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Regional strålebehandling i biomarkør lav-risiko node positiv og T3N0 brystkræft (TAILOR RT)

30. juni 2026 opdateret af: Canadian Cancer Trials Group

TAILOR RT: Et randomiseret forsøg med regional strålebehandling i biomarkør lav-risiko knudepositiv og T3N0 brystkræft

Formålet med denne undersøgelse er at sammenligne virkningerne på lavrisiko brystkræft, der modtager sædvanlig behandling, der inkluderer regional strålebehandling, med modtagelse af ingen regional strålebehandling. Forskere vil se, om ikke at give denne type strålebehandling virker lige så godt til at forhindre brystkræft i at komme tilbage.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Kvinder med nodepositiv brystkræft vil normalt modtage endokrin behandling, og nogle kan modtage kemoterapi for at forhindre, at kræften vender tilbage. Mange kvinder vil også modtage strålebehandling til hele bryst-/brystområdet og de omkringliggende lymfekirtler (kaldet regional strålebehandling). Ingen ved rigtigt, om patienter med lavrisiko brystkræft skal modtage regional strålebehandling. Nogle kvinder får muligvis regional strålebehandling, som ikke har brug for det. Disse kvinder kan blive udsat for bivirkningerne af deres behandling uden gavn.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

2138

Fase

  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Alberta
      • Calgary, Alberta, Canada, T2N 5G2
        • Arthur J E Child Comprehensive Cancer Centre
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Cross Cancer Institute
    • British Columbia
      • Abbotsford British Columbia, British Columbia, Canada, V2S 1K2
        • BCCA-Abbotsford Cancer Centre
      • Kelowna, British Columbia, Canada, V1Y 5L3
        • BCCA-Cancer Centre for the Southern Interior
      • Prince George, British Columbia, Canada, V2M 7E9
        • BCCA-Cancer Centre for the North
      • Surrey, British Columbia, Canada, V3V 1Z2
        • BCCA-Fraser Valley Cancer Centre
      • Vancouver, British Columbia, Canada, V5Z 4E6
        • BCCA-Vancouver Cancer Centre
      • Victoria, British Columbia, Canada, V8R 6V5
        • BCCA-Vancouver Island Cancer Centre
    • Manitoba
      • Winnipeg, Manitoba, Canada, R3E 0V9
        • CancerCare Manitoba
    • New Brunswick
      • Saint John, New Brunswick, Canada, E2L 4L2
        • Atlantic Health Sciences Corporation-Saint John Regional Hospital
    • Newfoundland and Labrador
      • St. John's, Newfoundland and Labrador, Canada, A1B 3V6
        • Doctor H. Bliss Murphy Cancer Centre
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3H 2Y9
        • QEII Health Sciences Centre/Nova Scotia Health Authority
    • Ontario
      • Barrie, Ontario, Canada, L4M 6M2
        • Royal Victoria Regional Health Centre
      • Greater Sudbury, Ontario, Canada, P3E 5J1
        • Health Sciences North
      • Hamilton, Ontario, Canada, L8V 5C2
        • Juravinski Cancer Centre at Hamilton Health Sciences
      • Kingston, Ontario, Canada, K7L 2V7
        • Kingston Health Sciences Centre
      • Kitchener, Ontario, Canada, N2G 1G3
        • Waterloo Regional Health Network
      • London, Ontario, Canada, N6A 4L6
        • London Regional Cancer Program
      • Mississauga, Ontario, Canada, L5M 2N1
        • Trillium Health Partners - Credit Valley Hospital
      • Ottawa, Ontario, Canada, K1H 8L6
        • Ottawa Hospital and Cancer Center-General Campus
      • Saint Catharines, Ontario, Canada, L2S 0A9
        • Niagara Health System-Saint Catharines General
      • Sault Ste. Marie, Ontario, Canada, P6B 0A8
        • Algoma District Cancer Program Sault Area Hospital
      • Toronto, Ontario, Canada, M5G 2M9
        • University Health Network-Princess Margaret Hospital
      • Toronto, Ontario, Canada, M4N 3M5
        • Odette Cancer Centre- Sunnybrook Health Sciences Centre
    • Quebec
      • Greenfield Park, Quebec, Canada, J4V 2H1
        • CSSS Champlain-Charles Le Moyne
      • Laval, Quebec, Canada, H7M 3L9
        • Hopital de la Cite-de-la-Sante
      • Montreal, Quebec, Canada, H3T 1E2
        • Jewish General Hospital
      • Montreal, Quebec, Canada, H3H 2R9
        • The Research Institute of the McGill University Health Centre (MUHC)
      • Montreal, Quebec, Canada, H2X 3E4
        • CHUM - Centre Hospitalier de l'Universite de Montreal
      • Montreal, Quebec, Canada, H1T 2M4
        • CIUSSSEMTL-Hopital Maisonneuve-Rosemont
      • Québec, Quebec, Canada, G1R 2J6
        • CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
      • Sherbrooke, Quebec, Canada, J1H 5N4
        • Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
    • Saskatchewan
      • Regina, Saskatchewan, Canada, S4T 7T1
        • Allan Blair Cancer Centre
      • Saskatoon, Saskatchewan, Canada, S7N 4H4
        • Saskatoon Cancer Centre
    • Alaska
      • Fairbanks, Alaska, Forenede Stater, 99701
        • Fairbanks Memorial Hospital
    • Arizona
      • Gilbert, Arizona, Forenede Stater, 85234
        • Banner MD Anderson Cancer Center
      • Phoenix, Arizona, Forenede Stater, 85006
        • Banner-University Medical Center Phoenix
      • Tucson, Arizona, Forenede Stater, 85704
        • University of Arizona Cancer Center-Orange Grove Campus
      • Tucson, Arizona, Forenede Stater, 85719
        • University of Arizona Cancer Center-North Campus
    • Arkansas
      • Little Rock, Arkansas, Forenede Stater, 72205
        • University of Arkansas for Medical Sciences
    • California
      • Anaheim, California, Forenede Stater, 92806
        • Kaiser Permanente-Anaheim
      • Bellflower, California, Forenede Stater, 90706
        • Kaiser Permanente-Bellflower
      • Berkeley, California, Forenede Stater, 94704
        • Alta Bates Summit Medical Center-Herrick Campus
      • Corona, California, Forenede Stater, 92882
        • City of Hope Corona
      • Duarte, California, Forenede Stater, 91010
        • City of Hope Comprehensive Cancer Center
      • Dublin, California, Forenede Stater, 94568
        • Kaiser Permanente Dublin
      • Encinitas, California, Forenede Stater, 92024
        • UC San Diego Health System - Encinitas
      • Fresno, California, Forenede Stater, 93720
        • Fresno Cancer Center
      • Irvine, California, Forenede Stater, 92618
        • City of Hope at Irvine Lennar
      • La Jolla, California, Forenede Stater, 92093
        • UC San Diego Moores Cancer Center
      • Lancaster, California, Forenede Stater, 93534
        • City of Hope Antelope Valley
      • Los Angeles, California, Forenede Stater, 90033
        • USC / Norris Comprehensive Cancer Center
      • Los Angeles, California, Forenede Stater, 90027
        • Kaiser Permanente Los Angeles Medical Center
      • Los Angeles, California, Forenede Stater, 90033
        • Los Angeles General Medical Center
      • Napa, California, Forenede Stater, 94558
        • Providence Queen of The Valley
      • Oakland, California, Forenede Stater, 94611
        • Kaiser Permanente Oakland-Broadway
      • Ontario, California, Forenede Stater, 91761
        • Kaiser Permanente-Ontario
      • Orange, California, Forenede Stater, 92868
        • UC Irvine Health/Chao Family Comprehensive Cancer Center
      • Orange, California, Forenede Stater, 92868
        • Saint Joseph Hospital - Orange
      • Palm Springs, California, Forenede Stater, 92262
        • Desert Regional Medical Center
      • Rancho Cordova, California, Forenede Stater, 95670
        • Kaiser Permanente-Rancho Cordova Cancer Center
      • Rohnert Park, California, Forenede Stater, 94928
        • Rohnert Park Cancer Center
      • Roseville, California, Forenede Stater, 95678
        • The Permanente Medical Group-Roseville Radiation Oncology
      • Sacramento, California, Forenede Stater, 95816
        • Mercy Cancer Center - Sacramento
      • Santa Clara, California, Forenede Stater, 95051
        • Kaiser Permanente Medical Center - Santa Clara
      • Santa Monica, California, Forenede Stater, 90404
        • Saint John's Cancer Institute
      • South Pasadena, California, Forenede Stater, 91030
        • City of Hope South Pasadena
      • South San Francisco, California, Forenede Stater, 94080
        • Kaiser Permanente Cancer Treatment Center
      • St. Helena, California, Forenede Stater, 94574
        • Saint Helena Hospital
      • Torrance, California, Forenede Stater, 90503
        • City of Hope South Bay
      • Upland, California, Forenede Stater, 91786
        • City of Hope Upland
      • Vallejo, California, Forenede Stater, 94589
        • Sutter Solano Medical Center/Cancer Center
      • Walnut Creek, California, Forenede Stater, 94598
        • BASS Medical Group - Lennon
    • Colorado
      • Aurora, Colorado, Forenede Stater, 80045
        • UCHealth University of Colorado Hospital
      • Boulder, Colorado, Forenede Stater, 80304
        • Rocky Mountain Cancer Centers-Boulder
      • Colorado Springs, Colorado, Forenede Stater, 80907
        • Penrose-Saint Francis Healthcare
      • Colorado Springs, Colorado, Forenede Stater, 80909
        • UCHealth Memorial Hospital Central
      • Colorado Springs, Colorado, Forenede Stater, 80920
        • Memorial Hospital North
      • Colorado Springs, Colorado, Forenede Stater, 80923
        • Saint Francis Cancer Center
      • Denver, Colorado, Forenede Stater, 80206
        • UCHealth - Cherry Creek
      • Denver, Colorado, Forenede Stater, 80210
        • AdventHealth Porter
      • Fort Collins, Colorado, Forenede Stater, 80524
        • Poudre Valley Hospital
      • Golden, Colorado, Forenede Stater, 80401
        • Lutheran Hospital - Cancer Centers of Colorado
      • Greeley, Colorado, Forenede Stater, 80631
        • UCHealth Greeley Hospital
      • Greeley, Colorado, Forenede Stater, 80631
        • Banner North Colorado Medical Center
      • Highlands Ranch, Colorado, Forenede Stater, 80129
        • UCHealth Highlands Ranch Hospital
      • Littleton, Colorado, Forenede Stater, 80122
        • AdventHealth Littleton
      • Loveland, Colorado, Forenede Stater, 80539
        • Banner North Colorado Medical Center - Loveland Campus
      • Westminster, Colorado, Forenede Stater, 80023
        • Saint Anthony North Hospital
      • Wheat Ridge, Colorado, Forenede Stater, 80401
        • Intermountain Health Lutheran Hospital
    • Connecticut
      • Danbury, Connecticut, Forenede Stater, 06810
        • Danbury Hospital
      • Guilford, Connecticut, Forenede Stater, 06437
        • Smilow Cancer Hospital Care Center - Guilford
      • Hamden, Connecticut, Forenede Stater, 06518
        • Smilow Cancer Hospital-Hamden Care Center
      • New Haven, Connecticut, Forenede Stater, 06520
        • Yale University
      • Norwalk, Connecticut, Forenede Stater, 06856
        • Norwalk Hospital
      • Trumbull, Connecticut, Forenede Stater, 06611
        • Smilow Cancer Hospital Care Center-Trumbull
      • Waterford, Connecticut, Forenede Stater, 06385
        • Smilow Cancer Hospital Care Center - Waterford
    • Delaware
      • Newark, Delaware, Forenede Stater, 19713
        • Helen F Graham Cancer Center
      • Newark, Delaware, Forenede Stater, 19718
        • Christiana Care Health System-Christiana Hospital
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20010
        • Medstar Washington Hospital Center
      • Washington D.C., District of Columbia, Forenede Stater, 20007
        • MedStar Georgetown University Hospital
      • Washington D.C., District of Columbia, Forenede Stater, 20016
        • Sibley Memorial Hospital
    • Florida
      • Boca Raton, Florida, Forenede Stater, 33486
        • Boca Raton Regional Hospital
      • Clearwater, Florida, Forenede Stater, 33756
        • Morton Plant Hospital
      • Coral Gables, Florida, Forenede Stater, 33146
        • UM Sylvester Comprehensive Cancer Center at Coral Gables
      • Deerfield Beach, Florida, Forenede Stater, 33442
        • UM Sylvester Comprehensive Cancer Center at Deerfield Beach
      • Fort Lauderdale, Florida, Forenede Stater, 33316
        • Broward Health Medical Center
      • Gainesville, Florida, Forenede Stater, 32610
        • UF Health Cancer Institute - Gainesville
      • Hollywood, Florida, Forenede Stater, 33021
        • Memorial Regional Hospital/Joe DiMaggio Children's Hospital
      • Jacksonville, Florida, Forenede Stater, 32224-9980
        • Mayo Clinic in Florida
      • Miami, Florida, Forenede Stater, 33136
        • University of Miami Miller School of Medicine-Sylvester Cancer Center
      • Miami, Florida, Forenede Stater, 33176
        • Miami Cancer Institute
      • Orlando, Florida, Forenede Stater, 32806
        • Orlando Health Cancer Institute
      • Pembroke Pines, Florida, Forenede Stater, 33028
        • Memorial Hospital West
      • Plantation, Florida, Forenede Stater, 33324
        • UM Sylvester Comprehensive Cancer Center at Plantation
      • Plantation, Florida, Forenede Stater, 33324
        • Miami Cancer Institute at Plantation
      • St. Petersburg, Florida, Forenede Stater, 33705
        • Saint Anthony's Hospital Cancer Care Center
      • Tampa, Florida, Forenede Stater, 33612
        • Moffitt Cancer Center
      • Tampa, Florida, Forenede Stater, 33607
        • Saint Joseph's Hospital/Children's Hospital-Tampa
      • Weston, Florida, Forenede Stater, 33331
        • Cleveland Clinic-Weston
    • Georgia
      • Atlanta, Georgia, Forenede Stater, 30308
        • Emory University Hospital Midtown
      • Atlanta, Georgia, Forenede Stater, 30322
        • Emory University Hospital/Winship Cancer Institute
      • Atlanta, Georgia, Forenede Stater, 30342
        • Emory Saint Joseph's Hospital
      • Atlanta, Georgia, Forenede Stater, 30303
        • Grady Health System
      • Decatur, Georgia, Forenede Stater, 30033
        • Emory Decatur Hospital
      • Savannah, Georgia, Forenede Stater, 31405
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
    • Idaho
      • Boise, Idaho, Forenede Stater, 83706
        • Saint Alphonsus Cancer Care Center-Boise
      • Coeur d'Alene, Idaho, Forenede Stater, 83814
        • Kootenai Health - Coeur d'Alene
      • Post Falls, Idaho, Forenede Stater, 83854
        • Kootenai Clinic Cancer Services - Post Falls
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60611
        • Northwestern University
      • Chicago, Illinois, Forenede Stater, 60637
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, Forenede Stater, 60612
        • University of Illinois
      • Chicago, Illinois, Forenede Stater, 60625
        • Swedish Covenant Hospital
      • Chicago, Illinois, Forenede Stater, 60657
        • Advocate Illinois Masonic Medical Center
      • Chicago, Illinois, Forenede Stater, 60612
        • Rush MD Anderson Cancer Center
      • DeKalb, Illinois, Forenede Stater, 60115
        • Northwestern Medicine Cancer Center Kishwaukee
      • Decatur, Illinois, Forenede Stater, 62526
        • Decatur Memorial Hospital
      • Effingham, Illinois, Forenede Stater, 62401
        • Crossroads Cancer Center
      • Evanston, Illinois, Forenede Stater, 60201
        • NorthShore University HealthSystem-Evanston Hospital
      • Geneva, Illinois, Forenede Stater, 60134
        • Northwestern Medicine Cancer Center Delnor
      • Glenview, Illinois, Forenede Stater, 60026
        • NorthShore University HealthSystem-Glenbrook Hospital
      • Harvey, Illinois, Forenede Stater, 60426
        • Ingalls Memorial Hospital
      • Highland Park, Illinois, Forenede Stater, 60035
        • NorthShore University HealthSystem-Highland Park Hospital
      • Lake Forest, Illinois, Forenede Stater, 60045
        • Northwestern Medicine Lake Forest Hospital
      • Maywood, Illinois, Forenede Stater, 60153
        • Loyola University Medical Center
      • New Lenox, Illinois, Forenede Stater, 60451
        • UC Comprehensive Cancer Center at Silver Cross
      • O'Fallon, Illinois, Forenede Stater, 62269
        • HSHS Saint Elizabeth's Hospital
      • Orland Park, Illinois, Forenede Stater, 60462
        • University of Chicago Medicine-Orland Park
      • Park Ridge, Illinois, Forenede Stater, 60068
        • Advocate Lutheran General Hospital
      • Peoria, Illinois, Forenede Stater, 61637
        • OSF Saint Francis Medical Center
      • Rockford, Illinois, Forenede Stater, 61114
        • UW Health Carbone Cancer Center Rockford
      • Springfield, Illinois, Forenede Stater, 62781
        • Springfield Memorial Hospital
      • Urbana, Illinois, Forenede Stater, 61801
        • Carle Cancer Center
      • Warrenville, Illinois, Forenede Stater, 60555
        • Northwestern Medicine Cancer Center Warrenville
    • Indiana
      • Avon, Indiana, Forenede Stater, 46123
        • IU Health West Hospital
      • Carmel, Indiana, Forenede Stater, 46032
        • IU Health North Hospital
      • Crown Point, Indiana, Forenede Stater, 46307
        • UChicago Medicine Northwest Indiana
      • Fishers, Indiana, Forenede Stater, 46037
        • IU Health Central Indiana Cancer Centers-Fishers
      • Indianapolis, Indiana, Forenede Stater, 46202
        • Indiana University/Melvin and Bren Simon Cancer Center
      • Indianapolis, Indiana, Forenede Stater, 46219
        • Community Cancer Center East
      • Indianapolis, Indiana, Forenede Stater, 46227
        • Community Cancer Center South
      • Indianapolis, Indiana, Forenede Stater, 46256
        • Community Cancer Center North
      • Indianapolis, Indiana, Forenede Stater, 46202
        • IU Health Methodist Hospital
      • Muncie, Indiana, Forenede Stater, 47303
        • IU Health Ball Memorial Hospital
    • Iowa
      • Cedar Rapids, Iowa, Forenede Stater, 52402
        • Saint Luke's Hospital
      • Clive, Iowa, Forenede Stater, 50325
        • Mercy Cancer Center-West Lakes
      • Creston, Iowa, Forenede Stater, 50801
        • Greater Regional Medical Center
      • Des Moines, Iowa, Forenede Stater, 50309
        • Iowa Methodist Medical Center
      • Des Moines, Iowa, Forenede Stater, 50314
        • Mercy Medical Center - Des Moines
    • Kansas
      • Kansas City, Kansas, Forenede Stater, 66160
        • University of Kansas Cancer Center
      • Olathe, Kansas, Forenede Stater, 66061
        • The University of Kansas Cancer Center - Olathe
      • Overland Park, Kansas, Forenede Stater, 66210
        • University of Kansas Cancer Center-Overland Park
      • Topeka, Kansas, Forenede Stater, 66606
        • University of Kansas Health System Saint Francis Campus
      • Wichita, Kansas, Forenede Stater, 67214
        • Ascension Via Christi Hospitals Wichita
    • Kentucky
      • Edgewood, Kentucky, Forenede Stater, 41017
        • Saint Elizabeth Healthcare Edgewood
      • Fort Thomas, Kentucky, Forenede Stater, 41075
        • Saint Elizabeth Healthcare Fort Thomas
      • Lexington, Kentucky, Forenede Stater, 40536
        • University of Kentucky/Markey Cancer Center
      • Lexington, Kentucky, Forenede Stater, 40504
        • Saint Joseph Radiation Oncology Resource Center
      • Lexington, Kentucky, Forenede Stater, 40509
        • Saint Joseph Hospital East
      • Louisville, Kentucky, Forenede Stater, 40202
        • The James Graham Brown Cancer Center at University of Louisville
      • Louisville, Kentucky, Forenede Stater, 40245
        • UofL Health Medical Center Northeast
      • Owensboro, Kentucky, Forenede Stater, 42303
        • Owensboro Health Mitchell Memorial Cancer Center
    • Louisiana
      • Shreveport, Louisiana, Forenede Stater, 71103
        • LSU Health Sciences Center at Shreveport
    • Maine
      • Bath, Maine, Forenede Stater, 04530
        • MaineHealth Coastal Cancer Treatment Center
      • Brewer, Maine, Forenede Stater, 04412
        • Lafayette Family Cancer Center-EMMC
      • Portland, Maine, Forenede Stater, 04102
        • MaineHealth Maine Medical Center - Portland
      • Sanford, Maine, Forenede Stater, 04073
        • MaineHealth Cancer Care Center of York County
      • Scarborough, Maine, Forenede Stater, 04074
        • MaineHealth Maine Medical Center- Scarborough
    • Maryland
      • Annapolis, Maryland, Forenede Stater, 21401
        • Luminis Health Anne Arundel Medical Center
      • Baltimore, Maryland, Forenede Stater, 21237
        • MedStar Franklin Square Medical Center/Weinberg Cancer Institute
      • Baltimore, Maryland, Forenede Stater, 21287
        • Johns Hopkins University/Sidney Kimmel Cancer Center
      • Baltimore, Maryland, Forenede Stater, 21204
        • Greater Baltimore Medical Center
      • Baltimore, Maryland, Forenede Stater, 21201
        • University of Maryland/Greenebaum Cancer Center
      • Baltimore, Maryland, Forenede Stater, 21229
        • Saint Agnes Hospital
      • Baltimore, Maryland, Forenede Stater, 21239
        • MedStar Good Samaritan Hospital
      • Bel Air, Maryland, Forenede Stater, 21014
        • UM Upper Chesapeake Medical Center
      • Bethesda, Maryland, Forenede Stater, 20814
        • Suburban Hospital
      • Easton, Maryland, Forenede Stater, 21601
        • University of Maryland Shore Medical Center at Easton
      • Glen Burnie, Maryland, Forenede Stater, 21061
        • UM Baltimore Washington Medical Center/Tate Cancer Center
      • Largo, Maryland, Forenede Stater, 20774
        • UM Capital Region Medical Center
      • Towson, Maryland, Forenede Stater, 21204
        • UM Saint Joseph Medical Center
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, Forenede Stater, 02111
        • Tufts Medical Center
      • Boston, Massachusetts, Forenede Stater, 02114
        • Massachusetts General Hospital Cancer Center
      • Burlington, Massachusetts, Forenede Stater, 01805
        • Lahey Hospital and Medical Center
      • Lowell, Massachusetts, Forenede Stater, 01854
        • Lowell General Hospital
      • Springfield, Massachusetts, Forenede Stater, 01199
        • Baystate Medical Center
    • Michigan
      • Ann Arbor, Michigan, Forenede Stater, 48109
        • University of Michigan Rogel Cancer Center
      • Bay City, Michigan, Forenede Stater, 48706
        • McLaren Cancer Institute-Bay City
      • Clarkston, Michigan, Forenede Stater, 48346
        • McLaren Cancer Institute-Clarkston
      • Dearborn, Michigan, Forenede Stater, 48124
        • Corewell Health Dearborn Hospital
      • Farmington Hills, Michigan, Forenede Stater, 48336
        • Corewell Health Farmington Hills Hospital
      • Flint, Michigan, Forenede Stater, 48532
        • McLaren Cancer Institute-Flint
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Trinity Health Grand Rapids Hospital
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
      • Kalamazoo, Michigan, Forenede Stater, 49007
        • West Michigan Cancer Center
      • Lansing, Michigan, Forenede Stater, 48910
        • Karmanos Cancer Institute at McLaren Greater Lansing
      • Mount Clemens, Michigan, Forenede Stater, 48043
        • McLaren Cancer Institute-Macomb
      • Mount Pleasant, Michigan, Forenede Stater, 48858
        • McLaren Cancer Institute-Central Michigan
      • Muskegon, Michigan, Forenede Stater, 49444
        • Trinity Health Muskegon Hospital
      • Novi, Michigan, Forenede Stater, 48374
        • Henry Ford Health Providence Novi Hospital
      • Petoskey, Michigan, Forenede Stater, 49770
        • McLaren Cancer Institute-Northern Michigan
      • Port Huron, Michigan, Forenede Stater, 48060
        • McLaren-Port Huron
      • Royal Oak, Michigan, Forenede Stater, 48073
        • Corewell Health William Beaumont University Hospital
      • Southfield, Michigan, Forenede Stater, 48075
        • Henry Ford Health Providence Southfield Hospital
      • Traverse City, Michigan, Forenede Stater, 49684
        • Munson Medical Center
      • Troy, Michigan, Forenede Stater, 48085
        • Corewell Health Beaumont Troy Hospital
      • Wyoming, Michigan, Forenede Stater, 49519
        • University of Michigan Health - West
    • Minnesota
      • Bemidji, Minnesota, Forenede Stater, 56601
        • Sanford Joe Lueken Cancer Center
      • Duluth, Minnesota, Forenede Stater, 55805
        • Miller-Dwan Hospital
      • Minneapolis, Minnesota, Forenede Stater, 55415
        • Hennepin County Medical Center
      • Minneapolis, Minnesota, Forenede Stater, 55407
        • Abbott-Northwestern Hospital
    • Mississippi
      • Southhaven, Mississippi, Forenede Stater, 38671
        • Baptist Memorial Hospital and Cancer Center-Desoto
    • Missouri
      • Cape Girardeau, Missouri, Forenede Stater, 63703
        • Saint Francis Medical Center
      • Columbia, Missouri, Forenede Stater, 65212
        • MU Health - University Hospital/Ellis Fischel Cancer Center
      • Jefferson City, Missouri, Forenede Stater, 65109
        • MU Health Care Goldschmidt Cancer Center
      • Kansas City, Missouri, Forenede Stater, 64154
        • University of Kansas Cancer Center - North
      • Lee's Summit, Missouri, Forenede Stater, 64064
        • University of Kansas Cancer Center - Lee's Summit
      • St Louis, Missouri, Forenede Stater, 63131
        • Missouri Baptist Medical Center
    • Montana
      • Billings, Montana, Forenede Stater, 59101
        • Billings Clinic Cancer Center
      • Butte, Montana, Forenede Stater, 59701
        • Saint James Community Hospital and Cancer Treatment Center
      • Great Falls, Montana, Forenede Stater, 59405
        • Benefis Sletten Cancer Institute
      • Havre, Montana, Forenede Stater, 59501
        • Hi-Line Sletten Cancer Center
      • Missoula, Montana, Forenede Stater, 59804
        • Community Medical Center
    • Nebraska
      • Omaha, Nebraska, Forenede Stater, 68198
        • University of Nebraska Medical Center
      • Omaha, Nebraska, Forenede Stater, 68124
        • Alegent Health Bergan Mercy Medical Center
    • Nevada
      • Las Vegas, Nevada, Forenede Stater, 89106
        • Radiation Oncology Centers of Nevada Central
      • Las Vegas, Nevada, Forenede Stater, 89119
        • Radiation Oncology Centers of Nevada Southeast
    • New Hampshire
      • Concord, New Hampshire, Forenede Stater, 03301
        • New Hampshire Oncology Hematology PA-Concord
      • Dover, New Hampshire, Forenede Stater, 03820
        • Wentworth-Douglass Hospital
      • Exeter, New Hampshire, Forenede Stater, 03833
        • Exeter Hospital
      • Lebanon, New Hampshire, Forenede Stater, 03756
        • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
      • Manchester, New Hampshire, Forenede Stater, 03103
        • Solinsky Center for Cancer Care
    • New Jersey
      • Basking Ridge, New Jersey, Forenede Stater, 07920
        • Memorial Sloan Kettering Basking Ridge
      • Englewood, New Jersey, Forenede Stater, 07631
        • Englewood Hospital and Medical Center
      • Freehold, New Jersey, Forenede Stater, 07728
        • CentraState Medical Center
      • Hamilton, New Jersey, Forenede Stater, 08690
        • The Cancer Institute of New Jersey Hamilton
      • Middletown, New Jersey, Forenede Stater, 07748
        • Memorial Sloan Kettering Monmouth
      • Montvale, New Jersey, Forenede Stater, 07645
        • Memorial Sloan Kettering Bergen
      • New Brunswick, New Jersey, Forenede Stater, 08903
        • Rutgers Cancer Institute of New Jersey
      • New Brunswick, New Jersey, Forenede Stater, 08901
        • Saint Peter's University Hospital
      • Sewell, New Jersey, Forenede Stater, 08080
        • Sidney Kimmel Cancer Center Washington Township
      • Somerville, New Jersey, Forenede Stater, 08876
        • Robert Wood Johnson University Hospital Somerset
      • Toms River, New Jersey, Forenede Stater, 08755
        • Community Medical Center
    • New Mexico
      • Albuquerque, New Mexico, Forenede Stater, 87109
        • Lovelace Radiation Oncology
      • Albuquerque, New Mexico, Forenede Stater, 87109
        • New Mexico Oncology Hematology Consultants
      • Albuquerque, New Mexico, Forenede Stater, 87106
        • University of New Mexico Cancer Center
      • Las Cruces, New Mexico, Forenede Stater, 88011
        • Memorial Medical Center-Las Cruces
    • New York
      • Astoria, New York, Forenede Stater, 11102
        • Mount Sinai Queens
      • Brooklyn, New York, Forenede Stater, 11219
        • Maimonides Medical Center
      • Brooklyn, New York, Forenede Stater, 11215
        • New York-Presbyterian/Brooklyn Methodist Hospital
      • Brooklyn, New York, Forenede Stater, 11220
        • NYU Langone Hospital - Brooklyn
      • Canandaigua, New York, Forenede Stater, 14424
        • Sands Cancer Center
      • Commack, New York, Forenede Stater, 11725
        • Memorial Sloan Kettering Commack
      • Cooperstown, New York, Forenede Stater, 13326
        • Mary Imogene Bassett Hospital
      • Dansville, New York, Forenede Stater, 14437
        • Noyes Memorial Hospital/Myers Cancer Center
      • Harrison, New York, Forenede Stater, 10604
        • Memorial Sloan Kettering Westchester
      • Mineola, New York, Forenede Stater, 11501
        • NYU Langone Hospital - Long Island
      • New York, New York, Forenede Stater, 10065
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, Forenede Stater, 10019
        • Mount Sinai West
      • New York, New York, Forenede Stater, 10029
        • Mount Sinai Hospital
      • New York, New York, Forenede Stater, 10032
        • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
      • New York, New York, Forenede Stater, 10011
        • Mount Sinai Chelsea
      • New York, New York, Forenede Stater, 10016
        • Laura and Isaac Perlmutter Cancer Center at NYU Langone
      • New York, New York, Forenede Stater, 10003
        • Mount Sinai Union Square
      • Nyack, New York, Forenede Stater, 10960
        • Nyack Hospital
      • Oceanside, New York, Forenede Stater, 11572
        • Mount Sinai South Nassau
      • Rochester, New York, Forenede Stater, 14642
        • University of Rochester
      • Rochester, New York, Forenede Stater, 14620
        • Highland Hospital
      • Rochester, New York, Forenede Stater, 14621
        • Rochester General Hospital
      • Rochester, New York, Forenede Stater, 14606
        • Wilmot Cancer Institute Radiation Oncology at Greece
      • Rochester, New York, Forenede Stater, 14623
        • Pluta Cancer Center
      • Stony Brook, New York, Forenede Stater, 11794
        • Stony Brook University Medical Center
      • Syracuse, New York, Forenede Stater, 13210
        • State University of New York Upstate Medical University
      • The Bronx, New York, Forenede Stater, 10461
        • Montefiore Medical Center-Einstein Campus
      • The Bronx, New York, Forenede Stater, 10467
        • Montefiore Medical Center - Moses Campus
      • Uniondale, New York, Forenede Stater, 11553
        • Memorial Sloan Kettering Nassau
      • Webster, New York, Forenede Stater, 14580
        • Wilmot Cancer Institute at Webster
    • North Carolina
      • Asheville, North Carolina, Forenede Stater, 28801
        • Mission Hospital
      • Asheville, North Carolina, Forenede Stater, 28816
        • Hope Women's Cancer Centers-Asheville
      • Cary, North Carolina, Forenede Stater, 27518
        • Duke Cancer Center Cary
      • Chapel Hill, North Carolina, Forenede Stater, 27599
        • UNC Lineberger Comprehensive Cancer Center
      • Durham, North Carolina, Forenede Stater, 27710
        • Duke University Medical Center
      • Gastonia, North Carolina, Forenede Stater, 28054
        • CaroMont Regional Medical Center
      • Hendersonville, North Carolina, Forenede Stater, 28791
        • Margaret R Pardee Memorial Hospital
      • Raleigh, North Carolina, Forenede Stater, 27607
        • Duke Women's Cancer Care Raleigh
    • North Dakota
      • Bismarck, North Dakota, Forenede Stater, 58501
        • Sanford Bismarck Medical Center
      • Grand Forks, North Dakota, Forenede Stater, 58201
        • Altru Cancer Center
    • Ohio
      • Akron, Ohio, Forenede Stater, 44307
        • Cleveland Clinic Akron General
      • Avon, Ohio, Forenede Stater, 44011
        • UH Seidman Cancer Center at UH Avon Health Center
      • Beachwood, Ohio, Forenede Stater, 44122
        • UHHS-Chagrin Highlands Medical Center
      • Canton, Ohio, Forenede Stater, 44708
        • Cleveland Clinic Mercy Hospital
      • Canton, Ohio, Forenede Stater, 44710
        • Aultman Health Foundation
      • Chardon, Ohio, Forenede Stater, 44024
        • Geauga Hospital
      • Cleveland, Ohio, Forenede Stater, 44106
        • Case Western Reserve University
      • Cleveland, Ohio, Forenede Stater, 44109
        • MetroHealth Medical Center
      • Columbus, Ohio, Forenede Stater, 43214
        • Riverside Methodist Hospital
      • Columbus, Ohio, Forenede Stater, 43210
        • Ohio State University Comprehensive Cancer Center
      • Columbus, Ohio, Forenede Stater, 43219
        • The Mark H Zangmeister Center
      • Columbus, Ohio, Forenede Stater, 43215
        • Grant Medical Center
      • Delaware, Ohio, Forenede Stater, 43015
        • Delaware Health Center-Grady Cancer Center
      • Dublin, Ohio, Forenede Stater, 43016
        • Dublin Methodist Hospital
      • Elyria, Ohio, Forenede Stater, 44035
        • Mercy Cancer Center-Elyria
      • Grove City, Ohio, Forenede Stater, 43123
        • Mount Carmel Grove City Hospital
      • Mansfield, Ohio, Forenede Stater, 44903
        • OhioHealth Mansfield Hospital
      • Mentor, Ohio, Forenede Stater, 44060
        • UH Seidman Cancer Center at Lake Health Mentor Campus
      • Middleburg Heights, Ohio, Forenede Stater, 44130
        • UH Seidman Cancer Center at Southwest General Hospital
      • Parma, Ohio, Forenede Stater, 44129
        • University Hospitals Parma Medical Center
      • Perrysburg, Ohio, Forenede Stater, 43551
        • Mercy Health - Perrysburg Hospital
      • Ravenna, Ohio, Forenede Stater, 44266
        • University Hospitals Portage Medical Center
      • Sandusky, Ohio, Forenede Stater, 44870
        • UH Seidman Cancer Center at Firelands Regional Medical Center
      • Sylvania, Ohio, Forenede Stater, 43560
        • ProMedica Flower Hospital
      • Wadsworth, Ohio, Forenede Stater, 44281
        • University Hospitals Sharon Health Center
      • Westerville, Ohio, Forenede Stater, 43081
        • Saint Ann's Hospital
      • Westlake, Ohio, Forenede Stater, 44145
        • UH Seidman Cancer Center at Saint John Medical Center
      • Westlake, Ohio, Forenede Stater, 44145
        • UHHS-Westlake Medical Center
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73104
        • University of Oklahoma Health Sciences Center
    • Oregon
      • Bend, Oregon, Forenede Stater, 97701
        • Saint Charles Health System
      • Corvallis, Oregon, Forenede Stater, 97330
        • Good Samaritan Hospital
      • Portland, Oregon, Forenede Stater, 97239
        • Oregon Health and Science University
    • Pennsylvania
      • Bryn Mawr, Pennsylvania, Forenede Stater, 19010
        • Bryn Mawr Hospital
      • Carlisle, Pennsylvania, Forenede Stater, 17015
        • Carlisle Regional Cancer Center
      • Chadds Ford, Pennsylvania, Forenede Stater, 19317
        • Christiana Care Health System-Concord Health Center
      • Chambersburg, Pennsylvania, Forenede Stater, 17201
        • Chambersburg Hospital
      • Ephrata, Pennsylvania, Forenede Stater, 17522
        • Ephrata Cancer Center
      • Erie, Pennsylvania, Forenede Stater, 16505
        • UPMC Hillman Cancer Center Erie
      • Erie, Pennsylvania, Forenede Stater, 16544
        • Saint Vincent Hospital
      • Farrell, Pennsylvania, Forenede Stater, 16121
        • UPMC Cancer Center at UPMC Horizon
      • Gettysburg, Pennsylvania, Forenede Stater, 17325
        • Adams Cancer Center
      • Greensburg, Pennsylvania, Forenede Stater, 15601
        • UPMC Cancer Centers - Arnold Palmer Pavilion
      • Harrisburg, Pennsylvania, Forenede Stater, 17109
        • UPMC Pinnacle Cancer Center/Community Osteopathic Campus
      • Hershey, Pennsylvania, Forenede Stater, 17033-0850
        • Penn State Milton S Hershey Medical Center
      • Indiana, Pennsylvania, Forenede Stater, 15701
        • IRMC Cancer Center
      • Jefferson Hills, Pennsylvania, Forenede Stater, 15025
        • Jefferson Hospital
      • Johnstown, Pennsylvania, Forenede Stater, 15901
        • UPMC-Johnstown/John P. Murtha Regional Cancer Center
      • Lancaster, Pennsylvania, Forenede Stater, 17601
        • Lancaster General Ann B Barshinger Cancer Institute
      • Lancaster, Pennsylvania, Forenede Stater, 17602
        • Lancaster General Hospital
      • Mechanicsburg, Pennsylvania, Forenede Stater, 17050
        • UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
      • Media, Pennsylvania, Forenede Stater, 19063
        • Riddle Memorial Hospital
      • Monroeville, Pennsylvania, Forenede Stater, 15146
        • Forbes Hospital
      • Monroeville, Pennsylvania, Forenede Stater, 15146
        • UPMC Cancer Center - Monroeville
      • Newtown Square, Pennsylvania, Forenede Stater, 19073
        • Bryn Mawr Health Center
      • Paoli, Pennsylvania, Forenede Stater, 19301
        • Paoli Memorial Hospital
      • Philadelphia, Pennsylvania, Forenede Stater, 19107
        • Thomas Jefferson University Hospital
      • Philadelphia, Pennsylvania, Forenede Stater, 19114
        • Jefferson Torresdale Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15212
        • Allegheny General Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15224
        • West Penn Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15213
        • UPMC-Magee Womens Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15232
        • UPMC-Shadyside Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15215
        • UPMC-Saint Margaret
      • Pittsburgh, Pennsylvania, Forenede Stater, 15237
        • UPMC-Passavant Hospital
      • Pittsburgh, Pennsylvania, Forenede Stater, 15243
        • UPMC-Saint Clair Hospital Cancer Center
      • Reading, Pennsylvania, Forenede Stater, 19605
        • Penn State Health Saint Joseph Medical Center
      • Washington, Pennsylvania, Forenede Stater, 15301
        • UPMC Washington Hospital Radiation Oncology
      • West Reading, Pennsylvania, Forenede Stater, 19611
        • Reading Hospital
      • Wexford, Pennsylvania, Forenede Stater, 15090
        • Wexford Health and Wellness Pavilion
      • Willow Grove, Pennsylvania, Forenede Stater, 19090
        • Asplundh Cancer Pavilion
      • Wynnewood, Pennsylvania, Forenede Stater, 19096
        • Lankenau Medical Center
      • York, Pennsylvania, Forenede Stater, 17403
        • WellSpan Health-York Cancer Center
      • York, Pennsylvania, Forenede Stater, 17408
        • UPMC Memorial
    • Rhode Island
      • Providence, Rhode Island, Forenede Stater, 02905
        • Women and Infants Hospital
      • Warwick, Rhode Island, Forenede Stater, 02886
        • Kent Hospital
    • South Carolina
      • Bluffton, South Carolina, Forenede Stater, 29910
        • Saint Joseph's/Candler - Bluffton Campus
      • Boiling Springs, South Carolina, Forenede Stater, 29316
        • Prisma Health Cancer Institute - Spartanburg
      • Charleston, South Carolina, Forenede Stater, 29425
        • Medical University of South Carolina
      • Greenville, South Carolina, Forenede Stater, 29605
        • Prisma Health Cancer Institute - Faris
      • Greenville, South Carolina, Forenede Stater, 29607
        • Saint Francis Cancer Center
      • Greenville, South Carolina, Forenede Stater, 29615
        • Prisma Health Cancer Institute - Eastside
      • Greenwood, South Carolina, Forenede Stater, 29646
        • Self Regional Healthcare
      • Greer, South Carolina, Forenede Stater, 29650
        • Prisma Health Cancer Institute - Greer
      • Greer, South Carolina, Forenede Stater, 29651
        • Gibbs Cancer Center-Pelham
      • Hilton Head Island, South Carolina, Forenede Stater, 29926
        • The Radiation Oncology Center-Hilton Head/Bluffton
      • Okatie, South Carolina, Forenede Stater, 29909
        • Beaufort Memorial/New River Cancer Center
      • Seneca, South Carolina, Forenede Stater, 29672
        • Prisma Health Cancer Institute - Seneca
      • Spartanburg, South Carolina, Forenede Stater, 29303
        • Spartanburg Medical Center
      • West Columbia, South Carolina, Forenede Stater, 29169
        • Lexington Medical Center
    • South Dakota
      • Sioux Falls, South Dakota, Forenede Stater, 57117-5134
        • Sanford USD Medical Center - Sioux Falls
    • Tennessee
      • Memphis, Tennessee, Forenede Stater, 38120
        • Baptist Memorial Hospital and Cancer Center-Memphis
    • Texas
      • Baytown, Texas, Forenede Stater, 77521
        • Houston Methodist San Jacinto Hospital
      • Conroe, Texas, Forenede Stater, 77384
        • MD Anderson in The Woodlands
      • Cypress, Texas, Forenede Stater, 77429
        • Houston Methodist Cypress Hospital
      • Dallas, Texas, Forenede Stater, 75235
        • Parkland Memorial Hospital
      • Dallas, Texas, Forenede Stater, 75390
        • UT Southwestern/Simmons Cancer Center-Dallas
      • Galveston, Texas, Forenede Stater, 77555-0565
        • University of Texas Medical Branch
      • Houston, Texas, Forenede Stater, 77030
        • M D Anderson Cancer Center
      • Houston, Texas, Forenede Stater, 77030
        • Houston Methodist Hospital
      • Houston, Texas, Forenede Stater, 77030
        • Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
      • Houston, Texas, Forenede Stater, 77070
        • Methodist Willowbrook Hospital
      • Houston, Texas, Forenede Stater, 77030
        • Ben Taub General Hospital
      • Houston, Texas, Forenede Stater, 77094
        • Houston Methodist West Hospital
      • Houston, Texas, Forenede Stater, 77079
        • MD Anderson West Houston
      • Laredo, Texas, Forenede Stater, 78041
        • Doctor's Hospital of Laredo
      • League City, Texas, Forenede Stater, 77573
        • MD Anderson League City
      • Nassau Bay, Texas, Forenede Stater, 77058
        • Houston Methodist Saint John Hospital
      • San Antonio, Texas, Forenede Stater, 78229
        • University of Texas Health Science Center at San Antonio
      • Sugar Land, Texas, Forenede Stater, 77478
        • MD Anderson in Sugar Land
      • Sugar Land, Texas, Forenede Stater, 77479
        • Houston Methodist Sugar Land Hospital
      • The Woodlands, Texas, Forenede Stater, 77385
        • Houston Methodist The Woodlands Hospital
    • Utah
      • American Fork, Utah, Forenede Stater, 84003
        • American Fork Hospital / Huntsman Intermountain Cancer Center
      • Cedar City, Utah, Forenede Stater, 84720
        • Sandra L Maxwell Cancer Center
      • Farmington, Utah, Forenede Stater, 84025
        • Farmington Health Center
      • Logan, Utah, Forenede Stater, 84321
        • Logan Regional Hospital
      • Murray, Utah, Forenede Stater, 84107
        • Intermountain Medical Center
      • Ogden, Utah, Forenede Stater, 84403
        • McKay-Dee Hospital Center
      • Provo, Utah, Forenede Stater, 84604
        • Utah Valley Regional Medical Center
      • Riverton, Utah, Forenede Stater, 84065
        • Riverton Hospital
      • Salt Lake City, Utah, Forenede Stater, 84112
        • Huntsman Cancer Institute/University of Utah
      • Salt Lake City, Utah, Forenede Stater, 84143
        • LDS Hospital
      • Salt Lake City, Utah, Forenede Stater, 84106
        • University of Utah Sugarhouse Health Center
      • South Jordan, Utah, Forenede Stater, 84009
        • South Jordan Health Center
      • St. George, Utah, Forenede Stater, 84770
        • Saint George Regional Medical Center
    • Vermont
      • Berlin Corners, Vermont, Forenede Stater, 05602
        • Central Vermont Medical Center/National Life Cancer Treatment
      • Burlington, Vermont, Forenede Stater, 05401
        • University of Vermont Medical Center
      • Saint Johnsbury, Vermont, Forenede Stater, 05819
        • Dartmouth Cancer Center - North
    • Virginia
      • Charlottesville, Virginia, Forenede Stater, 22908
        • University of Virginia Cancer Center
      • Fishersville, Virginia, Forenede Stater, 22939
        • Augusta Health Center for Cancer and Blood Disorders
      • Midlothian, Virginia, Forenede Stater, 23114
        • Bon Secours Saint Francis Medical Center
      • Portsmouth, Virginia, Forenede Stater, 23708-2197
        • Naval Medical Center - Portsmouth
      • Richmond, Virginia, Forenede Stater, 23230
        • Bon Secours Cancer Institute at Reynolds Crossing
      • Richmond, Virginia, Forenede Stater, 23235
        • CJW Medical Center - Johnston-Willis Campus
    • Washington
      • Auburn, Washington, Forenede Stater, 98001
        • MultiCare Auburn Medical Center
      • Gig Harbor, Washington, Forenede Stater, 98335
        • MultiCare Gig Harbor Medical Park
      • Seattle, Washington, Forenede Stater, 98122
        • Swedish Medical Center-First Hill
      • Tacoma, Washington, Forenede Stater, 98405
        • MultiCare Tacoma General Hospital
    • West Virginia
      • Morgantown, West Virginia, Forenede Stater, 26506
        • West Virginia University Healthcare
    • Wisconsin
      • Antigo, Wisconsin, Forenede Stater, 54409
        • Langlade Hospital and Cancer Center
      • Appleton, Wisconsin, Forenede Stater, 54911
        • ThedaCare Regional Cancer Center
      • Eau Claire, Wisconsin, Forenede Stater, 54701
        • Marshfield Medical Center-EC Cancer Center
      • Eau Claire, Wisconsin, Forenede Stater, 54701
        • HSHS Sacred Heart Hospital
      • Grafton, Wisconsin, Forenede Stater, 53024
        • Aurora Cancer Care-Grafton
      • Green Bay, Wisconsin, Forenede Stater, 54311
        • Aurora BayCare Medical Center
      • Green Bay, Wisconsin, Forenede Stater, 54301
        • Saint Vincent Hospital Cancer Center Green Bay
      • Green Bay, Wisconsin, Forenede Stater, 54303
        • Saint Vincent Hospital Cancer Center at Saint Mary's
      • Green Bay, Wisconsin, Forenede Stater, 54301
        • Bellin Memorial Hospital
      • Johnson Creek, Wisconsin, Forenede Stater, 53038
        • University of Wisconsin Carbone Cancer Center - Johnson Creek
      • Kenosha, Wisconsin, Forenede Stater, 53142
        • Aurora Cancer Care-Kenosha South
      • La Crosse, Wisconsin, Forenede Stater, 54601
        • Gundersen Lutheran Medical Center
      • Madison, Wisconsin, Forenede Stater, 53792
        • University of Wisconsin Carbone Cancer Center - University Hospital
      • Madison, Wisconsin, Forenede Stater, 53718
        • University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
      • Marinette, Wisconsin, Forenede Stater, 54143
        • Aurora Bay Area Medical Group-Marinette
      • Marshfield, Wisconsin, Forenede Stater, 54449
        • Marshfield Medical Center-Marshfield
      • Menomonee Falls, Wisconsin, Forenede Stater, 53051
        • Froedtert Menomonee Falls Hospital
      • Milwaukee, Wisconsin, Forenede Stater, 53226
        • Medical College of Wisconsin
      • Milwaukee, Wisconsin, Forenede Stater, 53215
        • Aurora Saint Luke's Medical Center
      • Milwaukee, Wisconsin, Forenede Stater, 53233
        • Aurora Sinai Medical Center
      • Minocqua, Wisconsin, Forenede Stater, 54548
        • Marshfield Medical Center - Minocqua
      • Mukwonago, Wisconsin, Forenede Stater, 53149
        • ProHealth D N Greenwald Center
      • New Richmond, Wisconsin, Forenede Stater, 54017
        • Cancer Center of Western Wisconsin
      • Oak Creek, Wisconsin, Forenede Stater, 53154
        • Drexel Town Square Health Center
      • Oconomowoc, Wisconsin, Forenede Stater, 53066
        • ProHealth Oconomowoc Memorial Hospital
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Vince Lombardi Cancer Clinic - Oshkosh
      • Rhinelander, Wisconsin, Forenede Stater, 54501
        • Aspirus Cancer Care - James Beck Cancer Center
      • Rice Lake, Wisconsin, Forenede Stater, 54868
        • Marshfield Medical Center-Rice Lake
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Vince Lombardi Cancer Clinic-Sheboygan
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • HSHS Saint Nicholas Hospital
      • Stevens Point, Wisconsin, Forenede Stater, 54482
        • Marshfield Medical Center-River Region at Stevens Point
      • Stevens Point, Wisconsin, Forenede Stater, 54481
        • Aspirus Cancer Care - Stevens Point
      • Sturgeon Bay, Wisconsin, Forenede Stater, 54235-1495
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
      • Summit, Wisconsin, Forenede Stater, 53066
        • Aurora Medical Center in Summit
      • Two Rivers, Wisconsin, Forenede Stater, 54241
        • Vince Lombardi Cancer Clinic-Two Rivers
      • Wausau, Wisconsin, Forenede Stater, 54401
        • Aspirus Regional Cancer Center
      • West Allis, Wisconsin, Forenede Stater, 53227
        • Aurora West Allis Medical Center
      • West Bend, Wisconsin, Forenede Stater, 53095
        • Froedtert West Bend Hospital/Kraemer Cancer Center
      • Weston, Wisconsin, Forenede Stater, 54476
        • Marshfield Medical Center - Weston
      • Wisconsin Rapids, Wisconsin, Forenede Stater, 54494
        • Aspirus Cancer Care - Wisconsin Rapids

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

35 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Beskrivelse

Inklusionskriterier:

  • Patienter skal være kvinder med nyligt diagnosticeret histologisk dokumenteret invasivt brystcarcinom uden tegn på metastaser, i trin i overensstemmelse med standardbehandlingen på stedet.
  • Patienter skal have været behandlet med BCS eller mastektomi med klare udskæringsmargener. Post-mastektomi positive marginer for invasiv sygdom og/eller DCIS er ikke tilladt. Multifokal sygdom (dvs. tilstedeværelsen af ​​to eller flere foci eller brystkræft inden for samme brystkvadrant) og multicentrisk sygdom (dvs. tilstedeværelsen af ​​to eller flere foci af brystkræft i forskellige kvadranter af samme bryst) er tilladt.
  • Patienter med T3N0-sygdom er berettigede.
  • Patienter med sygdom begrænset til nodale mikrometastaser er kvalificerede
  • Patienter med nodale makrometastaser (>2 mm) behandlet ved aksillær dissektion skal have 1-3 positive aksillære noder (makrometastaser, > 2 mm).
  • Patienter behandlet med mastektomi og SLNB alene må kun have 1-2 positive aksillære noder (makrometastaser, > 2 mm).
  • Patienter skal være ER ≥ 1 % og HER2 negative ved lokal test
  • Patienter skal have en Oncotype DX recidivscore ≤25 opnået fra test af brysttumorvæv fra en kernebiopsi eller fra den kirurgiske prøve.
  • Patienten skal give sit samtykke til levering af, og investigator(e) skal acceptere at indsende en repræsentativ formalinfikseret paraffinblok af tumorvæv til CCTG Central Tumor Bank, for at de specifikke korrelative markøranalyser beskrevet i protokollen kan udføres
  • Patienten skal give samtykke til udlevering af blodprøver, for at de specifikke korrelative markøranalyser beskrevet i protokollen kan udføres.
  • Patienter skal have påbegyndt eller planlagt endokrin behandling i ≥ 5 år. Præmenopausale kvinder vil modtage ovarieablation plus aromatasehæmmerbehandling eller tamoxifen, hvis der ikke blev givet adjuverende kemoterapi. For alle patienter kan endokrin behandling gives samtidig eller efter RT.
  • Patienter kan have eller måske ikke have haft adjuverende kemoterapi.
  • RT skal påbegyndes inden for 16 uger efter den endelige operation, hvis patienten ikke behandles med kemoterapi. Hvis der gives adjuverende kemoterapi, skal RT påbegyndes inden for 12 uger efter sidste dosis. (Bemærk: adjuverende kemoterapi kan være i gang på randomiseringstidspunktet). Definitiv kirurgi er defineret som den sidste brystkræft-relaterede operation.
  • Patientens ECOG-ydelsesstatus skal være 0, 1 eller 2.
  • Patientens alder skal være ≥ 35 år.
  • For de første 736 kvalificerede engelsk- eller fransktalende forsøgspersoner, der har accepteret valgfri udfyldelse af spørgeskemaet: Patienten er i stand til (dvs. tilstrækkeligt flydende) og villig til at udfylde spørgeskemaer om livskvalitet, sundhedsydelser og tabt produktivitet på enten engelsk eller fransk (bemærk: tilmelding afsluttet 2022Aug02)
  • Patientsamtykke skal indhentes passende i overensstemmelse med gældende lokale og lovmæssige krav
  • Patienterne skal være tilgængelige for behandling og opfølgning. Efterforskere skal sikre sig, at de patienter, der er randomiseret i dette forsøg, vil være tilgængelige for fuldstændig dokumentation af behandlingen, bivirkninger og opfølgning.
  • I overensstemmelse med CCTG-politikken skal protokolbehandling påbegyndes inden for 6 uger efter patientrandomisering.
  • Kvinder i den fødedygtige alder skal have accepteret at bruge en effektiv præventionsmetode. En kvinde anses for at være i den fødedygtige alder, hvis hun har haft menstruation på noget tidspunkt i de foregående 12 på hinanden følgende måneder.

Ekskluderingskriterier:

  • Patienter med nodal sygdom begrænset til isolerede tumorceller (pN0i+ < 0,2 mm).
  • Patienter med pT3N1 og pT4 sygdom (Bemærk: patienter med T3N0 er kvalificerede).
  • Enhver tidligere historie, ikke inklusive indekscancer, af ipsilateral invasiv brystkræft eller ipsilateral DCIS behandlet med strålebehandling. (Patienter med synkron eller tidligere ipsilateral LCIS er kvalificerede.)
  • Synkron eller tidligere kontralateral invasiv brystkræft. (Patienter med kontralateral DCIS er kvalificerede, medmindre de tidligere er behandlet med stråling.)
  • Anamnese med ikke-brystmaligniteter undtagen tilstrækkeligt behandlede ikke-melanom hudcancer, in situ cancer behandlet ved lokal excision eller andre cancerformer behandlet kurativt uden tegn på sygdom i ≥ 5 år.
  • Patienter, der er gravide.
  • Patienter, der tidligere har haft ipsilateral brystvæg/thoraxstråling.
  • Patienter behandlet med kemoterapi eller endokrin behandling administreret i neoadjuverende omgivelser for brystkræft. Eksponering for endokrin terapi 12 uger eller mindre før operationen er tilladt.
  • Patienter med alvorlig ikke-malign sygdom (f. kardiovaskulær, sklerodermi osv.), hvilket ville udelukke RT.
  • Patienter med alvorlige aktive eller komorbide medicinske tilstande, laboratorieabnormiteter, psykiatrisk sygdom, aktive eller ukontrollerede infektioner eller alvorlige sygdomme eller medicinske tilstande, der ville forhindre patienten i at deltage eller at blive behandlet i henhold til protokollen (i henhold til efterforskerens beslutning) .

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Ingen regional strålebehandling
A. Helbrystbestråling (WBI) efter BCS eller; B. Ingen strålebehandling (RT) efter mastektomi
Der gives strålebehandling
Ingen strålebehandling givet
Aktiv komparator: Regional strålebehandling
A. WBI plus RT til de regionale knuder (supraclavikulære, ikke-dissektionerede aksillære og indre bryster) efter BCS eller; B. RT til brystvæggen og regionale knuder (supraclavikulær, ikke-dissikeret aksillær og indre bryst) efter mastektomi
Der gives strålebehandling

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
sammenligne brystcancer recidiv-fri interval (BCRFI) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
Defineret som tid fra randomisering til tidspunkt for invasiv tilbagevendende sygdom i den ipsilaterale brystvæg, bryst, regionale knuder, fjerne steder eller død som følge af BC.
9,5 år

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Sammenlign den invasive sygdomsfri overlevelse mellem patienter, der modtog regional RT eller ej.
Tidsramme: 9,5 år
Defineret som tid fra randomisering til tidspunkt for invasiv tilbagevendende sygdom i den ipsilaterale brystvæg, bryst, regionale knuder, fjerne steder eller død som følge af BC
9,5 år
Sammenlign brystkræftdødeligheden mellem patienter, der modtog regional RT eller ej.
Tidsramme: 9,5 år
Defineret som død på grund af BC
9,5 år
Sammenlign den samlede overlevelse (OS) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
Defineret som tiden fra randomisering til tidspunktet for død af enhver årsag
9,5 år
Sammenlign det lokoregionale recidivfri interval (LRRFI) mellem patienter, der modtog regional RT eller ej.
Tidsramme: 9,5 år
Defineret som tid fra randomisering til tidspunkt for invasiv tilbagevendende sygdom i den ipsilaterale brystvæg, bryst- eller regionale knuder eller død på grund af BC
9,5 år
Sammenlign det fjerne recidivfri interval (DRFI) mellem patienter, der modtog regional RT eller ej.
Tidsramme: 9,5 år
Defineret som tid fra randomisering til tidspunkt for invasiv tilbagevendende sygdom på fjerne steder eller død på grund af BC
9,5 år
Antallet og sværhedsgraden af ​​bivirkninger ved brug af den nuværende CTCAE version 4
Tidsramme: 9,5 år
9,5 år
Sammenlign armvolumen og mobilitetsmålinger mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
En Fishers Exact Test vil blive brugt til at sammenligne lymfødem og armabduktionsunderskud mellem to arme. Defineret som en forskel i armabduktion på 10 % eller mere i sammenligningen af ​​den ipsilaterale til den kontralaterale arm.
9,5 år
Sammenlign patientrapporterede resultater (PRO'er) og livskvaliteten (QOL) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
ved at bruge NSABP-spørgeskemaet til patienter behandlet med BCS eller mastektomi.
9,5 år
Sammenlign livskvaliteten (QOL) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
Samlet QOL (EORTC QLQ-C30) vil blive sammenlignet mellem de to behandlingsgrupper ved hjælp af en lignende tilgang.
9,5 år
Sammenlign omkostningseffektiviteten mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
Omkostninger vil blive udtrykt i $US og $CAN basisvalutaer baseret på det sidste år af undersøgelsen. En gennemsnitlig omkostning pr. forsøgsperson pr. behandlingsarm for en samlet gennemsnitlig omkostning pr. undersøgelsesarm vil blive genereret
9,5 år
Sammenlign livskvaliteten (QOL) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
brystsymptomer (NSABP B32 Spørgeskema) vil blive sammenlignet mellem de to behandlingsgrupper med en lignende tilgang.
9,5 år
Sammenlign livskvaliteten (QOL) mellem patienter, der modtog regional RT eller ej
Tidsramme: 9,5 år
hudsymptomer og træthed (EORTC QLQ-BR23) vil blive sammenlignet mellem de to behandlingsgrupper med en lignende tilgang.
9,5 år

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Samarbejdspartnere

Efterforskere

  • Studiestol: Timothy Whelan, Juravinski Cancer Centre at Hamilton Health Sciences, Ontario Canada

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

16. oktober 2018

Primær færdiggørelse (Anslået)

1. september 2027

Studieafslutning (Anslået)

30. december 2027

Datoer for studieregistrering

Først indsendt

28. marts 2018

Først indsendt, der opfyldte QC-kriterier

4. april 2018

Først opslået (Faktiske)

5. april 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

1. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • CCTG MA.39
  • NCI-2017-02047 (Anden identifikator: NCI CTRP)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ja

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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