MedPath

Gemcitabine in Treating Children With Relapsed or Refractory Acute Lymphoblastic Leukemia or Acute Myelogenous Leukemia

Phase 2
Completed
Conditions
Leukemia
Interventions
Registration Number
NCT00006462
Lead Sponsor
Children's Oncology Group
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of gemcitabine in treating children who have relapsed or refractory acute lymphoblastic leukemia or acute myelogenous leukemia.

Detailed Description

OBJECTIVES:

* Determine the response rate in children with relapsed or refractory acute lymphoblastic leukemia or acute myelogenous leukemia treated with gemcitabine.

* Assess the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to disease histology (acute lymphoblastic leukemia vs acute myelogenous leukemia).

Patients receive gemcitabine IV over 6 hours weekly for 3 weeks. Treatment repeats every 4 weeks for a maximum of 2 courses in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: Approximately 10-20 patients will be accrued for this study.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Relapsed acute lymphoblastic and acute Myelogenous leukemiagemcitabine hydrochlorideGemcitabine hydrochloride will be given as 10 mg/m2/min x 360 minutes weekly for three weeks. After a one-week rest period it may be repeated in patients without progressive disease or limiting toxicity.
Primary Outcome Measures
NameTimeMethod
Determine the response rate to Gemcitabine

To determine the response rate to Gemcitabine administered as 10 mg/m2/min x 360 minutes weekly for 3 weeks in patients with relapsed acute lymphoblastic and acute myelogenous leukemia.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (224)

Children's Hospital Los Angeles

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Hospital for Sick Children

πŸ‡¨πŸ‡¦

Toronto, Ontario, Canada

Children's Hospital of Pittsburgh

πŸ‡ΊπŸ‡Έ

Pittsburgh, Pennsylvania, United States

Children's National Medical Center

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Marlene and Stewart Greenebaum Cancer Center, University of Maryland

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Sinai Hospital of Baltimore

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

πŸ‡ΊπŸ‡Έ

Baltimore, Maryland, United States

Baystate Medical Center

πŸ‡ΊπŸ‡Έ

Springfield, Massachusetts, United States

Cancer Institute of New Jersey

πŸ‡ΊπŸ‡Έ

New Brunswick, New Jersey, United States

St. Barnabas Medical Center

πŸ‡ΊπŸ‡Έ

Livingston, New Jersey, United States

St. Joseph's Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Paterson, New Jersey, United States

Atlantic Health System

πŸ‡ΊπŸ‡Έ

Summit, New Jersey, United States

Maimonides Medical Center

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

North Shore University Hospital

πŸ‡ΊπŸ‡Έ

Manhasset, New York, United States

West Virginia University - Charleston

πŸ‡ΊπŸ‡Έ

Charleston, West Virginia, United States

Janeway Children's Health and Rehabilitation Centre

πŸ‡¨πŸ‡¦

St. John's, Newfoundland and Labrador, Canada

Hopital Sainte Justine

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

Cleveland Clinic Taussig Cancer Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

University of Texas - MD Anderson Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Baylor College of Medicine

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Group Health Cooperative

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Children's Hospital and Regional Medical Center - Seattle

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Fred Hutchinson Cancer Research Center

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Sunrise Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Las Vegas, Nevada, United States

University of Miami-Jackson Memorial Hospital

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Miami Children's Hospital

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Baptist Hospital of Miami

πŸ‡ΊπŸ‡Έ

Miami, Florida, United States

Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

Children's Hospital San Diego

πŸ‡ΊπŸ‡Έ

San Diego, California, United States

University of Texas Health Science Center at San Antonio

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

Kaiser Permanente Medical Center - San Francisco Geary Campus

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

UCSF Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

San Francisco, California, United States

Vanderbilt-Ingram Cancer Center

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

Huntsman Cancer Institute

πŸ‡ΊπŸ‡Έ

Salt Lake City, Utah, United States

Dakota Cancer Institute

πŸ‡ΊπŸ‡Έ

Fargo, North Dakota, United States

New York Medical College

πŸ‡ΊπŸ‡Έ

Valhalla, New York, United States

Children's Hospital of Orange County

πŸ‡ΊπŸ‡Έ

Orange, California, United States

University of Mississippi Medical Center

πŸ‡ΊπŸ‡Έ

Jackson, Mississippi, United States

Phoenix Children's Hospital

πŸ‡ΊπŸ‡Έ

Phoenix, Arizona, United States

Henry Ford Hospital

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

Children's Hospital of Oklahoma

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

University of Alabama at Birmingham Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Birmingham, Alabama, United States

Children's Hospital of Denver

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Presbyterian-St Luke's Medical Center

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Doernbecher Children's Hospital

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Mayo Clinic Cancer Center

πŸ‡ΊπŸ‡Έ

Rochester, Minnesota, United States

Children's Hospital of Omaha

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

University of Nebraska Medical Center

πŸ‡ΊπŸ‡Έ

Omaha, Nebraska, United States

Midwest Children's Cancer Center

πŸ‡ΊπŸ‡Έ

Milwaukee, Wisconsin, United States

Geisinger Medical Center

πŸ‡ΊπŸ‡Έ

Danville, Pennsylvania, United States

Sacred Heart Children's Hospital

πŸ‡ΊπŸ‡Έ

Pensacola, Florida, United States

Jonathan Jaques Children's Cancer Center

πŸ‡ΊπŸ‡Έ

Long Beach, California, United States

Lucile Packard Children's Hospital at Stanford

πŸ‡ΊπŸ‡Έ

Palo Alto, California, United States

Chao Family Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Orange, California, United States

St. Mary's Hospital

πŸ‡ΊπŸ‡Έ

West Palm Beach, Florida, United States

Cardinal Glennon Children's Hospital

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

Carolinas Medical Center

πŸ‡ΊπŸ‡Έ

Charlotte, North Carolina, United States

Presbyterian Healthcare

πŸ‡ΊπŸ‡Έ

Charlotte, North Carolina, United States

Schneider Children's Hospital

πŸ‡ΊπŸ‡Έ

New Hyde Park, New York, United States

Mount Sinai School of Medicine

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Carilion Medical Center for Children

πŸ‡ΊπŸ‡Έ

Roanoke, Virginia, United States

CancerCare Manitoba

πŸ‡¨πŸ‡¦

Winnipeg, Manitoba, Canada

Children's Hospital Medical Center - Cincinnati

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Tampa Children's Hospital

πŸ‡ΊπŸ‡Έ

Tampa, Florida, United States

Swiss Pediatric Oncology Group Lausanne

πŸ‡¨πŸ‡­

Lausanne, Switzerland

Marshfield Clinic

πŸ‡ΊπŸ‡Έ

Marshfield, Wisconsin, United States

St. Vincent Hospital

πŸ‡ΊπŸ‡Έ

Green Bay, Wisconsin, United States

Brooklyn Hospital Center

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

Floating Hospital for Children

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Children's Medical Center - Dayton

πŸ‡ΊπŸ‡Έ

Dayton, Ohio, United States

Norris Cotton Cancer Center

πŸ‡ΊπŸ‡Έ

Lebanon, New Hampshire, United States

Cancer Center of Albany Medical Center

πŸ‡ΊπŸ‡Έ

Albany, New York, United States

Dana-Farber Cancer Institute

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

Duke Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Durham, North Carolina, United States

East Carolina University School of Medicine

πŸ‡ΊπŸ‡Έ

Greenville, North Carolina, United States

University of Wisconsin Hospital and Clinics

πŸ‡ΊπŸ‡Έ

Madison, Wisconsin, United States

Alberta Children's Hospital

πŸ‡¨πŸ‡¦

Calgary, Alberta, Canada

CCOP - St. Vincent Hospital Cancer Center, Green Bay

πŸ‡ΊπŸ‡Έ

Green Bay, Wisconsin, United States

Princess Margaret Hospital for Children

πŸ‡¦πŸ‡Ί

Perth, Western Australia, Australia

Cabell-Huntington Hospital, Inc

πŸ‡ΊπŸ‡Έ

Huntington, West Virginia, United States

Raymond Blank Memorial Hospital for Children

πŸ‡ΊπŸ‡Έ

Des Moines, Iowa, United States

Michigan State University

πŸ‡ΊπŸ‡Έ

East Lansing, Michigan, United States

Medical Center of Central Georgia

πŸ‡ΊπŸ‡Έ

Macon, Georgia, United States

University of Illinois at Chicago

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

All Children's Hospital

πŸ‡ΊπŸ‡Έ

St. Petersburg, Florida, United States

Hope Children's Hospital

πŸ‡ΊπŸ‡Έ

Oak Lawn, Illinois, United States

Starship Children's Hospital

πŸ‡³πŸ‡Ώ

Auckland, New Zealand

Children's Hospital of Greenville Hospital System

πŸ‡ΊπŸ‡Έ

Greenville, South Carolina, United States

Medical College of Georgia Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Augusta, Georgia, United States

Mountain States Tumor Institute

πŸ‡ΊπŸ‡Έ

Boise, Idaho, United States

Milton S. Hershey Medical Center

πŸ‡ΊπŸ‡Έ

Hershey, Pennsylvania, United States

Medical City Dallas Hospital

πŸ‡ΊπŸ‡Έ

Dallas, Texas, United States

Simmons Cancer Center - Dallas

πŸ‡ΊπŸ‡Έ

Dallas, Texas, United States

Swiss Pediatric Oncology Group Bern

πŸ‡¨πŸ‡­

Bern, Switzerland

Swiss Pediatric Oncology Group Geneva

πŸ‡¨πŸ‡­

Geneva, Switzerland

Children's Hospital Medical Center of Akron

πŸ‡ΊπŸ‡Έ

Akron, Ohio, United States

Laval University Medical Center

πŸ‡¨πŸ‡¦

Sainte-Foy, Quebec, Canada

Memorial Sloan-Kettering Cancer Center

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Roswell Park Cancer Institute

πŸ‡ΊπŸ‡Έ

Buffalo, New York, United States

New York Presbyterian Hospital - Cornell Campus

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Columbia Presbyterian Hospital

πŸ‡ΊπŸ‡Έ

New York, New York, United States

Brookdale University Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

Children's Hospitals and Clinics of Minnesota

πŸ‡ΊπŸ‡Έ

Saint Paul, Minnesota, United States

Wesley Medical Center

πŸ‡ΊπŸ‡Έ

Wichita, Kansas, United States

Rush-Presbyterian-St. Luke's Medical Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Children's Memorial Hospital - Chicago

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

St. John Hospital and Medical Center

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

Spectrum Health and DeVos Children's Hospital

πŸ‡ΊπŸ‡Έ

Grand Rapids, Michigan, United States

Eastern Maine Medical Center

πŸ‡ΊπŸ‡Έ

Bangor, Maine, United States

Maine Children's Cancer Program

πŸ‡ΊπŸ‡Έ

Scarborough, Maine, United States

Emory University Hospital - Atlanta

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Vermont Cancer Center

πŸ‡ΊπŸ‡Έ

Burlington, Vermont, United States

Children's Healthcare of Atlanta - Scottish Rite

πŸ‡ΊπŸ‡Έ

Atlanta, Georgia, United States

Avera Cancer Institute

πŸ‡ΊπŸ‡Έ

Sioux Falls, South Dakota, United States

Allan Blair Cancer Centre

πŸ‡¨πŸ‡¦

Regina, Saskatchewan, Canada

Saskatoon Cancer Centre

πŸ‡¨πŸ‡¦

Saskatoon, Saskatchewan, Canada

Sydney Children's Hospital

πŸ‡¦πŸ‡Ί

Randwick, New South Wales, Australia

Children's Hospital at Westmead

πŸ‡¦πŸ‡Ί

Westmead, New South Wales, Australia

Bellin Memorial Hospital

πŸ‡ΊπŸ‡Έ

Green Bay, Wisconsin, United States

Royal Children's Hospital

πŸ‡¦πŸ‡Ί

Parkville, Victoria, Australia

East Tennessee State University Cancer Center at JCMC

πŸ‡ΊπŸ‡Έ

Johnson City, Tennessee, United States

East Tennessee Children's Hospital

πŸ‡ΊπŸ‡Έ

Knoxville, Tennessee, United States

State University of New York Health Sciences Center - Stony Brook

πŸ‡ΊπŸ‡Έ

Stony Brook, New York, United States

James P. Wilmot Cancer Center

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

Mission Saint Joseph's Health System

πŸ‡ΊπŸ‡Έ

Asheville, North Carolina, United States

Bronson Methodist Hospital

πŸ‡ΊπŸ‡Έ

Kalamazoo, Michigan, United States

St. Louis Children's Hospital

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

William Beaumont Hospital

πŸ‡ΊπŸ‡Έ

Royal Oak, Michigan, United States

Newark Beth Israel Medical Center

πŸ‡ΊπŸ‡Έ

Newark, New Jersey, United States

Children's Hospital of Columbus

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

McGill University Health Center - Montreal Children's Hospital

πŸ‡¨πŸ‡¦

Montreal, Quebec, Canada

University of Puerto Rico School of Medicine Medical Sciences Campus

πŸ‡΅πŸ‡·

San Juan, Puerto Rico

Children's Hospital of Western Ontario

πŸ‡¨πŸ‡¦

London, Ontario, Canada

IWK Health Centre

πŸ‡¨πŸ‡¦

Halifax, Nova Scotia, Canada

Children's Hospital of Eastern Ontario

πŸ‡¨πŸ‡¦

Ottawa, Ontario, Canada

Children's Hospital

πŸ‡¨πŸ‡¦

Hamilton, Ontario, Canada

Holden Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Iowa City, Iowa, United States

Cross Cancer Institute

πŸ‡¨πŸ‡¦

Edmonton, Alberta, Canada

British Columbia Children's Hospital

πŸ‡¨πŸ‡¦

Vancouver, British Columbia, Canada

Southern Illinois University School of Medicine

πŸ‡ΊπŸ‡Έ

Springfield, Illinois, United States

St. Mary's/Duluth Clinic Cancer Center

πŸ‡ΊπŸ‡Έ

Duluth, Minnesota, United States

Children's Hospital of Michigan

πŸ‡ΊπŸ‡Έ

Detroit, Michigan, United States

University of Massachusetts Memorial Medical Center - University Campus

πŸ‡ΊπŸ‡Έ

Worcester, Massachusetts, United States

West Virginia University Hospitals

πŸ‡ΊπŸ‡Έ

Morgantown, West Virginia, United States

Madigan Army Medical Center

πŸ‡ΊπŸ‡Έ

Tacoma, Washington, United States

Lutheran General Hospital

πŸ‡ΊπŸ‡Έ

Park Ridge, Illinois, United States

Albert B. Chandler Medical Center, University of Kentucky

πŸ‡ΊπŸ‡Έ

Lexington, Kentucky, United States

Indiana University Cancer Center

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Forum Health-Tod Childrens Hospital

πŸ‡ΊπŸ‡Έ

Youngstown, Ohio, United States

University of Texas Medical Branch

πŸ‡ΊπŸ‡Έ

Galveston, Texas, United States

Memorial Health University Medical Center, Inc.

πŸ‡ΊπŸ‡Έ

Savannah, Georgia, United States

St. Vincent Hospital and Health Care Center

πŸ‡ΊπŸ‡Έ

Indianapolis, Indiana, United States

Saint Jude Midwest Affiliate

πŸ‡ΊπŸ‡Έ

Peoria, Illinois, United States

Toledo Children's Hospital

πŸ‡ΊπŸ‡Έ

Toledo, Ohio, United States

State University of New York Health Science Center at Brooklyn College of Medicine

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

San Antonio Military Pediatric Cancer and Blood Disorders Center

πŸ‡ΊπŸ‡Έ

Lackland Air Force Base, Texas, United States

Women's and Children's Hospital

πŸ‡¦πŸ‡Ί

North Adelaide, South Australia, Australia

Medical College of Ohio Hospital

πŸ‡ΊπŸ‡Έ

Madison, Wisconsin, United States

University of South Alabama Medical Center

πŸ‡ΊπŸ‡Έ

Mobile, Alabama, United States

Arizona Cancer Center

πŸ‡ΊπŸ‡Έ

Tucson, Arizona, United States

University of Arkansas for Medical Sciences

πŸ‡ΊπŸ‡Έ

Little Rock, Arkansas, United States

Rebecca and John Moores UCSD Cancer Center

πŸ‡ΊπŸ‡Έ

La Jolla, California, United States

Southern California Permanente Medical Group

πŸ‡ΊπŸ‡Έ

Downey, California, United States

Cedars-Sinai Medical Center

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Children's Hospital Central California

πŸ‡ΊπŸ‡Έ

Madera, California, United States

City of Hope Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

Duarte, California, United States

Jonsson Comprehensive Cancer Center, UCLA

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Children's Hospital of Oakland

πŸ‡ΊπŸ‡Έ

Oakland, California, United States

David Grant Medical Center

πŸ‡ΊπŸ‡Έ

Travis Air Force Base, California, United States

Kaiser Permanente Medical Center - Santa Clara

πŸ‡ΊπŸ‡Έ

Santa Clara, California, United States

Santa Barbara Cottage Hospital

πŸ‡ΊπŸ‡Έ

Santa Barbara, California, United States

University of Connecticut Health Center

πŸ‡ΊπŸ‡Έ

Farmington, Connecticut, United States

Alfred I. Dupont Institute

πŸ‡ΊπŸ‡Έ

Wilmington, Delaware, United States

Lombardi Cancer Center

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Walter Reed Army Medical Center

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Children's Hospital of Southwest Florida

πŸ‡ΊπŸ‡Έ

Fort Myers, Florida, United States

Broward General Medical Center

πŸ‡ΊπŸ‡Έ

Fort Lauderdale, Florida, United States

Joe DiMaggio Children's Hospital at Memorial

πŸ‡ΊπŸ‡Έ

Hollywood, Florida, United States

Nemours Children's Clinic

πŸ‡ΊπŸ‡Έ

Jacksonville, Florida, United States

University of Chicago Cancer Research Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Children's Hospitals and Clinics - Minneapolis

πŸ‡ΊπŸ‡Έ

Minneapolis, Minnesota, United States

Hackensack University Medical Center

πŸ‡ΊπŸ‡Έ

Hackensack, New Jersey, United States

University of New Mexico Cancer Research and Treatment Center

πŸ‡ΊπŸ‡Έ

Albuquerque, New Mexico, United States

State University of New York - Upstate Medical University

πŸ‡ΊπŸ‡Έ

Syracuse, New York, United States

Natalie Warren Bryant Cancer Center

πŸ‡ΊπŸ‡Έ

Tulsa, Oklahoma, United States

Legacy Emanuel Hospital and Health Center

πŸ‡ΊπŸ‡Έ

Portland, Oregon, United States

Palmetto Health South Carolina Cancer Center

πŸ‡ΊπŸ‡Έ

Columbia, South Carolina, United States

Sioux Valley Hospital

πŸ‡ΊπŸ‡Έ

Sioux Falls, South Dakota, United States

Saint Jude Children's Research Hospital

πŸ‡ΊπŸ‡Έ

Memphis, Tennessee, United States

Texas Tech University Health Sciences Center School of Medicine

πŸ‡ΊπŸ‡Έ

Amarillo, Texas, United States

Cook Children's Medical Center - Fort Worth

πŸ‡ΊπŸ‡Έ

Fort Worth, Texas, United States

Methodist Health Care System

πŸ‡ΊπŸ‡Έ

San Antonio, Texas, United States

Covenant Children's Hospital

πŸ‡ΊπŸ‡Έ

Lubbock, Texas, United States

Scott and White Memorial Hospital

πŸ‡ΊπŸ‡Έ

Temple, Texas, United States

Cancer Center at the University of Virginia

πŸ‡ΊπŸ‡Έ

Charlottesville, Virginia, United States

Inova Fairfax Hospital

πŸ‡ΊπŸ‡Έ

Falls Church, Virginia, United States

Children's Hospital of the King's Daughters

πŸ‡ΊπŸ‡Έ

Norfolk, Virginia, United States

San Jorge Childrens Hospital

πŸ‡΅πŸ‡·

Santurce, Puerto Rico

Gundersen Lutheran Medical Center

πŸ‡ΊπŸ‡Έ

La Crosse, Wisconsin, United States

Academisch Ziekenhuis Groningen

πŸ‡³πŸ‡±

Groningen, Netherlands

Naval Medical Center, Portsmouth

πŸ‡ΊπŸ‡Έ

Portsmouth, Virginia, United States

Deaconess Medical Center

πŸ‡ΊπŸ‡Έ

Spokane, Washington, United States

Children's Hospital of Philadelphia

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Hurley Medical Center

πŸ‡ΊπŸ‡Έ

Flint, Michigan, United States

St. Christopher's Hospital for Children

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Loma Linda University Medical Center

πŸ‡ΊπŸ‡Έ

Loma Linda, California, United States

Sutter Cancer Center

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

Yale Comprehensive Cancer Center

πŸ‡ΊπŸ‡Έ

New Haven, Connecticut, United States

University of California Davis Medical Center

πŸ‡ΊπŸ‡Έ

Sacramento, California, United States

Florida Hospital Cancer Institute

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Nemours Children's Clinic-Orlando

πŸ‡ΊπŸ‡Έ

Orlando, Florida, United States

Kosair Children's Hospital

πŸ‡ΊπŸ‡Έ

Louisville, Kentucky, United States

Mott Children's Hospital

πŸ‡ΊπŸ‡Έ

Ann Arbor, Michigan, United States

Children's Mercy Hospital

πŸ‡ΊπŸ‡Έ

Kansas City, Missouri, United States

Medical University of South Carolina

πŸ‡ΊπŸ‡Έ

Charleston, South Carolina, United States

Lineberger Comprehensive Cancer Center, UNC

πŸ‡ΊπŸ‡Έ

Chapel Hill, North Carolina, United States

Shands Hospital and Clinics, University of Florida

πŸ‡ΊπŸ‡Έ

Gainesville, Florida, United States

Cancer Research Center of Hawaii

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Tripler Army Medical Center

πŸ‡ΊπŸ‡Έ

Honolulu, Hawaii, United States

Tulane University School of Medicine

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Children's Hospital of New Orleans

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Ochsner Clinic

πŸ‡ΊπŸ‡Έ

New Orleans, Louisiana, United States

Albert Einstein Clinical Cancer Center

πŸ‡ΊπŸ‡Έ

Bronx, New York, United States

Massey Cancer Center

πŸ‡ΊπŸ‡Έ

Richmond, Virginia, United States

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