Pentosan Polysulfate in Treating Patients With Gastrointestinal Disturbance Caused by Radiation Therapy
- Conditions
- Radiation EnteritisDiarrhea
- Registration Number
- NCT00003825
- Lead Sponsor
- Radiation Therapy Oncology Group
- Brief Summary
RATIONALE: Pentosan polysulfate may be effective in treating side effects of radiation therapy to the abdomen or pelvis. It is not yet known whether pentosan polysulfate is more effective than no further therapy for treating gastrointestinal disturbance caused by previous radiation therapy.
PURPOSE: Randomized phase III trial to determine the effectiveness of pentosan polysulfate in treating patients who have inflammation of the rectum, diarrhea, or blood in stools caused by previous radiation therapy to the abdomen and pelvis.
- Detailed Description
OBJECTIVES: I. Evaluate the efficacy of pentosan polysulfate in patients with gastrointestinal tract sequelae after radiotherapy to the abdomen and pelvis. II. Determine the toxic effects of this drug in these patients. III. Determine the effect of this drug on symptoms and quality of life of these patients.
OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive oral pentosan polysulfate three times a day for 2-6 months. Arm II: Patients receive oral placebo three times a day for 2-6 months. Both arms: Patients may receive retreatment for two months if symptoms return and last for at least 2 weeks. Quality of life is assessed before treatment, and at each follow up visit. Patients are followed every 2 months for 6 months, then every 3 months for 18 months, then annually for 3 years.
PROJECTED ACCRUAL: A total of 174 patients will be accrued for this study within 3 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 174
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (260)
Albert Einstein Cancer Center
๐บ๐ธPhiladelphia, Pennsylvania, United States
CCOP - Atlanta Regional
๐บ๐ธAtlanta, Georgia, United States
CCOP - Columbus
๐บ๐ธColumbus, Ohio, United States
University of Texas - MD Anderson Cancer Center
๐บ๐ธHouston, Texas, United States
Swedish Cancer Institute
๐บ๐ธSeattle, Washington, United States
Virginia Mason Medical Center
๐บ๐ธSeattle, Washington, United States
Comprehensive Cancer Institute of Huntsville
๐บ๐ธHuntsville, Alabama, United States
Huntsville Hospital System
๐บ๐ธHuntsville, Alabama, United States
Mobile Infirmary Medical Center
๐บ๐ธMobile, Alabama, United States
Veterans Affairs Medical Center - Long Beach
๐บ๐ธLong Beach, California, United States
Glendale Memorial Hospital and Health Center
๐บ๐ธGlendale, California, United States
Beckman Research Institute, City of Hope
๐บ๐ธLos Angeles, California, United States
Radiation Oncology Associates of West Alabama
๐บ๐ธTuscaloosa, Alabama, United States
Providence Cancer Therapy Center
๐บ๐ธAnchorage, Alaska, United States
Urology Associates - Mobile AL
๐บ๐ธMobile, Alabama, United States
Ball Memorial Hospital
๐บ๐ธMuncie, Indiana, United States
CCOP - Christiana Care Health Services
๐บ๐ธWilmington, Delaware, United States
Saint Agnes Cancer Center
๐บ๐ธFresno, California, United States
Mount Diablo Medical Center
๐บ๐ธConcord, California, United States
Whittingham Cancer Center
๐บ๐ธNorwalk, Connecticut, United States
Lutheran General Cancer Care Center
๐บ๐ธPark Ridge, Illinois, United States
Northwestern Memorial Hospital
๐บ๐ธChicago, Illinois, United States
Kaiser Permanente Medical Center - Los Angeles
๐บ๐ธLos Angeles, California, United States
Bridgeport Hospital
๐บ๐ธBridgeport, Connecticut, United States
Northwest Community Hospital
๐บ๐ธArlington Heights, Illinois, United States
Radiation Oncology Affiliates of Maryland, P.A.
๐บ๐ธBaltimore, Maryland, United States
University of Iowa Hospitals and Clinics
๐บ๐ธIowa City, Iowa, United States
St. Joseph's Radiation Oncology Center
๐บ๐ธSouth Bend, Indiana, United States
Ingalls Memorial Hospital
๐บ๐ธHarvey, Illinois, United States
Sarasota Radiation and Medical Oncology Center
๐บ๐ธSarasota, Florida, United States
St. John's Medical Center
๐บ๐ธAnderson, Indiana, United States
MidMichigan Regional Medical Center
๐บ๐ธMidland, Michigan, United States
Tallahassee Memorial Healthcare
๐บ๐ธTallahassee, Florida, United States
Johns Hopkins Oncology Center
๐บ๐ธBaltimore, Maryland, United States
Wendt Regional Cancer Center of Finley Hospital
๐บ๐ธDubuque, Iowa, United States
CCOP - Cancer Research for the Ozarks
๐บ๐ธSpringfield, Missouri, United States
Merle M. Mahr Cancer Center
๐บ๐ธMadisonville, Kentucky, United States
Cape Cod Hospital
๐บ๐ธHyannis, Massachusetts, United States
Loyola University Medical Center
๐บ๐ธMaywood, Illinois, United States
State University of New York Health Science Center at Brooklyn
๐บ๐ธBrooklyn, New York, United States
Romagosa Radiation Oncology Center
๐บ๐ธLafayette, Louisiana, United States
Akron City Hospital
๐บ๐ธAkron, Ohio, United States
St. Louis University Health Sciences Center
๐บ๐ธSaint Louis, Missouri, United States
Anne Arundel Oncology Center
๐บ๐ธAnnapolis, Maryland, United States
New York Methodist Hospital
๐บ๐ธBrooklyn, New York, United States
Ellis Fischel Cancer Center - Columbia
๐บ๐ธColumbia, Missouri, United States
Peninsula Regional Medical Center
๐บ๐ธSalisbury, Maryland, United States
Roswell Park Cancer Institute
๐บ๐ธBuffalo, New York, United States
CCOP - Greenville
๐บ๐ธGreenville, South Carolina, United States
CCOP - North Shore University Hospital
๐บ๐ธManhasset, New York, United States
CCOP - Dayton
๐บ๐ธKettering, Ohio, United States
Memorial Sloan-Kettering Cancer Center
๐บ๐ธNew York, New York, United States
University of Tennessee, Memphis Cancer Center
๐บ๐ธMemphis, Tennessee, United States
Cleveland Clinic Taussig Cancer Center
๐บ๐ธCleveland, Ohio, United States
St. John Medical Center
๐บ๐ธTulsa, Oklahoma, United States
Herbert Irving Comprehensive Cancer Center
๐บ๐ธNew York, New York, United States
Champlain Valley Physicians Hospital Medical Center
๐บ๐ธPlattsburgh, New York, United States
University of Pittsburgh Cancer Institute
๐บ๐ธPittsburgh, Pennsylvania, United States
Lehigh Valley Hospital
๐บ๐ธAllentown, Pennsylvania, United States
Northeastern Ontario Regional Cancer Centre, Sudbury
๐จ๐ฆSudbury, Ontario, Canada
Northwestern Ontario Regional Cancer Centre, Thunder Bay
๐จ๐ฆThunder Bay, Ontario, Canada
Toronto Sunnybrook Regional Cancer Centre
๐จ๐ฆToronto, Ontario, Canada
Ottawa Regional Cancer Centre - General Campus
๐จ๐ฆOttawa, Ontario, Canada
Kingston Regional Cancer Centre
๐จ๐ฆKingston, Ontario, Canada
Waukesha Memorial Hospital
๐บ๐ธWaukesha, Wisconsin, United States
Princess Margaret Hospital
๐จ๐ฆToronto, Ontario, Canada
Centre Hospitalier de l'Universite de Montreal
๐จ๐ฆMontreal, Quebec, Canada
Cancer Care Ontario-London Regional Cancer Centre
๐จ๐ฆLondon, Ontario, Canada
Cancer Care Ontario-Hamilton Regional Cancer Centre
๐จ๐ฆHamilton, Ontario, Canada
Veterans Affairs Medical Center - Miami
๐บ๐ธMiami, Florida, United States
Sylvester Cancer Center, University of Miami
๐บ๐ธMiami, Florida, United States
Baptist Hospital of Miami
๐บ๐ธMiami, Florida, United States
Community Hospitals of Indianapolis - Regional Cancer Center
๐บ๐ธIndianapolis, Indiana, United States
Radiation Medical Group, Inc.
๐บ๐ธSan Diego, California, United States
UCSF Cancer Center and Cancer Research Institute
๐บ๐ธSan Francisco, California, United States
Vanderbilt Cancer Center
๐บ๐ธNashville, Tennessee, United States
LDS Hospital
๐บ๐ธSalt Lake City, Utah, United States
McLaren Regional Cancer Center
๐บ๐ธFlint, Michigan, United States
CCOP - Metro-Minnesota
๐บ๐ธSaint Louis Park, Minnesota, United States
UNIMED Medical Center
๐บ๐ธMinot, North Dakota, United States
Meritcare Roger Maris Cancer Center
๐บ๐ธFargo, North Dakota, United States
New York Medical College
๐บ๐ธValhalla, New York, United States
Memorial Hospital Cancer Center
๐บ๐ธColorado Springs, Colorado, United States
Barbara Ann Karmanos Cancer Institute
๐บ๐ธDetroit, Michigan, United States
Henry Ford Hospital
๐บ๐ธDetroit, Michigan, United States
St. Anthony Hospital
๐บ๐ธOklahoma City, Oklahoma, United States
University of Colorado Cancer Center
๐บ๐ธDenver, Colorado, United States
CCOP - Columbia River Program
๐บ๐ธPortland, Oregon, United States
Columbia Hospital
๐บ๐ธMilwaukee, Wisconsin, United States
Medical College of Wisconsin
๐บ๐ธMilwaukee, Wisconsin, United States
Veterans Affairs Medical Center - Milwaukee (Zablocki)
๐บ๐ธMilwaukee, Wisconsin, United States
MBCCOP - University of South Alabama
๐บ๐ธMobile, Alabama, United States
Alabama Oncology, LLC
๐บ๐ธMontgomery, Alabama, United States
Mallinckrodt Institute of Radiology
๐บ๐ธSaint Louis, Missouri, United States
University of Alabama Comprehensive Cancer Center
๐บ๐ธBirmingham, Alabama, United States
Arizona Cancer Center
๐บ๐ธTucson, Arizona, United States
California Cancer Center
๐บ๐ธFresno, California, United States
Loma Linda University Medical Center
๐บ๐ธLoma Linda, California, United States
Cancer Care Center
๐บ๐ธPomona, California, United States
Health First Holmes Regional Medical Center
๐บ๐ธMelbourne, Florida, United States
H. Lee Moffitt Cancer Center and Research Institute
๐บ๐ธTampa, Florida, United States
Veterans Affairs Medical Center - Indianapolis (Roudebush)
๐บ๐ธIndianapolis, Indiana, United States
Provena St. Joseph Hospital- Regional Cancer Care Center
๐บ๐ธElgin, Illinois, United States
Methodist Medical Center of Illinois
๐บ๐ธPeoria, Illinois, United States
Memorial Hospital of South Bend
๐บ๐ธSouth Bend, Indiana, United States
CCOP - Ochsner
๐บ๐ธNew Orleans, Louisiana, United States
Greater Baltimore Medical Center and Cancer Center
๐บ๐ธBaltimore, Maryland, United States
Harbor Hospital Center
๐บ๐ธBaltimore, Maryland, United States
Sinai Hospital of Baltimore
๐บ๐ธBaltimore, Maryland, United States
CCOP - Kalamazoo
๐บ๐ธKalamazoo, Michigan, United States
Mayo Clinic Cancer Center
๐บ๐ธRochester, Minnesota, United States
Cancer Research for the Ozarks
๐บ๐ธSpringfield, Missouri, United States
Monmouth Medical Center
๐บ๐ธLong Branch, New Jersey, United States
Cancer Center of Albany Medical Center
๐บ๐ธAlbany, New York, United States
Community Medical Center
๐บ๐ธToms River, New Jersey, United States
Newark Beth Israel Medical Center
๐บ๐ธNewark, New Jersey, United States
Atlantic City Medical Center
๐บ๐ธPomona, New Jersey, United States
Albert Einstein Comprehensive Cancer Center
๐บ๐ธBronx, New York, United States
Vassar Brothers Hospital
๐บ๐ธPoughkeepsie, New York, United States
Akron General Medical Center
๐บ๐ธAkron, Ohio, United States
Arthur G. James Cancer Hospital - Ohio State University
๐บ๐ธColumbus, Ohio, United States
Mercy Hospital Cancer Center - Scranton
๐บ๐ธScranton, Pennsylvania, United States
Veterans Affairs Medical Center - Philadelphia
๐บ๐ธPhiladelphia, Pennsylvania, United States
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
๐บ๐ธPhiladelphia, Pennsylvania, United States
Fox Chase Cancer Center
๐บ๐ธPhiladelphia, Pennsylvania, United States
Reading Hospital and Medical Center
๐บ๐ธReading, Pennsylvania, United States
Mercy Hospital of Pittsburgh
๐บ๐ธPittsburgh, Pennsylvania, United States
Western Pennsylvania Hospital
๐บ๐ธPittsburgh, Pennsylvania, United States
Wilkes Barre General Hospital
๐บ๐ธWilkes-Barre, Pennsylvania, United States
Jackson-Madison County General Hospital
๐บ๐ธJackson, Tennessee, United States
Baptist Regional Cancer Center - Knoxville
๐บ๐ธKnoxville, Tennessee, United States
CCOP - Baptist Cancer Institute
๐บ๐ธMemphis, Tennessee, United States
Dixie Regional Medical Center
๐บ๐ธSaint George, Utah, United States
Martha Jefferson Hospital
๐บ๐ธCharlottesville, Virginia, United States
Cancer Center, University of Virginia HSC
๐บ๐ธCharlottesville, Virginia, United States
Deaconess Medical Center
๐บ๐ธSpokane, Washington, United States
Dr. H. Bliss Murphy Cancer Centre
๐จ๐ฆSt. Johns, Newfoundland and Labrador, Canada
Saskatoon Cancer Centre
๐จ๐ฆSaskatoon, Saskatchewan, Canada
USC/Norris Comprehensive Cancer Center
๐บ๐ธLos Angeles, California, United States
Jonsson Comprehensive Cancer Center, UCLA
๐บ๐ธLos Angeles, California, United States
University of California San Diego Cancer Center
๐บ๐ธLa Jolla, California, United States
CCOP - Bay Area Tumor Institute
๐บ๐ธOakland, California, United States
Sutter Health Western Division Cancer Research Group
๐บ๐ธGreenbrae, California, United States
O'Connor Hospital
๐บ๐ธSan Jose, California, United States
Halifax Medical Center
๐บ๐ธDaytona Beach, Florida, United States
Lykes Center for Radiation Therapy
๐บ๐ธClearwater, Florida, United States
Emory University Hospital - Atlanta
๐บ๐ธAtlanta, Georgia, United States
CCOP - Mount Sinai Medical Center
๐บ๐ธMiami Beach, Florida, United States
West Florida Cancer Institute - Pensacola
๐บ๐ธPensacola, Florida, United States
Medical Center/John B. Amos Community Cancer Center
๐บ๐ธColumbus, Georgia, United States
Florida Radiation Oncology Group
๐บ๐ธOrange Park, Florida, United States
Bay Medical Center
๐บ๐ธPanama City, Florida, United States
Gulf Coast Cancer Treatment Center
๐บ๐ธPanama City, Florida, United States
Bayfront Medical Center
๐บ๐ธSaint Petersburg, Florida, United States
University of Chicago Cancer Research Center
๐บ๐ธChicago, Illinois, United States
InterCommunity Cancer Center at Rome
๐บ๐ธRome, Georgia, United States
CCOP - Central Illinois
๐บ๐ธDecatur, Illinois, United States
Western Baptist Hospital
๐บ๐ธPaducah, Kentucky, United States
Clarion Health Partners Inc.
๐บ๐ธIndianapolis, Indiana, United States
Finger Lakes Radiation Oncology, P.C.
๐บ๐ธClifton Springs, New York, United States
Beth Israel Medical Center
๐บ๐ธNew York, New York, United States
NYU School of Medicine's Kaplan Comprehensive Cancer Center
๐บ๐ธNew York, New York, United States
Christ Hospital
๐บ๐ธCincinnati, Ohio, United States
Ireland Cancer Center
๐บ๐ธCleveland, Ohio, United States
University Hospitals of Cleveland
๐บ๐ธCleveland, Ohio, United States
CCOP - Toledo Community Hospital Oncology Program
๐บ๐ธToledo, Ohio, United States
Penn State Geisinger Cancer Center
๐บ๐ธHershey, Pennsylvania, United States
Mercy Catholic Medical Center, Mercy Fitzgerald Divison
๐บ๐ธDarby, Pennsylvania, United States
St. Luke's Hospital Regional Cancer Center
๐บ๐ธBethlehem, Pennsylvania, United States
Geisinger Medical Center
๐บ๐ธDanville, Pennsylvania, United States
Hahnemann University Hospital
๐บ๐ธPhiladelphia, Pennsylvania, United States
CCOP - MainLine Health
๐บ๐ธWynnewood, Pennsylvania, United States
Roger Williams Medical Center/BUSM
๐บ๐ธProvidence, Rhode Island, United States
University of Texas Medical Branch
๐บ๐ธGalveston, Texas, United States
Julie and Ben Rogers Cancer Institute
๐บ๐ธBeaumont, Texas, United States
Harrington Cancer Center
๐บ๐ธAmarillo, Texas, United States
Wilford Hall - 59th Medical Wing
๐บ๐ธLackland Air Force Base, Texas, United States
Joe Arrington Cancer Research and Treatment Center
๐บ๐ธLubbock, Texas, United States
East Texas Medical Center - Cancer Institute
๐บ๐ธTyler, Texas, United States
Bayshore Medical Center
๐บ๐ธPasadena, Texas, United States
RMH Regional Canter Center
๐บ๐ธHarrisonburg, Virginia, United States
Naval Medical Center, Portsmouth
๐บ๐ธPortsmouth, Virginia, United States
Virginia Baptist Hospital
๐บ๐ธLynchburg, Virginia, United States
Yakima Valley Memorial Hospital
๐บ๐ธYakima, Washington, United States
Radiation Oncology Center - Sacramento
๐บ๐ธSacramento, California, United States
CCOP - Ann Arbor Regional
๐บ๐ธAnn Arbor, Michigan, United States
Saint Josephs Mercy Hospital
๐บ๐ธAnn Arbor, Michigan, United States
University of Michigan Comprehensive Cancer Center
๐บ๐ธAnn Arbor, Michigan, United States
CCOP - Southeast Cancer Control Consortium
๐บ๐ธWinston-Salem, North Carolina, United States
Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
๐บ๐ธWinston-Salem, North Carolina, United States
Delaware County Memorial Hospital
๐บ๐ธDrexel Hill, Pennsylvania, United States
Stanford University
๐บ๐ธStanford, California, United States
Catawba Memorial Hospital
๐บ๐ธHickory, North Carolina, United States
Radiation Therapy Associates - Fort Myers
๐บ๐ธFort Myers, Florida, United States
East Carolina University School of Medicine
๐บ๐ธGreenville, North Carolina, United States
University of Pennsylvania Cancer Center
๐บ๐ธPhiladelphia, Pennsylvania, United States
York Hospital
๐บ๐ธYork, Pennsylvania, United States
Nova Scotia Cancer Centre
๐จ๐ฆHalifax, Nova Scotia, Canada
Walter Reed Army Medical Center
๐บ๐ธWashington, District of Columbia, United States
Maine Medical Center
๐บ๐ธPortland, Maine, United States
Doctor Leon Richard Oncology Centre
๐จ๐ฆMoncton, New Brunswick, Canada
University of Utah Health Sciences Center
๐บ๐ธSalt Lake City, Utah, United States
Mary Bird Perkins Cancer Center
๐บ๐ธBaton Rouge, Louisiana, United States
Vermont Cancer Center
๐บ๐ธBurlington, Vermont, United States
St. Luke's Medical Center
๐บ๐ธMilwaukee, Wisconsin, United States
Gundersen Lutheran Medical Foundation
๐บ๐ธLa Crosse, Wisconsin, United States
Community Memorial Hospital
๐บ๐ธMenomonee Falls, Wisconsin, United States
Norris Cotton Cancer Center
๐บ๐ธLebanon, New Hampshire, United States
William Beaumont Hospital
๐บ๐ธRoyal Oak, Michigan, United States
Hurley Medical Center
๐บ๐ธFlint, Michigan, United States
Sparrow Regional Cancer Center
๐บ๐ธLansing, Michigan, United States
North Mississippi Medical Center/Cancer Center
๐บ๐ธTupelo, Mississippi, United States
CCOP - Southern Nevada Cancer Research Foundation
๐บ๐ธLas Vegas, Nevada, United States
Methodist Cancer Center - Omaha
๐บ๐ธOmaha, Nebraska, United States
Nebraska Health System
๐บ๐ธOmaha, Nebraska, United States
St. Mary's Medical Center
๐บ๐ธSaginaw, Michigan, United States
CCOP - Montana Cancer Consortium
๐บ๐ธBillings, Montana, United States
South Jersey Hospital - Millville
๐บ๐ธMillville, New Jersey, United States
Veterans Affairs Medical Center - Boston (Jamaica Plain)
๐บ๐ธJamaica Plain, Massachusetts, United States
Marquette General Hospital
๐บ๐ธMarquette, Michigan, United States
Veterans Affairs Medical Center - East Orange
๐บ๐ธEast Orange, New Jersey, United States
Trinitas Hospital - Jersey Street Campus
๐บ๐ธElizabeth, New Jersey, United States
Associated Radiologists, P.A.
๐บ๐ธWarren, New Jersey, United States
Cancer Institute of New Jersey
๐บ๐ธNew Brunswick, New Jersey, United States
CCOP - Upstate Carolina
๐บ๐ธSpartanburg, South Carolina, United States
St. Joseph's Hospital
๐บ๐ธMilwaukee, Wisconsin, United States
Elliot Regional Cancer Center
๐บ๐ธManchester, New Hampshire, United States
John F. Kennedy Medical Center
๐บ๐ธEdison, New Jersey, United States
Marshfield Clinic
๐บ๐ธMarshfield, Wisconsin, United States
St. Vincent Hospital
๐บ๐ธGreen Bay, Wisconsin, United States
Green Mountain Oncology Group
๐บ๐ธRutland, Vermont, United States
Saint John Regional Hospital
๐จ๐ฆSaint John, New Brunswick, Canada
Centre Universitaire de Sante de l'Estrie - Site Fleurimont
๐จ๐ฆFleurimont, Quebec, Canada
McGill University Department of Oncology
๐จ๐ฆMontreal, Quebec, Canada
Southeastern Wisconsin Regional Cancer Center
๐บ๐ธRacine, Wisconsin, United States
University of Florida Health Science Center
๐บ๐ธGainesville, Florida, United States
MD Anderson Cancer Center Orlando
๐บ๐ธOrlando, Florida, United States
Albert B. Chandler Medical Center, University of Kentucky
๐บ๐ธLexington, Kentucky, United States
James Graham Brown Cancer Center
๐บ๐ธLouisville, Kentucky, United States
Louisville Radiation Oncology
๐บ๐ธLouisville, Kentucky, United States
MBCCOP - LSU Medical Center
๐บ๐ธNew Orleans, Louisiana, United States
Tulane University School of Medicine
๐บ๐ธNew Orleans, Louisiana, United States
CCOP - Kansas City
๐บ๐ธKansas City, Missouri, United States
Veterans Affairs Medical Center - Lexington
๐บ๐ธLexington, Kentucky, United States
Lineberger Comprehensive Cancer Center, UNC
๐บ๐ธChapel Hill, North Carolina, United States
Medical University of South Carolina
๐บ๐ธCharleston, South Carolina, United States
Southern Wisconsin Radiotherapy Center
๐บ๐ธMadison, Wisconsin, United States
University of Wisconsin Comprehensive Cancer Center
๐บ๐ธMadison, Wisconsin, United States
Saint Joseph Medical Center
๐บ๐ธAlbuquerque, New Mexico, United States
University of Rochester Cancer Center
๐บ๐ธRochester, New York, United States
Cross Cancer Institute
๐จ๐ฆEdmonton, Alberta, Canada
Tom Baker Cancer Center - Calgary
๐จ๐ฆCalgary, Alberta, Canada
BC Cancer Agency
๐จ๐ฆVancouver, British Columbia, Canada
Rapid City Regional Hospital
๐บ๐ธRapid City, South Dakota, United States
CCOP - Santa Rosa Memorial Hospital
๐บ๐ธSanta Rosa, California, United States
St. Francis Medical Center
๐บ๐ธTrenton, New Jersey, United States
Northeast Medical Center
๐บ๐ธConcord, North Carolina, United States
CCOP - Southwestern Vermont Regional Cancer Center
๐บ๐ธBennington, Vermont, United States
Schiffler Cancer Center
๐บ๐ธWheeling, West Virginia, United States
Fox Chase Cancer Center at Virtua-Memorial Hospital Burlington County
๐บ๐ธMount Holly, New Jersey, United States