Melanoma Clinical Trial

A Study of TSR-022 in Participants With Advanced Solid Tumors (AMBER)

Summary

This is a first-in-human study evaluating the anti-T cell immunoglobulin and mucin containing protein-3 (TIM-3) antibody TSR-022. The study will be conducted in 2 parts with Part 1 consisting of dose escalation and Part 2 dose expansion. Part 1 will determine the recommended Phase 2 dose (RP2D) of TSR-022 and Part 2 will evaluate the antitumor activity of TSR-022.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria

Participant is at least 18 years of age.
Female participants of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to the date of the first dose of study medication or be of non-childbearing potential.
Participant has an ECOG performance status of less than or equal to (<=)1.
Participant has adequate organ function.

Inclusion Criteria for Participants in Part 1 and Part 2 Cohorts A, B, and C:

Participant with advanced or metastatic solid tumor who meets the requirements for the part of the study/cohort he/she will participate in, as follows:
Part 2: Histologically proven advanced (unresectable) or metastatic solid tumor that is measurable by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST version 1.1 criteria Inclusion Criteria for Participants in Part 2 Cohort D
Participants with advanced or metastatic NSCLC that is measurable by CT or MRI per RECIST version 1.1 criteria and meet the following criteria:
NSCLC histology includes squamous or non-squamous cell carcinoma.
Participants have received no more than 2 prior lines of therapy, which must include a platinum-based chemotherapy (for example [e.g.], cisplatin, carboplatin) and an anti-PD-(L)1 antibody.
Participants must have documented radiographic progression by RECIST version 1.1 criteria on prior anti-programmed cell death protein (PD)-1 or anti-PD-(L)1 therapy.
Biopsies -All participants enrolled must undergo a biopsy prior to study entry, and the biopsy tissue must be submitted to the central laboratory for all participants in order to determine TIM 3 expression level prior to first dose. If a participant has had a biopsy prior to entering the 35-day screening period and within approximately 12 weeks of study treatment, that biopsy may be accepted as the Baseline fresh biopsy.

Inclusion Criteria for Participants in Part 2 Cohort E

Participant is greater than or equal to (>=)18 years old, is able to understand the study procedures, and agrees to participate in the study by providing written informed consent which includes compliance with the requirements and restrictions listed in the Informed consent form (ICF) and protocol.
Participant has histologically or cytologically proven advanced or metastatic NSCLC, and only squamous or nonsquamous cell carcinoma.
Participant has received no more than 2 prior lines of therapy for advanced or metastatic disease, which must only include a platinum-based (eg, cisplatin, carboplatin) doublet chemotherapy regimen and an anti-PD-1 or anti-PD-L1 antibody (no other biologic agents alone or in combination; novel combinations are not allowed). Participants previously treated with targeted therapies, including angiogenesis inhibitors (eg, bevacizumab, ramucirumab, lenvatinib), are not eligible.
Participant has measurable disease, that is, presenting with at least 1 measurable lesion per RECIST v1.1 as determined by the local site Investigator/radiology assessment. Target lesions situated in a previously irradiated area are considered measurable if disease progression has been demonstrated in such lesions and if there are other target lesions. If there is only 1 target lesion that was previously irradiated, the participant is not eligible.
Participant has documented radiological disease progression on prior platinum-based chemotherapy and on prior anti-PD-1 or anti-PD-L1 therapy according to RECIST v1.1.
Participant agrees to submit an archival formalin fixed paraffin embedded (FFPE) tumor tissue specimen that was collected on or after diagnosis of metastatic disease from location(s) not irradiated prior to biopsy. Both tissue block and freshly cut slides are acceptable. If archival tissue is not available, the participant must undergo biopsy prior to study entry.
Participant has an ECOG performance status score of 0 or 1.
Participant has a life expectancy of at least 3 months and is anticipated to be able to complete 4 cycles of docetaxel treatment.
Participant has adequate organ function as defined in the protocol
Contraceptive use by male and female participants should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.

Exclusion Criteria

History of Grade greater than or equal to (>=)3 immune-related AE with prior immunotherapy, with the exception of non-clinically significant lab abnormalities.
Participant has known uncontrolled central nervous system (CNS) metastases and/or carcinomatous meningitis.
Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen may be included only after discussion with the Medical Monitor.
Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active infection requiring systemic therapy.
Participant is pregnant or breastfeeding, or expecting to conceive children within the projected duration of the study, starting with the Screening Visit through 150 days after the last dose of study treatment.
Participant has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.

Exclusion Criteria for Participants in Part 2 Cohort D

A participant with negative (as determined by Central Testing Lab) or unevaluable TIM-3 expression from tissue obtained prior to study entry will not be eligible for the study.
Participant has received prior therapy as defined below:
Prior treatment with anti-PD-1, anti-PD-L1, or anti-PD-L2 agent that resulted in permanent discontinuation due to an AE.
Prior treatment with an anti-lymphocyte activation gene (LAG)-3 or anti-TIM-3.
Radiologic or clinical progression <= 8 weeks after initiation of prior anti-PD-1 or anti-PD-L1 antibody.
Participants with known epidermal growth factor receptor (EGFR) mutation, anaplastic lymphoma kinase (ALK) translocation, or receptor tyrosine kinase (ROS1) mutation.
Participant has received a vaccine other than a vaccine against severe acute respiratory syndrome (SARS)-coronavirus 2 (CoV-2) infection ("Coronavirus Disease 2019" [COVID-19]) within 7 days of planned start of study therapy. The use of all COVID-19 vaccines is allowed, with the exception of COVID-19 vaccines using the recombinant adenoviral vector platform within 30 days of planned start of study therapy. If a COVID-19 vaccine using this platform is to be administered within 30 days of planned start of study therapy, this must first be discussed with and approved by the Sponsor's Medical Monitor.

Exclusion Criteria for Participants in Part 2 Cohort E

Participant has been previously treated with an anti PD 1, anti PD L1, or anti PD L2 agent that resulted in permanent discontinuation due to an AE
Participant has been previously treated with an anti TIM 3 or anti cytotoxic T lymphocyte-associated protein 4 (CTLA 4) agent or docetaxel.
Participant has a documented sensitizing EGFR, ALK, or ROS-1 mutation. Participants whose tumors have not been tested for these driver mutations and therefore who have unknown driver mutation status are not eligible. Participants with squamous histology do not need to be tested for these driver mutations.
Participant had radiological or clinical disease progression (that is [ie,] worsening performance status, clinical symptoms, and laboratory data) <=8 weeks after initiation of prior anti PD 1 or anti-PD-L1 antibody. The clinical disease progression should have been confirmed by a subsequent radiological scan.
Participant has received radiation to the lung that is >30 gray (Gy) within 6 months prior to the first dose of study treatment.
Participant has completed palliative radiotherapy within 7 days prior to the first dose of study treatment.
Participant has an additional malignancy or a history of prior malignancy, with the exception of adequately treated basal or squamous skin cancer, cervical carcinoma in situ, or bladder carcinoma in situ without evidence of disease, or had a malignancy treated with curative intent and with no evidence of disease recurrence for 5 years since the initiation of that therapy.
Participant has known new or progressive brain metastases and/or leptomeningeal metastases. Participants who have received prior therapy for their brain metastases and have radiologically stable central nervous system disease may participate, provided they are neurologically stable for at least 4 weeks before study entry and are off corticosteroids within 3 days prior to the first dose of study treatment.
Participant has tested positive for the following at Screening or within 3 months before the first dose of study treatment:
Presence of hepatitis B surface antigen.
Presence of hepatitis C antibody in the absence of an Ribonucleic acid (RNA) test for hepatitis C virus.
Participant has known human immunodeficiency virus (HIV) (positive for HIV 1 or HIV 2 antibodies).
Participant has active autoimmune disease that required systemic treatment in the past 2 years, is immunocompromised in the opinion of the Investigator, or is receiving systemic immunosuppressive treatment. Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy of prednisone, or equivalent, for adrenal or pituitary insufficiency) is not considered a form of systemic treatment.
Participant has received systemic steroid therapy within 3 days prior to the first dose of the study treatment or is receiving any other form of immunosuppressive medication. Replacement therapy is not considered a form of systemic therapy. Use of inhaled corticosteroids, local steroid injection, or steroid eye drops is allowed.
Participant has current interstitial lung disease, current pneumonitis, or a history of pneumonitis that required the use of glucocorticoids to assist with management. Lymphangitic spread of the NSCLC is not exclusionary.
Participant does not meet requirements per local prescribing guidelines for receiving treatment with docetaxel, including severe hypersensitivity reactions to drugs formulated with polysorbate 80.
Participant has received prior anticancer therapy (chemotherapy, targeted therapies, radiotherapy, or immunotherapy) within 21 days, or less than 5 times the half life of the most recent therapy prior to study Day 1, whichever is shorter.

Study is for people with:

Melanoma

Phase:

Phase 1

Estimated Enrollment:

475

Study ID:

NCT02817633

Recruitment Status:

Recruiting

Sponsor:

Tesaro, Inc.

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There are 70 Locations for this study

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GSK Investigational Site
Goodyear Arizona, 85338, United States
GSK Investigational Site
Scottsdale Arizona, 85258, United States
GSK Investigational Site
Tucson Arizona, 85704, United States
GSK Investigational Site
Tucson Arizona, 85711, United States
GSK Investigational Site
Encinitas California, 92024, United States More Info
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877-379-3718
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Edward F McClay
Principal Investigator
GSK Investigational Site
Fountain Valley California, 92708, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Haresh S. Jhangiani
Principal Investigator
GSK Investigational Site
Los Angeles California, 90024, United States More Info
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877-379-3718
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Antoni Ribas
Principal Investigator
GSK Investigational Site
Los Angeles California, 90025, United States More Info
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Peter D Boasberg
Principal Investigator
GSK Investigational Site
San Marcos California, 92069, United States More Info
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Edward F McClay
Principal Investigator
GSK Investigational Site
Whittier California, 90606, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Merrill K Shum
Principal Investigator
GSK Investigational Site
Aurora Colorado, 80012, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Allen L. Cohn
Principal Investigator
GSK Investigational Site
Aurora Colorado, 80045, United States More Info
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877-379-3718
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Karl Lewis
Principal Investigator
GSK Investigational Site
Denver Colorado, 80218, United States More Info
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877-379-3718
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Allen L. Cohn
Principal Investigator
GSK Investigational Site
Denver Colorado, 80218, United States More Info
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877-379-3718
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Gerald Falchook
Principal Investigator
GSK Investigational Site
New Haven Connecticut, 06511, United States More Info
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Patricia M Lorusso
Principal Investigator
GSK Investigational Site
Washington District of Columbia, 20007, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Chul Kim
Principal Investigator
GSK Investigational Site
Jacksonville Florida, 32224, United States
GSK Investigational Site
Miami Beach Florida, 33140, United States
GSK Investigational Site
Sarasota Florida, 34232, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Judy S Wang
Principal Investigator
GSK Investigational Site
Tampa Florida, 33612, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Zeynep Eroglu
Principal Investigator
GSK Investigational Site
Atlanta Georgia, 30322, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Ragini Kudchadkar
Principal Investigator
GSK Investigational Site
Augusta Georgia, 30912, United States More Info
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Nagla Karim
Principal Investigator
GSK Investigational Site
Arlington Heights Illinois, 60005, United States More Info
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Richard S Siegel
Principal Investigator
GSK Investigational Site
Chicago Illinois, 60637, United States More Info
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Hedy Kindler
Principal Investigator
GSK Investigational Site
Niles Illinois, 60714, United States More Info
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Richard S Siegel
Principal Investigator
GSK Investigational Site
Iowa City Iowa, 52242, United States More Info
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+44 (0) 20 8990 4466
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Mohammed Milhem
Principal Investigator
GSK Investigational Site
Wichita Kansas, 67214, United States
GSK Investigational Site
Louisville Kentucky, 40202, United States More Info
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877-379-3718
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Jason Chesney
Principal Investigator
GSK Investigational Site
Pikeville Kentucky, 41501, United States More Info
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Christopher C. Croot
Principal Investigator
GSK Investigational Site
Rockville Maryland, 20850, United States More Info
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877-379-3718
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John M Wallmark
Principal Investigator
GSK Investigational Site
Boston Massachusetts, 02114, United States More Info
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Justin Gainor
Principal Investigator
GSK Investigational Site
Detroit Michigan, 48202, United States
GSK Investigational Site
Rochester Minnesota, 55905, United States
GSK Investigational Site
Hackensack New Jersey, 07601, United States More Info
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877-379-3718
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Martin E Gutierrez
Principal Investigator
GSK Investigational Site
Bronx New York, 10461, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Balazs Halmos
Principal Investigator
GSK Investigational Site
New York New York, 10016, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Janice Mehnert
Principal Investigator
GSK Investigational Site
Cincinnati Ohio, 45242, United States
GSK Investigational Site
Cleveland Ohio, 44106, United States More Info
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877-379-3718
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David Bajor
Principal Investigator
GSK Investigational Site
Toledo Ohio, 43623, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Rex B Mowat
Principal Investigator
GSK Investigational Site
Eugene Oregon, 97401, United States More Info
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877-379-3718
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Joseph Fiorillo
Principal Investigator
GSK Investigational Site
Portland Oregon, 97213, United States
GSK Investigational Site
Bethlehem Pennsylvania, 18015, United States
GSK Investigational Site
Pittsburgh Pennsylvania, 15213, United States More Info
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877-379-3718
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Diwakar Davar
Principal Investigator
GSK Investigational Site
Charleston South Carolina, 29425, United States More Info
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877-379-3718
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Theodore G Gourdin
Principal Investigator
GSK Investigational Site
Greenville South Carolina, 29605, United States
GSK Investigational Site
Nashville Tennessee, 37203, United States More Info
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877-379-3718
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Erika Hamilton
Principal Investigator
GSK Investigational Site
Austin Texas, 78705, United States
GSK Investigational Site
Dallas Texas, 75246, United States More Info
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Charles L Cowey
Principal Investigator
GSK Investigational Site
Fort Worth Texas, 76104, United States More Info
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Stephen Richey
Principal Investigator
GSK Investigational Site
Houston Texas, 77030, United States More Info
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Julio Peguero
Principal Investigator
GSK Investigational Site
Houston Texas, 77030, United States More Info
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Timothy Yap
Principal Investigator
GSK Investigational Site
Longview Texas, 75601, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Donald A. Richards
Principal Investigator
GSK Investigational Site
McAllen Texas, 78503, United States More Info
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877-379-3718
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Habib M. H. Ghaddar
Principal Investigator
GSK Investigational Site
San Antonio Texas, 78229, United States
GSK Investigational Site
Temple Texas, 76508, United States
GSK Investigational Site
Tyler Texas, 75702, United States More Info
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877-379-3718
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Donald A. Richards
Principal Investigator
GSK Investigational Site
Weslaco Texas, 78596, United States More Info
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Habib M. H. Ghaddar
Principal Investigator
GSK Investigational Site
Fairfax Virginia, 8613, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Alexander I. Spira
Principal Investigator
GSK Investigational Site
Kennewick Washington, 99336, United States More Info
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Ying Zhuo
Principal Investigator
GSK Investigational Site
Puyallup Washington, 98373, United States More Info
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Andrea Veatch
Principal Investigator
GSK Investigational Site
Tacoma Washington, 98405, United States More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Andrea Veatch
Principal Investigator
GSK Investigational Site
Madison Wisconsin, 53792, United States
GSK Investigational Site
Madrid Navarra, 28027, Spain More Info
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877-379-3718
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Eduardo Castañón Álvarez
Principal Investigator
GSK Investigational Site
Barcelona , 08035, Spain More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Enriqueta Felip
Principal Investigator
GSK Investigational Site
Girona , 17007, Spain More Info
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877-379-3718
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+44 (0) 20 8990 4466
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Joaquim Bosch Barrera
Principal Investigator
GSK Investigational Site
L'Hospitalet De Llobregat , 08908, Spain More Info
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877-379-3718
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EU GSK Clinical Trials Call Centre
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María Jové Casulleras
Principal Investigator
GSK Investigational Site
Las Palmas De Gran Canaria , 35016, Spain More Info
US GSK Clinical Trials Call Center
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Delvys Rodriguez Abreu
Principal Investigator
GSK Investigational Site
Madrid , 28040, Spain More Info
US GSK Clinical Trials Call Center
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Victor Moreno García
Principal Investigator
GSK Investigational Site
Madrid , 28041, Spain More Info
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Luis Paz Ares
Principal Investigator
GSK Investigational Site
Málaga , 29010, Spain More Info
US GSK Clinical Trials Call Center
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Begoña Jiménez Rodríguez
Principal Investigator
GSK Investigational Site
Pamplona , 31008, Spain More Info
US GSK Clinical Trials Call Center
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Eduardo Castañón Álvarez
Principal Investigator
GSK Investigational Site
Valencia , 46010, Spain More Info
US GSK Clinical Trials Call Center
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877-379-3718
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EU GSK Clinical Trials Call Centre
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+44 (0) 20 8990 4466
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Desamparados Roda
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Melanoma

Phase:

Phase 1

Estimated Enrollment:

475

Study ID:

NCT02817633

Recruitment Status:

Recruiting

Sponsor:


Tesaro, Inc.

How clear is this clinincal trial information?

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