S0205 Gemcitabine w/ or w/o Cetuximab as First-Line Therapy in Locally Advanced Pancreas Cancer
- Conditions
- Pancreatic Cancer
- Interventions
- Biological: cetuximab
- Registration Number
- NCT00075686
- Lead Sponsor
- SWOG Cancer Research Network
- Brief Summary
RATIONALE: Drugs used in chemotherapy, such as gemcitabine, work in different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies, such as cetuximab, can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. It is not yet known whether gemcitabine is more effective with or without cetuximab in treating pancreatic cancer.
PURPOSE: This randomized phase III trial is studying giving gemcitabine together with cetuximab to see how well it works compared to giving gemcitabine alone as first-line therapy in treating patients with locally advanced unresectable or metastatic adenocarcinoma of the pancreas.
- Detailed Description
OBJECTIVES:
* Compare the overall survival of patients with locally advanced unresectable or metastatic adenocarcinoma of the pancreas treated with gemcitabine and cetuximab vs gemcitabine alone.
* Compare the time to treatment failure in patients treated with these regimens.
* Estimate the percentage of patients with epidermal growth factor receptor (EGFR) tumor expression in patients treated with these regimens.
* Compare the overall survival of patients in the EGFR-positive subset treated with these regimens.
* Compare the toxicity of these regimens in these patients.
* Compare the total response rate (confirmed and unconfirmed complete and partial response) in patients with measurable disease treated with these regimens.
* Compare the patient report of pain and quality of life of patients treated with these regimens.
OUTLINE: This is an open-label, randomized, multicenter study. Patients are stratified according to disease status (locally advanced unresectable vs metastatic), Zubrod performance status (0 or 1 vs 2), and prior pancreatectomy (yes vs no). Patients are randomized to 1 of 2 treatment arms.
* Arm I: Patients receive cetuximab IV over 1-2 hours on days 1, 8, 15, and 22 and gemcitabine IV over 30 minutes on days 1, 8, 15, and 22 for course 1 and days 1, 8, and 15 for all subsequent courses.
* Arm II: Patients receive gemcitabine as in arm I. In both arms, courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed at baseline, before each course, and at the end of study therapy.
Patients are followed every 6 months for 2 years and then annually for 1 year.
PROJECTED ACCRUAL: A total of 704 patients (352 per treatment arm) will be accrued for this study within 5 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 766
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description gemcitabine hydrochloride + IMC-C225 gemcitabine hydrochloride Loading dose: gemcitabine hydrochloride 1000mg/m2, IV on Day 1; Cetuxiumab 400mg/m2, IV on Day 1 (cycle 1 only) Weekly maintenance: Cetuximab 250mg/m2, IV on Days 8,15,22 of cycle 1 \& days 1,8,15,22 of all subsequent cycles; gemcitabine hydrochloride 1000mg/m2, IV on Days 8,15,22 of cycle 1 and Days 1,8,15 of all subsequent cycles. gemcitabine hydrochloride alone gemcitabine hydrochloride gemcitabine hydrochloride 1000mg/m2, IV on Days 1,8,15,22 of cycle 1 and Days 1,8,15 of all subsequent cycles. gemcitabine hydrochloride + IMC-C225 cetuximab Loading dose: gemcitabine hydrochloride 1000mg/m2, IV on Day 1; Cetuxiumab 400mg/m2, IV on Day 1 (cycle 1 only) Weekly maintenance: Cetuximab 250mg/m2, IV on Days 8,15,22 of cycle 1 \& days 1,8,15,22 of all subsequent cycles; gemcitabine hydrochloride 1000mg/m2, IV on Days 8,15,22 of cycle 1 and Days 1,8,15 of all subsequent cycles.
- Primary Outcome Measures
Name Time Method Overall survival comparison between treatment groups every 4 weeks for 3 years
- Secondary Outcome Measures
Name Time Method Toxicity profile comparison of patients treated with 2 regimens and measured until 30 days after completion of study treatment every 4 weeks while on treatment Total response rate comparison between treatment groups in the subset of patients with measurable disease by RECIST at every other course every 9 weeks until progression Pain and quality of life comparison between treatment groups as measured by patient questionnaire at baseline, before each course, and then completion of study treatment every 4 weeks while on treatment Response rate comparison between treatment groups as measured by RECIST and radiological evaluation at every other course every 9 weeks until progression Time to treatment failure comparison between groups from registration to first observation of progressive disease, symptomatic deterioration, or death every 4 weeks while on treatment Percentage of patients with EGFR tumor expression and compare overall survival of patients in the EGFR subset every 4 weeks for 3 years
Trial Locations
- Locations (387)
Cancer Center at Providence Alaska Medical Center
🇺🇸Anchorage, Alaska, United States
Banner Thunderbird Medical Center
🇺🇸Glendale, Arizona, United States
CCOP - Western Regional, Arizona
🇺🇸Phoenix, Arizona, United States
Sletten Regional Cancer Institute
🇺🇸Great Falls, Montana, United States
St. Peter's Hospital
🇺🇸Helena, Montana, United States
Kalispell Medical Oncology
🇺🇸Kalispell, Montana, United States
Eastern Montana Cancer Center
🇺🇸Miles City, Montana, United States
Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center
🇺🇸Kingsport, Tennessee, United States
Southwestern Vermont Regional Cancer Center
🇺🇸Bennington, Vermont, United States
Euclid Hospital
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Taussig Cancer Center
🇺🇸Cleveland, Ohio, United States
United Hospital Center
🇺🇸Clarksburg, West Virginia, United States
St. Joseph's Health Centre - Toronto
🇨🇦Toronto, Ontario, Canada
M.D. Anderson Cancer Center at University of Texas
🇺🇸Houston, Texas, United States
Baylor University Medical Center - Houston
🇺🇸Houston, Texas, United States
Fred Hutchinson Cancer Research Center
🇺🇸Seattle, Washington, United States
Harborview Medical Center
🇺🇸Seattle, Washington, United States
Charles M. Barrett Cancer Center at University Hospital
🇺🇸Cincinnati, Ohio, United States
LDS Hospital
🇺🇸Salt Lake City, Utah, United States
East Alabama Medical Center
🇺🇸Opelika, Alabama, United States
Mobile Infirmary Medical Center
🇺🇸Mobile, Alabama, United States
Alaska Regional Hospital Cancer Center
🇺🇸Anchorage, Alaska, United States
Highlands Oncology Group - Springdale
🇺🇸Springdale, Arkansas, United States
Alta Bates Comprehensive Cancer Center
🇺🇸Berkeley, California, United States
Mount Diablo Regional Cancer Center
🇺🇸Concord, California, United States
City of Hope Comprehensive Cancer Center
🇺🇸Duarte, California, United States
Peninsula Medical Center
🇺🇸Burlingame, California, United States
Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
🇺🇸Ft. Smith, Arkansas, United States
California Cancer Center - Woodward Park Office
🇺🇸Fresno, California, United States
Virginia K. Crosson Cancer Center at St. Jude Medical Center
🇺🇸Fullerton, California, United States
Marin Cancer Institute at Marin General Hospital
🇺🇸Greenbrae, California, United States
Sutter Health Western Division Cancer Research Group
🇺🇸Greenbrae, California, United States
Saint Rose Hospital
🇺🇸Hayward, California, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
🇺🇸Loma Linda, California, United States
Highland General Hospital at St. George's University School of Medicine
🇺🇸Oakland, California, United States
CCOP - Bay Area Tumor Institute
🇺🇸Oakland, California, United States
Summit Medical Center
🇺🇸Oakland, California, United States
Valley Care Medical Center
🇺🇸Pleasanton, California, United States
J.C. Robinson, M.D. Regional Cancer Center
🇺🇸San Pablo, California, United States
Sutter Solano Medical Center
🇺🇸Vallejo, California, United States
John Muir/Mt. Diablo Comprehensive Cancer Center
🇺🇸Walnut Creek, California, United States
California Pacific Medical Center - California Campus
🇺🇸San Francisco, California, United States
Ruby L. Golleher Cancer Program at Presbyterian Intercommunity Hospital
🇺🇸Whittier, California, United States
Front Range Cancer Specialists
🇺🇸Fort Collins, Colorado, United States
Memorial Hospital
🇺🇸Carthage, Illinois, United States
Poudre Valley Hospital
🇺🇸Fort Collins, Colorado, United States
North Colorado Medical Center
🇺🇸Greeley, Colorado, United States
McKee Medical Center
🇺🇸Loveland, Colorado, United States
Montrose Memorial Hospital Cancer Center
🇺🇸Montrose, Colorado, United States
Exempla Lutheran Medical Center
🇺🇸Wheat Ridge, Colorado, United States
Carl and Dorothy Bennett Cancer Center at Stamford Hospital
🇺🇸Stamford, Connecticut, United States
Praxair Cancer Center at Danbury Hospital
🇺🇸Danbury, Connecticut, United States
Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
🇺🇸Washington, District of Columbia, United States
Sibley Memorial Hospital
🇺🇸Washington, District of Columbia, United States
Lynn Regional Cancer Center at Boca Raton Community Hospital - Main Center
🇺🇸Boca Raton, Florida, United States
Halifax Medical Center
🇺🇸Daytona Beach, Florida, United States
University of Florida Shands Cancer Center
🇺🇸Gainesville, Florida, United States
Florida Oncology Associates
🇺🇸Orange Park, Florida, United States
Broward General Medical Center Cancer Center
🇺🇸Ft. Lauderdale, Florida, United States
West Florida Cancer Institute at West Florida Hospital - Pensacola
🇺🇸Pensacola, Florida, United States
Medical Center of Central Georgia
🇺🇸Macon, Georgia, United States
Northeast Georgia Medical Center
🇺🇸Gainesville, Georgia, United States
John B. Amos Community Cancer Center
🇺🇸Columbus, Georgia, United States
Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
🇺🇸Savannah, Georgia, United States
Pearlman Comprehensive Cancer Center at South Georgia Medical Center
🇺🇸Valdosta, Georgia, United States
Saint Anthony's Hospital at Saint Anthony's Health Center
🇺🇸Alton, Illinois, United States
St. Luke's Mountain States Tumor Institute - Boise
🇺🇸Boise, Idaho, United States
Rush-Copley Cancer Care Center
🇺🇸Aurora, Illinois, United States
St. Joseph Medical Center
🇺🇸Bloomington, Illinois, United States
Decatur Memorial Hospital Cancer Care Institute
🇺🇸Decatur, Illinois, United States
Eureka Community Hospital
🇺🇸Eureka, Illinois, United States
Sherman Hospital
🇺🇸Elgin, Illinois, United States
Galesburg Clinic
🇺🇸Galesburg, Illinois, United States
Hinsdale Hematology Oncology Associates
🇺🇸Hinsdale, Illinois, United States
Galesburg Cottage Hospital
🇺🇸Galesburg, Illinois, United States
Medical and Surgical Specialists, L L C
🇺🇸Galesburg, Illinois, United States
Delnor Community Hospital - Geneva
🇺🇸Geneva, Illinois, United States
InterCommunity Cancer Center of Western Illinois
🇺🇸Galesburg, Illinois, United States
Mason District Hospital
🇺🇸Havana, Illinois, United States
Hopedale Medical Complex
🇺🇸Hopedale, Illinois, United States
McDonough District Hospital
🇺🇸Macomb, Illinois, United States
Joliet Oncology Hematology Associates, Limited - West
🇺🇸Joliet, Illinois, United States
La Grange Memorial Hospital
🇺🇸La Grange, Illinois, United States
Kewanee Hospital
🇺🇸Kewanee, Illinois, United States
OSF St. Francis Medical Center
🇺🇸Peoria, Illinois, United States
Regional Cancer Center at Memorial Medical Center
🇺🇸Springfield, Illinois, United States
Valley Cancer Center
🇺🇸Spring Valley, Illinois, United States
St. Francis Hospital and Health Centers - Beech Grove Campus
🇺🇸Beech Grove, Indiana, United States
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States
Cancer Care at Our Lady of Bellefonte Hospital
🇺🇸Ashland, Kentucky, United States
Central Baptist Hospital
🇺🇸Lexington, Kentucky, United States
Cancer Treatment Center at Christus Schumpert St. Mary Place
🇺🇸Shreveport, Louisiana, United States
Mercy Hospital
🇺🇸Portland, Maine, United States
Cancer Research Center at Boston Medical Center
🇺🇸Boston, Massachusetts, United States
Caritas Holy Family Hospital
🇺🇸Methuen, Massachusetts, United States
Caritas Norwood Hospital
🇺🇸Norwood, Massachusetts, United States
Hickman Cancer Center at Bixby Medical Center
🇺🇸Adrian, Michigan, United States
Mecosta County Medical Center
🇺🇸Big Rapids, Michigan, United States
CCOP - Grand Rapids
🇺🇸Grand Rapids, Michigan, United States
Lacks Cancer Center at Saint Mary's Mercy Medical Center
🇺🇸Grand Rapids, Michigan, United States
Spectrum Health Cancer Care - Butterworth Campus
🇺🇸Grand Rapids, Michigan, United States
Holland Community Hospital
🇺🇸Holland, Michigan, United States
Community Cancer Center of Monroe
🇺🇸Monroe, Michigan, United States
CCOP - Metro-Minnesota
🇺🇸Saint Louis Park, Minnesota, United States
Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
🇺🇸Minneapolis, Minnesota, United States
Toledo Hospital
🇺🇸Toledo, Ohio, United States
UVMC Cancer Care Center at Upper Valley Medical Center
🇺🇸Troy, Ohio, United States
Fulton County Health Center
🇺🇸Wauseon, Ohio, United States
Tod Children's Hospital - Forum Health
🇺🇸Youngstown, Ohio, United States
Easton Regional Cancer Center at Easton Hospital
🇺🇸Easton, Pennsylvania, United States
McLeod Regional Medical Center
🇺🇸Florence, South Carolina, United States
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
🇺🇸Spartanburg, South Carolina, United States
American Fork Hospital
🇺🇸American Fork, Utah, United States
Medical City Dallas Hospital
🇺🇸Dallas, Texas, United States
Wilford Hall Medical Center
🇺🇸Lackland AFB, Texas, United States
Presbyterian Hospital of Dallas
🇺🇸Dallas, Texas, United States
Providence Centralia Hospital Regional Cancer Center
🇺🇸Centralia, Washington, United States
University Cancer Center at University of Washington Medical Center
🇺🇸Seattle, Washington, United States
St. Francis Hospital
🇺🇸Federal Way, Washington, United States
Allenmore Hospital
🇺🇸Tacoma, Washington, United States
St. Joseph Medical Center at Franciscan Health System
🇺🇸Tacoma, Washington, United States
Providence Cancer Center at Holy Family Hospital
🇺🇸Spokane, Washington, United States
Southwest Washington Medical Center Cancer Center
🇺🇸Vancouver, Washington, United States
Community Comprehensive Cancer Center at Camden-Clark Memorial Hospital
🇺🇸Parkersburg, West Virginia, United States
Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
🇺🇸La Crosse, Wisconsin, United States
Cancer Center of Kansas, P.A. - Winfield
🇺🇸Winfield, Kansas, United States
Associates in Womens Health, P.A. - North Review
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas, P.A. - Chanute
🇺🇸Chanute, Kansas, United States
Via Christi Cancer Center at Via Christi Regional Medical Center
🇺🇸Wichita, Kansas, United States
St. Francis Comprehensive Cancer Center
🇺🇸Topeka, Kansas, United States
CCOP - Wichita
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas, P.A. - Parsons
🇺🇸Parsons, Kansas, United States
Mount Carmel Regional Cancer Center
🇺🇸Pittsburg, Kansas, United States
Graham Hospital
🇺🇸Canton, Illinois, United States
Banner Good Samaritan Medical Center
🇺🇸Phoenix, Arizona, United States
Veterans Affairs Medical Center - Denver
🇺🇸Denver, Colorado, United States
Barbara Ann Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
CCOP - Columbia River Oncology Program
🇺🇸Portland, Oregon, United States
Institute of Oncology at Vilnius University
🇺🇸Portland, Oregon, United States
University of Colorado Cancer Center at University of Colorado Health Sciences Center
🇺🇸Aurora, Colorado, United States
Methodist Cancer Center at Methodist Hospital - Omaha
🇺🇸Omaha, Nebraska, United States
Perry Memorial Hospital
🇺🇸Princeton, Illinois, United States
BroMenn Regional Medical Center
🇺🇸Normal, Illinois, United States
Community Hospital of Ottawa
🇺🇸Ottawa, Illinois, United States
Illinois Valley Community Hospital
🇺🇸Peru, Illinois, United States
Good Samaritan Regional Health Center
🇺🇸Mt. Vernon, Illinois, United States
Oncology Hematology Associates of Central Illinois - Ottawa
🇺🇸Ottawa, Illinois, United States
Saint James Hospital and Health Centers Comprehensive Cancer Institute - Olympia Fields
🇺🇸Olympia Fields, Illinois, United States
Proctor Hospital
🇺🇸Peoria, Illinois, United States
CCOP - Illinois Oncology Research Association
🇺🇸Peoria, Illinois, United States
Cancer Treatment Center at Pekin Hospital
🇺🇸Pekin, Illinois, United States
Reid Hospital & Health Care Services, Incorporated
🇺🇸Richmond, Indiana, United States
Cedar Rapids Oncology Associates
🇺🇸Cedar Rapids, Iowa, United States
Stormont-Vail Cancer Center
🇺🇸Topeka, Kansas, United States
Sturdy Memorial Hospital
🇺🇸Attleboro, Massachusetts, United States
Fort Wayne Medical Oncology and Hematology
🇺🇸Fort Wayne, Indiana, United States
St. Luke's Hospital
🇺🇸Maumee, Ohio, United States
McFarland Clinic, P. C.
🇺🇸Ames, Iowa, United States
Genesis Regional Cancer Center at Genesis Medical Center
🇺🇸Davenport, Iowa, United States
Cancer Center of Kansas, P.A. - Kingman
🇺🇸Kingman, Kansas, United States
Cancer Center of Kansas, P.A. - Salina
🇺🇸Salina, Kansas, United States
Siouxland Hematology-Oncology Associates at June E. Nylen Cancer Center
🇺🇸Sioux City, Iowa, United States
Cancer Center of Kansas, P.A. - Dodge City
🇺🇸Dodge City, Kansas, United States
Cancer Center of Kansas, P.A. - El Dorado
🇺🇸El Dorado, Kansas, United States
Hematology Oncology Associates of the Quad Cities
🇺🇸Bettendorf, Iowa, United States
Cedar Valley Medical Specialists, P.C. - West Ridgeway Avenue
🇺🇸Waterloo, Iowa, United States
Cancer Center of Kansas, P.A. - Newton
🇺🇸Newton, Kansas, United States
Cancer Center of Kansas, P.A. - Wichita
🇺🇸Wichita, Kansas, United States
St. Anthony's Cancer Center
🇺🇸St. Louis, Missouri, United States
Southwest Medical Center
🇺🇸Liberal, Kansas, United States
Northern Michigan Hospital
🇺🇸Petoskey, Michigan, United States
United Hospital
🇺🇸St. Paul, Minnesota, United States
Cancer Center of Kansas, P.A. - Pratt
🇺🇸Pratt, Kansas, United States
CCOP - Cancer Research for the Ozarks
🇺🇸Springfield, Missouri, United States
Hulston Cancer Center at Cox Medical Center South
🇺🇸Springfield, Missouri, United States
David C. Pratt Cancer Center at St. John's Mercy
🇺🇸Saint Louis, Missouri, United States
Mercy and Unity Cancer Center at Mercy Hospital
🇺🇸Coon Rapids, Minnesota, United States
Cancer Center of Boston - Chestnut Hill
🇺🇸Boston, Massachusetts, United States
Caritas St. Elizabeth's Medical Center
🇺🇸Boston, Massachusetts, United States
Josephine Ford Cancer Center at Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
University of Michigan Comprehensive Cancer Center
🇺🇸Ann Arbor, Michigan, United States
Cancer Center of Kansas, P.A. - Medical Arts Tower
🇺🇸Wichita, Kansas, United States
Battle Creek Health System Cancer Care Center
🇺🇸Battle Creek, Michigan, United States
Central Maine Medical Center
🇺🇸Lewiston, Maine, United States
Haematology-Oncology Associates of Ohio and Michigan, P.C.
🇺🇸Lambertville, Michigan, United States
West Michigan Cancer Center
🇺🇸Kalamazoo, Michigan, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
William Beaumont Hospital - Royal Oak Campus
🇺🇸Royal Oak, Michigan, United States
Bronson Methodist Hospital
🇺🇸Kalamazoo, Michigan, United States
Metropolitan Hospital
🇺🇸Grand Rapids, Michigan, United States
Borgess Medical Center
🇺🇸Kalamazooaa, Michigan, United States
Mercy Memorial Hospital System
🇺🇸Monroe, Michigan, United States
Hackley Hospital
🇺🇸Muskegon, Michigan, United States
Fairview Ridges Hospital
🇺🇸Burnsville, Minnesota, United States
MidMichigan Medical Center - Midland
🇺🇸Midland, Michigan, United States
Upper Michigan Cancer Center at Marquette General Hospital
🇺🇸Marquette, Michigan, United States
Community Medical Center
🇺🇸Missoula, Montana, United States
Fairview Southdale Hospital
🇺🇸Edina, Minnesota, United States
Internal Medicine Associates of Bozeman
🇺🇸Bozeman, Montana, United States
Glacier Oncology, PLLC
🇺🇸Kalispell, Montana, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
CCOP - Montana Cancer Consortium
🇺🇸Billings, Montana, United States
Deaconess Billings Clinic Cancer Center
🇺🇸Billings, Montana, United States
Deaconess Billings Clinic - Downtown
🇺🇸Billings, Montana, United States
Good Samaritan Health Systems
🇺🇸Kearney, Nebraska, United States
University of Mississippi Medical Center
🇺🇸Jackson, Mississippi, United States
Keesler Medical Center - Keesler Air Force Base
🇺🇸Kessler AFB, Mississippi, United States
Northern Rockies Radiation Oncology Center
🇺🇸Billings, Montana, United States
Mercy and Unity Cancer Center at Unity Hospital
🇺🇸Fridley, Minnesota, United States
Ridgeview Medical Center
🇺🇸Waconia, Minnesota, United States
Bozeman Deaconess Hospital
🇺🇸Bozeman, Montana, United States
Hubert H. Humphrey Cancer Center at North Memorial Medical Center
🇺🇸Robbinsdale, Minnesota, United States
Hematology-Oncology Centers of the Northern Rockies - Billings
🇺🇸Billings, Montana, United States
Big Sky Oncology
🇺🇸Great Falls, Montana, United States
Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital
🇺🇸Gape Girardeau, Missouri, United States
Park Nicollet Health Services
🇺🇸St. Louis Park, Minnesota, United States
CCOP - St. Louis-Cape Girardeau
🇺🇸St. Louis, Missouri, United States
St. James Community Hospital
🇺🇸Butte, Montana, United States
Kalispell Regional Medical Center
🇺🇸Kalispell, Montana, United States
New York Oncology Hematology, PC - Albany
🇺🇸Albany, New York, United States
Valley Hospital - Ridgewood
🇺🇸Ridgewood, New Jersey, United States
University of New Mexico Cancer Research and Treatment Center
🇺🇸Albuquerque, New Mexico, United States
Wayne Memorial Hospital, Incorporated
🇺🇸Goldsboro, North Carolina, United States
Montana Cancer Specialists at Montana Cancer Center
🇺🇸Missoula, Montana, United States
Pardee Memorial Hospital
🇺🇸Hendersonville, North Carolina, United States
New York Oncology Hematology, P.C.
🇺🇸Latham, New York, United States
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
🇺🇸Missoula, Montana, United States
Grant Riverside Cancer Services
🇺🇸Columbus, Ohio, United States
Doctors Hospital at Ohio Health
🇺🇸Columbus, Ohio, United States
Long Island Jewish Medical Center
🇺🇸New Hyde Park, New York, United States
Seacoast Cancer Center at Wentworth-Douglass Hospital
🇺🇸Dover, New Hampshire, United States
CCOP - North Shore University Hospital
🇺🇸Manhasset, New York, United States
Adirondack Cancer Care - Glens Falls
🇺🇸Glens Falls, New York, United States
Faxton Regional Cancer Center
🇺🇸Utica, New York, United States
San Juan Regional Cancer Center
🇺🇸Farmington, New Mexico, United States
CCOP - Hematology-Oncology Associates of Central New York
🇺🇸Syracuse, New York, United States
Presbyterian Cancer Center at Presbyterian Hospital
🇺🇸Charlotte, North Carolina, United States
Randolph Hospital
🇺🇸Asheboro, North Carolina, United States
Lenoir Memorial Cancer Center
🇺🇸Kinston, North Carolina, United States
John Smith, Jr./Dalton McMichael Cancer Center at Morehead Memorial Hospital
🇺🇸Eden, North Carolina, United States
Wayne Radiation Oncology
🇺🇸Goldsboro, North Carolina, United States
Iredell Memorial Hospital
🇺🇸Statesville, North Carolina, United States
Akron City Hospital
🇺🇸Akron, Ohio, United States
Moses Cone Regional Cancer Center at Wesley Long Community Hospital
🇺🇸Greensboro, North Carolina, United States
McDowell Cancer Center at Akron General Medical Center
🇺🇸Akron, Ohio, United States
Grandview Hospital
🇺🇸Dayton, Ohio, United States
Wood County Oncology Center
🇺🇸Bowling Green, Ohio, United States
University Hospitals Ireland Cancer Center at Mercy Medical Center
🇺🇸Canton, Ohio, United States
Kenton Oncology, Incorporated
🇺🇸Kenton, Ohio, United States
Adena Regional Medical Center
🇺🇸Chillicothe, Ohio, United States
CCOP - Columbus
🇺🇸Columbus, Ohio, United States
Mount Carmel West Hospital
🇺🇸Columbus, Ohio, United States
Huron Hospital Cancer Care Center
🇺🇸Cleveland, Ohio, United States
McKay-Dee Hospital Center
🇺🇸Ogden, Utah, United States
Veterans Affairs Medical Center - Dayton
🇺🇸Dayton, Ohio, United States
Grady Memorial Hospital
🇺🇸Delaware, Ohio, United States
Utah Valley Regional Medical Center - Provo
🇺🇸Provo, Utah, United States
Charles F. Kettering Memorial Hospital
🇺🇸Kettering, Ohio, United States
Northwest Ohio Oncology Center
🇺🇸Maumee, Ohio, United States
Blanchard Valley Medical Associates
🇺🇸Findlay, Ohio, United States
Community Oncology Group at Cleveland Clinic Cancer Center
🇺🇸Independence, Ohio, United States
Fremont Memorial Hospital
🇺🇸Fremont, Ohio, United States
St. Rita's Medical Center
🇺🇸Lima, Ohio, United States
Hillcrest Cancer Center at Hillcrest Hospital
🇺🇸Mayfield Heights, Ohio, United States
North Coast Cancer Care, Incorporated
🇺🇸Sandusky, Ohio, United States
Mercy Medical Center
🇺🇸Springfield, Ohio, United States
Community Hospital of Springfield and Clark County
🇺🇸Springfield, Ohio, United States
St. Vincent Mercy Medical Center
🇺🇸Toledo, Ohio, United States
Providence St. Vincent Medical Center
🇺🇸Portland, Oregon, United States
South Pointe Hospital Cancer Care Center
🇺🇸Warrensville Heights, Ohio, United States
Cleveland Clinic - Wooster
🇺🇸Wooster, Ohio, United States
CCOP - Toledo Community Hospital
🇺🇸Toledo, Ohio, United States
Mount Carmel Cancer Services at Mount Carmel St. Ann's Hospital
🇺🇸Westerville, Ohio, United States
St. Charles Medical Center - Bend
🇺🇸Bend, Oregon, United States
Legacy Mount Hood Medical Center
🇺🇸Gresham, Oregon, United States
Oncology Hematology Associates of Northern Pennsylvania, P.C. at Hahne Regional Cancer Center
🇺🇸Dubois, Pennsylvania, United States
Salem Hospital Regional Cancer Center
🇺🇸Salem, Oregon, United States
St. Luke's Hospital Cancer Center
🇺🇸Bethlehem, Pennsylvania, United States
Legacy Meridian Park Hospital
🇺🇸Tualatin, Oregon, United States
Genesis - Good Samaritan Hospital
🇺🇸Zanesville, Ohio, United States
Ruth G. McMillan Cancer Center at Greene Memorial Hospital
🇺🇸Xenia, Ohio, United States
Utah Cancer Specialists at UCS Cancer Center
🇺🇸Salt Lake City, Utah, United States
Medical X-Ray Center, PC
🇺🇸Sioux Falls, South Dakota, United States
Cancer Care Northwest - Spokane South
🇺🇸Spokane, Washington, United States
Rose Ramer Cancer Clinic at Anderson Area Medical Center
🇺🇸Anderson, South Carolina, United States
Thompson Cancer Survival Center
🇺🇸Knoxville, Tennessee, United States
CCOP - Upstate Carolina
🇺🇸Spartanburg, South Carolina, United States
Olympic Hematology and Oncology
🇺🇸Bremerton, Washington, United States
Bon Secours St. Francis Health System
🇺🇸Greenville, South Carolina, United States
Logan Regional Hospital
🇺🇸Logan, Utah, United States
Rockwood Clinic Cancer Treatment Center
🇺🇸Spokane, Washington, United States
Auburn Regional Center for Cancer Care
🇺🇸Auburn, Washington, United States
CCOP - Greenville
🇺🇸Greenville, South Carolina, United States
Harrington Cancer Center
🇺🇸Amarillo, Texas, United States
Dixie Regional Medical Center - East Campus
🇺🇸Saint George, Utah, United States
Martha Jefferson Hospital Cancer Care Center
🇺🇸Charlottesville, Virginia, United States
Sioux Valley Hospital and University of South Dakota Medical Center
🇺🇸Sioux Falls, South Dakota, United States
Cottonwood Hospital Medical Center
🇺🇸Murray, Utah, United States
St. Mary Regional Cancer Center
🇺🇸Langhorne, Pennsylvania, United States
Allegheny Cancer Center at Allegheny General Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Avera Cancer Institute
🇺🇸Sioux Falls, South Dakota, United States
Center for Cancer Medicine and Blood Disorders, PA
🇺🇸El Paso, Texas, United States
St. Joseph Hospital Community Cancer Center
🇺🇸Bellingham, Washington, United States
Luther Midlelfort Hospital
🇺🇸Eau Claire, Wisconsin, United States
Green Mountain Oncology Group
🇺🇸Bennington, Vermont, United States
Royal Victoria Hospital of Barrie
🇨🇦Barrie, Ontario, Canada
Vince Lombardi Cancer Center - Elkhorn
🇺🇸Elkhorn, Wisconsin, United States
Nova Scotia Cancer Centre
🇨🇦Halifax, Nova Scotia, Canada
Skagit Valley Hospital Cancer Care Center
🇺🇸Mt. Vernon, Washington, United States
Providence St. Peter Hospital Regional Cancer Center
🇺🇸Olympia, Washington, United States
Capital Medical Center
🇺🇸Olympia, Washington, United States
Southwest Virginia Regional Cancer Center
🇺🇸Norton, Virginia, United States
Midelfort Clinic - Luther
🇺🇸Eau Claire, Wisconsin, United States
Fox Valley Hematology and Oncology - East Grant Street
🇺🇸Appleton, Wisconsin, United States
Medical Consultants, Limited
🇺🇸Milwaukee, Wisconsin, United States
All Saints Cancer Center at All Saints Medical Center
🇺🇸Racine, Wisconsin, United States
CCOP - Northwest
🇺🇸Tacoma, Washington, United States
MultiCare Regional Cancer Center at Tacoma General Hospital
🇺🇸Tacoma, Washington, United States
Welch Cancer Center at Sheridan Memorial Hospital
🇺🇸Sheridan, Wyoming, United States
St. Clare Hospital
🇺🇸Tacoma, Washington, United States
Wenatchee Valley Clinic
🇺🇸Wenatchee, Washington, United States
CancerCare Manitoba
🇨🇦Winnipeg, Manitoba, Canada
Trillium Health Centre - Mississauga Site
🇨🇦Mississauga, Ontario, Canada
Saint John Regional Hospital
🇨🇦Saint John, New Brunswick, Canada
Allan Blair Cancer Centre at Pasqua Hospital
🇨🇦Regina, Saskatchewan, Canada
Mercy Regional Cancer Center at Mercy Medical Center
🇺🇸Cedar Rapids, Iowa, United States
Genesis Medical Center - West Campus
🇺🇸Davenport, Iowa, United States
Siouxland Regional Cancer Center
🇺🇸Sioux City, Iowa, United States
Heartland Oncology & Hematology
🇺🇸Council Bluffs, Iowa, United States
Mercy Medical Center - Sioux City
🇺🇸Sioux City, Iowa, United States
Ottumwa Regional Health Center Cancer Center
🇺🇸Ottumwa, Iowa, United States
Covenant Cancer Treatment Center
🇺🇸Waterloo, Iowa, United States
St. Luke's Regional Medical Center
🇺🇸Sioux City, Iowa, United States
Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center
🇺🇸Orange, California, United States
Oncology/Hematology Associates of Central Illinois, P.C.
🇺🇸Peoria, Illinois, United States
Good Samaritan Hospital
🇺🇸Dayton, Ohio, United States
Middletown Regional Hospital
🇺🇸Middletown, Ohio, United States
Firelands Regional Medical Center
🇺🇸Sandusky, Ohio, United States
Promedica Cancer Center at Flower Hospital
🇺🇸Sylvania, Ohio, United States
Medical College of Ohio Cancer Institute
🇺🇸Toledo, Ohio, United States
United States Air Force Medical Center Wright-Patterson
🇺🇸Wright-Patterson Afb, Ohio, United States
Brooke Army Medical Center
🇺🇸Fort Sam Houston, Texas, United States
Reading Hospital and Medical Center
🇺🇸Reading, Pennsylvania, United States
Jennersville Regional Hospital
🇺🇸West Grove, Pennsylvania, United States
UMC Southwest Cancer and Research Center
🇺🇸Lubbock, Texas, United States
Danville Regional Medical Center
🇺🇸Danville, Virginia, United States
Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
🇺🇸Seattle, Washington, United States
North Puget Oncology at United General Hospital
🇺🇸Sedro-Wooley, Washington, United States
Providence Cancer Center at Sacred Heart Medical Center
🇺🇸Spokane, Washington, United States
Rutherford Hospital
🇺🇸Rutherfordton, North Carolina, United States
University of California Davis Cancer Center
🇺🇸Sacramento, California, United States
Mercy General Hospital
🇺🇸Sacramento, California, United States
Forsyth Regional Cancer Center at Forsyth Medical Center
🇺🇸Winston-Salem, North Carolina, United States
Methodist Medical Center of Illinois
🇺🇸Peoria, Illinois, United States
Group Health Central Hospital
🇺🇸Seattle, Washington, United States
Community Cancer Center
🇺🇸Normal, Illinois, United States
Legacy Good Samaritan Hospital & Medical Center Comprehensive Cancer Center
🇺🇸Portland, Oregon, United States
St. Joseph's Hospital Health Center - Syracuse
🇺🇸Syracuse, New York, United States
Toledo Clinic - Oregon
🇺🇸Oregon, Ohio, United States
Providence Cancer Center at Providence Portland Medical Center
🇺🇸Portland, Oregon, United States
Wilson Medical Center
🇺🇸Wilson, North Carolina, United States
St. Joseph Mercy Hospital
🇺🇸Pontiac, Michigan, United States
Carle Cancer Center at Carle Foundation Hospital
🇺🇸Urbana, Illinois, United States
CCOP - Carle Cancer Center
🇺🇸Urbana, Illinois, United States
St. Margaret's Hospital
🇺🇸Spring Valley, Illinois, United States
Saint Anthony Memorial Health Centers
🇺🇸Michigan City, Indiana, United States
Licking Memorial Cancer Care Program at Licking Memorial Hospital
🇺🇸Newark, Ohio, United States
St. John's Regional Health Center
🇺🇸Springfield, Missouri, United States
Riverside Methodist Hospital Cancer Care
🇺🇸Columbus, Ohio, United States
Toledo Clinic, Incorporated - Main Clinic
🇺🇸Toledo, Ohio, United States
Lima Memorial Hospital
🇺🇸Lima, Ohio, United States
Toledo Surgical Specialists
🇺🇸Toledo, Ohio, United States
Good Samaritan Cancer Center
🇺🇸Puyallup, Washington, United States
Annie Penn Cancer Center
🇺🇸Reidsville, North Carolina, United States
Samaritan North Cancer Care Center
🇺🇸Dayton, Ohio, United States
CCOP - Dayton
🇺🇸Dayton, Ohio, United States
Mission Hospitals - Memorial Campus
🇺🇸Asheville, North Carolina, United States
Florida Hospital Cancer Institute at Florida Hospital Orlando
🇺🇸Orlando, Florida, United States
CCOP - Kansas City
🇺🇸Kansas City, Missouri, United States
Roper St. Francis Cancer Center at Roper Hospital
🇺🇸Charleston, South Carolina, United States
Hollings Cancer Center at Medical University of South Carolina
🇺🇸Charleston, South Carolina, United States
St. Vincent Healthcare
🇺🇸Billings, Montana, United States
Cancer Center of Kansas, P.A. - Wellington
🇺🇸Wellington, Kansas, United States
Saint Francis Medical Center
🇺🇸Cape Girardeau, Missouri, United States
Fairfield Medical Center
🇺🇸Lancaster, Ohio, United States
Strecker Cancer Center at Marietta Memorial Hospital
🇺🇸Marietta, Ohio, United States
Providence Milwaukie Hospital
🇺🇸Milwaukie, Oregon, United States