MedPath

S9900: Surgery With or Without Combination Chemotherapy in Treating Patients With Non-small Cell Lung Cancer

Phase 3
Completed
Conditions
Lung Cancer
Interventions
Procedure: conventional surgery
Registration Number
NCT00004011
Lead Sponsor
SWOG Cancer Research Network
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known if surgery plus combination chemotherapy is more effective than surgery alone for non-small cell lung cancer.

PURPOSE: Randomized phase III trial to compare the effectiveness of surgery with or without combination chemotherapy in treating patients who have non-small cell lung cancer.

Detailed Description

OBJECTIVES:

* Compare survival of patients with previously untreated stage IB, II, or selected IIIA non-small cell lung cancer after preoperative chemotherapy comprising paclitaxel and carboplatin plus surgery vs surgery alone.

* Compare these regimens in terms of operative mortality and other toxic effects in these patients.

* Evaluate the response rates (confirmed and unconfirmed) and toxic effects associated with combined paclitaxel and carboplatin in these patients.

* Obtain samples for correlation of radiologic, pathologic, molecular, and biologic factors with the outcome in patients treated with these regimens.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to clinical stage (IB or IIA vs IIB or IIIA).

Patients are randomized to one of two treatment arms:

* Arm I: Patients undergo thoracotomy. All accessible hilar (level 10) lymph nodes are dissected, and complete mediastinal lymph node sampling is performed.

* Arm II: Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 1. Treatment repeats every 3 weeks for a maximum of 3 courses in the absence of disease progression or unacceptable toxicity. Within 2-6 weeks of course 3, patients undergo thoracotomy and lymph node dissection as in arm I.

Patients are followed every 3 months for 1 year, every 6 months for 5 years, and then annually until year 10.

PROJECTED ACCRUAL: A total of 600 patients (300 per treatment arm) will be accrued for this study within 4 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
354
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
preooperative chemo followed by surgerypaclitaxelcarboplatin paclitaxel conventional surgery
preooperative chemo followed by surgeryconventional surgerycarboplatin paclitaxel conventional surgery
Surgery aloneconventional surgeryconventional surgery
preooperative chemo followed by surgerycarboplatincarboplatin paclitaxel conventional surgery
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (287)

Abramson Cancer Center at University of Pennsylvania Medical Center

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Mount Diablo Medical Center

πŸ‡ΊπŸ‡Έ

Concord, California, United States

Doctor Leon Richard Oncology Centre

πŸ‡¨πŸ‡¦

Moncton, New Brunswick, Canada

Toronto Sunnybrook Regional Cancer Centre

πŸ‡¨πŸ‡¦

Toronto, Ontario, Canada

Mercy Hospital of Pittsburgh

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Florida Radiation Oncology Group

πŸ‡ΊπŸ‡Έ

Jacksonville, Florida, United States

Mayo Clinic - Jacksonville

πŸ‡ΊπŸ‡Έ

Jacksonville, Florida, United States

CCOP - Mount Sinai Medical Center

πŸ‡ΊπŸ‡Έ

Miami Beach, Florida, United States

Bay Medical Center

πŸ‡ΊπŸ‡Έ

Panama City, Florida, United States

MD Anderson Cancer Center Orlando

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Gulf Coast Cancer Treatment Center

πŸ‡ΊπŸ‡Έ

Panama City, Florida, United States

Tallahassee Memorial Hospital

πŸ‡ΊπŸ‡Έ

Tallahassee, Florida, United States

MBCCOP - LSU Health Sciences Center

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

CCOP - Kalamazoo

πŸ‡ΊπŸ‡Έ

Kalamazoo, Michigan, United States

MidMichigan Medical Center - Midland

πŸ‡ΊπŸ‡Έ

Midland, Michigan, United States

William Beaumont Hospital - Royal Oak

πŸ‡ΊπŸ‡Έ

Royal Oak, Michigan, United States

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

πŸ‡ΊπŸ‡Έ

Lebanon, New Hampshire, United States

Atlantic City Medical Center

πŸ‡ΊπŸ‡Έ

Pomona, New Jersey, United States

Dixie Regional Medical Center

πŸ‡ΊπŸ‡Έ

Saint George, Utah, United States

Schiffler Cancer Center at Wheeling Hospital

πŸ‡ΊπŸ‡Έ

Wheeling, West Virginia, United States

Marshfield Clinic

πŸ‡ΊπŸ‡Έ

Marshfield, Wisconsin, United States

St. Vincent Hospital

πŸ‡ΊπŸ‡Έ

Green Bay, Wisconsin, United States

Veterans Affairs Medical Center - Madison

πŸ‡ΊπŸ‡Έ

Madison, Wisconsin, United States

Nova Scotia Cancer Centre

πŸ‡¨πŸ‡¦

Halifax, Nova Scotia, Canada

CCOP - Marshfield Clinic Research Foundation

πŸ‡ΊπŸ‡Έ

Marshfield, Wisconsin, United States

Northeastern Ontario Regional Cancer Centre at Regional Hospital of Sudbury Regional Hospital

πŸ‡¨πŸ‡¦

Sudbury, Ontario, Canada

Tufts - New England Medical Center

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Cancer Research Center at Boston Medical Center

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Beth Israel Deaconess Medical Center

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Cancer Institute at Virginia Mason Medical Center

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

University of Texas - MD Anderson Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

University of Miami Sylvester Cancer Center

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Baptist Hospital of Miami

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Community Regional Cancer Care

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Montgomery Cancer Center

πŸ‡ΊπŸ‡Έ

Montgomery, Alabama, United States

Radiation Oncology Associates of West Alabama

πŸ‡ΊπŸ‡Έ

Tuscaloosa, Alabama, United States

CCOP - Santa Rosa Memorial Hospital

πŸ‡ΊπŸ‡Έ

Santa Rosa, California, United States

Veterans Affairs Medical Center - Long Beach

πŸ‡ΊπŸ‡Έ

Long Beach, California, United States

CCOP - Carle Cancer Center

πŸ‡ΊπŸ‡Έ

Urbana, Illinois, United States

Cardinal Bernardin Cancer Center at Loyola University Medical Center

πŸ‡ΊπŸ‡Έ

Maywood, Illinois, United States

Providence Saint Joseph Medical Center - Burbank

πŸ‡ΊπŸ‡Έ

Burbank, California, United States

Memorial Hospital Cancer Center

πŸ‡ΊπŸ‡Έ

Colorado Springs, Colorado, United States

Sutter Health Western Division Cancer Research Group

πŸ‡ΊπŸ‡Έ

Greenbrae, California, United States

CCOP - Bay Area Tumor Institute

πŸ‡ΊπŸ‡Έ

Oakland, California, United States

David Grant Medical Center

πŸ‡ΊπŸ‡Έ

Travis Air Force Base, California, United States

Comprehensive Cancer Institute

πŸ‡ΊπŸ‡Έ

Huntsville, Alabama, United States

Huntsville Hospital

πŸ‡ΊπŸ‡Έ

Huntsville, Alabama, United States

Shands Cancer Center at the University of Florida Health Science Center

πŸ‡ΊπŸ‡Έ

Gainesville, Florida, United States

Jonsson Comprehensive Cancer Center, UCLA

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Regional Radiation Oncology Center at Rome

πŸ‡ΊπŸ‡Έ

Rome, Georgia, United States

California Cancer Center

πŸ‡ΊπŸ‡Έ

Fresno, California, United States

Veterans Affairs Medical Center - Atlanta (Decatur)

πŸ‡ΊπŸ‡Έ

Decatur, Georgia, United States

CCOP - Central Illinois

πŸ‡ΊπŸ‡Έ

Decatur, Illinois, United States

Saint Agnes Cancer Center

πŸ‡ΊπŸ‡Έ

Fresno, California, United States

Sarasota Radiation and Medical Oncology Center

πŸ‡ΊπŸ‡Έ

Sarasota, Florida, United States

USC/Norris Comprehensive Cancer Center and Hospital

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Huntington Cancer Center at Huntington Hospital

πŸ‡ΊπŸ‡Έ

Pasadena, California, United States

Halifax Medical Center

πŸ‡ΊπŸ‡Έ

Daytona Beach, Florida, United States

Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center

πŸ‡ΊπŸ‡Έ

Pomona, California, United States

Northwest Community Hospital

πŸ‡ΊπŸ‡Έ

Arlington Heights, Illinois, United States

Lutheran General Cancer Care Center

πŸ‡ΊπŸ‡Έ

Park Ridge, Illinois, United States

Winship Cancer Institute of Emory University

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Robert H. Lurie Comprehensive Cancer Center at Northwestern University

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

CCOP - Scott and White Hospital

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

21st Century Oncology - Fort Myers

πŸ‡ΊπŸ‡Έ

Fort Myers, Florida, United States

Ingalls Memorial Hospital

πŸ‡ΊπŸ‡Έ

Harvey, Illinois, United States

CCOP - Illinois Oncology Research Association

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

James Graham Brown Cancer Center at University of Louisville

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

St. John's Cancer Center at St. John's Medical Center

πŸ‡ΊπŸ‡Έ

Anderson, Indiana, United States

Bloomington Hospital

πŸ‡ΊπŸ‡Έ

Bloomington, Indiana, United States

Herbert Irving Comprehensive Cancer Center at Columbia University

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Indiana University Cancer Center

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

CCOP - Iowa Oncology Research Association

πŸ‡ΊπŸ‡Έ

Des Moines, Iowa, United States

Central Baptist Hospital

πŸ‡ΊπŸ‡Έ

Lexington, Kentucky, United States

Ball Memorial Hospital Cancer Center

πŸ‡ΊπŸ‡Έ

Muncie, Indiana, United States

CCOP - Toledo Community Hospital

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

Batte Cancer Center at Northeast Medical Center

πŸ‡ΊπŸ‡Έ

Concord, North Carolina, United States

West Tennessee Cancer Center at Jackson-Madison County General Hospital

πŸ‡ΊπŸ‡Έ

Jackson, Tennessee, United States

CCOP - Greenville

πŸ‡ΊπŸ‡Έ

Greenville, South Carolina, United States

CCOP - Upstate Carolina

πŸ‡ΊπŸ‡Έ

Spartanburg, South Carolina, United States

Cancer Center at Christ Hospital

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Geisinger Medical Center

πŸ‡ΊπŸ‡Έ

Danville, Pennsylvania, United States

Harrington Cancer Center

πŸ‡ΊπŸ‡Έ

Amarillo, Texas, United States

Mercy Fitzgerald Hospital

πŸ‡ΊπŸ‡Έ

Darby, Pennsylvania, United States

Cottonwood Hospital Medical Center

πŸ‡ΊπŸ‡Έ

Murray, Utah, United States

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

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

Champlain Valley Physicians Hospital Medical Center

πŸ‡ΊπŸ‡Έ

Plattsburgh, New York, United States

MetroHealth's Cancer Care Center at MetroHealth Medical Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Vassar Brothers Medical Center

πŸ‡ΊπŸ‡Έ

Poughkeepsie, New York, United States

CCOP - Dayton

πŸ‡ΊπŸ‡Έ

Dayton, Ohio, United States

Charles M. Barrett Cancer Center at University Hospital

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Akron City Hospital

πŸ‡ΊπŸ‡Έ

Akron, Ohio, United States

Akron General Medical Center

πŸ‡ΊπŸ‡Έ

Akron, Ohio, United States

Allegheny General Hospital

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

CCOP - Sioux Community Cancer Consortium

πŸ‡ΊπŸ‡Έ

Sioux Falls, South Dakota, United States

University of Texas Medical Branch

πŸ‡ΊπŸ‡Έ

Galveston, Texas, United States

Comprehensive Cancer Centers of Nevada

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Radiation Medical Group, Incorporated

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Naval Medical Center - San Diego

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Veterans Affairs Medical Center - Minneapolis

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

Fairview University Medical Center - University Campus

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

University of Texas Health Science Center at San Antonio

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

UCSF Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

University of Utah Health Sciences Center

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

LDS Hospital

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

CCOP - Duluth

πŸ‡ΊπŸ‡Έ

Duluth, Minnesota, United States

Trinity Cancer Care Center

πŸ‡ΊπŸ‡Έ

Minot, North Dakota, United States

Coborn Cancer Center

πŸ‡ΊπŸ‡Έ

Saint Cloud, Minnesota, United States

CCOP - Metro-Minnesota

πŸ‡ΊπŸ‡Έ

Saint Louis Park, Minnesota, United States

CCOP - Wichita

πŸ‡ΊπŸ‡Έ

Wichita, Kansas, United States

CCOP - Merit Care Hospital

πŸ‡ΊπŸ‡Έ

Fargo, North Dakota, United States

St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Grand Junction, Colorado, United States

Altru Cancer Center

πŸ‡ΊπŸ‡Έ

Grand Forks, North Dakota, United States

MBCCOP - Hawaii

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Medcenter One Health System

πŸ‡ΊπŸ‡Έ

Bismarck, North Dakota, United States

Foundation for Cancer Research and Education

πŸ‡ΊπŸ‡Έ

Phoenix, Arizona, United States

University of Alabama at Birmingham Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Birmingham, Alabama, United States

University of Colorado Cancer Center at University of Colorado Health Sciences Center

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

CCOP - Colorado Cancer Research Program, Incorporated

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Barbara Ann Karmanos Cancer Institute

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

Josephine Ford Cancer Center at Henry Ford Hospital

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

Frank C. Love Cancer Institute at St. Anthony Hospital

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

CCOP - Columbia River Oncology Program

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

CCOP - Missouri Valley Cancer Consortium

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

Mayo Clinic Cancer Center

πŸ‡ΊπŸ‡Έ

Rochester, Minnesota, United States

Methodist Hospital Cancer Center at Nebraska Methodist Hospital - Omaha

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

O'Connor Hospital

πŸ‡ΊπŸ‡Έ

San Jose, California, United States

Stanford Cancer Center at Stanford University Medical Center

πŸ‡ΊπŸ‡Έ

Stanford, California, United States

Torrance Memorial Medical Center

πŸ‡ΊπŸ‡Έ

Torrance, California, United States

CCOP - Atlanta Regional

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Cancer Care Center at Advocate Good Samaritan Hospital

πŸ‡ΊπŸ‡Έ

Downers Grove, Illinois, United States

Veterans Affairs Medical Center - Indianapolis (Roudebush)

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

CCOP - Northern Indiana CR Consortium

πŸ‡ΊπŸ‡Έ

South Bend, Indiana, United States

Riverhill Radiation Oncology

πŸ‡ΊπŸ‡Έ

Yonkers, New York, United States

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

πŸ‡ΊπŸ‡Έ

Chapel Hill, North Carolina, United States

University Hospitals of Cleveland

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Cleveland Clinic Taussig Cancer Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

CCOP - Columbus

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

Arthur G. James Cancer Hospital - Ohio State University

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

Parma Community General Hospital

πŸ‡ΊπŸ‡Έ

Parma, Ohio, United States

Oklahoma University Medical Center

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

St. John Health System

πŸ‡ΊπŸ‡Έ

Tulsa, Oklahoma, United States

CCOP - Oklahoma

πŸ‡ΊπŸ‡Έ

Tulsa, Oklahoma, United States

Abington Memorial Hospital

πŸ‡ΊπŸ‡Έ

Abington, Pennsylvania, United States

John and Dorothy Morgan Cancer Center at Lehigh Valley Hospital

πŸ‡ΊπŸ‡Έ

Allentown, Pennsylvania, United States

St. Luke's Hospital Cancer Center

πŸ‡ΊπŸ‡Έ

Bethlehem, Pennsylvania, United States

Delaware County Memorial Hospital

πŸ‡ΊπŸ‡Έ

Drexel Hill, Pennsylvania, United States

Penn State Cancer Institute at Milton S. Hershey Medical Center

πŸ‡ΊπŸ‡Έ

Hershey, Pennsylvania, United States

Dale and Frances Hughes Cancer Center

πŸ‡ΊπŸ‡Έ

East Stroudsburg, Pennsylvania, United States

Veterans Affairs Medical Center - Philadelphia

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Fox Chase Cancer Center

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Western Pennsylvania Hospital

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

CCOP - MainLine Health

πŸ‡ΊπŸ‡Έ

Wynnewood, Pennsylvania, United States

Reading Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Reading, Pennsylvania, United States

Wilford Hall Medical Center

πŸ‡ΊπŸ‡Έ

Lackland Air Force Base, Texas, United States

Wellspan Health - York Cancer Center

πŸ‡ΊπŸ‡Έ

York, Pennsylvania, United States

Joe Arrington Cancer Research and Treatment Center

πŸ‡ΊπŸ‡Έ

Lubbock, Texas, United States

Deaconess Medical Center

πŸ‡ΊπŸ‡Έ

Spokane, Washington, United States

MBCCOP - Gulf Coast

πŸ‡ΊπŸ‡Έ

Mobile, Alabama, United States

DCH Cancer Treatment Center

πŸ‡ΊπŸ‡Έ

Tuscaloosa, Alabama, United States

Radiation Oncology Centers - Sacramento

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

H. Lee Moffitt Cancer Center and Research Institute

πŸ‡ΊπŸ‡Έ

Tampa, Florida, United States

CCOP - Michigan Cancer Research Consortium

πŸ‡ΊπŸ‡Έ

Ann Arbor, Michigan, United States

University of Michigan Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Ann Arbor, Michigan, United States

Columbia Hospital

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

St. Luke's Medical Center

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

Medical College of Wisconsin Cancer Center

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

CCOP - Southeast Cancer Control Consortium

πŸ‡ΊπŸ‡Έ

Winston-Salem, North Carolina, United States

Comprehensive Cancer Center at Wake Forest University

πŸ‡ΊπŸ‡Έ

Winston-Salem, North Carolina, United States

Leo W. Jenkins Cancer Center of University Health Systems of Eastern Carolina

πŸ‡ΊπŸ‡Έ

Greenville, North Carolina, United States

Arlington Cancer Center

πŸ‡ΊπŸ‡Έ

Arlington, Texas, United States

RMH Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Harrisonburg, Virginia, United States

Albert Einstein Cancer Center

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Loma Linda University Cancer Institute at Loma Linda University Medical Center

πŸ‡ΊπŸ‡Έ

Loma Linda, California, United States

CCOP - Mayo Clinic Scottsdale Oncology Program

πŸ‡ΊπŸ‡Έ

Scottsdale, Arizona, United States

CCOP - Christiana Care Health Services

πŸ‡ΊπŸ‡Έ

Newark, Delaware, United States

Hospital of St. Raphael

πŸ‡ΊπŸ‡Έ

New Haven, Connecticut, United States

Yale Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

New Haven, Connecticut, United States

Sibley Memorial Hospital

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Holmes Regional Medical Center

πŸ‡ΊπŸ‡Έ

Melbourne, Florida, United States

Medical Center/John B. Amos Community Cancer Center

πŸ‡ΊπŸ‡Έ

Columbus, Georgia, United States

Methodist Cancer Center at Methodist Hospital

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Methodist Medical Center of Illinois

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

Siouxland Hematology-Oncology

πŸ‡ΊπŸ‡Έ

Sioux City, Iowa, United States

CCOP - Cedar Rapids Oncology Project

πŸ‡ΊπŸ‡Έ

Cedar Rapids, Iowa, United States

St. Elizabeth Medical Center

πŸ‡ΊπŸ‡Έ

Edgewood, Kentucky, United States

Wendt Regional Cancer Center of Finley Hospital

πŸ‡ΊπŸ‡Έ

Dubuque, Iowa, United States

Markey Cancer Center at University of Kentucky Chandler Medical Center

πŸ‡ΊπŸ‡Έ

Lexington, Kentucky, United States

Louisville Radiation Oncology Center at Caritas Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

Merle M. Mahr Cancer Center at Regional Medical Center of Hopkins County

πŸ‡ΊπŸ‡Έ

Madisonville, Kentucky, United States

Mary Bird Perkins Cancer Center

πŸ‡ΊπŸ‡Έ

Baton Rouge, Louisiana, United States

Maine Medical Center

πŸ‡ΊπŸ‡Έ

Portland, Maine, United States

CCOP - Ochsner

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Tulane Cancer Center at Tulane University Hospital and Clinic

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Anne Arundel Oncology Center

πŸ‡ΊπŸ‡Έ

Annapolis, Maryland, United States

Harbor Hospital Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Greater Baltimore Medical Center and Cancer Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Sinai Hospital of Baltimore

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Greenebaum Cancer Center at University of Maryland Medical Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

St. Agnes Cancer Center

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Peninsula Regional Medical Center

πŸ‡ΊπŸ‡Έ

Salisbury, Maryland, United States

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Veterans Affairs Medical Center - Boston (Jamaica Plain)

πŸ‡ΊπŸ‡Έ

Jamaica Plain, Massachusetts, United States

Cape Cod Hospital

πŸ‡ΊπŸ‡Έ

Hyannis, Massachusetts, United States

NSMC Cancer Center

πŸ‡ΊπŸ‡Έ

Peabody, Massachusetts, United States

Hurley Medical Center

πŸ‡ΊπŸ‡Έ

Flint, Michigan, United States

McLaren Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Flint, Michigan, United States

Marquette General Hospital

πŸ‡ΊπŸ‡Έ

Marquette, Michigan, United States

CCOP - Beaumont

πŸ‡ΊπŸ‡Έ

Royal Oak, Michigan, United States

William Beaumont Hospital - Troy

πŸ‡ΊπŸ‡Έ

Troy, Michigan, United States

CCOP - Cancer Research for the Ozarks

πŸ‡ΊπŸ‡Έ

Springfield, Missouri, United States

CCOP - Kansas City

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

Cancer Research for the Ozarks

πŸ‡ΊπŸ‡Έ

Springfield, Missouri, United States

Ellis Fischel Cancer Center at University of Missouri - Columbia

πŸ‡ΊπŸ‡Έ

Columbia, Missouri, United States

St. Louis University Hospital Cancer Center

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

CCOP - Montana Cancer Consortium

πŸ‡ΊπŸ‡Έ

Billings, Montana, United States

Siteman Cancer Center

πŸ‡ΊπŸ‡Έ

St. Louis, Missouri, United States

UNMC Eppley Cancer Center at the University of Nebraska Medical Center

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

CCOP - Southern Nevada Cancer Research Foundation

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

Elliot Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Manchester, New Hampshire, United States

Veterans Affairs Medical Center - East Orange

πŸ‡ΊπŸ‡Έ

East Orange, New Jersey, United States

John F. Kennedy Medical Center

πŸ‡ΊπŸ‡Έ

Edison, New Jersey, United States

Trinitas Hospital - Jersey Street Campus

πŸ‡ΊπŸ‡Έ

Elizabeth, New Jersey, United States

Cancer Institute of New Jersey

πŸ‡ΊπŸ‡Έ

New Brunswick, New Jersey, United States

South Jersey Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Millville, New Jersey, United States

Newark Beth Israel Medical Center

πŸ‡ΊπŸ‡Έ

Newark, New Jersey, United States

Monmouth Medical Center

πŸ‡ΊπŸ‡Έ

Long Branch, New Jersey, United States

Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital

πŸ‡ΊπŸ‡Έ

Mount Holly, New Jersey, United States

Community Medical Center

πŸ‡ΊπŸ‡Έ

Toms River, New Jersey, United States

Medical Center of Princeton

πŸ‡ΊπŸ‡Έ

Princeton, New Jersey, United States

Valley Hospital

πŸ‡ΊπŸ‡Έ

Ridgewood, New Jersey, United States

Fox Chase Cancer Center at St. Francis Medical Center

πŸ‡ΊπŸ‡Έ

Trenton, New Jersey, United States

Radiation Oncology Associates of Albuquerque

πŸ‡ΊπŸ‡Έ

Albuquerque, New Mexico, United States

MBCCOP-Our Lady of Mercy Cancer Center

πŸ‡ΊπŸ‡Έ

Bronx, New York, United States

Cancer Center of Albany Medical Center

πŸ‡ΊπŸ‡Έ

Albany, New York, United States

Associated Radiologists, P.A.

πŸ‡ΊπŸ‡Έ

Warren, New Jersey, United States

SUNY Downstate Medical Center

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

Roswell Park Cancer Institute

πŸ‡ΊπŸ‡Έ

Buffalo, New York, United States

Beth Israel Medical Center - Philipps Ambulatory Care Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.

πŸ‡ΊπŸ‡Έ

East Syracuse, New York, United States

Finger Lakes Radiation Oncology Center

πŸ‡ΊπŸ‡Έ

Clifton Springs, New York, United States

CCOP - North Shore University Hospital

πŸ‡ΊπŸ‡Έ

Manhasset, New York, United States

Memorial Sloan-Kettering Cancer Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

CCOP - Geisinger Clinic and Medical Center

πŸ‡ΊπŸ‡Έ

Danville, Pennsylvania, United States

Mercy Hospital Cancer Center - Scranton

πŸ‡ΊπŸ‡Έ

Scranton, Pennsylvania, United States

Hillman Cancer Center at University of Pittsburgh Cancer Institute

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Roger Williams Medical Center

πŸ‡ΊπŸ‡Έ

Providence, Rhode Island, United States

Wilkes-Barre General Hospital

πŸ‡ΊπŸ‡Έ

Wilkes-Barre, Pennsylvania, United States

Rapid City Regional Hospital

πŸ‡ΊπŸ‡Έ

Rapid City, South Dakota, United States

Bayshore Medical Center

πŸ‡ΊπŸ‡Έ

Pasadena, Texas, United States

Utah Valley Regional Medical Center - Provo

πŸ‡ΊπŸ‡Έ

Provo, Utah, United States

Vermont Cancer Center at University of Vermont

πŸ‡ΊπŸ‡Έ

Burlington, Vermont, United States

Green Mountain Oncology Group

πŸ‡ΊπŸ‡Έ

Bennington, Vermont, United States

Bon Secours - St. Mary's Hospital

πŸ‡ΊπŸ‡Έ

Richmond, Virginia, United States

Naval Medical Center, Portsmouth

πŸ‡ΊπŸ‡Έ

Portsmouth, Virginia, United States

Cancer Center at the University of Virginia

πŸ‡ΊπŸ‡Έ

Charlottesville, Virginia, United States

Yakima Valley Memorial Hospital

πŸ‡ΊπŸ‡Έ

Yakima, Washington, United States

Massey Cancer Center at Virginia Commonwealth University

πŸ‡ΊπŸ‡Έ

Richmond, Virginia, United States

Southern Wisconsin Radiotherapy Center

πŸ‡ΊπŸ‡Έ

Madison, Wisconsin, United States

CCOP - St. Vincent Hospital Cancer Center, Green Bay

πŸ‡ΊπŸ‡Έ

Green Bay, Wisconsin, United States

University of Wisconsin Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Madison, Wisconsin, United States

Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center

πŸ‡ΊπŸ‡Έ

La Crosse, Wisconsin, United States

Community Memorial Hospital

πŸ‡ΊπŸ‡Έ

Menomonee Falls, Wisconsin, United States

Veterans Affairs Medical Center - Milwaukee (Zablocki)

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

All Saints Cancer Center at All Saints Healthcare

πŸ‡ΊπŸ‡Έ

Racine, Wisconsin, United States

Waukesha Memorial Hospital Regional Cancer Center

πŸ‡ΊπŸ‡Έ

Waukesha, Wisconsin, United States

Tom Baker Cancer Center - Calgary

πŸ‡¨πŸ‡¦

Calgary, Alberta, Canada

Cross Cancer Institute

πŸ‡¨πŸ‡¦

Edmonton, Alberta, Canada

Saint John Regional Hospital

πŸ‡¨πŸ‡¦

Saint John, New Brunswick, Canada

Kingston Regional Cancer Centre

πŸ‡¨πŸ‡¦

Kingston, Ontario, Canada

Margaret and Charles Juravinski Cancer Centre

πŸ‡¨πŸ‡¦

Hamilton, Ontario, Canada

Newfoundland Cancer Treatment and Research Foundation

πŸ‡¨πŸ‡¦

St. Johns, Newfoundland and Labrador, Canada

Cancer Care Ontario-London Regional Cancer Centre

πŸ‡¨πŸ‡¦

London, Ontario, Canada

Ottawa Regional Cancer Centre

πŸ‡¨πŸ‡¦

Ottawa, Ontario, Canada

Princess Margaret Hospital

πŸ‡¨πŸ‡¦

Toronto, Ontario, Canada

Northwestern Ontario Regional Cancer Care

πŸ‡¨πŸ‡¦

Thunder Bay, Ontario, Canada

CHUS-Hopital Fleurimont

πŸ‡¨πŸ‡¦

Fleurimont, Quebec, Canada

Centre Hospitalier de l'Universite de Montreal

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

McGill University

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

Centre Hospitalier Universitaire de Quebec

πŸ‡¨πŸ‡¦

Quebec City, Quebec, Canada

Allan Blair Cancer Centre

πŸ‡¨πŸ‡¦

Regina, Saskatchewan, Canada

Saskatoon Cancer Centre

πŸ‡¨πŸ‡¦

Saskatoon, Saskatchewan, Canada

New York Methodist Hospital

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

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