Veliparib, Radiation Therapy, and Temozolomide in Treating Patients With Newly Diagnosed Malignant Glioma Without H3 K27M or BRAFV600 Mutations

Study Purpose

This phase II trial studies how well veliparib, radiation therapy, and temozolomide work in treating patients with newly diagnosed malignant glioma without H3 K27M or BRAFV600 mutations. Poly adenosine diphosphate (ADP) ribose polymerases (PARPs) are proteins that help repair DNA mutations. PARP inhibitors, such as veliparib, can keep PARP from working, so tumor cells can't repair themselves, and they may stop growing. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving veliparib, radiation therapy, and temozolomide may work better in treating patients with newly diagnosed malignant glioma without H3 K27M or BRAFV600 mutations compared to radiation therapy and temozolomide alone.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 3 Years - 25 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Stratum 1 (IDH wild-type): Patients must be >= 3 years of age and =< 21 years of age at the time of enrollment.
  • - Please note Stratum 1 was closed to accrual on January 24, 2020.
  • - Stratum 2 (IDH mutant): Patients must be >= 3 years of age and =< 25 years of age at the time of enrollment.
  • - Patients must have eligibility confirmed by rapid central pathology and central molecular screening reviews performed on APEC14B1: - Newly-diagnosed high-grade glioma such as anaplastic astrocytoma or glioblastoma.
  • - Negative results for H3 K27M by immunohistochemistry (IHC) - Negative results for BRAFV600 mutation by next-generation sequencing (NGS) - Patients must have histological verification of diagnosis.
Patients with M+ disease (defined as evidence of neuraxis dissemination) are not eligible. Cerebrospinal fluid (CSF) cytology is not required but may be obtained if clinically indicated prior to study enrollment. If cytology is positive, the patient would be considered to have metastatic disease and would, therefore, be ineligible.
  • - Pre-operative and post-operative brain magnetic resonance imaging (MRI) with and without contrast must be obtained.
The requirement for a post-operative MRI is waived for patients who undergo biopsy only. A spine MRI is not required, but may be obtained if clinically indicated. If the spine MRI is positive, the patient would be considered to have M+ disease (defined as neuraxis dissemination) and would be ineligible.
  • - Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1, or 2.
Use Karnofsky for patients > 16 years of age and Lansky for patients =< 16 years of age.
  • - Peripheral absolute neutrophil count (ANC) >= 1,000/uL (within 7 days prior to enrollment) - Platelet count >= 100,000/uL (transfusion independent) (within 7 days prior to enrollment) - Hemoglobin >= 8.0 gm/dL (can be transfused) (within 7 days prior to enrollment) - Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 mL/min/1.73 m^2 OR a serum creatinine based on age/gender as follows (within 7 days prior to enrollment): - 3 to < 6 years: 0.8 (male and female) maximum serum creatinine (mg/dL) - 6 to < 10 years: 1 (male and female) maximum serum creatinine (mg/dL) - 10 to < 13 years: 1.2 (male and female) maximum serum creatinine (mg/dL) - 13 to < 16 years: 1.5 (male), 1.4 (female) maximum serum creatinine (mg/dL) - >= 16 years: 1.7 (male), 1.4 (female) maximum serum creatinine (mg/dL) - Total bilirubin =< 1.5 x upper limit of normal (ULN) for age (within 7 days prior to enrollment) - Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) =< 135 U/L.
For the purpose of this study, the ULN for SGPT is 45 U/L.
  • - Patients with seizure disorder may be enrolled if seizures are well-controlled (i.e., patients must not have required rescue medications for uncontrolled seizures within 14 days prior to enrollment) - Patients must be enrolled and protocol therapy must be projected to begin no later than 31 days after definitive surgery (Day 0).
If a biopsy only was performed, the biopsy date will be considered the date of definitive surgery. For patients who have a biopsy or incomplete resection at diagnosis followed by additional surgery, the date of the last resection will be considered the date of definitive surgery.
  • - All patients and/or their parents or legal guardians must sign a written informed consent.
  • - All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met.

Exclusion Criteria:

  • - Patients with the following histologies: - Diffuse astrocytoma (grade 2) - Oligodendrogliomas (any grade) - Pleomorphic xanthoastrocytoma (PXA, any grade) - Patients with primary tumor location of brainstem or spinal cord.
  • - Patients with M+ disease (defined as neuraxis dissemination either by imaging or by cytology) - Patients with treatment-related acute myeloid leukemia (AML) (t-AML)/myelodysplastic syndrome (MDS) or with features suggestive of AML/MDS.
  • - Prior allogenic bone marrow transplant or double umbilical cord blood transplantation.
  • - Patients must not have received any prior tumor-directed therapy including radiation therapy, chemotherapy (tumor-directed therapy), molecularly targeted agents, or immunotherapy for the treatment of HGG other than surgical intervention and/or corticosteroids.
  • - Lumbar CSF cytology is not required, but may be performed if clinically indicated prior to study enrollment.
If lumbar CSF cytology is positive, the patient is considered to have M+ disease and is ineligible.
  • - Note: False positive cytology can occur within 10 days of surgery.
  • - Patients with gliomatosis cerebri type 1 or 2.
  • - Patients who are not able to receive protocol specified radiation therapy.
  • - Patients must not be currently receiving other anti-cancer agents.
  • - Patients with known constitutional mismatch repair deficiency syndrome (CMMR-D)/biallelic mismatch repair deficiency (bMMRD) - Female patients who are pregnant are ineligible due to risks of fetal and teratogenic adverse events as seen in animal/human studies.
  • - Lactating females are not eligible unless they have agreed not to breastfeed their infants.
  • - Female patients of childbearing potential are not eligible unless a negative pregnancy test result has been obtained.
- Sexually active patients of reproductive potential are not eligible unless they have agreed to use an effective contraceptive method for the duration of their study participation and for 6 months after the last dose of protocol-specified chemotherapy

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT03581292
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

National Cancer Institute (NCI)
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Matthias A Karajannis
Principal Investigator Affiliation Children's Oncology Group
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

NIH
Overall Status Active, not recruiting
Countries Australia, Canada, New Zealand, Puerto Rico, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Anaplastic Astrocytoma, Glioblastoma, Malignant Glioma
Additional Details

PRIMARY OBJECTIVES:

  • I. To determine whether veliparib (ABT-888), when added to radiotherapy (RT) and temozolomide, is efficacious for the treatment of patients with newly-diagnosed high-grade glioma (HGG) whose tumors' molecular profile are wild-type for H3 K27M, BRAF, and IDH1/2.
  • II. To determine whether veliparib (ABT-888), when added to RT and temozolomide, is efficacious for the treatment of patients with newly-diagnosed HGG whose tumors' molecular profile are wild-type for H3 K27M and BRAF and harbor an IDH1/2 mutation.
EXPLORATORY OBJECTIVES:
  • I. To explore associations of genomic, transcriptomic, and/or epigenetic alterations of the tumors with treatment response and outcome.
  • II. To explore the extent to which patients with BRCA1/2 gene alterations and other deoxyribonucleic acid (DNA) damaged genes display tumor genomic features consistent with homologous repair deficiency (HRD), including large scale state transitions (LSTs), mutational signature 3, and an enrichment for deletions flanked by sequences of (micro) homology.
  • III. To explore the burden of high, moderate, and low penetrant germline alterations in HRD genes (such as BRCA1, BRCA2, PALB2, Fanconi complex genes, ATM, CHEK2, RAD51B/C/D), mis-match repair genes (such as MLH1, MSH2, MSH6, PMS2, EPCAM), and energy metabolism genes (such as SDHA, SDHB, SDHC, SDHAF2, SDHD, IDH1, IDH2, and FH).
  • IV. To explore constitutional imprinting abnormalities associated with EP300 and IGF2 in peripheral blood from patients with HGGs.
OUTLINE: CHEMORADIOTHERAPY PHASE: Patients receive veliparib orally (PO) twice daily (BID) and undergo 30 daily fractions of radiation therapy 5 days per week for 6-7 weeks in the absence of disease progression or unacceptable toxicity. MAINTENANCE CHEMOTHERAPY: Beginning 4 weeks after chemoradiotherapy phase, patients receive veliparib PO BID and temozolomide PO once daily (QD) on days 1-5. Treatment repeats every 28 days for up to 10 cycles in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed up every 3 months for year 1, every 4 months for year 2, every 6 months for year 3, and then once yearly for years 4-10.

Arms & Interventions

Arms

Experimental: Treatment (radiation therapy, veliparib, temozolomide)

CHEMORADIOTHERAPY PHASE: Patients receive veliparib PO BID and undergo 30 daily fractions of radiation therapy 5 days per week for 6-7 weeks in the absence of disease progression or unacceptable toxicity. MAINTENANCE CHEMOTHERAPY: Beginning 4 weeks after chemoradiotherapy phase, patients receive veliparib PO BID and temozolomide PO QD on days 1-5. Treatment repeats every 28 days for up to 10 cycles in the absence of disease progression or unacceptable toxicity.

Interventions

Radiation: - Radiation Therapy

Undergo radiation therapy

Drug: - Temozolomide

Given PO

Drug: - Veliparib

Given PO

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Children's Hospital of Alabama, Birmingham, Alabama

Status

Address

Children's Hospital of Alabama

Birmingham, Alabama, 35233

USA Health Strada Patient Care Center, Mobile, Alabama

Status

Address

USA Health Strada Patient Care Center

Mobile, Alabama, 36604

Banner Children's at Desert, Mesa, Arizona

Status

Address

Banner Children's at Desert

Mesa, Arizona, 85202

Phoenix Childrens Hospital, Phoenix, Arizona

Status

Address

Phoenix Childrens Hospital

Phoenix, Arizona, 85016

Arkansas Children's Hospital, Little Rock, Arkansas

Status

Address

Arkansas Children's Hospital

Little Rock, Arkansas, 72202-3591

Kaiser Permanente Downey Medical Center, Downey, California

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Address

Kaiser Permanente Downey Medical Center

Downey, California, 90242

Loma Linda University Medical Center, Loma Linda, California

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Address

Loma Linda University Medical Center

Loma Linda, California, 92354

Long Beach, California

Status

Address

Miller Children's and Women's Hospital Long Beach

Long Beach, California, 90806

Children's Hospital Los Angeles, Los Angeles, California

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Address

Children's Hospital Los Angeles

Los Angeles, California, 90027

Cedars Sinai Medical Center, Los Angeles, California

Status

Address

Cedars Sinai Medical Center

Los Angeles, California, 90048

Mattel Children's Hospital UCLA, Los Angeles, California

Status

Address

Mattel Children's Hospital UCLA

Los Angeles, California, 90095

Valley Children's Hospital, Madera, California

Status

Address

Valley Children's Hospital

Madera, California, 93636

UCSF Benioff Children's Hospital Oakland, Oakland, California

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Address

UCSF Benioff Children's Hospital Oakland

Oakland, California, 94609

Kaiser Permanente-Oakland, Oakland, California

Status

Address

Kaiser Permanente-Oakland

Oakland, California, 94611

Children's Hospital of Orange County, Orange, California

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Address

Children's Hospital of Orange County

Orange, California, 92868

Palo Alto, California

Status

Address

Lucile Packard Children's Hospital Stanford University

Palo Alto, California, 94304

Torrance, California

Status

Address

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Torrance, California, 90502

Children's Hospital Colorado, Aurora, Colorado

Status

Address

Children's Hospital Colorado

Aurora, Colorado, 80045

Connecticut Children's Medical Center, Hartford, Connecticut

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Address

Connecticut Children's Medical Center

Hartford, Connecticut, 06106

Yale University, New Haven, Connecticut

Status

Address

Yale University

New Haven, Connecticut, 06520

Alfred I duPont Hospital for Children, Wilmington, Delaware

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Address

Alfred I duPont Hospital for Children

Wilmington, Delaware, 19803

MedStar Georgetown University Hospital, Washington, District of Columbia

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Address

MedStar Georgetown University Hospital

Washington, District of Columbia, 20007

Children's National Medical Center, Washington, District of Columbia

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Address

Children's National Medical Center

Washington, District of Columbia, 20010

Fort Myers, Florida

Status

Address

Golisano Children's Hospital of Southwest Florida

Fort Myers, Florida, 33908

Hollywood, Florida

Status

Address

Memorial Regional Hospital/Joe DiMaggio Children's Hospital

Hollywood, Florida, 33021

Nemours Children's Clinic-Jacksonville, Jacksonville, Florida

Status

Address

Nemours Children's Clinic-Jacksonville

Jacksonville, Florida, 32207

Miami, Florida

Status

Address

University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida, 33136

Nicklaus Children's Hospital, Miami, Florida

Status

Address

Nicklaus Children's Hospital

Miami, Florida, 33155

AdventHealth Orlando, Orlando, Florida

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Address

AdventHealth Orlando

Orlando, Florida, 32803

Arnold Palmer Hospital for Children, Orlando, Florida

Status

Address

Arnold Palmer Hospital for Children

Orlando, Florida, 32806

Nemours Children's Hospital, Orlando, Florida

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Address

Nemours Children's Hospital

Orlando, Florida, 32827

Johns Hopkins All Children's Hospital, Saint Petersburg, Florida

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Address

Johns Hopkins All Children's Hospital

Saint Petersburg, Florida, 33701

Tampa General Hospital, Tampa, Florida

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Tampa General Hospital

Tampa, Florida, 33606

Tampa, Florida

Status

Address

Saint Joseph's Hospital/Children's Hospital-Tampa

Tampa, Florida, 33607

Saint Mary's Hospital, West Palm Beach, Florida

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Address

Saint Mary's Hospital

West Palm Beach, Florida, 33407

Atlanta, Georgia

Status

Address

Children's Healthcare of Atlanta - Egleston

Atlanta, Georgia, 30322

Savannah, Georgia

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Address

Memorial Health University Medical Center

Savannah, Georgia, 31404

Honolulu, Hawaii

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Address

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, 96826

Saint Luke's Cancer Institute - Boise, Boise, Idaho

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Address

Saint Luke's Cancer Institute - Boise

Boise, Idaho, 83712

Lurie Children's Hospital-Chicago, Chicago, Illinois

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Address

Lurie Children's Hospital-Chicago

Chicago, Illinois, 60611

University of Illinois, Chicago, Illinois

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University of Illinois

Chicago, Illinois, 60612

Chicago, Illinois

Status

Address

University of Chicago Comprehensive Cancer Center

Chicago, Illinois, 60637

Loyola University Medical Center, Maywood, Illinois

Status

Address

Loyola University Medical Center

Maywood, Illinois, 60153

Saint Jude Midwest Affiliate, Peoria, Illinois

Status

Address

Saint Jude Midwest Affiliate

Peoria, Illinois, 61637

Riley Hospital for Children, Indianapolis, Indiana

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Address

Riley Hospital for Children

Indianapolis, Indiana, 46202

Indianapolis, Indiana

Status

Address

Ascension Saint Vincent Indianapolis Hospital

Indianapolis, Indiana, 46260

Blank Children's Hospital, Des Moines, Iowa

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Address

Blank Children's Hospital

Des Moines, Iowa, 50309

Iowa City, Iowa

Status

Address

University of Iowa/Holden Comprehensive Cancer Center

Iowa City, Iowa, 52242

Lexington, Kentucky

Status

Address

University of Kentucky/Markey Cancer Center

Lexington, Kentucky, 40536

Norton Children's Hospital, Louisville, Kentucky

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Address

Norton Children's Hospital

Louisville, Kentucky, 40202

Children's Hospital New Orleans, New Orleans, Louisiana

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Address

Children's Hospital New Orleans

New Orleans, Louisiana, 70118

Ochsner Medical Center Jefferson, New Orleans, Louisiana

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Address

Ochsner Medical Center Jefferson

New Orleans, Louisiana, 70121

Eastern Maine Medical Center, Bangor, Maine

Status

Address

Eastern Maine Medical Center

Bangor, Maine, 04401

Baltimore, Maryland

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Address

Johns Hopkins University/Sidney Kimmel Cancer Center

Baltimore, Maryland, 21287

Bethesda, Maryland

Status

Address

Walter Reed National Military Medical Center

Bethesda, Maryland, 20889-5600

Boston, Massachusetts

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Address

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, 02114

Dana-Farber Cancer Institute, Boston, Massachusetts

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Address

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215

Worcester, Massachusetts

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Address

UMass Memorial Medical Center - University Campus

Worcester, Massachusetts, 01655

C S Mott Children's Hospital, Ann Arbor, Michigan

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Address

C S Mott Children's Hospital

Ann Arbor, Michigan, 48109

Detroit, Michigan

Status

Address

Wayne State University/Karmanos Cancer Institute

Detroit, Michigan, 48201

Ascension Saint John Hospital, Detroit, Michigan

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Address

Ascension Saint John Hospital

Detroit, Michigan, 48236

Grand Rapids, Michigan

Status

Address

Helen DeVos Children's Hospital at Spectrum Health

Grand Rapids, Michigan, 49503

Bronson Methodist Hospital, Kalamazoo, Michigan

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Address

Bronson Methodist Hospital

Kalamazoo, Michigan, 49007

Beaumont Children's Hospital-Royal Oak, Royal Oak, Michigan

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Address

Beaumont Children's Hospital-Royal Oak

Royal Oak, Michigan, 48073

Minneapolis, Minnesota

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Address

Children's Hospitals and Clinics of Minnesota - Minneapolis

Minneapolis, Minnesota, 55404

Minneapolis, Minnesota

Status

Address

University of Minnesota/Masonic Cancer Center

Minneapolis, Minnesota, 55455

Mayo Clinic in Rochester, Rochester, Minnesota

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Address

Mayo Clinic in Rochester

Rochester, Minnesota, 55905

University of Mississippi Medical Center, Jackson, Mississippi

Status

Address

University of Mississippi Medical Center

Jackson, Mississippi, 39216

Children's Mercy Hospitals and Clinics, Kansas City, Missouri

Status

Address

Children's Mercy Hospitals and Clinics

Kansas City, Missouri, 64108

Saint Louis, Missouri

Status

Address

Cardinal Glennon Children's Medical Center

Saint Louis, Missouri, 63104

Washington University School of Medicine, Saint Louis, Missouri

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Address

Washington University School of Medicine

Saint Louis, Missouri, 63110

Mercy Hospital Saint Louis, Saint Louis, Missouri

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Address

Mercy Hospital Saint Louis

Saint Louis, Missouri, 63141

Omaha, Nebraska

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Address

Children's Hospital and Medical Center of Omaha

Omaha, Nebraska, 68114

University of Nebraska Medical Center, Omaha, Nebraska

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Address

University of Nebraska Medical Center

Omaha, Nebraska, 68198

Las Vegas, Nevada

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Address

University Medical Center of Southern Nevada

Las Vegas, Nevada, 89102

Sunrise Hospital and Medical Center, Las Vegas, Nevada

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Address

Sunrise Hospital and Medical Center

Las Vegas, Nevada, 89109

Las Vegas, Nevada

Status

Address

Alliance for Childhood Diseases/Cure 4 the Kids Foundation

Las Vegas, Nevada, 89135

Summerlin Hospital Medical Center, Las Vegas, Nevada

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Address

Summerlin Hospital Medical Center

Las Vegas, Nevada, 89144

Renown Regional Medical Center, Reno, Nevada

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Address

Renown Regional Medical Center

Reno, Nevada, 89502

Lebanon, New Hampshire

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Address

Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center

Lebanon, New Hampshire, 03756

Morristown Medical Center, Morristown, New Jersey

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Address

Morristown Medical Center

Morristown, New Jersey, 07960

Saint Peter's University Hospital, New Brunswick, New Jersey

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Address

Saint Peter's University Hospital

New Brunswick, New Jersey, 08901

Albany Medical Center, Albany, New York

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Address

Albany Medical Center

Albany, New York, 12208

Montefiore Medical Center - Moses Campus, Bronx, New York

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Address

Montefiore Medical Center - Moses Campus

Bronx, New York, 10467

Roswell Park Cancer Institute, Buffalo, New York

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Address

Roswell Park Cancer Institute

Buffalo, New York, 14263

New York, New York

Status

Address

Laura and Isaac Perlmutter Cancer Center at NYU Langone

New York, New York, 10016

New York, New York

Status

Address

NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

New York, New York, 10032

Memorial Sloan Kettering Cancer Center, New York, New York

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Address

Memorial Sloan Kettering Cancer Center

New York, New York, 10065

University of Rochester, Rochester, New York

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Address

University of Rochester

Rochester, New York, 14642

Syracuse, New York

Status

Address

State University of New York Upstate Medical University

Syracuse, New York, 13210

New York Medical College, Valhalla, New York

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Address

New York Medical College

Valhalla, New York, 10595

Mission Hospital, Asheville, North Carolina

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Address

Mission Hospital

Asheville, North Carolina, 28801

Chapel Hill, North Carolina

Status

Address

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, 27599

Charlotte, North Carolina

Status

Address

Carolinas Medical Center/Levine Cancer Institute

Charlotte, North Carolina, 28203

Duke University Medical Center, Durham, North Carolina

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Address

Duke University Medical Center

Durham, North Carolina, 27710

East Carolina University, Greenville, North Carolina

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Address

East Carolina University

Greenville, North Carolina, 27834

Wake Forest University Health Sciences, Winston-Salem, North Carolina

Status

Address

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157

Sanford Broadway Medical Center, Fargo, North Dakota

Status

Address

Sanford Broadway Medical Center

Fargo, North Dakota, 58122

Akron, Ohio

Status

Address

Children's Hospital Medical Center of Akron

Akron, Ohio, 44308

Cincinnati, Ohio

Status

Address

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229

Rainbow Babies and Childrens Hospital, Cleveland, Ohio

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Address

Rainbow Babies and Childrens Hospital

Cleveland, Ohio, 44106

Cleveland Clinic Foundation, Cleveland, Ohio

Status

Address

Cleveland Clinic Foundation

Cleveland, Ohio, 44195

Nationwide Children's Hospital, Columbus, Ohio

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Address

Nationwide Children's Hospital

Columbus, Ohio, 43205

Dayton Children's Hospital, Dayton, Ohio

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Address

Dayton Children's Hospital

Dayton, Ohio, 45404

Toledo, Ohio

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Address

ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital

Toledo, Ohio, 43606

Oklahoma City, Oklahoma

Status

Address

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104

Legacy Emanuel Children's Hospital, Portland, Oregon

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Address

Legacy Emanuel Children's Hospital

Portland, Oregon, 97227

Oregon Health and Science University, Portland, Oregon

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Address

Oregon Health and Science University

Portland, Oregon, 97239

Lehigh Valley Hospital-Cedar Crest, Allentown, Pennsylvania

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Address

Lehigh Valley Hospital-Cedar Crest

Allentown, Pennsylvania, 18103

Geisinger Medical Center, Danville, Pennsylvania

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Address

Geisinger Medical Center

Danville, Pennsylvania, 17822

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

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Address

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104

Pittsburgh, Pennsylvania

Status

Address

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, 15224

Rhode Island Hospital, Providence, Rhode Island

Status

Address

Rhode Island Hospital

Providence, Rhode Island, 02903

Medical University of South Carolina, Charleston, South Carolina

Status

Address

Medical University of South Carolina

Charleston, South Carolina, 29425

Prisma Health Richland Hospital, Columbia, South Carolina

Status

Address

Prisma Health Richland Hospital

Columbia, South Carolina, 29203

BI-LO Charities Children's Cancer Center, Greenville, South Carolina

Status

Address

BI-LO Charities Children's Cancer Center

Greenville, South Carolina, 29605

Sanford USD Medical Center - Sioux Falls, Sioux Falls, South Dakota

Status

Address

Sanford USD Medical Center - Sioux Falls

Sioux Falls, South Dakota, 57117-5134

T C Thompson Children's Hospital, Chattanooga, Tennessee

Status

Address

T C Thompson Children's Hospital

Chattanooga, Tennessee, 37403

East Tennessee Childrens Hospital, Knoxville, Tennessee

Status

Address

East Tennessee Childrens Hospital

Knoxville, Tennessee, 37916

Saint Jude Children's Research Hospital, Memphis, Tennessee

Status

Address

Saint Jude Children's Research Hospital

Memphis, Tennessee, 38105

Nashville, Tennessee

Status

Address

The Children's Hospital at TriStar Centennial

Nashville, Tennessee, 37203

Nashville, Tennessee

Status

Address

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee, 37232

Austin, Texas

Status

Address

Dell Children's Medical Center of Central Texas

Austin, Texas, 78723

Driscoll Children's Hospital, Corpus Christi, Texas

Status

Address

Driscoll Children's Hospital

Corpus Christi, Texas, 78411

Medical City Dallas Hospital, Dallas, Texas

Status

Address

Medical City Dallas Hospital

Dallas, Texas, 75230

Dallas, Texas

Status

Address

UT Southwestern/Simmons Cancer Center-Dallas

Dallas, Texas, 75390

Cook Children's Medical Center, Fort Worth, Texas

Status

Address

Cook Children's Medical Center

Fort Worth, Texas, 76104

Houston, Texas

Status

Address

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

Houston, Texas, 77030

M D Anderson Cancer Center, Houston, Texas

Status

Address

M D Anderson Cancer Center

Houston, Texas, 77030

Children's Hospital of San Antonio, San Antonio, Texas

Status

Address

Children's Hospital of San Antonio

San Antonio, Texas, 78207

San Antonio, Texas

Status

Address

Methodist Children's Hospital of South Texas

San Antonio, Texas, 78229

San Antonio, Texas

Status

Address

University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229

Scott and White Memorial Hospital, Temple, Texas

Status

Address

Scott and White Memorial Hospital

Temple, Texas, 76508

Primary Children's Hospital, Salt Lake City, Utah

Status

Address

Primary Children's Hospital

Salt Lake City, Utah, 84113

Norfolk, Virginia

Status

Address

Children's Hospital of The King's Daughters

Norfolk, Virginia, 23507

Naval Medical Center - Portsmouth, Portsmouth, Virginia

Status

Address

Naval Medical Center - Portsmouth

Portsmouth, Virginia, 23708-2197

Richmond, Virginia

Status

Address

Virginia Commonwealth University/Massey Cancer Center

Richmond, Virginia, 23298

Seattle Children's Hospital, Seattle, Washington

Status

Address

Seattle Children's Hospital

Seattle, Washington, 98105

Spokane, Washington

Status

Address

Providence Sacred Heart Medical Center and Children's Hospital

Spokane, Washington, 99204

Tacoma, Washington

Status

Address

Mary Bridge Children's Hospital and Health Center

Tacoma, Washington, 98405

Madigan Army Medical Center, Tacoma, Washington

Status

Address

Madigan Army Medical Center

Tacoma, Washington, 98431

West Virginia University Healthcare, Morgantown, West Virginia

Status

Address

West Virginia University Healthcare

Morgantown, West Virginia, 26506

Madison, Wisconsin

Status

Address

University of Wisconsin Carbone Cancer Center

Madison, Wisconsin, 53792

Marshfield Medical Center-Marshfield, Marshfield, Wisconsin

Status

Address

Marshfield Medical Center-Marshfield

Marshfield, Wisconsin, 54449

Children's Hospital of Wisconsin, Milwaukee, Wisconsin

Status

Address

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, 53226

International Sites

John Hunter Children's Hospital, Hunter Regional Mail Centre, New South Wales, Australia

Status

Address

John Hunter Children's Hospital

Hunter Regional Mail Centre, New South Wales, 2310

Sydney Children's Hospital, Randwick, New South Wales, Australia

Status

Address

Sydney Children's Hospital

Randwick, New South Wales, 2031

The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Status

Address

The Children's Hospital at Westmead

Westmead, New South Wales, 2145

Queensland Children's Hospital, South Brisbane, Queensland, Australia

Status

Address

Queensland Children's Hospital

South Brisbane, Queensland, 4101

Monash Medical Center-Clayton Campus, Clayton, Victoria, Australia

Status

Address

Monash Medical Center-Clayton Campus

Clayton, Victoria, 3168

Royal Children's Hospital, Parkville, Victoria, Australia

Status

Address

Royal Children's Hospital

Parkville, Victoria, 3052

Perth Children's Hospital, Perth, Western Australia, Australia

Status

Address

Perth Children's Hospital

Perth, Western Australia, 6009

Alberta Children's Hospital, Calgary, Alberta, Canada

Status

Address

Alberta Children's Hospital

Calgary, Alberta, T3B 6A8

British Columbia Children's Hospital, Vancouver, British Columbia, Canada

Status

Address

British Columbia Children's Hospital

Vancouver, British Columbia, V6H 3V4

Janeway Child Health Centre, Saint John's, Newfoundland and Labrador, Canada

Status

Address

Janeway Child Health Centre

Saint John's, Newfoundland and Labrador, A1B 3V6

IWK Health Centre, Halifax, Nova Scotia, Canada

Status

Address

IWK Health Centre

Halifax, Nova Scotia, B3K 6R8

Hamilton, Ontario, Canada

Status

Address

McMaster Children's Hospital at Hamilton Health Sciences

Hamilton, Ontario, L8N 3Z5

Montreal, Quebec, Canada

Status

Address

The Montreal Children's Hospital of the MUHC

Montreal, Quebec, H3H 1P3

Montreal, Quebec, Canada

Status

Address

Centre Hospitalier Universitaire Sainte-Justine

Montreal, Quebec, H3T 1C5

Quebec, Canada

Status

Address

CHU de Quebec-Centre Hospitalier de l'Universite Laval (CHUL)

Quebec, , G1V 4G2

Starship Children's Hospital, Grafton, Auckland, New Zealand

Status

Address

Starship Children's Hospital

Grafton, Auckland, 1145

Christchurch Hospital, Christchurch, New Zealand

Status

Address

Christchurch Hospital

Christchurch, , 8011

HIMA San Pablo Oncologic Hospital, Caguas, Puerto Rico

Status

Address

HIMA San Pablo Oncologic Hospital

Caguas, , 00726

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