The National Myelodysplastic Syndromes (MDS) Study
- Conditions
- Myelodysplastic Syndromes (MDS)
- Interventions
- Other: Therapeutic
- Registration Number
- NCT02775383
- Brief Summary
Multi-center study enrolling patients suspected or newly diagnosed with myelodysplastic syndromes (MDS), myelodysplastic syndromes/myeloproliferative neoplasms (MDS/MPN) overlap disorder, or idiopathic cytopenia of undetermined significance (ICUS). Participants will be followed long term. Clinical data, blood, and tissue samples will be collected to establish a biorepository to facilitate the study of the natural history of MDS.
- Detailed Description
Multi-center, prospective cohort study enrolling patients from centers in the National Cancer Institute (NCI) National Clinical Trials Network (NCTN) and NCI Community Oncology Research Program (NCORP). The accrual period is 5+ years. After central pathology review of registered participants, approximately 2,000 cases of MDS or MDS/MPN overlap disorders, and 500 cases of ICUS will be identified for the longitudinal study cohort and up to 1000 cases will be identified for the cross-sectional cohort. No more than 3500 total participants will be registered. Participants in the longitudinal cohort may be followed for life.
The goal of the National MDS Study is to establish a publicly available resource to facilitate the study of MDS natural history. This will be accomplished through: 1) Creation of a multi-institutional, longitudinal collection of consistently processed and clinically well-annotated blood and tissue specimens collected prospectively from participants with MDS and participants with idiopathic cytopenia of undetermined significance (ICUS); and 2) Support for investigator-initiated studies of MDS that will have high-impact for MDS patients, including basic science, clinical, health outcomes and epidemiological research.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 3500
- Suspected (e.g., persistent unexplained cytopenia, circulating peripheral blasts etc.) MDS or MDS/MPN overlap disorders and undergoing diagnostic work-up with planned bone marrow assessments, or diagnosed with de novo or therapy-related MDS within 12 months of enrollment per the World Health Organization (WHO) criteria1 and undergoing clinical evaluation and planned bone marrow assessments to confirm MDS or to evaluate disease status
- Bone marrow aspirate expected to be performed within 1 week of registration, and in all cases must be performed no later than 4 weeks after enrollment
- Age 18 or older
- If anemic without prior MDS diagnosis, B12 level, serum folate, mean corpuscular volume (MCV), red cell distribution width (RDW), ferritin, and iron studies (Iron, total iron-binding capacity (TIBC) test, and percent saturation) must be performed within prior 6 months.
- Prior treatment for MDS at entry and through the time of the entry bone marrow aspirate
- Treatment with hematopoietic growth factors in prior 6 months
- Diagnosis of a solid tumor or hematologic malignancy within two years prior to enrollment except for in situ cancer of the skin (basal or squamous cell), cervix, bladder, breast, or prostate
- Treatment with radiation therapy in the two years prior to registration
- Non-hormonal treatment for malignancy within the two years prior to registration
- Established hereditary bone marrow failure syndrome
- Known primary diagnosis of aplastic anemia, classical paroxysmal nocturnal hemoglobinuria, amegakaryocytic thrombocytopenic purpura, or large granular lymphocyte leukemia
- Enrolled in the Connectยฎ MDS/AML Disease Registry (NCT01688011)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Cross-sectional Therapeutic Participants who do not have MDS, MDS/MPN overlap disorder, or ICUS and have the baseline visit only Longitudinal Therapeutic Participants with MDS, MDS/MPN overlap disorder, AML \<30% blasts without core binding factor or acute promyelocytic leukemia, ICUS, or at risk based on select karyotypic or genetic abnormalities
- Primary Outcome Measures
Name Time Method Number of patients dying Through study completion, an average of 3 years Deaths will be reported on study case report forms
- Secondary Outcome Measures
Name Time Method Number of participants progressing to Acute Myeloid Leukemia (AML) Through study completion, an average of 3 years Progression to AML will be reported on study case report forms
Trial Locations
- Locations (280)
Kaiser Permanente Los Angeles Medical Center
๐บ๐ธLos Angeles, California, United States
Kaiser Permanente-Cadillac
๐บ๐ธLos Angeles, California, United States
Delbert Day Cancer Institute at PCRMC
๐บ๐ธRolla, Missouri, United States
Park Nicollet Clinic - Saint Louis Park
๐บ๐ธSaint Louis Park, Minnesota, United States
Benefis Healthcare-Sletten Cancer Institute
๐บ๐ธGreat Falls, Montana, United States
University of Pennsylvania/Abramson Cancer Center
๐บ๐ธPhiladelphia, Pennsylvania, United States
Geisinger Wyoming Valley/Henry Cancer Center
๐บ๐ธWilkes-Barre, Pennsylvania, United States
Aurora Bay Area Medical Group-Marinette
๐บ๐ธMarinette, Wisconsin, United States
Vince Lombardi Cancer Clinic - Oshkosh
๐บ๐ธOshkosh, Wisconsin, United States
Marshfield Clinic Stevens Point Center
๐บ๐ธStevens Point, Wisconsin, United States
MetroHealth Medical Center
๐บ๐ธCleveland, Ohio, United States
University of Washington Medical Center
๐บ๐ธSeattle, Washington, United States
OptumCare Cancer Care at Mountainview
๐บ๐ธLas Vegas, Nevada, United States
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
๐บ๐ธLas Vegas, Nevada, United States
OptumCare Cancer Care at Fort Apache
๐บ๐ธLas Vegas, Nevada, United States
Minneapolis VA Medical Center
๐บ๐ธMinneapolis, Minnesota, United States
Durham VA Medical Center
๐บ๐ธDurham, North Carolina, United States
Iowa Methodist Medical Center
๐บ๐ธDes Moines, Iowa, United States
Veterans Affairs Medical Center - San Francisco
๐บ๐ธSan Francisco, California, United States
Meharry Medical College
๐บ๐ธNashville, Tennessee, United States
Kaiser Permanente - South Bay
๐บ๐ธHarbor City, California, United States
Kaiser Permanente-Bellflower
๐บ๐ธBellflower, California, United States
Kaiser Permanente-Irvine
๐บ๐ธIrvine, California, United States
Northeast Georgia Medical Center-Gainesville
๐บ๐ธGainesville, Georgia, United States
Tibor Rubin VA Medical Center
๐บ๐ธLong Beach, California, United States
Atlanta VA Medical Center
๐บ๐ธDecatur, Georgia, United States
Queen's Cancer Center - Pearlridge
๐บ๐ธ'Aiea, Hawaii, United States
Kaiser Permanente-San Marcos
๐บ๐ธSan Marcos, California, United States
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
๐บ๐ธSavannah, Georgia, United States
Kaiser Permanente-Anaheim
๐บ๐ธAnaheim, California, United States
Va Palo Alto Health Care System
๐บ๐ธPalo Alto, California, United States
Kaiser Permanente-Baldwin Park
๐บ๐ธBaldwin Park, California, United States
Kaiser Permanente-Fontana
๐บ๐ธFontana, California, United States
Northside Hospital
๐บ๐ธAtlanta, Georgia, United States
Regional Hematology and Oncology PA
๐บ๐ธNewark, Delaware, United States
Veterans Affairs Connecticut Healthcare System-West Haven Campus
๐บ๐ธWest Haven, Connecticut, United States
Christiana Care Health System-Christiana Hospital
๐บ๐ธNewark, Delaware, United States
Mayo Clinic in Florida
๐บ๐ธJacksonville, Florida, United States
Lakeland Regional Health Hollis Cancer Center
๐บ๐ธLakeland, Florida, United States
Northside Hospital - Gwinnett
๐บ๐ธLawrenceville, Georgia, United States
Kaiser Permanente - Panorama City
๐บ๐ธPanorama City, California, United States
Eisenhower Medical Center
๐บ๐ธRancho Mirage, California, United States
Kaiser Permanente-Riverside
๐บ๐ธRiverside, California, United States
Kaiser Permanente-San Diego Zion
๐บ๐ธSan Diego, California, United States
Kaiser Permanente-Woodland Hills
๐บ๐ธWoodland Hills, California, United States
Helen F Graham Cancer Center
๐บ๐ธNewark, Delaware, United States
Medical Oncology Hematology Consultants PA
๐บ๐ธNewark, Delaware, United States
Pali Momi Medical Center
๐บ๐ธ'Aiea, Hawaii, United States
Augusta University Medical Center
๐บ๐ธAugusta, Georgia, United States
Decatur Memorial Hospital
๐บ๐ธDecatur, Illinois, United States
Baptist MD Anderson Cancer Center
๐บ๐ธJacksonville, Florida, United States
Indian River Medical Center
๐บ๐ธVero Beach, Florida, United States
Illinois CancerCare - Bloomington
๐บ๐ธBloomington, Illinois, United States
Carle Physician Group-Effingham
๐บ๐ธEffingham, Illinois, United States
Northside Hospital - Duluth
๐บ๐ธDuluth, Georgia, United States
Suburban Hematology Oncology Associates - Snellville
๐บ๐ธSnellville, Georgia, United States
Centralia Oncology Clinic
๐บ๐ธCentralia, Illinois, United States
AMITA Health Alexian Brothers Medical Center
๐บ๐ธElk Grove Village, Illinois, United States
Illinois CancerCare - Galesburg
๐บ๐ธGalesburg, Illinois, United States
Mercy Hospital
๐บ๐ธCoon Rapids, Minnesota, United States
Northwell Health/Center for Advanced Medicine
๐บ๐ธLake Success, New York, United States
Mercy Hospital Springfield
๐บ๐ธSpringfield, Missouri, United States
Long Island Jewish Medical Center
๐บ๐ธNew Hyde Park, New York, United States
Lawrence Memorial Hospital
๐บ๐ธLawrence, Kansas, United States
Bozeman Deaconess Hospital
๐บ๐ธBozeman, Montana, United States
AMITA Health Cancer Institute and Outpatient Center
๐บ๐ธHinsdale, Illinois, United States
Harold Alfond Center for Cancer Care
๐บ๐ธAugusta, Maine, United States
MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford
๐บ๐ธBiddeford, Maine, United States
Spectrum Health Reed City Hospital
๐บ๐ธReed City, Michigan, United States
Cleveland Clinic Cancer Center Independence
๐บ๐ธIndependence, Ohio, United States
Carle Physician Group-Mattoon/Charleston
๐บ๐ธMattoon, Illinois, United States
Essentia Health Cancer Center
๐บ๐ธDuluth, Minnesota, United States
Miller-Dwan Hospital
๐บ๐ธDuluth, Minnesota, United States
Johns Hopkins University/Sidney Kimmel Cancer Center
๐บ๐ธBaltimore, Maryland, United States
Illinois CancerCare - Peoria
๐บ๐ธPeoria, Illinois, United States
William Beaumont Hospital - Troy
๐บ๐ธTroy, Michigan, United States
Fairview Southdale Hospital
๐บ๐ธEdina, Minnesota, United States
Beaumont Hospital - Dearborn
๐บ๐ธDearborn, Michigan, United States
North Shore University Hospital
๐บ๐ธLake Success, New York, United States
SIH Cancer Institute
๐บ๐ธCarterville, Illinois, United States
Penobscot Bay Medical Center
๐บ๐ธRockport, Maine, United States
Arnot Ogden Medical Center/Falck Cancer Center
๐บ๐ธElmira, New York, United States
Kootenai Cancer Center
๐บ๐ธPost Falls, Idaho, United States
Memorial Hospital of Carbondale
๐บ๐ธCarbondale, Illinois, United States
Medical Oncology and Hematology Associates-West Des Moines
๐บ๐ธClive, Iowa, United States
Cancer Center of Kansas - Chanute
๐บ๐ธChanute, Kansas, United States
Cancer Center of Kansas - Dodge City
๐บ๐ธDodge City, Kansas, United States
Kootenai Cancer Clinic
๐บ๐ธSandpoint, Idaho, United States
Presence Saint Mary's Hospital
๐บ๐ธKankakee, Illinois, United States
Greater Regional Medical Center
๐บ๐ธCreston, Iowa, United States
Mercy Medical Center-West Lakes
๐บ๐ธWest Des Moines, Iowa, United States
United Hospital
๐บ๐ธSaint Paul, Minnesota, United States
Cancer Care Specialists of Central Illinois - Decatur
๐บ๐ธDecatur, Illinois, United States
Kootenai Medical Center
๐บ๐ธCoeur d'Alene, Idaho, United States
West Michigan Cancer Center
๐บ๐ธKalamazoo, Michigan, United States
Crossroads Cancer Center
๐บ๐ธEffingham, Illinois, United States
IHA Hematology Oncology Consultants-Brighton
๐บ๐ธBrighton, Michigan, United States
IHA Hematology Oncology Consultants-Canton
๐บ๐ธCanton, Michigan, United States
IHA Hematology Oncology Consultants-Ann Arbor
๐บ๐ธYpsilanti, Michigan, United States
Sanford Joe Lueken Cancer Center
๐บ๐ธBemidji, Minnesota, United States
Saint Francis Regional Medical Center
๐บ๐ธShakopee, Minnesota, United States
Carle on Vermilion
๐บ๐ธDanville, Illinois, United States
Maine Medical Partners-South Portland
๐บ๐ธSouth Portland, Maine, United States
Cancer Care Specialists of O'Fallon
๐บ๐ธO'Fallon, Illinois, United States
Mercy Cancer Center-West Lakes
๐บ๐ธClive, Iowa, United States
Carle Cancer Center
๐บ๐ธUrbana, Illinois, United States
Oncology Associates at Mercy Medical Center
๐บ๐ธCedar Rapids, Iowa, United States
Cancer Center of Kansas-Independence
๐บ๐ธIndependence, Kansas, United States
UMass Memorial Medical Center - University Campus
๐บ๐ธWorcester, Massachusetts, United States
Cancer Center of Kansas - Liberal
๐บ๐ธLiberal, Kansas, United States
Cancer Center of Kansas - Parsons
๐บ๐ธParsons, Kansas, United States
Cancer Center of Kansas - Salina
๐บ๐ธSalina, Kansas, United States
IHA Hematology Oncology Consultants-Chelsea
๐บ๐ธChelsea, Michigan, United States
Cancer Center of Kansas - Fort Scott
๐บ๐ธFort Scott, Kansas, United States
Stephens Memorial Hospital
๐บ๐ธNorway, Maine, United States
York Hospital
๐บ๐ธYork, Maine, United States
Ascension Providence Hospitals - Southfield
๐บ๐ธSouthfield, Michigan, United States
Abbott-Northwestern Hospital
๐บ๐ธMinneapolis, Minnesota, United States
William Beaumont Hospital-Royal Oak
๐บ๐ธRoyal Oak, Michigan, United States
Essentia Health Saint Mary's Medical Center
๐บ๐ธDuluth, Minnesota, United States
Saint Francis Medical Center
๐บ๐ธCape Girardeau, Missouri, United States
Cancer Center of Kansas-Kingman
๐บ๐ธKingman, Kansas, United States
Kansas Institute of Medicine Cancer and Blood Center
๐บ๐ธLenexa, Kansas, United States
Metro Health Hospital
๐บ๐ธWyoming, Michigan, United States
Capital Region Southwest Campus
๐บ๐ธJefferson City, Missouri, United States
Michigan State University Clinical Center
๐บ๐ธEast Lansing, Michigan, United States
Waldo County General Hospital
๐บ๐ธBelfast, Maine, United States
MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford
๐บ๐ธSanford, Maine, United States
UM Upper Chesapeake Medical Center
๐บ๐ธBel Air, Maryland, United States
Saint Luke's Hospital of Duluth
๐บ๐ธDuluth, Minnesota, United States
Ascension Saint Mary's Hospital
๐บ๐ธSaginaw, Michigan, United States
Saint Joseph Mercy Chelsea
๐บ๐ธChelsea, Michigan, United States
OptumCare Cancer Care at Seven Hills
๐บ๐ธHenderson, Nevada, United States
Roswell Park Cancer Institute
๐บ๐ธBuffalo, New York, United States
Community Hospital of Anaconda
๐บ๐ธAnaconda, Montana, United States
Veterans Administration New Jersey Health Care System
๐บ๐ธEast Orange, New Jersey, United States
Memorial Medical Center-Las Cruces
๐บ๐ธLas Cruces, New Mexico, United States
Mercy Clinic - Rolla - Cancer and Hematology
๐บ๐ธRolla, Missouri, United States
Heartland Regional Medical Center
๐บ๐ธSaint Joseph, Missouri, United States
OptumCare Cancer Care at Oakey
๐บ๐ธLas Vegas, Nevada, United States
Hope Cancer Care of Nevada
๐บ๐ธLas Vegas, Nevada, United States
Inspira Medical Center Woodbury
๐บ๐ธWoodbury, New Jersey, United States
Mission Hospital
๐บ๐ธAsheville, North Carolina, United States
CHI Health Saint Francis
๐บ๐ธGrand Island, Nebraska, United States
Cleveland Clinic Wooster Family Health and Surgery Center
๐บ๐ธWooster, Ohio, United States
Cancer Centers of Southwest Oklahoma Research
๐บ๐ธLawton, Oklahoma, United States
Maimonides Medical Center
๐บ๐ธBrooklyn, New York, United States
Cleveland Clinic Foundation
๐บ๐ธCleveland, Ohio, United States
Sanford Broadway Medical Center
๐บ๐ธFargo, North Dakota, United States
Sanford Roger Maris Cancer Center
๐บ๐ธFargo, North Dakota, United States
Sanford USD Medical Center - Sioux Falls
๐บ๐ธSioux Falls, South Dakota, United States
Lehigh Valley Hospital-Muhlenberg
๐บ๐ธBethlehem, Pennsylvania, United States
Prisma Health System Cancer Institute - Greer
๐บ๐ธGreer, South Carolina, United States
Hillcrest Hospital Cancer Center
๐บ๐ธMayfield Heights, Ohio, United States
Glens Falls Hospital
๐บ๐ธGlens Falls, New York, United States
Cleveland Clinic Cancer Center Mansfield
๐บ๐ธMansfield, Ohio, United States
Ephrata Cancer Center
๐บ๐ธEphrata, Pennsylvania, United States
Phoenixville Hospital
๐บ๐ธPhoenixville, Pennsylvania, United States
Self Regional Healthcare
๐บ๐ธGreenwood, South Carolina, United States
Sanford Clinic North-Fargo
๐บ๐ธFargo, North Dakota, United States
Cleveland Clinic Cancer Center/Fairview Hospital
๐บ๐ธFairview, Ohio, United States
Sanford Bismarck Medical Center
๐บ๐ธBismarck, North Dakota, United States
Geisinger Medical Center
๐บ๐ธDanville, Pennsylvania, United States
Saint Francis Hospital
๐บ๐ธGreenville, South Carolina, United States
Prisma Health System Cancer Institute - Eastside
๐บ๐ธGreenville, South Carolina, United States
North Coast Cancer Care
๐บ๐ธSandusky, Ohio, United States
Cleveland Clinic Akron General
๐บ๐ธAkron, Ohio, United States
Phelps Memorial Hospital Center
๐บ๐ธSleepy Hollow, New York, United States
Penn State Health Saint Joseph Medical Center
๐บ๐ธReading, Pennsylvania, United States
University of Texas Health Science Center at San Antonio
๐บ๐ธSan Antonio, Texas, United States
Saint Francis Cancer Center
๐บ๐ธGreenville, South Carolina, United States
Sanford Cancer Center Oncology Clinic
๐บ๐ธSioux Falls, South Dakota, United States
Avera Cancer Institute
๐บ๐ธSioux Falls, South Dakota, United States
Monument Health Rapid City Hospital
๐บ๐ธRapid City, South Dakota, United States
MultiCare Gig Harbor Medical Park
๐บ๐ธGig Harbor, Washington, United States
Lehigh Valley Hospital-Cedar Crest
๐บ๐ธAllentown, Pennsylvania, United States
WellSpan Health-York Hospital
๐บ๐ธYork, Pennsylvania, United States
MultiCare Good Samaritan Hospital
๐บ๐ธPuyallup, Washington, United States
Prisma Health System Cancer Institute - Faris
๐บ๐ธGreenville, South Carolina, United States
Augusta Health Center for Cancer and Blood Disorders
๐บ๐ธFishersville, Virginia, United States
Geisinger Medical Center - Cancer Center Hazleton
๐บ๐ธHazleton, Pennsylvania, United States
Adams Cancer Center
๐บ๐ธGettysburg, Pennsylvania, United States
Prisma Health System Cancer Institute - Seneca
๐บ๐ธSeneca, South Carolina, United States
Sechler Family Cancer Center
๐บ๐ธLebanon, Pennsylvania, United States
Geisinger Medical Oncology - Lewisburg
๐บ๐ธLewisburg, Pennsylvania, United States
Geisinger Cancer Services - Pottsville
๐บ๐ธPottsville, Pennsylvania, United States
Avera Cancer Institute-Aberdeen
๐บ๐ธAberdeen, South Dakota, United States
Prisma Health Cancer Institute - Easley
๐บ๐ธEasley, South Carolina, United States
Harrison Medical Center
๐บ๐ธBremerton, Washington, United States
Fred Hutchinson Cancer Research Center
๐บ๐ธSeattle, Washington, United States
MultiCare Auburn Medical Center
๐บ๐ธAuburn, Washington, United States
Easton Hospital
๐บ๐ธEaston, Pennsylvania, United States
Pottstown Hospital
๐บ๐ธPottstown, Pennsylvania, United States
UPMC Susquehanna
๐บ๐ธWilliamsport, Pennsylvania, United States
Prisma Health System Cancer Institute - Butternut
๐บ๐ธReidville, South Carolina, United States
UT Southwestern/Simmons Cancer Center-Dallas
๐บ๐ธDallas, Texas, United States
Seattle Cancer Care Alliance
๐บ๐ธSeattle, Washington, United States
Prisma Health System Cancer Institute - Spartanburg
๐บ๐ธSpartanburg, South Carolina, United States
Baptist Memorial Hospital and Cancer Center-Memphis
๐บ๐ธMemphis, Tennessee, United States
Harrison HealthPartners Hematology and Oncology-Bremerton
๐บ๐ธBremerton, Washington, United States
Spartanburg Medical Center
๐บ๐ธSpartanburg, South Carolina, United States
UT Southwestern Clinical Center at Richardson/Plano
๐บ๐ธRichardson, Texas, United States
Gundersen Lutheran Medical Center
๐บ๐ธLa Crosse, Wisconsin, United States
Aurora Cancer Care-Kenosha South
๐บ๐ธKenosha, Wisconsin, United States
Aurora Cancer Care-Southern Lakes VLCC
๐บ๐ธBurlington, Wisconsin, United States
Marshfield Medical Center - EC Cancer Center
๐บ๐ธEau Claire, Wisconsin, United States
Aurora Health Care Germantown Health Center
๐บ๐ธGermantown, Wisconsin, United States
Holy Family Memorial Hospital
๐บ๐ธManitowoc, Wisconsin, United States
West Virginia University Charleston Division
๐บ๐ธCharleston, West Virginia, United States
Marshfield Clinic-Weston Center
๐บ๐ธWeston, Wisconsin, United States
Aurora Cancer Care-Milwaukee West
๐บ๐ธWauwatosa, Wisconsin, United States
Aurora BayCare Medical Center
๐บ๐ธGreen Bay, Wisconsin, United States
Ascension All Saints Hospital
๐บ๐ธRacine, Wisconsin, United States
Vince Lombardi Cancer Clinic-Marinette
๐บ๐ธMarinette, Wisconsin, United States
MultiCare Tacoma General Hospital
๐บ๐ธTacoma, Washington, United States
Aurora Cancer Care-Racine
๐บ๐ธRacine, Wisconsin, United States
Ascension Southeast Wisconsin Hospital-Elmbrook Campus
๐บ๐ธBrookfield, Wisconsin, United States
Ascension Mercy Hospital
๐บ๐ธOshkosh, Wisconsin, United States
Aurora West Allis Medical Center
๐บ๐ธWest Allis, Wisconsin, United States
Mayo Clinic Health System-Franciscan Healthcare
๐บ๐ธLa Crosse, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary's
๐บ๐ธGreen Bay, Wisconsin, United States
Vince Lombardi Cancer Clinic-Two Rivers
๐บ๐ธTwo Rivers, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green Bay
๐บ๐ธGreen Bay, Wisconsin, United States
Aurora Health Center-Fond du Lac
๐บ๐ธFontana, Wisconsin, United States
Aurora Cancer Care-Grafton
๐บ๐ธGrafton, Wisconsin, United States
Marshfield Clinic-Minocqua Center
๐บ๐ธMinocqua, Wisconsin, United States
Aurora Medical Center in Summit
๐บ๐ธSummit, Wisconsin, United States
Marshfield Medical Center - Rice Lake
๐บ๐ธRice Lake, Wisconsin, United States
Vince Lombardi Cancer Clinic-Sheboygan
๐บ๐ธSheboygan, Wisconsin, United States
Marshfield Medical Center - Marshfield
๐บ๐ธMarshfield, Wisconsin, United States
Ascension Saint Francis-Reiman Cancer Center
๐บ๐ธFranklin, Wisconsin, United States
Shaare Zedek Medical Center
๐ฎ๐ฑJerusalem, Israel
Ascension Medical Group Southeast Wisconsin-Mayfair Road
๐บ๐ธWauwatosa, Wisconsin, United States
University of Oklahoma Health Sciences Center
๐บ๐ธOklahoma City, Oklahoma, United States
Kaiser Permanente Northwest
๐บ๐ธPortland, Oregon, United States
Mercy Hospital Oklahoma City
๐บ๐ธOklahoma City, Oklahoma, United States
Oregon Health & Science University
๐บ๐ธPortland, Oregon, United States
Rocky Mountain Regional VA Medical Center
๐บ๐ธAurora, Colorado, United States
Moffitt Cancer Center
๐บ๐ธTampa, Florida, United States
Walter Reed National Military Medical Center
๐บ๐ธBethesda, Maryland, United States
Aurora Cancer Care-Milwaukee
๐บ๐ธMilwaukee, Wisconsin, United States
Aurora Saint Luke's Medical Center
๐บ๐ธMilwaukee, Wisconsin, United States
Aurora Sinai Medical Center
๐บ๐ธMilwaukee, Wisconsin, United States
Saint Joseph Mercy Hospital
๐บ๐ธAnn Arbor, Michigan, United States
CoxHealth South Hospital
๐บ๐ธSpringfield, Missouri, United States
Smilow Cancer Center/Yale-New Haven Hospital
๐บ๐ธNew Haven, Connecticut, United States
Yale University
๐บ๐ธNew Haven, Connecticut, United States
Kansas City Veterans Affairs Medical Center
๐บ๐ธKansas City, Missouri, United States
Ralph H Johnson VA Medical Center
๐บ๐ธCharleston, South Carolina, United States
Dell Seton Medical Center at The University of Texas
๐บ๐ธAustin, Texas, United States
Queen's Cancer Center - POB I
๐บ๐ธHonolulu, Hawaii, United States
Queen's Cancer Center - Kuakini
๐บ๐ธHonolulu, Hawaii, United States
Queen's Medical Center
๐บ๐ธHonolulu, Hawaii, United States
University of Hawaii Cancer Center
๐บ๐ธHonolulu, Hawaii, United States
Hawaii Cancer Care Inc-POB II
๐บ๐ธHonolulu, Hawaii, United States
OnCare Hawaii - Liliha
๐บ๐ธHonolulu, Hawaii, United States
Straub Clinic and Hospital
๐บ๐ธHonolulu, Hawaii, United States
Kapiolani Medical Center for Women and Children
๐บ๐ธHonolulu, Hawaii, United States
Medical Oncology and Hematology Associates-Des Moines
๐บ๐ธDes Moines, Iowa, United States
Medical Oncology and Hematology Associates-Laurel
๐บ๐ธDes Moines, Iowa, United States
Mercy Medical Center - Des Moines
๐บ๐ธDes Moines, Iowa, United States
James J Peters VA Medical Center
๐บ๐ธBronx, New York, United States
Montefiore Medical Center - Einstein Campus
๐บ๐ธBronx, New York, United States
Montefiore Medical Center - Moses Campus
๐บ๐ธBronx, New York, United States
William S Middleton VA Medical Center
๐บ๐ธMadison, Wisconsin, United States
University of Wisconsin Hospital and Clinics
๐บ๐ธMadison, Wisconsin, United States
Associates In Womens Health
๐บ๐ธWichita, Kansas, United States
Cancer Center of Kansas - Wichita Medical Arts Tower
๐บ๐ธWichita, Kansas, United States
Cancer Center of Kansas - Wichita
๐บ๐ธWichita, Kansas, United States
Ascension Via Christi Hospitals Wichita
๐บ๐ธWichita, Kansas, United States
University of New Mexico Cancer Center
๐บ๐ธAlbuquerque, New Mexico, United States
Spectrum Health at Butterworth Campus
๐บ๐ธGrand Rapids, Michigan, United States
Cancer Center of Kansas - Newton
๐บ๐ธNewton, Kansas, United States
Cancer Center of Kansas - Winfield
๐บ๐ธWinfield, Kansas, United States
Saint Joseph Mercy Brighton
๐บ๐ธBrighton, Michigan, United States
Unity Hospital
๐บ๐ธFridley, Minnesota, United States
Cancer Center of Kansas - Pratt
๐บ๐ธPratt, Kansas, United States
Cancer Center of Kansas - Wellington
๐บ๐ธWellington, Kansas, United States
Saint Joseph Mercy Canton
๐บ๐ธCanton, Michigan, United States
Harrison HealthPartners Hematology and Oncology-Poulsbo
๐บ๐ธPoulsbo, Washington, United States