Clinical Trials

Cancer-related cognitive impairment (CRCI) is common and distressing among cancer survivors. Tyrosine kinase inhibitors (TKIs) are among the first, most prolific, and most successful classes of targeted therapy. TKIs are also rapidly expanding, with over 40 FDA-approved TKIs for cancer. Studying the impact of TKIs on CRCI will improve awareness of CRCI, identify modifiable mechanisms, and inform development of new interventions. We will recruit patients with chronic myelogenous leukemia (CML) or chronic lymphocytic leukemia (CLL) about to begin TKI therapy or that have just begun TKI therapy to complete assessments before starting TKIs (Assessment 1) as well as 6 and 12 months later (Assessments 2 and 3). Controls will complete assessments at similar intervals. Each assessment will include a saliva sample, patient-reported outcomes (PROs), a neuropsychological battery, and ecological momentary assessment (EMA) of CRCI for 1 week.

MMC - Dickinson

1721 S Stephenson Ave

Iron Mountain, MI 49801

MMC - Eau Claire

2116 Craig Rd

Eau Claire, WI 54701

MMC - Marshfield

1000 N OAK AVE

MARSHFIELD, WI 54449

MMC - Neillsville

N3708 River Ave

Neillsville, Wisconsin 54456

MMC - Rice Lake

1700 W Stout St

Rice Lake, WI 54868

MMC - Stevens Point Campus

4100 WI-66

Stevens Point, WI 54482

MMC - Weston

3400 Ministry Parkway

Weston, WI 54476

This phase III trial compares the effect of adding durvalumab to chemotherapy versus chemotherapy alone before surgery in treating patients with upper urinary tract cancer. Immunotherapy with monoclonal antibodies, such as durvalumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Chemotherapy drugs, such as methotrexate, vinblastine, doxorubicin, cisplatin, and gemcitabine work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Durvalumab in combination with chemotherapy before surgery may enhance the shrinking of the tumor compared to chemotherapy alone.

MMC - Marshfield

1000 N OAK AVE

MARSHFIELD, WI 54449

This is a prospective cohort study that examines the impact of myopenia on chemotherapy toxicity in overall survival (OS) in older adults with newly diagnosed metastatic colorectal cancer (CRC) receiving 5-Fluouracil (5FU)systemic chemotherapy. The study also explores the mediating influence of genetic variation in the association between myopenia and chemotherapy toxicity.

Marshfield Medical Center - Rice Lake

1700 W STOUT ST

RICE LAKE, WI 54868

MMC - Dickinson

1721 S Stephenson Ave

Iron Mountain, MI 49801

MMC - Eau Claire Cancer Center

2200 Craig Road

Eau Claire, WI 54701

MMC - Marshfield

1000 N OAK AVE

MARSHFIELD, WI 54449

MMC - Minocqua

9576 WI-70 Trunk

MINOCQUA, WI 54548

MMC - Stevens Point Campus

4100 WI-66

Stevens Point, WI 54482

MMC - Weston

3400 Ministry Parkway

Weston, WI 54476

This is a multi-site clinical study enrolling 2000 newly diagnosed patients with breast, colorectal, melanoma, non-Hodgkin lymphoma, or non-small cell lung cancer, who are planning to receive one or more systemic cancer directed therapies with chemotherapy and/or (immune checkpoint inhibitors) ICIs.

MC - Chippewa Falls Center

2655 CTY HWY I

CHIPPEWA FALLS, WI 54729

MC - Wausau Center

2727 PLAZA DRIVE

WAUSAU, WI 54401

MC - Wisconsin Rapids Center

220 24TH ST SOUTH

WISCONSIN RAPIDS, WI 54494

MMC - Dickinson

1721 S Stephenson Ave

Iron Mountain, MI 49801

MMC - Eau Claire Cancer Center

2200 Craig Road

Eau Claire, WI 54701

MMC - Ladysmith

1200 Port Arthur Rd

Ladysmith, WI 54848

MMC - Marshfield

1000 N OAK AVE

MARSHFIELD, WI 54449

MMC - Minocqua

9576 WI-70 Trunk

MINOCQUA, WI 54548

MMC - Neillsville

N3708 River Ave

Neillsville, Wisconsin 54456

MMC - Rice Lake

1700 W Stout St

Rice Lake, WI 54868

MMC - Stevens Point Campus

4100 WI-66

Stevens Point, WI 54482

MMC - Weston

3400 Ministry Parkway

Weston, WI 54476