S1314, Co-expression Extrapolation (COXEN) Program to Predict Chemotherapy Response in Patients With Bladder Cancer
- Conditions
- Bladder Cancer
- Interventions
- Registration Number
- NCT02177695
- Lead Sponsor
- SWOG Cancer Research Network
- Brief Summary
The primary focus of this study is to see if looking at tumor biomarkers using a program called coexpression extrapolation or "COXEN" may predict a patient's response to chemotherapy before surgery.
- Detailed Description
The COXEN program will not select a patient's therapy, but the type of chemotherapy that he/she will receive will be randomly decided. The patient's response to chemotherapy will be used to test the usefulness of the COXEN program, which is the main goal of this trial. Other potential tests to predict a patient's response to chemotherapy will also be evaluated. In this study, the patient may receive the treatment in Arm 1 (gemcitabine and cisplatin) or the treatment in Arm 2 \[methotrexate, vinblastine, doxorubicin, cisplatin, and filgrastim (or pegfilgrastim)\]. There will be about 230 people taking part in this study (115 in each arm).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 237
- Histologically proven bladder cancer (pure small cell carcinoma, pure adenocarcinoma, and pure squamous cell carcinoma histologies are excluded).
- Stage cT2-T4a N0 M0 disease.
- Documented muscle invasive disease with at least one of the following: disease measuring at least 10 mm on cross-sectional imaging OR the presence of tumor-associated hydronephrosis.
- Staging scans with abdominal/pelvic CT or MRI scan and CT scan or x-ray of the chest within 56 days prior to registration. If alkaline phosphatase is above the treating institution's upper limit of normal (ULN), presence of suspicious bone pain, or if other clinical suspicion, a whole body bone scan is required within 56 days prior to registration.
- Performance status = 0 or 1
- 18 years of age or older
- Must have tumor tissue from transurethral resection of the bladder tumor (TURBT) available for submission that is sufficient for COXEN testing and must agree to submission of 20 (10 micron) slides plus 2 (5 micron) slides from the start and end of the 20 slides for a total of 22 unstained slides.
- Must agree to collection of tissue (if residual disease is present), urine, and whole blood.
- Must agree to participate in the translational medicine studies outlined in the protocol
- Prior systemic cytotoxic chemotherapy or systemic anthracycline
- Peripheral neuropathy >/= Grade 2
- Class III/IV heart failure or known left ventricular ejection fraction (LVEF) < 50%
- Clinically relevant hearing impairment > Grade 2
- Renal function, calculated creatinine clearance < 60 mL/min
- Hepatic function, total bilirubin > 1.5 x institutional upper limit of normal (IULN) (or > 2.5 x IULN with Gilbert's disease); AST & ALT > 2 X IULN
- Hematologic function, absolute neutrophil count (ANC) < 1,500/mcL, hemoglobin < 9 g/dL, and platelets < 100,000/mcL
- Hypersensitivity to cisplatin, gemcitabine, doxorubicin, vinblastine, methotrexate, or filgrastim/pegfilgrastim
- Incidence of or uncontrolled medical illness (e.g. active cardiac symptoms, active systemic infection, etc.)
- Pregnant or nursing females
- No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years. However, patients with localized prostate cancer who are being followed by an active surveillance program are eligible.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Dose Dense MVAC Cisplatin Methotrexate, 30 mg/m2, IV, Day 1, q 14 days x 4 cycles Vinblastine, 3 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Doxorubicin, 30 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Filgrastim, 5 mcg/kg, SubQ/IV, Days 3-7, q 14 days x 4 cycles Gemcitabine & Cisplatin Gemcitabine Gemcitabine, 1000 mg/m2, IV, Days 1\&8, q 21 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1, q 21 days x 4 cycles Gemcitabine & Cisplatin Cisplatin Gemcitabine, 1000 mg/m2, IV, Days 1\&8, q 21 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1, q 21 days x 4 cycles Dose Dense MVAC Doxorubicin Methotrexate, 30 mg/m2, IV, Day 1, q 14 days x 4 cycles Vinblastine, 3 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Doxorubicin, 30 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Filgrastim, 5 mcg/kg, SubQ/IV, Days 3-7, q 14 days x 4 cycles Dose Dense MVAC Methotrexate Methotrexate, 30 mg/m2, IV, Day 1, q 14 days x 4 cycles Vinblastine, 3 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Doxorubicin, 30 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Filgrastim, 5 mcg/kg, SubQ/IV, Days 3-7, q 14 days x 4 cycles Dose Dense MVAC Vinblastine Methotrexate, 30 mg/m2, IV, Day 1, q 14 days x 4 cycles Vinblastine, 3 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Doxorubicin, 30 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Filgrastim, 5 mcg/kg, SubQ/IV, Days 3-7, q 14 days x 4 cycles Dose Dense MVAC Filgrastim Methotrexate, 30 mg/m2, IV, Day 1, q 14 days x 4 cycles Vinblastine, 3 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Doxorubicin, 30 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Cisplatin, 70 mg/m2, IV, Day 1 or 2, q 14 days x 4 cycles Filgrastim, 5 mcg/kg, SubQ/IV, Days 3-7, q 14 days x 4 cycles
- Primary Outcome Measures
Name Time Method Assessment of Whether the Treatment-specific COXEN Score is Prognostic of ≤ pT1 Rate up to 5 years post-registration The proportion of participants achieving \<=pT1 in both favorable and unfavorable treatment specific-COXEN score categories.
Unit of measure is the number of participants in each category that achieved \<= pT1
____________________________________________________________________________________________________________________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores
This will be done in two ways:
* By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .
* By evaluating the correlation between the GC- and the DDMVAC-COXEN score.Correlation Between GC-and ddMVAC-COXEN Score up to 5 years post-registration The Pearson and Spearman correlation coefficients for GC-and ddMVAC-COXEN score were calculated and are reported below.
___________________________________________________________________________________________________________________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores
This will be done in two ways:
* By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .
* By evaluating the correlation between the GC- and the DDMVAC-COXEN score.Assessment of Whether the Treatment-specific COXEN Score is Prognostic of pT0 Rate Up to 5 years post registration The proportion of participants achieving pT0 in both favorable and unfavorable treatment specific-COXEN score categories.
Unit of measure is the number of participants in each category that achieved pT0
_____________________________________________________________________________________________________________________
The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores
This will be done in two ways:
* By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .
* By evaluating the correlation between the GC- and the DDMVAC-COXEN score.Assessment of COXEN Score as a Predictive Factor Distinguishing Between GC and ddMVAC up to 5 years post-registration To assess in a hypothesis generating fashion, the ability of COXEN to select for an individual chemotherapy regimen (GC vs DDMVAC)
P-values are reported as a measure of whether COXEN can select between GC/DDMVAC and to determine the significance of interactions between treatment specific COXEN scores and treatment arms in models predicting either pT0 or \<= pT1. Interactions with p-values \> 0.05 are interpreted as not significant.
________ The relationship of dose-dense methotrexate, vinblastin, doxorubicin, and cisplatin (DDMVAC)- and gemcitabine+cisplatin (GC)- specific CO-eXpression ExtrapolatioN (COXEN) scores
This will be done in two ways:
* By assessing whether the treatment-specific COXEN score is prognostic of pT0 rate or ≤ pT1 in this patient population and to assess in a preliminary fashion whether the COXEN score is a predictive factor distinguishing between these two chemotherapy regimens. .
* By evaluating the correlation between the GC- and the DDMVAC-COXEN score.
- Secondary Outcome Measures
Name Time Method Pathologic T0 Rate Evaluation: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC) Up to 5 years post-registration Pathologic complete response rate at the time of cystectomy following GC or DDMVAC treatment
Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs Duration of treatment and follow up until death or 5 years post registration Adverse Events (AEs) are reported by CTCAE Version 4.0. Only adverse events that are possibly, probably or definitely related to study drug are reported. Grade 3 is less severe than Grade 5.
Grade 3 - Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL\* (bathing, dressing and undressing, feeding self, using the toilet, taking medications, and not bedridden).
Grade 4 - Life-threatening consequences; urgent intervention indicated. Grade 5 - Death related to AE
\*ADL- Activities of Daily LivingPredictability of the CO-eXpression ExtrapolatioN (COXEN) Score to Direct Which of the Two Regimens the Patient Should Receive: Gemcitabine+Cisplatin (GC) Versus Dose-dense Methotrexate, Vinblastin, Doxorubicin, and Cisplatin (DDMVAC) Up to 5 years post registration In addition to stratification factors and dichotomous COXEN GEM score, an indicator for treatment arm and the interaction of treatment arm with COXEN GEM score was also included in a logistic regression model. A significant interaction would suggest that the respective COXEN GEM score was able to differentiate whether a patient was more likely to respond to one chemotherapy regimen over another. \*note that this is the same objective at Primary Outcome #3 above - this was erroneously listed twice in the protocol.
Value of Gene Expression Profiling in Predicting Overall Survival (OS) Up to 5 years post registration 5-year OS curve was estimated using the Kaplan-Meier method. Included all COXEN evaluable participants regardless of arm assignment. The report groups were favorable vs. unfavorable COXEN status.
Trial Locations
- Locations (566)
Aurora Cancer Care-Milwaukee
🇺🇸Milwaukee, Wisconsin, United States
Green Bay Oncology - Oconto Falls
🇺🇸Oconto Falls, Wisconsin, United States
Vince Lombardi Cancer Clinic - Oshkosh
🇺🇸Oshkosh, Wisconsin, United States
Aurora Cancer Care-Racine
🇺🇸Racine, Wisconsin, United States
Lakeview Medical Center-Marshfield Clinic
🇺🇸Rice Lake, Wisconsin, United States
HSHS Saint Nicholas Hospital
🇺🇸Sheboygan, Wisconsin, United States
Marshfield Clinic-Rice Lake Center
🇺🇸Rice Lake, Wisconsin, United States
Vince Lombardi Cancer Clinic-Sheboygan
🇺🇸Sheboygan, Wisconsin, United States
Marshfield Clinic Cancer Care at Saint Michael's Hospital
🇺🇸Stevens Point, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Sturgeon Bay
🇺🇸Sturgeon Bay, Wisconsin, United States
Marshfield Clinic Stevens Point Center
🇺🇸Stevens Point, Wisconsin, United States
Green Bay Oncology - Sturgeon Bay
🇺🇸Sturgeon Bay, Wisconsin, United States
Vince Lombardi Cancer Clinic-Two Rivers
🇺🇸Two Rivers, Wisconsin, United States
Aurora Medical Center in Summit
🇺🇸Summit, Wisconsin, United States
Aurora Cancer Care-Waukesha
🇺🇸Waukesha, Wisconsin, United States
Aurora Cancer Care-Milwaukee West
🇺🇸Wauwatosa, Wisconsin, United States
Marshfield Clinic - Weston Center
🇺🇸Weston, Wisconsin, United States
Aurora West Allis Medical Center
🇺🇸West Allis, Wisconsin, United States
Marshfield Clinic - Wisconsin Rapids Center
🇺🇸Wisconsin Rapids, Wisconsin, United States
Mountain Blue Cancer Care Center
🇺🇸Golden, Colorado, United States
Cedars Sinai Medical Center
🇺🇸Los Angeles, California, United States
Rocky Mountain Cancer Centers-Boulder
🇺🇸Boulder, Colorado, United States
Fremont - Rideout Cancer Center
🇺🇸Marysville, California, United States
City of Hope Comprehensive Cancer Center
🇺🇸Duarte, California, United States
Fairbanks Memorial Hospital
🇺🇸Fairbanks, Alaska, United States
Penrose-Saint Francis Healthcare
🇺🇸Colorado Springs, Colorado, United States
AIS Cancer Center at San Joaquin Community Hospital
🇺🇸Bakersfield, California, United States
Swedish Medical Center
🇺🇸Englewood, Colorado, United States
National Jewish Health-Western Hematology Oncology
🇺🇸Golden, Colorado, United States
USC Norris Oncology/Hematology-Newport Beach
🇺🇸Newport Beach, California, United States
The University of Arizona Medical Center-University Campus
🇺🇸Tucson, Arizona, United States
Memorial Hospital Central
🇺🇸Colorado Springs, Colorado, United States
Mercy Medical Center
🇺🇸Durango, Colorado, United States
Los Angeles County-USC Medical Center
🇺🇸Los Angeles, California, United States
Stanford Cancer Center South Bay
🇺🇸San Jose, California, United States
PCR Oncology
🇺🇸Pismo Beach, California, United States
Yuma Cancer Center
🇺🇸Yuma, Arizona, United States
Fowler Family Center for Cancer Care
🇺🇸Jonesboro, Arkansas, United States
Boulder Community Hospital
🇺🇸Boulder, Colorado, United States
Gene Upshaw Memorial Tahoe Forest Cancer Center
🇺🇸Truckee, California, United States
City of Hope Antelope Valley
🇺🇸Lancaster, California, United States
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
🇺🇸Peoria, Illinois, United States
Saint Luke's South Hospital
🇺🇸Overland Park, Kansas, United States
Illinois CancerCare-Ottawa Clinic
🇺🇸Ottawa, Illinois, United States
Grand Valley Oncology
🇺🇸Grand Junction, Colorado, United States
Memorial Hospital of Carbondale
🇺🇸Carbondale, Illinois, United States
Newman Regional Health
🇺🇸Emporia, Kansas, United States
Methodist Medical Center of Illinois
🇺🇸Peoria, Illinois, United States
Valley Radiation Oncology
🇺🇸Peru, Illinois, United States
SIH Cancer Institute
🇺🇸Carterville, Illinois, United States
Parker Adventist Hospital
🇺🇸Parker, Colorado, United States
Rocky Mountain Cancer Centers-Thornton
🇺🇸Thornton, Colorado, United States
Saint Mary Corwin Medical Center
🇺🇸Pueblo, Colorado, United States
Crossroads Cancer Center
🇺🇸Effingham, Illinois, United States
North Colorado Medical Center
🇺🇸Greeley, Colorado, United States
Nanticoke Memorial Hospital
🇺🇸Seaford, Delaware, United States
Walter Knox Memorial Hospital
🇺🇸Emmett, Idaho, United States
Wilcox Memorial Hospital and Kauai Medical Clinic
🇺🇸Lihue, Hawaii, United States
Idaho Urologic Institute-Meridian
🇺🇸Meridian, Idaho, United States
Illinois CancerCare-Carthage
🇺🇸Carthage, Illinois, United States
Rocky Mountain Cancer Centers-Littleton
🇺🇸Littleton, Colorado, United States
Illinois CancerCare-Pekin
🇺🇸Pekin, Illinois, United States
Rocky Mountain Cancer Centers-Greenwood Village
🇺🇸Greenwood Village, Colorado, United States
Christiana Care Health System-Christiana Hospital
🇺🇸Newark, Delaware, United States
Illinois CancerCare-Eureka
🇺🇸Eureka, Illinois, United States
Illinois CancerCare-Macomb
🇺🇸Macomb, Illinois, United States
SCL Health Lutheran Medical Center
🇺🇸Wheat Ridge, Colorado, United States
Sibley Memorial Hospital
🇺🇸Washington, District of Columbia, United States
Greenwich Hospital
🇺🇸Greenwich, Connecticut, United States
Centralia Oncology Clinic
🇺🇸Centralia, Illinois, United States
Helen F Graham Cancer Center
🇺🇸Newark, Delaware, United States
University of Chicago Medicine-Orland Park
🇺🇸Orland Park, Illinois, United States
Delaware Clinical and Laboratory Physicians PA
🇺🇸Newark, Delaware, United States
Illinois CancerCare-Galesburg
🇺🇸Galesburg, Illinois, United States
Rocky Mountain Cancer Centers-Sky Ridge
🇺🇸Lone Tree, Colorado, United States
McKee Medical Center
🇺🇸Loveland, Colorado, United States
William Beaumont Hospital-Royal Oak
🇺🇸Royal Oak, Michigan, United States
Smilow Cancer Hospital Care Center at Saint Francis
🇺🇸Hartford, Connecticut, United States
Medical Center of Central Georgia
🇺🇸Macon, Georgia, United States
Good Samaritan Regional Health Center
🇺🇸Mount Vernon, Illinois, United States
Illinois CancerCare-Bloomington
🇺🇸Bloomington, Illinois, United States
UC Comprehensive Cancer Center at Silver Cross
🇺🇸New Lenox, Illinois, United States
Illinois CancerCare-Canton
🇺🇸Canton, Illinois, United States
Kootenai Cancer Center
🇺🇸Post Falls, Idaho, United States
Hines Veterans Administration Hospital
🇺🇸Hines, Illinois, United States
Radiation Oncology of Northern Illinois
🇺🇸Ottawa, Illinois, United States
Cancer Care Specialists of Illinois-Swansea
🇺🇸Swansea, Illinois, United States
Central Illinois Hematology Oncology Center
🇺🇸Springfield, Illinois, United States
Memorial Medical Center
🇺🇸Springfield, Illinois, United States
Louisiana Hematology Oncology Associates LLC
🇺🇸Baton Rouge, Louisiana, United States
Heartland Cancer Center
🇺🇸Great Bend, Kansas, United States
Medical Oncology LLC
🇺🇸Baton Rouge, Louisiana, United States
Reid Health
🇺🇸Richmond, Indiana, United States
Minimally Invasive Surgery Hospital
🇺🇸Lenexa, Kansas, United States
North Shore Hematology Oncology Associates Inc
🇺🇸Covington, Louisiana, United States
Saint Catherine Hospital
🇺🇸Garden City, Kansas, United States
Cancer Center of Kansas - Fort Scott
🇺🇸Fort Scott, Kansas, United States
Hickman Cancer Center
🇺🇸Adrian, Michigan, United States
Genesee Hematology Oncology PC
🇺🇸Flint, Michigan, United States
Henry Ford Medical Center-Fairlane
🇺🇸Dearborn, Michigan, United States
Mary Bird Perkins Cancer Center
🇺🇸Baton Rouge, Louisiana, United States
Maine Center for Cancer Medicine-Scarborough
🇺🇸Scarborough, Maine, United States
IHA Hematology Oncology Consultants-Canton
🇺🇸Canton, Michigan, United States
Miller-Dwan Hospital
🇺🇸Duluth, Minnesota, United States
Saint Joseph Mercy Chelsea
🇺🇸Chelsea, Michigan, United States
Mary Bird Cancer Center/Saint Tammany Parish
🇺🇸Covington, Louisiana, United States
William Beaumont Hospital-Grosse Point
🇺🇸Grosse Pointe, Michigan, United States
Michigan Breast Specialists-Grosse Pointe Woods
🇺🇸Grosse Pointe Woods, Michigan, United States
Bronson Battle Creek
🇺🇸Battle Creek, Michigan, United States
Essentia Health Saint Mary's Medical Center
🇺🇸Duluth, Minnesota, United States
Mercy Hospital Springfield
🇺🇸Springfield, Missouri, United States
Botsford General Hospital
🇺🇸Farmington, Michigan, United States
Great Lakes Cancer Management Specialists-Doctors Park
🇺🇸East China Township, Michigan, United States
Newland Medical Associates-Clarkston
🇺🇸Clarkston, Michigan, United States
Henry Ford Macomb Hospital-Clinton Township
🇺🇸Clinton Township, Michigan, United States
Essentia Health Saint Joseph's Medical Center
🇺🇸Brainerd, Minnesota, United States
Centerpoint Medical Center LLC
🇺🇸Independence, Missouri, United States
Caro Cancer Center
🇺🇸Caro, Michigan, United States
Central Care Cancer Center-Carrie J Babb Cancer Center
🇺🇸Bolivar, Missouri, United States
Toledo Clinic Cancer Centers-Monroe
🇺🇸Monroe, Michigan, United States
21st Century Oncology-Pontiac
🇺🇸Pontiac, Michigan, United States
Saint Cloud Hospital
🇺🇸Saint Cloud, Minnesota, United States
Newland Medical Associates-Pontiac
🇺🇸Pontiac, Michigan, United States
Montana Cancer Consortium NCORP
🇺🇸Billings, Montana, United States
Capital Region Medical Center-Goldschmidt Cancer Center
🇺🇸Jefferson City, Missouri, United States
Missouri Baptist Medical Center
🇺🇸Saint Louis, Missouri, United States
Heartland Regional Medical Center
🇺🇸Saint Joseph, Missouri, United States
Henry Ford Medical Center-Columbus
🇺🇸Novi, Michigan, United States
Saint Patrick Hospital - Community Hospital
🇺🇸Missoula, Montana, United States
Great Lakes Cancer Management Specialists-Macomb Professional Building
🇺🇸Warren, Michigan, United States
Coborn Cancer Center at Saint Cloud Hospital
🇺🇸Saint Cloud, Minnesota, United States
Oncology Hematology Associates of Saginaw Valley PC
🇺🇸Saginaw, Michigan, United States
Lakeland Hospital
🇺🇸Saint Joseph, Michigan, United States
Metro Health Hospital
🇺🇸Wyoming, Michigan, United States
Barnes-Jewish West County Hospital
🇺🇸Creve Coeur, Missouri, United States
Parkland Health Center-Bonne Terre
🇺🇸Bonne Terre, Missouri, United States
Las Vegas Cancer Center-Henderson
🇺🇸Henderson, Nevada, United States
Mitchell Folbe MD PC
🇺🇸Sterling Heights, Michigan, United States
Saint Francis Medical Center
🇺🇸Cape Girardeau, Missouri, United States
Billings Clinic Cancer Center
🇺🇸Billings, Montana, United States
The University of Kansas Cancer Center-Lee's Summit
🇺🇸Lee's Summit, Missouri, United States
Cancer and Blood Specialists-Henderson
🇺🇸Henderson, Nevada, United States
Weill Medical College of Cornell University
🇺🇸New York, New York, United States
Comprehensive Cancer Centers of Nevada - Henderson
🇺🇸Henderson, Nevada, United States
Saint Peter's Community Hospital
🇺🇸Helena, Montana, United States
21st Century Oncology - Henderson
🇺🇸Henderson, Nevada, United States
Glens Falls Hospital
🇺🇸Glens Falls, New York, United States
Renown Regional Medical Center
🇺🇸Reno, Nevada, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
Inspira Medical Center Woodbury
🇺🇸Woodbury, New Jersey, United States
Community Medical Hospital
🇺🇸Missoula, Montana, United States
Southeastern Medical Oncology Center-Clinton
🇺🇸Clinton, North Carolina, United States
Armes Family Cancer Center
🇺🇸Findlay, Ohio, United States
Miami Valley Hospital
🇺🇸Dayton, Ohio, United States
Toledo Clinic Cancer Centers-Toledo
🇺🇸Toledo, Ohio, United States
Wayne Memorial Hospital
🇺🇸Goldsboro, North Carolina, United States
State University of New York Upstate Medical University
🇺🇸Syracuse, New York, United States
Kettering Medical Center
🇺🇸Kettering, Ohio, United States
Dayton Physicians LLC-Signal Point
🇺🇸Middletown, Ohio, United States
Dayton Physicians LLC-Miami Valley South
🇺🇸Centerville, Ohio, United States
Inspira Medical Center Vineland
🇺🇸Vineland, New Jersey, United States
Saint Mary's Regional Medical Center
🇺🇸Reno, Nevada, United States
UPMC-Heritage Valley Health System Beaver
🇺🇸Beaver, Pennsylvania, United States
Asheville Hematology-Oncology Associates
🇺🇸Asheville, North Carolina, United States
Hillcrest Hospital Cancer Center
🇺🇸Mayfield Heights, Ohio, United States
Flower Hospital
🇺🇸Sylvania, Ohio, United States
Geisinger Wyoming Valley/Henry Cancer Center
🇺🇸Wilkes-Barre, Pennsylvania, United States
Lehigh Valley Hospital-Cedar Crest
🇺🇸Allentown, Pennsylvania, United States
University of Toledo
🇺🇸Toledo, Ohio, United States
Saint Charles Hospital
🇺🇸Oregon, Ohio, United States
Dayton Physicians LLC-Wayne
🇺🇸Greenville, Ohio, United States
North Coast Cancer Care
🇺🇸Sandusky, Ohio, United States
Toledo Clinic Cancer Centers-Maumee
🇺🇸Maumee, Ohio, United States
Cleveland Clinic Cancer Center Independence
🇺🇸Independence, Ohio, United States
UPMC Cancer Centers - Arnold Palmer Pavilion
🇺🇸Greensburg, Pennsylvania, United States
Dayton Physicians LLC-Samaritan North
🇺🇸Dayton, Ohio, United States
Miami Valley Hospital South
🇺🇸Centerville, Ohio, United States
Springfield Regional Cancer Center
🇺🇸Springfield, Ohio, United States
Cleveland Clinic Cancer Center Mansfield
🇺🇸Mansfield, Ohio, United States
Southeastern Medical Oncology Center-Wilson
🇺🇸Wilson, North Carolina, United States
Dayton Physicians LLC-Atrium
🇺🇸Franklin, Ohio, United States
Wayne Hospital
🇺🇸Greenville, Ohio, United States
Good Samaritan Hospital - Dayton
🇺🇸Dayton, Ohio, United States
First Dayton Cancer Care
🇺🇸Kettering, Ohio, United States
Upper Valley Medical Center
🇺🇸Troy, Ohio, United States
Mercy Health Perrysburg Cancer Center
🇺🇸Perrysburg, Ohio, United States
Cleveland Clinic Wooster Family Health and Surgery Center
🇺🇸Wooster, Ohio, United States
Christiana Care Health System-Concord Health Center
🇺🇸Chadds Ford, Pennsylvania, United States
UT Southwestern/Simmons Cancer Center-Dallas
🇺🇸Dallas, Texas, United States
Saint Alphonsus Medical Center-Baker City
🇺🇸Baker City, Oregon, United States
Dayton Physicians LLC-Upper Valley
🇺🇸Troy, Ohio, United States
UPMC-Johnstown/John P. Murtha Regional Cancer Center
🇺🇸Johnstown, Pennsylvania, United States
Northwest NCI Community Oncology Research Program
🇺🇸Tacoma, Washington, United States
Lehigh Valley Hospital - Muhlenberg
🇺🇸Bethlehem, Pennsylvania, United States
Geisinger Medical Center-Cancer Center Hazleton
🇺🇸Hazleton, Pennsylvania, United States
UPMC Washington Hospital Radiation Oncology
🇺🇸Washington, Pennsylvania, United States
University of Pennsylvania/Abramson Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
UT Southwestern/Simmons Cancer Center-Fort Worth
🇺🇸Fort Worth, Texas, United States
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Overlake Hospital Medical Center
🇺🇸Bellevue, Washington, United States
South Jordan Health Center
🇺🇸South Jordan, Utah, United States
Brooke Army Medical Center
🇺🇸Fort Sam Houston, Texas, United States
Tacoma/Valley Radiation Oncology Centers-Jackson Hall
🇺🇸Tacoma, Washington, United States
MultiCare Auburn Medical Center
🇺🇸Auburn, Washington, United States
Tacoma/Valley Radiation Oncology Centers-Saint Joe's
🇺🇸Tacoma, Washington, United States
Geisinger Medical Oncology-Selinsgrove
🇺🇸Selinsgrove, Pennsylvania, United States
Aurora Health Care Germantown Health Center
🇺🇸Germantown, Wisconsin, United States
Aurora Cancer Care-Grafton
🇺🇸Grafton, Wisconsin, United States
Northwest Cancer Clinic
🇺🇸Kennewick, Washington, United States
Greenville Health System Cancer Institute-Faris
🇺🇸Greenville, South Carolina, United States
University of Virginia Cancer Center
🇺🇸Charlottesville, Virginia, United States
MultiCare Gig Harbor Medical Park
🇺🇸Gig Harbor, Washington, United States
Farmington Health Center
🇺🇸Farmington, Utah, United States
Southwest VA Regional Cancer Center
🇺🇸Norton, Virginia, United States
Tacoma/Valley Radiation Oncology Centers-Gig Harbor
🇺🇸Gig Harbor, Washington, United States
Peninsula Cancer Center
🇺🇸Poulsbo, Washington, United States
Big Horn Basin Cancer Center
🇺🇸Cody, Wyoming, United States
Marshfield Clinic-Wausau Center
🇺🇸Wausau, Wisconsin, United States
Marshfield Clinic Cancer Center at Sacred Heart
🇺🇸Eau Claire, Wisconsin, United States
Aurora Health Center-Fond du Lac
🇺🇸Fond Du Lac, Wisconsin, United States
Gundersen Lutheran Medical Center
🇺🇸La Crosse, Wisconsin, United States
Marshfield Clinic
🇺🇸Marshfield, Wisconsin, United States
Marshfield Clinic-Minocqua Center
🇺🇸Minocqua, Wisconsin, United States
Vince Lombardi Cancer Clinic-Marinette
🇺🇸Marinette, Wisconsin, United States
Ohio State University Comprehensive Cancer Center
🇺🇸Columbus, Ohio, United States
UPMC-Saint Margaret
🇺🇸Pittsburgh, Pennsylvania, United States
UPMC-Saint Clair Hospital Cancer Center
🇺🇸Pittsburgh, Pennsylvania, United States
University of Pittsburgh Cancer Institute (UPCI)
🇺🇸Pittsburgh, Pennsylvania, United States
Greenville Health System Cancer Institute-Easley
🇺🇸Easley, South Carolina, United States
Johns Hopkins University/Sidney Kimmel Cancer Center
🇺🇸Baltimore, Maryland, United States
USC / Norris Comprehensive Cancer Center
🇺🇸Los Angeles, California, United States
Greater Baltimore Medical Center
🇺🇸Baltimore, Maryland, United States
MetroHealth Medical Center
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Cancer Center/Fairview Hospital
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Foundation
🇺🇸Cleveland, Ohio, United States
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
🇺🇸Houston, Texas, United States
Ben Taub General Hospital
🇺🇸Houston, Texas, United States
M D Anderson Cancer Center
🇺🇸Houston, Texas, United States
University Medical Center of Southern Nevada
🇺🇸Las Vegas, Nevada, United States
Radiation Oncology Centers of Nevada Central
🇺🇸Las Vegas, Nevada, United States
Cancer and Blood Specialists-Shadow
🇺🇸Las Vegas, Nevada, United States
HealthCare Partners Medical Group Oncology/Hematology-San Martin
🇺🇸Las Vegas, Nevada, United States
Nevada Cancer Research Foundation CCOP
🇺🇸Las Vegas, Nevada, United States
21st Century Oncology
🇺🇸Las Vegas, Nevada, United States
HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
🇺🇸Las Vegas, Nevada, United States
Cancer Therapy and Integrative Medicine
🇺🇸Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada - Northwest
🇺🇸Las Vegas, Nevada, United States
Ann M Wierman MD LTD
🇺🇸Las Vegas, Nevada, United States
Cancer and Blood Specialists-Tenaya
🇺🇸Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada-Summerlin
🇺🇸Las Vegas, Nevada, United States
Las Vegas Cancer Center-Medical Center
🇺🇸Las Vegas, Nevada, United States
21st Century Oncology - Fort Apache
🇺🇸Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada
🇺🇸Las Vegas, Nevada, United States
HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
🇺🇸Las Vegas, Nevada, United States
21st Century Oncology - Vegas Tenaya
🇺🇸Las Vegas, Nevada, United States
Oncology Hematology Care Inc-Kenwood
🇺🇸Cincinnati, Ohio, United States
University Hospital
🇺🇸San Antonio, Texas, United States
University of Texas Health Science Center at San Antonio
🇺🇸San Antonio, Texas, United States
Dayton Physicians LLC-Wilson
🇺🇸Sidney, Ohio, United States
Vanderbilt Breast Center at One Hundred Oaks
🇺🇸Nashville, Tennessee, United States
Huntsman Cancer Institute/University of Utah
🇺🇸Salt Lake City, Utah, United States
Cancer Center of Kansas - Wichita
🇺🇸Wichita, Kansas, United States
Wichita NCI Community Oncology Research Program
🇺🇸Wichita, Kansas, United States
Hawaii Oncology Inc-Pali Momi
🇺🇸'Aiea, Hawaii, United States
Menorah Medical Center
🇺🇸Overland Park, Kansas, United States
Cancer Center of Kansas-Independence
🇺🇸Independence, Kansas, United States
Cancer Center of Kansas - Newton
🇺🇸Newton, Kansas, United States
Cancer Center of Kansas-Liberal
🇺🇸Liberal, Kansas, United States
Cancer Center of Kansas-Manhattan
🇺🇸Manhattan, Kansas, United States
Pali Momi Medical Center
🇺🇸'Aiea, Hawaii, United States
The Cancer Center of Hawaii-Leeward
🇺🇸'Ewa Beach, Hawaii, United States
Saint Francis Hospital and Medical Center - Topeka
🇺🇸Topeka, Kansas, United States
Kansas Institute of Medicine Cancer and Blood Center
🇺🇸Lenexa, Kansas, United States
Cancer Center of Kansas - Chanute
🇺🇸Chanute, Kansas, United States
Cancer Center of Kansas - El Dorado
🇺🇸El Dorado, Kansas, United States
Cancer Center of Kansas - Winfield
🇺🇸Winfield, Kansas, United States
Olathe Medical Center
🇺🇸Olathe, Kansas, United States
University of Kansas Cancer Center-West
🇺🇸Kansas City, Kansas, United States
Salina Regional Health Center
🇺🇸Salina, Kansas, United States
Cancer Center of Kansas - Dodge City
🇺🇸Dodge City, Kansas, United States
Cancer Center of Kansas-Kingman
🇺🇸Kingman, Kansas, United States
Cancer Center of Kansas - Parsons
🇺🇸Parsons, Kansas, United States
Cancer Center of Kansas - Pratt
🇺🇸Pratt, Kansas, United States
Cancer Center of Kansas - McPherson
🇺🇸McPherson, Kansas, United States
Via Christi Hospital-Pittsburg
🇺🇸Pittsburg, Kansas, United States
Associates In Womens Health
🇺🇸Wichita, Kansas, United States
University of Kansas Cancer Center-Overland Park
🇺🇸Overland Park, Kansas, United States
Cancer Center of Kansas-Wichita Medical Arts Tower
🇺🇸Wichita, Kansas, United States
Via Christi Regional Medical Center
🇺🇸Wichita, Kansas, United States
University of Kansas Cancer Center
🇺🇸Kansas City, Kansas, United States
Essentia Health Cancer Center-South University Clinic
🇺🇸Fargo, North Dakota, United States
Cancer Center of Kansas - Salina
🇺🇸Salina, Kansas, United States
Cancer Center of Kansas - Wellington
🇺🇸Wellington, Kansas, United States
Kansas City NCI Community Oncology Research Program
🇺🇸Prairie Village, Kansas, United States
Billings Clinic-Cody
🇺🇸Cody, Wyoming, United States
Cheyenne Regional Medical Center-West
🇺🇸Cheyenne, Wyoming, United States
Welch Cancer Center
🇺🇸Sheridan, Wyoming, United States
University of Rochester
🇺🇸Rochester, New York, United States
Washington University School of Medicine
🇺🇸Saint Louis, Missouri, United States
University of Arizona Cancer Center at Saint Joseph's
🇺🇸Phoenix, Arizona, United States
Wayne State University/Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
Saint John Hospital and Medical Center
🇺🇸Detroit, Michigan, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
University of Alabama at Birmingham Cancer Center
🇺🇸Birmingham, Alabama, United States
Colorado Blood Cancer Institute
🇺🇸Denver, Colorado, United States
Denver Health Medical Center
🇺🇸Denver, Colorado, United States
The Women's Imaging Center
🇺🇸Denver, Colorado, United States
Porter Adventist Hospital
🇺🇸Denver, Colorado, United States
Rocky Mountain Cancer Centers-Midtown
🇺🇸Denver, Colorado, United States
SCL Health Saint Joseph Hospital
🇺🇸Denver, Colorado, United States
Rocky Mountain Cancer Centers-Rose
🇺🇸Denver, Colorado, United States
Rose Medical Center
🇺🇸Denver, Colorado, United States
Colorado Cancer Research Program NCORP
🇺🇸Denver, Colorado, United States
Oregon Health and Science University
🇺🇸Portland, Oregon, United States
Rocky Mountain Cancer Centers-Aurora
🇺🇸Aurora, Colorado, United States
The Medical Center of Aurora
🇺🇸Aurora, Colorado, United States
Truman Medical Center
🇺🇸Kansas City, Missouri, United States
Liberty Radiation Oncology Center
🇺🇸Liberty, Missouri, United States
Saint John's Clinic-Rolla-Cancer and Hematology
🇺🇸Rolla, Missouri, United States
Saint Louis Cancer and Breast Institute-South City
🇺🇸Saint Louis, Missouri, United States
Mercy Hospital Saint Louis
🇺🇸Saint Louis, Missouri, United States
Siteman Cancer Center - Saint Peters
🇺🇸Saint Peters, Missouri, United States
CoxHealth South Hospital
🇺🇸Springfield, Missouri, United States
Missouri Baptist Sullivan Hospital
🇺🇸Sullivan, Missouri, United States
Missouri Baptist Outpatient Center-Sunset Hills
🇺🇸Sunset Hills, Missouri, United States
University of Nebraska Medical Center
🇺🇸Omaha, Nebraska, United States
Aurora Saint Luke's Medical Center
🇺🇸Milwaukee, Wisconsin, United States
Froedtert and the Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
Aurora Sinai Medical Center
🇺🇸Milwaukee, Wisconsin, United States
National Jewish Health-Main Campus
🇺🇸Denver, Colorado, United States
University of Colorado Cancer Center - Anschutz Cancer Pavilion
🇺🇸Aurora, Colorado, United States
Rocky Mountain Cancer Centers-Penrose
🇺🇸Colorado Springs, Colorado, United States
Saint Anthony Hospital
🇺🇸Lakewood, Colorado, United States
Littleton Adventist Hospital
🇺🇸Littleton, Colorado, United States
Southwest Oncology PC
🇺🇸Durango, Colorado, United States
Sky Ridge Medical Center
🇺🇸Lone Tree, Colorado, United States
Rocky Mountain Cancer Centers-Parker
🇺🇸Parker, Colorado, United States
Longmont United Hospital
🇺🇸Longmont, Colorado, United States
Beaumont Hospital-Dearborn
🇺🇸Dearborn, Michigan, United States
Saint Joseph Mercy Canton Health Center
🇺🇸Canton, Michigan, United States
IHA Hematology Oncology Consultants-Chelsea
🇺🇸Chelsea, Michigan, United States
Weisberg Cancer Treatment Center
🇺🇸Farmington Hills, Michigan, United States
Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
Green Bay Oncology - Escanaba
🇺🇸Escanaba, Michigan, United States
Mercy Health Saint Mary's
🇺🇸Grand Rapids, Michigan, United States
Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
🇺🇸Grosse Pointe Woods, Michigan, United States
Hurley Medical Center
🇺🇸Flint, Michigan, United States
Borgess Medical Center
🇺🇸Kalamazoo, Michigan, United States
Lymphoma Clinic of Michigan
🇺🇸Grosse Pointe Woods, Michigan, United States
Allegiance Health
🇺🇸Jackson, Michigan, United States
Bronson Methodist Hospital
🇺🇸Kalamazoo, Michigan, United States
Monroe Cancer Center
🇺🇸Monroe, Michigan, United States
Sparrow Hospital
🇺🇸Lansing, Michigan, United States
Hematology Oncology Associates East PC
🇺🇸Macomb, Michigan, United States
Hope Cancer Center
🇺🇸Pontiac, Michigan, United States
Saint Joseph Mercy Oakland
🇺🇸Pontiac, Michigan, United States
Lake Huron Medical Center
🇺🇸Port Huron, Michigan, United States
Mercy Health Mercy Campus
🇺🇸Muskegon, Michigan, United States
Lakeland Community Hospital
🇺🇸Niles, Michigan, United States
Spectrum Health Reed City Hospital
🇺🇸Reed City, Michigan, United States
Great Lakes Cancer Management Specialists-Rochester Hills
🇺🇸Rochester Hills, Michigan, United States
Cancer Care Associates PC
🇺🇸Royal Oak, Michigan, United States
Hematology Oncology Consultants PC
🇺🇸Royal Oak, Michigan, United States
Michigan Cancer Specialists
🇺🇸Roseville, Michigan, United States
Bhadresh Nayak MD PC-Sterling Heights
🇺🇸Sterling Heights, Michigan, United States
Premier Hematology Oncology Care
🇺🇸Sterling Heights, Michigan, United States
Michigan Institute of Urology-Town Center
🇺🇸Troy, Michigan, United States
Hematology Oncology Consultants PC-Troy
🇺🇸Troy, Michigan, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
Macomb Hematology Oncology PC
🇺🇸Warren, Michigan, United States
Michigan Breast Specialists-Warren
🇺🇸Warren, Michigan, United States
Henry Ford West Bloomfield Hospital
🇺🇸West Bloomfield, Michigan, United States
Huron Gastroenterology PC
🇺🇸Ypsilanti, Michigan, United States
University of Arizona Cancer Center-North Campus
🇺🇸Tucson, Arizona, United States
OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
🇺🇸Pekin, Illinois, United States
Illinois CancerCare-Peru
🇺🇸Peru, Illinois, United States
Illinois CancerCare-Princeton
🇺🇸Princeton, Illinois, United States
Memorial and Saint Elizabeth's Health Care Services LLP
🇺🇸Swansea, Illinois, United States
Springfield Clinic
🇺🇸Springfield, Illinois, United States
Samaritan North Health Center
🇺🇸Dayton, Ohio, United States
UPMC-Magee Womens Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
UPMC Cancer Center at UPMC McKeesport
🇺🇸McKeesport, Pennsylvania, United States
UPMC-Presbyterian Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
UPMC-Shadyside Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Geisinger Medical Oncology-Pottsville
🇺🇸Pottsville, Pennsylvania, United States
Jefferson Healthcare
🇺🇸Port Townsend, Washington, United States
Virginia Mason Lynnwood Medical Center
🇺🇸Lynnwood, Washington, United States
Virginia Mason Medical Center
🇺🇸Seattle, Washington, United States
MultiCare Tacoma General Hospital
🇺🇸Tacoma, Washington, United States
Green Bay Oncology at Saint Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
Aurora Cancer Care-Southern Lakes VLCC
🇺🇸Burlington, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green Bay
🇺🇸Green Bay, Wisconsin, United States
Green Bay Oncology Limited at Saint Mary's Hospital
🇺🇸Green Bay, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary's
🇺🇸Green Bay, Wisconsin, United States
Aurora BayCare Medical Center
🇺🇸Green Bay, Wisconsin, United States
Holy Family Memorial Hospital
🇺🇸Manitowoc, Wisconsin, United States
Aurora Bay Area Medical Group-Marinette
🇺🇸Marinette, Wisconsin, United States
Southeastern Medical Oncology Center-Goldsboro
🇺🇸Goldsboro, North Carolina, United States
Park Ridge Hospital Breast Health Center
🇺🇸Hendersonville, North Carolina, United States
Sampson Radiation Oncology
🇺🇸Clinton, North Carolina, United States
Kinston Medical Specialists PA
🇺🇸Kinston, North Carolina, United States
Southeastern Medical Oncology Center-Jacksonville
🇺🇸Jacksonville, North Carolina, United States
Presbyterian - Saint Lukes Medical Center - Health One
🇺🇸Denver, Colorado, United States
West Michigan Cancer Center
🇺🇸Kalamazoo, Michigan, United States
Tacoma/Valley Radiation Oncology Centers-Puyallup
🇺🇸Puyallup, Washington, United States
University of California Davis Comprehensive Cancer Center
🇺🇸Sacramento, California, United States
Wake Forest University Health Sciences
🇺🇸Winston-Salem, North Carolina, United States
University of Arizona Cancer Center-Orange Grove Campus
🇺🇸Tucson, Arizona, United States
UC San Diego Moores Cancer Center
🇺🇸La Jolla, California, United States
Stanford Cancer Institute
🇺🇸Palo Alto, California, United States
Loma Linda University Medical Center
🇺🇸Loma Linda, California, United States
City of Hope South Pasadena
🇺🇸South Pasadena, California, United States
Poudre Valley Hospital
🇺🇸Fort Collins, Colorado, United States
Comprehensive Cancer Care and Research Institute of Colorado LLC
🇺🇸Englewood, Colorado, United States
Rocky Mountain Cancer Centers-Lakewood
🇺🇸Lakewood, Colorado, United States
Rocky Mountain Cancer Centers - Pueblo
🇺🇸Pueblo, Colorado, United States
Christiana Gynecologic Oncology LLC
🇺🇸Newark, Delaware, United States
Cleveland Clinic-Weston
🇺🇸Weston, Florida, United States
John B Amos Cancer Center
🇺🇸Columbus, Georgia, United States
Saint Alphonsus Cancer Care Center-Caldwell
🇺🇸Caldwell, Idaho, United States
Saint Alphonsus Medical Center-Nampa
🇺🇸Nampa, Idaho, United States
Cancer Care Center of Decatur
🇺🇸Decatur, Illinois, United States
Saint Joseph Medical Center
🇺🇸Bloomington, Illinois, United States
Western Illinois Cancer Treatment Center
🇺🇸Galesburg, Illinois, United States
Decatur Memorial Hospital
🇺🇸Decatur, Illinois, United States
University of Chicago Comprehensive Cancer Center
🇺🇸Chicago, Illinois, United States
Illinois CancerCare-Kewanee Clinic
🇺🇸Kewanee, Illinois, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Southern Illinois University School of Medicine
🇺🇸Springfield, Illinois, United States
Siouxland Regional Cancer Center
🇺🇸Sioux City, Iowa, United States
Illinois CancerCare-Peoria
🇺🇸Peoria, Illinois, United States
University of Iowa/Holden Comprehensive Cancer Center
🇺🇸Iowa City, Iowa, United States
Hays Medical Center
🇺🇸Hays, Kansas, United States
Lawrence Memorial Hospital
🇺🇸Lawrence, Kansas, United States
Saint Rose Ambulatory and Surgery Center
🇺🇸Great Bend, Kansas, United States
LSU Health Baton Rouge-North Clinic
🇺🇸Baton Rouge, Louisiana, United States
Oncology Center of The South Incorporated
🇺🇸Houma, Louisiana, United States
East Jefferson General Hospital
🇺🇸Metairie, Louisiana, United States
Henry Ford Cancer Institute?Downriver
🇺🇸Brownstown, Michigan, United States
IHA Hematology Oncology Consultants-Brighton
🇺🇸Brighton, Michigan, United States
Saint Joseph Mercy Hospital
🇺🇸Ann Arbor, Michigan, United States
Saint Joseph Mercy Brighton
🇺🇸Brighton, Michigan, United States
University of Michigan Comprehensive Cancer Center
🇺🇸Ann Arbor, Michigan, United States
Hematology Oncology Consultants-Clarkston
🇺🇸Clarkston, Michigan, United States
Spectrum Health at Butterworth Campus
🇺🇸Grand Rapids, Michigan, United States
Genesys Hurley Cancer Institute
🇺🇸Flint, Michigan, United States
Genesee Cancer and Blood Disease Treatment Center
🇺🇸Flint, Michigan, United States
Michigan Breast Specialists-Macomb Township
🇺🇸Macomb, Michigan, United States
Hope Cancer Clinic
🇺🇸Livonia, Michigan, United States
Saint Mary Mercy Hospital
🇺🇸Livonia, Michigan, United States
Oakland Colon and Rectal Association
🇺🇸Royal Oak, Michigan, United States
Saint Mary's of Michigan
🇺🇸Saginaw, Michigan, United States
Comprehensive Medical Center PLLC
🇺🇸Royal Oak, Michigan, United States
Oakland Medical Group
🇺🇸Royal Oak, Michigan, United States
Marie Yeager Cancer Center
🇺🇸Saint Joseph, Michigan, United States
Claudia BR Herke MD PC
🇺🇸Troy, Michigan, United States
Saint Mary's Oncology/Hematology Associates of West Branch
🇺🇸West Branch, Michigan, United States
Saint John Macomb-Oakland Hospital
🇺🇸Warren, Michigan, United States
CoxHealth Cancer Center
🇺🇸Branson, Missouri, United States
IHA Hematology Oncology Consultants-Ann Arbor
🇺🇸Ypsilanti, Michigan, United States
Lake Region Healthcare Corporation-Cancer Care
🇺🇸Fergus Falls, Minnesota, United States
Essentia Health Cancer Center
🇺🇸Duluth, Minnesota, United States
Southeast Cancer Center
🇺🇸Cape Girardeau, Missouri, United States
Freeman Health System
🇺🇸Joplin, Missouri, United States
Sainte Genevieve County Memorial Hospital
🇺🇸Sainte Genevieve, Missouri, United States
Saint Luke's East - Lee's Summit
🇺🇸Lee's Summit, Missouri, United States
Delbert Day Cancer Institute at PCRMC
🇺🇸Rolla, Missouri, United States
Community Hospital of Anaconda
🇺🇸Anaconda, Montana, United States
Saint Vincent Healthcare
🇺🇸Billings, Montana, United States
Saint James Community Hospital and Cancer Treatment Center
🇺🇸Butte, Montana, United States
Carson Tahoe Regional Medical Center
🇺🇸Carson City, Nevada, United States
HealthCare Partners Medical Group Oncology/Hematology-Tenaya
🇺🇸Las Vegas, Nevada, United States
Summerlin Hospital Medical Center
🇺🇸Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada - Central Valley
🇺🇸Las Vegas, Nevada, United States
University Cancer Center
🇺🇸Las Vegas, Nevada, United States
Wayne Radiation Oncology
🇺🇸Goldsboro, North Carolina, United States
Onslow Memorial Hospital
🇺🇸Jacksonville, North Carolina, United States
Blanchard Valley Hospital
🇺🇸Findlay, Ohio, United States
Orion Cancer Care
🇺🇸Findlay, Ohio, United States
Atrium Medical Center-Middletown Regional Hospital
🇺🇸Franklin, Ohio, United States
Greater Dayton Cancer Center
🇺🇸Kettering, Ohio, United States
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
🇺🇸Maumee, Ohio, United States
Springfield Regional Medical Center
🇺🇸Springfield, Ohio, United States
Cleveland Clinic Cancer Center Strongsville
🇺🇸Strongsville, Ohio, United States
The Toledo Hospital/Toledo Children's Hospital
🇺🇸Toledo, Ohio, United States
Mercy Saint Anne Hospital
🇺🇸Toledo, Ohio, United States
Oklahoma Cancer Specialists and Research Institute-Tulsa
🇺🇸Tulsa, Oklahoma, United States
South Pointe Hospital
🇺🇸Warrensville Heights, Ohio, United States
Geisinger Medical Oncology-Lewisburg
🇺🇸Lewisburg, Pennsylvania, United States
Saint Alphonsus Medical Center-Ontario
🇺🇸Ontario, Oregon, United States
Lewistown Hospital
🇺🇸Lewistown, Pennsylvania, United States
UPMC-Coraopolis/Heritage Valley Radiation Oncology
🇺🇸Moon, Pennsylvania, United States
UPMC-Passavant Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
UPMC Jefferson Regional Radiation Oncology
🇺🇸Pittsburgh, Pennsylvania, United States
Community Medical Center
🇺🇸Scranton, Pennsylvania, United States
UPMC Cancer Center at UPMC Northwest
🇺🇸Seneca, Pennsylvania, United States
Geisinger Medical Group
🇺🇸State College, Pennsylvania, United States
UPMC Uniontown Hospital Radiation Oncology
🇺🇸Uniontown, Pennsylvania, United States
Saint Francis Hospital
🇺🇸Greenville, South Carolina, United States
Greenville Health System Cancer Institute-Eastside
🇺🇸Greenville, South Carolina, United States
Wellmont Bristol Regional Medical Center
🇺🇸Bristol, Tennessee, United States
Wellmont Medical Associates Oncology and Hematology-Johnson City
🇺🇸Johnson City, Tennessee, United States
Cancer Therapy and Research Center at The UT Health Science Center at San Antonio
🇺🇸San Antonio, Texas, United States
University of Vermont College of Medicine
🇺🇸Burlington, Vermont, United States
Virginia Mason Bainbridge Island Medical Center
🇺🇸Bainbridge Island, Washington, United States
Virginia Mason Federal Way Medical Center
🇺🇸Federal Way, Washington, United States
MultiCare Good Samaritan Hospital
🇺🇸Puyallup, Washington, United States
Marshfield Clinic-Chippewa Center
🇺🇸Chippewa Falls, Wisconsin, United States
Aurora Cancer Care-Kenosha South
🇺🇸Kenosha, Wisconsin, United States
Bay Area Medical Center
🇺🇸Marinette, Wisconsin, United States
Kalispell Regional Medical Center
🇺🇸Kalispell, Montana, United States
Rocky Mountain Cancer Centers-Longmont
🇺🇸Longmont, Colorado, United States
Mercy Hospital-Joplin
🇺🇸Joplin, Missouri, United States
Beebe Medical Center
🇺🇸Lewes, Delaware, United States
Regional Hematology and Oncology PA
🇺🇸Newark, Delaware, United States
Saint Alphonsus Cancer Care Center-Boise
🇺🇸Boise, Idaho, United States
Kootenai Medical Center
🇺🇸Coeur d'Alene, Idaho, United States
Medical Oncology Hematology Consultants PA
🇺🇸Newark, Delaware, United States
Comprehensive Cancer Centers of Nevada-Southeast Henderson
🇺🇸Henderson, Nevada, United States
Kootenai Cancer Clinic
🇺🇸Sandpoint, Idaho, United States
Greenville Health System Cancer Institute-Spartanburg
🇺🇸Spartanburg, South Carolina, United States
Christiana Care Health System-Wilmington Hospital
🇺🇸Wilmington, Delaware, United States
Greenville Health System Cancer Institute-Greer
🇺🇸Greer, South Carolina, United States
Beebe Health Campus
🇺🇸Rehoboth Beach, Delaware, United States
Radiation Oncology Centers of Nevada Southeast
🇺🇸Las Vegas, Nevada, United States
Great Falls Clinic
🇺🇸Great Falls, Montana, United States
Wellmont Medical Associates Oncology and Hematology-Kingsport
🇺🇸Kingsport, Tennessee, United States
Greenville Health System Cancer Institute-Butternut
🇺🇸Greenville, South Carolina, United States
Vanderbilt-Ingram Cancer Center Cool Springs
🇺🇸Franklin, Tennessee, United States
Greenville Health System Cancer Institute-Andrews
🇺🇸Greenville, South Carolina, United States
Saint Francis Cancer Center
🇺🇸Greenville, South Carolina, United States
Central Vermont Medical Center/National Life Cancer Treatment
🇺🇸Berlin, Vermont, United States
Nevada Cancer Specialists-Fort Apache
🇺🇸Las Vegas, Nevada, United States
Benefis Healthcare- Sletten Cancer Institute
🇺🇸Great Falls, Montana, United States
University of Vermont Medical Center
🇺🇸Burlington, Vermont, United States
Wellmont Holston Valley Hospital and Medical Center
🇺🇸Kingsport, Tennessee, United States
Greenville Memorial Hospital
🇺🇸Greenville, South Carolina, United States
Bozeman Deaconess Hospital
🇺🇸Bozeman, Montana, United States
Vanderbilt University/Ingram Cancer Center
🇺🇸Nashville, Tennessee, United States
West Virginia University Charleston
🇺🇸Charleston, West Virginia, United States
Greenville Health System Cancer Institute-Seneca
🇺🇸Seneca, South Carolina, United States
Yale University
🇺🇸New Haven, Connecticut, United States
Kansas City Veterans Affairs Medical Center
🇺🇸Kansas City, Missouri, United States
Saint Luke's Hospital of Kansas City
🇺🇸Kansas City, Missouri, United States
Heartland Hematology and Oncology Associates Incorporated
🇺🇸Kansas City, Missouri, United States
The University of Kansas Cancer Center-South
🇺🇸Kansas City, Missouri, United States
Research Medical Center
🇺🇸Kansas City, Missouri, United States
The University of Kansas Cancer Center-North
🇺🇸Kansas City, Missouri, United States
UNC Lineberger Comprehensive Cancer Center
🇺🇸Chapel Hill, North Carolina, United States
Medical University of South Carolina
🇺🇸Charleston, South Carolina, United States
Queen's Medical Center
🇺🇸Honolulu, Hawaii, United States
Hawaii Cancer Care Inc-Liliha
🇺🇸Honolulu, Hawaii, United States
Kuakini Medical Center
🇺🇸Honolulu, Hawaii, United States
Hawaii Cancer Care Inc-POB II
🇺🇸Honolulu, Hawaii, United States
Hawaii Oncology Inc-POB I
🇺🇸Honolulu, Hawaii, United States
Island Urology
🇺🇸Honolulu, Hawaii, United States
Straub Clinic and Hospital
🇺🇸Honolulu, Hawaii, United States
University of Hawaii Cancer Center
🇺🇸Honolulu, Hawaii, United States
Hawaii Oncology Inc-Kuakini
🇺🇸Honolulu, Hawaii, United States
The Cancer Center of Hawaii-Liliha
🇺🇸Honolulu, Hawaii, United States
Kapiolani Medical Center for Women and Children
🇺🇸Honolulu, Hawaii, United States
Montefiore Medical Center-Einstein Campus
🇺🇸Bronx, New York, United States
Montefiore Medical Center-Weiler Hospital
🇺🇸Bronx, New York, United States
Montefiore Medical Center - Moses Campus
🇺🇸Bronx, New York, United States
OSF Saint Francis Medical Center
🇺🇸Peoria, Illinois, United States
William Beaumont Hospital - Troy
🇺🇸Troy, Michigan, United States