MedPath

Collecting and Storing Biological Samples From Young Patients With Hodgkin?s Lymphoma

Completed
Conditions
Ann Arbor Stage I Childhood Hodgkin Lymphoma
Ann Arbor Stage IV Childhood Hodgkin Lymphoma
Ann Arbor Stage II Childhood Hodgkin Lymphoma
Ann Arbor Stage III Childhood Hodgkin Lymphoma
Refractory Childhood Hodgkin Lymphoma
Interventions
Other: Cytology Specimen Collection Procedure
Registration Number
NCT00900250
Lead Sponsor
Children's Oncology Group
Brief Summary

This laboratory study is collecting and storing samples of tissue and blood from young patients with Hodgkin's lymphoma. Collecting and storing samples of tumor tissue and blood from patients with cancer to study in the laboratory may help the study of cancer in the future.

Detailed Description

OBJECTIVES:

I. Establish a biologic specimen repository (of tumor tissue, tissue arrays, lymphoblastoid cell lines, host DNA, tumor and host RNA, serum, and plasma) and database linked to clinical features and outcomes from well-characterized cohorts of children and young adults with Hodgkin's lymphoma.

II. Provide specimens from diagnosis, early response evaluation, completion of chemotherapy and radiotherapy, long-term follow up, and relapse to study prognostic factors for early response, relapse, long-term outcomes, and identification of new biological targets for therapy.

OUTLINE: This is a multicenter study.

Patients enrolled on Hodgkin's lymphoma (HL) therapeutic clinical trials undergo collection of tumor tissue samples at baseline and at relapse or disease progression. Serum and anticoagulated peripheral blood samples are collected at baseline, at week 1, on day 1 of course 2, after completion of chemotherapy, after completion of radiotherapy, at 1 year after diagnosis, and at relapse or disease progression.

Patients with relapsed or progressive disease who plan to enroll on HL relapse/retrieval clinical trials undergo collection of tumor tissue, serum, and anticoagulated peripheral blood samples at relapse or disease progression.

Patients enrolled more than 1 year after completion of treatment undergo collection of tumor specimens, serum, and anticoagulated peripheral blood samples at time of clinical evaluation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1271
Inclusion Criteria
  • Histologically confirmed Hodgkin's lymphoma (HL) meeting 1 of the following criteria:

    • Newly diagnosed, untreated HL (for patients under 22 years of age)
    • Past or present diagnosis of HL and past or present enrollment on a Children's Oncology Group (COG) or legacy HL clinical trial (for patients of any age)
Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Ancillary-correlative (specimen collection and baking)Cytology Specimen Collection ProcedurePatients enrolled on HL therapeutic clinical trials undergo collection of tumor tissue samples at baseline and at relapse or disease progression. Serum and anticoagulated peripheral blood samples are collected at baseline, at week 1, on day 1 of course 2, after completion of chemotherapy, after completion of radiotherapy, at 1 year after diagnosis, and at relapse or disease progression. Patients with relapsed or progressive disease who plan to enroll on HL relapse/retrieval clinical trials undergo collection of tumor tissue, serum, and anticoagulated peripheral blood samples at relapse or disease progression. Patients enrolled more than 1 year after completion of treatment undergo collection of tumor specimens, serum, and anticoagulated peripheral blood samples at time of clinical evaluation.
Primary Outcome Measures
NameTimeMethod
Biologic specimen repository and databaseBaseline to up to 5 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (183)

Children's Healthcare of Atlanta - Egleston

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Saint Mary's Hospital

πŸ‡ΊπŸ‡Έ

West Palm Beach, Florida, United States

Bronson Methodist Hospital

πŸ‡ΊπŸ‡Έ

Kalamazoo, Michigan, United States

Hospital for Sick Children

πŸ‡¨πŸ‡¦

Toronto, Ontario, Canada

University Medical Center of Southern Nevada

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Nevada Cancer Research Foundation CCOP

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Sunrise Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Summerlin Hospital Medical Center

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Phoenix Childrens Hospital

πŸ‡ΊπŸ‡Έ

Phoenix, Arizona, United States

Mattel Children's Hospital UCLA

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Children's Hospital Los Angeles

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Arkansas Children's Hospital

πŸ‡ΊπŸ‡Έ

Little Rock, Arkansas, United States

University of Arkansas for Medical Sciences

πŸ‡ΊπŸ‡Έ

Little Rock, Arkansas, United States

Loma Linda University Medical Center

πŸ‡ΊπŸ‡Έ

Loma Linda, California, United States

UCLA / Jonsson Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Valley Children's Hospital

πŸ‡ΊπŸ‡Έ

Madera, California, United States

Kaiser Permanente Downey Medical Center

πŸ‡ΊπŸ‡Έ

Downey, California, United States

Miller Children's and Women's Hospital Long Beach

πŸ‡ΊπŸ‡Έ

Long Beach, California, United States

Children's Hospital and Research Center at Oakland

πŸ‡ΊπŸ‡Έ

Oakland, California, United States

Kaiser Permanente-Oakland

πŸ‡ΊπŸ‡Έ

Oakland, California, United States

Children's Hospital of Orange County

πŸ‡ΊπŸ‡Έ

Orange, California, United States

Santa Barbara Cottage Hospital

πŸ‡ΊπŸ‡Έ

Santa Barbara, California, United States

Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center

πŸ‡ΊπŸ‡Έ

Torrance, California, United States

University of Miami Miller School of Medicine-Sylvester Cancer Center

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Connecticut Children's Medical Center

πŸ‡ΊπŸ‡Έ

Hartford, Connecticut, United States

Lee Memorial Health System

πŸ‡ΊπŸ‡Έ

Fort Myers, Florida, United States

Alfred I duPont Hospital for Children

πŸ‡ΊπŸ‡Έ

Wilmington, Delaware, United States

MedStar Georgetown University Hospital

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Golisano Children's Hospital of Southwest Florida

πŸ‡ΊπŸ‡Έ

Fort Myers, Florida, United States

Memorial Regional Hospital/Joe DiMaggio Children's Hospital

πŸ‡ΊπŸ‡Έ

Hollywood, Florida, United States

Miami Cancer Institute

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Broward Health Medical Center

πŸ‡ΊπŸ‡Έ

Fort Lauderdale, Florida, United States

Nemours Children's Clinic-Jacksonville

πŸ‡ΊπŸ‡Έ

Jacksonville, Florida, United States

Saint Luke's Mountain States Tumor Institute

πŸ‡ΊπŸ‡Έ

Boise, Idaho, United States

Johns Hopkins All Children's Hospital

πŸ‡ΊπŸ‡Έ

Saint Petersburg, Florida, United States

Advocate Children's Hospital-Park Ridge

πŸ‡ΊπŸ‡Έ

Park Ridge, Illinois, United States

Nemours Children's Clinic - Pensacola

πŸ‡ΊπŸ‡Έ

Pensacola, Florida, United States

University of Hawaii Cancer Center

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Lurie Children's Hospital-Chicago

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Kapiolani Medical Center for Women and Children

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

University of Illinois

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

University of Chicago Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Advocate Children's Hospital-Oak Lawn

πŸ‡ΊπŸ‡Έ

Oak Lawn, Illinois, United States

Advocate Lutheran General Hospital

πŸ‡ΊπŸ‡Έ

Park Ridge, Illinois, United States

Saint Jude Midwest Affiliate

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

Southern Illinois University School of Medicine

πŸ‡ΊπŸ‡Έ

Springfield, Illinois, United States

Blank Children's Hospital

πŸ‡ΊπŸ‡Έ

Des Moines, Iowa, United States

University of Maryland/Greenebaum Cancer Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Sinai Hospital of Baltimore

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Johns Hopkins University/Sidney Kimmel Cancer Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

University of Iowa/Holden Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Iowa City, Iowa, United States

Tulane University Health Sciences Center

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

University of Kansas Cancer Center

πŸ‡ΊπŸ‡Έ

Kansas City, Kansas, United States

University of Kentucky/Markey Cancer Center

πŸ‡ΊπŸ‡Έ

Lexington, Kentucky, United States

Floating Hospital for Children at Tufts Medical Center

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Eastern Maine Medical Center

πŸ‡ΊπŸ‡Έ

Bangor, Maine, United States

University of Massachusetts Medical School

πŸ‡ΊπŸ‡Έ

Worcester, Massachusetts, United States

Baystate Medical Center

πŸ‡ΊπŸ‡Έ

Springfield, Massachusetts, United States

Michigan State University Clinical Center

πŸ‡ΊπŸ‡Έ

East Lansing, Michigan, United States

Helen DeVos Children's Hospital at Spectrum Health

πŸ‡ΊπŸ‡Έ

Grand Rapids, Michigan, United States

Kalamazoo Center for Medical Studies

πŸ‡ΊπŸ‡Έ

Kalamazoo, Michigan, United States

Beaumont Children's Hospital-Royal Oak

πŸ‡ΊπŸ‡Έ

Royal Oak, Michigan, United States

University of Mississippi Medical Center

πŸ‡ΊπŸ‡Έ

Jackson, Mississippi, United States

Columbia Regional

πŸ‡ΊπŸ‡Έ

Columbia, Missouri, United States

Cardinal Glennon Children's Medical Center

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

Mercy Hospital Saint Louis

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

Alliance for Childhood Diseases/Cure 4 the Kids Foundation

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Saint Barnabas Medical Center

πŸ‡ΊπŸ‡Έ

Livingston, New Jersey, United States

Dartmouth Hitchcock Medical Center

πŸ‡ΊπŸ‡Έ

Lebanon, New Hampshire, United States

Hackensack University Medical Center

πŸ‡ΊπŸ‡Έ

Hackensack, New Jersey, United States

Morristown Medical Center

πŸ‡ΊπŸ‡Έ

Morristown, New Jersey, United States

Saint Peter's University Hospital

πŸ‡ΊπŸ‡Έ

New Brunswick, New Jersey, United States

Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital

πŸ‡ΊπŸ‡Έ

New Brunswick, New Jersey, United States

Newark Beth Israel Medical Center

πŸ‡ΊπŸ‡Έ

Newark, New Jersey, United States

Overlook Hospital

πŸ‡ΊπŸ‡Έ

Summit, New Jersey, United States

Saint Joseph's Regional Medical Center

πŸ‡ΊπŸ‡Έ

Paterson, New Jersey, United States

University of New Mexico Cancer Center

πŸ‡ΊπŸ‡Έ

Albuquerque, New Mexico, United States

Montefiore Medical Center - Moses Campus

πŸ‡ΊπŸ‡Έ

Bronx, New York, United States

Roswell Park Cancer Institute

πŸ‡ΊπŸ‡Έ

Buffalo, New York, United States

Brooklyn Hospital Center

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

The Steven and Alexandra Cohen Children's Medical Center of New York

πŸ‡ΊπŸ‡Έ

New Hyde Park, New York, United States

NYU Winthrop Hospital

πŸ‡ΊπŸ‡Έ

Mineola, New York, United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone

πŸ‡ΊπŸ‡Έ

New York, New York, United States

State University of New York Upstate Medical University

πŸ‡ΊπŸ‡Έ

Syracuse, New York, United States

University of Rochester

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

New York Medical College

πŸ‡ΊπŸ‡Έ

Valhalla, New York, United States

Mission Hospital Inc-Memorial Campus

πŸ‡ΊπŸ‡Έ

Asheville, North Carolina, United States

East Carolina University

πŸ‡ΊπŸ‡Έ

Greenville, North Carolina, United States

Carolinas Medical Center/Levine Cancer Institute

πŸ‡ΊπŸ‡Έ

Charlotte, North Carolina, United States

Novant Health Presbyterian Medical Center

πŸ‡ΊπŸ‡Έ

Charlotte, North Carolina, United States

Children's Hospital Medical Center of Akron

πŸ‡ΊπŸ‡Έ

Akron, Ohio, United States

Nationwide Children's Hospital

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

Rainbow Babies and Childrens Hospital

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Cleveland Clinic Foundation

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Dayton Children's Hospital

πŸ‡ΊπŸ‡Έ

Dayton, Ohio, United States

The Toledo Hospital/Toledo Children's Hospital

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

Mercy Children's Hospital

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

Lehigh Valley Hospital - Muhlenberg

πŸ‡ΊπŸ‡Έ

Bethlehem, Pennsylvania, United States

Geisinger Medical Center

πŸ‡ΊπŸ‡Έ

Danville, Pennsylvania, United States

Children's Hospital of Philadelphia

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Saint Christopher's Hospital for Children

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Penn State Children's Hospital

πŸ‡ΊπŸ‡Έ

Hershey, Pennsylvania, United States

Children's Hospital of Pittsburgh of UPMC

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Prisma Health Richland Hospital

πŸ‡ΊπŸ‡Έ

Columbia, South Carolina, United States

T C Thompson Children's Hospital

πŸ‡ΊπŸ‡Έ

Chattanooga, Tennessee, United States

Sanford USD Medical Center - Sioux Falls

πŸ‡ΊπŸ‡Έ

Sioux Falls, South Dakota, United States

BI-LO Charities Children's Cancer Center

πŸ‡ΊπŸ‡Έ

Greenville, South Carolina, United States

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Dell Children's Medical Center of Central Texas

πŸ‡ΊπŸ‡Έ

Austin, Texas, United States

Greenville Cancer Treatment Center

πŸ‡ΊπŸ‡Έ

Greenville, South Carolina, United States

Covenant Children's Hospital

πŸ‡ΊπŸ‡Έ

Lubbock, Texas, United States

East Tennessee Childrens Hospital

πŸ‡ΊπŸ‡Έ

Knoxville, Tennessee, United States

Driscoll Children's Hospital

πŸ‡ΊπŸ‡Έ

Corpus Christi, Texas, United States

Medical City Dallas Hospital

πŸ‡ΊπŸ‡Έ

Dallas, Texas, United States

UT Southwestern/Simmons Cancer Center-Dallas

πŸ‡ΊπŸ‡Έ

Dallas, Texas, United States

Texas Tech University Health Sciences Center-Amarillo

πŸ‡ΊπŸ‡Έ

Amarillo, Texas, United States

Brooke Army Medical Center

πŸ‡ΊπŸ‡Έ

Fort Sam Houston, Texas, United States

Cook Children's Medical Center

πŸ‡ΊπŸ‡Έ

Fort Worth, Texas, United States

Marshfield Medical Center-Marshfield

πŸ‡ΊπŸ‡Έ

Marshfield, Wisconsin, United States

Madigan Army Medical Center

πŸ‡ΊπŸ‡Έ

Tacoma, Washington, United States

Carilion Clinic Children's Hospital

πŸ‡ΊπŸ‡Έ

Roanoke, Virginia, United States

University of Vermont and State Agricultural College

πŸ‡ΊπŸ‡Έ

Burlington, Vermont, United States

Children's Hospital of The King's Daughters

πŸ‡ΊπŸ‡Έ

Norfolk, Virginia, United States

West Virginia University Charleston Division

πŸ‡ΊπŸ‡Έ

Charleston, West Virginia, United States

Seattle Children's Hospital

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Providence Sacred Heart Medical Center and Children's Hospital

πŸ‡ΊπŸ‡Έ

Spokane, Washington, United States

Royal Brisbane and Women's Hospital

πŸ‡¦πŸ‡Ί

Herston, Queensland, Australia

Royal Children's Hospital-Brisbane

πŸ‡¦πŸ‡Ί

Herston, Queensland, Australia

Queensland Children's Hospital

πŸ‡¦πŸ‡Ί

South Brisbane, Queensland, Australia

Allan Blair Cancer Centre

πŸ‡¨πŸ‡¦

Regina, Saskatchewan, Canada

Women's and Children's Hospital-Adelaide

πŸ‡¦πŸ‡Ί

North Adelaide, South Australia, Australia

Children's Hospital of Eastern Ontario

πŸ‡¨πŸ‡¦

Ottawa, Ontario, Canada

Princess Margaret Hospital for Children

πŸ‡¦πŸ‡Ί

Perth, Western Australia, Australia

Saskatoon Cancer Centre

πŸ‡¨πŸ‡¦

Saskatoon, Saskatchewan, Canada

British Columbia Children's Hospital

πŸ‡¨πŸ‡¦

Vancouver, British Columbia, Canada

CancerCare Manitoba

πŸ‡¨πŸ‡¦

Winnipeg, Manitoba, Canada

IWK Health Centre

πŸ‡¨πŸ‡¦

Halifax, Nova Scotia, Canada

McMaster Children's Hospital at Hamilton Health Sciences

πŸ‡¨πŸ‡¦

Hamilton, Ontario, Canada

Kingston Health Sciences Centre

πŸ‡¨πŸ‡¦

Kingston, Ontario, Canada

The Montreal Children's Hospital of the MUHC

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

Swiss Pediatric Oncology Group - Bern

πŸ‡¨πŸ‡­

Bern, Switzerland

Centre Hospitalier Universitaire Sainte-Justine

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

Nicklaus Children's Hospital

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Riley Hospital for Children

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Saint Vincent Hospital and Health Care Center

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Rady Children's Hospital - San Diego

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Cincinnati Children's Hospital Medical Center

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Children's Hospitals and Clinics of Minnesota - Minneapolis

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

University of Minnesota/Masonic Cancer Center

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

Duke University Medical Center

πŸ‡ΊπŸ‡Έ

Durham, North Carolina, United States

Methodist Children's Hospital of South Texas

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

University of Texas Health Science Center at San Antonio

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

UCSF Medical Center-Parnassus

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

UCSF Medical Center-Mission Bay

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

Vanderbilt University/Ingram Cancer Center

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

Primary Children's Hospital

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

Wayne State University/Karmanos Cancer Institute

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

Ascension Saint John Hospital

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

University of Oklahoma Health Sciences Center

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

Children's Hospital of Alabama

πŸ‡ΊπŸ‡Έ

Birmingham, Alabama, United States

University of Alabama at Birmingham Cancer Center

πŸ‡ΊπŸ‡Έ

Birmingham, Alabama, United States

Legacy Emanuel Children's Hospital

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Legacy Emanuel Hospital and Health Center

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Children's Hospital Colorado

πŸ‡ΊπŸ‡Έ

Aurora, Colorado, United States

Mayo Clinic

πŸ‡ΊπŸ‡Έ

Rochester, Minnesota, United States

Saint Joseph's Hospital/Children's Hospital-Tampa

πŸ‡ΊπŸ‡Έ

Tampa, Florida, United States

Children's Hospital and Medical Center of Omaha

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

University of Nebraska Medical Center

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

Children's Hospital of Wisconsin

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

Medical University of South Carolina

πŸ‡ΊπŸ‡Έ

Charleston, South Carolina, United States

University of California Davis Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

Sutter Medical Center Sacramento

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

Florida Hospital Orlando

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Nemours Children's Clinic - Orlando

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

UF Cancer Center at Orlando Health

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Nemours Children's Hospital

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Norton Children's Hospital

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

Children's Mercy Hospitals and Clinics

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

Wake Forest University Health Sciences

πŸ‡ΊπŸ‡Έ

Winston-Salem, North Carolina, United States

University of Alberta Hospital

πŸ‡¨πŸ‡¦

Edmonton, Alberta, Canada

Rhode Island Hospital

πŸ‡ΊπŸ‡Έ

Providence, Rhode Island, United States

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