinic Sioux Falls South Dakota
United States Sanford University of South Dakota Medical Center Sioux Falls South Dakota
United States Edward H Kaplan MD and Associates Skokie Illinois
United States Hematology Oncology Associates of Illinois - Skokie Skokie Illinois
United States Midwest Cancer Research Group Incorporated Skokie Illinois
United States Somerset Medical Center Somerville New Jersey
United States Memorial Hospital of South Bend South Bend Indiana
United States Northern Indiana Cancer Research Consortium South Bend Indiana
United States Saint Joseph's Medical Center South Bend Indiana
United States South Bend Clinic South Bend Indiana
United States Kaiser Permanente-South San Francisco South San Francisco California
United States South Shore Hospital South Weymouth Massachusetts
United States Providence Hospital Southfield Michigan
United States Sparta Cancer Treatment Center Sparta New Jersey
United States Spartanburg Regional Medical Center Spartanburg South Carolina
United States Upstate Carolina CCOP Spartanburg South Carolina
United States Cancer Care Northwest - Spokane South Spokane Washington
United States Holy Family Hospital Spokane Washington
United States Sacred Heart Medical Center Spokane Washington
United States Saint Margaret's Hospital Spring Valley Illinois
United States Valley Cancer Center Spring Valley Illinois
United States Baystate Medical Center Springfield Massachusetts
United States Community Hospital Springfield Springfield Ohio
United States Cox Medical Center Springfield Missouri
United States Memorial Medical Center Springfield Illinois
United States Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield Springfield Missouri
United States Saint John's Hospital Springfield Missouri
United States Stamford Hospital Stamford Connecticut
United States Geisinger Medical Group State College Pennsylvania
United States Mount Nittany Medical Center State College Pennsylvania
United States Iredell Memorial Hospital Statesville North Carolina
United States Saint Michael's Hospital Stevens Point Wisconsin
United States Kaiser Permanente-Stockton Stockton California
United States Martin Memorial Cancer Center Stuart Florida
United States Martin Memorial Hospital - South Stuart Florida
United States Martin Memorial Medical Center - North Stuart Florida
United States Green Bay Oncology - Sturgeon Bay Sturgeon Bay Wisconsin
United States Overlook Hospital Summit New Jersey
United States Flower Memorial Hospital Sylvania Ohio
United States State University of New York Upstate Medical University Syracuse New York
United States Allenmore Hospital Tacoma Washington
United States Multicare Health System Tacoma Washington
United States Northwest CCOP Tacoma Washington
United States Saint Clare Hospital Tacoma Washington
United States Saint Joseph Medical Center Tacoma Washington
United States Tacoma General Hospital Tacoma Washington
United States Morton Hospital and Medical Center Taunton Massachusetts
United States Scott and White Memorial Hospital Temple Texas
United States North Suburban Medical Center Thornton Colorado
United States Mercy Hospital of Tiffin Tiffin Ohio
United States Mercy Cancer Center at Saint Anne Mercy Hospital Toledo Ohio
United States Saint Vincent Mercy Medical Center Toledo Ohio
United States The Toledo Hospital Toledo Ohio
United States Toledo Clinic Toledo Ohio
United States Toledo Community Hospital Oncology Program CCOP Toledo Ohio
United States University of Toledo Toledo Ohio
United States Saint Francis Hospital and Medical Center - Topeka Topeka Kansas
United States Stormont-Vail Regional Health Center Topeka Kansas
United States Munson Medical Center Traverse City Michigan
United States Upper Valley Medical Center Troy Ohio
United States Tahoe Forest Cancer Center Truckee California
United States Legacy Meridian Park Hospital Tualatin Oregon
United States Natalie W Bryant Cancer Center Tulsa Oklahoma
United States Associates In Hematology Oncology PC-Upland Upland Pennsylvania
United States Carle Clinic-Urbana Main Urbana Illinois
United States Carle Foundation dba Carle Cancer Center Urbana Illinois
United States Faxton-Saint Luke's Healthcare Utica New York
United States South Georgia Medical Center Valdosta Georgia
United States Kaiser Permanente-Vallejo Vallejo California
United States Sutter Solano Medical Center Vallejo California
United States Southwest Washington Medical Center Vancouver Washington
United States South Jersey Healthcare Vineland New Jersey
United States Virtua West Jersey Hospital Voorhees Voorhees New Jersey
United States Ridgeview Medical Center Waconia Minnesota
United States Maui Memorial Medical Center Wailuku Hawaii
United States Pacific Cancer Institute of Maui Wailuku Hawaii
United States Kaiser Permanente-Walnut Creek Walnut Creek California
United States Saint John Macomb-Oakland Hospital Warren Michigan
United States Saint Joseph Cancer Center Warren Ohio
United States Kent County Hospital Warwick Rhode Island
United States Howard University Hospital Washington District of Columbia
United States Lombardi Comprehensive Cancer Center at Georgetown University Washington District of Columbia
United States Marion L Shepard Cancer Center Washington North Carolina
United States Washington Hospital Center Washington District of Columbia
United States Covenant Medical Center Waterloo Iowa
United States Waukesha Memorial Hospital Waukesha Wisconsin
United States Aspirus Regional Cancer Center Wausau Wisconsin
United States Marshfield Clinic-Wausau Center Wausau Wisconsin
United States Fulton County Health Center Wauseon Ohio
United States Cancer Center of Kansas - Wellington Wellington Kansas
United States Jennersville Regional Hospital West Grove Pennsylvania
United States Palm Beach Cancer Institute-Main Office West Palm Beach Florida
United States Reading Hospital and Medical Center West Reading Pennsylvania
United States Saint Ann's Hospital Westerville Ohio
United States Noble Hospital Westfield Massachusetts
United States Diagnostic and Treatment Center Weston Wisconsin
United States Marshfield Clinic - Weston Center Weston Wisconsin
United States Exempla Lutheran Medical Center Wheat Ridge Colorado
United States Wheeling Hospital Wheeling West Virginia
United States Dickstein Cancer Treatment Center White Plains New York
United States Associates In Womens Health Wichita Kansas
United States Cancer Center of Kansas - Main Office Wichita Kansas
United States Cancer Center of Kansas-Wichita Medical Arts Tower Wichita Kansas
United States Via Christi Regional Medical Center Wichita Kansas
United States Wichita CCOP Wichita Kansas
United States Geisinger Wyoming Valley Wilkes-Barre Pennsylvania
United States Peninsula Cancer Institute Williamsburg Virginia
United States Rice Memorial Hospital Willmar Minnesota
United States Clinton Memorial Hospital Wilmington Ohio
United States New Hanover Regional Medical Center Wilmington North Carolina
United States Wilson Medical Center Wilson North Carolina
United States Cancer Center of Kansas - Winfield Winfield Kansas
United States Marshfield Clinic - Wisconsin Rapids Center Wisconsin Rapids Wisconsin
United States Minnesota Oncology and Hematology PA-Woodbury Woodbury Minnesota
United States Woodwinds Health Campus Woodbury Minnesota
United States Cancer Treatment Center Wooster Ohio
United States Cleveland Clinic Wooster Specialty Center Wooster Ohio
United States Wright-Patterson Medical Center Wright-Patterson Air Force Base Ohio
United States Lankenau Hospital Wynnewood Pennsylvania
United States Mainline Health CCOP Wynnewood Pennsylvania
United States Metro Health Hospital Wyoming Michigan
United States Greene Memorial Hospital Xenia Ohio
United States North Star Lodge Cancer Center at Yakima Valley Memorial Hospital Yakima Washington
United States Saint Elizabeth Hospital Medical Center Youngstown Ohio
United States Genesis HealthCare System Zanesville Ohio

Sponsors (2)

Lead Sponsor Collaborator
National Cancer Institute (NCI) Eastern Cooperative Oncology Group

Countries where clinical trial is conducted

United States,  Canada,  Puerto Rico, 

Outcome

Type Measure Description Time frame Safety issue
Primary Disease-free Survival (Arms A and D: Wild-type KRAS Patients) The primary endpoint for this study was to compare the disease-free survival (DFS) in patients with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint.
Disease-free survival is defined as the time from randomization until tumor recurrence or death, whichever is first. Estimated by the method of Kaplan and Meier.
At 3 years
Secondary Disease-free Survival (Arms A and D: Mutant KRAS Patients) A secondary endpoint for this study was to investigate the disease-free survival (DFS) in patients with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint.
Disease-free survival is defined as the time from randomization until tumor recurrence or death, whichever is first. Estimated by the method of Kaplan and Meier.
At 3 years
Secondary Overall Survival as Measured by the 3-year Event-free Rate (Arms A and D: Wild-type KRAS Patients) Evidence of death from any cause within 3 years counted as events in the time to event- Kaplan Meier analysis of overall survival for patients with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint. The 3-year event free rates (percentage) are reported below for Wild-type KRAS Patients. Up to 3 years
Secondary Overall Survival as Measured by the 3-year Event-free Rate (Arms A and D: Mutant KRAS Patients) Evidence of death from any cause within 3 years counted as events in the time to event- Kaplan Meier analysis of overall survival for patients with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint. The 3-year event-free rates (percentage) are report below for mutant KRAS patients. Up to 3 years
Secondary Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (v3) (Arms A and D: Wild-type KRAS Patients) The maximum grade for each type of toxicity will be recorded for each patient with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below. Assessed up to 8 years
Secondary Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (v3) (Arms A and D: Mutant KRAS Patients) The maximum grade for each type of toxicity will be recorded for each patient with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below. Assessed up to 8 years
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