A Study of Napabucasin (BBI-608) in Combination With FOLFIRI in Adult Patients With Previously Treated Metastatic Colorectal Cancer

NCT ID: NCT02753127

Last Updated: 2023-11-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1253 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2021-05-12

Brief Summary

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This is an international multi-center, prospective, open-label, randomized, adaptive design phase 3 trial of the cancer stem cell pathway inhibitor napabucasin plus standard bi-weekly FOLFIRI versus standard bi-weekly FOLFIRI in patients with previously treated metastatic colorectal cancer (CRC).

Detailed Description

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Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Napabucasin plus FOLFIRI

Addition of bevacizumab to the FOLFIRI regimen will be permissible. FOLFIRI chemotherapy infusion will start at least 2 hours following the first daily dose of napabucasin and will be administered every 2 weeks. Irinotecan/leucovorin infusion will follow bevacizumab infusion in selected patients to receive standard dose of bevacizumab (5 mg/kg). Irinotecan 180 mg/m\^2 together with leucovorin 400 mg/m\^2 will be administered intravenously, over approximately 90 minutes and 2 hours, respectively, starting on Day 1 of Cycle 1, following bevacizumab infusion or at least 2 hours following the first daily dose of napabucasin if bevacizumab is not administered. 5-FU 400 mg/m\^2 bolus will be administered intravenously immediately following irinotecan/leucovorin infusion, followed by 5-FU 1200 mg/m\^2/day (total 2400 mg/m\^2) continuous infusion. This regimen will be repeated on Day 1 of every 14 day cycle.

Group Type EXPERIMENTAL

Napabucasin

Intervention Type DRUG

Napabucasin 240 mg will be administered orally, twice daily, with doses separated by approximately 12 hours (480 mg total daily dose).

Fluorouracil

Intervention Type DRUG

Leucovorin

Intervention Type DRUG

Irinotecan

Intervention Type DRUG

Bevacizumab

Intervention Type DRUG

FOLFIRI

Addition of bevacizumab to the FOLFIRI regimen will be permissible. FOLFIRI chemotherapy infusion will be administered every 2 weeks. Irinotecan/leucovorin infusion will follow bevacizumab infusion in selected patients to receive standard dose of bevacizumab (5 mg/kg). Irinotecan 180 mg/m\^2 together with leucovorin 400 mg/m\^2 will be administered intravenously, over approximately 90 minutes and 2 hours, respectively, starting on Day 1 of Cycle 1, following bevacizumab infusion. 5-FU 400 mg/m\^2 bolus will be administered intravenously immediately following irinotecan/leucovorin infusion, followed by 5-FU 1200 mg/m\^2/day (total 2400 mg/m\^2) continuous infusion. This regimen will be repeated on Day 1 of every 14 day cycle.

Group Type ACTIVE_COMPARATOR

Fluorouracil

Intervention Type DRUG

Leucovorin

Intervention Type DRUG

Irinotecan

Intervention Type DRUG

Bevacizumab

Intervention Type DRUG

Interventions

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Napabucasin

Napabucasin 240 mg will be administered orally, twice daily, with doses separated by approximately 12 hours (480 mg total daily dose).

Intervention Type DRUG

Fluorouracil

Intervention Type DRUG

Leucovorin

Intervention Type DRUG

Irinotecan

Intervention Type DRUG

Bevacizumab

Intervention Type DRUG

Other Intervention Names

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BBI-608 BBI608 BB608 5-FU Carac Efudex Fluoroplex Adrucil Folinic Acid Camptosar Avastin

Eligibility Criteria

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Inclusion Criteria

1. Written, signed consent for trial participation must be obtained from the patient appropriately in accordance with applicable ICH guidelines and local and regulatory requirements prior to the performance of any study specific procedure.
2. Must have histologically confirmed advanced CRC that is metastatic.
3. Must have failed treatment with one regimen containing a fluoropyrimidine, oxaliplatin with or without bevacizumab for metastatic disease. All patients must have received a minimum of 6 weeks of the first-line regimen that included bevacizumab (if applicable), oxaliplatin and a fluoropyrimidine in the same cycle. Treatment failure is defined as radiologic progression during or \< 6 months after the last dose of first-line therapy.
4. FOLFIRI therapy is appropriate for the patient and is recommended by the Investigator.
5. Imaging investigations including CT/MRI of chest/abdomen/pelvis or other scans as necessary to document all sites of disease performed within 21 days prior to randomization. Patients with either measurable disease or non-measurable evaluable disease are eligible.
6. Must have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
7. Must be ≥ 18 years of age.
8. For male or female patient of child bearing potential: Must agree to use contraception or take measures to avoid pregnancy during the study and for 180 days for female and male patients, of the final FOLFIRI dose. Patients who receive single agent napabucasin without FOLFIRI must agree to use contraception or take measures to avoid pregnancy during the study and for 30 days for female patients and 90 days for male patients, of the final napabucasin dose.
9. Women of child bearing potential (WOCBP) must have a negative serum or urine pregnancy test within 5 days prior to randomization. The minimum sensitivity of the pregnancy test must be 25 IU/L or equivalent units of HCG.
10. Must have alanine transaminase (ALT) ≤ 3 × institutional upper limit of normal (ULN) \[≤ 5 × ULN in presence of liver metastases\] within 14 days prior to randomization.
11. Must have hemoglobin (Hgb) ≥ 9.0 g/dL within 14 days prior to randomization. Must not have required transfusion of red blood cells within 1 week of baseline Hgb assessment.
12. Must have total bilirubin ≤ 1.5 × institutional ULN \[≤ 2.0 x ULN in presence of liver metastases\] within 14 days prior to randomization.
13. Must have creatinine ≤ 1.5 × institutional ULN or Creatinine Clearance \> 50 ml/min (as calculated by the Cockcroft-Gault equation (Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\]) within 14 days prior to randomization.
14. Must have absolute neutrophil count ≥ 1.5 x 10\^9/L within 14 days prior to randomization.
15. Must have platelet count ≥ 100 x 10\^9/L within 14 days prior to randomization. Must not have required transfusion of platelets within 1 week of baseline platelet assessment.
16. Patient must have adequate nutritional status with Body Mass Index (BMI) \> 18 kg/m\^2 and body weight of \> 40 kg with serum albumin \> 3 g/dL.
17. Other baseline laboratory evaluations, listed in Section 6.0, must be done within 14 days prior to randomization.
18. Patient must consent to provision of, and Investigator(s) must confirm access to and agree to submit a representative formalin fixed paraffin block of tumor tissue in order that the specific biomarker assays may be conducted. Submission of the tissue is to occur prior to randomization, unless approved by the Sponsor. Where local center regulations prohibit submission of blocks of tumor tissue, two 2 mm cores of tumor from the block and 10-30 unstained slides of whole sections of representative tumor tissue are preferred. Where two 2 mm cores of tumor from the block are unavailable, 10-30 unstained slides of whole sections of representative tumor tissue alone are acceptable. Where no previously resected or biopsied tumor tissue exists or is available, on the approval of the Sponsor/designated CRO, the patient may still be considered eligible for the study.
19. Patient must consent to provision of a sample of blood in order that the specific correlative marker assays may be conducted.
20. Patients must be accessible for treatment and follow-up. Patients registered on this trial must receive protocol treatment and be followed at the participating center. This implies there must be reasonable geographical limits placed on patients being considered for this trial. Investigators must ensure that the patients randomized on this trial will be available for complete documentation of the treatment, response assessment, adverse events, and follow-up.
21. Protocol treatment is to begin within 2 calendar days of patient randomization.
22. The patient is not receiving therapy in a concurrent clinical study and the patient agrees not to participate in other interventional clinical studies during their participation in this trial while on study treatment. Patients participating in surveys or observational studies are eligible to participate in this study.

Exclusion Criteria

1. Anti-cancer chemotherapy or biologic therapy if administered prior to the first planned dose of study medication (napabucasin or FOLFIRI) within period of time equivalent to the usual cycle length of the regimen. An exception is made for oral fluoropyrimidines (e.g. capecitabine, S-1), where a minimum of 10 days since last dose must be observed prior to the first planned dose of study medication. Standard dose of bevacizumab (5 mg/kg) may be administered prior to FOLFIRI infusion, per Investigator decision, for as long as permanent decision to include or exclude bevacizumab is made prior to patient randomization. Radiotherapy, immunotherapy (including immunotherapy administered for non-malignant diseaseneoplastic treatment purposes), or investigational agents within four weeks of first planned dose of study medication, with the exception of a single dose of radiation up to 8 Gy (equal to 800 RAD) with palliative intent for pain control up to 14 days before randomization.
2. More than one prior chemotherapy regimen administered in the metastatic setting.
3. Major surgery within 4 weeks prior to randomization.
4. Patients with any known brain or leptomeningeal metastases are excluded, even if treated.
5. Women who are pregnant or breastfeeding. Women should not breastfeed while taking study treatment and for 4 weeks after the last dose of napabucasin or while undergoing treatment with FOLFIRI and for 180 days after the last dose of FOLFIRI.
6. Gastrointestinal disorder(s) which, in the opinion of the Qualified/Principal Investigator, would significantly impede the absorption of an oral agent (e.g. intestinal occlusion, active Crohn's disease, ulcerative colitis, extensive gastric and small intestine resection).
7. Unable or unwilling to swallow napabucasin capsules daily.
8. Prior treatment with napabucasin.
9. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, clinically significant non-healing or healing wounds, symptomatic congestive heart failure, unstable angina pectoris, clinically significant cardiac arrhythmia, significant pulmonary disease (shortness of breath at rest or mild exertion), uncontrolled infection or psychiatric illness/social situations that would limit compliance with study requirements.
10. Known hypersensitivity to 5-fluorouracil/leucovorin
11. Known dihydropyrimidine dehydrogenase (DPD) deficiency
12. Known hypersensitivity to irinotecan
13. Chronic inflammatory bowel disease (Crohn's disease or ulcerative colitis)
14. Patients receiving treatment with St. John's wort or Phenytoin.
15. Patients who plan to receive yellow fever vaccine during the course of the study treatment.
16. Abnormal glucuronidation of bilirubin, known Gilbert's syndrome
17. Patients with QTc interval \> 470 milliseconds
18. For patients to be treated with a regimen containing bevacizumab:

* History of cardiac disease: congestive heart failure (CHF) \> New York Heart Association (NYHA) Class II; active coronary artery disease, myocardial infarction within 6 months prior to study entry; unevaluated new onset angina within 3 months or unstable angina (angina symptoms at rest) or cardiac arrhythmias requiring anti-arrhythmic therapy (beta blockers or digoxin are permitted).
* Current uncontrolled hypertension (systolic blood pressure \[BP\] \> 150 mmHg or diastolic pressure \> 90 mmHg despite optimal medical management) as well as prior history of hypertensive crisis or hypertensive encephalopathy.
* History of arterial thrombotic or embolic events (within 6 months prior to study entry)
* Significant vascular disease (e.g., aortic aneurysm, aortic dissection, symptomatic peripheral vascular disease)
* Evidence of bleeding diathesis or clinically significant coagulopathy
* Major surgical procedure (including open biopsy, significant traumatic injury, etc.) within 28 days, or anticipation of the need for major surgical procedure during the course of the study as well as minor surgical procedure (excluding placement of a vascular access device or bone marrow biopsy) within 7 days prior to study enrollment
* Proteinuria at screening as demonstrated by urinalysis with proteinuria ≥ 2+ (patients discovered to have ≥2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate ≤ 1g of protein in 24 hours to be eligible).
* History of abdominal fistula, gastrointestinal perforation, peptic ulcer, or intra-abdominal abscess within 6 months
* Ongoing serious, non-healing wound, ulcer, or bone fracture
* Known hypersensitivity to any component of bevacizumab
* History of reversible posterior leukoencephalopathy syndrome (RPLS)
* History of hypersensitivity to Chinese hamster ovary (CHO) cells or other human or humanized recombinant antibodies.
19. Patients with a history of other malignancies except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumors curatively treated with no evidence of disease for \> 3 years.
20. Any active disease condition which would render the protocol treatment dangerous or impair the ability of the patient to receive protocol therapy.
21. Any condition (e.g. psychological, geographical, etc.) that does not permit compliance with the protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sumitomo Pharma America, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Medical Center

Kansas City, Missouri, United States

Site Status

Alabama Oncology

Birmingham, Alabama, United States

Site Status

Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status

Arizona Oncology Associates, PC - HOPE

Tucson, Arizona, United States

Site Status

Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

City of Hope- Comprehensive Care Center

Duarte, California, United States

Site Status

University of California-San Diego/Moores UCSD Cancer Center

La Jolla, California, United States

Site Status

Los Angeles Hematology Oncology Medical Group

Los Angeles, California, United States

Site Status

USC Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

UCLA Hematology Oncology Santa Monica

Santa Monica, California, United States

Site Status

St. Joseph Heritage Healthcare

Santa Rosa, California, United States

Site Status

Rocky Mountain Cancer Centers

Denver, Colorado, United States

Site Status

St Mary's Hospital & Regional Med Center

Grand Junction, Colorado, United States

Site Status

Medical Oncology Hematology Consultants, PA

Newark, Delaware, United States

Site Status

Florida Cancer Specialists & Research Institute Fort Myers

Fort Myers, Florida, United States

Site Status

Memorial Cancer Institute at Memorial Hospital

Hollywood, Florida, United States

Site Status

Baptist Health Medical Group Oncology, LLC

Miami, Florida, United States

Site Status

Sarah Cannon Research Institution

St. Petersburg, Florida, United States

Site Status

Palm Beach Cancer Institute

West Palm Beach, Florida, United States

Site Status

Piedmont Cancer Institute, PC

Atlanta, Georgia, United States

Site Status

Emory University/Winship Cancer Institute

Atlanta, Georgia, United States

Site Status

Suburban Hematology-Oncology Associates, PC - Lawrenceville

Lawrenceville, Georgia, United States

Site Status

Illinois Cancer Specialists

Arlington Heights, Illinois, United States

Site Status

Northshore University Healthsystem

Evanston, Illinois, United States

Site Status

Healthcare Research Network III, LLC

Tinley Park, Illinois, United States

Site Status

Northwestern Medicine Cancer Center

Warrenville, Illinois, United States

Site Status

Parkview Research Center

Fort Wayne, Indiana, United States

Site Status

Indiana University Health Goshen Center for Cancer Care

Goshen, Indiana, United States

Site Status

Michiana Hematology Oncology, PC

Mishawaka, Indiana, United States

Site Status

Cancer Center of Kansas

Wichita, Kansas, United States

Site Status

Dana Farber

Boston, Massachusetts, United States

Site Status

Umass Memorial Medical Center

Worcester, Massachusetts, United States

Site Status

University of Michigan Cancer Center

Ann Arbor, Michigan, United States

Site Status

Minnesota Oncology Hematology, P.A.

Minneapolis, Minnesota, United States

Site Status

Mayo Clinic Arizona

Rochester, Minnesota, United States

Site Status

Missouri Baptist Medical Center ACCRU Network Site

St Louis, Missouri, United States

Site Status

Saint Francis Cancer Treatment Center

Grand Island, Nebraska, United States

Site Status

Missouri Valley Cancer Consortium

Omaha, Nebraska, United States

Site Status

Cancer Research Network of Nebraska / Oncology Associates PC

Omaha, Nebraska, United States

Site Status

Tennessee Oncology PLLC

Omaha, Nebraska, United States

Site Status

Darthmouth-Hitchcock Medical Center

Lebanon, New Hampshire, United States

Site Status

Carol G. Simon Cancer Center

Morristown, New Jersey, United States

Site Status

University of New Mexico

Albuquerque, New Mexico, United States

Site Status

Roswell Park Cancer Center

Buffalo, New York, United States

Site Status

North Shore Hematology Oncology Associates

East Setauket, New York, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Southeastern Medical Oncology Center

Goldsboro, North Carolina, United States

Site Status

Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, United States

Site Status

Toledo Clinic Cancer Centers

Toledo, Ohio, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

VA Pittsburgh Healthcare System

Pittsburgh, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Sanford Cancer Center

Sioux Falls, South Dakota, United States

Site Status

University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status

West Cancer Center

Memphis, Tennessee, United States

Site Status

The Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status

Texas Oncology-Austin Midtown

Austin, Texas, United States

Site Status

Texas Oncology - Dallas Center

Dallas, Texas, United States

Site Status

Texas Oncology - Denton South

Denton, Texas, United States

Site Status

Texas Oncology - Fort Worth

Fort Worth, Texas, United States

Site Status

Millenium Oncology

Houston, Texas, United States

Site Status

Texas Health Physicians Group

Plano, Texas, United States

Site Status

Texas Oncology-San Antonio

San Antonio, Texas, United States

Site Status

Texas Oncology - Tyler

Tyler, Texas, United States

Site Status

Texas Oncology - Wichita Falls Texoma Cancer Center

Wichita Falls, Texas, United States

Site Status

Northern Utah Associates

Ogden, Utah, United States

Site Status

US Oncology - Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Site Status

Fort Belvoir Community Hospital

Fort Belvoir, Virginia, United States

Site Status

Virginia Oncology Associates

Hampton, Virginia, United States

Site Status

Blue Ridge Cancer Care

Roanoke, Virginia, United States

Site Status

Virginia Mason

Seattle, Washington, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Northwest Cancer Specialists, P.C.

Vancouver, Washington, United States

Site Status

Bankstown-Lidcombe Hospital

Bankstown, New South Wales, Australia

Site Status

St Vincent's Hospital

Darlinghurst, New South Wales, Australia

Site Status

St Vincent's hospital Melbourne

Fitzroy, New South Wales, Australia

Site Status

Port Macquaries Base Hospital

Port Macquarie, New South Wales, Australia

Site Status

Northern Cancer Institute

St Leonards, New South Wales, Australia

Site Status

Sunshine Coast Hospital and Health Service

Nambour, Queensland, Australia

Site Status

Gold Coast University Hosptial

Southport, Queensland, Australia

Site Status

Flinders Medical Centre

Bedford Park, South Australia, Australia

Site Status

The Queen Elizabeth Hospital

Woodville, South Australia, Australia

Site Status

Bendigo Hospital

Bendigo, Victoria, Australia

Site Status

Peninsula & South Eastern Haematology and Oncology Group

Frankston, Victoria, Australia

Site Status

Austin Hospital

Heidelberg, Victoria, Australia

Site Status

Western Health

Melbourne, Victoria, Australia

Site Status

Goulburn Valley Health

Shepparton, Victoria, Australia

Site Status

Prince of Wales Hospital

Randwick, , Australia

Site Status

Imelda Ziekenhuis

Bonheiden, Antwerpen, Belgium

Site Status

Imelda Ziekenhuis

Bonheiden, Antwerpen, Belgium

Site Status

Imelda Ziekenhuis

Bonheiden, Antwerpen, Belgium

Site Status

AZ Turnhout - Campus Sint-Elisabeth

Turnhout, Antwerpen, Belgium

Site Status

Hôpital Erasme

Brussels, Brussels Capital, Belgium

Site Status

Grand Hôpital de Charleroi - Site Notre-Dame

Charleroi, Hainaut, Belgium

Site Status

CHU de Liège - Domaine Universitaire du Sart Tilman

Brussels, Liège, Belgium

Site Status

UZ Leuven - Campus Gasthuisberg

Leuven, Vlaams Brabant, Belgium

Site Status

AZ Sint-Jan Brugge - Oostende - Campus Sint-Jan

Bruges, West-Vlaanderen, Belgium

Site Status

AZ Sint-Lucas - Campus Sint-Lucas

Bruges, West-Vlaanderen, Belgium

Site Status

Tom Baker Cancer Centre

Calgary, Alberta, Canada

Site Status

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, Canada

Site Status

University of Toronto - Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Saint Michael's Hospital Li Ka Shing Knowledge Institute

Toronto, Ontario, Canada

Site Status

St. Mary's Hospital Center

Montreal, Quebec, Canada

Site Status

Hopital Notre-Dame du CHUM

Montreal, Quebec, Canada

Site Status

Beijing Cancer Hospital

Beijing, , China

Site Status

Henan Cancer Hospital

Henan, , China

Site Status

Jiangsu Province Hospital

Jiangsu, , China

Site Status

FN Hradec Kralove

Hradec Králové, Královéhradecký kraj, Czechia

Site Status

Fakultni nemocnice Brno

Brno, , Czechia

Site Status

Masarykuv onkologicky ustav

Brno, , Czechia

Site Status

Vseobecna fakultni nemocnice v Praze

Prague, , Czechia

Site Status

Centre Paul Papin

Angers, , France

Site Status

Hospitalier Jean Minjoz

Besançon, , France

Site Status

Hôpital Morvan - CHRU de Brest - cancérologie et d'hématolog

Brest, , France

Site Status

CHU Estaing

Clermont-Ferrand, , France

Site Status

Centre de Lutte Contre le Cancer (CLCC)

Dijon, , France

Site Status

CHU de Nantes - Hopital Hotel Dieu

Nantes, , France

Site Status

Hôpital Européen Georges Pompidou - Digestive Oncology

Paris, , France

Site Status

Hôpital Privé des Côtes d'Armor - Service oncologie

Plérin, , France

Site Status

Hospital of Poitiers

Poitiers, , France

Site Status

Centre Eugene Marquis

Rennes, , France

Site Status

Centre Rene Gauducheau

Saint-Herblain, , France

Site Status

Leopoldina Krankenhaus Med. Klinik 2

Schweinfurt, Bavaria, Germany

Site Status

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, Saxony, Germany

Site Status

Schwerpunkpraxis für Hämatologie und Onkologie

Magdeburg, Saxony-Anhalt, Germany

Site Status

Gesundheitszentrum Wetterau

Bad Nauheim, , Germany

Site Status

Vivantes Klinikum Am Urban

Berlin, , Germany

Site Status

Charite - Campus Benjamin Franklin (Cbf)

Berlin, , Germany

Site Status

DRK Kliniken Berlin Koepenick

Berlin, , Germany

Site Status

Charité Universitätsmedizin

Berlin, , Germany

Site Status

MVZ Onkologischer Schwerpunkt am Oskar-Helene-Heim

Berlin, , Germany

Site Status

Facharztzentrum Eppendorf

Hamburg, , Germany

Site Status

Asklepios Klinik Altona

Hamburg, , Germany

Site Status

Universitätsklinikum Marburg

Marburg, , Germany

Site Status

Medizinische Universitaetsklin

Ulm, , Germany

Site Status

Pamela Youde Nethersole Eastern Hospital

Hong Kong, , Hong Kong

Site Status

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Ha'Emek Medical Center

Afula, , Israel

Site Status

The Barzilai Medical Center - Oncology Institute

Ashkelon, , Israel

Site Status

Soroka University Medical Center

Beersheba, , Israel

Site Status

Shaare Zedek Medical center

Jerusalem, , Israel

Site Status

Meir Medical Center

Kfar Saba, , Israel

Site Status

Rabin MC - Oncology, Davidoff Center

Petah Tikva, , Israel

Site Status

Ziv Medical Center (The Rebecca Sieff Hospital)

Safed, , Israel

Site Status

Tel Aviv Sourasky Medical Center - Oncology

Tel Aviv, , Israel

Site Status

The Chaim Sheba Medical Centre - Division of Oncology

Tel Litwinsky, , Israel

Site Status

AOU Ospedali Riuniti Umberto I - GM.Lanc

Torrette Di Ancona, Ancona, Italy

Site Status

Ospedale Santa Maria del Prato

Feltre, Belluno, Italy

Site Status

Irccs Irst

Meldola, Forli, Italy

Site Status

AUSL della Romagna, Osp. degli Infermi

Faenza, Ravenna, Italy

Site Status

Policlinico S.Orsola Malpighi, AOU di Bologna

Bologna, , Italy

Site Status

PO di Cremona, ASST di Cremona

Cremona, , Italy

Site Status

AO S. Martino, IRCCS, IST

Genova, , Italy

Site Status

Ieo, Irccs

Milan, , Italy

Site Status

AOU Policlinico di Modena

Modena, , Italy

Site Status

Università degli studi della Campania "L.Vanvitelli"

Napoli, , Italy

Site Status

Ospedale Guglielmo da Saliceto, AUSL Piacenza

Piacenza, , Italy

Site Status

AOU Città della Salute e della Scienza di Torino - Molinette

Torino, , Italy

Site Status

Aichi Cancer Center Hospital

Nagoya, Aichi-ken, Japan

Site Status

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

Site Status

National Hospital Organization Shikoku Cancer Center

Matsunami, Ehime, Japan

Site Status

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Site Status

Kobe City Medical Center General Hospital

Kobe, Hyōgo, Japan

Site Status

ST. Marianna University School of Medicine

Kawasaki, Kanagawa, Japan

Site Status

Osaka University Hospital

Suita, Osaka, Japan

Site Status

Osaka Medical College Hospital

Takatsuki, Osaka, Japan

Site Status

Saitama Cancer Center

Kita-Adachi, Saitama, Japan

Site Status

Shizuoka Cancer Center

Sunto, Shizuoka, Japan

Site Status

Medical Hospital, Tokyo Medical and Dental University

Bunkyo-ku, Tokyo, Japan

Site Status

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan

Site Status

The cancer insitute hospital of JFCR (Japanese Foundation For Cancer Research)

Koto-ku, Tokyo, Japan

Site Status

National Kyushu Cancer Center

Fukuoka, , Japan

Site Status

Osaka Medical Center for Cancer and Cardiovascular Diseases

Osaka, , Japan

Site Status

National Hospital Organization Osaka National Hospital

Osaka, , Japan

Site Status

Medisch Centrum Leeuwarden

Leeuwarden, Provincie Friesland, Netherlands

Site Status

Academisch Medisch Centrum

Amsterdam, , Netherlands

Site Status

Spaarne Gasthuis

Hoofddorp, , Netherlands

Site Status

Maastricht UMC

Maastricht, , Netherlands

Site Status

Elizabeth Tweesteden Ziekenhuis locatie Tilburg

Tilburg, , Netherlands

Site Status

National University Cancer Institute

Singapore, Central Singapore, Singapore

Site Status

National Cancer Centre

Singapore, Central Singapore, Singapore

Site Status

Raffles Hospital

Singapore, Central Singapore, Singapore

Site Status

Yeungnam University Medical Center

Daegu, Daegu Gwang'yeogsi, South Korea

Site Status

National Cancer Centre

Goyang, Gyeonggido, South Korea

Site Status

Ajou University Hospital

Suwon, Gyeonggido, South Korea

Site Status

Gachon University Gil Medical Center

Incheon, Incheon Gwang'yeogsi, South Korea

Site Status

Korea University Anam Hospital

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Samsung Medical Center

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Korea University Guro Hospital

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, Seoul Teugbyeolsi, South Korea

Site Status

Hospital General Universitario de Elche

Elche, Alicante, Spain

Site Status

H.U.V. del Rocío

Seville, Andalusia, Spain

Site Status

Hospital Son Llatzer

Baleares, Balearic Islands, Spain

Site Status

Institut Català d'Oncologia-Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Site Status

Complexo Hospital Universitario A Coruña

A Coruña, Galicia, Spain

Site Status

Hospital Universitario Fundacion Alcorcon (HUFA)

Alcorcón, Madrid, Spain

Site Status

Hospital Universitario Puerta de Hierro-Majadahonda

Majadahonda, Madrid, Spain

Site Status

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status

Consorci Hospital General Universitari Valencia (CHGUV)

Comunidad Valenciana, Valencia, Spain

Site Status

Hospital Universitario Vall d'Hebrón

Barcelona, , Spain

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Hospital Clinic i Provincial de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Gregorio Marañón

Madrid, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario Virgen de la Arrixaca

Murcia, , Spain

Site Status

Hospital Universitario Virgen de la Macarena

Seville, , Spain

Site Status

H.C.U.Valencia

Valencia, , Spain

Site Status

Hospital Universitario Miguel Servet

Zaragoza, , Spain

Site Status

Countries

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United States Australia Belgium Canada China Czechia France Germany Hong Kong Israel Italy Japan Netherlands Singapore South Korea Spain

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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BB608-303CRC

Identifier Type: OTHER

Identifier Source: secondary_id

2016-001627-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CanStem303C

Identifier Type: -

Identifier Source: org_study_id

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