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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05840211
Registration number
NCT05840211
Ethics application status
Date submitted
21/04/2023
Date registered
3/05/2023
Date last updated
23/07/2024
Titles & IDs
Public title
Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Patients With Hormone Receptor-positive/Human Epidermal Growth Factor Receptor 2 Negative (HR+/HER2-) Metastatic Breast Cancer Who Have Received Endocrine Therapy
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Scientific title
A Randomized, Open-label, Phase 3 Study of Sacituzumab Govitecan Versus Treatment of Physician's Choice in Patients With Hormone Receptor-Positive (HR+)/Human Epidermal Growth Factor Receptor 2 Negative (HER2-) (HER2 IHC0 or HER2-low [IHC 1+, IHC 2+/ISH-]) Inoperable, Locally Advanced, or Metastatic Breast Cancer and Have Received Endocrine Therapy
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Secondary ID [1]
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2022-502593-17-00
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Secondary ID [2]
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GS-US-598-6168
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Universal Trial Number (UTN)
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Trial acronym
ASCENT-07
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sacituzumab Govitecan-hziy
Treatment: Drugs - Paclitaxel
Treatment: Drugs - Nab-paclitaxel
Treatment: Drugs - Capecitabine
Experimental: Sacituzumab Govitecan-hziy (SG) - Participants will receive SG at a dose of 10 mg/kg infusion on Days 1 and 8 of a 21-day cycle.
Active comparator: Treatment of Physician's Choice (TPC) - Participants will receive TPC determined prior to randomization to 1 of the 3 allowed regimens:
* paclitaxel 80 mg/m\^2 over 1 hour (± 10 minutes) on Days 1, 8, and 15 of a 28-day cycle.
* nab-Paclitaxel 100 mg/m\^2 over 30 minutes (± 10 minutes) on Days 1, 8, and 15 of a 28-day cycle.
* capecitabine at 1000-1250 mg/m\^2 twice daily for 2 weeks followed by a 1-week rest period of a 21-day cycle.
Treatment: Drugs: Sacituzumab Govitecan-hziy
Administered intravenously
Treatment: Drugs: Paclitaxel
Administered intravenously
Treatment: Drugs: Nab-paclitaxel
Administered intravenously
Treatment: Drugs: Capecitabine
Administered orally
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review (BICR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Assessment method [1]
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PFS is defined as time from date of randomization until the date of first objective progressive disease (PD) or death from any cause, whichever comes first.
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Timepoint [1]
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Up to approximately 29 months
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Secondary outcome [1]
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Overall Survival (OS)
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Assessment method [1]
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OS is defined as the time from randomization until the date of death from any cause.
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Timepoint [1]
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Until death, up to approximately 60 months
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Secondary outcome [2]
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Objective Response Rate (ORR) as Assessed by BICR per RECIST Version 1.1
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Assessment method [2]
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ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) that is confirmed at least 4 weeks after initial documentation of response.
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Timepoint [2]
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Until progression, up to approximately 60 months
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Secondary outcome [3]
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Change from Baseline in the Physical Functioning Domain Using European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Version 3.0 (EORTC QLQ-C30) at Week 16
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Assessment method [3]
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The EORTC QLQ-C30 is composed of global health status/QoL scale; five functional domains (physical, role, emotional, cognitive, and social); three symptom domains (fatigue, nausea and vomiting, and pain); and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties).
The Physical Functioning domain includes 5 questions in which participants will be asked to rate their overall health and overall quality of life as it relates to physical functioning during the past week on a scale from 1 (very poor) to 4 (excellent), with a higher score representing a high QoL.
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Timepoint [3]
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Baseline, Week 16
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Secondary outcome [4]
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Time to Deterioration in Version 3.0 EORTC-QLQ-C30 Scores
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Assessment method [4]
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Time to deterioration from baseline in European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) scores. Scale scores range from 0-100. For functioning and global health status/QoL scales, higher scores indicate better functioning or global health status/QoL. For symptom scales, higher scores indicate greater symptom burden.
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Timepoint [4]
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Up to approximately 60 months
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Secondary outcome [5]
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Progression Free Survival (PFS) as Assessed by Investigator per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
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Assessment method [5]
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PFS is defined as time from date of randomization until the date of first objective progressive disease (PD) by investigator assessment according to RECIST v1.1 or death from any cause, whichever comes first.
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Timepoint [5]
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Until progression or death, up to approximately 60 months
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Secondary outcome [6]
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Objective Response Rate (ORR) as Assessed by Investigator per RECIST Version 1.1
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Assessment method [6]
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ORR is defined as the proportion of participants who achieve a complete response (CR) or partial response (PR) that is confirmed at least 4 weeks after initial documentation of response.
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Timepoint [6]
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Up to approximately 60 months
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Secondary outcome [7]
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Duration of Response (DOR) as Assessed by BICR and Investigator per RECIST Version 1.1
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Assessment method [7]
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DOR is defined as the time from the first documentation of CR or PR to the earlier of the first documentation of objective PD or death from any cause (whichever comes first).
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Timepoint [7]
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Until progression or death, up to approximately 60 months
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Secondary outcome [8]
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Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
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Assessment method [8]
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Timepoint [8]
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First dose date up to 30 days post last dose, up to approximately 60 months
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Secondary outcome [9]
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Percentage of Participants Experiencing Clinically Significant Laboratory and/or Vital Sign Abnormalities
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Assessment method [9]
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Timepoint [9]
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First dose date up to 30 days post last dose, up to approximately 60 months
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Eligibility
Key inclusion criteria
Key
* Able to understand and give written informed consent.
* Must have adequate tumor tissue sample preferably from locally recurrent or metastatic site.
* Documented evidence of HR+ metastatic breast cancer (mBC) confirmed with the most recently available tumor biopsy preferably from a locally recurrent or metastatic site.
* Documented evidence of HER2- status.
* Documented PD by computed tomography (CT) or magnetic resonance imaging during or after the most recent therapy per RECIST v1.1 criteria.
* Candidate for the first chemotherapy in the locally advanced or metastatic setting.
* Eligible for capecitabine, nab-paclitaxel, or paclitaxel.
* Individuals must have at least one of the following:
* Disease progression on at least 2 or more previous lines of endocrine therapy (ET) with or without a targeted therapy in the metastatic setting.
* Disease recurrence while on the first 24 months of starting adjuvant ET will be considered a line of therapy; these individuals will only require 1 line of ET in the metastatic setting.
* Disease progression within 6 months of starting first-line ET with or without a cyclin-dependent kinase (CDK) 4/6 inhibitor (if ineligible or if unable to access a CDK 4/6 inhibitor) in the metastatic setting.
* Disease recurrence while on the first 24 months of starting adjuvant ET with CDK 4/6 inhibitor and if the individual is no longer a candidate for additional ET in the metastatic setting.
* Individuals may have received prior targeted therapies, including but not limited to PARP inhibitors (for those with germline BRCA1 or BRCA2 mutations), phosphatidylinositol 3-kinase (PI3K) inhibitors (for those with PIK3CA mutations), or mammalian target of rapamycin (mTOR) inhibitors. However, individuals can no longer be candidates for additional endocrine treatment with or without targeted therapies.
* Individuals with HIV must be on antiretroviral therapy (ART) and have a well-controlled HIV infection/disease.
* Demonstrates adequate organ function.
* Male individuals and female individuals of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Progressive disease within 6 months of completing (neo)adjuvant chemotherapy.
* Locally advanced metastatic breast cancer (mBC) (Stage IIIc) in individuals who are candidates for curative intent therapy at the time of study enrollment.
* Current enrollment in another clinical study and use of any investigational device or drug (drugs not marketed for any indication) either within 5 half-lives or 28 days prior to randomization, whichever is longer.
* Use of investigational drugs in the category of Selective Estrogen Receptor Degraders are acceptable if last dose was longer than 14 days prior to randomization.
* Received any prior treatment (including antibody-drug conjugate (ADC)) containing a chemotherapeutic agent targeting topoisomerase I.
* Received any prior treatment with a trophoblast cell-surface antigen 2 (Trop-2)-directed ADC.
* Have an active second malignancy.
* Have an active serious infection requiring antibiotics.
* Have active hepatitis B virus (HBV) or hepatitis C virus (HCV).
* Individuals positive for human immunodeficiency virus type 1/2 (HIV-1 or -2) with a history of Kaposi sarcoma and/or Multicentric Castleman Disease.
* Have a positive serum pregnancy test or are breastfeeding for individuals who are assigned female at birth.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
8/05/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2028
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Actual
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Sample size
Target
654
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
MENSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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Royal Brisbane and Women's Hospital - Queensland
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St Vincent's Hospital Sydney - Darlinghurst
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Liverpool Hospital - Liverpool
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GenesisCare North Shore (Oncology) - St Leonards
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Icon Cancer Centre Wesley - Auchenflower
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Flinders Medical Centre - Bedford Park
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Icon Cancer Centre Hobart - Hobart
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Austin Health - Melbourne
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Sunshine Hospital (Western Health) - St Albans
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Recruitment hospital [10]
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Breast Cancer Research Centre - WA - Nedlands
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4029 - Queensland
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2010 - Darlinghurst
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2170 - Liverpool
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2065 - St Leonards
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4066 - Auchenflower
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5042 - Bedford Park
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7000 - Hobart
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3084 - Melbourne
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3021 - St Albans
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Recruitment postcode(s) [10]
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6009 - Nedlands
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Recruitment outside Australia
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France
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State/province [92]
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0
Limoges
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0
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France
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Loire Atlantique
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France
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Lyon
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France
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Marseille
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France
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Montpellier Cedex 5
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France
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Paris
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France
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Pierre-benite
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France
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Plerin
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France
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Rennes Cedex
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France
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Rouen
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France
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Toulouse Cedex 9
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France
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Villejuif
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Germany
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Germany
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Bayern
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Germany
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Berlin
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Germany
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Bottrop
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Germany
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Erlangen
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Germany
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Gera
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Germany
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Hamburg
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Germany
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Hannover
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Germany
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Heidelberg
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Germany
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Mannheim
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Germany
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Munster
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Germany
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München
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Germany
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Tübingen
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Greece
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Athens
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Greece
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Heraklion
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Greece
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Larissa
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Greece
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Patras
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Greece
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Thessaloniki
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Hong Kong
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Hong Kong
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Hong Kong
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New Territories
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Hong Kong
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Pok Fu Lam
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Hungary
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Budapest
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Hungary
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Debrecen
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Hungary
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Kecskemét
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Hungary
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Nyiregyhaza
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Hungary
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Szeged
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Petah Tikva
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Israel
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Ramat Gan
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Israel
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Tel Aviv
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Italy
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Ancona AN
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Italy
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Aviano
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Italy
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Bergamo
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Italy
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Bologna
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Italy
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Catania
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Italy
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Catanzaro
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Italy
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Genova GE
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Italy
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Milano
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Italy
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Milan
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Italy
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Monza
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Italy
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Napoli
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Italy
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Padova
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Italy
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Rionero in Vulture
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Italy
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Roma
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Italy
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Rozzano
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Japan
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Aichi
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Japan
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Aoba-ku
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Japan
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Bunkyo-ku
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Japan
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Chiba
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Japan
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Chuo-ku
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Japan
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Ehime
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Japan
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Fukushima
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Japan
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Kagoshima-shi
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Japan
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Kanagawa
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Japan
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Kashiwa
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Japan
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Kitaadachi-gun
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Japan
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Koto-Ku
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Japan
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Kumamoto- shi
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Japan
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Kyoto-shi
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Japan
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Minami-ku
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Japan
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Nagoya
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Japan
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Naka-ku
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Japan
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Nishinomiya-shi
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Japan
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Okayama
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Japan
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Ota
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Japan
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Sapporo
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Japan
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Shinjuku-ku
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Japan
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Tokyo
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Japan
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Yokohama
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Korea, Republic of
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Gyeongsangbuk-do
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Incheon
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Seongnam
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Seoul
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Malaysia
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Kuching
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Malaysia
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Putrajaya
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Mexico
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Cancún
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Monterrey
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Mexico
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Puebla
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Mexico
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Mexico
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Gdansk
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Krakow
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Lodz
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Poland
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Lublin
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Poland
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Warszawa
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Portugal
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Braga
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Portugal
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Guimarães
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Portugal
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Lisbon
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Portugal
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Matosinhos
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Singapore
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Gauteng
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Johannesburg
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Kraaifontein
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Barcelona
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Bilbo
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Elche
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Jaen
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Madrid
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Salamanca
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Santiago de Compostela
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Spain
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Sevilla
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Spain
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Seville
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Valencia
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Taiwan
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Kaohsiung City
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Taiwan
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Kaohsiung
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New Taipei City
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Taiwan
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Tainan City
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Tainan
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Taiwan
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Taipei City
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Taiwan
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Taipei
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Taiwan
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Taoyuan City
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United Kingdom
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London
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United Kingdom
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Manchester
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United Kingdom
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Nottingham
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Gilead Sciences
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The goal of this clinical study is to see if sacituzumab govitecan-hziy (SG) can improve life spans of people with HR+/HER2- metastatic breast cancer and their tumor does not grow or spread when compared to currently available standard treatments, such as paclitaxel, nab-paclitaxel or capecitabine. The primary objective is to compare the effect of SG relative to the treatment of physician's choice (TPC) on progression-free survival (PFS).
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Trial website
https://clinicaltrials.gov/study/NCT05840211
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Trial related presentations / publications
Query!
Public notes
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Contacts
Principal investigator
Name
0
0
Gilead Study Director
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Address
0
0
Gilead Sciences
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Country
0
0
Query!
Phone
0
0
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Fax
0
0
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Email
0
0
Query!
Contact person for public queries
Name
0
0
Gilead Clinical Study Information Center
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Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
1-833-445-3230 (GILEAD-0)
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Fax
0
0
Query!
Email
0
0
[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05840211
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