MedPath

Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer

Phase 3
Conditions
Endometrial Clear Cell Adenocarcinoma
Endometrial Serous Adenocarcinoma
Stage IA Uterine Corpus Cancer AJCC v7
Stage IB Uterine Corpus Cancer AJCC v7
Stage IVA Uterine Corpus Cancer AJCC v7
Stage II Uterine Corpus Cancer AJCC v7
Stage IIIA Uterine Corpus Cancer AJCC v7
Stage IIIB Uterine Corpus Cancer AJCC v7
Stage IIIC Uterine Corpus Cancer AJCC v7
Interventions
Drug: Carboplatin
Drug: Paclitaxel
Drug: Cisplatin
Radiation: Internal Radiation Therapy
Other: Quality-of-Life Assessment
Radiation: Radiation Therapy
Registration Number
NCT00942357
Lead Sponsor
Gynecologic Oncology Group
Brief Summary

This randomized phase III trial studies carboplatin and paclitaxel to see how well they work with or without cisplatin and radiation therapy in treating patients with stage I-IVA endometrial cancer. Drugs used in chemotherapy, such as carboplatin, paclitaxel, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving chemotherapy and radiation therapy after surgery may kill any tumor cells that remain after surgery. It is not yet known whether carboplatin and paclitaxel are more effective with or without cisplatin and radiation therapy in treating patients with endometrial cancer.

Detailed Description

PRIMARY OBJECTIVES:

I. To determine if treatment with cisplatin and volume-directed radiation followed by carboplatin and paclitaxel for 4 cycles (experimental arm) reduces the rate of recurrence or death (i.e., increases recurrence-free survival) when compared to chemotherapy consisting of carboplatin and paclitaxel for 6 cycles (control arm) in patients with stages III-IVA endometrial carcinoma (\< 2 cm residual disease) or patients with International Federation of Gynecology and Obstetrics (FIGO) 2009 stage I or II serous (uterine papillary serous carcinoma \[UPSC\]) or clear cell endometrial carcinoma and positive cytology.

SECONDARY OBJECTIVES:

I. To determine if treatment with cisplatin and volume-directed radiation followed by carboplatin and paclitaxel for 4 cycles (experimental arm) reduces the rate of death (i.e., increases survival) when compared to chemotherapy consisting of carboplatin and paclitaxel for 6 cycles (control arm) in patients with stages III-IVA endometrial carcinoma (\< 2 cm residual disease) or patients with FIGO 2009 stage I or II serous (UPSC) or clear cell endometrial carcinoma and positive cytology.

II. To compare the regimens with respect to acute and late adverse effects of therapy.

III. To determine the impact of patient-reported quality of life during and following treatment for up to 1 year with the two treatment regimens.

TERTIARY OBJECTIVES:

I. To bank formalin-fixed, paraffin-embedded (FFPE) tumor tissue and whole blood specimens for future research.

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

ARM I: Patients receive cisplatin intravenously (IV) on days 1 and 29. Patients also undergo radiation therapy once daily (QD), 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study therapy, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
813
Inclusion Criteria
  • All patients with surgical stage III or IVA endometrial carcinoma per FIGO 2009 staging criteria including clear cell and serous papillary and undifferentiated carcinoma

    • Surgical stage III disease includes those patients with positive adnexa, parametrial involvement, tumor invading the serosa, positive pelvic and/or para-aortic nodes, or vaginal involvement
    • Surgical stage IVA patients with bladder or bowel mucosal involvement, but no spread outside the pelvis
  • Patients with FIGO 2009 surgical stage I or II endometrial clear cell or serous carcinoma and with positive peritoneal cytology

  • Surgery must have included a hysterectomy and bilateral salpingo-oophorectomy; pelvic lymph node sampling and para-aortic lymph node sampling are optional

  • Patients with a Gynecologic Oncology Group (GOG) performance status of 0, 1, or 2

  • White blood cell (WBC) >= 3,000/mcl

  • Absolute neutrophil count (ANC) >= 1,500/mcl

  • Platelet count >= 100,000/mcl

  • Serum glutamic oxaloacetic transaminase (SGOT) and serum glutamate pyruvate transaminase (SGPT) =< 2.5 x upper limit of normal (ULN)

  • Alkaline phosphatase =< 2.5 times ULN

  • Bilirubin =< 1.5 times ULN

  • Creatinine =< institutional ULN

  • Patients who have met the pre-entry requirements; testing values/results must meet eligibility criteria

  • Patients who have signed an approved informed consent and authorization permitting release of personal health information

  • Entry into the study is limited to no more than 8 weeks from the date of surgery

Read More
Exclusion Criteria
  • Patients with carcinosarcoma
  • Patients with recurrent endometrial cancer
  • Patients with residual tumor after surgery (any single site) exceeding 2 cm in maximum dimension
  • Patients who have had pelvic or abdominal radiation therapy
  • Patients with positive pelvic washings as the only extra-uterine disease are NOT eligible if the histology is other than clear cell or papillary serous carcinoma
  • Patients with a history of other invasive malignancies, with the exception of non-melanoma skin cancer, are excluded if there is any evidence of active malignancy within the last five years; patients are also excluded if their previous cancer treatment contraindicates this protocol therapy
  • Patients with a history of serious co-morbid illness or uncontrolled illnesses that would preclude protocol therapy
  • Patients with an estimated survival of less than three months
  • Patients with FIGO 2009 stage IVB endometrial cancer
  • Patients with parenchymal liver metastases
  • Patients who have received prior chemotherapy for endometrial cancer
  • Patients with a history of myocardial infarction, unstable angina, or uncontrolled arrhythmia within 3 months from enrollment
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)CarboplatinPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)Internal Radiation TherapyPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)Quality-of-Life AssessmentPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)Radiation TherapyPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm II (paclitaxel and carboplatin)PaclitaxelPatients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm II (paclitaxel and carboplatin)Quality-of-Life AssessmentPatients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)CisplatinPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm I (cisplatin, radiation therapy, paclitaxel, carboplatin)PaclitaxelPatients receive cisplatin IV on days 1 and 29. Patients also undergo radiation therapy QD, 5 days a week, for 5-6 weeks. Some patients may then undergo brachytherapy over 2-3 weeks. Beginning within 8 weeks after completion of chemoradiotherapy, patients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm II (paclitaxel and carboplatin)CarboplatinPatients receive paclitaxel IV over 3 hours and carboplatin IV on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Number of Participants With Recurrence, Progression or DeathDisease was to be assessed at baseline, end of treatment and every 6 months for two years, and annually up to 5 years.

Number of participants enrolled with recurrence or progression of disease or death up to date of last contact. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion or the appearance of new lesions.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Acute Adverse Effects as Graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events Version (CTCAE) Version 3.0Assessed throughout the treatment period and for 21-30 days after discontinuation of treatment

The maximum grade of all treatment emergent adverse events without regard to attribution. General guidelines for severity of adverse events are as follows: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life threatening and Grade 5 is death.

Number of Participants With Late Adverse Events as Graded by the NCI CTCAE Version 3.0Assessed every 6 months for 3 years

The maximum grade of Adverse events reported during follow-up until progression of disease, a change of therapy or otherwise off study for a maximum of 3 years without regard to attribution. General guidelines for severity of adverse events are as follows: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life threatening and Grade 5 is death.

Overall SurvivalFrom entry into the study to death or the date of last contact, assessed up to 8 years

Independence between the two endpoints, RFS and survival, and randomized treatment will be assessed with a stratified logrank test for an intent-to-treat analysis of eligible patients.

Patient-reported Peripheral Neuropathy SymptomsPrior to study treatment (baseline), Arm 1: 1 week post completion of radiation therapy, Arm 2: Prior to cycle 3 (6 weeks post starting of study treatment), 18 weeks post the starting of study treatement, 70 weeks post the starting of study treatment

Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the scale. The Ntx score ranges 0-16 with a large score suggests less peripheral neuropathy symptoms.

Patient-reported Quality of Life (QOL)Prior to study treatment (baseline), Arm 1: 1 Week post completion of radiation therapy, Arm 2: Prior to cycle 3 (6 weeks post starting of study treatment), 18 weeks post the starting of study treatment, 70 weeks post the starting of study treatment

Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). It is a scale for assessing general QOL of endometrial cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Endometrium Cancer subscale (16 items). Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). According to the FACIT measurement system, a subscale score was the summation of the individual item scores if more than 50% of subscale items were answered. When unanswered items existed, a subscale score was prorated by multiplying the mean of the answered item scores by the number of items in the subscale. The FACT-En TOI score is calculated as the sum of the subscale scores, ranges are 0-120 with a large score suggesting a better QOL.

Trial Locations

Locations (666)

Prisma Health Cancer Institute - Easley

🇺🇸

Easley, South Carolina, United States

Columbus Oncology and Hematology Associates Inc

🇺🇸

Columbus, Ohio, United States

Grant Medical Center

🇺🇸

Columbus, Ohio, United States

Doctors Hospital

🇺🇸

Columbus, Ohio, United States

MedStar Franklin Square Medical Center/Weinberg Cancer Institute

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins University/Sidney Kimmel Cancer Center

🇺🇸

Baltimore, Maryland, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

John H Stroger Jr Hospital of Cook County

🇺🇸

Chicago, Illinois, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

University of Chicago Comprehensive Cancer Center

🇺🇸

Chicago, Illinois, United States

University of Pittsburgh Cancer Institute (UPCI)

🇺🇸

Pittsburgh, Pennsylvania, United States

Cleveland Clinic Cancer Center/Fairview Hospital

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Pacific Gynecology Specialists

🇺🇸

Seattle, Washington, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

Kaiser Permanente Washington

🇺🇸

Seattle, Washington, United States

Holy Cross Hospital

🇺🇸

Silver Spring, Maryland, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

Memorial Hermann Texas Medical Center

🇺🇸

Houston, Texas, United States

Jackson Memorial Hospital-Holtz Children's Hospital

🇺🇸

Miami, Florida, United States

University of Miami Miller School of Medicine-Sylvester Cancer Center

🇺🇸

Miami, Florida, United States

Saint Vincent Hospital and Health Care Center

🇺🇸

Indianapolis, Indiana, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

Radiation Oncology Centers of Nevada Central

🇺🇸

Las Vegas, Nevada, United States

21st Century Oncology

🇺🇸

Las Vegas, Nevada, United States

Radiation Oncology Centers of Nevada Southeast

🇺🇸

Las Vegas, Nevada, United States

21st Century Oncology-Vegas Tenaya

🇺🇸

Las Vegas, Nevada, United States

Cancer and Blood Specialists-Tenaya

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada - Northwest

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Tenaya

🇺🇸

Las Vegas, Nevada, United States

Alliance for Childhood Diseases/Cure 4 the Kids Foundation

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada - Central Valley

🇺🇸

Las Vegas, Nevada, United States

Nevada Cancer Research Foundation NCORP

🇺🇸

Las Vegas, Nevada, United States

Oncology Hematology Care Inc-Mercy West

🇺🇸

Cincinnati, Ohio, United States

Oncology Hematology Care Inc-Anderson

🇺🇸

Cincinnati, Ohio, United States

Oncology Hematology Care Inc-Blue Ash

🇺🇸

Cincinnati, Ohio, United States

University of Cincinnati Cancer Center-UC Medical Center

🇺🇸

Cincinnati, Ohio, United States

Good Samaritan Hospital - Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Welch Cancer Center

🇺🇸

Sheridan, Wyoming, United States

New York Medical College

🇺🇸

Valhalla, New York, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Abbott-Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Tennessee Oncology PLLC- Centennial Medical Center

🇺🇸

Nashville, Tennessee, United States

Utah Cancer Specialists-Salt Lake City

🇺🇸

Salt Lake City, Utah, United States

LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

Saint Joseph's Hospital and Medical Center

🇺🇸

Phoenix, Arizona, United States

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Wayne State University/Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

University of California San Diego

🇺🇸

San Diego, California, United States

North Shore University Hospital

🇺🇸

Manhasset, New York, United States

Bridgeport Hospital

🇺🇸

Bridgeport, Connecticut, United States

Saint Peter's Community Hospital

🇺🇸

Helena, Montana, United States

Montana Cancer Specialists

🇺🇸

Missoula, Montana, United States

Berdeaux, Donald MD (UIA Investigator)

🇺🇸

Great Falls, Montana, United States

Great Falls Clinic

🇺🇸

Great Falls, Montana, United States

Billings Clinic Cancer Center

🇺🇸

Billings, Montana, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Saint Patrick Hospital - Community Hospital

🇺🇸

Missoula, Montana, United States

Benefis Healthcare- Sletten Cancer Institute

🇺🇸

Great Falls, Montana, United States

Saint James Community Hospital and Cancer Treatment Center

🇺🇸

Butte, Montana, United States

Saint Vincent Healthcare

🇺🇸

Billings, Montana, United States

University of Alabama at Birmingham Cancer Center

🇺🇸

Birmingham, Alabama, United States

Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

Nebraska Methodist Hospital

🇺🇸

Omaha, Nebraska, United States

Alegent Health Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegent Health Lakeside Hospital

🇺🇸

Omaha, Nebraska, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Aurora Saint Luke's Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Aurora Sinai Medical Center

🇺🇸

Milwaukee, Wisconsin, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Overlake Medical Center

🇺🇸

Bellevue, Washington, United States

Swedish Medical Center-First Hill

🇺🇸

Seattle, Washington, United States

MultiCare Tacoma General Hospital

🇺🇸

Tacoma, Washington, United States

PeaceHealth Southwest Medical Center

🇺🇸

Vancouver, Washington, United States

Providence Saint Mary Regional Cancer Center

🇺🇸

Walla Walla, Washington, United States

Memorial Medical Center - Las Cruces

🇺🇸

Las Cruces, New Mexico, United States

Prisma Health Cancer Institute - Faris

🇺🇸

Greenville, South Carolina, United States

Prisma Health Cancer Institute - Greer

🇺🇸

Greer, South Carolina, United States

Maine Medical Center-Bramhall Campus

🇺🇸

Portland, Maine, United States

Alaska Breast Care and Surgery LLC

🇺🇸

Anchorage, Alaska, United States

Alaska Women's Cancer Care

🇺🇸

Anchorage, Alaska, United States

Piedmont Hospital

🇺🇸

Atlanta, Georgia, United States

Central Georgia Gynecologic Oncology

🇺🇸

Macon, Georgia, United States

Hartford Hospital

🇺🇸

Hartford, Connecticut, United States

Eastern Connecticut Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Hackensack University Medical Center

🇺🇸

Hackensack, New Jersey, United States

Tennessee Valley Gynecologic Oncology

🇺🇸

Huntsville, Alabama, United States

University of South Alabama Mitchell Cancer Institute

🇺🇸

Mobile, Alabama, United States

Anchorage Oncology Centre

🇺🇸

Anchorage, Alaska, United States

Sutter Cancer Centers Radiation Oncology Services-Auburn

🇺🇸

Auburn, California, United States

Mayo Clinic in Arizona

🇺🇸

Scottsdale, Arizona, United States

Providence Alaska Medical Center

🇺🇸

Anchorage, Alaska, United States

Mercy San Juan Medical Center

🇺🇸

Carmichael, California, United States

Southeast Gynecologic Oncology Associates

🇺🇸

Jacksonville, Florida, United States

AdventHealth Winter Park

🇺🇸

Winter Park, Florida, United States

UC Irvine Health/Chao Family Comprehensive Cancer Center

🇺🇸

Orange, California, United States

Kaiser Permanente-Oakland

🇺🇸

Oakland, California, United States

Kaiser Permanente-Redwood City

🇺🇸

Redwood City, California, United States

Saint Joseph Hospital - Orange

🇺🇸

Orange, California, United States

Lehigh Valley Hospital-Cedar Crest

🇺🇸

Allentown, Pennsylvania, United States

Reading Hospital

🇺🇸

West Reading, Pennsylvania, United States

Sutter Cancer Centers Radiation Oncology Services-Roseville

🇺🇸

Roseville, California, United States

Kaiser Permanente-Richmond

🇺🇸

Richmond, California, United States

Kaiser Permanente-San Francisco

🇺🇸

San Francisco, California, United States

Kaiser Permanente-Santa Teresa-San Jose

🇺🇸

San Jose, California, United States

Kaiser Permanente San Leandro

🇺🇸

San Leandro, California, United States

Kaiser Permanente-San Rafael

🇺🇸

San Rafael, California, United States

Kaiser Permanente-Santa Rosa

🇺🇸

Santa Rosa, California, United States

Olive View-University of California Los Angeles Medical Center

🇺🇸

Sylmar, California, United States

Kaiser Permanente Medical Center-Vacaville

🇺🇸

Vacaville, California, United States

Kaiser Permanente-Walnut Creek

🇺🇸

Walnut Creek, California, United States

Kaiser Permanente-Vallejo

🇺🇸

Vallejo, California, United States

Poudre Valley Hospital

🇺🇸

Fort Collins, Colorado, United States

Hartford HealthCare - Saint Vincent's Medical Center

🇺🇸

Bridgeport, Connecticut, United States

William Backus Hospital

🇺🇸

Norwich, Connecticut, United States

Christiana Gynecologic Oncology LLC

🇺🇸

Newark, Delaware, United States

Delaware Clinical and Laboratory Physicians PA

🇺🇸

Newark, Delaware, United States

Helen F Graham Cancer Center

🇺🇸

Newark, Delaware, United States

Beebe Health Campus

🇺🇸

Rehoboth Beach, Delaware, United States

Christiana Care Health System-Christiana Hospital

🇺🇸

Newark, Delaware, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Spectrum Health Reed City Hospital

🇺🇸

Reed City, Michigan, United States

Renown Regional Medical Center

🇺🇸

Reno, Nevada, United States

Saint Vincent's Medical Center

🇺🇸

Jacksonville, Florida, United States

Dekalb Medical Center

🇺🇸

Decatur, Georgia, United States

Sarasota Memorial Hospital

🇺🇸

Sarasota, Florida, United States

Emory University Hospital Midtown

🇺🇸

Atlanta, Georgia, United States

Emory University Hospital/Winship Cancer Institute

🇺🇸

Atlanta, Georgia, United States

Bay Medical Center

🇺🇸

Panama City, Florida, United States

Northside Hospital

🇺🇸

Atlanta, Georgia, United States

John B Amos Cancer Center

🇺🇸

Columbus, Georgia, United States

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Northeast Georgia Medical Center-Gainesville

🇺🇸

Gainesville, Georgia, United States

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

🇺🇸

Savannah, Georgia, United States

Wilcox Memorial Hospital and Kauai Medical Clinic

🇺🇸

Lihue, Hawaii, United States

Maui Memorial Medical Center

🇺🇸

Wailuku, Hawaii, United States

Saint Alphonsus Cancer Care Center-Boise

🇺🇸

Boise, Idaho, United States

Illinois CancerCare-Bloomington

🇺🇸

Bloomington, Illinois, United States

Kootenai Clinic Cancer Services - Post Falls

🇺🇸

Post Falls, Idaho, United States

Illinois CancerCare-Carthage

🇺🇸

Carthage, Illinois, United States

Saint Joseph Medical Center

🇺🇸

Tacoma, Washington, United States

Mount Sinai Hospital Medical Center

🇺🇸

Chicago, Illinois, United States

Carle on Vermilion

🇺🇸

Danville, Illinois, United States

Illinois CancerCare-Eureka

🇺🇸

Eureka, Illinois, United States

Illinois CancerCare-Kewanee Clinic

🇺🇸

Kewanee, Illinois, United States

Illinois CancerCare-Monmouth

🇺🇸

Monmouth, Illinois, United States

Carle Physician Group-Mattoon/Charleston

🇺🇸

Mattoon, Illinois, United States

Ottawa Regional Hospital and Healthcare Center

🇺🇸

Ottawa, Illinois, United States

OSF Saint Francis Radiation Oncology at Peoria Cancer Center

🇺🇸

Peoria, Illinois, United States

The Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Illinois CancerCare-Peru

🇺🇸

Peru, Illinois, United States

Rush-Copley Healthcare Center

🇺🇸

Yorkville, Illinois, United States

Northwestern Medicine Cancer Center Warrenville

🇺🇸

Warrenville, Illinois, United States

Elkhart Clinic

🇺🇸

Elkhart, Indiana, United States

Elkhart General Hospital

🇺🇸

Elkhart, Indiana, United States

Radiation Oncology Associates PC

🇺🇸

Fort Wayne, Indiana, United States

Parkview Hospital Randallia

🇺🇸

Fort Wayne, Indiana, United States

Franciscan Health Indianapolis

🇺🇸

Indianapolis, Indiana, United States

Indiana University/Melvin and Bren Simon Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Franciscan Saint Margaret Health-Hammond Campus

🇺🇸

Hammond, Indiana, United States

Woodland Cancer Care Center

🇺🇸

Michigan City, Indiana, United States

The Community Hospital

🇺🇸

Munster, Indiana, United States

Michiana Hematology Oncology PC-Plymouth

🇺🇸

Plymouth, Indiana, United States

Michiana Hematology Oncology PC-South Bend

🇺🇸

South Bend, Indiana, United States

McFarland Clinic PC-Boone

🇺🇸

Boone, Iowa, United States

Mary Greeley Medical Center

🇺🇸

Ames, Iowa, United States

McFarland Clinic PC - Ames

🇺🇸

Ames, Iowa, United States

Medical Oncology and Hematology Associates-West Des Moines

🇺🇸

Clive, Iowa, United States

Mercy Cancer Center-West Lakes

🇺🇸

Clive, Iowa, United States

McFarland Clinic PC-Jefferson

🇺🇸

Jefferson, Iowa, United States

University of Iowa/Holden Comprehensive Cancer Center

🇺🇸

Iowa City, Iowa, United States

McFarland Clinic PC-Marshalltown

🇺🇸

Marshalltown, Iowa, United States

Mercy Medical Center-Sioux City

🇺🇸

Sioux City, Iowa, United States

Siouxland Regional Cancer Center

🇺🇸

Sioux City, Iowa, United States

Saint Luke's Regional Medical Center

🇺🇸

Sioux City, Iowa, United States

Cancer Center of Kansas - El Dorado

🇺🇸

El Dorado, Kansas, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

Mercy Medical Center-West Lakes

🇺🇸

West Des Moines, Iowa, United States

Cancer Center of Kansas - Chanute

🇺🇸

Chanute, Kansas, United States

Providence Medical Center

🇺🇸

Kansas City, Kansas, United States

University of Kansas Cancer Center

🇺🇸

Kansas City, Kansas, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Cancer Center of Kansas-Liberal

🇺🇸

Liberal, Kansas, United States

Cancer Center of Kansas-Manhattan

🇺🇸

Manhattan, Kansas, United States

Cancer Center of Kansas - McPherson

🇺🇸

McPherson, Kansas, United States

Menorah Medical Center

🇺🇸

Overland Park, Kansas, United States

Cancer Center of Kansas - Newton

🇺🇸

Newton, Kansas, United States

Saint Luke's South Hospital

🇺🇸

Overland Park, Kansas, United States

Cancer Center of Kansas - Parsons

🇺🇸

Parsons, Kansas, United States

Kansas City NCI Community Oncology Research Program

🇺🇸

Prairie Village, Kansas, United States

Ascension Via Christi Hospitals Wichita

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas - Pratt

🇺🇸

Pratt, Kansas, United States

Cancer Center of Kansas-Wichita Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas - Salina

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas - Wichita

🇺🇸

Wichita, Kansas, United States

Wesley Medical Center

🇺🇸

Wichita, Kansas, United States

Oncology Hematology Care Inc-Crestview

🇺🇸

Crestview Hills, Kentucky, United States

Saint Elizabeth Medical Center South

🇺🇸

Edgewood, Kentucky, United States

Cancer Center of Kansas - Winfield

🇺🇸

Winfield, Kansas, United States

Mary Bird Perkins Cancer Center

🇺🇸

Baton Rouge, Louisiana, United States

Willis-Knighton Medical and Cancer Center

🇺🇸

Shreveport, Louisiana, United States

Maine Medical Center- Scarborough Campus

🇺🇸

Scarborough, Maine, United States

Greater Baltimore Medical Center

🇺🇸

Baltimore, Maryland, United States

Christiana Care - Union Hospital

🇺🇸

Elkton, Maryland, United States

Sturdy Memorial Hospital

🇺🇸

Attleboro, Massachusetts, United States

Spectrum Health Big Rapids Hospital

🇺🇸

Big Rapids, Michigan, United States

UMass Memorial Medical Center - University Campus

🇺🇸

Worcester, Massachusetts, United States

Bronson Battle Creek

🇺🇸

Battle Creek, Michigan, United States

Beaumont Hospital - Dearborn

🇺🇸

Dearborn, Michigan, United States

Green Bay Oncology - Escanaba

🇺🇸

Escanaba, Michigan, United States

Cancer Research Consortium of West Michigan NCORP

🇺🇸

Grand Rapids, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Spectrum Health at Butterworth Campus

🇺🇸

Grand Rapids, Michigan, United States

Allegiance Health

🇺🇸

Jackson, Michigan, United States

Green Bay Oncology - Iron Mountain

🇺🇸

Iron Mountain, Michigan, United States

Saint Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

Sparrow Hospital

🇺🇸

Lansing, Michigan, United States

Henry Ford Medical Center-Columbus

🇺🇸

Novi, Michigan, United States

Mercy Health Mercy Campus

🇺🇸

Muskegon, Michigan, United States

Lake Huron Medical Center

🇺🇸

Port Huron, Michigan, United States

William Beaumont Hospital-Royal Oak

🇺🇸

Royal Oak, Michigan, United States

Marie Yeager Cancer Center

🇺🇸

Saint Joseph, Michigan, United States

Saint Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

Lakeland Medical Center Saint Joseph

🇺🇸

Saint Joseph, Michigan, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

Metro Health Hospital

🇺🇸

Wyoming, Michigan, United States

Saint John Macomb-Oakland Hospital

🇺🇸

Warren, Michigan, United States

Fairview Southdale Hospital

🇺🇸

Edina, Minnesota, United States

Unity Hospital

🇺🇸

Fridley, Minnesota, United States

Sanford Joe Lueken Cancer Center

🇺🇸

Bemidji, Minnesota, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

Minnesota Oncology Hematology PA-Maplewood

🇺🇸

Maplewood, Minnesota, United States

Hutchinson Area Health Care

🇺🇸

Hutchinson, Minnesota, United States

Hennepin County Medical Center

🇺🇸

Minneapolis, Minnesota, United States

North Memorial Medical Health Center

🇺🇸

Robbinsdale, Minnesota, United States

Lakeview Hospital

🇺🇸

Stillwater, Minnesota, United States

New Ulm Medical Center

🇺🇸

New Ulm, Minnesota, United States

Saint Francis Regional Medical Center

🇺🇸

Shakopee, Minnesota, United States

Rice Memorial Hospital

🇺🇸

Willmar, Minnesota, United States

Park Nicollet Clinic - Saint Louis Park

🇺🇸

Saint Louis Park, Minnesota, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Minnesota Oncology Hematology PA-Woodbury

🇺🇸

Woodbury, Minnesota, United States

Central Care Cancer Center - Bolivar

🇺🇸

Bolivar, Missouri, United States

Cox Cancer Center Branson

🇺🇸

Branson, Missouri, United States

Clackamas Radiation Oncology Center

🇺🇸

Clackamas, Oregon, United States

Centerpoint Medical Center LLC

🇺🇸

Independence, Missouri, United States

Freeman Health System

🇺🇸

Joplin, Missouri, United States

Mercy Clinic-Rolla-Cancer and Hematology

🇺🇸

Rolla, Missouri, United States

Saint Joseph Oncology Inc

🇺🇸

Saint Joseph, Missouri, United States

Cancer Research for the Ozarks NCORP

🇺🇸

Springfield, Missouri, United States

Heartland Regional Medical Center

🇺🇸

Saint Joseph, Missouri, United States

Saint Louis Cancer and Breast Institute-South City

🇺🇸

Saint Louis, Missouri, United States

CoxHealth South Hospital

🇺🇸

Springfield, Missouri, United States

Northern Rockies Radiation Oncology Center

🇺🇸

Billings, Montana, United States

Montana Cancer Consortium NCORP

🇺🇸

Billings, Montana, United States

Nebraska Cancer Research Center

🇺🇸

Lincoln, Nebraska, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegent Health Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

Cancer and Blood Specialists-Henderson

🇺🇸

Henderson, Nevada, United States

Comprehensive Cancer Centers of Nevada - Henderson

🇺🇸

Henderson, Nevada, United States

21st Century Oncology-Henderson

🇺🇸

Henderson, Nevada, United States

University of Colorado Hospital

🇺🇸

Aurora, Colorado, United States

Cancer and Blood Specialists-Shadow

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-San Martin

🇺🇸

Las Vegas, Nevada, United States

Cancer Therapy and Integrative Medicine

🇺🇸

Las Vegas, Nevada, United States

HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway

🇺🇸

Las Vegas, Nevada, United States

Comprehensive Cancer Centers of Nevada-Summerlin

🇺🇸

Las Vegas, Nevada, United States

Las Vegas Cancer Center-Medical Center

🇺🇸

Las Vegas, Nevada, United States

21st Century Oncology-Fort Apache

🇺🇸

Las Vegas, Nevada, United States

Center of Hope at Renown Medical Center

🇺🇸

Reno, Nevada, United States

Women's Cancer Center of Nevada

🇺🇸

Las Vegas, Nevada, United States

Dartmouth Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

Cooper Hospital University Medical Center

🇺🇸

Camden, New Jersey, United States

Norris Cotton Cancer Center-Manchester

🇺🇸

Manchester, New Hampshire, United States

Morristown Medical Center

🇺🇸

Morristown, New Jersey, United States

Virtua Memorial

🇺🇸

Mount Holly, New Jersey, United States

Rutgers Cancer Institute of New Jersey

🇺🇸

New Brunswick, New Jersey, United States

Sparta Cancer Treatment Center

🇺🇸

Sparta, New Jersey, United States

The Valley Hospital-Luckow Pavilion

🇺🇸

Paramus, New Jersey, United States

Valley Hospital

🇺🇸

Ridgewood, New Jersey, United States

Virtua Voorhees

🇺🇸

Voorhees, New Jersey, United States

Illinois CancerCare-Canton

🇺🇸

Canton, Illinois, United States

Women's Cancer Care Associates LLC

🇺🇸

Albany, New York, United States

Carle Physician Group-Effingham

🇺🇸

Effingham, Illinois, United States

Island Gynecologic Oncology

🇺🇸

Brightwaters, New York, United States

Heartland Cancer Research NCORP

🇺🇸

Decatur, Illinois, United States

State University of New York Downstate Medical Center

🇺🇸

Brooklyn, New York, United States

Illinois CancerCare-Macomb

🇺🇸

Macomb, Illinois, United States

Sudarshan K Sharma MD Limited-Gynecologic Oncology

🇺🇸

Hinsdale, Illinois, United States

Illinois CancerCare-Galesburg

🇺🇸

Galesburg, Illinois, United States

Sands Cancer Center

🇺🇸

Canandaigua, New York, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

New York Hospital Medical Center of Queens

🇺🇸

Fresh Meadows, New York, United States

Northwell Health/Center for Advanced Medicine

🇺🇸

Lake Success, New York, United States

Advocate Christ Medical Center

🇺🇸

Oak Lawn, Illinois, United States

Methodist Medical Center of Illinois

🇺🇸

Peoria, Illinois, United States

Radiation Oncology of Northern Illinois

🇺🇸

Ottawa, Illinois, United States

OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center

🇺🇸

Pekin, Illinois, United States

OSF Saint Francis Medical Center

🇺🇸

Peoria, Illinois, United States

Illinois CancerCare-Princeton

🇺🇸

Princeton, Illinois, United States

Long Island Jewish Medical Center

🇺🇸

New Hyde Park, New York, United States

Mount Sinai Union Square

🇺🇸

New York, New York, United States

Mount Sinai Hospital

🇺🇸

New York, New York, United States

Laura and Isaac Perlmutter Cancer Center at NYU Langone

🇺🇸

New York, New York, United States

NYP/Weill Cornell Medical Center

🇺🇸

New York, New York, United States

Mount Sinai West

🇺🇸

New York, New York, United States

Highland Hospital

🇺🇸

Rochester, New York, United States

Westchester Medical Center

🇺🇸

Valhalla, New York, United States

Summa Health System - Akron Campus

🇺🇸

Akron, Ohio, United States

Delaware Health Center-Grady Cancer Center

🇺🇸

Delaware, Ohio, United States

Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Blanchard Valley Hospital

🇺🇸

Findlay, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

UH Seidman Cancer Center at Lake Health Mentor Campus

🇺🇸

Mentor, Ohio, United States

Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

Atrium Medical Center-Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Knox Community Hospital

🇺🇸

Mount Vernon, Ohio, United States

Genesis Healthcare System Cancer Care Center

🇺🇸

Zanesville, Ohio, United States

Saint Ann's Hospital

🇺🇸

Westerville, Ohio, United States

Oklahoma Cancer Specialists and Research Institute-Tulsa

🇺🇸

Tulsa, Oklahoma, United States

Warren Clinic Oncology-Tulsa

🇺🇸

Tulsa, Oklahoma, United States

Natalie Warren Bryant Cancer Center at Saint Francis

🇺🇸

Tulsa, Oklahoma, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Providence Willamette Falls Medical Center

🇺🇸

Oregon City, Oregon, United States

Providence Newberg Medical Center

🇺🇸

Newberg, Oregon, United States

Providence Saint Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Jefferson Abington Hospital

🇺🇸

Abington, Pennsylvania, United States

Pocono Medical Center

🇺🇸

East Stroudsburg, Pennsylvania, United States

Delaware County Memorial Hospital

🇺🇸

Drexel Hill, Pennsylvania, United States

Geisinger Medical Center

🇺🇸

Danville, Pennsylvania, United States

University of Pennsylvania/Abramson Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Walter Reed National Military Medical Center

🇺🇸

Bethesda, Maryland, United States

West Penn Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

Geisinger Wyoming Valley/Henry Cancer Center

🇺🇸

Wilkes-Barre, Pennsylvania, United States

Prisma Health Cancer Institute - Butternut

🇺🇸

Greenville, South Carolina, United States

Prisma Health Cancer Institute - Eastside

🇺🇸

Greenville, South Carolina, United States

Prisma Health Greenville Memorial Hospital

🇺🇸

Greenville, South Carolina, United States

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

University of Tennessee - Knoxville

🇺🇸

Knoxville, Tennessee, United States

Sanford Cancer Center Oncology Clinic

🇺🇸

Sioux Falls, South Dakota, United States

UT Southwestern/Simmons Cancer Center-Dallas

🇺🇸

Dallas, Texas, United States

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

Chattanooga's Program in Women's Oncology

🇺🇸

Chattanooga, Tennessee, United States

American Fork Hospital / Huntsman Intermountain Cancer Center

🇺🇸

American Fork, Utah, United States

McKay-Dee Hospital Center

🇺🇸

Ogden, Utah, United States

Intermountain Medical Center

🇺🇸

Murray, Utah, United States

Logan Regional Hospital

🇺🇸

Logan, Utah, United States

Huntsman Cancer Institute/University of Utah

🇺🇸

Salt Lake City, Utah, United States

Utah Valley Regional Medical Center

🇺🇸

Provo, Utah, United States

Dixie Medical Center Regional Cancer Center

🇺🇸

Saint George, Utah, United States

Carilion Clinic Gynecological Oncology

🇺🇸

Roanoke, Virginia, United States

MultiCare Auburn Medical Center

🇺🇸

Auburn, Washington, United States

PeaceHealth Medical Group PC

🇺🇸

Bellingham, Washington, United States

Harrison HealthPartners Hematology and Oncology-Bremerton

🇺🇸

Bremerton, Washington, United States

Providence Regional Cancer Partnership

🇺🇸

Everett, Washington, United States

PeaceHealth Saint John Medical Center

🇺🇸

Longview, Washington, United States

Skagit Valley Hospital Regional Cancer Care Center

🇺🇸

Mount Vernon, Washington, United States

Harrison HealthPartners Hematology and Oncology-Poulsbo

🇺🇸

Poulsbo, Washington, United States

Capital Medical Center

🇺🇸

Olympia, Washington, United States

Seattle Cancer Care Alliance

🇺🇸

Seattle, Washington, United States

MultiCare Good Samaritan Hospital

🇺🇸

Puyallup, Washington, United States

Franciscan Saint Francis Health-Beech Grove

🇺🇸

Beech Grove, Indiana, United States

MultiCare Deaconess Cancer and Blood Specialty Center - Downtown

🇺🇸

Spokane, Washington, United States

Northwest Medical Specialties PLLC

🇺🇸

Tacoma, Washington, United States

Northwest NCI Community Oncology Research Program

🇺🇸

Tacoma, Washington, United States

Wenatchee Valley Hospital and Clinics

🇺🇸

Wenatchee, Washington, United States

Green Bay Oncology at Saint Vincent Hospital

🇺🇸

Green Bay, Wisconsin, United States

HSHS Sacred Heart Hospital

🇺🇸

Eau Claire, Wisconsin, United States

Edwards Comprehensive Cancer Center

🇺🇸

Huntington, West Virginia, United States

Green Bay Oncology Limited at Saint Mary's Hospital

🇺🇸

Green Bay, Wisconsin, United States

Aurora Cancer Care-Grafton

🇺🇸

Grafton, Wisconsin, United States

Marshfield Clinic Cancer Center at Sacred Heart

🇺🇸

Eau Claire, Wisconsin, United States

Marshfield Medical Center

🇺🇸

Marshfield, Wisconsin, United States

Aurora Bay Area Medical Group-Marinette

🇺🇸

Marinette, Wisconsin, United States

Marshfield Medical Center-Marshfield

🇺🇸

Marshfield, Wisconsin, United States

Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Ascension All Saints Hospital

🇺🇸

Racine, Wisconsin, United States

ProHealth Waukesha Memorial Hospital

🇺🇸

Waukesha, Wisconsin, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Montreal General Hospital

🇨🇦

Montreal, Quebec, Canada

The Research Institute of the McGill University Health Centre (MUHC)

🇨🇦

Montreal, Quebec, Canada

McGill University Health Centre at Royal Victoria Hospital

🇨🇦

Montreal, Quebec, Canada

National Cancer Center-Korea

🇰🇷

Goyang-si, Gyeonggi-do, Korea, Republic of

Saint Mary's Hospital

🇨🇦

Montreal, Quebec, Canada

Keimyung University-Dongsan Medical Center

🇰🇷

Dalseo-gu, Daegu, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam City, Kyeonggi-do, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Korea, Republic of

Korea Cancer Center Hospital

🇰🇷

Seoul, Korea, Republic of

Ajou University Hospital

🇰🇷

Suwon, Korea, Republic of

Saint Vincent Hospital Cancer Center Green Bay

🇺🇸

Green Bay, Wisconsin, United States

ProHealth Oconomowoc Memorial Hospital

🇺🇸

Oconomowoc, Wisconsin, United States

Green Bay Oncology - Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

Ascension Saint Michael's Hospital

🇺🇸

Stevens Point, Wisconsin, United States

Diagnostic and Treatment Center

🇺🇸

Weston, Wisconsin, United States

Vince Lombardi Cancer Clinic-Two Rivers

🇺🇸

Two Rivers, Wisconsin, United States

Medical Oncology Hematology Consultants PA

🇺🇸

Newark, Delaware, United States

TidalHealth Nanticoke / Allen Cancer Center

🇺🇸

Seaford, Delaware, United States

Christiana Care Health System-Wilmington Hospital

🇺🇸

Wilmington, Delaware, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Delaware Radiation Oncology

🇺🇸

Delaware, Ohio, United States

Oncology Hematology Care Inc-Healthplex

🇺🇸

Fairfield, Ohio, United States

Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

Newark Radiation Oncology

🇺🇸

Newark, Ohio, United States

Southern Ohio Medical Center

🇺🇸

Portsmouth, Ohio, United States

Kaiser Permanente-Deer Valley Medical Center

🇺🇸

Antioch, California, United States

Providence Saint Joseph Medical Center/Disney Family Cancer Center

🇺🇸

Burbank, California, United States

John Muir Medical Center-Concord Campus

🇺🇸

Concord, California, United States

Long Beach Memorial Medical Center-Todd Cancer Institute

🇺🇸

Long Beach, California, United States

Kaiser Permanente Los Angeles Medical Center

🇺🇸

Los Angeles, California, United States

UC San Diego Moores Cancer Center

🇺🇸

La Jolla, California, United States

Kaiser Permanente-Fremont

🇺🇸

Fremont, California, United States

Kaiser Permanente-Fresno

🇺🇸

Fresno, California, United States

Palo Alto Medical Foundation-Gynecologic Oncology

🇺🇸

Mountain View, California, United States

Kaiser Permanente-Modesto

🇺🇸

Modesto, California, United States

Kaiser Permanente-Roseville

🇺🇸

Roseville, California, United States

Rohnert Park Cancer Center

🇺🇸

Rohnert Park, California, United States

Cancer Center of Santa Barbara

🇺🇸

Santa Barbara, California, United States

Kaiser Permanente Medical Center - Santa Clara

🇺🇸

Santa Clara, California, United States

Kaiser Permanente-Stockton

🇺🇸

Stockton, California, United States

John Muir Medical Center-Walnut Creek

🇺🇸

Walnut Creek, California, United States

Sutter Cancer Centers Radiation Oncology Services-Vacaville

🇺🇸

Vacaville, California, United States

Wheeling Hospital/Schiffler Cancer Center

🇺🇸

Wheeling, West Virginia, United States

Baystate Medical Center

🇺🇸

Springfield, Massachusetts, United States

Bromenn Regional Medical Center

🇺🇸

Normal, Illinois, United States

Sandra L Maxwell Cancer Center

🇺🇸

Cedar City, Utah, United States

Carle Cancer Institute Normal

🇺🇸

Normal, Illinois, United States

Community Howard Regional Health

🇺🇸

Kokomo, Indiana, United States

IU Health La Porte Hospital

🇺🇸

La Porte, Indiana, United States

Katmai Oncology Group

🇺🇸

Anchorage, Alaska, United States

Lancaster Radiation Oncology

🇺🇸

Lancaster, Ohio, United States

Cancer Center of Western Wisconsin

🇺🇸

New Richmond, Wisconsin, United States

Saint Luke's University Hospital-Bethlehem Campus

🇺🇸

Bethlehem, Pennsylvania, United States

University of Washington Medical Center - Montlake

🇺🇸

Seattle, Washington, United States

Weisberg Cancer Treatment Center

🇺🇸

Farmington Hills, Michigan, United States

Ascension Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Harrison Medical Center

🇺🇸

Bremerton, Washington, United States

UCSF Medical Center-Mount Zion

🇺🇸

San Francisco, California, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Catholic University of Korea-Seoul Saint Mary's Hospital

🇰🇷

Seoul, Korea, Korea, Republic of

Hillcrest Hospital Cancer Center

🇺🇸

Mayfield Heights, Ohio, United States

Cancer Center of Kansas - Dodge City

🇺🇸

Dodge City, Kansas, United States

Marshfield Medical Center - Weston

🇺🇸

Weston, Wisconsin, United States

Abben Cancer Center

🇺🇸

Spencer, Iowa, United States

Saint Vincent Hospital Cancer Center at Saint Mary's

🇺🇸

Green Bay, Wisconsin, United States

Providence - Saint Peter Hospital

🇺🇸

Olympia, Washington, United States

Gynecologic Oncology Associates-Newport Beach

🇺🇸

Newport Beach, California, United States

Aurora Medical Center in Summit

🇺🇸

Summit, Wisconsin, United States

Sutter Cancer Centers Radiation Oncology Services-Cameron Park

🇺🇸

Cameron Park, California, United States

Ascension Saint John Hospital

🇺🇸

Detroit, Michigan, United States

UCLA / Jonsson Comprehensive Cancer Center

🇺🇸

Los Angeles, California, United States

Summerlin Hospital Medical Center

🇺🇸

Las Vegas, Nevada, United States

Smilow Cancer Hospital Care Center at Saint Francis

🇺🇸

Hartford, Connecticut, United States

OptumCare Cancer Care at Fort Apache

🇺🇸

Las Vegas, Nevada, United States

Lakeland Hospital Niles

🇺🇸

Niles, Michigan, United States

Mayo Clinic in Rochester

🇺🇸

Rochester, Minnesota, United States

University of Vermont Medical Center

🇺🇸

Burlington, Vermont, United States

University of Virginia Cancer Center

🇺🇸

Charlottesville, Virginia, United States

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Memorial Medical Center

🇺🇸

Springfield, Illinois, United States

Stanford Cancer Institute Palo Alto

🇺🇸

Palo Alto, California, United States

Kaiser Permanente Oakland-Broadway

🇺🇸

Oakland, California, United States

Sutter Roseville Medical Center

🇺🇸

Roseville, California, United States

Kaiser Permanente-South San Francisco

🇺🇸

South San Francisco, California, United States

Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

The Hospital of Central Connecticut

🇺🇸

New Britain, Connecticut, United States

Mercy Hospital

🇺🇸

Coon Rapids, Minnesota, United States

AdventHealth Kissimmee

🇺🇸

Kissimmee, Florida, United States

AdventHealth Altamonte

🇺🇸

Altamonte Springs, Florida, United States

Sibley Memorial Hospital

🇺🇸

Washington, District of Columbia, United States

Mayo Clinic in Florida

🇺🇸

Jacksonville, Florida, United States

Lakeland Regional Health Hollis Cancer Center

🇺🇸

Lakeland, Florida, United States

Piedmont Fayette Hospital

🇺🇸

Fayetteville, Georgia, United States

Pali Momi Medical Center

🇺🇸

'Aiea, Hawaii, United States

Saint Joseph Regional Medical Center

🇺🇸

Lewiston, Idaho, United States

Rush - Copley Medical Center

🇺🇸

Aurora, Illinois, United States

NorthShore University HealthSystem-Evanston Hospital

🇺🇸

Evanston, Illinois, United States

Western Illinois Cancer Treatment Center

🇺🇸

Galesburg, Illinois, United States

Illinois CancerCare-Ottawa Clinic

🇺🇸

Ottawa, Illinois, United States

Illinois CancerCare-Pekin

🇺🇸

Pekin, Illinois, United States

Illinois CancerCare-Peoria

🇺🇸

Peoria, Illinois, United States

Advocate Lutheran General Hospital

🇺🇸

Park Ridge, Illinois, United States

SwedishAmerican Regional Cancer Center/ACT

🇺🇸

Rockford, Illinois, United States

Valley Radiation Oncology

🇺🇸

Peru, Illinois, United States

Swedish American Hospital

🇺🇸

Rockford, Illinois, United States

Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Franciscan Saint Margaret Health-Dyer Campus

🇺🇸

Dyer, Indiana, United States

Michiana Hematology Oncology PC-Elkhart

🇺🇸

Elkhart, Indiana, United States

Franciscan Saint Anthony Health-Michigan City

🇺🇸

Michigan City, Indiana, United States

Reid Health

🇺🇸

Richmond, Indiana, United States

Michiana Hematology Oncology PC-Mishawaka

🇺🇸

Mishawaka, Indiana, United States

Saint Joseph Regional Medical Center-Mishawaka

🇺🇸

Mishawaka, Indiana, United States

Memorial Hospital of South Bend

🇺🇸

South Bend, Indiana, United States

South Bend Clinic

🇺🇸

South Bend, Indiana, United States

Northern Indiana Cancer Research Consortium

🇺🇸

South Bend, Indiana, United States

Michiana Hematology Oncology PC-Westville

🇺🇸

Westville, Indiana, United States

Cancer Center of Kansas-Kingman

🇺🇸

Kingman, Kansas, United States

Methodist West Hospital

🇺🇸

West Des Moines, Iowa, United States

Wichita NCI Community Oncology Research Program

🇺🇸

Wichita, Kansas, United States

Associates In Womens Health

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas - Wellington

🇺🇸

Wellington, Kansas, United States

Hematology/Oncology Clinic PLLC

🇺🇸

Baton Rouge, Louisiana, United States

Pikeville Medical Center

🇺🇸

Pikeville, Kentucky, United States

Woman's Hospital

🇺🇸

Baton Rouge, Louisiana, United States

Sinai Hospital of Baltimore

🇺🇸

Baltimore, Maryland, United States

LSU Health Sciences Center at Shreveport

🇺🇸

Shreveport, Louisiana, United States

Eastern Maine Medical Center

🇺🇸

Bangor, Maine, United States

Saint Agnes Hospital

🇺🇸

Baltimore, Maryland, United States

UMass Memorial Medical Center - Memorial Division

🇺🇸

Worcester, Massachusetts, United States

Tufts Medical Center

🇺🇸

Boston, Massachusetts, United States

Henry Ford Cancer Institute-Downriver

🇺🇸

Brownstown, Michigan, United States

Mercy Health Saint Mary's

🇺🇸

Grand Rapids, Michigan, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

William Beaumont Hospital - Troy

🇺🇸

Troy, Michigan, United States

Henry Ford West Bloomfield Hospital

🇺🇸

West Bloomfield, Michigan, United States

Metro Minnesota Community Oncology Research Consortium

🇺🇸

Saint Louis Park, Minnesota, United States

Regions Hospital

🇺🇸

Saint Paul, Minnesota, United States

Saint John's Hospital - Healtheast

🇺🇸

Maplewood, Minnesota, United States

University of Missouri - Ellis Fischel

🇺🇸

Columbia, Missouri, United States

Mercy Hospital Joplin

🇺🇸

Joplin, Missouri, United States

Liberty Radiation Oncology Center

🇺🇸

Liberty, Missouri, United States

Delbert Day Cancer Institute at PCRMC

🇺🇸

Rolla, Missouri, United States

Saint Luke's East - Lee's Summit

🇺🇸

Lee's Summit, Missouri, United States

Mercy Hospital Saint Louis

🇺🇸

Saint Louis, Missouri, United States

Bozeman Deaconess Hospital

🇺🇸

Bozeman, Montana, United States

Mercy Hospital Springfield

🇺🇸

Springfield, Missouri, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

Las Vegas Cancer Center-Henderson

🇺🇸

Henderson, Nevada, United States

Comprehensive Cancer Centers of Nevada-Southeast Henderson

🇺🇸

Henderson, Nevada, United States

Rutgers New Jersey Medical School

🇺🇸

Newark, New Jersey, United States

Jersey Shore Medical Center

🇺🇸

Neptune, New Jersey, United States

Overlook Hospital

🇺🇸

Summit, New Jersey, United States

MD Anderson Cancer Center at Cooper-Voorhees

🇺🇸

Voorhees, New Jersey, United States

Valley Health System-Hematology/Oncology

🇺🇸

Westwood, New Jersey, United States

Northwell Health NCORP

🇺🇸

Lake Success, New York, United States

NYU Winthrop Hospital

🇺🇸

Mineola, New York, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Stony Brook University Medical Center

🇺🇸

Stony Brook, New York, United States

State University of New York Upstate Medical University

🇺🇸

Syracuse, New York, United States

Randolph Hospital

🇺🇸

Asheboro, North Carolina, United States

Hope Women's Cancer Centers-Asheville

🇺🇸

Asheville, North Carolina, United States

Cone Health Cancer Center at Alamance Regional

🇺🇸

Burlington, North Carolina, United States

Carolinas Medical Center/Levine Cancer Institute

🇺🇸

Charlotte, North Carolina, United States

Novant Health Presbyterian Medical Center

🇺🇸

Charlotte, North Carolina, United States

Atrium Health Cabarrus/LCI-Concord

🇺🇸

Concord, North Carolina, United States

Wayne Memorial Hospital

🇺🇸

Goldsboro, North Carolina, United States

Cone Health Cancer Center

🇺🇸

Greensboro, North Carolina, United States

Annie Penn Memorial Hospital

🇺🇸

Reidsville, North Carolina, United States

Duke Raleigh Hospital

🇺🇸

Raleigh, North Carolina, United States

FirstHealth of the Carolinas-Moore Regional Hospital

🇺🇸

Pinehurst, North Carolina, United States

Sanford Broadway Medical Center

🇺🇸

Fargo, North Dakota, United States

Sanford Clinic North-Fargo

🇺🇸

Fargo, North Dakota, United States

Sanford Bismarck Medical Center

🇺🇸

Bismarck, North Dakota, United States

Sanford Roger Maris Cancer Center

🇺🇸

Fargo, North Dakota, United States

Altru Cancer Center

🇺🇸

Grand Forks, North Dakota, United States

Strecker Cancer Center-Belpre

🇺🇸

Belpre, Ohio, United States

Aultman Health Foundation

🇺🇸

Canton, Ohio, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

Oncology Hematology Care Inc-Eden Park

🇺🇸

Cincinnati, Ohio, United States

Oncology Hematology Care Inc-Kenwood

🇺🇸

Cincinnati, Ohio, United States

Case Western Reserve University

🇺🇸

Cleveland, Ohio, United States

MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

Riverside Methodist Hospital

🇺🇸

Columbus, Ohio, United States

Columbus NCI Community Oncology Research Program

🇺🇸

Columbus, Ohio, United States

The Mark H Zangmeister Center

🇺🇸

Columbus, Ohio, United States

Mount Carmel Health Center West

🇺🇸

Columbus, Ohio, United States

Good Samaritan Hospital - Dayton

🇺🇸

Dayton, Ohio, United States

Dayton NCI Community Oncology Research Program

🇺🇸

Dayton, Ohio, United States

Miami Valley Hospital North

🇺🇸

Dayton, Ohio, United States

Kettering Medical Center

🇺🇸

Kettering, Ohio, United States

Springfield Regional Medical Center

🇺🇸

Springfield, Ohio, United States

Lehigh Valley Hospital - Muhlenberg

🇺🇸

Bethlehem, Pennsylvania, United States

Penn State Milton S Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

Temple University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

Thomas Jefferson University Hospital

🇺🇸

Philadelphia, Pennsylvania, United States

UPMC-Magee Womens Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

Crozer-Chester Medical Center

🇺🇸

Upland, Pennsylvania, United States

Hematology and Oncology Associates of North East Pennsylvania

🇺🇸

Scranton, Pennsylvania, United States

Chester County Hospital

🇺🇸

West Chester, Pennsylvania, United States

Women and Infants Hospital

🇺🇸

Providence, Rhode Island, United States

Prisma Health Cancer Institute - Spartanburg

🇺🇸

Boiling Springs, South Carolina, United States

Greenville Health System Cancer Institute-Andrews

🇺🇸

Greenville, South Carolina, United States

Black Hills Obstetrics and Gynecology

🇺🇸

Rapid City, South Dakota, United States

Prisma Health Cancer Institute - Seneca

🇺🇸

Seneca, South Carolina, United States

Sanford USD Medical Center - Sioux Falls

🇺🇸

Sioux Falls, South Dakota, United States

Parkland Memorial Hospital

🇺🇸

Dallas, Texas, United States

Providence Regional Cancer System-Centralia

🇺🇸

Centralia, Washington, United States

University of Washington Medical Center - Northwest

🇺🇸

Seattle, Washington, United States

Olympic Medical Cancer Care Center

🇺🇸

Sequim, Washington, United States

MultiCare Allenmore Hospital

🇺🇸

Tacoma, Washington, United States

Compass Oncology Vancouver

🇺🇸

Vancouver, Washington, United States

Bellin Memorial Hospital

🇺🇸

Green Bay, Wisconsin, United States

Gundersen Lutheran Medical Center

🇺🇸

La Crosse, Wisconsin, United States

Aurora BayCare Medical Center

🇺🇸

Green Bay, Wisconsin, United States

Marshfield Clinic-Minocqua Center

🇺🇸

Minocqua, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Oconto Falls

🇺🇸

Oconto Falls, Wisconsin, United States

Vince Lombardi Cancer Clinic - Oshkosh

🇺🇸

Oshkosh, Wisconsin, United States

Marshfield Medical Center-Rice Lake

🇺🇸

Rice Lake, Wisconsin, United States

Vince Lombardi Cancer Clinic-Sheboygan

🇺🇸

Sheboygan, Wisconsin, United States

Saint Vincent Hospital Cancer Center at Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

Aspirus Regional Cancer Center

🇺🇸

Wausau, Wisconsin, United States

Aurora West Allis Medical Center

🇺🇸

West Allis, Wisconsin, United States

McGill University Department of Oncology

🇨🇦

Montreal, Quebec, Canada

Gangnam Severance Hospital

🇰🇷

Seoul, Korea, Republic of

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

University of California Davis Comprehensive Cancer Center

🇺🇸

Sacramento, California, United States

Mercy General Hospital Radiation Oncology Center

🇺🇸

Sacramento, California, United States

Sutter Medical Center Sacramento

🇺🇸

Sacramento, California, United States

Kaiser Permanente-South Sacramento

🇺🇸

Sacramento, California, United States

Kaiser Permanente - Sacramento

🇺🇸

Sacramento, California, United States

Michigan Cancer Research Consortium NCORP

🇺🇸

Ann Arbor, Michigan, United States

Saint Joseph Mercy Hospital

🇺🇸

Ann Arbor, Michigan, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Saint Luke's Hospital of Kansas City

🇺🇸

Kansas City, Missouri, United States

Heartland Hematology and Oncology Associates Incorporated

🇺🇸

Kansas City, Missouri, United States

Research Medical Center

🇺🇸

Kansas City, Missouri, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

UNC Lineberger Comprehensive Cancer Center

🇺🇸

Chapel Hill, North Carolina, United States

Louisiana State University Health Science Center

🇺🇸

New Orleans, Louisiana, United States

Tulane University Health Sciences Center

🇺🇸

New Orleans, Louisiana, United States

University Medical Center New Orleans

🇺🇸

New Orleans, Louisiana, United States

Touro Infirmary

🇺🇸

New Orleans, Louisiana, United States

Ochsner Medical Center Jefferson

🇺🇸

New Orleans, Louisiana, United States

Yale University

🇺🇸

New Haven, Connecticut, United States

AdventHealth Orlando

🇺🇸

Orlando, Florida, United States

Orlando Health Cancer Institute

🇺🇸

Orlando, Florida, United States

AdventHealth East Orlando

🇺🇸

Orlando, Florida, United States

The James Graham Brown Cancer Center at University of Louisville

🇺🇸

Louisville, Kentucky, United States

Norton Hospital Pavilion and Medical Campus

🇺🇸

Louisville, Kentucky, United States

Norton Suburban Hospital and Medical Campus

🇺🇸

Louisville, Kentucky, United States

Straub Clinic and Hospital

🇺🇸

Honolulu, Hawaii, United States

University of Hawaii Cancer Center

🇺🇸

Honolulu, Hawaii, United States

Queen's Cancer Center - Kuakini

🇺🇸

Honolulu, Hawaii, United States

The Cancer Center of Hawaii-Liliha

🇺🇸

Honolulu, Hawaii, United States

Hawaii Cancer Care Inc - Waterfront Plaza

🇺🇸

Honolulu, Hawaii, United States

Queen's Medical Center

🇺🇸

Honolulu, Hawaii, United States

Kaiser Permanente Moanalua Medical Center

🇺🇸

Honolulu, Hawaii, United States

Kapiolani Medical Center for Women and Children

🇺🇸

Honolulu, Hawaii, United States

Tripler Army Medical Center

🇺🇸

Honolulu, Hawaii, United States

Mercy Capitol

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates-Laurel

🇺🇸

Des Moines, Iowa, United States

Iowa Lutheran Hospital

🇺🇸

Des Moines, Iowa, United States

University of Kentucky/Markey Cancer Center

🇺🇸

Lexington, Kentucky, United States

Iowa Methodist Medical Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates-Des Moines

🇺🇸

Des Moines, Iowa, United States

Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

Iowa-Wide Oncology Research Coalition NCORP

🇺🇸

Des Moines, Iowa, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Southwest Gynecologic Oncology Associates Inc

🇺🇸

Albuquerque, New Mexico, United States

University of Wisconsin Hospital and Clinics

🇺🇸

Madison, Wisconsin, United States

Wilmot Cancer Institute Radiation Oncology at Greece

🇺🇸

Rochester, New York, United States

University of Rochester

🇺🇸

Rochester, New York, United States

© Copyright 2025. All Rights Reserved by MedPath