Volver a Ensayos Clínicos
NCT02912559
Quimioterapia combinada, con o sin atezolizumab, en el tratamiento de pacientes con cáncer de colon en estadio III y deficiencia en la reparación del desajuste de bases del ADN.
Activo, No Reclutando
Fase 3
Descripción
Este ensayo de fase III estudia la combinación de quimioterapia y atezolizumab para determinar su eficacia en comparación con la quimioterapia combinada sola en el tratamiento de pacientes con cáncer de colon en estadio III y deficiencia en la reparación del desequilibrio del ácido desoxirribonucleico (ADN) (dMMR). Los fármacos utilizados en la quimioterapia combinada, como el oxaliplatino, el leucovorina cálcica y el fluorouracilo, actúan de diferentes maneras para detener el crecimiento de las células tumorales, ya sea matando las células, impidiendo que se dividan o impidiendo que se propaguen. La inmunoterapia con anticuerpos monoclonales, como el atezolizumab, puede ayudar al sistema inmunitario del organismo a atacar el cáncer y puede interferir con la capacidad de las células tumorales para crecer y propagarse. La administración de quimioterapia combinada con atezolizumab puede ser más eficaz que la quimioterapia combinada sola en el tratamiento de pacientes con cáncer de colon dMMR.
Evidencia documentada
Eficacia publicada para la diana/fármaco de este ensayo en cáncer colorrectal. Se refiere al fármaco o a la diana molecular, no a este ensayo concreto, y no confirma elegibilidad. Revísalo siempre con tu oncólogo.
Aún no hay evidencia documentada en nuestra base para la diana o el fármaco de este ensayo. Esta sección crece a medida que se procesan nuevas publicaciones.
Criterios de Elegibilidad
Criterios de inclusión:
- Adenocarcinoma de colon en estadio III, confirmado histológicamente (cualquier clasificación T [Tx, T1, T2, T3 o T4], N1-2M0; incluye N1C); los tumores deben considerarse de origen en el colon, incluidos los tumores que se extienden al intestino delgado o lo involucran (por ejemplo, los que se encuentran en la válvula ileocecal).
- Presencia de deficiencia (d) en la reparación del desajuste del ADN (dMMR); el estado de MMR debe evaluarse mediante inmunohistoquímica (IHC) para la expresión de las proteínas de MMR (MLH1, MSH2, MSH6, PMS2), donde la pérdida de una o más proteínas indica dMMR; la dMMR puede determinarse localmente o mediante un laboratorio de referencia seleccionado por el centro; nota: la pérdida de MLH1 y PMS2 suele ocurrir simultáneamente; se requiere tejido tumoral fijado en formalina y embebido en parafina (FFPE) para la confirmación central retrospectiva posterior del estado de dMMR.
- Los pacientes cuyos análisis no muestran dMMR (pérdida de la proteína MMR) no son elegibles para participar; los pacientes cuyos tumores muestran MSI-H mediante un ensayo basado en PCR no son elegibles para participar a menos que también tengan pruebas de MMR mediante IHC y se determine que tienen dMMR (es decir, pérdida de una o más proteínas de MMR).
- Los pacientes que se sabe que tienen el síndrome de Lynch, que han resultado positivos para una mutación específica en la línea germinal en un gen de MMR (MLH1, MSH2, MSH6, PMS2) y que han demostrado tener dMMR mediante IHC son elegibles para participar.
- Los tumores deben haber sido resecados por completo; en pacientes con tumores adheridos a estructuras adyacentes, debe documentarse una resección en bloque R0 en el informe operatorio o confirmarse de otra manera por el cirujano; se aceptan márgenes radiales cercanos o positivos siempre que se haya realizado una resección en bloque; no se permite la positividad de los márgenes proximales o distales.
- Todo el tumor debe estar en el colon (la afectación rectal es un criterio de exclusión); se requiere la confirmación del cirujano de que todo el tumor estaba localizado en el colon solo en los casos en que sea importante establecer si el tumor es primario en el colon o en el recto; los pacientes con más de un adenocarcinoma primario de colon son elegibles si el tumor en estadio III que cumple los criterios está confinado al colon y no al recto, y los otros cánceres de menor estadio se eliminan en la resección en bloque R0.
- Según el informe operatorio y otra documentación de origen, la ubicación del tumor primario se clasificará como proximal o distal a la flexura esplénica (incluida en la clasificación distal), y la clasificación adicional será la siguiente: ciego/ascendente, transverso, descendente, colon sigmoide o colon rectosigmoide.
- No hay evidencia de enfermedad residual con afectación de los ganglios linfáticos o enfermedad metastásica en el momento del registro, según la evaluación del médico de las imágenes; el médico tratante determinará si las lesiones incidentales en las imágenes requieren una evaluación para descartar la enfermedad metastásica; si, tras la revisión de las imágenes, el médico tratante determina que el paciente tiene estadio III, el paciente será elegible.
- No se ha administrado terapia médica previa (quimioterapia, inmunoterapia, terapia biológica o dirigida) o radioterapia para el cáncer de colon actual, excepto un ciclo de mFOLFOX6.
- Edad >= 12 años
- Estado funcional:
- Pacientes < 16 años: Lansky >= 50%
- Pacientes de 16 a < 18 años: Karnofsky >= 50%
- Pacientes >= 18 años: Grupo de valoración funcional oncológica (ECOG) <= 2
- Este estudio implica: 1) un agente experimental cuyos efectos genotóxicos, mutagénicos y teratogénicos sobre el feto y el recién nacido en desarrollo son desconocidos; y 2) un agente que tiene efectos genotóxicos, mutagénicos y teratogénicos conocidos; por lo tanto, solo para mujeres en edad fértil, se requiere una prueba de embarazo negativa realizada <= 7 días antes del registro; una mujer en edad fértil es una mujer sexualmente madura que: 1) no se ha sometido a una histerectomía o ooforectomía bilateral; o 2) no ha tenido la menstruación de forma natural durante al menos 12 meses consecutivos (es decir, ha tenido la menstruación en cualquier momento durante los 12 meses consecutivos anteriores).
- Recuento absoluto de neutrófilos (ANC) >= 1500 mm^3
- Recuento de plaquetas >= 100.000 mm^3; se requieren plaquetas >= 75.000 para los pacientes que recibieron el ciclo 1 de mFOLFOX6 antes del registro.
- Creatinina <= 1,5 veces el límite superior de la normalidad (LSN) o
- Depuración de creatinina calculada >= 45 ml/min mediante la ecuación de Cockcroft-Gault.
- Alternativamente, para pacientes < 18 años, la creatinina sérica máxima <= las normas específicas por edad y género:
- 12 años: 1,2 (masculino y femenino)
- 13 a < 16 años: 1,5 (masculino), 1,4 (femenino)
- 16 a < 18 años: 1,7 (masculino), 1,4 (femenino)
- Bilirrubina total <= 1,5 veces el límite superior de la normalidad (LSN), excepto en el caso de la enfermedad de Gilbert.
- Aspartato aminotransferasa (AST)/alanina aminotransferasa (ALT) <= 2,5 veces el límite superior de la normalidad (LSN).
- Hormona estimulante de la tiroides (TSH) dentro de los límites normales (WNL); se acepta la suplementación para alcanzar una TSH WNL; en pacientes con TSH anormal, si la T4 libre es normal y el paciente está clínicamente eutiroideo, el paciente es elegible.
- No hay enfermedad autoinmune activa conocida, incluido el colit, la enfermedad inflamatoria intestinal (es decir, la colitis ulcerosa o la enfermedad de Crohn), la artritis reumatoide, el panhipopituitarismo, la insuficiencia suprarrenal.
- No hay hepatitis B o C activa conocida.
- La hepatitis B activa se puede definir como:
- Antígeno de superficie del virus de la hepatitis B (HBsAg) detectable durante > 6 meses;
- ADN del virus de la hepatitis B (VHB) en suero de 20.000 UI/ml (105 copias/ml); valores más bajos de 2.000 a 20.000 UI/ml (104 a 105 copias/ml) se observan a menudo en la hepatitis B crónica con antígeno e del virus de la hepatitis B (HBeAg) negativo.
- Elevación persistente o intermitente de los niveles de ALT/AST.
- Biopsia hepática que muestra hepatitis crónica con necroinflamación moderada o grave.
- La hepatitis C activa se puede definir como:
- Anticuerpo contra el virus de la hepatitis C (AB) positivo Y
- Presencia de ARN del virus de la hepatitis C (VHC).
- Se excluye si hay enfermedad pulmonar activa conocida con hipoxia definida como:
- Saturación de oxígeno < 85% en aire ambiente, o
- Saturación de oxígeno < 88% a pesar del oxígeno suplementario.
- No hay neuropatía motora o sensorial periférica de grado >= 2.
- Los pacientes positivos para el virus de la inmunodeficiencia humana (VIH) son elegibles solo si cumplen todos los siguientes criterios:
- Un régimen estable de terapia antirretroviral altamente activa (TARGA).
- No se requiere el uso concurrente de antibióticos o antifúngicos para la prevención de infecciones oportunistas.
- Un recuento de CD4 superior a 250 células/mcL y una carga viral de VIH indetectable en pruebas estándar basadas en la reacción en cadena de la polimerasa (PCR).
- No hay otros agentes experimentales o terapias dirigidas al tumor planificadas de forma concurrente durante el estudio.
- No hay tratamiento sistémico diario con corticosteroides (>= 10 mg diarios de equivalentes de prednisona) u otros medicamentos inmunosupresores dentro de los 7 días previos al registro.
- No hay antecedentes conocidos de reacciones alérgicas o anafilácticas graves a anticuerpos quiméricos, humanos o humanizados, o proteínas de fusión.
- No hay hipersensibilidad conocida a productos de células de hámster chino (CHO) o a cualquier componente de la formulación de atezolizumab.
- No hay alergia conocida al 5-fluorouracilo, oxaliplatino o leucovorina.
Información del Ensayo
NCT02912559
Activo, No Reclutando
Fase 3
712 participantes
Oct 2017
Feb 2025
Ubicaciones1050
Germany (12)
Charite Humboldt - University Hospital
Berlin
Saint Josef-Hospital Bochum
Bochum
Onkologie-Cologne
Cologne
Technical University Dresden
Dresden
Klinikum Esslingen GmbH
Esslingen am Neckar
Hamatologisch-Onkologische Praxis Eppendorf (HOPE)
Hamburg
Universitaet Leipzig
Leipzig
Medizinische Universitat
Mannheim
Kliniken Maria Hilf GmbH
Mönchengladbach
Medizinische Klinik Iii
München
University Hospital Ulm
Ulm
University Hospital Wuerzburg
Würzburg
Puerto Rico (11)
Advance Oncology Center
Aguadilla
Doctor's Cancer Center-Arecibo
Arecibo
Cancer Center-Metro Medical Center Bayamon
Bayamón
Hematologia Oncologia San Pablo
Bayamón
HIMA San Pablo Oncologic Hospital
Caguas
Doctors Cancer Center
Manati
Instituto Oncologia Moderna Ponce
Ponce
Primary Care Physician Group
San Juan
San Juan City Hospital
San Juan
San Juan Community Oncology Group
San Juan
Centro de Hematologia y Oncologia del Sur
Santa Isabel
United States (1027)
Hawaii Cancer Care - Westridge
‘Aiea
Pali Momi Medical Center
‘Aiea
Queen's Cancer Center - Pearlridge
‘Aiea
The Cancer Center of Hawaii-Pali Momi
‘Aiea
Avera Cancer Institute-Aberdeen
Aberdeen
Providence Regional Cancer System-Aberdeen
Aberdeen
Jefferson Abington Hospital
Abington
Hickman Cancer Center
Adrian
Phoebe Putney Memorial Hospital
Albany
Atrium Health Stanly/LCI-Albemarle
Albemarle
Lovelace Medical Center-Saint Joseph Square
Albuquerque
Presbyterian Kaseman Hospital
Albuquerque
University of New Mexico Cancer Center
Albuquerque
Lehigh Valley Hospital-Cedar Crest
Allentown
Saint Luke's Cancer Center - Allentown
Allentown
UPMC Altoona
Altoona
The Don and Sybil Harrington Cancer Center
Amarillo
American Fork Hospital / Huntsman Intermountain Cancer Center
American Fork
Mary Greeley Medical Center
Ames
McFarland Clinic - Ames
Ames
Community Hospital of Anaconda
Anaconda
Kaiser Permanente-Anaheim
Anaheim
Alaska Breast Care and Surgery LLC
Anchorage
Alaska Oncology and Hematology LLC
Anchorage
Alaska Women's Cancer Care
Anchorage
Anchorage Associates in Radiation Medicine
Anchorage
Anchorage Oncology Centre
Anchorage
Katmai Oncology Group
Anchorage
Providence Alaska Medical Center
Anchorage
AnMed Health Cancer Center
Anderson
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor
University of Michigan Rogel Cancer Center
Ann Arbor
Langlade Hospital and Cancer Center
Antigo
ThedaCare Regional Cancer Center
Appleton
PCR Oncology
Arroyo Grande
Cone Health Cancer Center at Asheboro
Asheboro
Randolph Hospital
Asheboro
AdventHealth Infusion Center Asheville
Asheville
Duluth Clinic Ashland
Ashland
University Cancer and Blood Center LLC
Athens
Hematology Oncology Associates of Central New York-Auburn
Auburn
MultiCare Auburn Medical Center
Auburn
Sutter Auburn Faith Hospital
Auburn
Sutter Cancer Centers Radiation Oncology Services-Auburn
Auburn
Augusta Oncology Associates PC-D'Antignac
Augusta
Augusta Oncology Associates PC-Wheeler
Augusta
Harold Alfond Center for Cancer Care
Augusta
Rocky Mountain Cancer Centers-Aurora
Aurora
Rush-Copley Medical Center
Aurora
UCHealth University of Colorado Hospital
Aurora
Dell Children's Medical Center of Central Texas
Austin
Dell Seton Medical Center at The University of Texas
Austin
Mount Sinai Comprehensive Cancer Center at Aventura
Aventura
Saint Alphonsus Cancer Care Center-Baker City
Baker City
Kaiser Permanente-Baldwin Park
Baldwin Park
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin
Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore
Saint Agnes Hospital
Baltimore
University of Maryland/Greenebaum Cancer Center
Baltimore
Eastern Maine Medical Center
Bangor
Flaget Memorial Hospital
Bardstown
Advocate Good Shepherd Hospital
Barrington
Memorial Sloan Kettering Basking Ridge
Basking Ridge
Louisiana Hematology Oncology Associates LLC
Baton Rouge
LSU Health Baton Rouge-North Clinic
Baton Rouge
Mary Bird Perkins Cancer Center
Baton Rouge
Medical Center of Baton Rouge
Baton Rouge
Ochsner High Grove
Baton Rouge
Our Lady of The Lake
Baton Rouge
Our Lady of the Lake Physician Group
Baton Rouge
Bronson Battle Creek
Battle Creek
McLaren Cancer Institute-Bay City
Bay City
UPMC-Heritage Valley Health System Beaver
Beaver
Indu and Raj Soin Medical Center
Beavercreek
MaineHealth Waldo Hospital
Belfast
Kaiser Permanente-Bellflower
Bellflower
PeaceHealth Saint Joseph Medical Center
Bellingham
Strecker Cancer Center-Belpre
Belpre
Sanford Joe Lueken Cancer Center
Bemidji
Saint Charles Health System
Bend
Alta Bates Summit Medical Center-Herrick Campus
Berkeley
Lehigh Valley Hospital - Muhlenberg
Bethlehem
Saint Luke's University Hospital-Bethlehem Campus
Bethlehem
University of Iowa Healthcare Cancer Services Quad Cities
Bettendorf
MaineHealth Maine Medical Center - Biddeford
Biddeford
Billings Clinic Cancer Center
Billings
Sanford Bismarck Medical Center
Bismarck
McLaren Cancer Institute-Bloomfield
Bloomfield
Illinois CancerCare-Bloomington
Bloomington
Prisma Health Cancer Institute - Spartanburg
Boiling Springs
Saint Alphonsus Cancer Care Center-Boise
Boise
Saint Luke's Cancer Institute - Boise
Boise
Central Care Cancer Center - Bolivar
Bolivar
Parkland Health Center-Bonne Terre
Bonne Terre
McFarland Clinic - Boone
Boone
Beth Israel Deaconess Medical Center
Boston
Boston Medical Center
Boston
Dana-Farber Cancer Institute
Boston
Boulder Community Foothills Hospital
Boulder
Rocky Mountain Cancer Centers-Boulder
Boulder
Bozeman Health Deaconess Hospital
Bozeman
Essentia Health Saint Joseph's Medical Center
Brainerd
Cox Cancer Center Branson
Branson
Lafayette Family Cancer Center-EMMC
Brewer
United Hospital Center
Bridgeport
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Trinity Health Medical Center - Brighton
Brighton
Ballad Health Cancer Care - Bristol
Bristol
Bristol Regional Medical Center
Bristol
Ascension Southeast Wisconsin Hospital - Elmbrook Campus
Brookfield
Maimonides Medical Center
Brooklyn
Henry Ford Cancer Institute-Downriver
Brownstown
Saint Joseph Regional Cancer Center
Bryan
Bryn Mawr Hospital
Bryn Mawr
Roswell Park Cancer Institute
Buffalo
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank
Highline Medical Center-Main Campus
Burien
Mills-Peninsula Medical Center
Burlingame
Aurora Cancer Care-Southern Lakes VLCC
Burlington
Cone Health Cancer Center at Alamance Regional
Burlington
Fairview Ridges Hospital
Burnsville
Minnesota Oncology - Burnsville
Burnsville
UPMC Hillman Cancer Center at Butler Health System
Butler
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Sutter Cancer Centers Radiation Oncology Services-Cameron Park
Cameron Park
Hematology Oncology Associates of CNY at Camillus
Camillus
UPMC Camp Hill
Camp Hill
Aultman Health Foundation
Canton
Cleveland Clinic Mercy Hospital
Canton
Illinois CancerCare-Canton
Canton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Trinity Health Medical Center - Canton
Canton
Mercy Cancer Center - Cape Girardeau
Cape Girardeau
Saint Francis Medical Center
Cape Girardeau
AtlantiCare Health Park-Cape May Court House
Cape May Court House
Memorial Hospital of Carbondale
Carbondale
Carlisle Regional Cancer Center
Carlisle
IU Health North Hospital
Carmel
Caro Cancer Center
Caro
Saint Anthony Regional Hospital
Carroll
Carson Tahoe Regional Medical Center
Carson City
SIH Cancer Institute
Carterville
Illinois CancerCare-Carthage
Carthage
Eden Hospital Medical Center
Castro Valley
Sandra L Maxwell Cancer Center
Cedar City
Mercy Hospital
Cedar Rapids
Oncology Associates at Mercy Medical Center
Cedar Rapids
AdventHealth Celebration
Celebration
Dayton Physicians LLC-Miami Valley South
Centerville
Miami Valley Hospital South
Centerville
Centralia Oncology Clinic
Centralia
Providence Regional Cancer System-Centralia
Centralia
Christiana Care Health System-Concord Health Center
Chadds Ford
Chambersburg Hospital
Chambersburg
WellSpan Medical Oncology and Hematology
Chambersburg
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
Medical University of South Carolina
Charleston
West Virginia University Charleston Division
Charleston
Atrium Health Pineville/LCI-Pineville
Charlotte
Atrium Health University City/LCI-University
Charlotte
Carolinas Medical Center/Levine Cancer Institute
Charlotte
Levine Cancer Institute-Ballantyne
Charlotte
Levine Cancer Institute-SouthPark
Charlotte
University of Virginia Cancer Center
Charlottesville
Memorial Hospital
Chattanooga
Chelsea Hospital
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Cancer Specialists of Tidewater Limited
Chesapeake
Cheyenne Regional Medical Center-West
Cheyenne
Advocate Illinois Masonic Medical Center
Chicago
John H Stroger Jr Hospital of Cook County
Chicago
Northwestern University
Chicago
Rush MD Anderson Cancer Center
Chicago
University of Chicago Comprehensive Cancer Center
Chicago
Adena Regional Medical Center
Chillicothe
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
Oncology Hematology Care Inc-Kenwood
Cincinnati
The Christ Hospital
Cincinnati
TriHealth Cancer Institute-Anderson
Cincinnati
TriHealth Cancer Institute-Westside
Cincinnati
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters
Clackamas Radiation Oncology Center
Clackamas
Providence Cancer Institute Clackamas Clinic
Clackamas
Hematology Oncology Consultants-Clarkston
Clarkston
McLaren Cancer Institute-Clarkston
Clarkston
Newland Medical Associates-Clarkston
Clarkston
Cleveland Clinic Cancer Center/Fairview Hospital
Cleveland
Prisma Health Cancer Institute - Laurens
Clinton
Southeastern Medical Oncology Center-Clinton
Clinton
Henry Ford Macomb Hospital-Clinton Township
Clinton Township
Mercy Cancer Center-West Lakes
Clive
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive
Community Cancer Institute
Clovis
University Oncology Associates
Clovis
AdventHealth Infusion Center Haywood
Clyde
Billings Clinic-Cody
Cody
Kootenai Health - Coeur d'Alene
Coeur d'Alene
Coffeyville Regional Medical Center
Coffeyville
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville
Memorial Hospital North
Colorado Springs
Penrose-Saint Francis Healthcare
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
UCHealth Memorial Hospital Central
Colorado Springs
MU Health - University Hospital/Ellis Fischel Cancer Center
Columbia
Columbus Oncology and Hematology Associates Inc
Columbus
Doctors Hospital
Columbus
Grant Medical Center
Columbus
Mount Carmel East Hospital
Columbus
Mount Carmel Health Center West
Columbus
Ohio State University Comprehensive Cancer Center
Columbus
Riverside Methodist Hospital
Columbus
The Mark H Zangmeister Center
Columbus
Memorial Sloan Kettering Commack
Commack
Atrium Health Cabarrus/LCI-Concord
Concord
John Muir Medical Center-Concord
Concord
New Hampshire Oncology Hematology PA-Concord
Concord
MD Anderson in The Woodlands
Conroe
Cookeville Regional Medical Center
Cookeville
Mercy Hospital
Coon Rapids
Mary Imogene Bassett Hospital
Cooperstown
Bay Area Hospital
Coos Bay
Commonwealth Cancer Center-Corbin
Corbin
Good Samaritan Hospital
Corvallis
UC Irvine Health Cancer Center-Newport
Costa Mesa
Alegent Health Mercy Hospital
Council Bluffs
Northshore Oncology Associates-Covington
Covington
Ochsner Hematology Oncology North Shore - Covington (West Region)
Covington
Greater Regional Medical Center
Creston
Siteman Cancer Center at West County Hospital
Creve Coeur
AMG Crystal Lake - Oncology
Crystal Lake
Parkland Memorial Hospital
Dallas
UT Southwestern/Simmons Cancer Center-Dallas
Dallas
Carle at The Riverfront
Danville
Geisinger Medical Center
Danville
Iowa Cancer Specialists
Davenport
MercyOne Genesis Davenport Cancer Center
Davenport
MercyOne Genesis Davenport Medical Center
Davenport
Sutter Davis Hospital
Davis
Dayton Physician LLC - Englewood
Dayton
Good Samaritan Hospital - Dayton
Dayton
Miami Valley Hospital
Dayton
Miami Valley Hospital North
Dayton
Halifax Health Cancer Center for Hope - Daytona Beach
Daytona Beach
Corewell Health Dearborn Hospital
Dearborn
Henry Ford Medical Center-Fairlane
Dearborn
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Essentia Health - Deer River Clinic
Deer River
Northwestern Medicine Cancer Center Kishwaukee
DeKalb
Delaware Health Center-Grady Cancer Center
Delaware
Delaware Radiation Oncology
Delaware
Grady Memorial Hospital
Delaware
AdventHealth Porter
Denver
Colorado Blood Cancer Institute
Denver
Denver Health Medical Center
Denver
Kaiser Permanente-Franklin
Denver
National Jewish Health-Main Campus
Denver
Presbyterian - Saint Lukes Medical Center - Health One
Denver
Rocky Mountain Cancer Centers-Midtown
Denver
Rocky Mountain Cancer Centers-Rose
Denver
Rose Medical Center
Denver
Saint Joseph Hospital - Cancer Centers of Colorado
Denver
The Women's Imaging Center
Denver
Smilow Cancer Hospital-Derby Care Center
Derby
Broadlawns Medical Center
Des Moines
Iowa Lutheran Hospital
Des Moines
Iowa Methodist Medical Center
Des Moines
Mercy Medical Center - Des Moines
Des Moines
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines
Henry Ford Health Saint John Hospital
Detroit
Henry Ford Hospital
Detroit
Wayne State University/Karmanos Cancer Institute
Detroit
Illinois CancerCare-Dixon
Dixon
Bayhealth Hospital Kent Campus
Dover
Advocate Good Samaritan Hospital
Downers Grove
Epic Care-Dublin
Dublin
Essentia Health Cancer Center
Duluth
Essentia Health Saint Mary's Medical Center
Duluth
Miller-Dwan Hospital
Duluth
Saint Luke's Hospital of Duluth
Duluth
CommonSpirit Cancer Center Mercy
Durango
Mercy Medical Center
Durango
Duke University Medical Center
Durham
Prisma Health Cancer Institute - Easley
Easley
Henry Ford River District Hospital
East China Township
The Cancer Institute at Saint Francis Hospital
East Hills
Michigan State University
East Lansing
Fox Chase Cancer Center - East Norriton Hospital Outpatient Center
East Norriton
Hematology Oncology Associates of Central New York-East Syracuse
East Syracuse
Saint Luke's Hospital-Anderson Campus
Easton
HSHS Sacred Heart Hospital
Eau Claire
Marshfield Medical Center-EC Cancer Center
Eau Claire
Mayo Clinic Health System-Eau Claire Clinic
Eau Claire
Saint Elizabeth Healthcare Edgewood
Edgewood
Fairview Southdale Hospital
Edina
STCC at DHR Health Institute for Research and Development
Edinburg
Swedish Cancer Institute-Edmonds
Edmonds
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
AtlantiCare Surgery Center
Egg Harbor
Advocate Sherman Hospital
Elgin
Arnot Ogden Medical Center/Falck Cancer Center
Elmira
Epic Care Partners in Cancer Care
Emeryville
Walter Knox Memorial Hospital
Emmett
Englewood Hospital and Medical Center
Englewood
Mountain Blue Cancer Care Center - Swedish
Englewood
Swedish Medical Center
Englewood
Saint Elizabeth Hospital
Enumclaw
Ephrata Cancer Center
Ephrata
Ephrata Community Hospital
Ephrata
UPMC Hillman Cancer Center Erie
Erie
Illinois CancerCare-Eureka
Eureka
NorthShore University HealthSystem-Evanston Hospital
Evanston
Saint Francis Hospital
Evanston
Providence Regional Cancer Partnership
Everett
Exeter Hospital
Exeter
Fairbanks Memorial Hospital
Fairbanks
Smilow Cancer Hospital Care Center-Fairfield
Fairfield
Essentia Health Cancer Center-South University Clinic
Fargo
Sanford Broadway Medical Center
Fargo
Sanford Roger Maris Cancer Center
Fargo
Farmington Health Center
Farmington
Parkland Health Center - Farmington
Farmington
Corewell Health Farmington Hills Hospital
Farmington Hills
Weisberg Cancer Treatment Center
Farmington Hills
UPMC Cancer Center at UPMC Horizon
Farrell
Saint Francis Hospital
Federal Way
Lake Region Healthcare Corporation-Cancer Care
Fergus Falls
Armes Family Cancer Center
Findlay
Blanchard Valley Hospital
Findlay
Orion Cancer Care
Findlay
Cancer Hematology Centers - Flint
Flint
Genesee Hematology Oncology PC
Flint
Genesys Hurley Cancer Institute
Flint
Hurley Medical Center
Flint
Singh and Arora Hematology Oncology PC
Flint
Aurora Health Center-Fond du Lac
Fond du Lac
Kaiser Permanente-Fontana
Fontana
Cancer Care and Hematology-Fort Collins
Fort Collins
Poudre Valley Hospital
Fort Collins
McFarland Clinic - Trinity Cancer Center
Fort Dodge
UI Healthcare Mission Cancer and Blood - Fort Dodge
Fort Dodge
Broward Health Medical Center
Fort Lauderdale
Regional Cancer Center-Lee Memorial Health System
Fort Myers
Saint Elizabeth Healthcare Fort Thomas
Fort Thomas
Ascension Saint Francis - Reiman Cancer Center
Franklin
Atrium Medical Center-Middletown Regional Hospital
Franklin
Dayton Physicians LLC-Atrium
Franklin
Freeport Memorial Hospital/Leonard C Ferguson Cancer Center
Freeport
Palo Alto Medical Foundation-Fremont
Fremont
Unity Hospital
Fridley
Saint Luke's Cancer Institute - Fruitland
Fruitland
Gibbs Cancer Center-Gaffney
Gaffney
Illinois CancerCare-Galesburg
Galesburg
Western Illinois Cancer Treatment Center
Galesburg
Central Care Cancer Center - Garden City
Garden City
Saint Catherine Hospital
Garden City
Levine Cancer Institute-Gaston
Gastonia
Northwestern Medicine Cancer Center Delnor
Geneva
Aurora Health Care Germantown Health Center
Germantown
Adams Cancer Center
Gettysburg
MultiCare Gig Harbor Medical Park
Gig Harbor
Smilow Cancer Hospital Care Center at Glastonbury
Glastonbury
UM Baltimore Washington Medical Center/Tate Cancer Center
Glen Burnie
NorthShore University HealthSystem-Glenbrook Hospital
Glenview
Peninsula Cancer Institute-Gloucester
Gloucester
Mountain Blue Cancer Care Center
Golden
National Jewish Health-Western Hematology Oncology
Golden
Southeastern Medical Oncology Center-Goldsboro
Goldsboro
Wayne Memorial Hospital
Goldsboro
Aurora Cancer Care-Grafton
Grafton
Altru Cancer Center
Grand Forks
Nebraska Cancer Specialists/Oncology Hematology West PC
Grand Island
Grand Valley Oncology
Grand Junction
Saint Mary's Hospital and Regional Medical Center
Grand Junction
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids
Central Care Cancer Center - Great Bend
Great Bend
Benefis Sletten Cancer Institute
Great Falls
Great Falls Clinic
Great Falls
Banner North Colorado Medical Center
Greeley
UCHealth Greeley Hospital
Greeley
Aurora BayCare Medical Center
Green Bay
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay
Saint Vincent Hospital Cancer Center Green Bay
Green Bay
Cone Health Cancer Center
Greensboro
Cone Health Cancer Center at Drawbridge Parkway
Greensboro
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg
Dayton Physicians LLC-Wayne
Greenville
East Carolina University
Greenville
Prisma Health Cancer Institute - Butternut
Greenville
Prisma Health Cancer Institute - Eastside
Greenville
Prisma Health Cancer Institute - Faris
Greenville
Prisma Health Greenville Memorial Hospital
Greenville
Saint Francis Cancer Center
Greenville
Saint Francis Hospital
Greenville
UPMC Hillman Cancer Center in Greenville/UPMC Horizon
Greenville
Wayne Hospital
Greenville
Smilow Cancer Hospital Care Center at Greenwich
Greenwich
Self Regional Healthcare
Greenwood
Gibbs Cancer Center-Pelham
Greer
Prisma Health Cancer Institute - Greer
Greer
Baptist Cancer Center-Grenada
Grenada
William Beaumont Hospital-Grosse Pointe
Grosse Pointe
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods
Smilow Cancer Hospital Care Center - Guilford
Guilford
The Cancer Institute of New Jersey Hamilton
Hamilton
WellSpan Medical Oncology and Hematology
Hanover
Kaiser Permanente South Bay
Harbor City
UPMC Pinnacle Cancer Center/Community Osteopathic Campus
Harrisburg
Memorial Sloan Kettering Westchester
Harrison
Smilow Cancer Hospital Care Center at Saint Francis
Hartford
Ingalls Memorial Hospital
Harvey
HaysMed
Hays
Advocate South Suburban Hospital
Hazel Crest
Geisinger Medical Center-Cancer Center Hazleton
Hazleton
Saint Peter's Community Hospital
Helena
Cancer and Blood Specialists-Henderson
Henderson
Comprehensive Cancer Centers of Nevada - Henderson
Henderson
Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson
Comprehensive Cancer Centers of Nevada-Southeast Henderson
Henderson
Las Vegas Cancer Center-Henderson
Henderson
Oncology Las Vegas - Henderson
Henderson
AdventHealth Hendersonville
Hendersonville
Margaret R Pardee Memorial Hospital
Hendersonville
Essentia Health Hibbing Clinic
Hibbing
NorthShore University HealthSystem-Highland Park Hospital
Highland Park
UCHealth Highlands Ranch Hospital
Highlands Ranch
Pulmonary Medicine Center of Chattanooga-Hixson
Hixson
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu
Hawaii Cancer Care Inc-Liliha
Honolulu
Island Urology
Honolulu
Kapiolani Medical Center for Women and Children
Honolulu
Kuakini Medical Center
Honolulu
Queen's Cancer Cenrer - POB I
Honolulu
Queen's Cancer Center - Kuakini
Honolulu
Queen's Medical Center
Honolulu
Straub Clinic and Hospital
Honolulu
The Cancer Center of Hawaii-Liliha
Honolulu
University of Hawaii Cancer Center
Honolulu
CHI Saint Vincent Cancer Center Hot Springs
Hot Springs
Oncology Center of The South Incorporated
Houma
MD Anderson West Houston
Houston
UT MD Anderson Cancer Center
Houston
Edwards Comprehensive Cancer Center
Huntington
Centerpoint Medical Center LLC
Independence
IRMC Cancer Center
Indiana
Franciscan Health Indianapolis
Indianapolis
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis
Sidney and Lois Eskenazi Hospital
Indianapolis
University of Iowa/Holden Comprehensive Cancer Center
Iowa City
Kaiser Permanente-Irvine
Irvine
Swedish Cancer Institute-Issaquah
Issaquah
Allegiance Health
Jackson
University of Mississippi Medical Center
Jackson
Onslow Memorial Hospital
Jacksonville
Southeastern Medical Oncology Center-Jacksonville
Jacksonville
McFarland Clinic - Jefferson
Jefferson
MU Health Care Goldschmidt Cancer Center
Jefferson City
Jefferson Hospital
Jefferson Hills
Wellmont Medical Associates Oncology and Hematology-Johnson City
Johnson City
UPMC-Johnstown/John P. Murtha Regional Cancer Center
Johnstown
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro
Freeman Health System
Joplin
Mercy Hospital Joplin
Joplin
Beacon Kalamazoo Cancer Center
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
Logan Health Medical Center
Kalispell
Research Medical Center
Kansas City
Saint Luke's Hospital of Kansas City
Kansas City
The University of Kansas Cancer Center-South
Kansas City
University Health Truman Medical Center
Kansas City
University of Kansas Cancer Center - North
Kansas City
University of Kansas Cancer Center-West
Kansas City
CHI Health Good Samaritan
Kearney
Fred and Pamela Buffett Cancer Center - Kearney
Kearney
ECU Health Oncology Kenansville
Kenansville
Ochsner Medical Center Kenner
Kenner
Kadlec Clinic Hematology and Oncology
Kennewick
Aurora Cancer Care-Kenosha South
Kenosha
First Dayton Cancer Care
Kettering
Greater Dayton Cancer Center
Kettering
Kettering Medical Center
Kettering
Illinois CancerCare-Kewanee Clinic
Kewanee
Ballad Health Cancer Care - Kingsport
Kingsport
Wellmont Holston Valley Hospital and Medical Center
Kingsport
ECU Health Oncology Kinston
Kinston
FHCC at EvergreenHealth
Kirkland
Covenant Health Cancer Centers
Knoxville
Covenant Health Cancer Centers - West
Knoxville
Gundersen Lutheran Medical Center
La Crosse
Providence Regional Cancer System-Lacey
Lacey
Good Samaritan Hospital - Cancer Centers of Colorado
Lafayette
Kaiser Permanente-Rock Creek
Lafayette
Northwestern Medicine Lake Forest Hospital
Lake Forest
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood
Rocky Mountain Cancer Centers-Lakewood
Lakewood
Saint Clare Hospital
Lakewood
Fairfield Medical Center
Lancaster
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing
Mid-Michigan Physicians-Lansing
Lansing
University of Michigan Health - Sparrow Lansing
Lansing
McLaren Cancer Institute-Lapeer Region
Lapeer
Memorial Medical Center-Las Cruces
Las Cruces
Ann M Wierman MD LTD
Las Vegas
Cancer and Blood Specialists-Shadow
Las Vegas
Cancer and Blood Specialists-Tenaya
Las Vegas
Cancer Therapy and Integrative Medicine
Las Vegas
Comprehensive Cancer Centers of Nevada
Las Vegas
Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas
Comprehensive Cancer Centers of Nevada - Northwest
Las Vegas
Comprehensive Cancer Centers of Nevada-Summerlin
Las Vegas
Desert West Surgery
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-San Martin
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Tenaya
Las Vegas
Las Vegas Cancer Center-Medical Center
Las Vegas
Oncology Las Vegas - Tenaya
Las Vegas
OptumCare Cancer Care at Charleston
Las Vegas
OptumCare Cancer Care at Fort Apache
Las Vegas
OptumCare Cancer Care at MountainView
Las Vegas
Radiation Oncology Centers of Nevada Central
Las Vegas
Radiation Oncology Centers of Nevada Southeast
Las Vegas
Summerlin Hospital Medical Center
Las Vegas
University Cancer Center
Las Vegas
University Medical Center of Southern Nevada
Las Vegas
Lawrence Memorial Hospital
Lawrence
Cancer Centers of Southwest Oklahoma Research
Lawton
UT MD Anderson - League City
League City
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon
Sechler Family Cancer Center
Lebanon
Saint Luke's East - Lee's Summit
Lee's Summit
University of Kansas Cancer Center - Lee's Summit
Lee's Summit
Kansas Institute of Medicine Cancer and Blood Center
Lenexa
Minimally Invasive Surgery Hospital
Lenexa
Covenant Health Oncology Group - Lenoir City
Lenoir City
Beebe Medical Center
Lewes
Geisinger Medical Oncology-Lewisburg
Lewisburg
Lewistown Hospital
Lewistown
Baptist Health Lexington
Lexington
Saint Joseph Hospital East
Lexington
Saint Joseph Radiation Oncology Resource Center
Lexington
University of Kentucky/Markey Cancer Center
Lexington
Cancer Center of Kansas-Liberal
Liberal
AMG Libertyville - Oncology
Libertyville
Condell Memorial Hospital
Libertyville
Wilcox Memorial Hospital and Kauai Medical Clinic
Lihue
Saint Elizabeth Regional Medical Center
Lincoln
Atrium Health Lincoln/LCI-Lincolnton
Lincolnton
AdventHealth Littleton
Littleton
Rocky Mountain Cancer Centers-Littleton
Littleton
Saint Barnabas Medical Center
Livingston
Hope Cancer Clinic
Livonia
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
Logan Regional Hospital
Logan
Saint Joseph London
London
Kaiser Permanente-Lone Tree
Lone Tree
Rocky Mountain Cancer Centers-Sky Ridge
Lone Tree
Longmont United Hospital
Longmont
Rocky Mountain Cancer Centers-Longmont
Longmont
PeaceHealth Saint John Medical Center
Longview
Kaiser Permanente Los Angeles Medical Center
Los Angeles
Kaiser Permanente West Los Angeles
Los Angeles
Keck Medicine of USC Koreatown
Los Angeles
Los Angeles General Medical Center
Los Angeles
USC / Norris Comprehensive Cancer Center
Los Angeles
Baptist Health Louisville
Louisville
Jewish Hospital
Louisville
Saints Mary and Elizabeth Hospital
Louisville
UofL Health Medical Center Northeast
Louisville
Banner North Colorado Medical Center - Loveland Campus
Loveland
Medical Center of the Rockies
Loveland
Lowell General Hospital
Lowell
Centra Alan B Pearson Regional Cancer Center
Lynchburg
Henry Ford Saint John Hospital - Macomb Medical
Macomb
Henry Ford Warren Hospital - Breast Macomb
Macomb
Illinois CancerCare-Macomb
Macomb
Baptist Health Madisonville/Merle Mahr Cancer Center
Madisonville
Dartmouth Cancer Center - Manchester/ DCC Manchester
Manchester
Solinsky Center for Cancer Care
Manchester
Mayo Clinic Health Systems-Mankato
Mankato
Cleveland Clinic Cancer Center Mansfield
Mansfield
OhioHealth Mansfield Hospital
Mansfield
Fairview Clinics and Surgery Center Maple Grove
Maple Grove
Minnesota Oncology Hematology PA-Maplewood
Maplewood
Saint John's Hospital - Healtheast
Maplewood
Marietta Memorial Hospital
Marietta
Aurora Bay Area Medical Group-Marinette
Marinette
OhioHealth Marion General Hospital
Marion
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette
McFarland Clinic - Marshalltown
Marshalltown
Marshfield Medical Center-Marshfield
Marshfield
Contra Costa Regional Medical Center
Martinez
WVUH-Berkely Medical Center
Martinsburg
Sovah Health Martinsville
Martinsville
Fremont - Rideout Cancer Center
Marysville
Covenant Health Oncology Group - Maryville
Maryville
Mercy Medical Center - North Iowa
Mason City
Carle Physician Group-Mattoon/Charleston
Mattoon
Toledo Clinic Cancer Centers-Maumee
Maumee
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
Maumee
Hillcrest Hospital Cancer Center
Mayfield Heights
Loyola University Medical Center
Maywood
UPMC Cancer Center at UPMC McKeesport
McKeesport
Cone Heath Cancer Center at Mebane
Mebane
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
Mechanicsburg
Bon Secours Memorial Regional Medical Center
Mechanicsville
Aspirus Medford Hospital
Medford
Riddle Memorial Hospital
Media
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis
Ascension Columbia Saint Mary's Hospital Ozaukee
Mequon
Idaho Urologic Institute-Meridian
Meridian
Saint Luke's Cancer Institute - Meridian
Meridian
Mount Sinai Medical Center
Miami Beach
Woodland Cancer Care Center
Michigan City
Memorial Sloan Kettering Monmouth
Middletown
Middlesex Hospital
Middletown
Bon Secours Saint Francis Medical Center
Midlothian
Bayhealth Hospital Sussex Campus
Milford
Beebe South Coastal Health Campus
Millville
Ascension Columbia Saint Mary's Hospital - Milwaukee
Milwaukee
Aurora Cancer Care-Milwaukee
Milwaukee
Aurora Saint Luke's Medical Center
Milwaukee
Aurora Sinai Medical Center
Milwaukee
Medical College of Wisconsin
Milwaukee
Abbott-Northwestern Hospital
Minneapolis
Health Partners Inc
Minneapolis
Hennepin County Medical Center
Minneapolis
Minneapolis VA Medical Center
Minneapolis
Marshfield Medical Center - Minocqua
Minocqua
Trinity Cancer Care Center
Minot
Community Medical Center
Missoula
Saint Patrick Hospital - Community Hospital
Missoula
Memorial Medical Center
Modesto
Trinity Medical Center
Moline
Atrium Health Union/LCI-Union
Monroe
Toledo Clinic Cancer Centers-Monroe
Monroe
Forbes Hospital
Monroeville
UPMC Hillman Cancer Center - Monroeville
Monroeville
Memorial Sloan Kettering Bergen
Montvale
UPMC Hillman Cancer Center in Coraopolis
Moon Township
Franciscan Health Mooresville
Mooresville
West Virginia University Healthcare
Morgantown
Morristown Medical Center
Morristown
McLaren Cancer Institute-Macomb
Mount Clemens
McLaren Cancer Institute-Central Michigan
Mount Pleasant
UPMC Hillman Cancer Center - Part of Frick Hospital
Mount Pleasant
Knox Community Hospital
Mount Vernon
SSM Health Good Samaritan
Mount Vernon
Palo Alto Medical Foundation-Camino Division
Mountain View
Palo Alto Medical Foundation-Gynecologic Oncology
Mountain View
ProHealth D N Greenwald Center
Mukwonago
Inspira Medical Center Mullica Hill
Mullica Hill
Intermountain Medical Center
Murray
Arnold Palmer Cancer Center Medical Oncology Norwin
N. Huntingdon
Saint Alphonsus Cancer Care Center-Nampa
Nampa
Saint Luke's Cancer Institute - Nampa
Nampa
Dartmouth Cancer Center - Nashua
Nashua
Meharry Medical College
Nashville
Allegheny Valley Hospital
Natrona Heights
Baptist Health Floyd
New Albany
Baptist Memorial Hospital and Cancer Center-Union County
New Albany
Rutgers Cancer Institute of New Jersey
New Brunswick
UPMC Hillman Cancer Center - New Castle
New Castle
Yale University
New Haven
UC Comprehensive Cancer Center at Silver Cross
New Lenox
Ochsner Medical Center Jefferson
New Orleans
Cancer Center of Western Wisconsin
New Richmond
New Ulm Medical Center
New Ulm
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York
Memorial Sloan Kettering Cancer Center
New York
Mount Sinai Hospital
New York
Mount Sinai West
New York
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York
NYP/Weill Cornell Medical Center
New York
Christiana Care Health System-Christiana Hospital
Newark
Delaware Clinical and Laboratory Physicians PA
Newark
Helen F Graham Cancer Center
Newark
Licking Memorial Hospital
Newark
Medical Oncology Hematology Consultants PA
Newark
Newark Beth Israel Medical Center
Newark
Newark Radiation Oncology
Newark
Providence Newberg Medical Center
Newberg
USC Norris Oncology/Hematology-Newport Beach
Newport Beach
Peninsula Cancer Institute-Newport News
Newport News
Bon Secours DePaul Medical Center
Norfolk
Yale-New Haven Hospital North Haven Medical Center
North Haven
Ballad Health Cancer Care - Norton
Norton
Sutter Cancer Research Consortium
Novato
Henry Ford Health Providence Novi Hospital
Novi
Henry Ford Medical Center-Columbus
Novi
Cancer Care Center of O'Fallon
O'Fallon
Advocate Christ Medical Center
Oak Lawn
Covenant Health Oncology Group - Oak Ridge
Oak Ridge
Kaiser Permanente-Oakland
Oakland
TidalHealth Richard A Henson Cancer Institute
Ocean Pines
ProHealth Oconomowoc Memorial Hospital
Oconomowoc
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls
McKay-Dee Hospital Center
Ogden
Mercy Hospital Oklahoma City
Oklahoma City
University of Oklahoma Health Sciences Center
Oklahoma City
The University of Kansas Cancer Center - Olathe
Olathe
Alegent Health Bergan Mercy Medical Center
Omaha
Alegent Health Immanuel Medical Center
Omaha
Alegent Health Lakeside Hospital
Omaha
Hematology and Oncology Consultants PC
Omaha
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha
Nebraska Medicine-Village Pointe
Omaha
Nebraska Methodist Hospital
Omaha
University of Nebraska Medical Center
Omaha
Kaiser Permanente-Ontario
Ontario
Saint Alphonsus Cancer Care Center-Ontario
Ontario
Memorial GYN Plus
Ooltewah
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange
University of Chicago Medicine-Orland Park
Orland Park
AdventHealth Orlando
Orlando
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh
Illinois CancerCare-Ottawa Clinic
Ottawa
Menorah Medical Center
Overland Park
Saint Luke's South Hospital
Overland Park
University of Kansas Cancer Center-Overland Park
Overland Park
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford
Hope Cancer Care of Nevada-Pahrump
Pahrump
Palo Alto Medical Foundation Health Care
Palo Alto
Stanford Cancer Institute Palo Alto
Palo Alto
VA Palo Alto Health Care System
Palo Alto
Kaiser Permanente - Panorama City
Panorama City
Paoli Memorial Hospital
Paoli
Midlands Community Hospital
Papillion
The Valley Hospital - Luckow Pavilion
Paramus
Advocate Lutheran General Hospital
Park Ridge
AdventHealth Parker
Parker
Rocky Mountain Cancer Centers-Parker
Parker
Camden Clark Medical Center
Parkersburg
Singing River Hospital
Pascagoula
Illinois CancerCare-Pekin
Pekin
OSF Saint Francis Radiation Oncology at Pekin
Pekin
Illinois CancerCare-Peoria
Peoria
Methodist Medical Center of Illinois
Peoria
OSF Saint Francis Medical Center
Peoria
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
Peoria
Mercy Health - Perrysburg Hospital
Perrysburg
Illinois CancerCare-Peru
Peru
Valley Radiation Oncology
Peru
McLaren Cancer Institute-Northern Michigan
Petoskey
Children's Hospital of Philadelphia
Philadelphia
Temple University Hospital
Philadelphia
Cancer Center at Saint Joseph's
Phoenix
Mayo Clinic Hospital in Arizona
Phoenix
Avera Cancer Institute at Pierre
Pierre
Mercy Hospital Pittsburg
Pittsburg
Allegheny General Hospital
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Pittsburgh
UPMC-Mercy Hospital
Pittsburgh
UPMC-Passavant Hospital
Pittsburgh
UPMC-Saint Clair Hospital Cancer Center
Pittsburgh
West Penn Hospital
Pittsburgh
Hope Cancer Center
Pontiac
Michigan Healthcare Professionals Pontiac
Pontiac
Newland Medical Associates-Pontiac
Pontiac
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac
Lake Huron Medical Center
Port Huron
McLaren-Port Huron
Port Huron
Jefferson Healthcare
Port Townsend
Providence Portland Medical Center
Portland
Providence Saint Vincent Medical Center
Portland
Southern Ohio Medical Center
Portsmouth
Kootenai Clinic Cancer Services - Post Falls
Post Falls
Geisinger Cancer Services-Pottsville
Pottsville
Vassar Brothers Medical Center
Poughkeepsie
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo
Illinois CancerCare-Princeton
Princeton
Rhode Island Hospital
Providence
Utah Valley Regional Medical Center
Provo
Rocky Mountain Cancer Centers - Pueblo
Pueblo
Saint Mary Corwin Medical Center
Pueblo
MultiCare Good Samaritan Hospital
Puyallup
Saint Luke's Hospital-Quakertown Campus
Quakertown
Ascension All Saints Hospital
Racine
Aurora Cancer Care-Racine
Racine
Rapid City Regional Hospital
Rapid City
Corewell Health Reed City Hospital
Reed City
Beebe Health Campus
Rehoboth Beach
Annie Penn Memorial Hospital
Reidsville
Radiation Oncology Associates
Reno
Renown Regional Medical Center
Reno
Saint Mary's Regional Medical Center
Reno
Marshfield Medical Center-Rice Lake
Rice Lake
ECU Health Oncology Richlands
Richlands
Bon Secours Saint Mary's Hospital
Richmond
Reid Health
Richmond
VCU Massey Cancer Center at Stony Point
Richmond
VCU Massey Comprehensive Cancer Center
Richmond
Virginia Cancer Institute
Richmond
Neurosurgeons of New Jersey-Ridgewood
Ridgewood
Valley Health System Ridgewood Campus
Ridgewood
Presbyterian Rust Medical Center/Jorgensen Cancer Center
Rio Rancho
Kaiser Permanente-Riverside
Riverside
North Memorial Medical Health Center
Robbinsdale
Mayo Clinic in Rochester
Rochester
Rochester General Hospital
Rochester
University of Rochester
Rochester
Henry Ford Rochester Hospital
Rochester Hills
Levine Cancer Institute-Rock Hill
Rock Hill
Penobscot Bay Medical Center
Rockport
Mercy Clinic-Rolla-Cancer and Hematology
Rolla
Phelps Health Delbert Day Cancer Institute
Rolla
Michigan Cancer Specialists
Roseville
Sutter Cancer Centers Radiation Oncology Services-Roseville
Roseville
Sutter Roseville Medical Center
Roseville
Scott and White Healthcare Round Rock
Round Rock
Cancer Care Associates PC
Royal Oak
Comprehensive Medical Center PLLC
Royal Oak
Corewell Health William Beaumont University Hospital
Royal Oak
Hematology Oncology Consultants PC-Royal Oak
Royal Oak
Oakland Colon Rectal Associates
Royal Oak
Oakland Medical Group
Royal Oak
Sutter Medical Center Sacramento
Sacramento
University of California Davis Comprehensive Cancer Center
Sacramento
Covenant HealthCare Mackinaw
Saginaw
MyMichigan Medical Center Saginaw
Saginaw
Oncology Hematology Associates of Saginaw Valley PC
Saginaw
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud
Saint Cloud Hospital
Saint Cloud
Dartmouth Cancer Center - North
Saint Johnsbury
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph
Heartland Regional Medical Center
Saint Joseph
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park
Regions Hospital
Saint Paul
United Hospital
Saint Paul
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Salina Regional Health Center
Salina
Salinas Valley Memorial
Salinas
TidalHealth Peninsula Regional
Salisbury
Huntsman Cancer Institute/University of Utah
Salt Lake City
Kaiser Permanente-San Diego Zion
San Diego
Sharp Memorial Hospital
San Diego
California Pacific Medical Center-Pacific Campus
San Francisco
Kaiser Permanente-San Marcos
San Marcos
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint
Essentia Health Sandstone
Sandstone
North Coast Cancer Care
Sandusky
MaineHealth Cancer Care and IV Therapy - Sanford
Sanford
Palo Alto Medical Foundation-Santa Cruz
Santa Cruz
Sutter Pacific Medical Foundation
Santa Rosa
Guthrie Medical Group PC-Robert Packer Hospital
Sayre
Mayo Clinic in Arizona
Scottsdale
Community Medical Center
Scranton
TidalHealth Nanticoke / Allen Cancer Center
Seaford
FHCC at Northwest Hospital
Seattle
Fred Hutchinson Cancer Center
Seattle
Kaiser Permanente Washington
Seattle
Pacific Gynecology Specialists
Seattle
Swedish Medical Center-Ballard Campus
Seattle
Swedish Medical Center-Cherry Hill
Seattle
Swedish Medical Center-First Hill
Seattle
Virginia Mason Medical Center
Seattle
Geisinger Medical Oncology-Selinsgrove
Selinsgrove
Prisma Health Cancer Institute - Seneca
Seneca
UPMC Cancer Center at UPMC Northwest
Seneca
Saint Francis Regional Medical Center
Shakopee
ThedaCare Cancer Care - Shawano
Shawano
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan
Atrium Health Cleveland/LCI-Cleveland
Shelby
Providence Regional Cancer System-Shelton
Shelton
Jewish Hospital Medical Center South
Shepherdsville
Welch Cancer Center
Sheridan
CHRISTUS Highland Medical Center
Shreveport
Saint Joseph Medical Center Hematology and Oncology - Silverdale
Silverdale
MercyOne Genesis Silvis Cancer Center
Silvis
Siouxland Regional Cancer Center
Sioux City
Avera Cancer Institute
Sioux Falls
Sanford Cancer Center Oncology Clinic
Sioux Falls
Sanford USD Medical Center - Sioux Falls
Sioux Falls
Hematology Oncology Associates of Illinois - Skokie
Skokie
Robert Wood Johnson University Hospital Somerset
Somerville
VCU Community Memorial Health Center
South Hill
South Jordan Health Center
South Jordan
MaineHealth Cancer Care and IV Therapy - South Portland
South Portland
Henry Ford Health Providence Southfield Hospital
Southfield
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven
Spartanburg Medical Center
Spartanburg
MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
Spokane
MultiCare Deaconess Cancer and Blood Specialty Center - North
Spokane
MultiCare Deaconess Cancer and Blood Specialty Center - Valley
Spokane Valley
CoxHealth South Hospital
Springfield
Mercy Hospital Springfield
Springfield
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Memorial Hospital
Springfield
Springfield Regional Cancer Center
Springfield
Springfield Regional Medical Center
Springfield
Mercy Hospital Saint Louis
St Louis
Mercy Hospital South
St Louis
Mercy Infusion Center - Chippewa
St Louis
Missouri Baptist Medical Center
St Louis
Siteman Cancer Center at Christian Hospital
St Louis
Siteman Cancer Center-South County
St Louis
Washington University School of Medicine
St Louis
Saint George Regional Medical Center
St. George
Geisinger Medical Group
State College
Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights
Mitchell Folbe MD PC
Sterling Heights
Premier Hematology Oncology Care
Sterling Heights
Trinity's Tony Teramana Cancer Center
Steubenville
Aspirus Cancer Care - Stevens Point
Stevens Point
Marshfield Medical Center-River Region at Stevens Point
Stevens Point
Lakeview Hospital
Stillwater
Stony Brook University Medical Center
Stony Brook
Cleveland Clinic Cancer Center Strongsville
Strongsville
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay
Cancer Specialists of Tidewater-Suffolk
Suffolk
UT MD Anderson - Sugar Land
Sugar Land
Missouri Baptist Sullivan Hospital
Sullivan
Aurora Medical Center in Summit
Summit
Overlook Hospital
Summit
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale
BJC Outpatient Center at Sunset Hills
Sunset Hills
Southwest Illinois Health Services LLP
Swansea
ProMedica Flower Hospital
Sylvania
State University of New York Upstate Medical University
Syracuse
Franciscan Research Center-Northwest Medical Plaza
Tacoma
MultiCare Tacoma General Hospital
Tacoma
Northwest Medical Specialties PLLC
Tacoma
MyMichigan Medical Center Tawas
Tawas City
Scott and White Memorial Hospital
Temple
Union Hospital
Terre Haute
National Jewish Health-Northern Hematology Oncology
Thornton
Rocky Mountain Cancer Centers-Thornton
Thornton
Mercy Health - Saint Anne Hospital
Toledo
Toledo Clinic Cancer Centers-Toledo
Toledo
Cotton O'Neil Cancer Center / Stormont Vail Health
Topeka
University of Kansas Health System Saint Francis Campus
Topeka
Smilow Cancer Hospital-Torrington Care Center
Torrington
Munson Medical Center
Traverse City
Claudia BR Herke MD PC
Troy
Corewell Health Beaumont Troy Hospital
Troy
Dayton Physicians LLC - Troy
Troy
Hematology Oncology Consultants PC-Troy
Troy
Michigan Institute of Urology-Town Center
Troy
Upper Valley Medical Center
Troy
Smilow Cancer Hospital Care Center-Trumbull
Trumbull
Banner University Medical Center - Tucson
Tucson
University of Arizona Cancer Center-North Campus
Tucson
Oklahoma Cancer Specialists and Research Institute-Tulsa
Tulsa
Saint Luke's Cancer Institute - Twin Falls
Twin Falls
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers
Memorial Sloan Kettering Nassau
Uniondale
UPMC Cancer Center-Uniontown
Uniontown
Carle Cancer Center
Urbana
The Carle Foundation Hospital
Urbana
Sutter Solano Medical Center/Cancer Center
Vallejo
PeaceHealth Southwest Medical Center
Vancouver
Inspira Medical Center Vineland
Vineland
Essentia Health Virginia Clinic
Virginia
Peninsula Cancer Institute-Cancer Specialists of Tidewater
Virginia Beach
Ridgeview Medical Center
Waconia
Providence Saint Mary Regional Cancer Center
Walla Walla
Advanced Breast Care Center PLLC
Warren
Henry Ford Health Warren Hospital
Warren
Henry Ford Madison Heights Hospital - Breast
Warren
Henry Ford Warren Hospital - GLCMS
Warren
Macomb Hematology Oncology PC
Warren
South Pointe Hospital
Warrensville Heights
Northwestern Medicine Cancer Center Warrenville
Warrenville
Illinois CancerCare - Washington
Washington
Marion L Shepard Cancer Center - ECU Health Beaufort Hospital
Washington
Mercy Hospital Washington
Washington
UPMC Cancer Center-Washington
Washington
MedStar Washington Hospital Center
Washington D.C.
Sibley Memorial Hospital
Washington D.C.
Smilow Cancer Hospital-Waterbury Care Center
Waterbury
Smilow Cancer Hospital Care Center - Waterford
Waterford
ProHealth Waukesha Memorial Hospital
Waukesha
UW Cancer Center at ProHealth Care
Waukesha
Aspirus Regional Cancer Center
Wausau
Ascension Medical Group Southeast Wisconsin - Mayfair Road
Wauwatosa
Aurora Cancer Care-Milwaukee West
Wauwatosa
AdventHealth Infusion Center Weaverville
Weaverville
Cancer Center of Kansas - Wellington
Wellington
Aurora West Allis Medical Center
West Allis
Henry Ford West Bloomfield Hospital
West Bloomfield
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch
City of Hope West Covina
West Covina
Mercy Medical Center-West Lakes
West Des Moines
Methodist West Hospital
West Des Moines
Good Samaritan University Hospital
West Islip
UPMC West Mifflin-Cancer Center Jefferson
West Mifflin
Reading Hospital
West Reading
Saint Ann's Hospital
Westerville
Marshfield Medical Center - Weston
Weston
University of Kansas Hospital-Westwood Cancer Center
Westwood
Valley Health System-Hematology/Oncology
Westwood
Intermountain Health Lutheran Hospital
Wheat Ridge
Dickstein Cancer Treatment Center
White Plains
Cancer Center of Kansas - Wichita
Wichita
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre
Peninsula Cancer Institute-Williamsburg
Williamsburg
Divine Providence Hospital
Williamsport
Rice Memorial Hospital
Willmar
Asplundh Cancer Pavilion
Willow Grove
Christiana Care Health System-Wilmington Hospital
Wilmington
Novant Health New Hanover Regional Medical Center
Wilmington
Shenandoah Oncology PC
Winchester
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids
Minnesota Oncology Hematology PA-Woodbury
Woodbury
Kaiser Permanente-Woodland Hills
Woodland Hills
Cleveland Clinic Wooster Family Health and Surgery Center
Wooster
Wright-Patterson Medical Center
Wright-Patterson Air Force Base
Lankenau Medical Center
Wynnewood
Fairview Lakes Medical Center
Wyoming
University of Michigan Health - West
Wyoming
Providence Regional Cancer System-Yelm
Yelm
Cancer Care Associates of York
York
UPMC Memorial
York
WellSpan Health-York Cancer Center
York
WellSpan Health-York Hospital
York
Saint Elizabeth Youngstown Hospital
Youngstown
Huron Gastroenterology PC
Ypsilanti
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti
Genesis Healthcare System Cancer Care Center
Zanesville