MedPath

Observational Cohort Study of Patients With Castration-Resistant Prostate Cancer (CRPC)

Completed
Conditions
Castration-resistant Prostate Cancer
Prostate Cancer
Metastatic Prostate Cancer
Registration Number
NCT02380274
Lead Sponsor
Astellas Pharma Global Development, Inc.
Brief Summary

The purpose of this study is to describe patterns of care in CRPC patients, as well as health-related quality of life (HRQoL) outcomes associated with CRPC and its management.

This study will also describe factors influencing treatment decisions including reason(s) for treatment choices and triggers for treatment changes for CRPC as well as describe clinical outcomes based on patient characteristics.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
1030
Inclusion Criteria

Patient Inclusion:

  • Patient may have M0 or M1 disease
  • Confirmed diagnosis of CRPC defined by both Testosterone at castrate levels, as evidenced by a serum testosterone level ≤ 1.73 nmol/L (50 ng/dL) and Clear progressive disease, as evidenced by a minimum of two rising PSA levels measured at least 7 days apart or new clinical or imaging evidence of progressive metastatic disease
  • Initiating the first or second line treatment for CRPC: including anti- androgens, androgen synthesis inhibitors, chemotherapy, immunotherapy or radionuclide therapy. Previous first line CRPC treatments are limited to: First generation anti-androgens (bicalutamide, flutamide, or nilutamide) or Sipuleucel-T
  • Patients may be enrolled within 90 days from the time of decision to treat or within 90 days of treatment initiation.
  • Willing and able to complete periodic patient-reported outcome (PRO) questionnaires, with or without assistance
  • Estimated life expectancy of ≥ 6 months

Caregiver Inclusion:

  • Meets the definition of an unpaid relative or friend who helps the patient with his or her activities of daily living
  • Willing and able to complete caregiver-reported outcome questionnaires over the course of the patient's participation in the study
Exclusion Criteria

Patient Exclusion:

  • Receiving concomitant treatment for other cancer (excluding basal cell carcinoma, squamous cell carcinoma and treatment for hormone sensitive prostate cancer) within 6 months prior to enrollment.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of CRPC Treatment PatternsUp to 6 years following enrollment onto the study

Treatment patterns will be described according to: The distribution and timing of disease assessment methods (PSA, other laboratory testing, imaging); Treatment settings; Physician referral patterns from urologist to oncologist (occurrence and timing of referrals) where applicable; CRPC treatments, including initial choices, sequencing and entry into interventional clinical trials

Health-related Quality of Life (HRQoL) as assessed by Modified Total Illness Burden Index (TIBI-CaP)Baseline
HRQoL as assessed by SF-12v2 Health SurveyBaseline and up to 6 years approximately every 3 months
HRQoL as assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P)Baseline and up to 6 years approximately every 3-6 months
HRQoL as assessed by Brief Pain Inventory - Short Form (BPI-SF)Baseline and up to 6 years approximately every 3 months
HRQoL as assessed by Memorial Anxiety Scale for Prostate Cancer (MAX-PC)Baseline and up to 6 years approximately every 3 months
HRQoL as assessed by Work Productivity and Activity Questionnaire: Specific Health Problem (WPAI-SHP)Baseline and up to 6 years approximately every 3-6 months
HRQoL as assessed by Service Satisfaction Scale for Cancer Care (SCA)Baseline and up to 6 years approximately every 3-6 months
Secondary Outcome Measures
NameTimeMethod
Number of patients with Physician Factors for Treatment DecisionsUp to 6 years following enrollment onto the study

Physician-reported primary factor in treatment decision making and identified trigger for change will be categorized as:Progressive disease (by Prostate specific antigen (PSA), radiographic, or other unequivocal clinical progression); Tolerability (Lack of tolerability or intolerable side effects); Availability of investigational product/clinical trial; Specific patient concerns regarding treatment; Insurance coverage/costs; Patient compliance

Number of patients with Clinical outcomes, including PSA values, clinical and/or radiologic evidence of disease progression and overall survivalUp to 6 years following enrollment onto the study
Number of patients with Prognostic factors (e.g., patient and disease characteristics) potentially related to select clinical outcomes and HRQoLUp to 6 years following enrollment onto the study

Trial Locations

Locations (148)

Site US1123

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Billings, Montana, United States

Site USSUB1048

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Missoula, Montana, United States

Site USSUB1062

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Billings, Montana, United States

Site US1024

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Cookeville, Tennessee, United States

Site US1144

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Bolivar, Missouri, United States

Site US1080

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Tupelo, Mississippi, United States

Site US1081

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Columbia, Missouri, United States

Site USSUB1017

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Greenville, North Carolina, United States

Site USSUB1026

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San Diego, California, United States

Site US1198

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Hot Springs, Arkansas, United States

Site US1065

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Tucson, Arizona, United States

Site USSUB1007

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Homewood, Alabama, United States

Site US1229

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Fresno, California, United States

Site USSUB1010

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Anchorage, Alaska, United States

Site USSUB1033

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Tucson, Arizona, United States

Site US1093

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Highland, California, United States

Site USSUB1038

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Marina Del Rey, California, United States

Site US1147

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Glenwood Springs, Colorado, United States

Site US1032

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Englewood, Colorado, United States

Site US1086

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Norwich, Connecticut, United States

Site US1160

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Stamford, Connecticut, United States

Site US1073

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Hialeah, Florida, United States

Site USSUB1014

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Daytona Beach, Florida, United States

Site US1102

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Lakewood Ranch, Florida, United States

Site US1101

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Fort Myers, Florida, United States

Site US1105

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Naples, Florida, United States

Site US1172

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Thomasville, Georgia, United States

Site US1066

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Boise, Idaho, United States

Site USSUB1035

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Greenwood, Indiana, United States

Site US1204

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North Chicago, Illinois, United States

Site USSUB1018

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Coeur d'Alene, Idaho, United States

Site US1201

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Lafayette, Indiana, United States

Site US1004

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Shreveport, Louisiana, United States

Site US1139

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Ashland, Kentucky, United States

Site US1181

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Covington, Louisiana, United States

Site US1077

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Worcester, Massachusetts, United States

Site US1187

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Lansing, Michigan, United States

Site US1174

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Duluth, Minnesota, United States

Site USSUB1143

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Troy, Michigan, United States

Site USSUB1063

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Saint Cloud, Minnesota, United States

Site US1156

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Paramus, New Jersey, United States

Site US1166

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Belleville, New Jersey, United States

Site US1169

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Berkeley Heights, New Jersey, United States

Site USSUB1016

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Voorhees, New Jersey, United States

Site US1142

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Cheektowaga, New York, United States

Site USSUB1023

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East Setauket, New York, United States

Site US1054

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North Hills, New York, United States

Site USSUB1036

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Raleigh, North Carolina, United States

Site US1069

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High Point, North Carolina, United States

Site USSUB1020

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Springfield, Oregon, United States

Site US1128

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Nashville, Tennessee, United States

Site USSUB1072

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Wichita, Kansas, United States

Site US1079

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Wichita, Kansas, United States

Site USSUB1111

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Phoenix, Arizona, United States

Site US1233

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Detroit, Michigan, United States

Site US1157

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Minneapolis, Minnesota, United States

Site US1208

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San Antonio, Texas, United States

Site US1131

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Nashville, Tennessee, United States

Site US1227

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Dallas, Texas, United States

Site US1085

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Laguna Hills, California, United States

Site US1148

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Santa Monica, California, United States

Site USSUB1099

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Templeton, California, United States

Site US1087

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Los Angeles, California, United States

Site US1104

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Scottsdale, Arizona, United States

Site USSUB1037

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San Jose, California, United States

Site US1121

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Yuma, Arizona, United States

Site US1089

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San Diego, California, United States

Site US1055

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Torrance, California, United States

Site US1205

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Bay Pines, Florida, United States

Site US1129

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Fort Lauderdale, Florida, United States

Site US1108

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Naples, Florida, United States

Site US1084

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Glenview, Illinois, United States

Site US1119

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Urbana, Illinois, United States

Site USSUB1025

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Atlanta, Georgia, United States

Site US1067

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Albany, Georgia, United States

Site US1051

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Newnan, Georgia, United States

Site US1090

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Chicago, Illinois, United States

Site US1213

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Hines, Illinois, United States

Site US1184

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Crystal Lake, Illinois, United States

Site US1203

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Davenport, Iowa, United States

Site US1164

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Houma, Louisiana, United States

Site US1133

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Greenbelt, Maryland, United States

Site USSUB1049

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Baton Rouge, Louisiana, United States

Site US1118

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Lewiston, Maine, United States

Site USSUB1042

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Towson, Maryland, United States

Site US1056

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Royal Oak, Michigan, United States

Site US1151

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Saint Louis Park, Minnesota, United States

Site US1120

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Woodbury, Minnesota, United States

Site US1165

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Grand Island, Nebraska, United States

Site US1070

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Fremont, Nebraska, United States

Site US1223

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Saint Louis, Missouri, United States

Site US1059

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Edison, New Jersey, United States

Site USSUB1006

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Englewood, New Jersey, United States

Site USSUB1041

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Albany, New York, United States

Site US1189

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Santa Fe, New Mexico, United States

Site US1071

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Manhattan, New York, United States

Site US1044

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Asheville, North Carolina, United States

Site US1132

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Durham, North Carolina, United States

Site US1064

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Concord, North Carolina, United States

Site US1078

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Washington, North Carolina, United States

Site USSUB1011

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Cincinnati, Ohio, United States

Site US1218

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Pittsburgh, Pennsylvania, United States

Site USSUB1028

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Middleburg Heights, Ohio, United States

Site US1153

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Coos Bay, Oregon, United States

Site US1100

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Lancaster, Pennsylvania, United States

Site USSUB1003

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Bala-Cynwyd, Pennsylvania, United States

Site USSUB1031

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Chattanooga, Tennessee, United States

Site US1083

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Bellingham, Washington, United States

Site US1140

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Fort Worth, Texas, United States

Site USSUB1095

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Watertown, South Dakota, United States

Site USSUB1002

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Myrtle Beach, South Carolina, United States

Site USSUB1088

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Nashville, Tennessee, United States

Site US1207

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Salt Lake City, Utah, United States

Site USSUB1045

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Temple, Texas, United States

Site US1112

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Tacoma, Washington, United States

Site US1029

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Everett, Washington, United States

Site USSUB1058

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Oklahoma City, Oklahoma, United States

Site US1137

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Oklahoma City, Oklahoma, United States

Site USSUB1043

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Syracuse, New York, United States

Site US1226

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Buffalo, New York, United States

Site USSUB1012

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Poughkeepsie, New York, United States

Site US1149

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Omaha, Nebraska, United States

Site USSUB1001

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Denver, Colorado, United States

Site US1052

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Bethesda, Maryland, United States

Site USSUB1022

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Omaha, Nebraska, United States

Site US1232

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Milwaukee, Wisconsin, United States

Site US1039

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Worcester, Massachusetts, United States

Site USSUB1005

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Virginia Beach, Virginia, United States

Site US1136

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Gastonia, North Carolina, United States

Site US1030

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Pinehurst, North Carolina, United States

Site US1116

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Corvallis, Oregon, United States

Site US1230

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Portland, Oregon, United States

Site US1167

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Sacramento, California, United States

Site US1074

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Winston-Salem, North Carolina, United States

Site US1141

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Winston-Salem, North Carolina, United States

Site USSUB1009

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Jeffersonville, Indiana, United States

Site US1122

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La Crosse, Wisconsin, United States

Site US1127

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Garden City, New York, United States

Site USSUB1134

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Hendersonville, North Carolina, United States

Site US1224

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Charleston, South Carolina, United States

Site US1061

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New Orleans, Louisiana, United States

Site US1115

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New Orleans, Louisiana, United States

Site US1053

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Albuquerque, New Mexico, United States

Site US1068

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Bronx, New York, United States

Site US1092

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Richmond, Virginia, United States

Site US1096

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Richmond, Virginia, United States

Site US1163

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Jamaica, New York, United States

Site US1046

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Mineola, New York, United States

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