Sponsor: National Cancer Institute (NCI) (federal)
Phase: 2
Start date: Sept. 22, 2023
Planned enrollment: 33
Ipatasertib, also known as RG7440 or GDC-0068, is an investigational small-molecule inhibitor targeting the AKT kinase, a central component of the PI3K–AKT–mTOR signaling pathway. This pathway is frequently activated in various cancers due to genetic alterations such as PTEN loss or PIK3CA mutations. (pubmed.ncbi.nlm.nih.gov)
Ipatasertib is a selective ATP-competitive inhibitor that binds to the active, phosphorylated form of AKT. By doing so, it inhibits AKT's kinase activity, leading to decreased phosphorylation of downstream targets involved in cell growth, proliferation, and survival. (pubmed.ncbi.nlm.nih.gov)
In a Phase I clinical trial involving 52 patients with advanced solid tumors, ipatasertib demonstrated preliminary antitumor activity. Sixteen patients (30%) achieved radiographic stable disease, with some exhibiting disease control for over six months. Notably, patients with tumors harboring PTEN loss or PIK3CA/AKT mutations appeared more likely to benefit from the treatment. (pubmed.ncbi.nlm.nih.gov)
Ipatasertib was generally well tolerated in the Phase I study. The most common adverse events were gastrointestinal in nature and of mild to moderate severity, including diarrhea (35%), nausea (27%), and asthenia (25%). Grade 3 adverse events were infrequent, and no grade 4 events or treatment-related deaths were reported. (pubmed.ncbi.nlm.nih.gov)
Last updated: Apr 2025
Last updated: Aug 2025
Goal: To evaluate the efficacy of combining paclitaxel with ipatasertib in patients with advanced, unresectable, or metastatic non-breast solid tumors harboring PTEN or AKT alterations who are refractory to taxane chemotherapy.
Patients: Adults with histologically confirmed, advanced or metastatic non-breast solid tumors with activating PTEN or AKT alterations and who have progressed on or within 6 months of prior taxane-based therapy. Patients must have measurable disease and adequate organ function, and must not have received prior AKT inhibitors.
Design: This is a single-arm, non-randomized, phase II treatment trial enrolling approximately 33 participants. All participants will receive the investigational combination therapy. Mandatory pre-treatment tumor biopsy or recent archival tissue is required.
Treatments: Participants receive paclitaxel IV on days 1, 8, and 15 of each 28-day cycle, combined with oral ipatasertib on days 1-21 of each cycle, for up to 35 cycles. Ipatasertib is an oral, selective pan-AKT inhibitor that targets AKT1, AKT2, and AKT3; it has shown improved progression-free survival when combined with abiraterone in metastatic prostate cancer with PTEN loss, and has been previously studied in combination with paclitaxel in triple-negative breast cancer. The standard chemotherapy agent, paclitaxel, disrupts microtubule dynamics leading to tumor cell death.
Outcomes: The primary endpoint is objective response rate (ORR). Secondary endpoints include progression-free survival (PFS), overall survival (OS), and duration of response (DoR). Safety and toxicity profiles will also be assessed. Translational objectives include correlative studies with tissue, ctDNA, and molecular analyses.
Burden on patient: The burden on patients is moderate. In addition to standard requirements for frequent clinic visits for IV chemotherapy and monitoring, mandatory pre-treatment tumor biopsy or submission of recent archival tissue is required, with an optional follow-up biopsy. Regular imaging (CT or MRI) and blood draws for laboratory and correlative studies are required as per protocol. The oral investigational drug (ipatasertib) and IV chemotherapy (paclitaxel) require adherence to dosing schedules and monitoring for toxicity, but the schedule and procedures are similar to other early-phase combination therapy trials.
Inclusion Criteria:
* Patient must have enrolled onto EAY191 and must have been given a treatment assignment to ComboMATCH to EAY191-S3 based on the presence of an actionable mutation as defined in EAY191
* GENERAL COMBOMATCH EAY191 REGISTRATION INCLUSION CRITERIA:
* Participants must be enrolled on the ComboMATCH Master Registration Trial EAY191
* Participants must have an activating AKT mutation (a known mutation in AKT1, AKT2, or AKT3, a single nucleotide variant, insertion, or deletion), PTEN mutation (a known mutation in PTEN, a single nucleotide variant, insertion, or deletion), or genomic deletion loss of PTEN as determined by the ComboMATCH screening assessment
* GENERAL COMBOMATCH EAY191 REGISTRATION EXCLUSION CRITERIA:
* Participants must not have an activating KRAS, NRAS, HRAS, or BRAF mutation (a single nucleotide variant, insertion, or deletion) as determined by the ComboMATCH screening assessment
* Participants must have disease that can be safely biopsied and agree to a pre-treatment biopsy or have archival tissue available from within 12 months prior to the date of registration on the ComboMATCH Registration Trial (EAY191)
* Participants must have a histologically confirmed non-breast solid malignancy
* Participants must have locally advanced, unresectable, or metastatic disease in the opinion of the treating investigator
* Participants must have measurable disease documented by CT or MRI. Measurable disease must be assessed within 28 days prior to registration. Non-measurable disease must be assessed within 42 days prior to registration. The CT from a combined positron emission tomography (PET)/CT may be used only if it is of diagnostic quality. All known sites of disease must be assessed and documented on the Baseline Tumor Assessment Form (Response Evaluation Criteria in Solid Tumors \[RECIST\] 1.1). Participants whose only measurable disease is within a previous radiation therapy port must demonstrate clearly progressive disease (in the opinion of the treating investigator) prior to registration
* Participants with known brain metastases must have a CT/MRI scan to evaluate for central nervous system (CNS) disease and show no evidence of progression within 42 days prior to registration
* Participants must have completed any CNS-directed therapy and/or local therapy for spinal cord compression at least 28 days prior to registration
* Participants must not have spinal cord compression or brain metastases unless: (1) metastases have been locally treated and have remained clinically controlled and asymptomatic for at least 14 days prior to registration, AND (2) participant has no residual neurological dysfunction and has been off corticosteroids for at least 24 hours prior to registration
* Participants must not have leptomeningeal disease
* Participants must have progressed on or within 6 months of taxane-based therapy in the neoadjuvant/adjuvant or metastatic setting prior to registration
* Participants must not have received any prior AKT inhibitor (e.g., capivasertib or ipatasertib); prior PI3K/mTOR inhibitor is acceptable
* Participants must not have received cancer-directed therapy prior for at least 14 days prior to initiation of treatment on study
* Participants must not be planning to receive any concurrent chemotherapy, immunotherapy, biologic, radiation, or hormonal therapy for cancer treatment while receiving treatment on this study
* Participants must be \>= 18 years of age
* Participants must be able to swallow oral medications whole
* Participants must have a pre-study history and physical exam done within 28 days prior to registration
* Participants must have a Zubrod performance status of 0-2 within 28 days prior to registration
* Participants must have adverse events resolved =\< grade 1 related to any prior therapy, except alopecia within 14 days prior to registration
* Participants with neuropathy must have resolved to \< grade 2 within 14 days prior to registration
* Leukocytes \>= 3 x 10\^3/uL (within 28 days prior to registration)
* Absolute neutrophil count \>= 1.5 x 10\^3/uL (within 28 days prior to registration)
* Platelets \>= 100 x 10\^3/uL (within 28 days prior to registration)
* Total bilirubin =\< institutional upper limit of normal (ULN) unless history of Gilbert's disease. Participants with history of Gilbert's disease must have total bilirubin =\< 5 x institutional ULN (within 28 days prior to registration)
* Aspartate aminotransferase (AST) \& alanine aminotransferase (ALT) =\< 3 x institutional ULN (within 28 days prior to registration)
* Participants must have adequate cardiac function, class IIB (2B) or better. Participants with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, must have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification
* Participants must have a measured OR calculated creatinine clearance \>= 50 mL/min using the following Cockcroft-Gault formula. This specimen must have been drawn within 28 days prior to registration
* Participants with known human immunodeficiency virus (HIV)-infection must be receiving anti-retroviral therapy and have an undetectable viral load test on the most recent test results obtained within 6 months prior to registration
* Participants with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load on suppressive therapy within 28 days prior to registration
* Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. Participants with HCV infection who are currently on treatment must have an undetectable HCV viral load within 28 days prior to registration
* Participants must have an electrocardiography (ECG) performed (if clinically indicated with a corrected QTc interval of =\< 470 msec) within 28 days prior to registration
* Participants must not have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to ipatasertib and/or paclitaxel
* Participants must not have an active small/large bowel inflammation such as ulcerative colitis or Crohn's disease
* Participants must not have grade 2 or higher uncontrolled intercurrent illness
* NOTE: To receive an agent, participant must not have any uncontrolled intercurrent illness requiring antibiotic/antiviral/antifungal therapy or interventional procedures. Participants with infections unlikely to be resolved within 2 weeks following registration should not be considered for the trial
* Participants must not have a known grade 2 or higher uncontrolled or untreated hypercholesterolemia or hypertriglyceridemia
* Participants must not have any of the following:
* Cirrhosis at a level of Child-Pugh B (or worse),
* Cirrhosis (any degree) and a history of hepatic encephalopathy, or
* Clinically meaningful ascites resulting from cirrhosis. Clinically meaningful ascites is defined as ascites from cirrhosis requiring diuretics or paracentesis
* Participants must not be receiving any medications or substances that are inhibitors or inducers of CYP3A. Treatment with strong CYP3A inhibitors or strong CYP3A inducers within 2 weeks or 5 drug-elimination half-lives, whichever is longer, prior to initiation of study drug is prohibited.
* NOTE: Because the lists of these agents are constantly changing, it is important to regularly consult a frequently updated medical reference. As part of the enrollment/informed consent procedures, the participant will be counseled on the risk of interactions with other agents, and what to do if new medications need to be prescribed or if the participant is considering a new over-the-counter medicine or herbal product. The participant wallet card should be presented to the participant
* Participants must not have baseline fasting glucose (after 8-hour fast) \> 160 mg/dL (8.9 mmol/L) within 28 days prior to registration
* Participants with known diabetes mellitus must not require insulin therapy or have a baseline fasting glucose \>150 mg/dL (8.3 mmol/L) or high glycosylated hemoglobin (Hb)A1c, (\>= 8.0%), suggesting poorly controlled diabetes
* Participants who are on a stable dose of oral diabetes medication \>= 2 weeks prior to initiation of study drug treatment are eligible for enrollment
* Participants with a prior or concurrent malignancy whose natural history or treatment (in the opinion of the treating physician) must not have a potential to interfere with the safety or efficacy assessment of the investigational regimen
* Participants must not have lung disease requiring active systemic therapy or placing participants at increased risk of toxicity related to study-directed therapy including, but not limited to pneumonitis, interstitial lung disease, idiopathic pulmonary fibrosis, cystic fibrosis, aspergillosis, active tuberculosis, or history of opportunistic infections (pneumocystis pneumonia or cytomegalovirus pneumonia)
* Participants must not be pregnant or nursing. Individuals who are of reproductive potential must have agreed to use an effective contraceptive method with details provided as a part of the consent process. A person who has had menses at any time in the preceding 12 consecutive months or who has semen likely to contain sperm is of "reproductive potential". In addition to routine contraceptive methods, "effective contraception" also includes surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) including hysterectomy, bilateral oophorectomy, bilateral tubal ligation/occlusion, and vasectomy with testing showing no sperm in the semen
* Participants must not have psychiatric illness/social situations that would limit compliance with study requirements
San Juan, 00927, Puerto Rico
[email protected] / 888-823-5923
Status: Recruiting
Bayamon, 00961, Puerto Rico
No email / 787-780-2865
Status: Recruiting
Mobile, Alabama, 36688, United States
[email protected] / 251-445-9870
Status: Recruiting
Birmingham, Alabama, 35233, United States
[email protected] / 205-934-0220
Status: Recruiting
Anchorage, Alaska, 99508, United States
[email protected] / 907-212-6871
Status: Recruiting
Kingman, Arizona, 86401, United States
[email protected] / 702-384-0013
Status: Recruiting
Palo Alto, California, 94304, United States
[email protected] / 650-498-7061
Status: Recruiting
Santa Monica, California, 90404, United States
No email / 310-582-7448
Status: Recruiting
Arroyo Grande, California, 93420, United States
[email protected] / 702-384-0013
Status: Recruiting
Los Angeles, California, 90048, United States
No email / 310-423-8965
Status: Recruiting
Orange, California, 92868, United States
No email / 714-734-6220
Status: Recruiting
Los Angeles, California, 90025, United States
[email protected] / No phone
Status: Recruiting
Deerfield Beach, Florida, 33442, United States
No email / No phone
Status: Active, not recruiting
Jacksonville, Florida, 32224-9980, United States
No email / 855-776-0015
Status: Recruiting
Miami, Florida, 33136, United States
No email / No phone
Status: Active, not recruiting
Miami, Florida, 33176, United States
No email / No phone
Status: Active, not recruiting
Plantation, Florida, 33324, United States
No email / No phone
Status: Active, not recruiting
Aventura, Florida, 33180, United States
No email / No phone
Status: Active, not recruiting
Coral Gables, Florida, 33146, United States
No email / No phone
Status: Active, not recruiting
Coeur d'Alene, Idaho, 83814, United States
[email protected] / 406-969-6060
Status: Recruiting
Boise, Idaho, 83706, United States
[email protected] / 734-712-3671
Status: Recruiting
Boise, Idaho, 83712, United States
[email protected] / 208-381-2774
Status: Recruiting
Caldwell, Idaho, 83605, United States
No email / No phone
Status: SUSPENDED
Fruitland, Idaho, 83619, United States
[email protected] / 208-381-2774
Status: Recruiting
Meridian, Idaho, 83642, United States
[email protected] / 208-381-2774
Status: Recruiting
Nampa, Idaho, 83687, United States
[email protected] / 406-969-6060
Status: Recruiting
Nampa, Idaho, 83687, United States
[email protected] / 208-381-2774
Status: Recruiting
Post Falls, Idaho, 83854, United States
[email protected] / 406-969-6060
Status: Recruiting
Sandpoint, Idaho, 83864, United States
[email protected] / 406-969-6060
Status: Recruiting
Twin Falls, Idaho, 83301, United States
[email protected] / 208-381-2774
Status: Recruiting
Barrington, Illinois, 60010, United States
No email / 847-842-4847
Status: Recruiting
Chicago, Illinois, 60657, United States
No email / 773-296-5360
Status: Recruiting
Crystal Lake, Illinois, 60014, United States
[email protected] / 630-929-6129
Status: Recruiting
Danville, Illinois, 61832, United States
[email protected] / 800-446-5532
Status: Recruiting
Downers Grove, Illinois, 60515, United States
[email protected] / 630-275-1270
Status: Recruiting
Effingham, Illinois, 62401, United States
[email protected] / 800-446-5532
Status: Recruiting
Elgin, Illinois, 60123, United States
No email / 847-429-2907
Status: Recruiting
Hazel Crest, Illinois, 60429, United States
No email / 708-799-9995
Status: Recruiting
Libertyville, Illinois, 60048, United States
[email protected] / 630-929-6129
Status: Recruiting
Libertyville, Illinois, 60048, United States
[email protected] / 630-929-6129
Status: Recruiting
Mattoon, Illinois, 61938, United States
[email protected] / 800-446-5532
Status: Recruiting
New Lenox, Illinois, 60451, United States
[email protected] / 773-702-8222
Status: Recruiting
Oak Lawn, Illinois, 60453-2699, United States
No email / 800-323-8622
Status: Recruiting
Orland Park, Illinois, 60462, United States
[email protected] / 773-702-8222
Status: Recruiting
Park Ridge, Illinois, 60068, United States
No email / 847-384-3621
Status: Recruiting
Urbana, Illinois, 61801, United States
[email protected] / 800-446-5532
Status: Recruiting
Chicago, Illinois, 60612, United States
No email / 312-864-5204
Status: Recruiting
Chicago, Illinois, 60637, United States
[email protected] / 773-702-8222
Status: Recruiting
Des Moines, Iowa, 50314, United States
[email protected] / 515-358-6613
Status: Recruiting
Waukee, Iowa, 50263, United States
No email / 515-241-3305
Status: Recruiting
Ankeny, Iowa, 50023, United States
No email / 515-241-3305
Status: Recruiting
Des Moines, Iowa, 50309, United States
No email / 515-241-3305
Status: Recruiting
Lexington, Kentucky, 40536, United States
No email / 859-257-3379
Status: Recruiting
Augusta, Maine, 04330, United States
No email / 207-626-4855
Status: Recruiting
Brewer, Maine, 04412, United States
No email / 800-987-3005
Status: Recruiting
Scarborough, Maine, 04074, United States
[email protected] / 207-396-8670
Status: Recruiting
Cumberland, Maryland, 21502, United States
No email / 240-964-1400
Status: Recruiting
Baltimore, Maryland, 21201, United States
No email / 800-888-8823
Status: Recruiting
Bethesda, Maryland, 20892, United States
No email / 800-411-1222
Status: Recruiting
Boston, Massachusetts, 02111, United States
[email protected] / 617-636-5000
Status: Recruiting
Canton, Michigan, 48188, United States
[email protected] / 734-712-7251
Status: Recruiting
Canton, Michigan, 48188, United States
[email protected] / 734-712-7251
Status: Recruiting
Chelsea, Michigan, 48118, United States
[email protected] / 734-712-7251
Status: Recruiting
Chelsea, Michigan, 48118, United States
[email protected] / 734-712-7251
Status: Recruiting
Dearborn, Michigan, 48124, United States
No email / 248-551-7695
Status: Recruiting
Flint, Michigan, 48503, United States
[email protected] / 810-762-8038
Status: Recruiting
Flint, Michigan, 48503, United States
[email protected] / 810-762-8038
Status: Recruiting
Flint, Michigan, 48503, United States
[email protected] / 810-762-8038
Status: Recruiting
Flint, Michigan, 48503, United States
[email protected] / 810-762-8038
Status: Recruiting
Lansing, Michigan, 48912, United States
[email protected] / 517-364-3712
Status: Recruiting
Livonia, Michigan, 48154, United States
[email protected] / 734-712-7251
Status: Recruiting
Macomb, Michigan, 48044, United States
[email protected] / 313-343-3166
Status: Recruiting
Royal Oak, Michigan, 48073, United States
No email / 248-551-7695
Status: Recruiting
Saginaw, Michigan, 48601, United States
[email protected] / 734-712-7251
Status: Recruiting
Saginaw, Michigan, 48604, United States
No email / No phone
Status: SUSPENDED
Tawas City, Michigan, 48764, United States
[email protected] / 734-712-7251
Status: Recruiting
Troy, Michigan, 48085, United States
No email / 248-551-7695
Status: Recruiting
West Branch, Michigan, 48661, United States
No email / No phone
Status: SUSPENDED
Ypsilanti, Michigan, 48106, United States
[email protected] / 734-712-7251
Status: Recruiting
Ypsilanti, Michigan, 48197, United States
[email protected] / 734-712-7251
Status: Recruiting
Farmington Hills, Michigan, 48336, United States
No email / 248-551-7695
Status: Recruiting
Ann Arbor, Michigan, 48106, United States
[email protected] / 734-712-7251
Status: Recruiting
Brighton, Michigan, 48114, United States
[email protected] / 734-712-7251
Status: Recruiting
Brighton, Michigan, 48114, United States
[email protected] / 734-712-7251
Status: Recruiting
Bemidji, Minnesota, 56601, United States
[email protected] / 218-333-5000
Status: Recruiting
Duluth, Minnesota, 55805, United States
[email protected] / 218-786-3308
Status: Recruiting
Edina, Minnesota, 55435, United States
[email protected] / 952-993-1517
Status: Recruiting
Hibbing, Minnesota, 55746, United States
No email / 218-786-3308
Status: Recruiting
Minneapolis, Minnesota, 55407, United States
[email protected] / 952-993-1517
Status: Recruiting
Rochester, Minnesota, 55905, United States
No email / 855-776-0015
Status: Recruiting
Saint Louis Park, Minnesota, 55416, United States
[email protected] / 952-993-1517
Status: Recruiting
Saint Paul, Minnesota, 55101, United States
[email protected] / 952-993-1517
Status: Recruiting
Saint Paul, Minnesota, 55102, United States
[email protected] / 952-993-1517
Status: Recruiting
Sandstone, Minnesota, 55072, United States
[email protected] / 218-786-3308
Status: Recruiting
Virginia, Minnesota, 55792, United States
[email protected] / 218-786-3308
Status: Recruiting
Coon Rapids, Minnesota, 55433, United States
[email protected] / 952-993-1517
Status: Recruiting
Deer River, Minnesota, 56636, United States
[email protected] / 218-786-3308
Status: Recruiting
Bozeman, Montana, 59715, United States
[email protected] / 406-969-6060
Status: Recruiting
Great Falls, Montana, 59405, United States
[email protected] / 406-969-6060
Status: Recruiting
Kalispell, Montana, 59901, United States
No email / No phone
Status: SUSPENDED
Missoula, Montana, 59804, United States
[email protected] / 406-969-6060
Status: Recruiting
Anaconda, Montana, 59711, United States
[email protected] / 406-969-6060
Status: Recruiting
Billings, Montana, 59101, United States
[email protected] / 800-996-2663
Status: Recruiting
Las Vegas, Nevada, 89148, United States
[email protected] / 702-384-0013
Status: Recruiting
Henderson, Nevada, 89052, United States
[email protected] / 702-384-0013
Status: Recruiting
Las Vegas, Nevada, 89102, United States
[email protected] / 702-384-0013
Status: Recruiting
New Brunswick, New Jersey, 08903, United States
No email / 732-235-7356
Status: Recruiting
Buffalo, New York, 14263, United States
[email protected] / 800-767-9355
Status: Recruiting
New York, New York, 10029, United States
[email protected] / 212-824-7309
Status: Recruiting
Durham, North Carolina, 27710, United States
No email / 888-275-3853
Status: Recruiting
Fargo, North Dakota, 58122, United States
[email protected] / 701-234-6161
Status: Recruiting
Bismarck, North Dakota, 58501, United States
[email protected] / 701-323-5760
Status: Recruiting
Fargo, North Dakota, 58122, United States
[email protected] / 701-323-5760
Status: Recruiting
Columbus, Ohio, 43213, United States
[email protected] / 614-488-2745
Status: Recruiting
Columbus, Ohio, 43214, United States
[email protected] / 614-788-3860
Status: Recruiting
Columbus, Ohio, 43214, United States
[email protected] / 614-788-3860
Status: Recruiting
Columbus, Ohio, 43215, United States
[email protected] / 614-788-3860
Status: Recruiting
Columbus, Ohio, 43219, United States
[email protected] / 614-488-2745
Status: Recruiting
Columbus, Ohio, 43228, United States
[email protected] / 614-788-3860
Status: Recruiting
Dayton, Ohio, 45415, United States
[email protected] / 937-528-2900
Status: Recruiting
Delaware, Ohio, 43015, United States
[email protected] / 614-788-3860
Status: Recruiting
Delaware, Ohio, 43015, United States
[email protected] / 614-788-3860
Status: Recruiting
Dublin, Ohio, 43016, United States
[email protected] / 614-788-3860
Status: Recruiting
Dublin, Ohio, 43016, United States
[email protected] / 614-788-3860
Status: Recruiting
Kettering, Ohio, 45429, United States
[email protected] / 937-528-2900
Status: Recruiting
Lancaster, Ohio, 43130, United States
[email protected] / 614-488-2745
Status: Recruiting
Mansfield, Ohio, 44903, United States
[email protected] / 614-788-3860
Status: Recruiting
Marion, Ohio, 43302, United States
[email protected] / 614-788-3860
Status: Recruiting
Marysville, Ohio, 43040, United States
[email protected] / 614-488-2745
Status: Recruiting
Mentor, Ohio, 44060, United States
[email protected] / 800-641-2422
Status: Recruiting
Mount Vernon, Ohio, 43050, United States
[email protected] / 614-488-2745
Status: Recruiting
Newark, Ohio, 43055, United States
[email protected] / 614-488-2745
Status: Recruiting
Perrysburg, Ohio, 43551, United States
[email protected] / 614-488-2745
Status: Recruiting
Portsmouth, Ohio, 45662, United States
[email protected] / 614-488-2745
Status: Recruiting
Springfield, Ohio, 45504, United States
[email protected] / 614-488-2745
Status: Recruiting
Springfield, Ohio, 45504, United States
[email protected] / 614-488-2745
Status: Recruiting
Toledo, Ohio, 43623, United States
[email protected] / 614-488-2745
Status: Recruiting
Westerville, Ohio, 43082, United States
[email protected] / 610-788-3860
Status: Recruiting
Zanesville, Ohio, 43701, United States
[email protected] / 614-488-2745
Status: Recruiting
Westerville, Ohio, 43081, United States
[email protected] / 614-488-2745
Status: Recruiting
Avon, Ohio, 44011, United States
No email / 800-641-2422
Status: Recruiting
Beachwood, Ohio, 44122, United States
[email protected] / 800-641-2422
Status: Recruiting
Belpre, Ohio, 45714, United States
[email protected] / 614-488-2745
Status: Recruiting
Canton, Ohio, 44710, United States
[email protected] / 330-363-7274
Status: Recruiting
Chillicothe, Ohio, 45601, United States
[email protected] / 877-779-7585
Status: Recruiting
Cleveland, Ohio, 44106, United States
[email protected] / 800-641-2422
Status: Recruiting
Oklahoma City, Oklahoma, 73104, United States
[email protected] / 405-271-8777
Status: Recruiting
Ontario, Oregon, 97914, United States
[email protected] / 406-969-6060
Status: Recruiting
Oregon City, Oregon, 97045, United States
[email protected] / 503-215-2614
Status: Recruiting
Portland, Oregon, 97213, United States
[email protected] / 503-215-2614
Status: Recruiting
Portland, Oregon, 97225, United States
[email protected] / 503-215-2614
Status: Recruiting
Newberg, Oregon, 97132, United States
[email protected] / 503-215-2614
Status: Recruiting
Greensburg, Pennsylvania, 15601, United States
No email / 724-838-1900
Status: Recruiting
Allentown, Pennsylvania, 18103, United States
[email protected] / 610-402-9543
Status: Recruiting
Altoona, Pennsylvania, 16601, United States
[email protected] / No phone
Status: Recruiting
Bethlehem, Pennsylvania, 18017, United States
[email protected] / 610-402-9543
Status: Recruiting
Bryn Mawr, Pennsylvania, 19010, United States
[email protected] / 484-476-2649
Status: Recruiting
East Stroudsburg, Pennsylvania, 18301, United States
[email protected] / 610-402-9543
Status: Recruiting
Erie, Pennsylvania, 16505, United States
[email protected] / 412-389-5208
Status: Recruiting
Hazleton, Pennsylvania, 18201, United States
[email protected] / 610-402-9543
Status: Recruiting
Mechanicsburg, Pennsylvania, 17050, United States
[email protected] / 412-389-5208
Status: Recruiting
Media, Pennsylvania, 19063, United States
[email protected] / 484-476-2649
Status: Recruiting
Monroeville, Pennsylvania, 15146, United States
[email protected] / 412-389-5208
Status: Recruiting
Paoli, Pennsylvania, 19301, United States
[email protected] / 484-476-2649
Status: Recruiting
Philadelphia, Pennsylvania, 19107, United States
[email protected] / 215-600-9151
Status: Recruiting
Pittsburgh, Pennsylvania, 15232, United States
No email / 412-647-8073
Status: Recruiting
Pittsburgh, Pennsylvania, 15237, United States
No email / 412-367-6454
Status: Recruiting
Wynnewood, Pennsylvania, 19096, United States
[email protected] / 484-476-2649
Status: Recruiting
Providence, Rhode Island, 02905, United States
No email / 401-274-1122
Status: Recruiting
Sioux Falls, South Dakota, 57117-5134, United States
[email protected] / 605-312-3320
Status: Recruiting
Sioux Falls, South Dakota, 57104, United States
[email protected] / 605-312-3320
Status: Recruiting
Rapid City, South Dakota, 57701, United States
No email / No phone
Status: Active, not recruiting
Houston, Texas, 77030, United States
[email protected] / 877-632-6789
Status: Recruiting
Falls Church, Virginia, 22042, United States
[email protected] / 703-208-6650
Status: Recruiting
Richmond, Virginia, 23229, United States
[email protected] / 804-287-3000
Status: Recruiting
Richmond, Virginia, 23235, United States
[email protected] / No phone
Status: Recruiting
Richmond, Virginia, 23298, United States
[email protected] / No phone
Status: Recruiting
Roanoke, Virginia, 24033, United States
No email / 540-985-8510
Status: Recruiting
South Hill, Virginia, 23970, United States
[email protected] / No phone
Status: Recruiting
Fairfax, Virginia, 22031, United States
[email protected] / 703-720-5210
Status: Recruiting
Charlottesville, Virginia, 22908, United States
[email protected] / 434-243-6303
Status: Recruiting
Renton, Washington, 98055, United States
[email protected] / 425-228-3440
Status: Recruiting
Seattle, Washington, 98122, United States
[email protected] / 206-215-2343
Status: Recruiting
Yakima, Washington, 98902, United States
[email protected] / 509-574-3535
Status: Recruiting
Edmonds, Washington, 98026, United States
[email protected] / 206-215-2343
Status: Recruiting
Issaquah, Washington, 98029, United States
[email protected] / 206-215-2343
Status: Recruiting
Cudahy, Wisconsin, 53110, United States
[email protected] / 414-302-2304
Status: Recruiting
Germantown, Wisconsin, 53022, United States
[email protected] / 414-302-2304
Status: Recruiting
Grafton, Wisconsin, 53024, United States
[email protected] / 414-302-2304
Status: Recruiting
Green Bay, Wisconsin, 54311, United States
[email protected] / 414-302-2304
Status: Recruiting
Kenosha, Wisconsin, 53142, United States
[email protected] / 414-302-2304
Status: Recruiting
La Crosse, Wisconsin, 54601, United States
[email protected] / 608-775-2385
Status: Recruiting
Madison, Wisconsin, 53718, United States
[email protected] / 800-622-8922
Status: Recruiting
Madison, Wisconsin, 53792, United States
[email protected] / 800-622-8922
Status: Recruiting
Marinette, Wisconsin, 54143, United States
[email protected] / 414-302-2304
Status: Recruiting
Milwaukee, Wisconsin, 53209, United States
[email protected] / 414-302-2304
Status: Recruiting
Milwaukee, Wisconsin, 53215, United States
[email protected] / 414-302-2304
Status: Recruiting
Milwaukee, Wisconsin, 53233, United States
[email protected] / 414-302-2304
Status: Recruiting
Oshkosh, Wisconsin, 54904, United States
[email protected] / 414-302-2304
Status: Recruiting
Racine, Wisconsin, 53406, United States
[email protected] / 414-302-2304
Status: Recruiting
Sheboygan, Wisconsin, 53081, United States
[email protected] / 414-302-2304
Status: Recruiting
Summit, Wisconsin, 53066, United States
[email protected] / 414-302-2304
Status: Recruiting
Two Rivers, Wisconsin, 54241, United States
[email protected] / 414-302-2304
Status: Recruiting
Wauwatosa, Wisconsin, 53226, United States
[email protected] / 414-302-2304
Status: Recruiting
West Allis, Wisconsin, 53227, United States
[email protected] / 414-302-2304
Status: Recruiting
Ashland, Wisconsin, 54806, United States
[email protected] / 218-786-3308
Status: Recruiting
Burlington, Wisconsin, 53105, United States
[email protected] / 414-302-2304
Status: Recruiting