Supplementary appendix This appendix formed part of the original submission and has been peer reviewed. We post it as supplied by the authors. Supplement to: Pignata S, Scambia G, Katsaros D, et al, and Gynecologic Cancer InterGroup (GCIG) Investigators . Carboplatin plus paclitaxel once a week versus every 3 weeks in patients with advanced ovarian cancer (MITO-7): a randomised, multicentre, open-label, phase 3 trial. Lancet Oncol 2014; published online February 28. http://dx.doi.org/10.1016/S1470-2045(14)70049-X. Randomised multicentre phase III study comparing weekly versus every-3-week carboplatin plus paclitaxel in patients with advanced ovarian cancer: the MITO-7 (Multicentre Italian Trials in Ovarian cancer) – ENGOT-OV-10 (European Network of Gynaecological Oncological Trial Groups) - GCIG (Gynecologic Cancer InterGroup) trial. Web appendix Summary Trial scheme ....................................................................................................................................................................... 2 Figure 1A ........................................................................................................................................................................ 2 Details of compliance ......................................................................................................................................................... 2 Number of cycles ............................................................................................................................................................ 2 Table A1 ......................................................................................................................................................................... 2 Dose intensity ................................................................................................................................................................. 3 Table A2 ......................................................................................................................................................................... 3 Table A3 ......................................................................................................................................................................... 3 Figure A2 ........................................................................................................................................................................ 4 Institutions enrolling patients.............................................................................................................................................. 5 Table A4 ......................................................................................................................................................................... 5 List of the coauthors ........................................................................................................................................................... 7 Italy ................................................................................................................................................................................. 7 France ............................................................................................................................................................................. 8 1 Trial scheme The trial scheme is reported in Figure 1A Figure 1A Details of compliance Number of cycles Information on the number of received cycles is available for 400 out of 404 patients included in the mITT population in the standard arm and in 401 out of 406 patients included in the mITT population in the experimental arm. As clearly shown in table A1, there is a slightly lower compliance in the experimental arm, particularly evident at the 6th cycle that was delivered to 90% of the patients in the standard arm and to 83.3% of those in the experimental arm. Table A1 Number of cycles Standard arm (every-3-week) week) N=404 Experimental arm (weekly) N=406 unknown* 4 5 0 - 4 (1.0%) 1 7 (1.75%) 13 (3.2%) 2 6 (1.5%) 6 (1.5%) 3 13 (3.25%) 23 (5.7%) 4 9 (2.25%) 9 (2.2%) 5 5 (1.25%) 12 (3.0%) 6 360 (90.0%) 334 (83.3%) * not included in the denominator for calculation of percentages 2 Dose intensity Dose intensity is the consequence of delays, dose reductions and doses actually delivered of each drug at each cycle. In table A2, we report delays and dose reductions occurred in the trial. Delays include both those due to toxicity, those produced by logistic reasons (this explains why there are 5 delays of first cycle in the standard arm) and those derived from the execution of interval debulking surgery. Delays are more frequent (at single cycles and overall) in the weekly arm while dose-reductions are more frequent in the every-3-week standard arm. Both figures are expected because (i) a priori, the chance of delaying is higher in the weekly arm in the weekly arm considering that in this arm a cycle was labelled as “delay” if at least one of the three administrations was delayed, and because (ii) it is reasonable that dose reduction were more frequently applied in the arm with standard doses rather than in the weekly arm where the planned doses were already very low. Table A2 Standard arm Pts. treated Delay Dose reduction Experimental arm Pts. treated Delay Dose reduction Cycle 1 Cycle 2 Cycle 3 Cycle 4 Cycle 5 Cycle 6 Any cycle 400 5 (1%) 12 (3%) 393 42 (11%) 27 (7%) 387 71 (18%) 37 (10%) 374 101 (27%) 50 (13%) 365 112 (31%) 59 (16%) 360 106 (30%) 70 (19%) 400 249 (62%) 142 (36%) 397 49 (12%) 10 (2%) 384 107 (28%) 12 (3%) 378 152 (40%) 23 (6%) 355 153 (40%) 19 (5%) 346 134 (39%) 31 (9%) 334 96 (29%) 29 (9%) 397 315 (79%) 76 (19%) Administered doses, scattered by arm, drug and cycle, are summarised in the table A3. Table A3 Cycle 1 Cycle 2 Standard arm Pts. treated 400 393 Carboplatin Pts. evaluable 397 392 Median AUC 5.98 5.96 (IQR) (5.11 – 6.00) (5.01 – 6.00) Median % 99.7% 99.4% (IQR) (85.2% - 100.0%) (83.5% - 100.0%) Paclitaxel Pts. evaluable 399 392 Median mg/m2 174.83 174.83 (IQR) (174.19 – 175.00) (173.65 – 175.00) Median % 99.9% 99.9% (IQR) (99.5% - 100.0%) (99.2% - 100.0%) Experimental arm Pts. treated 397 384 Carboplatin Pts. evaluable 385 367 Median AUC 6.00 6.00 (IQR) (5.83 – 6.00) (5.62 – 6.00) Median % 99.9% 100.0% (IQR) (95.5% - 100.0%) (93.7% - 100.0%) Paclitaxel Pts. evaluable 396 382 Median mg/m2 179.66 179.62 (IQR) (177.98 – 180.00) (176.50 – 180.00) Median % 99.8% 99.8% (IQR) (98.9% - 100.0%) (98.1% - 100.0%) Footnote: AUC = area under the curve; IQR = interquartile range Cycle 3 Cycle 4 Cycle 5 Cycle 6 387 374 365 360 385 363 357 351 5.94 5.93 5.92 5.79 (5.00 – 6.00) (5.00 – 6.00) (5.00 – 6.00) (5.00 – 6.00) 98.9% 98.8% 98.6% 96.6% (83.3% - 100.0%) (83.3% - 100.0%) (83.3% - 100.0%) (83.3% - 100.0%) 385 367 357 354 174.73 174.70 174.61 174.52 (173.08 – 175.00) (172.41 – 175.00) (169.87 – 175.00) (153.59 – 175.00) 99.8% 99.8% 99.8% 99.7% (98.9% - 100.0%) (98.5% - 100.0%) (97.1% - 100.0%) (87.8% - 100.0%) 378 355 346 334 357 338 325 319 6.00 6.00 5.98 5.98 (5.36 – 6.00) (5.59 – 6.00) (5.19 – 6.00) (5.04 – 6.00) 100.0% 100.0% 99.7% 99.7% (89.4% - 100.0%) (93.2% - 100.0%) (86.6% - 100.0%) (83.9% - 100.0%) 375 354 344 334 179.60 179.65 179.64 179.25 (175.70 – 180.00) (175.86 – 180.34) (173.36 – 180.40) (172.77 – 180.00) 99.8% 99.8% 99.8% 99.6% (97.6% - 100.0%) (97.7% - 100.2%) (96.3% - 100.2%) (96.0% - 100.0%) 3 Figure A2 shows the overall relative dose-intensity dose of each single drug in the two arms and shows that for both drugs there was a slightly lower relative dose--intensity in the weekly arm versus the every-3-week week arm. arm Median values reported in the figure are 82.7% (interquartile range 70.1% - 94.8%) and 86.8% % (interquartile range 72.4% - 94.6%) for carboplatin and paclitaxel in the every-33-week arm, respectively, and 76.6% (interquartile range 64.1% - 87.5%) and 79.1% (interquartile range 66.9% - 89.3%) for the two drugs in the weekly arm, respectively. Figure A2 Box-plot of relative dose-intensity intensity of each drug by treatment arm. Line in the box: median value. Box hinges: 25–75th 75th percentiles; ends of the segments: 10–90th percentiles; dots: 5–95th 95th percentiles. Blue boxes: every-3-week every arm; red boxes: weekly arm. 4 Institutions enrolling patients Table A4 reports the Institutions enrolling patients and their Principal Investigators by the number of patients enrolled. Table A4 Institutions enrolling patients Dipartimento per la Tutela della Salute della Donna, della Vita Nascente, del Bambino e dell' Adolescente, Università Cattolica del Sacro Cuore (Roma, Italy) Dipartimento di Oncologia Uroginecologica, Istituto Nazionale Tumori – Fondazione G.Pascale IRCCS (Napoli, Italy) Dipartimento di Medicina Clinica e Chirurgia, Università di Napoli Federico II (Napoli, Italy) Unità di Ginecologia Oncologica, Fondazione IRCCS Istituto Nazionale Tumori (Milano, Italy) Dipartimento di Scienze Ginecologico-Ostetriche e Scienze Urologiche, Università La Sapienza (Roma, Italy) Ginecologia ed Ostetricia, Policlinico (Bari, Italy) Azienda Ospedaliera Città della Salute e della Scienza di Torino, Presidio S. Anna e Università di Torino, SCDO 3, Ginecologia Oncologica (Torino, Italy) Oncologia Medica C - Centro di Riferimento Oncologico (Aviano-PN, Italy) Oncologia ed Ematologia, AO Carlo Poma (Mantova) Ginecologia Oncologica, Centro di Ricerca e Formazione ad Alta Tecnologia nelle Scienze Biomediche, Università Cattolica del Sacro Cuore (Campobasso, Italy) Oncologia Medica Ospedale S. Giovanni Calibita Fatebenefratelli (Roma, Italy) Oncologia Medica Ospedale S. Chiara (Trento, Italy) Dipartimento di Oncologia AO S. Maria della Misericordia (Udine, Italy) Oncologia Medica, Azienda Ospedaliera ASMN, IRCCS (Reggio Emilia, Italy) Oncologia Medica, Ospedale Antonio Perrino (Brindisi, Italy) Ginecologia ed Ostetricia, AO V. Cervello (Palermo, Italy) Oncologia Medica, Ospedale Oncologico (Bari, Italy) Oncologia Medica, AOUP (Modena, Italy) Ginecologia ed Ostetricia, Ospedale A. Manzoni (Lecco - CO, Italy) Ginecologia Oncologica, AO Ordine Mauriziano (Torino, Italy) Oncologia Medica, AO S.Maria della Misericordia (Perugia, Italy) Oncologia, Ospedale Fatebenefratelli (Benevento, Italy) Oncologia Medica, Ospedale Renzetti (Lanciano – CH, Italy) Clinica Ostetrico-Ginecologica IRCCS S.Matteo (Pavia, Italy) Oncologia Medica, AO Vito Fazzi (Lecce, Italy) Oncogard - Clinique Valdegour (Nimes, France) Oncologia, AO S.Maria degli Angeli (Pordenone, Italy) Centre Hospitalier Intercommunal (Créteil, France) III Clinica Ostetrica e Ginecologica, Università (Bari, Italy) Oncologia Medica, Università G. D’Annunzio (Chieti, Italy) Oncologia ed Ematologia Oncologica, U.L.S.S. 13 (Mirano – VE, Italy) Oncologia Medica A, Istituto Regina Elena (Roma, Italy) Medicina Oncologica, Ospedale Ramazzini di Carpi e Ospedale di Mirandola (Carpi – MO, Italy) Centre Alexis Vautrin (Vandoeuvre-Les-Nancy, France) Centre d'Oncologie Saint-Yves (Vannes, France) CRLC Val d'Aurelle (Montpellier, France) Centre Hospitalier Universitaire Caremeau (Nimes, France) Oncologia Medica, Policlinico Giaccone (Palermo, Italy) Onco-Ematologia, Ospedale Andrea Tortora (Pagani – SA, Italy) Oncologia Ginecologica, Ospedale S.Gerardo (Monza, Italy) Oncologia, AOU (Parma, Italy) Oncologia Medica, Ospedale San Donato (Arezzo, Italy) Oncologia Medica, Ospedale Mazzoni (Ascoli Piceno, Italy) Hôpital de Chambéry (Chambéry, France) Centre Hospitalier Bretagne Sud (Lorient, France): Oncologia Medica, AO Bianchi Melacrino Morelli (Reggio Calabria, Italy) Ostetricia e Ginecologia, Ospedale Cannizzaro (Catania, Italy) Oncologia Clinica, AOU Arcispedale Sant'Anna (Ferrara, Italy) Oncologia Medica, Ospedale Boldrini (Thiene - VI, Italy) Clinique Francheville (Perigueux, France) Hôpital Hôtel-Dieu (Paris, France) Hôpital Foch (Suresnes, France) Centre Hospitalier Universitaire Dupuytren (Limoges, France) Oracle - Centre d'Oncologie de Gentilly (Nancy, France) Centre Hospitalier de Cholet (Cholet, France) Number of patients enrolled PI* 129 Giovanni Scambia 92 Sandro Pignata 52 Sabino De Placido 40 Francesco Raspagliesi 39 Pierluigi Benedetti Panici 38 Luigi Selvaggi 30 Dionyssios Katsaros 26 24 Roberto Sorio Enrico Aitini 23 Gabriella Ferrandina 22 21 20 19 16 13 12 12 11 10 9 9 9 9 8 8 7 7 6 6 5 5 Enrico Breda Viviana Murgia Cosimo Sacco Corrado Boni Saverio Cinieri Desiderio Gueli Alletti Emanuele Naglieri Roberto Sabbatini Antonio Pellegrino Annamaria Ferrero Anna Maria Mosconi Antonio febbraro Antonio Nuzzo Luciana Babilonti Vito Lorusso Eric Legouffe Giovanni Lo Re Emmanuelle Malaurie Emilia Mele Stefano Iacobelli Grazia Artioli Antonella Savarese 5 Lucia Longo 5 5 5 5 4 4 4 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 Beatrice Weber Emmanuel Blot Michel Fabbro Catherine Ferrer Antonio Russo Antonietta Fabbrocini Andrea Lissoni Maria Angela Bella Sabrina Del Buono Donatella Morale Isabelle Cauvin Isabelle Cumin Mario Nardi Paolo Scollo Marina Marzola Alessandra Perin Laurent Cany Eric Pujade-Lauraine Mehran Khatibi Sandrine Lavau-Denes Célia Roemer-Becuwe Alain Zannetti 5 Clinique Armoricaine de Radiologie (Saint-Brieuc, France) Oncologia Medica, Azienda Ospedaliera G. Rummo (Benevento, Italy) Oncologia Medica, Ospedale S. Spirito (Pescara, Italy) Oncologia medica, Ospedale S. Massimo (Penne – PE, Italy) Hôpital Notre-Dame de Bon Secours (Metz, France) Hôpital Drôme Nord - Site de Romans (Romans-Sur-Isere, France) Centre Hospitalier William Morey (Chalon-Sur-Saone, France) Centre de Radiothérapie - Clinique Sainte-Anne (Strasbourg, France) Centre Hospitalier Bretagne Atlantique (Vannes, France) Centre Hospitalier Départemental Les Oudairies (La Roche-Sr-Yon, France) Clinique de la Sauvegarde (Lyon, France) Centre Hospitalier du Mans (Le Mans, France) * The Principal Investigator might not be reported in the list of coauthors 2 1 1 1 1 1 1 1 1 1 1 1 Anne-Claire Hardt-Bessard Bruno Daniele Marco Lombardo Donato Natale Christian Platini Marie-Claude Gouttebel Bruno Salles Louis-Marie Dourthe Emmanuel Blot Franck Priou Isabelle Moullet Nathalie Denizon 6 List of the coauthors [centre (town): physicians; research nurses; data managers] Italy • • • • • • • • • • • • • • • • • • • • • • • Dipartimento per la Tutela della Salute della Donna, della Vita Nascente, del Bambino e dell' Adolescente, Università Cattolica del Sacro Cuore (Roma): Giovanni Scambia, Vanda Salutari, Caterina Ricci, Rosa De Vincenzo, Mariagrazia Di Stefano, Valeria Masciullo, Maria Lisa Scarciglia, Floriana Mascilini, Alessia Di Legge, Antonella Pietragalla, Giulia Amadio, Carmine Conte; Michela Panella; Francesca Capobianco, Martina Radicella. Dipartimento di Oncologia Uroginecologica, Istituto Nazionale Tumori Fondazione G.Pascale - IRCCS (Napoli): Sandro Pignata, Carmela Pisano, Stefano Greggi, Marilena Di Napoli, Sabrina Chiara Cecere, Rosa Tambaro, Gaetano Facchini, Carla Cavaliere; Carmelina Landolfi, Vincenza Lanza, Adele Tatarella; Balbina Apice, Antonietta Linardi. Dipartimento di Medicina Clinica e Chirurgia, Università di Napoli Federico II (Napoli): Sabino De Placido, Rossella Lauria, Brigida Stanzione, Monica Milano, Piera Gargiulo, Carmine De Angelis, Valeria Forestieri, Alessandra Vernaglia Lombardi, Domenico Malzoni (Casa di cura Malzoni-Villa dei Platani, Avellino); Antonio Pepe. Unità di Ginecologia Oncologica, Fondazione IRCCS Istituto Nazionale Tumori (Milano): Francesco Raspagliesi, Domenica Lorusso, Flavia Zanaboni, Maria Mancini, Italo Sarno, Antonino Ditto, Fabio Martinelli; Elisa Grassi, Dominique Ronzulli; Patrizia Angela Valente, Ylenia Ponti. Dipartimento di Scienze Ginecologico-Ostetriche e Scienze Urologiche, Università La Sapienza (Roma): Pierluigi Benedetti Panici, Claudia Marchetti, Angela Musella, Laura Salerno, Innocenza Palaia, Filippo Bellati, Giorgia Perniola. Ginecologia ed Ostetricia, Policlinico (Bari): Gennaro Cormio, Luigi Selvaggi, Vera Loizzi, Anna Camporeale, Luca Leone, Emma Bassi, Paola De Mitri; Teresa Loverre. Ginecologia Oncologica, Azienda Ospedaliera Città della Salute e della Scienza, Presidio S. Anna e Università (Torino): Dionyssios Katsaros , Saverio Danese, Emilie Marion Canuto, Elena Bertone, Gianluca Gregori. Oncologia Medica C - Centro di Riferimento Oncologico (Aviano-PN): Roberto Sorio, Simona Scalone, Davide Lombardi, Giorgio Giorda, Emilio Lucia ; Anna Maria Colussi; Gianna Tabaro. Oncologia ed Ematologia, AO Carlo Poma (Mantova): Maria Giovanna Cavazzini, Francesca Adami, Carla Rabbi, Rita Cengarle, Mariabeatrice Pisanelli, Enrico Aitini; Patrizia Morselli. Ginecologia Oncologica, Centro di Ricerca e Formazione ad Alta Tecnologia nelle Scienze Biomediche, Università Cattolica del Sacro Cuore (Campobasso): Gabriella Ferrandina, Francesco Legge. Oncologia Medica Ospedale S. Giovanni Calibita Fatebenefratelli (Roma): Enrico Breda, Diego Signorelli, Filippo Greco, Giuditta di Isernia, Antonella Mecozzi. Oncologia Medica Ospedale S. Chiara (Trento): Viviana Murgia, Alessia Caldara, Arrigo Nozza, Chiara Del Pezzo. Dipartimento di Oncologia, Azianda Ospedaliera Universitaria S. Maria della Misericordia (Udine): Cosimo Sacco, Claudia Andreetta, Paola Ermacora, Gianpiero Fasola, Michela Cozzi; Paola Costantini; Silvia Ellero. Oncologia Medica, Arcispedale S. Maria Nuova (Reggio Emilia): Alessandra Bologna, Corrado Boni, Nuria Maria Asensio Sierra, Francesca Zanelli, Silvia Fanello; Roberta Gnoni, Elena Magnani, Giovanna Stridi, Erika Gervasi. Oncologia Medica, Ospedale Antonio Perrino (Brindisi): Saverio Cinieri, Enrica Mazzoni, Concetta Chetrì, Maria D'Amico, Chiara Caliolo; Liana Letizia Falcone, Maria Pinto, Giuseppe Lotti; Margherita Cinefra, Pasqualinda Ferrara. Ginecologia ed Ostetricia, AO V. Cervello (Palermo): Desiderio Gueli Alletti, Nenzi Varsellona, Andrea Benedetto Di Stefano; Concetta Allotta. Oncologia Medica, Ospedale Oncologico (Bari): Emanuele Naglieri, Anila Kardhashi, Vito Trojano ; Lucrezia Spadone; Sabina Delcuratolo. Oncologia Medica, AOUP (Modena): Roberto Sabbatini, Cristina Masini, Angela Toss; Pasquale Mighali. Ginecologia ed Ostetricia, Ospedale A. Manzoni (Lecco - CO): Stefania Dell’Oro, Ilaria Colombo, Silvia Corso; Attilia Ravasi, Stella Monti, Roberta Monti; Micol Gilardoni, Angelita Lagati, Mario Villa, Davide Colombo. Ginecologia Oncologica, AO Ordine Mauriziano (Torino): Annamaria Ferrero, Elisa Tripodi, Stefania Perotto. Oncologia Medica, AO S.Maria della Misericordia (Perugia): Anna Maria Mosconi, Paola Anastasi; Anna Rita Presciutti, Mariangela Ceccarini, Alessandra Traversini; Massimiliano Ferraldeschi, Fabiana Marchetti, Sara Baglivo. Oncologia, Ospedale Fatebenefratelli (Benevento): Antonio Febbraro, Ilaria Spagnoletti. Oncologia Medica, Ospedale Renzetti (Lanciano – CH): Antonio Nuzzo, Nicola D'Ostilio. 7 • • • • • • • • • • • • • • • • • • • • • • • Clinica Ostetrico-Ginecologica IRCCS S.Matteo (Pavia): Arsenio Spinillo, Luciana Babilonti. Oncologia Medica, AO Vito Fazzi (Lecce): Vito Lorusso, Graziana Ronzino; Valeria Saracino. Oncologia, AO S.Maria degli Angeli (Pordenone): Giovanni Lo Re, Davide Santeufemia; Antonino Ius. III Clinica Ostetrica e Ginecologica, Università (Bari): Emilia Mele, Valeria Vincenza Fumarulo; Nicoletta Cafagno, Isabella Garofalo. Oncologia Medica, Università G. D’Annunzio (Chieti): Luciana Irtelli, Alessandra Di Paolo. Oncologia ed Ematologia Oncologica, U.L.S.S. 13 (Mirano – VE): Grazia Artioli, Giuseppe Azzarello. Oncologia Medica A, Istituto Regina Elena (Roma): Antonella Savarese, Enrico Vizza; Agnese Provenziani. Medicina Oncologica, Ospedale Ramazzini di Carpi e Ospedale di Mirandola (Carpi – MO): Lucia Longo, Alessia Ferrari; Giorgia Razzini, Roberta Guerzoni. Oncologia Medica, Policlinico Giaccone (Palermo): Antonio Russo. Onco-Ematologia, Ospedale Andrea Tortora (Pagani – SA): Antonietta Fabbrocini; Linda Alvino, Concetta Ingenito, Annapaola Campana, Patrizia De Prisco. Oncologia Ginecologica, Ospedale S.Gerardo (Monza): Valentina Chiappa. Oncologia, AOU (Parma): Maria Angela Bella; Leonarda Ferri; Elena Rapacchi, Roberta Camisa. Oncologia Medica, Ospedale San Donato (Arezzo): Sabrina Del Buono; Samanta Capacci. Oncologia Medica, Ospedale Mazzoni (Ascoli Piceno): Donatella Morale. Oncologia Medica, AO Bianchi Melacrino Morelli (Reggio Calabria): Pietro Del Medico; Antonella Falzea. Ostetricia e Ginecologia, Ospedale Cannizzaro (Catania): Paolo Scollo. Oncologia Clinica, AOU Arcispedale Sant'Anna (Ferrara): Marina Marzola; Elena Raisi, Giovanna Chiara Surace. Oncologia Medica, Ospedale Boldrini (Thiene - VI): Alessandra Perin. Oncologia Medica, Azienda Ospedaliera G. Rummo (Benevento): Lucia Cannella. Oncologia Medica, Ospedale S. Spirito (Pescara): Cristina Amatetti. Oncologia medica, Ospedale S. Massimo (Penne – PE): Bruna Fornarini. Unità di Statistica Medica, Seconda Università di Napoli (Napoli): Ciro Gallo, Simona Signoriello, Giuseppe Signoriello, Paolo Chiodini. Unità Sperimentazioni Cliniche, Istituto Nazionale Tumori Fondazione G.Pascale - IRCCS (Napoli): Francesco Perrone, Massimo Di Maio, Maria Carmela Piccirillo, Gennaro Daniele, Alessandro Morabito; Jane Bryce; Giuliana Canzanella, Federika Crudele, Francesca Laudato, Cristiana de Luca, Giovanni de Matteis, Manuela Florio, Fiorella Romano, Antonia Del Giudice, Marilena Martino, Maria Teresa Ribecco, Alfonso Savio, Lucia Sparavigna. France • • • • • • • • • • • • • • • • • • • • • • • • Oncogard - Clinique Valdegour (Nimes): Jacques Cretin, Eric Legouffe. Centre Hospitalier Intercommunal (Créteil): Emmanuelle Malaurie, Stéphane Henault. Centre Alexis Vautrin (Vandoeuvre-Les-Nancy): Beatrice Weber, Marie Christine Kaminsky. Centre d'Oncologie Saint-Yves (Vannes): Emmanuel Blot. CRLC Val d'Aurelle (Montpellier): Michel Fabbro. Centre Hospitalier Universitaire Caremeau (Nimes): Catherine Ferrer. Hôpital de Chambéry (Chambéry): Isabelle Cauvin. Centre Hospitalier Bretagne Sud (Lorient): Isabelle Cumin. Clinique Francheville (Perigueux): Laurent Cany. Hôpital Hôtel-Dieu (Paris): Eric Pujade-Lauraine. Hôpital Foch (Suresnes): Mehran Khatibi. Centre Hospitalier Universitaire Dupuytren (Limoges): Sandrine Lavau-Denes. Oracle - Centre d'Oncologie de Gentilly (Nancy): Célia Roemer-Becuwe. Centre Hospitalier de Cholet (Cholet): Alain Zannetti. Clinique Armoricaine de Radiologie (Saint-Brieuc): Anne-Claire Hardt-Bessard. Hôpital Notre-Dame de Bon Secours (Metz): Christian Platini. Hôpital Drôme Nord - Site de Romans (Romans-Sur-Isere): Marie-Claude Gouttebel. Centre Hospitalier William Morey (Chalon-Sur-Saone): Bruno Salles. Centre de Radiothérapie - Clinique Sainte-Anne (Strasbourg): Louis-Marie Dourthe. Centre Hospitalier Bretagne Atlantique (Vannes): Emmanuel Blot. Centre Hospitalier Départemental Les Oudairies (La Roche-Sr-Yon): Franck Priou. Clinique de la Sauvegarde (Lyon): Isabelle Moullet. Centre Hospitalier du Mans (Le Mans): Nathalie Denizon. ARCAGY – GINECO Hôpital Hôtel Dieu (Paris): Benedicte Votan, Frederic Marmion. 8
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