Breast CancerPhase 3NCT00528567
BEATRICE Study: A Study of Bevacizumab (Avastin) Adjuvant Therapy in Triple Negative Breast Cancer
A Phase 3 study testing Bevacizumab and Standard adjuvant chemotherapy in people with Breast Cancer, run by Hoffmann-La Roche at 403 sites in 40 countries.
Trial summary
The main objective of the trial is to compare Invasive Disease-Free Survival (IDFS) of patients randomised to treatment with adjuvant chemotherapy alone or to adjuvant chemotherapy with 1 year of bevacizumab. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Bevacizumab and Standard adjuvant chemotherapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,591 participants
- Where
- 403 sitesin 40 countries
- Study dates
- Dec 2007to Jun 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- adult patients, >=18 years of age;
- operable primary invasive breast cancer;
- completed definitive loco-regional surgery;
- primary tumor centrally confirmed as triple negative.
Who cannot join
- locally advanced breast cancers;
- previous breast cancer history;
- clinically significant cardiovascular disease.
Trial locations and contacts
403 sites in 40 countries.
403 sites in 40 countries
United States44 sites
Study site
Abingdon, Virginia, 24211
Study site
Atlanta, Georgia, 30318
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Augusta, Georgia, 30901
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Austin, Texas, 78759
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Bakersfield, California, 93309
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Baltimore, Maryland, 21215
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Baltimore, Maryland, 21237
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Brownstown, Michigan, 48183
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Chattanooga, Tennessee, 37404
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Cincinnati, Ohio, 45242
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Columbia, South Carolina, 29210
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Columbus, Ohio, 43235
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Dallas, Texas, 75234
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Fairfield, Connecticut, 06824
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Fayetteville, Arkansas, 72703
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Fountain Valley, California, 92708
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Gainesville, Florida, 32605
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Germantown, Tennessee, 38138
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Greenbrae, California, 94904
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Hickory, North Carolina, 28602
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Huntsville, Alabama, 35805
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Iowa City, Iowa, 52242
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Kalamazoo, Michigan, 49007
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Kansas City, Missouri, 64111
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Lawrenceville, Georgia, 30046
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Long Branch, New Jersey, 07740
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Los Angeles, California, 90057
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Middletown, Ohio, 45042
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Mobile, Alabama, 36604
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Nashville, Tennessee, 37203
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Niles, Illinois, 60714
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Orlando, Florida, 32806
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Pleasant Hill, California, 94523
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Richmond, Virginia, 23230
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Rockville, Maryland, 20850-3348
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Rutland, Vermont, 05701
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Southfield, Michigan, 48075-3707
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St Louis, Missouri, 63141
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Stamford, Connecticut, 06902
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Tamarac, Florida, 33321
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The Bronx, New York, 10469
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Washington D.C., District of Columbia, 20010
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Waterloo, Iowa, 50702
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Winston-Salem, North Carolina, 27103
Germany39 sites
Study site
Berlin, 10317
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Berlin, 14195
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Bielefeld, 33604
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Bonn, 53111
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Chemnitz, 09116
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Coburg, 96450
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Cologne, 50924
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Dortmund, 44137
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Dresden, 01307
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Düsseldorf, 40225
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Frankfurt am Main, 60389
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Freiburg im Breisgau, 79106
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Georgsmarienhütte, 49124
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Greifswald, 17475
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Hamburg, 20246
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Hamburg, 20357
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Heidelberg, 69115
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Herne, 44625
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Kassel, 34117
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Kiel, 24105
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Krefeld, 47805
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Leipzig, 04129
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Lemgo, 32657
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Lüneburg, 21339
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Magdeburg, 39108
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Marburg, 35043
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München, 81925
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Münster, 48149
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Offenbach, 63069
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Offenburg, 77654
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Recklinghausen, 45657
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Rosenheim, 83022
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Stade, 21680
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Trier, 54290
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Tübingen, 72076
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Ulm, 89075
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Weißenfels, 06667
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Wiesbaden, 65199
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Witten, 58452
Italy32 sites
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Aviano, 33081
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Bari, 70126
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Bergamo, 24128
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Brescia, 25123
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Brindisi, 72100
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Candiolo, 10060
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Cattolica, 47841
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Cesena, 47023
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Fano, 61032
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Genova, 16142
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Lecce, 73100
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Lido di Camaiore, 55043
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Livorno, 57100
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Lugo
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Mantua, 46100
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Noale, 30033
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Padova, 35128
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Palermo, 90146
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Parma, 43100
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Pavia, 27100
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Potenza, 85100
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Ravenna, 48100
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Rimini, 47037
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Roma, 00144
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Roma, 00158
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Roma, 00161
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Rozzano, 20089
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San Giovanni Rotondo, 71013
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Sassari, 07100
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Taormina, 98039
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Treviglio, 24047
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Vecchiazzano, 47100
United Kingdom32 sites
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Belfast, BT9 7AB
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Birmingham, B15 2TT
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Bournemouth, BH7 7DW
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Brighton, BN2 5BE
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Bristol, BS2 8ED
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Cambridge, CB2 2QQ
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Cardiff, CF14 2TL
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Chelsmford, CM1 7ET
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Colchester, CO3 3NB
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Dundee, DD1 9SY
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Edinburgh, EH4 2XU
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Epping, CM16 6TN
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Exeter, EX2 5DW
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Glasgow, G12 0YN
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Guildford, GU2 5XX
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Huddersfield, HD3 3EA
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Ipswich, IP4 5PD
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Leeds, LS9 7TF
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London, EC1 A7BE
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London, NW3 2QG
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London, SE1 9RT
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London, W2 1NY
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Manchester, M20 4BX
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Merseyside, CH63 45Y
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Newcastle upon Tyne, NE4 6BE
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Northwood, HA6 2RN
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Peterborough, PE 3 9GZ
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Sheffield, S1O 2SJ
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Southampton, SO16 6YD
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Stoke-on-Trent, ST4 7LN
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Truro, TR1 3LJ
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Wolverhampton, WV10 0QP
France29 sites
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Angers, 49933
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Bayonne, 64100
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Besançon, 25030
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Bobigny, 93009
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Bordeaux, 33077
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Brest, 29609
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Clermont-Ferrand, 63050
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Colmar, 68024
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Grenoble, 38100
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La Chaussée-Saint-Victor, 41260
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Le Mans, 72000
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Lille, 59000
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Lille, 59020
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Limoges, 87039
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Marseille, 13285
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Montbéliard, 25209
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Montpellier, 34298
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Mougins, 6250
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Nancy, 54100
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Neuilly-sur-Seine, 92200
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Paris, 75010
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Paris, 75231
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Paris, 75908
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Rouen, 76038
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Saint-Cloud, 92210
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Senlis, 60309
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Strasbourg, 67010
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Toulon, 83056
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Tours, 37044
Australia23 sites
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Brisbane, 4006
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Brisbane, 4104
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Camperdown, 2050
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East Bentleigh, VIC 3165
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Fitzroy, 3065
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Geelong, 3220
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Heidelberg, 3084
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Kurralta Park, 5035
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Malvern, 3144
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Nambour, 4560
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Parkville, 3052
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Perth, 6000
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Perth, 6008
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Port Macquarie, 2444
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St Leonards, 2065
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Sydney, 2031
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Sydney, 2060
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Sydney, 2065
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Sydney, 2139
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Wahroonga, 2076
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Waratah, 2298
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Wodonga, 3690
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Wollongong, 2500
Canada23 sites
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Edmonton, Alberta, T6G 1Z2
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Greater Sudbury, Ontario, P3E 5J1
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Greenfield Park, Quebec, J4V 2H1
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Halifax, Nova Scotia, B3H 2Y9
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Kingston, Ontario, K7L 5P9
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Kitchener, Ontario, N2G 1G3
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London, Ontario, N6A 4L6
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Mississauga, Ontario, L5M 2N1
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Moncton, New Brunswick, E1C 6Z8
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Montreal, Quebec, H1T 2M4
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Montreal, Quebec, H2W 1S6
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Oshawa, Ontario, L1G 2B9
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Ottawa, Ontario, K1H 8L6
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Québec, Quebec, G1S 4L8
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Saskatoon, Saskatchewan, S7N 4H4
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St. John's, Newfoundland and Labrador, A1B 3V6
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Surrey, British Columbia, V3V 1Z2
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Toronto, Ontario, M4N 3M5
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Toronto, Ontario, M5G 2M9
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Toronto, Ontario, M9N 1N8
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Vancouver, British Columbia, V5Z 4E6
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Windsor, Ontario, N8W 2X3
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Winnipeg, Manitoba, R2H 2A6
Spain20 sites
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Barcelona, 08003
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Barcelona, 08035
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Burgos, 09005
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Gijón, 33394
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Girona, 17007
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Madrid, 28033
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Madrid, 28034
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Madrid, 28041
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Madrid, 28046
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Madrid, 28222
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Málaga, 29010
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Mataró, 08304
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Navarra, 31008
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Palma de Mallorca, 07014
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Pontevedra, 36002
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San Cristóbal de La Laguna, 38320
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Terrassa, 08221
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Valencia, 41014
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Valencia, 46017
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Zaragoza, 50009
China14 sites
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Beijing, 100021
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Beijing, 100032
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Beijing, 100071
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Beijing, 100853
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Changchun, 130012
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Chengdu, 610041
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Fuzhou, 350025
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Guangzhou, 510060
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Hangzhou, 310022
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Shanghai, 200032
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Suzhou, 215006
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Tianjin, 300060
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Wuhan, 430030
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Zhejiang, 310003
Russia14 sites
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Chelyabinsk, 454 087
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Ivanovo, 153040
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Kazan', 420029
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Kazan', 420111
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Moscow, 115478
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Moscow, 117837
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Moscow, 121356
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Obninsk, 249036
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Persochnysaint-petersburg, 197758
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Ryazan, 390011
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Saint Petersburg
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Samara, 443066
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Ufa, 450054
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Yekaterinburg, 620905
Brazil13 sites
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Goiânia, 74075-040
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Ijuí, 98700-000
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Jaú, 17210-120
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Porto Alegre, 90035-903
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Porto Alegre, 90430-090
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Porto Alegre, 91350-200
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Rio de Janeiro, 22260-020
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Santo André, 09060-870
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São Paulo, 01209-010
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São Paulo, 01317-000
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São Paulo, 05403
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São Paulo, 1401000
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Sorocaba, 18030-245
Austria12 sites
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Bludesch, 6712
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Graz, 8036
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Innsbruck, 6020
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Krems, 4560
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Leoben, 8700
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Linz, 4020
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Salzburg, 5020
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Vienna, 1090
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Vienna, 1130
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Wels, 4600
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Wiener Neustadt, 2700
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Wolfsberg, 9400
Japan10 sites
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Aichi, 464-8681
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Ehime, 791-0280
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Fukuoka, 811-1395
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Kyoto, 606-8507
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Osaka, 540-0006
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Saitama, 350-1298
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Tokyo, 104-0045
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Tokyo, 104-8560
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Tokyo, 113-8677
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Tokyo, 135-8550
Taiwan8 sites
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Changhua, 500
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Kaohsiung City, 807
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Kaohsiung City, 813
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Tainan, 704
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Taipei, 100
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Taipei, 112
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Taipei, 114
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Taoyuan, 333
Belgium7 sites
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Baudour, 7331
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Brussels, 1090
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Hasselt, 3500
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Namur, 5000
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Sint-Niklaas, 9100
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Tournai, 7500
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Wilrijk, 2610
Israel7 sites
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Haifa, 31096
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Jerusalem, 91120
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Kfar Saba, 44281
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Petah Tikva, 49100
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Ramat Gan, 52621
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Rehovot, 76100
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Tel Aviv, 64239
Poland7 sites
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Elblag, 82-300
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Lodz, 93-509
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Lublin, 20-081
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Lublin, 20-090
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Poznan, 61-878
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Warsaw, 02-781
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Warsaw, 61485
Switzerland7 sites
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Aarau, 5001
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Basel, 4031
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Bern, 3010
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Chur, 7000
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Thun, 3600
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Winterthur, 8401
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Zurich, 8008
South Africa6 sites
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Bloemfontein, 9301
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Durban, 4001
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Johannesburg, 2196
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Pietermaritzburg, 3201
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Pretoria, 0002
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Pretoria, 0181
Sweden6 sites
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Eskilstuna, 63188
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Gävle, 80187
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Lund, 22185
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Malmö, 20502
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Umeå, 90185
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Uppsala, 751 85
Czechia5 sites
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Brno, 656 53
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Nový Jičín, 741 01
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Olomouc, 775 20
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Pardubice, 532 03
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Prague, 150 06
South Korea5 sites
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Kyunggi-do, 411-769
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Seoul, 110-744
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Seoul, 135-170
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Seoul, 137-702
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Seoul, 138-736
Malaysia4 sites
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George Town, 11200
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Kelantan
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Kuala Selangor, 47500
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Petaling Jaya, Selangor, 46050
Netherlands4 sites
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Delftzijl, 9934 JD
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Den Helder, 1782GZ
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Groningen, 9713 GZ
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Tilburg, 5042 AD
Thailand4 sites
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Bangkok, 10400
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Bangkok, 10700
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Chiang Mai, 50200
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Songkhla, 90110
Greece3 sites
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Heraklion, 71110
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Pátrai, 26500
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Thessaloniki, 56429
Portugal3 sites
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Coimbra, 3000-075
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Lisbon, 1099-023
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Lisbon, 1649-035
Argentina2 sites
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Buenos Aires, C1405DCS
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Rosario, S2002KDS
About this study
Official title: An International Multi-centre Open-label 2-arm Phase III Trial of Adjuvant Bevacizumab in "Triple Negative" Breast Cancer.
The main objective of the trial is to compare Invasive Disease-Free Survival (IDFS) of patients randomised to treatment with adjuvant chemotherapy alone or to adjuvant chemotherapy with 1 year of bevacizumab.
The secondary objectives of this trial are to:
Read more
- compare Overall Survival (OS), Breast Cancer-Free Interval (BCFI), Disease- Free Survival (DFS) and Distant Disease-Free Survival (DDFS) of patients randomised to treatment with adjuvant chemotherapy alone or to adjuvant chemotherapy in combination with 1 year of bevacizumab
- evaluate the safety and tolerability of bevacizumab
An exploratory sub-study (not reported here) was to identify biomarkers (from tumour or serum) predictive of toxicity and for the level of benefit from the addition of bevacizumab to standard adjuvant systemic treatment.
- Conditions
- Breast Cancer
- Being tested
- Bevacizumab, Standard adjuvant chemotherapy
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BevacizumabDrug
Also called Avastin
Bevacizumab was administered at a dose equivalent of 5 mg/kg/week using 1 of 3 different scheduling options depending on the schedule of the adjuvant chemotherapy regimen selected for an individual patient.
Standard adjuvant chemotherapyDrug
All chemotherapy schedules and doses for each patient were prescribed according to the labeled indication of the country in which the patient was receiving therapy.
| Study group | Role | What they receive |
|---|---|---|
| Bevacizumab and Chemotherapy | Experimental | Participants randomized to receive bevacizumab in combination with chemotherapy as prescribed. Receives: Drug: Bevacizumab; Drug: Standard adjuvant chemotherapy |
| Chemotherapy | Active comparator | Participants randomized to receive standard adjuvant chemotherapy as prescribed. Receives: Drug: Standard adjuvant chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to Invasive Disease-free Survival (IDFS) Event
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site);Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer or Second primary non-breast invasive cancer.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Invasive Disease-free Survival (IDFS) Events
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site);Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer or Second primary non-breast invasive cancer. The percentage of participants with and without IDFS Events by the time of the data cutoff is presented.
Measured: Event driven (until data cutoff: 29 February 2012 up to 49 months)
Time to Invasive Disease-free Survival (IDFS) Event Excluding Second Primary Non-Breast Invasive Cancer
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Invasive Disease-free Survival (IDFS) Events Excluding Second Primary Non-Breast Invasive Cancer
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer. Percentage of participants with and without IDFS Events by the time of data cutoff is presented.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Secondary outcomes (11)
Time to Overall Survival (OS) Event
OS was defined as the time from randomization to death attributable to any cause. Patients for whom no death is captured in the clinical database up to the clinical cut-off date are censored at the last time they were known to be alive.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Overall Survival (OS) Event
OS was defined as the time from randomization to death attributable to any cause. Patients for whom no death is captured in the clinical database up to the clinical cut-off date are censored at the last time they were known to be alive.
Measured: Event driven (until data cutoff: 30 June 2014: up to 77 months)
Percentage of Participants With Overall Survival (OS) Event
OS was defined as the time from randomization to death attributable to any cause. Patients for whom no death is captured in the clinical database up to the clinical cut-off date are censored at the last time they were known to be alive.
Measured: Event driven (until data cut off: 29 February 2012: up to 49 months)
Percentage of Participants With Overall Survival (OS) Event
OS was defined as the time from randomization to death attributable to any cause. Patients for whom no death is captured in the clinical database up to the clinical cut-off date are censored at the last time they were known to be alive.
Measured: Event driven (until data cut off: 30 June 2014: up to 77 months)
Time to Breast Cancer-Free Interval (BCFI) Event
BCFI is defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral local/regional invasive breast cancer recurrence or distant breast cancer recurrence; Contralateral invasive breast cancer; Ipsilateral or contralateral Ductal carcinoma in situ or Death only from breast cancer cause.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Breast Cancer-Free Interval (BCFI) Events
BCFI is defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral local/regional invasive breast cancer recurrence or distant breast cancer recurrence; Contralateral invasive breast cancer; Ipsilateral or contralateral DCIS or Death only from breast cancer cause. Percentage of participants with and without BCFI events by the time of the data cutoff is presented.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Disease-Free Survival (DFS) Event
DFS is defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer, Second primary non-breast invasive cancer or New diagnosis of an ipsilateral or contralateral Ductal carcinoma in situ (DCIS).
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Disease-Free Survival (DFS) Events
DFS is defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer, Second primary non-breast invasive cancer or New diagnosis of an ipsilateral or contralateral Ductal carcinoma in situ (DCIS). Percentage of Participants with and without DFI Events by the time of the data cut-off is presented.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Distant Disease-Free Survival (DDFS) Event
DDFS is defined as the time from randomization until the date of the first occurrence of one of the following events: Distant recurrence; Death attributable to any cause; Second primary non-breast invasive cancer (with the exception of non-melanoma Skin cancers).
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Distant Disease-Free Survival (DDFS) Events
DDFS is defined as the time from randomization until the date of the first occurrence of one of the following events: Distant recurrence; Death attributable to any cause; Second primary non-breast invasive cancer (with the exception of non-melanoma Skin cancers). Percentage of participants with and without DDFS Events by the time of the data cutoff is presented.
Measured: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Number of Participants With Serious Adverse Events (SAEs), Adverse Events (AEs) and Deaths
An adverse event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. Preexisting conditions that worsened during the study were reported as adverse events.
A serious adverse event is any experience that suggests a significant hazard, contraindication, side effect or precaution that: results in death, is Life-Threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.
Measured: Through end of study: 30 June 2014: up to 77 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Sep 2007 (estimated)
- Study startDec 2007
- Primary completionFeb 2012
- Study completionJun 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,591 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00528567
- Sponsor's protocol ID
- BO20289
- Other IDs
- 2007-001128-11
- Status last verified
- Aug 2015
- First submitted
- 11 Sep 2007
- Last updated
- 4 Sep 2015
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Bell R, Brown J, Parmar M, Toi M, Suter T, Steger GG, Pivot X, Mackey J, Jackisch C, Dent R, Hall P, Xu N, Morales L, Provencher L, Hegg R, Vanlemmens L, Kirsch A, Schneeweiss A, Masuda N, Overkamp F, Cameron D. Final efficacy and updated safety results of the randomized phase III BEATRICE trial evaluating adjuvant bevacizumab-containing therapy in triple-negative early breast cancer. Ann Oncol. 2017 Apr 1;28(4):754-760. doi: 10.1093/annonc/mdw665.
PubMed 27993816Cameron D, Brown J, Dent R, Jackisch C, Mackey J, Pivot X, Steger GG, Suter TM, Toi M, Parmar M, Laeufle R, Im YH, Romieu G, Harvey V, Lipatov O, Pienkowski T, Cottu P, Chan A, Im SA, Hall PS, Bubuteishvili-Pacaud L, Henschel V, Deurloo RJ, Pallaud C, Bell R. Adjuvant bevacizumab-containing therapy in triple-negative breast cancer (BEATRICE): primary results of a randomised, phase 3 trial. Lancet Oncol. 2013 Sep;14(10):933-42. doi: 10.1016/S1470-2045(13)70335-8. Epub 2013 Aug 7.
PubMed 23932548
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An International Multi-centre Open-label 2-arm Phase III Trial of Adjuvant Bevacizumab in "Triple Negative" Breast Cancer.
- ClinicalTrials.gov ID
- NCT00528567
- Acronym / sponsor ID
- BO20289
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,591 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Dec 2007
- Primary completion
- Feb 2012 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 12 Sep 2007 (estimated)
- Results
- Posted 10 Sep 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main objective of the trial is to compare Invasive Disease-Free Survival (IDFS) of patients randomised to treatment with adjuvant chemotherapy alone or to adjuvant chemotherapy with 1 year of bevacizumab.
The secondary objectives of this trial are to:
- compare Overall Survival (OS), Breast Cancer-Free Interval (BCFI), Disease- Free Survival (DFS) and Distant Disease-Free Survival (DDFS) of patients randomised to treatment with adjuvant chemotherapy alone or to adjuvant chemotherapy in combination with 1 year of bevacizumab
- evaluate the safety and tolerability of bevacizumab
An exploratory sub-study (not reported here) was to identify biomarkers (from tumour or serum) predictive of toxicity and for the level of benefit from the addition of bevacizumab to standard adjuvant systemic treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Bevacizumab and Chemotherapy | Experimental | Drug: Bevacizumab, Drug: Standard adjuvant chemotherapyParticipants randomized to receive bevacizumab in combination with chemotherapy as prescribed. |
| Chemotherapy | Active comparator | Drug: Standard adjuvant chemotherapyParticipants randomized to receive standard adjuvant chemotherapy as prescribed. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- adult patients, >=18 years of age;
- operable primary invasive breast cancer;
- completed definitive loco-regional surgery;
- primary tumor centrally confirmed as triple negative.
Key exclusion criteria (3 listed)
- locally advanced breast cancers;
- previous breast cancer history;
- clinically significant cardiovascular disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BevacizumabAlso: AvastinBevacizumab was administered at a dose equivalent of 5 mg/kg/week using 1 of 3 different scheduling options depending on the schedule of the adjuvant chemotherapy regimen selected for an individual patient. | Drug | Bevacizumab and Chemotherapy |
| Standard adjuvant chemotherapyAll chemotherapy schedules and doses for each patient were prescribed according to the labeled indication of the country in which the patient was receiving therapy. | Drug | Bevacizumab and Chemotherapy, Chemotherapy |
Primary outcome
Time to Invasive Disease-free Survival (IDFS) Event
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site);Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer or Second primary non-breast invasive cancer.
Percentage of Participants With Invasive Disease-free Survival (IDFS) Events
Time frame: Event driven (until data cutoff: 29 February 2012 up to 49 months)
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site);Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer or Second primary non-breast invasive cancer. The percentage of participants with and without IDFS Events by the time of the data cutoff is presented.
Time to Invasive Disease-free Survival (IDFS) Event Excluding Second Primary Non-Breast Invasive Cancer
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer.
Percentage of Participants With Invasive Disease-free Survival (IDFS) Events Excluding Second Primary Non-Breast Invasive Cancer
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
IDFS, was a composite endpoint defined as the time from randomization until the date of the first occurrence of one of the following events: Ipsilateral invasive breast cancer recurrence (same breast); Ipsilateral (same side of body) local regional invasive breast cancer recurrence (axilla, regional lymph nodes, chest wall, and/or skin); Distant recurrence (evidence of breast cancer in any anatomic site); Death attributable to any cause; Contralateral (opposite side of the body) invasive breast cancer. Percentage of participants with and without IDFS Events by the time of data cutoff is presented.
11 secondary outcomes
Time to Overall Survival (OS) Event
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Overall Survival (OS) Event
Time frame: Event driven (until data cutoff: 30 June 2014: up to 77 months)
Percentage of Participants With Overall Survival (OS) Event
Time frame: Event driven (until data cut off: 29 February 2012: up to 49 months)
Percentage of Participants With Overall Survival (OS) Event
Time frame: Event driven (until data cut off: 30 June 2014: up to 77 months)
Time to Breast Cancer-Free Interval (BCFI) Event
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Breast Cancer-Free Interval (BCFI) Events
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Disease-Free Survival (DFS) Event
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Disease-Free Survival (DFS) Events
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Time to Distant Disease-Free Survival (DDFS) Event
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Percentage of Participants With Distant Disease-Free Survival (DDFS) Events
Time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)
Number of Participants With Serious Adverse Events (SAEs), Adverse Events (AEs) and Deaths
Time frame: Through end of study: 30 June 2014: up to 77 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 27993816Bell R, Brown J, Parmar M, Toi M, Suter T, Steger GG, Pivot X, Mackey J, Jackisch C, Dent R, Hall P, Xu N, Morales L, Provencher L, Hegg R, Vanlemmens L, Kirsch A, Schneeweiss A, Masuda N, Overkamp F, Cameron D. Final efficacy and updated safety results of the randomized phase III BEATRICE trial evaluating adjuvant bevacizumab-containing therapy in triple-negative early breast cancer. Ann Oncol. 2017 Apr 1;28(4):754-760. doi: 10.1093/annonc/mdw665.
- Derived from this study: PubMed 23932548Cameron D, Brown J, Dent R, Jackisch C, Mackey J, Pivot X, Steger GG, Suter TM, Toi M, Parmar M, Laeufle R, Im YH, Romieu G, Harvey V, Lipatov O, Pienkowski T, Cottu P, Chan A, Im SA, Hall PS, Bubuteishvili-Pacaud L, Henschel V, Deurloo RJ, Pallaud C, Bell R. Adjuvant bevacizumab-containing therapy in triple-negative breast cancer (BEATRICE): primary results of a randomised, phase 3 trial. Lancet Oncol. 2013 Sep;14(10):933-42. doi: 10.1016/S1470-2045(13)70335-8. Epub 2013 Aug 7.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
403 sites in 40 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Bevacizumab and Standard adjuvant chemotherapy in people with Breast Cancer, run by Hoffmann-La Roche at 403 sites in 40 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 4 Sep 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 403 sites in United States, Germany, Italy, United Kingdom, France and 35 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 10 Sep 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to Invasive Disease-free Survival (IDFS) Event (time frame: Event driven (until data cutoff: 29 February 2012: up to 49 months)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00528567, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2015.