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STATUS Recruitment Complete

Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Patients With Hormone Receptor-positive/Human Epidermal Growth Factor Receptor 2 Negative (HR+/HER2-) Metastatic Breast Cancer Who Have Received Endocrine Therapy (ASCENT-07)

LAST UPDATED

August 29 2024

Clinicaltrials.gov ID

NCT05840211

OVERVIEW

A Randomized, Open-label, Phase 3 Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Patients With Hormone Receptor-Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) (HER2 IHC0 or HER2-low [IHC 1+, IHC 2+/ISH-]) Inoperable, Locally Advanced, or Metastatic Breast Cancer and Have Received Endocrine Therapy (ASCENT-07)

PROTOCOL SUMMARY

The goal of this clinical study is to see if sacituzumab govitecan-hziy (SG) can improve life spans of people with HR+/HER2- metastatic breast cancer and their tumor does not grow or spread when compared to currently available standard treatments, such as paclitaxel, nab-paclitaxel or capecitabine. The primary objective is to compare the effect of SG relative to the treatment of physician's choice (TPC) on progression-free survival (PFS).

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Participation Requirements

Calendar

Age

18 Years +

Condition

Sex

ALL

Healthy Icon

Healthy Volunteers

No

Study Details

Medical Condition

Locally Advanced or Unresectable Metastatic Breast Cancer, Stage IV Breast Cancer

Gender

N/A

Date

May 2023 - September 2025

Study Type

INTERVENTIONAL

Study Phase

PHASE3

Product

Sacituzumab Govitecan-hziy, Paclitaxel, Nab-paclitaxel, Capecitabine

Eligibility Information

Inclusion

Inclusion Criteria

  • * Able to understand and give written informed consent.
  • * Must have adequate tumor tissue sample preferably from locally recurrent or metastatic site.
  • * Documented evidence of HR+ metastatic breast cancer (mBC) confirmed with the most recently available tumor biopsy preferably from a locally recurrent or metastatic site.
  • * Documented evidence of HER2- status.
  • * Documented PD by computed tomography (CT) or magnetic resonance imaging during or after the most recent therapy per RECIST v1.1 criteria.
  • * Candidate for the first chemotherapy in the locally advanced or metastatic setting.
  • * Eligible for capecitabine, nab-paclitaxel, or paclitaxel.
  • * Individuals must have at least one of the following:
  • * Disease progression on at least 2 or more previous lines of endocrine therapy (ET) with or without a targeted therapy in the metastatic setting.
  • * Disease recurrence while on the first 24 months of starting adjuvant ET will be considered a line of therapy; these individuals will only require 1 line of ET in the metastatic setting.
  • * Disease progression within 6 months of starting first-line ET with or without a cyclin-dependent kinase (CDK) 4/6 inhibitor (if ineligible or if unable to access a CDK 4/6 inhibitor) in the metastatic setting.
  • * Disease recurrence while on the first 24 months of starting adjuvant ET with CDK 4/6 inhibitor and if the individual is no longer a candidate for additional ET in the metastatic setting.
  • * Individuals may have received prior targeted therapies, including but not limited to PARP inhibitors (for those with germline BRCA1 or BRCA2 mutations), phosphatidylinositol 3-kinase (PI3K) inhibitors (for those with PIK3CA mutations), or mammalian target of rapamycin (mTOR) inhibitors. However, individuals can no longer be candidates for additional endocrine treatment with or without targeted therapies.
  • * Individuals with HIV must be on antiretroviral therapy (ART) and have a well-controlled HIV infection/disease.
  • * Demonstrates adequate organ function.
  • * Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
  • * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
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Exclusion

Exclusion Criteria

  • * Progressive disease within 6 months of completing (neo)adjuvant chemotherapy.
  • * Locally advanced metastatic breast cancer (mBC) (Stage IIIc) in individuals who are candidates for curative intent therapy at the time of study enrollment.
  • * Current enrollment in another clinical study and use of any investigational device or drug (drugs not marketed for any indication) either within 5 half-lives or 28 days prior to randomization, whichever is longer.
  • * Use of investigational drugs in the category of Selective Estrogen Receptor Degraders are acceptable if last dose was longer than 14 days prior to randomization.
  • * Received any prior treatment (including antibody-drug conjugate (ADC)) containing a chemotherapeutic agent targeting topoisomerase I.
  • * Received any prior treatment with a trophoblast cell-surface antigen 2 (Trop-2)-directed ADC.
  • * Have an active second malignancy.
  • * Have an active serious infection requiring antibiotics.
  • * Have active hepatitis B virus (HBV) or hepatitis C virus (HCV).
  • * Individuals positive for human immunodeficiency virus type 1/2 (HIV-1 or -2) with a history of Kaposi sarcoma and/or Multicentric Castleman Disease.
  • * Have a positive serum pregnancy test or are breastfeeding for individuals who are assigned female at birth.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Locations

Locations (288)
Other

Ironwood Physicians P.C. dba Ironwood Cancer and Research Centers

Chandler, Arizona, United States, 85224

Other

Los Angeles Hematology Oncology Medical Group

Los Angeles, California, United States, 90017

Other

Stanford Cancer Institute

Palo Alto, California, United States, 94305

Other

University of California, San Francisco (UCSF) Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States, 94143

Other

Rocky Mountain Cancer Centers, LLP

Littleton, Colorado, United States, 80120

Other

Yale-New Haven Hospital-Yale Cancer Center

New Haven, Connecticut, United States, 06510

Other

Investigational Drug Services, AdventHealth Orlando

Altamonte Springs, Florida, United States, 32701

Other

Florida Cancer Specialists

Brooksville, Florida, United States, 34613

Other

Florida Cancer Specialist

Leesburg, Florida, United States, 34748

Other

Florida Cancer Specialist

Saint Petersburg, Florida, United States, 33705

Other

Piedmont Cancer Institute

Atlanta, Georgia, United States, 30318

Other

Georgia Cancer Specialist - Annex

Atlanta, Georgia, United States, 30341

Other

Northwest Georgia Oncology Centers

Marietta, Georgia, United States, 30060

Other

The University of Kansas Hospital

Kansas City, Kansas, United States, 66160

Other

Hematology Oncology Clinic

Baton Rouge, Louisiana, United States, 70809

Other

Saint Luke's Cancer Institute

Kansas City, Missouri, United States, 64110

Other

David C. Pratt Cancer Center

Saint Louis, Missouri, United States, 63141

Other

Astera Cancer Care

East Brunswick, New Jersey, United States, 08816

Other

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States, 08901

Other

Memorial Sloan-Kettering Cancer Center (MSKCC) - New York

New York, New York, United States, 10065

Other

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Other

Stefanie Spielman Comprehensive Breast Center

Columbus, Ohio, United States, 43210

Other

Penn State Cancer Institute

Hershey, Pennsylvania, United States, 17033

Other

Magee-Womens of UPMC

Pittsburgh, Pennsylvania, United States, 15213

Other

Prisma Health - Upstate

Greenville, South Carolina, United States, 29605

Other

Tennessee Oncology, PLLC

Nashville, Tennessee, United States, 37203

Other

Vanderbilt University Medical Center - Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States, 37203

Other

US Oncology Investigational Products Center (IPC)

Fairfax, Virginia, United States, 22031

Other

US Oncology Investigational Products Center (IPC)

Norfolk, Virginia, United States, 23502

Other

MultiCare Regional Cancer Center - Auburn

Auburn, Washington, United States, 98001

Other

Hospital Britanico de Buenos Aires

Buenos Aires, Argentina, 1426

Other

Instituto de Investigaciones Clinicas de Mar del Plata

Buenos Aires, Argentina, B7600

Other

Instituto Alexander Fleming

C.a.b.a., Argentina, 1426ANZ

Other

Hospital Alemán

Caba, Argentina, 1118

Other

Centro Privado de RMI Rio Cuarto S.A.

Cordoba, Argentina, 5800

Other

Instituto de Oncología de Rosario

Rosario, Argentina, 2000

Other

CER San Juan Centro Polivalente de Asistencia e Investigación Clínica

San Juan, Argentina, 5400

Other

Royal Brisbane and Women's Hospital

Queensland, ME, Australia, 4029

Other

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia, 2010

Other

Liverpool Hospital

Liverpool, New South Wales, Australia, 2170

Other

GenesisCare North Shore (Oncology)

St Leonards, New South Wales, Australia, 2065

Other

Icon Cancer Centre Wesley

Auchenflower, Queensland, Australia, 4066

Other

Flinders Medical Centre

Bedford Park, South Australia, Australia, 5042

Other

Icon Cancer Centre Hobart

Hobart, Tasmania, Australia, 7000

Other

Austin Health

Melbourne, Victoria, Australia, 3084

Other

Sunshine Hospital (Western Health)

St Albans, Victoria, Australia, 3021

Other

Breast Cancer Research Centre - WA

Nedlands, Western Australia, Australia, 6009

Other

University Hospital Innsbruck

Innsbruck, Austria, 06020

Other

Universitätsklinik für Innere Medizin 3 der PMU

Salzburg, Austria, A-5020

Other

Klinikum Wels-Grieskirchen

Wels, Austria, 4710

Other

Medizinische Universitat Wien, Univ. Klinik fur Innere Medizin I Klinische Abteilung fur Onkologie

Wien, Austria, 1090

Other

GZA Ziekenhuizen - Campus Sint-Augustinus

Antwerpen, Belgium, 2610

Other

AZ Klina

Brasschaat, Belgium, 2930

Other

Cliniques Universitaires Saint-Luc

Brussels, Belgium, 1200

Other

Universitaire Ziekenhuis Leuven

Leuven, Belgium, 3000

Other

CHU UCL Namur-Site STE. Elisabeth

Namur, Belgium, 5000

Other

Hospital Haroldo Juaçaba - Instituto do Câncer do Ceará

Fortaleza, Brazil, 60430-230

Other

Hospital Araujo Jorge - Associacao de Combate ao Cancer em Goias

Goiânia, Brazil, 74605-070

Other

Oncosite - Centro de Pesquisa Clinica e Oncologia

Ijui, Brazil, 98700-000

Other

Catarina Pesquisa Clinica

Itajai, Brazil, 88301-220

Other

Oncoclinicas do Brasil Servicos Medicos AS

Minas Gerais, Brazil, 30360-680

Other

Liga Norte-Rio-Grandense Contra o Câncer

Natal, Brazil, 59062-000

Other

CIONC-Centro Integrado de Oncologia de Curitiba

Paraana, Brazil, 80810050

Other

Hospital Erasto Gaertner

Paraná, Brazil, 81.520-060

Other

IMIP - Instituto de Medicina Integral Professor Fernando Figueira

Pernambuco, Brazil, 50070550

Other

Irmandade da Santa Casa de Misericórdia de Porto Alegre

Porto Alegre, Brazil, 90020-090

Other

Hospital de Clínicas de Porto Alegre - HCPA

Porto Alegre, Brazil, 90035-903

Other

HGB - Hospital Giovanni Battista/Mãe de Deus Center

Porto Alegre, Brazil, 90110-270

Other

Hospital São Lucas da PUCRS

Porto Alegre, Brazil, 90610001

Other

Instituto Americas

Rio de Janeiro, Brazil, 22775-001

Other

Clínica de Oncologia de Porto Alegre Ltda - CLINIONCO

Rio Grande Do Sul, Brazil, 90430-090

Other

Unidade de PesquisasClinicas em Oncologia - UPCO

Rio Grande Do Sul, Brazil, 96020-080

Other

Instituto do Câncer - Hospital São Vicente de Paulo

Rio Grande Do Sul, Brazil, 99010-090

Other

CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia

Santo Andre, Brazil, 09060-650

Other

Instituto Hemomed Oncologia e Hematologia

São Paulo, Brazil, 01236-030

Other

Clinica de pesquisa e centro de estudos em oncologia ginecológica e mamaria

São Paulo, Brazil, 1317000

Other

BC Cancer - Kelowna

Kelowna, Canada, V1Y 5L3

Other

The Ottawa Hospital Cancer Centre

Ottawa, Canada, K1H 8L6

Other

CHU de Québec-Université Laval, Hôpital du Saint-Sacrement

Quebec, Canada, G1S 4L8

Other

Humber River Hospital

Toronto, Canada, M3M 0B2

Other

BC Cancer-Victoria

Victoria, Canada, V8R 6V5

Other

Centro de Investigacion Clinica Bradford Hill

Recoleta, Chile

Other

Centro del Cancer UC

Region Metropolitana, Chile, 7550000

Other

Centro de Oncología de Precisión (COP)

Santiago Region, Chile, 8330032

Other

James Lind Centro de Investigacion del Cancer

Temuco, Chile

Other

Oncocentro APYS

Vina del Mar, Chile, 2520612

Other

The First Affiliated Hospital of USTC (Anhui Provincial Hospital)

Anhui, China, 230001

Other

Peking University People's Hospital

Beijing, China, 100044

Other

The First Hospital of Jilin University

Changchun, China, 130021

Other

Xiangya Hospital Central South University

Changsha, China, 410008

Other

West China Hospital Sichuan University

Chengdu, China, 610041

Other

Chongqing University Cancer Hospital

Chongqing, China, 404100

Other

Fujian Cancer Hospital

Fujian, China, 350015

Other

Fujian Medical University Union Hospital

Fuzhou, China, 350001

Other

Sun Yat-Sen University Cancer Center

Guangdong, China, 510060

Other

Guangdong Provincial People's Hospital

Guangzhou, China, 510080

Other

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, China, 510080

Other

Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

Guangzhou, China, 510120

Other

Sir Run Run Shaw Hospital,Zhejiang University School of Medicine

Hangzhou, China, 310000

Other

Zhejiang Cancer Hospital

Hangzhou, China, 310022

Other

Harbin Medical University Cancer Hospital

Heilongjiang, China, 150081

Other

Jiangsu Province Hospital

Jiangsu, China, 210029

Other

The First Affiliated Hospital of Soochow University

Jiangsu, China, 215004

Other

The Nanchang Third Hospital

Jiangxi, China, 330009

Other

The Second Hospital of Jilin University

Jilin Sheng, China, 130041

Other

Affiliated Cancer Hospital of Shandong First Medical University

Jinan, China, 250117

Other

The First Affiliated Hospital of Nanchang University

Nanchang, China, 330006

Other

General Hospital of Ningxia Medical University

Ningxia Hui, China, 750004

Other

The Affiliated Hospital Of Qingdao University

Qingdao, China, 266071

Other

Fudan University Shanghai Cancer Center

Shanghai, China, 200030

Other

Tianjin Medical University Cancer Institute & Hospital

Tianjin, China, 453000

Other

Hubei Cancer Hospital

Wuhan, China, 430079

Other

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, China, 710061

Other

The Second Affiliated Hospital of Zhejiang University School of Medicine

Zhejiang, China, 310009

Other

Henan Cancer Hospital

Zhengzhou, China, 450003

Other

Fakultni Nemocnice Brno

Brno, Czechia, 62500

Other

Masaryk Memorial Cancer Institute

Brno, Czechia, 656 53

Other

University Hospital Olomouc

Olomouc, Czechia, 779 00

Other

Multiscan s.r.o

Pardubice, Czechia, 532 01

Other

Fakultni nemocnice v Motole

Prague 4, Czechia, 14059

Other

Charles General University Hospital, Prague

Prague, Czechia, 12808

Other

Krajska nemocnice Tomase Bati Zlin

Zlin, Czechia, 760 01

Other

CHU Jean Minjoz

Besancon, France, 25030

Other

Institut Bergonié

Bordeaux, France, 33076

Other

Centre Georges François Leclerc

Dijon, France, 21000

Other

Centre Oscar Lambret

Lille, France, 59000

Other

Clinique Francois Chenieux

Limoges, France, 87039

Other

Ico René Gauducheau

Loire Atlantique, France, 44 805

Other

Centre Leon Berard

Lyon, France, 69373

Other

Institut Paoli Calmettes

Marseille, France, 13009

Other

Institut Regional du Cancer de Montpellier

Montpellier Cedex 5, France, 34298

Other

Institut Curie

Paris, France, 75248

Other

Centre Hospitalier Lyon-Sud

Pierre-benite, France, 69310

Other

Hopital Privé des Cotes d'Armor

Plerin, France, 22190

Other

Centre Jean Bernard Service d'Oncologie Médicale

Rennes Cedex, France, 35042

Other

Centre Henri Becquerel

Rouen, France

Other

Institut Universitaire du Cancer de Toulouse Oncopole

Toulouse Cedex 9, France, 31059

Other

Institut Gustave Roussy

Villejuif, France, 94800

Other

Universitaetsklinikum Freiburg, Klinik fuer Frauenheilkunde

Baden-Württemberg, Germany, 79106

Other

University Hospital rechts der Isar Technical University of Munich

Bayern, Germany, 81675

Other

Vivantes Klinikum am Urban

Berlin, Germany, 10967

Other

HELIOS Klinikum Berlin-Buch

Berlin, Germany, 13125

Other

Marienhospital Bottrop

Bottrop, Germany, 46236

Other

Universitätsklinik Erlangen

Erlangen, Germany, 91054

Other

SRH Wald-Klinikum Gera GmbH

Gera, Germany, 07548

Other

Universitatsklinikum Hamburg-Eppendorf

Hamburg, Germany, 20246

Other

Medizinische Hochschule Hannover

Hannover, Germany, D-30625

Other

Nationales Centrum für Tumorerkrankungen Heidelberg

Heidelberg, Germany, 69120

Other

Universitätsklinikum Mannheim

Mannheim, Germany, 68167

Other

Universitatsklinikum Munster

Munster, Germany, 48149

Other

LMU Klinikum der Universitat München

München, Germany, 81377

Other

Universitäts - Frauenklinik

Tübingen, Germany, 72076

Other

Alexandra General Hospital

Athens, Greece, 11528

Other

Attikon Hospital

Athens, Greece, 124 62

Other

University Hospital of Heraklion

Heraklion, Greece

Other

University Hospital of Larissa

Larissa, Greece, 41110

Other

University Hospital of Patras

Patras, Greece, 26 500

Other

Bioclinic of Thessaloniki

Thessaloniki, Greece, 546 22

Other

Euromedica General Clinic of Thessaloniki

Thessaloniki, Greece, 546 45

Other

Hong Kong Integrated Oncology Centre

Hong Kong, Hong Kong, 0

Other

Prince of Wales Hospital

New Territories, Hong Kong

Other

Queen Mary Hospital

Pok Fu Lam, Hong Kong, 0

Other

Semmelweis Egyetem, Belgyogyaszati es Onkologiai Klinika

Budapest, Hungary, 1083

Other

Debreceni Egyetem Klinikai Központ

Debrecen, Hungary, 4032

Other

Bács-Kiskun Varmegyei Oktatokorhaz, Onkaradiologiai Kozpont

Kecskemét, Hungary, 6000

Other

Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz, Onkoradiologia

Nyiregyhaza, Hungary, 4400

Other

Szegedi Tudomanyegyetem Szent-Gyorgyi Albert Klinikai Kozpont

Szeged, Hungary, 6720

Other

Oncology Institute Rambam Health Care Campus

Haifa, Israel, 31096

Other

Shaare Zedek Medical Center

Jerusalem, Israel, 9103102

Other

Hadassah Medical Center

Jerusalem, Israel

Other

Rabin Medical Center

Petah Tikva, Israel, 4941492

Other

Sheba Medical Center

Ramat Gan, Israel, 52621

Other

Tel Aviv Sourasky Medical Center

Tel Aviv, Israel, 64239

Other

Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona

Ancona AN, Italy, 60126

Other

Centro di Riferimento Oncologico - IRCCS

Aviano, Italy, 33081

Other

Humanitas Gavazzeni

Bergamo, Italy, 24125

Other

ASST Papa Giovanni XXIII

Bergamo, Italy, 24127

Other

IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico di Sant'Orsola

Bologna, Italy

Other

Humanitas Istituto Clinico Catanese

Catania, Italy, 95045

Other

Azienda Ospedaliera Mater Domini

Catanzaro, Italy, 88100

Other

IRCCS Ospedale Policlinico San Martino

Genova GE, Italy, 16132

Other

Fondazione IRCCS San Raffaele del Monte Tabor

Milano, Italy, 20132

Other

Istituto Europeo di Oncologia

Milan, Italy, 20141

Other

Azienda Ospedaliera San Gerardo

Monza, Italy, 20090

Other

Istituto Nazionale Tumori IRCCS Fondazione G. Pascale

Napoli, Italy, 80131

Other

Istituto Oncologico Veneto IOV

Padova, Italy, 35128

Other

Irccs Crob

Rionero in Vulture, Italy, 85028

Other

Azienda Ospedaliero-Universitaria Policlinico Umberto I

Roma, Italy, 161

Other

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, Italy, 168

Other

Istituto Clinico Humanitas

Rozzano, Italy, 20089

Other

Aichi Cancer Center Hospital

Aichi, Japan, 464-8681

Other

Tohoku University Hospital

Aoba-ku, Japan, 980-8574

Other

Juntendo University Hospital

Bunkyo-ku, Japan, 113-8431

Other

Chiba Cancer Center

Chiba, Japan, 260-8717

Other

National Cancer Center Hospital

Chuo-ku, Japan, 1040045

Other

Osaka Prefectural Hospital Organization Osaka International Cancer Institute

Chuo-ku, Japan, 541-8567

Other

National Hospital Organization Shikoku Cancer Center

Ehime, Japan, 791-0280

Other

Fukushima Medical University Hospital

Fukushima, Japan

Other

Social Medical Corporation Hakuaikai Sagara Hospital

Kagoshima-shi, Japan, 892-0833

Other

Tokai University Hospital

Kanagawa, Japan, 259-1193

Other

National Cancer Center Hospital East

Kashiwa, Japan, 277-8577

Other

Saitama Cancer Center

Kitaadachi-gun, Japan, 362-0806

Other

Cancer Institute Hospital of JFCR

Koto-Ku, Japan, 135-8550

Other

Kumamoto University Hospital

Kumamoto- shi, Japan, 860-8556

Other

Kyoto University Hospital

Kyoto-shi, Japan, 606-8507

Other

National Hospital Organization Kyushu Cancer Center

Minami-ku, Japan, 811-1395

Other

Nagoya University Hospital

Nagoya, Japan, 466-8560

Other

Hiroshima City Hiroshima Citizens Hospital

Naka-ku, Japan, 730-8518

Other

Hyogo Medical University Hospital

Nishinomiya-shi, Japan, 663-8501

Other

Okayama University Hospital

Okayama, Japan, 700-8558

Other

Gunma Prefectural Cancer Center

Ota, Japan, 373-8550

Other

National Hospital Organization Hokkaido Cancer Center

Sapporo, Japan, 003-0804

Other

Center Hospital of the National Center for Global Health and Medicine

Shinjuku-ku, Japan, 162-8655

Other

Showa University Hospital

Tokyo, Japan, 142-8555

Other

Kanagawa Cancer Center

Yokohama, Japan, 241-8515

Other

Samsung Medical Center

Gangnam-Gu, Korea, Republic of, 06351

Other

National Cancer Center

Goyang-si Gyeonggi-do, Korea, Republic of, 10408

Other

Kyungpook National University Chilgok Hospital

Gyeongsangbuk-do, Korea, Republic of, 41404

Other

Gachon University Gil Medical Center

Incheon, Korea, Republic of, 21565

Other

Seoul National University Bundang Hospital

Seongnam, Korea, Republic of, 13620

Other

Korea University Anam Hospital

Seoul, Korea, Republic of, 02841

Other

Seoul National University Hospital

Seoul, Korea, Republic of, 03080

Other

Severance Hospital, Yonsei University Health System

Seoul, Korea, Republic of, 03722

Other

Asan Medical Center

Seoul, Korea, Republic of, 05505

Other

Hospital Kuala Lumpur

Kuala Lumpur, Malaysia, 50586

Other

University Malaya Medical Centre

Kuala Lumpur, Malaysia, 59100

Other

Sarawak General Hospital

Kuching, Malaysia, 93586

Other

Institut Kanser Negara

Putrajaya, Malaysia, 62250

Other

Centro de Investigacion y Avances Medicos Especializados

Cancún, Mexico, 77550

Other

COI Centro Oncologico Internacional S.A.P.I. de C.V.

Mexico City, Mexico, 04700

Other

Hospital Universitario Dr. José Eleuterio González

Monterrey, Mexico, 64460

Other

FUCAM

México, Mexico, 4980

Other

Clinica Integral Internacional de Oncologia S de RL de CV

Puebla, Mexico, 72530

Other

Centro Medico Zambrano Hellion

San Pedro Garza García, Mexico, 64710

Other

Centro de Atención e Investigación Clínica en Oncología

Yucatán, Mexico, 97134

Other

Copemicus Podmiot Leczniczy Wojewodzkie Centrum Okologii w Gdansku

Gdansk, Poland, 80-219

Other

Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie Sp. z.o.o

Krakow, Poland, 31-826

Other

Instytut MSF Sp. z o.o.

Lodz, Poland, 90-302

Other

Wojewodzki Szpital Specjalistyczny lm. Stefana Kardynala Wyszynsklego SPZOZ w Lublinie

Lublin, Poland, 19713

Other

LUX MED Onkologia Sp. Zo.o.

Warszawa, Poland, 01-748

Other

Maria Sklodowska - Curie Institute of Oncology

Warszawa, Poland, 02-781

Other

Centro Clinico Academico - Hospital de Braga

Braga, Portugal

Other

Hospital da Senhora da Oliveira Guimaraes

Guimarães, Portugal, 4835-044

Other

Centro Hospitalar de Lisboa Central, E.P.E . - Hospital de Santo Antonio dos Capuchos

Lisbon, Portugal, 1153-302

Other

Fundacao Champalimaud

Lisbon, Portugal, 1400-038

Other

Centro Hospitalar Lisboa Norte, EPE

Lisbon, Portugal, 1649-035

Other

Unidade Local de Saude de Matosinhos EPE - Hospital Pedro Hispano

Matosinhos, Portugal, 4464-513

Other

National University Hospital

Singapore, Singapore, 119228

Other

National Cancer Centre Singapore

Singapore, Singapore, 169610

Other

Tan Tock Seng Hospital

Singapore, Singapore, 308433

Other

Wilgers Oncology Centre

Gauteng, South Africa, 0081

Other

Wits Clinical Research

Johannesburg, South Africa, 2192

Other

The Medical Oncology Centre of Rosebank

Johannesburg, South Africa, 2196

Other

Cape Town Oncology Trials

Kraaifontein, South Africa, 7570

Other

Hospital Universitari Dexeus

Barcelona, Spain, 08028

Other

Hospital Clinic de Barcelona

Barcelona, Spain, 08036

Other

Hospital Universitari Vall D'Hebron

Barcelona, Spain, 8035

Other

Hospital de Basurto

Bilbo, Spain, 48013

Other

Hospital Universitario Reina Sofia

Córdoba, Spain, 14004

Other

Hospital General Universitario De Elche

Elche, Spain, 3203

Other

Hospital Universitario de Jaen

Jaen, Spain, 23007

Other

Hospital Beata María Ana

Madrid, Spain, 28007

Other

Hospital General Universitario Gregorio Marañón

Madrid, Spain, 28007

Other

MD Anderson Cancer Center

Madrid, Spain, 28033

Other

Hospital Universitario Ramón y Cajal

Madrid, Spain, 28034

Other

Hospital Clinico San Carlos

Madrid, Spain, 28040

Other

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Other

Hospital Universitario de Salamanca

Salamanca, Spain, 37002

Other

Hospital Clínico Universitario de Santiago de Compostela - CHUS

Santiago de Compostela, Spain, 15706

Other

Hospital Universitario Virgen Macarena

Sevilla, Spain, 41071

Other

Hospital Universitario Virgen del Rocio

Seville, Spain, 41013

Other

Instituto Valenciano De Oncologia (IVO)

Valencia, Spain, 46009

Other

Hospital Clínico Universitario de Valencia

Valencia, Spain, 46010

Other

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, Taiwan, 83301

Other

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung, Taiwan, 807

Other

Taipei Medical University - Shuang Ho Hospital, Ministry of Health and Welfare

New Taipei City, Taiwan, 235

Other

Chi Mei Hospital, Liouying

Tainan City, Taiwan, 73657

Other

National Cheng Kung University Hospital

Tainan, Taiwan, 704

Other

Taipei Veterans General Hospital

Taipei City, Taiwan, 11217

Other

National Taiwan University Hospital

Taipei, Taiwan, 10048

Other

Tri-Service General Hospital

Taipei, Taiwan, 11490

Other

Koo Foundation Sun Yat-Sen Cancer Center

Taipei, Taiwan, 999999

Other

Chang Gung Memorial Hospital, Linkou

Taoyuan City, Taiwan, 33305

Other

Barts Cancer Institute

London, United Kingdom, EC1A 7BE

Other

University College London Hospitals

London, United Kingdom, NW1 2PG

Other

The Royal Marsden NHS Foundation Trust

London, United Kingdom, SW10 9NH

Other

The Christie NHS Foundation Trust

Manchester, United Kingdom, M20 4BX

Other

Nottingham University Hospitals NHS Trust

Nottingham, United Kingdom, NG5 1PB