Comparing the Addition of Radiation Either Before or After Surgery for Patients With Brain Metastases

Study Purpose

This phase III trial compares the usual treatment of surgery after stereotactic radiosurgery (SRS) to receiving SRS before surgery in treating patients with cancer that has spread to the brain (brain metastases). Stereotactic radiosurgery is a type of radiation therapy that delivers a high dose of radiation to target tumors and minimizes effect on normal surrounding brain tissue. The combination of surgery and radiation may stop the tumor from growing for a few months or longer and may reduce symptoms of brain metastases. This study investigates whether treating with SRS before surgery may be better than SRS after surgery in reducing the possibility of the tumor coming back, reducing or preventing the cancer from spreading to other areas of the brain and reducing the risk of scarring on the brain from radiation.

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 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Radiographic confirmation of 1-4 brain metastases, one of which requires resection, as defined by magnetic resonance imaging (MRI) with contrast obtained within 14 days prior to registration.
  • - The maximum diameter of the lesion to be resected on the post-contrast MRI, as measured on any orthogonal plane (axial, sagittal, coronal), must measure >= 2.0 cm and =< 5.0 cm.
  • - The maximum diameter of any lesions which will not be resected must be =< 4.0 cm in maximum diameter.
  • - Known active or history of invasive non-central nervous system (CNS) primary cancer based on documented pathologic diagnosis within the past 3 years.
  • - All brain metastases must be located >= 5 mm from the optic chiasm and outside the brainstem.
  • - Patient is able to medically tolerate surgery and SRS.
  • - Lesions chosen for surgical therapy must be deemed appropriate targets for safe, gross total resection by the treating surgeon.
  • - History/physical examination within 14 days prior to registration.
  • - Age >= 18.
  • - Karnofsky performance status (KPS) >= 60 within 14 days prior to registration.
  • - A negative urine or serum pregnancy test (in persons of childbearing potential) within =< 14 days prior to registration.
Childbearing potential is defined as any person who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or who is not postmenopausal.
  • - Participants who are sexually active must agree to use medically acceptable forms of contraception during treatment on this study to prevent pregnancy.
  • - The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and, for patients treated in the United States (U.
S.), authorization permitting release of personal health information.

Exclusion Criteria:

  • - Prior cranial radiotherapy, including whole brain radiotherapy, or SRS to the resection site.
  • - Note: The index lesion to be resected cannot have been previously treated with SRS (i.e. repeat radiosurgery to the same location/lesion is not allowed on this protocol).
Previous SRS to other lesions is allowed.
  • - Evidence of leptomeningeal disease (LMD) - Note: For the purposes of exclusion, LMD is a clinical diagnosis, defined as positive cerebrospinal fluid (CSF) cytology and/or unequivocal radiologic or clinical evidence of leptomeningeal involvement.
Patients with leptomeningeal symptoms in the setting of leptomeningeal enhancement by imaging (MRI) would be considered to have LMD even in the absence of positive CSF cytology. In contrast, an asymptomatic or minimally symptomatic patient with mild or nonspecific leptomeningeal enhancement (MRI) would not be considered to have LMD. In that patient, CSF sampling is not required to formally exclude LMD, but can be performed at the investigator's discretion based on level of clinical suspicion.
  • - Any medical conditions which would make this protocol unreasonably hazardous, including, but not limited to: contraindications to general endotracheal anesthesia; intracranial surgery; and stereotactic radiosurgery.
  • - Primary histology of germ cell tumor, small cell carcinoma or lymphoma.
  • - More than one brain metastasis planned for resection.
  • - Inability to undergo MRI with contrast.
  • - Planned administration of cytotoxic chemotherapy or tyrosine/multi-kinase inhibitors within the 3 days prior to, the day of, or within 3 days after the completion of SRS.
- Note: chemotherapy and immunotherapy outside of this window are allowed

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.

NCT05438212
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 3
Lead Sponsor

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

NRG Oncology
Principal Investigator

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

Stuart H Burri
Principal Investigator Affiliation NRG Oncology
Agency Class

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

Other, NIH
Overall Status Recruiting
Countries Canada, United States
Conditions

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

Metastatic Malignant Neoplasm in the Brain
Additional Details

PRIMARY OBJECTIVE:

  • I. To determine if the time to composite adverse endpoint (CAE) (defined as: 1) local tumor progression within the surgical bed; and/or 2) adverse radiation effect [ARE], the imaging correlate of post-stereotactic radiosurgery [SRS] radiation necrosis; and/or 3) nodular meningeal disease [nMD]) is improved in patients treated with pre-resection SRS to the intact lesion versus those treated with post-resection SRS.
SECONDARY OBJECTIVES:
  • I. To assess the trajectory of symptom burden in patients treated with pre-resection SRS to the intact lesion versus those treated to the post-resection surgical cavity as measured by MD Anderson Symptom Inventory for brain tumor (MDASI-BT).
  • II. To determine whether there is improved overall survival (OS) in patients with resected brain metastases who undergo pre-resection SRS compared to patients who receive post-resection SRS.
  • III. To compare rates of ARE, the imaging correlate of radiation necrosis, in patients who receive pre-resection SRS to patients who receive post-resection SRS.
  • IV. To determine whether there is increased time to whole brain radiotherapy (WBRT) in patients who receive pre-resection SRS compared to patients who receive post-resection SRS.
  • V. To assess the trajectory of neuro-cognitive function in patients treated with pre-resection SRS to the intact lesion versus those treated to the post-resection surgical cavity as measured by the Montreal Cognitive Assessment (MoCA).
  • VI. To compare rates of nodular meningeal disease in patients who receive pre-resection SRS to patients who receive post-resection SRS.
  • VII. To compare rates of local recurrence in the resection cavity for patients who receive pre-resection SRS to patients who receive post-resection SRS.
  • VIII. To compare rates of local recurrence of intact, non-index metastases treated with SRS.
  • IX. To compare rates of distant brain failure in patients who receive pre-resection SRS to patients who receive post-resection SRS.
  • X. To assess toxicity in the two treatment arms.
EXPLORATORY OBJECTIVE:
  • I. To explore if the type of surgical resection (piece-meal versus [vs.
] en-bloc) may be associated with the rate of nodular meningeal disease. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients undergo surgery per standard of care. Within 10-30 days after surgery, patients undergo stereotactic radiosurgery for 1 fraction. ARM II: Within 7 days before surgery, patients undergo stereotactic radiosurgery for 1 fraction. Patients undergo surgery per standard of care. After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for additional 2 years.

Arms & Interventions

Arms

Active Comparator: Arm I (surgery, stereotactic radiosurgery)

Patients undergo surgery per standard of care. Within 10-30 days after surgery, patients undergo stereotactic radiosurgery for 1 fraction.

Experimental: Arm II (stereotactic radiosurgery, surgery)

Within 7 days before surgery, patients undergo stereotactic radiosurgery for 1 fraction. Patients undergo surgery per standard of care.

Interventions

Procedure: - Brain Surgery

Undergo surgery per standard of care

Other: - Quality-of-Life Assessment

Ancillary studies

Other: - Questionnaire Administration

Ancillary studies

Radiation: - Stereotactic Radiosurgery

Undergo stereotactic radiosurgery

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.

Phoenix, Arizona

Status

Recruiting

Address

Saint Joseph's Hospital and Medical Center

Phoenix, Arizona, 85013

Site Contact

Site Public Contact

877-602-4111

Tucson, Arizona

Status

Recruiting

Address

Banner University Medical Center - Tucson

Tucson, Arizona, 85719

Site Contact

Site Public Contact

[email protected]

Tucson, Arizona

Status

Recruiting

Address

University of Arizona Cancer Center-North Campus

Tucson, Arizona, 85719

Site Contact

Site Public Contact

[email protected]

Kaiser Permanente-Anaheim, Anaheim, California

Status

Recruiting

Address

Kaiser Permanente-Anaheim

Anaheim, California, 92806

Site Contact

Site Public Contact

[email protected]

800-398-3996

Sutter Auburn Faith Hospital, Auburn, California

Status

Recruiting

Address

Sutter Auburn Faith Hospital

Auburn, California, 95602

Site Contact

Site Public Contact

[email protected]

Auburn, California

Status

Recruiting

Address

Sutter Cancer Centers Radiation Oncology Services-Auburn

Auburn, California, 95603

Site Contact

Site Public Contact

[email protected]

Kaiser Permanente-Bellflower, Bellflower, California

Status

Recruiting

Address

Kaiser Permanente-Bellflower

Bellflower, California, 90706

Site Contact

Site Public Contact

[email protected]

800-398-3996

Irvine, California

Status

Recruiting

Address

UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care

Irvine, California, 92612

Site Contact

Site Public Contact

[email protected]

877-827-8839

Los Angeles, California

Status

Recruiting

Address

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California, 90027

Site Contact

Site Public Contact

[email protected]

800-398-3996

Memorial Medical Center, Modesto, California

Status

Recruiting

Address

Memorial Medical Center

Modesto, California, 95355

Site Contact

Site Public Contact

[email protected]

Kaiser Permanente-Ontario, Ontario, California

Status

Recruiting

Address

Kaiser Permanente-Ontario

Ontario, California, 91761

Site Contact

Site Public Contact

[email protected]

800-398-3996

Saint Joseph Hospital - Orange, Orange, California

Status

Recruiting

Address

Saint Joseph Hospital - Orange

Orange, California, 92868

Site Contact

Site Public Contact

714-734-6220

Orange, California

Status

Recruiting

Address

UC Irvine Health/Chao Family Comprehensive Cancer Center

Orange, California, 92868

Site Contact

Site Public Contact

[email protected]

877-827-8839

Stanford Cancer Institute Palo Alto, Palo Alto, California

Status

Recruiting

Address

Stanford Cancer Institute Palo Alto

Palo Alto, California, 94304

Site Contact

Site Public Contact

[email protected]

650-498-7061

Roseville, California

Status

Recruiting

Address

Sutter Cancer Centers Radiation Oncology Services-Roseville

Roseville, California, 95661

Site Contact

Site Public Contact

[email protected]

Sutter Roseville Medical Center, Roseville, California

Status

Recruiting

Address

Sutter Roseville Medical Center

Roseville, California, 95661

Site Contact

Site Public Contact

[email protected]

Sutter Medical Center Sacramento, Sacramento, California

Status

Recruiting

Address

Sutter Medical Center Sacramento

Sacramento, California, 95816

Site Contact

Site Public Contact

[email protected]

Sacramento, California

Status

Recruiting

Address

University of California Davis Comprehensive Cancer Center

Sacramento, California, 95817

Site Contact

Site Public Contact

916-734-3089

San Francisco, California

Status

Suspended

Address

California Pacific Medical Center-Pacific Campus

San Francisco, California, 94115

UCSF Medical Center-Parnassus, San Francisco, California

Status

Recruiting

Address

UCSF Medical Center-Parnassus

San Francisco, California, 94143

Site Contact

Site Public Contact

877-827-3222

Sutter Pacific Medical Foundation, Santa Rosa, California

Status

Recruiting

Address

Sutter Pacific Medical Foundation

Santa Rosa, California, 95403

Site Contact

Site Public Contact

[email protected]

415-209-2683

Vallejo, California

Status

Recruiting

Address

Sutter Solano Medical Center/Cancer Center

Vallejo, California, 94589

Site Contact

Site Public Contact

[email protected]

Coral Gables, Florida

Status

Recruiting

Address

UM Sylvester Comprehensive Cancer Center at Coral Gables

Coral Gables, Florida, 33146

Site Contact

Site Public Contact

305-243-2647

Deerfield Beach, Florida

Status

Recruiting

Address

UM Sylvester Comprehensive Cancer Center at Deerfield Beach

Deerfield Beach, Florida, 33442

Site Contact

Site Public Contact

305-243-2647

Mayo Clinic in Florida, Jacksonville, Florida

Status

Recruiting

Address

Mayo Clinic in Florida

Jacksonville, Florida, 32224-9980

Site Contact

Site Public Contact

855-776-0015

Miami, Florida

Status

Recruiting

Address

University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida, 33136

Site Contact

Site Public Contact

305-243-2647

Miami Cancer Institute, Miami, Florida

Status

Recruiting

Address

Miami Cancer Institute

Miami, Florida, 33176

Site Contact

Site Public Contact

786-596-2000

Tampa, Florida

Status

Recruiting

Address

Moffitt Cancer Center-International Plaza

Tampa, Florida, 33607

Site Contact

Site Public Contact

[email protected]

800-679-0775

Moffitt Cancer Center - McKinley Campus, Tampa, Florida

Status

Recruiting

Address

Moffitt Cancer Center - McKinley Campus

Tampa, Florida, 33612

Site Contact

Site Public Contact

[email protected]

800-679-0775

Moffitt Cancer Center, Tampa, Florida

Status

Recruiting

Address

Moffitt Cancer Center

Tampa, Florida, 33612

Site Contact

Site Public Contact

[email protected]

800-679-0775

Moffitt Cancer Center at Wesley Chapel, Wesley Chapel, Florida

Status

Recruiting

Address

Moffitt Cancer Center at Wesley Chapel

Wesley Chapel, Florida, 33544

Site Contact

Site Public Contact

[email protected]

800-679-0775

Grady Health System, Atlanta, Georgia

Status

Recruiting

Address

Grady Health System

Atlanta, Georgia, 30303

Site Contact

Site Public Contact

404-778-1868

Emory University Hospital Midtown, Atlanta, Georgia

Status

Recruiting

Address

Emory University Hospital Midtown

Atlanta, Georgia, 30308

Site Contact

Site Public Contact

888-946-7447

Piedmont Hospital, Atlanta, Georgia

Status

Recruiting

Address

Piedmont Hospital

Atlanta, Georgia, 30309

Site Contact

Site Public Contact

[email protected]

404-425-7943

Atlanta, Georgia

Status

Recruiting

Address

Emory University Hospital/Winship Cancer Institute

Atlanta, Georgia, 30322

Site Contact

Site Public Contact

404-778-1868

Emory Saint Joseph's Hospital, Atlanta, Georgia

Status

Recruiting

Address

Emory Saint Joseph's Hospital

Atlanta, Georgia, 30342

Site Contact

Site Public Contact

404-851-7115

Advocate Outpatient Center - Aurora, Aurora, Illinois

Status

Recruiting

Address

Advocate Outpatient Center - Aurora

Aurora, Illinois, 60506

Site Contact

Site Public Contact

[email protected]

Advocate Good Shepherd Hospital, Barrington, Illinois

Status

Recruiting

Address

Advocate Good Shepherd Hospital

Barrington, Illinois, 60010

Site Contact

Site Public Contact

847-842-4847

Centralia Oncology Clinic, Centralia, Illinois

Status

Recruiting

Address

Centralia Oncology Clinic

Centralia, Illinois, 62801

Site Contact

Site Public Contact

[email protected]

217-876-4762

Northwestern University, Chicago, Illinois

Status

Recruiting

Address

Northwestern University

Chicago, Illinois, 60611

Site Contact

Site Public Contact

[email protected]

312-695-1301

Chicago, Illinois

Status

Recruiting

Address

University of Chicago Comprehensive Cancer Center

Chicago, Illinois, 60637

Site Contact

Site Public Contact

[email protected]

773-702-8222

AMG Crystal Lake - Oncology, Crystal Lake, Illinois

Status

Recruiting

Address

AMG Crystal Lake - Oncology

Crystal Lake, Illinois, 60014

Site Contact

Site Public Contact

[email protected]

630-929-6129

Carle at The Riverfront, Danville, Illinois

Status

Recruiting

Address

Carle at The Riverfront

Danville, Illinois, 61832

Site Contact

Site Public Contact

[email protected]

800-446-5532

Decatur, Illinois

Status

Recruiting

Address

Cancer Care Specialists of Illinois - Decatur

Decatur, Illinois, 62526

Site Contact

Site Public Contact

[email protected]

217-876-4762

Decatur Memorial Hospital, Decatur, Illinois

Status

Recruiting

Address

Decatur Memorial Hospital

Decatur, Illinois, 62526

Site Contact

Site Public Contact

[email protected]

217-876-4762

Advocate Good Samaritan Hospital, Downers Grove, Illinois

Status

Recruiting

Address

Advocate Good Samaritan Hospital

Downers Grove, Illinois, 60515

Site Contact

Site Public Contact

[email protected]

630-275-1270

Carle Physician Group-Effingham, Effingham, Illinois

Status

Recruiting

Address

Carle Physician Group-Effingham

Effingham, Illinois, 62401

Site Contact

Site Public Contact

[email protected]

800-446-5532

Crossroads Cancer Center, Effingham, Illinois

Status

Recruiting

Address

Crossroads Cancer Center

Effingham, Illinois, 62401

Site Contact

Site Public Contact

[email protected]

217-876-4762

Elmhurst Memorial Hospital, Elmhurst, Illinois

Status

Recruiting

Address

Elmhurst Memorial Hospital

Elmhurst, Illinois, 60126

Site Contact

Site Public Contact

[email protected]

630-758-5460

Advocate South Suburban Hospital, Hazel Crest, Illinois

Status

Recruiting

Address

Advocate South Suburban Hospital

Hazel Crest, Illinois, 60429

Site Contact

Site Public Contact

708-799-9995

AMG Libertyville - Oncology, Libertyville, Illinois

Status

Recruiting

Address

AMG Libertyville - Oncology

Libertyville, Illinois, 60048

Site Contact

Site Public Contact

[email protected]

630-929-6129

Carle Physician Group-Mattoon/Charleston, Mattoon, Illinois

Status

Recruiting

Address

Carle Physician Group-Mattoon/Charleston

Mattoon, Illinois, 61938

Site Contact

Site Public Contact

[email protected]

800-446-5532

Edward Hospital/Cancer Center, Naperville, Illinois

Status

Recruiting

Address

Edward Hospital/Cancer Center

Naperville, Illinois, 60540

Site Contact

Site Public Contact

630-646-6075

New Lenox, Illinois

Status

Recruiting

Address

UC Comprehensive Cancer Center at Silver Cross

New Lenox, Illinois, 60451

Site Contact

Site Public Contact

[email protected]

773-702-8222

Cancer Care Center of O'Fallon, O'Fallon, Illinois

Status

Suspended

Address

Cancer Care Center of O'Fallon

O'Fallon, Illinois, 62269

Advocate Christ Medical Center, Oak Lawn, Illinois

Status

Recruiting

Address

Advocate Christ Medical Center

Oak Lawn, Illinois, 60453-2699

Site Contact

Site Public Contact

800-323-8622

Advocate Lutheran General Hospital, Park Ridge, Illinois

Status

Recruiting

Address

Advocate Lutheran General Hospital

Park Ridge, Illinois, 60068

Site Contact

Site Public Contact

847-384-3621

Springfield, Illinois

Status

Recruiting

Address

Southern Illinois University School of Medicine

Springfield, Illinois, 62702

Site Contact

Site Public Contact

217-545-7929

Springfield Clinic, Springfield, Illinois

Status

Recruiting

Address

Springfield Clinic

Springfield, Illinois, 62702

Site Contact

Site Public Contact

800-444-7541

Springfield Memorial Hospital, Springfield, Illinois

Status

Recruiting

Address

Springfield Memorial Hospital

Springfield, Illinois, 62781

Site Contact

Site Public Contact

[email protected]

217-528-7541

Carle Cancer Center, Urbana, Illinois

Status

Recruiting

Address

Carle Cancer Center

Urbana, Illinois, 61801

Site Contact

Site Public Contact

[email protected]

800-446-5532

Warrenville, Illinois

Status

Recruiting

Address

Northwestern Medicine Cancer Center Warrenville

Warrenville, Illinois, 60555

Site Contact

Site Public Contact

[email protected]

630-352-5360

Indianapolis, Indiana

Status

Recruiting

Address

Ascension Saint Vincent Indianapolis Hospital

Indianapolis, Indiana, 46260

Site Contact

Site Public Contact

[email protected]

317-338-2194

Ankeny, Iowa

Status

Recruiting

Address

UI Health Care Mission Cancer and Blood - Ankeny Clinic

Ankeny, Iowa, 50023

Site Contact

Site Public Contact

515-241-3305

Clive, Iowa

Status

Recruiting

Address

UI Health Care Mission Cancer and Blood - West Des Moines Clinic

Clive, Iowa, 50325

Site Contact

Site Public Contact

515-241-3305

Iowa Methodist Medical Center, Des Moines, Iowa

Status

Recruiting

Address

Iowa Methodist Medical Center

Des Moines, Iowa, 50309

Site Contact

Site Public Contact

515-241-6727

Des Moines, Iowa

Status

Recruiting

Address

UI Health Care Mission Cancer and Blood - Des Moines Clinic

Des Moines, Iowa, 50309

Site Contact

Site Public Contact

515-241-3305

Des Moines, Iowa

Status

Recruiting

Address

UI Health Care Mission Cancer and Blood - Laurel Clinic

Des Moines, Iowa, 50314

Site Contact

Site Public Contact

515-241-3305

Waukee, Iowa

Status

Recruiting

Address

UI Health Care Mission Cancer and Blood - Waukee Clinic

Waukee, Iowa, 50263

Site Contact

Site Public Contact

515-241-3305

Baltimore, Maryland

Status

Recruiting

Address

University of Maryland/Greenebaum Cancer Center

Baltimore, Maryland, 21201

Site Contact

Site Public Contact

800-888-8823

Glen Burnie, Maryland

Status

Recruiting

Address

UM Baltimore Washington Medical Center/Tate Cancer Center

Glen Burnie, Maryland, 21061

Site Contact

Site Public Contact

410-553-8100

Ann Arbor, Michigan

Status

Recruiting

Address

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, 48109

Site Contact

Site Public Contact

[email protected]

800-865-1125

Detroit, Michigan

Status

Not yet recruiting

Address

Wayne State University/Karmanos Cancer Institute

Detroit, Michigan, 48201

Site Contact

Michael M. Dominello

[email protected]

Weisberg Cancer Treatment Center, Farmington Hills, Michigan

Status

Active, not recruiting

Address

Weisberg Cancer Treatment Center

Farmington Hills, Michigan, 48334

Royal Oak, Michigan

Status

Recruiting

Address

Corewell Health William Beaumont University Hospital

Royal Oak, Michigan, 48073

Site Contact

Site Public Contact

248-551-7695

Corewell Health Beaumont Troy Hospital, Troy, Michigan

Status

Recruiting

Address

Corewell Health Beaumont Troy Hospital

Troy, Michigan, 48085

Site Contact

Site Public Contact

248-551-7695

Brainerd, Minnesota

Status

Recruiting

Address

Essentia Health Saint Joseph's Medical Center

Brainerd, Minnesota, 56401

Site Contact

Site Public Contact

[email protected]

218-786-3308

Essentia Health - Deer River Clinic, Deer River, Minnesota

Status

Recruiting

Address

Essentia Health - Deer River Clinic

Deer River, Minnesota, 56636

Site Contact

Site Public Contact

[email protected]

218-786-3308

Essentia Health Cancer Center, Duluth, Minnesota

Status

Recruiting

Address

Essentia Health Cancer Center

Duluth, Minnesota, 55805

Site Contact

Site Public Contact

[email protected]

218-786-3308

Duluth, Minnesota

Status

Recruiting

Address

Essentia Health Saint Mary's Medical Center

Duluth, Minnesota, 55805

Site Contact

Site Public Contact

[email protected]

218-786-3308

Miller-Dwan Hospital, Duluth, Minnesota

Status

Recruiting

Address

Miller-Dwan Hospital

Duluth, Minnesota, 55805

Site Contact

Site Public Contact

[email protected]

218-786-3308

Essentia Health Hibbing Clinic, Hibbing, Minnesota

Status

Recruiting

Address

Essentia Health Hibbing Clinic

Hibbing, Minnesota, 55746

Site Contact

Site Public Contact

218-786-3308

Saint Cloud, Minnesota

Status

Recruiting

Address

Coborn Cancer Center at Saint Cloud Hospital

Saint Cloud, Minnesota, 56303

Site Contact

Site Public Contact

[email protected]

877-229-4907

Essentia Health Sandstone, Sandstone, Minnesota

Status

Recruiting

Address

Essentia Health Sandstone

Sandstone, Minnesota, 55072

Site Contact

Site Public Contact

[email protected]

218-786-3308

Essentia Health Virginia Clinic, Virginia, Minnesota

Status

Recruiting

Address

Essentia Health Virginia Clinic

Virginia, Minnesota, 55792

Site Contact

Site Public Contact

[email protected]

218-786-3308

Parkland Health Center - Farmington, Farmington, Missouri

Status

Recruiting

Address

Parkland Health Center - Farmington

Farmington, Missouri, 63640

Site Contact

Site Public Contact

314-996-5569

Saint Luke's Hospital of Kansas City, Kansas City, Missouri

Status

Recruiting

Address

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, 64111

Site Contact

Site Public Contact

[email protected]

913-948-5588

Missouri Baptist Medical Center, Saint Louis, Missouri

Status

Recruiting

Address

Missouri Baptist Medical Center

Saint Louis, Missouri, 63131

Site Contact

Site Public Contact

314-996-5569

Sainte Genevieve, Missouri

Status

Recruiting

Address

Sainte Genevieve County Memorial Hospital

Sainte Genevieve, Missouri, 63670

Site Contact

Site Public Contact

314-996-5569

Mercy Hospital Springfield, Springfield, Missouri

Status

Recruiting

Address

Mercy Hospital Springfield

Springfield, Missouri, 65804

Site Contact

Site Public Contact

417-269-4520

Missouri Baptist Sullivan Hospital, Sullivan, Missouri

Status

Recruiting

Address

Missouri Baptist Sullivan Hospital

Sullivan, Missouri, 63080

Site Contact

Site Public Contact

314-996-5569

BJC Outpatient Center at Sunset Hills, Sunset Hills, Missouri

Status

Recruiting

Address

BJC Outpatient Center at Sunset Hills

Sunset Hills, Missouri, 63127

Site Contact

Site Public Contact

314-996-5569

Billings Clinic Cancer Center, Billings, Montana

Status

Recruiting

Address

Billings Clinic Cancer Center

Billings, Montana, 59101

Site Contact

Site Public Contact

[email protected]

800-996-2663

Benefis Sletten Cancer Institute, Great Falls, Montana

Status

Recruiting

Address

Benefis Sletten Cancer Institute

Great Falls, Montana, 59405

Site Contact

Site Public Contact

[email protected]

406-969-6060

Renown Regional Medical Center, Reno, Nevada

Status

Recruiting

Address

Renown Regional Medical Center

Reno, Nevada, 89502

Site Contact

Site Public Contact

[email protected]

702-384-0013

Lebanon, New Hampshire

Status

Recruiting

Address

Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center

Lebanon, New Hampshire, 03756

Site Contact

Site Public Contact

[email protected]

800-639-6918

Camden, New Jersey

Status

Recruiting

Address

Cooper Hospital University Medical Center

Camden, New Jersey, 08103

Site Contact

Site Public Contact

856-325-6757

Saint Barnabas Medical Center, Livingston, New Jersey

Status

Recruiting

Address

Saint Barnabas Medical Center

Livingston, New Jersey, 07039

Site Contact

Site Public Contact

[email protected]

973-322-2934

Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey

Status

Recruiting

Address

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08903

Site Contact

Site Public Contact

732-235-7356

Newark Beth Israel Medical Center, Newark, New Jersey

Status

Recruiting

Address

Newark Beth Israel Medical Center

Newark, New Jersey, 07112

Site Contact

Site Public Contact

[email protected]

973-926-7230

The Valley Hospital - Luckow Pavilion, Paramus, New Jersey

Status

Recruiting

Address

The Valley Hospital - Luckow Pavilion

Paramus, New Jersey, 07652

Site Contact

Site Public Contact

[email protected]

201-634-5792

Capital Health Medical Center-Hopewell, Pennington, New Jersey

Status

Recruiting

Address

Capital Health Medical Center-Hopewell

Pennington, New Jersey, 08534

Site Contact

Site Public Contact

[email protected]

609-394-4130

Valley Health System Ridgewood Campus, Ridgewood, New Jersey

Status

Recruiting

Address

Valley Health System Ridgewood Campus

Ridgewood, New Jersey, 07450

Site Contact

Site Public Contact

[email protected]

201-634-5792

Community Medical Center, Toms River, New Jersey

Status

Recruiting

Address

Community Medical Center

Toms River, New Jersey, 08755

Site Contact

Site Public Contact

[email protected]

732-557-8294

Valley Health System-Hematology/Oncology, Westwood, New Jersey

Status

Recruiting

Address

Valley Health System-Hematology/Oncology

Westwood, New Jersey, 07675

Site Contact

Site Public Contact

[email protected]

888-823-5923

Bronx, New York

Status

Recruiting

Address

Montefiore Medical Center-Einstein Campus

Bronx, New York, 10461

Site Contact

Site Public Contact

[email protected]

718-379-6866

Bronx, New York

Status

Recruiting

Address

Montefiore Medical Center-Weiler Hospital

Bronx, New York, 10461

Site Contact

Site Public Contact

[email protected]

718-379-6866

Montefiore Medical Center - Moses Campus, Bronx, New York

Status

Recruiting

Address

Montefiore Medical Center - Moses Campus

Bronx, New York, 10467

Site Contact

Site Public Contact

[email protected]

718-379-6866

Brooklyn, New York

Status

Recruiting

Address

New York-Presbyterian/Brooklyn Methodist Hospital

Brooklyn, New York, 11215

Site Contact

Site Public Contact

[email protected]

718-780-3677

Roswell Park Cancer Institute, Buffalo, New York

Status

Active, not recruiting

Address

Roswell Park Cancer Institute

Buffalo, New York, 14263

Flushing, New York

Status

Suspended

Address

The New York Hospital Medical Center of Queens

Flushing, New York, 11355

Northern Westchester Hospital, Mount Kisco, New York

Status

Recruiting

Address

Northern Westchester Hospital

Mount Kisco, New York, 10549

Site Contact

Site Public Contact

[email protected]

914-666-1366

Mount Sinai Chelsea, New York, New York

Status

Suspended

Address

Mount Sinai Chelsea

New York, New York, 10011

Mount Sinai West, New York, New York

Status

Suspended

Address

Mount Sinai West

New York, New York, 10019

Mount Sinai Hospital, New York, New York

Status

Suspended

Address

Mount Sinai Hospital

New York, New York, 10029

New York, New York

Status

Active, not recruiting

Address

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

New York, New York, 10032

Manhattan Eye Ear and Throat Hospital, New York, New York

Status

Recruiting

Address

Manhattan Eye Ear and Throat Hospital

New York, New York, 10065

Site Contact

Site Public Contact

212-434-4460

NYP/Weill Cornell Medical Center, New York, New York

Status

Recruiting

Address

NYP/Weill Cornell Medical Center

New York, New York, 10065

Site Contact

Site Public Contact

212-746-1848

Lenox Hill Hospital, New York, New York

Status

Recruiting

Address

Lenox Hill Hospital

New York, New York, 10075

Site Contact

Site Public Contact

516-734-8896

University of Rochester, Rochester, New York

Status

Recruiting

Address

University of Rochester

Rochester, New York, 14642

Site Contact

Site Public Contact

585-275-5830

Stony Brook University Medical Center, Stony Brook, New York

Status

Recruiting

Address

Stony Brook University Medical Center

Stony Brook, New York, 11794

Site Contact

Site Public Contact

800-862-2215

Good Samaritan University Hospital, West Islip, New York

Status

Recruiting

Address

Good Samaritan University Hospital

West Islip, New York, 11795

Site Contact

Site Public Contact

516-326-7514

Charlotte, North Carolina

Status

Recruiting

Address

Carolinas Medical Center/Levine Cancer Institute

Charlotte, North Carolina, 28203

Site Contact

Site Public Contact

800-804-9376

Atrium Health Cabarrus/LCI-Concord, Concord, North Carolina

Status

Recruiting

Address

Atrium Health Cabarrus/LCI-Concord

Concord, North Carolina, 28025

Site Contact

Site Public Contact

800-804-9376

CaroMont Regional Medical Center, Gastonia, North Carolina

Status

Recruiting

Address

CaroMont Regional Medical Center

Gastonia, North Carolina, 28054

Site Contact

Site Public Contact

[email protected]

704-834-2810

Wilmington, North Carolina

Status

Recruiting

Address

Novant Health Cancer Institute Radiation Oncology - Wilmington

Wilmington, North Carolina, 28401

Site Contact

Site Public Contact

910-251-1839

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

Status

Recruiting

Address

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157

Site Contact

Site Public Contact

336-713-6771

Sanford Broadway Medical Center, Fargo, North Dakota

Status

Recruiting

Address

Sanford Broadway Medical Center

Fargo, North Dakota, 58122

Site Contact

Site Public Contact

[email protected]

701-323-5760

Sanford Roger Maris Cancer Center, Fargo, North Dakota

Status

Recruiting

Address

Sanford Roger Maris Cancer Center

Fargo, North Dakota, 58122

Site Contact

Site Public Contact

[email protected]

701-234-6161

Indu and Raj Soin Medical Center, Beavercreek, Ohio

Status

Recruiting

Address

Indu and Raj Soin Medical Center

Beavercreek, Ohio, 45431

Site Contact

Site Public Contact

[email protected]

937-528-2900

Case Western Reserve University, Cleveland, Ohio

Status

Recruiting

Address

Case Western Reserve University

Cleveland, Ohio, 44106

Site Contact

Site Public Contact

[email protected]

800-641-2422

Columbus, Ohio

Status

Recruiting

Address

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210

Site Contact

Site Public Contact

[email protected]

800-293-5066

Riverside Methodist Hospital, Columbus, Ohio

Status

Recruiting

Address

Riverside Methodist Hospital

Columbus, Ohio, 43214

Site Contact

Site Public Contact

[email protected]

614-788-3860

Grant Medical Center, Columbus, Ohio

Status

Recruiting

Address

Grant Medical Center

Columbus, Ohio, 43215

Site Contact

Site Public Contact

[email protected]

614-788-3860

Delaware, Ohio

Status

Recruiting

Address

Delaware Health Center-Grady Cancer Center

Delaware, Ohio, 43015

Site Contact

Site Public Contact

[email protected]

614-788-3860

Grady Memorial Hospital, Delaware, Ohio

Status

Recruiting

Address

Grady Memorial Hospital

Delaware, Ohio, 43015

Site Contact

Site Public Contact

[email protected]

614-788-3860

Kettering Medical Center, Kettering, Ohio

Status

Recruiting

Address

Kettering Medical Center

Kettering, Ohio, 45429

Site Contact

Site Public Contact

[email protected]

937-528-2900

Mercy Health - Perrysburg Hospital, Perrysburg, Ohio

Status

Recruiting

Address

Mercy Health - Perrysburg Hospital

Perrysburg, Ohio, 43551

Site Contact

Site Public Contact

[email protected]

614-488-2745

Oklahoma City, Oklahoma

Status

Recruiting

Address

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104

Site Contact

Site Public Contact

[email protected]

405-271-8777

Northeast Radiation Oncology Center, Dunmore, Pennsylvania

Status

Recruiting

Address

Northeast Radiation Oncology Center

Dunmore, Pennsylvania, 18512

Site Contact

Site Public Contact

888-808-6762

Hershey, Pennsylvania

Status

Recruiting

Address

Penn State Milton S Hershey Medical Center

Hershey, Pennsylvania, 17033-0850

Site Contact

Site Public Contact

[email protected]

717-531-3779

Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

Status

Suspended

Address

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107

UPMC-Presbyterian Hospital, Pittsburgh, Pennsylvania

Status

Recruiting

Address

UPMC-Presbyterian Hospital

Pittsburgh, Pennsylvania, 15213

Site Contact

Site Public Contact

412-647-2811

UPMC-Shadyside Hospital, Pittsburgh, Pennsylvania

Status

Recruiting

Address

UPMC-Shadyside Hospital

Pittsburgh, Pennsylvania, 15232

Site Contact

Site Public Contact

412-621-2334

Medical University of South Carolina, Charleston, South Carolina

Status

Recruiting

Address

Medical University of South Carolina

Charleston, South Carolina, 29425

Site Contact

Site Public Contact

[email protected]

843-792-9321

Gibbs Cancer Center-Gaffney, Gaffney, South Carolina

Status

Recruiting

Address

Gibbs Cancer Center-Gaffney

Gaffney, South Carolina, 29341

Site Contact

Site Public Contact

[email protected]

864-560-6104

Gibbs Cancer Center-Pelham, Greer, South Carolina

Status

Recruiting

Address

Gibbs Cancer Center-Pelham

Greer, South Carolina, 29651

Site Contact

Site Public Contact

[email protected]

864-560-6104

Spartanburg Medical Center, Spartanburg, South Carolina

Status

Recruiting

Address

Spartanburg Medical Center

Spartanburg, South Carolina, 29303

Site Contact

Site Public Contact

[email protected]

864-560-6104

SMC Center for Hematology Oncology Union, Union, South Carolina

Status

Recruiting

Address

SMC Center for Hematology Oncology Union

Union, South Carolina, 29379

Site Contact

Site Public Contact

[email protected]

864-560-6104

Sanford Cancer Center Oncology Clinic, Sioux Falls, South Dakota

Status

Recruiting

Address

Sanford Cancer Center Oncology Clinic

Sioux Falls, South Dakota, 57104

Site Contact

Site Public Contact

[email protected]

605-312-3320

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

Status

Recruiting

Address

Sanford USD Medical Center - Sioux Falls

Sioux Falls, South Dakota, 57117-5134

Site Contact

Site Public Contact

[email protected]

605-312-3320

Nashville, Tennessee

Status

Recruiting

Address

The Children's Hospital at TriStar Centennial

Nashville, Tennessee, 37203

Site Contact

Site Public Contact

615-342-1919

Covenant Medical Center-Lakeside, Lubbock, Texas

Status

Suspended

Address

Covenant Medical Center-Lakeside

Lubbock, Texas, 79410

San Antonio, Texas

Status

Completed

Address

University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229

Salt Lake City, Utah

Status

Active, not recruiting

Address

Huntsman Cancer Institute/University of Utah

Salt Lake City, Utah, 84112

Inova Schar Cancer Institute, Fairfax, Virginia

Status

Recruiting

Address

Inova Schar Cancer Institute

Fairfax, Virginia, 22031

Site Contact

Site Public Contact

[email protected]

703-720-5210

Henrico Doctor's Hospital, Richmond, Virginia

Status

Recruiting

Address

Henrico Doctor's Hospital

Richmond, Virginia, 23229

Site Contact

Site Public Contact

[email protected]

804-289-4902

Richmond, Virginia

Status

Recruiting

Address

CJW Medical Center - Johnston-Willis Campus

Richmond, Virginia, 23235

Site Contact

Site Public Contact

804-330-2199

Richmond, Virginia

Status

Recruiting

Address

Virginia Commonwealth University/Massey Cancer Center

Richmond, Virginia, 23298

Site Contact

Site Public Contact

[email protected]

Carilion Roanoke Memorial Hospital, Roanoke, Virginia

Status

Recruiting

Address

Carilion Roanoke Memorial Hospital

Roanoke, Virginia, 24033

Site Contact

Site Public Contact

540-981-7377

ThedaCare Regional Cancer Center, Appleton, Wisconsin

Status

Recruiting

Address

ThedaCare Regional Cancer Center

Appleton, Wisconsin, 54911

Site Contact

Site Public Contact

[email protected]

920-364-3604

Duluth Clinic Ashland, Ashland, Wisconsin

Status

Recruiting

Address

Duluth Clinic Ashland

Ashland, Wisconsin, 54806

Site Contact

Site Public Contact

[email protected]

218-786-3308

Northwest Wisconsin Cancer Center, Ashland, Wisconsin

Status

Recruiting

Address

Northwest Wisconsin Cancer Center

Ashland, Wisconsin, 54806

Site Contact

Site Public Contact

[email protected]

218-786-3308

Aurora Cancer Care-Southern Lakes VLCC, Burlington, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Southern Lakes VLCC

Burlington, Wisconsin, 53105

Site Contact

Site Public Contact

[email protected]

414-302-2304

Germantown, Wisconsin

Status

Recruiting

Address

Aurora Health Care Germantown Health Center

Germantown, Wisconsin, 53022

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aurora Cancer Care-Grafton, Grafton, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Grafton

Grafton, Wisconsin, 53024

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aurora BayCare Medical Center, Green Bay, Wisconsin

Status

Recruiting

Address

Aurora BayCare Medical Center

Green Bay, Wisconsin, 54311

Site Contact

Site Public Contact

[email protected]

414-302-2304

Essentia Health-Hayward Clinic, Hayward, Wisconsin

Status

Recruiting

Address

Essentia Health-Hayward Clinic

Hayward, Wisconsin, 54843

Site Contact

Site Public Contact

[email protected]

218-786-3308

Aurora Cancer Care-Kenosha South, Kenosha, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Kenosha South

Kenosha, Wisconsin, 53142

Site Contact

Site Public Contact

[email protected]

414-302-2304

Madison, Wisconsin

Status

Recruiting

Address

University of Wisconsin Carbone Cancer Center - Eastpark Medical Center

Madison, Wisconsin, 53718

Site Contact

Site Public Contact

[email protected]

800-622-8922

Madison, Wisconsin

Status

Recruiting

Address

University of Wisconsin Carbone Cancer Center - University Hospital

Madison, Wisconsin, 53792

Site Contact

Site Public Contact

[email protected]

800-622-8922

Aurora Cancer Care-Milwaukee, Milwaukee, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Milwaukee

Milwaukee, Wisconsin, 53209

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aurora Saint Luke's Medical Center, Milwaukee, Wisconsin

Status

Recruiting

Address

Aurora Saint Luke's Medical Center

Milwaukee, Wisconsin, 53215

Site Contact

Site Public Contact

[email protected]

414-302-2304

Medical College of Wisconsin, Milwaukee, Wisconsin

Status

Recruiting

Address

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226

Site Contact

Site Public Contact

414-805-3666

Aurora Sinai Medical Center, Milwaukee, Wisconsin

Status

Recruiting

Address

Aurora Sinai Medical Center

Milwaukee, Wisconsin, 53233

Site Contact

Site Public Contact

[email protected]

414-302-2304

Vince Lombardi Cancer Clinic - Oshkosh, Oshkosh, Wisconsin

Status

Recruiting

Address

Vince Lombardi Cancer Clinic - Oshkosh

Oshkosh, Wisconsin, 54904

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aurora Cancer Care-Racine, Racine, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Racine

Racine, Wisconsin, 53406

Site Contact

Site Public Contact

[email protected]

414-302-2304

Rhinelander, Wisconsin

Status

Recruiting

Address

Aspirus Cancer Care - James Beck Cancer Center

Rhinelander, Wisconsin, 54501

Site Contact

Site Public Contact

[email protected]

715-847-2353

Vince Lombardi Cancer Clinic-Sheboygan, Sheboygan, Wisconsin

Status

Recruiting

Address

Vince Lombardi Cancer Clinic-Sheboygan

Sheboygan, Wisconsin, 53081

Site Contact

Site Public Contact

[email protected]

414-302-2304

Essentia Health-Spooner Clinic, Spooner, Wisconsin

Status

Recruiting

Address

Essentia Health-Spooner Clinic

Spooner, Wisconsin, 54801

Site Contact

Site Public Contact

[email protected]

218-786-3308

Aspirus Cancer Care - Stevens Point, Stevens Point, Wisconsin

Status

Recruiting

Address

Aspirus Cancer Care - Stevens Point

Stevens Point, Wisconsin, 54481

Site Contact

Site Public Contact

[email protected]

715-847-2353

Aurora Medical Center in Summit, Summit, Wisconsin

Status

Recruiting

Address

Aurora Medical Center in Summit

Summit, Wisconsin, 53066

Site Contact

Site Public Contact

[email protected]

414-302-2304

Superior, Wisconsin

Status

Recruiting

Address

Essentia Health Saint Mary's Hospital - Superior

Superior, Wisconsin, 54880

Site Contact

Site Public Contact

701-364-6272

UW Cancer Center at ProHealth Care, Waukesha, Wisconsin

Status

Suspended

Address

UW Cancer Center at ProHealth Care

Waukesha, Wisconsin, 53188

Aspirus Regional Cancer Center, Wausau, Wisconsin

Status

Recruiting

Address

Aspirus Regional Cancer Center

Wausau, Wisconsin, 54401

Site Contact

Site Public Contact

877-405-6866

Aurora Cancer Care-Milwaukee West, Wauwatosa, Wisconsin

Status

Recruiting

Address

Aurora Cancer Care-Milwaukee West

Wauwatosa, Wisconsin, 53226

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aurora West Allis Medical Center, West Allis, Wisconsin

Status

Recruiting

Address

Aurora West Allis Medical Center

West Allis, Wisconsin, 53227

Site Contact

Site Public Contact

[email protected]

414-302-2304

Aspirus Cancer Care - Wisconsin Rapids, Wisconsin Rapids, Wisconsin

Status

Recruiting

Address

Aspirus Cancer Care - Wisconsin Rapids

Wisconsin Rapids, Wisconsin, 54494

Site Contact

Site Public Contact

715-422-7718

International Sites

Montreal, Quebec, Canada

Status

Suspended

Address

CHUM - Centre Hospitalier de l'Universite de Montreal

Montreal, Quebec, H2X 3E4

Montreal, Quebec, Canada

Status

Suspended

Address

The Research Institute of the McGill University Health Centre (MUHC)

Montreal, Quebec, H3H 2R9

Quebec City, Quebec, Canada

Status

Suspended

Address

CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)

Quebec City, Quebec, G1R 2J6

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