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Comparing Combinations of Targeted Drugs for Advanced Non-Small Cell Lung Cancer That Has EGFR and MET Gene Changes (A Lung-MAP Treatment Trial)

RecruitingPhase 2

A Randomized Phase II Study of INC280 (Capmatinib) Plus Osimertinib With or Without Ramucirumab in Participants With EGFR-Mutant, MET-Amplified Stage IV or Recurrent Non-Small Cell Lung Cancer (Lung-MAP Sub-Study)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Patients must meet all SCREENING/PRE-SCREENING and SUB-STUDY REGISTRATION COMMON ELIGIBILITY CRITERIA as specified in S1400: Phase II/III Biomarker-Driven Master Protocol for Previously Treated Squamous Cell Lung Cancer (Lung-Map)
* Participants must have been assigned to S1900G by the Southwest Oncology Group (SWOG) Statistics and Data Management Center (SDMC). Assignment to S1900G is determined by the LUNGMAP protocol
* Participants must have documentation of NSCLC with a sensitizing EGFR mutation and have radiologically or clinically progressed (in the opinion of the treating physician) on osimertinib, alone or in combination with other agent(s), as their most recent line of therapy. Any number of prior lines of therapy is allowed
* Participants must have a MET amplification determined by tissue-based or blood-based (circulating tumor DNA \[ctDNA\]) next generation sequencing (NGS) assay. MET amplifications may have been determined based on tissue submitted for testing by Foundation Medicine Inc (FMI) through the LUNGMAP screening protocol or using test results completed outside of the study. Tissue or blood must be obtained after disease progression on osimertinib (alone or in combination with another agent\[s\]). The testing must be done within a laboratory with Clinical Laboratory Improvement Act (CLIA), International Organization for Standardization (ISO)/Independent Ethics Committee (IEC), College of American Pathologists (CAP), or similar certification

  * Note: Participants previously tested for and determined to have MET amplified NSCLC, at the time of progression on osimertinib, outside of LUNGMAP, must also submit tissue for central FMI testing on the LUNGMAP screening protocol, if available
* Participants must have either measurable disease or non-measurable disease documented by CT or MRI. The CT from a combined PET/CT may be used to document only non-measurable disease unless it is of diagnostic quality. Measurable disease must be assessed within 28 days prior to sub-study randomization. Non-measurable disease must be assessed within 42 days prior to sub-study randomization. All known sites of disease must be assessed and documented on the Baseline Tumor Assessment Form. Participants whose only measurable disease is within a previous radiation therapy port must demonstrate clearly progressive disease (in the opinion of the treating investigator) prior to sub-study randomization to be considered measurable
* Participants must have a CT with contrast or MRI scan of the brain to evaluate for central nervous system (CNS) disease within 42 days prior to sub-study randomization
* Participants with symptomatic CNS metastasis (brain metastases or leptomeningeal disease) must be neurologically stable and have a stable or decreasing corticosteroid requirement for at least 5 days before sub-study randomization
* Participants must have recovered (=\< grade 1) from any side effects of prior therapy, except for alopecia and vitiligo
* Participants must be able to swallow tablets whole
* Absolute neutrophil count \>= 1.5 x 10\^3/uL (within 28 days prior to sub-study randomization)
* Hemoglobin \< 9.0 g/dL (within 28 days prior to sub-study randomization)
* Platelets \>= 100 x 10\^3/uL (within 28 days prior to sub-study randomization)
* Total bilirubin =\< 1.5 x institutional upper limit of normal (ULN) unless history of Gilbert's disease (within 28 days prior to sub-study randomization). Participants with history of Gilbert's disease must have total bilirubin =\< 5 x institutional ULN
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 2.5 x institutional ULN. Participants with history of liver metastasis must have AST =\< 5 x ULN (within 28 days prior to sub-study randomization)
* Participants must have a serum creatinine =\< the IULN OR calculated creatinine clearance \>= 50 mL/min using the following Cockcroft-Gault Formula. This specimen must have been drawn and processed within 28 days prior to sub-study randomization
* Participants' most recent Zubrod performance status must be 0-1 and be documented within 28 days prior to sub-study randomization
* Participants must have an electrocardiogram (ECG) performed, with a Fridericia's Correction Formula (QTcF) =\< 470 msec, within 28 days prior to sub-study randomization. It is suggested that a local cardiologist review the QTcF intervals
* Participants must have a completed medical history and physical exam within 28 days prior to sub-study randomization
* Participants must have a urinalysis performed 28 days prior to sub-study randomization. Participant must have a urinary protein =\< 1+ on dipstick or routine urinalysis (UA). Random analysis of urine protein with a normal value is sufficient. If urine dipstick or routine analysis indicated proteinuria \>= 2+, then a 24-hour urine is to be collected and demonstrate \< 2000 mg of protein in 24 hours to allow participation in the study
* Participants must have an International Normalized Ratio (INR) =\< 1.5 seconds above the institutional upper limit of normal (IULN) (unless receiving anticoagulation therapy) documented within 28 days to sub-study randomization. Participants must have a partial thromboplastin time (PTT) =\< 5 seconds above the 'institutional upper limit of normal (IULN) (unless receiving anticoagulation therapy) documented within 28 days prior to sub-study randomization
* Participants with known human immunodeficiency virus (HIV) infection must be on effective anti-retroviral therapy at randomization and have undetectable viral load within 6 months prior to sub-study randomization
* Participants must have asymptomatic serum amylase =\< 2 x ULN and serum lipase =\< ULN obtained within 28 days prior to sub-study randomization. Asymptomatic is defined as having no signs and/ or symptoms suggesting pancreatitis or pancreatic injury (e.g. elevated P. amylase, abnormal imaging findings of pancreas, etc.)
* Participants must have adequate cardiac function. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, participants must be class 2B or better
* Participants must agree to have blood specimens submitted for circulating tumor DNA (ctDNA)
* Participants must also be offered participation in specimen banking. With participant consent, specimens must be collected and submitted via the SWOG Specimen Tracking System
* Note: As a part of the OPEN registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system
* Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines
* Participants with impaired decision-making capacity must not have a neurological or psychological condition that precludes their safe participation in the study (e.g., tracking pill consumption and reporting adverse events to the investigator). For participants with impaired decision-making capabilities, legally authorized representatives may sign and give informed consent on behalf of study participants in accordance with applicable federal, local, and Central Institutional Review Board (CIRB) regulations

Exclusion Criteria:

* Participants must not have received an anti-VEGF or VEGFR inhibitor or MET inhibitor
* Participants must not have received any anti-cancer drug (investigational or standard of care drug, except osimertinib) within 21 days prior to sub-study randomization

  * Note: osimertinib may continue up to the day prior to study treatment initiation
* Participants must not have received any radiation therapy within 14 days prior to sub-study randomization
* Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment while receiving treatment on this study
* Participants must not have had a major surgery within 14 days prior to sub-study randomization. Participants must have fully recovered from the effects of prior surgery in the opinion of the treating investigator
* Participants must not have received a live attenuated vaccination within 28 days prior to sub-study randomization. All COVID-19 vaccines that have received Food and Drug Administration (FDA) approval or FDA emergency use authorization are acceptable
* Participants must not have received strong inducers of CYP3A4 (including herbal supplements such as St. John's Wort); CYP3A4 inhibitors; CYP1A2 substrates; P-gp and BCRP substrates; sensitive substrates of MATE1 and MATE2K; or drugs that are known to prolong QT interval within 7 days prior to sub-study registration and must not be planning to use any of these throughout protocol treatment
* Participants must not have uncontrolled blood pressure and hypertension within 28 days prior to sub-study randomization
* Participants must not have a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) has the potential to interfere with the safety or efficacy assessment of the investigational regimen
* Participants must not be pregnant or breastfeeding (nursing includes breast milk fed to an infant by any means, including from the breast, milk expressed by hand, or pumped). Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is considered to be of "reproductive potential." In addition to routine contraceptive methods, "effective contraception" also includes refraining from sexual activity that might result in pregnancy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen

About the study

This phase II Lung-MAP treatment trial test the combination of targeted drugs (capmatinib, osimertinib, and/or ramucirumab) in treating patients with non-small cell lung cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) and that has EGFR and MET gene changes. Capmatinib and osimertinib are in a class of medications called kinase inhibitors. They work by blocking the action of the abnormal protein that signals cancer cells to multiply. This helps stop or slow the spread of cancer cells and may help shrink tumors. Ramucirumab is a monoclonal antibody that may prevent the growth of new blood vessels that tumors need to grow. Giving capmatinib, osimertinib, and/or ramucirumab and targeting abnormal gene changes in tumor cells may be effective in shrinking or stabilizing advanced non-small cell lung cancer.

What is being tested

Sponsor: SWOG Cancer Research Network · Participants: 66 · Started: May 5, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05642572

Locations in the U.S.

AlabamaGulf Health Hospitals Inc/Infirmary Cancer Care - Malbis, Daphne
Thomas Hospital, Fairhope
Mobile Infirmary Medical Center, Mobile
Gulf Health Hospitals Inc/Infirmary Cancer Care - Saraland, Saraland
AlaskaKatmai Oncology Group, Anchorage
ArizonaKingman Regional Medical Center, Kingman
ArkansasNEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro, Jonesboro
University of Arkansas for Medical Sciences, Little Rock
CaliforniaPCR Oncology, Arroyo Grande
Sutter Auburn Faith Hospital, Auburn
Alta Bates Summit Medical Center-Herrick Campus, Berkeley
Tower Cancer Research Foundation, Beverly Hills
Palo Alto Medical Foundation-Fremont, Fremont
Kaiser Permanente-Fresno, Fresno
UC San Diego Moores Cancer Center, La Jolla
Loma Linda University Medical Center, Loma Linda
Cedars-Sinai Medical Center, Los Angeles
Memorial Medical Center, Modesto
Kaiser Permanente-Oakland, Oakland
Kaiser Permanente-Roseville, Roseville
Sutter Roseville Medical Center, Roseville
Kaiser Permanente Downtown Commons, Sacramento
Sutter Medical Center Sacramento, Sacramento
University of California Davis Comprehensive Cancer Center, Sacramento
California Pacific Medical Center-Pacific Campus, San Francisco
Kaiser Permanente-San Francisco, San Francisco
Veterans Affairs Medical Center - San Francisco, San Francisco
Kaiser Permanente-Santa Teresa-San Jose, San Jose
Kaiser Permanente San Leandro, San Leandro
Mills Health Center, San Mateo
Kaiser San Rafael-Gallinas, San Rafael
Kaiser Permanente Medical Center - Santa Clara, Santa Clara
Palo Alto Medical Foundation-Santa Cruz, Santa Cruz
Sutter Pacific Medical Foundation, Santa Rosa
Kaiser Permanente-South San Francisco, South San Francisco
Palo Alto Medical Foundation-Sunnyvale, Sunnyvale
Torrance Memorial Physician Network - Cancer Care, Torrance
Kaiser Permanente-Vallejo, Vallejo
Sutter Solano Medical Center/Cancer Center, Vallejo
Kaiser Permanente-Walnut Creek, Walnut Creek
ColoradoUCHealth University of Colorado Hospital, Aurora
Memorial Hospital North, Colorado Springs
UCHealth Memorial Hospital Central, Colorado Springs
Cancer Care and Hematology-Fort Collins, Fort Collins
Poudre Valley Hospital, Fort Collins
UCHealth Greeley Hospital, Greeley
UCHealth Lone Tree Health Center, Lone Tree
Medical Center of the Rockies, Loveland
ConnecticutSmilow Cancer Hospital-Derby Care Center, Derby
Smilow Cancer Hospital Care Center-Fairfield, Fairfield
Smilow Cancer Hospital Care Center at Glastonbury, Glastonbury
Smilow Cancer Hospital Care Center at Greenwich, Greenwich
Smilow Cancer Hospital Care Center - Guilford, Guilford
Smilow Cancer Hospital Care Center at Saint Francis, Hartford
Yale University, New Haven
Yale-New Haven Hospital North Haven Medical Center, North Haven
Smilow Cancer Hospital-Orange Care Center, Orange
Smilow Cancer Hospital Care Center at Long Ridge, Stamford
Smilow Cancer Hospital-Torrington Care Center, Torrington
Smilow Cancer Hospital Care Center-Trumbull, Trumbull
Smilow Cancer Hospital-Waterbury Care Center, Waterbury
Smilow Cancer Hospital Care Center - Waterford, Waterford
DelawareBayhealth Hospital Kent Campus, Dover
Bayhealth Hospital Sussex Campus, Milford
District of ColumbiaKaiser Permanente-Capitol Hill Medical Center, Washington D.C.
FloridaMemorial Regional Hospital/Joe DiMaggio Children's Hospital, Hollywood
Memorial Hospital West, Pembroke Pines
Moffitt Cancer Center, Tampa
GeorgiaUniversity Cancer and Blood Center LLC, Athens
Northside Hospital, Atlanta
Northside Hospital - Duluth, Duluth
Northeast Georgia Medical Center-Gainesville, Gainesville
Northside Hospital - Gwinnett, Lawrenceville
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler, Savannah
HawaiiHawaii Cancer Care Inc - Waterfront Plaza, Honolulu
Queen's Cancer Cenrer - POB I, Honolulu
Queen's Cancer Center - Kuakini, Honolulu
Queen's Medical Center, Honolulu
Hawaii Cancer Care - Westridge, ‘Aiea
IdahoSaint Alphonsus Cancer Care Center-Boise, Boise
Saint Alphonsus Cancer Care Center-Caldwell, Caldwell
Kootenai Health - Coeur d'Alene, Coeur d'Alene
Saint Alphonsus Cancer Care Center-Nampa, Nampa
Kootenai Clinic Cancer Services - Post Falls, Post Falls
Kootenai Clinic Cancer Services - Sandpoint, Sandpoint
IllinoisAdvocate Good Shepherd Hospital, Barrington
Illinois CancerCare-Bloomington, Bloomington
Illinois CancerCare-Canton, Canton
Illinois CancerCare-Carthage, Carthage
Centralia Oncology Clinic, Centralia
Advocate Illinois Masonic Medical Center, Chicago
Northwestern University, Chicago
Rush MD Anderson Cancer Center, Chicago
AMG Crystal Lake - Oncology, Crystal Lake
Carle at The Riverfront, Danville
Northwestern Medicine Cancer Center Kishwaukee, DeKalb
Cancer Care Specialists of Illinois - Decatur, Decatur
Decatur Memorial Hospital, Decatur
Illinois CancerCare-Dixon, Dixon
Advocate Good Samaritan Hospital, Downers Grove
Carle Physician Group-Effingham, Effingham
Crossroads Cancer Center, Effingham
Advocate Sherman Hospital, Elgin
Illinois CancerCare-Eureka, Eureka
Illinois CancerCare-Galesburg, Galesburg
Northwestern Medicine Cancer Center Delnor, Geneva
Northwestern Medicine Glenview Outpatient Center, Glenview
Northwestern Medicine Grayslake Outpatient Center, Grayslake
Advocate South Suburban Hospital, Hazel Crest
Edward Hines Jr VA Hospital, Hines
Illinois CancerCare-Kewanee Clinic, Kewanee
Northwestern Medicine Lake Forest Hospital, Lake Forest
AMG Libertyville - Oncology, Libertyville
Condell Memorial Hospital, Libertyville
Illinois CancerCare-Macomb, Macomb
Carle Physician Group-Mattoon/Charleston, Mattoon
Loyola University Medical Center, Maywood
Cancer Care Center of O'Fallon, O'Fallon
Northwestern Medicine Oak Brook, Oak Brook
Advocate Christ Medical Center, Oak Lawn
Rush MD Anderson Cancer Center at Rush Oak Park, Oak Park
Northwestern Medicine Orland Park, Orland Park
Illinois CancerCare-Ottawa Clinic, Ottawa
Advocate Lutheran General Hospital, Park Ridge
Illinois CancerCare-Pekin, Pekin
Illinois CancerCare-Peoria, Peoria
Illinois CancerCare-Peru, Peru
Illinois CancerCare-Princeton, Princeton
OSF Saint Anthony Medical Center, Rockford
Southern Illinois University School of Medicine, Springfield
Springfield Clinic, Springfield
Springfield Memorial Hospital, Springfield
Carle Cancer Center, Urbana
Northwestern Medicine Cancer Center Warrenville, Warrenville
Illinois CancerCare - Washington, Washington
IowaUI Health Care Mission Cancer and Blood - Ankeny Clinic, Ankeny
UI Health Care Mission Cancer and Blood - West Des Moines Clinic, Clive
Iowa Methodist Medical Center, Des Moines
Mercy Medical Center - Des Moines, Des Moines
UI Health Care Mission Cancer and Blood - Des Moines Clinic, Des Moines
UI Health Care Mission Cancer and Blood - Laurel Clinic, Des Moines
UI Health Care Mission Cancer and Blood - Waukee Clinic, Waukee
KansasUniversity of Kansas Clinical Research Center, Fairway
HaysMed, Hays
University of Kansas Cancer Center, Kansas City
Lawrence Memorial Hospital, Lawrence
The University of Kansas Cancer Center - Olathe, Olathe
University of Kansas Cancer Center-Overland Park, Overland Park
University of Kansas Hospital-Indian Creek Campus, Overland Park
Salina Regional Health Center, Salina
University of Kansas Health System Saint Francis Campus, Topeka
University of Kansas Hospital-Westwood Cancer Center, Westwood
KentuckyUniversity of Kentucky/Markey Cancer Center, Lexington
MaineLafayette Family Cancer Center-EMMC, Brewer
MarylandKaiser Permanente-Woodlawn Medical Center, Baltimore
UPMC Western Maryland, Cumberland
Kaiser Permanente-Gaithersburg Medical Center, Gaithersburg
Kaiser Permanente - Largo Medical Center, Largo
Kaiser Permanente Lutherville - Timonium Medical Center, Lutherville
MassachusettsBaystate Medical Center, Springfield
UMass Memorial Medical Center - University Campus, Worcester
MichiganTrinity Health Saint Joseph Mercy Hospital Ann Arbor, Ann Arbor
Trinity Health IHA Medical Group Hematology Oncology - Brighton, Brighton
Trinity Health Medical Center - Brighton, Brighton
Trinity Health IHA Medical Group Hematology Oncology - Canton, Canton
Trinity Health Medical Center - Canton, Canton
Chelsea Hospital, Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital, Chelsea
Henry Ford Medical Center-Fairlane, Dearborn
Henry Ford Hospital, Detroit
Cancer Hematology Centers - Flint, Flint
Genesys Hurley Cancer Institute, Flint
Hurley Medical Center, Flint
University of Michigan Health - Sparrow Lansing, Lansing
Trinity Health Saint Mary Mercy Livonia Hospital, Livonia
Henry Ford Medical Center-Columbus, Novi
Trinity Health Saint Joseph Mercy Oakland Hospital, Pontiac
MyMichigan Medical Center Saginaw, Saginaw
MyMichigan Medical Center Tawas, Tawas City
Henry Ford West Bloomfield Hospital, West Bloomfield
Henry Ford Wyandotte Hospital, Wyandotte
Huron Gastroenterology PC, Ypsilanti
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus, Ypsilanti
MinnesotaSanford Joe Lueken Cancer Center, Bemidji
Mercy Hospital, Coon Rapids
Essentia Health - Deer River Clinic, Deer River
Essentia Health Cancer Center, Duluth
Fairview Southdale Hospital, Edina
Essentia Health Hibbing Clinic, Hibbing
Abbott-Northwestern Hospital, Minneapolis
Park Nicollet Clinic - Saint Louis Park, Saint Louis Park
Regions Hospital, Saint Paul
United Hospital, Saint Paul
Essentia Health Sandstone, Sandstone
Essentia Health Virginia Clinic, Virginia
Ridgeview Medical Center, Waconia
MississippiBaptist Memorial Hospital and Cancer Center-Golden Triangle, Columbus
Baptist Cancer Center-Grenada, Grenada
University of Mississippi Medical Center, Jackson
Baptist Memorial Hospital and Cancer Center-Union County, New Albany
Baptist Memorial Hospital and Cancer Center-Oxford, Oxford
Baptist Memorial Hospital and Cancer Center-Desoto, Southhaven
MissouriSaint Francis Medical Center, Cape Girardeau
Parkland Health Center - Farmington, Farmington
University Health Truman Medical Center, Kansas City
University of Kansas Cancer Center - Briarcliff, Kansas City
University of Kansas Cancer Center - North, Kansas City
University of Kansas Cancer Center - Lee's Summit, Lee's Summit
Sainte Genevieve County Memorial Hospital, Sainte Genevieve
Mercy Hospital Saint Louis, St Louis
Mercy Hospital South, St Louis
Missouri Baptist Medical Center, St Louis
Missouri Baptist Sullivan Hospital, Sullivan
BJC Outpatient Center at Sunset Hills, Sunset Hills
MontanaCommunity Hospital of Anaconda, Anaconda
Billings Clinic Cancer Center, Billings
Bozeman Health Deaconess Hospital, Bozeman
Benefis Sletten Cancer Institute, Great Falls
Logan Health Medical Center, Kalispell
Community Medical Center, Missoula
NevadaOptumCare Cancer Care at Charleston, Las Vegas
OptumCare Cancer Care at Fort Apache, Las Vegas
New HampshireNew Hampshire Oncology Hematology PA-Concord, Concord
Solinsky Center for Cancer Care, Manchester
New JerseyVirtua Samson Cancer Center, Moorestown
Virtua Voorhees, Voorhees Township
New MexicoUniversity of New Mexico Cancer Center, Albuquerque
New YorkUniversity of Rochester, Rochester
James J Peters VA Medical Center, The Bronx
Montefiore Medical Center - Moses Campus, The Bronx
Montefiore Medical Center-Einstein Campus, The Bronx
North CarolinaDurham VA Medical Center, Durham
North DakotaSanford Bismarck Medical Center, Bismarck
Sanford Broadway Medical Center, Fargo
Sanford Roger Maris Cancer Center, Fargo
OhioStrecker Cancer Center-Belpre, Belpre
Aultman Health Foundation, Canton
Cleveland Clinic Mercy Hospital, Canton
Miami Valley Hospital South, Centerville
Adena Regional Medical Center, Chillicothe
Mount Carmel East Hospital, Columbus
The Mark H Zangmeister Center, Columbus
Miami Valley Hospital, Dayton
Miami Valley Hospital North, Dayton
Premier Blood and Cancer Center, Dayton
Atrium Medical Center-Middletown Regional Hospital, Franklin
Miami Valley Cancer Care and Infusion, Greenville
Mount Carmel Grove City Hospital, Grove City
Memorial Hospital, Marysville
Knox Community Hospital, Mount Vernon
Licking Memorial Hospital, Newark
Mercy Health - Perrysburg Hospital, Perrysburg
Southern Ohio Medical Center, Portsmouth
Springfield Regional Cancer Center, Springfield
Trinity's Tony Teramana Cancer Center, Steubenville
ProMedica Flower Hospital, Sylvania
Mercy Health - Saint Anne Hospital, Toledo
Upper Valley Medical Center, Troy
Saint Ann's Hospital, Westerville
Genesis Healthcare System Cancer Care Center, Zanesville
OklahomaCancer Centers of Southwest Oklahoma Research, Lawton
University of Oklahoma Health Sciences Center, Oklahoma City
OregonProvidence Newberg Medical Center, Newberg
Saint Alphonsus Cancer Care Center-Ontario, Ontario
Providence Willamette Falls Medical Center, Oregon City
Kaiser Permanente Northwest, Portland
Oregon Health and Science University, Portland
Providence Portland Medical Center, Portland
Providence Saint Vincent Medical Center, Portland
PennsylvaniaUPMC Altoona, Altoona
UPMC-Heritage Valley Health System Beaver, Beaver
UPMC Hillman Cancer Center at Butler Health System, Butler
Carlisle Regional Cancer Center, Carlisle
WellSpan Medical Oncology and Hematology, Chambersburg
UPMC Hillman Cancer Center - Passavant - Cranberry, Cranberry Township
Geisinger Medical Center, Danville
Geisinger Cancer Center Dickson City, Dickson City
Ephrata Cancer Center, Ephrata
UPMC Hillman Cancer Center Erie, Erie
UPMC Cancer Center at UPMC Horizon, Farrell
Adams Cancer Center, Gettysburg
UPMC Cancer Centers - Arnold Palmer Pavilion, Greensburg
UPMC Pinnacle Cancer Center/Community Osteopathic Campus, Harrisburg
IRMC Cancer Center, Indiana
UPMC-Johnstown/John P. Murtha Regional Cancer Center, Johnstown
Sechler Family Cancer Center, Lebanon
Geisinger Medical Oncology-Lewisburg, Lewisburg
UPMC Cancer Center at UPMC McKeesport, McKeesport
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion, Mechanicsburg
UPMC Hillman Cancer Center - Monroeville, Monroeville
UPMC Hillman Cancer Center in Coraopolis, Moon Township
UPMC Hillman Cancer Center - Part of Frick Hospital, Mount Pleasant
UPMC Cancer Center-Natrona Heights, Natrona Heights
UPMC Hillman Cancer Center - New Castle, New Castle
Arnold Palmer Cancer Center Medical Oncology Norwin, North Huntingdon
UPMC-Mercy Hospital, Pittsburgh
UPMC-Passavant Hospital, Pittsburgh
UPMC-Saint Clair Hospital Cancer Center, Pittsburgh
UPMC-Saint Margaret, Pittsburgh
University of Pittsburgh Cancer Institute (UPCI), Pittsburgh
Community Medical Center, Scranton
UPMC Cancer Center at UPMC Northwest, Seneca
UPMC Cancer Center-Uniontown, Uniontown
UPMC Cancer Center-Washington, Washington
UPMC West Mifflin-Cancer Center Jefferson, West Mifflin
Geisinger Wyoming Valley/Henry Cancer Center, Wilkes-Barre
Divine Providence Hospital, Williamsport
UPMC Memorial, York
WellSpan Health-York Cancer Center, York
Rhode IslandSmilow Cancer Hospital Care Center - Westerly, Westerly
South CarolinaAnMed Health Cancer Center, Anderson
Saint Joseph's/Candler - Bluffton Campus, Bluffton
Prisma Health Cancer Institute - Spartanburg, Boiling Springs
Medical University of South Carolina, Charleston
Ralph H Johnson VA Medical Center, Charleston
Prisma Health Cancer Institute - Easley, Easley
Prisma Health Cancer Institute - Butternut, Greenville
Prisma Health Cancer Institute - Eastside, Greenville
Prisma Health Cancer Institute - Faris, Greenville
Prisma Health Greenville Memorial Hospital, Greenville
Prisma Health Cancer Institute - Greer, Greer
Prisma Health Cancer Institute - Seneca, Seneca
South DakotaSanford Cancer Center Oncology Clinic, Sioux Falls
Sanford USD Medical Center - Sioux Falls, Sioux Falls
TennesseeBaptist Memorial Hospital and Cancer Center-Collierville, Collierville
Baptist Memorial Hospital and Cancer Center-Memphis, Memphis
TexasThe Don and Sybil Harrington Cancer Center, Amarillo
UtahHuntsman Cancer Institute/University of Utah, Salt Lake City
VermontCentral Vermont Medical Center/National Life Cancer Treatment, Berlin Corners
University of Vermont Medical Center, Burlington
University of Vermont and State Agricultural College, Burlington
VirginiaUniversity of Virginia Cancer Center, Charlottesville
Kaiser Permanente Tysons Corner Medical Center, McLean
Kaiser Permanente-Caton Hill Medical Center, Woodbridge
WashingtonFHCC Overlake, Bellevue
FHCC at EvergreenHealth, Kirkland
Valley Medical Center, Renton
FHCC at Northwest Hospital, Seattle
Fred Hutchinson Cancer Center, Seattle
Swedish Medical Center-First Hill, Seattle
University of Washington Medical Center - Montlake, Seattle
West VirginiaEdwards Comprehensive Cancer Center, Huntington
WisconsinLanglade Hospital and Cancer Center, Antigo
Duluth Clinic Ashland, Ashland
Aurora Cancer Care-Southern Lakes VLCC, Burlington
Marshfield Medical Center-EC Cancer Center, Eau Claire
Aurora Health Care Germantown Health Center, Germantown
Aurora Cancer Care-Grafton, Grafton
Aurora BayCare Medical Center, Green Bay
Aurora Cancer Care-Kenosha South, Kenosha
Gundersen Lutheran Medical Center, La Crosse
Aurora Bay Area Medical Group-Marinette, Marinette
Marshfield Medical Center-Marshfield, Marshfield
Aspirus Medford Hospital, Medford
Aurora Cancer Care-Milwaukee, Milwaukee
Aurora Saint Luke's Medical Center, Milwaukee
Aurora Sinai Medical Center, Milwaukee
Marshfield Medical Center - Minocqua, Minocqua
Vince Lombardi Cancer Clinic - Oshkosh, Oshkosh
Aurora Cancer Care-Racine, Racine
Aspirus Cancer Care - James Beck Cancer Center, Rhinelander
Marshfield Medical Center-Rice Lake, Rice Lake
Vince Lombardi Cancer Clinic-Sheboygan, Sheboygan
Aspirus Cancer Care - Stevens Point, Stevens Point
Marshfield Medical Center-River Region at Stevens Point, Stevens Point
Aurora Medical Center in Summit, Summit
Vince Lombardi Cancer Clinic-Two Rivers, Two Rivers
Aspirus Regional Cancer Center, Wausau
Aurora Cancer Care-Milwaukee West, Wauwatosa
Aurora West Allis Medical Center, West Allis
Marshfield Medical Center - Weston, Weston
Aspirus Cancer Care - Wisconsin Rapids, Wisconsin Rapids

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.