MedPath

Sunitinib Malate as Maintenance Therapy in Treating Patients With Stage III or Stage IV Non-Small Cell Lung Cancer Previously Treated With Combination Chemotherapy

Phase 3
Completed
Conditions
Stage IIIB Lung Non-Small Cell Cancer AJCC v7
Stage IV Non-Small Cell Lung Cancer AJCC v7
Interventions
Other: Laboratory Biomarker Analysis
Other: Placebo
Other: Quality-of-Life Assessment
Registration Number
NCT00693992
Lead Sponsor
National Cancer Institute (NCI)
Brief Summary

This randomized phase III trial studies sunitinib malate to see how well it works when given as maintenance therapy (meaning it is approved for treatment after chemotherapy) in patients with stage IIIB-IV non-small cell lung cancer who have responded to prior treatment with combination chemotherapy. Sunitinib malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking the growth of new blood vessels necessary for tumor growth. It is not yet known whether sunitinib malate is effective in helping tumors continue to shrink or stop growing.

Detailed Description

PRIMARY OBJECTIVES:

I. To evaluate the effect of sunitinib (sunitinib malate) compared to placebo on progression-free survival (PFS) in advanced non-small cell lung cancer (NSCLC) patients who have had either stable or responding disease over the course of their initial 4 cycles of platinum-based therapy.

SECONDARY OBJECTIVES:

I. To evaluate the toxicity of sunitinib compared to placebo in the maintenance setting.

II. To evaluate the additional response rate as a result of sunitinib in this setting.

III. To assess the impact of sunitinib on overall survival compared to the placebo arm.

IV. To assess the impact of sunitinib on delaying the time to deterioration in quality of life and symptom progression compared to placebo using the European Organization for Research and Treatment of Cancer (EORTC) Core Quality of Life Questionnaire (QLQ-C30) and Lung Cancer Module (LC13).

V. To assess vascular endothelial growth factor (VEGF) haplotypes in advanced non-small cell lung cancer and sunitinib maintenance.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive sunitinib malate orally (PO) once daily (QD) on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive placebo PO QD on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months for 1 year, every 6 months for 1 year, and then periodically for 3 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
210
Inclusion Criteria
  • Histologic or cytologic documentation of primary non-small cell lung cancer

  • Stage IIIB or IV disease patients who are not candidates for combined modality therapy (chemoradiotherapy)

  • No evidence of symptomatic or untreated brain metastases, spinal cord compression, or carcinomatous meningitis; patients with central nervous system (CNS) metastases must be asymptomatic, must have received definitive therapy (>= 6 weeks since resection or >= 2 weeks since radiotherapy) for brain metastases, and be off steroids or on a stable dose for 2 weeks prior to registration

  • No cavitary lesions

  • Patients must have received one chemotherapy regimen for stage IIIB or IV NSCLC; the regimen must include four cycles of platinum-based doublet chemotherapy with or without bevacizumab (bevacizumab may not be given beyond the fourth cycle of chemotherapy); patients must have achieved a complete response, partial response, or stable disease to first-line chemotherapy and have no evidence of disease progression; patients will be registered 3-5 weeks following day 1 of cycle 4 of prior therapy

  • No prior adjuvant chemotherapy for stage I-III resected NSCLC or combined modality therapy for stage III NSCLC

  • No other primary therapy (including experimental therapy) for NSCLC; palliative radiation therapy must have been completed at least one week before planned start of protocol therapy

  • Patients must have measurable or non-measurable disease

    • Measurable disease: lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as >= 2 cm with conventional techniques or as >= 1 cm with spiral computed tomography (CT) scan

    • Non-measurable disease: all other lesions, including small lesions (longest diameter < 20 mm with conventional techniques or < 10 mm with spiral CT scan) and truly non-measurable lesions; lesions that are considered non-measurable include the following:

      • Bone lesions
      • Leptomeningeal disease
      • Ascites
      • Pleural/pericardial effusion
      • Lymphangitis cutis/pulmonis
      • Abdominal masses that are not confirmed and followed by imaging techniques
      • Cystic lesions
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

  • Non-pregnant and non-nursing

  • No ongoing cardiac dysrhythmias, atrial fibrillation, or history of corrected QT (QTc) interval >= 500 msec (within 2 years prior to registration); the use of agents with proarrhythmic potential (e.g., quinidine, procainamide, disopyramide, sotalol, probucol, haloperidol, risperidone, indapamide, flecainide) is not recommended while on protocol therapy

  • Patients with class I New York Heart Association (NYHA) heart failure are eligible; patients with a history of class II NYHA heart failure are eligible, provided they meet at least one of the following criteria:

    • Patients with a history of class II heart failure who are asymptomatic on treatment
    • Patients with prior anthracycline exposure
    • Patients who have received central thoracic radiation that included the heart in the radiotherapy port
  • Patients with a history of class III or IV NYHA heart failure within 12 months prior to registration are not eligible

  • No myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft or stenting, cerebrovascular accident or transient ischemic attack within the last year

  • Patients with hypertension that cannot be controlled by medications (> 150/100 mmHg despite optimal medical therapy) are not eligible

  • Patients who require use of therapeutic anticoagulation for thromboembolic disease are not eligible; Note: low doses of coumadin (up to 2 mg daily) are permitted for prophylaxis of thrombosis

  • No history of venous thrombosis, pulmonary embolism, or hypercoagulopathy syndrome

  • No history of pulmonary hemorrhage, bleeding diathesis, or evidence of hemoptysis; patients with blood-tinged or blood-streaked sputum will be permitted on study if the hemoptysis amounts to less than 5 ml of blood per episode and less than 10 ml of blood per 24-hour period in the best estimate of the investigator

  • Patients with a history of hypothyroidism are eligible, provided they are currently euthyroid

  • None of the following within 28 days of beginning treatment: abdominal fistula, gastrointestinal perforation, intra-abdominal abscess, serious or non-healing wound, ulcer, or bone fracture

  • The following inhibitors of cytochrome P450 3A4 (CYP3A4) are prohibited within 7 days before beginning and during treatment with sunitinib: azole antifungals (ketoconazole, itraconazole), diltiazem, clarithromycin, erythromycin, verapamil, delavirdine, and human immunodeficiency virus [HIV] protease inhibitors (indinavir, saquinavir, ritonavir, atazanavir, nelfinavir); the following inducers of CYP3A4 are prohibited within 12 days before beginning and during treatment with sunitinib: rifampin, rifabutin, carbamazepine, phenobarbital, phenytoin, St. John?s Wort, efavirenz, tipranavir; other inhibitors and inducers of CYP3A4 may be used if necessary, but their use is discouraged

  • Patients unable to take oral medication are not eligible

  • Granulocytes >= 1,500/mcl

  • Platelet count >= 100,000/mcl

  • Total bilirubin =< 1.5 x upper limit of normal (ULN)

  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT)=< 2.5 x ULN; patients with liver metastases may have AST and ALT =< 5 x ULN; all other patients will have AST and ALT =< 2.5 x ULN

  • Creatinine =< 1.5 mg/dl

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm II (placebo)PlaceboPatients receive placebo 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm II (placebo)Quality-of-Life AssessmentPatients receive placebo 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm II (placebo)Laboratory Biomarker AnalysisPatients receive placebo 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm I (sunitinib malate)Laboratory Biomarker AnalysisPatients receive sunitinib malate 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm I (sunitinib malate)Quality-of-Life AssessmentPatients receive sunitinib malate 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm I (sunitinib malate)Sunitinib MalatePatients receive sunitinib malate 37.5 mg PO once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)Time from randomization to disease progression and death of any cause, whichever comes first (up to 5 years)

Progression Free Survival (PFS) was defined as the time from randomization until disease progression or death, whichever occurs first. The median PFS with 95% CI was estimated using the Kaplan-Meier method. Progression is defined as in the primary outcome measure.

Secondary Outcome Measures
NameTimeMethod
Overall Survival (OS)Time from randomization to death (up to 5 years)

Overall survival (OS) is defined as the time from patient randomization to death from any cause. The median OS with 95% CI was estimated using the Kaplan-Meier method.

Percentage of Deterioration in Symptom Progression at 3 Months Using the EORTC LC13 Dyspnea SubscaleAt 3 months

The percentage of patients with at least a 10% drop in the EORTC LC13 Dyspnea Subscale score from baseline to 3-months. The difference between groups will be tested using Fisher's exact test.

Grade and Type of Toxicity as Assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0Duration of study (up to 5 years)

Grade 3 or 4 adverse events which affected more than 5% of participants are summarized by arm.

Percentage of Deterioration in QOL at 3 Months Using the EORTC QLQ-C30 Global Health SubscaleAt 3 months

The percentage of patients with at least a 10% drop in the EORTC-QLQ-C30 Global Health Subscale score from baseline to 3-months. The difference between groups will be tested using Fisher's exact test.

Response Rate (RR)Duration of treatment (up to 5 years)

The percentage of patients who respond (completely or partially) to each combination regimen will be estimated. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria:

Complete Response (CR): disappearance of all target lesions; Partial Response (PR) 30% decrease in sum of longest diameter of target lesions.

Trial Locations

Locations (480)

Grant Medical Center

🇺🇸

Columbus, Ohio, United States

The Mark H Zangmeister Center

🇺🇸

Columbus, Ohio, United States

Hematology Oncology Associates of Illinois - Skokie

🇺🇸

Skokie, Illinois, United States

Elkhart General Hospital

🇺🇸

Elkhart, Indiana, United States

Forrest General Hospital / Cancer Center

🇺🇸

Hattiesburg, Mississippi, United States

Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

Kaiser Permanente-Cadillac

🇺🇸

Los Angeles, California, United States

Cancer Care Associates-Norman

🇺🇸

Norman, Oklahoma, United States

Essentia Health Saint Mary's Medical Center

🇺🇸

Duluth, Minnesota, United States

Miller-Dwan Hospital

🇺🇸

Duluth, Minnesota, United States

Providence Hospital

🇺🇸

Mobile, Alabama, United States

Veteran's Administration Medical Center

🇺🇸

Little Rock, Arkansas, United States

Northeast Alabama Regional Medical Center

🇺🇸

Anniston, Alabama, United States

Howard University Hospital

🇺🇸

Washington, District of Columbia, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Kaiser Permanente-Anaheim

🇺🇸

Anaheim, California, United States

Veterans Administration Medical Center-Baltimore

🇺🇸

Baltimore, Maryland, United States

PCR Oncology

🇺🇸

Arroyo Grande, California, United States

Kaiser Permanente-Baldwin Park

🇺🇸

Baldwin Park, California, United States

Kaiser Permanente-Bellflower

🇺🇸

Bellflower, California, United States

Saint Vincent Healthcare

🇺🇸

Billings, Montana, United States

Great Plains Health Callahan Cancer Center

🇺🇸

North Platte, Nebraska, United States

Nebraska Cancer Research Center

🇺🇸

Lincoln, Nebraska, United States

East Bay Radiation Oncology Center

🇺🇸

Castro Valley, California, United States

East Carolina University

🇺🇸

Greenville, North Carolina, United States

Eden Hospital Medical Center

🇺🇸

Castro Valley, California, United States

Valley Medical Oncology Consultants-Castro Valley

🇺🇸

Castro Valley, California, United States

Bay Area Breast Surgeons Inc

🇺🇸

Emeryville, California, United States

Feather River Cancer Center

🇺🇸

Chico, California, United States

Kaiser Permanente-Fontana

🇺🇸

Fontana, California, United States

Epic Care Partners in Cancer Care

🇺🇸

Emeryville, California, United States

Valley Medical Oncology Consultants-Fremont

🇺🇸

Fremont, California, United States

Kaiser Permanente - Harbor City

🇺🇸

Harbor City, California, United States

Kaiser Permanente-Irvine

🇺🇸

Irvine, California, United States

Long Beach Memorial Medical Center-Todd Cancer Institute

🇺🇸

Long Beach, California, United States

Kaiser Permanente Los Angeles Medical Center

🇺🇸

Los Angeles, California, United States

Contra Costa Regional Medical Center

🇺🇸

Martinez, California, United States

Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

El Camino Hospital

🇺🇸

Mountain View, California, United States

Palo Alto Medical Foundation-Camino Division

🇺🇸

Mountain View, California, United States

Highland General Hospital

🇺🇸

Oakland, California, United States

Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

Alta Bates Summit Medical Center - Summit Campus

🇺🇸

Oakland, California, United States

Hematology and Oncology Associates-Oakland

🇺🇸

Oakland, California, United States

Kaiser Permanente - Panorama City

🇺🇸

Panorama City, California, United States

Tom K Lee Inc

🇺🇸

Oakland, California, United States

Palo Alto Medical Foundation Health Care

🇺🇸

Palo Alto, California, United States

Valley Care Health System - Pleasanton

🇺🇸

Pleasanton, California, United States

Kaiser Permanente-Riverside

🇺🇸

Riverside, California, United States

Valley Medical Oncology Consultants

🇺🇸

Pleasanton, California, United States

Saint Helena Hospital

🇺🇸

Saint Helena, California, United States

Kaiser Permanente-San Marcos

🇺🇸

San Marcos, California, United States

Kaiser Permanente-Woodland Hills

🇺🇸

Woodland Hills, California, United States

Hartford Hospital

🇺🇸

Hartford, Connecticut, United States

Doctors Medical Center- JC Robinson Regional Cancer Center

🇺🇸

San Pablo, California, United States

Palo Alto Medical Foundation-Sunnyvale

🇺🇸

Sunnyvale, California, United States

Northbay Cancer Center

🇺🇸

Vacaville, California, United States

Poudre Valley Hospital

🇺🇸

Fort Collins, Colorado, United States

The Hospital of Central Connecticut

🇺🇸

New Britain, Connecticut, United States

Middlesex Hospital

🇺🇸

Middletown, Connecticut, United States

Nanticoke Memorial Hospital

🇺🇸

Seaford, Delaware, United States

Christiana Care Health System-Christiana Hospital

🇺🇸

Newark, Delaware, United States

Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

MedStar Georgetown University Hospital

🇺🇸

Washington, District of Columbia, United States

Sibley Memorial Hospital

🇺🇸

Washington, District of Columbia, United States

Broward Health Medical Center

🇺🇸

Fort Lauderdale, Florida, United States

Boca Raton Comprehensive Cancer Center

🇺🇸

Boca Raton, Florida, United States

Jupiter Medical Center

🇺🇸

Jupiter, Florida, United States

Florida Hospital Memorial Medical Center

🇺🇸

Daytona Beach, Florida, United States

Holy Cross Hospital

🇺🇸

Fort Lauderdale, Florida, United States

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

John B Amos Cancer Center

🇺🇸

Columbus, Georgia, United States

Saint Anthony's Health

🇺🇸

Alton, Illinois, United States

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

🇺🇸

Savannah, Georgia, United States

Rush - Copley Medical Center

🇺🇸

Aurora, Illinois, United States

Presence Saint Joseph Hospital-Chicago

🇺🇸

Chicago, Illinois, United States

Decatur Memorial Hospital

🇺🇸

Decatur, Illinois, United States

AMITA Health Alexian Brothers Medical Center

🇺🇸

Elk Grove Village, Illinois, United States

Saint Francis Hospital

🇺🇸

Evanston, Illinois, United States

Elmhurst Memorial Hospital

🇺🇸

Elmhurst, Illinois, United States

NorthShore University HealthSystem-Evanston Hospital

🇺🇸

Evanston, Illinois, United States

AMITA Health Adventist Medical Center

🇺🇸

La Grange, Illinois, United States

Presence Saint Mary's Hospital

🇺🇸

Kankakee, Illinois, United States

Garneau, Stewart C MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

Trinity Medical Center

🇺🇸

Moline, Illinois, United States

Porubcin, Michael MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Spector, David MD (UIA Investigator)

🇺🇸

Moline, Illinois, United States

Edward Hospital/Cancer Center

🇺🇸

Naperville, Illinois, United States

AMG Oncology - Naperville

🇺🇸

Naperville, Illinois, United States

West Suburban Medical Center

🇺🇸

River Forest, Illinois, United States

Swedish American Hospital

🇺🇸

Rockford, Illinois, United States

OSF Saint Anthony Medical Center

🇺🇸

Rockford, Illinois, United States

Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Michiana Hematology Oncology PC-Elkhart

🇺🇸

Elkhart, Indiana, United States

Elkhart Clinic

🇺🇸

Elkhart, Indiana, United States

Community Howard Regional Health

🇺🇸

Kokomo, Indiana, United States

Fort Wayne Medical Oncology and Hematology Inc-Parkview

🇺🇸

Fort Wayne, Indiana, United States

IU Health La Porte Hospital

🇺🇸

La Porte, Indiana, United States

Cancer Care Partners LLC

🇺🇸

Mishawaka, Indiana, United States

Michiana Hematology Oncology PC-Mishawaka

🇺🇸

Mishawaka, Indiana, United States

Franciscan Saint Anthony Health-Michigan City

🇺🇸

Michigan City, Indiana, United States

Saint Joseph Regional Medical Center-Mishawaka

🇺🇸

Mishawaka, Indiana, United States

Michiana Hematology Oncology PC-Plymouth

🇺🇸

Plymouth, 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

Michiana Hematology Oncology PC-Westville

🇺🇸

Westville, Indiana, United States

McFarland Clinic PC - Ames

🇺🇸

Ames, Iowa, United States

Oncology Associates at Mercy Medical Center

🇺🇸

Cedar Rapids, Iowa, United States

Mercy Hospital

🇺🇸

Scranton, Pennsylvania, United States

Constantinou, Costas L MD (UIA Investigator)

🇺🇸

Bettendorf, 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 Capitol

🇺🇸

Des Moines, Iowa, United States

Iowa Methodist Medical Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates-Des Moines

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates-Laurel

🇺🇸

Des Moines, Iowa, United States

Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

Iowa Lutheran Hospital

🇺🇸

Des Moines, Iowa, United States

Iowa City VA Healthcare System

🇺🇸

Iowa City, Iowa, United States

University of Iowa/Holden Comprehensive Cancer Center

🇺🇸

Iowa City, Iowa, United States

Siouxland Regional Cancer Center

🇺🇸

Sioux City, Iowa, United States

Ottumwa Regional Health Center

🇺🇸

Ottumwa, Iowa, United States

Mercy Medical Center - North Iowa

🇺🇸

Mason City, Iowa, United States

Mercy Medical Center-Sioux City

🇺🇸

Sioux City, Iowa, United States

Saint Luke's Regional Medical Center

🇺🇸

Sioux City, Iowa, United States

Cedar Valley Medical Specialists

🇺🇸

Waterloo, Iowa, United States

Kansas City NCI Community Oncology Research Program

🇺🇸

Prairie Village, Kansas, United States

Cancer Center of Kansas - Wellington

🇺🇸

Wellington, Kansas, United States

Cancer Center of Kansas - Winfield

🇺🇸

Winfield, Kansas, United States

Baton Rouge General Medical Center

🇺🇸

Baton Rouge, Louisiana, United States

Hematology/Oncology Clinic LLP

🇺🇸

Baton Rouge, Louisiana, United States

Mary Bird Perkins Cancer Center

🇺🇸

Baton Rouge, Louisiana, United States

Ochsner Health Center-Summa

🇺🇸

Baton Rouge, Louisiana, United States

Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Saint Mary's Regional Medical Center

🇺🇸

Lewiston, Maine, United States

University of Maryland/Greenebaum Cancer Center

🇺🇸

Baltimore, Maryland, United States

MedStar Harbor Hospital

🇺🇸

Baltimore, Maryland, United States

UM Upper Chesapeake Medical Center

🇺🇸

Bel Air, Maryland, United States

Addison Gilbert Hospital

🇺🇸

Gloucester, Massachusetts, United States

MedStar Franklin Square Medical Center/Weinberg Cancer Institute

🇺🇸

Baltimore, Maryland, United States

Bixby Medical Center

🇺🇸

Adrian, Michigan, United States

Hickman Cancer Center

🇺🇸

Adrian, Michigan, United States

Green Bay Oncology - Escanaba

🇺🇸

Escanaba, Michigan, United States

Green Bay Oncology - Iron Mountain

🇺🇸

Iron Mountain, Michigan, United States

Ascension Providence Hospitals - Southfield

🇺🇸

Southfield, Michigan, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

UP Health System Marquette

🇺🇸

Marquette, Michigan, United States

Mercy Memorial Hospital

🇺🇸

Monroe, Michigan, United States

Toledo Clinic Cancer Centers-Monroe

🇺🇸

Monroe, Michigan, United States

Lakeland Hospital Niles

🇺🇸

Niles, Michigan, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

Lakeland Medical Center Saint Joseph

🇺🇸

Saint Joseph, Michigan, United States

Marie Yeager Cancer Center

🇺🇸

Saint Joseph, Michigan, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

Essentia Health Cancer Center

🇺🇸

Duluth, Minnesota, United States

Saint Luke's Hospital of Duluth

🇺🇸

Duluth, Minnesota, United States

Fairview-Southdale Hospital

🇺🇸

Edina, Minnesota, United States

Unity Hospital

🇺🇸

Fridley, Minnesota, United States

Mayo Clinic Health Systems-Mankato

🇺🇸

Mankato, Minnesota, United States

Hutchinson Area Health Care

🇺🇸

Hutchinson, Minnesota, United States

Minnesota Oncology Hematology PA-Maplewood

🇺🇸

Maplewood, Minnesota, United States

Saint John's Hospital - Healtheast

🇺🇸

Maplewood, Minnesota, United States

New Ulm Medical Center

🇺🇸

New Ulm, Minnesota, United States

North Memorial Medical Health Center

🇺🇸

Robbinsdale, Minnesota, United States

Metro Minnesota Community Oncology Research Consortium

🇺🇸

Saint Louis Park, Minnesota, United States

Park Nicollet Clinic - Saint Louis Park

🇺🇸

Saint Louis Park, Minnesota, United States

Regions Hospital

🇺🇸

Saint Paul, Minnesota, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Saint Francis Regional Medical Center

🇺🇸

Shakopee, Minnesota, United States

Lakeview Hospital

🇺🇸

Stillwater, Minnesota, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Rice Memorial Hospital

🇺🇸

Willmar, Minnesota, United States

Minnesota Oncology Hematology PA-Woodbury

🇺🇸

Woodbury, Minnesota, United States

Gulfport Memorial Hospital

🇺🇸

Gulfport, Mississippi, United States

Singing River Hospital

🇺🇸

Pascagoula, Mississippi, United States

Central Care Cancer Center - Bolivar

🇺🇸

Bolivar, Missouri, United States

Cox Cancer Center Branson

🇺🇸

Branson, Missouri, United States

Southeast Missouri Hospital

🇺🇸

Cape Girardeau, Missouri, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

Southeast Cancer Center

🇺🇸

Cape Girardeau, Missouri, United States

Saint Luke's Hospital

🇺🇸

Maumee, Ohio, United States

Veterans Administration

🇺🇸

Columbia, Missouri, United States

University of Missouri - Ellis Fischel

🇺🇸

Columbia, Missouri, United States

Centerpoint Medical Center LLC

🇺🇸

Independence, Missouri, United States

Capital Region Southwest Campus

🇺🇸

Jefferson City, Missouri, United States

Freeman Health System

🇺🇸

Joplin, Missouri, United States

Mercy Hospital Joplin

🇺🇸

Joplin, Missouri, United States

Saint Luke's East - Lee's Summit

🇺🇸

Lee's Summit, Missouri, United States

Liberty Radiation Oncology Center

🇺🇸

Liberty, Missouri, United States

Delbert Day Cancer Institute at PCRMC

🇺🇸

Rolla, Missouri, United States

Mercy 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

Saint Louis Cancer and Breast Institute-South City

🇺🇸

Saint Louis, Missouri, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Comprehensive Cancer Care PC

🇺🇸

Saint Louis, Missouri, United States

Mercy Hospital Saint Louis

🇺🇸

Saint Louis, Missouri, United States

Saint Louis-Cape Girardeau CCOP

🇺🇸

Saint Louis, Missouri, United States

Cancer Research for the Ozarks NCORP

🇺🇸

Springfield, Missouri, United States

Mercy Hospital Springfield

🇺🇸

Springfield, Missouri, United States

Northern Rockies Radiation Oncology Center

🇺🇸

Billings, Montana, United States

CoxHealth South Hospital

🇺🇸

Springfield, Missouri, United States

Billings Clinic Cancer Center

🇺🇸

Billings, Montana, United States

Montana Cancer Consortium NCORP

🇺🇸

Billings, Montana, United States

Saint Vincent Frontier Cancer Center

🇺🇸

Billings, Montana, United States

Saint James Community Hospital and Cancer Treatment Center

🇺🇸

Butte, Montana, United States

Benefis Healthcare- Sletten Cancer Institute

🇺🇸

Great Falls, Montana, United States

Berdeaux, Donald MD (UIA Investigator)

🇺🇸

Great Falls, Montana, United States

Northern Montana Hospital

🇺🇸

Havre, Montana, United States

Great Falls Clinic

🇺🇸

Great Falls, Montana, United States

Saint Peter's Community Hospital

🇺🇸

Helena, Montana, United States

Glacier Oncology PLLC

🇺🇸

Kalispell, Montana, United States

Kalispell Medical Oncology

🇺🇸

Kalispell, Montana, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

Montana Cancer Specialists

🇺🇸

Missoula, Montana, United States

Saint Patrick Hospital - Community Hospital

🇺🇸

Missoula, Montana, United States

Guardian Oncology and Center for Wellness

🇺🇸

Missoula, Montana, United States

LRGHealthcare-Lakes Region General Hospital

🇺🇸

Laconia, New Hampshire, United States

New Hampshire Oncology Hematology PA-Concord

🇺🇸

Concord, New Hampshire, United States

Exeter Hospital

🇺🇸

Exeter, New Hampshire, United States

New Hampshire Oncology Hematology PA-Hooksett

🇺🇸

Hooksett, New Hampshire, United States

Cooper Hospital University Medical Center

🇺🇸

Camden, New Jersey, United States

Norris Cotton Cancer Center-Manchester

🇺🇸

Manchester, New Hampshire, United States

Veterans Adminstration New Jersey Health Care System

🇺🇸

East Orange, New Jersey, United States

Community Medical Center

🇺🇸

Toms River, New Jersey, United States

Inspira Medical Center Vineland

🇺🇸

Vineland, New Jersey, United States

Newark Beth Israel Medical Center

🇺🇸

Newark, New Jersey, United States

Mary Imogene Bassett Hospital

🇺🇸

Cooperstown, New York, United States

Hematology Oncology Associates of Central New York-East Syracuse

🇺🇸

East Syracuse, New York, United States

Glens Falls Hospital

🇺🇸

Glens Falls, New York, United States

Arnot Ogden Medical Center/Falck Cancer Center

🇺🇸

Elmira, New York, United States

Orange Regional Medical Center

🇺🇸

Middletown, New York, United States

Highland Hospital

🇺🇸

Rochester, New York, United States

NYP/Weill Cornell Medical Center

🇺🇸

New York, New York, United States

Interlakes Foundation Inc-Rochester

🇺🇸

Rochester, New York, United States

State University of New York Upstate Medical University

🇺🇸

Syracuse, New York, United States

Syracuse Veterans Administration Medical Center

🇺🇸

Syracuse, New York, United States

Cone Health Cancer Center at Alamance Regional

🇺🇸

Burlington, North Carolina, United States

Carolinas Medical Center/Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

Wayne Memorial Hospital

🇺🇸

Goldsboro, North Carolina, United States

Margaret R Pardee Memorial Hospital

🇺🇸

Hendersonville, North Carolina, United States

Vidant Oncology-Kinston

🇺🇸

Kinston, North Carolina, United States

Southeastern Regional Medical Center

🇺🇸

Lumberton, North Carolina, United States

Person Memorial Hospital

🇺🇸

Roxboro, North Carolina, United States

Granville Medical Center

🇺🇸

Oxford, North Carolina, United States

Duke Raleigh Hospital

🇺🇸

Raleigh, North Carolina, United States

Nash General Hospital

🇺🇸

Rocky Mount, North Carolina, United States

Altru Cancer Center

🇺🇸

Grand Forks, North Dakota, United States

Cleveland Clinic Akron General

🇺🇸

Akron, Ohio, United States

Strecker Cancer Center-Belpre

🇺🇸

Belpre, Ohio, United States

Mary Rutan Hospital

🇺🇸

Bellefontaine, Ohio, United States

Toledo Clinic Cancer Centers-Bowling Green

🇺🇸

Bowling Green, Ohio, United States

Mercy Medical Center

🇺🇸

Canton, Ohio, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

North Coast Cancer Care-Clyde

🇺🇸

Clyde, Ohio, United States

Mount Carmel East Hospital

🇺🇸

Columbus, Ohio, United States

Mount Carmel Health Center West

🇺🇸

Columbus, Ohio, United States

Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

Columbus Oncology and Hematology Associates Inc

🇺🇸

Columbus, Ohio, United States

Columbus NCI Community Oncology Research Program

🇺🇸

Columbus, Ohio, United States

Riverside Methodist Hospital

🇺🇸

Columbus, Ohio, United States

Doctors Hospital

🇺🇸

Columbus, Ohio, United States

Delaware Health Center-Grady Cancer Center

🇺🇸

Delaware, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

Hematology Oncology Center Incorporated

🇺🇸

Elyria, Ohio, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Lima Memorial Hospital

🇺🇸

Lima, Ohio, United States

Mercy Cancer Center-Elyria

🇺🇸

Elyria, Ohio, United States

Saint Rita's Medical Center

🇺🇸

Lima, Ohio, United States

Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

Toledo Clinic Cancer Centers-Maumee

🇺🇸

Maumee, Ohio, United States

Toledo Radiation Oncology at Northwest Ohio Onocolgy Center

🇺🇸

Maumee, Ohio, United States

Knox Community Hospital

🇺🇸

Mount Vernon, Ohio, United States

Toledo Clinic Cancer Centers-Oregon

🇺🇸

Oregon, Ohio, United States

Fisher-Titus Medical Center

🇺🇸

Norwalk, Ohio, United States

Saint Charles Hospital

🇺🇸

Oregon, Ohio, United States

Southern Ohio Medical Center

🇺🇸

Portsmouth, Ohio, United States

Trinity's Tony Teramana Cancer Center

🇺🇸

Steubenville, Ohio, United States

Springfield Regional Medical Center

🇺🇸

Springfield, Ohio, United States

The Toledo Hospital/Toledo Children's Hospital

🇺🇸

Toledo, Ohio, United States

ProMedica Flower Hospital

🇺🇸

Sylvania, Ohio, United States

Mercy Hospital of Tiffin

🇺🇸

Tiffin, Ohio, United States

Saint Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

University of Toledo

🇺🇸

Toledo, Ohio, United States

Toledo Community Hospital Oncology Program CCOP

🇺🇸

Toledo, Ohio, United States

Mercy Saint Anne Hospital

🇺🇸

Toledo, Ohio, United States

Fulton County Health Center

🇺🇸

Wauseon, Ohio, United States

Saint Ann's Hospital

🇺🇸

Westerville, Ohio, United States

Genesis Healthcare System Cancer Care Center

🇺🇸

Zanesville, Ohio, United States

Cancer Centers of Southwest Oklahoma Research

🇺🇸

Lawton, Oklahoma, United States

Clackamas Radiation Oncology Center

🇺🇸

Clackamas, Oregon, United States

Bay Area Hospital

🇺🇸

Coos Bay, Oregon, United States

Providence Newberg Medical Center

🇺🇸

Newberg, Oregon, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Providence Willamette Falls Medical Center

🇺🇸

Oregon City, Oregon, United States

Salem Hospital

🇺🇸

Salem, Oregon, United States

Mid-Columbia Medical Center/Celilo Cancer Center

🇺🇸

The Dalles, Oregon, United States

Easton Hospital

🇺🇸

Easton, Pennsylvania, United States

Geisinger Medical Center

🇺🇸

Danville, Pennsylvania, United States

Geisinger Medical Center-Cancer Center Hazleton

🇺🇸

Hazleton, Pennsylvania, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh Cancer Institute (UPCI)

🇺🇸

Pittsburgh, Pennsylvania, United States

Geisinger Medical Group

🇺🇸

State College, Pennsylvania, United States

Scranton Hematology Oncology

🇺🇸

Scranton, Pennsylvania, United States

Geisinger Wyoming Valley/Henry Cancer Center

🇺🇸

Wilkes-Barre, Pennsylvania, United States

Chester County Hospital

🇺🇸

West Chester, Pennsylvania, United States

Memorial Hospital of Rhode Island

🇺🇸

Pawtucket, Rhode Island, United States

Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

Beaufort Memorial Hospital

🇺🇸

Beaufort, South Carolina, United States

Greenville Health System Cancer Institute-Easley

🇺🇸

Easley, South Carolina, United States

McLeod Regional Medical Center

🇺🇸

Florence, South Carolina, United States

Greenville Health System Cancer Institute-Andrews

🇺🇸

Greenville, South Carolina, United States

Greenville Health System Cancer Institute-Faris

🇺🇸

Greenville, South Carolina, United States

Greenville Health System Cancer Institute-Butternut

🇺🇸

Greenville, South Carolina, United States

Greenville Memorial Hospital

🇺🇸

Greenville, South Carolina, United States

Greenville Health System Cancer Institute-Eastside

🇺🇸

Greenville, South Carolina, United States

Self Regional Healthcare

🇺🇸

Greenwood, South Carolina, United States

Greenville Health System Cancer Institute-Greer

🇺🇸

Greer, South Carolina, United States

Coastal Cancer Center-Myrtle Beach

🇺🇸

Myrtle Beach, South Carolina, United States

Greenville Health System Cancer Institute-Seneca

🇺🇸

Seneca, South Carolina, United States

Greenville Health System Cancer Institute-Spartanburg

🇺🇸

Spartanburg, South Carolina, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Medical X-Ray Center

🇺🇸

Sioux Falls, South Dakota, United States

Sanford USD Medical Center - Sioux Falls

🇺🇸

Sioux Falls, South Dakota, United States

Dallas VA Medical Center

🇺🇸

Dallas, Texas, United States

Scott and White Memorial Hospital

🇺🇸

Temple, Texas, United States

Southwestern Vermont Medical Center

🇺🇸

Bennington, Vermont, United States

Fredericksburg Oncology Inc

🇺🇸

Fredericksburg, Virginia, United States

Central Vermont Medical Center/National Life Cancer Treatment

🇺🇸

Berlin, Vermont, United States

University of Virginia Cancer Center

🇺🇸

Charlottesville, Virginia, United States

University of Vermont and State Agricultural College

🇺🇸

Burlington, Vermont, United States

Danville Regional Medical Center

🇺🇸

Danville, Virginia, United States

Centra Lynchburg Hematology-Oncology Clinic Inc

🇺🇸

Lynchburg, Virginia, United States

Sovah Health Martinsville

🇺🇸

Martinsville, Virginia, United States

North Star Lodge Cancer Center at Yakima Valley Memorial Hospital

🇺🇸

Yakima, Washington, United States

VCU Community Memorial Health Center

🇺🇸

South Hill, Virginia, United States

PeaceHealth Southwest Medical Center

🇺🇸

Vancouver, Washington, United States

Saint Mary's Medical Center

🇺🇸

Huntington, West Virginia, United States

West Virginia University Healthcare

🇺🇸

Morgantown, West Virginia, United States

Edwards Comprehensive Cancer Center

🇺🇸

Huntington, West Virginia, United States

Camden Clark Medical Center

🇺🇸

Parkersburg, West Virginia, United States

Wheeling Hospital/Schiffler Cancer Center

🇺🇸

Wheeling, West Virginia, United States

Aurora Cancer Care-Southern Lakes VLCC

🇺🇸

Burlington, Wisconsin, United States

Marshfield Clinic-Chippewa Center

🇺🇸

Chippewa Falls, Wisconsin, United States

Green Bay Oncology at Saint Vincent Hospital

🇺🇸

Green Bay, Wisconsin, United States

Marshfield Clinic Cancer Center at Sacred Heart

🇺🇸

Eau Claire, Wisconsin, United States

Saint Vincent Hospital Cancer Center Green Bay

🇺🇸

Green Bay, Wisconsin, United States

Saint Agnes Hospital/Agnesian Cancer Center

🇺🇸

Fond Du Lac, Wisconsin, United States

Green Bay Oncology Limited at Saint Mary's Hospital

🇺🇸

Green Bay, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Saint Mary's

🇺🇸

Green Bay, Wisconsin, United States

Mercy Health System

🇺🇸

Janesville, Wisconsin, United States

Gundersen Lutheran Medical Center

🇺🇸

La Crosse, Wisconsin, United States

Mayo Clinic Health System-Franciscan Healthcare

🇺🇸

La Crosse, Wisconsin, United States

Dean Hematology and Oncology Clinic

🇺🇸

Madison, Wisconsin, United States

Holy Family Memorial Hospital

🇺🇸

Manitowoc, Wisconsin, United States

Bay Area Medical Center

🇺🇸

Marinette, Wisconsin, United States

Marshfield Medical Center-Marshfield

🇺🇸

Marshfield, Wisconsin, United States

Marshfield Medical Center

🇺🇸

Marshfield, Wisconsin, United States

Marshfield Clinic-Minocqua Center

🇺🇸

Minocqua, Wisconsin, United States

Cancer Center of Western Wisconsin

🇺🇸

New Richmond, Wisconsin, United States

ProHealth Oconomowoc Memorial Hospital

🇺🇸

Oconomowoc, Wisconsin, United States

Wheaton Franciscan Cancer Care - All Saints

🇺🇸

Racine, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Oconto Falls

🇺🇸

Oconto Falls, Wisconsin, United States

Ascension Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Marshfield Medical Center-Rice Lake

🇺🇸

Rice Lake, Wisconsin, United States

HSHS Saint Nicholas Hospital

🇺🇸

Sheboygan, Wisconsin, United States

Ascension Saint Michael's Hospital

🇺🇸

Stevens Point, Wisconsin, United States

Green Bay Oncology - Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

ProHealth Waukesha Memorial Hospital

🇺🇸

Waukesha, Wisconsin, United States

Aspirus UW Cancer Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

Marshfield Clinic - Weston Center

🇺🇸

Weston, Wisconsin, United States

Aurora Cancer Care-Milwaukee West

🇺🇸

Wauwatosa, Wisconsin, United States

Marshfield Clinic - Wisconsin Rapids Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

Mount Sinai Hospital Medical Center

🇺🇸

Chicago, Illinois, United States

Hematology and Oncology Associates

🇺🇸

Chicago, Illinois, United States

Swedish Covenant Hospital

🇺🇸

Chicago, Illinois, United States

Presence Resurrection Medical Center

🇺🇸

Chicago, Illinois, United States

University of Chicago Comprehensive Cancer Center

🇺🇸

Chicago, Illinois, United States

Weiss Memorial Hospital

🇺🇸

Chicago, Illinois, United States

Advocate Illinois Masonic Medical Center

🇺🇸

Chicago, Illinois, United States

MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

🇺🇸

Houston, Texas, United States

Baylor Saint Luke's Medical Center

🇺🇸

Houston, Texas, United States

Ben Taub General Hospital

🇺🇸

Houston, Texas, United States

Michael E DeBakey VA Medical Center

🇺🇸

Houston, Texas, United States

The Methodist Hospital System

🇺🇸

Houston, Texas, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

Nevada Cancer Research Foundation CCOP

🇺🇸

Las Vegas, Nevada, United States

Saint Vincent Hospital and Health Care Center

🇺🇸

Indianapolis, Indiana, United States

Kaiser Permanente-San Diego Mission

🇺🇸

San Diego, California, United States

Kaiser Permanente-San Diego Zion

🇺🇸

San Diego, California, United States

Naval Medical Center -San Diego

🇺🇸

San Diego, California, United States

Abbott-Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Hennepin County Medical Center

🇺🇸

Minneapolis, Minnesota, United States

Minneapolis VA Medical Center

🇺🇸

Minneapolis, Minnesota, United States

Durham VA Medical Center

🇺🇸

Durham, North Carolina, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Nashville Oncology Associates PC

🇺🇸

Nashville, Tennessee, United States

Meharry Medical College

🇺🇸

Nashville, Tennessee, United States

Cancer Center of Kansas-Kingman

🇺🇸

Kingman, Kansas, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

Associates In Womens Health

🇺🇸

Wichita, Kansas, United States

Providence Medical Center

🇺🇸

Kansas City, Kansas, United States

Cancer Center of Kansas-Liberal

🇺🇸

Liberal, Kansas, United States

Cancer Center of Kansas - Parsons

🇺🇸

Parsons, Kansas, United States

Cancer Center of Kansas-Wichita Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Shawnee Mission Medical Center-KCCC

🇺🇸

Shawnee Mission, Kansas, United States

Wichita NCI Community Oncology Research Program

🇺🇸

Wichita, Kansas, United States

Hospital District Sixth of Harper County

🇺🇸

Anthony, Kansas, United States

Saint Luke's South Hospital

🇺🇸

Overland Park, Kansas, United States

Essentia Health Cancer Center-South University Clinic

🇺🇸

Fargo, North Dakota, United States

Cancer Center of Kansas - Dodge City

🇺🇸

Dodge City, Kansas, United States

Cancer Center of Kansas - El Dorado

🇺🇸

El Dorado, Kansas, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Cancer Center of Kansas - Wichita

🇺🇸

Wichita, Kansas, United States

Cotton O'Neil Cancer Center / Stormont Vail Health

🇺🇸

Topeka, Kansas, United States

Cancer Center of Kansas - Chanute

🇺🇸

Chanute, Kansas, United States

Cancer Center of Kansas - McPherson

🇺🇸

McPherson, Kansas, United States

Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Cancer Center of Kansas - Newton

🇺🇸

Newton, Kansas, United States

Welch Cancer Center

🇺🇸

Sheridan, Wyoming, United States

University of Rochester

🇺🇸

Rochester, New York, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Mercy Hospital Oklahoma City

🇺🇸

Oklahoma City, Oklahoma, United States

Mercy Physicians of Oklahoma-Lakeside

🇺🇸

Oklahoma City, Oklahoma, United States

Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

Providence Saint Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Walter Reed National Military Medical Center

🇺🇸

Bethesda, Maryland, United States

Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

Nebraska Methodist Hospital

🇺🇸

Omaha, Nebraska, United States

Alegent Health Immanuel Medical Center

🇺🇸

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

Butler Memorial Hospital

🇺🇸

Butler, Pennsylvania, United States

Columbia Saint Mary's Water Tower Medical Commons

🇺🇸

Milwaukee, Wisconsin, United States

Mid Dakota Clinic

🇺🇸

Bismarck, North Dakota, United States

Saint Alexius Medical Center

🇺🇸

Bismarck, North Dakota, United States

Sanford Bismarck Medical Center

🇺🇸

Bismarck, North Dakota, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Menorah Medical Center

🇺🇸

Overland Park, Kansas, United States

Truman Medical Center

🇺🇸

Kansas City, Missouri, United States

Saint Luke's Hospital of Kansas City

🇺🇸

Kansas City, Missouri, United States

Saint Joseph Health Center

🇺🇸

Kansas City, Missouri, United States

North Kansas City Hospital

🇺🇸

Kansas City, Missouri, United States

AdventHealth Orlando

🇺🇸

Orlando, Florida, United States

Doctors Carrol, Sheth, Raghavan

🇺🇸

Louisville, Kentucky, United States

Heartland Hematology and Oncology Associates Incorporated

🇺🇸

Kansas City, Missouri, United States

Research Medical Center

🇺🇸

Kansas City, Missouri, United States

UNC Lineberger Comprehensive Cancer Center

🇺🇸

Chapel Hill, North Carolina, United States

Roper Hospital

🇺🇸

Charleston, South Carolina, United States

Louisiana State University Health Science Center

🇺🇸

New Orleans, Louisiana, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

University Medical Center New Orleans

🇺🇸

New Orleans, Louisiana, United States

Ochsner Baptist Medical Center

🇺🇸

New Orleans, Louisiana, United States

Ochsner Medical Center Jefferson

🇺🇸

New Orleans, Louisiana, United States

Hunter Holmes McGuire Veterans Administration Medical Center

🇺🇸

Richmond, Virginia, United States

Virginia Commonwealth University/Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

Sanford Cancer Center Oncology Clinic

🇺🇸

Sioux Falls, South Dakota, United States

Toledo Clinic Cancer Centers-Toledo

🇺🇸

Toledo, Ohio, United States

Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

Bozeman Deaconess Hospital

🇺🇸

Bozeman, Montana, United States

North Coast Cancer Care

🇺🇸

Sandusky, Ohio, United States

Cancer Center of Kansas - Salina

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas - Pratt

🇺🇸

Pratt, Kansas, United States

Union Hospital of Cecil County

🇺🇸

Elkton, Maryland, United States

Sturdy Memorial Hospital

🇺🇸

Attleboro, Massachusetts, United States

Beverly Hospital

🇺🇸

Beverly, Massachusetts, United States

Columbia Saint Mary's Hospital - Ozaukee

🇺🇸

Mequon, Wisconsin, United States

Missouri Baptist Medical Center

🇺🇸

Saint Louis, Missouri, United States

Center for Cancer Care and Research

🇺🇸

Saint Louis, Missouri, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

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