MedPath

High-Dose Interferon Alfa in Treating Patients With Stage II or Stage III Melanoma

Phase 3
Active, not recruiting
Conditions
Melanoma (Skin)
Interventions
Other: observation
Biological: interferon alfa-2b
Registration Number
NCT00003641
Lead Sponsor
ECOG-ACRIN Cancer Research Group
Brief Summary

RATIONALE: Interferon alfa may interfere with the growth of cancer cells. It is not yet known whether treatment with interferon alfa is more effective than observation alone for stage II or stage III melanoma that has been completely removed surgically.

PURPOSE: This randomized phase III trial is studying high dose interferon alfa to see how well it works compared to observation only in treating patients with stage II or stage III melanoma that has been completely removed by surgery.

Detailed Description

OBJECTIVES:

Primary Objective:

* Compare the effect of high-dose interferon alfa-2b treatment on the relapse-free survival of patients with stage II or III resected malignant melanoma.

Secondary Objectives:

* Compare the effect of this treatment regimen on overall survival of these patients.

* Assess the toxicity of this treatment in these patients.

* Compare the effect of treatment on quality of life.

OUTLINE: This is a randomized study. Patients are stratified by pathologic lymph node status (known vs unknown),lymph node staging procedures(sentinel lymph node procedure vs. elective lymph node dissection vs. no lymphadenectomy), Breslow depth (\<= 1.0 mm vs. 1.01-2.0 mm vs. 2.01-4.0 mm vs \> 4.0 mm), ulceration of the primary lesion (yes vs. no vs. unknown), and disease stage (lymph node positive \[N1, N2a\] vs. lymph node negative \[N0\]). Patients are randomized into one of two treatment arms in a 1:1 ratio.

* Arm I (observation): Patients undergo observation for 4 weeks.

* Arm II (Interferon Alfa-2b): Patients receive high-dose interferon alfa-2b intravenously (IV) over 20 minutes daily for 5 consecutive days. Treatment repeats weekly for 4 weeks in the absence of unacceptable toxicity.

Quality of life is assessed before treatment, at day 22, every 3 months for 2 years, and then every 6 months for 3 years.

Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter until 15 years after randomization.

PROJECTED ACCRUAL: A total of 1,420 patients will be accrued for this study over 5 years.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
1150
Inclusion Criteria
  • Histologically confirmed primary melanoma of cutaneous origin

    • Stage II (T3 N0 M0 1.5-4.0 mm Breslow depth)

      • Clinically negative regional lymph node pathologic status unknown OR
      • Histologically negative regional lymph nodes
    • Stage III (T4 N0 M0)

      • Greater than 4.0 mm Breslow depth OR
    • Stage III (T1-4 N1)

      • One lymph node positive microscopically
  • Patients must meet at least 1 of the following criteria:

    • T2b N0 - primary melanoma 1.01-2.0 mm with ulceration, node negative
    • T3a-b N0 - primary melanoma 2.01-4.0 mm with and without ulceration, node negative
    • T4a-b N0 - primary melanoma > 4.0 mm with or without ulceration, node negative
    • T1a N1a-2a (microscopic) - primary melanoma of any thickness with microscopically positive lymph node (any number)
  • Patients with a positive sentinel node should undergo complete lymphadenectomy of the nodal basin prior to study

  • Must complete all primary therapy (wide excision with or without lymphadenectomy) and be randomized in this study within 84 days of wide excision

  • Must have undergone an adequate wide excision of the primary lesion

  • Age 18 and over (For ECOG patients only, patients must be >=10 years)

  • Eastern Cooperative Oncology Group (ECOG) Performance status of 0-1

  • Adequate hematopoietic, hepatic, and renal function based on the following tests:

    • White blood cell (WBC) cout at least 3,000/mm^3
    • Platelet count at least 125,000/mm^3
    • Hematocrit at least 30%
    • Bilirubin no greater than 2 times upper limit of normal (ULN)
    • Aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and alkaline phosphatase no greater than 2 times ULN
    • If lactate dehydrogenase or alkaline phosphatase is above normal, a contrast-enhanced computed tomography (CT) scan or Magnetic resonance imaging (MRI) of the liver is required to document the absence of tumor
    • Blood urea nitrogen (BUN) no greater than 33 mg/dL OR Creatinine no greater than 1.8 mg/dL
  • No other concurrent or prior malignancies within the past 5 years except:

    • Cancer in situ
    • Lobular carcinoma in situ of the breast
    • Carcinoma in situ of the cervix
    • Atypical melanocytic hyperplasia or Clark 1 melanoma in situ
    • Basal or squamous cell skin cancer
  • Negative pregnancy test

  • Fertile patients must use effective contraception during and for 6 months after study

Exclusion Criteria
  • Clinical, radiological/laboratory, or pathological evidence of incompletely resected melanoma or any distant metastatic disease
  • Clinically palpable lymphadenopathy
  • Evidence of organic brain syndrome or significant impairment of basal cognitive function or any psychiatric disorder that would preclude study participation
  • Other significant medical or surgical condition, or any medication or treatment regimens, that would interfere with study participation
  • Pregnant or nursing
  • Other history of invasive melanoma
  • Autoimmune disorders or conditions of immunosuppression
  • History of active ischemic heart disease
  • Cerebrovascular disease
  • Congestive heart failure (New York Heart Association class III or IV heart disease)
  • Prior or concurrent chemotherapy
  • Prior immunotherapy including tumor vaccines, interferon, interleukins, levamisole, or other biologic response modifiers for melanoma
  • Concurrent systemic corticosteroids including oral steroids (i.e., prednisone, dexamethasone), topical steroid creams or ointments, or any steroid-containing inhalers
  • Prior or concurrent radiotherapy
  • Other concurrent immunosuppressive medications

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ObservationobservationPatients undergo observation for 4 weeks.
Interferon Alfa-2binterferon alfa-2bPatients receive high-dose interferon alfa-2b IV over 20 minutes daily for 5 consecutive days. Treatment repeats weekly for 4 weeks in the absence of unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
5-year Relapse-free Survival Rateassessed every 3 months for 2 years, every 6 months for 3 years

Relapse-free survival (RFS) was defined as time from randomization to disease relapse or death from any cause, whichever occurred first. Patients without disease relapse were censored at last disease assessment date known of free of relapse. Kaplan-Meier method was used to estimate 5-year RFS rate in the intent-to-treat (ITT) patients.

Secondary Outcome Measures
NameTimeMethod
5-year Overall Survival Rateassessed every 3 months for 2 years, every 6 months for 3 years

Overall survival (OS) was defined as time from randomization to death from any cause. Patients still alive were censored at last known alive date. Kaplan-Meier method was used to estimate 5-year OS rate in the ITT patients.

Trial Locations

Locations (532)

CCOP - Atlanta Regional

🇺🇸

Atlanta, Georgia, United States

Northside Hospital Cancer Center

🇺🇸

Atlanta, Georgia, United States

Robert H. Lurie Comprehensive Cancer Center at Northwestern University

🇺🇸

Chicago, Illinois, United States

Hematology and Oncology Associates

🇺🇸

Chicago, Illinois, United States

Mount Carmel Health - West Hospital

🇺🇸

Columbus, Ohio, United States

Sutter Health - Western Division Cancer Research Group

🇺🇸

San Rafael, California, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

CCOP - Hematology-Oncology Associates of Central New York

🇺🇸

East Syracuse, New York, United States

Guthrie Cancer Center at Guthrie Clinic Sayre

🇺🇸

Sayre, Pennsylvania, United States

Green Bay Oncology, Limited - Oconto Falls

🇺🇸

Oconto Falls, Wisconsin, United States

St. Christopher's Hospital for Children

🇺🇸

Philadelphia, Pennsylvania, United States

Medical City Dallas Hospital

🇺🇸

Dallas, Texas, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

Princess Margaret Hospital

🇨🇦

Toronto, Ontario, Canada

Saint Joseph Hospital

🇺🇸

Chicago, Illinois, United States

Hematology and Oncology Associates of Northeastern Pennsylvania

🇺🇸

Scranton, Pennsylvania, United States

Center for Biomedical Research

🇺🇸

Knoxville, Tennessee, United States

Beth Israel Deaconess Medical Center

🇺🇸

Boston, Massachusetts, United States

Saint Luke's East - Lee's Summit

🇺🇸

Lee's Summit, Missouri, United States

Cancer Institute of New Jersey at Hamilton

🇺🇸

Hamilton, New Jersey, United States

North Coast Cancer Care - Clyde

🇺🇸

Clyde, Ohio, United States

Mercy Hospital of Tiffin

🇺🇸

Tiffin, Ohio, United States

CCOP - Toledo Community Hospital

🇺🇸

Toledo, Ohio, United States

St. Anne Mercy Hospital

🇺🇸

Toledo, Ohio, United States

Minor and James Medical, PLLC

🇺🇸

Seattle, Washington, United States

Group Health Central Hospital

🇺🇸

Seattle, Washington, United States

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

🇺🇸

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Polyclinic First Hill

🇺🇸

Seattle, Washington, United States

University of Miami Sylvester Comprehensive Cancer Center - Miami

🇺🇸

Miami, Florida, United States

Indiana University Melvin and Bren Simon Cancer Center

🇺🇸

Indianapolis, Indiana, United States

Christ Hospital Cancer Center

🇺🇸

Cincinnati, Ohio, United States

Charles M. Barrett Cancer Center at University Hospital

🇺🇸

Cincinnati, Ohio, United States

Kaiser Permanente Medical Office -Vandever Medical Office

🇺🇸

San Diego, California, United States

Naval Medical Center - San Diego

🇺🇸

San Diego, California, United States

Mercy Capitol Hospital

🇺🇸

Des Moines, Iowa, United States

Reid Hospital & Health Care Services

🇺🇸

Richmond, Indiana, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

Medical University of Ohio Cancer Center

🇺🇸

Toledo, Ohio, United States

CCOP - Scott and White Hospital

🇺🇸

Temple, Texas, United States

Dean Medical Center - Madison

🇺🇸

Madison, Wisconsin, United States

California Pacific Medical Center - California Campus

🇺🇸

San Francisco, California, United States

Duke Comprehensive Cancer Center

🇺🇸

Durham, North Carolina, United States

Vanderbilt-Ingram Cancer Center

🇺🇸

Nashville, Tennessee, United States

University of Texas Health Science Center at San Antonio

🇺🇸

San Antonio, Texas, United States

Methodist Children's Hospital of South Texas

🇺🇸

San Antonio, Texas, United States

Huntsman Cancer Institute at University of Utah

🇺🇸

Salt Lake City, Utah, United States

Cancer Center of Kansas, PA - Liberal

🇺🇸

Liberal, Kansas, United States

Tammy Walker Cancer Center at Salina Regional Health Center

🇺🇸

Salina, Kansas, United States

Cancer Center of Kansas, PA - Chanute

🇺🇸

Chanute, Kansas, United States

Cancer Center of Kansas, PA - Wellington

🇺🇸

Wellington, Kansas, United States

Cancer Center of Kansas, PA - Kingman

🇺🇸

Kingman, Kansas, United States

Hospital District Sixth of Harper County

🇺🇸

Anthony, Kansas, United States

Shawnee Mission Medical Center

🇺🇸

Shawnee Mission, Kansas, United States

Regions Hospital Cancer Care Center

🇺🇸

Saint Paul, Minnesota, United States

Mercy and Unity Cancer Center at Mercy Hospital

🇺🇸

Coon Rapids, Minnesota, United States

Duluth Clinic Cancer Center - Duluth

🇺🇸

Duluth, Minnesota, United States

St. Luke's Hospital Cancer Care Center

🇺🇸

Duluth, Minnesota, United States

CCOP - Metro-Minnesota

🇺🇸

Saint Louis Park, Minnesota, United States

Cancer Center of Kansas, PA - Dodge City

🇺🇸

Dodge City, Kansas, United States

Cancer Center of Kansas, PA - El Dorado

🇺🇸

El Dorado, Kansas, United States

Mercy and Unity Cancer Center at Unity Hospital

🇺🇸

Fridley, Minnesota, United States

Hutchinson Area Health Care

🇺🇸

Hutchinson, Minnesota, United States

Fergus Falls Medical Group, PA

🇺🇸

Fergus Falls, Minnesota, United States

Menorah Medical Center

🇺🇸

Overland Park, Kansas, United States

Park Nicollet Cancer Center

🇺🇸

Saint Louis Park, Minnesota, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Cancer Center of Kansas, PA - Newton

🇺🇸

Newton, Kansas, United States

Cancer Center of Kansas, PA - Pratt

🇺🇸

Pratt, Kansas, United States

Ridgeview Medical Center

🇺🇸

Waconia, Minnesota, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

Cancer Center of Kansas, PA - Parsons

🇺🇸

Parsons, Kansas, United States

Virginia Piper Cancer Institute at Abbott - Northwestern Hospital

🇺🇸

Minneapolis, Minnesota, United States

Saint Luke's Hospital - South

🇺🇸

Overland Park, Kansas, United States

Cotton-O'Neil Cancer Center

🇺🇸

Topeka, Kansas, United States

Fairview Southdale Hospital

🇺🇸

Edina, Minnesota, United States

HealthEast Cancer Care at St. John's Hospital

🇺🇸

Maplewood, Minnesota, United States

CCOP - MeritCare Hospital

🇺🇸

Fargo, North Dakota, United States

Cancer Center of Kansas, PA - Salina

🇺🇸

Salina, Kansas, United States

MeritCare Bemidji

🇺🇸

Bemidji, Minnesota, United States

CCOP - Duluth

🇺🇸

Duluth, Minnesota, United States

Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center

🇺🇸

Robbinsdale, Minnesota, United States

Coborn Cancer Center

🇺🇸

Saint Cloud, Minnesota, United States

Minnesota Oncology Hematology, PA - Woodbury

🇺🇸

Woodbury, Minnesota, United States

MeritCare Broadway

🇺🇸

Fargo, North Dakota, United States

St. Francis Cancer Center at St. Francis Medical Center

🇺🇸

Shakopee, Minnesota, United States

Hennepin County Medical Center - Minneapolis

🇺🇸

Minneapolis, Minnesota, United States

United Hospital

🇺🇸

Saint Paul, Minnesota, United States

Miller - Dwan Medical Center

🇺🇸

Duluth, Minnesota, United States

CentraCare Clinic - River Campus

🇺🇸

Saint Cloud, Minnesota, United States

Minnesota Oncology Hematology, PA - Maplewood

🇺🇸

Maplewood, Minnesota, United States

Willmar Cancer Center at Rice Memorial Hospital

🇺🇸

Willmar, Minnesota, United States

Boulder Community Hospital

🇺🇸

Boulder, Colorado, United States

North Colorado Medical Center

🇺🇸

Greeley, Colorado, United States

Sky Ridge Medical Center

🇺🇸

Lone Tree, Colorado, United States

McKee Medical Center

🇺🇸

Loveland, Colorado, United States

Exempla Lutheran Medical Center

🇺🇸

Wheat Ridge, Colorado, United States

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

🇺🇸

Grand Junction, Colorado, United States

Kaiser Permanente - Lafayette

🇺🇸

Lafayette, Colorado, United States

Penrose Cancer Center at Penrose Hospital

🇺🇸

Colorado Springs, Colorado, United States

North Suburban Medical Center

🇺🇸

Thornton, Colorado, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Welch Cancer Center at Sheridan Memorial Hospital

🇺🇸

Sheridan, Wyoming, United States

CancerCare Manitoba

🇨🇦

Winnipeg, Manitoba, Canada

UAB Comprehensive Cancer Center

🇺🇸

Birmingham, Alabama, United States

CCOP - Columbia River Oncology Program

🇺🇸

Portland, Oregon, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Cancer Care Associates - Mercy Campus

🇺🇸

Oklahoma City, Oklahoma, United States

Providence St. Vincent Medical Center

🇺🇸

Portland, Oregon, United States

Northwest Cancer Specialists at Rose Quarter Cancer Center

🇺🇸

Portland, Oregon, United States

Oklahoma University Cancer Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Adventist Medical Center

🇺🇸

Portland, Oregon, United States

Legacy Good Samaritan Hospital & Comprehensive Cancer Center

🇺🇸

Portland, Oregon, United States

Providence Cancer Center at Providence Portland Medical Center

🇺🇸

Portland, Oregon, United States

Legacy Emanuel Hospital and Health Center and Children's Hospital

🇺🇸

Portland, Oregon, United States

Northern Rockies Radiation Oncology Center

🇺🇸

Billings, Montana, United States

Great Falls Clinic - Main Facility

🇺🇸

Great Falls, Montana, United States

Michael and Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital

🇺🇸

Fort Lauderdale, Florida, United States

Arizona Cancer Center at University of Arizona Health Sciences Center

🇺🇸

Tucson, Arizona, United States

Baptist Cancer Institute - Jacksonville

🇺🇸

Jacksonville, Florida, United States

Swedish Medical Center

🇺🇸

Englewood, Colorado, United States

CCOP - Mount Sinai Medical Center

🇺🇸

Miami Beach, Florida, United States

Carl and Dorothy Bennett Cancer Center at Stamford Hospital

🇺🇸

Stamford, Connecticut, United States

Lakeland Regional Cancer Center at Lakeland Regional Medical Center

🇺🇸

Lakeland, Florida, United States

Tunnell Cancer Center at Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

Hembree Mercy Cancer Center at St. Edward Mercy Medical Center

🇺🇸

Fort Smith, Arkansas, United States

Herbert D. Kerman Regional Oncology Center - Daytona Beach

🇺🇸

Daytona Beach, Florida, United States

Eastern Connecticut Hematology and Oncology Associates

🇺🇸

Norwich, Connecticut, United States

Praxair Cancer Center at Danbury Hospital

🇺🇸

Danbury, Connecticut, United States

Greater Baltimore Medical Center Cancer Center

🇺🇸

Baltimore, Maryland, United States

University of Mississippi Cancer Clinic

🇺🇸

Jackson, Mississippi, United States

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

West Florida Cancer Institute at West Florida Hospital - Pensacola

🇺🇸

Pensacola, Florida, United States

Seton Cancer Institute at Saint Mary's - Saginaw

🇺🇸

Saginaw, Michigan, United States

Hematology-Oncology Centers of the Northern Rockies - Billings

🇺🇸

Billings, Montana, United States

Bozeman Deaconess Cancer Center

🇺🇸

Bozeman, Montana, United States

Ella Milbank Foshay Cancer Center at Jupiter Medical Center

🇺🇸

Jupiter, Florida, United States

Tufts-NEMC Cancer Center

🇺🇸

Boston, Massachusetts, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Lakeland Regional Cancer Care Center - St. Joseph

🇺🇸

Saint Joseph, Michigan, United States

Community Cancer Center of Monroe

🇺🇸

Monroe, Michigan, United States

St. Peter's Hospital

🇺🇸

Helena, Montana, United States

Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center

🇺🇸

Grand Island, Nebraska, United States

Northern Montana Hospital

🇺🇸

Havre, Montana, United States

Hunterdon Regional Cancer Center at Hunterdon Medical Center

🇺🇸

Flemington, New Jersey, United States

Maine Center for Cancer Medicine and Blood Disorders - Scarborough

🇺🇸

Scarborough, Maine, United States

Union Hospital Cancer Program at Union Hospital

🇺🇸

Elkton, Maryland, United States

Hickman Cancer Center at Bixby Medical Center

🇺🇸

Adrian, Michigan, United States

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

🇺🇸

Grosse Pointe Woods, Michigan, United States

St. Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Green Bay Oncology, Limited - Escanaba

🇺🇸

Escanaba, Michigan, United States

LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

Val and Ann Browning Cancer Center at McKay-Dee Hospital Center

🇺🇸

Ogden, Utah, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Cancer Resource Center - Lincoln

🇺🇸

Lincoln, Nebraska, United States

St. John Macomb Hospital

🇺🇸

Warren, Michigan, United States

Glacier Oncology, PLLC

🇺🇸

Kalispell, Montana, United States

Kalispell Medical Oncology at KRMC

🇺🇸

Kalispell, Montana, United States

St. James Healthcare Cancer Care

🇺🇸

Butte, Montana, United States

Lakeside Cancer Specialists, PLLC

🇺🇸

Saint Joseph, Michigan, United States

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

Sanford Cancer Center at Sanford USD Medical Center

🇺🇸

Sioux Falls, South Dakota, United States

Mercy Memorial Hospital - Monroe

🇺🇸

Monroe, Michigan, United States

Lancaster General Hospital

🇺🇸

Lancaster, Pennsylvania, United States

Norris Cotton Cancer Center at Catholic Medical Center

🇺🇸

Manchester, New Hampshire, United States

Billings Clinic - Downtown

🇺🇸

Billings, Montana, United States

Schiffler Cancer Center at Wheeling Hospital

🇺🇸

Wheeling, West Virginia, United States

Aurora Memorial Hospital of Burlington

🇺🇸

Burlington, Wisconsin, United States

Oncology Alliance - Kenosha South

🇺🇸

Kenosha, Wisconsin, United States

Green Bay Oncology, Limited - Sturgeon Bay

🇺🇸

Sturgeon Bay, Wisconsin, United States

CCOP - Northern New Jersey

🇺🇸

Hackensack, New Jersey, United States

Marshfield Clinic - Indianhead Center

🇺🇸

Rice Lake, Wisconsin, United States

Frederick R. and Betty M. Smith Cancer Treatment Center

🇺🇸

Sparta, New Jersey, United States

UW Cancer Center Johnson Creek

🇺🇸

Johnson Creek, Wisconsin, United States

Vince Lombardi Cancer Center at Aurora Lakeland Medical Center - Elkhorn

🇺🇸

Elkhorn, Wisconsin, United States

Marshfield Clinic Cancer Care at Regional Cancer Center

🇺🇸

Eau Claire, Wisconsin, United States

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

🇺🇸

Missoula, Montana, United States

Marshfield Clinic - Wausau Center

🇺🇸

Wausau, Wisconsin, United States

Medical X-Ray Center, PC

🇺🇸

Sioux Falls, South Dakota, United States

Oncology Alliance, SC - Milwaukee - West

🇺🇸

Wauwatosa, Wisconsin, United States

Legacy Mount Hood Medical Center

🇺🇸

Gresham, Oregon, United States

Providence Milwaukie Hospital

🇺🇸

Milwaukie, Oregon, United States

Logan Regional Hospital

🇺🇸

Logan, Utah, United States

Sandra L. Maxwell Cancer Center

🇺🇸

Cedar City, Utah, United States

Fox Valley Hematology and Oncology - East Grant Street

🇺🇸

Appleton, Wisconsin, United States

Jon and Karen Huntsman Cancer Center at Intermountain Medical Center

🇺🇸

Murray, Utah, United States

Vince Lombardi Cancer Clinic - Sheboygan

🇺🇸

Sheboygan, Wisconsin, United States

Saint Joseph's Hospital

🇺🇸

Marshfield, Wisconsin, United States

Utah Valley Regional Medical Center - Provo

🇺🇸

Provo, Utah, United States

Marshfield Clinic at Saint Michael's Hospital

🇺🇸

Stevens Point, Wisconsin, United States

Salem Hospital Regional Cancer Care Services

🇺🇸

Salem, Oregon, United States

Community Comprehensive Cancer Center at Camden-Clark Memorial Hospital

🇺🇸

Parkersburg, West Virginia, United States

Utah Cancer Specialists at UCS Cancer Center

🇺🇸

Salt Lake City, Utah, United States

Pretoria Academic Hospital

🇿🇦

Pretoria, South Africa

Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center

🇺🇸

Green Bay, Wisconsin, United States

St. Vincent Hospital Regional Cancer Center

🇺🇸

Green Bay, Wisconsin, United States

Mary Babb Randolph Cancer Center at West Virginia University Hospitals

🇺🇸

Morgantown, West Virginia, United States

Marshfield Clinic - Marshfield Center

🇺🇸

Marshfield, Wisconsin, United States

West Virginia University Health Sciences Center - Charleston

🇺🇸

Charleston, West Virginia, United States

British Columbia Cancer Agency - Vancouver Island Centre

🇨🇦

Victoria, British Columbia, Canada

Center for Cancer Treatment & Prevention at Sacred Heart Hospital

🇺🇸

Eau Claire, Wisconsin, United States

BCCA - Fraser Valley Cancer Centre

🇨🇦

Surrey, British Columbia, Canada

Marshfield Clinic - Lakeland Center

🇺🇸

Minocqua, Wisconsin, United States

Aurora Medical Center

🇺🇸

Summit, Wisconsin, United States

Margaret and Charles Juravinski Cancer Centre

🇨🇦

Hamilton, Ontario, Canada

Holy Family Memorial Medical Center Cancer Care Center

🇺🇸

Manitowoc, Wisconsin, United States

Marshfield Clinic - Weston Center

🇺🇸

Weston, Wisconsin, United States

London Regional Cancer Program at London Health Sciences Centre

🇨🇦

London, Ontario, Canada

St. Catharines General Hospital at Niagara Health System

🇨🇦

St. Catharines, Ontario, Canada

R. S. McLaughlin Durham Regional Cancer Centre at Lakeridge Health Oshawa

🇨🇦

Oshawa, Ontario, Canada

Aurora Health Center - Waukesha

🇺🇸

Waukesha, Wisconsin, United States

British Columbia Cancer Agency - Vancouver Cancer Centre

🇨🇦

Vancouver, British Columbia, Canada

British Columbia Cancer Agency - Centre for the Southern Interior

🇨🇦

Kelowna, British Columbia, Canada

Royal Victoria Hospital of Barrie

🇨🇦

Barrie, Ontario, Canada

McGill Cancer Centre at McGill University

🇨🇦

Montreal, Quebec, Canada

Allan Blair Cancer Centre at Pasqua Hospital

🇨🇦

Regina, Saskatchewan, Canada

St. Anthony Central Hospital

🇺🇸

Denver, Colorado, United States

Porter Adventist Hospital

🇺🇸

Denver, Colorado, United States

Kaiser Permanente - Denver

🇺🇸

Denver, Colorado, United States

Presbyterian - St. Luke's Medical Center

🇺🇸

Denver, Colorado, United States

St. Joseph Hospital

🇺🇸

Denver, Colorado, United States

Rose Medical Center

🇺🇸

Denver, Colorado, United States

CCOP - Colorado Cancer Research Program

🇺🇸

Denver, Colorado, United States

CCOP - Missouri Valley Cancer Consortium

🇺🇸

Omaha, Nebraska, United States

Immanuel Medical Center

🇺🇸

Omaha, Nebraska, United States

Alegant Health Cancer Center at Bergan Mercy Medical Center

🇺🇸

Omaha, Nebraska, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

UNMC Eppley Cancer Center at the University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Medical Consultants, Limited

🇺🇸

Milwaukee, Wisconsin, United States

Oncology Alliance, SC - Milwaukee - South

🇺🇸

Milwaukee, Wisconsin, United States

Medical College of Wisconsin Cancer Center

🇺🇸

Milwaukee, Wisconsin, United States

Sutter Cancer Center

🇺🇸

Sacramento, California, United States

South Sacramento Kaiser-Permanente Medical Center

🇺🇸

Sacramento, California, United States

Kaiser Permanente Medical Center - Sacramento

🇺🇸

Sacramento, California, United States

Aurora Presbyterian Hospital

🇺🇸

Aurora, Colorado, United States

Saint Joseph Mercy Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

Fairview Ridges Hospital

🇺🇸

Burnsville, Minnesota, United States

Drs. Carrol, Sheth, Raghavan

🇺🇸

Louisville, Kentucky, United States

University of South Alabama Mitchell Cancer Institute

🇺🇸

Mobile, Alabama, United States

Southern California Permanente Medical Group

🇺🇸

Downey, California, United States

Peninsula Medical Center

🇺🇸

Burlingame, California, United States

Kaiser Permanente - Deer Valley

🇺🇸

Antioch, California, United States

Alta Bates Summit Comprehensive Cancer Center

🇺🇸

Berkeley, California, United States

Kaiser Permanente - Fremont

🇺🇸

Fremont, California, United States

Marin Cancer Institute at Marin General Hospital

🇺🇸

Greenbrae, California, United States

Kaiser Permanente Medical Center - Hayward

🇺🇸

Hayward, California, United States

Kaiser Permanente Medical Center - Oakland

🇺🇸

Oakland, California, United States

Veterans Affairs Medical Center - Palo Alto

🇺🇸

Palo Alto, California, United States

Kaiser Permanente Medical Center - Redwood City

🇺🇸

Redwood City, California, United States

Kaiser Permanente Medical Center - Roseville

🇺🇸

Roseville, California, United States

Kaiser Permanente Medical Center - Richmond

🇺🇸

Richmond, California, United States

Sutter Cancer Center at Roseville Medical Center

🇺🇸

Roseville, California, United States

Kaiser Permanente Medical Center - San Francisco Geary Campus

🇺🇸

San Francisco, California, United States

Kaiser Permanente Medical Center - Santa Teresa

🇺🇸

San Jose, California, United States

Kaiser Foundation Hospital - San Rafael

🇺🇸

San Rafael, California, United States

Kaiser Permanente Medical Center - Santa Clara Kiely Campus

🇺🇸

Santa Clara, California, United States

Kaiser Permanente Medical Center - Santa Rosa

🇺🇸

Santa Rosa, California, United States

Stanford Cancer Center

🇺🇸

Stanford, California, United States

Kaiser Permanente Medical Center - South San Francisco

🇺🇸

South San Francisco, California, United States

Kaiser Permanente Medical Center - Vallejo

🇺🇸

Vallejo, California, United States

Kaiser Permanente Medical Facility - Stockton

🇺🇸

Stockton, California, United States

Sutter Solano Medical Center

🇺🇸

Vallejo, California, United States

Kaiser Permanente Medical Center - Walnut Creek

🇺🇸

Walnut Creek, California, United States

Hope Cancer Care Center at Longmont United Hospital

🇺🇸

Longmont, Colorado, United States

St. Mary - Corwin Regional Medical Center

🇺🇸

Pueblo, Colorado, United States

All Children's Hospital

🇺🇸

Saint Petersburg, Florida, United States

Sacred Heart Cancer Center at Sacred Heart Hospital

🇺🇸

Pensacola, Florida, United States

Piedmont Hospital

🇺🇸

Atlanta, Georgia, United States

Florida Cancer Specialists - Sarasota Downtown

🇺🇸

Sarasota, Florida, United States

Winship Cancer Institute of Emory University

🇺🇸

Atlanta, Georgia, United States

Saint Joseph's Hospital of Atlanta

🇺🇸

Atlanta, Georgia, United States

Kaplan Cancer Center at St. Mary's Medical Center

🇺🇸

West Palm Beach, Florida, United States

AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Egleston Campus

🇺🇸

Atlanta, Georgia, United States

MBCCOP - Medical College of Georgia Cancer Center

🇺🇸

Augusta, Georgia, United States

John B. Amos Cancer Center

🇺🇸

Columbus, Georgia, United States

WellStar Cobb Hospital

🇺🇸

Austell, Georgia, United States

Charles B. Eberhart Cancer Center at DeKalb Medical Center

🇺🇸

Decatur, Georgia, United States

Northeast Georgia Medical Center

🇺🇸

Gainesville, Georgia, United States

Veterans Affairs Medical Center - Atlanta (Decatur)

🇺🇸

Decatur, Georgia, United States

Gwinnett Medical Center

🇺🇸

Lawrenceville, Georgia, United States

Harbin Clinic Cancer Center - Medical Oncology

🇺🇸

Rome, Georgia, United States

Southern Regional Medical Center

🇺🇸

Riverdale, Georgia, United States

Kennestone Cancer Center at Wellstar Kennestone Hospital

🇺🇸

Marietta, Georgia, United States

Rush-Copley Cancer Care Center

🇺🇸

Aurora, Illinois, United States

Evanston Hospital

🇺🇸

Evanston, Illinois, United States

Crossroads Cancer Center

🇺🇸

Effingham, Illinois, United States

Ingalls Cancer Care Center at Ingalls Memorial Hospital

🇺🇸

Harvey, Illinois, United States

Kellogg Cancer Care Center

🇺🇸

Highland Park, Illinois, United States

Decatur Memorial Hospital Cancer Care Institute

🇺🇸

Decatur, Illinois, United States

Hinsdale Hematology Oncology Associates

🇺🇸

Hinsdale, Illinois, United States

North Shore Oncology and Hematology Associates, Limited - Libertyville

🇺🇸

Libertyville, Illinois, United States

Midwest Center for Hematology/Oncology

🇺🇸

Joliet, Illinois, United States

La Grange Oncology Associates - Geneva

🇺🇸

Naperville, Illinois, United States

Swedish-American Regional Cancer Center

🇺🇸

Rockford, Illinois, United States

Cancer Care and Hematology Specialists of Chicagoland - Niles

🇺🇸

Niles, Illinois, United States

Carle Cancer Center at Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Hematology Oncology Associates - Skokie

🇺🇸

Skokie, Illinois, United States

CCOP - Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Elkhart Clinic, LLC

🇺🇸

Elkhart, Indiana, United States

St. Francis Hospital and Health Centers - Beech Grove Campus

🇺🇸

Beech Grove, Indiana, United States

Elkhart General Hospital

🇺🇸

Elkhart, Indiana, United States

William N. Wishard Memorial Hospital

🇺🇸

Indianapolis, Indiana, United States

Center for Cancer Therapy at LaPorte Hospital and Health Services

🇺🇸

La Porte, Indiana, United States

Howard Community Hospital

🇺🇸

Kokomo, Indiana, United States

Saint Anthony Memorial Health Centers

🇺🇸

Michigan City, Indiana, United States

Michiana Hematology Oncology PC - La Porte

🇺🇸

La Porte, Indiana, United States

Michiana Hematology-Oncology, PC - South Bend

🇺🇸

Mishawaka, Indiana, United States

Saint Joseph Regional Medical Center

🇺🇸

Mishawaka, Indiana, United States

Cancer Center at Ball Memorial Hospital

🇺🇸

Muncie, Indiana, United States

Michiana Hematology Oncology PC - Plymouth

🇺🇸

Plymouth, Indiana, United States

Medical Consultants, PC at Ball Memorial Cancer Center

🇺🇸

Muncie, Indiana, United States

South Bend Clinic

🇺🇸

South Bend, Indiana, United States

Cedar Rapids Oncology Associates

🇺🇸

Cedar Rapids, Iowa, United States

McFarland Clinic, PC

🇺🇸

Ames, Iowa, United States

Mercy Regional Cancer Center at Mercy Medical Center

🇺🇸

Cedar Rapids, Iowa, United States

Medical Oncology and Hematology Associates - West Des Moines

🇺🇸

Clive, Iowa, United States

Genesis Medical Center - West Campus

🇺🇸

Davenport, Iowa, United States

Genesis Regional Cancer Center at Genesis Medical Center

🇺🇸

Davenport, Iowa, United States

McCreery Cancer Center at Ottumwa Regional

🇺🇸

Ottumwa, Iowa, United States

Siouxland Hematology-Oncology Associates, LLP

🇺🇸

Sioux City, Iowa, United States

Mercy Medical Center - Sioux City

🇺🇸

Sioux City, Iowa, United States

Covenant Cancer Treatment Center

🇺🇸

Waterloo, Iowa, United States

Cancer Center of Kansas, PA - Winfield

🇺🇸

Winfield, Kansas, United States

Cancer Care at Our Lady of Bellefonte Hospital

🇺🇸

Ashland, Kentucky, United States

Louisiana State University Health Sciences Center - Monroe

🇺🇸

Monroe, Louisiana, United States

Tulane Cancer Center Office of Clinical Research

🇺🇸

Alexandria, Louisiana, United States

Feist-Weiller Cancer Center at Louisiana State University Health Sciences

🇺🇸

Shreveport, Louisiana, United States

Oakwood Cancer Center at Oakwood Hospital and Medical Center

🇺🇸

Dearborn, Michigan, United States

Dickinson County Healthcare System

🇺🇸

Iron Mountain, Michigan, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

Foote Memorial Hospital

🇺🇸

Jackson, Michigan, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

Michiana Hematology Oncology PC - Niles

🇺🇸

Niles, Michigan, United States

William Beaumont Hospital - Royal Oak Campus

🇺🇸

Royal Oak, Michigan, United States

St. Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

Mercy Regional Cancer Center at Mercy Hospital

🇺🇸

Port Huron, Michigan, United States

Ellis Fischel Cancer Center at University of Missouri - Columbia

🇺🇸

Columbia, Missouri, United States

Arch Medical Services, Incorporated at Center for Cancer Care and Research

🇺🇸

Saint Louis, Missouri, United States

Missouri Baptist Cancer Center

🇺🇸

Saint Louis, Missouri, United States

Liberty Hospital

🇺🇸

Liberty, Missouri, United States

Saint Joseph Oncology, Incorporated

🇺🇸

Saint Joseph, Missouri, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

Big Sky Oncology

🇺🇸

Great Falls, Montana, United States

Sletten Cancer Institute at Benefis Healthcare

🇺🇸

Great Falls, Montana, United States

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

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

🇺🇸

New Brunswick, New Jersey, United States

Cancer Institute of New Jersey at Cooper - Voorhees

🇺🇸

Voorhees, New Jersey, United States

Monter Cancer Center of the North Shore-LIJ Health System

🇺🇸

Lake Success, New York, United States

Charles R. Wood Cancer Center at Glens Falls Hospital

🇺🇸

Glens Falls, New York, United States

Stony Brook University Cancer Center

🇺🇸

Stony Brook, New York, United States

Long Island Jewish Medical Center

🇺🇸

New Hyde Park, New York, United States

Blumenthal Cancer Center at Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Presbyterian Cancer Center at Presbyterian Hospital

🇺🇸

Charlotte, North Carolina, United States

Randolph Hospital

🇺🇸

Asheboro, North Carolina, United States

Wayne Memorial Hospital, Incorporated

🇺🇸

Goldsboro, North Carolina, United States

Moses Cone Regional Cancer Center at Wesley Long Community Hospital

🇺🇸

Greensboro, North Carolina, United States

Annie Penn Cancer Center

🇺🇸

Reidsville, North Carolina, United States

Leo W. Jenkins Cancer Center at ECU Medical School

🇺🇸

Greenville, North Carolina, United States

Summa Center for Cancer Care at Akron City Hospital

🇺🇸

Akron, Ohio, United States

Barberton Citizens Hospital

🇺🇸

Barberton, Ohio, United States

Mary Rutan Hospital

🇺🇸

Bellefontaine, Ohio, United States

Wood County Oncology Center

🇺🇸

Bowling Green, Ohio, United States

Mercy Cancer Center at Mercy Medical Center

🇺🇸

Canton, Ohio, United States

Aultman Cancer Center at Aultman Hospital

🇺🇸

Canton, Ohio, United States

Adena Regional Medical Center

🇺🇸

Chillicothe, Ohio, United States

Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center

🇺🇸

Columbus, Ohio, United States

MetroHealth Cancer Care Center at MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Grant Medical Center Cancer Care

🇺🇸

Columbus, Ohio, United States

Doctors Hospital at Ohio Health

🇺🇸

Columbus, Ohio, United States

CCOP - Columbus

🇺🇸

Columbus, Ohio, United States

Grady Memorial Hospital

🇺🇸

Delaware, Ohio, United States

Community Cancer Center

🇺🇸

Elyria, Ohio, United States

Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Hematology Oncology Center

🇺🇸

Elyria, Ohio, United States

Blanchard Valley Medical Associates

🇺🇸

Findlay, Ohio, United States

Fairfield Medical Center

🇺🇸

Lancaster, Ohio, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

St. Rita's Medical Center

🇺🇸

Lima, Ohio, United States

Northwest Ohio Oncology Center

🇺🇸

Maumee, Ohio, United States

Lima Memorial Hospital

🇺🇸

Lima, Ohio, United States

Strecker Cancer Center at Marietta Memorial Hospital

🇺🇸

Marietta, Ohio, United States

St. Luke's Hospital

🇺🇸

Maumee, Ohio, United States

Fisher-Titus Medical Center

🇺🇸

Norwalk, Ohio, United States

St. Charles Mercy Hospital

🇺🇸

Oregon, Ohio, United States

Knox Community Hospital

🇺🇸

Mount Vernon, Ohio, United States

Licking Memorial Cancer Care Program at Licking Memorial Hospital

🇺🇸

Newark, Ohio, United States

Toledo Clinic - Oregon

🇺🇸

Oregon, Ohio, United States

North Coast Cancer Care, Incorporated

🇺🇸

Sandusky, Ohio, United States

Community Hospital of Springfield and Clark County

🇺🇸

Springfield, Ohio, United States

St. Vincent Mercy Medical Center

🇺🇸

Toledo, Ohio, United States

Toledo Hospital

🇺🇸

Toledo, Ohio, United States

Toledo Clinic, Incorporated - Main Clinic

🇺🇸

Toledo, Ohio, United States

Cleo Craig Cancer Research Clinic

🇺🇸

Lawton, Oklahoma, United States

Clinton Memorial Hospital

🇺🇸

Wilmington, Ohio, United States

Fulton County Health Center

🇺🇸

Wauseon, Ohio, United States

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

Mount Carmel St. Ann's Cancer Center

🇺🇸

Westerville, Ohio, United States

UVMC Cancer Care Center at Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Genesis - Good Samaritan Hospital

🇺🇸

Zanesville, Ohio, United States

Legacy Meridian Park Hospital

🇺🇸

Tualatin, Oregon, United States

Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest

🇺🇸

Allentown, Pennsylvania, United States

Lehigh Valley Hospital - Muhlenberg

🇺🇸

Bethlehem, Pennsylvania, United States

Geisinger Hazleton Cancer Center

🇺🇸

Hazleton, Pennsylvania, United States

Penn State Children's Hospital

🇺🇸

Hershey, Pennsylvania, United States

St. Luke's Cancer Network at St. Luke's Hospital

🇺🇸

Bethlehem, Pennsylvania, United States

Abramson Cancer Center of the University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Lewistown Hospital

🇺🇸

Lewistown, Pennsylvania, United States

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Allegheny Cancer Center at Allegheny General Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center

🇺🇸

Reading, Pennsylvania, United States

UPMC Cancer Centers

🇺🇸

Pittsburgh, Pennsylvania, United States

Mercy Hospital Cancer Center - Scranton

🇺🇸

Scranton, Pennsylvania, United States

Susquehanna Cancer Center at Divine Providence Hospital

🇺🇸

Williamsport, Pennsylvania, United States

York Cancer Center at Apple Hill Medical Center

🇺🇸

York, Pennsylvania, United States

Geisinger Medical Group - Scenery Park

🇺🇸

State College, Pennsylvania, United States

Rapid City Regional Hospital

🇺🇸

Rapid City, South Dakota, United States

Christine LaGuardia Phillips Cancer Center at Wellmont Holston Valley Medical Center

🇺🇸

Kingsport, Tennessee, United States

East Tennessee Children's Hospital

🇺🇸

Knoxville, Tennessee, United States

Harrington Cancer Center

🇺🇸

Amarillo, Texas, United States

American Fork Hospital

🇺🇸

American Fork, Utah, United States

Dixie Regional Medical Center - East Campus

🇺🇸

Saint George, Utah, United States

University of Virginia Cancer Center

🇺🇸

Charlottesville, Virginia, United States

Danville Regional Medical Center

🇺🇸

Danville, Virginia, United States

Southwest Virginia Regional Cancer Center at Wellmonth Health

🇺🇸

Norton, Virginia, United States

St. Joseph Cancer Center

🇺🇸

Bellingham, Washington, United States

Fredericksburg Oncology, Incorporated

🇺🇸

Fredericksburg, Virginia, United States

Providence Centralia Hospital

🇺🇸

Centralia, Washington, United States

Columbia Basin Hematology

🇺🇸

Kennewick, Washington, United States

Olympic Hematology and Oncology

🇺🇸

Bremerton, Washington, United States

St. Francis Hospital

🇺🇸

Federal Way, Washington, United States

Skagit Valley Hospital Cancer Care Center

🇺🇸

Mount Vernon, Washington, United States

Good Samaritan Cancer Center

🇺🇸

Puyallup, Washington, United States

Harrison Poulsbo Hematology and Onocology

🇺🇸

Poulsbo, Washington, United States

Providence St. Peter Hospital Regional Cancer Center

🇺🇸

Olympia, Washington, United States

Evergreen Hematology and Oncology, PS

🇺🇸

Spokane, Washington, United States

Allenmore Hospital

🇺🇸

Tacoma, Washington, United States

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Franciscan Cancer Center at St. Joseph Medical Center

🇺🇸

Tacoma, Washington, United States

St. Clare Hospital

🇺🇸

Tacoma, Washington, United States

CCOP - Northwest

🇺🇸

Tacoma, Washington, United States

MultiCare Regional Cancer Center at Tacoma General Hospital

🇺🇸

Tacoma, Washington, United States

Southwest Washington Medical Center Cancer Center

🇺🇸

Vancouver, Washington, United States

Legacy Salmon Creek Medical Center

🇺🇸

Vancouver, Washington, United States

North Star Lodge Cancer Center at Yakima Valley Memorial Hospital

🇺🇸

Yakima, Washington, United States

Edwards Comprehensive Cancer Center at Cabell Huntington Hospital

🇺🇸

Huntington, West Virginia, United States

Marshfield Clinic - Chippewa Center

🇺🇸

Chippewa Falls, Wisconsin, United States

Oncology Alliance - Franklin

🇺🇸

Franklin, Wisconsin, United States

Oncology Alliance, SC - Milwaukee - East

🇺🇸

Glendale, Wisconsin, United States

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

🇺🇸

Green Bay, Wisconsin, United States

Gundersen Lutheran Center for Cancer and Blood

🇺🇸

La Crosse, Wisconsin, United States

Bay Area Cancer Care Center at Bay Area Medical Center

🇺🇸

Marinette, Wisconsin, United States

Vince Lombardi Cancer Clinic - Marinette

🇺🇸

Marinette, Wisconsin, United States

Aurora Advanced Healthcare East Mequon Clinic

🇺🇸

Mequon, Wisconsin, United States

Aurora Health Center - Racine

🇺🇸

Racine, Wisconsin, United States

Ministry Medical Group at Saint Mary's Hospital

🇺🇸

Rhinelander, Wisconsin, United States

Saint Michael's Hospital Cancer Center

🇺🇸

Stevens Point, Wisconsin, United States

Vince Lombardi Cancer Clinic - Two Rivers

🇺🇸

Two Rivers, Wisconsin, United States

Marshfield Clinic - Wisconsin Rapids Center

🇺🇸

Wisconsin Rapids, Wisconsin, United States

Westmead Institute for Cancer Research at Westmead Hospital

🇦🇺

Westmead, New South Wales, Australia

Diagnostic and Treatment Center

🇺🇸

Weston, Wisconsin, United States

Edmond Odette Cancer Centre at Sunnybrook

🇨🇦

Toronto, Ontario, Canada

Trillium Health Centre - Mississauga Site

🇨🇦

Toronto, Ontario, Canada

Windsor Regional Cancer Centre at Windsor Regional Hospital

🇨🇦

Windsor, Ontario, Canada

Hopital Notre-Dame du CHUM

🇨🇦

Montreal, Quebec, Canada

CHUM - Hotel Dieu Hospital

🇨🇦

Montreal, Quebec, Canada

Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center

🇺🇸

Hartford, Connecticut, United States

Memorial Hospital of South Bend

🇺🇸

South Bend, Indiana, United States

Nancy N. and J. C. Lewis Cancer and Research Pavilion at St. Joseph's/Candler

🇺🇸

Savannah, Georgia, United States

Haematology-Oncology Associates of Ohio and Michigan, PC

🇺🇸

Lambertville, Michigan, United States

CCOP - Northern Indiana CR Consortium

🇺🇸

South Bend, Indiana, United States

SUNY Upstate Medical University Hospital

🇺🇸

Syracuse, New York, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

Montana Cancer Specialists at Montana Cancer Center

🇺🇸

Missoula, Montana, United States

Akron Children's Hospital

🇺🇸

Akron, Ohio, United States

St. Luke's Regional Medical Center

🇺🇸

Sioux City, Iowa, United States

Loma Linda University Cancer Institute at Loma Linda University Medical Center

🇺🇸

Loma Linda, California, United States

Sparrow Regional Cancer Center

🇺🇸

Lansing, Michigan, United States

CCOP - North Shore University Hospital

🇺🇸

Manhasset, New York, United States

Don Monti Comprehensive Cancer Center at North Shore University Hospital

🇺🇸

Manhasset, New York, United States

Saint Luke's Hospital

🇺🇸

Chesterfield, Missouri, United States

Charles F. Kettering Memorial Hospital

🇺🇸

Kettering, Ohio, United States

Geisinger Cancer Institute at Geisinger Health

🇺🇸

Danville, Pennsylvania, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Nova Scotia Cancer Centre

🇨🇦

Halifax, Nova Scotia, Canada

St. Mary's Hospital Medical Center - Green Bay

🇺🇸

Green Bay, Wisconsin, United States

Vince Lombardi Cancer Clinic - Green Bay at Aurora BayCare Medical Center

🇺🇸

Green Bay, Wisconsin, United States

Penn State Hershey Cancer Institute at Milton S. Hershey Medical Center

🇺🇸

Hershey, Pennsylvania, United States

Michiana Hematology-Oncology, PC - Elkhart

🇺🇸

Elkhart, Indiana, United States

Heartland Regional Medical Center

🇺🇸

Saint Joseph, Missouri, United States

Hematology Oncology Associates of Illinois - Berwyn

🇺🇸

Berwyn, Illinois, United States

Mount Nittany Medical Center

🇺🇸

State College, Pennsylvania, United States

Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center

🇺🇸

Wilkes-Barre, Pennsylvania, United States

Ochsner Health Center - Bluebonnet

🇺🇸

Baton Rouge, Louisiana, United States

Hackensack University Medical Center Cancer Center

🇺🇸

Hackensack, New Jersey, United States

CCOP - Ochsner

🇺🇸

New Orleans, Louisiana, United States

Ochsner Cancer Institute at Ochsner Clinic Foundation

🇺🇸

New Orleans, Louisiana, United States

Children's Mercy Hospital

🇺🇸

Kansas City, Missouri, United States

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

Heartland Hematology Oncology Associates, Incorporated

🇺🇸

Kansas City, Missouri, United States

CCOP - Kansas City

🇺🇸

Kansas City, Missouri, United States

Research Medical Center

🇺🇸

Kansas City, Missouri, United States

Kaiser Permanente - Moanalua Medical Center and Clinic

🇺🇸

Honolulu, Hawaii, United States

Medical Oncology and Hematology Associates at John Stoddard Cancer Center

🇺🇸

Des Moines, Iowa, United States

Medical Oncology and Hematology Associates at Mercy Cancer Center

🇺🇸

Des Moines, Iowa, United States

Mercy Cancer Center at Mercy Medical Center - Des Moines

🇺🇸

Des Moines, Iowa, United States

CCOP - Iowa Oncology Research Association

🇺🇸

Des Moines, Iowa, United States

John Stoddard Cancer Center at Iowa Methodist Medical Center

🇺🇸

Des Moines, Iowa, United States

John Stoddard Cancer Center at Iowa Lutheran Hospital

🇺🇸

Des Moines, Iowa, United States

University of Wisconsin Paul P. Carbone Comprehensive Cancer Center

🇺🇸

Madison, Wisconsin, United States

Associates in Womens Health, PA - North Review

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Wichita

🇺🇸

Wichita, Kansas, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

Via Christi Cancer Center at Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Dayton Children's - Dayton

🇺🇸

Dayton, Ohio, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

Good Samaritan Hospital

🇺🇸

Dayton, Ohio, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Samaritan North Cancer Care Center

🇺🇸

Dayton, Ohio, United States

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

Cross Cancer Institute at University of Alberta

🇨🇦

Edmonton, Alberta, Canada

Flower Hospital Cancer Center

🇺🇸

Sylvania, Ohio, United States

DeCesaris Cancer Institute at Anne Arundel Medical Center

🇺🇸

Annapolis, Maryland, United States

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