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Study of a Drug [DCVax®-L] to Treat Newly Diagnosed GBM Brain Cancer

Study Purpose

The primary purpose of the study is to determine the efficacy of an investigational therapy called DCVax(R)-L in patients with newly diagnosed GBM for whom surgery is indicated. Patients must enter screening at a participating site prior to surgical resection of the tumor. Patients will receive the standard of care, including radiation and Temodar therapy and two out of three will additionally receive DCVax-L, with the remaining one third receiving a placebo. All patients will have the option to receive DCVax-L in a crossover arm upon documented disease progression. (note: DCVax-L when used for patients with brain cancer is sometimes also referred to as DCVax-Brain)

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 - 70 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

All patients must meet the following inclusion criteria. All tests and eligibility criteria must be completed within four weeks of completion of radiation and chemotherapy, following surgery.
  • - Patients must have sufficient tumor lysate protein that was generated from the surgically obtained tumor material.
Patients must also have sufficient DCVax-L product available after manufacturing. These determinations will be made by Cognate BioServices, Inc. (Cognate) and communicated to the clinical site through the Sponsor, or its designee.
  • - Patients with newly diagnosed, unilateral GBM (Grade IV) are eligible for this protocol.
An independent neuropathologist will review this diagnosis during the enrollment process.
  • - Subjects ≥18 and ≤70 years of age at surgery who are capable of informed consent.
Patients must be able to understand and sign the informed consent documents indicating that they are aware of the investigational nature of this study.
  • - Patients must have a life expectancy of >8 weeks.
  • - Patients must have a KPS rating of ≥70 at the baseline visit (Visit 3).
  • - Primary therapy must consist of surgical resection with the intent for a gross or near total resection of the contrast-enhancing tumor mass, followed by conventional external beam radiation therapy and concurrent Temodar chemotherapy.
Patients having a biopsy only will be excluded. These primary treatments must be completed at least two weeks prior to first immunization.
  • - Patients may have received steroid therapy as part of their primary treatment.
Steroid treatment must be stopped at least 10 days prior to leukapheresis.
  • - Patients must not have progressive disease at completion of radiation therapy.
Patients with suspected pseudoprogression will be enrolled and analyzed separately.
  • - Patients must be willing to forego cytotoxic anti-tumor therapies except temozolomide essentially according to the schedule of the Stupp Protocol (Stupp et al.
N Engl J Med 352: 987-96, 2005) while being treated with DCVax-L. DCVax-L treatment must be given as described and temozolomide/Temodar treatment schedules must be given essentially according to the Stupp Protocol.
  • - Patients must have adequate bone marrow function (e.g., hemoglobin >10 g/dl, white blood count 3600-11,000mm3, absolute granulocyte count ≥1,500/mm3, absolute lymphocyte count ≥1,000/mm3, and platelet count ≥100K/mm3.
Eligibility level of hemoglobin can be reached by transfusion.
  • - Adequate liver function (SGPT, SGOT, and alkaline phosphatase ≤1.5 times upper limits of normals (ULN) and total bilirubin ≤1.5mg/dl), and adequate renal function (BUN or creatinine ≤1.5 times ULN) prior to starting therapy.

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.

NCT00045968
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.

Northwest Biotherapeutics
Principal Investigator

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

Linda Liau, M.D.Marnix L. Bosch, MBA, PhD
Principal Investigator Affiliation University of California, Los AngelesNorthwest Biotherapeutics
Agency Class

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

Industry
Overall Status Unknown status
Countries Canada, Germany, United Kingdom, United States
Conditions

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

Glioblastoma Multiforme, Glioblastoma, GBM, Grade IV Astrocytoma, Glioma, Brain Cancer, Brain Tumor
Study Website: View Trial Website
Additional Details

This Phase III trial is designed to evaluate the impact on survival time, as well as safety, in patients following treatment with DCVax(R)-L, an immunotherapy treatment for GBM. The experimental therapy uses a patient's own tumor lysate and white blood cells from which precursors of the dendritic cells are isolated. The dendritic cell is the starter engine of the immune system. The white cells are then made into dendritic cells and they are educated to "teach" the immune system how to recognize brain cancer cells. Eligible patients will receive a series of injections of DCVax-L, to activate and then boost the immune response to the tumor cells. The primary study endpoint is OS (overall survival) compared to external controls in newly diagnosed glioblastoma, and the first secondary endpoint is OS compared to external controls in recurrent glioblastoma. Side effects reported from early trials are mostly mild, and may include skin reactions of redness, pain & swelling at the injection site.

Arms & Interventions

Arms

Active Comparator: treatment cohort

Placebo Comparator: Placebo Chohort

Autologous PBMC

Interventions

Drug: - Dendritic cell immunotherapy

Two intradermal (i.d.) injections of DCVax-L(treatment cohort) or autologous PBMC (placebo cohort) per treatment. Treatments will be given at days 0, 10, 20, and at weeks 8, 16, 32, 48, 72, 96 and 120.

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.

University of Alabama at Birmingham, Birmingham, Alabama

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University of Alabama at Birmingham

Birmingham, Alabama, 35294

Little Rock, Arkansas

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205

Castro Valley, California

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Address

Sutter East Bay Neuroscience Institute-Eden Medical Center

Castro Valley, California, 94546

City of Hope, Duarte, California

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Address

City of Hope

Duarte, California, 91010

UCSD Moores Cancer Center, La Jolla, California

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Address

UCSD Moores Cancer Center

La Jolla, California, 93093

Kaiser Permanente - Los Angeles, Los Angeles, California

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Address

Kaiser Permanente - Los Angeles

Los Angeles, California, 90027

UCLA Medical Center, Los Angeles, California

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UCLA Medical Center

Los Angeles, California, 90095

Hoag Memorial Hospital Presbyterian, Newport Beach, California

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Address

Hoag Memorial Hospital Presbyterian

Newport Beach, California, 92663

St. Joseph Hospital of Orange, Orange, California

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St. Joseph Hospital of Orange

Orange, California, 92868

Orange, California

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University of California, Irvine Medical Center

Orange, California, 92868

Kaiser Permanente - Redwood City, Redwood City, California

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Address

Kaiser Permanente - Redwood City

Redwood City, California, 94063

Sutter Institute for Medical Research, Sacramento, California

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Sutter Institute for Medical Research

Sacramento, California, 95816

University of Colorado Cancer Center, Aurora, Colorado

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University of Colorado Cancer Center

Aurora, Colorado, 80045

Colorado Neurological Institute, Englewood, Colorado

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Colorado Neurological Institute

Englewood, Colorado, 80113

Georgetown University Medical Center, Washington, District of Columbia

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Georgetown University Medical Center

Washington, District of Columbia, 20057

University of Florida, Gainesville, Florida

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University of Florida

Gainesville, Florida, 32611

Memorial Cancer Institute, Hollywood, Florida

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Memorial Cancer Institute

Hollywood, Florida, 33021

Miami Beach, Florida

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Address

Mount Sinai Community Clinical Oncology Program

Miami Beach, Florida, 33140

Moffitt Cancer Center, Tampa, Florida

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Moffitt Cancer Center

Tampa, Florida, 33612

Piedmont Atlanta Hospital, Atlanta, Georgia

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Address

Piedmont Atlanta Hospital

Atlanta, Georgia, 30309

Rush University Medical Center, Chicago, Illinois

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Rush University Medical Center

Chicago, Illinois, 60612

Illinois Cancer Care, Peoria, Illinois

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Address

Illinois Cancer Care

Peoria, Illinois, 61615

Cadence Cancer Center, Warrenville, Illinois

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Address

Cadence Cancer Center

Warrenville, Illinois, 60555

IU Simon Cancer Center, Indianapolis, Indiana

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Address

IU Simon Cancer Center

Indianapolis, Indiana, 46202

University of Kansas Cancer Center, Westwood, Kansas

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Address

University of Kansas Cancer Center

Westwood, Kansas, 66205

Lexington, Kentucky

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Markey Cancer Center/University of Kentucky

Lexington, Kentucky, 40536

Norton Cancer Institute, Louisville, Kentucky

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Norton Cancer Institute

Louisville, Kentucky, 40202

Tufts Medical Center, Boston, Massachusetts

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Tufts Medical Center

Boston, Massachusetts, 02111

Beth Israel Deaconess Medical Center, Boston, Massachusetts

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Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215

University of Michigan Cancer Center, Ann Arbor, Michigan

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University of Michigan Cancer Center

Ann Arbor, Michigan, 48109

Henry Ford Hospital, Detroit, Michigan

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Henry Ford Hospital

Detroit, Michigan, 48202

Spectrum Health, Grand Rapids, Michigan

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Spectrum Health

Grand Rapids, Michigan, 49503

Minneapolis, Minnesota

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John Nasseff Neuroscience Institute at Abbott Northwestern Hospital

Minneapolis, Minnesota, 55407

St. Luke's Hospital, Kansas City, Missouri

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St. Luke's Hospital

Kansas City, Missouri, 64111

Washington University School of Medicine, Saint Louis, Missouri

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Washington University School of Medicine

Saint Louis, Missouri, 63110

Edison, New Jersey

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The Brain Tumor Center at JFK Medical Center

Edison, New Jersey, 08818

Hackensack, New Jersey

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John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, 07601

The Valley Hospital, Ridgewood, New Jersey

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The Valley Hospital

Ridgewood, New Jersey, 07450

Overlook Hospital, Summit, New Jersey

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Overlook Hospital

Summit, New Jersey, 07902

Capital Health Regional Medical Center, Trenton, New Jersey

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Capital Health Regional Medical Center

Trenton, New Jersey, 08638

Lake Success, New York

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Long Island Brain Tumor Center at Neurological Surgery, P.C.

Lake Success, New York, 11042

North Shore University Hospital, Manhasset, New York

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North Shore University Hospital

Manhasset, New York, 11030

New York, New York

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New York University Clinical Cancer Center

New York, New York, 10016

Mount Sinai Medical Center, New York, New York

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Mount Sinai Medical Center

New York, New York, 10029-6574

Columbia University Medical Center, New York, New York

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Address

Columbia University Medical Center

New York, New York, 10032

University of Rochester Medical Center, Rochester, New York

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Address

University of Rochester Medical Center

Rochester, New York, 14642

Stony Brook Medicine, Stony Brook, New York

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Stony Brook Medicine

Stony Brook, New York, 11794

White Plains, New York

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Brain and Spine Surgeons of New York and Northern Westchester Hospital

White Plains, New York, 10604

Chapel Hill, North Carolina

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University of North Carolina, Chapel Hill

Chapel Hill, North Carolina, 27514

Wake Forest Baptist Medical Center, Winston-Salem, North Carolina

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Wake Forest Baptist Medical Center

Winston-Salem, North Carolina, 27157

Cincinnati, Ohio

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University of Cincinnati Cancer Institute

Cincinnati, Ohio, 45267

Cleveland, Ohio

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University Hospitals Seidman Cancer Center

Cleveland, Ohio, 44106

Cleveland Clinic Foundation, Cleveland, Ohio

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Cleveland Clinic Foundation

Cleveland, Ohio, 44195

Ohio State University, Columbus, Ohio

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Ohio State University

Columbus, Ohio, 43210

OhioHealth, Columbus, Ohio

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OhioHealth

Columbus, Ohio, 43214

Oklahoma City, Oklahoma

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Oklahoma University Health Science Center

Oklahoma City, Oklahoma, 73104

Geisinger Medical Center, Danville, Pennsylvania

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Geisinger Medical Center

Danville, Pennsylvania, 17822

Philadelphia, Pennsylvania

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Hospital of the University of Pennsylvania

Philadelphia, Pennsylvania, 19104

Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania

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Jefferson Hospital for Neuroscience

Philadelphia, Pennsylvania, 19107

Temple University School of Medicine, Philadelphia, Pennsylvania

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Temple University School of Medicine

Philadelphia, Pennsylvania, 19140

Rhode Island Hospital, Providence, Rhode Island

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Rhode Island Hospital

Providence, Rhode Island, 02903

Charleston, South Carolina

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Medical University of South Carolina Hospitals and Clinics

Charleston, South Carolina, 29425

Saint Thomas Research Institute, Nashville, Tennessee

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Saint Thomas Research Institute

Nashville, Tennessee, 37205

Vanderbilt Ingram Cancer Center, Nashville, Tennessee

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Vanderbilt Ingram Cancer Center

Nashville, Tennessee, 37232

Baylor Research Institute, Dallas, Texas

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Baylor Research Institute

Dallas, Texas, 75246

The Methodist Hospital, Houston, Texas

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The Methodist Hospital

Houston, Texas, 77030

Houston, Texas

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University of Texas Health Science Center at Houston

Houston, Texas, 77030

San Antonio, Texas

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Cancer Therapy & Research at University of Texas Health Science Center San Antonio

San Antonio, Texas, 78229

Seattle, Washington

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Benaroya Research Institute at Virginia Mason

Seattle, Washington, 98101

Swedish Hospital Neuroscience Research, Seattle, Washington

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Swedish Hospital Neuroscience Research

Seattle, Washington, 98122

Aurora Saint Luke's Medical Center, Milwaukee, Wisconsin

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Aurora Saint Luke's Medical Center

Milwaukee, Wisconsin, 23215

International Sites

Montreal, Quebec, Canada

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Montreal Neurological Institute, McGill University

Montreal, Quebec, H3A 2B4

CHUS - Hôpital Fleurimont, Sherbrooke, Quebec, Canada

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CHUS - Hôpital Fleurimont

Sherbrooke, Quebec, J1H 5N4

Heidelberg, Baden-Württemberg, Germany

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Universitätsklinikum Heidelberg Neurochirurgische Klinik

Heidelberg, Baden-Württemberg, 69120

Katharinenhospital, Stuttgart, Baden-Württemberg, Germany

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Address

Katharinenhospital

Stuttgart, Baden-Württemberg, 70174

Frankfurt, Hesse, Germany

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Universitätsklinikum FrankfurtKlinik und Poliklinik für Neurochirurgie

Frankfurt, Hesse, 60528

Bonn, North Rhine-Westphalia, Germany

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Universitätsklinikum Bonn Nervenklinik (Zentrum), Klinik und Poliklinik für Neurochirurgie

Bonn, North Rhine-Westphalia, 53105

Köln, North Rhine-Westphalia, Germany

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Universitätsklinikum Klinik für allgemeine Neurochirurgie

Köln, North Rhine-Westphalia, 50924

Halle, Saxony-Anhalt, Germany

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BG-Kliniken Bergmannstrost, Klinik für Neurochirurgie

Halle, Saxony-Anhalt, 06112

Chemnitz, Saxony, Germany

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Klinik für Neurochirurgie, Klinikum Chemnitz gGmbH

Chemnitz, Saxony, 09116

Dresden, Saxony, Germany

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Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden

Dresden, Saxony, 01307

Neurochirurgische Klinik, Hamburg, Germany

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Address

Neurochirurgische Klinik

Hamburg, , 20246

Addenbrookes NHS Trust, Cambridge, Cambridgeshire, East Anglia, United Kingdom

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Addenbrookes NHS Trust

Cambridge, Cambridgeshire, East Anglia, CB2 2QQ

London, Greater London, United Kingdom

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Address

Kings College Hosital NHS Foundation Trust

London, Greater London, SE5 9RS

University College Hospital London, London, Greater London, United Kingdom

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University College Hospital London

London, Greater London, WC1E 6BT

Birmingham, West Midlands, United Kingdom

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University Hospital of Birmingham NHS Foundation Trust

Birmingham, West Midlands, N15 2WB