MedPath

Four Versus Six Cycles of Cyclophosphamide/Doxorubicin or Paclitaxel in Adjuvant Breast Cancer

Registration Number
NCT00041119
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

This randomized phase III trial studies cyclophosphamide and doxorubicin hydrochloride compared with paclitaxel as adjuvant therapy in treating breast cancer in women with 0-3 positive axillary lymph nodes. Giving additional cancer treatment after surgery may help to lower the risk that the cancer will come back (adjuvant therapy). Drugs used in chemotherapy, such as cyclophosphamide, doxorubicin hydrochloride, and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether the standard adjuvant therapy of cyclophosphamide and doxorubicin hydrochloride is more effective than paclitaxel in treating women with breast cancer

Detailed Description

PRIMARY OBJECTIVES:

I. To determine the equivalence of paclitaxel given every two weeks with cyclophosphamide and doxorubicin hydrochloride (CA) given every two weeks as adjuvant therapy for women with 0-3 positive axillary lymph nodes, for disease-free survival.

II. To determine if longer therapy, 12 weeks, is superior to shorter therapy, 8 weeks, of either CA or paclitaxel for disease-free survival for women with primary breast cancer with 0-3 positive axillary lymph nodes.

SECONDARY OBJECTIVES:

I. To determine the equivalence of paclitaxel given every two weeks with CA given every two weeks, and the potential superiority of longer vs. shorter therapy, in relation to overall survival, local control (regardless of metastatic status) and time to distant metastases (regardless of local recurrence status).

II. To compare toxicities of short and long course CA and paclitaxel as adjuvant therapy for women with 0-3 positive axillary lymph node breast cancer.

III. To determine the effect of long and short course CA and paclitaxel on the induction of menopause for pre-menopausal patients.

IV. To assess the discrepancy of myelosuppression among the common multidrug resistance protein 1 (MDR1) haplotypes in the CA treatment arm.

V. To assess the effect of MDR1 haplotypes on disease-free survival (DFS) adjusted for treatment.

VI. Exploratory analysis of the effect of cytochrome P450, family 3, subfamily A, polypeptide 5 (CYP3A5), cytochrome P450, family 2, subfamily C, polypeptide 8 (CYP2C8), and cytochrome P450, family 2, subfamily B, polypeptide 6 (CYP2B6) polymorphisms on DFS and toxicity.

VII. To identify genetic markers associated with the risk of developing neutropenia in adriamycin/ cyclophosphamide-treated breast cancer patients.

VIII. To identify genetic markers associated with the risk of developing peripheral neuropathy in paclitaxel-treated breast cancer patients.

IX. To identify genetic markers associated with differences in the efficacy of each chemotherapy regimen.

X. To examine genetic associations with other response and toxicity phenotypes that become apparent during future analysis of Cancer and Leukemia Group B (CALGB) 40101 data.

XI. To identify copy number variants associated with adriamycin/cyclophosphamide-induced neutropenia and paclitaxel-induced peripheral neuropathy.

OUTLINE: Patients are randomized to 1 of 4 treatment arms.

ARM I: Patients receive cyclophosphamide intravenously (IV) and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.

ARM III: Patients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.

ARM IV: Patients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.

Note: Randomization to Arms II and IV is no longer available, effective 12/15/2007.

After completion of study treatment patients are followed up for 4-6 weeks, every 6 months for 2 years, and then annually for up to 13 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
3871
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Arm I (CA for 4 courses)AC regimenPatients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm I (CA for 4 courses)doxorubicin hydrochloridePatients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm II (CA for 6 courses [closed to accrual 12/15/2007])doxorubicin hydrochloridePatients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm III (paclitaxel for 4 courses)AC regimenPatients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm II (CA for 6 courses [closed to accrual 12/15/2007])AC regimenPatients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm III (paclitaxel for 4 courses)paclitaxelPatients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm IV (paclitaxel for 6 courses [closed 12/15/2007])AC regimenPatients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm IV (paclitaxel for 6 courses [closed 12/15/2007])paclitaxelPatients receive paclitaxel IV over 3 hours on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm II (CA for 6 courses [closed to accrual 12/15/2007])cyclophosphamidePatients receive cyclophosphamide IV and doxorubicin hydrochloride IV on day 1. Treatment repeats every 14 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Duration of Disease Free Survival (RFS)from baseline up to 6.4 years

To determine the equivalence of paclitaxel to CA as adjuvant therapy for women with 0-3 positive axillary lymph nodes, for disease-free survival. Objective progression is defined as the appearance of local (chest wall, axillary, supraclavicular nodes) or distant metastases. The trial is designed to show the equivalence of the experimental agent T with the standard agent combination CA, thus the 4 and 6 course arms of each drug will be combined to conduct this analysis.

Relapse Free Survival (RFS) 4 vs. 6 Cyclesfrom baseline up to 4 years

To determine if longer therapy, 12 weeks, is superior to shorter therapy, 8 weeks, of either CA or paclitaxel for relapse-free survival for women with primary breast cancer with 0-3 positive axillary lymph nodes. An assessment of the superiority of 6 cycles over 4 cycles will be conducted. This analysis combines Arm I and Arm III together, and Arm II and Arm IV together.

Secondary Outcome Measures
NameTimeMethod
Adverse Eventsfrom baseline up to 6 weeks post-treatment

To compare toxicities of short course CA and paclitaxel with long course CA and paclitaxel as adjuvant therapy for women with 0-3 positive axillary lymph node breast cancer. The percentage of patients that received a grade 3 or higher hematologic event will be reported here. We will be combining arm I with arm III, as well as arm II with arm IV. For a complete list of adverse events, please refer to the adverse events section.

Time to Distant Metastasesfrom baseline up to 15 years

Local control and distant metastasis will be calculated as the cumulative incidence of first local relapse and first distant metastasis, respectively.

Overall Survival (OS) for 4 vs. 6 Cyclesfrom baseline up to 4 years

To determine if longer therapy, 12 weeks, is superior to shorter therapy, 8 weeks, of either CA or paclitaxel for overall survival for women with primary breast cancer with 0-3 positive axillary lymph nodes. An assessment of the superiority of 6 cycles over 4 cycles will be conducted. This analysis combines Arm I and Arm III together, and Arm II and Arm IV together.

Overall Survival (OS)from baseline up to 5 years

To determine the equivalence of paclitaxel to CA as adjuvant therapy for women with 0-3 positive axillary lymph nodes, for overall survival. OS will be measured from study entry until death due to any cause. Survivors will be censored at the date of last follow-up.. The trial is designed to show the equivalence of the experimental agent T with the standard agent combination CA, thus the 4 and 6 course arms of each drug will be combined to conduct this analysis.

Local Controlfrom baseline up to 15 years

Local control will be calculated as the cumulative incidence of first local relapse.

Trial Locations

Locations (522)

UVMC Cancer Care Center at Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Bismarck Cancer Center

🇺🇸

Bismarck, North Dakota, United States

Dubs Cancer Center at Rogue Valley Medical Center

🇺🇸

Medford, Oregon, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Grant Medical Center Cancer Care

🇺🇸

Columbus, Ohio, United States

Doctors Hospital at Ohio Health

🇺🇸

Columbus, Ohio, United States

Joan Karnell Cancer Center at Pennsylvania Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Mount Sinai Hospital Medical Center

🇺🇸

Chicago, Illinois, United States

Swedish Covenant Hospital

🇺🇸

Chicago, Illinois, United States

Robert H. Lurie Comprehensive Cancer Center at Northwestern University

🇺🇸

Chicago, Illinois, United States

Allegheny Cancer Center at Allegheny General Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

UPMC Cancer Centers

🇺🇸

Pittsburgh, Pennsylvania, United States

Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

MetroHealth Cancer Care Center at MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

CCOP - Virginia Mason Research Center

🇺🇸

Seattle, Washington, United States

Minor and James Medical, PLLC

🇺🇸

Seattle, Washington, United States

Group Health Central Hospital

🇺🇸

Seattle, Washington, United States

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

🇺🇸

Seattle, Washington, United States

Polyclinic First Hill

🇺🇸

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Frederick Memorial Hospital Regional Cancer Therapy Center

🇺🇸

Frederick, Maryland, United States

Union Hospital Cancer Program at Union Hospital

🇺🇸

Elkton MD, Maryland, United States

Naval Medical Center - San Diego

🇺🇸

San Diego, California, United States

CCOP - Nevada Cancer Research Foundation

🇺🇸

Las Vegas, Nevada, United States

Masonic Cancer Center at University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

Virginia Piper Cancer Institute at Abbott - Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Duke Comprehensive Cancer Center

🇺🇸

Durham, North Carolina, United States

Welch Cancer Center at Sheridan Memorial Hospital

🇺🇸

Sheridan, Wyoming, United States

Memorial Hospital of Rhode Island

🇺🇸

Pawtucket, Rhode Island, United States

California Pacific Medical Center - California Campus

🇺🇸

San Francisco, California, United States

MBCCOP - Meharry Medical College - Nashville

🇺🇸

Nashville, Tennessee, United States

Alta Bates Summit Medical Center - Summit Campus

🇺🇸

Oakland, California, United States

Highland General Hospital

🇺🇸

Oakland, California, United States

Providence Cancer Center at Providence Hospital

🇺🇸

Mobile, Alabama, United States

Contra Costa Regional Medical Center

🇺🇸

Martinez, California, United States

Memorial Hospital Cancer Center - Colorado Springs

🇺🇸

Colorado Springs, Colorado, United States

Memorial Medical Center

🇺🇸

Modesto, California, United States

Mercy Regional Cancer Center at Mercy Medical Center

🇺🇸

Cedar Rapids, Iowa, United States

Doctors Medical Center - San Pablo Campus

🇺🇸

San Pablo, California, United States

Aurora Presbyterian Hospital

🇺🇸

Aurora, Colorado, United States

Heartland Oncology and Hematology

🇺🇸

Council Bluffs, Iowa, United States

Saint Joseph Regional Medical Center

🇺🇸

South Bend, Indiana, United States

Genesis Regional Cancer Center at Genesis Medical Center

🇺🇸

Davenport, Iowa, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Cancer Center of Kansas, PA - Dodge City

🇺🇸

Dodge City, Kansas, United States

Ochsner Health Center - Covington

🇺🇸

Covington, Louisiana, United States

Harold Alfond Center for Cancer Care

🇺🇸

Augusta, Maine, United States

St. Luke's Hospital

🇺🇸

Maumee, Ohio, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Greenebaum Cancer Center at University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

Foote Memorial Hospital

🇺🇸

Jackson, Michigan, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

Hematology Oncology Associates of the Quad Cities

🇺🇸

Bettendorf, Iowa, United States

Caritas Norwood Hospital

🇺🇸

Norwood, Massachusetts, United States

Lakeland Regional Cancer Care Center - St. Joseph

🇺🇸

St. Joseph, Michigan, United States

Mary Bird Perkins Cancer Center - Baton Rouge

🇺🇸

Baton Rouge, Louisiana, United States

UMASS Memorial Cancer Center - University Campus

🇺🇸

Worcester, Massachusetts, United States

Haematology-Oncology Associates of Ohio and Michigan, PC

🇺🇸

Lambertville, Michigan, United States

Iowa Blood and Cancer Care

🇺🇸

Cedar Rapids, Iowa, United States

CCOP - Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Cancer Center of Kansas, PA - Chanute

🇺🇸

Chanute, Kansas, United States

South Bend Clinic

🇺🇸

South Bend, Indiana, United States

Maine Center for Cancer Medicine and Blood Disorders - Scarborough

🇺🇸

Scarborough, Maine, United States

McFarland Clinic, PC

🇺🇸

Ames, Iowa, United States

Lakeside Cancer Specialists, PLLC

🇺🇸

Saint Joseph, Michigan, United States

Addison Gilbert Hospital

🇺🇸

Gloucester, Massachusetts, United States

Southwest Medical Center

🇺🇸

Liberal, Kansas, United States

Memorial Hospital of South Bend

🇺🇸

South Bend, Indiana, United States

Pennington Cancer Center at Baton Rouge General

🇺🇸

Baton Rouge, Louisiana, United States

Lahey Clinic Medical Center - Burlington

🇺🇸

Burlington, Massachusetts, United States

Hickman Cancer Center at Bixby Medical Center

🇺🇸

Adrian, Michigan, United States

Cancer Resource Center at King's Daughters Medical Center

🇺🇸

Ashland, Kentucky, United States

Holden Comprehensive Cancer Center at University of Iowa

🇺🇸

Iowa City, Iowa, United States

Cancer Center of Kansas, PA - Salina

🇺🇸

Salina, Kansas, United States

Berkshire Hematology Oncology, PC

🇺🇸

Pittsfield, Massachusetts, United States

Hudner Oncology Center at Saint Anne's Hospital - Fall River

🇺🇸

Fall River, Massachusetts, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

Community Cancer Center of Monroe

🇺🇸

Monroe, Michigan, United States

Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Peninsula Regional Medical Center

🇺🇸

Salisbury, Maryland, United States

Minnesota Oncology Hematology, PA - Woodbury

🇺🇸

Woodbury, Minnesota, United States

Seton Cancer Institute at Saint Mary's - Saginaw

🇺🇸

Saginaw, Michigan, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Northern Michigan Hospital

🇺🇸

Petoskey, Michigan, United States

Mercy Memorial Hospital - Monroe

🇺🇸

Monroe, Michigan, United States

Dana-Farber/Brigham and Women's Cancer Center

🇺🇸

Boston, Massachusetts, United States

Immanuel St. Joseph's

🇺🇸

Mankato, Minnesota, United States

Noble Hospital

🇺🇸

Westfield, Massachusetts, United States

Caritas St. Elizabeth's Medical Center

🇺🇸

Brighton, Massachusetts, United States

Van Elslander Cancer Center at St. John Hospital and Medical Center

🇺🇸

Grosse Pointe Woods, Michigan, United States

Hennepin County Medical Center - Minneapolis

🇺🇸

Minneapolis, Minnesota, United States

Midwest Hematology Oncology Group, Incorporated

🇺🇸

Saint Louis, Missouri, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Sparrow Regional Cancer Center

🇺🇸

Lansing, Michigan, United States

CCOP - Metro-Minnesota

🇺🇸

Saint Louis Park, Minnesota, United States

Hematology & Oncology Clinic

🇺🇸

Hattiesburg, Mississippi, United States

Saint Luke's Hospital

🇺🇸

Chesterfield, Missouri, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

St. Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

William Beaumont Hospital - Royal Oak Campus

🇺🇸

Royal Oak, Michigan, United States

MeritCare Bemidji

🇺🇸

Bemidji, Minnesota, United States

Mercy and Unity Cancer Center at Mercy Hospital

🇺🇸

Coon Rapids, Minnesota, United States

Hattiesburg Clinic, PA at Forrest General

🇺🇸

Hattiesburg, Mississippi, United States

St. John Macomb Hospital

🇺🇸

Warren, Michigan, United States

St. Luke's Hospital Cancer Care Center

🇺🇸

Duluth, Minnesota, United States

Fairview Southdale Hospital

🇺🇸

Edina, Minnesota, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

Regional Cancer Center at Singing River Hospital

🇺🇸

Pascagoula, Mississippi, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

St. John's Regional Medical Center

🇺🇸

Joplin, Missouri, United States

University of Mississippi Cancer Clinic

🇺🇸

Jackson, Mississippi, United States

Mercy and Unity Cancer Center at Unity Hospital

🇺🇸

Fridley, Minnesota, United States

CCOP - Duluth

🇺🇸

Duluth, Minnesota, United States

Skaggs Cancer Center at Skaggs Regional Medical Center

🇺🇸

Branson, Missouri, United States

Dana-Farber Cancer Institute at Londonderry

🇺🇸

Londonderry, New Hampshire, United States

Good Samaritan Cancer Center at Good Samaritan Hospital

🇺🇸

Kearney, Nebraska, United States

Elliot Regional Cancer Center at Elliot Hospital

🇺🇸

Manchester, New Hampshire, United States

Missouri Baptist Cancer Center

🇺🇸

Saint Louis, Missouri, United States

Franklin & Edith Scarpa Regional Cancer Center at South Jersey Healthcare

🇺🇸

Vineland, New Jersey, United States

Arch Medical Services, Incorporated at Center for Cancer Care and Research

🇺🇸

Saint Louis, Missouri, United States

UMDNJ University Hospital

🇺🇸

Newark, New Jersey, United States

Alamance Cancer Center at Alamance Regional Medical Center

🇺🇸

Burlington, North Carolina, United States

CCOP - Northern New Jersey

🇺🇸

Hackensack, New Jersey, United States

Overlook Hospital

🇺🇸

Summit, New Jersey, United States

Roswell Park Cancer Institute

🇺🇸

Buffalo, New York, United States

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Kalispell Medical Oncology at KRMC

🇺🇸

Kalispell, Montana, United States

Somerset Medical Center

🇺🇸

Somerville, New Jersey, United States

Batte Cancer Center at Northeast Medical Center

🇺🇸

Concord, North Carolina, United States

Randolph Hospital

🇺🇸

Asheboro, North Carolina, United States

Cancer Institute of New Jersey at Cooper - Voorhees

🇺🇸

Voorhees, New Jersey, United States

Kinston Medical Specialists

🇺🇸

Kinston, North Carolina, United States

Mercy Cancer Center at Mercy Medical Center

🇺🇸

Canton, Ohio, United States

Carol G. Simon Cancer Center at Morristown Memorial Hospital

🇺🇸

Morristown, New Jersey, United States

Fitzpatrick Cancer Center at Champlain Valley Physicians Hospital Medical Center

🇺🇸

Plattsburgh, New York, United States

Lakes Region General Hospital

🇺🇸

Laconia, New Hampshire, United States

Highland Hospital of Rochester

🇺🇸

Rochester, New York, United States

Moses Cone Regional Cancer Center at Wesley Long Community Hospital

🇺🇸

Greensboro, North Carolina, United States

Southeastern Regional Medical Center

🇺🇸

Lumberton, North Carolina, United States

Duke Health Raleigh Hospital

🇺🇸

Raleigh, North Carolina, United States

Leo W. Jenkins Cancer Center at ECU Medical School

🇺🇸

Greenville, North Carolina, United States

CCOP - Hematology-Oncology Associates of Central New York

🇺🇸

East Syracuse, New York, United States

Summa Center for Cancer Care at Akron City Hospital

🇺🇸

Akron, Ohio, United States

MeritCare Broadway

🇺🇸

Fargo, North Dakota, United States

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

Cleveland Clinic Taussig Cancer Center

🇺🇸

Cleveland, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

Mercy Medical Center

🇺🇸

Springfield, Ohio, United States

St. Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

St. Charles Mercy Hospital

🇺🇸

Oregon, Ohio, United States

Wayne Memorial Hospital, Incorporated

🇺🇸

Goldsboro, North Carolina, United States

Trinity CancerCare Center

🇺🇸

Minot, North Dakota, United States

Barberton Citizens Hospital

🇺🇸

Barberton, Ohio, United States

Pardee Memorial Hospital

🇺🇸

Hendersonville, North Carolina, United States

Medcenter One Hospital Cancer Care Center

🇺🇸

Bismarck, North Dakota, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

Northwest Ohio Oncology Center

🇺🇸

Maumee, Ohio, United States

Cleveland Clinic - Wooster

🇺🇸

Wooster, Ohio, United States

St. Anne Mercy Hospital

🇺🇸

Toledo, Ohio, United States

Mount Carmel St. Ann's Cancer Center

🇺🇸

Westerville, Ohio, United States

Maria Parham Medical Center

🇺🇸

Henderson, North Carolina, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

Wood County Oncology Center

🇺🇸

Bowling Green, Ohio, United States

Mid Dakota Clinic, PC

🇺🇸

Bismarck, North Dakota, United States

Penn State Cancer Institute at Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

St. Alexius Medical Center Cancer Center

🇺🇸

Bismarck, North Dakota, United States

Legacy Mount Hood Medical Center

🇺🇸

Gresham, Oregon, United States

Mercy Hospital of Tiffin

🇺🇸

Tiffin, Ohio, United States

Toledo Clinic, Incorporated - Main Clinic

🇺🇸

Toledo, Ohio, United States

Aultman Cancer Center at Aultman Hospital

🇺🇸

Canton, Ohio, United States

Cleo Craig Cancer Research Clinic

🇺🇸

Lawton, Oklahoma, United States

Fulton County Health Center

🇺🇸

Wauseon, Ohio, United States

St. Rita's Medical Center

🇺🇸

Lima, Ohio, United States

Lima Memorial Hospital

🇺🇸

Lima, Ohio, United States

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

Mount Carmel Health - West Hospital

🇺🇸

Columbus, Ohio, United States

Skagit Valley Hospital Cancer Care Center

🇺🇸

Mt. Vernon, Washington, United States

Medical X-Ray Center, PC

🇺🇸

Sioux Falls, South Dakota, United States

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Toledo Clinic - Oregon

🇺🇸

Oregon, Ohio, United States

Legacy Meridian Park Hospital

🇺🇸

Tualatin, Oregon, United States

Lewistown Hospital

🇺🇸

Lewistown, Pennsylvania, United States

Grand View Hospital

🇺🇸

Sellersville, Pennsylvania, United States

Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Charles F. Kettering Memorial Hospital

🇺🇸

Kettering, Ohio, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Toledo Hospital

🇺🇸

Toledo, Ohio, United States

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

Medical University of Ohio Cancer Center

🇺🇸

Toledo, Ohio, United States

Blanchard Valley Medical Associates

🇺🇸

Findlay, Ohio, United States

Three Rivers Community Hospital

🇺🇸

Grants Pass, Oregon, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Strecker Cancer Center at Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

North Coast Cancer Care, Incorporated

🇺🇸

Sandusky, Ohio, United States

Flower Hospital Cancer Center

🇺🇸

Sylvania, Ohio, United States

Good Samaritan Cancer Center

🇺🇸

Puyallup, Washington, United States

Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

Mercy Hospital Cancer Center - Scranton

🇺🇸

Scranton, Pennsylvania, United States

Sanford Cancer Center at Sanford USD Medical Center

🇺🇸

Sioux Falls, South Dakota, United States

Carilion Cancer Center of Western Virginia

🇺🇸

Roanoke, Virginia, United States

St. Joseph Cancer Center

🇺🇸

Bellingham, Washington, United States

Valley Medical Center

🇺🇸

Renton, Washington, United States

Columbia Basin Hematology

🇺🇸

Kennewick, Washington, United States

Allenmore Hospital

🇺🇸

Tacoma, Washington, United States

Harrington Cancer Center

🇺🇸

Amarillo, Texas, United States

Martha Jefferson Hospital Cancer Care Center

🇺🇸

Charlottesville, Virginia, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Virginia Oncology Associates - Hampton

🇺🇸

Hampton, Virginia, United States

Evergreen Hematology and Oncology, PS

🇺🇸

Spokane, Washington, United States

Providence Centralia Hospital

🇺🇸

Centralia, Washington, United States

Fredericksburg Oncology, Incorporated

🇺🇸

Fredericksburg, Virginia, United States

CCOP - Greenville

🇺🇸

Greenville, South Carolina, United States

Hematology and Oncology Associates of Northeastern Pennsylvania

🇺🇸

Scranton, Pennsylvania, United States

Oncology Services of Aberdeen

🇺🇸

Aberdeen, South Dakota, United States

Auburn Regional Center for Cancer Care

🇺🇸

Auburn, Washington, United States

Madigan Army Medical Center - Tacoma

🇺🇸

Tacoma, Washington, United States

CCOP - Northwest

🇺🇸

Tacoma, Washington, United States

Mercy Regional Cancer Center

🇺🇸

Janesville, Wisconsin, United States

Regional Cancer Center at Oconomowoc Memorial Hospital

🇺🇸

Oconomowoc, Wisconsin, United States

Vince Lombardi Cancer Clinic - Two Rivers

🇺🇸

Two Rivers, Wisconsin, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Cancer Care Associates - Mercy Campus

🇺🇸

Oklahoma City, Oklahoma, United States

UAB Comprehensive Cancer Center

🇺🇸

Birmingham, Alabama, United States

St. Anthony Central Hospital

🇺🇸

Denver, Colorado, United States

Presbyterian - St. Luke's Medical Center

🇺🇸

Denver, Colorado, United States

St. Joseph Hospital

🇺🇸

Denver, Colorado, United States

Rose Medical Center

🇺🇸

Denver, Colorado, United States

CCOP - Colorado Cancer Research Program

🇺🇸

Denver, Colorado, United States

Legacy Good Samaritan Hospital & Comprehensive Cancer Center

🇺🇸

Portland, Oregon, United States

Providence Cancer Center at Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

Adventist Medical Center

🇺🇸

Portland, Oregon, United States

CCOP - Columbia River Oncology Program

🇺🇸

Portland, Oregon, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Legacy Emanuel Hospital and Health Center and Children's Hospital

🇺🇸

Portland, Oregon, United States

Kaiser Permanente Health Care - Portland

🇺🇸

Portland, Oregon, United States

Heartland Regional Medical Center

🇺🇸

Saint Joseph, Missouri, United States

Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis

🇺🇸

Saint Louis, Missouri, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

Duluth Clinic Cancer Center - Duluth

🇺🇸

Duluth, Minnesota, United States

Miller - Dwan Medical Center

🇺🇸

Duluth, Minnesota, United States

Hutchinson Area Health Care

🇺🇸

Hutchinson, Minnesota, United States

CentraCare Clinic - River Campus

🇺🇸

Saint Cloud, Minnesota, United States

Park Nicollet Cancer Center

🇺🇸

Saint Louis Park, Minnesota, United States

Altru Cancer Center at Altru Hospital

🇺🇸

Grand Forks, North Dakota, United States

Oklahoma University Cancer Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Cancer Center of Kansas, PA - Parsons

🇺🇸

Parsons, Kansas, United States

Menorah Medical Center

🇺🇸

Overland Park, Kansas, United States

Cancer Center of Kansas, PA - Pratt

🇺🇸

Pratt, Kansas, United States

Shawnee Mission Medical Center

🇺🇸

Shawnee Mission, Kansas, United States

Cotton-O'Neil Cancer Center

🇺🇸

Topeka, Kansas, United States

St. Francis Comprehensive Cancer Center

🇺🇸

Topeka, Kansas, United States

Associates in Womens Health, PA - North Review

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Wichita

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Wellington

🇺🇸

Wellington, Kansas, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Winfield

🇺🇸

Winfield, Kansas, United States

Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center

🇺🇸

New York, New York, United States

Queens Cancer Center of Queens Hospital

🇺🇸

Jamaica, New York, United States

SUNY Upstate Medical University Hospital

🇺🇸

Syracuse, New York, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

Lipson Cancer and Blood Center at Rochester General Hospital

🇺🇸

Rochester, New York, United States

Stony Brook University Cancer Center

🇺🇸

Stony Brook, New York, United States

Faxton Regional Cancer Center

🇺🇸

Utica, New York, United States

Nashville Oncology Associates, PC

🇺🇸

Nashville, Tennessee, United States

CCOP Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

Methodist Estabrook Cancer Center

🇺🇸

Omaha, Nebraska, United States

Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegant Health Cancer Center at Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

UNMC Eppley Cancer Center at the University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Aurora Sinai Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Columbia-Saint Mary's Cancer Care Center

🇺🇸

Milwaukee, Wisconsin, United States

Medical Consultants, Limited

🇺🇸

Milwaukee, Wisconsin, United States

Cascade Cancer Center at Evergreen Hospital Medical Center

🇺🇸

Kirkland, Washington, United States

Providence St. Peter Hospital Regional Cancer Center

🇺🇸

Olympia, Washington, United States

Annie Penn Cancer Center

🇺🇸

Reidsville, North Carolina, United States

Iredell Memorial Hospital

🇺🇸

Statesville, North Carolina, United States

Person Memorial Hospital

🇺🇸

Roxboro, North Carolina, United States

Marion L. Shepard Cancer Center at Beaufort County Hospital

🇺🇸

Washington, North Carolina, United States

Good Samaritan Hospital

🇺🇸

Dayton, Ohio, United States

East Bay Radiation Oncology Center

🇺🇸

Castro Valley, California, United States

Valley Care Medical Center

🇺🇸

Pleasanton, California, United States

Valley Medical Oncology Consultants - Pleasanton

🇺🇸

Pleasanton, California, United States

Sutter Health - Western Division Cancer Research Group

🇺🇸

San Rafael, California, United States

Tahoe Forest Cancer Center

🇺🇸

Truckee, California, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Center for Cancer Care and Research at Watson Clinic, LLP

🇺🇸

Lakeland, Florida, United States

Washington Township Hospital

🇺🇸

Fremont, California, United States

Valley Medical Oncology

🇺🇸

Fremont, California, United States

McLeod Regional Medical Center

🇺🇸

Florence, South Carolina, United States

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

Marshfield Clinic - Wisconsin Rapids Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

University of California Davis Cancer Center

🇺🇸

Sacramento, California, United States

Saint Joseph Mercy Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

Wake Forest University Comprehensive Cancer Center

🇺🇸

Winston-Salem, North Carolina, United States

HealthEast Cancer Care at St. John's Hospital

🇺🇸

Maplewood, Minnesota, United States

Mayo Clinic Cancer Center

🇺🇸

Rochester, Minnesota, United States

Regional Medical Center

🇺🇸

Anniston, Alabama, United States

Peninsula Medical Center

🇺🇸

Burlingame, California, United States

Fairbanks Cancer Treatment Center at Fairbanks Memorial Hospital

🇺🇸

Fairbanks, Alaska, United States

Hembree Mercy Cancer Center at St. Edward Mercy Medical Center

🇺🇸

Ft. Smith, Arkansas, United States

Alta Bates Summit Comprehensive Cancer Center

🇺🇸

Berkeley, California, United States

Mayo Clinic Scottsdale

🇺🇸

Scottsdale, Arizona, United States

California Cancer Center - Woodward Park Office

🇺🇸

Fresno, California, United States

Valley Medical Oncology Consultants - Castro Valley

🇺🇸

Castro Valley, California, United States

USC/Norris Comprehensive Cancer Center and Hospital

🇺🇸

Los Angeles, California, United States

Cancer Care Associates

🇺🇸

Fresno, California, United States

Rebecca and John Moores UCSD Cancer Center

🇺🇸

La Jolla, California, United States

Marin Cancer Institute at Marin General Hospital

🇺🇸

Greenbrae, California, United States

Tibotec Therapeutics - Division of Ortho Biotech Products, LP

🇺🇸

Marysville, California, United States

Bay Area Breast Surgeons, Incorporated

🇺🇸

Oakland, California, United States

CCOP - Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

Tom K Lee, Incorporated

🇺🇸

Oakland, California, United States

Boulder Community Hospital

🇺🇸

Boulder, Colorado, United States

Penrose Cancer Center at Penrose Hospital

🇺🇸

Colorado Springs, Colorado, United States

Porter Adventist Hospital

🇺🇸

Denver, Colorado, United States

Swedish Medical Center

🇺🇸

Englewood, Colorado, United States

St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center

🇺🇸

Grand Junction, Colorado, United States

McKee Medical Center

🇺🇸

Loveland, Colorado, United States

Sky Ridge Medical Center

🇺🇸

Lone Tree, Colorado, United States

Hope Cancer Care Center at Longmont United Hospital

🇺🇸

Longmont, Colorado, United States

St. Mary - Corwin Regional Medical Center

🇺🇸

Pueblo, Colorado, United States

North Colorado Medical Center

🇺🇸

Greeley, Colorado, United States

North Suburban Medical Center

🇺🇸

Thornton, Colorado, United States

Helen and Harry Gray Cancer Center at Hartford Hospital

🇺🇸

Hartford, Connecticut, United States

Exempla Lutheran Medical Center

🇺🇸

Wheat Ridge, Colorado, United States

Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center

🇺🇸

Hartford, Connecticut, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Tunnell Cancer Center at Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

Eastern Connecticut Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Herbert D. Kerman Regional Oncology Center - Daytona Beach

🇺🇸

Daytona Beach, Florida, United States

Sibley Memorial Hospital

🇺🇸

Washington, District of Columbia, United States

Walter Reed Army Medical Center

🇺🇸

Washington, District of Columbia, United States

Memorial Cancer Institute at Memorial Regional Hospital

🇺🇸

Hollywood, Florida, United States

Ella Milbank Foshay Cancer Center at Jupiter Medical Center

🇺🇸

Jupiter, Florida, United States

Michael and Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital

🇺🇸

Fort Lauderdale, Florida, United States

Mayo Clinic - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Lakeland Regional Cancer Center at Lakeland Regional Medical Center

🇺🇸

Lakeland, Florida, United States

CCOP - Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

Integrated Community Oncology Network - Orange Park

🇺🇸

Orange Park, Florida, United States

Palm Beach Cancer Institute - West Palm Beach

🇺🇸

West Palm Beach, Florida, United States

John B. Amos Cancer Center

🇺🇸

Columbus, Georgia, United States

Northeast Georgia Medical Center

🇺🇸

Gainesville, Georgia, United States

Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Medical Center of Central Georgia

🇺🇸

Macon, Georgia, United States

Saint Anthony's Hospital at Saint Anthony's Health Center

🇺🇸

Alton, Illinois, United States

Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler

🇺🇸

Savannah, Georgia, United States

Mountain States Tumor Institute at St. Luke's Regional Medical Center

🇺🇸

Boise, Idaho, United States

Rush-Copley Cancer Care Center

🇺🇸

Aurora, Illinois, United States

University of Illinois Cancer Center

🇺🇸

Chicago, Illinois, United States

Hematology and Oncology Associates

🇺🇸

Chicago, Illinois, United States

Creticos Cancer Center at Advocate Illinois Masonic Medical Center

🇺🇸

Chicago, Illinois, United States

St. Francis Hospital

🇺🇸

Federal Way, Washington, United States

Ingalls Cancer Care Center at Ingalls Memorial Hospital

🇺🇸

Harvey, Illinois, United States

Alexian Brothers Radiation Oncology

🇺🇸

Elk Grove Village, Illinois, United States

Decatur Memorial Hospital Cancer Care Institute

🇺🇸

Decatur, Illinois, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Joliet Oncology-Hematology Associates, Limited - West

🇺🇸

Joliet, Illinois, United States

Midwest Center for Hematology/Oncology

🇺🇸

Joliet, Illinois, United States

Provena St. Mary's Regional Cancer Center - Kankakee

🇺🇸

Kankakee, Illinois, United States

Advocate Lutheran General Cancer Care Center

🇺🇸

Park Ridge, Illinois, United States

Good Samaritan Regional Health Center

🇺🇸

Mt. Vernon, Illinois, United States

Trinity Cancer Center at Trinity Medical Center - 7th Street Campus

🇺🇸

Moline, Illinois, United States

Swedish-American Regional Cancer Center

🇺🇸

Rockford, Illinois, United States

Center for Cancer Care at OSF Saint Anthony Medical Center

🇺🇸

Rockford, Illinois, United States

Saint James Hospital and Health Centers Comprehensive Cancer Institute - Olympia Fields

🇺🇸

Olympia Fields, Illinois, United States

Regional Cancer Center at Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

Carle Cancer Center at Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Elkhart Clinic, LLC

🇺🇸

Elkhart, Indiana, United States

St. Francis Hospital and Health Centers - Beech Grove Campus

🇺🇸

Beech Grove, Indiana, United States

Fort Wayne Medical Oncology and Hematology

🇺🇸

Fort Wayne, Indiana, United States

Elkhart General Hospital

🇺🇸

Elkhart, Indiana, United States

Howard Community Hospital

🇺🇸

Kokomo, Indiana, United States

Center for Cancer Therapy at LaPorte Hospital and Health Services

🇺🇸

La Porte, Indiana, United States

Reid Hospital & Health Care Services

🇺🇸

Richmond, Indiana, United States

Saint Anthony Memorial Health Centers

🇺🇸

Michigan City, Indiana, United States

Michiana Hematology-Oncology, PC - South Bend

🇺🇸

South Bend, Indiana, United States

CCOP - Northern Indiana CR Consortium

🇺🇸

South Bend, Indiana, United States

Cancer Center of Kansas, PA - El Dorado

🇺🇸

El Dorado, Kansas, United States

Cedar Rapids Oncology Associates

🇺🇸

Cedar Rapids, Iowa, United States

Cancer Center of Kansas, PA - Kingman

🇺🇸

Kingman, Kansas, United States

Cancer Center of Kansas, PA - Newton

🇺🇸

Newton, Kansas, United States

Cancer Center of Kansas, PA - Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Via Christi Cancer Center at Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Ochsner Health Center - Bluebonnet

🇺🇸

Baton Rouge, Louisiana, United States

Sturdy Memorial Hospital

🇺🇸

Attleboro, Massachusetts, United States

CancerCare of Maine at Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

NSMC Cancer Center - Peabody

🇺🇸

Peabody, Massachusetts, United States

Cape Cod Hospital

🇺🇸

Hyannis, Massachusetts, United States

Lowell General Hospital

🇺🇸

Lowell, Massachusetts, United States

Oakwood Cancer Center at Oakwood Hospital and Medical Center

🇺🇸

Dearborn, Michigan, United States

University of Michigan Comprehensive Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Mercy Regional Cancer Center at Mercy Hospital

🇺🇸

Port Huron, Michigan, United States

St. Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

Fergus Falls Medical Group, PA

🇺🇸

Fergus Falls, Minnesota, United States

St. Francis Cancer Center at St. Francis Medical Center

🇺🇸

Shakopee, Minnesota, United States

Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center

🇺🇸

Robbinsdale, Minnesota, United States

Minnesota Oncology Hematology, PA - Maplewood

🇺🇸

Maplewood, Minnesota, United States

Ellis Fischel Cancer Center at University of Missouri - Columbia

🇺🇸

Columbia, Missouri, United States

Regions Hospital Cancer Care Center

🇺🇸

St. Paul, Minnesota, United States

St. Joseph Medical Center

🇺🇸

Reading, Pennsylvania, United States

David C. Pratt Cancer Center at St. John's Mercy

🇺🇸

Saint Louis, Missouri, United States

Sletten Cancer Institute at Benefis Healthcare

🇺🇸

Great Falls, Montana, United States

Montana Cancer Specialists at Montana Cancer Center

🇺🇸

Missoula, Montana, United States

Glacier Oncology, PLLC

🇺🇸

Kalispell, Montana, United States

Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center

🇺🇸

Grand Island, Nebraska, United States

Cancer Resource Center - Lincoln

🇺🇸

Lincoln, Nebraska, United States

Montana Cancer Center at St. Patrick Hospital and Health Sciences Center

🇺🇸

Missoula, Montana, United States

Callahan Cancer Center at Great Plains Regional Medical Center

🇺🇸

North Platte, Nebraska, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

New Hampshire Oncology - Hematology, PA - Hooksett

🇺🇸

Hooksett, New Hampshire, United States

Kingsbury Center for Cancer Care at Cheshire Medical Center

🇺🇸

Keene, New Hampshire, United States

New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care

🇺🇸

Concord, New Hampshire, United States

Center for Cancer Care at Exeter Hospital

🇺🇸

Exeter, New Hampshire, United States

Granville Medical Center

🇺🇸

Oxford, North Carolina, United States

Zimmer Cancer Center at New Hanover Regional Medical Center

🇺🇸

Wilmington, North Carolina, United States

CCOP - MeritCare Hospital

🇺🇸

Fargo, North Dakota, United States

North Coast Cancer Care - Clyde

🇺🇸

Clyde, Ohio, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Samaritan North Cancer Care Center

🇺🇸

Dayton, Ohio, United States

Fisher-Titus Medical Center

🇺🇸

Norwalk, Ohio, United States

Licking Memorial Cancer Care Program at Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

Community Hospital of Springfield and Clark County

🇺🇸

Springfield, Ohio, United States

CCOP - Toledo Community Hospital

🇺🇸

Toledo, Ohio, United States

Clinton Memorial Hospital

🇺🇸

Wilmington, Ohio, United States

United States Air Force Medical Center - Wright-Patterson

🇺🇸

Wright-Patterson Afb, Ohio, United States

Natalie Warren Bryant Cancer Center at St. Francis Hospital

🇺🇸

Tulsa, Oklahoma, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Providence Cancer Center at PMCC

🇺🇸

Medford, Oregon, United States

Mount Nittany Medical Center

🇺🇸

State College, Pennsylvania, United States

Fox Chase Cancer Center - Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Rhode Island Hospital Comprehensive Cancer Center

🇺🇸

Providence, Rhode Island, United States

Palmetto Health South Carolina Cancer Center

🇺🇸

Columbia, South Carolina, United States

Kent County Memorial Hospital

🇺🇸

Warwick, Rhode Island, United States

Thompson Cancer Survival Center

🇺🇸

Knoxville, Tennessee, United States

Lynchburg Hematology-Oncology Clinic

🇺🇸

Lynchburg, Virginia, United States

Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas

🇺🇸

Dallas, Texas, United States

Olympic Hematology and Oncology

🇺🇸

Bremerton, Washington, United States

Harrison Poulsbo Hematology and Onocology

🇺🇸

Poulsbo, Washington, United States

Rockwood Clinic Cancer Treatment Center

🇺🇸

Spokane, Washington, United States

Providence Cancer Center at Sacred Heart Medical Center

🇺🇸

Spokane, Washington, United States

Providence Cancer Center at Holy Family Hospital

🇺🇸

Spokane, Washington, United States

Franciscan Cancer Center at St. Joseph Medical Center

🇺🇸

Tacoma, Washington, United States

MultiCare Regional Cancer Center at Tacoma General Hospital

🇺🇸

Tacoma, Washington, United States

Southwest Washington Medical Center Cancer Center

🇺🇸

Vancouver, Washington, United States

North Star Lodge Cancer Center at Yakima Valley Memorial Hospital

🇺🇸

Yakima, Washington, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

Edwards Comprehensive Cancer Center at Cabell Huntington Hospital

🇺🇸

Huntington, West Virginia, United States

Marshfield Clinic - Chippewa Center

🇺🇸

Chippewa Falls, Wisconsin, United States

Midelfort Clinic - Luther

🇺🇸

Eau Claire, Wisconsin, United States

Marshfield Clinic Cancer Care at Regional Cancer Center

🇺🇸

Eau Claire, Wisconsin, United States

Luther Midlelfort Hospital

🇺🇸

Eau Claire, Wisconsin, United States

Vince Lombardi Cancer Center at Aurora Lakeland Medical Center - Elkhorn

🇺🇸

Elkhorn, Wisconsin, United States

Vince Lombardi Cancer Clinic - Green Bay at Aurora BayCare Medical Center

🇺🇸

Green Bay, Wisconsin, United States

UW Cancer Center Johnson Creek

🇺🇸

Johnson Creek, Wisconsin, United States

Franciscan Skemp Healthcare - La Crosse Campus

🇺🇸

La Crosse, Wisconsin, United States

Vince Lombardi Cancer Clinic - Marinette

🇺🇸

Marinette, Wisconsin, United States

Holy Family Memorial Medical Center Cancer Care Center

🇺🇸

Manitowoc, Wisconsin, United States

Gundersen Lutheran Center for Cancer and Blood

🇺🇸

La Crosse, Wisconsin, United States

Marshfield Clinic - Marshfield Center

🇺🇸

Marshfield, Wisconsin, United States

Saint Joseph's Hospital

🇺🇸

Marshfield, Wisconsin, United States

Columbia Saint Mary's Hospital - Ozaukee

🇺🇸

Mequon, Wisconsin, United States

Marshfield Clinic - Lakeland Center

🇺🇸

Minocqua, Wisconsin, United States

Ministry Medical Group at Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Marshfield Clinic - Indianhead Center

🇺🇸

Rice Lake, Wisconsin, United States

Saint Michael's Hospital Cancer Center

🇺🇸

Stevens Point, Wisconsin, United States

Aurora Medical Center

🇺🇸

Summit, Wisconsin, United States

Vince Lombardi Cancer Clinic - Sheboygan

🇺🇸

Sheboygan, Wisconsin, United States

Waukesha Memorial Hospital Regional Cancer Center

🇺🇸

Waukesha, Wisconsin, United States

Marshfield Clinic - Wausau Center

🇺🇸

Wausau, Wisconsin, United States

Pretoria Academic Hospital

🇿🇦

Pretoria, South Africa

Florida Hospital Cancer Institute at Florida Hospital Orlando

🇺🇸

Orlando, Florida, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

Hematology-Oncology Centers of the Northern Rockies - Billings

🇺🇸

Billings, Montana, United States

Community Medical Center

🇺🇸

Missoula, Montana, United States

St. James Healthcare Cancer Care

🇺🇸

Butte, Montana, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

New York, New York, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

Lancaster General Hospital

🇺🇸

Lancaster, Pennsylvania, United States

St. Vincent Healthcare Cancer Care Services

🇺🇸

Billings, Montana, United States

Great Falls Clinic - Main Facility

🇺🇸

Great Falls, Montana, United States

St. Peter's Hospital

🇺🇸

Helena, Montana, United States

Bozeman Deaconess Cancer Center

🇺🇸

Bozeman, Montana, United States

Truman Medical Center - Hospital Hill

🇺🇸

Kansas City, Missouri, United States

Saint Luke's Cancer Institute at Saint Luke's Hospital

🇺🇸

Kansas City, Missouri, United States

North Kansas City Hospital

🇺🇸

Kansas City, Missouri, United States

Parvin Radiation Oncology

🇺🇸

Kansas City, Missouri, United States

Heartland Hematology Oncology Associates, Incorporated

🇺🇸

Kansas City, Missouri, United States

CCOP - Kansas City

🇺🇸

Kansas City, Missouri, United States

Research Medical Center

🇺🇸

Kansas City, Missouri, United States

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Roper St. Francis Cancer Center at Roper Hospital

🇺🇸

Charleston, South Carolina, United States

University of Florida Shands Cancer Center

🇺🇸

Gainesville, Florida, United States

MBCCOP - LSU Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Medical Center of Louisiana - New Orleans

🇺🇸

New Orleans, Louisiana, United States

CCOP - Ochsner

🇺🇸

New Orleans, Louisiana, United States

Ochsner Cancer Institute at Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

Virginia Cancer Institute - West End

🇺🇸

Richmond, Virginia, United States

Mercy Capitol Hospital

🇺🇸

Des Moines, Iowa, United States

CCOP - Iowa Oncology Research Association

🇺🇸

Des Moines, Iowa, United States

John Stoddard Cancer Center at Iowa Methodist Medical Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates at John Stoddard Cancer Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates at Mercy Cancer Center

🇺🇸

Des Moines, Iowa, United States

Mercy Cancer Center at Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

John Stoddard Cancer Center at Iowa Lutheran Hospital

🇺🇸

Des Moines, Iowa, United States

Albert Einstein Cancer Center at Albert Einstein College of Medicine

🇺🇸

Bronx, New York, United States

Our Lady of Mercy Medical Center Comprehensive Cancer Center

🇺🇸

Bronx, New York, United States

Dean Medical Center - Madison

🇺🇸

Madison, Wisconsin, United States

University of Wisconsin Paul P. Carbone Comprehensive Cancer Center

🇺🇸

Madison, Wisconsin, United States

St. Clare Hospital

🇺🇸

Tacoma, Washington, United States

Northern Rockies Radiation Oncology Center

🇺🇸

Billings, Montana, United States

Billings Clinic - Downtown

🇺🇸

Billings, Montana, United States

Elmhurst Hospital Center

🇺🇸

Elmhurst, New York, United States

Cape Fear Valley Medical Center Cancer Center

🇺🇸

Fayetteville, North Carolina, United States

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