Comparison of Combination Chemotherapy Regimens With or Without Cetuximab in Treating Patients Who Have Undergone Surgery For Stage III Colon Cancer

April 28, 2020 updated by: National Cancer Institute (NCI)

A Randomized Phase III Trial of Oxaliplatin (OXAL) Plus 5-Fluorouracil (5-FU)/Leucovorin (CF) With or Without Cetuximab (C225) After Curative Resection for Patients With Stage III Colon Cancer

This randomized phase III trial was originally designed to compare three different combination chemotherapy regimens to see how well they work. As of September 1, 2004, the study was expanded to a total of 6 arms (the original 3 arms (A, B, C) and 3 additional arms which were the same as the first 3 but with cetuximab) in treating patients who have undergone surgery for stage III colon cancer. Drugs used in chemotherapy, such as irinotecan hydrochloride, fluorouracil, leucovorin calcium, and oxaliplatin, work in different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as cetuximab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Combining more than one chemotherapy drug with monoclonal antibody therapy and giving them after surgery may kill any remaining tumor cells. It was not known at the time this study was developed which combination chemotherapy regimen is more effective after surgery in treating colon cancer. This study had several key changes, based on the results of other phase III trials. As of 6/1/2005, patients no longer received irinotecan on this study and treatment arms B, C, E, and F were discontinued. Patients on arms B and C crossed to arm A. Patients on arms E and F crossed to arm D. Patients on arms C and F who had not gotten to irinotecan continued on arms A and D, respectively. As of 8/18/2008, pre-screening for Kirsten rat sarcoma (KRAS) status was added with mutant KRAS (or KRAS not evaluable) patients put on arm G and wild-type KRAS patients randomized between arm A and arm D. Patients on arm G were treated per physician discretion and followed for disease and survival status. KRAS was determined in a central laboratory and was process for all patients on this study. The primary endpoint of this study was modified on 8/18/2008 to focus on patients having wild-type KRAS tumors. All modifications were approved by the Central Institution Review Board, local Institutional Review Boards, NCI, and the NCCTG Data Safety Monitoring Board.

Study Overview

Detailed Description

PRIMARY OBJECTIVES:

I. Disease-free Survival (Arms A and D: Wild-type KRAS Patients)

SECONDARY OBJECTIVES:

I. Disease-free Survival (Arms A and D: Mutant KRAS Patients) II. Disease-free Survival III. Overall Survival IV. Toxicity

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to positive lymph node involvement (1-3 vs 4 or more), histology (high [poorly differentiated or undifferentiated] vs low [well to moderately differentiated]), and clinical T stage (T1 or T2 vs T3 vs T4). Patients are randomized to 1 of 6 treatment arms (as of 6/1/2005, patients are randomized to treatment arms I and IV only; arms II, III, V, and VI are closed to accrual). As of 8/18/2008, pre-screening for KRAS status was added with mutant KRAS (or KRAS not evaluable) patients put on arm G and wild-type KRAS patients randomized between arm A and arm D.

ARM A: Patients receive oxaliplatin intravenously (IV) over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46-48 hours on days 1. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM B (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm I for remainder of therapy): Patients receive irinotecan hydrochloride IV over 2 hours on day 1 and leucovorin calcium and fluorouracil as in arm A. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM C (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm I for remainder of therapy): Patients receive the same treatment as in arm A for 6 courses followed by the same treatment as in arm B for 6 courses (total of 12 courses). Treatment continues in the absence of unacceptable toxicity or recurrent disease.

ARM D: Patients receive cetuximab* IV over 1 hour on days 1 and 8 and oxaliplatin, leucovorin calcium, and fluorouracil as in arm A. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM E (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm D for remainder of therapy): Patients receive cetuximab* as in arm D and irinotecan hydrochloride, leucovorin calcium, and fluorouracil as in arm B. Treatment repeats every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.

ARM F (closed to accrual as of 6/1/2005--currently enrolled patients may cross over to arm D for remainder of therapy): Patients receive cetuximab* as in arm D and chemotherapy as in arm C.

ARM G (added as of 8/18/2008, mutant KRAS (or KRAS not evaluable) patients): Locally directed therapy.

NOTE: *Cetuximab is administered over 2 hours at a higher dose on day 1 of course 1 only.

Quality of life (QOL) is assessed at baseline, 3 months, and at the end of therapy. As of 8/18/2008, QOL was discontinued.

Patients are followed for a maximum of 8 years from randomization.

Study Type

Interventional

Enrollment (Actual)

3397

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Alberta
      • Calgary, Alberta, Canada, T2N 4N2
        • Tom Baker Cancer Centre
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Cross Cancer Institute
    • British Columbia
      • North Vancouver, British Columbia, Canada, V7L 2L7
        • Lions Gate Hospital
      • Surrey, British Columbia, Canada, V3V 1Z2
        • BCCA-Fraser Valley Cancer Centre
      • Vancouver, British Columbia, Canada, V5Z 4E6
        • BCCA-Vancouver Cancer Centre
    • Manitoba
      • Winnipeg, Manitoba, Canada, R3E 0V9
        • CancerCare Manitoba
    • New Brunswick
      • Moncton, New Brunswick, Canada, E1C 6Z8
        • The Moncton Hospital
      • Saint John, New Brunswick, Canada, E2L 4L2
        • Atlantic Health Sciences Corporation-Saint John Regional Hospital
    • Ontario
      • Barrie, Ontario, Canada, L4M 6M2
        • The Royal Victoria Hospital
      • Cambridge, Ontario, Canada, N1R 3G2
        • Cambridge Memorial Hospital
      • Hamilton, Ontario, Canada, L8V 5C2
        • Juravinski Cancer Centre at Hamilton Health Sciences
      • Kingston, Ontario, Canada, K7L 5P9
        • Cancer Centre of Southeastern Ontario at Kingston General Hospital
      • Kitchener, Ontario, Canada, N2G 1G3
        • Grand River Regional Cancer Centre at Grand River Hospital
      • London, Ontario, Canada, N6A 4L6
        • London Regional Cancer Program
      • Mississauga, Ontario, Canada, L5M 2N1
        • Credit Valley Hospital
      • Ottawa, Ontario, Canada, K1H 1C4
        • Ottawa Health Research Institute-General Division
      • Sault Ste Marie, Ontario, Canada, P6A 3C4
        • Algoma District Cancer Program Sault Area Hospital
      • St. Catharines, Ontario, Canada, L2R 2Z7
        • Niagara Health System-Saint Catharines General
      • Sudbury, Ontario, Canada, P3E 5J1
        • Regional Cancer Program of The Hopital Regional de Sudbury Regional Hopital
      • Thunder Bay, Ontario, Canada, P7B 6V4
        • Thunder Bay Regional Health Science Centre
      • Toronto, Ontario, Canada, M4C 3E7
        • Toronto East General Hospital
      • Toronto, Ontario, Canada, M5G 2M9
        • University Health Network-Princess Margaret Hospital
      • Toronto, Ontario, Canada, M5G 1X5
        • Mount Sinai Hospital
      • Toronto, Ontario, Canada, M4N 3M5
        • Odette Cancer Centre- Sunnybrook Health Sciences Centre
      • Toronto, Ontario, Canada, M5B 1W8
        • Saint Michael's Hospital
      • Toronto, Ontario, Canada, M9C 1A5
        • Trillium Health Centre-West Toronto
      • Windsor, Ontario, Canada, N8W 2X3
        • Windsor Regional Cancer Centre
    • Prince Edward Island
      • Charlottetown, Prince Edward Island, Canada, C1A 8T5
        • PEI Cancer Treatment Centre-Queen Elizabeth Hospital
    • Quebec
      • Montreal, Quebec, Canada, H2W 1S6
        • McGill University Department of Oncology
    • Saskatchewan
      • Regina, Saskatchewan, Canada, S4T 7T1
        • Allan Blair Cancer Centre
      • Saskatoon, Saskatchewan, Canada, S7N 4H4
        • Saskatoon Cancer Centre
      • Ponce, Puerto Rico, 00733
        • Andres Grillasca Hospital
      • San Juan, Puerto Rico, 00928
        • San Juan City Hospital
      • San Juan, Puerto Rico, 00921-3201
        • San Juan Veterans Affairs Medical Center
      • San Juan, Puerto Rico, 00919
        • I Gonzales Martinez-Oncologic Hospital
      • San Juan, Puerto Rico, 00917
        • Hato Rey Hematology Oncology Group
    • Alabama
      • Anniston, Alabama, United States, 36202
        • Northeast Alabama Regional Medical Center
      • Huntsville, Alabama, United States, 35805
        • Clearview Cancer Institute
      • Mobile, Alabama, United States, 36608
        • Providence Hospital
      • Mobile, Alabama, United States, 36607
        • Mobile Infirmary Medical Center
    • Alaska
      • Anchorage, Alaska, United States, 99508
        • Providence Alaska Medical Center
    • Arizona
      • Glendale, Arizona, United States, 85306
        • Banner Thunderbird Medical Center
      • Mesa, Arizona, United States, 85202
        • Banner Desert Medical Center
      • Mesa, Arizona, United States, 85206
        • Banner Baywood Medical Center
      • Phoenix, Arizona, United States, 85006
        • Banner Good Samaritan Medical Center
      • Phoenix, Arizona, United States, 85006
        • Western Regional CCOP
      • Phoenix, Arizona, United States, 85016
        • Phoenix Indian Medical Center
      • Scottsdale, Arizona, United States, 85259
        • Mayo Clinic in Arizona
      • Scottsdale, Arizona, United States, 85251
        • Scottsdale Healthcare
    • Arkansas
      • Bentonville, Arkansas, United States, 72712
        • Highlands Oncology Group-Bentonville
      • Fort Smith, Arkansas, United States, 72903
        • Saint Edward Mercy Medical Center
      • Little Rock, Arkansas, United States, 72205
        • University of Arkansas for Medical Sciences
      • Little Rock, Arkansas, United States, 72205
        • Veteran's Administration Medical Center
    • California
      • Berkeley, California, United States, 94704
        • Alta Bates Medical Center-Herrick Campus
      • Burbank, California, United States, 91505
        • Providence Saint Joseph Medical Center
      • Burlingame, California, United States, 94010
        • Mills - Peninsula Hospitals
      • Castro Valley, California, United States, 94546
        • Eden Hospital Medical Center
      • Castro Valley, California, United States, 94546
        • East Bay Radiation Oncology Center
      • Castro Valley, California, United States, 94546
        • Valley Medical Oncology Consultants-Castro Valley
      • Duarte, California, United States, 91010
        • City of Hope
      • Fairfield, California, United States, 94533
        • Northbay Cancer Center
      • Fremont, California, United States, 94538
        • Valley Medical Oncology Consultants-Fremont
      • Fremont, California, United States, 94538
        • Kaiser Permanente, Fremont
      • Fresno, California, United States, 93720
        • Cancer Care Associates
      • Fresno, California, United States, 93720
        • California Cancer Center - North Fresno
      • Greenbrae, California, United States, 94904
        • Sutter Health Western Division Cancer Research Group
      • Greenbrae, California, United States, 94904
        • California Cancer Care - Greenbrae
      • Hayward, California, United States, 94545
        • Saint Rose Hospital
      • Hayward, California, United States, 94545
        • Kaiser Permanente, Hayward
      • Loma Linda, California, United States, 92354
        • Loma Linda University Medical Center
      • Los Angeles, California, United States, 90033-0804
        • University of Southern California
      • Martinez, California, United States, 94553-3156
        • Contra Costa Regional Medical Center
      • Marysville, California, United States, 95901
        • Fremont - Rideout Cancer Center
      • Modesto, California, United States, 95355
        • Memorial Medical Center
      • Monterey, California, United States, 93940
        • Community Hospital of Monterey Peninsula
      • Mountain View, California, United States, 94040
        • El Camino Hospital
      • Mountain View, California, United States, 94040
        • Palo Alto Medical Foundation-Camino Division
      • Oakland, California, United States, 94611
        • Kaiser Permanente-Oakland
      • Oakland, California, United States, 94609
        • Alta Bates Summit Medical Center - Summit Campus
      • Oakland, California, United States, 94602
        • Highland General Hospital
      • Oakland, California, United States, 94609
        • Bay Area Breast Surgeons Inc
      • Oakland, California, United States, 94609
        • Larry G Strieff MD Medical Corporation
      • Oakland, California, United States, 94609
        • Tom K Lee Inc
      • Oakland, California, United States, 94609
        • Bay Area Tumor Institution CCOP
      • Orange, California, United States, 92868
        • Saint Joseph Hospital
      • Palm Springs, California, United States, 92262
        • Desert Regional Medical Center
      • Palo Alto, California, United States, 94301
        • Palo Alto Medical Foundation Heath Care
      • Pleasanton, California, United States, 94588
        • Valley Care Health System - Pleasanton
      • Pleasanton, California, United States, 94588
        • Valley Medical Oncology Consultants
      • Redding, California, United States, 96001
        • Shasta Regional Medical Center
      • Redwood City, California, United States, 94063
        • Kaiser Permanente-Redwood City
      • Richmond, California, United States, 94801
        • Kaiser Permanente-Richmond
      • Roseville, California, United States, 95661
        • Kaiser Permanente-Roseville
      • Roseville, California, United States, 95661
        • Sutter Roseville Medical Center
      • Sacramento, California, United States, 95823
        • Kaiser Permanente-South Sacramento
      • Sacramento, California, United States, 95825
        • Kaiser Permanente - Sacramento
      • Sacramento, California, United States, 95816
        • Sutter General Hospital
      • Sacramento, California, United States, 95817
        • UC Davis Comprehensive Cancer Center
      • San Diego, California, United States, 92134
        • Naval Medical Center -San Diego
      • San Diego, California, United States, 92120
        • Kaiser Permanente
      • San Diego, California, United States, 92161
        • University of California San Diego - Veterans Administration
      • San Francisco, California, United States, 94115
        • Kaiser Permanente-San Francisco
      • San Francisco, California, United States, 94118
        • California Pacific Medical Center
      • San Francisco, California, United States, 94115
        • University of California San Francisco Medical Center-Mount Zion
      • San Jose, California, United States, 95119
        • Kaiser Permanente-Santa Teresa-San Jose
      • San Pablo, California, United States, 94806
        • Doctors Medical Center- JC Robinson Regional Cancer Center
      • San Rafael, California, United States, 94903
        • Kaiser Permanente-San Rafael
      • Santa Clara, California, United States, 95051
        • Kaiser Permanente Medical Center - Santa Clara
      • Santa Rosa, California, United States, 95403
        • Kaiser Permanente-Santa Rosa
      • Santa Rosa, California, United States, 95405
        • Santa Rosa Memorial Hospital
      • South San Francisco, California, United States, 94080
        • Kaiser Permanente-South San Francisco
      • Stockton, California, United States, 95210
        • Kaiser Permanente-Stockton
      • Truckee, California, United States, 96161
        • Tahoe Forest Cancer Center
      • Vallejo, California, United States, 94589
        • Kaiser Permanente-Vallejo
      • Vallejo, California, United States, 94589
        • Sutter Solano Medical Center
      • Walnut Creek, California, United States, 94596
        • Kaiser Permanente-Walnut Creek
    • Colorado
      • Aurora, Colorado, United States, 80012
        • The Medical Center of Aurora
      • Boulder, Colorado, United States, 80301
        • Boulder Community Hospital
      • Colorado Springs, Colorado, United States, 80907
        • Penrose-Saint Francis Healthcare
      • Colorado Springs, Colorado, United States, 80909
        • Memorial Hospital Colorado Springs
      • Denver, Colorado, United States, 80210
        • Porter Adventist Hospital
      • Denver, Colorado, United States, 80218
        • Presbyterian - Saint Lukes Medical Center - Health One
      • Denver, Colorado, United States, 80220
        • Rose Medical Center
      • Denver, Colorado, United States, 80218
        • Exempla Saint Joseph Hospital
      • Denver, Colorado, United States, 80224-2522
        • Colorado Cancer Research Program CCOP
      • Denver, Colorado, United States, 80204
        • Saint Anthony Central Hospital
      • Englewood, Colorado, United States, 80110
        • Swedish Medical Center
      • Fort Collins, Colorado, United States, 80524
        • Poudre Valley Hospital
      • Fort Collins, Colorado, United States, 80528
        • Front Range Cancer Specialists
      • Grand Junction, Colorado, United States, 81502
        • Saint Mary's Hospital and Regional Medical Center
      • Greeley, Colorado, United States, 80631
        • North Colorado Medical Center
      • Lone Tree, Colorado, United States, 80124
        • Sky Ridge Medical Center
      • Longmont, Colorado, United States, 80501
        • Longmont United Hospital
      • Loveland, Colorado, United States, 80539
        • McKee Medical Center
      • Pueblo, Colorado, United States, 81004
        • Saint Mary Corwin Medical Center
      • Thornton, Colorado, United States, 80229
        • North Suburban Medical Center
      • Wheat Ridge, Colorado, United States, 80033
        • Exempla Lutheran Medical Center
    • Connecticut
      • Bridgeport, Connecticut, United States, 06610
        • Bridgeport Hospital
      • Danbury, Connecticut, United States, 06810
        • Danbury Hospital
      • Hartford, Connecticut, United States, 06102
        • Hartford Hospital
      • Hartford, Connecticut, United States, 06105
        • Saint Francis Hospital and Medical Center
      • Manchester, Connecticut, United States, 06040
        • Manchester Memorial Hospital
      • Middletown, Connecticut, United States, 06457
        • Middlesex Hospital
      • New Britain, Connecticut, United States, 06050
        • The Hospital of Central Connecticut
      • Norwich, Connecticut, United States, 06360
        • Eastern Connecticut Hematology and Oncology Associates
      • Stamford, Connecticut, United States, 06904
        • Stamford Hospital
    • Delaware
      • Dover, Delaware, United States, 19901
        • Bayhealth Medical Center at Kent General
      • Lewes, Delaware, United States, 19958
        • Beebe Medical Center
    • District of Columbia
      • Washington, District of Columbia, United States, 20010
        • Washington Hospital Center
      • Washington, District of Columbia, United States, 20057
        • Lombardi Comprehensive Cancer Center at Georgetown University
      • Washington, District of Columbia, United States, 20060
        • Howard University Hospital
    • Florida
      • Daytona Beach, Florida, United States, 32114
        • Halifax Medical Center-Centers for Oncology
      • Deerfield Beach, Florida, United States, 33064
        • North Broward Medical Center
      • Fort Lauderdale, Florida, United States, 33316
        • Broward General Medical Center
      • Gainesville, Florida, United States, 32610
        • University of Florida
      • Jacksonville, Florida, United States, 32224-9980
        • Mayo Clinic in Florida
      • Jacksonville, Florida, United States, 32207
        • Edna Williams Cancer Center at the Baptist Cancer Institute
      • Lakeland, Florida, United States, 33805
        • The Watson Clinic
      • Leesburg, Florida, United States, 34788
        • Cancer Centers of Central Florida PA
      • Miami, Florida, United States, 33176
        • Baptist Hospital of Miami
      • Orange Park, Florida, United States, 32073
        • Integrated Community Oncology Network - Orange Park Cancer Center
      • Orlando, Florida, United States, 32803
        • Florida Hospital
      • Orlando, Florida, United States, 32806
        • M D Anderson Cancer Center- Orlando
      • Pensacola, Florida, United States, 32504
        • Sacred Heart Hospital
      • Pensacola, Florida, United States, 32514
        • Sacred Heart Medical Oncology Group - Davis Highway
      • Saint Augustine, Florida, United States, 32086
        • Montgomery and Associates MD PA
      • Sarasota, Florida, United States, 34236
        • Florida Cancer Specialists - Sarasota Downtown
      • Stuart, Florida, United States, 34994
        • Martin Memorial Cancer Center
      • Stuart, Florida, United States, 34994
        • Martin Memorial Medical Center - North
      • Stuart, Florida, United States, 34997
        • Martin Memorial Hospital - South
      • West Palm Beach, Florida, United States, 33401
        • Palm Beach Cancer Institute-Main Office
    • Georgia
      • Albany, Georgia, United States, 31703
        • Phoebe Putney Memorial Hospital
      • Atlanta, Georgia, United States, 30309
        • Piedmont Hospital
      • Atlanta, Georgia, United States, 30342
        • Northside Hospital
      • Atlanta, Georgia, United States, 30342
        • Saint Joseph's Hospital of Atlanta
      • Atlanta, Georgia, United States, 30342
        • Atlanta Regional CCOP
      • Augusta, Georgia, United States, 30901
        • Augusta Oncology Associates PC
      • Austell, Georgia, United States, 30106
        • Well Star Cobb Hospital
      • Columbus, Georgia, United States, 31904
        • John B Amos Cancer Center
      • Decatur, Georgia, United States, 30033
        • Dekalb Medical Center
      • Decatur, Georgia, United States, 30033
        • Veterans Administration Medical Center
      • Gainesville, Georgia, United States, 30501
        • Northeast Georgia Medical Center
      • Lawrenceville, Georgia, United States, 30045
        • Gwinnett Medical Center
      • Marietta, Georgia, United States, 30060
        • Wellstar Kennestone Hospital
      • Riverdale, Georgia, United States, 30274
        • Southern Regional Medical Center
      • Savannah, Georgia, United States, 31403
        • Memorial Health University Medical Center
      • Savannah, Georgia, United States, 31405
        • Saint Joseph's-Candler Health System
      • Valdosta, Georgia, United States, 31603
        • South Georgia Medical Center
    • Hawaii
      • 'Aiea, Hawaii, United States, 96701
        • Kapiolani Medical Center at Pali Momi
      • Honolulu, Hawaii, United States, 96813
        • Queen's Medical Center
      • Honolulu, Hawaii, United States, 96813
        • Straub Clinic and Hospital
      • Honolulu, Hawaii, United States, 96826
        • Kapiolani Medical Center for Women and Children
      • Honolulu, Hawaii, United States, 96859
        • Tripler Army Medical Center
      • Honolulu, Hawaii, United States, 96813
        • University of Hawaii
      • Honolulu, Hawaii, United States, 96813
        • Oncare Hawaii Inc-POB II
      • Honolulu, Hawaii, United States, 96817
        • Oncare Hawaii Inc-Kuakini
      • Honolulu, Hawaii, United States, 96817
        • Hawaii Medical Center East
      • Wailuku, Hawaii, United States, 96793
        • Maui Memorial Medical Center
      • Wailuku, Hawaii, United States, 96793
        • Pacific Cancer Institute of Maui
    • Idaho
      • Boise, Idaho, United States, 83712
        • Saint Luke's Mountain States Tumor Institute
      • Boise, Idaho, United States, 83706
        • Saint Alphonsus Regional Medical Center
    • Illinois
      • Alton, Illinois, United States, 62002
        • Saint Anthony's Health
      • Aurora, Illinois, United States, 60504
        • Rush - Copley Medical Center
      • Bloomington, Illinois, United States, 61701
        • Saint Joseph Medical Center
      • Canton, Illinois, United States, 61520
        • Graham Hospital Association
      • Carthage, Illinois, United States, 62321
        • Memorial Hospital
      • Chicago, Illinois, United States, 60637-1470
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, United States, 60611
        • Northwestern University
      • Chicago, Illinois, United States, 60608
        • Mount Sinai Hospital Medical Center
      • Chicago, Illinois, United States, 60625
        • Swedish Covenant Hospital
      • Chicago, Illinois, United States, 60611
        • Hematology and Oncology Associates
      • Chicago, Illinois, United States, 60640
        • Weiss Memorial Hospital
      • Chicago, Illinois, United States, 60631
        • Resurrection Healthcare
      • Chicago, Illinois, United States, 60612-3785
        • John H Stroger Jr Hospital of Cook County
      • Chicago, Illinois, United States, 60657
        • Illinois Masonic Medical Center
      • Chicago, Illinois, United States, 60616
        • Mercy Hospital and Medical Center
      • Decatur, Illinois, United States, 62526
        • Decatur Memorial Hospital
      • Effingham, Illinois, United States, 62401
        • Saint Anthony Memorial Hospital
      • Elgin, Illinois, United States, 60123
        • Sherman Hospital
      • Elk Grove Village, Illinois, United States, 60007
        • Cancer Institute at Alexian Brothers
      • Eureka, Illinois, United States, 61530
        • Eureka Hospital
      • Evanston, Illinois, United States, 60202
        • Saint Francis Hospital
      • Evanston, Illinois, United States, 60201
        • Evanston CCOP-NorthShore University HealthSystem
      • Galesburg, Illinois, United States, 61401
        • Galesburg Cottage Hospital
      • Galesburg, Illinois, United States, 61401
        • Galesburg Clinic
      • Galesburg, Illinois, United States, 61401
        • Intercommunity Cancer Center
      • Harvey, Illinois, United States, 60426
        • Ingalls Memorial Hospital
      • Havana, Illinois, United States, 62644
        • Mason District Hospital
      • Hopedale, Illinois, United States, 61747
        • Hopedale Medical Complex - Hospital
      • Joliet, Illinois, United States, 60435
        • Joliet Oncology-Hematology Associates Limited
      • Joliet, Illinois, United States, 60432
        • Midwest Center for Hematology Oncology
      • Kankakee, Illinois, United States, 60901
        • Provena Saint Mary's Hospital
      • Kewanee, Illinois, United States, 61443
        • Kewanee Hospital
      • La Grange, Illinois, United States, 60525
        • La Grange Memorial Hospital
      • Lake Forest, Illinois, United States, 60045
        • Deerpath Medical Associates
      • Libertyville, Illinois, United States, 60048
        • North Shore Hematology Oncology
      • Macomb, Illinois, United States, 61455
        • Mcdonough District Hospital
      • Maywood, Illinois, United States, 60153
        • Loyola University Medical Center
      • Moline, Illinois, United States, 61265
        • Garneau, Stewart C MD (UIA Investigator)
      • Moline, Illinois, United States, 61265
        • Porubcin, Michael MD (UIA Investigator)
      • Moline, Illinois, United States, 61265
        • Trinity Medical Center
      • Moline, Illinois, United States, 61265
        • Sharis, Christine M MD (UIA Investigator)
      • Moline, Illinois, United States, 61265
        • Stoffel, Thomas J MD (UIA Investigator)
      • Moline, Illinois, United States, 61265
        • Vigliotti, Antonio, P.G. M.D. (UIA Investigator)
      • Mount Vernon, Illinois, United States, 62864
        • Good Samaritan Regional Medical Center
      • Naperville, Illinois, United States, 60540
        • Hematology Oncology Consultants Limited
      • Naperville, Illinois, United States, 60566
        • Edward Hospital
      • Niles, Illinois, United States, 60714
        • Cancer Care and Hematology Specialists of Chicagoland PC
      • Normal, Illinois, United States, 61761
        • Community Cancer Center Foundation
      • Normal, Illinois, United States, 61761
        • Bromenn Regional Medical Center
      • Oak Lawn, Illinois, United States, 60453-2699
        • Advocate Christ Medical Center
      • Ottawa, Illinois, United States, 61350
        • Illinois CancerCare-Ottawa Clinic
      • Ottawa, Illinois, United States, 61350
        • Ottawa Regional Hospital and Healthcare Center
      • Pekin, Illinois, United States, 61554
        • Pekin Cancer Treatment Center
      • Pekin, Illinois, United States, 61554
        • Pekin Hospital
      • Peoria, Illinois, United States, 61637
        • OSF Saint Francis Medical Center
      • Peoria, Illinois, United States, 61615
        • Illinois CancerCare-Peoria
      • Peoria, Illinois, United States, 61614
        • Proctor Hospital
      • Peoria, Illinois, United States, 61603
        • Methodist Medical Center of Illinois
      • Peoria, Illinois, United States, 61615
        • Illinois Oncology Research Association CCOP
      • Peru, Illinois, United States, 61354
        • Illinois Valley Hospital
      • Princeton, Illinois, United States, 61356
        • Perry Memorial Hospital
      • River Forest, Illinois, United States, 60305
        • West Suburban Cancer Center
      • Rockford, Illinois, United States, 61104
        • Swedish American Hospital
      • Rushville, Illinois, United States, 62681
        • Sarah Culbertson Memorial Hospital
      • Skokie, Illinois, United States, 60076
        • Hematology Oncology Associates of Illinois - Skokie
      • Skokie, Illinois, United States, 60076
        • Edward H Kaplan MD and Associates
      • Skokie, Illinois, United States, 60077
        • Midwest Cancer Research Group Incorporated
      • Spring Valley, Illinois, United States, 61362
        • Saint Margaret's Hospital
      • Spring Valley, Illinois, United States, 61362
        • Valley Cancer Center
      • Springfield, Illinois, United States, 62781-0001
        • Memorial Medical Center
      • Urbana, Illinois, United States, 61801
        • Carle Clinic-Urbana Main
      • Urbana, Illinois, United States, 61801
        • Carle Foundation dba Carle Cancer Center
    • Indiana
      • Beech Grove, Indiana, United States, 46107
        • Saint Francis Hospital and Health Centers
      • Elkhart, Indiana, United States, 46515
        • Elkhart General Hospital
      • Fort Wayne, Indiana, United States, 46845
        • Fort Wayne Medical Oncology and Hematology Inc - State Boulevard
      • Indianapolis, Indiana, United States, 46202
        • Indiana University Medical Center
      • Indianapolis, Indiana, United States, 46202
        • Richard L. Roudebush Veterans Affairs Medical Center
      • Indianapolis, Indiana, United States, 46260
        • Saint Vincent Hospital and Health Services
      • Indianapolis, Indiana, United States, 46202
        • Wishard Hospital
      • Kokomo, Indiana, United States, 46904
        • Howard Regional Healthcare System
      • La Porte, Indiana, United States, 46350
        • LaPorte Hospital
      • Lafayette, Indiana, United States, 47904
        • Clarian Arnett Cancer Care
      • Merrillville, Indiana, United States, 46410
        • Premier Oncology Hematology Associates
      • Michigan City, Indiana, United States, 46360
        • Saint Anthony Memorial Health Center
      • Muncie, Indiana, United States, 47303
        • Ball Memorial Hospital
      • Munster, Indiana, United States, 46321
        • The Community Hospital
      • Richmond, Indiana, United States, 47374
        • Reid Hospital and Health Care Services
      • South Bend, Indiana, United States, 46601
        • Memorial Hospital of South Bend
      • South Bend, Indiana, United States, 46617
        • South Bend Clinic
      • South Bend, Indiana, United States, 46601
        • Northern Indiana Cancer Research Consortium
      • South Bend, Indiana, United States, 46617
        • Saint Joseph's Medical Center
    • Iowa
      • Ames, Iowa, United States, 50010
        • McFarland Clinic
      • Bettendorf, Iowa, United States, 52722
        • Constantinou, Costas L MD (UIA Investigator)
      • Bettendorf, Iowa, United States, 52722
        • Hematology Oncology Associates-Quad Cities
      • Carroll, Iowa, United States, 51401
        • Saint Anthony Regional Hospital
      • Cedar Rapids, Iowa, United States, 52403
        • Mercy Hospital
      • Cedar Rapids, Iowa, United States, 52402
        • Saint Luke's Hospital
      • Cedar Rapids, Iowa, United States, 52403
        • Cedar Rapids Oncology Association
      • Cedar Rapids, Iowa, United States, 52402
        • Iowa Blood and Cancer Care PLC
      • Cedar Rapids, Iowa, United States, 52403
        • Oncology Associates
      • Clive, Iowa, United States, 50325
        • Medical Oncology and Hematology Associates-West Des Moines
      • Council Bluffs, Iowa, United States, 51503
        • Alegent Health Mercy Hospital
      • Davenport, Iowa, United States, 52803
        • Genesis Medical Center - East Campus
      • Davenport, Iowa, United States, 52804
        • Genesis Medical Center - West Campus
      • Des Moines, Iowa, United States, 50309
        • Iowa Methodist Medical Center
      • Des Moines, Iowa, United States, 50314
        • Mercy Medical Center - Des Moines
      • Des Moines, Iowa, United States, 50309
        • Medical Oncology and Hematology Associates-Des Moines
      • Des Moines, Iowa, United States, 50316
        • Iowa Lutheran Hospital
      • Des Moines, Iowa, United States, 50307
        • Mercy Capitol
      • Des Moines, Iowa, United States, 50309
        • Iowa Oncology Research Association CCOP
      • Des Moines, Iowa, United States, 50314
        • Medical Oncology and Hematology Associates
      • Dubuque, Iowa, United States, 52001
        • Finley Hospital
      • Iowa City, Iowa, United States, 52242
        • University of Iowa Hospitals and Clinics
      • Mason City, Iowa, United States, 50401
        • Mercy Medical Center - North Iowa
      • Missouri Valley, Iowa, United States, 51555
        • Community Memorial Hospital
      • Onawa, Iowa, United States, 51040
        • Burgess Memorial Hospital
      • Sioux City, Iowa, United States, 51104
        • Saint Luke's Regional Medical Center
      • Sioux City, Iowa, United States, 51101-1733
        • Siouxland Regional Cancer Center
      • Sioux City, Iowa, United States, 51104
        • Mercy Medical Center-Sioux City
      • Sioux City, Iowa, United States, 51101
        • Siouxland Hematology - Oncology Associates
      • Waterloo, Iowa, United States, 50702
        • Covenant Medical Center
    • Kansas
      • Arkansas City, Kansas, United States, 67005
        • Memorial Hospital of Arkansas City
      • Chanute, Kansas, United States, 66720
        • Cancer Center of Kansas - Chanute
      • Dodge City, Kansas, United States, 67801
        • Cancer Center of Kansas - Dodge City
      • El Dorado, Kansas, United States, 67042
        • Cancer Center of Kansas - El Dorado
      • Independence, Kansas, United States, 67301
        • Cancer Center of Kansas-Independence
      • Kansas City, Kansas, United States, 66160
        • University of Kansas Medical Center
      • Kansas City, Kansas, United States, 66112
        • Providence Medical Center
      • Kingman, Kansas, United States, 67068
        • Cancer Center of Kansas-Kingman
      • Lawrence, Kansas, United States, 66044
        • Lawrence Memorial Hospital
      • McPherson, Kansas, United States, 67460
        • Cancer Center of Kansas - McPherson
      • Newton, Kansas, United States, 67114
        • Cancer Center of Kansas - Newton
      • Olathe, Kansas, United States, 66061
        • Olathe Medical Center
      • Ottawa, Kansas, United States, 66067
        • Cancer Center of Kansas - Ottawa
      • Overland Park, Kansas, United States, 66209
        • Menorah Medical Center
      • Overland Park, Kansas, United States, 66210
        • Radiation Oncology Practice Corporation Southwest
      • Parsons, Kansas, United States, 67357
        • Cancer Center of Kansas - Parsons
      • Pittsburg, Kansas, United States, 66762
        • Mount Carmel Regional Cancer Center
      • Pratt, Kansas, United States, 67124
        • Cancer Center of Kansas - Pratt
      • Salina, Kansas, United States, 67401
        • Cancer Center of Kansas - Salina
      • Shawnee Mission, Kansas, United States, 66204
        • Shawnee Mission Medical Center
      • Topeka, Kansas, United States, 66606
        • Saint Francis Hospital and Medical Center - Topeka
      • Topeka, Kansas, United States, 66604
        • Stormont-Vail Regional Health Center
      • Wellington, Kansas, United States, 67152
        • Cancer Center of Kansas - Wellington
      • Wichita, Kansas, United States, 67208
        • Cancer Center of Kansas-Wichita Medical Arts Tower
      • Wichita, Kansas, United States, 67208
        • Associates In Womens Health
      • Wichita, Kansas, United States, 67214
        • Cancer Center of Kansas - Main Office
      • Wichita, Kansas, United States, 67214
        • Via Christi Regional Medical Center
      • Wichita, Kansas, United States, 67214
        • Wichita CCOP
      • Winfield, Kansas, United States, 67156
        • Cancer Center of Kansas - Winfield
    • Kentucky
      • Ashland, Kentucky, United States, 41101
        • Our Lady Bellefonte Hospital
      • Lexington, Kentucky, United States, 40503
        • Central Baptist Hospital
      • Louisville, Kentucky, United States, 40292
        • University of Louisville
      • Madisonville, Kentucky, United States, 42431
        • Merle Mahr Cancer Center
    • Louisiana
      • Baton Rouge, Louisiana, United States, 70809
        • Mary Bird Perkins Cancer Center
      • Baton Rouge, Louisiana, United States, 70806
        • Baton Rouge General Medical Center
      • Baton Rouge, Louisiana, United States, 70809
        • Ochsner Clinic Foundation-Baton Rouge
      • Mansfield, Louisiana, United States, 71052
        • DeSoto Regional Health System
      • Metairie, Louisiana, United States, 70006
        • Metairie Oncologists
      • Monroe, Louisiana, United States, 71210
        • Louisiana State University Sciences Center- Monroe
      • New Orleans, Louisiana, United States, 70121
        • Ochsner Clinic Foundation
      • New Orleans, Louisiana, United States, 70112
        • Louisiana State University Health Science Center
      • New Orleans, Louisiana, United States, 70121
        • Ochsner Clinic CCOP
      • New Orleans, Louisiana, United States, 70112
        • Medical Center of Louisiana
      • Shreveport, Louisiana, United States, 71105
        • Highland Clinic
      • Shreveport, Louisiana, United States, 71130
        • Louisiana State University
    • Maine
      • Bangor, Maine, United States, 04401
        • Eastern Maine Medical Center
    • Maryland
      • Annapolis, Maryland, United States, 21401
        • Anne Arundel Medical Center
      • Baltimore, Maryland, United States, 21204
        • Greater Baltimore Medical Center
      • Baltimore, Maryland, United States, 21287-8936
        • Johns Hopkins University
      • Baltimore, Maryland, United States, 21239
        • Good Samaritan Hospital of Maryland
      • Baltimore, Maryland, United States, 21237
        • Franklin Square Hospital Center
      • Baltimore, Maryland, United States, 21218
        • The Union Memorial Hospital
      • Elkton, Maryland, United States, 21921
        • Union Hospital of Cecil County
      • Frederick, Maryland, United States, 21701
        • Frederick Memorial Hospital
      • Hagerstown, Maryland, United States, 21740
        • Washington County Hospital
      • Kensington, Maryland, United States, 20895
        • Associates in Oncology Hematology PC -Kensington
      • Rockville, Maryland, United States, 20878
        • Associates In Oncology Hematology PC-Rockville
    • Massachusetts
      • Beverly, Massachusetts, United States, 01915
        • Beverly Hospital
      • Boston, Massachusetts, United States, 02215
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, United States, 02115
        • Dana-Farber Cancer Institute
      • Boston, Massachusetts, United States, 02115
        • Brigham and Women's Hospital
      • Boston, Massachusetts, United States, 02118
        • Boston Medical Center
      • Boston, Massachusetts, United States, 02114
        • Massachusetts General Hospital Cancer Center
      • Brighton, Massachusetts, United States, 02135-2997
        • Caritas Saint Elizabeth's Medical Center
      • Gloucester, Massachusetts, United States, 01930
        • Addison Gilbert Hospital
      • Greenfield, Massachusetts, United States, 01301
        • Franklin Medical Center
      • Holyoke, Massachusetts, United States, 01040
        • Holyoke Medical Center
      • Lowell, Massachusetts, United States, 01854
        • Lowell General Hospital
      • Medford, Massachusetts, United States, 02155
        • Lawrence Memorial
      • Methuen, Massachusetts, United States, 01844
        • Holy Family Hospital
      • Natick, Massachusetts, United States, 01760
        • Metrowest Medical Center Incorporated
      • Norwood, Massachusetts, United States, 02062
        • Norwood Hospital
      • Peabody, Massachusetts, United States, 01960
        • North Shore Medical Center Cancer Center
      • Pittsfield, Massachusetts, United States, 01201
        • Berkshire Hematology Oncology PC
      • Quincy, Massachusetts, United States, 02169
        • Commonwealth Hematology Oncology PC-Quincy
      • South Weymouth, Massachusetts, United States, 02190
        • South Shore Hospital
      • Springfield, Massachusetts, United States, 01199
        • Baystate Medical Center
      • Taunton, Massachusetts, United States, 02780
        • Morton Hospital and Medical Center
      • Westfield, Massachusetts, United States, 01085
        • Noble Hospital
    • Michigan
      • Adrian, Michigan, United States, 49221
        • Bixby Medical Center
      • Adrian, Michigan, United States, 49221
        • Hickman Cancer Center
      • Ann Arbor, Michigan, United States, 48106-0995
        • Saint Joseph Mercy Hospital
      • Ann Arbor, Michigan, United States, 48106
        • Michigan Cancer Research Consortium Community Clinical Oncology Program
      • Battle Creek, Michigan, United States, 49017
        • Battle Creek Health System
      • Bay City, Michigan, United States, 48708
        • Bay Regional Medical Center
      • Big Rapids, Michigan, United States, 49307
        • Mecosta County Medical Center
      • Dearborn, Michigan, United States, 48123
        • Oakwood Hospital
      • Detroit, Michigan, United States, 48236
        • Saint John Hospital and Medical Center
      • Detroit, Michigan, United States, 48202
        • Wayne State University
      • East Lansing, Michigan, United States, 48824-1313
        • Michigan State University - Breslin Cancer Center
      • Escanaba, Michigan, United States, 49431
        • Green Bay Oncology - Escanaba
      • Flint, Michigan, United States, 48502
        • Hurley Medical Center
      • Flint, Michigan, United States, 48532
        • McLaren Regional Medical Center
      • Flint, Michigan, United States, 48532
        • Genesys Regional Medical Center
      • Grand Rapids, Michigan, United States, 49503
        • Spectrum Health at Butterworth Campus
      • Grand Rapids, Michigan, United States, 49503
        • Grand Rapids Clinical Oncology Program
      • Grand Rapids, Michigan, United States, 49503
        • Saint Mary's Health Care
      • Grand Rapids, Michigan, United States, 49506
        • Spectrum Health-Blodgett Campus
      • Holland, Michigan, United States, 49423
        • Holland Community Hospital
      • Iron Mountain, Michigan, United States, 49801
        • Green Bay Oncology - Iron Mountain
      • Jackson, Michigan, United States, 49201
        • Allegiance Health
      • Kalamazoo, Michigan, United States, 49007
        • West Michigan Cancer Center
      • Kalamazoo, Michigan, United States, 49007
        • Bronson Methodist Hospital
      • Kalamazoo, Michigan, United States, 49001
        • Borgess Medical Center
      • Kalamazoo, Michigan, United States, 49008
        • Kalamazoo Center for Medical Studies
      • Lansing, Michigan, United States, 48912
        • Sparrow Hospital
      • Lansing, Michigan, United States, 48910
        • Ingham Regional Medical Center
      • Lapeer, Michigan, United States, 48446
        • Lapeer Regional Hospital
      • Livonia, Michigan, United States, 48154
        • Saint Mary Mercy Hospital
      • Midland, Michigan, United States, 48670
        • Mid-Michigan Medical Center - Midland
      • Monroe, Michigan, United States, 48162
        • Mercy Memorial Hospital
      • Monroe, Michigan, United States, 48162
        • Community Cancer Center of Monroe
      • Muskegon, Michigan, United States, 49442
        • Mercy Health Partners-Hackley Campus
      • Muskegon, Michigan, United States, 49443
        • Mercy Health Partners-Mercy Campus
      • Petoskey, Michigan, United States, 49770
        • Northern Michigan Regional Hospital
      • Pontiac, Michigan, United States, 48341-2985
        • Saint Joseph Mercy Oakland
      • Port Huron, Michigan, United States, 48060
        • Saint Joseph Mercy Port Huron
      • Royal Oak, Michigan, United States, 48073
        • William Beaumont Hospital
      • Saginaw, Michigan, United States, 48601
        • Saint Mary's of Michigan
      • Saint Joseph, Michigan, United States, 49085
        • Lakeland Hospital
      • Southfield, Michigan, United States, 48075
        • Providence Hospital
      • Traverse City, Michigan, United States, 49684
        • Munson Medical Center
      • Warren, Michigan, United States, 48093
        • Saint John Macomb-Oakland Hospital
      • Wyoming, Michigan, United States, 49519
        • Metro Health Hospital
    • Minnesota
      • Alexandria, Minnesota, United States, 56308
        • Medini, Eitan MD (UIA Investigator)
      • Alexandria, Minnesota, United States, 56308
        • Harris, John Gilbert MD (UIA Investigator)
      • Bemidji, Minnesota, United States, 56601
        • Merit Care Clinic Bemidji
      • Brainerd, Minnesota, United States, 56401
        • Brainerd Medical Center Inc
      • Brainerd, Minnesota, United States, 56401
        • Saint Joseph's Medical Center
      • Burnsville, Minnesota, United States, 55337
        • Fairview Ridges Hospital
      • Coon Rapids, Minnesota, United States, 55433
        • Mercy Hospital
      • Duluth, Minnesota, United States, 55805
        • Saint Luke's Hospital of Duluth
      • Duluth, Minnesota, United States, 55805
        • Miller-Dwan Hospital
      • Duluth, Minnesota, United States, 55805
        • Saint Mary's Medical Center
      • Duluth, Minnesota, United States, 55805
        • Duluth Clinic CCOP
      • Edina, Minnesota, United States, 55435
        • Fairview-Southdale Hospital
      • Fergus Falls, Minnesota, United States, 56537
        • Etzell, Paul S MD (UIA Investigator)
      • Fergus Falls, Minnesota, United States, 56537
        • Swenson, Wade II, MD (UIA Investigator)
      • Fridley, Minnesota, United States, 55432
        • Unity Hospital
      • Hutchinson, Minnesota, United States, 55350
        • Hutchinson Area Health Care
      • Litchfield, Minnesota, United States, 55355
        • Meeker County Memorial Hospital
      • Mankato, Minnesota, United States, 56002
        • Immanuel-Saint Joseph Hospital-Mayo Health System
      • Maplewood, Minnesota, United States, 55109
        • Saint John's Hospital - Healtheast
      • Maplewood, Minnesota, United States, 55109
        • Minnesota Oncology Hematology PA-Maplewood
      • Minneapolis, Minnesota, United States, 55415
        • Hennepin County Medical Center
      • Minneapolis, Minnesota, United States, 55407
        • Abbott-Northwestern Hospital
      • Minneapolis, Minnesota, United States, 55407
        • Virginia Piper Cancer Institute
      • Minneapolis, Minnesota, United States, 55417
        • Minneapolis Veterans Medical Center
      • Montevideo, Minnesota, United States, 56265
        • Chippewa County - Montevideo Hospital
      • Robbinsdale, Minnesota, United States, 55422
        • North Memorial Medical Health Center
      • Rochester, Minnesota, United States, 55905
        • Mayo Clinic
      • Saint Cloud, Minnesota, United States, 56303
        • Saint Cloud Hospital
      • Saint Cloud, Minnesota, United States, 56303
        • CentraCare Clinic
      • Saint Louis Park, Minnesota, United States, 55416
        • Park Nicollet Clinic - Saint Louis Park
      • Saint Louis Park, Minnesota, United States, 55416
        • Metro-Minnesota CCOP
      • Saint Paul, Minnesota, United States, 55101
        • Regions Hospital
      • Saint Paul, Minnesota, United States, 55102
        • United Hospital
      • Saint Paul, Minnesota, United States, 55102
        • Saint Joseph's Hospital - Healtheast
      • Sartell, Minnesota, United States, 56377
        • Adult and Pediatric Urology PLLP
      • Shakopee, Minnesota, United States, 55379
        • Saint Francis Regional Medical Center
      • Waconia, Minnesota, United States, 55387
        • Ridgeview Medical Center
      • Willmar, Minnesota, United States, 56201
        • Rice Memorial Hospital
      • Woodbury, Minnesota, United States, 55125
        • Woodwinds Health Campus
      • Woodbury, Minnesota, United States, 55125
        • Minnesota Oncology and Hematology PA-Woodbury
    • Mississippi
      • Jackson, Mississippi, United States, 39216
        • Veterans Affairs Medical Center
      • Keesler Air Force Base, Mississippi, United States, 39534
        • Keesler Medical Center
      • Pascagoula, Mississippi, United States, 39581
        • Singing River Hospital
    • Missouri
      • Cape Girardeau, Missouri, United States, 63703
        • Saint Francis Medical Center
      • Cape Girardeau, Missouri, United States, 63701
        • Southeast Missouri Hospital
      • Columbia, Missouri, United States, 65201
        • Missouri Cancer Associates
      • Independence, Missouri, United States, 64050
        • Independence Regional Health Center
      • Joplin, Missouri, United States, 64804
        • Freeman Health System
      • Joplin, Missouri, United States, 64804
        • Saint John's Regional Medical Center
      • Kansas City, Missouri, United States, 64128
        • Kansas City Veterans Affairs Medical Center
      • Kansas City, Missouri, United States, 64116
        • North Kansas City Hospital
      • Kansas City, Missouri, United States, 64111
        • Saint Luke's Hospital of Kansas City
      • Kansas City, Missouri, United States, 64132
        • Research Medical Center
      • Kansas City, Missouri, United States, 64108
        • Truman Medical Center
      • Kansas City, Missouri, United States, 64111
        • Saint Luke's Cancer Institute
      • Kansas City, Missouri, United States, 64114
        • Saint Joseph Health Center
      • Kansas City, Missouri, United States, 64114
        • Radiation Oncology Practice Corporation South
      • Kansas City, Missouri, United States, 64154
        • Radiation Oncology Practice Corporation - North
      • Kansas City, Missouri, United States, 64116
        • Liberty Radiation Oncology Clinic
      • Liberty, Missouri, United States, 64068
        • Liberty Hospital
      • Saint Charles, Missouri, United States, 63301
        • Missouri Cancer Care PC - Saint Charles
      • Saint Joseph, Missouri, United States, 64506
        • Heartland Regional Medical Center
      • Saint Louis, Missouri, United States, 63110
        • Washington University School of Medicine
      • Saint Louis, Missouri, United States, 63110
        • Saint Louis University Hospital
      • Saint Louis, Missouri, United States, 63131
        • Missouri Baptist Medical Center
      • Saint Louis, Missouri, United States, 63141
        • Saint John's Mercy Medical Center
      • Saint Louis, Missouri, United States, 63141
        • Saint Louis-Cape Girardeau CCOP
      • Saint Louis, Missouri, United States, 63141
        • Center for Cancer Care and Research
      • Saint Louis, Missouri, United States, 63128
        • Saint Anthony's Medical Center
      • Saint Louis, Missouri, United States, 63109
        • Saint Louis Cancer and Breast Institute
      • Saint Louis, Missouri, United States, 63136
        • Christian Hospital Northeast - Northwest
      • Springfield, Missouri, United States, 65802
        • Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield
      • Springfield, Missouri, United States, 65807
        • Cox Medical Center
      • Springfield, Missouri, United States, 65804
        • Saint John's Hospital
    • Montana
      • Billings, Montana, United States, 59101
        • Saint Vincent Healthcare
      • Billings, Montana, United States, 59101
        • Northern Rockies Radiation Oncology Center
      • Billings, Montana, United States, 59101
        • Montana Cancer Consortium CCOP
      • Billings, Montana, United States, 59107-7000
        • Billings Clinic
      • Billings, Montana, United States, 59107
        • Deaconess Medical Center
      • Billings, Montana, United States, 59101
        • Hematology-Oncology Centers of the Northern Rockies PC
      • Bozeman, Montana, United States, 59715
        • Bozeman Deaconess Hospital
      • Bozeman, Montana, United States, 59715
        • Bozeman Deaconess Cancer Center
      • Bozeman, Montana, United States, 59715
        • Internal Medicine of Bozeman
      • Butte, Montana, United States, 59701
        • Saint James Community Hospital and Cancer Treatment Center
      • Great Falls, Montana, United States, 59405
        • Great Falls Clinic
      • Great Falls, Montana, United States, 59405
        • Benefis Healthcare- Sletten Cancer Institute
      • Great Falls, Montana, United States, 59405
        • Berdeaux, Donald MD (UIA Investigator)
      • Great Falls, Montana, United States, 59405
        • Big Sky Oncology
      • Helena, Montana, United States, 59601
        • Saint Peter's Community Hospital
      • Kalispell, Montana, United States, 59901
        • Kalispell Regional Medical Center
      • Kalispell, Montana, United States, 59901
        • Glacier Oncology PLLC
      • Kalispell, Montana, United States, 59901
        • Kalispell Medical Oncology
      • Miles City, Montana, United States, 59301
        • Eastern Montana Cancer Center
      • Missoula, Montana, United States, 59802
        • Saint Patrick Hospital - Community Hospital
      • Missoula, Montana, United States, 59801
        • Community Medical Hospital
      • Missoula, Montana, United States, 59802
        • Montana Cancer Specialists
    • Nebraska
      • Fremont, Nebraska, United States, 68025
        • Fremont Area Medical Center
      • Grand Island, Nebraska, United States, 68803
        • Saint Francis Medical Center
      • Kearney, Nebraska, United States, 68847
        • Good Samaritan Hospital
      • Lincoln, Nebraska, United States, 68510
        • Saint Elizabeth Regional Medical Center
      • Lincoln, Nebraska, United States, 68502
        • Bryan LGH Medical Center West
      • Lincoln, Nebraska, United States, 68506
        • Bryan LGH Medical Center East
      • Lincoln, Nebraska, United States, 68510
        • Lincoln Medical Education Foundation Cancer Resource Center
      • North Platte, Nebraska, United States, 69101
        • Great Plains Regional Medical Center
      • Omaha, Nebraska, United States, 68124
        • Alegent Health Bergan Mercy Medical Center
      • Omaha, Nebraska, United States, 68122
        • Alegent Health Immanuel Medical Center
      • Omaha, Nebraska, United States, 68131
        • Creighton University Medical Center
      • Omaha, Nebraska, United States, 68114
        • Methodist Estabrook Cancer Center
      • Omaha, Nebraska, United States, 68106
        • Missouri Valley Cancer Consortium CCOP
      • Omaha, Nebraska, United States, 68198-7830
        • University of Nebraska Medical Center
      • Papillion, Nebraska, United States, 68046
        • Midlands Community Hospital
    • Nevada
      • Las Vegas, Nevada, United States, 89102
        • University Medical Center of Southern Nevada
      • Las Vegas, Nevada, United States, 89106
        • Nevada Cancer Research Foundation CCOP
      • Las Vegas, Nevada, United States, 89135
        • Nevada Cancer Institute
    • New Hampshire
      • Concord, New Hampshire, United States, 03301
        • New Hampshire Oncology-Hematology PA
      • Derry, New Hampshire, United States, 03038
        • Columbia Parkland Medical Center
      • Exeter, New Hampshire, United States, 03833
        • Exeter Hospital
      • Hooksett, New Hampshire, United States, 03106
        • New Hampshire Oncology Hematology Associates
      • Keene, New Hampshire, United States, 03431
        • Cheshire Medical Center-Dartmouth-Hitchcock Keene
      • Laconia, New Hampshire, United States, 03246
        • LRGHealthcare-Lakes Region General Hospital
      • Lebanon, New Hampshire, United States, 03756
        • Dartmouth Hitchcock Medical Center
      • Manchester, New Hampshire, United States, 03103
        • Elliot Hospital
      • Portsmouth, New Hampshire, United States, 03802
        • Portsmouth Regional Hospital
    • New Jersey
      • Brick, New Jersey, United States, 08724
        • Ocean Medical Center
      • Camden, New Jersey, United States, 08103
        • Cooper Hospital University Medical Center
      • East Orange, New Jersey, United States, 07018-1095
        • Veterans Adminstration New Jersey Health Care System
      • Englewood, New Jersey, United States, 07631
        • Englewood Hospital and Medical Center
      • Flemington, New Jersey, United States, 08822
        • Hunterdon Medical Center
      • Freehold, New Jersey, United States, 07728
        • CentraState Medical Center
      • Hamilton, New Jersey, United States, 08690
        • Cancer Institute of New Jersey at Hamilton
      • Livingston, New Jersey, United States, 07039
        • Saint Barnabas Medical Center
      • Long Branch, New Jersey, United States, 07740
        • Monmouth Medical Center
      • Montclair, New Jersey, United States, 07042
        • Mountainside Hospital
      • Morristown, New Jersey, United States, 07962
        • Morristown Memorial Hospital
      • Mount Holly, New Jersey, United States, 08060
        • Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County
      • New Brunswick, New Jersey, United States, 08903
        • Cancer Institute Of New Jersey
      • Phillipsburg, New Jersey, United States, 08865
        • Warren Hospital
      • Red Bank, New Jersey, United States, 07701
        • Booker Cancer Center at Riverview Medical Center
      • Somerville, New Jersey, United States, 08876
        • Somerset Medical Center
      • Sparta, New Jersey, United States, 07871
        • Sparta Cancer Treatment Center
      • Summit, New Jersey, United States, 07902
        • Overlook Hospital
      • Vineland, New Jersey, United States, 08360
        • South Jersey Healthcare
      • Voorhees, New Jersey, United States, 08043
        • Virtua West Jersey Hospital Voorhees
    • New Mexico
      • Albuquerque, New Mexico, United States, 87106
        • University of New Mexico
      • Albuquerque, New Mexico, United States, 87109
        • New Mexico Oncology Hematology Consultants
      • Albuquerque, New Mexico, United States, 87106
        • Hematology Oncology Associates
      • Albuquerque, New Mexico, United States, 87110
        • Presbyterian Kaseman Hospital
      • Albuquerque, New Mexico, United States, 87102
        • University of New Mexico at Lovelace Medical Center
      • Las Cruces, New Mexico, United States, 88011
        • Memorial Medical Center - Las Cruces
      • Santa Fe, New Mexico, United States, 87505
        • New Mexico Cancer Care Associates
    • New York
      • Bronx, New York, United States, 10461
        • Albert Einstein College Of Medicine
      • Bronx, New York, United States, 10467-2490
        • Montefiore Medical Center
      • Bronx, New York, United States, 10466
        • The North Division of Montefiore Medical Center
      • Brooklyn, New York, United States, 11201
        • Long Island College Hospital
      • Buffalo, New York, United States, 14263
        • Roswell Park Cancer Institute
      • Buffalo, New York, United States, 14215
        • Veterans Affairs Western New York Health Care System-Buffalo
      • Cooperstown, New York, United States, 13326
        • Mary Imogene Bassett Hospital
      • East Syracuse, New York, United States, 13057
        • Hematology Oncology Associates of Central New York
      • Glens Falls, New York, United States, 12801
        • Adirondack Cancer Center
      • Harris, New York, United States, 12742
        • Catskill Regional Medical Center
      • Middletown, New York, United States, 10940
        • Orange Regional Medical Center
      • Mineola, New York, United States, 11501
        • Winthrop University Hospital
      • New York, New York, United States, 10032
        • Columbia University Medical Center
      • New York, New York, United States, 10065
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, United States, 10003
        • Beth Israel Medical Center
      • New York, New York, United States, 10016
        • New York University Langone Medical Center
      • New York, New York, United States, 10025
        • Saint Luke's Roosevelt Hospital Center - Saint Luke's Division
      • Nyack, New York, United States, 10960
        • Nyack Hospital
      • Rochester, New York, United States, 14642
        • University of Rochester
      • Rochester, New York, United States, 14620
        • Highland Hospital
      • Rochester, New York, United States, 14623
        • Interlakes Foundation Inc-Rochester
      • Syracuse, New York, United States, 13210
        • State University of New York Upstate Medical University
      • Utica, New York, United States, 13502
        • Faxton-Saint Luke's Healthcare
      • White Plains, New York, United States, 10601
        • Dickstein Cancer Treatment Center
    • North Carolina
      • Asheville, North Carolina, United States, 28801
        • Mission Hospitals Inc
      • Burlington, North Carolina, United States, 27216
        • Alamance Regional Medical Center
      • Chapel Hill, North Carolina, United States, 27599
        • University of North Carolina
      • Charlotte, North Carolina, United States, 28203
        • Carolinas Medical Center
      • Gastonia, North Carolina, United States, 28054
        • Gaston Memorial Hospital
      • Goldsboro, North Carolina, United States, 27534
        • Wayne Memorial Hospital
      • Goldsboro, North Carolina, United States, 27534
        • Wayne Radiation Oncology
      • Goldsboro, North Carolina, United States, 27534
        • Southeastern Medical Oncology Center
      • Hendersonville, North Carolina, United States, 28791
        • Margaret R Pardee Memorial Hospital
      • Kinston, North Carolina, United States, 28501
        • Kinston Medical Specialists PA
      • Rutherfordton, North Carolina, United States, 28139
        • Rutherford Hospital
      • Statesville, North Carolina, United States, 28677
        • Iredell Memorial Hospital
      • Washington, North Carolina, United States, 27889
        • Marion L Shepard Cancer Center
      • Wilmington, North Carolina, United States, 28401
        • New Hanover Regional Medical Center
      • Wilson, North Carolina, United States, 27893
        • Wilson Medical Center
    • North Dakota
      • Bismarck, North Dakota, United States, 58501
        • Bismarck Cancer Center
      • Bismarck, North Dakota, United States, 58501
        • Mid Dakota Clinic
      • Bismarck, North Dakota, United States, 58501
        • Saint Alexius Medical Center
      • Bismarck, North Dakota, United States, 58501
        • Medcenter One Health Systems
      • Fargo, North Dakota, United States, 58122
        • MeritCare Medical Group
      • Fargo, North Dakota, United States, 58102
        • Veterans Administration Medical Center
      • Fargo, North Dakota, United States, 58122
        • Meritcare Hospital
      • Fargo, North Dakota, United States, 58103
        • Innovis Health South University
      • Grand Forks, North Dakota, United States, 58201
        • Altru Cancer Center
      • Minot, North Dakota, United States, 58701
        • Trinity Cancer Care Center
    • Ohio
      • Akron, Ohio, United States, 44307
        • Akron General Medical Center
      • Akron, Ohio, United States, 44304
        • Akron City Hospital
      • Barberton, Ohio, United States, 44203
        • Summa Barberton Hospital
      • Bellefontaine, Ohio, United States, 43311
        • Mary Rutan Hospital
      • Boardman, Ohio, United States, 44512
        • The Boardman Cancer Center
      • Bowling Green, Ohio, United States, 43402
        • Wood County Oncology Center
      • Canton, Ohio, United States, 44710
        • Aultman Health Foundation
      • Canton, Ohio, United States, 44708
        • Mercy Medical Center
      • Chillicothe, Ohio, United States, 54601
        • Adena Regional Medical Center
      • Cleveland, Ohio, United States, 44106
        • Case Western Reserve University
      • Cleveland, Ohio, United States, 44109
        • MetroHealth Medical Center
      • Cleveland, Ohio, United States, 44195
        • Cleveland Clinic Foundation
      • Columbus, Ohio, United States, 43214
        • Riverside Methodist Hospital
      • Columbus, Ohio, United States, 43210
        • Ohio State University Medical Center
      • Columbus, Ohio, United States, 43228
        • Doctors Hospital
      • Columbus, Ohio, United States, 43215
        • Grant Medical Center
      • Columbus, Ohio, United States, 43222
        • Mount Carmel Health Center West
      • Columbus, Ohio, United States, 43215
        • Columbus CCOP
      • Dayton, Ohio, United States, 45406
        • Good Samaritan Hospital - Dayton
      • Dayton, Ohio, United States, 45409
        • Miami Valley Hospital
      • Dayton, Ohio, United States, 45415
        • Samaritan North Health Center
      • Dayton, Ohio, United States, 45405
        • Grandview Hospital
      • Dayton, Ohio, United States, 45428
        • Veteran Affairs Medical Center
      • Dayton, Ohio, United States, 45429
        • Dayton CCOP
      • Delaware, Ohio, United States, 43015
        • Grady Memorial Hospital
      • Elyria, Ohio, United States, 44035
        • Hematology Oncology Center Incorporated
      • Findlay, Ohio, United States, 45840
        • Blanchard Valley Hospital
      • Franklin, Ohio, United States, 45005-1066
        • Atrium Medical Center-Middletown Regional Hospital
      • Fremont, Ohio, United States, 43420
        • Fremont Memorial Hospital
      • Greenville, Ohio, United States, 45331
        • Wayne Hospital
      • Independence, Ohio, United States, 44131
        • Cleveland Clinic Cancer Center Independence
      • Kenton, Ohio, United States, 43326
        • Cole, Sharon, K. M.D. (UIA Investigator)
      • Kettering, Ohio, United States, 45429
        • Kettering Medical Center
      • Lancaster, Ohio, United States, 43130
        • Fairfield Medical Center
      • Lima, Ohio, United States, 45801
        • Saint Rita's Medical Center
      • Lima, Ohio, United States, 45804
        • Lima Memorial Hospital
      • Mansfield, Ohio, United States, 44903
        • Mansfield General Hospital-MedCentral Health System
      • Marietta, Ohio, United States, 45750
        • Marietta Memorial Hospital
      • Maumee, Ohio, United States, 43537
        • Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
      • Maumee, Ohio, United States, 43537-1839
        • Northwest Ohio Oncology Center
      • Maumee, Ohio, United States, 43537
        • Saint Luke's Hospital
      • Newark, Ohio, United States, 43055
        • Licking Memorial Hospital
      • Oregon, Ohio, United States, 43616
        • Saint Charles Hospital
      • Oregon, Ohio, United States, 43616
        • Bayview Oncology Associates
      • Salem, Ohio, United States, 44460
        • Cancer Care Center, Incorporated
      • Sandusky, Ohio, United States, 44870
        • North Coast Cancer Care
      • Sandusky, Ohio, United States, 44870
        • Firelands Regional Medical Center
      • Springfield, Ohio, United States, 45505
        • Community Hospital Springfield
      • Sylvania, Ohio, United States, 43560
        • Flower Memorial Hospital
      • Tiffin, Ohio, United States, 44883
        • Mercy Hospital of Tiffin
      • Toledo, Ohio, United States, 43608
        • Saint Vincent Mercy Medical Center
      • Toledo, Ohio, United States, 43614
        • University of Toledo
      • Toledo, Ohio, United States, 43617
        • Toledo Community Hospital Oncology Program CCOP
      • Toledo, Ohio, United States, 43606
        • The Toledo Hospital
      • Toledo, Ohio, United States, 43623
        • Toledo Clinic
      • Toledo, Ohio, United States, 43623
        • Mercy Cancer Center at Saint Anne Mercy Hospital
      • Troy, Ohio, United States, 45373
        • Upper Valley Medical Center
      • Warren, Ohio, United States, 44484
        • Saint Joseph Cancer Center
      • Wauseon, Ohio, United States, 43567
        • Fulton County Health Center
      • Westerville, Ohio, United States, 43081
        • Saint Ann's Hospital
      • Wilmington, Ohio, United States, 45177
        • Clinton Memorial Hospital
      • Wooster, Ohio, United States, 44691
        • Cancer Treatment Center
      • Wooster, Ohio, United States, 44691
        • Cleveland Clinic Wooster Specialty Center
      • Wright-Patterson Air Force Base, Ohio, United States, 45433-5529
        • Wright-Patterson Medical Center
      • Xenia, Ohio, United States, 45385
        • Greene Memorial Hospital
      • Youngstown, Ohio, United States, 44501
        • Saint Elizabeth Hospital Medical Center
      • Zanesville, Ohio, United States, 43701
        • Genesis HealthCare System
    • Oklahoma
      • Lawton, Oklahoma, United States, 73505
        • Cancer Centers of Southwest Oklahoma Research - Lawton
      • Oklahoma City, Oklahoma, United States, 73104
        • University of Oklahoma Health Sciences Center
      • Oklahoma City, Oklahoma, United States, 73120
        • Cancer Care Associates
      • Tulsa, Oklahoma, United States, 74136
        • Natalie W Bryant Cancer Center
    • Oregon
      • Coos Bay, Oregon, United States, 97420
        • Bay Area Hospital
      • Gresham, Oregon, United States, 97030
        • Legacy Mount Hood Medical Center
      • Milwaukie, Oregon, United States, 97222
        • Providence Milwaukie Hospital
      • Portland, Oregon, United States, 97239
        • Oregon Health and Science University
      • Portland, Oregon, United States, 97210
        • Legacy Good Samaritan Hospital and Medical Center
      • Portland, Oregon, United States, 97213
        • Providence Portland Medical Center
      • Portland, Oregon, United States, 97225
        • Providence Saint Vincent Medical Center
      • Portland, Oregon, United States, 97227
        • Legacy Emanuel Hospital and Health Center
      • Portland, Oregon, United States, 97216
        • Adventist Medical Center
      • Portland, Oregon, United States, 97225
        • Columbia River Oncology Program
      • Portland, Oregon, United States, 97227
        • Northwest Cancer Specialists-Rose Quarter Cancer Center
      • Portland, Oregon, United States, 97232
        • Kaiser Permanente
      • Salem, Oregon, United States, 97309
        • Salem Hospital
      • Tualatin, Oregon, United States, 97062
        • Legacy Meridian Park Hospital
    • Pennsylvania
      • Abington, Pennsylvania, United States, 19001
        • Abington Memorial Hospital
      • Allentown, Pennsylvania, United States, 18105
        • Lehigh Valley Hospital
      • Bethlehem, Pennsylvania, United States, 18015
        • Saint Luke's Hospital
      • Bryn Mawr, Pennsylvania, United States, 19010
        • Bryn Mawr Hospital
      • Carbondale, Pennsylvania, United States, 18407
        • Marion Community Hospital
      • Danville, Pennsylvania, United States, 17822-2001
        • Geisinger Medical Center
      • Darby, Pennsylvania, United States, 19023-1291
        • Mercy Fitzgerald Hospital
      • Doylestown, Pennsylvania, United States, 18901
        • Doylestown Hospital
      • Drexel Hill, Pennsylvania, United States, 19026
        • Delaware County Memorial Hospital
      • East Stroudsburg, Pennsylvania, United States, 18301
        • Pocono Medical Center
      • Easton, Pennsylvania, United States, 18042
        • Easton Hospital
      • Ephrata, Pennsylvania, United States, 17522
        • Ephrata Cancer Center
      • Harrisburg, Pennsylvania, United States, 17110
        • PinnacleHealth Regional Cancer Center at Polyclinic Hospital
      • Hazleton, Pennsylvania, United States, 18201
        • Geisinger South Wilkes Barre-Hazelton Cancer Center
      • Lancaster, Pennsylvania, United States, 17604
        • Lancaster General Hospital
      • Lemoyne, Pennsylvania, United States, 17043
        • Central PA Hematology-Medical Oncology Associates PC
      • Media, Pennsylvania, United States, 19063
        • Riddle Hospital
      • Paoli, Pennsylvania, United States, 19301
        • Paoli Memorial Hospital
      • Philadelphia, Pennsylvania, United States, 19141
        • Albert Einstein Medical Center
      • Philadelphia, Pennsylvania, United States, 19104
        • Abramson Cancer Center of The University of Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19107
        • Thomas Jefferson University Hospital
      • Philadelphia, Pennsylvania, United States, 19111-2497
        • Fox Chase Cancer Center
      • Philadelphia, Pennsylvania, United States, 19107
        • Pennsylvania Hospital
      • Philadelphia, Pennsylvania, United States, 19114
        • Aria Health-Torresdale Campus
      • Pittsburgh, Pennsylvania, United States, 15213
        • University of Pittsburgh
      • Pittsburgh, Pennsylvania, United States, 15212
        • Allegheny Cancer Center at Allegheny General Hospital
      • Pittsburgh, Pennsylvania, United States, 15224-1791
        • Western Pennsylvania Hospital
      • Pottstown, Pennsylvania, United States, 19464
        • Pottstown Memorial Medical Center
      • Reading, Pennsylvania, United States, 19605
        • Saint Joseph Medical Center
      • Sayre, Pennsylvania, United States, 18840
        • Guthrie Clinic - Sayre
      • Scranton, Pennsylvania, United States, 18510
        • Community Medical Center
      • Scranton, Pennsylvania, United States, 18510
        • Scranton Hematology Oncology
      • Scranton, Pennsylvania, United States, 18501
        • Mercy Hospital
      • Scranton, Pennsylvania, United States, 18508
        • Hematology and Oncology Associates of North East Pennsylvania
      • Scranton, Pennsylvania, United States, 18510
        • Moses Taylor Hospital
      • Sellersville, Pennsylvania, United States, 18960
        • Grand View Hospital
      • State College, Pennsylvania, United States, 16801
        • Geisinger Medical Group
      • State College, Pennsylvania, United States, 16803
        • Mount Nittany Medical Center
      • Upland, Pennsylvania, United States, 19013
        • Associates In Hematology Oncology PC-Upland
      • West Grove, Pennsylvania, United States, 19390
        • Jennersville Regional Hospital
      • West Reading, Pennsylvania, United States, 19612
        • Reading Hospital and Medical Center
      • Wilkes-Barre, Pennsylvania, United States, 18711
        • Geisinger Wyoming Valley
      • Wynnewood, Pennsylvania, United States, 19096
        • Lankenau Hospital
      • Wynnewood, Pennsylvania, United States, 19096
        • Mainline Health CCOP
    • Rhode Island
      • Cranston, Rhode Island, United States, 02920
        • Hematology and Oncology Associates of Rhode Island Inc
      • Providence, Rhode Island, United States, 02903
        • Rhode Island Hospital
      • Providence, Rhode Island, United States, 02906
        • Miriam Hospital
      • Warwick, Rhode Island, United States, 02886
        • Kent County Hospital
    • South Carolina
      • Anderson, South Carolina, United States, 29621
        • AnMed Health Hospital
      • Charleston, South Carolina, United States, 29425
        • Medical University of South Carolina
      • Greenville, South Carolina, United States, 29605
        • Greenville Memorial Hospital
      • Greenville, South Carolina, United States, 29615
        • Greenville CCOP
      • Spartanburg, South Carolina, United States, 29303
        • Spartanburg Regional Medical Center
      • Spartanburg, South Carolina, United States, 29303
        • Upstate Carolina CCOP
    • South Dakota
      • Aberdeen, South Dakota, United States, 57401
        • Conklin Regional Cancer Center
      • Rapid City, South Dakota, United States, 57701
        • Rapid City Regional Hospital
      • Sioux Falls, South Dakota, United States, 57105
        • Avera Cancer Institute
      • Sioux Falls, South Dakota, United States, 57104
        • Sanford Cancer Center-Oncology Clinic
      • Sioux Falls, South Dakota, United States, 57105
        • Medical X-Ray Center
      • Sioux Falls, South Dakota, United States, 57105
        • Avera McKennan Hospital and University Health Center
      • Sioux Falls, South Dakota, United States, 57117-5134
        • Sanford University of South Dakota Medical Center
    • Tennessee
      • Kingsport, Tennessee, United States, 37660
        • Wellmont Holston Valley Hospital and Medical Center
      • Knoxville, Tennessee, United States, 37916
        • Thompson Cancer Survival Center
      • Memphis, Tennessee, United States, 38104
        • Veterans Affairs Medical Center - Memphis
      • Nashville, Tennessee, United States, 37232
        • Vanderbilt University
      • Nashville, Tennessee, United States, 37203
        • Tennessee Oncology PLLC- Centennial Medical Center
      • Nashville, Tennessee, United States, 37208-3599
        • Meharry Medical College
    • Texas
      • Amarillo, Texas, United States, 79106
        • The Don and Sybil Harrington Cancer Center
      • Dallas, Texas, United States, 75231
        • Texas Health Presbyterian Hospital Dallas
      • El Paso, Texas, United States, 79902
        • The Center for Integrative Cancer Medicine
      • Fort Sam Houston, Texas, United States, 78234
        • Brooke Army Medical Center
      • Galveston, Texas, United States, 77555-0565
        • University of Texas Medical Branch
      • Houston, Texas, United States, 77030
        • Baylor College of Medicine
      • Houston, Texas, United States, 77030
        • Ben Taub General Hospital
      • Houston, Texas, United States, 77030
        • Methodist Hospital
      • Houston, Texas, United States, 77030
        • Saint Luke's Episcopal Hospital
      • Houston, Texas, United States, 77030
        • Veterans Administration Medical Center
      • Lackland Air Force Base, Texas, United States, 78236
        • Wilford Hall Medical Center
      • Laredo, Texas, United States, 78041
        • Doctor's Hospital of Laredo
      • San Antonio, Texas, United States, 78229
        • University Hospital
      • San Antonio, Texas, United States, 78229
        • Cancer Therapy and Research Center at The UT Health Science Center at San Antonio
      • San Antonio, Texas, United States, 78209
        • Audie L Murphy Veterans Affairs Hospital
      • San Antonio, Texas, United States, 78229-3900
        • University of Texas Health Science Center
      • San Antonio, Texas, United States, 78229
        • South Texas Oncology and Hematology PA
      • Temple, Texas, United States, 76508
        • Scott and White Memorial Hospital
    • Vermont
      • Bennington, Vermont, United States, 05201
        • Southwestern Oncology Research Department
      • Burlington, Vermont, United States, 05401
        • University of Vermont
    • Virginia
      • Danville, Virginia, United States, 24541
        • Danville Regional Medical Center
      • Fredericksburg, Virginia, United States, 22401
        • Fredericksburg Oncology Inc
      • Gloucester, Virginia, United States, 23061
        • Riverside Middle Peninsula Cancer Center
      • Lynchburg, Virginia, United States, 24501
        • Lynchburg Hematology-Oncology Clinic
      • Newport News, Virginia, United States, 23601
        • Peninsula Cancer Institute-Newport News
      • Norton, Virginia, United States, 24273
        • Southwest VA Regional Cancer Center
      • Williamsburg, Virginia, United States, 23185
        • Peninsula Cancer Institute
    • Washington
      • Auburn, Washington, United States, 98002
        • Auburn Regional Medical Center
      • Bellingham, Washington, United States, 98225
        • Saint Joseph Hospital
      • Bremerton, Washington, United States, 98310
        • Harrison Bremerton Hematology and Oncology
      • Centralia, Washington, United States, 98531
        • Providence Centralia Hospital
      • Federal Way, Washington, United States, 98003
        • Saint Francis Hospital
      • Kennewick, Washington, United States, 99336
        • Columbia Basin Hematology and Oncology PLLC
      • Kirkland, Washington, United States, 98033
        • Evergreen Hospital Medical Center
      • Olympia, Washington, United States, 98506-5166
        • Providence - Saint Peter Hospital
      • Olympia, Washington, United States, 98507
        • Capital Medical Center
      • Port Angeles, Washington, United States, 98362
        • Olympic Medical Center
      • Puyallup, Washington, United States, 98372
        • Good Samaritan Community Hospital
      • Renton, Washington, United States, 98055
        • Valley Medical Center
      • Seattle, Washington, United States, 98195
        • University of Washington Medical Center
      • Seattle, Washington, United States, 98109
        • Puget Sound Oncology Consortium
      • Seattle, Washington, United States, 98104
        • Minor and James Medical PLLC
      • Seattle, Washington, United States, 98122-4307
        • Swedish Medical Center-First Hill
      • Seattle, Washington, United States, 98112
        • Group Health Cooperative
      • Seattle, Washington, United States, 98122
        • The Polyclinic
      • Seattle, Washington, United States, 98101
        • Virginia Mason CCOP
      • Spokane, Washington, United States, 99202
        • Cancer Care Northwest - Spokane South
      • Spokane, Washington, United States, 99204
        • Sacred Heart Medical Center
      • Spokane, Washington, United States, 99207
        • Holy Family Hospital
      • Tacoma, Washington, United States, 98405
        • Saint Joseph Medical Center
      • Tacoma, Washington, United States, 98405
        • Allenmore Hospital
      • Tacoma, Washington, United States, 98415
        • MultiCare Health System
      • Tacoma, Washington, United States, 98405
        • Tacoma General Hospital
      • Tacoma, Washington, United States, 98405
        • Northwest CCOP
      • Tacoma, Washington, United States, 98499
        • Saint Clare Hospital
      • Vancouver, Washington, United States, 98668
        • Southwest Washington Medical Center
      • Yakima, Washington, United States, 98902
        • North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
    • West Virginia
      • Huntington, West Virginia, United States, 25701
        • Edwards Comprehensive Cancer Center
      • Morgantown, West Virginia, United States, 26506
        • West Virginia University
      • Parkersburg, West Virginia, United States, 26101
        • Camden-Clark Memorial Hospital
      • Princeton, West Virginia, United States, 24740
        • Princeton Community Hospital
      • Wheeling, West Virginia, United States, 26003
        • Wheeling Hospital
    • Wisconsin
      • Antigo, Wisconsin, United States, 54409
        • Langlade Hospital and Cancer Center
      • Eau Claire, Wisconsin, United States, 54701
        • Sacred Heart Hospital
      • Eau Claire, Wisconsin, United States, 54701
        • Marshfield Clinic Cancer Care at Regional Cancer Center
      • Eau Claire, Wisconsin, United States, 54702
        • Midelfort Clinic-Clairemont Campus
      • Eau Claire, Wisconsin, United States, 54703
        • Mayo Clinic Health System Eau Claire Hospital - Luther Campus
      • Fond Du Lac, Wisconsin, United States, 54935
        • Central Wisconsin Cancer Program
      • Green Bay, Wisconsin, United States, 54301
        • Saint Vincent Hospital
      • Green Bay, Wisconsin, United States, 54303
        • Green Bay Oncology Limited at Saint Mary's Hospital
      • Green Bay, Wisconsin, United States, 54303
        • Saint Mary's Hospital
      • Green Bay, Wisconsin, United States, 54301-3526
        • Green Bay Oncology at Saint Vincent Hospital
      • Green Bay, Wisconsin, United States, 54311-6519
        • Aurora BayCare Medical Center
      • Janesville, Wisconsin, United States, 53547
        • Mercy Health System
      • Johnson Creek, Wisconsin, United States, 53038
        • UW Cancer Center Johnson Creek
      • La Crosse, Wisconsin, United States, 54601
        • Franciscan Skemp Healthcare
      • Madison, Wisconsin, United States, 53792
        • University of Wisconsin Hospital and Clinics
      • Madison, Wisconsin, United States, 53717
        • Dean Hematology and Oncology Clinic
      • Madison, Wisconsin, United States, 53715
        • UW Health Oncology - 1 South Park
      • Marinette, Wisconsin, United States, 54143
        • Bay Area Medical Center
      • Marinette, Wisconsin, United States, 54143
        • Vince Lombardi Cancer Clinic-Marinette
      • Marshfield, Wisconsin, United States, 54449
        • Marshfield Clinic
      • Marshfield, Wisconsin, United States, 54449
        • Saint Joseph's Hospital
      • Minocqua, Wisconsin, United States, 54548
        • Marshfield Clinic-Minocqua Center
      • Oconomowoc, Wisconsin, United States, 53066-3896
        • Oconomowoc Memorial Hospital-ProHealth Care Inc
      • Oconto Falls, Wisconsin, United States, 54154
        • Green Bay Oncology - Oconto Falls
      • Rhinelander, Wisconsin, United States, 54501
        • Marshfield Clinic at James Beck Cancer Center
      • Rice Lake, Wisconsin, United States, 54868
        • Marshfield Clinic-Rice Lake Center
      • Stevens Point, Wisconsin, United States, 54481
        • Saint Michael's Hospital
      • Sturgeon Bay, Wisconsin, United States, 54235
        • Green Bay Oncology - Sturgeon Bay
      • Waukesha, Wisconsin, United States, 53188
        • Waukesha Memorial Hospital
      • Wausau, Wisconsin, United States, 54401
        • Aspirus Regional Cancer Center
      • Wausau, Wisconsin, United States, 54401
        • Marshfield Clinic-Wausau Center
      • Weston, Wisconsin, United States, 54476
        • Diagnostic and Treatment Center
      • Weston, Wisconsin, United States, 54476
        • Marshfield Clinic - Weston Center
      • Wisconsin Rapids, Wisconsin, United States, 54494
        • Marshfield Clinic - Wisconsin Rapids Center
    • Wyoming
      • Sheridan, Wyoming, United States, 82801
        • Welch Cancer Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 99 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Histologically confirmed adenocarcinoma of the colon

    • Stage III disease
    • No resected stage IV disease
  • No rectal cancer

    • Gross inferior (caudad) margin of the primary tumor must be ≥ 12 cm from the anal verge by rigid proctoscopy
  • Stage III tumor must have been completely resected within the past 56 days

    • Must have documented en bloc resection in patients with tumor adherence to adjacent structures
    • Tumor-related obstructions and colonic perforation are allowed
    • Tumor samples must be available
  • At least 1 pathologically confirmed positive lymph node

    • No evidence of residual involved lymph node disease
  • Synchronous primary colon cancer allowed
  • No distant metastatic disease
  • Performance status - Eastern Cooperative Oncology Group (ECOG) 0-2
  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • Hemoglobin ≥ 9 g/dL
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • Creatinine ≤ 1.5 times ULN
  • No uncontrolled high blood pressure
  • No unstable angina
  • No symptomatic congestive heart failure
  • No myocardial infarction with the past 6 months
  • No New York Heart Association class III or IV heart disease
  • No symptomatic pulmonary fibrosis
  • No symptomatic interstitial pneumonitis
  • No prior allergic reaction (known sensitivity) to chimerized or murine monoclonal antibody therapy
  • No known allergy to platinum compounds
  • No documented presence of human anti-mouse antibodies (HAMA)
  • No active uncontrolled bacterial, viral, or systemic fungal infection
  • HIV negative
  • No clinically defined AIDS
  • Not pregnant or nursing
  • Negative pregnancy test
  • No men or women of childbearing potential who are unwilling to employ adequate contraception
  • No inadequately treated gastrointestinal bleeding
  • No ≥ grade 2 pre-existing peripheral sensory or motor neuropathy
  • No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or lobular carcinoma in situ in 1 breast
  • No other concurrent medical condition that would preclude study participation
  • No concurrent biologic therapy
  • No prior chemotherapy for colon cancer
  • No other concurrent chemotherapy
  • No prior radiotherapy for colon cancer
  • No concurrent targeted agents
  • No prior agents directed against epidermal growth factor-receptor
  • No other concurrent anticancer therapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Arm A (combination chemotherapy)
Patients received oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours, and fluorouracil IV continuously over 46-48 hours on days 1. Treatment repeated every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.
Given IV
Other Names:
  • 1-OHP
  • Dacotin
  • Dacplat
  • Eloxatin
  • L-OHP
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Experimental: Arm B (combination chemotherapy)
Patients received irinotecan IV over 2 hours on day 1 and leucovorin calcium and fluorouracil as in arm A. Treatment repeated every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Given IV
Other Names:
  • irinotecan
  • Campto
  • Camptosar
  • U-101440E
  • CPT-11
Experimental: Arm C (combination chemotherapy)
Patients received the same treatment as in arm A for 6 courses followed by the same treatment as in arm B for 6 courses (total of 12 courses). Treatment continues in the absence of unacceptable toxicity or recurrent disease.
Given IV
Other Names:
  • 1-OHP
  • Dacotin
  • Dacplat
  • Eloxatin
  • L-OHP
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Given IV
Other Names:
  • irinotecan
  • Campto
  • Camptosar
  • U-101440E
  • CPT-11
Experimental: Arm D (combination chemotherapy, monoclonal antibody)
Patients received cetuximab IV over 1 hour on days 1 and 8 and oxaliplatin, leucovorin calcium, and fluorouracil as in arm A. Treatment repeated every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.
Given IV
Other Names:
  • 1-OHP
  • Dacotin
  • Dacplat
  • Eloxatin
  • L-OHP
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Given IV
Other Names:
  • C225
  • IMC-C225
  • C225 monoclonal antibody
  • MOAB C225
  • monoclonal antibody C225
Experimental: Arm E (combination chemotherapy, monoclonal antibody)
Patients received cetuximab as in arm D and irinotecan, leucovorin calcium, and fluorouracil as in arm B. Treatment repeated every 14 days for up to 12 courses in the absence of unacceptable toxicity or recurrent disease.
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Given IV
Other Names:
  • C225
  • IMC-C225
  • C225 monoclonal antibody
  • MOAB C225
  • monoclonal antibody C225
Given IV
Other Names:
  • irinotecan
  • Campto
  • Camptosar
  • U-101440E
  • CPT-11
Experimental: Arm F (combination chemotherapy, monoclonal antibody)
Patients received cetuximab as in arm D and chemotherapy as in arm C.
Given IV
Other Names:
  • 1-OHP
  • Dacotin
  • Dacplat
  • Eloxatin
  • L-OHP
Given IV
Other Names:
  • CF
  • CFR
  • LV
Given IV
Other Names:
  • 5-FU
  • 5-fluorouracil
  • 5-Fluracil
Given IV
Other Names:
  • C225
  • IMC-C225
  • C225 monoclonal antibody
  • MOAB C225
  • monoclonal antibody C225
Given IV
Other Names:
  • irinotecan
  • Campto
  • Camptosar
  • U-101440E
  • CPT-11
Other: Arm G (Locally directed therapy)
Patients determined to have mutated KRAS (or KRAS not evaluable) were assigned to an event monitoring arm in which adjuvant therapy was determined and assigned by the treating oncologist. The determination of the type of therapy, duration of treatment, and dose modification was the responsibility of the treating oncologists.
Patients determined to have mutated KRAS (or KRAS not evaluable) will be assigned to an event monitoring arm in which adjuvant therapy will be determined and assigned by the treating oncologist. The determination of the type of therapy, duration of treatment, and dose modification will be the responsibility of the treating oncologists.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disease-free Survival (Arms A and D: Wild-type KRAS Patients)
Time Frame: At 3 years

The primary endpoint for this study was to compare the disease-free survival (DFS) in patients with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint.

Disease-free survival is defined as the time from randomization until tumor recurrence or death, whichever is first. Estimated by the method of Kaplan and Meier.

At 3 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disease-free Survival (Arms A and D: Mutant KRAS Patients)
Time Frame: At 3 years

A secondary endpoint for this study was to investigate the disease-free survival (DFS) in patients with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint.

Disease-free survival is defined as the time from randomization until tumor recurrence or death, whichever is first. Estimated by the method of Kaplan and Meier.

At 3 years
Overall Survival as Measured by the 3-year Event-free Rate (Arms A and D: Wild-type KRAS Patients)
Time Frame: Up to 3 years
Evidence of death from any cause within 3 years counted as events in the time to event- Kaplan Meier analysis of overall survival for patients with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint. The 3-year event free rates (percentage) are reported below for Wild-type KRAS Patients.
Up to 3 years
Overall Survival as Measured by the 3-year Event-free Rate (Arms A and D: Mutant KRAS Patients)
Time Frame: Up to 3 years
Evidence of death from any cause within 3 years counted as events in the time to event- Kaplan Meier analysis of overall survival for patients with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). Participants treated according to Arms B, C, E, and F treatment schedules received treatment which included irinotecan hydrochloride and therefore were not analyzed for this endpoint. The 3-year event-free rates (percentage) are report below for mutant KRAS patients.
Up to 3 years
Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (v3) (Arms A and D: Wild-type KRAS Patients)
Time Frame: Assessed up to 8 years
The maximum grade for each type of toxicity will be recorded for each patient with stage III colon cancer who are KRAS wild-type randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below.
Assessed up to 8 years
Toxicity, Assessed Using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 (v3) (Arms A and D: Mutant KRAS Patients)
Time Frame: Assessed up to 8 years
The maximum grade for each type of toxicity will be recorded for each patient with stage III colon cancer who are KRAS mutant (or KRAS-nonevaluable) and randomized to one of two treatment regimens: 1) oxaliplatin, leucovorin calcium, and fluorouracil (Arm A) or 2) oxaliplatin, leucovorin calcium, fluorouracil and cetuximab (Arm D). The overall toxicity rates (percentages) for grade 3 or higher adverse events considered at least possibly related to treatment are reported below.
Assessed up to 8 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Steven A Alberts, MD, North Central Cancer Treatment Group

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2004

Primary Completion (Actual)

November 1, 2012

Study Completion (Actual)

November 1, 2012

Study Registration Dates

First Submitted

March 8, 2004

First Submitted That Met QC Criteria

March 9, 2004

First Posted (Estimate)

March 10, 2004

Study Record Updates

Last Update Posted (Actual)

May 13, 2020

Last Update Submitted That Met QC Criteria

April 28, 2020

Last Verified

April 1, 2020

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Stage III Colon Cancer

Clinical Trials on oxaliplatin

Subscribe