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NCT04166318

Quimioterapia y radioterapia a dosis más bajas en el tratamiento de pacientes con cáncer anal en estadio temprano: el estudio DECREASE.

Activo, No Reclutando Fase 2

Descripción

Este ensayo de fase II estudia la eficacia de la quimioterapia a dosis más bajas combinada con radioterapia (quimiorradioterapia) en comparación con la quimiorradioterapia a dosis estándar en el tratamiento de pacientes con cáncer anal en etapa temprana. Los fármacos utilizados en la quimioterapia, como la mitomicina, el fluorouracilo y la capecitabina, 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 radioterapia utiliza rayos X de alta energía para matar las células tumorales y reducir el tamaño de los tumores. La administración de quimioterapia con radioterapia puede matar más células tumorales. Este estudio puede ayudar a los médicos a determinar si la quimiorradioterapia a dosis más bajas es tan eficaz y tiene menos efectos secundarios que la quimiorradioterapia a dosis estándar, que es el enfoque habitual para el tratamiento de este tipo de cáncer.

Evidencia de la diana molecular en cáncer colorrectal

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:

  • FASE 0 (PRE-REGISTRO)
  • El paciente debe tener ≥ 18 años de edad.
  • Los pacientes deben hablar inglés para poder participar en el ensayo. (Tenga en cuenta que este requisito se debe a que los estudios de calidad de vida son obligatorios y actualmente no contamos con versiones traducidas completas de los cuestionarios a otros idiomas).
  • El paciente debe tener un carcinoma de células escamosas invasivo del canal anal o del margen anal, confirmado histológicamente, con tumores que midan ≤ 4 cm. Esto puede incluir tumores de histología no queratinizante, como histología basaloide, de células transicionales o cloacogénica. No se requiere enfermedad medible.
  • Los pacientes que hayan sido sometidos a una resección local o a un procedimiento de biopsia excisional son elegibles, siempre y cuando haya habido afectación tumoral del canal anal y/o del borde anal antes del procedimiento, si los márgenes fueron positivos y/o si el estadio es T2N0 según el tamaño del tumor antes del procedimiento. Esto significa que los pacientes con carcinoma de células escamosas del margen anal T1N0M0 que se hayan sometido a una resección quirúrgica con márgenes negativos y sin afectación del borde anal y/o del canal anal no son elegibles.
  • El tamaño del tumor debe estar documentado en base al examen físico, incluyendo el examen rectal digital y/o la anoscopia/proctoscopia, dentro de las 4 semanas previas al pre-registro de la Fase 0.
  • El estado del virus de la inmunodeficiencia humana (VIH) del paciente debe ser conocido y documentado al inicio del estudio.
  • NOTA: Para los pacientes sin antecedentes de infección por VIH, se recomienda (pero no es obligatorio) que se realicen pruebas de VIH actualizadas dentro de un año desde la inclusión en el estudio.
  • Los pacientes que sean VIH negativos se registrarán en el brazo R. No deben tener ganglios linfáticos que sean radiológicamente sospechosos de afectación por cáncer, utilizando criterios basados en la tomografía computarizada (TC) y la tomografía por emisión de positrones (TEP) con flúorodesoxiglucosa F-18 (FDG).
  • NOTA: Los pacientes que sean VIH negativos y cumplan con los criterios a continuación pueden pasar directamente a la Fase 1 de aleatorización.
  • Los pacientes se considerarán con ganglios linfáticos (GL) positivos y, por lo tanto, no serán elegibles en este estudio si los ganglios linfáticos cumplen alguno de los siguientes criterios:
  • Ganglios linfáticos mesorrectales, presacrales, ilíacos internos u obturadores con:
  • Eje corto que mida > 5 mm según la TC/resonancia magnética (RM) O
  • Características morfológicas de borde irregular o necrosis central si se evalúa mediante RM y el tamaño del GL es > 3 mm O
  • Captación de FDG > piscina sanguínea (Deauville 3-5) según la TEP-FDG o la TEP-RM
  • Ganglios linfáticos ilíacos internos y obturadores con:
  • Eje corto que mida > 7 mm según la TC/RM O
  • Características morfológicas de borde irregular o necrosis central según la TC/RM O
  • Captación de FDG > piscina sanguínea (Deauville 3-5) según la TEP-FDG o la TEP-RM
  • Ganglios linfáticos ilíacos externos y comunes:
  • Eje corto que mida > 10 mm según la TC/RM O
  • Características morfológicas de borde irregular o necrosis central según la TC/RM O
  • Captación de FDG > piscina sanguínea (Deauville 3-5) según la TEP-FDG o la TEP-RM
  • Los ganglios linfáticos inguinales (superficiales y profundos) que cumplan alguno de los siguientes criterios no serán elegibles, a menos que se realice una aspiración con aguja fina (AAF) y la citología resultante sea negativa.
  • Características morfológicas de borde irregular o necrosis central según la TC/RM
  • Captación de FDG > hígado (Deauville 4) según la TEP-FDG.
  • Los pacientes que sean VIH negativos y tengan ganglios linfáticos inguinales que no cumplan con los criterios anteriores deben someterse a una aspiración con aguja fina y tener una histología negativa para ser elegibles.
  • Los pacientes que sean VIH positivos se registrarán en el brazo S. Deben cumplir con los criterios de elegibilidad a continuación:
  • Un recuento de CD4 ≥ 200
  • Imágenes enviadas a ECOG-ACRIN para su revisión central con el fin de confirmar la ausencia de afectación ganglionar.
  • No tener antecedentes de complicaciones relacionadas con el síndrome de inmunodeficiencia adquirida (SIDA) en el último año, aparte de antecedentes de un recuento bajo de células T CD4+ (> 200/mm³) antes del inicio de la terapia antirretroviral combinada.
  • El paciente debe estar sano en base a la enfermedad por VIH, con una alta probabilidad de tener una esperanza de vida casi normal si no fuera por el cáncer anal.
  • El paciente DEBE recibir la atención y el tratamiento adecuados para la infección por VIH, incluidos los medicamentos antirretrovirales cuando esté clínicamente indicado, y debe estar bajo el cuidado de un médico con experiencia en el manejo del VIH. Los pacientes serán elegibles independientemente del medicamento antirretroviral, siempre y cuando el régimen haya sido estable durante al menos 4 semanas.
  • FASE 1 DE ALEATORIZACIÓN
  • El paciente debe haber cumplido con los criterios de elegibilidad según lo indicado en el pre-registro de la Fase 0.
  • El paciente debe tener un estado de rendimiento del Grupo de Oncología Cooperativa del Este (ECOG) - Red de Imágenes del Colegio Americano de Radiología (ACRIN) de 0-2.
  • El paciente no debe tener antecedentes de quimioterapia previa para esta neoplasia.
  • Los pacientes no deben haberse sometido a radiación previa en la pelvis de tal manera que se esperen campos de radiación superpuestos.
  • El paciente no debe haber sido sometido a una cirugía potencialmente curativa previa (es decir, resección abdominoperineal) para el carcinoma de ano. Sin embargo, los pacientes que se sometan a una resección local o a una biopsia excisional son elegibles, siempre y cuando cumplan con los criterios de inclusión.
  • Los pacientes con carcinoma de células escamosas del margen anal T1N0M0 no deben haberse sometido a una resección quirúrgica con márgenes negativos y sin afectación del borde anal y/o del canal anal.
  • El paciente no debe estar recibiendo ninguna otra terapia antitumoral estándar o agente experimental al mismo tiempo que los fármacos del estudio.
  • El paciente no debe tener una enfermedad intercurrente, incluyendo, entre otras, una infección o una situación psiquiátrica/social activa que, a juicio del investigador, limite el cumplimiento de los requisitos del estudio.
  • El paciente no debe haber tenido una enfermedad cardiovascular significativa, incluyendo infarto de miocardio, angina inestable, accidente cerebrovascular, accidente isquémico transitorio, enfermedad coronaria sintomática, insuficiencia cardíaca congestiva sintomática o arritmia cardíaca no controlada en los 6 meses previos a la aleatorización de la Fase 1.
  • El paciente no debe tener antecedentes de una neoplasia diferente a menos que haya estado libre de la enfermedad durante al menos 2 años y el investigador lo considere de bajo riesgo de recurrencia.
  • Las excepciones a esta regla son los individuos con cáncer cervical in situ, cánceres de piel no melanoma y pólipos de colon.
  • El paciente no debe tener una enfermedad inflamatoria intestinal activa (pacientes que requieran intervenciones médicas actuales o que tengan síntomas).
  • Los pacientes no deben tener una enfermedad autoinmune o del tejido conectivo activa que haya requerido tratamiento sistémico en los últimos dos años (es decir, con el uso de agentes modificadores, corticosteroides o fármacos inmunosupresores). La terapia de reemplazo (por ejemplo, tiroxina, insulina o terapia de reemplazo fisiológica de corticosteroides para insuficiencia adrenal o pituitaria, etc.) no se considera una forma de tratamiento sistémico.
  • Los pacientes que estén tomando anticoagulantes con warfarina dentro de las 2 semanas previas a la aleatorización de la Fase 1 y que estén considerando el uso de capecitabina deben usar un anticoagulante alternativo.
  • NOTA: Se permite la heparina de bajo peso molecular, siempre y cuando el tiempo de protrombina (TP)/relación normalizada internacional (RNI) del paciente sea < 1,5.
  • Los pacientes que recibirán capecitabina y que están tomando Dilantin para un trastorno convulsivo deben tener sus niveles de Dilantin controlados semanalmente.
  • Hemoglobina > 10 g/dL (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • Plaquetas ≥ 100.000/mm³ (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • Recuento absoluto de neutrófilos ≥ 1500/mm³ (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • La creatinina sérica debe ser < 1,5 X el límite superior normal (LSN), o la depuración de creatinina calculada debe ser > 50 ml/min (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • La bilirrubina total debe ser < 2 X LSN (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • Aspartato aminotransferasa (AST)/alanina aminotransferasa (ALT) ≤ 2,5 X LSN institucional (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • Albúmina ≥ 3,0 g/dL (dentro de las 2 semanas previas a la aleatorización de la Fase 1)
  • Las mujeres no deben estar embarazadas ni amamantando, ya que el tratamiento del estudio administrado puede causar daño a un feto no nacido o a un niño en período de lactancia. Todas las mujeres en edad fértil deben someterse a una prueba de sangre o de orina dentro de las 2 semanas previas a la aleatorización de la Fase 1 para descartar el embarazo. Una mujer en edad fértil es cualquier mujer, independientemente de su orientación sexual o de si se ha sometido a una ligadura de trompas, que cumpla con los siguientes criterios: 1) ha tenido la menarquia en algún momento, 2) no se ha sometido a una histerectomía o ooforectomía bilateral; o 2) no ha tenido una menopausia natural (la amenorrea después de la terapia contra el cáncer no descarta la capacidad de tener hijos) durante al menos 24 meses consecutivos (es decir, ha tenido menstruación en algún momento en los 24 meses consecutivos anteriores).
  • Se debe aconsejar encarecidamente a las mujeres en edad fértil y a los hombres sexualmente activos que utilicen métodos anticonceptivos aceptados y eficaces o que se abstengan de tener relaciones sexuales durante toda su participación en el estudio y durante al menos 6 meses después de la finalización del tratamiento.

Información del Ensayo

NCT04166318
Activo, No Reclutando
Fase 2
252 participantes
Ene 2020
Dic 2029

Ubicaciones659

United States (659)
University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233
Alaska Breast Care and Surgery LLC
Anchorage, Alaska, 99508
Alaska Oncology and Hematology LLC
Anchorage, Alaska, 99508
Alaska Women's Cancer Care
Anchorage, Alaska, 99508
Anchorage Associates in Radiation Medicine
Anchorage, Alaska, 98508
Anchorage Oncology Centre
Anchorage, Alaska, 99508
Anchorage Radiation Therapy Center
Anchorage, Alaska, 99504
Katmai Oncology Group
Anchorage, Alaska, 99508
Providence Alaska Medical Center
Anchorage, Alaska, 99508
Fairbanks Memorial Hospital
Fairbanks, Alaska, 99701
Kingman Regional Medical Center
Kingman, Arizona, 86401
Cancer Center at Saint Joseph's
Phoenix, Arizona, 85004
Mercy Hospital Fort Smith
Fort Smith, Arkansas, 72903
CHI Saint Vincent Cancer Center Hot Springs
Hot Springs, Arkansas, 71913
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, 93420
PCR Oncology
Arroyo Grande, California, 93420
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank, California, 91505
Mercy Cancer Center - Carmichael
Carmichael, California, 95608
Mercy San Juan Medical Center
Carmichael, California, 95608
Mercy Cancer Center - Elk Grove
Elk Grove, California, 95758
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine, California, 92612
UC San Diego Moores Cancer Center
La Jolla, California, 92093
Contra Costa Regional Medical Center
Martinez, California, 94553-3156
Mercy Cancer Center
Merced, California, 95340
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Stanford Cancer Institute Palo Alto
Palo Alto, California, 94304
Mercy Cancer Center - Rocklin
Rocklin, California, 95765
Mercy Cancer Center - Sacramento
Sacramento, California, 95816
UC San Diego Medical Center - Hillcrest
San Diego, California, 92103
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, 93401
Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, 93444
Woodland Memorial Hospital
Woodland, California, 95695
Rocky Mountain Cancer Centers-Aurora
Aurora, Colorado, 80012
UCHealth University of Colorado Hospital
Aurora, Colorado, 80045
Rocky Mountain Cancer Centers-Boulder
Boulder, Colorado, 80304
Memorial Hospital North
Colorado Springs, Colorado, 80920
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Rocky Mountain Cancer Centers-Penrose
Colorado Springs, Colorado, 80907
Saint Francis Cancer Center
Colorado Springs, Colorado, 80923
UCHealth Memorial Hospital Central
Colorado Springs, Colorado, 80909
Porter Adventist Hospital
Denver, Colorado, 80210
Presbyterian - Saint Lukes Medical Center - Health One
Denver, Colorado, 80218
Mercy Medical Center
Durango, Colorado, 81301
Southwest Oncology PC
Durango, Colorado, 81301
Mountain Blue Cancer Care Center - Swedish
Englewood, Colorado, 80113
Swedish Medical Center
Englewood, Colorado, 80113
The Melanoma and Skin Cancer Institute
Englewood, Colorado, 80113
Cancer Care and Hematology-Fort Collins
Fort Collins, Colorado, 80528
Poudre Valley Hospital
Fort Collins, Colorado, 80524
UCHealth Greeley Hospital
Greeley, Colorado, 80631
Saint Anthony Hospital
Lakewood, Colorado, 80228
Littleton Adventist Hospital
Littleton, Colorado, 80122
Rocky Mountain Cancer Centers-Littleton
Littleton, Colorado, 80120
Longmont United Hospital
Longmont, Colorado, 80501
Rocky Mountain Cancer Centers-Longmont
Longmont, Colorado, 80501
Medical Center of the Rockies
Loveland, Colorado, 80538
Parker Adventist Hospital
Parker, Colorado, 80138
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Rocky Mountain Cancer Centers-Thornton
Thornton, Colorado, 80260
Smilow Cancer Hospital-Derby Care Center
Derby, Connecticut, 06418
Smilow Cancer Hospital Care Center-Fairfield
Fairfield, Connecticut, 06824
Smilow Cancer Hospital Care Center at Greenwich
Greenwich, Connecticut, 06830
Smilow Cancer Hospital Care Center - Guilford
Guilford, Connecticut, 06437
Smilow Cancer Center/Yale-New Haven Hospital
New Haven, Connecticut, 06510
Yale University
New Haven, Connecticut, 06520
Yale-New Haven Hospital North Haven Medical Center
North Haven, Connecticut, 06473
Smilow Cancer Hospital Care Center at Long Ridge
Stamford, Connecticut, 06902
Smilow Cancer Hospital Care Center-Trumbull
Trumbull, Connecticut, 06611
Smilow Cancer Hospital Care Center - Waterford
Waterford, Connecticut, 06385
Beebe Medical Center
Lewes, Delaware, 19958
Beebe South Coastal Health Campus
Millville, Delaware, 19967
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Delaware Clinical and Laboratory Physicians PA
Newark, Delaware, 19713
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Beebe Health Campus
Rehoboth Beach, Delaware, 19971
TidalHealth Nanticoke / Allen Cancer Center
Seaford, Delaware, 19973
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
UM Sylvester Comprehensive Cancer Center at Aventura
Aventura, Florida, 33180
UM Sylvester Comprehensive Cancer Center at Coral Gables
Coral Gables, Florida, 33146
UM Sylvester Comprehensive Cancer Center at Deerfield Beach
Deerfield Beach, Florida, 33442
Miami Cancer Institute
Miami, Florida, 33176
University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136
Health Central
Ocoee, Florida, 34761
Orlando Health Cancer Institute
Orlando, Florida, 32806
UM Sylvester Comprehensive Cancer Center at Plantation
Plantation, Florida, 33324
Tampa General Hospital
Tampa, Florida, 33606
Cleveland Clinic-Weston
Weston, Florida, 33331
Saint Alphonsus Cancer Care Center-Boise
Boise, Idaho, 83706
Saint Luke's Cancer Institute - Boise
Boise, Idaho, 83712
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell, Idaho, 83605
Kootenai Health - Coeur d'Alene
Coeur d'Alene, Idaho, 83814
Walter Knox Memorial Hospital
Emmett, Idaho, 83617
Saint Luke's Cancer Institute - Fruitland
Fruitland, Idaho, 83619
Idaho Urologic Institute-Meridian
Meridian, Idaho, 83642
Saint Luke's Cancer Institute - Meridian
Meridian, Idaho, 83642
Saint Alphonsus Cancer Care Center-Nampa
Nampa, Idaho, 83687
Saint Luke's Cancer Institute - Nampa
Nampa, Idaho, 83687
Kootenai Clinic Cancer Services - Post Falls
Post Falls, Idaho, 83854
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint, Idaho, 83864
Saint Luke's Cancer Institute - Twin Falls
Twin Falls, Idaho, 83301
Rush - Copley Medical Center
Aurora, Illinois, 60504
Advocate Good Shepherd Hospital
Barrington, Illinois, 60010
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704
Illinois CancerCare-Canton
Canton, Illinois, 61520
Memorial Hospital of Carbondale
Carbondale, Illinois, 62902
SIH Cancer Institute
Carterville, Illinois, 62918
Illinois CancerCare-Carthage
Carthage, Illinois, 62321
Centralia Oncology Clinic
Centralia, Illinois, 62801
Saint Mary's Hospital
Centralia, Illinois, 62801
Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
Northwestern University
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
University of Illinois
Chicago, Illinois, 60612
AMG Crystal Lake - Oncology
Crystal Lake, Illinois, 60014
Carle at The Riverfront
Danville, Illinois, 61832
Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, 62526
Decatur Memorial Hospital
Decatur, Illinois, 62526
Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois, 60115
Illinois CancerCare-Dixon
Dixon, Illinois, 61021
Advocate Good Samaritan Hospital
Downers Grove, Illinois, 60515
Carle Physician Group-Effingham
Effingham, Illinois, 62401
Crossroads Cancer Center
Effingham, Illinois, 62401
Advocate Sherman Hospital
Elgin, Illinois, 60123
Illinois CancerCare-Eureka
Eureka, Illinois, 61530
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
Western Illinois Cancer Treatment Center
Galesburg, Illinois, 61401
Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134
Advocate South Suburban Hospital
Hazel Crest, Illinois, 60429
Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045
AMG Libertyville - Oncology
Libertyville, Illinois, 60048
Condell Memorial Hospital
Libertyville, Illinois, 60048
Illinois CancerCare-Macomb
Macomb, Illinois, 61455
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
Loyola University Medical Center
Maywood, Illinois, 60153
Good Samaritan Regional Health Center
Mount Vernon, Illinois, 62864
Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269
HSHS Saint Elizabeth's Hospital
O'Fallon, Illinois, 62269
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453-2699
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Advocate High Tech Medical Park
Palos Heights, Illinois, 60463
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
Illinois CancerCare-Pekin
Pekin, Illinois, 61554
OSF Saint Francis Radiation Oncology at Pekin
Pekin, Illinois, 61554
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Methodist Medical Center of Illinois
Peoria, Illinois, 61636
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
Peoria, Illinois, 61615
Illinois CancerCare-Peru
Peru, Illinois, 61354
Valley Radiation Oncology
Peru, Illinois, 61354
Illinois CancerCare-Princeton
Princeton, Illinois, 61356
Southern Illinois University School of Medicine
Springfield, Illinois, 62702
Springfield Clinic
Springfield, Illinois, 62702
Springfield Memorial Hospital
Springfield, Illinois, 62781
Southwest Illinois Health Services LLP
Swansea, Illinois, 62226
Carle Cancer Center
Urbana, Illinois, 61801
The Carle Foundation Hospital
Urbana, Illinois, 61801
Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555
Illinois CancerCare - Washington
Washington, Illinois, 61571
Rush-Copley Healthcare Center
Yorkville, Illinois, 60560
Reid Health
Richmond, Indiana, 47374
Mary Greeley Medical Center
Ames, Iowa, 50010
McFarland Clinic - Ames
Ames, Iowa, 50010
Mission Cancer and Blood - Ankeny
Ankeny, Iowa, 50023
McFarland Clinic - Boone
Boone, Iowa, 50036
Saint Anthony Regional Hospital
Carroll, Iowa, 51401
Physicians' Clinic of Iowa PC
Cedar Rapids, Iowa, 52402
Saint Luke's Hospital
Cedar Rapids, Iowa, 52402
Mercy Cancer Center-West Lakes
Clive, Iowa, 50325
Mission Cancer and Blood - West Des Moines
Clive, Iowa, 50325
Alegent Health Mercy Hospital
Council Bluffs, Iowa, 51503
Heartland Oncology and Hematology LLP
Council Bluffs, Iowa, 51503
Methodist Jennie Edmundson Hospital
Council Bluffs, Iowa, 51503
Greater Regional Medical Center
Creston, Iowa, 50801
Broadlawns Medical Center
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Mission Cancer and Blood - Des Moines
Des Moines, Iowa, 50309
Mission Cancer and Blood - Laurel
Des Moines, Iowa, 50314
McFarland Clinic - Trinity Cancer Center
Fort Dodge, Iowa, 50501
Trinity Regional Medical Center
Fort Dodge, Iowa, 50501
McFarland Clinic - Jefferson
Jefferson, Iowa, 50129
McFarland Clinic - Marshalltown
Marshalltown, Iowa, 50158
Mercy Medical Center-West Lakes
West Des Moines, Iowa, 50266
Methodist West Hospital
West Des Moines, Iowa, 50266-7700
University of Kansas Clinical Research Center
Fairway, Kansas, 66205
Central Care Cancer Center - Garden City
Garden City, Kansas, 67846
Central Care Cancer Center - Great Bend
Great Bend, Kansas, 67530
University of Kansas Cancer Center
Kansas City, Kansas, 66160
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
The University of Kansas Cancer Center - Olathe
Olathe, Kansas, 66061
University of Kansas Cancer Center-Overland Park
Overland Park, Kansas, 66210
Ascension Via Christi - Pittsburg
Pittsburg, Kansas, 66762
Salina Regional Health Center
Salina, Kansas, 67401
University of Kansas Health System Saint Francis Campus
Topeka, Kansas, 66606
University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205
Flaget Memorial Hospital
Bardstown, Kentucky, 40004
Commonwealth Cancer Center-Corbin
Corbin, Kentucky, 40701
Saint Joseph Hospital
Lexington, Kentucky, 40504
Saint Joseph Hospital East
Lexington, Kentucky, 40509
Saint Joseph Radiation Oncology Resource Center
Lexington, Kentucky, 40504
Saint Joseph London
London, Kentucky, 40741
Jewish Hospital
Louisville, Kentucky, 40202
Norton Audubon Hospital and Medical Campus
Louisville, Kentucky, 40217
Norton Brownsboro Hospital and Medical Campus
Louisville, Kentucky, 40241
Norton Hospital Pavilion and Medical Campus
Louisville, Kentucky, 40202
Saints Mary and Elizabeth Hospital
Louisville, Kentucky, 40215
UofL Health Medical Center Northeast
Louisville, Kentucky, 40245
Jewish Hospital Medical Center South
Shepherdsville, Kentucky, 40165
Ochsner Medical Center Jefferson
New Orleans, Louisiana, 70121
MaineHealth Coastal Cancer Treatment Center
Bath, Maine, 04530
MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford
Biddeford, Maine, 04005
LincolnHealth - Miles Campus and Hospital
Damariscotta, Maine, 04543
Maine Medical Center-Bramhall Campus
Portland, Maine, 04102
Penobscot Bay Medical Center
Rockport, Maine, 04856
MaineHealth Cancer Care Center of York County
Sanford, Maine, 04073
MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford
Sanford, Maine, 04073
Maine Medical Center- Scarborough Campus
Scarborough, Maine, 04074
Maine Medical Partners - South Portland
South Portland, Maine, 04106
Luminis Health Anne Arundel Medical Center
Annapolis, Maryland, 21401
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Boston Medical Center
Boston, Massachusetts, 02118
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109
Bronson Battle Creek
Battle Creek, Michigan, 49017
McLaren Cancer Institute-Bay City
Bay City, Michigan, 48706
University of Michigan - Brighton Center for Specialty Care
Brighton, Michigan, 48116
Henry Ford Cancer Institute-Downriver
Brownstown, Michigan, 48183
McLaren Cancer Institute-Clarkston
Clarkston, Michigan, 48346
Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan, 48038
Corewell Health Dearborn Hospital
Dearborn, Michigan, 48124
Henry Ford Medical Center-Fairlane
Dearborn, Michigan, 48126
Henry Ford Hospital
Detroit, Michigan, 48202
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Corewell Health Farmington Hills Hospital
Farmington Hills, Michigan, 48336
Weisberg Cancer Treatment Center
Farmington Hills, Michigan, 48334
McLaren Cancer Institute-Flint
Flint, Michigan, 48532
Singh and Arora Hematology Oncology PC
Flint, Michigan, 48532
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, Michigan, 49503
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan, 49503
Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan, 49503
Allegiance Health
Jackson, Michigan, 49201
Ascension Borgess Hospital
Kalamazoo, Michigan, 49048
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing, Michigan, 48910
Mid-Michigan Physicians-Lansing
Lansing, Michigan, 48912
McLaren Cancer Institute-Lapeer Region
Lapeer, Michigan, 48446
McLaren Cancer Institute-Macomb
Mount Clemens, Michigan, 48043
Trinity Health Muskegon Hospital
Muskegon, Michigan, 49444
Corewell Health Lakeland Hospitals - Niles Hospital
Niles, Michigan, 49120
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores, Michigan, 49444
Henry Ford Health Providence Novi Hospital
Novi, Michigan, 48374
Henry Ford Medical Center-Columbus
Novi, Michigan, 48377
McLaren Cancer Institute-Northern Michigan
Petoskey, Michigan, 49770
McLaren-Port Huron
Port Huron, Michigan, 48060
Corewell Health Reed City Hospital
Reed City, Michigan, 49677
Corewell Health William Beaumont University Hospital
Royal Oak, Michigan, 48073
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph, Michigan, 49085
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph, Michigan, 49085
Henry Ford Macomb Health Center - Shelby Township
Shelby, Michigan, 48315
Henry Ford Health Providence Southfield Hospital
Southfield, Michigan, 48075
Munson Medical Center
Traverse City, Michigan, 49684
Corewell Health Beaumont Troy Hospital
Troy, Michigan, 48085
Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322
University of Michigan Health - West
Wyoming, Michigan, 49519
Riverwood Healthcare Center
Aitkin, Minnesota, 56431
Sanford Joe Lueken Cancer Center
Bemidji, Minnesota, 56601
Essentia Health Saint Joseph's Medical Center
Brainerd, Minnesota, 56401
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Minnesota Oncology - Burnsville
Burnsville, Minnesota, 55337
Cambridge Medical Center
Cambridge, Minnesota, 55008
Mercy Hospital
Coon Rapids, Minnesota, 55433
Essentia Health - Deer River Clinic
Deer River, Minnesota, 56636
Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes, Minnesota, 56501
Essentia Health Cancer Center
Duluth, Minnesota, 55805
Essentia Health Saint Mary's Medical Center
Duluth, Minnesota, 55805
Miller-Dwan Hospital
Duluth, Minnesota, 55805
Fairview Southdale Hospital
Edina, Minnesota, 55435
Lake Region Healthcare Corporation-Cancer Care
Fergus Falls, Minnesota, 56537
Essentia Health - Fosston
Fosston, Minnesota, 56542
Unity Hospital
Fridley, Minnesota, 55432
Essentia Health Hibbing Clinic
Hibbing, Minnesota, 55746
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, Minnesota, 55369
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Health Partners Inc
Minneapolis, Minnesota, 55454
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Monticello Cancer Center
Monticello, Minnesota, 55362
New Ulm Medical Center
New Ulm, Minnesota, 56073
Essentia Health - Park Rapids
Park Rapids, Minnesota, 56470
Fairview Northland Medical Center
Princeton, Minnesota, 55371
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Essentia Health Sandstone
Sandstone, Minnesota, 55072
Saint Francis Regional Medical Center
Shakopee, Minnesota, 55379
Lakeview Hospital
Stillwater, Minnesota, 55082
Sanford Thief River Falls Medical Center
Thief River Falls, Minnesota, 56701
Essentia Health Virginia Clinic
Virginia, Minnesota, 55792
Ridgeview Medical Center
Waconia, Minnesota, 55387
Rice Memorial Hospital
Willmar, Minnesota, 56201
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Sanford Cancer Center Worthington
Worthington, Minnesota, 56187
Fairview Lakes Medical Center
Wyoming, Minnesota, 55092
Saint Louis Cancer and Breast Institute-Ballwin
Ballwin, Missouri, 63011
Central Care Cancer Center - Bolivar
Bolivar, Missouri, 65613
Parkland Health Center-Bonne Terre
Bonne Terre, Missouri, 63628
Cox Cancer Center Branson
Branson, Missouri, 65616
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Southeast Cancer Center
Cape Girardeau, Missouri, 63703
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376
Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141
Parkland Health Center - Farmington
Farmington, Missouri, 63640
MU Health Care Goldschmidt Cancer Center
Jefferson City, Missouri, 65109
Freeman Health System
Joplin, Missouri, 64804
Mercy Hospital Joplin
Joplin, Missouri, 64804
University of Kansas Cancer Center - North
Kansas City, Missouri, 64154
University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City, Missouri, 64116
Delbert Day Cancer Institute at PCRMC
Rolla, Missouri, 65401
Mercy Clinic-Rolla-Cancer and Hematology
Rolla, Missouri, 65401
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
Sainte Genevieve County Memorial Hospital
Sainte Genevieve, Missouri, 63670
CoxHealth South Hospital
Springfield, Missouri, 65807
Mercy Hospital Springfield
Springfield, Missouri, 65804
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Mercy Hospital South
St Louis, Missouri, 63128
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Saint Louis Cancer and Breast Institute-South City
St Louis, Missouri, 63109
Siteman Cancer Center at Christian Hospital
St Louis, Missouri, 63136
Siteman Cancer Center-South County
St Louis, Missouri, 63129
Washington University School of Medicine
St Louis, Missouri, 63110
Missouri Baptist Sullivan Hospital
Sullivan, Missouri, 63080
BJC Outpatient Center at Sunset Hills
Sunset Hills, Missouri, 63127
Mercy Hospital Washington
Washington, Missouri, 63090
Community Hospital of Anaconda
Anaconda, Montana, 59711
Billings Clinic Cancer Center
Billings, Montana, 59101
Bozeman Health Deaconess Hospital
Bozeman, Montana, 59715
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
Logan Health Medical Center
Kalispell, Montana, 59901
Community Medical Center
Missoula, Montana, 59804
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Nebraska Cancer Specialists/Oncology Hematology West PC
Grand Island, Nebraska, 68803
CHI Health Good Samaritan
Kearney, Nebraska, 68847
Saint Elizabeth Regional Medical Center
Lincoln, Nebraska, 68510
Alegent Health Bergan Mercy Medical Center
Omaha, Nebraska, 68124
Alegent Health Immanuel Medical Center
Omaha, Nebraska, 68122
Alegent Health Lakeside Hospital
Omaha, Nebraska, 68130
Creighton University Medical Center
Omaha, Nebraska, 68131
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska, 68114
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Oncology Associates PC
Omaha, Nebraska, 68114
Midlands Community Hospital
Papillion, Nebraska, 68046
Carson Tahoe Regional Medical Center
Carson City, Nevada, 89703
Cancer and Blood Specialists-Henderson
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada - Henderson
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada-Southeast Henderson
Henderson, Nevada, 89074
GenesisCare USA - Henderson
Henderson, Nevada, 89074
Las Vegas Cancer Center-Henderson
Henderson, Nevada, 89052
Las Vegas Urology - Green Valley
Henderson, Nevada, 89074
Las Vegas Urology - Pebble
Henderson, Nevada, 89074
OptumCare Cancer Care at Seven Hills
Henderson, Nevada, 89052
Urology Specialists of Nevada - Green Valley
Henderson, Nevada, 89074
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas, Nevada, 89135
Ann M Wierman MD LTD
Las Vegas, Nevada, 89128
Cancer and Blood Specialists-Shadow
Las Vegas, Nevada, 89106
Cancer and Blood Specialists-Tenaya
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas, Nevada, 89169
Comprehensive Cancer Centers of Nevada - Northwest
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada - Town Center
Las Vegas, Nevada, 89144
Comprehensive Cancer Centers of Nevada-Summerlin
Las Vegas, Nevada, 89144
Desert West Surgery
Las Vegas, Nevada, 89102
GenesisCare USA - Fort Apache
Las Vegas, Nevada, 89148
GenesisCare USA - Las Vegas
Las Vegas, Nevada, 89109
GenesisCare USA - Vegas Tenaya
Las Vegas, Nevada, 89128
HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
Las Vegas, Nevada, 89149
HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
Las Vegas, Nevada, 89109
HealthCare Partners Medical Group Oncology/Hematology-San Martin
Las Vegas, Nevada, 89113
HealthCare Partners Medical Group Oncology/Hematology-Tenaya
Las Vegas, Nevada, 89128
Hope Cancer Care of Nevada
Las Vegas, Nevada, 89103
Las Vegas Cancer Center-Medical Center
Las Vegas, Nevada, 89148-2405
Las Vegas Prostate Cancer Center
Las Vegas, Nevada, 89113
Las Vegas Urology - Cathedral Rock
Las Vegas, Nevada, 89128
Las Vegas Urology - Pecos
Las Vegas, Nevada, 89074
Las Vegas Urology - Smoke Ranch
Las Vegas, Nevada, 89128
Las Vegas Urology - Sunset
Las Vegas, Nevada, 89113
OptumCare Cancer Care at Charleston
Las Vegas, Nevada, 89102
OptumCare Cancer Care at Fort Apache
Las Vegas, Nevada, 89148
OptumCare Cancer Care at MountainView
Las Vegas, Nevada, 89128
Radiation Oncology Centers of Nevada Central
Las Vegas, Nevada, 89106
Radiation Oncology Centers of Nevada Southeast
Las Vegas, Nevada, 89119
Summerlin Hospital Medical Center
Las Vegas, Nevada, 89144
Sunrise Hospital and Medical Center
Las Vegas, Nevada, 89109
University Cancer Center
Las Vegas, Nevada, 89169
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
Urology Specialists of Nevada - Central
Las Vegas, Nevada, 89106
Urology Specialists of Nevada - Northwest
Las Vegas, Nevada, 89128
Urology Specialists of Nevada - Southwest
Las Vegas, Nevada, 89113
Hope Cancer Care of Nevada-Pahrump
Pahrump, Nevada, 89048
Radiation Oncology Associates
Reno, Nevada, 89509
Renown Regional Medical Center
Reno, Nevada, 89502
Saint Mary's Regional Medical Center
Reno, Nevada, 89503
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon, New Hampshire, 03756
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey, 07920
Cooper Hospital University Medical Center
Camden, New Jersey, 08103
Monmouth Medical Center
Long Branch, New Jersey, 07740
Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748
Memorial Sloan Kettering Bergen
Montvale, New Jersey, 07645
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Rutgers New Jersey Medical School
Newark, New Jersey, 07101
Community Medical Center
Toms River, New Jersey, 08755
MD Anderson Cancer Center at Cooper-Voorhees
Voorhees Township, New Jersey, 08043
Lovelace Medical Center-Saint Joseph Square
Albuquerque, New Mexico, 87102
Lovelace Radiation Oncology
Albuquerque, New Mexico, 87109
Lovelace Women's Hospital
Albuquerque, New Mexico, 87109
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
Sands Cancer Center
Canandiaqua, New York, 14424
Memorial Sloan Kettering Commack
Commack, New York, 11725
Mary Imogene Bassett Hospital
Cooperstown, New York, 13326
Noyes Memorial Hospital/Myers Cancer Center
Dansville, New York, 14437
Memorial Sloan Kettering Westchester
East White Plains, New York, 10604
Northwell Health/Center for Advanced Medicine
Lake Success, New York, 11042
Northern Westchester Hospital
Mount Kisco, New York, 10549
Lenox Hill Hospital
New York, New York, 10075
Manhattan Eye Ear and Throat Hospital
New York, New York, 10065
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Mount Sinai Chelsea
New York, New York, 10011
Mount Sinai Hospital
New York, New York, 10029
Mount Sinai Union Square
New York, New York, 10003
Mount Sinai West
New York, New York, 10019
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Highland Hospital
Rochester, New York, 14620
University of Rochester
Rochester, New York, 14642
Wilmot Cancer Institute Radiation Oncology at Greece
Rochester, New York, 14606
Phelps Memorial Hospital Center
Sleepy Hollow, New York, 10591
Montefiore Medical Center - Moses Campus
The Bronx, New York, 10467
Montefiore Medical Center-Einstein Campus
The Bronx, New York, 10461
Montefiore Medical Center-Weiler Hospital
The Bronx, New York, 10461
Memorial Sloan Kettering Nassau
Uniondale, New York, 11553
Wilmot Cancer Institute at Webster
Webster, New York, 14580
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst, North Carolina, 28374
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Essentia Health Cancer Center-South University Clinic
Fargo, North Dakota, 58103
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Sanford Medical Center Fargo
Fargo, North Dakota, 58104
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Sanford South University Medical Center
Fargo, North Dakota, 58103
Southpointe-Sanford Medical Center Fargo
Fargo, North Dakota, 58103
Essentia Health - Jamestown Clinic
Jamestown, North Dakota, 58401
UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio, 44011
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122
Indu and Raj Soin Medical Center
Beavercreek, Ohio, 45431
Saint Elizabeth Boardman Hospital
Boardman, Ohio, 44512
Dayton Physicians LLC-Miami Valley South
Centerville, Ohio, 45459
Miami Valley Hospital South
Centerville, Ohio, 45459
Geauga Hospital
Chardon, Ohio, 44024
Bethesda North Hospital
Cincinnati, Ohio, 45242
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Oncology Hematology Care Inc-Kenwood
Cincinnati, Ohio, 45236
TriHealth Cancer Institute-Anderson
Cincinnati, Ohio, 45255
TriHealth Cancer Institute-Westside
Cincinnati, Ohio, 45247
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219
Case Western Reserve University
Cleveland, Ohio, 44106
Cleveland Clinic Cancer Center/Fairview Hospital
Cleveland, Ohio, 44111
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
MetroHealth Medical Center
Cleveland, Ohio, 44109
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Dayton Physician LLC - Englewood
Dayton, Ohio, 45415
Miami Valley Hospital
Dayton, Ohio, 45409
Miami Valley Hospital North
Dayton, Ohio, 45415
Premier Blood and Cancer Center
Dayton, Ohio, 45409
Mercy Cancer Center-Elyria
Elyria, Ohio, 44035
Armes Family Cancer Center
Findlay, Ohio, 45840
Blanchard Valley Hospital
Findlay, Ohio, 45840
Orion Cancer Care
Findlay, Ohio, 45840
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Dayton Physicians LLC-Atrium
Franklin, Ohio, 45005
Dayton Physicians LLC-Wayne
Greenville, Ohio, 45331
Miami Valley Cancer Care and Infusion
Greenville, Ohio, 45331
Wayne Hospital
Greenville, Ohio, 45331
Cleveland Clinic Cancer Center Independence
Independence, Ohio, 44131
First Dayton Cancer Care
Kettering, Ohio, 45420
Greater Dayton Cancer Center
Kettering, Ohio, 45409
Kettering Medical Center
Kettering, Ohio, 45429
Hillcrest Hospital Cancer Center
Mayfield Heights, Ohio, 44124
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060
UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights, Ohio, 44130
University Hospitals Parma Medical Center
Parma, Ohio, 44129
University Hospitals Portage Medical Center
Ravenna, Ohio, 44266
UH Seidman Cancer Center at Firelands Regional Medical Center
Sandusky, Ohio, 44870
Springfield Regional Cancer Center
Springfield, Ohio, 45504
Springfield Regional Medical Center
Springfield, Ohio, 45504
Cleveland Clinic Cancer Center Strongsville
Strongsville, Ohio, 44136
Dayton Physicians LLC - Troy
Troy, Ohio, 45373
Upper Valley Medical Center
Troy, Ohio, 45373
Saint Joseph Warren Hospital
Warren, Ohio, 44484
University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069
UH Seidman Cancer Center at Saint John Medical Center
Westlake, Ohio, 44145
UHHS-Westlake Medical Center
Westlake, Ohio, 44145
Saint Elizabeth Youngstown Hospital
Youngstown, Ohio, 44501
Cancer Centers of Southwest Oklahoma Research
Lawton, Oklahoma, 73505
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Saint Alphonsus Cancer Care Center-Baker City
Baker City, Oregon, 97814
Saint Charles Health System
Bend, Oregon, 97701
Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Bay Area Hospital
Coos Bay, Oregon, 97420
Providence Newberg Medical Center
Newberg, Oregon, 97132
Saint Alphonsus Cancer Care Center-Ontario
Ontario, Oregon, 97914
Providence Willamette Falls Medical Center
Oregon City, Oregon, 97045
Oregon Health and Science University
Portland, Oregon, 97239
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Saint Charles Health System-Redmond
Redmond, Oregon, 97756
UPMC Altoona
Altoona, Pennsylvania, 16601
UPMC-Heritage Valley Health System Beaver
Beaver, Pennsylvania, 15009
Carlisle Regional Cancer Center
Carlisle, Pennsylvania, 17015
Christiana Care Health System-Concord Health Center
Chadds Ford, Pennsylvania, 19317
Geisinger Medical Center
Danville, Pennsylvania, 17822
UPMC Hillman Cancer Center Erie
Erie, Pennsylvania, 16505
UPMC Cancer Center at UPMC Horizon
Farrell, Pennsylvania, 16121
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg, Pennsylvania, 15601
UPMC Pinnacle Cancer Center/Community Osteopathic Campus
Harrisburg, Pennsylvania, 17109
UPMC-Johnstown/John P. Murtha Regional Cancer Center
Johnstown, Pennsylvania, 15901
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, 17837
Lewistown Hospital
Lewistown, Pennsylvania, 17044
UPMC Cancer Center at UPMC McKeesport
McKeesport, Pennsylvania, 15132
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
Mechanicsburg, Pennsylvania, 17050
UPMC Cancer Center - Monroeville
Monroeville, Pennsylvania, 15146
UPMC Hillman Cancer Center in Coraopolis
Moon Township, Pennsylvania, 15108
UPMC Hillman Cancer Center - New Castle
New Castle, Pennsylvania, 16105
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
UPMC-Magee Womens Hospital
Pittsburgh, Pennsylvania, 15213
UPMC-Passavant Hospital
Pittsburgh, Pennsylvania, 15237
UPMC-Saint Clair Hospital Cancer Center
Pittsburgh, Pennsylvania, 15243
UPMC-Saint Margaret
Pittsburgh, Pennsylvania, 15215
UPMC-Shadyside Hospital
Pittsburgh, Pennsylvania, 15232
Geisinger Cancer Services-Pottsville
Pottsville, Pennsylvania, 17901
UPMC Cancer Center at UPMC Northwest
Seneca, Pennsylvania, 16346
UPMC Uniontown Hospital Radiation Oncology
Uniontown, Pennsylvania, 15401
UPMC Washington Hospital Radiation Oncology
Washington, Pennsylvania, 15301
Reading Hospital
West Reading, Pennsylvania, 19611
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Divine Providence Hospital
Williamsport, Pennsylvania, 17754
UPMC Susquehanna
Williamsport, Pennsylvania, 17701
UPMC Memorial
York, Pennsylvania, 17408
Smilow Cancer Hospital Care Center - Westerly
Westerly, Rhode Island, 02891
AnMed Health Cancer Center
Anderson, South Carolina, 29621
Gibbs Cancer Center-Gaffney
Gaffney, South Carolina, 29341
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, 29605
Saint Francis Cancer Center
Greenville, South Carolina, 29607
Saint Francis Hospital
Greenville, South Carolina, 29601
Gibbs Cancer Center-Pelham
Greer, South Carolina, 29651
Prisma Health Cancer Institute - Greer
Greer, South Carolina, 29650
Prisma Health Cancer Institute - Seneca
Seneca, South Carolina, 29672
Spartanburg Medical Center
Spartanburg, South Carolina, 29303
MGC Hematology Oncology-Union
Union, South Carolina, 29379
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57104
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37232
Saint Joseph Regional Cancer Center
Bryan, Texas, 77802
MD Anderson in The Woodlands
Conroe, Texas, 77384
Parkland Memorial Hospital
Dallas, Texas, 75235
UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390
UT Southwestern/Simmons Cancer Center-Fort Worth
Fort Worth, Texas, 76104
M D Anderson Cancer Center
Houston, Texas, 77030
MD Anderson West Houston
Houston, Texas, 77079
MD Anderson League City
League City, Texas, 77573
UT Southwestern Clinical Center at Richardson/Plano
Richardson, Texas, 75080
MD Anderson in Sugar Land
Sugar Land, Texas, 77478
Farmington Health Center
Farmington, Utah, 84025
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
University of Utah Sugarhouse Health Center
Salt Lake City, Utah, 84106
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners, Vermont, 05602
University of Vermont and State Agricultural College
Burlington, Vermont, 05405
University of Vermont Medical Center
Burlington, Vermont, 05401
Dartmouth Cancer Center - North
Saint Johnsbury, Vermont, 05819
Providence Regional Cancer System-Aberdeen
Aberdeen, Washington, 98520
Overlake Medical Center
Bellevue, Washington, 98004
PeaceHealth Saint Joseph Medical Center
Bellingham, Washington, 98225
Harrison HealthPartners Hematology and Oncology-Bremerton
Bremerton, Washington, 98310
Highline Medical Center-Main Campus
Burien, Washington, 98166
Providence Regional Cancer System-Centralia
Centralia, Washington, 98531
Swedish Cancer Institute-Edmonds
Edmonds, Washington, 98026
Saint Elizabeth Hospital
Enumclaw, Washington, 98022
Providence Regional Cancer Partnership
Everett, Washington, 98201
Saint Francis Hospital
Federal Way, Washington, 98003
Swedish Cancer Institute-Issaquah
Issaquah, Washington, 98029
Kadlec Clinic Hematology and Oncology
Kennewick, Washington, 99336
Providence Regional Cancer System-Lacey
Lacey, Washington, 98503
Saint Clare Hospital
Lakewood, Washington, 98499
PeaceHealth Saint John Medical Center
Longview, Washington, 98632
Skagit Regional Health Cancer Care Center
Mount Vernon, Washington, 98274
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo, Washington, 98370
Valley Medical Center
Renton, Washington, 98055
Pacific Gynecology Specialists
Seattle, Washington, 98104
Swedish Medical Center-Ballard Campus
Seattle, Washington, 98107
Swedish Medical Center-Cherry Hill
Seattle, Washington, 98122-5711
Swedish Medical Center-First Hill
Seattle, Washington, 98122
PeaceHealth United General Medical Center
Sedro-Woolley, Washington, 98284
Providence Regional Cancer System-Shelton
Shelton, Washington, 98584
Saint Michael Cancer Center
Silverdale, Washington, 98383
Franciscan Research Center-Northwest Medical Plaza
Tacoma, Washington, 98405
Northwest Medical Specialties PLLC
Tacoma, Washington, 98405
PeaceHealth Southwest Medical Center
Vancouver, Washington, 98664
Providence Saint Mary Regional Cancer Center
Walla Walla, Washington, 99362
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
Yakima, Washington, 98902
Providence Regional Cancer System-Yelm
Yelm, Washington, 98597
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Duluth Clinic Ashland
Ashland, Wisconsin, 54806
Northwest Wisconsin Cancer Center
Ashland, Wisconsin, 54806
Aurora Cancer Care-Southern Lakes VLCC
Burlington, Wisconsin, 53105
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Aurora Health Care Germantown Health Center
Germantown, Wisconsin, 53022
Aurora Cancer Care-Grafton
Grafton, Wisconsin, 53024
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
Essentia Health-Hayward Clinic
Hayward, Wisconsin, 54843
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek, Wisconsin, 53038
Aurora Cancer Care-Kenosha South
Kenosha, Wisconsin, 53142
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601
University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin, 53792
Aurora Bay Area Medical Group-Marinette
Marinette, Wisconsin, 54143
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Aurora Cancer Care-Milwaukee
Milwaukee, Wisconsin, 53209
Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215
Aurora Sinai Medical Center
Milwaukee, Wisconsin, 53233
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149
Cancer Center of Western Wisconsin
New Richmond, Wisconsin, 54017
ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh, Wisconsin, 54904
Aurora Cancer Care-Racine
Racine, Wisconsin, 53406
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan, Wisconsin, 53081
Essentia Health-Spooner Clinic
Spooner, Wisconsin, 54801
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
Aurora Medical Center in Summit
Summit, Wisconsin, 53066
Essentia Health Saint Mary's Hospital - Superior
Superior, Wisconsin, 54880
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers, Wisconsin, 54241
ProHealth Waukesha Memorial Hospital
Waukesha, Wisconsin, 53188
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188
Aurora Cancer Care-Milwaukee West
Wauwatosa, Wisconsin, 53226
Aurora West Allis Medical Center
West Allis, Wisconsin, 53227
Diagnostic and Treatment Center
Weston, Wisconsin, 54476
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
Billings Clinic-Cody
Cody, Wyoming, 82414
Welch Cancer Center
Sheridan, Wyoming, 82801

Fuente Oficial

Ver en ClinicalTrials.gov