Triptorelin With Either Exemestane or Tamoxifen in Treating Premenopausal Women With Hormone-Responsive Breast Cancer
- Conditions
- Breast Cancer
- Interventions
- Registration Number
- NCT00066703
- Lead Sponsor
- ETOP IBCSG Partners Foundation
- Brief Summary
RATIONALE: Estrogen can stimulate the growth of breast cancer cells. Hormone therapy using triptorelin, exemestane, and tamoxifen may fight breast cancer by blocking the use of estrogen. It is not yet known whether giving triptorelin together with exemestane is more effective than triptorelin and tamoxifen in treating hormone-responsive breast cancer.
PURPOSE: This randomized phase III trial is studying triptorelin and exemestane to see how well they work compared to triptorelin and tamoxifen in treating premenopausal women with hormone-responsive breast cancer.
- Detailed Description
OBJECTIVES:
* Compare the disease-free survival, breast cancer-free interval, distant recurrence-free interval and overall survival of premenopausal women with endocrine-responsive breast cancer when treated with triptorelin and exemestane vs triptorelin and tamoxifen.
* Compare the quality of life, including late side effects of early menopause, of patients treated with these regimens.
OUTLINE: This is a randomized, international, multicenter study. Patients are stratified according to planned use of concurrent adjuvant chemotherapy (yes vs no), and number of positive lymph nodes (0 vs 1 or more). Treatment duration is 5 years. Patients are followed every 3 months for 1 year, every 6 months for 5 years, and then annually thereafter. Quality of life is assessed at baseline, every 6 months for 2 years, and annually for 3 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 2672
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description E+OFS triptorelin Ovarian function suppression (OFS) by triptorelin (GnRH analogue) 3.75mg by im injection q28 days for 5 years plus exemestane 25mg orally daily for 5 years. Exemestane (E) begins after the completion of adjuvant chemotherapy if given, or approximately 6-8 weeks after the initiation of triptorelin. Bilateral oophorectomy or ovarian irradiation was allowed after at least 6 months of triptorelin. T+OFS tamoxifen Ovarian function suppression (OFS) by triptorelin (GnRH analogue) 3.75mg by im injection q28 days for 5 years plus tamoxifen 20mg orally daily for 5 years. Tamoxifen (T) begins after the completion of adjuvant chemotherapy if given, or approximately 6-8 weeks after the initiation of triptorelin. Bilateral oophorectomy or ovarian irradiation was allowed after at least 6 months of triptorelin. E+OFS exemestane Ovarian function suppression (OFS) by triptorelin (GnRH analogue) 3.75mg by im injection q28 days for 5 years plus exemestane 25mg orally daily for 5 years. Exemestane (E) begins after the completion of adjuvant chemotherapy if given, or approximately 6-8 weeks after the initiation of triptorelin. Bilateral oophorectomy or ovarian irradiation was allowed after at least 6 months of triptorelin. T+OFS triptorelin Ovarian function suppression (OFS) by triptorelin (GnRH analogue) 3.75mg by im injection q28 days for 5 years plus tamoxifen 20mg orally daily for 5 years. Tamoxifen (T) begins after the completion of adjuvant chemotherapy if given, or approximately 6-8 weeks after the initiation of triptorelin. Bilateral oophorectomy or ovarian irradiation was allowed after at least 6 months of triptorelin.
- Primary Outcome Measures
Name Time Method Disease-free Survival 5-year estimate reported at a median follow-up of 72 months Estimated percentage of patients alive and disease-free at 5 years from randomization, where disease-free survival is defined as the time from randomization to the first appearance of one of the following: invasive breast cancer recurrence at local, regional, or distant site, invasive contralateral breast cancer, second (non-breast) invasive cancer, or death without cancer event; or censored at date of last follow up.
- Secondary Outcome Measures
Name Time Method Breast Cancer-free Interval 5-year estimate reported at a median follow-up of 72 months Estimated percentage of patients alive and disease-free at 5 years from randomization, where breast cancer-free interval is defined as the time from randomization to the invasive breast cancer recurrence at local, regional, or distant site, or invasive contralateral breast cancer; or censored at date of last follow up.
Distant Recurrence-free Interval 5-year estimates reported at a median follow-up of 72 months Estimated percentage of patients alive and disease-free at 5 years from randomization, where distant recurrence-free interval is defined as the time from randomization to breast cancer recurrence at a distant site; or censored at date of last follow-up
Overall Survival 8-year estimates, reported at a median follow-up of 9 years Estimated percentage of patients alive at 8 years from randomization, where overall survival is defined as the time from randomization to death from any cause; or censored at date last known alive.
Trial Locations
- Locations (228)
Elkhart General Hospital
🇺🇸Elkhart, Indiana, United States
Memorial Hospital of South Bend
🇺🇸South Bend, Indiana, United States
Greenebaum Cancer Center at University of Maryland Medical Center
🇺🇸Baltimore, Maryland, United States
United Hospital
🇺🇸Saint Paul, Minnesota, United States
Istituto Clinico Humanitas
🇮🇹Rozzano, Italy
Policlinico Universitario Udine
🇮🇹Udine, Italy
University Hospital of Linkoping
🇸🇪Linkoping, Sweden
Resurrection Medical Center
🇺🇸Chicago, Illinois, United States
Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States
Via Christi Cancer Center at Via Christi Regional Medical Center
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas-Independence
🇺🇸Independence, Kansas, United States
Royal Perth Hospital
🇦🇺Perth, Western Australia, Australia
Cancer Center of Kansas, PA - Pratt
🇺🇸Pratt, Kansas, United States
Kootenai Cancer Center - Coeur d'Alene
🇺🇸Coeur d'Alene, Idaho, United States
Fox Chase Virtua Health Cancer Program at Virtua West Jersey
🇺🇸Voorhees, New Jersey, United States
Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
🇺🇸Marlton, New Jersey, United States
Launceston General Hospital
🇦🇺Launceston, Tasmania, Australia
Mary Babb Randolph Cancer Center at West Virginia University Hospitals
🇺🇸Morgantown, West Virginia, United States
Onkologie-Praxis ZeTup Chur
🇨ðŸ‡Chur, Switzerland
Centre Hospitalier Universitaire Vaudois
🇨ðŸ‡Lausanne, Switzerland
Regionalspital
🇨ðŸ‡Thun, Switzerland
CCOP - Greenville
🇺🇸Greenville, South Carolina, United States
Tom Baker Cancer Centre - Calgary
🇨🇦Calgary, Alberta, Canada
Medical X-Ray Center, PC
🇺🇸Sioux Falls, South Dakota, United States
Inselspital Bern
🇨ðŸ‡Bern, Switzerland
West Tennessee Cancer Center at Jackson-Madison County General Hospital
🇺🇸Jackson, Tennessee, United States
Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
🇺🇸Farmington, Connecticut, United States
Peter MacCallum Cancer Centre
🇦🇺East Melbourne, Victoria, Australia
Erlanger Cancer Center at Erlanger Hospital - Baroness
🇺🇸Chattanooga, Tennessee, United States
Oncology Institute of Southern Switzerland
🇨ðŸ‡Bellinzona, Switzerland
Sanford Cancer Center at Sanford USD Medical Center
🇺🇸Sioux Falls, South Dakota, United States
Fletcher Allen Health Care - University Health Center Campus
🇺🇸Burlington, Vermont, United States
Franklin & Edith Scarpa Regional Cancer Center at South Jersey Healthcare
🇺🇸Vineland, New Jersey, United States
Royal Hobart Hospital
🇦🇺Hobart, Tasmania, Australia
Peterborough Hospitals Trust
🇬🇧Peterborough, England, United Kingdom
South Tyneside District Hospital
🇬🇧South Shields, England, United Kingdom
Ospedale Civico
🇨ðŸ‡Lugano, Switzerland
Centre Hospitalier Hutois
🇧🇪Huy, Belgium
Institute of Oncology - Ljubljana
🇸🇮Ljubljana, Slovenia
Universitaetsspital-Basel
🇨ðŸ‡Basel, Switzerland
Oncocare Sonnenhof-Klinik Engeriedspital
🇨ðŸ‡Bern, Switzerland
St. Vincent's Hospital - Melbourne
🇦🇺Fitzroy, Victoria, Australia
Sutter Cancer Center at Roseville Medical Center
🇺🇸Roseville, California, United States
Mountain States Tumor Institute at St. Luke's Regional Medical Center
🇺🇸Boise, Idaho, United States
University of Chicago Cancer Research Center
🇺🇸Chicago, Illinois, United States
Providence Holy Cross Cancer Center
🇺🇸Mission Hills, California, United States
Shaw Regional Cancer Center
🇺🇸Edwards, Colorado, United States
Sibley Memorial Hospital
🇺🇸Washington, District of Columbia, United States
Desert Regional Medical Center Comprehensive Cancer Center
🇺🇸Palm Springs, California, United States
Ruby L. Golleher Cancer Program at Presbyterian Intercommunity Hospital
🇺🇸Whittier, California, United States
Evanston Hospital
🇺🇸Evanston, Illinois, United States
CCOP - Carle Cancer Center
🇺🇸Urbana, Illinois, United States
Shawnee Mission Medical Center
🇺🇸Shawnee Mission, Kansas, United States
Siouxland Hematology-Oncology Associates, LLP
🇺🇸Sioux City, Iowa, United States
CCOP - Wichita
🇺🇸Wichita, Kansas, United States
Lawrence Memorial Hospital
🇺🇸Lawrence, Kansas, United States
Cotton-O'Neil Cancer Center
🇺🇸Topeka, Kansas, United States
Cancer Center of Kansas, PA - Newton
🇺🇸Newton, Kansas, United States
CCOP - Northern Indiana CR Consortium
🇺🇸South Bend, Indiana, United States
Menorah Medical Center
🇺🇸Overland Park, Kansas, United States
Center for Cancer Therapy at LaPorte Hospital and Health Services
🇺🇸La Porte, Indiana, United States
Cancer Center of Kansas, PA - Chanute
🇺🇸Chanute, Kansas, United States
Cancer Center of Kansas, PA - Dodge City
🇺🇸Dodge City, Kansas, United States
Cancer Center of Kansas, PA - Winfield
🇺🇸Winfield, Kansas, United States
Cancer Center of Kansas, PA - Medical Arts Tower
🇺🇸Wichita, Kansas, United States
Associates in Womens Health, PA - North Review
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas, PA - Wellington
🇺🇸Wellington, Kansas, United States
Mercy Medical Center
🇺🇸Baltimore, Maryland, United States
Fairview Southdale Hospital
🇺🇸Edina, Minnesota, United States
William Beaumont Hospital - Royal Oak Campus
🇺🇸Royal Oak, Michigan, United States
Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute
🇺🇸Boston, Massachusetts, United States
Bethke Cancer Center at Emerson Hospital
🇺🇸Concord, Massachusetts, United States
NSMC Cancer Center - Peabody
🇺🇸Peabody, Massachusetts, United States
CCOP - Kansas City
🇺🇸Kansas City, Missouri, United States
Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center
🇺🇸Grand Island, Nebraska, United States
Regions Hospital Cancer Care Center
🇺🇸Saint Paul, Minnesota, United States
Oncology Alliance, SC - Milwaukee - East
🇺🇸Glendale, Wisconsin, United States
MetroHealth Cancer Care Center at MetroHealth Medical Center
🇺🇸Cleveland, Ohio, United States
Columbia Saint Mary's Water Tower Medical Commons Milwaukee
🇺🇸Mequon, Wisconsin, United States
Randolph Hospital
🇺🇸Asheboro, North Carolina, United States
Geisinger Hazleton Cancer Center
🇺🇸Hazleton, Pennsylvania, United States
Aurora Memorial Hospital of Burlington
🇺🇸Burlington, Wisconsin, United States
Geisinger Cancer Institute at Geisinger Health
🇺🇸Danville, Pennsylvania, United States
Oncology Alliance - Kenosha South
🇺🇸Kenosha, Wisconsin, United States
U.Z. Gasthuisberg
🇧🇪Leuven, Belgium
Coffs Harbour Health Campus
🇦🇺Coffs Harbour, New South Wales, Australia
Hospital de Clinicas de Porto Alegre
🇧🇷Porto Alegre, Rio Grande Do Sul, Brazil
Langlade Memorial Hospital
🇺🇸Antigo, Wisconsin, United States
Maroondah Hospital
🇦🇺Ringwood East, Victoria, Australia
Geisinger Medical Group - Scenery Park
🇺🇸State College, Pennsylvania, United States
Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
🇺🇸Wilkes-Barre, Pennsylvania, United States
Oncology Alliance - Franklin
🇺🇸Franklin, Wisconsin, United States
Oncology Alliance, SC - Milwaukee - West
🇺🇸Wauwatosa, Wisconsin, United States
Breast Unit Mercy Private
🇦🇺East Melbourne, Victoria, Australia
Tweed Heads Hospital
🇦🇺Tweed Heads, New South Wales, Australia
Universitatsklinik Mainz
🇩🇪Mainz, Germany
Universitaetsfrauenklinik Frankfurt
🇩🇪Frankfurt, Germany
Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
🇩🇪Luebeck, Germany
Alfred Hospital
🇦🇺Melbourne, Victoria, Australia
Brustzentrum Klinikum Mittelbaden
🇩🇪Baden-Baden, Germany
Box Hill Hospital
🇦🇺Box Hill, Victoria, Australia
CHU Liege - Domaine Universitaire du Sart Tilman
🇧🇪Liege, Belgium
Centre Hospitalier Peltzer-La Tourelle
🇧🇪Verviers, Belgium
Austin Hospital
🇦🇺Heidelberg, Victoria, Australia
Manning Base Hospital
🇦🇺Taree, New South Wales, Australia
Universitaets-Frauenklinik Goettingen
🇩🇪Göttingen, Germany
National Cancer Institute of Egypt
🇪🇬Cairo, Egypt
Doctor Leon Richard Oncology Centre
🇨🇦Moncton, New Brunswick, Canada
Allan Blair Cancer Centre at Pasqua Hospital
🇨🇦Regina, Saskatchewan, Canada
Cairo Oncology Center
🇪🇬Cairo, Egypt
Hopital Charles Lemoyne
🇨🇦Greenfield Park, Quebec, Canada
Frauenklinik des Universitaetsklinikum Erlangen
🇩🇪Erlangen, Germany
National Institute of Oncology
ðŸ‡ðŸ‡ºBudapest, Hungary
Tata Memorial Hospital
🇮🇳Mumbai, India
UniversitaetsSpital Zuerich
🇨ðŸ‡Zurich, Switzerland
Klinikum Obergoeltzsch Rodewisch
🇩🇪Rodewisch, Germany
Klinikum Landkreis Tuttlingen
🇩🇪Tuttlingen, Germany
Addenbrooke's Hospital
🇬🇧Cambridge, England, United Kingdom
Centro di Riferimento Oncologico - Aviano
🇮🇹Aviano, Italy
Instituto Nacional de Enfermedades Neoplasicas
🇵🇪Lima, Peru
Ospedale "la Carita", Locarno
🇨ðŸ‡Locarno, Switzerland
Ospedale Beata Vergine
🇨ðŸ‡Mendrisio, Switzerland
Kantonsspital - St. Gallen
🇨ðŸ‡St. Gallen, Switzerland
Windsor Regional Cancer Centre at Windsor Regional Hospital
🇨🇦Windsor, Ontario, Canada
Heartland Regional Medical Center
🇺🇸Saint Joseph, Missouri, United States
Universitaetsfrauenklinik Mannheim
🇩🇪Mannheim, Germany
CCOP - Metro-Minnesota
🇺🇸Saint Louis Park, Minnesota, United States
University of Colorado Cancer Center at UC Health Sciences Center
🇺🇸Aurora, Colorado, United States
Suburban Hospital
🇺🇸Bethesda, Maryland, United States
UNMC Eppley Cancer Center at the University of Nebraska Medical Center
🇺🇸Omaha, Nebraska, United States
Aurora Advanced Healthcare East Mequon Clinic
🇺🇸Mequon, Wisconsin, United States
Sutter Cancer Center
🇺🇸Sacramento, California, United States
Mercy General Hospital
🇺🇸Sacramento, California, United States
Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center
🇺🇸Burbank, California, United States
Rebecca and John Moores UCSD Cancer Center
🇺🇸La Jolla, California, United States
Poudre Valley Hospital
🇺🇸Fort Collins, Colorado, United States
Front Range Cancer Specialists
🇺🇸Fort Collins, Colorado, United States
Decatur Memorial Hospital Cancer Care Institute
🇺🇸Decatur, Illinois, United States
UCSF Helen Diller Family Comprehensive Cancer Center
🇺🇸San Francisco, California, United States
Saint Joseph Regional Medical Center
🇺🇸Mishawaka, Indiana, United States
Elkhart Clinic, LLC
🇺🇸Elkhart, Indiana, United States
Fort Wayne Medical Oncology and Hematology
🇺🇸Fort Wayne, Indiana, United States
Howard Community Hospital
🇺🇸Kokomo, Indiana, United States
Michiana Hematology-Oncology, PC - South Bend
🇺🇸South Bend, Indiana, United States
South Bend Clinic
🇺🇸South Bend, Indiana, United States
Cancer Center of Kansas, PA - Wichita
🇺🇸Wichita, Kansas, United States
Cancer Center of Kansas, PA - Salina
🇺🇸Salina, Kansas, United States
Frederick Memorial Hospital Regional Cancer Therapy Center
🇺🇸Frederick, Maryland, United States
Beth Israel Deaconess Medical Center
🇺🇸Boston, Massachusetts, United States
Tufts Medical Center Cancer Center
🇺🇸Boston, Massachusetts, United States
Addison Gilbert Hospital
🇺🇸Gloucester, Massachusetts, United States
Lowell General Hospital
🇺🇸Lowell, Massachusetts, United States
Lakeland Regional Cancer Care Center - St. Joseph
🇺🇸Saint Joseph, Michigan, United States
HealthEast Cancer Care at St. John's Hospital
🇺🇸Maplewood, Minnesota, United States
Mercy and Unity Cancer Center at Mercy Hospital
🇺🇸Coon Rapids, Minnesota, United States
Fairview Ridges Hospital
🇺🇸Burnsville, Minnesota, United States
Mercy and Unity Cancer Center at Unity Hospital
🇺🇸Fridley, Minnesota, United States
Lakeside Cancer Specialists, PLLC
🇺🇸Saint Joseph, Michigan, United States
Ridgeview Medical Center
🇺🇸Waconia, Minnesota, United States
Hennepin County Medical Center - Minneapolis
🇺🇸Minneapolis, Minnesota, United States
Mayo Clinic Cancer Center
🇺🇸Rochester, Minnesota, United States
Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center
🇺🇸Robbinsdale, Minnesota, United States
Park Nicollet Cancer Center
🇺🇸Saint Louis Park, Minnesota, United States
Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
🇺🇸Minneapolis, Minnesota, United States
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
🇺🇸Saint Louis, Missouri, United States
Saint Louis University Cancer Center
🇺🇸Saint Louis, Missouri, United States
Roswell Park Cancer Institute
🇺🇸Buffalo, New York, United States
Hope A Women's Cancer Center
🇺🇸Asheville, North Carolina, United States
NYU Cancer Institute at New York University Medical Center
🇺🇸New York, New York, United States
Mission Hospitals - Memorial Campus
🇺🇸Asheville, North Carolina, United States
Moses Cone Regional Cancer Center at Wesley Long Community Hospital
🇺🇸Greensboro, North Carolina, United States
Pardee Memorial Hospital
🇺🇸Hendersonville, North Carolina, United States
Annie Penn Cancer Center
🇺🇸Reidsville, North Carolina, United States
Kinston Medical Specialists
🇺🇸Kinston, North Carolina, United States
Aultman Cancer Center at Aultman Hospital
🇺🇸Canton, Ohio, United States
Mountainview Medical
🇺🇸Berlin, Vermont, United States
Madigan Army Medical Center - Tacoma
🇺🇸Tacoma, Washington, United States
Doctor's Hospital of Laredo
🇺🇸Laredo, Texas, United States
Columbia-Saint Mary's Hospital-Ozaukee
🇺🇸Mequon, Wisconsin, United States
Aurora Health Center - Waukesha
🇺🇸Waukesha, Wisconsin, United States
Oncology Alliance, SC - Milwaukee - South
🇺🇸Milwaukee, Wisconsin, United States
University of Wisconcin Cancer Center at Aspirus Wausau Hospital
🇺🇸Wausau, Wisconsin, United States
Lismore Base Hospital
🇦🇺Lismore, New South Wales, Australia
Tamworth Base Hospital
🇦🇺Tamworth, New South Wales, Australia
Cancer Therapy Centre at Campbelltown Hospital
🇦🇺Campbelltown, New South Wales, Australia
Newcastle Mater Misericordiae Hospital
🇦🇺Waratah, New South Wales, Australia
Cancer Therapy Centre at Liverpool Hospital
🇦🇺Liverpool, New South Wales, Australia
Flinders Medical Centre
🇦🇺Bedford Park, South Australia, Australia
Royal Brisbane and Women's Hospital
🇦🇺Brisbane, Queensland, Australia
Institut Jules Bordet
🇧🇪Brussels, Belgium
Trillium Health Centre - Mississauga Site
🇨🇦Toronto, Ontario, Canada
Cross Cancer Institute at University of Alberta
🇨🇦Edmonton, Alberta, Canada
Margaret and Charles Juravinski Cancer Centre
🇨🇦Hamilton, Ontario, Canada
Klinikum Deggendorf
🇩🇪Deggendorf, Germany
Saskatoon Cancer Centre at the University of Saskatchewan
🇨🇦Saskatoon, Saskatchewan, Canada
St. Vincentius - Kliniken
🇩🇪Karlsruhe, Germany
Klinikum Schwaebisch Gmuend Stauferklinik
🇩🇪Mutlangen, Germany
Klinikum Nuernberg - Klinikum Nord
🇩🇪Nuremberg, Germany
Caritas - Krankenhaus Saint Josef
🇩🇪Regensburg, Germany
Klinikum Rosenheim
🇩🇪Rosenheim, Germany
Ospedali Riuniti di Bergamo
🇮🇹Bergamo, Italy
Ospedale Civile Ramazzini
🇮🇹Carpi, Italy
Spedali Civili di Brescia
🇮🇹Brescia, Italy
European Institute of Oncology
🇮🇹Milan, Italy
Azienda Sanitaria di Bolzano
🇮🇹Bolzano, Italy
Fondazione Salvatore Maugeri
🇮🇹Pavia, Italy
Misericordia e Dolce Hospital
🇮🇹Prato, Italy
Ospedale Civile Rimini
🇮🇹Rimini, Italy
Waikato Hospital
🇳🇿Hamilton, New Zealand
Ospedale di Circolo e Fondazione Macchi
🇮🇹Varese, Italy
Sandton Oncology Centre
🇿🇦Johannesburg, South Africa
Sahlgrenska University Hospital
🇸🇪Gothenburg, Sweden
Skaraborgs Hospital
🇸🇪Skovde, Sweden
Kantonsspital Graubuenden
🇨ðŸ‡Chur, Switzerland
Truman Medical Center - Hospital Hill
🇺🇸Kansas City, Missouri, United States
Saint Luke's Cancer Institute at Saint Luke's Hospital
🇺🇸Kansas City, Missouri, United States
St. Joseph Medical Center
🇺🇸Kansas City, Missouri, United States
North Kansas City Hospital
🇺🇸Kansas City, Missouri, United States
Research Medical Center
🇺🇸Kansas City, Missouri, United States
Our Lady of Mercy Medical Center Comprehensive Cancer Center
🇺🇸Bronx, New York, United States
Mayo Clinic - Jacksonville
🇺🇸Jacksonville, Florida, United States
Cancer Center of Kansas, PA - Parsons
🇺🇸Parsons, Kansas, United States
Northeast Georgia Medical Center
🇺🇸Gainesville, Georgia, United States
Cancer Center of Kansas, PA - El Dorado
🇺🇸El Dorado, Kansas, United States
Aurora Health Center - Racine
🇺🇸Racine, Wisconsin, United States
Cancer Center of Kansas, PA - Kingman
🇺🇸Kingman, Kansas, United States
MidMichigan Medical Center - Midland
🇺🇸Midland, Michigan, United States
Walter Reed Army Medical Center
🇺🇸Washington, District of Columbia, United States