S1201: Combination Chemo for Patients W/Advanced or Metastatic Esophageal, Gastric, or Gastroesophageal Junction Cancer
- Conditions
- Esophageal CancerAdenocarcinoma of the Gastroesophageal JunctionGastric Cancer
- Interventions
- Registration Number
- NCT01498289
- Lead Sponsor
- SWOG Cancer Research Network
- Brief Summary
RATIONALE: Drugs used in chemotherapy, such as oxaliplatin, leucovorin calcium, fluorouracil, irinotecan hydrochloride, and docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Combining more than one drug may kill more tumor cells. It is not yet known which regimen of combination chemotherapy is more effective in treating tumor cells.
PURPOSE: This randomized phase II trial studies how well oxaliplatin, leucovorin calcium, and fluorouracil work compared to irinotecan hydrochloride and docetaxel in treating patients with esophageal cancer, gastric cancer, or gastroesophageal junction cancer.
- Detailed Description
OBJECTIVES:
* To assess progression-free survival of high-excision repair cross-complementing 1(ERCC1) patients with advanced or metastatic cancer of the esophagus, stomach, or gastroesophageal junction (GEJ) treated with FOLFOX comprising oxaliplatin, leucovorin calcium, and fluorouracil compared to those treated with irinotecan hydrochloride plus docetaxel.
* To assess progression-free survival of low-ERCC1 patients with advanced or metastatic cancer of the esophagus, stomach, or GEJ treated with FOLFOX compared to those treated with irinotecan hydrochloride plus docetaxel.
* To assess progression-free survival of low-ERCC1 patients with advanced or metastatic cancer of the esophagus, stomach, or GEJ treated with FOLFOX compared to high-ERCC1 patients treated with FOLFOX.
* To assess overall survival of and toxicities in each of the two treatment arms in this group of patients.
* To assess the response probability (confirmed and unconfirmed, complete and partial responses) in the subset of patients with measurable disease in each of the two treatment arms.
* To explore whether there is evidence of interaction between treatment arm and ERCC1 expression in this group of patients. (Exploratory)
* To bank tissue and blood for future translational medicine studies; a) To explore the relationship of ERCC-1 and ERCC-2 single nucleotide polymorphism (SNP) genotypes with clinical outcome in these patients; and b) To explore the association between germline variations in these SNPs and ERCC-1 mRNA expression in these patients. (Exploratory)
OUTLINE: This is a multicenter study. Patients are stratified according to ERCC1 expression (high \[≥ 1.7\] vs low \[\< 1.7\]), and disease site (esophageal vs gastric/gastroesophageal junction). Patients are randomized to 1 of 2 treatment arms.
* Arm I (FOLFOX): Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV over 46-48 hours on days 1-2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity.
* Arm II: Patients receive irinotecan hydrochloride IV over 90 minutes and docetaxel IV over 30-60 minutes on days 1 and 8. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Blood and tumor tissue samples may be collected for ERCC1 expression analysis and future research studies.
After completion of study treatment, patients are followed up every 3 months for up to 3 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 213
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arm I leucovorin calcium FOLFOX regimen: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV over 46-48 hours on days 1-2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Arm I FOLFOX regimen FOLFOX regimen: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV over 46-48 hours on days 1-2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Arm I fluorouracil FOLFOX regimen: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV over 46-48 hours on days 1-2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Arm II docetaxel Patients receive irinotecan hydrochloride IV over 90 minutes and docetaxel IV over 30-60 minutes on days 1 and 8. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Arm I oxaliplatin FOLFOX regimen: Patients receive oxaliplatin IV over 2 hours and leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV over 46-48 hours on days 1-2. Courses repeat every 14 days in the absence of disease progression or unacceptable toxicity. Arm II irinotecan hydrochloride Patients receive irinotecan hydrochloride IV over 90 minutes and docetaxel IV over 30-60 minutes on days 1 and 8. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
- Primary Outcome Measures
Name Time Method Overall Survival (OS) Up to 3 years after registration OS is the length of time between protocol registration and patient death
Progression-free Survival (PFS) in High-ERCC1 Patients Up to 3 years after registration Progression-free survival is the length of time between protocol registration and disease progression or death, whichever occurs first.
PFS in Low-ERCC1 Participants Up to 3 years after registration Progression-free survival is the length of time between protocol registration and disease progression or death, whichever occurs first.
- Secondary Outcome Measures
Name Time Method PFS Variation by ERCC1 up to 3 years after registration Progression-free survival is the length of time between protocol registration and disease progression or death, whichever occurs first.
Participants were divided into subgroups according to ERCC1 quartiles to assess whether the differences in PFS between the two treatment arms varied by ERCC1 levels.Overall Response Rate (ORR) Up to 3 years after registration ORR (complete response, unconfirmed complete response, partial response, unconfirmed partial response) in patients with measurable disease were assessed in each arm and compared between arms using Chi-squared test.
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs Duration of treatment and follow up until death or 3 years post registration Adverse Events (AEs) are reported by CTCAE Version 4.0. Only adverse events that are possibly, probably or definitely related to study drug are reported.
Trial Locations
- Locations (504)
Memorial Hospital
🇺🇸Carthage, Illinois, United States
Altru Cancer Center
🇺🇸Grand Forks, North Dakota, United States
Toledo Clinic Cancer Centers-Maumee
🇺🇸Maumee, Ohio, United States
Hematology and Oncology Associates
🇺🇸Chicago, Illinois, United States
Rocky Mountain Cancer Centers-Parker
🇺🇸Parker, Colorado, United States
Christiana Care Health System-Wilmington Hospital
🇺🇸Wilmington, Delaware, United States
Jupiter Medical Center
🇺🇸Jupiter, Florida, United States
Parker Adventist Hospital
🇺🇸Parker, Colorado, United States
Phoebe Putney Memorial Hospital
🇺🇸Albany, Georgia, United States
Saint Mary Corwin Medical Center
🇺🇸Pueblo, Colorado, United States
Medical Oncology Hematology Consultants PA
🇺🇸Newark, Delaware, United States
Christiana Care Health System-Christiana Hospital
🇺🇸Newark, Delaware, United States
Helen F Graham Cancer Center
🇺🇸Newark, Delaware, United States
North Colorado Medical Center
🇺🇸Greeley, Colorado, United States
Saint Anthony Hospital
🇺🇸Lakewood, Colorado, United States
Holy Cross Hospital
🇺🇸Fort Lauderdale, Florida, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Breast Cancer Care Consultants
🇺🇸Greenwood Village, Colorado, United States
Illinois CancerCare-Bloomington
🇺🇸Bloomington, Illinois, United States
Illinois Cancer Specialists-Niles
🇺🇸Niles, Illinois, United States
Rocky Mountain Cancer Centers-Sky Ridge
🇺🇸Lone Tree, Colorado, United States
Beebe Medical Center
🇺🇸Lewes, Delaware, United States
Memorial Hospital of Carbondale
🇺🇸Carbondale, Illinois, United States
Delaware Clinical and Laboratory Physicians PA
🇺🇸Newark, Delaware, United States
Broward Health Medical Center
🇺🇸Fort Lauderdale, Florida, United States
Memorial Hospital West
🇺🇸Pembroke Pines, Florida, United States
Christiana Gynecologic Oncology LLC
🇺🇸Newark, Delaware, United States
Memorial University Medical Center
🇺🇸Savannah, Georgia, United States
Memorial Healthcare System - Joe DiMaggio Children's Hospital
🇺🇸Hollywood, Florida, United States
Mount Sinai Medical Center
🇺🇸Miami Beach, Florida, United States
John B Amos Cancer Center
🇺🇸Columbus, Georgia, United States
Beebe Health Campus
🇺🇸Rehoboth Beach, Delaware, United States
Northwestern University
🇺🇸Chicago, Illinois, United States
Eureka Hospital
🇺🇸Eureka, Illinois, United States
Holy Family Medical Center
🇺🇸Monmouth, Illinois, United States
Mcdonough District Hospital
🇺🇸Macomb, Illinois, United States
Illinois CancerCare-Monmouth
🇺🇸Monmouth, Illinois, United States
Louisiana State University Health Sciences Center Shreveport
🇺🇸Shreveport, Louisiana, United States
Illinois Valley Hospital
🇺🇸Peru, Illinois, United States
Illinois CancerCare-Peoria
🇺🇸Peoria, Illinois, United States
Illinois CancerCare-Peru
🇺🇸Peru, Illinois, United States
Elkhart General Hospital
🇺🇸Elkhart, Indiana, United States
Central Care Cancer Center-Carrie J Babb Cancer Center
🇺🇸Bolivar, Missouri, United States
Ochsner Health Center-Summa
🇺🇸Baton Rouge, Louisiana, United States
Bixby Medical Center
🇺🇸Adrian, Michigan, United States
Union Hospital of Cecil County
🇺🇸Elkton, Maryland, United States
Oncology Hematology Care Inc-Crestview
🇺🇸Crestview Hills, Kentucky, United States
Eastern Maine Medical Center
🇺🇸Bangor, Maine, United States
Greater Baltimore Medical Center
🇺🇸Baltimore, Maryland, United States
Hickman Cancer Center
🇺🇸Adrian, Michigan, United States
Harold Alfond Center for Cancer Care
🇺🇸Augusta, Maine, United States
Genesys Hurley Cancer Institute
🇺🇸Flint, Michigan, United States
Sanford Clinic North-Bemidgi
🇺🇸Bemidji, Minnesota, United States
Green Bay Oncology - Iron Mountain
🇺🇸Iron Mountain, Michigan, United States
Centerpoint Medical Center LLC
🇺🇸Independence, Missouri, United States
Genesys Regional Medical Center
🇺🇸Grand Blanc, Michigan, United States
Grand Rapids Clinical Oncology Program
🇺🇸Grand Rapids, Michigan, United States
West Michigan Cancer Center
🇺🇸Kalamazoo, Michigan, United States
Southeast Cancer Center
🇺🇸Cape Girardeau, Missouri, United States
Billings Clinic
🇺🇸Billings, Montana, United States
Saint Francis Medical Center
🇺🇸Cape Girardeau, Missouri, United States
Southeastern Medical Oncology Center-Clinton
🇺🇸Clinton, North Carolina, United States
Arnot Ogden Medical Center
🇺🇸Elmira, New York, United States
New York University Langone Medical Center
🇺🇸New York, New York, United States
FirstHealth of the Carolinas-Moore Regional Hosiptal
🇺🇸Pinehurst, North Carolina, United States
Cone Health Cancer Center
🇺🇸Greensboro, North Carolina, United States
University of Rochester
🇺🇸Rochester, New York, United States
Randolph Hospital
🇺🇸Asheboro, North Carolina, United States
Annie Penn Memorial Hospital
🇺🇸Reidsville, North Carolina, United States
Freeman Health System
🇺🇸Joplin, Missouri, United States
Saint James Community Hospital and Cancer Treatment Center
🇺🇸Butte, Montana, United States
Summa Akron City Hospital/Cooper Cancer Center
🇺🇸Akron, Ohio, United States
Akron General Medical Center
🇺🇸Akron, Ohio, United States
Iredell Memorial Hospital
🇺🇸Statesville, North Carolina, United States
Southeastern Medical Oncology Center-Goldsboro
🇺🇸Goldsboro, North Carolina, United States
Glens Falls Hospital
🇺🇸Glens Falls, New York, United States
Rutherford Hospital
🇺🇸Rutherfordton, North Carolina, United States
Tulsa Cancer Institute
🇺🇸Tulsa, Oklahoma, United States
Hendersonville Hematology and Oncology at Pardee
🇺🇸Hendersonville, North Carolina, United States
University of Toledo
🇺🇸Toledo, Ohio, United States
Saint Rita's Medical Center
🇺🇸Lima, Ohio, United States
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
🇺🇸Maumee, Ohio, United States
Lima Memorial Hospital
🇺🇸Lima, Ohio, United States
Oklahoma Oncology Inc
🇺🇸Tulsa, Oklahoma, United States
Providence Milwaukie Hospital
🇺🇸Milwaukie, Oregon, United States
Highline Medical Center-Main Campus
🇺🇸Burien, Washington, United States
Natalie Warren Bryant Cancer Center at Saint Francis
🇺🇸Tulsa, Oklahoma, United States
Fredericksburg Oncology Inc
🇺🇸Fredericksburg, Virginia, United States
Lehigh Valley Hospital - Muhlenberg
🇺🇸Bethlehem, Pennsylvania, United States
Auburn Regional Medical Center
🇺🇸Auburn, Washington, United States
Aspirus Regional Cancer Center
🇺🇸Wausau, Wisconsin, United States
Marshfield Clinic Cancer Care at Saint Michael's Hospital
🇺🇸Stevens Point, Wisconsin, United States
Saint Clare Hospital
🇺🇸Lakewood, Washington, United States
Evergreen Hematology and Oncology PS
🇺🇸Spokane, Washington, United States
PeaceHealth Southwest Medical Center
🇺🇸Vancouver, Washington, United States
Langlade Hospital and Cancer Center
🇺🇸Antigo, Wisconsin, United States
Saint Nicholas Hospital
🇺🇸Sheboygan, Wisconsin, United States
Marshfield Clinic - Wisconsin Rapids Center
🇺🇸Wisconsin Rapids, Wisconsin, United States
Marshfield Clinic at James Beck Cancer Center
🇺🇸Rhinelander, Wisconsin, United States
Green Bay Oncology at Saint Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
Saint Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
Harborview Medical Center
🇺🇸Seattle, Washington, United States
Minor and James Medical PLLC
🇺🇸Seattle, Washington, United States
Group Health Cooperative-Seattle
🇺🇸Seattle, Washington, United States
The Polyclinic
🇺🇸Seattle, Washington, United States
University of Washington Medical Center
🇺🇸Seattle, Washington, United States
Oncology Hematology Care Inc - Anderson
🇺🇸Cincinnati, Ohio, United States
Oncology Hematology Care Inc-Blue Ash
🇺🇸Cincinnati, Ohio, United States
California Pacific Medical Center-Pacific Campus
🇺🇸San Francisco, California, United States
Pali Momi Medical Center
🇺🇸'Aiea, Hawaii, United States
Cancer Center of Kansas - Chanute
🇺🇸Chanute, Kansas, United States
Castle Medical Center
🇺🇸Kailua, Hawaii, United States
Cancer Center of Kansas - Dodge City
🇺🇸Dodge City, Kansas, United States
Oncare Hawaii Inc-Pali Momi
🇺🇸'Aiea, Hawaii, United States
Saint Catherine Hospital
🇺🇸Garden City, Kansas, United States
Cancer Center of Kansas-Wichita Medical Arts Tower
🇺🇸Wichita, Kansas, United States
Roger Maris Cancer Center
🇺🇸Fargo, North Dakota, United States
Lawrence Memorial Hospital
🇺🇸Lawrence, Kansas, United States
Cancer Center of Kansas-Liberal
🇺🇸Liberal, Kansas, United States
Cancer Center of Kansas - Newton
🇺🇸Newton, Kansas, United States
Cancer Center of Kansas - Salina
🇺🇸Salina, Kansas, United States
Wilcox Memorial Hospital and Kauai Medical Clinic
🇺🇸Lihue, Hawaii, United States
Cancer Center of Kansas-Manhattan
🇺🇸Manhattan, Kansas, United States
Saint Luke's South Hospital
🇺🇸Overland Park, Kansas, United States
Providence Medical Center
🇺🇸Kansas City, Kansas, United States
Cancer Center of Kansas - El Dorado
🇺🇸El Dorado, Kansas, United States
Cancer Center of Kansas - Pratt
🇺🇸Pratt, Kansas, United States
Saint Rose Ambulatory and Surgery Center
🇺🇸Great Bend, Kansas, United States
Kansas City CCOP
🇺🇸Prairie Village, Kansas, United States
Hays Medical Center
🇺🇸Hays, Kansas, United States
Menorah Medical Center
🇺🇸Overland Park, Kansas, United States
Associates In Womens Health
🇺🇸Wichita, Kansas, United States
Kansas City Cancer Center-West
🇺🇸Kansas City, Kansas, United States
Cancer Center of Kansas - Fort Scott
🇺🇸Fort Scott, Kansas, United States
Cancer Center of Kansas-Independence
🇺🇸Independence, Kansas, United States
Via Christi Regional Medical Center
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas-Kingman
🇺🇸Kingman, Kansas, United States
Saint Francis Hospital and Medical Center - Topeka
🇺🇸Topeka, Kansas, United States
Cancer Center of Kansas - Wellington
🇺🇸Wellington, Kansas, United States
Cancer Center of Kansas - Winfield
🇺🇸Winfield, Kansas, United States
Welch Cancer Center
🇺🇸Sheridan, Wyoming, United States
Promise Regional Medical Center-Hutchinson
🇺🇸Hutchinson, Kansas, United States
Via Christi Hospital-Pittsburg
🇺🇸Pittsburg, Kansas, United States
Kansas City Cancer Center-Shawnee Mission
🇺🇸Shawnee Mission, Kansas, United States
Wichita CCOP
🇺🇸Wichita, Kansas, United States
Sanford Clinic North-Fargo
🇺🇸Fargo, North Dakota, United States
Cancer Center of Kansas - Parsons
🇺🇸Parsons, Kansas, United States
Salina Regional Health Center
🇺🇸Salina, Kansas, United States
Cancer Center of Kansas - McPherson
🇺🇸McPherson, Kansas, United States
Sanford Medical Center-Fargo
🇺🇸Fargo, North Dakota, United States
Rocky Mountain Oncology
🇺🇸Casper, Wyoming, United States
University of South Alabama Mitchell Cancer Institute
🇺🇸Mobile, Alabama, United States
Sutter Auburn Faith Hospital
🇺🇸Auburn, California, United States
Alta Bates Summit Medical Center-Herrick Campus
🇺🇸Berkeley, California, United States
Mills - Peninsula Hospitals
🇺🇸Burlingame, California, United States
Los Angeles County-USC Medical Center
🇺🇸Los Angeles, California, United States
Sutter Davis Hospital
🇺🇸Davis, California, United States
University of Southern California/Norris Cancer Center
🇺🇸Los Angeles, California, United States
Fremont - Rideout Cancer Center
🇺🇸Marysville, California, United States
Memorial Medical Center
🇺🇸Springfield, Illinois, United States
Palo Alto Medical Foundation-Camino Division
🇺🇸Mountain View, California, United States
Palo Alto Medical Foundation-Gynecologic Oncology
🇺🇸Mountain View, California, United States
Sutter Cancer Research Consortium
🇺🇸Novato, California, United States
University of California Medical Center At Irvine-Orange Campus
🇺🇸Orange, California, United States
Palo Alto Medical Foundation Health Care
🇺🇸Palo Alto, California, United States
Valley Medical Oncology Consultants
🇺🇸Pleasanton, California, United States
Sutter Roseville Medical Center
🇺🇸Roseville, California, United States
Palo Atlo Medical Foundation-Sunnyvale
🇺🇸Sunnyvale, California, United States
Sutter Pacific Medical Foundation
🇺🇸Santa Rosa, California, United States
Tahoe Forest Cancer Center
🇺🇸Truckee, California, United States
Sutter Solano Medical Center/Cancer Center
🇺🇸Vallejo, California, United States
Rocky Mountain Cancer Centers-Boulder
🇺🇸Boulder, Colorado, United States
Boulder Community Hospital
🇺🇸Boulder, Colorado, United States
Penrose-Saint Francis Healthcare
🇺🇸Colorado Springs, Colorado, United States
Rocky Mountain Cancer Centers-Penrose
🇺🇸Colorado Springs, Colorado, United States
Mercy Medical Center
🇺🇸Durango, Colorado, United States
Comprehensive Cancer Care and Research Institute of Colorado LLC
🇺🇸Englewood, Colorado, United States
Trinity Medical Center
🇺🇸Moline, Illinois, United States
Newman Regional Health
🇺🇸Emporia, Kansas, United States
Cancer Center of Kansas - Main Office
🇺🇸Wichita, Kansas, United States
Oakwood Hospital and Medical Center
🇺🇸Dearborn, Michigan, United States
Capital Region Medical Center-Goldschmidt Cancer Center
🇺🇸Jefferson City, Missouri, United States
Phelps County Regional Medical Center
🇺🇸Rolla, Missouri, United States
Saint Louis Cancer and Breast Institute-South City
🇺🇸Saint Louis, Missouri, United States
Comprehensive Cancer Care PC
🇺🇸Saint Louis, Missouri, United States
Saint John's Mercy Medical Center
🇺🇸Saint Louis, Missouri, United States
Porter Adventist Hospital
🇺🇸Denver, Colorado, United States
Exempla Saint Joseph Hospital
🇺🇸Denver, Colorado, United States
Presbyterian - Saint Lukes Medical Center - Health One
🇺🇸Denver, Colorado, United States
Rocky Mountain Cancer Centers-Midtown
🇺🇸Denver, Colorado, United States
Rose Medical Center
🇺🇸Denver, Colorado, United States
Rocky Mountain Cancer Centers-Rose
🇺🇸Denver, Colorado, United States
Colorado Cancer Research Program CCOP
🇺🇸Denver, Colorado, United States
Colorado Blood Cancer Institute
🇺🇸Denver, Colorado, United States
Henry Ford Hospital
🇺🇸Detroit, Michigan, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
Providence Portland Medical Center
🇺🇸Portland, Oregon, United States
Western Oncology Research Consortium
🇺🇸Portland, Oregon, United States
Providence Saint Vincent Medical Center
🇺🇸Portland, Oregon, United States
University of Arkansas for Medical Sciences
🇺🇸Little Rock, Arkansas, United States
Idaho Urologic Institute-Meredian
🇺🇸Meridian, Idaho, United States
Saint Francis Hospital and Medical Center
🇺🇸Hartford, Connecticut, United States
Saint Alphonsus Cancer Care Center-Boise
🇺🇸Boise, Idaho, United States
Saint Joseph Regional Medical Center
🇺🇸Lewiston, Idaho, United States
Regional Hematology and Oncology PA
🇺🇸Newark, Delaware, United States
Kootenai Cancer Center
🇺🇸Post Falls, Idaho, United States
Nanticoke Memorial Hospital
🇺🇸Seaford, Delaware, United States
University of Mississippi Medical Center
🇺🇸Jackson, Mississippi, United States
Big Sky Oncology
🇺🇸Great Falls, Montana, United States
Montana Cancer Consortium CCOP
🇺🇸Billings, Montana, United States
Saint Vincent Healthcare
🇺🇸Billings, Montana, United States
Monmouth Medical Center
🇺🇸Long Branch, New Jersey, United States
Singing River Hospital
🇺🇸Pascagoula, Mississippi, United States
Saint Peter's Community Hospital
🇺🇸Helena, Montana, United States
Cooper Hospital University Medical Center
🇺🇸Camden, New Jersey, United States
Good Samaritan Hospital
🇺🇸Kearney, Nebraska, United States
Inspira Medical Center Vineland
🇺🇸Vineland, New Jersey, United States
Saint Patrick Hospital - Community Hospital
🇺🇸Missoula, Montana, United States
University of New Mexico
🇺🇸Albuquerque, New Mexico, United States
Kalispell Regional Medical Center
🇺🇸Kalispell, Montana, United States
Benefis Healthcare- Sletten Cancer Institute
🇺🇸Great Falls, Montana, United States
Bozeman Deaconess Hospital
🇺🇸Bozeman, Montana, United States
LRGHealthcare-Lakes Region General Hospital
🇺🇸Laconia, New Hampshire, United States
Mercy Hospital Springfield
🇺🇸Springfield, Missouri, United States
AnMed Health Cancer Center
🇺🇸Anderson, South Carolina, United States
Montana Cancer Specialists
🇺🇸Missoula, Montana, United States
New Hampshire Oncology-Hematology PA
🇺🇸Concord, New Hampshire, United States
MetroHealth Medical Center
🇺🇸Cleveland, Ohio, United States
UMDNJ - New Jersey Medical School
🇺🇸Newark, New Jersey, United States
University of Cincinnati
🇺🇸Cincinnati, Ohio, United States
Spartanburg Regional Medical Center
🇺🇸Spartanburg, South Carolina, United States
Greenville Health System Cancer Institute-Andrews
🇺🇸Greenville, South Carolina, United States
Greenville Health System Cancer Institute-Spartanburg
🇺🇸Spartanburg, South Carolina, United States
AnMed Health Hospital
🇺🇸Anderson, South Carolina, United States
Greenville Health System Cancer Institute-Faris
🇺🇸Greenville, South Carolina, United States
Rapid City Regional Hospital
🇺🇸Rapid City, South Dakota, United States
Lancaster General Hospital
🇺🇸Lancaster, Pennsylvania, United States
Greenville Memorial Hospital
🇺🇸Greenville, South Carolina, United States
Lowcountry Hematology Oncology PA-Mount Pleasant
🇺🇸Mount Pleasant, South Carolina, United States
Greenville Health System Cancer Institute-Easley
🇺🇸Easley, South Carolina, United States
Greenville Health System Cancer Institute-Butternut
🇺🇸Greenville, South Carolina, United States
Greenville Health System Cancer Institute/Eastside
🇺🇸Greenville, South Carolina, United States
Avera Cancer Institute
🇺🇸Sioux Falls, South Dakota, United States
Greenville Health System Cancer Institute-Greer
🇺🇸Greer, South Carolina, United States
Greenville Health System Cancer Institute-Seneca
🇺🇸Seneca, South Carolina, United States
Gibbs Cancer Center-Pelham
🇺🇸Greer, South Carolina, United States
Upstate Carolina CCOP
🇺🇸Spartanburg, South Carolina, United States
Sanford Cancer Center-Oncology Clinic
🇺🇸Sioux Falls, South Dakota, United States
Sanford USD Medical Center - Sioux Falls
🇺🇸Sioux Falls, South Dakota, United States
Kansas City Cancer Center-Lee's Summit
🇺🇸Lee's Summit, Missouri, United States
Saint Luke's East - Lee's Summit
🇺🇸Lee's Summit, Missouri, United States
Liberty Hospital
🇺🇸Liberty, Missouri, United States
Saint John's Clinic-Rolla-Cancer and Hematology
🇺🇸Rolla, Missouri, United States
Heartland Regional Medical Center
🇺🇸Saint Joseph, Missouri, United States
Saint Joseph Oncology Inc
🇺🇸Saint Joseph, Missouri, United States
Missouri Baptist Medical Center
🇺🇸Saint Louis, Missouri, United States
Warren Cancer Research Foundation
🇺🇸Tulsa, Oklahoma, United States
Saint Joseph Medical Center
🇺🇸Tacoma, Washington, United States
Illinois CancerCare-Canton
🇺🇸Canton, Illinois, United States
Cancer Care Center of Decatur
🇺🇸Decatur, Illinois, United States
Illinois CancerCare-Macomb
🇺🇸Macomb, Illinois, United States
North Shore Hematology Oncology
🇺🇸Libertyville, Illinois, United States
Illinois CancerCare-Kewanee Clinic
🇺🇸Kewanee, Illinois, United States
Adventist La Grange Memorial Hospital
🇺🇸La Grange, Illinois, United States
Hematology Oncology Consultants Limited
🇺🇸Naperville, Illinois, United States
Porubcin, Michael MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Spector, David MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Community Cancer Center Foundation
🇺🇸Normal, Illinois, United States
Illinois CancerCare-Pekin
🇺🇸Pekin, Illinois, United States
Pekin Cancer Treatment Center
🇺🇸Pekin, Illinois, United States
Methodist Medical Center of Illinois
🇺🇸Peoria, Illinois, United States
Memorial Regional Cancer Center Day Road
🇺🇸Mishawaka, Indiana, United States
Michiana Hematology Oncology PC-Mishawaka
🇺🇸Mishawaka, Indiana, United States
Elkhart Clinic
🇺🇸Elkhart, Indiana, United States
Saint Joseph Regional Medical Center-Mishawaka
🇺🇸Mishawaka, Indiana, United States
Cancer Care Partners LLC
🇺🇸Mishawaka, Indiana, United States
Illinois CancerCare-Princeton
🇺🇸Princeton, Illinois, United States
Perry Memorial Hospital
🇺🇸Princeton, Illinois, United States
Reid Hospital and Health Care Services
🇺🇸Richmond, Indiana, United States
Memorial Hospital of South Bend
🇺🇸South Bend, Indiana, United States
Michiana Hematology Oncology PC-South Bend
🇺🇸South Bend, Indiana, United States
South Bend Clinic
🇺🇸South Bend, Indiana, United States
Northern Indiana Cancer Research Consortium
🇺🇸South Bend, Indiana, United States
Mary Greeley Medical Center
🇺🇸Ames, Iowa, United States
Constantinou, Costas L MD (UIA Investigator)
🇺🇸Bettendorf, Iowa, United States
Hematology Oncology Associates-Quad Cities
🇺🇸Bettendorf, Iowa, United States
McFarland Clinic PC-Boone
🇺🇸Boone, Iowa, United States
McFarland Clinic PC-Trinity Cancer Center
🇺🇸Fort Dodge, Iowa, United States
McFarland Clinic PC-Marshalltown
🇺🇸Marshalltown, Iowa, United States
Genesis Medical Center - East Campus
🇺🇸Davenport, Iowa, United States
McFarland Clinic PC-Jefferson
🇺🇸Jefferson, Iowa, United States
Siouxland Hematology Oncology Associates
🇺🇸Sioux City, Iowa, United States
Mercy Medical Center-Sioux City
🇺🇸Sioux City, Iowa, United States
Saint John Hospital and Medical Center
🇺🇸Detroit, Michigan, United States
Green Bay Oncology - Escanaba
🇺🇸Escanaba, Michigan, United States
Covenant Medical Center
🇺🇸Waterloo, Iowa, United States
Mercy Health Saint Mary's
🇺🇸Grand Rapids, Michigan, United States
Bronson Battle Creek
🇺🇸Battle Creek, Michigan, United States
Allegiance Health
🇺🇸Jackson, Michigan, United States
Spectrum Health Big Rapids Hospital
🇺🇸Big Rapids, Michigan, United States
Hurley Medical Center
🇺🇸Flint, Michigan, United States
Sparrow Hospital
🇺🇸Lansing, Michigan, United States
Saint Mary Mercy Hospital
🇺🇸Livonia, Michigan, United States
Community Cancer Center of Monroe
🇺🇸Monroe, Michigan, United States
Saint Joseph Mercy Oakland
🇺🇸Pontiac, Michigan, United States
Lakeland Community Hospital
🇺🇸Niles, Michigan, United States
Saint John Macomb-Oakland Hospital
🇺🇸Warren, Michigan, United States
Saint Mary's of Michigan
🇺🇸Saginaw, Michigan, United States
Saint Joseph Mercy Port Huron
🇺🇸Port Huron, Michigan, United States
Spectrum Health Reed City Hospital
🇺🇸Reed City, Michigan, United States
Wayne Memorial Hospital
🇺🇸Goldsboro, North Carolina, United States
Southeastern Medical Oncology Center-Jacksonville
🇺🇸Jacksonville, North Carolina, United States
Kinston Medical Specialists PA
🇺🇸Kinston, North Carolina, United States
Margaret R Pardee Memorial Hospital
🇺🇸Hendersonville, North Carolina, United States
Park Ridge Hospital Breast Health Center
🇺🇸Hendersonville, North Carolina, United States
Southeastern Medical Oncology Center-Wilson
🇺🇸Wilson, North Carolina, United States
Oncology Hematology Care Inc-Mercy West
🇺🇸Cincinnati, Ohio, United States
Summa Barberton Hospital
🇺🇸Barberton, Ohio, United States
Toledo Clinic Cancer Centers-Bowling Green
🇺🇸Bowling Green, Ohio, United States
Oncology and Hematology Care Inc-Taft
🇺🇸Cincinnati, Ohio, United States
Grandview Hospital
🇺🇸Dayton, Ohio, United States
Ohio State University Medical Center
🇺🇸Columbus, Ohio, United States
Good Samaritan Hospital - Dayton
🇺🇸Dayton, Ohio, United States
Miami Valley Hospital
🇺🇸Dayton, Ohio, United States
Samaritan North Health Center
🇺🇸Dayton, Ohio, United States
Dayton CCOP
🇺🇸Dayton, Ohio, United States
Wayne Hospital
🇺🇸Greenville, Ohio, United States
Hematology Oncology Center Incorporated
🇺🇸Elyria, Ohio, United States
Blanchard Valley Hospital
🇺🇸Findlay, Ohio, United States
Toledo Clinic Cancer Centers-Oregon
🇺🇸Oregon, Ohio, United States
Saint Charles Hospital
🇺🇸Oregon, Ohio, United States
Mercy Cancer Center-Elyria
🇺🇸Elyria, Ohio, United States
Oncology Hematology Care Inc-Healthplex
🇺🇸Fairfield, Ohio, United States
Atrium Medical Center-Middletown Regional Hospital
🇺🇸Franklin, Ohio, United States
Kettering Medical Center
🇺🇸Kettering, Ohio, United States
Flower Hospital
🇺🇸Sylvania, Ohio, United States
Mercy Hospital of Tiffin
🇺🇸Tiffin, Ohio, United States
The Toledo Hospital/Toledo Children's Hospital
🇺🇸Toledo, Ohio, United States
Saint Vincent Mercy Medical Center
🇺🇸Toledo, Ohio, United States
Toledo Community Hospital Oncology Program CCOP
🇺🇸Toledo, Ohio, United States
Mercy Saint Anne Hospital
🇺🇸Toledo, Ohio, United States
Toledo Clinic Cancer Centers-Toledo
🇺🇸Toledo, Ohio, United States
Upper Valley Medical Center
🇺🇸Troy, Ohio, United States
Clackamas Radiation Oncology Center
🇺🇸Clackamas, Oregon, United States
Wright-Patterson Medical Center
🇺🇸Wright-Patterson Air Force Base, Ohio, United States
Providence Newberg Medical Center
🇺🇸Newberg, Oregon, United States
Greene Memorial Hospital
🇺🇸Xenia, Ohio, United States
Fox Chase Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Temple University Hospital
🇺🇸Philadelphia, Pennsylvania, United States
Fulton County Health Center
🇺🇸Wauseon, Ohio, United States
Lehigh Valley Hospital
🇺🇸Allentown, Pennsylvania, United States
Saint Francis Hospital
🇺🇸Federal Way, Washington, United States
University of Pittsburgh
🇺🇸Pittsburgh, Pennsylvania, United States
Baylor College of Medicine
🇺🇸Houston, Texas, United States
Ben Taub General Hospital
🇺🇸Houston, Texas, United States
Veterans Administration Medical Center
🇺🇸Houston, Texas, United States
Overlake Hospital Medical Center
🇺🇸Bellevue, Washington, United States
PeaceHealth Saint Joseph Medical Center
🇺🇸Bellingham, Washington, United States
Cancer Care Center at Island Hospital
🇺🇸Anacortes, Washington, United States
Providence Regional Cancer System-Centralia
🇺🇸Centralia, Washington, United States
Swedish Medical Center-Edmonds
🇺🇸Edmonds, Washington, United States
Harrison HealthPartners Hematology and Oncology-Bremerton
🇺🇸Bremerton, Washington, United States
Providence Regional Cancer Partnership
🇺🇸Everett, Washington, United States
Columbia Basin Hematology and Oncology PLLC
🇺🇸Kennewick, Washington, United States
Cascade Cancer Center
🇺🇸Kirkland, Washington, United States
Providence Regional Cancer System-Lacey
🇺🇸Lacey, Washington, United States
Saint John Medical Center
🇺🇸Longview, Washington, United States
Skagit Valley Hospital
🇺🇸Mount Vernon, Washington, United States
Providence - Saint Peter Hospital
🇺🇸Olympia, Washington, United States
Swedish Medical Center-Ballard Campus
🇺🇸Seattle, Washington, United States
Capital Medical Center
🇺🇸Olympia, Washington, United States
Group Health
🇺🇸Seattle, Washington, United States
Swedish Medical Center-First Hill
🇺🇸Seattle, Washington, United States
United General Hospital
🇺🇸Sedro-Woolley, Washington, United States
Cancer Care Northwest - Spokane South
🇺🇸Spokane, Washington, United States
Rockwood Clinic
🇺🇸Spokane, Washington, United States
Wenatchee Valley Medical Center
🇺🇸Wenatchee, Washington, United States
Compass Oncology Vancouver
🇺🇸Vancouver, Washington, United States
Multicare Health System
🇺🇸Tacoma, Washington, United States
Green Bay Oncology Limited at Saint Mary's Hospital
🇺🇸Green Bay, Wisconsin, United States
Saint Mary's Hospital
🇺🇸Rhinelander, Wisconsin, United States
Marshfield Clinic-Minocqua Center
🇺🇸Minocqua, Wisconsin, United States
Bay Area Medical Center
🇺🇸Marinette, Wisconsin, United States
Green Bay Oncology - Oconto Falls
🇺🇸Oconto Falls, Wisconsin, United States
Gundersen Lutheran
🇺🇸La Crosse, Wisconsin, United States
Lakeview Medical Center-Marshfield Clinic
🇺🇸Rice Lake, Wisconsin, United States
Holy Family Memorial Hospital
🇺🇸Manitowoc, Wisconsin, United States
Saint Joseph's Hospital
🇺🇸Marshfield, Wisconsin, United States
Marshfield Clinic
🇺🇸Marshfield, Wisconsin, United States
Marshfield Clinic-Rice Lake Center
🇺🇸Rice Lake, Wisconsin, United States
Marshfield Clinic - Weston Center
🇺🇸Weston, Wisconsin, United States
Green Bay Oncology - Sturgeon Bay
🇺🇸Sturgeon Bay, Wisconsin, United States
Saint Clare's Hospital
🇺🇸Weston, Wisconsin, United States
Riverview Hospital
🇺🇸Wisconsin Rapids, Wisconsin, United States
Rocky Mountain Cancer Centers-Lakewood
🇺🇸Lakewood, Colorado, United States
Swedish Medical Center
🇺🇸Englewood, Colorado, United States
Longmont United Hospital
🇺🇸Longmont, Colorado, United States
McKee Medical Center
🇺🇸Loveland, Colorado, United States
Rocky Mountain Cancer Centers - Pueblo
🇺🇸Pueblo, Colorado, United States
Central Illinois CCOP
🇺🇸Decatur, Illinois, United States
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
🇺🇸Seattle, Washington, United States
Rocky Mountain Cancer Centers-Longmont
🇺🇸Longmont, Colorado, United States
Illinois CancerCare-Community Cancer Center
🇺🇸Normal, Illinois, United States
Illinois CancerCare-Ottawa Clinic
🇺🇸Ottawa, Illinois, United States
Decatur Memorial Hospital
🇺🇸Decatur, Illinois, United States
Bromenn Regional Medical Center
🇺🇸Normal, Illinois, United States
Illinois Oncology Research Association CCOP
🇺🇸Peoria, Illinois, United States
Ottawa Regional Hospital and Healthcare Center
🇺🇸Ottawa, Illinois, United States
Fort Wayne Medical Oncology and Hematology Inc-Parkview
🇺🇸Fort Wayne, Indiana, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
Marie Yeager Cancer Center
🇺🇸Saint Joseph, Michigan, United States
Borgess Medical Center
🇺🇸Kalamazoo, Michigan, United States
Lakeland Hospital
🇺🇸Saint Joseph, Michigan, United States
Bronson Methodist Hospital
🇺🇸Kalamazoo, Michigan, United States
Illinois CancerCare-Eureka
🇺🇸Eureka, Illinois, United States
Illinois CancerCare-Havana
🇺🇸Havana, Illinois, United States
Sky Ridge Medical Center
🇺🇸Lone Tree, Colorado, United States
Graham Hospital Association
🇺🇸Canton, Illinois, United States
Illinois CancerCare-Carthage
🇺🇸Carthage, Illinois, United States
Exempla Lutheran Medical Center
🇺🇸Wheat Ridge, Colorado, United States
University of Illinois
🇺🇸Chicago, Illinois, United States
Hematology Oncology Associates of Illinois-Highland Park
🇺🇸Highland Park, Illinois, United States
Crossroads Cancer Center
🇺🇸Effingham, Illinois, United States
Illinois CancerCare-Galesburg Cottage Plaza Office
🇺🇸Galesburg, Illinois, United States
Premier Oncology Hematology Associates
🇺🇸Merrillville, Indiana, United States
Michiana Hematology Oncology-PC Westville
🇺🇸Westville, Indiana, United States
CoxHealth South Hospital
🇺🇸Springfield, Missouri, United States
Illinois CancerCare Galesburg
🇺🇸Galesburg, Illinois, United States
Mason District Hospital
🇺🇸Havana, Illinois, United States
Michiana Hematology Oncology PC-Elkhart
🇺🇸Elkhart, Indiana, United States
SwedishAmerican Regional Cancer Center/ACT
🇺🇸Rockford, Illinois, United States
Community Howard Regional Health
🇺🇸Kokomo, Indiana, United States
Presence Saint Mary's Hospital
🇺🇸Kankakee, Illinois, United States
Good Samaritan Regional Health Center
🇺🇸Mount Vernon, Illinois, United States
Spectrum Health at Butterworth Campus
🇺🇸Grand Rapids, Michigan, United States
Illinois CancerCare-Spring Valley
🇺🇸Spring Valley, Illinois, United States
Hematology Oncology Associates of Illinois - Skokie
🇺🇸Skokie, Illinois, United States
Franciscan Saint Francis Health-Indianapolis
🇺🇸Indianapolis, Indiana, United States
Oncology Hematology Care Inc - Kenwood
🇺🇸Cincinnati, Ohio, United States
McFarland Clinic PC-William R Bliss Cancer Center
🇺🇸Ames, Iowa, United States
IU Health La Porte Hospital
🇺🇸La Porte, Indiana, United States
Ozark Health Ventures LLC-Cancer Research for The Ozarks Springfield
🇺🇸Springfield, Missouri, United States
Michiana Hematology Oncology PC-Plymouth
🇺🇸Plymouth, Indiana, United States
Harrison HealthPartners Hematology and Oncology-Poulsbo
🇺🇸Poulsbo, Washington, United States
Providence Willamette Falls Medical Center
🇺🇸Oregon City, Oregon, United States
Good Samaritan Community Hospital
🇺🇸Puyallup, Washington, United States
Swedish Cancer Institute-Issaquah
🇺🇸Issaquah, Washington, United States
Saint Michael's Hospital
🇺🇸Stevens Point, Wisconsin, United States
Allenmore Hospital
🇺🇸Tacoma, Washington, United States
Northwest CCOP
🇺🇸Tacoma, Washington, United States
Northwest Medical Specialties PLLC
🇺🇸Tacoma, Washington, United States
Sutter General Hospital
🇺🇸Sacramento, California, United States
University of California at Davis Cancer Center
🇺🇸Sacramento, California, United States
The Medical Center of Aurora
🇺🇸Aurora, Colorado, United States
Veteran's Administration Medical Center - Ann Arbor
🇺🇸Ann Arbor, Michigan, United States
Saint Joseph Mercy Hospital
🇺🇸Ann Arbor, Michigan, United States
Michigan Cancer Research Consortium Community Clinical Oncology Program
🇺🇸Ann Arbor, Michigan, United States
University of Michigan University Hospital
🇺🇸Ann Arbor, Michigan, United States
University of Michigan
🇺🇸Ann Arbor, Michigan, United States
Southeast Cancer Control Consortium CCOP
🇺🇸Winston-Salem, North Carolina, United States
Kansas City Cancer Centers-Southwest
🇺🇸Overland Park, Kansas, United States
Saint Luke's Regional Medical Center
🇺🇸Sioux City, Iowa, United States
Florida Hospital
🇺🇸Orlando, Florida, United States
Truman Medical Center
🇺🇸Kansas City, Missouri, United States
Saint Luke's Cancer Institute
🇺🇸Kansas City, Missouri, United States
Saint Luke's Hospital of Kansas City
🇺🇸Kansas City, Missouri, United States
Kansas City Cancer Center - South
🇺🇸Kansas City, Missouri, United States
North Kansas City Hospital
🇺🇸Kansas City, Missouri, United States
Heartland Hematology and Oncology Associates Incorporated
🇺🇸Kansas City, Missouri, United States
Research Medical Center
🇺🇸Kansas City, Missouri, United States
Kansas City Cancer Centers - North
🇺🇸Kansas City, Missouri, United States
Roper Hospital
🇺🇸Charleston, South Carolina, United States
Charleston Hematology Oncology Associates-Roper
🇺🇸Charleston, South Carolina, United States
Lowcountry Hematology Oncology PA-Charleston
🇺🇸Charleston, South Carolina, United States
Charleston Hematology Oncology Associates PA-St. Francis
🇺🇸Charleston, South Carolina, United States
Lowcountry Hematology Oncology PA-West Ashley
🇺🇸Charleston, South Carolina, United States
Oncare Hawaii Inc-POB II
🇺🇸Honolulu, Hawaii, United States
Queen's Medical Center
🇺🇸Honolulu, Hawaii, United States
Straub Clinic and Hospital
🇺🇸Honolulu, Hawaii, United States
University of Hawaii Cancer Center
🇺🇸Honolulu, Hawaii, United States
OnCare Hawaii-Liliha
🇺🇸Honolulu, Hawaii, United States
Kuakini Medical Center
🇺🇸Honolulu, Hawaii, United States
Oncare Hawaii Inc-Kuakini
🇺🇸Honolulu, Hawaii, United States
Kapiolani Medical Center for Women and Children
🇺🇸Honolulu, Hawaii, United States
Ochsner Baptist Medical Center
🇺🇸New Orleans, Louisiana, United States
Ochsner Medical Center Jefferson
🇺🇸New Orleans, Louisiana, United States
Virginia Commonwealth University
🇺🇸Richmond, Virginia, United States
University of Wisconsin Hospital and Clinics
🇺🇸Madison, Wisconsin, United States
Proctor Hospital
🇺🇸Peoria, Illinois, United States
OSF Saint Francis Medical Center
🇺🇸Peoria, Illinois, United States
Poudre Valley Hospital
🇺🇸Fort Collins, Colorado, United States
Garneau, Stewart C MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Mercy Memorial Hospital
🇺🇸Monroe, Michigan, United States
Mercy Health Mercy Campus
🇺🇸Muskegon, Michigan, United States
Marshfield Clinic Cancer Center at Sacred Heart
🇺🇸Eau Claire, Wisconsin, United States
Mountain Blue Cancer Care Center
🇺🇸Golden, Colorado, United States
Sacred Heart Hospital
🇺🇸Eau Claire, Wisconsin, United States
Littleton Adventist Hospital
🇺🇸Littleton, Colorado, United States
Palo Alto Medical Foundation-Santa Cruz
🇺🇸Santa Cruz, California, United States
Saint Anthony's Health
🇺🇸Alton, Illinois, United States
Centralia Oncology Clinic
🇺🇸Centralia, Illinois, United States
Frederick Memorial Hospital
🇺🇸Frederick, Maryland, United States
New Hampshire Oncology Hematology Associates
🇺🇸Hooksett, New Hampshire, United States
University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States