MedPath

Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Hodgkin's Lymphoma

Registration Number
NCT00003389
Lead Sponsor
Eastern Cooperative Oncology Group
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage cancer cells. Combining more than one drug with radiation therapy may kill more cancer cells. It is not yet known which combination chemotherapy regimen is most effective in treating Hodgkin's lymphoma.

PURPOSE: This randomized phase III trial is studying two different combination chemotherapy regimens and comparing how well they work, with or without radiation therapy, in treating patients with Hodgkin's lymphoma.

Detailed Description

OBJECTIVES:

* Compare the failure-free survival of patients with locally extensive or advanced Hodgkin's lymphoma treated with doxorubicin, bleomycin, vinblastine, and dacarbazine (ABVD) vs doxorubicin, vinblastine, vincristine, bleomycin, mechlorethamine, etoposide, and prednisone (Stanford V) with or without radiotherapy.

* Compare the overall survival and freedom from progression in these patients at 5 and 10 years after treatment with these regimens.

* Compare pulmonary function, incidence of second cancers, reproductive function, and deaths from causes other than Hodgkin's lymphoma in patients treated with these regimens.

OUTLINE: This is a randomized study. Patients are stratified according to number of adverse risk factors (0-2 vs 3-7), disease characteristics (locally extensive vs advanced) and time of entry (before addendum 6 vs. after addendum 6). Patients are randomized to 1 of 2 treatment arms.

* Arm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) IV on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.

* Arm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.

Patients are followed every 2 months for 1 year, every 3 months for 1 year, every 4 months for 1 year, every 6 months for 2 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 850 patients will be accrued for this study within 4.3 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
854
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A (ABVD)RadiotherapyArm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) intravenously (IV) on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)RadiotherapyArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm A (ABVD)DoxorubicinArm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) intravenously (IV) on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm A (ABVD)BleomycinArm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) intravenously (IV) on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm A (ABVD)VinblastineArm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) intravenously (IV) on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm A (ABVD)DacarbazineArm A (ABVD): Patients receive doxorubicin (25 mg/m²), bleomycin (10 u/m²), vinblastine (6 mg/m²), and dacarbazine (375 mg/m²) intravenously (IV) on days 1 and 15. Courses repeat every 28 days. Patients are restaged after 4 courses. Patients who are in complete remission receive 2 additional courses. Patients with a partial response or less are evaluated after 6 courses, and if there is an ongoing response, patients may receive 2 additional courses for a total of 8. If no ongoing response is observed, patients are removed from the study. All patients with massive mediastinal disease, regardless of stage, receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)DoxorubicinArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)BleomycinArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)VinblastineArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)VincristineArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)EtoposideArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)MechlorethamineArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)PrednisoneArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Arm B (Stanford V)CyclophosphamideArm B (Stanford V): Patients receive Stanford V chemotherapy comprising doxorubicin (25 mg/m²) and vinblastine (6 mg/m²) IV on day 1 of weeks 1, 3, 5, 7, 9, and 11; vincristine (1.4 mg/m²) and bleomycin (5 u/m²) IV on day 1 of weeks 2, 4, 6, 8, 10, and 12; mechlorethamine (6 mg/m²) IV on day 1 of weeks 1, 5, and 9 (if mechlorethamine is unavailable, may substitute with cyclophosphamide \[375 mg/m²\] IV); etoposide (60 mg/m²) IV on days 1 and 2 of weeks 3, 7, and 11; and oral prednisone (40 mg/m²) every other day of weeks 1-9 followed by a taper. All patients with bulky disease receive radiotherapy 2-3 weeks after completion of chemotherapy.
Primary Outcome Measures
NameTimeMethod
Failure-free Survival at 5 YearsAssessed every 2 months if patient is < 1 year from study entry, every 3 months for the second year, every 4 months for the third year, every 6 months for years 4 and 5

Failure-free survival is defined as the time from randomization to the earlier of progression/relapse or death. The 5-year failure-free survival is the probability a patient is failure-free and survives 5 years.

Progression is defined as an increase in size of 25% of the sum of the products of the pretreatment measurements or appearance of new lesions. Significant enlargement of the liver or spleen is evidence of progression. A significant increase in size is defined as \> 2.0 cm in distance between costal margin and the inferior margin of either organ.

Relapse is defined as the re-appearance of any clinical evidence of Hodgkin's disease in a patient who has had a complete response. Relapse for partial responders is defined as progressive disease relative to disease status during the partial remission.

Secondary Outcome Measures
NameTimeMethod
Incidence of Second CancersAssessed every 2 months if patient is < 1 year from study entry, every 3 months for the second year, every 4 months for the third year, every 6 months for years 4 and 5, and yearly for 5 years

Number of patients who developed second primary cancers

5-year Overall SurvivalAssessed every 2 months if patient is < 1 year from study entry, every 3 months for the second year, every 4 months for the third year, every 6 months for years 4 and 5, and yearly for 5 years

Overall survival is defined as the time from randomization to death or last known alive. The 5-year survival rate is the probability a patient survives 5 years.

Trial Locations

Locations (532)

Princess Margaret Hospital

🇨🇦

Toronto, Ontario, Canada

Piedmont Hospital

🇺🇸

Atlanta, Georgia, United States

Winship Cancer Institute of Emory University

🇺🇸

Atlanta, Georgia, United States

Saint Joseph's Hospital of Atlanta

🇺🇸

Atlanta, Georgia, United States

CCOP - Atlanta Regional

🇺🇸

Atlanta, Georgia, United States

Arizona Cancer Center at University of Arizona Health Sciences Center

🇺🇸

Tucson, Arizona, United States

Mobile Infirmary Medical Center

🇺🇸

Mobile, Alabama, United States

Valley Care Medical Center

🇺🇸

Pleasanton, California, United States

Kaiser Permanente Medical Center - Santa Rosa

🇺🇸

Santa Rosa, California, United States

John Muir/Mt. Diablo Comprehensive Cancer Center

🇺🇸

Walnut Creek, California, United States

Swedish-American Regional Cancer Center

🇺🇸

Rockford, Illinois, United States

Penrose Cancer Center at Penrose Hospital

🇺🇸

Colorado Springs, Colorado, United States

Perry Memorial Hospital

🇺🇸

Princeton, Illinois, United States

Swedish Covenant Hospital

🇺🇸

Chicago, Illinois, United States

Center for Cancer Therapy at LaPorte Hospital and Health Services

🇺🇸

La Porte, Indiana, United States

Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Saint Anthony Memorial Health Centers

🇺🇸

Michigan City, Indiana, United States

Medical Consultants, P. C. at Ball Cancer Center

🇺🇸

Muncie, Indiana, United States

Cancer Center of Kansas, P.A. - Chanute

🇺🇸

Chanute, Kansas, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

Midwest Cancer Research Group, Incorporated

🇺🇸

Skokie, Illinois, United States

Elkhart General Hospital

🇺🇸

Elkhart, Indiana, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Ingalls Cancer Care Center at Ingalls Memorial Hospital

🇺🇸

Harvey, Illinois, United States

Decatur Memorial Hospital Cancer Care Institute

🇺🇸

Decatur, Illinois, United States

St. Francis Hospital and Health Centers - Beech Grove Campus

🇺🇸

Beech Grove, Indiana, United States

Howard Community Hospital at Howard Regional Health System

🇺🇸

Kokomo, Indiana, United States

Hopedale Medical Complex

🇺🇸

Hopedale, Illinois, United States

Eureka Community Hospital

🇺🇸

Eureka, Illinois, United States

Illinois Valley Community Hospital

🇺🇸

Peru, Illinois, United States

Hematology Oncology Associates - Skokie

🇺🇸

Skokie, Illinois, United States

Community Hospital of Ottawa

🇺🇸

Ottawa, Illinois, United States

Hinsdale Hematology Oncology Associates

🇺🇸

Hinsdale, Illinois, United States

Midwest Center for Hematology/Oncology

🇺🇸

Joliet, Illinois, United States

Mercy Capitol Hospital

🇺🇸

Des Moines, Iowa, United States

Ochsner Clinic of Baton Rouge

🇺🇸

Baton Rouge, Louisiana, United States

Oncology Hematology Associates of Central Illinois, PC - Peoria

🇺🇸

Peoria, Illinois, United States

OSF St. Francis Medical Center

🇺🇸

Peoria, Illinois, United States

Cancer Center of Kansas, PA - Dodge City

🇺🇸

Dodge City, Kansas, United States

CCOP - Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

St. Luke's Hospital

🇺🇸

Maumee, Ohio, United States

Via Christi Cancer Center at Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Wesley Medical Center

🇺🇸

Wichita, Kansas, United States

Mary Bird Perkins Cancer Center - Baton Rouge

🇺🇸

Baton Rouge, Louisiana, United States

Cancer Center of Kansas, P.A. - Winfield

🇺🇸

Winfield, Kansas, United States

Terrebonne General Medical Center

🇺🇸

Houma, Louisiana, United States

Louisiana State University Health Sciences Center - Monroe

🇺🇸

Monroe, Louisiana, United States

MBCCOP - LSU Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

Holden Comprehensive Cancer Center at University of Iowa

🇺🇸

Iowa City, Iowa, United States

Pennington Cancer Center at Baton Rouge General

🇺🇸

Baton Rouge, Louisiana, United States

Veterans Affairs Medical Center - Shreveport

🇺🇸

Shreveport, Louisiana, United States

Feist-Weiller Cancer Center at Louisiana State University Health Sciences

🇺🇸

Shreveport, Louisiana, United States

Sturdy Memorial Hospital

🇺🇸

Attleboro, Massachusetts, United States

Mercy Cancer Center at Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

Foote Hospital

🇺🇸

Jackson, Michigan, United States

Metropolitan Hospital

🇺🇸

Grand Rapids, Michigan, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

🇺🇸

Baltimore, Maryland, United States

Holland Community Hospital

🇺🇸

Holland, Michigan, United States

Cancer Center of Kansas, P.A. - Newton

🇺🇸

Newton, Kansas, United States

St. Vincent Healthcare

🇺🇸

Billings, Montana, United States

Ellis Fischel Cancer Center at University of Missouri - Columbia

🇺🇸

Columbia, Missouri, United States

Oakwood Cancer Center at Oakwood Hospital and Medical Center

🇺🇸

Dearborn, Michigan, United States

Big Sky Oncology

🇺🇸

Great Falls, Montana, United States

CCOP - Grand Rapids

🇺🇸

Grand Rapids, Michigan, United States

Spectrum Health Cancer Care - Butterworth Campus

🇺🇸

Grand Rapids, Michigan, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

Glacier Oncology, PLLC

🇺🇸

Kalispell, Montana, United States

Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital

🇺🇸

Cape Girardeau, Missouri, United States

Battle Creek Health System Cancer Care Center

🇺🇸

Battle Creek, Michigan, United States

New Hampshire Oncology-Hematology, PA - Hooksett

🇺🇸

Hooksett, New Hampshire, United States

Charles R. Wood Cancer Center at Glens Falls Hospital

🇺🇸

Glens Falls, New York, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Frisbie Memorial Hospital

🇺🇸

Rochester, New Hampshire, United States

Mountainside Hospital Cancer Center

🇺🇸

Montclair, New Jersey, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

St. Alexius Medical Center

🇺🇸

Bismarck, North Dakota, United States

Memorial Sloan-Kettering Cancer Center

🇺🇸

New York, New York, United States

CCOP - MeritCare Hospital

🇺🇸

Fargo, North Dakota, United States

Bozeman Deaconess Hospital

🇺🇸

Bozeman, Montana, United States

Aultman Hospital Cancer Center at Aultman Health Foundation

🇺🇸

Canton, Ohio, United States

Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center

🇺🇸

Grand Island, Nebraska, United States

St. Elizabeth Regional Medical Center

🇺🇸

Lincoln, Nebraska, United States

Cancer Institute of New Jersey at Cooper - Voorhees

🇺🇸

Voorhees, New Jersey, United States

University of New Mexico Cancer Research and Treatment Center

🇺🇸

Albuquerque, New Mexico, United States

Lenoir Memorial Cancer Center

🇺🇸

Kinston, North Carolina, United States

Kingsbury Center for Cancer Care at Cheshire Medical Center

🇺🇸

Keene, New Hampshire, United States

Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School

🇺🇸

New Brunswick, New Jersey, United States

MeritCare Medical Group

🇺🇸

Fargo, North Dakota, United States

Wayne Radiation Oncology

🇺🇸

Goldsboro, North Carolina, United States

Bryan LGH Medical Center West

🇺🇸

Lincoln, Nebraska, United States

Montana Cancer Center at St. Patrick Hospital and Health Sciences Center

🇺🇸

Missoula, Montana, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

Great Falls Clinic

🇺🇸

Great Falls, Montana, United States

Fox Chase Virtua Health Cancer Program at Virtua West Jersey

🇺🇸

Voorhees, New Jersey, United States

Northwest Ohio Oncology Center

🇺🇸

Maumee, Ohio, United States

Great Plains Regional Medical Center

🇺🇸

North Platte, Nebraska, United States

CCOP - Hematology-Oncology Associates of Central New York

🇺🇸

Syracuse, New York, United States

Toledo Clinic - Oregon

🇺🇸

Oregon, Ohio, United States

Community General Hospital of Greater Syracuse

🇺🇸

Syracuse, New York, United States

Booker Cancer Center at Riverview Medical Center

🇺🇸

Red Bank, New Jersey, United States

Wood County Oncology Center

🇺🇸

Bowling Green, Ohio, United States

Mission Hospitals - Memorial Campus

🇺🇸

Asheville, North Carolina, United States

Wayne Memorial Hospital, Incorporated

🇺🇸

Goldsboro, North Carolina, United States

Finger Lakes Hematology and Oncology

🇺🇸

Clifton Springs, New York, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

Fox Chase Cancer Center at St. Francis Medical Center

🇺🇸

Trenton, New Jersey, United States

Mid Dakota Clinic, P. C.

🇺🇸

Bismarck, North Dakota, United States

UVMC Cancer Care Center at Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Toledo Hospital

🇺🇸

Toledo, Ohio, United States

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

Mercy Cancer Center at Mercy Medical Center

🇺🇸

Canton, Ohio, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Genesis - Good Samaritan Hospital

🇺🇸

Zanesville, Ohio, United States

Cleveland Clinic - Wooster

🇺🇸

Wooster, Ohio, United States

LaFortune Cancer Center at St. John Medical Center

🇺🇸

Tulsa, Oklahoma, United States

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

Comanche County Memorial Hospital

🇺🇸

Lawton, Oklahoma, United States

Mercy Medical Center

🇺🇸

Springfield, Ohio, United States

Bon Secours St. Francis Health System

🇺🇸

Greenville, South Carolina, United States

Doctors Hospital at Ohio Health

🇺🇸

Columbus, Ohio, United States

Legacy Mount Hood Medical Center

🇺🇸

Gresham, Oregon, United States

St. Mary Regional Cancer Center

🇺🇸

Langhorne, Pennsylvania, United States

Jennersville Regional Hospital

🇺🇸

West Grove, Pennsylvania, United States

Mount Carmel Cancer Services at Mount Carmel St. Ann's Hospital

🇺🇸

Westerville, Ohio, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Legacy Meridian Park Hospital

🇺🇸

Tualatin, Oregon, United States

Bryn Mawr Hospital

🇺🇸

Bryn Mawr, Pennsylvania, United States

Mercy Hospital Cancer Center - Scranton

🇺🇸

Scranton, Pennsylvania, United States

Dixie Regional Medical Center - East Campus

🇺🇸

Saint George, Utah, United States

Medical X-Ray Center, PC

🇺🇸

Sioux Falls, South Dakota, United States

Chester County Hospital

🇺🇸

West Chester, Pennsylvania, United States

American Fork Hospital

🇺🇸

American Fork, Utah, United States

Thompson Cancer Survival Center

🇺🇸

Knoxville, Tennessee, United States

Green Mountain Oncology Group

🇺🇸

Bennington, Vermont, United States

Southwest Virginia Regional Cancer Center

🇺🇸

Norton, Virginia, United States

CCOP - Greenville

🇺🇸

Greenville, South Carolina, United States

Mountainview Medical

🇺🇸

Berlin, Vermont, United States

McKay-Dee Hospital Center

🇺🇸

Ogden, Utah, United States

Fletcher Allen Health Care - University Health Center Campus

🇺🇸

Burlington, Vermont, United States

Sioux Valley Hospital and University of South Dakota Medical Center

🇺🇸

Sioux Falls, South Dakota, United States

CCOP - Scott and White Hospital

🇺🇸

Temple, Texas, United States

Southwestern Vermont Regional Cancer Center

🇺🇸

Bennington, Vermont, United States

Cross Cancer Institute at University of Alberta

🇨🇦

Edmonton, Alberta, Canada

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Providence Cancer Center at Holy Family Hospital

🇺🇸

Spokane, Washington, United States

Utah Valley Regional Medical Center - Provo

🇺🇸

Provo, Utah, United States

Danville Regional Medical Center

🇺🇸

Danville, Virginia, United States

St. Mary's Hospital Medical Center - Green Bay

🇺🇸

Green Bay, Wisconsin, United States

West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division

🇺🇸

Charleston, West Virginia, United States

Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center

🇺🇸

La Crosse, Wisconsin, United States

Mount Ascutney Hospital

🇺🇸

Windsor, Vermont, United States

Saint John Regional Hospital

🇨🇦

Saint John, New Brunswick, Canada

Olympic Hematology and Oncology

🇺🇸

Bremerton, Washington, United States

Green Bay Oncology, Limited at St. Mary's Hospital

🇺🇸

Green Bay, Wisconsin, United States

Tom Baker Cancer Centre - Calgary

🇨🇦

Calgary, Alberta, Canada

Madigan Army Medical Center - Tacoma

🇺🇸

Tacoma, Washington, United States

London Regional Cancer Program at London Health Sciences Centre

🇨🇦

London, Ontario, Canada

Pretoria Academic Hospital

🇿🇦

Pretoria, 0001, South Africa

Green Bay Oncology, Limited at St. Vincent Hospital

🇺🇸

Green Bay, Wisconsin, United States

Wenatchee Valley Clinic

🇺🇸

Wenatchee, Washington, United States

St. Vincent Hospital Regional Cancer Center

🇺🇸

Green Bay, Wisconsin, United States

Dean Medical Center - Fish Hatchery

🇺🇸

Madison, Wisconsin, United States

McGill Cancer Centre at McGill University

🇨🇦

Montreal, Quebec, Canada

Providence Cancer Center at Sacred Heart Medical Center

🇺🇸

Spokane, Washington, United States

Saskatoon Cancer Centre at the University of Saskatchewan

🇨🇦

Saskatoon, Saskatchewan, Canada

Marshfield Clinic - Marshfield Center

🇺🇸

Marshfield, Wisconsin, United States

University of Wisconsin Comprehensive Cancer Center

🇺🇸

Madison, Wisconsin, United States

Washington Hematology-Oncology Specialists

🇺🇸

Yakima, Washington, United States

Northwestern Ontario Regional Cancer Care at Thunder Bay Regional Health Sciences Centre

🇨🇦

Thunder Bay, Ontario, Canada

Centre Hospitalier Universitaire de Quebec

🇨🇦

Quebec City, Quebec, Canada

Mercy Hospital and Medical Center

🇺🇸

Chicago, Illinois, United States

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University

🇺🇸

Columbus, Ohio, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

Grant Riverside Cancer Services

🇺🇸

Columbus, Ohio, United States

Mount Carmel West Hospital

🇺🇸

Columbus, Ohio, United States

Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

MetroHealth's Cancer Care Center at MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic Taussig Cancer Center

🇺🇸

Cleveland, Ohio, United States

CCOP - Virginia Mason Research Center

🇺🇸

Seattle, Washington, United States

Polyclinic First Hill

🇺🇸

Seattle, Washington, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

🇺🇸

Seattle, Washington, United States

Minor and James Medical, PLLC

🇺🇸

Seattle, Washington, United States

Group Health Central Hospital

🇺🇸

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Cancer Research Center at Boston Medical Center

🇺🇸

Boston, Massachusetts, United States

Greenebaum Cancer Center at University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

CCOP - Nevada Cancer Research Foundation

🇺🇸

Las Vegas, Nevada, United States

Kaiser Permanente Medical Office -Vandever Medical Office

🇺🇸

San Diego, California, United States

Veterans Affairs Medical Center - San Diego

🇺🇸

San Diego, California, United States

Jewish Hospital Cancer Center

🇺🇸

Cincinnati, Ohio, United States

Charles M. Barrett Cancer Center at University Hospital

🇺🇸

Cincinnati, Ohio, United States

Deaconess Billings Clinic - Downtown

🇺🇸

Billings, Montana, United States

Northern Rockies Radiation Oncology Center

🇺🇸

Billings, Montana, United States

Sletten Regional Cancer Institute

🇺🇸

Great Falls, Montana, United States

St. Peter's Hospital

🇺🇸

Helena, Montana, United States

Virginia Piper Cancer Institute at Abbott-Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Cancer Therapy and Research Center

🇺🇸

San Antonio, Texas, United States

University Hospital - San Antonio

🇺🇸

San Antonio, Texas, United States

California Pacific Medical Center - California Campus

🇺🇸

San Francisco, California, United States

Kaiser Permanente Medical Center - San Francisco Geary Campus

🇺🇸

San Francisco, California, United States

Utah Cancer Specialists at UCS Cancer Center

🇺🇸

Salt Lake City, Utah, United States

Huntsman Cancer Institute at University of Utah

🇺🇸

Salt Lake City, Utah, United States

Welch Cancer Center at Sheridan Memorial Hospital

🇺🇸

Sheridan, Wyoming, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

CCOP - Western Regional, Arizona

🇺🇸

Phoenix, Arizona, United States

St. Joseph's Hospital and Medical Center

🇺🇸

Phoenix, Arizona, United States

Porter Adventist Hospital

🇺🇸

Denver, Colorado, United States

St. Joseph Hospital

🇺🇸

Denver, Colorado, United States

CCOP - Colorado Cancer Research Program, Incorporated

🇺🇸

Denver, Colorado, United States

Josephine Ford Cancer Center at Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Legacy Good Samaritan Hospital & Medical Center Comprehensive Cancer Center

🇺🇸

Portland, Oregon, United States

Providence Cancer Center at Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

CCOP - Columbia River Oncology Program

🇺🇸

Portland, Oregon, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Legacy Emanuel Hospital and Health Center & Children's Hospital

🇺🇸

Portland, Oregon, United States

Kaiser Permanente Health Care - Portland

🇺🇸

Portland, Oregon, United States

McMaster Children's Hospital at Hamilton Health Sciences

🇨🇦

Hamilton, Ontario, Canada

Hopital Charles Lemoyne

🇨🇦

Greenfield Park, Quebec, Canada

Mayo Clinic Cancer Center

🇺🇸

Rochester, Minnesota, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

UNMC Eppley Cancer Center at the University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Medical College of Wisconsin Cancer Center

🇺🇸

Milwaukee, Wisconsin, United States

St. Joseph's Medical Center

🇺🇸

Brainerd, Minnesota, United States

St. Vincent's Comprehensive Cancer Center - Manhattan

🇺🇸

New York, New York, United States

Oswego Hospital

🇺🇸

Oswego, New York, United States

SUNY Upstate Medical University Hospital

🇺🇸

Syracuse, New York, United States

Baptist Regional Cancer Center at Baptist Hospital of East Tennessee

🇺🇸

Knoxville, Tennessee, United States

Firelands Regional Medical Center

🇺🇸

Sandusky, Ohio, United States

Southwest Washington Medical Center Cancer Center

🇺🇸

Vancouver, Washington, United States

CCOP - MainLine Health

🇺🇸

Wynnewood, Pennsylvania, United States

Lankenau Cancer Center at Lankenau Hospital

🇺🇸

Wynnewood, Pennsylvania, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

University of Michigan Comprehensive Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Valley Cancer Center

🇺🇸

Spring Valley, Illinois, United States

Graham Hospital

🇺🇸

Canton, Illinois, United States

Sutter Solano Medical Center

🇺🇸

Vallejo, California, United States

Hematology/Oncology of the North Shore at Gross Point Medical Center

🇺🇸

Skokie, Illinois, United States

Margaret and Charles Juravinski Cancer Centre

🇨🇦

Hamilton, Ontario, Canada

Community Hospital of Springfield and Clark County

🇺🇸

Springfield, Ohio, United States

St. Rita's Medical Center

🇺🇸

Lima, Ohio, United States

Forsyth Regional Cancer Center at Forsyth Medical Center

🇺🇸

Winston-Salem, North Carolina, United States

Wake Forest University Comprehensive Cancer Center

🇺🇸

Winston-Salem, North Carolina, United States

Sutter Cancer Center

🇺🇸

Sacramento, California, United States

University of California Davis Cancer Center

🇺🇸

Sacramento, California, United States

South Sacramento Kaiser-Permanente Medical Center

🇺🇸

Sacramento, California, United States

Kaiser Permanente Medical Center - Sacramento

🇺🇸

Sacramento, California, United States

Alta Bates Comprehensive Cancer Center

🇺🇸

Berkeley, California, United States

Peninsula Medical Center

🇺🇸

Burlingame, California, United States

Eden Medical Center

🇺🇸

Castro Valley, California, United States

Mount Diablo Regional Cancer Center

🇺🇸

Concord, California, United States

Marin Cancer Institute at Marin General Hospital

🇺🇸

Greenbrae, California, United States

North Bay Cancer Center

🇺🇸

Fairfield, California, United States

Sutter Health - Western Division Cancer Research Group

🇺🇸

Greenbrae, California, United States

Kaiser Permanente - Fremont

🇺🇸

Fremont, California, United States

Saint Rose Hospital

🇺🇸

Hayward, California, United States

Moores UCSD Cancer Center

🇺🇸

La Jolla, California, United States

Kaiser Permanente Medical Center - Hayward

🇺🇸

Hayward, California, United States

Memorial Medical Center Cancer Services

🇺🇸

Modesto, California, United States

CCOP - Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

Highland General Hospital at St. George's University School of Medicine

🇺🇸

Oakland, California, United States

Alta Bates Summit Medical Center - Summit Campus

🇺🇸

Oakland, California, United States

Kaiser Permanente Medical Center - Redwood City

🇺🇸

Redwood City, California, United States

Kaiser Permanente Medical Center - Oakland

🇺🇸

Oakland, California, United States

Kaiser Permanente Medical Center - Richmond

🇺🇸

Richmond, California, United States

Sutter Cancer Center at Roseville Medical Center

🇺🇸

Roseville, California, United States

Kaiser Permanente Medical Center - Roseville

🇺🇸

Roseville, California, United States

Salinas Valley Memorial Hospital

🇺🇸

Salinas, California, United States

J.C. Robinson, M.D. Regional Cancer Center

🇺🇸

San Pablo, California, United States

Kaiser Foundation Hospital - San Rafael

🇺🇸

San Rafael, California, United States

Kaiser Permanente Medical Center - Santa Clara Kiely Campus

🇺🇸

Santa Clara, California, United States

Kaiser Permanente Medical Center - South San Francisco

🇺🇸

South San Francisco, California, United States

Kaiser Permanente Medical Center - Vallejo

🇺🇸

Vallejo, California, United States

Kaiser Permanente Medical Facility - Stockton

🇺🇸

Stockton, California, United States

Kaiser Permanente Medical Center - Walnut Creek

🇺🇸

Walnut Creek, California, United States

Aurora Presbyterian Hospital

🇺🇸

Aurora, Colorado, United States

Kaiser Permanente Medical Center - Santa Teresa

🇺🇸

San Jose, California, United States

Boulder Community Hospital

🇺🇸

Boulder, Colorado, United States

Memorial Hospital

🇺🇸

Carthage, Illinois, United States

Presbyterian - St. Luke's Medical Center

🇺🇸

Denver, Colorado, United States

Rose Medical Center

🇺🇸

Denver, Colorado, United States

Front Range Cancer Specialists

🇺🇸

Fort Collins, Colorado, United States

Sky Ridge Medical Center

🇺🇸

Lone Tree, Colorado, United States

Hope Cancer Care Center at Longmont United Hospital

🇺🇸

Longmont, Colorado, United States

St. Mary-Corwin Regional Medical Center

🇺🇸

Pueblo, Colorado, United States

North Suburban Medical Center

🇺🇸

Thornton, Colorado, United States

St. Francis Hospital

🇺🇸

Wilmington, Delaware, United States

Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Lombardi Comprehensive Cancer Center at Georgetown University Medical Center

🇺🇸

Washington, District of Columbia, United States

Broward General Medical Center Cancer Center

🇺🇸

Fort Lauderdale, Florida, United States

Walter Reed Army Medical Center

🇺🇸

Washington, District of Columbia, United States

Michael & Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital

🇺🇸

Fort Lauderdale, Florida, United States

Memorial Cancer Institute at Memorial Regional Hospital

🇺🇸

Hollywood, Florida, United States

Mayo Clinic - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Ella Milbank Foshay Cancer Center at Jupiter Medical Center

🇺🇸

Jupiter, Florida, United States

CCOP - Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

University of Miami Sylvester Comprehensive Cancer Center

🇺🇸

Miami, Florida, United States

Northside Hospital Cancer Center

🇺🇸

Atlanta, Georgia, United States

WellStar Cobb Hospital

🇺🇸

Austell, Georgia, United States

Charles B. Eberhart Cancer Center at DeKalb Medical Center

🇺🇸

Decatur, Georgia, United States

Gwinnett Medical Center

🇺🇸

Lawrenceville, Georgia, United States

Veterans Affairs Medical Center - Atlanta (Decatur)

🇺🇸

Decatur, Georgia, United States

Kennestone Cancer Center at Wellstar Kennestone Hospital

🇺🇸

Marietta, Georgia, United States

Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center

🇺🇸

Boise, Idaho, United States

Saint Anthony's Hospital at Saint Anthony's Health Center

🇺🇸

Alton, Illinois, United States

St. Luke's Mountain States Tumor Institute - Boise

🇺🇸

Boise, Idaho, United States

Rush-Copley Cancer Care Center

🇺🇸

Aurora, Illinois, United States

St. Joseph Medical Center

🇺🇸

Bloomington, Illinois, United States

Robert H. Lurie Comprehensive Cancer Center at Northwestern University

🇺🇸

Chicago, Illinois, United States

Veterans Affairs Medical Center - Lakeside Chicago

🇺🇸

Chicago, Illinois, United States

Hematology and Oncology Associates

🇺🇸

Scranton, Pennsylvania, United States

University of Chicago Cancer Research Center

🇺🇸

Chicago, Illinois, United States

Evanston Northwestern Health Care - Evanston Hospital

🇺🇸

Evanston, Illinois, United States

Southern Regional Medical Center

🇺🇸

Riverdale, Georgia, United States

InterCommunity Cancer Center of Western Illinois

🇺🇸

Galesburg, Illinois, United States

Mason District Hospital

🇺🇸

Havana, Illinois, United States

Kewanee Hospital

🇺🇸

Kewanee, Illinois, United States

McDonough District Hospital

🇺🇸

Macomb, Illinois, United States

Joliet Oncology-Hematology Associates, Limited - West

🇺🇸

Joliet, Illinois, United States

North Shore Oncology and Hematology Associates, Limited - Libertyville

🇺🇸

Libertyville, Illinois, United States

Galesburg Clinic

🇺🇸

Galesburg, Illinois, United States

Galesburg Cottage Hospital

🇺🇸

Galesburg, Illinois, United States

Trinity Medical Center - East

🇺🇸

Moline, Illinois, United States

Edward Hospital Cancer Center

🇺🇸

Naperville, Illinois, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Hematology Oncology Consultants - Naperville

🇺🇸

Naperville, Illinois, United States

Northwest Medical Specialist, PC

🇺🇸

Niles, Illinois, United States

BroMenn Regional Medical Center

🇺🇸

Normal, Illinois, United States

Community Cancer Center

🇺🇸

Normal, Illinois, United States

Proctor Hospital

🇺🇸

Peoria, Illinois, United States

Oncology Hematology Associates of Central Illinois, PC - Ottawa

🇺🇸

Ottawa, Illinois, United States

Cancer Treatment Center at Pekin Hospital

🇺🇸

Pekin, Illinois, United States

CCOP - Illinois Oncology Research Association

🇺🇸

Peoria, Illinois, United States

Methodist Medical Center of Illinois

🇺🇸

Peoria, Illinois, United States

St. Margaret's Hospital

🇺🇸

Spring Valley, Illinois, United States

Carle Cancer Center at Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Fort Wayne Medical Oncology and Hematology

🇺🇸

Fort Wayne, Indiana, United States

Reid Hospital & Health Care Services, Incorporated

🇺🇸

Richmond, Indiana, United States

Saint Joseph Regional Medical Center

🇺🇸

South Bend, Indiana, United States

Memorial Hospital of South Bend

🇺🇸

South Bend, Indiana, United States

CCOP - Northern Indiana CR Consortium

🇺🇸

South Bend, Indiana, United States

Cedar Rapids Oncology Associates

🇺🇸

Cedar Rapids, Iowa, United States

McFarland Clinic, P. C.

🇺🇸

Ames, Iowa, United States

Mercy Regional Cancer Center at Mercy Medical Center

🇺🇸

Cedar Rapids, Iowa, United States

Genesis Regional Cancer Center at Genesis Medical Center

🇺🇸

Davenport, Iowa, United States

Genesis Medical Center - West Campus

🇺🇸

Davenport, Iowa, United States

CCOP - Iowa Oncology Research Association

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates at Mercy Cancer Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates at John Stoddard Cancer Center

🇺🇸

Des Moines, Iowa, United States

John Stoddard Cancer Center at Iowa Methodist Medical Center

🇺🇸

Des Moines, Iowa, United States

Burgess Health Center

🇺🇸

Onawa, Iowa, United States

Siouxland Regional Cancer Center

🇺🇸

Sioux City, Iowa, United States

John Stoddard Cancer Center at Iowa Lutheran Hospital

🇺🇸

Des Moines, Iowa, United States

Mercy Medical Center - Sioux City

🇺🇸

Sioux City, Iowa, United States

Siouxland Hematology-Oncology Associates

🇺🇸

Sioux City, Iowa, United States

Cancer Center of Kansas, P.A. - Kingman

🇺🇸

Kingman, Kansas, United States

Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Medical Oncology and Hematology Associates - West Des Moines

🇺🇸

West Des Moines, Iowa, United States

Cancer Center of Kansas, P.A. - Pratt

🇺🇸

Pratt, Kansas, United States

Southwest Medical Center

🇺🇸

Liberal, Kansas, United States

St. Luke's Regional Medical Center

🇺🇸

Sioux City, Iowa, United States

Cancer Center of Kansas, P.A. - El Dorado

🇺🇸

El Dorado, Kansas, United States

Cancer Center of Kansas, P.A. - Parsons

🇺🇸

Parsons, Kansas, United States

Stormont-Vail Cancer Center

🇺🇸

Topeka, Kansas, United States

St. Francis Comprehensive Cancer Center

🇺🇸

Topeka, Kansas, United States

Cancer Center of Kansas, P.A. - Salina

🇺🇸

Salina, Kansas, United States

Salina Regional Health Center

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas, P.A. - Wellington

🇺🇸

Wellington, Kansas, United States

Associates in Womens Health, P.A. - North Review

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, P.A. - Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, P.A. - Wichita

🇺🇸

Wichita, Kansas, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

CancerCare of Maine at Eastern Maine Medial Center

🇺🇸

Bangor, Maine, United States

Tufts - New England Medical Center

🇺🇸

Boston, Massachusetts, United States

Union Hospital Cancer Center at Union Hospital

🇺🇸

Elkton, Maryland, United States

Hickman Cancer Center at Bixby Medical Center

🇺🇸

Adrian, Michigan, United States

Franklin Medical Center

🇺🇸

Greenfield, Massachusetts, United States

Baystate Regional Cancer Program at D'Amour Center for Cancer Care

🇺🇸

Springfield, Massachusetts, United States

Mecosta County Medical Center

🇺🇸

Big Rapids, Michigan, United States

Bay Regional Medical Center

🇺🇸

Bay City, Michigan, United States

Green Bay Oncology, Limited - Escanaba

🇺🇸

Escanaba, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Lacks Cancer Center at Saint Mary's Mercy Medical Center

🇺🇸

Grand Rapids, Michigan, United States

Green Bay Oncology, Limited - Iron Mountain

🇺🇸

Iron Mountain, Michigan, United States

Van Elslander Cancer Center at St. John Hospital and Medical Center

🇺🇸

Grosse Pointe Woods, Michigan, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Haematology-Oncology Associates of Ohio and Michigan, P.C.

🇺🇸

Lambertville, Michigan, United States

Sparrow Regional Cancer Center

🇺🇸

Lansing, Michigan, United States

Community Cancer Center of Monroe

🇺🇸

Monroe, Michigan, United States

Hackley Hospital

🇺🇸

Muskegon, Michigan, United States

Northern Michigan Hospital

🇺🇸

Petoskey, Michigan, United States

Mercy Memorial Hospital System

🇺🇸

Monroe, Michigan, United States

Upper Michigan Cancer Center at Marquette General Hospital

🇺🇸

Marquette, Michigan, United States

Providence Cancer Institute at Providence Hospital - Southfield Campus

🇺🇸

Southfield, Michigan, United States

William Beaumont Hospital - Royal Oak Campus

🇺🇸

Royal Oak, Michigan, United States

MeritCare Clinic - Bemidji

🇺🇸

Bemidji, Minnesota, United States

Seton Cancer Institute - Saginaw

🇺🇸

Saginaw, Michigan, United States

Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph

🇺🇸

Saint Joseph, Michigan, United States

Brainerd Medical Center

🇺🇸

Brainerd, Minnesota, United States

St. John Macomb Hospital

🇺🇸

Warren, Michigan, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

Mercy and Unity Cancer Center at Mercy Hospital

🇺🇸

Coon Rapids, Minnesota, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

Fairview Southdale Hospital

🇺🇸

Edina, Minnesota, United States

Mercy and Unity Cancer Center at Unity Hospital

🇺🇸

Fridley, Minnesota, United States

Chippewa County - Montevideo Hospital

🇺🇸

Montevideo, Minnesota, United States

Hubert H. Humphrey Cancer Center at North Memorial Medical Center

🇺🇸

Robbinsdale, Minnesota, United States

Coborn Cancer Center

🇺🇸

Saint Cloud, Minnesota, United States

CentraCare Clinic - River Campus

🇺🇸

Saint Cloud, Minnesota, United States

CCOP - Metro-Minnesota

🇺🇸

Saint Louis Park, Minnesota, United States

Park Nicollet Health Services

🇺🇸

Saint Louis Park, Minnesota, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Hattiesburg Clinic, P.A.

🇺🇸

Hattiesburg, Mississippi, United States

Siteman Cancer Center at Barnes-Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

David C. Pratt Cancer Center at St. John's Mercy

🇺🇸

Saint Louis, Missouri, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

St. James Community Hospital

🇺🇸

Butte, Montana, United States

Community Medical Center

🇺🇸

Missoula, Montana, United States

Cancer Institute of New Jersey at Hamilton

🇺🇸

Hamilton, New Jersey, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

Elliot Regional Cancer Center

🇺🇸

Manchester, New Hampshire, United States

St. Barnabas Medical Center

🇺🇸

Livingston, New Jersey, United States

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Fox Chase Virtua Health Cancer Program - Marlton

🇺🇸

Marlton, New Jersey, United States

Carol G. Simon Cancer Center at Morristown Memorial Hospital

🇺🇸

Morristown, New Jersey, United States

Adirondack Cancer Care - Glens Falls

🇺🇸

Glens Falls, New York, United States

Highland Hospital of Rochester

🇺🇸

Rochester, New York, United States

James P. Wilmot Cancer Center at University of Rochester Medical Center

🇺🇸

Rochester, New York, United States

Iredell Memorial Hospital

🇺🇸

Statesville, North Carolina, United States

Wilson Medical Center

🇺🇸

Wilson, North Carolina, United States

Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital

🇺🇸

Greenville, North Carolina, United States

Blumenthal Cancer Center at Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Bismarck Cancer Center

🇺🇸

Bismarck, North Dakota, United States

Cancer Care Center at Medcenter One Hospital

🇺🇸

Bismarck, North Dakota, United States

Akron City Hospital

🇺🇸

Akron, Ohio, United States

McDowell Cancer Center at Akron General Medical Center

🇺🇸

Akron, Ohio, United States

Good Samaritan Hospital

🇺🇸

Dayton, Ohio, United States

Veterans Affairs Medical Center - Dayton

🇺🇸

Dayton, Ohio, United States

Samaritan North Cancer Care Center

🇺🇸

Dayton, Ohio, United States

Blanchard Valley Medical Associates

🇺🇸

Findlay, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

Charles F. Kettering Memorial Hospital

🇺🇸

Kettering, Ohio, United States

Fremont Memorial Hospital

🇺🇸

Fremont, Ohio, United States

Kenton Oncology, Incorporated

🇺🇸

Kenton, Ohio, United States

Community Oncology Group at Cleveland Clinic Cancer Center

🇺🇸

Independence, Ohio, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Lima Memorial Hospital

🇺🇸

Lima, Ohio, United States

Strecker Cancer Center at Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

Middletown Regional Hospital

🇺🇸

Middletown, Ohio, United States

Licking Memorial Cancer Care Program at Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

St. Charles Mercy Hospital

🇺🇸

Oregon, Ohio, United States

North Coast Cancer Care, Incorporated

🇺🇸

Sandusky, Ohio, United States

St. Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

Promedica Cancer Center at Flower Hospital

🇺🇸

Sylvania, Ohio, United States

Mercy Hospital of Tiffin

🇺🇸

Tiffin, Ohio, United States

Medical University of Ohio Cancer Center

🇺🇸

Toledo, Ohio, United States

CCOP - Toledo Community Hospital

🇺🇸

Toledo, Ohio, United States

Toledo Surgical Specialists

🇺🇸

Toledo, Ohio, United States

Toledo Clinic, Incorporated - Main Clinic

🇺🇸

Toledo, Ohio, United States

Fulton County Health Center

🇺🇸

Wauseon, Ohio, United States

Natalie Warren Bryant Cancer Center at St. Francis Hospital

🇺🇸

Tulsa, Oklahoma, United States

Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest

🇺🇸

Allentown, Pennsylvania, United States

Abramson Cancer Center of the University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Paoli Memorial Hospital

🇺🇸

Paoli, Pennsylvania, United States

Delaware County Regional Cancer Center at Delaware County Memorial Hospital

🇺🇸

Drexel Hill, Pennsylvania, United States

Penn State Cancer Institute at Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Joan Karnell Cancer Center at Pennsylvania Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Oncology Services of Aberdeen

🇺🇸

Aberdeen, South Dakota, United States

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center

🇺🇸

Kingsport, Tennessee, United States

Brooke Army Medical Center

🇺🇸

Fort Sam Houston, Texas, United States

UMC Southwest Cancer and Research Center

🇺🇸

Lubbock, Texas, United States

Doctor's Hospital of Laredo

🇺🇸

Laredo, Texas, United States

Veterans Affairs Medical Center - San Antonio (Murphy)

🇺🇸

San Antonio, Texas, United States

University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Logan Regional Hospital

🇺🇸

Logan, Utah, United States

Cottonwood Hospital Medical Center

🇺🇸

Murray, Utah, United States

LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

Virginia Oncology Associates - Hampton

🇺🇸

Hampton, Virginia, United States

Harborview Medical Center

🇺🇸

Seattle, Washington, United States

St. Joseph Hospital Community Cancer Center

🇺🇸

Bellingham, Washington, United States

Skagit Valley Hospital Cancer Care Center

🇺🇸

Mount Vernon, Washington, United States

North Puget Oncology at United General Hospital

🇺🇸

Sedro-Woolley, Washington, United States

North Star Lodge Cancer Center at Yakima Valley Memorial Hospital

🇺🇸

Yakima, Washington, United States

Mary Babb Randolph Cancer Center at West Virginia University Hospitals

🇺🇸

Morgantown, West Virginia, United States

Green Bay Oncology, Limited - Oconto Falls

🇺🇸

Oconto Falls, Wisconsin, United States

Holy Family Memorial Medical Center Cancer Care Center

🇺🇸

Manitowoc, Wisconsin, United States

Bay Area Cancer Care Center at Bay Area Medical Center

🇺🇸

Marinette, Wisconsin, United States

Green Bay Oncology, Limited - Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

Nova Scotia Cancer Centre

🇨🇦

Halifax, Nova Scotia, Canada

CancerCare Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

Toronto Sunnybrook Regional Cancer Centre at Sunnybrook Health Sciences Centre

🇨🇦

Toronto, Ontario, Canada

St. Catharines General Hospital at Niagara Health System

🇨🇦

St. Catharines, Ontario, Canada

Northeastern Ontario Regional Cancer Centre

🇨🇦

Sudbury, Ontario, Canada

Maisonneuve-Rosemont Hospital

🇨🇦

Montreal, Quebec, Canada

Centre Hospitalier de l'Universite de Montreal

🇨🇦

Montreal, Quebec, Canada

Allan Blair Cancer Centre at Pasqua Hospital

🇨🇦

Regina, Saskatchewan, Canada

St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital

🇺🇸

Ann Arbor, Michigan, United States

M.D. Anderson Cancer Center - Orlando

🇺🇸

Orlando, Florida, United States

James Graham Brown Cancer Center at University of Louisville

🇺🇸

Louisville, Kentucky, United States

Breslin Cancer Center at Ingham Regional Medical Center

🇺🇸

Lansing, Michigan, United States

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Hollings Cancer Center at Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Swedish Medical Center

🇺🇸

Englewood, Colorado, United States

Montana Cancer Specialists at Montana Cancer Center

🇺🇸

Missoula, Montana, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

Deaconess Billings Clinic Cancer Center

🇺🇸

Billings, Montana, United States

Internal Medicine Associates of Bozeman

🇺🇸

Bozeman, Montana, United States

Kalispell Medical Oncology

🇺🇸

Kalispell, Montana, United States

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Medical Center of Louisiana - New Orleans

🇺🇸

New Orleans, Louisiana, United States

Ochsner Cancer Institute at Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

CCOP - Ochsner

🇺🇸

New Orleans, Louisiana, United States

Massey Cancer Center at Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

Tripler Army Medical Center

🇺🇸

Honolulu, Hawaii, United States

Albert Einstein Cancer Center at Albert Einstein College of Medicine

🇺🇸

Bronx, New York, United States

Our Lady of Mercy Medical Center Comprehensive Cancer Center

🇺🇸

Bronx, New York, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

British Columbia Cancer Agency - Vancouver Cancer Centre

🇨🇦

Vancouver, British Columbia, Canada

Hematology-Oncology Centers of the Northern Rockies - Billings

🇺🇸

Billings, Montana, United States

Poudre Valley Hospital

🇺🇸

Fort Collins, Colorado, United States

Wilford Hall Medical Center

🇺🇸

Lackland Air Force Base, Texas, United States

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