Postoperative Chemotherapy With or Without Bevacizumab for Patients With Stage II or III Rectal Cancer
- Conditions
- Stage III Rectal CancerAdenocarcinoma of the RectumStage II Rectal Cancer
- Interventions
- Registration Number
- NCT00303628
- Lead Sponsor
- ECOG-ACRIN Cancer Research Group
- Brief Summary
Drugs used in chemotherapy, such as oxaliplatin, leucovorin, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of tumor cells by blocking blood flow to the tumor. Giving more than one drug (combination chemotherapy) together with bevacizumab after surgery may kill any tumor cells that remain after surgery. It is not yet known whether oxaliplatin, leucovorin, and fluorouracil is more effective with or without bevacizumab in treating rectal cancer. This randomized phase III trial is studying combination chemotherapy to see how well it works with or without bevacizumab in treating patients who have had surgery for stage II or stage III rectal cancer.
- Detailed Description
PRIMARY OBJECTIVES:
I. Compare the overall survival of patients who have undergone prior surgery and neoadjuvant chemoradiotherapy for clinical stage II or III rectal cancer treated with adjuvant oxaliplatin, leucovorin calcium, fluorouracil with vs without bevacizumab.
SECONDARY OBJECTIVES:
I. Evaluate tolerance of treatment, patterns of failure, and disease-free survival in patients treated with these regimens
EXPLORATORY OBJECTIVES:
I. Assess long-term rectal function using the Patient Bowel Function/Uniscale questionnaire and the Functional Assessment of Cancer (FACT)-Diarrhea subscale in patients treated with these regimens.
II. Validate the FACT-Diarrhea subscale. III. Assess long-term symptoms of oxaliplatin-related neurotoxicity using the FACT/Gynecologic Oncology Group (GOG)-Neurotoxicity subscale in patients treated with these regimens.
IV. Correlate TS, DPD and TP expression (key targets for fluorouracil); retention of chromosome 18q alleles and microsatellite instability (MSI) with TGFβ1RII mutation (markers for fluorouracil efficacy); ERCC1, ERCC2, and XPF expression (participants in repair of adducts from oxaliplatin); and p53 gene mutation and possibly other molecular markers pertinent to vascular endothelial growth factor in tumor tissue specimens with treatment efficacy in these patients.
V. Correlate tumor molecular prognostic markers (chromosome 18q allelic loss and MSI) with survival in patients treated with this regimen.
OUTLINE:
This is a randomized study. Patients are stratified according to Eastern Cooperative Oncology Group (ECOG) performance status (0 vs 1), clinical staging (high risk \[T3, N+, M0 or T4, any N, M0\] vs low risk \[T1-2, N+, M0 or T3, N0, M0\]), prior pre-operative oxaliplatin (yes vs no), and prior radiotherapy dose (40-50 Gy vs \> 50-55.8 Gy). Patients are randomized to 1 of 2 treatment arms in a 1:1 ratio.
ARM I: Patients receive oxaliplatin intravenously (IV) over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV on day 1 followed by fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for up to 12 courses\* in the absence of disease progression or unacceptable toxicity.
ARM II: Patients receive bevacizumab\*\* IV over 30-90 minutes on day 1. Patients also receive oxaliplatin, leucovorin calcium, and fluorouracil as in arm I\*.
\[Note: \*Patients who received prior neoadjuvant oxaliplatin including patients on protocol NSABP-R-04 receive up to 9 courses of treatment followed by leucovorin calcium IV and fluorouracil IV with (arm II) or without (arm I) bevacizumab for up to 3 courses.\]
\[Note: \*\*Patients no longer receive bevacizumab as of 4/29/2009 when accrual was terminated due to slow accrual for the study)\]
Patients complete 10-15 minute questionnaires about bowel function at randomization, end of treatment, 12 months post-treatment and then annually to 5 years post-treatment.
After completion of study treatment, patients are followed periodically for approximately 10 years.
PROJECTED ACCRUAL: 2100 patients
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 355
-
Histologically confirmed adenocarcinoma of the rectum meeting 1 of the following clinical (e.g., before neoadjuvant therapy) or pathologic staging criteria:
- T3, N+, M0
- T3, N0, M0
- T4, N0, M0
- Any T, N1-2, M0
-
T4, N0-2, M0 disease must meet 1 of the following criteria:
- Clinically fixed tumor on rectal examination with tumor adherent to the pelvic sidewall or sacrum
- Hydronephrosis on Computed Tomography (CT) scan or Intravenous Pyelogram (IVP)
- Ureteric or bladder invasion as documented by cystoscopy and cytology or biopsy
- Invasion into prostate
- Vaginal or uterine involvement
-
Must have undergone complete tumor resection >= 28 days ago and able to begin treatment by day 56
-
Must have undergone concurrent neoadjuvant chemoradiotherapy*
- NOTE: *Neoadjuvant chemoradiotherapy received on protocol NSABP-R-04 allowed provided it met these criteria
-
Must have undergone prior radiotherapy at 40-55.8 Gy** AND received 1 of the following chemotherapy regimens:
- Continuous infusion of fluorouracil with or without oxaliplatin; fluorouracil and leucovorin calcium
- Capecitabine with or without oxaliplatin; capecitabine with or without oxaliplatin OR a continuous infusion of fluorouracil with or without oxaliplatin received on protocol NSABP-R-04
- NOTE: **Intensity-modulated radiotherapy allowed
-
ECOG performance status 0-1
-
Platelet count >= 100,000/mm^3
-
Absolute granulocyte count >= 1,500/mm^3
-
Bilirubin normal (unless chronic grade 1 bilirubin elevation due to Gilbert's disease or similar syndrome due to slow conjugation of bilirubin)
-
Alkaline phosphatase (AP) < 2.5 times upper limit of normal (ULN) and aspartate aminotransferase (AST) < 1.5 times ULN
-
Hepatitis B and C negative (for patients with AP > normal) unless previously vaccinated
-
Serum creatinine =< 1.5 times ULN
-
Urine protein:creatinine (UPC) ratio < 1.0 OR urine protein < 1 g on 24-hour urine collection
-
International Normalized Ratio (INR) =< 1.5
-
INR > 1.5 allowed provided patient is on full-dose anticoagulants AND meets all of the following criteria:
- In-range INR (i.e., between 2 and 3) on a stable dose of warfarin or low molecular weight heparin
- No active bleeding or pathological condition that is associated with a high risk of bleeding
-
Negative pregnancy test
-
Fertile patients must use effective contraception during and for at least 3 months after study treatment
-
No other previous or concurrent malignancy except nonmelanoma skin cancer, breast cancer in situ, carcinoma in situ of the cervix, or previously treated nonpelvic cancer that has been disease-free for > 5 years
-
Patients with a history of breast cancer (without evidence of disease) who remain on hormonal therapy for > 5 years are eligible
-
Patients with a history of hypertension must have blood pressure < 150/90 mm Hg AND be on a stable regimen of antihypertensive therapy
-
No other prior chemotherapy or pelvic radiotherapy except as neoadjuvant treatment for current diagnosis of rectal cancer
-
Concurrent participation on protocol NSABP-R-04 allowed
-
Pregnant or nursing
-
Evidence of metastatic disease on the surgical/intraoperative examination
-
Evidence of metastatic disease confirmed by CT scan, Magnetic resonance imaging (MRI), or ultrasound of the liver or chest CT scan or chest x-ray within the past 6 months
-
Evidence of tumor outside of the pelvis, including liver metastases, peritoneal seeding, or metastatic inguinal lymphadenopathy
-
Concurrent major surgery
-
Active bleeding not related to the primary rectal tumor within the past 6 months
-
Active inflammatory bowel disease or other serious medical illness which might limit the ability of the patient to receive protocol therapy
-
Active gastroduodenal ulcer determined by endoscopy
-
Serious or nonhealing wound, skin ulcer, or bone fracture
-
Clinically significant peripheral sensory or motor neuropathy >= grade 2
-
Nonmalignant systemic disease (e.g., cardiovascular, renal, or hepatic) that would preclude study treatment including, but not limited to, any of the following:
- New York Heart Association class III or IV congestive heart failure
- Concurrent symptomatic arrhythmia
-
Transient ischemic attack or cerebrovascular accident
-
Arterial thromboembolic event, unstable angina, or myocardial infarction within the past 12 months
-
Significant peripheral vascular disease
-
Psychiatric or addictive disorders or other conditions that, in the opinion of the investigator, would preclude study requirements
-
Significant traumatic injury within the past 28 days
-
Known allergy to platinum compounds
-
Prior invasive procedure, including either of the following:
- Major surgical procedure or open biopsy within the past 28 days
- Core biopsy or other minor procedure, except placement of a vascular access device, within the past 7 days
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Arm II leucovorin calcium Patients receive bevacizumab IV over 30-90 minutes on day 1. Patients also receive oxaliplatin, leucovorin calcium, and fluorouracil as in arm I. Arm I leucovorin calcium Patients receive oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV on day 1 followed by fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for up to 12 courses. Arm I fluorouracil Patients receive oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV on day 1 followed by fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for up to 12 courses. Arm I oxaliplatin Patients receive oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV on day 1 followed by fluorouracil IV continuously over 46 hours on days 1 and 2. Treatment repeats every 2 weeks for up to 12 courses. Arm II oxaliplatin Patients receive bevacizumab IV over 30-90 minutes on day 1. Patients also receive oxaliplatin, leucovorin calcium, and fluorouracil as in arm I. Arm II fluorouracil Patients receive bevacizumab IV over 30-90 minutes on day 1. Patients also receive oxaliplatin, leucovorin calcium, and fluorouracil as in arm I. Arm II bevacizumab Patients receive bevacizumab IV over 30-90 minutes on day 1. Patients also receive oxaliplatin, leucovorin calcium, and fluorouracil as in arm I.
- Primary Outcome Measures
Name Time Method 5-year Overall Survival Rate Follow-up assessments performed every 3 months for patients < 2 years from randomization, every 6 months for patients 2-5 years from randomization, and every 12 months for patients 5-10 years from randomization Overall survival (OS) was defined as time from randomization to date of death from any cause. Patients who were still alive were censored at last date of known alive. Kaplan-Meier method was used to estimate the 5-year OS rate.
- Secondary Outcome Measures
Name Time Method 5-year Disease-free Survival Rate Follow-up assessments performed every 3 months for patients < 2 years from randomization, every 6 months for patients 2-5 years from randomization, and every 12 months for patients 5-10 years from randomization Disease-free survival (DFS) was defined as time from randomization to recurrence, second invasive primary cancer or death, whichever occurred first. Patients who were still alive and had no DFS events were censored at the last disease assessment date known to be free of DFS events. Kaplan-Meier method was used to estimate 5-year DFS rate.
Patterns of Failure Follow-up assessments performed every 3 months for patients < 2 years from randomization, every 6 months for patients 2-5 years from randomization, and every 12 months for patients 5-10 years from randomization Failure included recurrence, second primary cancer and death without recurrence.
Proportion of Patients Who Completed 12 Cycles of Treatment assessed at the end of treatment In the study, treatment was repeated every 2 weeks for a total of 12 cycles on both arms. The total number of cycles of treatment patient received until going off treatment due to any reason was recorded. It was a measure of the tolerance of the therapy.
Trial Locations
- Locations (612)
Fox Chase Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Case Western Reserve University
🇺🇸Cleveland, Ohio, United States
Cleveland Clinic Foundation
🇺🇸Cleveland, Ohio, United States
Kaiser Permanente Medical Center - Santa Clara
🇺🇸Santa Clara, California, United States
Larry G Strieff MD Medical Corporation
🇺🇸Oakland, California, United States
Sutter Solano Medical Center
🇺🇸Vallejo, California, United States
El Camino Hospital
🇺🇸Mountain View, California, United States
Valley Medical Oncology Consultants-Fremont
🇺🇸Fremont, California, United States
Marin General Hospital
🇺🇸Greenbrae, California, United States
Bay Area Breast Surgeons Inc
🇺🇸Oakland, California, United States
Kaiser Permanente-Redwood City
🇺🇸Redwood City, California, United States
Contra Costa Regional Medical Center
🇺🇸Martinez, California, United States
Mills - Peninsula Hospitals
🇺🇸Burlingame, California, United States
Tahoe Forest Cancer Center
🇺🇸Truckee, California, United States
Valley Medical Oncology Consultants
🇺🇸Pleasanton, California, United States
North Colorado Medical Center
🇺🇸Greeley, Colorado, United States
Kaiser Permanente-Roseville
🇺🇸Roseville, California, United States
Kaiser Permanente-South San Francisco
🇺🇸South San Francisco, California, United States
Salinas Valley Memorial
🇺🇸Salinas, California, United States
Palo Alto Medical Foundation Heath Care
🇺🇸Palo Alto, California, United States
Kaiser Permanente-Santa Rosa
🇺🇸Santa Rosa, California, United States
Providence Hospital
🇺🇸Mobile, Alabama, United States
Alta Bates Summit Medical Center-Herrick Campus
🇺🇸Berkeley, California, United States
Eden Hospital Medical Center
🇺🇸Castro Valley, California, United States
Sutter Cancer Research Consortium
🇺🇸Novato, California, United States
Palo Alto Medical Foundation-Camino Division
🇺🇸Mountain View, California, United States
Kaiser Permanente-Stockton
🇺🇸Stockton, California, United States
Fremont - Rideout Cancer Center
🇺🇸Marysville, California, United States
Saint Bernards Regional Medical Center
🇺🇸Jonesboro, Arkansas, United States
Valley Care Health System - Pleasanton
🇺🇸Pleasanton, California, United States
Doctors Medical Center- JC Robinson Regional Cancer Center
🇺🇸San Pablo, California, United States
Community Hospital of Monterey Peninsula
🇺🇸Monterey, California, United States
Kaiser Permanente-Vallejo
🇺🇸Vallejo, California, United States
Exempla Lutheran Medical Center
🇺🇸Wheat Ridge, Colorado, United States
Northside Hospital
🇺🇸Atlanta, Georgia, United States
Well Star Cobb Hospital
🇺🇸Austell, Georgia, United States
Pacific Cancer Institute of Maui
🇺🇸Wailuku, Hawaii, United States
Kaiser Permanente-San Rafael
🇺🇸San Rafael, California, United States
Holy Cross Hospital
🇺🇸Fort Lauderdale, Florida, United States
Memorial Hospital Colorado Springs
🇺🇸Colorado Springs, Colorado, United States
Memorial Health University Medical Center
🇺🇸Savannah, Georgia, United States
Dekalb Medical Center
🇺🇸Decatur, Georgia, United States
Porter Adventist Hospital
🇺🇸Denver, Colorado, United States
Gwinnett Medical Center
🇺🇸Lawrenceville, Georgia, United States
Georgia Regents University
🇺🇸Augusta, Georgia, United States
Front Range Cancer Specialists
🇺🇸Fort Collins, Colorado, United States
Saint Anthony Hospital
🇺🇸Lakewood, Colorado, United States
Memorial Hospital
🇺🇸Carthage, Illinois, United States
Mason District Hospital
🇺🇸Havana, Illinois, United States
Hinsdale Hematology Oncology Associates Incorporated
🇺🇸Hinsdale, Illinois, United States
Jupiter Medical Center
🇺🇸Jupiter, Florida, United States
The Watson Clinic
🇺🇸Lakeland, Florida, United States
Rush - Copley Medical Center
🇺🇸Aurora, Illinois, United States
Good Samaritan Hospital
🇺🇸Downers Grove, Illinois, United States
Piedmont Hospital
🇺🇸Atlanta, Georgia, United States
Mayo Clinic in Florida
🇺🇸Jacksonville, Florida, United States
Mount Sinai Medical Center CCOP
🇺🇸Miami Beach, Florida, United States
Harbin Clinic Medical Oncology and Clinical Research
🇺🇸Rome, Georgia, United States
University Cancer and Blood Center LLC
🇺🇸Athens, Georgia, United States
Atlanta VA Medical Center
🇺🇸Decatur, Georgia, United States
Hematology and Oncology Associates
🇺🇸Chicago, Illinois, United States
John H Stroger Jr Hospital of Cook County
🇺🇸Chicago, Illinois, United States
Swedish Covenant Hospital
🇺🇸Chicago, Illinois, United States
Hematology Oncology Associates of Eastern Idaho
🇺🇸Idaho Falls, Idaho, United States
Longmont United Hospital
🇺🇸Longmont, Colorado, United States
Medical Center of Central Georgia
🇺🇸Macon, Georgia, United States
Methodist Medical Center of Illinois
🇺🇸Peoria, Illinois, United States
Valley Radiation Oncology
🇺🇸Peru, Illinois, United States
Illinois CancerCare Galesburg
🇺🇸Galesburg, Illinois, United States
Porubcin, Michael MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Hopedale Medical Complex - Hospital
🇺🇸Hopedale, Illinois, United States
Saint Margaret's Hospital
🇺🇸Spring Valley, Illinois, United States
Eureka Hospital
🇺🇸Eureka, Illinois, United States
Galesburg Cottage Hospital
🇺🇸Galesburg, Illinois, United States
Illinois CancerCare-Peoria
🇺🇸Peoria, Illinois, United States
OSF Saint Francis Medical Center
🇺🇸Peoria, Illinois, United States
Western Illinois Cancer Treatment Center
🇺🇸Galesburg, Illinois, United States
Sharis, Christine M MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Bromenn Regional Medical Center
🇺🇸Normal, Illinois, United States
Pekin Hospital
🇺🇸Pekin, Illinois, United States
Midwest Center for Hematology Oncology
🇺🇸Joliet, Illinois, United States
North Shore Hematology Oncology
🇺🇸Libertyville, Illinois, United States
Decatur Memorial Hospital
🇺🇸Decatur, Illinois, United States
Vigliotti, Antonio, P.G. M.D. (UIA Investigator)
🇺🇸Moline, Illinois, United States
NorthShore University HealthSystem-Evanston Hospital
🇺🇸Evanston, Illinois, United States
Mcdonough District Hospital
🇺🇸Macomb, Illinois, United States
Perry Memorial Hospital
🇺🇸Princeton, Illinois, United States
OSF Saint Francis Medical Center Radiation Oncology Service at the Central Illinois Comprehensive CC
🇺🇸Peoria, Illinois, United States
Illinois Oncology Research Association CCOP
🇺🇸Peoria, Illinois, United States
Good Samaritan Regional Health Center
🇺🇸Mount Vernon, Illinois, United States
Illinois Cancer Specialists-Niles
🇺🇸Niles, Illinois, United States
Carle Clinic-Urbana Main
🇺🇸Urbana, Illinois, United States
Community Howard Regional Health
🇺🇸Kokomo, Indiana, United States
Constantinou, Costas L MD (UIA Investigator)
🇺🇸Bettendorf, Iowa, United States
Medical Oncology and Hematology Associates-West Des Moines
🇺🇸Clive, Iowa, United States
Hutchinson Area Health Care
🇺🇸Hutchinson, Minnesota, United States
Cancer Center of Kansas - Salina
🇺🇸Salina, Kansas, United States
Unity Hospital
🇺🇸Fridley, Minnesota, United States
Cancer Center of Kansas - Pratt
🇺🇸Pratt, Kansas, United States
Holland Community Hospital
🇺🇸Holland, Michigan, United States
State University of New York Downstate Medical Center
🇺🇸Brooklyn, New York, United States
Saint John's Hospital - Healtheast
🇺🇸Maplewood, Minnesota, United States
New York University Langone Medical Center
🇺🇸New York, New York, United States
Carolinas Medical Center
🇺🇸Charlotte, North Carolina, United States
Wayne Radiation Oncology
🇺🇸Goldsboro, North Carolina, United States
Sanford Bismarck Medical Center
🇺🇸Bismarck, North Dakota, United States
Veterans Affairs Western New York Health Care System-Buffalo
🇺🇸Buffalo, New York, United States
Columbia University Medical Center
🇺🇸New York, New York, United States
Mission Hospital-Memorial Campus
🇺🇸Asheville, North Carolina, United States
Community General Hospital
🇺🇸Syracuse, New York, United States
Saint Joseph's Hospital - Healtheast
🇺🇸Saint Paul, Minnesota, United States
Park Nicollet Clinic - Saint Louis Park
🇺🇸Saint Louis Park, Minnesota, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
Grant Medical Center
🇺🇸Columbus, Ohio, United States
Wayne Memorial Hospital
🇺🇸Goldsboro, North Carolina, United States
Presbyterian Kaseman Hospital
🇺🇸Albuquerque, New Mexico, United States
Carolinas Medical Center - Northeast
🇺🇸Concord, North Carolina, United States
Mercy Medical Center
🇺🇸Canton, Ohio, United States
Hematology Oncology Associates
🇺🇸Albuquerque, New Mexico, United States
Rutherford Hospital
🇺🇸Rutherfordton, North Carolina, United States
Kings County Hospital
🇺🇸Brooklyn, New York, United States
State University of New York Upstate Medical University
🇺🇸Syracuse, New York, United States
Hematology Oncology Associates of Central New York PC-East Syracuse
🇺🇸East Syracuse, New York, United States
Altru Cancer Center
🇺🇸Grand Forks, North Dakota, United States
Orange Regional Medical Center
🇺🇸Middletown, New York, United States
Glens Falls Hospital
🇺🇸Glens Falls, New York, United States
University Hospital of Brooklyn
🇺🇸Brooklyn, New York, United States
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center
🇺🇸Columbus, Ohio, United States
Riverside Methodist Hospital
🇺🇸Columbus, Ohio, United States
Good Samaritan Hospital - Dayton
🇺🇸Dayton, Ohio, United States
Aultman Health Foundation
🇺🇸Canton, Ohio, United States
Adena Regional Medical Center
🇺🇸Chillicothe, Ohio, United States
Wilson Medical Center
🇺🇸Wilson, North Carolina, United States
Mary Rutan Hospital
🇺🇸Bellefontaine, Ohio, United States
Mount Carmel Health Center West
🇺🇸Columbus, Ohio, United States
Sanford Clinic North-Fargo
🇺🇸Fargo, North Dakota, United States
North Coast Cancer Care-Clyde
🇺🇸Clyde, Ohio, United States
Columbus CCOP
🇺🇸Columbus, Ohio, United States
Saint Mary's Hospital
🇺🇸Green Bay, Wisconsin, United States
Cleveland Clinic Cancer Center Independence
🇺🇸Independence, Ohio, United States
Fairfield Medical Center
🇺🇸Lancaster, Ohio, United States
Springfield Regional Medical Center
🇺🇸Springfield, Ohio, United States
University of Pennsylvania/Abramson Cancer Center
🇺🇸Philadelphia, Pennsylvania, United States
Bryn Mawr Hospital
🇺🇸Bryn Mawr, Pennsylvania, United States
Multicare Health System
🇺🇸Tacoma, Washington, United States
Rockwood Clinic
🇺🇸Spokane, Washington, United States
PeaceHealth Southwest Medical Center
🇺🇸Vancouver, Washington, United States
Geisinger Wyoming Valley
🇺🇸Wilkes-Barre, Pennsylvania, United States
Lankenau Hospital
🇺🇸Wynnewood, Pennsylvania, United States
Saint Paul Hospital
🇺🇸Dallas, Texas, United States
Northwest CCOP
🇺🇸Tacoma, Washington, United States
Cancer Care Northwest - Spokane South
🇺🇸Spokane, Washington, United States
Saint Clare Hospital
🇺🇸Tacoma, Washington, United States
Dixie Medical Center Regional Cancer Center
🇺🇸Saint George, Utah, United States
PeaceHealth Saint Joseph Medical Center
🇺🇸Bellingham, Washington, United States
Columbia Basin Hematology and Oncology PLLC
🇺🇸Kennewick, Washington, United States
Mayo Clinic Health System-Franciscan Healthcare
🇺🇸La Crosse, Wisconsin, United States
Thunder Bay Regional Health Science Centre
🇨🇦Thunder Bay, Ontario, Canada
Mount Sinai Hospital Medical Center
🇺🇸Chicago, Illinois, United States
Northwestern University
🇺🇸Chicago, Illinois, United States
Jesse Brown Veterans Affairs Medical Center
🇺🇸Chicago, Illinois, United States
Rush University Medical Center
🇺🇸Chicago, Illinois, United States
Mercy Hospital and Medical Center
🇺🇸Chicago, Illinois, United States
Resurrection Healthcare
🇺🇸Chicago, Illinois, United States
University of Chicago
🇺🇸Chicago, Illinois, United States
The Polyclinic
🇺🇸Seattle, Washington, United States
Swedish Medical Center-First Hill
🇺🇸Seattle, Washington, United States
University of Washington Medical Center
🇺🇸Seattle, Washington, United States
University Medical Center of Southern Nevada
🇺🇸Las Vegas, Nevada, United States
University of California At San Diego
🇺🇸San Diego, California, United States
The Christ Hospital
🇺🇸Cincinnati, Ohio, United States
University of Miami Miller School of Medicine-Sylvester Cancer Center
🇺🇸Miami, Florida, United States
Saint Vincent Hospital and Health Services
🇺🇸Indianapolis, Indiana, United States
University of Iowa Hospitals and Clinics
🇺🇸Iowa City, Iowa, United States
Mercy Medical Center - North Iowa
🇺🇸Mason City, Iowa, United States
East Bay Radiation Oncology Center
🇺🇸Castro Valley, California, United States
Valley Medical Oncology Consultants-Castro Valley
🇺🇸Castro Valley, California, United States
Kaiser Permanente, Fremont
🇺🇸Fremont, California, United States
Cancer Care Associates of Fresno Medical Group Inc
🇺🇸Fresno, California, United States
Saint Jude Medical Center
🇺🇸Fullerton, California, United States
Glendale Memorial Hospital and Health Center
🇺🇸Glendale, California, United States
University of Southern California/Norris Cancer Center
🇺🇸Los Angeles, California, United States
Kaiser Permanente, Hayward
🇺🇸Hayward, California, United States
Saint Rose Hospital
🇺🇸Hayward, California, United States
Highland General Hospital
🇺🇸Oakland, California, United States
Desert Regional Medical Center
🇺🇸Palm Springs, California, United States
Kaiser Permanente-Richmond
🇺🇸Richmond, California, United States
Kaiser Permanente-Santa Teresa-San Jose
🇺🇸San Jose, California, United States
Kaiser Permanente-Walnut Creek
🇺🇸Walnut Creek, California, United States
Saint Mary's Hospital and Regional Medical Center
🇺🇸Grand Junction, Colorado, United States
North Suburban Medical Center
🇺🇸Thornton, Colorado, United States
Saint Mary Corwin Medical Center
🇺🇸Pueblo, Colorado, United States
Beebe Medical Center
🇺🇸Lewes, Delaware, United States
Cancer Specialists of North Florida-Orange Park
🇺🇸Orange Park, Florida, United States
Atlanta Regional CCOP
🇺🇸Atlanta, Georgia, United States
Saint Joseph's Hospital of Atlanta
🇺🇸Atlanta, Georgia, United States
Wellstar Kennestone Hospital
🇺🇸Marietta, Georgia, United States
Pali Momi Medical Center
🇺🇸'Aiea, Hawaii, United States
Saint Anthony's Health
🇺🇸Alton, Illinois, United States
Graham Hospital Association
🇺🇸Canton, Illinois, United States
Saint Joseph Medical Center
🇺🇸Tacoma, Washington, United States
Elmhurst Memorial Hospital
🇺🇸Elmhurst, Illinois, United States
Saint Francis Hospital
🇺🇸Federal Way, Washington, United States
Joliet Oncology-Hematology Associates Limited
🇺🇸Joliet, Illinois, United States
Kewanee Hospital
🇺🇸Kewanee, Illinois, United States
Loyola University Medical Center
🇺🇸Maywood, Illinois, United States
Garneau, Stewart C MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Stoffel, Thomas J MD (UIA Investigator)
🇺🇸Moline, Illinois, United States
Edward Hospital/Cancer Center
🇺🇸Naperville, Illinois, United States
Illinois CancerCare-Ottawa Clinic
🇺🇸Ottawa, Illinois, United States
Community Cancer Center Foundation
🇺🇸Normal, Illinois, United States
Ottawa Regional Hospital and Healthcare Center
🇺🇸Ottawa, Illinois, United States
Pekin Cancer Treatment Center
🇺🇸Pekin, Illinois, United States
Swedish American Hospital
🇺🇸Rockford, Illinois, United States
Hematology Oncology Associates of Illinois - Skokie
🇺🇸Skokie, Illinois, United States
Saint Francis Hospital and Health Centers
🇺🇸Beech Grove, Indiana, United States
Franciscan Saint Anthony Health-Michigan City
🇺🇸Michigan City, Indiana, United States
Saint Joseph Regional Medical Center-Mishawaka
🇺🇸Mishawaka, Indiana, United States
IU Health Ball Memorial Hospital
🇺🇸Muncie, Indiana, United States
Oncology Hematology Associates of Southwest Indiana
🇺🇸Newburgh, Indiana, United States
Memorial Hospital of South Bend
🇺🇸South Bend, Indiana, United States
Northern Indiana Cancer Research Consortium
🇺🇸South Bend, Indiana, United States
McFarland Clinic PC-William R Bliss Cancer Center
🇺🇸Ames, Iowa, United States
Cedar Rapids Oncology Association
🇺🇸Cedar Rapids, Iowa, United States
Oncology Associates at Mercy Medical Center
🇺🇸Cedar Rapids, Iowa, United States
Genesis Medical Center - East Campus
🇺🇸Davenport, Iowa, United States
Genesis Medical Center - West Campus
🇺🇸Davenport, Iowa, United States
Siouxland Regional Cancer Center
🇺🇸Sioux City, Iowa, United States
Siouxland Hematology Oncology Associates
🇺🇸Sioux City, Iowa, United States
Mercy Medical Center-Sioux City
🇺🇸Sioux City, Iowa, United States
Cedar Valley Medical Specialists
🇺🇸Waterloo, Iowa, United States
Saint Luke's Regional Medical Center
🇺🇸Sioux City, Iowa, United States
Covenant Medical Center
🇺🇸Waterloo, Iowa, United States
Lawrence Memorial Hospital
🇺🇸Lawrence, Kansas, United States
Cancer Center of Kansas - Parsons
🇺🇸Parsons, Kansas, United States
Saint Charles Medical Center-Bend
🇺🇸Bend, Oregon, United States
Associates In Womens Health
🇺🇸Wichita, Kansas, United States
Eastern Maine Medical Center
🇺🇸Bangor, Maine, United States
Saint Mary's Regional Medical Center
🇺🇸Lewiston, Maine, United States
Maine Medical Center- Scarborough Campus
🇺🇸Scarborough, Maine, United States
Franklin Square Hospital Center
🇺🇸Baltimore, Maryland, United States
Memorial Hospital at Easton - Shore Regional Cancer Center
🇺🇸Easton, Maryland, United States
Abbott-Northwestern Hospital
🇺🇸Minneapolis, Minnesota, United States
Virginia Piper Cancer Institute
🇺🇸Minneapolis, Minnesota, United States
Minneapolis Veterans Medical Center
🇺🇸Minneapolis, Minnesota, United States
Eastern Cooperative Oncology Group
🇺🇸Boston, Massachusetts, United States
Union Hospital of Cecil County
🇺🇸Elkton, Maryland, United States
Caritas Saint Elizabeth's Medical Center
🇺🇸Brighton, Massachusetts, United States
Lahey Hospital and Medical Center
🇺🇸Burlington, Massachusetts, United States
Simonds-Sinon Regional Cancer Center
🇺🇸Fitchburg, Massachusetts, United States
Berkshire Hematology Oncology PC
🇺🇸Pittsfield, Massachusetts, United States
University of Massachusetts Medical School
🇺🇸Worcester, Massachusetts, United States
Bixby Medical Center
🇺🇸Adrian, Michigan, United States
Hickman Cancer Center
🇺🇸Adrian, Michigan, United States
Bronson Battle Creek
🇺🇸Battle Creek, Michigan, United States
Spectrum Health Big Rapids Hospital
🇺🇸Big Rapids, Michigan, United States
Oakwood Hospital
🇺🇸Dearborn, Michigan, United States
Green Bay Oncology - Escanaba
🇺🇸Escanaba, Michigan, United States
Hurley Medical Center
🇺🇸Flint, Michigan, United States
Genesys Regional Medical Center-West Flint Campus
🇺🇸Flint, Michigan, United States
Grand Rapids Clinical Oncology Program
🇺🇸Grand Rapids, Michigan, United States
Mercy Health Saint Mary's
🇺🇸Grand Rapids, Michigan, United States
Spectrum Health at Butterworth Campus
🇺🇸Grand Rapids, Michigan, United States
Green Bay Oncology - Iron Mountain
🇺🇸Iron Mountain, Michigan, United States
Sparrow Hospital
🇺🇸Lansing, Michigan, United States
Saint Mary Mercy Hospital
🇺🇸Livonia, Michigan, United States
Allegiance Health
🇺🇸Jackson, Michigan, United States
Marquette General Hospital
🇺🇸Marquette, Michigan, United States
Community Cancer Center of Monroe
🇺🇸Monroe, Michigan, United States
Mercy Memorial Hospital
🇺🇸Monroe, Michigan, United States
Mercy Health Partners-Hackley Campus
🇺🇸Muskegon, Michigan, United States
Mercy Health Mercy Campus
🇺🇸Muskegon, Michigan, United States
Saint Joseph Mercy Oakland
🇺🇸Pontiac, Michigan, United States
Saint Joseph Mercy Port Huron
🇺🇸Port Huron, Michigan, United States
Saint Mary's of Michigan
🇺🇸Saginaw, Michigan, United States
Lakeland Hospital
🇺🇸Saint Joseph, Michigan, United States
William Beaumont Hospital-Royal Oak
🇺🇸Royal Oak, Michigan, United States
Munson Medical Center
🇺🇸Traverse City, Michigan, United States
Sanford Clinic North-Bemidgi
🇺🇸Bemidji, Minnesota, United States
Metro Health Hospital
🇺🇸Wyoming, Michigan, United States
Fairview Ridges Hospital
🇺🇸Burnsville, Minnesota, United States
Mercy Hospital
🇺🇸Scranton, Pennsylvania, United States
Essentia Health Duluth Clinic CCOP
🇺🇸Duluth, Minnesota, United States
Essentia Health Saint Mary's Medical Center
🇺🇸Duluth, Minnesota, United States
Miller-Dwan Hospital
🇺🇸Duluth, Minnesota, United States
Fairview-Southdale Hospital
🇺🇸Edina, Minnesota, United States
Meeker County Memorial Hospital
🇺🇸Litchfield, Minnesota, United States
Mayo Clinic Health Systems-Mankato
🇺🇸Mankato, Minnesota, United States
Hennepin County Medical Center
🇺🇸Minneapolis, Minnesota, United States
North Memorial Medical Health Center
🇺🇸Robbinsdale, Minnesota, United States
Metro-Minnesota CCOP
🇺🇸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
Ridgeview Medical Center
🇺🇸Waconia, Minnesota, United States
Rice Memorial Hospital
🇺🇸Willmar, Minnesota, United States
Minnesota Oncology and Hematology PA-Woodbury
🇺🇸Woodbury, Minnesota, United States
Southeast Missouri Hospital
🇺🇸Cape Girardeau, Missouri, United States
Woodwinds Health Campus
🇺🇸Woodbury, Minnesota, United States
Saint Francis Medical Center
🇺🇸Cape Girardeau, Missouri, United States
Freeman Health System
🇺🇸Joplin, Missouri, United States
Mercy Hospital-Joplin
🇺🇸Joplin, Missouri, United States
Saint Louis Cancer and Breast Institute-South City
🇺🇸Saint Louis, Missouri, United States
Saint Louis University Hospital
🇺🇸Saint Louis, Missouri, United States
Missouri Baptist Medical Center
🇺🇸Saint Louis, Missouri, United States
Center for Cancer Care and Research
🇺🇸Saint Louis, Missouri, United States
Saint John's Mercy Medical Center
🇺🇸Saint Louis, Missouri, United States
Saint Louis-Cape Girardeau CCOP
🇺🇸Saint Louis, Missouri, United States
Mercy Hospital Springfield
🇺🇸Springfield, Missouri, United States
CoxHealth South Hospital
🇺🇸Springfield, Missouri, United States
Montana Cancer Consortium CCOP
🇺🇸Billings, Montana, United States
Northern Rockies Radiation Oncology Center
🇺🇸Billings, Montana, United States
Saint Vincent Healthcare
🇺🇸Billings, Montana, United States
Hematology-Oncology Centers of the Northern Rockies PC
🇺🇸Billings, Montana, United States
Billings Clinic
🇺🇸Billings, Montana, United States
Deaconess Medical Center
🇺🇸Billings, Montana, United States
Bozeman Deaconess Cancer Center
🇺🇸Bozeman, Montana, United States
Bozeman Deaconess Hospital
🇺🇸Bozeman, Montana, United States
Benefis Healthcare- Sletten Cancer Institute
🇺🇸Great Falls, Montana, United States
Saint James Community Hospital and Cancer Treatment Center
🇺🇸Butte, Montana, United States
Berdeaux, Donald MD (UIA Investigator)
🇺🇸Great Falls, Montana, United States
Great Falls Clinic
🇺🇸Great Falls, Montana, United States
Northern Montana Hospital
🇺🇸Havre, Montana, United States
Saint Peter's Community Hospital
🇺🇸Helena, Montana, United States
Kalispell Medical Oncology
🇺🇸Kalispell, Montana, United States
Kalispell Regional Medical Center
🇺🇸Kalispell, Montana, United States
Community Medical Hospital
🇺🇸Missoula, Montana, United States
Saint Patrick Hospital - Community Hospital
🇺🇸Missoula, Montana, United States
Guardian Oncology and Center for Wellness
🇺🇸Missoula, Montana, United States
Nebraska Cancer Research Center
🇺🇸Lincoln, Nebraska, United States
Exeter Hospital
🇺🇸Exeter, New Hampshire, United States
Nevada Cancer Research Foundation CCOP
🇺🇸Las Vegas, Nevada, United States
Cheshire Medical Center-Dartmouth-Hitchcock Keene
🇺🇸Keene, New Hampshire, United States
Elliot Hospital
🇺🇸Manchester, New Hampshire, United States
Ocean Medical Center
🇺🇸Brick, New Jersey, United States
Cooper Hospital University Medical Center
🇺🇸Camden, New Jersey, United States
Monmouth Medical Center
🇺🇸Long Branch, New Jersey, United States
Cancer Institute of New Jersey At Hamilton
🇺🇸Hamilton, New Jersey, United States
New Mexico Cancer Care Associates
🇺🇸Santa Fe, New Mexico, United States
Weill Medical College of Cornell University
🇺🇸New York, New York, United States
Toledo Clinic Cancer Centers-Bowling Green
🇺🇸Bowling Green, Ohio, United States
Doctors Hospital
🇺🇸Columbus, Ohio, United States
Grandview Hospital
🇺🇸Dayton, Ohio, United States
Dayton CCOP
🇺🇸Dayton, Ohio, United States
Samaritan North Health Center
🇺🇸Dayton, Ohio, United States
Veteran Affairs Medical Center
🇺🇸Dayton, Ohio, United States
Grady Memorial Hospital
🇺🇸Delaware, Ohio, United States
Hematology Oncology Center Incorporated
🇺🇸Elyria, Ohio, United States
Blanchard Valley Hospital
🇺🇸Findlay, Ohio, United States
Atrium Medical Center-Middletown Regional Hospital
🇺🇸Franklin, Ohio, United States
Fremont Memorial Hospital
🇺🇸Fremont, Ohio, United States
Wayne Hospital
🇺🇸Greenville, Ohio, United States
Cole, Sharon, K. M.D. (UIA Investigator)
🇺🇸Kenton, Ohio, United States
Kettering Medical Center
🇺🇸Kettering, Ohio, United States
Saint Luke's Hospital
🇺🇸Maumee, Ohio, United States
Lima Memorial Hospital
🇺🇸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
Licking Memorial Hospital
🇺🇸Newark, Ohio, United States
Saint Charles Hospital
🇺🇸Oregon, Ohio, United States
Toledo Clinic Cancer Centers-Oregon
🇺🇸Oregon, Ohio, United States
Firelands Regional Medical Center
🇺🇸Sandusky, Ohio, United States
North Coast Cancer Care
🇺🇸Sandusky, Ohio, United States
Flower Hospital
🇺🇸Sylvania, Ohio, United States
Mercy Hospital of Tiffin
🇺🇸Tiffin, Ohio, United States
The Toledo Hospital/Toledo Children's Hospital
🇺🇸Toledo, Ohio, United States
Saint Vincent Mercy Medical Center
🇺🇸Toledo, Ohio, United States
Mercy Saint Anne Hospital
🇺🇸Toledo, Ohio, United States
University of Toledo
🇺🇸Toledo, Ohio, United States
Toledo Community Hospital Oncology Program CCOP
🇺🇸Toledo, Ohio, United States
Stark, Michael, Edward. M.D. (UIA Investigator)
🇺🇸Toledo, Ohio, United States
Toledo Clinic Cancer Centers-Toledo
🇺🇸Toledo, Ohio, United States
Upper Valley Medical Center
🇺🇸Troy, Ohio, United States
Fulton County Health Center
🇺🇸Wauseon, Ohio, United States
Cleveland Clinic Wooster Specialty Center
🇺🇸Wooster, Ohio, United States
Saint Ann's Hospital
🇺🇸Westerville, Ohio, United States
Clinton Memorial Hospital
🇺🇸Wilmington, Ohio, United States
Greene Memorial Hospital
🇺🇸Xenia, Ohio, United States
Natalie Warren Bryant Cancer Center at Saint Francis
🇺🇸Tulsa, Oklahoma, United States
Genesis HealthCare System
🇺🇸Zanesville, Ohio, United States
Providence Milwaukie Hospital
🇺🇸Milwaukie, Oregon, United States
Abington Memorial Hospital
🇺🇸Abington, Pennsylvania, United States
Lehigh Valley Hospital
🇺🇸Allentown, Pennsylvania, United States
Saint Luke's University Hospital-Bethlehem Campus
🇺🇸Bethlehem, Pennsylvania, United States
Geisinger Medical Center
🇺🇸Danville, Pennsylvania, United States
Paoli Memorial Hospital
🇺🇸Paoli, Pennsylvania, United States
Riddle Hospital
🇺🇸Media, Pennsylvania, United States
Pennsylvania Hospital
🇺🇸Philadelphia, Pennsylvania, United States
Thomas Jefferson University Hospital
🇺🇸Philadelphia, Pennsylvania, United States
Albert Einstein Medical Center
🇺🇸Philadelphia, Pennsylvania, United States
University of Pittsburgh
🇺🇸Pittsburgh, Pennsylvania, United States
Allegheny Cancer Center at Allegheny General Hospital
🇺🇸Pittsburgh, Pennsylvania, United States
Pottstown Memorial Medical Center
🇺🇸Pottstown, Pennsylvania, United States
Hematology and Oncology Associates of North East Pennsylvania
🇺🇸Scranton, Pennsylvania, United States
Scranton Hematology Oncology
🇺🇸Scranton, Pennsylvania, United States
Geisinger Medical Group
🇺🇸State College, Pennsylvania, United States
Reading Hospital
🇺🇸West Reading, Pennsylvania, United States
Mainline Health CCOP
🇺🇸Wynnewood, Pennsylvania, United States
WellSpan Health-York Hospital
🇺🇸York, Pennsylvania, United States
Hematology and Oncology Associates of Rhode Island Inc
🇺🇸Cranston, Rhode Island, United States
Kent County Hospital
🇺🇸Warwick, Rhode Island, United States
AnMed Health Hospital
🇺🇸Anderson, South Carolina, United States
McLeod Regional Medical Center
🇺🇸Florence, South Carolina, United States
Greenville Health System Cancer Institute/Greenville CCOP
🇺🇸Greenville, South Carolina, United States
Spartanburg Regional Medical Center
🇺🇸Spartanburg, South Carolina, United States
Sanford USD Medical Center - Sioux Falls
🇺🇸Sioux Falls, South Dakota, United States
Wellmont Holston Valley Hospital and Medical Center
🇺🇸Kingsport, Tennessee, United States
Thompson Cancer Survival Center
🇺🇸Knoxville, Tennessee, United States
University of Tennessee - Memphis
🇺🇸Memphis, Tennessee, United States
Parkland Memorial Hospital
🇺🇸Dallas, Texas, United States
Zale Lipshy University Hospital
🇺🇸Dallas, Texas, United States
University of Texas Southwestern Medical Center
🇺🇸Dallas, Texas, United States
Texas Tech University Health Sciences Center
🇺🇸Lubbock, Texas, United States
Scott and White Memorial Hospital
🇺🇸Temple, Texas, United States
American Fork Hospital
🇺🇸American Fork, Utah, United States
Cottonwood Hospital Medical Center
🇺🇸Murray, Utah, United States
Sandra L Maxwell Cancer Center
🇺🇸Cedar City, Utah, United States
Logan Regional Hospital
🇺🇸Logan, Utah, United States
Intermountain Medical Center
🇺🇸Murray, Utah, United States
Utah Valley Regional Medical Center
🇺🇸Provo, Utah, United States
McKay-Dee Hospital Center
🇺🇸Ogden, Utah, United States
LDS Hospital
🇺🇸Salt Lake City, Utah, United States
University of Vermont
🇺🇸Burlington, Vermont, United States
Martha Jefferson Hospital
🇺🇸Charlottesville, Virginia, United States
University of Virginia
🇺🇸Charlottesville, Virginia, United States
Fredericksburg Oncology Inc
🇺🇸Fredericksburg, Virginia, United States
Virginia Oncology Associates-Hampton
🇺🇸Hampton, Virginia, United States
Southwest VA Regional Cancer Center
🇺🇸Norton, Virginia, United States
Rockingham Memorial Hospital Hahn Cancer Center
🇺🇸Harrisonburg, Virginia, United States
Lynchburg Hematology-Oncology Clinic
🇺🇸Lynchburg, Virginia, United States
Auburn Regional Medical Center
🇺🇸Auburn, Washington, United States
Harrison HealthPartners Hematology and Oncology-Bremerton
🇺🇸Bremerton, Washington, United States
Providence Centralia Hospital
🇺🇸Centralia, Washington, United States
Providence - Saint Peter Hospital
🇺🇸Olympia, Washington, United States
Good Samaritan Community Hospital
🇺🇸Puyallup, Washington, United States
Minor and James Medical PLLC
🇺🇸Seattle, Washington, United States
Group Health Cooperative-Seattle
🇺🇸Seattle, Washington, United States
Allenmore Hospital
🇺🇸Tacoma, Washington, United States
Madigan Army Medical Center
🇺🇸Tacoma, Washington, United States
Compass Oncology Vancouver
🇺🇸Vancouver, Washington, United States
Aurora Cancer Care-Southern Lakes
🇺🇸Elkhorn, Wisconsin, United States
Marshfield Clinic Cancer Center at Sacred Heart
🇺🇸Eau Claire, Wisconsin, United States
Sacred Heart Hospital
🇺🇸Eau Claire, Wisconsin, United States
Agnesian Cancer Center
🇺🇸Fond Du Lac, Wisconsin, United States
Aurora Cancer Care-Glendale
🇺🇸Glendale, Wisconsin, United States
Green Bay Oncology at Saint Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
Green Bay Oncology Limited at Saint Mary's Hospital
🇺🇸Green Bay, Wisconsin, United States
Saint Vincent Hospital
🇺🇸Green Bay, Wisconsin, United States
Mercy Health System
🇺🇸Janesville, Wisconsin, United States
Bay Area Medical Center
🇺🇸Marinette, Wisconsin, United States
Marshfield Clinic
🇺🇸Marshfield, Wisconsin, United States
Saint Joseph's Hospital
🇺🇸Marshfield, Wisconsin, United States
Marshfield Clinic-Minocqua Center
🇺🇸Minocqua, Wisconsin, United States
Green Bay Oncology - Oconto Falls
🇺🇸Oconto Falls, Wisconsin, United States
Marshfield Clinic at James Beck Cancer Center
🇺🇸Rhinelander, Wisconsin, United States
Vince Lombardi Cancer Clinic-Sheboygan
🇺🇸Sheboygan, Wisconsin, United States
Marshfield Clinic-Rice Lake Center
🇺🇸Rice Lake, Wisconsin, United States
Saint Michael's Hospital
🇨🇦Toronto, Ontario, Canada
Green Bay Oncology - Sturgeon Bay
🇺🇸Sturgeon Bay, Wisconsin, United States
Marshfield Clinic-Wausau Center
🇺🇸Wausau, Wisconsin, United States
Marshfield Clinic - Weston Center
🇺🇸Weston, Wisconsin, United States
Marshfield Clinic - Wisconsin Rapids Center
🇺🇸Wisconsin Rapids, Wisconsin, United States
Atlantic Health Sciences Corporation-Saint John Regional Hospital
🇨🇦Saint John, New Brunswick, Canada
Cross Cancer Institute
🇨🇦Edmonton, Alberta, Canada
London Regional Cancer Program
🇨🇦London, Ontario, Canada
Grand River Regional Cancer Centre at Grand River Hospital
🇨🇦Kitchener, Ontario, Canada
Credit Valley Hospital
🇨🇦Mississauga, Ontario, Canada
Lakeridge Health Oshawa
🇨🇦Oshawa, Ontario, Canada
Ottawa Health Research Institute-General Division
🇨🇦Ottawa, Ontario, Canada
University Health Network-Princess Margaret Hospital
🇨🇦Toronto, Ontario, Canada
CSSS Champlain-Charles Le Moyne
🇨🇦Greenfield Park, Quebec, Canada
CHUQ - Pavilion Hotel-Dieu de Quebec
🇨🇦Quebec City, Quebec, Canada
Allan Blair Cancer Centre
🇨🇦Regina, Saskatchewan, Canada
Saskatoon Cancer Centre
🇨🇦Saskatoon, Saskatchewan, Canada
Instituto Nacional de Enfermedades Neoplasicas
🇵🇪Lima, Peru
I Gonzales Martinez-Oncologic Hospital
🇵🇷San Juan, Puerto Rico
San Juan City Hospital
🇵🇷San Juan, Puerto Rico
Kaiser Permanente-San Francisco
🇺🇸San Francisco, California, United States
California Pacific Medical Center
🇺🇸San Francisco, California, United States
Nashville Oncology Associates PC
🇺🇸Nashville, Tennessee, United States
Tennessee Oncology PLLC- Centennial Medical Center
🇺🇸Nashville, Tennessee, United States
Meharry Medical College
🇺🇸Nashville, Tennessee, United States
Vanderbilt-Ingram Cancer Center
🇺🇸Nashville, Tennessee, United States
Intermountain Health Care
🇺🇸Salt Lake City, Utah, United States
Huntsman Cancer Institute/University of Utah
🇺🇸Salt Lake City, Utah, United States
Cancer Center of Kansas - Main Office
🇺🇸Wichita, Kansas, United States
Stormont-Vail Regional Health Center
🇺🇸Topeka, Kansas, United States
Cancer Center of Kansas - Dodge City
🇺🇸Dodge City, Kansas, United States
Cancer Center of Kansas - Newton
🇺🇸Newton, Kansas, United States
Via Christi Regional Medical Center
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas - Chanute
🇺🇸Chanute, Kansas, United States
Olathe Cancer Center
🇺🇸Olathe, Kansas, United States
Hospital District Sixth of Harper County
🇺🇸Anthony, Kansas, United States
Maui Memorial Medical Center
🇺🇸Wailuku, Hawaii, United States
Saint Alexius Medical Center
🇺🇸Bismarck, North Dakota, United States
Cancer Center of Kansas-Independence
🇺🇸Independence, Kansas, United States
Cancer Center of Kansas-Wichita Medical Arts Tower
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas - Wellington
🇺🇸Wellington, Kansas, United States
Cancer Center of Kansas - Winfield
🇺🇸Winfield, Kansas, United States
Bismarck Cancer Center
🇺🇸Bismarck, North Dakota, United States
Cancer Center of Kansas-Kingman
🇺🇸Kingman, Kansas, United States
Mid Dakota Clinic
🇺🇸Bismarck, North Dakota, United States
Sanford Medical Center-Fargo
🇺🇸Fargo, North Dakota, United States
Cancer Center of Kansas - Fort Scott
🇺🇸Fort Scott, Kansas, United States
Welch Cancer Center
🇺🇸Sheridan, Wyoming, United States
Washington Hospital Center
🇺🇸Washington, District of Columbia, United States
Saint Luke's Mountain States Tumor Institute
🇺🇸Boise, Idaho, United States
Eastern Connecticut Hematology and Oncology Associates
🇺🇸Norwich, Connecticut, United States
Christiana Care Health System-Christiana Hospital
🇺🇸Newark, Delaware, United States
Swedish Medical Center
🇺🇸Englewood, Colorado, United States
Lombardi Comprehensive Cancer Center at Georgetown University
🇺🇸Washington, District of Columbia, United States
Valley Hospital
🇺🇸Ridgewood, New Jersey, United States
Mayo Clinic in Arizona
🇺🇸Scottsdale, Arizona, United States
Providence Alaska Medical Center
🇺🇸Anchorage, Alaska, United States
Portneuf Medical Center
🇺🇸Pocatello, Idaho, United States
Rutgers Cancer Institute of New Jersey
🇺🇸New Brunswick, New Jersey, United States
Mountainside Hospital
🇺🇸Montclair, New Jersey, United States
Saint Alphonsus Regional Medical Center
🇺🇸Boise, Idaho, United States
Overlook Hospital
🇺🇸Summit, New Jersey, United States
Montana Cancer Specialists
🇺🇸Missoula, Montana, United States
Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County
🇺🇸Mount Holly, New Jersey, United States
Virtua West Jersey Hospital Voorhees
🇺🇸Voorhees, New Jersey, United States
Washington University School of Medicine
🇺🇸Saint Louis, Missouri, United States
Sparta Cancer Treatment Center
🇺🇸Sparta, New Jersey, United States
University of Cincinnati
🇺🇸Cincinnati, Ohio, United States
Glacier Oncology PLLC
🇺🇸Kalispell, Montana, United States
Newark Beth Israel Medical Center
🇺🇸Newark, New Jersey, United States
Morristown Memorial Hospital
🇺🇸Morristown, New Jersey, United States
Upstate Carolina CCOP
🇺🇸Spartanburg, South Carolina, United States
MetroHealth Medical Center
🇺🇸Cleveland, Ohio, United States
Medical X-Ray Center
🇺🇸Sioux Falls, South Dakota, United States
Sanford Cancer Center-Oncology Clinic
🇺🇸Sioux Falls, South Dakota, United States
Camden-Clark Memorial Hospital
🇺🇸Parkersburg, West Virginia, United States
Kaiser Permanente
🇺🇸Portland, Oregon, United States
Exempla Saint Joseph Hospital
🇺🇸Denver, Colorado, United States
Presbyterian - Saint Lukes Medical Center - Health One
🇺🇸Denver, Colorado, United States
Colorado Cancer Research Program CCOP
🇺🇸Denver, Colorado, United States
Wayne State University/Karmanos Cancer Institute
🇺🇸Detroit, Michigan, United States
Saint John Hospital and Medical Center
🇺🇸Detroit, Michigan, United States
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States
Cancer Care Associates
🇺🇸Oklahoma City, Oklahoma, United States
Providence Portland Medical Center
🇺🇸Portland, Oregon, United States
Western Oncology Research Consortium
🇺🇸Portland, Oregon, United States
Adventist Medical Center
🇺🇸Portland, Oregon, United States
Providence Saint Vincent Medical Center
🇺🇸Portland, Oregon, United States
Nebraska Methodist Hospital
🇺🇸Omaha, Nebraska, United States
Alegent Health Bergan Mercy Medical Center
🇺🇸Omaha, Nebraska, United States
Creighton University Medical Center
🇺🇸Omaha, Nebraska, United States
University of Nebraska Medical Center
🇺🇸Omaha, Nebraska, United States
Mayo Clinic
🇺🇸Rochester, Minnesota, United States
Missouri Valley Cancer Consortium CCOP
🇺🇸Omaha, Nebraska, United States
Alegent Health Immanuel Medical Center
🇺🇸Omaha, Nebraska, United States
Medical Consultants Limited
🇺🇸Milwaukee, Wisconsin, United States
Utah Cancer Specialists-Salt Lake City
🇺🇸Salt Lake City, Utah, United States
The Medical Center of Aurora
🇺🇸Aurora, Colorado, United States
Oncare Hawaii Inc-POB II
🇺🇸Honolulu, Hawaii, United States
Queen's Medical Center
🇺🇸Honolulu, Hawaii, United States
Straub Clinic and Hospital
🇺🇸Honolulu, Hawaii, United States
Oncare Hawaii Inc-Kuakini
🇺🇸Honolulu, Hawaii, United States
Highland Hospital
🇺🇸Rochester, New York, United States
Interlakes Foundation Inc-Rochester
🇺🇸Rochester, New York, United States
Mercy Capitol
🇺🇸Des Moines, Iowa, United States
Iowa Methodist Medical Center
🇺🇸Des Moines, Iowa, United States
Mercy Medical Center - Des Moines
🇺🇸Des Moines, Iowa, United States
Iowa Lutheran Hospital
🇺🇸Des Moines, Iowa, United States
Boulder Community Hospital
🇺🇸Boulder, Colorado, United States
Penrose-Saint Francis Healthcare
🇺🇸Colorado Springs, Colorado, United States
Rose Medical Center
🇺🇸Denver, Colorado, United States
University of California at Davis Cancer Center
🇺🇸Sacramento, California, United States
Kaiser Permanente-South Sacramento
🇺🇸Sacramento, California, United States
Kaiser Permanente - Sacramento
🇺🇸Sacramento, California, United States
Saint Joseph Mercy Hospital
🇺🇸Ann Arbor, Michigan, United States
Michigan Cancer Research Consortium Community Clinical Oncology Program
🇺🇸Ann Arbor, Michigan, United States
Illinois Valley Hospital
🇺🇸Peru, Illinois, United States
Midwest Cancer Research Group Incorporated
🇺🇸Skokie, Illinois, United States
Memorial Medical Center
🇺🇸Springfield, Illinois, United States
Edward H Kaplan MD and Associates
🇺🇸Skokie, Illinois, United States
Carle Cancer Center
🇺🇸Urbana, Illinois, United States
Reid Hospital and Health Care Services
🇺🇸Richmond, Indiana, United States
IU Health La Porte Hospital
🇺🇸La Porte, Indiana, United States
Elkhart General Hospital
🇺🇸Elkhart, Indiana, United States
Fort Wayne Medical Oncology and Hematology Inc-Parkview
🇺🇸Fort Wayne, Indiana, United States
Saint John Macomb-Oakland Hospital
🇺🇸Warren, Michigan, United States
Proctor Hospital
🇺🇸Peoria, Illinois, United States
Alta Bates Summit Medical Center - Summit Campus
🇺🇸Oakland, California, United States
Armstrong Center for Medicine and Health
🇺🇸Kittanning, Pennsylvania, United States
The James Graham Brown Cancer Center at University of Louisville
🇺🇸Louisville, Kentucky, United States
Roper Hospital
🇺🇸Charleston, South Carolina, United States
University of Hawaii
🇺🇸Honolulu, Hawaii, United States
Kapiolani Medical Center for Women and Children
🇺🇸Honolulu, Hawaii, United States
The Cancer Center of Hawaii-Liliha
🇺🇸Honolulu, Hawaii, United States
Tripler Army Medical Center
🇺🇸Honolulu, Hawaii, United States
Iowa Oncology Research Association CCOP
🇺🇸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
Albert Einstein College of Medicine
🇺🇸Bronx, New York, United States
Wichita CCOP
🇺🇸Wichita, Kansas, United States
University of New Mexico Cancer Center
🇺🇸Albuquerque, New Mexico, United States
University of Rochester
🇺🇸Rochester, New York, United States
Miami Valley Hospital
🇺🇸Dayton, Ohio, United States
Bay Area Tumor Institute CCOP
🇺🇸Oakland, California, United States
Tom K Lee Inc
🇺🇸Oakland, California, United States
Kaiser Permanente-Oakland
🇺🇸Oakland, California, United States
Minnesota Oncology Hematology PA-Maplewood
🇺🇸Maplewood, Minnesota, United States
Cancer Center of Kansas - El Dorado
🇺🇸El Dorado, Kansas, United States
McKee Medical Center
🇺🇸Loveland, Colorado, United States
Sky Ridge Medical Center
🇺🇸Lone Tree, Colorado, United States
Cone Health Alamance Regional Medical Center
🇺🇸Burlington, North Carolina, United States
Southern Regional Medical Center
🇺🇸Riverdale, Georgia, United States
Montefiore Medical Center
🇺🇸Bronx, New York, United States
University of Kansas Medical Center
🇺🇸Kansas City, Kansas, United States