MedPath

The National Myelodysplastic Syndromes (MDS) Study

Active, not recruiting
Conditions
Myelodysplastic Syndromes (MDS)
Interventions
Other: Therapeutic
Registration Number
NCT02775383
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
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
Inclusion Criteria
  • 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.
Exclusion Criteria
  • 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
GroupInterventionDescription
Cross-sectionalTherapeuticParticipants who do not have MDS, MDS/MPN overlap disorder, or ICUS and have the baseline visit only
LongitudinalTherapeuticParticipants 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
NameTimeMethod
Number of patients dyingThrough study completion, an average of 3 years

Deaths will be reported on study case report forms

Secondary Outcome Measures
NameTimeMethod
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

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

Kaiser Permanente-Cadillac

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

Delbert Day Cancer Institute at PCRMC

๐Ÿ‡บ๐Ÿ‡ธ

Rolla, Missouri, United States

Park Nicollet Clinic - Saint Louis Park

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis Park, Minnesota, United States

Benefis Healthcare-Sletten Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Great Falls, Montana, United States

University of Pennsylvania/Abramson Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

Geisinger Wyoming Valley/Henry Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Wilkes-Barre, Pennsylvania, United States

Aurora Bay Area Medical Group-Marinette

๐Ÿ‡บ๐Ÿ‡ธ

Marinette, Wisconsin, United States

Vince Lombardi Cancer Clinic - Oshkosh

๐Ÿ‡บ๐Ÿ‡ธ

Oshkosh, Wisconsin, United States

Marshfield Clinic Stevens Point Center

๐Ÿ‡บ๐Ÿ‡ธ

Stevens Point, Wisconsin, United States

MetroHealth Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Cleveland, Ohio, United States

University of Washington Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

OptumCare Cancer Care at Mountainview

๐Ÿ‡บ๐Ÿ‡ธ

Las Vegas, Nevada, United States

Alliance for Childhood Diseases/Cure 4 the Kids Foundation

๐Ÿ‡บ๐Ÿ‡ธ

Las Vegas, Nevada, United States

OptumCare Cancer Care at Fort Apache

๐Ÿ‡บ๐Ÿ‡ธ

Las Vegas, Nevada, United States

Minneapolis VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

Durham VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Durham, North Carolina, United States

Iowa Methodist Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Des Moines, Iowa, United States

Veterans Affairs Medical Center - San Francisco

๐Ÿ‡บ๐Ÿ‡ธ

San Francisco, California, United States

Meharry Medical College

๐Ÿ‡บ๐Ÿ‡ธ

Nashville, Tennessee, United States

Kaiser Permanente - South Bay

๐Ÿ‡บ๐Ÿ‡ธ

Harbor City, California, United States

Kaiser Permanente-Bellflower

๐Ÿ‡บ๐Ÿ‡ธ

Bellflower, California, United States

Kaiser Permanente-Irvine

๐Ÿ‡บ๐Ÿ‡ธ

Irvine, California, United States

Northeast Georgia Medical Center-Gainesville

๐Ÿ‡บ๐Ÿ‡ธ

Gainesville, Georgia, United States

Tibor Rubin VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Long Beach, California, United States

Atlanta VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Decatur, Georgia, United States

Queen's Cancer Center - Pearlridge

๐Ÿ‡บ๐Ÿ‡ธ

'Aiea, Hawaii, United States

Kaiser Permanente-San Marcos

๐Ÿ‡บ๐Ÿ‡ธ

San Marcos, California, United States

Lewis Cancer and Research Pavilion at Saint Joseph's/Candler

๐Ÿ‡บ๐Ÿ‡ธ

Savannah, Georgia, United States

Kaiser Permanente-Anaheim

๐Ÿ‡บ๐Ÿ‡ธ

Anaheim, California, United States

Va Palo Alto Health Care System

๐Ÿ‡บ๐Ÿ‡ธ

Palo Alto, California, United States

Kaiser Permanente-Baldwin Park

๐Ÿ‡บ๐Ÿ‡ธ

Baldwin Park, California, United States

Kaiser Permanente-Fontana

๐Ÿ‡บ๐Ÿ‡ธ

Fontana, California, United States

Northside Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Regional Hematology and Oncology PA

๐Ÿ‡บ๐Ÿ‡ธ

Newark, Delaware, United States

Veterans Affairs Connecticut Healthcare System-West Haven Campus

๐Ÿ‡บ๐Ÿ‡ธ

West Haven, Connecticut, United States

Christiana Care Health System-Christiana Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Newark, Delaware, United States

Mayo Clinic in Florida

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, Florida, United States

Lakeland Regional Health Hollis Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Lakeland, Florida, United States

Northside Hospital - Gwinnett

๐Ÿ‡บ๐Ÿ‡ธ

Lawrenceville, Georgia, United States

Kaiser Permanente - Panorama City

๐Ÿ‡บ๐Ÿ‡ธ

Panorama City, California, United States

Eisenhower Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Rancho Mirage, California, United States

Kaiser Permanente-Riverside

๐Ÿ‡บ๐Ÿ‡ธ

Riverside, California, United States

Kaiser Permanente-San Diego Zion

๐Ÿ‡บ๐Ÿ‡ธ

San Diego, California, United States

Kaiser Permanente-Woodland Hills

๐Ÿ‡บ๐Ÿ‡ธ

Woodland Hills, California, United States

Helen F Graham Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Newark, Delaware, United States

Medical Oncology Hematology Consultants PA

๐Ÿ‡บ๐Ÿ‡ธ

Newark, Delaware, United States

Pali Momi Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

'Aiea, Hawaii, United States

Augusta University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Augusta, Georgia, United States

Decatur Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Decatur, Illinois, United States

Baptist MD Anderson Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, Florida, United States

Indian River Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Vero Beach, Florida, United States

Illinois CancerCare - Bloomington

๐Ÿ‡บ๐Ÿ‡ธ

Bloomington, Illinois, United States

Carle Physician Group-Effingham

๐Ÿ‡บ๐Ÿ‡ธ

Effingham, Illinois, United States

Northside Hospital - Duluth

๐Ÿ‡บ๐Ÿ‡ธ

Duluth, Georgia, United States

Suburban Hematology Oncology Associates - Snellville

๐Ÿ‡บ๐Ÿ‡ธ

Snellville, Georgia, United States

Centralia Oncology Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Centralia, Illinois, United States

AMITA Health Alexian Brothers Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Elk Grove Village, Illinois, United States

Illinois CancerCare - Galesburg

๐Ÿ‡บ๐Ÿ‡ธ

Galesburg, Illinois, United States

Mercy Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Coon Rapids, Minnesota, United States

Northwell Health/Center for Advanced Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Lake Success, New York, United States

Mercy Hospital Springfield

๐Ÿ‡บ๐Ÿ‡ธ

Springfield, Missouri, United States

Long Island Jewish Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

New Hyde Park, New York, United States

Lawrence Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Lawrence, Kansas, United States

Bozeman Deaconess Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Bozeman, Montana, United States

AMITA Health Cancer Institute and Outpatient Center

๐Ÿ‡บ๐Ÿ‡ธ

Hinsdale, Illinois, United States

Harold Alfond Center for Cancer Care

๐Ÿ‡บ๐Ÿ‡ธ

Augusta, Maine, United States

MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford

๐Ÿ‡บ๐Ÿ‡ธ

Biddeford, Maine, United States

Spectrum Health Reed City Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Reed City, Michigan, United States

Cleveland Clinic Cancer Center Independence

๐Ÿ‡บ๐Ÿ‡ธ

Independence, Ohio, United States

Carle Physician Group-Mattoon/Charleston

๐Ÿ‡บ๐Ÿ‡ธ

Mattoon, Illinois, United States

Essentia Health Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Duluth, Minnesota, United States

Miller-Dwan Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Duluth, Minnesota, United States

Johns Hopkins University/Sidney Kimmel Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Illinois CancerCare - Peoria

๐Ÿ‡บ๐Ÿ‡ธ

Peoria, Illinois, United States

William Beaumont Hospital - Troy

๐Ÿ‡บ๐Ÿ‡ธ

Troy, Michigan, United States

Fairview Southdale Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Edina, Minnesota, United States

Beaumont Hospital - Dearborn

๐Ÿ‡บ๐Ÿ‡ธ

Dearborn, Michigan, United States

North Shore University Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Lake Success, New York, United States

SIH Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Carterville, Illinois, United States

Penobscot Bay Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Rockport, Maine, United States

Arnot Ogden Medical Center/Falck Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Elmira, New York, United States

Kootenai Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Post Falls, Idaho, United States

Memorial Hospital of Carbondale

๐Ÿ‡บ๐Ÿ‡ธ

Carbondale, Illinois, United States

Medical Oncology and Hematology Associates-West Des Moines

๐Ÿ‡บ๐Ÿ‡ธ

Clive, Iowa, United States

Cancer Center of Kansas - Chanute

๐Ÿ‡บ๐Ÿ‡ธ

Chanute, Kansas, United States

Cancer Center of Kansas - Dodge City

๐Ÿ‡บ๐Ÿ‡ธ

Dodge City, Kansas, United States

Kootenai Cancer Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Sandpoint, Idaho, United States

Presence Saint Mary's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Kankakee, Illinois, United States

Greater Regional Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Creston, Iowa, United States

Mercy Medical Center-West Lakes

๐Ÿ‡บ๐Ÿ‡ธ

West Des Moines, Iowa, United States

United Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Saint Paul, Minnesota, United States

Cancer Care Specialists of Central Illinois - Decatur

๐Ÿ‡บ๐Ÿ‡ธ

Decatur, Illinois, United States

Kootenai Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Coeur d'Alene, Idaho, United States

West Michigan Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Kalamazoo, Michigan, United States

Crossroads Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Effingham, Illinois, United States

IHA Hematology Oncology Consultants-Brighton

๐Ÿ‡บ๐Ÿ‡ธ

Brighton, Michigan, United States

IHA Hematology Oncology Consultants-Canton

๐Ÿ‡บ๐Ÿ‡ธ

Canton, Michigan, United States

IHA Hematology Oncology Consultants-Ann Arbor

๐Ÿ‡บ๐Ÿ‡ธ

Ypsilanti, Michigan, United States

Sanford Joe Lueken Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Bemidji, Minnesota, United States

Saint Francis Regional Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Shakopee, Minnesota, United States

Carle on Vermilion

๐Ÿ‡บ๐Ÿ‡ธ

Danville, Illinois, United States

Maine Medical Partners-South Portland

๐Ÿ‡บ๐Ÿ‡ธ

South Portland, Maine, United States

Cancer Care Specialists of O'Fallon

๐Ÿ‡บ๐Ÿ‡ธ

O'Fallon, Illinois, United States

Mercy Cancer Center-West Lakes

๐Ÿ‡บ๐Ÿ‡ธ

Clive, Iowa, United States

Carle Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Urbana, Illinois, United States

Oncology Associates at Mercy Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Cedar Rapids, Iowa, United States

Cancer Center of Kansas-Independence

๐Ÿ‡บ๐Ÿ‡ธ

Independence, Kansas, United States

UMass Memorial Medical Center - University Campus

๐Ÿ‡บ๐Ÿ‡ธ

Worcester, Massachusetts, United States

Cancer Center of Kansas - Liberal

๐Ÿ‡บ๐Ÿ‡ธ

Liberal, Kansas, United States

Cancer Center of Kansas - Parsons

๐Ÿ‡บ๐Ÿ‡ธ

Parsons, Kansas, United States

Cancer Center of Kansas - Salina

๐Ÿ‡บ๐Ÿ‡ธ

Salina, Kansas, United States

IHA Hematology Oncology Consultants-Chelsea

๐Ÿ‡บ๐Ÿ‡ธ

Chelsea, Michigan, United States

Cancer Center of Kansas - Fort Scott

๐Ÿ‡บ๐Ÿ‡ธ

Fort Scott, Kansas, United States

Stephens Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Norway, Maine, United States

York Hospital

๐Ÿ‡บ๐Ÿ‡ธ

York, Maine, United States

Ascension Providence Hospitals - Southfield

๐Ÿ‡บ๐Ÿ‡ธ

Southfield, Michigan, United States

Abbott-Northwestern Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

William Beaumont Hospital-Royal Oak

๐Ÿ‡บ๐Ÿ‡ธ

Royal Oak, Michigan, United States

Essentia Health Saint Mary's Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Duluth, Minnesota, United States

Saint Francis Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Cape Girardeau, Missouri, United States

Cancer Center of Kansas-Kingman

๐Ÿ‡บ๐Ÿ‡ธ

Kingman, Kansas, United States

Kansas Institute of Medicine Cancer and Blood Center

๐Ÿ‡บ๐Ÿ‡ธ

Lenexa, Kansas, United States

Metro Health Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Wyoming, Michigan, United States

Capital Region Southwest Campus

๐Ÿ‡บ๐Ÿ‡ธ

Jefferson City, Missouri, United States

Michigan State University Clinical Center

๐Ÿ‡บ๐Ÿ‡ธ

East Lansing, Michigan, United States

Waldo County General Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Belfast, Maine, United States

MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford

๐Ÿ‡บ๐Ÿ‡ธ

Sanford, Maine, United States

UM Upper Chesapeake Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bel Air, Maryland, United States

Saint Luke's Hospital of Duluth

๐Ÿ‡บ๐Ÿ‡ธ

Duluth, Minnesota, United States

Ascension Saint Mary's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Saginaw, Michigan, United States

Saint Joseph Mercy Chelsea

๐Ÿ‡บ๐Ÿ‡ธ

Chelsea, Michigan, United States

OptumCare Cancer Care at Seven Hills

๐Ÿ‡บ๐Ÿ‡ธ

Henderson, Nevada, United States

Roswell Park Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Buffalo, New York, United States

Community Hospital of Anaconda

๐Ÿ‡บ๐Ÿ‡ธ

Anaconda, Montana, United States

Veterans Administration New Jersey Health Care System

๐Ÿ‡บ๐Ÿ‡ธ

East Orange, New Jersey, United States

Memorial Medical Center-Las Cruces

๐Ÿ‡บ๐Ÿ‡ธ

Las Cruces, New Mexico, United States

Mercy Clinic - Rolla - Cancer and Hematology

๐Ÿ‡บ๐Ÿ‡ธ

Rolla, Missouri, United States

Heartland Regional Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Saint Joseph, Missouri, United States

OptumCare Cancer Care at Oakey

๐Ÿ‡บ๐Ÿ‡ธ

Las Vegas, Nevada, United States

Hope Cancer Care of Nevada

๐Ÿ‡บ๐Ÿ‡ธ

Las Vegas, Nevada, United States

Inspira Medical Center Woodbury

๐Ÿ‡บ๐Ÿ‡ธ

Woodbury, New Jersey, United States

Mission Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Asheville, North Carolina, United States

CHI Health Saint Francis

๐Ÿ‡บ๐Ÿ‡ธ

Grand Island, Nebraska, United States

Cleveland Clinic Wooster Family Health and Surgery Center

๐Ÿ‡บ๐Ÿ‡ธ

Wooster, Ohio, United States

Cancer Centers of Southwest Oklahoma Research

๐Ÿ‡บ๐Ÿ‡ธ

Lawton, Oklahoma, United States

Maimonides Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Brooklyn, New York, United States

Cleveland Clinic Foundation

๐Ÿ‡บ๐Ÿ‡ธ

Cleveland, Ohio, United States

Sanford Broadway Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Fargo, North Dakota, United States

Sanford Roger Maris Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Fargo, North Dakota, United States

Sanford USD Medical Center - Sioux Falls

๐Ÿ‡บ๐Ÿ‡ธ

Sioux Falls, South Dakota, United States

Lehigh Valley Hospital-Muhlenberg

๐Ÿ‡บ๐Ÿ‡ธ

Bethlehem, Pennsylvania, United States

Prisma Health System Cancer Institute - Greer

๐Ÿ‡บ๐Ÿ‡ธ

Greer, South Carolina, United States

Hillcrest Hospital Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Mayfield Heights, Ohio, United States

Glens Falls Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Glens Falls, New York, United States

Cleveland Clinic Cancer Center Mansfield

๐Ÿ‡บ๐Ÿ‡ธ

Mansfield, Ohio, United States

Ephrata Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Ephrata, Pennsylvania, United States

Phoenixville Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Phoenixville, Pennsylvania, United States

Self Regional Healthcare

๐Ÿ‡บ๐Ÿ‡ธ

Greenwood, South Carolina, United States

Sanford Clinic North-Fargo

๐Ÿ‡บ๐Ÿ‡ธ

Fargo, North Dakota, United States

Cleveland Clinic Cancer Center/Fairview Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Fairview, Ohio, United States

Sanford Bismarck Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bismarck, North Dakota, United States

Geisinger Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Danville, Pennsylvania, United States

Saint Francis Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, South Carolina, United States

Prisma Health System Cancer Institute - Eastside

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, South Carolina, United States

North Coast Cancer Care

๐Ÿ‡บ๐Ÿ‡ธ

Sandusky, Ohio, United States

Cleveland Clinic Akron General

๐Ÿ‡บ๐Ÿ‡ธ

Akron, Ohio, United States

Phelps Memorial Hospital Center

๐Ÿ‡บ๐Ÿ‡ธ

Sleepy Hollow, New York, United States

Penn State Health Saint Joseph Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Reading, Pennsylvania, United States

University of Texas Health Science Center at San Antonio

๐Ÿ‡บ๐Ÿ‡ธ

San Antonio, Texas, United States

Saint Francis Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, South Carolina, United States

Sanford Cancer Center Oncology Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Sioux Falls, South Dakota, United States

Avera Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Sioux Falls, South Dakota, United States

Monument Health Rapid City Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Rapid City, South Dakota, United States

MultiCare Gig Harbor Medical Park

๐Ÿ‡บ๐Ÿ‡ธ

Gig Harbor, Washington, United States

Lehigh Valley Hospital-Cedar Crest

๐Ÿ‡บ๐Ÿ‡ธ

Allentown, Pennsylvania, United States

WellSpan Health-York Hospital

๐Ÿ‡บ๐Ÿ‡ธ

York, Pennsylvania, United States

MultiCare Good Samaritan Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Puyallup, Washington, United States

Prisma Health System Cancer Institute - Faris

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, South Carolina, United States

Augusta Health Center for Cancer and Blood Disorders

๐Ÿ‡บ๐Ÿ‡ธ

Fishersville, Virginia, United States

Geisinger Medical Center - Cancer Center Hazleton

๐Ÿ‡บ๐Ÿ‡ธ

Hazleton, Pennsylvania, United States

Adams Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Gettysburg, Pennsylvania, United States

Prisma Health System Cancer Institute - Seneca

๐Ÿ‡บ๐Ÿ‡ธ

Seneca, South Carolina, United States

Sechler Family Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Lebanon, Pennsylvania, United States

Geisinger Medical Oncology - Lewisburg

๐Ÿ‡บ๐Ÿ‡ธ

Lewisburg, Pennsylvania, United States

Geisinger Cancer Services - Pottsville

๐Ÿ‡บ๐Ÿ‡ธ

Pottsville, Pennsylvania, United States

Avera Cancer Institute-Aberdeen

๐Ÿ‡บ๐Ÿ‡ธ

Aberdeen, South Dakota, United States

Prisma Health Cancer Institute - Easley

๐Ÿ‡บ๐Ÿ‡ธ

Easley, South Carolina, United States

Harrison Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bremerton, Washington, United States

Fred Hutchinson Cancer Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

MultiCare Auburn Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Auburn, Washington, United States

Easton Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Easton, Pennsylvania, United States

Pottstown Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Pottstown, Pennsylvania, United States

UPMC Susquehanna

๐Ÿ‡บ๐Ÿ‡ธ

Williamsport, Pennsylvania, United States

Prisma Health System Cancer Institute - Butternut

๐Ÿ‡บ๐Ÿ‡ธ

Reidville, South Carolina, United States

UT Southwestern/Simmons Cancer Center-Dallas

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Seattle Cancer Care Alliance

๐Ÿ‡บ๐Ÿ‡ธ

Seattle, Washington, United States

Prisma Health System Cancer Institute - Spartanburg

๐Ÿ‡บ๐Ÿ‡ธ

Spartanburg, South Carolina, United States

Baptist Memorial Hospital and Cancer Center-Memphis

๐Ÿ‡บ๐Ÿ‡ธ

Memphis, Tennessee, United States

Harrison HealthPartners Hematology and Oncology-Bremerton

๐Ÿ‡บ๐Ÿ‡ธ

Bremerton, Washington, United States

Spartanburg Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Spartanburg, South Carolina, United States

UT Southwestern Clinical Center at Richardson/Plano

๐Ÿ‡บ๐Ÿ‡ธ

Richardson, Texas, United States

Gundersen Lutheran Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

La Crosse, Wisconsin, United States

Aurora Cancer Care-Kenosha South

๐Ÿ‡บ๐Ÿ‡ธ

Kenosha, Wisconsin, United States

Aurora Cancer Care-Southern Lakes VLCC

๐Ÿ‡บ๐Ÿ‡ธ

Burlington, Wisconsin, United States

Marshfield Medical Center - EC Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Eau Claire, Wisconsin, United States

Aurora Health Care Germantown Health Center

๐Ÿ‡บ๐Ÿ‡ธ

Germantown, Wisconsin, United States

Holy Family Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Manitowoc, Wisconsin, United States

West Virginia University Charleston Division

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, West Virginia, United States

Marshfield Clinic-Weston Center

๐Ÿ‡บ๐Ÿ‡ธ

Weston, Wisconsin, United States

Aurora Cancer Care-Milwaukee West

๐Ÿ‡บ๐Ÿ‡ธ

Wauwatosa, Wisconsin, United States

Aurora BayCare Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Green Bay, Wisconsin, United States

Ascension All Saints Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Racine, Wisconsin, United States

Vince Lombardi Cancer Clinic-Marinette

๐Ÿ‡บ๐Ÿ‡ธ

Marinette, Wisconsin, United States

MultiCare Tacoma General Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Tacoma, Washington, United States

Aurora Cancer Care-Racine

๐Ÿ‡บ๐Ÿ‡ธ

Racine, Wisconsin, United States

Ascension Southeast Wisconsin Hospital-Elmbrook Campus

๐Ÿ‡บ๐Ÿ‡ธ

Brookfield, Wisconsin, United States

Ascension Mercy Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Oshkosh, Wisconsin, United States

Aurora West Allis Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

West Allis, Wisconsin, United States

Mayo Clinic Health System-Franciscan Healthcare

๐Ÿ‡บ๐Ÿ‡ธ

La Crosse, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Saint Mary's

๐Ÿ‡บ๐Ÿ‡ธ

Green Bay, Wisconsin, United States

Vince Lombardi Cancer Clinic-Two Rivers

๐Ÿ‡บ๐Ÿ‡ธ

Two Rivers, Wisconsin, United States

Saint Vincent Hospital Cancer Center Green Bay

๐Ÿ‡บ๐Ÿ‡ธ

Green Bay, Wisconsin, United States

Aurora Health Center-Fond du Lac

๐Ÿ‡บ๐Ÿ‡ธ

Fontana, Wisconsin, United States

Aurora Cancer Care-Grafton

๐Ÿ‡บ๐Ÿ‡ธ

Grafton, Wisconsin, United States

Marshfield Clinic-Minocqua Center

๐Ÿ‡บ๐Ÿ‡ธ

Minocqua, Wisconsin, United States

Aurora Medical Center in Summit

๐Ÿ‡บ๐Ÿ‡ธ

Summit, Wisconsin, United States

Marshfield Medical Center - Rice Lake

๐Ÿ‡บ๐Ÿ‡ธ

Rice Lake, Wisconsin, United States

Vince Lombardi Cancer Clinic-Sheboygan

๐Ÿ‡บ๐Ÿ‡ธ

Sheboygan, Wisconsin, United States

Marshfield Medical Center - Marshfield

๐Ÿ‡บ๐Ÿ‡ธ

Marshfield, Wisconsin, United States

Ascension Saint Francis-Reiman Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Franklin, Wisconsin, United States

Shaare Zedek Medical Center

๐Ÿ‡ฎ๐Ÿ‡ฑ

Jerusalem, Israel

Ascension Medical Group Southeast Wisconsin-Mayfair Road

๐Ÿ‡บ๐Ÿ‡ธ

Wauwatosa, Wisconsin, United States

University of Oklahoma Health Sciences Center

๐Ÿ‡บ๐Ÿ‡ธ

Oklahoma City, Oklahoma, United States

Kaiser Permanente Northwest

๐Ÿ‡บ๐Ÿ‡ธ

Portland, Oregon, United States

Mercy Hospital Oklahoma City

๐Ÿ‡บ๐Ÿ‡ธ

Oklahoma City, Oklahoma, United States

Oregon Health & Science University

๐Ÿ‡บ๐Ÿ‡ธ

Portland, Oregon, United States

Rocky Mountain Regional VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Aurora, Colorado, United States

Moffitt Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Tampa, Florida, United States

Walter Reed National Military Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bethesda, Maryland, United States

Aurora Cancer Care-Milwaukee

๐Ÿ‡บ๐Ÿ‡ธ

Milwaukee, Wisconsin, United States

Aurora Saint Luke's Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Milwaukee, Wisconsin, United States

Aurora Sinai Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Milwaukee, Wisconsin, United States

Saint Joseph Mercy Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Ann Arbor, Michigan, United States

CoxHealth South Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Springfield, Missouri, United States

Smilow Cancer Center/Yale-New Haven Hospital

๐Ÿ‡บ๐Ÿ‡ธ

New Haven, Connecticut, United States

Yale University

๐Ÿ‡บ๐Ÿ‡ธ

New Haven, Connecticut, United States

Kansas City Veterans Affairs Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Kansas City, Missouri, United States

Ralph H Johnson VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Dell Seton Medical Center at The University of Texas

๐Ÿ‡บ๐Ÿ‡ธ

Austin, Texas, United States

Queen's Cancer Center - POB I

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Queen's Cancer Center - Kuakini

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Queen's Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

University of Hawaii Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Hawaii Cancer Care Inc-POB II

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

OnCare Hawaii - Liliha

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Straub Clinic and Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Kapiolani Medical Center for Women and Children

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Medical Oncology and Hematology Associates-Des Moines

๐Ÿ‡บ๐Ÿ‡ธ

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates-Laurel

๐Ÿ‡บ๐Ÿ‡ธ

Des Moines, Iowa, United States

Mercy Medical Center - Des Moines

๐Ÿ‡บ๐Ÿ‡ธ

Des Moines, Iowa, United States

James J Peters VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

Montefiore Medical Center - Einstein Campus

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

Montefiore Medical Center - Moses Campus

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

William S Middleton VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Madison, Wisconsin, United States

University of Wisconsin Hospital and Clinics

๐Ÿ‡บ๐Ÿ‡ธ

Madison, Wisconsin, United States

Associates In Womens Health

๐Ÿ‡บ๐Ÿ‡ธ

Wichita, Kansas, United States

Cancer Center of Kansas - Wichita Medical Arts Tower

๐Ÿ‡บ๐Ÿ‡ธ

Wichita, Kansas, United States

Cancer Center of Kansas - Wichita

๐Ÿ‡บ๐Ÿ‡ธ

Wichita, Kansas, United States

Ascension Via Christi Hospitals Wichita

๐Ÿ‡บ๐Ÿ‡ธ

Wichita, Kansas, United States

University of New Mexico Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Albuquerque, New Mexico, United States

Spectrum Health at Butterworth Campus

๐Ÿ‡บ๐Ÿ‡ธ

Grand Rapids, Michigan, United States

Cancer Center of Kansas - Newton

๐Ÿ‡บ๐Ÿ‡ธ

Newton, Kansas, United States

Cancer Center of Kansas - Winfield

๐Ÿ‡บ๐Ÿ‡ธ

Winfield, Kansas, United States

Saint Joseph Mercy Brighton

๐Ÿ‡บ๐Ÿ‡ธ

Brighton, Michigan, United States

Unity Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Fridley, Minnesota, United States

Cancer Center of Kansas - Pratt

๐Ÿ‡บ๐Ÿ‡ธ

Pratt, Kansas, United States

Cancer Center of Kansas - Wellington

๐Ÿ‡บ๐Ÿ‡ธ

Wellington, Kansas, United States

Saint Joseph Mercy Canton

๐Ÿ‡บ๐Ÿ‡ธ

Canton, Michigan, United States

Harrison HealthPartners Hematology and Oncology-Poulsbo

๐Ÿ‡บ๐Ÿ‡ธ

Poulsbo, Washington, United States

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