Selumetinib and Akt Inhibitor MK2206 or mFOLFOX Therapy Comprising Oxaliplatin and Fluorouracil in Treating Patients With Metastatic Pancreatic Cancer Previously Treated With Chemotherapy

Phase 2

Completed

Conditions: Pancreatic Acinar Cell Carcinoma
Pancreatic Ductal Adenocarcinoma
Recurrent Pancreatic Carcinoma
Stage IV Pancreatic Cancer

Interventions: Drug: Akt Inhibitor MK2206
Drug: Fluorouracil
Drug: Oxaliplatin
Drug: Selumetinib

Registration Number: NCT01658943

Lead Sponsor: National Cancer Institute (NCI)

Brief Summary: This randomized phase II trial studies how well selumetinib and Akt inhibitor MK2206 work compared to modified fluorouracil, leucovorin calcium, and oxaliplatin (mFOLFOX) therapy in treating patients with metastatic pancreatic cancer previously treated with chemotherapy. Selumetinib and Akt inhibitor MK2206 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as oxaliplatin, and fluorouracil, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet know whether selumetinib and Akt inhibitor MK2206 are more effective than oxaliplatin and fluorouracil in treating patients with metastatic pancreatic cancer.

Detailed Description: PRIMARY OBJECTIVES:

I. To assess overall survival in patients with metastatic pancreatic cancer treated with the combination of AZD6244 hydrogen sulfate (selumetinib) and MK-2206 (Akt inhibitor MK2206) compared to those treated with mFOLFOX.

SECONDARY OBJECTIVES:

I. To assess the frequency and severity of toxicity associated with the combination of AZD6244 hydrogen sulfate and MK-2206 compared to those with mFOLFOX in this patient population.

TERTIARY OBJECTIVES:

I. To assess progression free survival (PFS) in patients with metastatic pancreatic cancer treated with the combination of AZD6244 hydrogen sulfate and MK-2206 compared to those treated with mFOLFOX.

II. To assess objective tumor response in the subset of patients with measurable disease (confirmed and unconfirmed complete and partial response) in patients with metastatic pancreatic cancer treated with the combination of AZD6244 hydrogen sulfate and MK-2206 compared to those treated with mFOLFOX.

III. To bank tissue and blood for future translational medicine studies.

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

ARM I: Patients receive oxaliplatin intravenously (IV) over 2 hours on days 1 and 15 and fluorouracil IV over 46-48 hours on days 1-2 and 15-16 (mFOLFOX).

ARM II: Patients receive Akt inhibitor MK2206 orally (PO) on days 1, 8, 15, and 22, and selumetinib PO daily on days 1-28.

In all arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 6 months for up to 3 years.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 137

Inclusion Criteria

Patients must have histologically or cytologically confirmed diagnosis of pancreatic adenocarcinoma; patients with endocrine or neuroendocrine tumors, lymphoma of the pancreas, or ampullary cancer are not eligible
Patients must have distant metastatic disease; patients with macroscopic residual disease post-resection as the only site of disease are not eligible; patient must not have clinically significant ascites (defined as requiring paracentesis) or have brain metastases
Patients must have received one line, and no more than one line, of prior gemcitabine-based chemotherapy for advanced/metastatic pancreatic cancer and must have documentation of metastatic disease progression while on this treatment; documented disease progression must occur within 42 days of the last treatment; OR
- For patients who received one line of gemcitabine-based chemotherapy for treatment in the adjuvant setting, recurrence to a metastatic site must be documented by imaging studies within 6 months of completing chemotherapy; chemoradiation as part of adjuvant treatment is acceptable; if the patient received one line of adjuvant gemcitabine-based treatment and had disease recurrence after 6 months of completing chemotherapy, patients will only be eligible after failing one additional line of gemcitabine-based chemotherapy used to treat the metastatic disease
Patients must have measurable and/or non-measurable disease; x-rays, scans. or physical examinations for assessment of measurable disease must have been completed within 28 days prior to registration; x-rays, scans, or other tests for assessment of non-measurable disease must have been completed within 42 days prior to registration; all disease must be assessed and documented on the Baseline Tumor Assessment Form
Patients must have completed systemic therapy at least 14 days prior to registration, any surgical procedure must have been performed at least 14 days prior to registration, and radiation therapy must be completed at least 7 days prior to registration; patients must have recovered to =< grade 1 from any of the effects of prior therapies or procedures
Patients must not plan to receive concurrent chemotherapy, radiotherapy, agents known to prolong corrected QT (QTc) interval, or agents known to be strong inducers or inhibitors of cytochrome P450 3A4/5 (CYP3A4/5) or cytochrome P450 1A2 (CYP1A2)
Patient must not have received prior treatment with fluorouracil, irinotecan, leucovorin calcium, and oxaliplatin (FOLFIRINOX), FOLFOX, oxaliplatin-based chemotherapy, mitogen-activated protein kinase (MEK) inhibitors, phosphoinositide-3-kinase (PI3K) inhibitors, or protein kinase B (AKT) inhibitors
Zubrod performance status of 0-1
Leukocytes >= 3,000/mcL
Absolute neutrophil count (ANC) >= 1,500/mcL
Platelets >= 100,000/mcL
Hemoglobin >= 9.0 g/dL
Patients must have adequate kidney function as evidenced by at least ONE of the following:
- Serum creatinine =< 1.5 mg/dL within 14 days prior to registration
- Calculated creatinine clearance >= 60 mL/min; the serum creatinine value used in the calculation must have been obtained within 14 days prior to registration
Total bilirubin =< 1.5 times institutional upper limit of normal(IULN)
Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) both =< 2.5 times IULN
Patients must have an albumin level >= 3.0 g/dL within 14 days prior to registration
Patients must have an International Normalized Ratio (INR) =< 1.5 times IULN within 14 days prior to registration
Patients must have an electrocardiogram (ECG) within 14 days prior to registration; patients must have QTcF (by Fridericia's calculation) =< 450 msec (male) or =< 470 msec (female)
Patients with baseline neuropathy must be =< grade 1 according to Common Terminology Criteria for Adverse Events (CTCAE) v 4.0
Patients must not have uncontrolled diarrhea or active infection requiring antibiotics and be fully recovered from any previous serious infections within 7 days prior to registration
Patients must be able to swallow tablets and capsules
Patients with diabetes must be well controlled with fasting glucose =< grade 1 according to CTCAE v 4.0 within 14 days prior to registration
Patients with history of congestive heart failure must have an ejection fraction >= 55% within 14 days prior to registration
Patients must not have any of the following: uncontrolled hypertension, acute coronary syndrome within 6 months prior to registration, poorly controlled angina, New York Heart Association class II-IV heart failure, prior or current cardiomyopathy, atrial fibrillation, or severe valvular heart disease
Patients must not have a current or past history of central serous retinopathy, retinal vein occlusion, retinal detachment, or have uncontrolled glaucoma (irrespective of intraocular pressure [IOP])
No prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease-free for five years
Patients must not be pregnant or nursing; women/men of reproductive potential must have agreed to use an effective contraceptive method during the study plus at least 16 weeks after last dose; a woman is considered to be of "reproductive potential" if she has had menses at any time in the preceding 12 consecutive months; in addition to routine contraceptive methods, "effective contraception" also includes heterosexual celibacy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) defined as a hysterectomy, bilateral oophorectomy or bilateral tubal ligation; however, if at any point a previously celibate patient chooses to become heterosexually active during the time period for use of contraceptive measures outlined in the protocol, he/she is responsible for beginning contraceptive measures
Prestudy history and physical must be obtained within 28 days prior to registration
Sites must seek additional patient consent for the future use of specimens
All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
As part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered into the system

Exclusion Criteria

Not provided

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Arm II (Akt inhibitor MK2206 and selumetinib)	Akt Inhibitor MK2206	Patients receive Akt inhibitor MK2206 PO on days 1, 8, 15, and 22, and selumetinib PO daily on days 1-28.
Arm I (mFOLFOX regimen)	Oxaliplatin	Patients receive oxaliplatin IV over 2 hours on days 1 and 15 and fluorouracil IV over 46-48 hours on days 1-2 and 15-16.
Arm I (mFOLFOX regimen)	Fluorouracil	Patients receive oxaliplatin IV over 2 hours on days 1 and 15 and fluorouracil IV over 46-48 hours on days 1-2 and 15-16.
Arm II (Akt inhibitor MK2206 and selumetinib)	Selumetinib	Patients receive Akt inhibitor MK2206 PO on days 1, 8, 15, and 22, and selumetinib PO daily on days 1-28.

Primary Outcome Measures

Name	Time	Method
Overall Survival	Up to 3 years	From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.

Secondary Outcome Measures

Name	Time	Method
Number of Patients With Grade 3 Through Grade 5 Adverse Events That Are Related to Study Drug	Up to 3 years	Only adverse events that are possibly, probably or definitely related to study drug are reported.

Trial Locations

Locations (533): USC / Norris Comprehensive Cancer Center
🇺🇸
Los Angeles, California, United States
Kaiser Permanente-Riverside
🇺🇸
Riverside, California, United States
Providence Hospital-Southfield Cancer Center
🇺🇸
Southfield, Michigan, United States
Kaiser Permanente Los Angeles Medical Center
🇺🇸
Los Angeles, California, United States
Saint Cloud Hospital
🇺🇸
Saint Cloud, Minnesota, United States
Kinston Medical Specialists PA
🇺🇸
Kinston, North Carolina, United States
Kaiser Permanente-Vallejo
🇺🇸
Vallejo, California, United States
Good Samaritan Regional Health Center
🇺🇸
Mount Vernon, Illinois, United States
Staten Island University Hospital
🇺🇸
Staten Island, New York, United States
Geisinger Medical Group
🇺🇸
State College, Pennsylvania, United States
Toledo Clinic Cancer Centers-Maumee
🇺🇸
Maumee, Ohio, United States
Marshfield Clinic-Wausau Center
🇺🇸
Wausau, Wisconsin, United States
Ohio State University Comprehensive Cancer Center
🇺🇸
Columbus, Ohio, United States
Columbus Oncology and Hematology Associates Inc
🇺🇸
Columbus, Ohio, United States
Columbus CCOP
🇺🇸
Columbus, Ohio, United States
Grant Medical Center
🇺🇸
Columbus, Ohio, United States
The Mark H Zangmeister Center
🇺🇸
Columbus, Ohio, United States
Mount Carmel Health Center West
🇺🇸
Columbus, Ohio, United States
Doctors Hospital
🇺🇸
Columbus, Ohio, United States
Rush University Medical Center
🇺🇸
Chicago, Illinois, United States
MetroHealth Medical Center
🇺🇸
Cleveland, Ohio, United States
Cleveland Clinic Cancer Center/Fairview Hospital
🇺🇸
Cleveland, Ohio, United States
Cleveland Clinic Foundation
🇺🇸
Cleveland, Ohio, United States
Swedish Medical Center-Ballard Campus
🇺🇸
Seattle, Washington, United States
Group Health Cooperative-Seattle
🇺🇸
Seattle, Washington, United States
University of Washington Medical Center
🇺🇸
Seattle, Washington, United States
Nevada Cancer Research Foundation CCOP
🇺🇸
Las Vegas, Nevada, United States
Oncology Hematology Care Inc-Eden Park
🇺🇸
Cincinnati, Ohio, United States
Oncology Hematology Care Inc-Mercy West
🇺🇸
Cincinnati, Ohio, United States
Bethesda North Hospital
🇺🇸
Cincinnati, Ohio, United States
Oncology Hematology Care Inc-Blue Ash
🇺🇸
Cincinnati, Ohio, United States
Abbott-Northwestern Hospital
🇺🇸
Minneapolis, Minnesota, United States
Hennepin County Medical Center
🇺🇸
Minneapolis, Minnesota, United States
Huntsman Cancer Institute/University of Utah
🇺🇸
Salt Lake City, Utah, United States
Wayne State University/Karmanos Cancer Institute
🇺🇸
Detroit, Michigan, United States
Rocky Mountain Cancer Centers-Longmont
🇺🇸
Longmont, Colorado, United States
Rocky Mountain Cancer Centers-Penrose
🇺🇸
Colorado Springs, Colorado, United States
Comprehensive Cancer Care and Research Institute of Colorado LLC
🇺🇸
Englewood, Colorado, United States
Kaiser Permanente-Lone Tree
🇺🇸
Lone Tree, Colorado, United States
Rocky Mountain Cancer Centers-Lakewood
🇺🇸
Lakewood, Colorado, United States
Saint Mary Corwin Medical Center
🇺🇸
Pueblo, Colorado, United States
Mid Dakota Clinic
🇺🇸
Bismarck, North Dakota, United States
Roger Maris Cancer Center
🇺🇸
Fargo, North Dakota, United States
Rocky Mountain Cancer Centers-Greenwood Village
🇺🇸
Greenwood Village, Colorado, United States
Longmont United Hospital
🇺🇸
Longmont, Colorado, United States
Mountain Blue Cancer Care Center
🇺🇸
Golden, Colorado, United States
Sky Ridge Medical Center
🇺🇸
Lone Tree, Colorado, United States
Sanford Clinic North-Fargo
🇺🇸
Fargo, North Dakota, United States
McKee Medical Center
🇺🇸
Loveland, Colorado, United States
Kaiser Permanente-Rock Creek
🇺🇸
Lafayette, Colorado, United States
Rocky Mountain Oncology
🇺🇸
Casper, Wyoming, United States
Via Christi Regional Medical Center
🇺🇸
Wichita, Kansas, United States
Saint Alexius Medical Center
🇺🇸
Bismarck, North Dakota, United States
Cancer Center of Kansas - Parsons
🇺🇸
Parsons, Kansas, United States
Welch Cancer Center
🇺🇸
Sheridan, Wyoming, United States
University of Oklahoma Health Sciences Center
🇺🇸
Oklahoma City, Oklahoma, United States
Delaware Clinical and Laboratory Physicians PA
🇺🇸
Newark, Delaware, United States
Helen F Graham Cancer Center
🇺🇸
Newark, Delaware, United States
Christiana Care Health System-Christiana Hospital
🇺🇸
Newark, Delaware, United States
Beebe Medical Center
🇺🇸
Lewes, Delaware, United States
Nanticoke Memorial Hospital
🇺🇸
Seaford, Delaware, United States
University of Mississippi Medical Center
🇺🇸
Jackson, Mississippi, United States
Kaiser Permanente-Franklin
🇺🇸
Denver, Colorado, United States
Rocky Mountain Cancer Centers-Midtown
🇺🇸
Denver, Colorado, United States
Rocky Mountain Cancer Centers-Rose
🇺🇸
Denver, Colorado, United States
Legacy Good Samaritan Hospital and Medical Center
🇺🇸
Portland, Oregon, United States
Legacy Emanuel Hospital and Health Center
🇺🇸
Portland, Oregon, United States
Kaiser Permanente-Anaheim
🇺🇸
Anaheim, California, United States
Kaiser Permanente-Cadillac
🇺🇸
Los Angeles, California, United States
Bay Area Tumor Institute
🇺🇸
Oakland, California, United States
Kaiser Permanente-Fremont
🇺🇸
Fremont, California, United States
Alta Bates Summit Medical Center-Herrick Campus
🇺🇸
Berkeley, California, United States
University of Arkansas for Medical Sciences
🇺🇸
Little Rock, Arkansas, United States
Kaiser Permanente-Baldwin Park
🇺🇸
Baldwin Park, California, United States
Kaiser Permanente-Bellflower
🇺🇸
Bellflower, California, United States
East Bay Radiation Oncology Center
🇺🇸
Castro Valley, California, United States
Bay Area Breast Surgeons Inc
🇺🇸
Emeryville, California, United States
El Camino Hospital
🇺🇸
Mountain View, California, United States
Kaiser Permanente - Harbor City
🇺🇸
Harbor City, California, United States
Mills - Peninsula Hospitals
🇺🇸
Burlingame, California, United States
Kaiser Permanente
🇺🇸
Woodland Hills, California, United States
Los Angeles County-USC Medical Center
🇺🇸
Los Angeles, California, United States
Cedars-Sinai Medical Center
🇺🇸
Los Angeles, California, United States
Fremont - Rideout Cancer Center
🇺🇸
Marysville, California, United States
Sutter Cancer Research Consortium
🇺🇸
Novato, California, United States
Hematology and Oncology Associates-Oakland
🇺🇸
Oakland, California, United States
Kaiser Permanente-Oakland
🇺🇸
Oakland, California, United States
Kaiser Permanente - Panorama City
🇺🇸
Panorama City, California, United States
Saint Joseph Hospital - Orange
🇺🇸
Orange, California, United States
UC Irvine Health/Chao Family Comprehensive Cancer Center
🇺🇸
Orange, California, United States
Kaiser Permanente-San Francisco
🇺🇸
San Francisco, California, United States
Kaiser Permanente-Richmond
🇺🇸
Richmond, California, United States
Kaiser Permanente-Redwood City
🇺🇸
Redwood City, California, United States
Saint Helena Hospital
🇺🇸
Saint Helena, California, United States
Kaiser Permanente-San Diego Mission
🇺🇸
San Diego, California, United States
Kaiser Permanente-San Diego Zion
🇺🇸
San Diego, California, United States
Kaiser Permanente-San Marcos
🇺🇸
San Marcos, California, United States
Kaiser Permanente-Santa Rosa
🇺🇸
Santa Rosa, California, United States
Kaiser Permanente-San Rafael
🇺🇸
San Rafael, California, United States
California Pacific Medical Center-Pacific Campus
🇺🇸
San Francisco, California, United States
Doctors Medical Center- JC Robinson Regional Cancer Center
🇺🇸
San Pablo, California, United States
Kaiser Permanente San Leandro
🇺🇸
San Leandro, California, United States
Tahoe Forest Cancer Center
🇺🇸
Truckee, California, United States
Kaiser Permanente-Stockton
🇺🇸
Stockton, California, United States
Mercy Medical Center
🇺🇸
Durango, Colorado, United States
Colorado Cancer Research Program CCOP
🇺🇸
Denver, Colorado, United States
Boulder Community Hospital
🇺🇸
Boulder, Colorado, United States
Kaiser Permanente Medical Center-Vacaville
🇺🇸
Vacaville, California, United States
Penrose-Saint Francis Healthcare
🇺🇸
Colorado Springs, Colorado, United States
Rocky Mountain Cancer Centers-Boulder
🇺🇸
Boulder, Colorado, United States
Porter Adventist Hospital
🇺🇸
Denver, Colorado, United States
Exempla Saint Joseph Hospital
🇺🇸
Denver, Colorado, United States
Colorado Blood Cancer Institute
🇺🇸
Denver, Colorado, United States
Presbyterian - Saint Lukes Medical Center - Health One
🇺🇸
Denver, Colorado, United States
Rose Medical Center
🇺🇸
Denver, Colorado, United States
Rocky Mountain Cancer Centers - Pueblo
🇺🇸
Pueblo, Colorado, United States
Littleton Adventist Hospital
🇺🇸
Littleton, Colorado, United States
Rocky Mountain Cancer Centers-Sky Ridge
🇺🇸
Lone Tree, Colorado, United States
SCL Health Lutheran Medical Center
🇺🇸
Wheat Ridge, Colorado, United States
Medical Center of Central Georgia
🇺🇸
Macon, Georgia, United States
Front Range Cancer Specialists
🇺🇸
Fort Collins, Colorado, United States
Poudre Valley Hospital
🇺🇸
Fort Collins, Colorado, United States
North Colorado Medical Center
🇺🇸
Greeley, Colorado, United States
Saint Anthony Hospital
🇺🇸
Lakewood, Colorado, United States
Stamford Hospital/Bennett Cancer Center
🇺🇸
Stamford, Connecticut, United States
Parker Adventist Hospital
🇺🇸
Parker, Colorado, United States
Northeast Georgia Medical Center
🇺🇸
Gainesville, Georgia, United States
Rocky Mountain Cancer Centers-Parker
🇺🇸
Parker, Colorado, United States
Dekalb Medical Center
🇺🇸
Decatur, Georgia, United States
South Georgia Medical Center
🇺🇸
Valdosta, Georgia, United States
Georgia Regents University Medical Center
🇺🇸
Augusta, Georgia, United States
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
🇺🇸
Savannah, Georgia, United States
Oncare Hawaii Inc-Pali Momi
🇺🇸
Aiea, Hawaii, United States
Pali Momi Medical Center
🇺🇸
Aiea, Hawaii, United States
Rush - Copley Medical Center
🇺🇸
Aurora, Illinois, United States
Carle Cancer Center
🇺🇸
Urbana, Illinois, United States
West Suburban Medical Center
🇺🇸
River Forest, Illinois, United States
Wilcox Memorial Hospital and Kauai Medical Clinic
🇺🇸
Lihue, Hawaii, United States
Northwestern University
🇺🇸
Chicago, Illinois, United States
Elkhart General Hospital
🇺🇸
Elkhart, Indiana, United States
Saint Joseph Regional Medical Center-Mishawaka
🇺🇸
Mishawaka, Indiana, United States
Memorial Hospital of Carbondale
🇺🇸
Carbondale, Illinois, United States
Cancer Center of Kansas - Fort Scott
🇺🇸
Fort Scott, Kansas, United States
South Bend Clinic
🇺🇸
South Bend, Indiana, United States
Providence Medical Center
🇺🇸
Kansas City, Kansas, United States
Cancer Center of Kansas-Independence
🇺🇸
Independence, Kansas, United States
University of Illinois
🇺🇸
Chicago, Illinois, United States
Weiss Memorial Hospital
🇺🇸
Chicago, Illinois, United States
IU Health Central Indiana Cancer Centers-East
🇺🇸
Indianapolis, Indiana, United States
Cancer Center of Kansas-Manhattan
🇺🇸
Manhattan, Kansas, United States
University of Chicago Comprehensive Cancer Center
🇺🇸
Chicago, Illinois, United States
Franciscan Saint Francis Health-Indianapolis
🇺🇸
Indianapolis, Indiana, United States
Hematology Oncology Associates of Illinois - Skokie
🇺🇸
Skokie, Illinois, United States
Hematology Oncology Associates of Illinois-Highland Park
🇺🇸
Highland Park, Illinois, United States
Michiana Hematology Oncology PC-Elkhart
🇺🇸
Elkhart, Indiana, United States
Hematology Oncology Associates-Quad Cities
🇺🇸
Bettendorf, Iowa, United States
Michiana Hematology Oncology PC-Plymouth
🇺🇸
Plymouth, Indiana, United States
Michiana Hematology Oncology PC-South Bend
🇺🇸
South Bend, Indiana, United States
Cancer Center of Kansas - Pratt
🇺🇸
Pratt, Kansas, United States
Memorial Hospital of South Bend
🇺🇸
South Bend, Indiana, United States
Northern Indiana Cancer Research Consortium CCOP
🇺🇸
South Bend, Indiana, United States
Wichita CCOP
🇺🇸
Wichita, Kansas, United States
Michiana Hematology Oncology PC-Mishawaka
🇺🇸
Mishawaka, Indiana, United States
Hematology/Oncology Clinic LLP
🇺🇸
Baton Rouge, Louisiana, United States
Ochsner Health Center-Summa
🇺🇸
Baton Rouge, Louisiana, United States
Cancer Center of Kansas - Chanute
🇺🇸
Chanute, Kansas, United States
Menorah Medical Center
🇺🇸
Overland Park, Kansas, United States
Cancer Center of Kansas - El Dorado
🇺🇸
El Dorado, Kansas, United States
Cancer Center of Kansas-Kingman
🇺🇸
Kingman, Kansas, United States
Cancer Center of Kansas - Dodge City
🇺🇸
Dodge City, Kansas, United States
Saint Luke's South Hospital
🇺🇸
Overland Park, Kansas, United States
Cancer Center of Kansas - McPherson
🇺🇸
McPherson, Kansas, United States
Kansas City CCOP
🇺🇸
Prairie Village, Kansas, United States
Cancer Center of Kansas - Main Office
🇺🇸
Wichita, Kansas, United States
Cancer Center of Kansas - Salina
🇺🇸
Salina, Kansas, United States
University Health-Conway
🇺🇸
Monroe, Louisiana, United States
Mary Bird Perkins Cancer Center
🇺🇸
Baton Rouge, Louisiana, United States
Cancer Center of Kansas-Wichita Medical Arts Tower
🇺🇸
Wichita, Kansas, United States
Cancer Center of Kansas - Wellington
🇺🇸
Wellington, Kansas, United States
Associates In Womens Health
🇺🇸
Wichita, Kansas, United States
Cancer Center of Acadiana
🇺🇸
Lafayette, Louisiana, United States
Cancer Center of Kansas - Winfield
🇺🇸
Winfield, Kansas, United States
Bronson Battle Creek
🇺🇸
Battle Creek, Michigan, United States
Mercy Health Saint Mary's
🇺🇸
Grand Rapids, Michigan, United States
Oakwood Hospital and Medical Center
🇺🇸
Dearborn, Michigan, United States
Saint John Hospital and Medical Center
🇺🇸
Detroit, Michigan, United States
West Michigan Cancer Center
🇺🇸
Kalamazoo, Michigan, United States
Spectrum Health at Butterworth Campus
🇺🇸
Grand Rapids, Michigan, United States
Borgess Medical Center
🇺🇸
Kalamazoo, Michigan, United States
Minnesota Oncology Hematology PA-Maplewood
🇺🇸
Maplewood, Minnesota, United States
Marie Yeager Cancer Center
🇺🇸
Saint Joseph, Michigan, United States
Sanford Clinic North-Bemidgi
🇺🇸
Bemidji, Minnesota, United States
North Memorial Medical Health Center
🇺🇸
Robbinsdale, Minnesota, United States
Saint Mary's of Michigan
🇺🇸
Saginaw, Michigan, United States
Fairview Ridges Hospital
🇺🇸
Burnsville, Minnesota, United States
Mercy Hospital
🇺🇸
Coon Rapids, Minnesota, United States
Saint John's Hospital - Healtheast
🇺🇸
Maplewood, Minnesota, United States
New Ulm Medical Center
🇺🇸
New Ulm, Minnesota, United States
Hutchinson Area Health Care
🇺🇸
Hutchinson, Minnesota, United States
Coborn Cancer Center at Saint Cloud Hospital
🇺🇸
Saint Cloud, Minnesota, United States
Unity Hospital
🇺🇸
Fridley, Minnesota, United States
Saint Francis Medical Center
🇺🇸
Cape Girardeau, Missouri, United States
Saint Luke's East - Lee's Summit
🇺🇸
Lee's Summit, Missouri, United States
Heartland Regional Medical Center
🇺🇸
Saint Joseph, Missouri, United States
Cancer Research for the Ozarks NCORP
🇺🇸
Springfield, Missouri, United States
Saint Peter's Community Hospital
🇺🇸
Helena, Montana, United States
Kalispell Medical Oncology
🇺🇸
Kalispell, Montana, United States
Kings County Hospital
🇺🇸
Brooklyn, New York, United States
Glens Falls Hospital
🇺🇸
Glens Falls, New York, United States
State University of New York Downstate Medical Center
🇺🇸
Brooklyn, New York, United States
Orange Regional Medical Center
🇺🇸
Middletown, New York, United States
Randolph Hospital
🇺🇸
Asheboro, North Carolina, United States
Iredell Memorial Hospital
🇺🇸
Statesville, North Carolina, United States
Summa Akron City Hospital/Cooper Cancer Center
🇺🇸
Akron, Ohio, United States
FirstHealth of the Carolinas-Moore Regional Hosiptal
🇺🇸
Pinehurst, North Carolina, United States
Annie Penn Memorial Hospital
🇺🇸
Reidsville, North Carolina, United States
Oncology Hematology Care Inc - Anderson
🇺🇸
Cincinnati, Ohio, United States
Good Samaritan Hospital - Cincinnati
🇺🇸
Cincinnati, Ohio, United States
Oncology Hematology Care Inc - Kenwood
🇺🇸
Cincinnati, Ohio, United States
Case Western Reserve University
🇺🇸
Cleveland, Ohio, United States
Oncology Hematology Care Inc-Healthplex
🇺🇸
Fairfield, Ohio, United States
Atrium Medical Center-Middletown Regional Hospital
🇺🇸
Franklin, Ohio, United States
Delaware Radiation Oncology
🇺🇸
Delaware, Ohio, United States
Hematology Oncology Center Incorporated
🇺🇸
Elyria, Ohio, United States
Mercy Cancer Center-Elyria
🇺🇸
Elyria, Ohio, United States
Grady Memorial Hospital
🇺🇸
Delaware, Ohio, United States
Wayne Hospital
🇺🇸
Greenville, Ohio, United States
Fairfield Medical Center
🇺🇸
Lancaster, Ohio, United States
Kettering Medical Center
🇺🇸
Kettering, Ohio, United States
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
🇺🇸
Maumee, Ohio, United States
Newark Radiation Oncology
🇺🇸
Newark, Ohio, United States
Geisinger Medical Center-Cancer Center Hazleton
🇺🇸
Hazleton, Pennsylvania, United States
Legacy Meridian Park Hospital
🇺🇸
Tualatin, Oregon, United States
Tulsa Cancer Institute
🇺🇸
Tulsa, Oklahoma, United States
Lima Memorial Hospital
🇺🇸
Lima, Ohio, United States
Natalie Warren Bryant Cancer Center at Saint Francis
🇺🇸
Tulsa, Oklahoma, United States
Saint Charles Hospital
🇺🇸
Oregon, Ohio, United States
Toledo Clinic Cancer Centers-Oregon
🇺🇸
Oregon, Ohio, United States
Knox Community Hospital
🇺🇸
Mount Vernon, Ohio, United States
North Coast Cancer Care
🇺🇸
Sandusky, Ohio, United States
Licking Memorial Hospital
🇺🇸
Newark, Ohio, United States
Upper Valley Medical Center
🇺🇸
Troy, Ohio, United States
University of Toledo
🇺🇸
Toledo, Ohio, United States
Geisinger Medical Center
🇺🇸
Danville, Pennsylvania, United States
Genesis HealthCare System
🇺🇸
Zanesville, Ohio, United States
Paoli Memorial Hospital
🇺🇸
Paoli, Pennsylvania, United States
Warren Cancer Research Foundation
🇺🇸
Tulsa, Oklahoma, United States
Lehigh Valley Hospital-Cedar Crest
🇺🇸
Allentown, Pennsylvania, United States
Guthrie Medical Group PC-Robert Packer Hospital
🇺🇸
Sayre, Pennsylvania, United States
Avera Cancer Institute
🇺🇸
Sioux Falls, South Dakota, United States
Harborview Medical Center
🇺🇸
Seattle, Washington, United States
Kadlec Clinic Hematology and Oncology
🇺🇸
Kennewick, Washington, United States
Reading Hospital
🇺🇸
West Reading, Pennsylvania, United States
Harrison HealthPartners Hematology and Oncology-Poulsbo
🇺🇸
Poulsbo, Washington, United States
Sanford Cancer Center-Oncology Clinic
🇺🇸
Sioux Falls, South Dakota, United States
University of Pittsburgh Cancer Institute (UPCI)
🇺🇸
Pittsburgh, Pennsylvania, United States
Sanford USD Medical Center - Sioux Falls
🇺🇸
Sioux Falls, South Dakota, United States
The Don and Sybil Harrington Cancer Center
🇺🇸
Amarillo, Texas, United States
Swedish Medical Center-First Hill
🇺🇸
Seattle, Washington, United States
Minor and James Medical PLLC
🇺🇸
Seattle, Washington, United States
United General Hospital
🇺🇸
Sedro-Woolley, Washington, United States
Rockwood Clinic
🇺🇸
Spokane, Washington, United States
West Virginia University Charleston
🇺🇸
Charleston, West Virginia, United States
Wenatchee Valley Hospital and Clinics
🇺🇸
Wenatchee, Washington, United States
D N Greenwald Center
🇺🇸
Mukwonago, Wisconsin, United States
Saint Joseph's Hospital
🇺🇸
Marshfield, Wisconsin, United States
Marshfield Clinic at James Beck Cancer Center
🇺🇸
Rhinelander, Wisconsin, United States
Alegent Health Immanuel Medical Center
🇺🇸
Omaha, Nebraska, United States
Missouri Valley Cancer Consortium
🇺🇸
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
Oncare Hawaii Inc-POB II
🇺🇸
Honolulu, Hawaii, United States
Queen's Medical Center
🇺🇸
Honolulu, Hawaii, United States
Straub Clinic and Hospital
🇺🇸
Honolulu, Hawaii, United States
University of Hawaii Cancer Center
🇺🇸
Honolulu, Hawaii, United States
OnCare Hawaii-Liliha
🇺🇸
Honolulu, Hawaii, United States
Oncare Hawaii Inc-Kuakini
🇺🇸
Honolulu, Hawaii, United States
Liberty Radiation Oncology Center
🇺🇸
Liberty, Missouri, United States
Mercy Hospital Springfield
🇺🇸
Springfield, Missouri, United States
East Bay Medical Oncology Hematology Medical Associates Inc-Pleasant Hill
🇺🇸
Pleasant Hill, California, United States
City of Hope Comprehensive Cancer Center
🇺🇸
Duarte, California, United States
Tom K Lee Inc
🇺🇸
Oakland, California, United States
Kaiser Permanente-Modesto
🇺🇸
Modesto, California, United States
Contra Costa Regional Medical Center
🇺🇸
Martinez, California, United States
Saint Jude Medical Center
🇺🇸
Fullerton, California, United States
Kaiser Permanente Hospital
🇺🇸
Fontana, California, United States
Kaiser Permanente-Irvine
🇺🇸
Irvine, California, United States
Kaiser Permanente-Santa Teresa-San Jose
🇺🇸
San Jose, California, United States
Sutter Pacific Medical Foundation
🇺🇸
Santa Rosa, California, United States
Elkhart Clinic
🇺🇸
Elkhart, Indiana, United States
Community Howard Regional Health
🇺🇸
Kokomo, Indiana, United States
Advocate Sherman Hospital
🇺🇸
Elgin, Illinois, United States
Franciscan Saint Anthony Health-Michigan City
🇺🇸
Michigan City, Indiana, United States
Cancer Care Partners LLC
🇺🇸
Mishawaka, Indiana, United States
IU Health La Porte Hospital
🇺🇸
La Porte, Indiana, United States
Michiana Hematology Oncology PC-Westville
🇺🇸
Westville, Indiana, United States
Genesis Medical Center - East Campus
🇺🇸
Davenport, Iowa, United States
Toledo Clinic Cancer Centers-Bowling Green
🇺🇸
Bowling Green, Ohio, United States
Akron General Medical Center
🇺🇸
Akron, Ohio, United States
Good Samaritan Hospital - Dayton
🇺🇸
Dayton, Ohio, United States
Delaware Health Center-Grady Cancer Center
🇺🇸
Delaware, Ohio, United States
Saint Rita's Medical Center
🇺🇸
Lima, Ohio, United States
Marietta Memorial Hospital
🇺🇸
Marietta, Ohio, United States
Toledo Clinic Cancer Centers-Toledo
🇺🇸
Toledo, Ohio, United States
Cleveland Clinic Wooster Specialty Center
🇺🇸
Wooster, Ohio, United States
Saint Ann's Hospital
🇺🇸
Westerville, Ohio, United States
Geisinger Medical Oncology-Pottsville
🇺🇸
Pottsville, Pennsylvania, United States
Geisinger Wyoming Valley/Henry Cancer Center
🇺🇸
Wilkes-Barre, Pennsylvania, United States
Bryn Mawr Hospital
🇺🇸
Bryn Mawr, Pennsylvania, United States
Texas Tech University Health Sciences Center
🇺🇸
Lubbock, Texas, United States
Lankenau Medical Center
🇺🇸
Wynnewood, Pennsylvania, United States
Fredericksburg Oncology Inc
🇺🇸
Fredericksburg, Virginia, United States
Danville Regional Medical Center
🇺🇸
Danville, Virginia, United States
Swedish Medical Center-Edmonds
🇺🇸
Edmonds, Washington, United States
Highline Medical Center-Main Campus
🇺🇸
Burien, Washington, United States
Seattle Cancer Care Alliance at EvergreenHealth
🇺🇸
Kirkland, Washington, United States
Valley Medical Oncology Consultants-Fremont
🇺🇸
Fremont, California, United States
Mainline Health CCOP
🇺🇸
Wynnewood, Pennsylvania, United States
University of California Davis Comprehensive Cancer Center
🇺🇸
Sacramento, California, United States
Kaiser Permanente-South Sacramento
🇺🇸
Sacramento, California, United States
Kaiser Permanente - Sacramento
🇺🇸
Sacramento, California, United States
The Medical Center of Aurora
🇺🇸
Aurora, Colorado, United States
Saint Joseph Mercy Hospital
🇺🇸
Ann Arbor, Michigan, United States
Michigan Cancer Research Consortium CCOP
🇺🇸
Ann Arbor, Michigan, United States
University of Michigan Comprehensive Cancer Center
🇺🇸
Ann Arbor, Michigan, United States
Southeast Cancer Control Consortium CCOP
🇺🇸
Winston-Salem, North Carolina, United States
Group Health Cooperative of Puget Sound Oncology Consortium
🇺🇸
Seattle, Washington, United States
Phelps County Regional Medical Center
🇺🇸
Rolla, Missouri, United States
Sutter Solano Medical Center/Cancer Center
🇺🇸
Vallejo, California, United States
Swedish Cancer Institute-Issaquah
🇺🇸
Issaquah, Washington, United States
Samaritan North Health Center
🇺🇸
Dayton, Ohio, United States
Kalispell Regional Medical Center
🇺🇸
Kalispell, Montana, United States
Loyola University Medical Center
🇺🇸
Maywood, Illinois, United States
Saint Luke's Regional Medical Center
🇺🇸
Sioux City, Iowa, United States
Bronson Methodist Hospital
🇺🇸
Kalamazoo, Michigan, United States
Benefis Healthcare- Sletten Cancer Institute
🇺🇸
Great Falls, Montana, United States
West Virginia University Healthcare
🇺🇸
Morgantown, West Virginia, United States
Saint John's Clinic-Rolla-Cancer and Hematology
🇺🇸
Rolla, Missouri, United States
Kaiser Permanente-Deer Valley Medical Center
🇺🇸
Antioch, California, United States
The University of Arizona Cancer Center-North Campus
🇺🇸
Tucson, Arizona, United States
Epic Care-Dublin
🇺🇸
Dublin, California, United States
Valley Medical Oncology Consultants-Castro Valley
🇺🇸
Castro Valley, California, United States
Epic Care Partners in Cancer Care
🇺🇸
Emeryville, California, United States
Alta Bates Summit Medical Center - Summit Campus
🇺🇸
Oakland, California, United States
Highland General Hospital
🇺🇸
Oakland, California, United States
Valley Medical Oncology Consultants
🇺🇸
Pleasanton, California, United States
Kaiser Permanente-Roseville
🇺🇸
Roseville, California, United States
Kaiser Permanente-South San Francisco
🇺🇸
South San Francisco, California, United States
Kaiser Permanente Medical Center - Santa Clara
🇺🇸
Santa Clara, California, United States
Kaiser Permanente-Walnut Creek
🇺🇸
Walnut Creek, California, United States
University Cancer and Blood Center LLC
🇺🇸
Athens, Georgia, United States
Regional Hematology and Oncology PA
🇺🇸
Newark, Delaware, United States
Baptist Cancer Institute
🇺🇸
Jacksonville, Florida, United States
Castle Medical Center
🇺🇸
Kailua, Hawaii, United States
Idaho Urologic Institute-Meridian
🇺🇸
Meridian, Idaho, United States
Saint Alphonsus Cancer Care Center-Boise
🇺🇸
Boise, Idaho, United States
Centralia Oncology Clinic
🇺🇸
Centralia, Illinois, United States
Decatur Memorial Hospital
🇺🇸
Decatur, Illinois, United States
Central Illinois CCOP
🇺🇸
Decatur, Illinois, United States
Cancer Care Center of Decatur
🇺🇸
Decatur, Illinois, United States
Crossroads Cancer Center
🇺🇸
Effingham, Illinois, United States
Joliet Oncology-Hematology Associates Limited
🇺🇸
Joliet, Illinois, United States
Ingalls Memorial Hospital
🇺🇸
Harvey, Illinois, United States
Presence Saint Mary's Hospital
🇺🇸
Kankakee, Illinois, United States
Indiana University/Melvin and Bren Simon Cancer Center
🇺🇸
Indianapolis, Indiana, United States
NorthShore Hematology Oncology-Libertyville
🇺🇸
Libertyville, Illinois, United States
Memorial Medical Center
🇺🇸
Springfield, Illinois, United States
Illinois Cancer Specialists-Niles
🇺🇸
Niles, Illinois, United States
Fort Wayne Medical Oncology and Hematology Inc-Parkview
🇺🇸
Fort Wayne, Indiana, United States
Franciscan St. Francis Health-Beech Grove
🇺🇸
Beech Grove, Indiana, United States
Mercy Medical Center-Sioux City
🇺🇸
Sioux City, Iowa, United States
Siouxland Regional Cancer Center
🇺🇸
Sioux City, Iowa, United States
Reid Hospital and Health Care Services
🇺🇸
Richmond, Indiana, United States
Oncology Hematology Care Inc-Crestview
🇺🇸
Crestview Hills, Kentucky, United States
Highland Clinic
🇺🇸
Shreveport, Louisiana, United States
Genesys Regional Medical Center
🇺🇸
Grand Blanc, Michigan, United States
Saint Mary Mercy Hospital
🇺🇸
Livonia, Michigan, United States
Saint Joseph Mercy Port Huron
🇺🇸
Port Huron, Michigan, United States
Toledo Clinic Cancer Centers-Monroe
🇺🇸
Monroe, Michigan, United States
Sparrow Hospital
🇺🇸
Lansing, Michigan, United States
Mercy Memorial Hospital
🇺🇸
Monroe, Michigan, United States
Spectrum Health Reed City Hospital
🇺🇸
Reed City, Michigan, United States
Lakeland Hospital
🇺🇸
St. Joseph, Michigan, United States
Munson Medical Center
🇺🇸
Traverse City, Michigan, United States
Fairview-Southdale Hospital
🇺🇸
Edina, Minnesota, United States
Saint John Macomb-Oakland Hospital
🇺🇸
Warren, Michigan, United States
Park Nicollet Clinic - Saint Louis Park
🇺🇸
Saint Louis Park, Minnesota, United States
Metro Minnesota Community Oncology Research Consortium
🇺🇸
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
Rice Memorial Hospital
🇺🇸
Willmar, Minnesota, United States
Lakeview Hospital
🇺🇸
Stillwater, Minnesota, United States
Minnesota Oncology and Hematology PA-Woodbury
🇺🇸
Woodbury, Minnesota, United States
University of Missouri - Ellis Fischel
🇺🇸
Columbia, Missouri, United States
Ridgeview Medical Center
🇺🇸
Waconia, Minnesota, United States
Centerpoint Medical Center LLC
🇺🇸
Independence, Missouri, United States
Southeast Cancer Center
🇺🇸
Cape Girardeau, Missouri, United States
Capital Region Medical Center-Goldschmidt Cancer Center
🇺🇸
Jefferson City, Missouri, United States
Saint Louis Cancer and Breast Institute-South City
🇺🇸
Saint Louis, Missouri, United States
Saint Joseph Oncology Inc
🇺🇸
Saint Joseph, Missouri, United States
Mercy Hospital Saint Louis
🇺🇸
Saint Louis, Missouri, United States
Missouri Baptist Medical Center
🇺🇸
Saint Louis, Missouri, United States
Billings Clinic Cancer Center
🇺🇸
Billings, Montana, United States
Bozeman Deaconess Hospital
🇺🇸
Bozeman, Montana, United States
Frontier Cancer Center and Blood Institute-Billings
🇺🇸
Billings, Montana, United States
Big Sky Oncology
🇺🇸
Great Falls, Montana, United States
Montana Cancer Specialists
🇺🇸
Missoula, Montana, United States
Veterans Adminstration New Jersey Health Care System
🇺🇸
East Orange, New Jersey, United States
UMDNJ - New Jersey Medical School
🇺🇸
Newark, New Jersey, United States
Cooper Hospital University Medical Center
🇺🇸
Camden, New Jersey, United States
AtlantiCare Surgery Center
🇺🇸
Egg Harbor Township, New Jersey, United States
Mary Imogene Bassett Hospital
🇺🇸
Cooperstown, New York, United States
Winthrop University Hospital
🇺🇸
Mineola, New York, United States
Columbia University Medical Center
🇺🇸
New York, New York, United States
Wayne Memorial Hospital
🇺🇸
Goldsboro, North Carolina, United States
Cone Health Cancer Center
🇺🇸
Greensboro, North Carolina, United States
Summa Barberton Hospital
🇺🇸
Barberton, Ohio, United States
Sanford Medical Center-Fargo
🇺🇸
Fargo, North Dakota, United States
Sanford Bismarck Medical Center
🇺🇸
Bismarck, North Dakota, United States
Strecker Cancer Center-Belpre
🇺🇸
Belpre, Ohio, United States
Cleveland Clinic Cancer Center Beachwood
🇺🇸
Beachwood, Ohio, United States
Adena Regional Medical Center
🇺🇸
Chillicothe, Ohio, United States
Riverside Methodist Hospital
🇺🇸
Columbus, Ohio, United States
Grandview Hospital
🇺🇸
Dayton, Ohio, United States
Dayton CCOP
🇺🇸
Dayton, Ohio, United States
Southern Ohio Medical Center
🇺🇸
Portsmouth, Ohio, United States
Cleveland Clinic Cancer Center Strongsville
🇺🇸
Strongsville, Ohio, United States
Springfield Regional Medical Center
🇺🇸
Springfield, Ohio, United States
Flower Hospital
🇺🇸
Sylvania, Ohio, United States
Mercy Hospital of Tiffin
🇺🇸
Tiffin, Ohio, United States
Saint Vincent Mercy Medical Center
🇺🇸
Toledo, Ohio, United States
Fulton County Health Center
🇺🇸
Wauseon, Ohio, United States
Toledo Community Hospital Oncology Program CCOP
🇺🇸
Toledo, Ohio, United States
Mercy Saint Anne Hospital
🇺🇸
Toledo, Ohio, United States
Oklahoma Oncology Inc
🇺🇸
Tulsa, Oklahoma, United States
Greene Memorial Hospital
🇺🇸
Xenia, Ohio, United States
Lehigh Valley Hospital - Muhlenberg
🇺🇸
Bethlehem, Pennsylvania, United States
Erlanger Medical Center
🇺🇸
Chattanooga, Tennessee, United States
Skagit Valley Hospital
🇺🇸
Mount Vernon, Washington, United States
PeaceHealth Saint Joseph Medical Center
🇺🇸
Bellingham, Washington, United States
Danville Hematology Oncology
🇺🇸
Danville, Virginia, United States
Harrison HealthPartners Hematology and Oncology-Bremerton
🇺🇸
Bremerton, Washington, United States
Cancer Care Center at Island Hospital
🇺🇸
Anacortes, Washington, United States
Fred Hutchinson Cancer Research Center
🇺🇸
Seattle, Washington, United States
Cancer Care Northwest - Spokane South
🇺🇸
Spokane, Washington, United States
Evergreen Hematology and Oncology PS
🇺🇸
Spokane, Washington, United States
Legacy Salmon Creek Hospital
🇺🇸
Vancouver, Washington, United States
Marshfield Clinic Cancer Center at Sacred Heart
🇺🇸
Eau Claire, Wisconsin, United States
Langlade Hospital and Cancer Center
🇺🇸
Antigo, Wisconsin, United States
Marshfield Clinic - Ladysmith Center
🇺🇸
Ladysmith, Wisconsin, United States
Saint Mary's Hospital
🇺🇸
Rhinelander, Wisconsin, United States
Marshfield Clinic Cancer Care at Saint Michael's Hospital
🇺🇸
Stevens Point, Wisconsin, United States
Waukesha Memorial Hospital
🇺🇸
Waukesha, Wisconsin, United States
Marshfield Clinic-Rice Lake Center
🇺🇸
Rice Lake, Wisconsin, United States
Diagnostic and Treatment Center
🇺🇸
Weston, Wisconsin, United States
Marshfield Clinic - Weston Center
🇺🇸
Weston, Wisconsin, United States
Marshfield Clinic - Wisconsin Rapids Center
🇺🇸
Wisconsin Rapids, Wisconsin, United States
Saint Francis Hospital and Medical Center
🇺🇸
Hartford, Connecticut, United States
CoxHealth South Hospital
🇺🇸
Springfield, Missouri, United States
Saint Patrick Hospital - Community Hospital
🇺🇸
Missoula, Montana, United States
The University of Arizona Cancer Center-Orange Grove Campus
🇺🇸
Tucson, Arizona, United States
Swedish Medical Center
🇺🇸
Englewood, Colorado, United States
Huron Valley-Sinai Hospital
🇺🇸
Commerce, Michigan, United States
Saint James Community Hospital and Cancer Treatment Center
🇺🇸
Butte, Montana, United States
Christiana Gynecologic Oncology LLC
🇺🇸
Newark, Delaware, United States
Medical Oncology Hematology Consultants PA
🇺🇸
Newark, Delaware, United States
Middlesex Hospital
🇺🇸
Middletown, Connecticut, United States
Beebe Health Campus
🇺🇸
Rehoboth Beach, Delaware, United States
Englewood Hospital and Medical Center
🇺🇸
Englewood, New Jersey, United States
Harold Alfond Center for Cancer Care
🇺🇸
Augusta, Maine, United States
Nebraska Cancer Research Center
🇺🇸
Lincoln, Nebraska, United States
Genesys Hurley Cancer Institute
🇺🇸
Flint, Michigan, United States
Kootenai Cancer Center
🇺🇸
Post Falls, Idaho, United States
Christiana Care Health System-Wilmington Hospital
🇺🇸
Wilmington, Delaware, United States
Eastern Maine Medical Center
🇺🇸
Bangor, Maine, United States
University Medical Center of Southern Nevada
🇺🇸
Las Vegas, Nevada, United States
Gundersen Lutheran Medical Center
🇺🇸
La Crosse, Wisconsin, United States
Allegiance Health
🇺🇸
Jackson, Michigan, United States
Bixby Medical Center
🇺🇸
Adrian, Michigan, United States
Legacy Mount Hood Medical Center
🇺🇸
Gresham, Oregon, United States
Spectrum Health Big Rapids Hospital
🇺🇸
Big Rapids, Michigan, United States
DeSoto Regional Health System
🇺🇸
Mansfield, Louisiana, United States
Saint Clare's Hospital
🇺🇸
Weston, Wisconsin, United States
Louisiana State University Health Sciences Center Shreveport
🇺🇸
Shreveport, Louisiana, United States
Hurley Medical Center
🇺🇸
Flint, Michigan, United States
Vanderbilt University/Ingram Cancer Center
🇺🇸
Nashville, Tennessee, United States
Grand Rapids Clinical Oncology Program
🇺🇸
Grand Rapids, Michigan, United States
Saint Vincent Healthcare
🇺🇸
Billings, Montana, United States
Saint Joseph Mercy Oakland
🇺🇸
Pontiac, Michigan, United States
Mercy Health Mercy Campus
🇺🇸
Muskegon, Michigan, United States
CHI Health Good Samaritan
🇺🇸
Kearney, Nebraska, United States
Lancaster General Hospital
🇺🇸
Lancaster, Pennsylvania, United States
Montana Cancer Consortium NCORP
🇺🇸
Billings, Montana, United States
Union Hospital of Cecil County
🇺🇸
Elkton MD, Maryland, United States
Hickman Cancer Center
🇺🇸
Adrian, Michigan, United States
Marshfield Clinic-Minocqua Center
🇺🇸
Minocqua, Wisconsin, United States
Saint Michael's Hospital
🇺🇸
Stevens Point, Wisconsin, United States
Aspirus Regional Cancer Center
🇺🇸
Wausau, Wisconsin, United States
Sacred Heart Hospital
🇺🇸
Eau Claire, Wisconsin, United States
Cancer Center of Western Wisconsin
🇺🇸
New Richmond, Wisconsin, United States
Oconomowoc Memorial Hospital-ProHealth Care Inc
🇺🇸
Oconomowoc, Wisconsin, United States
Marshfield Clinic-Chippewa Center
🇺🇸
Chippewa Falls, Wisconsin, United States
Abington Memorial Hospital
🇺🇸
Abington, Pennsylvania, United States
Marshfield Clinic
🇺🇸
Marshfield, Wisconsin, United States
Florida Hospital Orlando
🇺🇸
Orlando, Florida, United States
Research Medical Center
🇺🇸
Kansas City, Missouri, United States
North Kansas City Hospital
🇺🇸
Kansas City, Missouri, United States
Kansas City Veterans Affairs Medical Center
🇺🇸
Kansas City, Missouri, United States
Virginia Commonwealth University/Massey Cancer Center
🇺🇸
Richmond, Virginia, United States
Louisiana State University Health Science Center
🇺🇸
New Orleans, Louisiana, United States
Tulane University Health Sciences Center
🇺🇸
New Orleans, Louisiana, United States
Ochsner Medical Center Jefferson
🇺🇸
New Orleans, Louisiana, United States
Saint Luke's Hospital of Kansas City
🇺🇸
Kansas City, Missouri, United States
Ochsner Baptist Medical Center
🇺🇸
New Orleans, Louisiana, United States
Heartland Hematology and Oncology Associates Incorporated
🇺🇸
Kansas City, Missouri, United States
Kaiser Permanente Moanalua Medical Center
🇺🇸
Honolulu, Hawaii, United States
Albert Einstein College of Medicine
🇺🇸
Bronx, New York, United States
Montefiore Medical Center - Moses Campus
🇺🇸
Bronx, New York, United States
Dean Hematology and Oncology Clinic
🇺🇸
Madison, Wisconsin, United States
University of Rochester
🇺🇸
Rochester, New York, United States
Miami Valley Hospital
🇺🇸
Dayton, Ohio, United States
The Toledo Hospital/Toledo Children's Hospital
🇺🇸
Toledo, Ohio, United States
Cancer Center of Kansas-Liberal
🇺🇸
Liberal, Kansas, United States
Blanchard Valley Hospital
🇺🇸
Findlay, Ohio, United States
Lancaster Radiation Oncology
🇺🇸
Lancaster, Ohio, United States
Cancer Center of Kansas - Newton
🇺🇸
Newton, Kansas, United States
Lawrence Memorial Hospital
🇺🇸
Lawrence, Kansas, United States
Hillcrest Hospital Cancer Center
🇺🇸
Mayfield Heights, Ohio, United States
Mercy UC Davis Cancer Center
🇺🇸
Merced, California, United States
Geisinger Medical Oncology-Lewisburg
🇺🇸
Lewisburg, Pennsylvania, United States
Washington University School of Medicine
🇺🇸
Saint Louis, Missouri, United States