MedPath

Testosterone in Treating Postmenopausal Patients With Arthralgia Caused by Adjuvant Aromatase Inhibitor Treatment

Phase 3
Completed
Conditions
Arthralgia
Breast Cancer
Sexual Dysfunction
Hot Flashes
Musculoskeletal Complications
Interventions
Other: placebo
Registration Number
NCT01573442
Lead Sponsor
Alliance for Clinical Trials in Oncology
Brief Summary

This randomized phase III trial studies testosterone to see how well it works compared to placebo in treating postmenopausal patients with arthralgia (joint pain) caused by anastrozole or letrozole. Testosterone may help relieve moderate or severe arthralgia associated with the use of aromatase inhibitors, such as anastrozole or letrozole.

Detailed Description

This is a randomized, placebo-controlled, phase III trial evaluating subcutaneous testosterone for the alleviation of aromatase inhibitor induced arthralgia. A parallel group design will be utilized for this two-arm study: subcutaneous testosterone vs. placebo. Patients are stratified according to baseline pain score (5-6 vs. 7-10) and age (\< 50 vs. 50-60 vs. \> 60). The primary objective is to determine whether testosterone will reduce AI-induced arthralgia and associated joint symptoms. The secondary objective is to explore whether testosterone will have an acceptable safety and tolerability profile, with particular reference to androgenic adverse events including acne, hirsutism, and alopecia.

Patients are followed up to six months as defined in the protocol.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
227
Inclusion Criteria
  1. Age ≥ 18 years

  2. Receiving anastrozole (1mg) or letrozole (2.5 mg) orally once a day, for ≥ 21 days prior to registration and plan to continue it throughout the duration of study

  3. Body Mass Index (BMI) between 18 and 35 kg/m^2

  4. Women who have undergone a total mastectomy or breast conserving surgery for primary breast cancer +/-chemo, +/-radiotherapy.

  5. Must have BOTH ER and PR receptor-positive tumors and BOTH must be ≥26% positive. Alternatively, if ER and PR are determined by Allred score, the score needs to be 5 or higher

  6. Women who are postmenopausal by surgery, radiotherapy or presence of natural amenorrhea ≥ 12 months

  7. ≥ 5/10 arthralgia (in hands, wrist, knees, or hips) while being treated with anastrozole or letrozole which is felt by the patient to be caused by their aromatase inhibitor as defined in the protocol. Note: Patients may, or may not, be taking non-opioid analgesics

  8. Ability to complete questionnaire(s) by themselves or with assistance

  9. ECOG Performance Status (PS) 0, 1 or 2

  10. Willing to provide informed written consent

  11. Willing to return to an Alliance enrolling institution for follow-up

  12. Willing to provide blood samples for correlative research purposes

  13. Laboratory values prior to registration as defined in the protocol:

    1. Creatinine ≤1.5 x ULN
    2. Hemoglobin > 11 g/dL
    3. WBC > 3.0
    4. Platelet Count > 100,000
    5. SGOT (AST) ≤ 1.5 x ULN
Exclusion Criteria
  1. Presence of residual or recurrent cancer (locally or metastatic)
  2. Diabetes mellitus or glucose intolerance, defined as a fasting glucose >125 mg/dL
  3. History of coronary artery disease (angina or myocardial infarction)
  4. Patients on hormone replacement therapy (HRT) ≤ 4 weeks prior to registration. This includes the use of vaginal estrogen therapy.
  5. Known hypersensitivity to any component of testosterone.
  6. Prolonged systemic corticosteroid treatment, except for topical applications (e.g. for rash), inhaled sprays (e.g. for obstructive airway diseases), eye drops or local insertion (e.g. intra-articular). Note: Short duration (< 2 weeks) of systemic corticosteroids is allowed (e.g. for chronic obstructive pulmonary disease) but not within 30 days prior to registration.
  7. Receiving any other investigational agent
  8. History of a deep venous thrombosis or a thromboembolism
  9. Concurrent use of the aromatase inhibitor exemestane, as it is structurally similar to an androgen
  10. Concurrent radiation therapy or chemotherapy
  11. Current or planned use of cyclosporine, anticoagulants, oxphenbutazone, insulin, oral or injectable vitamin D doses over 4,000IU/day, or tamoxifen

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm ItestosteronePatients receive testosterone (0.264mL) topical application daily for six months.
Arm IIplaceboPatients receive placebo (0.264mL) topical application daily for six months.
Primary Outcome Measures
NameTimeMethod
Change in Item #3 (Average) of the Brief Pain Inventory (BPI) Average Pain From Baseline to Month 3From baseline to 3 months

The average change in Brief Pain Inventory (BPI) Average Pain scores between baseline and month 3 using Wilcoxon test are reported for each arm below. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Improvement in BPI Average Pain From Baseline to Month 3Up to 3 months

"2. Was there an improvement in BPI Average Pain from baseline to month 3?"

Change in BPI Average Change From Baseline Pain Score to Month Six Average Pain ScoreBaseline and 6 months

Change in BPI Average Change from Baseline Pain Score to Month Six Average Pain Score. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Change in BPI Average Pain From Baseline to Month 1-6Baseline and months 1-6

Change in BPI Average Pain from baseline to month 1-6. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Grade 3 Or Higher Adverse Events Considered At Least Possibly Related to TreatmentUp to 6 months

The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns within patient groups. In addition, we will review all adverse event data that is graded as 3, 4, or 5 and classified as either "unrelated" or "unlikely to be related" to study treatment in the event of an actual relationship developing. The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below.

Number of Patients Who Reported Alopecia Using CTCAE 4.0Up to 6 months

The number of patients who reported alopecia using CTCAE 4.0 is reported below for each arm.

Number of Patients Who Reported Acne Using CTCAE 4.0Up to 6 months

The number of patients who reported acne using CTCAE 4.0 is reported below for each arm.

Number of Patients Who Reported Hirsutism Using CTCAE 4.0Up to 6 months

The number of patients who reported hirsutism using CTCAE 4.0 is reported below for each arm by grade.

Change in Hot Flash Frequency From Baseline to Week 8baseline and week 8

Change in hot flash frequency from baseline to week 8. Hot flash frequency is a count of the number of hot flashes per day and is a number from 0 to infinity. Higher values are worse.

The Change of Libido From Baseline to Month 3 as Measured by the MENQOLbaseline and month 3

Change in how bothered are you by decreased sex drive from baseline to month 3. This is assessed using one question off of the MENQOL (Menopause-Specific Quality of Life) questionnaire. The question asks "How bothered are you by a decrease in your sexual drive". This is collected on a scale ranging from 0=Not at all bothered to 6=Extremely bothered, with higher values being worse.

The Change of Menopause Specific Quality of Life From Baseline to Month 3 as Measured by MENQOL "How Bothered Are You by Hot Flashes"baseline and month 3

The change of menopause specific quality of life from baseline to month 3 as measured by MENQOL "how bothered are you by Hot Flashes". This is one question from the MENQOL (Menopause-Specific Quality of Life) questionnaire. The question asks "How bothered are you by hot flashes or flushes". This is collected on a scale ranging from 0=Not at all bothered t 6=Extremely bothered, with higher values being worse.

Change in BPI Worst Pain From Baseline to Month 3baseline and month 3

Change in BPI Worst Pain from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Change in BPI Least Pain From Baseline to Month 3baseline and month 3

Change in BPI Least Pain from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Change in BPI Pain Right Now From Baseline to Month 3baseline and month 3

Change in BPI Pain right now from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Change in Average Joint Stiffness From Baseline to Month 3 as Measured by BPI Item #5 (Joint Stiffness)baseline and month 3

Change in average joint stiffness from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

The Intrapatient Change in Activity Level (Interference of Activity) for Each Month From Baseline as Measured by Item#6 (Interference) of the BPI-AIA.baseline and month 3

The intrapatient change in activity level (interference of activity) for each month from baseline as measured by item#6 (interference) of the BPI-AIA. Change in general activity from baseline to month 3. The BPI scales range from 0 to 10 with 0 meaning no pain and 10 meaning pain as bad as you can imagine.

Trial Locations

Locations (528)

Rocky Mountain Cancer Centers - Pueblo

🇺🇸

Pueblo, Colorado, United States

Marshfield Clinic - Weston Center

🇺🇸

Weston, Wisconsin, United States

Cedars Sinai Medical Center

🇺🇸

Los Angeles, California, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

Clackamas Radiation Oncology Center

🇺🇸

Clackamas, Oregon, United States

Aurora West Allis Medical Center

🇺🇸

West Allis, Wisconsin, United States

Northside Hospital

🇺🇸

Atlanta, Georgia, United States

Swedish Medical Center-Cherry Hill

🇺🇸

Seattle, Washington, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

Cancer and Blood Specialists-Shadow

🇺🇸

Las Vegas, Nevada, United States

Nevada Cancer Research Foundation CCOP

🇺🇸

Las Vegas, Nevada, United States

Radiation Oncology Centers of Nevada Central

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway

🇺🇸

Las Vegas, Nevada, United States

21st Century Oncology-Vegas Tenaya

🇺🇸

Las Vegas, Nevada, United States

Cancer and Blood Specialists-Tenaya

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada-Summerlin

🇺🇸

Las Vegas, Nevada, United States

Las Vegas Cancer Center-Medical Center

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills

🇺🇸

Las Vegas, Nevada, United States

Indiana University/Melvin and Bren Simon Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Good Samaritan Hospital - Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Oncology Hematology Care Inc - Anderson

🇺🇸

Cincinnati, Ohio, United States

Huntsman Cancer Institute/University of Utah

🇺🇸

Salt Lake City, Utah, United States

Swedish Medical Center

🇺🇸

Englewood, Colorado, United States

Rocky Mountain Cancer Centers-Parker

🇺🇸

Parker, Colorado, United States

North Colorado Medical Center

🇺🇸

Greeley, Colorado, United States

Rocky Mountain Cancer Centers-Thornton

🇺🇸

Thornton, Colorado, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Roger Maris Cancer Center

🇺🇸

Fargo, North Dakota, United States

Littleton Adventist Hospital

🇺🇸

Littleton, Colorado, United States

McKee Medical Center

🇺🇸

Loveland, Colorado, United States

Billings Clinic-Cody

🇺🇸

Cody, Wyoming, United States

Mercy Medical Center

🇺🇸

Durango, Colorado, United States

Southwest Oncology PC

🇺🇸

Durango, Colorado, United States

Sanford Clinic North-Fargo

🇺🇸

Fargo, North Dakota, United States

Sky Ridge Medical Center

🇺🇸

Lone Tree, Colorado, United States

SCL Health Lutheran Medical Center

🇺🇸

Wheat Ridge, Colorado, United States

Penrose-Saint Francis Healthcare

🇺🇸

Colorado Springs, Colorado, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Rocky Mountain Cancer Centers-Littleton

🇺🇸

Littleton, Colorado, United States

Rocky Mountain Cancer Centers-Sky Ridge

🇺🇸

Lone Tree, Colorado, United States

Cancer Center of Kansas-Kingman

🇺🇸

Kingman, Kansas, United States

Colorado Cancer Research Program NCORP

🇺🇸

Denver, Colorado, United States

Presbyterian - Saint Lukes Medical Center - Health One

🇺🇸

Denver, Colorado, United States

Rocky Mountain Cancer Centers-Midtown

🇺🇸

Denver, Colorado, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Alegent Health Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Hematology and Oncology Consultants PC

🇺🇸

Omaha, Nebraska, United States

Alegent Health Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegent Health Lakeside Hospital

🇺🇸

Omaha, Nebraska, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

CHI Saint Vincent Cancer Center Hot Springs

🇺🇸

Hot Springs, Arkansas, United States

Alaska Breast Care and Surgery LLC

🇺🇸

Anchorage, Alaska, United States

Anchorage Associates in Radiation Medicine

🇺🇸

Anchorage, Alaska, United States

Washington Hospital

🇺🇸

Fremont, California, United States

Epic Care-Dublin

🇺🇸

Dublin, California, United States

Anchorage Radiation Therapy Center

🇺🇸

Anchorage, Alaska, United States

Sutter Cancer Centers Radiation Oncology Services-Auburn

🇺🇸

Auburn, California, United States

Sutter Auburn Faith Hospital

🇺🇸

Auburn, California, United States

Epic Care Partners in Cancer Care

🇺🇸

Emeryville, California, United States

Providence Saint Joseph Medical Center/Disney Family Cancer Center

🇺🇸

Burbank, California, United States

Sutter Cancer Centers Radiation Oncology Services-Roseville

🇺🇸

Roseville, California, United States

Porter Adventist Hospital

🇺🇸

Denver, Colorado, United States

Colorado Blood Cancer Institute

🇺🇸

Denver, Colorado, United States

Rocky Mountain Cancer Centers-Rose

🇺🇸

Denver, Colorado, United States

Palo Alto Medical Foundation-Santa Cruz

🇺🇸

Santa Cruz, California, United States

Rocky Mountain Cancer Centers-Boulder

🇺🇸

Boulder, Colorado, United States

Mountain Blue Cancer Care Center

🇺🇸

Golden, Colorado, United States

Rocky Mountain Cancer Centers-Penrose

🇺🇸

Colorado Springs, Colorado, United States

Rocky Mountain Cancer Centers-Greenwood Village

🇺🇸

Greenwood Village, Colorado, United States

Rose Medical Center

🇺🇸

Denver, Colorado, United States

Rocky Mountain Cancer Centers-Lakewood

🇺🇸

Lakewood, Colorado, United States

Saint Anthony Hospital

🇺🇸

Lakewood, Colorado, United States

Rocky Mountain Cancer Centers-Longmont

🇺🇸

Longmont, Colorado, United States

Saint Mary Corwin Medical Center

🇺🇸

Pueblo, Colorado, United States

Helen F Graham Cancer Center

🇺🇸

Newark, Delaware, United States

Parker Adventist Hospital

🇺🇸

Parker, Colorado, United States

Christiana Gynecologic Oncology LLC

🇺🇸

Newark, Delaware, United States

Delaware Clinical and Laboratory Physicians PA

🇺🇸

Newark, Delaware, United States

Illinois CancerCare-Pekin

🇺🇸

Pekin, Illinois, United States

Saint Luke's Mountain States Tumor Institute - Fruitland

🇺🇸

Fruitland, Idaho, United States

Saint Luke's Mountain States Tumor Institute - Nampa

🇺🇸

Nampa, Idaho, United States

SIH Cancer Institute

🇺🇸

Carterville, Illinois, United States

Illinois CancerCare-Carthage

🇺🇸

Carthage, Illinois, United States

Illinois CancerCare-Eureka

🇺🇸

Eureka, Illinois, United States

Illinois CancerCare-Peru

🇺🇸

Peru, Illinois, United States

Valley Radiation Oncology

🇺🇸

Peru, Illinois, United States

Springfield Clinic

🇺🇸

Springfield, Illinois, United States

The Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Cancer Center of Kansas-Wichita Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas - Winfield

🇺🇸

Winfield, Kansas, United States

Cancer Care Specialists of Illinois-Swansea

🇺🇸

Swansea, Illinois, United States

Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Associates In Womens Health

🇺🇸

Wichita, Kansas, United States

Greater Regional Medical Center

🇺🇸

Creston, Iowa, United States

Oncology Hematology Care Inc-Crestview

🇺🇸

Crestview Hills, Kentucky, United States

Cancer Center of Kansas - Parsons

🇺🇸

Parsons, Kansas, United States

Flaget Memorial Hospital

🇺🇸

Bardstown, Kentucky, United States

Cancer Center of Kansas - Wichita

🇺🇸

Wichita, Kansas, United States

Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Unspecified Site

🇺🇸

Rockville, Maryland, United States

Bixby Medical Center

🇺🇸

Adrian, Michigan, United States

Ochsner Health Center-Summa

🇺🇸

Baton Rouge, Louisiana, United States

Saint Joseph Hospital East

🇺🇸

Lexington, Kentucky, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

Mass General/North Shore Cancer Center

🇺🇸

Danvers, Massachusetts, United States

Green Bay Oncology - Escanaba

🇺🇸

Escanaba, Michigan, United States

Parkland Health Center-Bonne Terre

🇺🇸

Bonne Terre, Missouri, United States

Newton-Wellesley Hospital

🇺🇸

Newton, Massachusetts, United States

Mercy Memorial Hospital

🇺🇸

Monroe, Michigan, United States

Hickman Cancer Center

🇺🇸

Adrian, Michigan, United States

Central Care Cancer Center - Bolivar

🇺🇸

Bolivar, Missouri, United States

Mayo Clinic Health Systems-Mankato

🇺🇸

Mankato, Minnesota, United States

Capital Region Medical Center-Goldschmidt Cancer Center

🇺🇸

Jefferson City, Missouri, United States

Freeman Health System

🇺🇸

Joplin, Missouri, United States

Heartland Hematology and Oncology

🇺🇸

Kearney, Nebraska, United States

Bozeman Deaconess Hospital

🇺🇸

Bozeman, Montana, United States

Saint Peter's Community Hospital

🇺🇸

Helena, Montana, United States

Kalispell Medical Oncology

🇺🇸

Kalispell, Montana, United States

Cancer and Blood Specialists-Henderson

🇺🇸

Henderson, Nevada, United States

Midlands Community Hospital

🇺🇸

Papillion, Nebraska, United States

Community Medical Hospital

🇺🇸

Missoula, Montana, United States

Las Vegas Cancer Center-Henderson

🇺🇸

Henderson, Nevada, United States

Comprehensive Cancer Centers of Nevada - Northwest

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Tenaya

🇺🇸

Las Vegas, Nevada, United States

Radiation Oncology Centers of Nevada Southeast

🇺🇸

Las Vegas, Nevada, United States

The Dana-Farber Cancer Institute at Londonderry

🇺🇸

Londonderry, New Hampshire, United States

Cooper Hospital University Medical Center

🇺🇸

Camden, New Jersey, United States

Englewood Hospital and Medical Center

🇺🇸

Englewood, New Jersey, United States

Oncology Hematology Care Inc-Eden Park

🇺🇸

Cincinnati, Ohio, United States

Virtua Memorial

🇺🇸

Mount Holly, New Jersey, United States

Sanford Broadway Medical Center

🇺🇸

Fargo, North Dakota, United States

Southeastern Medical Oncology Center-Clinton

🇺🇸

Clinton, North Carolina, United States

Sanford Bismarck Medical Center

🇺🇸

Bismarck, North Dakota, United States

Cone Health Cancer Center at Alamance Regional

🇺🇸

Burlington, North Carolina, United States

Glens Falls Hospital

🇺🇸

Glens Falls, New York, United States

CaroMont Regional Medical Center

🇺🇸

Gastonia, North Carolina, United States

Orange Regional Medical Center

🇺🇸

Middletown, New York, United States

Southeastern Medical Oncology Center-Goldsboro

🇺🇸

Goldsboro, North Carolina, United States

Altru Cancer Center

🇺🇸

Grand Forks, North Dakota, United States

Good Samaritan Hospital - Dayton

🇺🇸

Dayton, Ohio, United States

Oklahoma Cancer Specialists and Research Institute-Tulsa

🇺🇸

Tulsa, Oklahoma, United States

University of Cincinnati/Barrett Cancer Center

🇺🇸

Cincinnati, Ohio, United States

Providence Saint Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Dayton Physicians LLC-Miami Valley South

🇺🇸

Centerville, Ohio, United States

Trinity Cancer Care Center

🇺🇸

Minot, North Dakota, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Samaritan North Health Center

🇺🇸

Dayton, Ohio, United States

Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Orion Cancer Care

🇺🇸

Findlay, Ohio, United States

Hematology Oncology Center Incorporated

🇺🇸

Elyria, Ohio, United States

Lima Memorial Hospital

🇺🇸

Lima, Ohio, United States

Dayton Physicians LLC-Signal Point

🇺🇸

Middletown, Ohio, United States

Toledo Clinic Cancer Centers-Oregon

🇺🇸

Oregon, Ohio, United States

Dayton Physicians LLC-Wilson

🇺🇸

Sidney, Ohio, United States

Saint Charles Health System

🇺🇸

Bend, Oregon, United States

Fulton County Health Center

🇺🇸

Wauseon, Ohio, United States

Dayton Physicians LLC-Upper Valley

🇺🇸

Troy, Ohio, United States

Bay Area Hospital

🇺🇸

Coos Bay, Oregon, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Toledo Clinic Cancer Centers-Toledo

🇺🇸

Toledo, Ohio, United States

University Pointe

🇺🇸

West Chester, Ohio, United States

Providence Willamette Falls Medical Center

🇺🇸

Oregon City, Oregon, United States

Greenville Memorial Hospital

🇺🇸

Greenville, South Carolina, United States

UPMC Susquehanna

🇺🇸

Williamsport, Pennsylvania, United States

Nashville Breast Center

🇺🇸

Nashville, Tennessee, United States

Lowcountry Hematology Oncology PA-North Charleston

🇺🇸

Charleston, South Carolina, United States

Lowcountry Hematology Oncology PA-West Ashley

🇺🇸

Charleston, South Carolina, United States

Inova Fair Oaks Hospital

🇺🇸

Fairfax, Virginia, United States

Greenville Health System Cancer Institute-Easley

🇺🇸

Easley, South Carolina, United States

Greenville Health System Cancer Institute-Eastside

🇺🇸

Greenville, 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

University of Tennessee - Knoxville

🇺🇸

Knoxville, Tennessee, United States

Jackson-Madison County General Hospital

🇺🇸

Jackson, Tennessee, United States

Wellmont Medical Associates Oncology and Hematology-Kingsport

🇺🇸

Kingsport, Tennessee, United States

Greenville Health System Cancer Institute-Seneca

🇺🇸

Seneca, South Carolina, United States

Avera Cancer Institute-Aberdeen

🇺🇸

Aberdeen, South Dakota, United States

Pulmonary Medicine Center of Chattanooga-Hixson

🇺🇸

Hixson, Tennessee, United States

Greenville Health System Cancer Institute-Butternut

🇺🇸

Greenville, South Carolina, United States

Wellmont Medical Associates Oncology and Hematology-Bristol

🇺🇸

Bristol, Tennessee, United States

PeaceHealth Saint Joseph Medical Center

🇺🇸

Bellingham, Washington, United States

Harrison HealthPartners Hematology and Oncology-Bremerton

🇺🇸

Bremerton, Washington, United States

Saint Francis Hospital

🇺🇸

Federal Way, Washington, United States

Fredericksburg Oncology Inc

🇺🇸

Fredericksburg, Virginia, United States

Kaiser Permanente Washington

🇺🇸

Seattle, Washington, United States

Providence Regional Cancer Partnership

🇺🇸

Everett, Washington, United States

Kadlec Clinic Hematology and Oncology

🇺🇸

Kennewick, Washington, United States

Saint Joseph Regional Cancer Center

🇺🇸

Bryan, Texas, United States

Sovah Health Martinsville

🇺🇸

Martinsville, Virginia, United States

Doctor's Hospital of Laredo

🇺🇸

Laredo, Texas, United States

IMG Hematology Oncology 8501

🇺🇸

Fairfax, Virginia, United States

Pacific Gynecology Specialists

🇺🇸

Seattle, Washington, United States

PeaceHealth Saint John Medical Center

🇺🇸

Longview, Washington, United States

Harrison HealthPartners Hematology and Oncology-Poulsbo

🇺🇸

Poulsbo, Washington, United States

Providence Regional Cancer System-Shelton

🇺🇸

Shelton, Washington, United States

PeaceHealth Southwest Medical Center

🇺🇸

Vancouver, Washington, United States

ThedaCare Regional Cancer Center

🇺🇸

Appleton, Wisconsin, United States

Swedish Medical Center-First Hill

🇺🇸

Seattle, Washington, United States

Saint Vincent Hospital Cancer Center Green Bay

🇺🇸

Green Bay, Wisconsin, United States

Holy Family Memorial Hospital

🇺🇸

Manitowoc, Wisconsin, United States

Aurora Health Center-Fond du Lac

🇺🇸

Fond Du Lac, Wisconsin, United States

Big Horn Basin Cancer Center

🇺🇸

Cody, Wyoming, United States

Aurora Cancer Care-Kenosha South

🇺🇸

Kenosha, Wisconsin, United States

Rockwood Cancer Treatment Center-DHEC-Downtown

🇺🇸

Spokane, Washington, United States

Providence Regional Cancer System-Yelm

🇺🇸

Yelm, Washington, United States

Gundersen Lutheran Medical Center

🇺🇸

La Crosse, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Saint Mary's

🇺🇸

Green Bay, Wisconsin, United States

Green Bay Oncology at Saint Vincent Hospital

🇺🇸

Green Bay, Wisconsin, United States

Ascension Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Green Bay Oncology - Oconto Falls

🇺🇸

Oconto Falls, Wisconsin, United States

Vince Lombardi Cancer Clinic - Oshkosh

🇺🇸

Oshkosh, Wisconsin, United States

Aurora Cancer Care-Racine

🇺🇸

Racine, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

Green Bay Oncology - Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

Welch Cancer Center

🇺🇸

Sheridan, Wyoming, United States

Ascension Saint Michael's Hospital

🇺🇸

Stevens Point, Wisconsin, United States

Cheyenne Regional Medical Center-West

🇺🇸

Cheyenne, Wyoming, United States

Vince Lombardi Cancer Clinic-Sheboygan

🇺🇸

Sheboygan, Wisconsin, United States

Missouri Baptist Medical Center

🇺🇸

Saint Louis, Missouri, United States

Delbert Day Cancer Institute at PCRMC

🇺🇸

Rolla, Missouri, United States

Mercy Hospital Saint Louis

🇺🇸

Saint Louis, Missouri, United States

Mercy Hospital Springfield

🇺🇸

Springfield, Missouri, United States

South Jordan Health Center

🇺🇸

South Jordan, Utah, United States

Eden Hospital Medical Center

🇺🇸

Castro Valley, California, United States

Alta Bates Summit Medical Center-Herrick Campus

🇺🇸

Berkeley, California, United States

Sutter Davis Hospital

🇺🇸

Davis, California, United States

Contra Costa Regional Medical Center

🇺🇸

Martinez, California, United States

Bay Area Breast Surgeons Inc

🇺🇸

Emeryville, California, United States

Palo Alto Medical Foundation-Camino Division

🇺🇸

Mountain View, California, United States

Palo Alto Medical Foundation-Gynecologic Oncology

🇺🇸

Mountain View, California, United States

Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

California Pacific Medical Center-Pacific Campus

🇺🇸

San Francisco, California, United States

Sutter Pacific Medical Foundation

🇺🇸

Santa Rosa, California, United States

Sutter Roseville Medical Center

🇺🇸

Roseville, California, United States

Palo Alto Medical Foundation-Sunnyvale

🇺🇸

Sunnyvale, California, United States

Sutter Solano Medical Center/Cancer Center

🇺🇸

Vallejo, California, United States

Northwestern Medicine Cancer Center Delnor

🇺🇸

Geneva, Illinois, United States

Saint Joseph Radiation Oncology Resource Center

🇺🇸

Lexington, Kentucky, United States

Commonwealth Cancer Center-Corbin

🇺🇸

Corbin, Kentucky, United States

Saint Elizabeth Fort Thomas

🇺🇸

Fort Thomas, Kentucky, United States

Southern Oncology Specialists-Charlotte

🇺🇸

Charlotte, North Carolina, United States

Novant Health Presbyterian Medical Center

🇺🇸

Charlotte, North Carolina, United States

Wayne Memorial Hospital

🇺🇸

Goldsboro, North Carolina, United States

Lake Norman Hematology Oncology Specialists-Huntersville

🇺🇸

Huntersville, North Carolina, United States

Southeastern Medical Oncology Center-Wilson

🇺🇸

Wilson, North Carolina, United States

Novant Health Cancer Specialists-Matthews

🇺🇸

Matthews, North Carolina, United States

Lake Norman Hematology Oncology Specialists-Mooresville

🇺🇸

Mooresville, North Carolina, United States

Oncology Hematology Care Inc-Mercy West

🇺🇸

Cincinnati, Ohio, United States

Bethesda North Hospital

🇺🇸

Cincinnati, Ohio, United States

Dayton Physicians LLC-Samaritan North

🇺🇸

Dayton, Ohio, United States

Oncology Hematology Care Inc-Blue Ash

🇺🇸

Cincinnati, Ohio, United States

TriHealth Cancer Institute-Westside

🇺🇸

Cincinnati, Ohio, United States

TriHealth Cancer Institute-Anderson

🇺🇸

Cincinnati, Ohio, United States

Dayton NCI Community Oncology Research Program

🇺🇸

Dayton, Ohio, United States

Armes Family Cancer Center

🇺🇸

Findlay, Ohio, United States

Mercy Cancer Center-Elyria

🇺🇸

Elyria, Ohio, United States

Atrium Medical Center-Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Toledo Clinic Cancer Centers-Maumee

🇺🇸

Maumee, Ohio, United States

Springfield Regional Cancer Center

🇺🇸

Springfield, Ohio, United States

The Toledo Hospital/Toledo Children's Hospital

🇺🇸

Toledo, Ohio, United States

Mercy Hospital of Tiffin

🇺🇸

Tiffin, Ohio, United States

Springfield Regional Medical Center

🇺🇸

Springfield, Ohio, United States

Saint Charles Hospital

🇺🇸

Oregon, Ohio, United States

Flower Hospital

🇺🇸

Sylvania, Ohio, United States

Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Harrison Medical Center

🇺🇸

Bremerton, Washington, United States

Wright-Patterson Medical Center

🇺🇸

Wright-Patterson Air Force Base, Ohio, United States

Guthrie Medical Group PC-Robert Packer Hospital

🇺🇸

Sayre, Pennsylvania, United States

Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

Providence Regional Cancer System-Centralia

🇺🇸

Centralia, Washington, United States

Southwest VA Regional Cancer Center

🇺🇸

Norton, Virginia, United States

Providence Regional Cancer System-Aberdeen

🇺🇸

Aberdeen, Washington, United States

Swedish Medical Center-Edmonds

🇺🇸

Edmonds, Washington, United States

Saint Elizabeth Hospital

🇺🇸

Enumclaw, Washington, United States

Swedish Medical Center-Ballard Campus

🇺🇸

Seattle, Washington, United States

Highline Medical Center-Main Campus

🇺🇸

Burien, Washington, United States

Cancer Care Center at Island Hospital

🇺🇸

Anacortes, Washington, United States

Dayton Physicians LLC-Atrium

🇺🇸

Franklin, Ohio, United States

Sutter Medical Center Sacramento

🇺🇸

Sacramento, California, United States

The Medical Center of Aurora

🇺🇸

Aurora, Colorado, United States

Florida Hospital Orlando

🇺🇸

Orlando, Florida, United States

Rocky Mountain Cancer Centers-Aurora

🇺🇸

Aurora, Colorado, United States

Jewish Hospital

🇺🇸

Louisville, Kentucky, United States

Saints Mary and Elizabeth Hospital

🇺🇸

Louisville, Kentucky, United States

Jewish Hospital Medical Center Northeast

🇺🇸

Louisville, Kentucky, United States

Aurora Cancer Care-Milwaukee

🇺🇸

Milwaukee, Wisconsin, United States

Northwest Medical Specialties PLLC

🇺🇸

Tacoma, Washington, United States

Marshfield Clinic Cancer Center - Eau Claire

🇺🇸

Eau Claire, Wisconsin, United States

Aurora Health Care Germantown Health Center

🇺🇸

Germantown, Wisconsin, United States

Franciscan Research Center-Northwest Medical Plaza

🇺🇸

Tacoma, Washington, United States

Comprehensive Cancer Care and Research Institute of Colorado LLC

🇺🇸

Englewood, Colorado, United States

Cancer Care Specialists of Central Illinois

🇺🇸

Decatur, Illinois, United States

Decatur Memorial Hospital

🇺🇸

Decatur, Illinois, United States

Illinois CancerCare-Macomb

🇺🇸

Macomb, Illinois, United States

Kettering Medical Center

🇺🇸

Kettering, Ohio, United States

Memorial Hospital

🇺🇸

Chattanooga, Tennessee, United States

Aurora Cancer Care-Waukesha

🇺🇸

Waukesha, Wisconsin, United States

Anchorage Oncology Centre

🇺🇸

Anchorage, Alaska, United States

Katmai Oncology Group

🇺🇸

Anchorage, Alaska, United States

Providence Alaska Medical Center

🇺🇸

Anchorage, Alaska, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Alaska Women's Cancer Care

🇺🇸

Anchorage, Alaska, United States

Sutter Cancer Centers Radiation Oncology Services-Cameron Park

🇺🇸

Cameron Park, California, United States

Alta Bates Summit Medical Center - Summit Campus

🇺🇸

Oakland, California, United States

Palo Alto Medical Foundation Health Care

🇺🇸

Palo Alto, California, United States

Sutter Cancer Research Consortium

🇺🇸

Novato, California, United States

Palo Alto Medical Foundation-Fremont

🇺🇸

Fremont, California, United States

SCL Health Saint Joseph Hospital

🇺🇸

Denver, Colorado, United States

Boulder Community Hospital

🇺🇸

Boulder, Colorado, United States

Longmont United Hospital

🇺🇸

Longmont, Colorado, United States

Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

Christiana Care Health System-Christiana Hospital

🇺🇸

Newark, Delaware, United States

Medical Oncology Hematology Consultants PA

🇺🇸

Newark, Delaware, United States

Beebe Health Campus

🇺🇸

Rehoboth Beach, Delaware, United States

Regional Hematology and Oncology PA

🇺🇸

Newark, Delaware, United States

MedStar Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

Nanticoke Memorial Hospital

🇺🇸

Seaford, Delaware, United States

John B Amos Cancer Center

🇺🇸

Columbus, Georgia, United States

Christiana Care Health System-Wilmington Hospital

🇺🇸

Wilmington, Delaware, United States

Lakeland Regional Health Hollis Cancer Center

🇺🇸

Lakeland, Florida, United States

University Cancer and Blood Center LLC

🇺🇸

Athens, Georgia, United States

Kootenai Medical Center

🇺🇸

Coeur d'Alene, Idaho, United States

Dekalb Medical Center

🇺🇸

Decatur, Georgia, United States

Medical Center of Central Georgia

🇺🇸

Macon, Georgia, United States

Saint Luke's Mountain States Tumor Institute - Meridian

🇺🇸

Meridian, Idaho, United States

Augusta University Medical Center

🇺🇸

Augusta, Georgia, United States

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

🇺🇸

Savannah, Georgia, United States

Saint Luke's Mountain States Tumor Institute

🇺🇸

Boise, Idaho, United States

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Central Georgia Gynecologic Oncology

🇺🇸

Macon, Georgia, United States

Rush - Copley Medical Center

🇺🇸

Aurora, Illinois, United States

Saint Luke's Mountain States Tumor Institute-Twin Falls

🇺🇸

Twin Falls, Idaho, United States

Saint Joseph Medical Center

🇺🇸

Bloomington, Illinois, United States

Kootenai Cancer Clinic

🇺🇸

Sandpoint, Idaho, United States

Illinois CancerCare-Bloomington

🇺🇸

Bloomington, Illinois, United States

Illinois CancerCare-Canton

🇺🇸

Canton, Illinois, United States

Centralia Oncology Clinic

🇺🇸

Centralia, Illinois, United States

Weiss Memorial Hospital

🇺🇸

Chicago, Illinois, United States

Memorial Hospital of Carbondale

🇺🇸

Carbondale, Illinois, United States

Carle on Vermilion

🇺🇸

Danville, Illinois, United States

Crossroads Cancer Center

🇺🇸

Effingham, Illinois, United States

Carle Physician Group-Effingham

🇺🇸

Effingham, Illinois, United States

Western Illinois Cancer Treatment Center

🇺🇸

Galesburg, Illinois, United States

Garneau, Stewart C MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Illinois CancerCare-Kewanee Clinic

🇺🇸

Kewanee, Illinois, United States

Illinois CancerCare-Galesburg

🇺🇸

Galesburg, Illinois, United States

Ingalls Memorial Hospital

🇺🇸

Harvey, Illinois, United States

AMITA Health Adventist Medical Center

🇺🇸

La Grange, Illinois, United States

Illinois CancerCare-Ottawa Clinic

🇺🇸

Ottawa, Illinois, United States

Porubcin, Michael MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Carle Physician Group-Mattoon/Charleston

🇺🇸

Mattoon, Illinois, United States

Trinity Medical Center

🇺🇸

Moline, Illinois, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

Radiation Oncology of Northern Illinois

🇺🇸

Ottawa, Illinois, United States

Illinois CancerCare-Peoria

🇺🇸

Peoria, Illinois, United States

OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center

🇺🇸

Pekin, Illinois, United States

OSF Saint Francis Radiation Oncology at Peoria Cancer Center

🇺🇸

Peoria, Illinois, United States

Methodist Medical Center of Illinois

🇺🇸

Peoria, Illinois, United States

OSF Saint Francis Medical Center

🇺🇸

Peoria, Illinois, United States

Illinois CancerCare-Princeton

🇺🇸

Princeton, Illinois, United States

West Suburban Medical Center

🇺🇸

River Forest, Illinois, United States

Central Illinois Hematology Oncology Center

🇺🇸

Springfield, Illinois, United States

Southern Illinois University School of Medicine

🇺🇸

Springfield, Illinois, United States

Franciscan Saint Francis Health-Beech Grove

🇺🇸

Beech Grove, Indiana, United States

Memorial Regional Cancer Center Day Road

🇺🇸

Mishawaka, Indiana, United States

Northwestern Medicine Cancer Center Warrenville

🇺🇸

Warrenville, Illinois, United States

Memorial and Saint Elizabeth's Health Care Services LLP

🇺🇸

Swansea, Illinois, United States

Rush-Copley Healthcare Center

🇺🇸

Yorkville, Illinois, United States

Mary Greeley Medical Center

🇺🇸

Ames, Iowa, United States

Memorial Hospital of South Bend

🇺🇸

South Bend, Indiana, United States

Franciscan Health Indianapolis

🇺🇸

Indianapolis, Indiana, United States

Reid Health

🇺🇸

Richmond, Indiana, United States

Constantinou, Costas L MD (UIA Investigator)

🇺🇸

Bettendorf, Iowa, United States

McFarland Clinic PC-William R Bliss Cancer Center

🇺🇸

Ames, Iowa, United States

University of Iowa Healthcare Cancer Services Quad Cities

🇺🇸

Bettendorf, Iowa, United States

McFarland Clinic PC-Boone

🇺🇸

Boone, Iowa, United States

Mercy Hospital

🇺🇸

Cedar Rapids, Iowa, United States

Mercy Cancer Center-West Lakes

🇺🇸

Clive, Iowa, United States

Alegent Health Mercy Hospital

🇺🇸

Council Bluffs, Iowa, United States

Oncology Associates at Mercy Medical Center

🇺🇸

Cedar Rapids, Iowa, United States

Medical Oncology and Hematology Associates-West Des Moines

🇺🇸

Clive, Iowa, United States

Iowa-Wide Oncology Research Coalition NCORP

🇺🇸

Des Moines, Iowa, United States

Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

Mercy Medical Center-West Lakes

🇺🇸

West Des Moines, Iowa, United States

McFarland Clinic PC-Marshalltown

🇺🇸

Marshalltown, Iowa, United States

Cancer Center of Kansas - Chanute

🇺🇸

Chanute, Kansas, United States

Cancer Center of Kansas - Dodge City

🇺🇸

Dodge City, Kansas, United States

McFarland Clinic PC-Trinity Cancer Center

🇺🇸

Fort Dodge, Iowa, United States

McFarland Clinic PC-Jefferson

🇺🇸

Jefferson, Iowa, United States

Cancer Center of Kansas - El Dorado

🇺🇸

El Dorado, Kansas, United States

Cancer Center of Kansas-Manhattan

🇺🇸

Manhattan, Kansas, United States

Cancer Center of Kansas - Newton

🇺🇸

Newton, Kansas, United States

Cancer Center of Kansas-Liberal

🇺🇸

Liberal, Kansas, United States

Cancer Center of Kansas - Salina

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas - Wellington

🇺🇸

Wellington, Kansas, United States

Wichita NCI Community Oncology Research Program

🇺🇸

Wichita, Kansas, United States

Jewish Hospital Medical Center South

🇺🇸

Shepherdsville, Kentucky, United States

Green Bay Oncology - Iron Mountain

🇺🇸

Iron Mountain, Michigan, United States

Massachusetts General Hospital Cancer Center

🇺🇸

Boston, Massachusetts, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

Mercy Clinic-Rolla-Cancer and Hematology

🇺🇸

Rolla, Missouri, United States

Mercy Hospital Joplin

🇺🇸

Joplin, Missouri, United States

Toledo Clinic Cancer Centers-Monroe

🇺🇸

Monroe, Michigan, United States

Southeast Cancer Center

🇺🇸

Cape Girardeau, Missouri, United States

Billings Clinic Cancer Center

🇺🇸

Billings, Montana, United States

Sainte Genevieve County Memorial Hospital

🇺🇸

Sainte Genevieve, Missouri, United States

Saint Louis Cancer and Breast Institute-South City

🇺🇸

Saint Louis, Missouri, United States

Missouri Baptist Outpatient Center-Sunset Hills

🇺🇸

Sunset Hills, Missouri, United States

Mercy Hospital Washington

🇺🇸

Washington, Missouri, United States

Great Falls Clinic

🇺🇸

Great Falls, Montana, United States

Community Hospital of Anaconda

🇺🇸

Anaconda, Montana, United States

Saint Elizabeth Regional Medical Center

🇺🇸

Lincoln, Nebraska, United States

CHI Health Good Samaritan

🇺🇸

Kearney, Nebraska, United States

Saint Patrick Hospital - Community Hospital

🇺🇸

Missoula, Montana, United States

21st Century Oncology-Henderson

🇺🇸

Henderson, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-San Martin

🇺🇸

Las Vegas, Nevada, United States

Oncology Specialists of Charlotte

🇺🇸

Charlotte, North Carolina, United States

Comprehensive Cancer Centers of Nevada - Central Valley

🇺🇸

Las Vegas, Nevada, United States

Gaston Hematology and Oncology Associates-Belmont

🇺🇸

Belmont, North Carolina, United States

Kinston Medical Specialists PA

🇺🇸

Kinston, North Carolina, United States

Southern Oncology Specialists-Huntersville

🇺🇸

Huntersville, North Carolina, United States

Matthews Radiation Oncology Center

🇺🇸

Matthews, North Carolina, United States

Carolina Surgical Clinic of Charlotte PA

🇺🇸

Charlotte, North Carolina, United States

Southeastern Medical Oncology Center-Jacksonville

🇺🇸

Jacksonville, North Carolina, United States

Gaston Hematology and Oncology Associates

🇺🇸

Gastonia, North Carolina, United States

Akron General Medical Center

🇺🇸

Akron, Ohio, United States

Miami Valley Hospital South

🇺🇸

Centerville, Ohio, United States

Oncology Hematology Care Inc-Kenwood

🇺🇸

Cincinnati, Ohio, United States

Blanchard Valley Hospital

🇺🇸

Findlay, Ohio, United States

Oncology Hematology Care Inc-Healthplex

🇺🇸

Fairfield, Ohio, United States

Toledo Community Hospital Oncology Program CCOP

🇺🇸

Toledo, Ohio, United States

Dayton Physicians LLC-Wayne

🇺🇸

Greenville, Ohio, United States

Greater Dayton Cancer Center

🇺🇸

Kettering, Ohio, United States

University of Toledo

🇺🇸

Toledo, Ohio, United States

Toledo Radiation Oncology at Northwest Ohio Onocolgy Center

🇺🇸

Maumee, Ohio, United States

Mercy Saint Anne Hospital

🇺🇸

Toledo, Ohio, United States

Providence Oncology and Hematology Care Southeast

🇺🇸

Clackamas, Oregon, United States

Charleston Hematology Oncology Associates PA-Saint Francis

🇺🇸

Charleston, South Carolina, United States

Greenville Health System Cancer Institute-Greer

🇺🇸

Greer, South Carolina, United States

Greenville Health System Cancer Institute-Faris

🇺🇸

Greenville, South Carolina, United States

Lowcountry Hematology Oncology PA-Mount Pleasant

🇺🇸

Mount Pleasant, South Carolina, United States

Wellmont Medical Associates Oncology and Hematology-Johnson City

🇺🇸

Johnson City, Tennessee, United States

Meharry Medical College

🇺🇸

Nashville, Tennessee, United States

Wellmont Holston Valley Hospital and Medical Center

🇺🇸

Kingsport, Tennessee, United States

Providence Regional Cancer System-Lacey

🇺🇸

Lacey, Washington, United States

Swedish Cancer Institute-Issaquah

🇺🇸

Issaquah, Washington, United States

Rockwood Clinic Cancer Treatment Center-Valley

🇺🇸

Spokane Valley, Washington, United States

Dean Hematology and Oncology Clinic

🇺🇸

Madison, Wisconsin, United States

Marshfield Clinic-Rice Lake Center

🇺🇸

Rice Lake, Wisconsin, United States

Marshfield Clinic-Minocqua Center

🇺🇸

Minocqua, Wisconsin, United States

Marshfield Clinic-Wausau Center

🇺🇸

Wausau, Wisconsin, United States

San Juan City Hospital

🇵🇷

San Juan, Puerto Rico

CoxHealth South Hospital

🇺🇸

Springfield, Missouri, United States

Alaska Oncology and Hematology LLC

🇺🇸

Anchorage, Alaska, United States

Ochsner Medical Center Jefferson

🇺🇸

New Orleans, Louisiana, United States

Comprehensive Cancer Centers of Nevada-Southeast Henderson

🇺🇸

Henderson, Nevada, United States

Benefis Healthcare- Sletten Cancer Institute

🇺🇸

Great Falls, Montana, United States

Kootenai Cancer Center

🇺🇸

Post Falls, Idaho, United States

21st Century Oncology

🇺🇸

Las Vegas, Nevada, United States

Nevada Cancer Specialists-Fort Apache

🇺🇸

Las Vegas, Nevada, United States

CHI Health Saint Francis

🇺🇸

Grand Island, Nebraska, United States

Ochsner Baptist Medical Center

🇺🇸

New Orleans, Louisiana, United States

Saint Vincent Frontier Cancer Center

🇺🇸

Billings, Montana, United States

Marshfield Clinic Cancer Center at Sacred Heart

🇺🇸

Eau Claire, Wisconsin, United States

New Hampshire Oncology Hematology PA-Concord

🇺🇸

Concord, New Hampshire, United States

New Hampshire Oncology Hematology PA-Hooksett

🇺🇸

Hooksett, New Hampshire, United States

Inspira Medical Center Vineland

🇺🇸

Vineland, New Jersey, United States

Memorial GYN Plus

🇺🇸

Ooltewah, Tennessee, United States

Aurora Medical Center in Summit

🇺🇸

Summit, Wisconsin, United States

Montana Cancer Specialists

🇺🇸

Missoula, Montana, United States

Comprehensive Cancer Centers of Nevada - Henderson

🇺🇸

Henderson, Nevada, United States

Marshfield Clinic

🇺🇸

Marshfield, Wisconsin, United States

Cancer Therapy and Integrative Medicine

🇺🇸

Las Vegas, Nevada, United States

Aurora Saint Luke's Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Roper Hospital

🇺🇸

Charleston, South Carolina, United States

William Beaumont Hospital - Troy

🇺🇸

Troy, Michigan, United States

Aurora Cancer Care-Milwaukee West

🇺🇸

Wauwatosa, Wisconsin, United States

Central Maine Medical Center

🇺🇸

Lewiston, Maine, United States

Green Bay Oncology Limited at Saint Mary's Hospital

🇺🇸

Green Bay, Wisconsin, United States

Greenville Health System Cancer Institute-Spartanburg

🇺🇸

Spartanburg, South Carolina, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

Virtua Voorhees

🇺🇸

Voorhees, New Jersey, United States

Providence Newberg Medical Center

🇺🇸

Newberg, Oregon, United States

Bay Area Medical Center

🇺🇸

Marinette, Wisconsin, United States

Vince Lombardi Cancer Clinic-Marinette

🇺🇸

Marinette, Wisconsin, United States

Nebraska Methodist Hospital

🇺🇸

Omaha, Nebraska, United States

Bon Secours Saint Francis Hospital

🇺🇸

Charleston, South Carolina, United States

HSHS Saint Nicholas Hospital

🇺🇸

Sheboygan, Wisconsin, United States

Wellmont Bristol Regional Medical Center

🇺🇸

Bristol, Tennessee, United States

Saint Mary's Regional Medical Center

🇺🇸

Lewiston, Maine, United States

Saint Vincent Healthcare

🇺🇸

Billings, Montana, United States

Saint James Community Hospital and Cancer Treatment Center

🇺🇸

Butte, Montana, United States

21st Century Oncology-Fort Apache

🇺🇸

Las Vegas, Nevada, United States

Aurora Sinai Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Mayo Clinic Health System-Franciscan Healthcare

🇺🇸

La Crosse, Wisconsin, United States

LRGHealthcare-Lakes Region General Hospital

🇺🇸

Laconia, New Hampshire, United States

Aurora Cancer Care-Southern Lakes VLCC

🇺🇸

Burlington, Wisconsin, United States

Aurora Bay Area Medical Group-Marinette

🇺🇸

Marinette, Wisconsin, United States

Aurora BayCare Medical Center

🇺🇸

Green Bay, Wisconsin, United States

Marshfield Clinic - Wisconsin Rapids Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

Vince Lombardi Cancer Clinic-Two Rivers

🇺🇸

Two Rivers, Wisconsin, United States

Medical Oncology and Hematology Associates-Laurel

🇺🇸

Des Moines, Iowa, United States

University of Kentucky/Markey Cancer Center

🇺🇸

Lexington, Kentucky, United States

Charleston Hematology Oncology Associates-Roper

🇺🇸

Charleston, South Carolina, United States

Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

Montana Cancer Consortium NCORP

🇺🇸

Billings, Montana, United States

Saint Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

Greenville Health System Cancer Institute-Andrews

🇺🇸

Greenville, South Carolina, United States

Rockwood North Cancer Treatment Center

🇺🇸

Spokane, Washington, United States

Cancer Center of Kansas - Pratt

🇺🇸

Pratt, Kansas, United States

Spector, David MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Sanford Clinic North-Bemidgi

🇺🇸

Bemidji, Minnesota, United States

Cancer Center of Kansas - McPherson

🇺🇸

McPherson, Kansas, United States

Saint Elizabeth Medical Center South

🇺🇸

Edgewood, Kentucky, United States

Aurora Cancer Care-Grafton

🇺🇸

Grafton, Wisconsin, United States

Sutter Cancer Centers Radiation Oncology Services-Vacaville

🇺🇸

Vacaville, California, United States

Mills-Peninsula Medical Center

🇺🇸

Burlingame, California, United States

Saint Clare Hospital

🇺🇸

Lakewood, Washington, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

Missouri Baptist Sullivan Hospital

🇺🇸

Sullivan, Missouri, United States

Providence Saint Mary Regional Cancer Center

🇺🇸

Walla Walla, Washington, United States

Toledo Clinic Cancer Centers-Bowling Green

🇺🇸

Bowling Green, Ohio, United States

Inspira Medical Center Woodbury

🇺🇸

Woodbury, New Jersey, United States

Saint Louis Cancer and Breast Institute-Ballwin

🇺🇸

Ballwin, Missouri, United States

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