Radiation Therapy With or Without Bicalutamide for Recurrent pT3N0 Prostate Cancer After Radical Prostatectomy
- Conditions
- Prostate Cancer
- Interventions
- Registration Number
- NCT00002874
- Lead Sponsor
- Radiation Therapy Oncology Group
- Brief Summary
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using bicalutamide may fight prostate cancer by reducing the production of androgens. It is not yet known if radiation therapy is more effective with or without bicalutamide for prostate cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with or without bicalutamide in treating patients who have stage II or stage III prostate cancer and elevated prostate-specific antigen (PSA) levels following radical prostatectomy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 840
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo placebo Radiation therapy + placebo Bicalutamide radiation therapy Radiation therapy + bicalutamide Placebo radiation therapy Radiation therapy + placebo Bicalutamide bicalutamide Radiation therapy + bicalutamide
- Primary Outcome Measures
Name Time Method Overall Survival (12-year Rates Reported) From date of randomization to 12 years. Overall survival rates were estimated by the Kaplan-Meier method, with failure defined as death by any cause. Four-year follow-up was required of all patients, twelve-year rates are reported. Four-year follow-up was required of all patients, but twelve-year rates were reported.
Patients are followed until death.
- Secondary Outcome Measures
Name Time Method Second PSA Recurrence (12-year Rates Reported) From date of randomization to 12 years. Second PSA recurrence (SPSAR) rates (i.e. first PSA failure on study) were estimated by the cumulative incidence method, with failure defined as the first occurrence of one of the following events: 1. Increase in PSA following protocol treatment according to the following criteria met during protocol treatment: If PSA dropped to undetectable level (\<0.2 ng/ml) during protocol treatment (PT) then failure = increase after PT to \>= 0.5 ng/ml ; If PSA decreased to a detectable level (≥ 0.2 ng/ml) during PT, then failure = increase PT of \>= 0.3 ng/ml above the lowest detectable level; If PSA did not decrease during PT then failure = increase in PSA after PT of \>= 0.5 ng/ml above entry PSA level. 2. The start of salvage hormone therapy. Patients alive without SPSAR at time of analysis were censored. Death without SPSAR was treated as a competing risk. Four-year follow-up was required of all patients, but twelve-year rates were reported. Patients are followed until death.
Third PSA Recurrence (12-year Rates Reported) From start of salvage hormone therapy to 12 years. Third PSA recurrence rates (i.e. second PSA failure on study) were estimated by the cumulative incidence method, with failure defined as PSA value of 0.5ng/ml or higher or any disease progression after starting salvage hormone therapy. Patients alive without third PSA recurrence at time of analysis were censored. Death without third PSA recurrence was treated as a competing risk. Four-year follow-up was required of all patients, but twelve-year rates were reported. Patients are followed until death.
PSA Complete Response at End of Protocol Treatment End of protocol treatment, which is planned to last for two years Complete response is defined as a drop in PSA on protocol treatment to less than 0.2 ng/ml. Note that when the study opened many institutions could not detect PSA \< 05 ng/ml.
Grade 3+ Toxicity From date of randomization to four years. Adverse events are graded using the Cooperative Group Common Toxicity Criteria and the Radiation Therapy Oncology Group (RTOG) Radiation Morbidity Scoring. Grade refers to severity, assigning Grades 1 through 5 based on this general guideline: Grade 0 None, Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related toxicity. Toxicities reported to have occurred within 90 days from the start of radiotherapy are reported as "Acute Radiotherapy", all later toxicities are reported as "Hormone therapy and late radiotherapy toxicity". The highest grade toxicity event per subject is counted within each of these time periods. Four-year follow-up was required of all patients; patients are followed until death.
Non-Prostate Cancer Death (12-year Rates Reported) From date of randomization to 12 years. Non-prostate cancer death rates were estimated by the cumulative incidence method, with failure defined as any death that does not fall into the following categories: death due to prostate cancer or complications of protocol treatment (centrally reviewed), death with known progressive metastatic disease while on salvage hormone therapy, or death with a known rising PSA while on salvage hormone therapy. All other deaths are considered competing risks. Patients alive at time of analysis were censored. Any other death was treated as a competing risk. Four-year follow-up was required of all patients, but twelve-year rates were reported.
Patients are followed until death. "Non-Prostate cancer death" is a more accurate wording for the protocol endpoint of "non-disease-specific survival", and matches the protocol definition.Distant Failure (12-year Rates Reported) From date of randomization to 12 years. Distant failure rates were estimated by the cumulative incidence method, with failure defined as the first occurrence of distant failure. Patients alive without distant metastases at time of analysis were censored. Death without distant metastasis was treated as a competing risk. Four-year follow-up was required of all patients, but twelve-year rates were reported. Patients are followed until death.
Prostate Cancer Death (12-year Rates Reported) From date of randomization to 12 years. Prostate cancer death rates were estimated by the cumulative incidence method, with failure defined as death due to prostate cancer or complications of protocol treatment (centrally reviewed), death with known progressive metastatic disease while on salvage hormone therapy, or death with a known rising PSA while on salvage hormone therapy. Patients alive at time of analysis were censored. Any other death was treated as a competing risk. Four-year follow-up was required of all patients, but twelve-year rates were reported. Patients are followed until death. "Prostate cancer death" is a more accurate wording for the protocol endpoint of "disease-specific survival", and matches the protocol definition.
Progression-free Survival (12-year Rates Reported) From date of randomization to 12 years. Progress-free survival rates were estimated by the Kaplan-Meier method, with failure defined as the first occurrence of PSA failure, local, regional or distant failure, or death from any cause. Patients alive without progression at time of analysis were censored. Four-year follow-up was required of all patients, but twelve-year rates were reported. Patients are followed until death. "Progression-free Survival" is more accurate wording for the protocol endpoint of "Freedom from Progression", and matches the protocol definition.
Trial Locations
- Locations (240)
USC/Norris Comprehensive Cancer Center and Hospital
🇺🇸Los Angeles, California, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
🇺🇸Baltimore, Maryland, United States
Albert Einstein Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Toronto Sunnybrook Regional Cancer Centre
🇨🇦Toronto, Ontario, Canada
Emory University Hospital - Atlanta
🇺🇸Atlanta, Georgia, United States
Western Pennsylvania Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Marlene and Stewart Greenebaum Cancer Center, University of Maryland
🇺🇸Baltimore, Maryland, United States
Harbor Hospital Center
🇺🇸Baltimore, Maryland, United States
Northwestern Memorial Hospital
🇺🇸Chicago, Illinois, United States
Ireland Cancer Center
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Taussig Cancer Center
🇺🇸Cleveland, Ohio, United States
Dana-Farber Cancer Institute
🇺🇸Boston, Massachusetts, United States
CCOP - Southern Nevada Cancer Research Foundation
🇺🇸Las Vegas, Nevada, United States
Veterans Affairs Medical Center - Miami
🇺🇸Miami, Florida, United States
Sylvester Cancer Center, University of Miami
🇺🇸Miami, Florida, United States
Baptist Hospital of Miami
🇺🇸Miami, Florida, United States
Clarian Health Partners Inc.
🇺🇸Indianapolis, Indiana, United States
Regional Cancer Center
🇺🇸Indianapolis, Indiana, United States
Dixie Regional Medical Center
🇺🇸Saint George, Utah, United States
McGill University
🇨🇦Montreal, Quebec, Canada
California Cancer Center
🇺🇸Fresno, California, United States
Loma Linda University Medical Center
🇺🇸Loma Linda, California, United States
Cancer Care Center
🇺🇸Pomona, California, United States
New York Methodist Hospital
🇺🇸Brooklyn, New York, United States
Barrett Cancer Center
🇺🇸Cincinnati, Ohio, United States
UCSF Cancer Center and Cancer Research Institute
🇺🇸San Francisco, California, United States
Vanderbilt-Ingram Cancer Center
🇺🇸Nashville, Tennessee, United States
Latter Day Saints Hospital
🇺🇸Salt Lake City, Utah, United States
University of Utah Health Sciences Center
🇺🇸Salt Lake City, Utah, United States
Newark Beth Israel Medical Center
🇺🇸Newark, New Jersey, United States
Foundation for Cancer Research and Education
🇺🇸Phoenix, Arizona, United States
St. Anthony Hospital
🇺🇸Oklahoma City, Oklahoma, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
University of Alabama at Birmingham Comprehensive Cancer Center
🇺🇸Birmingham, Alabama, United States
Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
CCOP - Columbia River Program
🇺🇸Portland, Oregon, United States
Mayo Clinic Cancer Center
🇺🇸Rochester, Minnesota, United States
Northwestern Ontario Regional Cancer Centre, Thunder Bay
🇨🇦Thunder Bay, Ontario, Canada
H. Lee Moffitt Cancer Center and Research Institute
🇺🇸Tampa, Florida, United States
CCOP - Missouri Valley Cancer Consortium
🇺🇸Omaha, Nebraska, United States
Nebraska Health System
🇺🇸Omaha, Nebraska, United States
Methodist Cancer Center - Omaha
🇺🇸Omaha, Nebraska, United States
St. Luke's Medical Center
🇺🇸Milwaukee, Wisconsin, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
Veterans Affairs Medical Center - Milwaukee (Zablocki)
🇺🇸Milwaukee, Wisconsin, United States
Barbara Ann Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
CCOP - Ann Arbor Regional
🇺🇸Ann Arbor, Michigan, United States
University of Michigan Comprehensive Cancer Center
🇺🇸Ann Arbor, Michigan, United States
CCOP - Southeast Cancer Control Consortium
🇺🇸Winston-Salem, North Carolina, United States
Comprehensive Cancer Center at Wake Forest University
🇺🇸Winston-Salem, North Carolina, United States
Comprehensive Cancer Institute of Huntsville
🇺🇸Huntsville, Alabama, United States
Huntsville Hospital System
🇺🇸Huntsville, Alabama, United States
MBCCOP - Gulf Coast
🇺🇸Mobile, Alabama, United States
Alabama Oncology, LLC
🇺🇸Montgomery, Alabama, United States
Radiation Oncology Associates of West Alabama
🇺🇸Tuscaloosa, Alabama, United States
City of Hope Comprehensive Cancer Center
🇺🇸Duarte, California, United States
Saint Agnes Cancer Center
🇺🇸Fresno, California, United States
Sutter Health West Cancer Research Group
🇺🇸Greenbrae, California, United States
CCOP - Bay Area Tumor Institute
🇺🇸Oakland, California, United States
Jonsson Comprehensive Cancer Center, UCLA
🇺🇸Los Angeles, California, United States
Veterans Affairs Medical Center - Long Beach
🇺🇸Long Beach, California, United States
Huntington Cancer Center
🇺🇸Pasadena, California, United States
Radiation Oncology Center - Sacramento
🇺🇸Sacramento, California, United States
Radiation Medical Group, Inc.
🇺🇸San Diego, California, United States
O'Connor Hospital
🇺🇸San Jose, California, United States
CCOP - Santa Rosa Memorial Hospital
🇺🇸Santa Rosa, California, United States
Memorial Hospital Cancer Center
🇺🇸Colorado Springs, Colorado, United States
David Grant Medical Center
🇺🇸Travis Air Force Base, California, United States
CCOP - Christiana Care Health Services
🇺🇸Wilmington, Delaware, United States
Saint Mary's Hospital and Medical Center
🇺🇸Grand Junction, Colorado, United States
University of Colorado Cancer Center
🇺🇸Denver, Colorado, United States
Florida Radiation Oncology Group
🇺🇸Jacksonville, Florida, United States
Health First Holmes Regional Medical Center
🇺🇸Melbourne, Florida, United States
CCOP - Mount Sinai Medical Center
🇺🇸Miami Beach, Florida, United States
Bay Medical Center
🇺🇸Panama City, Florida, United States
Gulf Coast Cancer Treatment Center
🇺🇸Panama City, Florida, United States
Tallahassee Memorial Healthcare
🇺🇸Tallahassee, Florida, United States
CCOP - Atlanta Regional
🇺🇸Atlanta, Georgia, United States
Regional Radiation Oncology Center at Rome
🇺🇸Rome, Georgia, United States
Northwest Community Hospital
🇺🇸Arlington Heights, Illinois, United States
Medical Center/John B. Amos Community Cancer Center
🇺🇸Columbus, Georgia, United States
Ingalls Memorial Hospital
🇺🇸Harvey, Illinois, United States
Methodist Medical Center of Illinois
🇺🇸Peoria, Illinois, United States
Lutheran General Cancer Care Center
🇺🇸Park Ridge, Illinois, United States
Bloomington Hospital
🇺🇸Bloomington, Indiana, United States
Veterans Affairs Medical Center - Indianapolis (Roudebush)
🇺🇸Indianapolis, Indiana, United States
St. John's Medical Center
🇺🇸Anderson, Indiana, United States
CCOP - Northern Indiana CR Consortium
🇺🇸South Bend, Indiana, United States
Ball Memorial Hospital
🇺🇸Muncie, Indiana, United States
Wendt Regional Cancer Center of Finley Hospital
🇺🇸Dubuque, Iowa, United States
Merle M. Mahr Cancer Center
🇺🇸Madisonville, Kentucky, United States
Mary Bird Perkins Cancer Center
🇺🇸Baton Rouge, Louisiana, United States
Maine Medical Center
🇺🇸Portland, Maine, United States
Greater Baltimore Medical Center and Cancer Center
🇺🇸Baltimore, Maryland, United States
Anne Arundel Oncology Center
🇺🇸Annapolis, Maryland, United States
Sinai Hospital of Baltimore
🇺🇸Baltimore, Maryland, United States
Peninsula Regional Medical Center
🇺🇸Salisbury, Maryland, United States
Massachusetts General Hospital Cancer Center
🇺🇸Boston, Massachusetts, United States
Cape Cod Hospital
🇺🇸Hyannis, Massachusetts, United States
Veterans Affairs Medical Center - Boston (Jamaica Plain)
🇺🇸Jamaica Plain, Massachusetts, United States
McLaren Regional Cancer Center
🇺🇸Flint, Michigan, United States
MidMichigan Medical Center - Midland
🇺🇸Midland, Michigan, United States
William Beaumont Hospital - Troy
🇺🇸Troy, Michigan, United States
Marquette General Hospital
🇺🇸Marquette, Michigan, United States
CCOP - Beaumont
🇺🇸Royal Oak, Michigan, United States
CCOP - Metro-Minnesota
🇺🇸Saint Louis Park, Minnesota, United States
Mallinckrodt Institute of Radiology
🇺🇸Saint Louis, Missouri, United States
St. Louis University Health Sciences Center
🇺🇸Saint Louis, Missouri, United States
Cancer Research for the Ozarks
🇺🇸Springfield, Missouri, United States
CCOP - Cancer Research for the Ozarks
🇺🇸Springfield, Missouri, United States
Elliot Regional Cancer Center
🇺🇸Manchester, New Hampshire, United States
Norris Cotton Cancer Center
🇺🇸Lebanon, New Hampshire, United States
CCOP - Montana Cancer Consortium
🇺🇸Billings, Montana, United States
Cooper Cancer Institute
🇺🇸Camden, New Jersey, United States
Veterans Affairs Medical Center - East Orange
🇺🇸East Orange, New Jersey, United States
Trinitas Hospital - Jersey Street Campus
🇺🇸Elizabeth, New Jersey, United States
South Jersey Regional Cancer Center
🇺🇸Millville, New Jersey, United States
Cancer Institute of New Jersey
🇺🇸New Brunswick, New Jersey, United States
John F. Kennedy Medical Center
🇺🇸Edison, New Jersey, United States
Monmouth Medical Center
🇺🇸Long Branch, New Jersey, United States
Fox Chase Cancer Center at Virtua Memorial Hospital Burlington County
🇺🇸Mount Holly, New Jersey, United States
Community Medical Center
🇺🇸Toms River, New Jersey, United States
Somerset Medical Center
🇺🇸Somerville, New Jersey, United States
St. Francis Medical Center
🇺🇸Trenton, New Jersey, United States
Capital Health System at Mercer
🇺🇸Trenton, New Jersey, United States
Cancer Center of Albany Medical Center
🇺🇸Albany, New York, United States
Radiation Oncology Associates of Albuquerque
🇺🇸Albuquerque, New Mexico, United States
Associated Radiologists, P.A.
🇺🇸Warren, New Jersey, United States
State University of New York Health Science Center at Brooklyn
🇺🇸Brooklyn, New York, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
Finger Lakes Radiation Oncology Center
🇺🇸Clifton Springs, New York, United States
Champlain Valley Physicians Hospital Medical Center
🇺🇸Plattsburgh, New York, United States
CCOP - North Shore University Hospital
🇺🇸Manhasset, New York, United States
Herbert Irving Comprehensive Cancer Center
🇺🇸New York, New York, United States
Vassar Brothers Medical Center
🇺🇸Poughkeepsie, New York, United States
James P. Wilmot Cancer Center
🇺🇸Rochester, New York, United States
Riverhill Radiation Oncology
🇺🇸Yonkers, New York, United States
Northeast Medical Center
🇺🇸Concord, North Carolina, United States
East Carolina University School of Medicine
🇺🇸Greenville, North Carolina, United States
Christ Hospital
🇺🇸Cincinnati, Ohio, United States
Akron General Medical Center
🇺🇸Akron, Ohio, United States
Trinity Cancer Care Center
🇺🇸Minot, North Dakota, United States
CCOP - Columbus
🇺🇸Columbus, Ohio, United States
Arthur G. James Cancer Hospital - Ohio State University
🇺🇸Columbus, Ohio, United States
CCOP - Dayton
🇺🇸Kettering, Ohio, United States
CCOP - Oklahoma
🇺🇸Tulsa, Oklahoma, United States
Lehigh Valley Hospital
🇺🇸Allentown, Pennsylvania, United States
St. Luke's Hospital Cancer Center
🇺🇸Bethlehem, Pennsylvania, United States
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Delaware County Memorial Hospital
🇺🇸Drexel Hill, Pennsylvania, United States
Mercy Fitzgerald Hospital
🇺🇸Darby, Pennsylvania, United States
Veterans Affairs Medical Center - Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
University of Pennsylvania Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Pocono Cancer Center
🇺🇸East Stroudsburg, Pennsylvania, United States
Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
Milton S. Hershey Medical Center
🇺🇸Hershey, Pennsylvania, United States
Fox Chase Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
University of Pittsburgh Cancer Institute
🇺🇸Pittsburgh, Pennsylvania, United States
Reading Hospital and Medical Center
🇺🇸Reading, Pennsylvania, United States
Mercy Hospital of Pittsburgh
🇺🇸Pittsburgh, Pennsylvania, United States
Roger Williams Medical Center/BUSM
🇺🇸Providence, Rhode Island, United States
Wilkes Barre General Hospital
🇺🇸Wilkes-Barre, Pennsylvania, United States
Mercy Hospital Cancer Center - Scranton
🇺🇸Scranton, Pennsylvania, United States
CCOP - Greenville
🇺🇸Greenville, South Carolina, United States
Rapid City Regional Hospital
🇺🇸Rapid City, South Dakota, United States
University of Tennessee Cancer Institute
🇺🇸Memphis, Tennessee, United States
Jackson-Madison County General Hospital
🇺🇸Jackson, Tennessee, United States
Harrington Cancer Center
🇺🇸Amarillo, Texas, United States
University of Texas Medical Branch
🇺🇸Galveston, Texas, United States
University of Texas - MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
Wilford Hall Medical Center
🇺🇸Lackland Air Force Base, Texas, United States
Joe Arrington Cancer Research and Treatment Center
🇺🇸Lubbock, Texas, United States
Bayshore Medical Center
🇺🇸Pasadena, Texas, United States
Green Mountain Oncology Group
🇺🇸Bennington, Vermont, United States
Vermont Cancer Center
🇺🇸Burlington, Vermont, United States
Cancer Center at the University of Virginia
🇺🇸Charlottesville, Virginia, United States
RMH Regional Cancer Center
🇺🇸Harrisonburg, Virginia, United States
Naval Medical Center, Portsmouth
🇺🇸Portsmouth, Virginia, United States
Virginia Mason Medical Center
🇺🇸Seattle, Washington, United States
Yakima Valley Memorial Hospital
🇺🇸Yakima, Washington, United States
Deaconess Medical Center
🇺🇸Spokane, Washington, United States
St. Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
CCOP - St. Vincent Hospital Cancer Center, Green Bay
🇺🇸Green Bay, Wisconsin, United States
Gundersen Lutheran Medical Foundation
🇺🇸La Crosse, Wisconsin, United States
Schiffler Cancer Center
🇺🇸Wheeling, West Virginia, United States
Community Memorial Hospital
🇺🇸Menomonee Falls, Wisconsin, United States
Columbia Hospital
🇺🇸Milwaukee, Wisconsin, United States
Marshfield Clinic
🇺🇸Marshfield, Wisconsin, United States
Waukesha Memorial Hospital
🇺🇸Waukesha, Wisconsin, United States
Cross Cancer Institute
🇨🇦Edmonton, Alberta, Canada
All Saints Cancer Center
🇺🇸Racine, Wisconsin, United States
Cancer Care Ontario-London Regional Cancer Centre
🇨🇦London, Ontario, Canada
Tom Baker Cancer Center - Calgary
🇨🇦Calgary, Alberta, Canada
Nova Scotia Cancer Centre
🇨🇦Halifax, Nova Scotia, Canada
Newfoundland Cancer Treatment and Research Foundation
🇨🇦St. Johns, Newfoundland and Labrador, Canada
Cancer Care Ontario-Hamilton Regional Cancer Centre
🇨🇦Hamilton, Ontario, Canada
Kingston Regional Cancer Centre
🇨🇦Kingston, Ontario, Canada
Northeastern Ontario Regional Cancer Centre, Sudbury
🇨🇦Sudbury, Ontario, Canada
Ottawa Regional Cancer Centre
🇨🇦Ottawa, Ontario, Canada
CHUS-Hopital Fleurimont
🇨🇦Fleurimont, Quebec, Canada
Princess Margaret Hospital
🇨🇦Toronto, Ontario, Canada
Centre Hospitalier de l'Universite de Montreal
🇨🇦Montreal, Quebec, Canada
Centre Hospitalier Universitaire de Quebec
🇨🇦Quebec City, Quebec, Canada
Saskatoon Cancer Centre
🇨🇦Saskatoon, Saskatchewan, Canada
Allan Blair Cancer Centre
🇨🇦Regina, Saskatchewan, Canada
University Hospitals of Cleveland
🇺🇸Cleveland, Ohio, United States
CCOP - Central Illinois
🇺🇸Decatur, Illinois, United States
Hurley Medical Center
🇺🇸Flint, Michigan, United States
William Beaumont Hospital
🇺🇸Royal Oak, Michigan, United States
Sarasota Radiation and Medical Oncology Center
🇺🇸Sarasota, Florida, United States
CCOP - Upstate Carolina
🇺🇸Spartanburg, South Carolina, United States
CCOP - Kalamazoo
🇺🇸Kalamazoo, Michigan, United States
Ellis Fischel Cancer Center - Columbia
🇺🇸Columbia, Missouri, United States
Akron City Hospital
🇺🇸Akron, Ohio, United States
CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
🇺🇸Syracuse, New York, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Mount Diablo Medical Center
🇺🇸Concord, California, United States
Valley Hospital
🇺🇸Ridgewood, New Jersey, United States
Saint John Regional Hospital
🇨🇦Saint John, New Brunswick, Canada
Atlantic City Medical Center
🇺🇸Pomona, New Jersey, United States
St. John Health System
🇺🇸Tulsa, Oklahoma, United States
York Hospital
🇺🇸York, Pennsylvania, United States
Hospital of St. Raphael
🇺🇸New Haven, Connecticut, United States
James Graham Brown Cancer Center
🇺🇸Louisville, Kentucky, United States
Louisville Radiation Oncology
🇺🇸Louisville, Kentucky, United States
MD Anderson Cancer Center Orlando
🇺🇸Orlando, Florida, United States
CCOP - Kansas City
🇺🇸Kansas City, Missouri, United States
Lineberger Comprehensive Cancer Center, UNC
🇺🇸Chapel Hill, North Carolina, United States
University of Florida Health Science Center
🇺🇸Gainesville, Florida, United States
MBCCOP - Hawaii
🇺🇸Honolulu, Hawaii, United States
Central Baptist Hospital
🇺🇸Lexington, Kentucky, United States
Albert B. Chandler Medical Center, University of Kentucky
🇺🇸Lexington, Kentucky, United States
Tulane University School of Medicine
🇺🇸New Orleans, Louisiana, United States
Cancer Center at Lexington Clinic
🇺🇸Lexington, Kentucky, United States
MBCCOP - LSU Health Sciences Center
🇺🇸New Orleans, Louisiana, United States
CCOP - Ochsner
🇺🇸New Orleans, Louisiana, United States
Bon-Secours - St. Mary's Hospital
🇺🇸Richmond, Virginia, United States
Massey Cancer Center
🇺🇸Richmond, Virginia, United States
Southern Wisconsin Radiotherapy Center
🇺🇸Madison, Wisconsin, United States
University of Wisconsin Comprehensive Cancer Center
🇺🇸Madison, Wisconsin, United States