Docetaxel, karboplatina, trastuzumab a pertuzumab s nedostatkem estrogenu nebo bez něj při léčbě pacientů s operabilním nebo lokálně pokročilým karcinomem prsu s pozitivním hormonálním receptorem, HER2 pozitivním
Randomizovaná studie fáze III hodnotící míru patologické kompletní odpovědi u pacientů s pozitivními hormonálními receptory, HER2 pozitivním, velkým operabilním a lokálně pokročilým karcinomem prsu léčených neoadjuvantní terapií docetaxelem, karboplatinou, trastuzumabem a pertuzumabem (TCHP) s nebo bez estrogenové deprivace
This randomized phase III trial studies docetaxel, carboplatin, trastuzumab, and pertuzumab with estrogen deprivation to see how they work compared to docetaxel, carboplatin, trastuzumab, and pertuzumab without estrogen deprivation in treating patients with hormone receptor-positive, human epidermal growth factor receptor 2 (HER2)-positive breast cancer that is operable or has spread from where it started to nearby tissue or lymph nodes (locally advanced). Drugs used in chemotherapy, such as docetaxel, carboplatin, trastuzumab, and pertuzumab, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Estrogen can cause the growth of breast cancer cells. Hormone therapy using goserelin acetate and aromatase inhibition therapy may fight breast cancer by blocking the use of estrogen by the tumor cells. Radiation therapy uses high energy x rays to kill tumor cells. Giving combination chemotherapy and radiation therapy with or without hormone therapy may be an effective treatment for hormone receptor-positive, HER2-positive, operable or locally advanced breast cancer.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
- Lék: Carboplatin
- Biologický: Trastuzumab
- Jiný: Laboratory Biomarker Analysis
- Jiný: Quality-of-Life Assessment
- Lék: Docetaxel
- Jiný: Cytology Specimen Collection Procedure
- Biologický: Pertuzumab
- Postup: Therapeutic Conventional Surgery
- Záření: Whole Breast Irradiation
- Lék: Aromatase Inhibition Therapy
- Lék: Goserelin Acetate
Detailní popis
PRIMARY OBJECTIVES:
I. To determine whether the addition of estrogen deprivation to neoadjuvant therapy consisting of therapy of docetaxel, carboplatin, trastuzumab, and pertuzumab (TCHP) yields a greater rate of pathologic complete response (pCR) (breast and nodes) than TCHP alone when administered to women with operable, hormone receptor-positive, HER2-positive breast cancer.
SECONDARY OBJECTIVES:
I. To determine whether the addition of estrogen deprivation to neoadjuvant therapy consisting of TCHP will increase the pCR rate in the breast compared to TCHP alone when administered to women with operable, hormone receptor-positive, HER2-positive breast cancer.
II. To determine whether the addition of estrogen deprivation to neoadjuvant therapy consisting of TCHP improves recurrence-free interval (RFI) in women with operable, hormone receptor-positive, HER2-positive breast cancer.
III. To determine whether the addition of estrogen deprivation to neoadjuvant therapy consisting of TCHP improves overall survival (OS) in women with operable, hormone receptor-positive, HER2-positive breast cancer.
IV. To compare the rates of second primary invasive cancer by treatment arm. V. Assessment of patterns of pCR, RFI, and OS by menopausal status. VI. To evaluate the cardiac toxicity associated with each of the regimens. VII. To compare the effect of adding estrogen deprivation to neoadjuvant therapy on endocrine-related symptoms in all patients by treatment arm.
VIII. To compare the effect of adding estrogen deprivation to neoadjuvant therapy on vasomotor symptoms, musculoskeletal, and vaginal complaints as well as quality of life.
IX. To determine a relationship between pCR and a potential mechanism of resistance/sensitivity in hormone receptor-positive, HER2-positive tumors.
X. To evaluate tumor infiltrating lymphocytes (TILs) and immune biomarkers as predictors of pCR.
XI. To study early changes in TILs and other immune biomarkers in response to TCHP.
OUTLINE: Patients are randomized to 1 of 2 treatments arms.
NEOADJUVANT:
ARM I: Patients receive docetaxel intravenously (IV) over 60 minutes, carboplatin IV over 30-60 minutes, trastuzumab IV over 30-90 minutes, and pertuzumab IV over 30-60 on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients enrolled after Amendment #4 undergo 2 core biopsies prior to course 3 of treatment.
ARM II: All patients receive docetaxel, carboplatin, trastuzumab, and pertuzumab as in arm I. Premenopausal patients also receive goserelin acetate subcutaneously (SC) every 28 days until surgery and aromatase inhibition therapy at the investigator's discretion daily until 1 day before surgery. Postmenopausal patients receive aromatase inhibition therapy at the investigator's discretion daily until 1 day before surgery. Patients enrolled after Amendment #4 undergo 2 core biopsies prior to course 3 of treatment.
SURGERY: Patients undergo lumpectomy or mastectomy.
RADIATION: Patients undergo whole breast irradiation within 8 weeks following surgery.
ADJUVANT: Patients receive trastuzumab IV over 30-60 minutes every 21 days for up to 1 year.
After completion of study treatment, patients are followed up every 6, 9, 12, and 18 months for 5 years.
Typ studie
Typ studie
Zápis (Aktuální)
Zápis
Fáze
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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San Juan, Portoriko, 00936
- San Juan City Hospital
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Alaska
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Fairbanks, Alaska, Spojené státy, 99701
- Fairbanks Memorial Hospital
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Arkansas
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Hot Springs, Arkansas, Spojené státy, 71913
- CHI Saint Vincent Cancer Center Hot Springs
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California
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Anaheim, California, Spojené státy, 92806
- Kaiser Permanente-Anaheim
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Antioch, California, Spojené státy, 94531
- Kaiser Permanente-Deer Valley Medical Center
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Arroyo Grande, California, Spojené státy, 93420
- PCR Oncology
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Auburn, California, Spojené státy, 95602
- Sutter Auburn Faith Hospital
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Auburn, California, Spojené státy, 95603
- Sutter Cancer Centers Radiation Oncology Services-Auburn
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Baldwin Park, California, Spojené státy, 91706
- Kaiser Permanente-Baldwin Park
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Bellflower, California, Spojené státy, 90706
- Kaiser Permanente-Bellflower
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Berkeley, California, Spojené státy, 94704
- Alta Bates Summit Medical Center-Herrick Campus
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Burlingame, California, Spojené státy, 94010
- Mills-Peninsula Medical Center
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Cameron Park, California, Spojené státy, 95682
- Sutter Cancer Centers Radiation Oncology Services-Cameron Park
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Castro Valley, California, Spojené státy, 94546
- Eden Hospital Medical Center
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Castro Valley, California, Spojené státy, 94546
- East Bay Radiation Oncology Center
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Davis, California, Spojené státy, 95616
- Sutter Davis Hospital
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Dublin, California, Spojené státy, 94568
- Epic Care-Dublin
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Emeryville, California, Spojené státy, 94608
- Bay Area Breast Surgeons Inc
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Emeryville, California, Spojené státy, 94608
- Epic Care Partners in Cancer Care
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Fontana, California, Spojené státy, 92335
- Kaiser Permanente-Fontana
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Fremont, California, Spojené státy, 94538
- Kaiser Permanente-Fremont
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Fresno, California, Spojené státy, 93720
- Kaiser Permanente-Fresno
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Harbor City, California, Spojené státy, 90710
- Kaiser Permanente South Bay
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Irvine, California, Spojené státy, 92618
- Kaiser Permanente-Irvine
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Loma Linda, California, Spojené státy, 92354
- Loma Linda University Medical Center
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Los Angeles, California, Spojené státy, 90027
- Kaiser Permanente Los Angeles Medical Center
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Los Angeles, California, Spojené státy, 90048
- Cedars Sinai Medical Center
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Los Angeles, California, Spojené státy, 90034
- Kaiser Permanente West Los Angeles
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Martinez, California, Spojené státy, 94553-3156
- Contra Costa Regional Medical Center
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Modesto, California, Spojené státy, 95355
- Memorial Medical Center
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Modesto, California, Spojené státy, 95356
- Kaiser Permanente-Modesto
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Mountain View, California, Spojené státy, 94040
- El Camino Hospital
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Mountain View, California, Spojené státy, 94040
- Palo Alto Medical Foundation-Camino Division
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Mountain View, California, Spojené státy, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Novato, California, Spojené státy, 94945
- Sutter Cancer Research Consortium
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Oakland, California, Spojené státy, 94611
- Kaiser Permanente-Oakland
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Oakland, California, Spojené státy, 94609
- Alta Bates Summit Medical Center - Summit Campus
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Oakland, California, Spojené státy, 94609
- Hematology and Oncology Associates-Oakland
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Oakland, California, Spojené státy, 94609
- Bay Area Tumor Institute
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Oakland, California, Spojené státy, 94602
- Wilma Chan Highland Hospital
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Orange, California, Spojené státy, 92868
- Saint Joseph Hospital - Orange
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Palo Alto, California, Spojené státy, 94304
- Stanford Cancer Institute Palo Alto
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Palo Alto, California, Spojené státy, 94301
- Palo Alto Medical Foundation Health Care
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Panorama City, California, Spojené státy, 91402
- Kaiser Permanente - Panorama City
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Pleasanton, California, Spojené státy, 94588
- Valley Medical Oncology Consultants
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Redwood City, California, Spojené státy, 94063
- Kaiser Permanente-Redwood City
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Richmond, California, Spojené státy, 94801
- Kaiser Permanente-Richmond
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Riverside, California, Spojené státy, 92505
- Kaiser Permanente-Riverside
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Roseville, California, Spojené státy, 95661
- Kaiser Permanente-Roseville
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Roseville, California, Spojené státy, 95661
- Sutter Cancer Centers Radiation Oncology Services-Roseville
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Roseville, California, Spojené státy, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Spojené státy, 95816
- Sutter Medical Center Sacramento
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Sacramento, California, Spojené státy, 95823
- Kaiser Permanente-South Sacramento
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Sacramento, California, Spojené státy, 95825
- Kaiser Permanente Sacramento Medical Center
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San Diego, California, Spojené státy, 92120
- Kaiser Permanente-San Diego Zion
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San Diego, California, Spojené státy, 92108
- Kaiser Permanente-San Diego Mission
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San Francisco, California, Spojené státy, 94115
- Kaiser Permanente-San Francisco
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San Francisco, California, Spojené státy, 94115
- California Pacific Medical Center-Pacific Campus
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San Jose, California, Spojené státy, 95119
- Kaiser Permanente-Santa Teresa-San Jose
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San Leandro, California, Spojené státy, 94577
- Kaiser Permanente San Leandro
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San Marcos, California, Spojené státy, 92078
- Kaiser Permanente-San Marcos
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San Pablo, California, Spojené státy, 94806
- Doctors Medical Center- JC Robinson Regional Cancer Center
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San Rafael, California, Spojené státy, 94903
- Kaiser Permanente-San Rafael
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Santa Clara, California, Spojené státy, 95051
- Kaiser Permanente Medical Center - Santa Clara
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Santa Cruz, California, Spojené státy, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Santa Rosa, California, Spojené státy, 95403
- Kaiser Permanente-Santa Rosa
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Santa Rosa, California, Spojené státy, 95403
- Sutter Pacific Medical Foundation
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South San Francisco, California, Spojené státy, 94080
- Kaiser Permanente-South San Francisco
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Stockton, California, Spojené státy, 95210
- Kaiser Permanente-Stockton
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Sunnyvale, California, Spojené státy, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Vacaville, California, Spojené státy, 95688
- Kaiser Permanente Medical Center-Vacaville
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Vallejo, California, Spojené státy, 94589
- Kaiser Permanente-Vallejo
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Vallejo, California, Spojené státy, 94589
- Sutter Solano Medical Center/Cancer Center
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Walnut Creek, California, Spojené státy, 94596
- Kaiser Permanente-Walnut Creek
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Woodland Hills, California, Spojené státy, 91367
- Kaiser Permanente-Woodland Hills
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Colorado
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Aurora, Colorado, Spojené státy, 80012
- Rocky Mountain Cancer Centers-Aurora
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Aurora, Colorado, Spojené státy, 80012
- The Medical Center of Aurora
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Aurora, Colorado, Spojené státy, 80045
- UCHealth University of Colorado Hospital
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Boulder, Colorado, Spojené státy, 80303
- Boulder Community Foothills Hospital
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Boulder, Colorado, Spojené státy, 80304
- Rocky Mountain Cancer Centers-Boulder
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Colorado Springs, Colorado, Spojené státy, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Spojené státy, 80909
- UCHealth Memorial Hospital Central
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Colorado Springs, Colorado, Spojené státy, 80907
- Rocky Mountain Cancer Centers-Penrose
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Denver, Colorado, Spojené státy, 80218
- Presbyterian - Saint Lukes Medical Center - Health One
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Denver, Colorado, Spojené státy, 80220
- Rose Medical Center
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Denver, Colorado, Spojené státy, 80218
- Rocky Mountain Cancer Centers-Midtown
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Denver, Colorado, Spojené státy, 80220
- Rocky Mountain Cancer Centers-Rose
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Denver, Colorado, Spojené státy, 80218
- Colorado Blood Cancer Institute
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Denver, Colorado, Spojené státy, 80222
- Western States Cancer Research NCORP
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Denver, Colorado, Spojené státy, 80218
- Saint Joseph Hospital - Cancer Centers of Colorado
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Denver, Colorado, Spojené státy, 80210
- AdventHealth Porter
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Durango, Colorado, Spojené státy, 81301
- Mercy Medical Center
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Durango, Colorado, Spojené státy, 81301
- Southwest Oncology PC
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Englewood, Colorado, Spojené státy, 80113
- Mountain Blue Cancer Care Center - Swedish
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Englewood, Colorado, Spojené státy, 80113
- Swedish Medical Center
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Fort Collins, Colorado, Spojené státy, 80524
- Poudre Valley Hospital
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Golden, Colorado, Spojené státy, 80401
- Mountain Blue Cancer Care Center
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Greeley, Colorado, Spojené státy, 80631
- Banner North Colorado Medical Center
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Greenwood Village, Colorado, Spojené státy, 80111
- Rocky Mountain Cancer Centers-Greenwood Village
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Lakewood, Colorado, Spojené státy, 80228
- Saint Anthony Hospital
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Lakewood, Colorado, Spojené státy, 80228
- Rocky Mountain Cancer Centers-Lakewood
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Littleton, Colorado, Spojené státy, 80120
- Rocky Mountain Cancer Centers-Littleton
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Littleton, Colorado, Spojené státy, 80122
- AdventHealth Littleton
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Lone Tree, Colorado, Spojené státy, 80124
- Sky Ridge Medical Center
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Lone Tree, Colorado, Spojené státy, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Longmont, Colorado, Spojené státy, 80501
- Longmont United Hospital
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Longmont, Colorado, Spojené státy, 80501
- Rocky Mountain Cancer Centers-Longmont
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Loveland, Colorado, Spojené státy, 80539
- Banner McKee Medical Center
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Parker, Colorado, Spojené státy, 80138
- Rocky Mountain Cancer Centers-Parker
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Parker, Colorado, Spojené státy, 80138
- AdventHealth Parker
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Pueblo, Colorado, Spojené státy, 81004
- Saint Mary Corwin Medical Center
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Pueblo, Colorado, Spojené státy, 81008
- Rocky Mountain Cancer Centers - Pueblo
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Thornton, Colorado, Spojené státy, 80260
- Rocky Mountain Cancer Centers-Thornton
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Wheat Ridge, Colorado, Spojené státy, 80401
- Intermountain Health Lutheran Hospital
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Connecticut
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Hartford, Connecticut, Spojené státy, 06105
- Smilow Cancer Hospital Care Center at Saint Francis
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Hartford, Connecticut, Spojené státy, 06102
- Hartford Hospital
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Delaware
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Lewes, Delaware, Spojené státy, 19958
- Beebe Medical Center
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Newark, Delaware, Spojené státy, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Spojené státy, 19713
- Delaware Clinical and Laboratory Physicians PA
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Newark, Delaware, Spojené státy, 19713
- Medical Oncology Hematology Consultants PA
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Newark, Delaware, Spojené státy, 19718
- Christiana Care Health System-Christiana Hospital
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Rehoboth Beach, Delaware, Spojené státy, 19971
- Beebe Health Campus
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Seaford, Delaware, Spojené státy, 19973
- TidalHealth Nanticoke / Allen Cancer Center
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Wilmington, Delaware, Spojené státy, 19801
- Christiana Care Health System-Wilmington Hospital
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District of Columbia
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Washington D.C., District of Columbia, Spojené státy, 20010
- MedStar Washington Hospital Center
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Washington D.C., District of Columbia, Spojené státy, 20007
- MedStar Georgetown University Hospital
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Florida
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Deerfield Beach, Florida, Spojené státy, 33442
- UM Sylvester Comprehensive Cancer Center at Deerfield Beach
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Gainesville, Florida, Spojené státy, 32610
- University of Florida Health Science Center - Gainesville
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Miami, Florida, Spojené státy, 33136
- University of Miami Miller School of Medicine-Sylvester Cancer Center
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Orlando, Florida, Spojené státy, 32806
- Orlando Health Cancer Institute
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Orlando, Florida, Spojené státy, 32803
- AdventHealth Orlando
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Georgia
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Athens, Georgia, Spojené státy, 30607
- University Cancer and Blood Center LLC
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Atlanta, Georgia, Spojené státy, 30342
- Northside Hospital
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Augusta, Georgia, Spojené státy, 30912
- Augusta University Medical Center
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Cumming, Georgia, Spojené státy, 30041
- Northside Hospital-Forsyth
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Decatur, Georgia, Spojené státy, 30033
- Emory Decatur Hospital
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Gainesville, Georgia, Spojené státy, 30501
- Northeast Georgia Medical Center-Gainesville
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Savannah, Georgia, Spojené státy, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
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Savannah, Georgia, Spojené státy, 31404
- Memorial Health University Medical Center
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Savannah, Georgia, Spojené státy, 31404
- Summit Cancer Care-Memorial
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Savannah, Georgia, Spojené státy, 31404
- Low Country Cancer Care
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Hawaii
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Honolulu, Hawaii, Spojené státy, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Spojené státy, 96817
- The Cancer Center of Hawaii-Liliha
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Honolulu, Hawaii, Spojené státy, 96813
- Hawaii Cancer Care Inc - Waterfront Plaza
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Honolulu, Hawaii, Spojené státy, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Spojené státy, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, Spojené státy, 96817
- Hawaii Cancer Care Inc-Liliha
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Honolulu, Hawaii, Spojené státy, 96817
- Kuakini Medical Center
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Honolulu, Hawaii, Spojené státy, 96817
- Queen's Cancer Center - Kuakini
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Honolulu, Hawaii, Spojené státy, 96819
- Kaiser Permanente Moanalua Medical Center
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Kailua, Hawaii, Spojené státy, 96734
- Castle Medical Center
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Lihue, Hawaii, Spojené státy, 96766
- Wilcox Memorial Hospital and Kauai Medical Clinic
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‘Aiea, Hawaii, Spojené státy, 96701
- Pali Momi Medical Center
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‘Aiea, Hawaii, Spojené státy, 96701
- Queen's Cancer Center - Pearlridge
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‘Aiea, Hawaii, Spojené státy, 96701
- The Cancer Center of Hawaii-Pali Momi
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Idaho
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Boise, Idaho, Spojené státy, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Coeur d'Alene, Idaho, Spojené státy, 83814
- Kootenai Health - Coeur d'Alene
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Lewiston, Idaho, Spojené státy, 83501
- Saint Joseph Regional Medical Center
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Post Falls, Idaho, Spojené státy, 83854
- Kootenai Clinic Cancer Services - Post Falls
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Sandpoint, Idaho, Spojené státy, 83864
- Kootenai Clinic Cancer Services - Sandpoint
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Illinois
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Aurora, Illinois, Spojené státy, 60504
- Rush-Copley Medical Center
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Bloomington, Illinois, Spojené státy, 61704
- Illinois CancerCare-Bloomington
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Bloomington, Illinois, Spojené státy, 61701
- OSF Saint Joseph Medical Center
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Canton, Illinois, Spojené státy, 61520
- Illinois CancerCare-Canton
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Carbondale, Illinois, Spojené státy, 62902
- Memorial Hospital of Carbondale
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Carthage, Illinois, Spojené státy, 62321
- Illinois CancerCare-Carthage
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Centralia, Illinois, Spojené státy, 62801
- Centralia Oncology Clinic
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Chicago, Illinois, Spojené státy, 60612
- University of Illinois
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Chicago, Illinois, Spojené státy, 60612
- John H Stroger Jr Hospital of Cook County
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Chicago, Illinois, Spojené státy, 60608
- Mount Sinai Hospital Medical Center
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Chicago, Illinois, Spojené státy, 60625
- Swedish Covenant Hospital
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Chicago, Illinois, Spojené státy, 60631
- Presence Resurrection Medical Center
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Danville, Illinois, Spojené státy, 61832
- Carle at The Riverfront
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Decatur, Illinois, Spojené státy, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Spojené státy, 62526
- Cancer Care Specialists of Illinois - Decatur
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Effingham, Illinois, Spojené státy, 62401
- Crossroads Cancer Center
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Effingham, Illinois, Spojené státy, 62401
- Carle Physician Group-Effingham
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Elk Grove Village, Illinois, Spojené státy, 60007
- Ascension Alexian Brothers - Elk Grove Village
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Eureka, Illinois, Spojené státy, 61530
- Illinois CancerCare-Eureka
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Evanston, Illinois, Spojené státy, 60202
- Saint Francis Hospital
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Galesburg, Illinois, Spojené státy, 61401
- Western Illinois Cancer Treatment Center
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Galesburg, Illinois, Spojené státy, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Spojené státy, 60134
- Northwestern Medicine Cancer Center Delnor
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Harvey, Illinois, Spojené státy, 60426
- Ingalls Memorial Hospital
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Kankakee, Illinois, Spojené státy, 60901
- Presence Saint Mary's Hospital
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Kewanee, Illinois, Spojené státy, 61443
- Illinois CancerCare-Kewanee Clinic
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Macomb, Illinois, Spojené státy, 61455
- Illinois CancerCare-Macomb
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Mattoon, Illinois, Spojené státy, 61938
- Carle Physician Group-Mattoon/Charleston
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Mount Vernon, Illinois, Spojené státy, 62864
- SSM Health Good Samaritan
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Naperville, Illinois, Spojené státy, 60540
- Edward Hospital/Cancer Center
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O'Fallon, Illinois, Spojené státy, 62269
- Cancer Care Center of O'Fallon
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Ottawa, Illinois, Spojené státy, 61350
- Illinois CancerCare-Ottawa Clinic
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Ottawa, Illinois, Spojené státy, 61350
- Radiation Oncology of Northern Illinois
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Pekin, Illinois, Spojené státy, 61554
- Illinois CancerCare-Pekin
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Pekin, Illinois, Spojené státy, 61554
- OSF Saint Francis Radiation Oncology at Pekin
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Peoria, Illinois, Spojené státy, 61636
- Methodist Medical Center of Illinois
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Peoria, Illinois, Spojené státy, 61637
- OSF Saint Francis Medical Center
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Peoria, Illinois, Spojené státy, 61615
- Illinois CancerCare-Peoria
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Peoria, Illinois, Spojené státy, 61615
- OSF Saint Francis Radiation Oncology at Peoria Cancer Center
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Peru, Illinois, Spojené státy, 61354
- Illinois CancerCare-Peru
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Peru, Illinois, Spojené státy, 61354
- Valley Radiation Oncology
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Plainfield, Illinois, Spojené státy, 60585
- Edward Hospital/Cancer Center?Plainfield
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Princeton, Illinois, Spojené státy, 61356
- Illinois CancerCare-Princeton
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Rockford, Illinois, Spojené státy, 61108
- OSF Saint Anthony Medical Center
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Rockford, Illinois, Spojené státy, 61114
- UW Health Carbone Cancer Center Rockford
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Springfield, Illinois, Spojené státy, 62702
- Southern Illinois University School of Medicine
-
Springfield, Illinois, Spojené státy, 62702
- Springfield Clinic
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Springfield, Illinois, Spojené státy, 62702
- Central Illinois Hematology Oncology Center
-
Springfield, Illinois, Spojené státy, 62781
- Springfield Memorial Hospital
-
Urbana, Illinois, Spojené státy, 61801
- Carle Cancer Center
-
Urbana, Illinois, Spojené státy, 61801
- The Carle Foundation Hospital
-
Warrenville, Illinois, Spojené státy, 60555
- Northwestern Medicine Cancer Center Warrenville
-
Yorkville, Illinois, Spojené státy, 60560
- Rush-Copley Healthcare Center
-
-
Indiana
-
Crown Point, Indiana, Spojené státy, 46307
- Michiana Hematology Oncology PC-Crown Point
-
Elkhart, Indiana, Spojené státy, 46515
- Elkhart General Hospital
-
Elkhart, Indiana, Spojené státy, 46514
- Michiana Hematology Oncology PC-Elkhart
-
Elkhart, Indiana, Spojené státy, 46514-2098
- Elkhart Clinic
-
Indianapolis, Indiana, Spojené státy, 46237
- Franciscan Health Indianapolis
-
Kokomo, Indiana, Spojené státy, 46904
- Community Howard Regional Health
-
La Porte, Indiana, Spojené státy, 46350
- IU Health La Porte Hospital
-
Michigan City, Indiana, Spojené státy, 46360
- Franciscan Saint Anthony Health-Michigan City
-
Michigan City, Indiana, Spojené státy, 46360
- Woodland Cancer Care Center
-
Mishawaka, Indiana, Spojené státy, 46545
- Michiana Hematology Oncology PC-Mishawaka
-
Mishawaka, Indiana, Spojené státy, 46545
- Saint Joseph Regional Medical Center-Mishawaka
-
Munster, Indiana, Spojené státy, 46321
- The Community Hospital
-
Plymouth, Indiana, Spojené státy, 46563
- Michiana Hematology Oncology PC-Plymouth
-
Richmond, Indiana, Spojené státy, 47374
- Reid Health
-
South Bend, Indiana, Spojené státy, 46628
- Northern Indiana Cancer Research Consortium
-
Terre Haute, Indiana, Spojené státy, 47804
- Union Hospital
-
Westville, Indiana, Spojené státy, 46391
- Michiana Hematology Oncology PC-Westville
-
-
Iowa
-
Ames, Iowa, Spojené státy, 50010
- Mary Greeley Medical Center
-
Ames, Iowa, Spojené státy, 50010
- McFarland Clinic - Ames
-
Boone, Iowa, Spojené státy, 50036
- McFarland Clinic - Boone
-
Cedar Rapids, Iowa, Spojené státy, 52403
- Mercy Hospital
-
Cedar Rapids, Iowa, Spojené státy, 52403
- Oncology Associates at Mercy Medical Center
-
Clive, Iowa, Spojené státy, 50325
- Mercy Cancer Center-West Lakes
-
Clive, Iowa, Spojené státy, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
-
Council Bluffs, Iowa, Spojené státy, 51503
- Alegent Health Mercy Hospital
-
Creston, Iowa, Spojené státy, 50801
- Greater Regional Medical Center
-
Des Moines, Iowa, Spojené státy, 50314
- Mercy Medical Center - Des Moines
-
Des Moines, Iowa, Spojené státy, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
-
Fort Dodge, Iowa, Spojené státy, 50501
- McFarland Clinic - Trinity Cancer Center
-
Iowa City, Iowa, Spojené státy, 52242
- University of Iowa/Holden Comprehensive Cancer Center
-
Jefferson, Iowa, Spojené státy, 50129
- McFarland Clinic - Jefferson
-
Marshalltown, Iowa, Spojené státy, 50158
- McFarland Clinic - Marshalltown
-
West Des Moines, Iowa, Spojené státy, 50266
- Mercy Medical Center-West Lakes
-
-
Kansas
-
Chanute, Kansas, Spojené státy, 66720
- Cancer Center of Kansas - Chanute
-
Dodge City, Kansas, Spojené státy, 67801
- Cancer Center of Kansas - Dodge City
-
El Dorado, Kansas, Spojené státy, 67042
- Cancer Center of Kansas - El Dorado
-
Fort Scott, Kansas, Spojené státy, 66701
- Cancer Center of Kansas - Fort Scott
-
Independence, Kansas, Spojené státy, 67301
- Cancer Center of Kansas-Independence
-
Kingman, Kansas, Spojené státy, 67068
- Cancer Center of Kansas-Kingman
-
Lawrence, Kansas, Spojené státy, 66044
- Lawrence Memorial Hospital
-
Liberal, Kansas, Spojené státy, 67905
- Cancer Center of Kansas-Liberal
-
Manhattan, Kansas, Spojené státy, 66502
- Cancer Center of Kansas-Manhattan
-
McPherson, Kansas, Spojené státy, 67460
- Cancer Center of Kansas - McPherson
-
Newton, Kansas, Spojené státy, 67114
- Cancer Center of Kansas - Newton
-
Parsons, Kansas, Spojené státy, 67357
- Cancer Center of Kansas - Parsons
-
Pratt, Kansas, Spojené státy, 67124
- Cancer Center of Kansas - Pratt
-
Salina, Kansas, Spojené státy, 67401
- Cancer Center of Kansas - Salina
-
Topeka, Kansas, Spojené státy, 66606
- Cotton O'Neil Cancer Center / Stormont Vail Health
-
Wellington, Kansas, Spojené státy, 67152
- Cancer Center of Kansas - Wellington
-
Wichita, Kansas, Spojené státy, 67214
- Ascension Via Christi Hospitals Wichita
-
Wichita, Kansas, Spojené státy, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
-
Wichita, Kansas, Spojené státy, 67214
- Cancer Center of Kansas - Wichita
-
Wichita, Kansas, Spojené státy, 67208
- Associates In Womens Health
-
Wichita, Kansas, Spojené státy, 67214
- Wichita NCI Community Oncology Research Program
-
Winfield, Kansas, Spojené státy, 67156
- Cancer Center of Kansas - Winfield
-
-
Kentucky
-
Bardstown, Kentucky, Spojené státy, 40004
- Flaget Memorial Hospital
-
Corbin, Kentucky, Spojené státy, 40701
- Baptist Health Corbin
-
Corbin, Kentucky, Spojené státy, 40701
- Commonwealth Cancer Center-Corbin
-
Crestview Hills, Kentucky, Spojené státy, 41017
- Oncology Hematology Care Inc-Crestview
-
Elizabethtown, Kentucky, Spojené státy, 42701
- Baptist Health Hardin
-
Lexington, Kentucky, Spojené státy, 40536
- University of Kentucky/Markey Cancer Center
-
Lexington, Kentucky, Spojené státy, 40504
- Saint Joseph Radiation Oncology Resource Center
-
Lexington, Kentucky, Spojené státy, 40509
- Saint Joseph Hospital East
-
Lexington, Kentucky, Spojené státy, 40503
- Baptist Health Lexington
-
Louisville, Kentucky, Spojené státy, 40202
- The James Graham Brown Cancer Center at University of Louisville
-
Louisville, Kentucky, Spojené státy, 40202
- Jewish Hospital
-
Louisville, Kentucky, Spojené státy, 40245
- UofL Health Medical Center Northeast
-
Louisville, Kentucky, Spojené státy, 40207
- Baptist Health Louisville
-
Louisville, Kentucky, Spojené státy, 40215
- Saints Mary and Elizabeth Hospital
-
Madisonville, Kentucky, Spojené státy, 42431
- Baptist Health Madisonville/Merle Mahr Cancer Center
-
Paducah, Kentucky, Spojené státy, 42003
- Baptist Health Paducah
-
Shepherdsville, Kentucky, Spojené státy, 40165
- Jewish Hospital Medical Center South
-
-
Louisiana
-
Baton Rouge, Louisiana, Spojené státy, 70809
- Ochsner Health Center-Summa
-
Kenner, Louisiana, Spojené státy, 70065
- Ochsner Medical Center Kenner
-
New Orleans, Louisiana, Spojené státy, 70121
- Ochsner Medical Center Jefferson
-
-
Maine
-
Bangor, Maine, Spojené státy, 04401
- Eastern Maine Medical Center
-
Brewer, Maine, Spojené státy, 04412
- Lafayette Family Cancer Center-EMMC
-
-
Maryland
-
Baltimore, Maryland, Spojené státy, 21237
- MedStar Franklin Square Medical Center/Weinberg Cancer Institute
-
Baltimore, Maryland, Spojené státy, 21204
- Greater Baltimore Medical Center
-
Elkton, Maryland, Spojené státy, 21921
- Christiana Care - Union Hospital
-
Frederick, Maryland, Spojené státy, 21701
- Frederick Memorial Hospital
-
-
Massachusetts
-
Fall River, Massachusetts, Spojené státy, 02721
- Saint Anne's Hospital
-
Pittsfield, Massachusetts, Spojené státy, 01201
- Berkshire Medical Center - Cancer Center
-
-
Michigan
-
Adrian, Michigan, Spojené státy, 49221
- Bixby Medical Center
-
Adrian, Michigan, Spojené státy, 49221
- Hickman Cancer Center
-
Ann Arbor, Michigan, Spojené státy, 48106
- Michigan Cancer Research Consortium NCORP
-
Ann Arbor, Michigan, Spojené státy, 48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
-
Ann Arbor, Michigan, Spojené státy, 48109
- University of Michigan Comprehensive Cancer Center
-
Dearborn, Michigan, Spojené státy, 48124
- Corewell Health Dearborn Hospital
-
Detroit, Michigan, Spojené státy, 48202
- Henry Ford Hospital
-
Detroit, Michigan, Spojené státy, 48201
- Wayne State University/Karmanos Cancer Institute
-
Detroit, Michigan, Spojené státy, 48236
- Henry Ford Health Saint John Hospital
-
Farmington Hills, Michigan, Spojené státy, 48334
- Weisberg Cancer Treatment Center
-
Farmington Hills, Michigan, Spojené státy, 48336
- Corewell Health Farmington Hills Hospital
-
Flint, Michigan, Spojené státy, 48503
- Hurley Medical Center
-
Flint, Michigan, Spojené státy, 48503
- Genesys Hurley Cancer Institute
-
Grosse Pointe, Michigan, Spojené státy, 48230
- William Beaumont Hospital-Grosse Pointe
-
Jackson, Michigan, Spojené státy, 49201
- Allegiance Health
-
Kalamazoo, Michigan, Spojené státy, 49007
- West Michigan Cancer Center
-
Lansing, Michigan, Spojené státy, 48912
- University of Michigan Health - Sparrow Lansing
-
Livonia, Michigan, Spojené státy, 48154
- Trinity Health Saint Mary Mercy Livonia Hospital
-
Midland, Michigan, Spojené státy, 48670
- MyMichigan Medical Center Midland
-
Monroe, Michigan, Spojené státy, 48162
- Mercy Memorial Hospital
-
Monroe, Michigan, Spojené státy, 48162
- Toledo Clinic Cancer Centers-Monroe
-
Pontiac, Michigan, Spojené státy, 48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Port Huron, Michigan, Spojené státy, 48060
- Lake Huron Medical Center
-
Roseville, Michigan, Spojené státy, 48066
- Michigan Cancer Specialists
-
Royal Oak, Michigan, Spojené státy, 48073
- Cancer Care Associates PC
-
Royal Oak, Michigan, Spojené státy, 48073
- Comprehensive Medical Center PLLC
-
Royal Oak, Michigan, Spojené státy, 48073
- Oakland Medical Group
-
Royal Oak, Michigan, Spojené státy, 48067
- Oakland Colon Rectal Associates
-
Royal Oak, Michigan, Spojené státy, 48073
- Hematology Oncology Consultants PC-Royal Oak
-
Royal Oak, Michigan, Spojené státy, 48073
- Corewell Health William Beaumont University Hospital
-
Saginaw, Michigan, Spojené státy, 48601
- MyMichigan Medical Center Saginaw
-
Sterling Heights, Michigan, Spojené státy, 48312
- Premier Hematology Oncology Care
-
Sterling Heights, Michigan, Spojené státy, 48314
- Mitchell Folbe MD PC
-
Troy, Michigan, Spojené státy, 48084
- Michigan Institute of Urology-Town Center
-
Troy, Michigan, Spojené státy, 48085
- Claudia BR Herke MD PC
-
Troy, Michigan, Spojené státy, 48098
- Hematology Oncology Consultants PC-Troy
-
Troy, Michigan, Spojené státy, 48085
- Corewell Health Beaumont Troy Hospital
-
Warren, Michigan, Spojené státy, 48093
- Henry Ford Health Warren Hospital
-
-
Minnesota
-
Bemidji, Minnesota, Spojené státy, 56601
- Sanford Joe Lueken Cancer Center
-
Brainerd, Minnesota, Spojené státy, 56401
- Essentia Health Saint Joseph's Medical Center
-
Burnsville, Minnesota, Spojené státy, 55337
- Fairview Ridges Hospital
-
Coon Rapids, Minnesota, Spojené státy, 55433
- Mercy Hospital
-
Duluth, Minnesota, Spojené státy, 55805
- Essentia Health Cancer Center
-
Duluth, Minnesota, Spojené státy, 55805
- Essentia Health Saint Mary's Medical Center
-
Duluth, Minnesota, Spojené státy, 55805
- Miller-Dwan Hospital
-
Edina, Minnesota, Spojené státy, 55435
- Fairview Southdale Hospital
-
Fergus Falls, Minnesota, Spojené státy, 56537
- Lake Region Healthcare Corporation-Cancer Care
-
Fridley, Minnesota, Spojené státy, 55432
- Unity Hospital
-
Hutchinson, Minnesota, Spojené státy, 55350
- Hutchinson Area Health Care
-
Maplewood, Minnesota, Spojené státy, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, Spojené státy, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, Spojené státy, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, Spojené státy, 55407
- Abbott-Northwestern Hospital
-
Minneapolis, Minnesota, Spojené státy, 55454
- Health Partners Inc
-
New Ulm, Minnesota, Spojené státy, 56073
- New Ulm Medical Center
-
Robbinsdale, Minnesota, Spojené státy, 55422
- North Memorial Medical Health Center
-
Saint Louis Park, Minnesota, Spojené státy, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Louis Park, Minnesota, Spojené státy, 55416
- Metro Minnesota Community Oncology Research Consortium
-
Saint Paul, Minnesota, Spojené státy, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Spojené státy, 55102
- United Hospital
-
Shakopee, Minnesota, Spojené státy, 55379
- Saint Francis Regional Medical Center
-
Stillwater, Minnesota, Spojené státy, 55082
- Lakeview Hospital
-
Waconia, Minnesota, Spojené státy, 55387
- Ridgeview Medical Center
-
Willmar, Minnesota, Spojené státy, 56201
- Rice Memorial Hospital
-
Woodbury, Minnesota, Spojené státy, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
-
Missouri
-
Ballwin, Missouri, Spojené státy, 63011
- Mercy Oncology and Hematology - Clayton-Clarkson
-
Bolivar, Missouri, Spojené státy, 65613
- Central Care Cancer Center - Bolivar
-
Bonne Terre, Missouri, Spojené státy, 63628
- Parkland Health Center-Bonne Terre
-
Branson, Missouri, Spojené státy, 65616
- Cox Cancer Center Branson
-
Cape Girardeau, Missouri, Spojené státy, 63703
- Saint Francis Medical Center
-
Cape Girardeau, Missouri, Spojené státy, 63703
- Mercy Cancer Center - Cape Girardeau
-
Columbia, Missouri, Spojené státy, 65212
- MU Health - University Hospital/Ellis Fischel Cancer Center
-
Jefferson City, Missouri, Spojené státy, 65109
- MU Health Care Goldschmidt Cancer Center
-
Joplin, Missouri, Spojené státy, 64804
- Freeman Health System
-
Joplin, Missouri, Spojené státy, 64804
- Mercy Hospital Joplin
-
Rolla, Missouri, Spojené státy, 65401
- Mercy Clinic-Rolla-Cancer and Hematology
-
Rolla, Missouri, Spojené státy, 65401
- Phelps Health Delbert Day Cancer Institute
-
Sainte Genevieve, Missouri, Spojené státy, 63670
- Sainte Genevieve County Memorial Hospital
-
Springfield, Missouri, Spojené státy, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Spojené státy, 65804
- Mercy Hospital Springfield
-
St Louis, Missouri, Spojené státy, 63131
- Missouri Baptist Medical Center
-
St Louis, Missouri, Spojené státy, 63109
- Mercy Infusion Center - Chippewa
-
St Louis, Missouri, Spojené státy, 63141
- Mercy Hospital Saint Louis
-
Sullivan, Missouri, Spojené státy, 63080
- Missouri Baptist Sullivan Hospital
-
Sunset Hills, Missouri, Spojené státy, 63127
- BJC Outpatient Center at Sunset Hills
-
-
Montana
-
Anaconda, Montana, Spojené státy, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Spojené státy, 59101
- Billings Clinic Cancer Center
-
Billings, Montana, Spojené státy, 59101
- Saint Vincent Healthcare
-
Billings, Montana, Spojené státy, 59102
- Montana Cancer Consortium NCORP
-
Bozeman, Montana, Spojené státy, 59715
- Bozeman Health Deaconess Hospital
-
Butte, Montana, Spojené státy, 59701
- Saint James Community Hospital and Cancer Treatment Center
-
Great Falls, Montana, Spojené státy, 59405
- Benefis Sletten Cancer Institute
-
Helena, Montana, Spojené státy, 59601
- Saint Peter's Community Hospital
-
Kalispell, Montana, Spojené státy, 59901
- Logan Health Medical Center
-
Missoula, Montana, Spojené státy, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, Spojené státy, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Spojené státy, 68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Kearney, Nebraska, Spojené státy, 68847
- CHI Health Good Samaritan
-
Kearney, Nebraska, Spojené státy, 68845
- Fred and Pamela Buffett Cancer Center - Kearney
-
Lincoln, Nebraska, Spojené státy, 68510
- Saint Elizabeth Regional Medical Center
-
Omaha, Nebraska, Spojené státy, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Spojené státy, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, Spojené státy, 68130
- Alegent Health Lakeside Hospital
-
Omaha, Nebraska, Spojené státy, 68131
- Creighton University Medical Center
-
Omaha, Nebraska, Spojené státy, 68122
- Hematology and Oncology Consultants PC
-
Papillion, Nebraska, Spojené státy, 68046
- Midlands Community Hospital
-
-
Nevada
-
Henderson, Nevada, Spojené státy, 89052
- Comprehensive Cancer Centers of Nevada - Henderson
-
Henderson, Nevada, Spojené státy, 89052
- Cancer and Blood Specialists-Henderson
-
Henderson, Nevada, Spojené státy, 89052
- Las Vegas Cancer Center-Henderson
-
Henderson, Nevada, Spojené státy, 89074
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Henderson, Nevada, Spojené státy, 89074
- GenesisCare USA - Henderson
-
Las Vegas, Nevada, Spojené státy, 89144
- Summerlin Hospital Medical Center
-
Las Vegas, Nevada, Spojené státy, 89106
- Radiation Oncology Centers of Nevada Central
-
Las Vegas, Nevada, Spojené státy, 89109
- GenesisCare USA - Las Vegas
-
Las Vegas, Nevada, Spojené státy, 89119
- Radiation Oncology Centers of Nevada Southeast
-
Las Vegas, Nevada, Spojené státy, 89128
- Comprehensive Cancer Centers of Nevada - Northwest
-
Las Vegas, Nevada, Spojené státy, 89135
- Alliance for Childhood Diseases/Cure 4 the Kids Foundation
-
Las Vegas, Nevada, Spojené státy, 89144
- Comprehensive Cancer Centers of Nevada-Summerlin
-
Las Vegas, Nevada, Spojené státy, 89148
- Comprehensive Cancer Centers of Nevada
-
Las Vegas, Nevada, Spojené státy, 89148
- OptumCare Cancer Care at Fort Apache
-
Las Vegas, Nevada, Spojené státy, 89169
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Las Vegas, Nevada, Spojené státy, 89106
- Cancer and Blood Specialists-Shadow
-
Las Vegas, Nevada, Spojené státy, 89109
- HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
-
Las Vegas, Nevada, Spojené státy, 89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
-
Las Vegas, Nevada, Spojené státy, 89121
- Cancer Therapy and Integrative Medicine
-
Las Vegas, Nevada, Spojené státy, 89128
- Cancer and Blood Specialists-Tenaya
-
Las Vegas, Nevada, Spojené státy, 89128
- GenesisCare USA - Vegas Tenaya
-
Las Vegas, Nevada, Spojené státy, 89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
-
Las Vegas, Nevada, Spojené státy, 89148-2405
- Las Vegas Cancer Center-Medical Center
-
Las Vegas, Nevada, Spojené státy, 89148
- GenesisCare USA - Fort Apache
-
Las Vegas, Nevada, Spojené státy, 89149
- HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
-
Las Vegas, Nevada, Spojené státy, 89120
- Nevada Cancer Research Foundation NCORP
-
Reno, Nevada, Spojené státy, 89502
- Renown Regional Medical Center
-
Reno, Nevada, Spojené státy, 89503
- Saint Mary's Regional Medical Center
-
-
New Hampshire
-
Lebanon, New Hampshire, Spojené státy, 03756
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
-
-
New Jersey
-
Elizabeth, New Jersey, Spojené státy, 07207
- Trinitas Hospital and Comprehensive Cancer Center - Williamson Street Campus
-
Englewood, New Jersey, Spojené státy, 07631
- Englewood Hospital and Medical Center
-
Flemington, New Jersey, Spojené státy, 08822
- Hunterdon Medical Center
-
Mullica Hill, New Jersey, Spojené státy, 08062
- Inspira Medical Center Mullica Hill
-
Newark, New Jersey, Spojené státy, 07112
- Newark Beth Israel Medical Center
-
Newton, New Jersey, Spojené státy, 07860
- Newton Medical Center
-
Pompton, New Jersey, Spojené státy, 07444
- Chilton Medical Center
-
Summit, New Jersey, Spojené státy, 07902
- Overlook Hospital
-
Vineland, New Jersey, Spojené státy, 08360
- Inspira Medical Center Vineland
-
-
New Mexico
-
Albuquerque, New Mexico, Spojené státy, 87106
- University of New Mexico Cancer Center
-
Albuquerque, New Mexico, Spojené státy, 87106
- Hematology Oncology Associates
-
Las Cruces, New Mexico, Spojené státy, 88011
- Memorial Medical Center-Las Cruces
-
Santa Fe, New Mexico, Spojené státy, 87505
- Christus Saint Vincent Regional Cancer Center
-
-
New York
-
Buffalo, New York, Spojené státy, 14263
- Roswell Park Cancer Institute
-
Glens Falls, New York, Spojené státy, 12801
- Glens Falls Hospital
-
Middletown, New York, Spojené státy, 10940
- Garnet Health Medical Center
-
New York, New York, Spojené státy, 10032
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
-
-
North Carolina
-
Asheboro, North Carolina, Spojené státy, 27203
- Randolph Hospital
-
Asheville, North Carolina, Spojené státy, 28803
- AdventHealth Infusion Center Asheville
-
Burlington, North Carolina, Spojené státy, 27215
- Cone Health Cancer Center at Alamance Regional
-
Chapel Hill, North Carolina, Spojené státy, 27599
- UNC Lineberger Comprehensive Cancer Center
-
Clinton, North Carolina, Spojené státy, 28328
- Southeastern Medical Oncology Center-Clinton
-
Goldsboro, North Carolina, Spojené státy, 27534
- Southeastern Medical Oncology Center-Goldsboro
-
Goldsboro, North Carolina, Spojené státy, 27534
- Wayne Memorial Hospital
-
Greensboro, North Carolina, Spojené státy, 27403
- Cone Health Cancer Center
-
Hendersonville, North Carolina, Spojené státy, 28792
- AdventHealth Hendersonville
-
Jacksonville, North Carolina, Spojené státy, 28546
- Southeastern Medical Oncology Center-Jacksonville
-
Kernersville, North Carolina, Spojené státy, 27284
- Novant Health Cancer Institute - Kernersville
-
Kinston, North Carolina, Spojené státy, 28501
- ECU Health Oncology Kinston
-
Mebane, North Carolina, Spojené státy, 27302
- Cone Heath Cancer Center at Mebane
-
Mount Airy, North Carolina, Spojené státy, 27030
- Novant Health Cancer Institute - Mount Airy
-
North Wilkesboro, North Carolina, Spojené státy, 28659
- Novant Health Cancer Institute - Wilkesboro
-
Pinehurst, North Carolina, Spojené státy, 28374
- FirstHealth of the Carolinas-Moore Regional Hospital
-
Reidsville, North Carolina, Spojené státy, 27320
- Annie Penn Memorial Hospital
-
Salisbury, North Carolina, Spojené státy, 28144
- Novant Health Cancer Institute - Rowan
-
Statesville, North Carolina, Spojené státy, 28677
- Iredell Memorial Hospital
-
Stateville, North Carolina, Spojené státy, 28625
- Novant Health Cancer Institute - Statesville
-
Thomasville, North Carolina, Spojené státy, 27360
- Novant Health Cancer Institute - Thomasville
-
Winston-Salem, North Carolina, Spojené státy, 27157
- Wake Forest University Health Sciences
-
Winston-Salem, North Carolina, Spojené státy, 27103
- Novant Health Forsyth Medical Center
-
Winston-Salem, North Carolina, Spojené státy, 27103
- Novant Health Oncology Specialists
-
Winston-Salem, North Carolina, Spojené státy, 27103
- Winston-Salem Health Care
-
Winston-Salem, North Carolina, Spojené státy, 27104
- Southeast Clinical Oncology Research Consortium NCORP
-
-
North Dakota
-
Bismarck, North Dakota, Spojené státy, 58501
- Sanford Bismarck Medical Center
-
Fargo, North Dakota, Spojené státy, 58122
- Sanford Roger Maris Cancer Center
-
Fargo, North Dakota, Spojené státy, 58103
- Essentia Health Cancer Center-South University Clinic
-
Fargo, North Dakota, Spojené státy, 58122
- Sanford Broadway Medical Center
-
Grand Forks, North Dakota, Spojené státy, 58201
- Altru Cancer Center
-
Minot, North Dakota, Spojené státy, 58701
- Trinity Cancer Care Center
-
-
Ohio
-
Akron, Ohio, Spojené státy, 44307
- Cleveland Clinic Akron General
-
Akron, Ohio, Spojené státy, 44304
- Summa Health System - Akron Campus
-
Barberton, Ohio, Spojené státy, 44203
- Summa Health System - Barberton Campus
-
Belpre, Ohio, Spojené státy, 45714
- Strecker Cancer Center-Belpre
-
Bowling Green, Ohio, Spojené státy, 43402
- Toledo Clinic Cancer Centers-Bowling Green
-
Canton, Ohio, Spojené státy, 44710
- Aultman Health Foundation
-
Centerville, Ohio, Spojené státy, 45459
- Miami Valley Hospital South
-
Centerville, Ohio, Spojené státy, 45459
- Dayton Physicians LLC-Miami Valley South
-
Chillicothe, Ohio, Spojené státy, 45601
- Adena Regional Medical Center
-
Cincinnati, Ohio, Spojené státy, 45219
- The Christ Hospital
-
Cincinnati, Ohio, Spojené státy, 45219
- University of Cincinnati Cancer Center-UC Medical Center
-
Cincinnati, Ohio, Spojené státy, 45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati, Ohio, Spojené státy, 45242
- Bethesda North Hospital
-
Cincinnati, Ohio, Spojené státy, 45242
- Oncology Hematology Care Inc-Blue Ash
-
Cincinnati, Ohio, Spojené státy, 45202
- Oncology Hematology Care Inc-Eden Park
-
Cincinnati, Ohio, Spojené státy, 45211
- Oncology Hematology Care Inc-Mercy West
-
Cincinnati, Ohio, Spojené státy, 45230
- Oncology Hematology Care Inc-Anderson
-
Cincinnati, Ohio, Spojené státy, 45236
- Oncology Hematology Care Inc-Kenwood
-
Cincinnati, Ohio, Spojené státy, 45247
- TriHealth Cancer Institute-Westside
-
Cincinnati, Ohio, Spojené státy, 45255
- TriHealth Cancer Institute-Anderson
-
Columbus, Ohio, Spojené státy, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, Spojené státy, 43219
- The Mark H Zangmeister Center
-
Columbus, Ohio, Spojené státy, 43214
- Columbus Oncology and Hematology Associates Inc
-
Columbus, Ohio, Spojené státy, 43228
- Doctors Hospital
-
Columbus, Ohio, Spojené státy, 43215
- Grant Medical Center
-
Columbus, Ohio, Spojené státy, 43222
- Mount Carmel Health Center West
-
Columbus, Ohio, Spojené státy, 43215
- Columbus NCI Community Oncology Research Program
-
Dayton, Ohio, Spojené státy, 45406
- Good Samaritan Hospital - Dayton
-
Dayton, Ohio, Spojené státy, 45409
- Miami Valley Hospital
-
Dayton, Ohio, Spojené státy, 45415
- Miami Valley Hospital North
-
Dayton, Ohio, Spojené státy, 45459
- Dayton NCI Community Oncology Research Program
-
Dayton, Ohio, Spojené státy, 45415
- Dayton Physician LLC - Englewood
-
Delaware, Ohio, Spojené státy, 43015
- Delaware Health Center-Grady Cancer Center
-
Delaware, Ohio, Spojené státy, 43015
- Delaware Radiation Oncology
-
Delaware, Ohio, Spojené státy, 43015
- Grady Memorial Hospital
-
Fairfield, Ohio, Spojené státy, 45014
- Oncology Hematology Care Inc-Healthplex
-
Findlay, Ohio, Spojené státy, 45840
- Blanchard Valley Hospital
-
Findlay, Ohio, Spojené státy, 45840
- Armes Family Cancer Center
-
Findlay, Ohio, Spojené státy, 45840
- Orion Cancer Care
-
Franklin, Ohio, Spojené státy, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Franklin, Ohio, Spojené státy, 45005
- Dayton Physicians LLC-Atrium
-
Greenville, Ohio, Spojené státy, 45331
- Wayne Hospital
-
Greenville, Ohio, Spojené státy, 45331
- Dayton Physicians LLC-Wayne
-
Kettering, Ohio, Spojené státy, 45429
- Kettering Medical Center
-
Kettering, Ohio, Spojené státy, 45409
- Greater Dayton Cancer Center
-
Lancaster, Ohio, Spojené státy, 43130
- Fairfield Medical Center
-
Lancaster, Ohio, Spojené státy, 43130
- Lancaster Radiation Oncology
-
Lima, Ohio, Spojené státy, 45804
- Lima Memorial Hospital
-
Marietta, Ohio, Spojené státy, 45750
- Marietta Memorial Hospital
-
Maumee, Ohio, Spojené státy, 43537
- Toledo Clinic Cancer Centers-Maumee
-
Maumee, Ohio, Spojené státy, 43537
- Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
-
Medina, Ohio, Spojené státy, 44256
- Summa Health Medina Medical Center
-
Middletown, Ohio, Spojené státy, 45042
- Dayton Physicians LLC-Signal Point
-
Mount Vernon, Ohio, Spojené státy, 43050
- Knox Community Hospital
-
Newark, Ohio, Spojené státy, 43055
- Licking Memorial Hospital
-
Newark, Ohio, Spojené státy, 43055
- Newark Radiation Oncology
-
Oregon, Ohio, Spojené státy, 43616
- Saint Charles Hospital
-
Oregon, Ohio, Spojené státy, 43616
- Toledo Clinic Cancer Centers-Oregon
-
Portsmouth, Ohio, Spojené státy, 45662
- Southern Ohio Medical Center
-
Sidney, Ohio, Spojené státy, 45365
- Dayton Physicians LLC-Wilson
-
Springfield, Ohio, Spojené státy, 45504
- Springfield Regional Cancer Center
-
Springfield, Ohio, Spojené státy, 45504
- Springfield Regional Medical Center
-
Sylvania, Ohio, Spojené státy, 43560
- ProMedica Flower Hospital
-
Tiffin, Ohio, Spojené státy, 44883
- Mercy Hospital of Tiffin
-
Toledo, Ohio, Spojené státy, 43606
- ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
-
Toledo, Ohio, Spojené státy, 43623
- Mercy Health - Saint Anne Hospital
-
Toledo, Ohio, Spojené státy, 43623
- Toledo Clinic Cancer Centers-Toledo
-
Toledo, Ohio, Spojené státy, 43614
- University of Toledo
-
Toledo, Ohio, Spojené státy, 43617
- Toledo Community Hospital Oncology Program CCOP
-
Toledo, Ohio, Spojené státy, 43608
- Mercy Health - Saint Vincent Hospital
-
Troy, Ohio, Spojené státy, 45373
- Upper Valley Medical Center
-
Troy, Ohio, Spojené státy, 45373
- Dayton Physicians LLC - Troy
-
Wauseon, Ohio, Spojené státy, 43567
- Fulton County Health Center
-
West Chester, Ohio, Spojené státy, 45069
- University of Cincinnati Cancer Center-West Chester
-
Westerville, Ohio, Spojené státy, 43081
- Saint Ann's Hospital
-
Wpafb, Ohio, Spojené státy, 45433
- Wright-Patterson Medical Center
-
Zanesville, Ohio, Spojené státy, 43701
- Genesis Healthcare System Cancer Care Center
-
-
Oklahoma
-
Lawton, Oklahoma, Spojené státy, 73505
- Cancer Centers of Southwest Oklahoma Research
-
Oklahoma City, Oklahoma, Spojené státy, 73104
- University of Oklahoma Health Sciences Center
-
Tulsa, Oklahoma, Spojené státy, 74136
- Natalie Warren Bryant Cancer Center at Saint Francis
-
Tulsa, Oklahoma, Spojené státy, 74136
- Surgical Associates Inc
-
Tulsa, Oklahoma, Spojené státy, 74146
- Warren Clinic Oncology-Tulsa
-
-
Oregon
-
Portland, Oregon, Spojené státy, 97227
- Kaiser Permanente Northwest
-
-
Pennsylvania
-
Beaver, Pennsylvania, Spojené státy, 15009
- UPMC-Heritage Valley Health System Beaver
-
Chadds Ford, Pennsylvania, Spojené státy, 19317
- Christiana Care Health System-Concord Health Center
-
Danville, Pennsylvania, Spojené státy, 17822
- Geisinger Medical Center
-
Easton, Pennsylvania, Spojené státy, 18042
- Easton Hospital
-
Greensburg, Pennsylvania, Spojené státy, 15601
- UPMC Cancer Centers - Arnold Palmer Pavilion
-
Harrisburg, Pennsylvania, Spojené státy, 17109
- UPMC Pinnacle Cancer Center/Community Osteopathic Campus
-
Hazleton, Pennsylvania, Spojené státy, 18201
- Geisinger Medical Center-Cancer Center Hazleton
-
Hershey, Pennsylvania, Spojené státy, 17033-0850
- Penn State Milton S Hershey Medical Center
-
Jefferson Hills, Pennsylvania, Spojené státy, 15025
- Jefferson Hospital
-
Johnstown, Pennsylvania, Spojené státy, 15901
- UPMC-Johnstown/John P. Murtha Regional Cancer Center
-
Lewisburg, Pennsylvania, Spojené státy, 17837
- Geisinger Medical Oncology-Lewisburg
-
Lewistown, Pennsylvania, Spojené státy, 17044
- Lewistown Hospital
-
McKeesport, Pennsylvania, Spojené státy, 15132
- UPMC Cancer Center at UPMC McKeesport
-
Monroeville, Pennsylvania, Spojené státy, 15146
- Forbes Hospital
-
Moon Township, Pennsylvania, Spojené státy, 15108
- UPMC Hillman Cancer Center in Coraopolis
-
Philadelphia, Pennsylvania, Spojené státy, 19107
- Thomas Jefferson University Hospital
-
Philadelphia, Pennsylvania, Spojené státy, 19114
- Jefferson Torresdale Hospital
-
Phoenixville, Pennsylvania, Spojené státy, 19460
- Reading Hospital McGlinn Cancer Institute at Phoenixville
-
Pittsburgh, Pennsylvania, Spojené státy, 15212
- Allegheny General Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15224
- West Penn Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15213
- UPMC-Magee Womens Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15232
- University of Pittsburgh Cancer Institute (UPCI)
-
Pittsburgh, Pennsylvania, Spojené státy, 15232
- UPMC-Shadyside Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15213
- UPMC-Presbyterian Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15215
- UPMC-Saint Margaret
-
Pittsburgh, Pennsylvania, Spojené státy, 15236
- UPMC Jefferson Regional Radiation Oncology
-
Pittsburgh, Pennsylvania, Spojené státy, 15237
- UPMC-Passavant Hospital
-
Pittsburgh, Pennsylvania, Spojené státy, 15243
- UPMC-Saint Clair Hospital Cancer Center
-
Pottsville, Pennsylvania, Spojené státy, 17901
- Geisinger Cancer Services-Pottsville
-
Scranton, Pennsylvania, Spojené státy, 18508
- Hematology and Oncology Associates of North East Pennsylvania
-
Seneca, Pennsylvania, Spojené státy, 16346
- UPMC Cancer Center at UPMC Northwest
-
State College, Pennsylvania, Spojené státy, 16801
- Geisinger Medical Group
-
Uniontown, Pennsylvania, Spojené státy, 15401
- UPMC Uniontown Hospital Radiation Oncology
-
Washington, Pennsylvania, Spojené státy, 15301
- UPMC Washington Hospital Radiation Oncology
-
West Chester, Pennsylvania, Spojené státy, 19380
- Chester County Hospital
-
West Grove, Pennsylvania, Spojené státy, 19390
- Jennersville Regional Hospital
-
West Reading, Pennsylvania, Spojené státy, 19611
- Reading Hospital
-
Wilkes-Barre, Pennsylvania, Spojené státy, 18711
- Geisinger Wyoming Valley/Henry Cancer Center
-
Williamsport, Pennsylvania, Spojené státy, 17701
- UPMC Susquehanna
-
-
Rhode Island
-
Providence, Rhode Island, Spojené státy, 02905
- Women and Infants Hospital
-
Warwick, Rhode Island, Spojené státy, 02886
- Kent Hospital
-
-
South Carolina
-
Anderson, South Carolina, Spojené státy, 29621
- AnMed Health Cancer Center
-
Boiling Springs, South Carolina, Spojené státy, 29316
- Prisma Health Cancer Institute - Spartanburg
-
Easley, South Carolina, Spojené státy, 29640
- Prisma Health Cancer Institute - Easley
-
Georgetown, South Carolina, Spojené státy, 29440
- Tidelands Georgetown Memorial Hospital
-
Greenville, South Carolina, Spojené státy, 29605
- Prisma Health Cancer Institute - Faris
-
Greenville, South Carolina, Spojené státy, 29607
- Saint Francis Cancer Center
-
Greenville, South Carolina, Spojené státy, 29615
- Prisma Health Cancer Institute - Eastside
-
Greenville, South Carolina, Spojené státy, 29605
- Prisma Health Cancer Institute - Butternut
-
Greenville, South Carolina, Spojené státy, 29601
- Saint Francis Hospital
-
Greenville, South Carolina, Spojené státy, 29605
- Prisma Health Greenville Memorial Hospital
-
Greenville, South Carolina, Spojené státy, 29601
- Greenville Health System Cancer Institute-Andrews
-
Greer, South Carolina, Spojené státy, 29650
- Prisma Health Cancer Institute - Greer
-
Greer, South Carolina, Spojené státy, 29651
- Gibbs Cancer Center-Pelham
-
Lancaster, South Carolina, Spojené státy, 29720
- Carolina Blood and Cancer Care Associates PA-Lancaster
-
Rock Hill, South Carolina, Spojené státy, 29732
- Carolina Blood and Cancer Care Associates PA
-
Seneca, South Carolina, Spojené státy, 29672
- Prisma Health Cancer Institute - Seneca
-
Spartanburg, South Carolina, Spojené státy, 29303
- Spartanburg Medical Center
-
Union, South Carolina, Spojené státy, 29379
- SMC Center for Hematology Oncology Union
-
-
South Dakota
-
Sioux Falls, South Dakota, Spojené státy, 57105
- Avera Cancer Institute
-
Sioux Falls, South Dakota, Spojené státy, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Spojené státy, 57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Chattanooga, Tennessee, Spojené státy, 37404
- Memorial Hospital
-
Hixson, Tennessee, Spojené státy, 37343
- Pulmonary Medicine Center of Chattanooga-Hixson
-
Jackson, Tennessee, Spojené státy, 38301
- Jackson-Madison County General Hospital
-
Nashville, Tennessee, Spojené státy, 37208
- Meharry Medical College
-
Ooltewah, Tennessee, Spojené státy, 37363
- Memorial GYN Plus
-
-
Texas
-
Abilene, Texas, Spojené státy, 79601
- Hendrick Medical Center
-
Houston, Texas, Spojené státy, 77026-1967
- Lyndon Baines Johnson General Hospital
-
Houston, Texas, Spojené státy, 77030
- Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
-
Houston, Texas, Spojené státy, 77030
- Ben Taub General Hospital
-
Laredo, Texas, Spojené státy, 78041
- Doctor's Hospital of Laredo
-
San Antonio, Texas, Spojené státy, 78229
- University Hospital
-
San Antonio, Texas, Spojené státy, 78229
- University of Texas Health Science Center at San Antonio
-
San Antonio, Texas, Spojené státy, 78229
- Cancer Therapy and Research Center at The UT Health Science Center at San Antonio
-
-
Utah
-
Salt Lake City, Utah, Spojené státy, 84112
- Huntsman Cancer Institute/University of Utah
-
-
Vermont
-
Berlin Corners, Vermont, Spojené státy, 05602
- Central Vermont Medical Center/National Life Cancer Treatment
-
Burlington, Vermont, Spojené státy, 05401
- University of Vermont Medical Center
-
Burlington, Vermont, Spojené státy, 05405
- University of Vermont and State Agricultural College
-
-
Virginia
-
Fredericksburg, Virginia, Spojené státy, 22401
- Fredericksburg Oncology Inc
-
Fredericksburg, Virginia, Spojené státy, 22408
- Hematology Oncology Associates of Fredericksburg Inc
-
Mechanicsville, Virginia, Spojené státy, 23116
- Bon Secours Memorial Regional Medical Center
-
Midlothian, Virginia, Spojené státy, 23114
- Bon Secours Saint Francis Medical Center
-
Richmond, Virginia, Spojené státy, 23226
- Bon Secours Saint Mary's Hospital
-
Richmond, Virginia, Spojené státy, 23298
- VCU Massey Comprehensive Cancer Center
-
South Hill, Virginia, Spojené státy, 23970
- VCU Community Memorial Health Center
-
Winchester, Virginia, Spojené státy, 22601
- Shenandoah Oncology PC
-
-
Washington
-
Auburn, Washington, Spojené státy, 98001
- MultiCare Auburn Medical Center
-
Bainbridge Island, Washington, Spojené státy, 98110
- Virginia Mason Bainbridge Island Medical Center
-
Bellevue, Washington, Spojené státy, 98004
- Overlake Medical Center
-
Burien, Washington, Spojené státy, 98166
- Highline Medical Center-Main Campus
-
Centralia, Washington, Spojené státy, 98531
- Providence Regional Cancer System-Centralia
-
Enumclaw, Washington, Spojené státy, 98022
- Saint Elizabeth Hospital
-
Everett, Washington, Spojené státy, 98201
- Providence Regional Cancer Partnership
-
Federal Way, Washington, Spojené státy, 98002
- Virginia Mason Federal Way Medical Center
-
Federal Way, Washington, Spojené státy, 98003
- Saint Francis Hospital
-
Gig Harbor, Washington, Spojené státy, 98332
- Tacoma/Valley Radiation Oncology Centers-Gig Harbor
-
Gig Harbor, Washington, Spojené státy, 98335
- MultiCare Gig Harbor Medical Park
-
Kennewick, Washington, Spojené státy, 99336
- Northwest Cancer Clinic
-
Lacey, Washington, Spojené státy, 98503
- Providence Regional Cancer System-Lacey
-
Lakewood, Washington, Spojené státy, 98499
- Saint Clare Hospital
-
Lynnwood, Washington, Spojené státy, 98036
- Virginia Mason Lynnwood Medical Center
-
Olympia, Washington, Spojené státy, 98506-5166
- Providence - Saint Peter Hospital
-
Olympia, Washington, Spojené státy, 98507
- Capital Medical Center
-
Port Townsend, Washington, Spojené státy, 98368
- Jefferson Healthcare
-
Poulsbo, Washington, Spojené státy, 98370
- Harrison HealthPartners Hematology and Oncology-Poulsbo
-
Poulsbo, Washington, Spojené státy, 98370
- Peninsula Cancer Center
-
Puyallup, Washington, Spojené státy, 98372
- MultiCare Good Samaritan Hospital
-
Puyallup, Washington, Spojené státy, 98372
- Tacoma/Valley Radiation Oncology Centers-Puyallup
-
Seattle, Washington, Spojené státy, 98101
- Virginia Mason Medical Center
-
Silverdale, Washington, Spojené státy, 98383
- Saint Michael Cancer Center
-
Tacoma, Washington, Spojené státy, 98405
- Northwest Medical Specialties PLLC
-
Tacoma, Washington, Spojené státy, 98405
- MultiCare Tacoma General Hospital
-
Tacoma, Washington, Spojené státy, 98405
- Tacoma/Valley Radiation Oncology Centers-Saint Joe's
-
Tacoma, Washington, Spojené státy, 97405
- Tacoma/Valley Radiation Oncology Centers-Jackson Hall
-
Tacoma, Washington, Spojené státy, 98405
- Franciscan Research Center-Northwest Medical Plaza
-
Tacoma, Washington, Spojené státy, 98405
- MultiCare Allenmore Hospital
-
Tacoma, Washington, Spojené státy, 98405
- Northwest NCI Community Oncology Research Program
-
Tacoma, Washington, Spojené státy, 98405
- Saint Joseph Medical Center
-
-
West Virginia
-
Bridgeport, West Virginia, Spojené státy, 26330
- United Hospital Center
-
Charleston, West Virginia, Spojené státy, 25304
- West Virginia University Charleston Division
-
Huntington, West Virginia, Spojené státy, 25701
- Edwards Comprehensive Cancer Center
-
Martinsburg, West Virginia, Spojené státy, 25401
- WVUH-Berkely Medical Center
-
Morgantown, West Virginia, Spojené státy, 26506
- West Virginia University Healthcare
-
Morgantown, West Virginia, Spojené státy, 26505
- Monongalia Hospital
-
Parkersburg, West Virginia, Spojené státy, 26101
- Camden Clark Medical Center
-
-
Wisconsin
-
Burlington, Wisconsin, Spojené státy, 53105
- Aurora Cancer Care-Southern Lakes VLCC
-
Chippewa Falls, Wisconsin, Spojené státy, 54729
- Marshfield Clinic-Chippewa Center
-
Eau Claire, Wisconsin, Spojené státy, 54701
- HSHS Sacred Heart Hospital
-
Eau Claire, Wisconsin, Spojené státy, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
-
Fond du Lac, Wisconsin, Spojené státy, 54937
- Aurora Health Center-Fond du Lac
-
Germantown, Wisconsin, Spojené státy, 53022
- Aurora Health Care Germantown Health Center
-
Grafton, Wisconsin, Spojené státy, 53024
- Aurora Cancer Care-Grafton
-
Green Bay, Wisconsin, Spojené státy, 54311
- Aurora BayCare Medical Center
-
Green Bay, Wisconsin, Spojené státy, 54301
- Bellin Memorial Hospital
-
Janesville, Wisconsin, Spojené státy, 53548
- Mercyhealth Hospital and Cancer Center - Janesville
-
Kenosha, Wisconsin, Spojené státy, 53142
- Aurora Cancer Care-Kenosha South
-
Ladysmith, Wisconsin, Spojené státy, 54848
- Marshfield Medical Center - Ladysmith
-
Marinette, Wisconsin, Spojené státy, 54143
- Aurora Bay Area Medical Group-Marinette
-
Marshfield, Wisconsin, Spojené státy, 54449
- Marshfield Medical Center-Marshfield
-
Marshfield, Wisconsin, Spojené státy, 54449
- Marshfield Medical Center
-
Milwaukee, Wisconsin, Spojené státy, 53226
- Medical College of Wisconsin
-
Milwaukee, Wisconsin, Spojené státy, 53209
- Aurora Cancer Care-Milwaukee
-
Milwaukee, Wisconsin, Spojené státy, 53215
- Aurora Saint Luke's Medical Center
-
Milwaukee, Wisconsin, Spojené státy, 53233
- Aurora Sinai Medical Center
-
Minocqua, Wisconsin, Spojené státy, 54548
- Marshfield Medical Center - Minocqua
-
New Richmond, Wisconsin, Spojené státy, 54017
- Cancer Center of Western Wisconsin
-
Oshkosh, Wisconsin, Spojené státy, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
-
Racine, Wisconsin, Spojené státy, 53406
- Aurora Cancer Care-Racine
-
Rhinelander, Wisconsin, Spojené státy, 54501
- Saint Mary's Hospital
-
Rhinelander, Wisconsin, Spojené státy, 54501
- Aspirus Cancer Care - James Beck Cancer Center
-
Rice Lake, Wisconsin, Spojené státy, 54868
- Marshfield Medical Center-Rice Lake
-
Sheboygan, Wisconsin, Spojené státy, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
-
Stevens Point, Wisconsin, Spojené státy, 54481
- Aspirus Cancer Care - Stevens Point
-
Summit, Wisconsin, Spojené státy, 53066
- Aurora Medical Center in Summit
-
Two Rivers, Wisconsin, Spojené státy, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
-
Waukesha, Wisconsin, Spojené státy, 53188
- Aurora Cancer Care-Waukesha
-
Wausau, Wisconsin, Spojené státy, 54401
- Marshfield Clinic-Wausau Center
-
Wauwatosa, Wisconsin, Spojené státy, 53226
- Aurora Cancer Care-Milwaukee West
-
West Allis, Wisconsin, Spojené státy, 53227
- Aurora West Allis Medical Center
-
Weston, Wisconsin, Spojené státy, 54476
- Marshfield Medical Center - Weston
-
Weston, Wisconsin, Spojené státy, 54476
- Diagnostic and Treatment Center
-
Weston, Wisconsin, Spojené státy, 54476
- Ascension Saint Clare's Hospital
-
Wisconsin Rapids, Wisconsin, Spojené státy, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
-
Wyoming
-
Casper, Wyoming, Spojené státy, 82609
- Rocky Mountain Oncology
-
Cheyenne, Wyoming, Spojené státy, 82001
- Cheyenne Regional Medical Center-West
-
Cody, Wyoming, Spojené státy, 82414
- Big Horn Basin Cancer Center
-
Cody, Wyoming, Spojené státy, 82414
- Billings Clinic-Cody
-
Sheridan, Wyoming, Spojené státy, 82801
- Welch Cancer Center
-
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Inclusion Criteria:
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Patients should have a life expectancy of at least 10 years, excluding their diagnosis of breast cancer; (comorbid conditions should be taken into consideration, but not the diagnosis of breast cancer)
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Women of reproductive potential must agree to use an effective non-hormonal method of contraception during study therapy (chemotherapy, trastuzumab, pertuzumab, and estrogen deprivation therapy) and for at least 7 months after the last dose of study therapy
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Submission of tumor samples is required for all patients; the local pathology department policy regarding release of tumor samples must be considered in the screening process; patients whose tumor samples are located in a pathology department that by policy will not submit any samples for research purposes should not be approached for participation in the B-52 trial
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The patient must have signed and dated an Institutional Review Board (IRB)-approved consent form that conforms to federal and institutional guidelines
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The patient must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
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Clinical staging for the primary tumor can be cT1c (must be 2.0 cm) or T2-T4 if clinically node negative; if the regional lymph nodes are cN1 and cytologically or histologically positive or if cN2-N3 with or without a biopsy, the primary breast tumor can be cT0-T4
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The diagnosis of invasive adenocarcinoma of the breast must have been made by core needle biopsy
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Ipsilateral axillary lymph nodes must be evaluated by imaging (mammogram, ultrasound, and/or magnetic resonance imaging [MRI]) within 6 weeks prior to randomization; if suspicious or abnormal, fine needle aspirate (FNA) or core biopsy is recommended, also within 6 weeks prior to randomization; findings of these evaluations will be used to determine the nodal status prior to randomization:
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Nodal status - negative
- Imaging of the axilla is negative
- Imaging is suspicious or abnormal but the FNA or core biopsy of the questionable node(s) on imaging is negative
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Nodal status - positive
- FNA or core biopsy of the node(s) is cytologically or histologically suspicious or positive
- Imaging is suspicious or abnormal but FNA or core biopsy was not performed
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Patients may be premenopausal or postmenopausal at the time of randomization; for study purposes, postmenopausal is defined as:
- Age 56 or older with no spontaneous menses for at least 12 months prior to study entry; or
- Age 55 or younger with no spontaneous menses for at least 12 months prior to study entry (e.g., spontaneous or secondary to hysterectomy) and with a documented estradiol level in the postmenopausal range according to local institutional/laboratory standard; or
- Documented bilateral oophorectomy
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The tumor must have been determined to be HER2-postive as follows:
- Immunohistochemistry (IHC) 3+ or
- In situ hybridization (ISH)-positive (defined by ratio of HER2 to circulating endothelial progenitors [CEP]17 >= 2.0 or HER2 gene copy number >= 6 per nucleus)
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The tumor must have been determined to be estrogen receptor (ER) and/or progesterone (PgR) positive assessed by current American Society of Clinical Oncology (ASCO)/College of American Pathologist (CAP) guideline recommendations for hormone receptor testing; patients with >= 1% ER or PgR staining by IHC are considered positive
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Absolute neutrophil count (ANC) must be >= 1200/mm^3
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Platelet count must be >= 100,000/mm^3
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Hemoglobin must be >= 10 g/dL
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Total bilirubin must be =< upper limit of normal (ULN) for the lab unless the patient has a bilirubin elevation > ULN to 1.5 x ULN due to Gilbert's disease or similar syndrome involving slow conjugation of bilirubin
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Alkaline phosphatase must be =< 2.5 x ULN for the lab
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Aspartate aminotransferase (AST) must be =< 1.5 x ULN for the lab
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Alkaline phosphatase and AST may not both be > the ULN; for example, if the alkaline phosphatase is > the ULN but =< 2.5 x ULN, the AST must be =< the ULN; if the AST is > the ULN but =< 1.5 x ULN, the alkaline phosphatase must be =< ULN; Note: If alanine aminotransferase (ALT) is performed instead of AST (per institution's standard practice), the ALT value must be =< 1.5 x ULN; if both were performed, the AST must be =< 1.5 x ULN
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Patients with AST or alkaline phosphatase > ULN are eligible for inclusion in the study if liver imaging (computed tomography [CT], MRI, positron emission tomography [PET]-CT, or PET scan) performed within 6 weeks prior to randomization does not demonstrate metastatic disease and the requirements are met
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Patients with alkaline phosphatase that is > ULN but =< 2.5 x ULN or unexplained bone pain are eligible for inclusion in the study if a bone scan, PET-CT scan, or PET scan performed within 6 weeks prior to randomization does not demonstrate metastatic disease
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Within 6 weeks prior to randomization, the most recent serum creatinine must be =< ULN or measured or calculated creatinine clearance must be > 60 mL/min
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Left ventricular ejection fraction (LVEF) assessment must be performed within 90 days prior to randomization; (LVEF assessment performed by 2-dimensional [2-D] echocardiogram is preferred; however, multi gated acquisition scan [MUGA] scan may be substituted based on institutional preferences); the LVEF must be >= 50% regardless of the cardiac imaging facility's lower limit of normal; note: since the pre-entry LVEF serves as the baseline for comparing subsequent LVEF assessments, it is critical that this baseline study be an accurate assessment; if the baseline LVEF is > 65%, the investigator is encouraged to have the accuracy of the initial LVEF result confirmed and repeat the test if the accuracy is uncertain
Exclusion Criteria:
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FNA alone to diagnose the breast cancer
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Excisional biopsy or lumpectomy performed prior to randomization
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Surgical axillary staging procedure prior to randomization; pre-neoadjuvant therapy sentinel node biopsy is not permitted
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Definitive clinical or radiologic evidence of metastatic disease; (chest imaging [mandatory for all patients] and other imaging [if required] must have been performed within 90 days prior to randomization)
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Synchronous bilateral invasive breast cancer
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Synchronous or previous contralateral invasive breast cancer; (patients with synchronous and/or previous contralateral ductal carcinoma in situ [DCIS] or lobular carcinoma in situ [LCIS] are eligible)
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Any previous history of ipsilateral invasive breast cancer or ipsilateral DCIS; (patients with synchronous or previous ipsilateral LCIS are eligible)
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Treatment including radiation therapy (RT), chemotherapy, targeted therapy, or endocrine therapy for the currently diagnosed breast cancer prior to randomization
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Previous endocrine therapy such as raloxifene or tamoxifen (or other selective estrogen receptor modulator [SERM]) or an aromatase inhibitor for any malignancy
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Previous therapy with anthracycline, taxanes, carboplatin, trastuzumab, or other HER2 targeted therapies for any malignancy
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Any sex hormonal therapy, e.g., birth control pills, ovarian hormone replacement therapy, etc. (these patients are eligible if this therapy is discontinued prior to randomization)
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History of non-breast malignancies (except for in situ cancers treated only by local excision and basal cell and squamous cell carcinomas of the skin) within 5 years prior to randomization
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Cardiac disease (history of and/or active disease) that would preclude the use of the drugs included in the treatment regimens; this includes but is not confined to:
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Active cardiac disease:
- Angina pectoris that requires the use of anti-anginal medication;
- Ventricular arrhythmias except for benign premature ventricular contractions;
- Supraventricular and nodal arrhythmias requiring a pacemaker or not controlled with medication;
- Conduction abnormality requiring a pacemaker;
- Valvular disease with documented compromise in cardiac function; and
- Symptomatic pericarditis
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History of cardiac disease:
- Myocardial infarction documented by elevated cardiac enzymes or persistent regional wall abnormalities on assessment of left ventricular (LV) function;
- History of documented congestive heart failure (CHF); and
- Documented cardiomyopathy
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Uncontrolled hypertension defined as sustained systolic blood pressure (BP) > 150 mmHg or diastolic BP > 90 mmHg; (patients with initial BP elevations are eligible if initiation or adjustment of BP medication lowers pressure to meet entry criteria)
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Active hepatitis B or hepatitis C with abnormal liver function tests
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Intrinsic lung disease resulting in dyspnea
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Poorly controlled diabetes mellitus
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Active infection or chronic infection requiring chronic suppressive antibiotics
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Patients known to be human immunodeficiency virus (HIV) positive with a baseline cluster of differentiation (CD)4 count of < 250 cells/mm^3 or have a history of acquired immune deficiency syndrome (AIDS) indicator conditions; patients taking anti-retroviral therapy that may have a potential overlapping toxicity with the study therapy are not eligible
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Nervous system disorder (paresthesia, peripheral motor neuropathy, or peripheral sensory neuropathy) >= grade 2, per the Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0)
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Malabsorption syndrome, ulcerative colitis, resection of the stomach or small bowel, or other disease significantly affecting gastrointestinal function
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Other non-malignant systemic disease that would preclude treatment with any of the treatment regimens or would prevent required follow-up
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Conditions that would prohibit administration of corticosteroids
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Chronic daily treatment with corticosteroids with a dose of >= 10 mg/day methylprednisolone equivalent (excluding inhaled steroids)
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Known hypersensitivity to any of the study drugs or any of the ingredients or excipients of these drugs (e.g., polysorbate 80), including sensitivity to benzyl alcohol
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Pregnancy or lactation at the time of study entry; (note: pregnancy testing must be performed within 2 weeks prior to randomization according to institutional standards for women of childbearing potential)
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Psychiatric or addictive disorders or other conditions that, in the opinion of the investigator, would preclude the patient from meeting the study requirements
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Use of any investigational product within 30 days prior to randomization
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Aktivní komparátor: Arm I (combination chemotherapy, surgery, radiation)
NEOADJUVANT: Patients receive docetaxel IV over 60 minutes, carboplatin IV over 30-60 minutes, trastuzumab IV over 30-90 minutes, and pertuzumab IV over 30-60 on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients enrolled after Amendment #4 undergo 2 core biopsies prior to course 3 of treatment. SURGERY: Patients undergo lumpectomy or mastectomy. RADIATION: Patients undergo whole breast irradiation within 8 weeks following surgery. ADJUVANT: Patients receive trastuzumab IV over 30-60 minutes every 21 days for up to 1 year. |
Given IV
Ostatní jména:
Given IV
Ostatní jména:
Correlative studies Ancillary studies
Ostatní jména:
Given IV
Ostatní jména:
Undergo 2 core biopsies
Ostatní jména:
Given IV
Ostatní jména:
Undergo lumpectomy or mastectomy Undergo whole breast irradiation |
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Experimentální: Arm II (chemo, estrogen deprivation, surgery, radiation)
NEOADJUVANT: All patients receive docetaxel, carboplatin, trastuzumab, and pertuzumab as in arm I. Premenopausal patients also receive goserelin acetate SC every 28 days until surgery and aromatase inhibition therapy at the investigator's discretion daily until 1 day before surgery. Postmenopausal patients receive aromatase inhibition therapy at the investigator's discretion daily until 1 day before surgery. Patients enrolled after Amendment #4 undergo 2 core biopsies prior to course 3 of treatment. SURGERY: Patients undergo lumpectomy or mastectomy. RADIATION: Patients undergo whole breast irradiation within 8 weeks following surgery. ADJUVANT: Patients receive trastuzumab IV over 30-60 minutes every 21 days for up to 1 year. |
Given IV
Ostatní jména:
Given IV
Ostatní jména:
Correlative studies Ancillary studies
Ostatní jména:
Given IV
Ostatní jména:
Undergo 2 core biopsies
Ostatní jména:
Given IV
Ostatní jména:
Undergo lumpectomy or mastectomy Undergo whole breast irradiation Given at the investigator's discretion
Ostatní jména:
Given SC
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Percent of Patients With Pathological Complete Response (pCR) in the Breast and Post Therapy Lymph Nodes
Časové okno: Up to 2.8 years (when all patients completed primary breast surgery)
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Proportion of patients with pCR evaluated histologically, and defined as the absence of any invasive component in the resected breast specimen and all resected lymph nodes following completion of neoadjuvant therapy. |
Up to 2.8 years (when all patients completed primary breast surgery)
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Percent of Patients With Pathologic Complete Response (pCR) in the Breast
Časové okno: Up to 2.8 years (when all patients completed primary breast surgery)
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Proportion of patients with pCR in the breast, defined as the absence of any invasive component in the resected breast specimen. |
Up to 2.8 years (when all patients completed primary breast surgery)
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Recurrence Free Interval (RFI)
Časové okno: Time from surgery to invasive local, regional or distant recurrence, or death from breast cancer for patients with operable disease and for patients with inoperable progressive disease, assessed up to 8.4 years
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Kaplan-Meier estimates of the percentages of patients free from recurrence. |
Time from surgery to invasive local, regional or distant recurrence, or death from breast cancer for patients with operable disease and for patients with inoperable progressive disease, assessed up to 8.4 years
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Overall Survival (OS)
Časové okno: Time from randomization until death from any cause, assessed up to 8.4 years
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Kaplan-Meier estimates of the percentages of patients surviving. |
Time from randomization until death from any cause, assessed up to 8.4 years
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Second Primary Cancer of Any Type
Časové okno: Time from randomization to the development of a second primary invasive cancer of any site excluding squamous and basal cell carcinoma of the skin, assessed up to 8.4 years
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Number of second primary cancers for the two treatment groups |
Time from randomization to the development of a second primary invasive cancer of any site excluding squamous and basal cell carcinoma of the skin, assessed up to 8.4 years
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Percent of Patients With Pathological Complete Response (pCR) in the Breast and Post Therapy Lymph Nodes by Menopausal Status
Časové okno: Up to 2.8 years (when all patients completed primary breast surgery)
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Proportion of patients with pCR evaluated histologically, and defined as the absence of any invasive component in the resected breast specimen and all resected lymph nodes following completion of neoadjuvant therapy calculated separately for premenopausal and postmenopausal women. |
Up to 2.8 years (when all patients completed primary breast surgery)
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Patterns of Recurrence Free Interval (RFI) by Menopausal Status
Časové okno: Time from surgery to invasive local, regional or distant recurrence, or death from breast cancer for patients with operable disease and for patients with inoperable progressive disease, assessed up to 5 years
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Kaplan-Meier estimates of the percentages of patients free from recurrence by menopausal status. |
Time from surgery to invasive local, regional or distant recurrence, or death from breast cancer for patients with operable disease and for patients with inoperable progressive disease, assessed up to 5 years
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Patterns of Overall Survival (OS) by Menopausal Status
Časové okno: Time from randomization until death from any cause, assessed up to 5 years
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Kaplan-Meier estimates of the percentages of patients surviving by menopausal status. |
Time from randomization until death from any cause, assessed up to 5 years
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Percentage of Participants With Cardiac Toxicity Categorized According to National Cancer Institute CTCAE Version 4.0
Časové okno: Up to 6 weeks post surgery
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Percentage of patients with grade 1 or higher toxicity from the Cardiac Disorders System Organ Class. |
Up to 6 weeks post surgery
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Median Percentage of Tumor-infiltrating Lymphocytes (sTILS)
Časové okno: 2.8 years
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Percentage of Tumor-infiltrating lymphocytes present in the stroma in tissue specimen. |
2.8 years
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Change in Endocrine-related Symptoms Using Breast Cancer Prevention Trial (BCPT) Symptom Checklist
Časové okno: The outcome measure was assessed and is presented at three time points included baseline, Prior to cycle 4 (approximately 77 days), and 2-4 weeks after the last dose of chemotherapy prior to surgery (approximately 133-147 days)
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The Breast Cancer Prevention Trial (BCPT) symptom checklist contains 17 endocrine-related symptoms and problems. For each item, the patient was asked how bothersome the problem or symptom was during the past four weeks. Possible answers ranged from not at all (1) to extremely (5). The summary score was calculated for each participant as the average severity of all 17 items. The total mean summary score was calculated as the average summary score by treatment group. The range is 1-5 with higher scores indicating worse outcome. |
The outcome measure was assessed and is presented at three time points included baseline, Prior to cycle 4 (approximately 77 days), and 2-4 weeks after the last dose of chemotherapy prior to surgery (approximately 133-147 days)
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Vrchní vyšetřovatel: Mothaffar F Rimawi, NRG Oncology
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Aktuální)
Primární dokončení
Dokončení studie (Aktuální)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhadovaný)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
- Novotvary podle místa
- Novotvary
- Kožní choroby
- Nemoci prsu
- Onemocnění kůže a pojivové tkáně
- Novotvary prsu
- Fyziologické účinky léků
- Molekulární mechanismy farmakologického působení
- Hormony
- Hormony, hormonální náhražky a antagonisté hormonů
- Inhibitory enzymů
- Inhibitory syntézy steroidů
- Antagonisté hormonů
- Antagonisté estrogenu
- Hormony uvolňující hypofýzy
- Hypothalamické hormony
- Peptidové hormony
- Neuropeptidy
- Peptidy
- Aminokyseliny, peptidy a proteiny
- Oligopeptidy
- Proteiny nervové tkáně
- Proteiny
- Organické chemikálie
- Farmakologické akce
- Chemické účinky a použití
- Uhlovodíky
- Cykloparafiny
- Uhlovodíky, alicyklické
- Uhlovodíky, cyklické
- Terpeny
- Protilátky, monoklonální, humanizované
- Protilátky, monoklonální
- Protilátky
- Imunoglobuliny
- Imunoproteiny
- Krevní proteiny
- Sérové globuliny
- Globuliny
- Koordinační komplexy
- Taxoidy
- Cyclodecanes
- Diterpeny
- Hormon uvolňující gonadotropin
- Docetaxel
- Trastuzumab
- Karboplatina
- Goserelin
- Inhibitory aromatázy
- pertuzumab
- 2C4 protilátka
- CT-P6
- PF-05280014
- Trastuzumab Biosimilar HLX02
- Ogivri
- OnTruzant
Další identifikační čísla studie
Další identifikační čísla studie
- NCI-2013-02228
- U10CA180868 (Grant/smlouva NIH USA)
- U10CA012027 (Grant/smlouva NIH USA)
- NCI-2013-02228 (Identifikátor registru: CTRP (Clinical Trial Reporting Program))
- NSABP-B-52 (Jiný identifikátor: CTEP)
- NSABP-B-52 (Jiný identifikátor: NRG Oncology)
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