- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01498289
S1201: Kombinationskemo til patienter med avanceret eller metastatisk spiserørs-, gastrisk- eller gastroøsofageal Junction-kræft
Et randomiseret fase II-pilotstudie, der prospektivt evaluerer behandling for patienter baseret på ERCC1 (Excision Repair Cross-Complementing 1) for avanceret/metastatisk kræft i spiserør, gastrisk eller gastroøsofageal Junction (GEJ)
RATIONALE: Lægemidler, der bruges i kemoterapi, såsom oxaliplatin, leucovorin calcium, fluorouracil, irinotecan hydrochlorid og docetaxel, virker på forskellige måder for at stoppe væksten af tumorceller, enten ved at dræbe cellerne eller ved at stoppe dem i at dele sig. Kombination af mere end et lægemiddel kan dræbe flere tumorceller. Det vides endnu ikke, hvilket regime af kombinationskemoterapi, der er mere effektivt til behandling af tumorceller.
FORMÅL: Dette randomiserede fase II-forsøg undersøger, hvor godt oxaliplatin, leucovorin-calcium og fluorouracil virker sammenlignet med irinotecanhydrochlorid og docetaxel ved behandling af patienter med kræft i spiserøret, mavekræft eller kræft i gastroøsofageal junction.
Studieoversigt
Status
Detaljeret beskrivelse
MÅL:
- At vurdere progressionsfri overlevelse af high-excision reparation krydskomplementerende 1(ERCC1) patienter med fremskreden eller metastatisk cancer i spiserøret, maven eller gastroøsofageal junction (GEJ) behandlet med FOLFOX omfattende oxaliplatin, leucovorin calcium og fluorouracil sammenlignet med de behandlet med irinotecanhydrochlorid plus docetaxel.
- At vurdere progressionsfri overlevelse af lav-ERCC1-patienter med fremskreden eller metastatisk cancer i spiserøret, maven eller GEJ behandlet med FOLFOX sammenlignet med dem, der blev behandlet med irinotecanhydrochlorid plus docetaxel.
- At vurdere progressionsfri overlevelse af lav-ERCC1-patienter med fremskreden eller metastatisk cancer i spiserøret, maven eller GEJ behandlet med FOLFOX sammenlignet med patienter med høj ERCC1-behandlet med FOLFOX.
- At vurdere den samlede overlevelse af og toksicitet i hver af de to behandlingsarme i denne gruppe af patienter.
- At vurdere responssandsynligheden (bekræftet og ubekræftet, fuldstændig og delvis respons) i undergruppen af patienter med målbar sygdom i hver af de to behandlingsarme.
- At undersøge, om der er tegn på interaktion mellem behandlingsarm og ERCC1-ekspression i denne gruppe patienter. (Undersøgende)
- At banke væv og blod til fremtidige translationelle medicinske studier; a) At udforske forholdet mellem ERCC-1 og ERCC-2 single nucleotid polymorphism (SNP) genotyper med klinisk resultat hos disse patienter; og b) At udforske sammenhængen mellem kimlinjevariationer i disse SNP'er og ERCC-1 mRNA-ekspression hos disse patienter. (Undersøgende)
OVERSIGT: Dette er en multicenterundersøgelse. Patienterne er stratificeret efter ERCC1-ekspression (høj [≥ 1,7] vs. lav [< 1,7]) og sygdomssted (esophageal vs gastrisk/gastroøsofageal forbindelse). Patienterne randomiseres til 1 ud af 2 behandlingsarme.
- Arm I (FOLFOX): Patienterne får oxaliplatin IV over 2 timer og leucovorin calcium IV over 2 timer på dag 1 og fluorouracil IV over 46-48 timer på dag 1-2. Kurser gentages hver 14. dag i fravær af sygdomsprogression eller uacceptabel toksicitet.
- Arm II: Patienterne får irinotecanhydrochlorid IV over 90 minutter og docetaxel IV over 30-60 minutter på dag 1 og 8. Kurser gentages hver 21. dag i fravær af sygdomsprogression eller uacceptabel toksicitet.
Blod- og tumorvævsprøver kan indsamles til ERCC1-ekspressionsanalyse og fremtidige forskningsundersøgelser.
Efter afsluttet undersøgelsesbehandling følges patienterne hver 3. måned i op til 3 år.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Alabama
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Mobile, Alabama, Forenede Stater, 36688
- University of South Alabama Mitchell Cancer Institute
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Arkansas
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Little Rock, Arkansas, Forenede Stater, 72205
- University of Arkansas for Medical Sciences
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California
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Auburn, California, Forenede Stater, 95602
- Sutter Auburn Faith Hospital
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Berkeley, California, Forenede Stater, 94704
- Alta Bates Summit Medical Center-Herrick Campus
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Burlingame, California, Forenede Stater, 94010
- Mills - Peninsula Hospitals
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Davis, California, Forenede Stater, 95616
- Sutter Davis Hospital
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Los Angeles, California, Forenede Stater, 90033
- Los Angeles County-USC Medical Center
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Los Angeles, California, Forenede Stater, 90033
- University of Southern California/Norris Cancer Center
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Marysville, California, Forenede Stater, 95901
- Fremont - Rideout Cancer Center
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Modesto, California, Forenede Stater, 95355
- Memorial Medical Center
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Mountain View, California, Forenede Stater, 94040
- Palo Alto Medical Foundation-Camino Division
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Mountain View, California, Forenede Stater, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Novato, California, Forenede Stater, 94945
- Sutter Cancer Research Consortium
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Orange, California, Forenede Stater, 92868
- University of California Medical Center At Irvine-Orange Campus
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Palo Alto, California, Forenede Stater, 94301
- Palo Alto Medical Foundation Health Care
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Pleasanton, California, Forenede Stater, 94588
- Valley Medical Oncology Consultants
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Roseville, California, Forenede Stater, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Forenede Stater, 95817
- University of California at Davis Cancer Center
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Sacramento, California, Forenede Stater, 95816
- Sutter General Hospital
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San Francisco, California, Forenede Stater, 94118
- California Pacific Medical Center-Pacific Campus
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Santa Cruz, California, Forenede Stater, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Santa Rosa, California, Forenede Stater, 95403
- Sutter Pacific Medical Foundation
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Sunnyvale, California, Forenede Stater, 94806
- Palo Atlo Medical Foundation-Sunnyvale
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Truckee, California, Forenede Stater, 96161
- Tahoe Forest Cancer Center
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Vallejo, California, Forenede Stater, 94589
- Sutter Solano Medical Center/Cancer Center
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Colorado
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Aurora, Colorado, Forenede Stater, 80012
- The Medical Center of Aurora
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Boulder, Colorado, Forenede Stater, 80301
- Boulder Community Hospital
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Boulder, Colorado, Forenede Stater, 80304
- Rocky Mountain Cancer Centers-Boulder
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Colorado Springs, Colorado, Forenede Stater, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Forenede Stater, 80907
- Rocky Mountain Cancer Centers-Penrose
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Denver, Colorado, Forenede Stater, 80210
- Porter Adventist Hospital
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Denver, Colorado, Forenede Stater, 80218
- Presbyterian - Saint Lukes Medical Center - Health One
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Denver, Colorado, Forenede Stater, 80220
- Rose Medical Center
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Denver, Colorado, Forenede Stater, 80218
- Exempla Saint Joseph Hospital
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Denver, Colorado, Forenede Stater, 80218
- Rocky Mountain Cancer Centers-Midtown
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Denver, Colorado, Forenede Stater, 80220
- Rocky Mountain Cancer Centers-Rose
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Denver, Colorado, Forenede Stater, 80907
- Colorado Blood Cancer Institute
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Denver, Colorado, Forenede Stater, 80224-2522
- Colorado Cancer Research Program CCOP
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Durango, Colorado, Forenede Stater, 81301
- Mercy Medical Center
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Englewood, Colorado, Forenede Stater, 80113
- Swedish Medical Center
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Englewood, Colorado, Forenede Stater, 80113
- Comprehensive Cancer Care and Research Institute of Colorado LLC
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Fort Collins, Colorado, Forenede Stater, 80524
- Poudre Valley Hospital
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Golden, Colorado, Forenede Stater, 80401
- Mountain Blue Cancer Care Center
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Greeley, Colorado, Forenede Stater, 80631
- North Colorado Medical Center
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Greenwood Village, Colorado, Forenede Stater, 80111
- Breast Cancer Care Consultants
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Lakewood, Colorado, Forenede Stater, 80228
- Saint Anthony Hospital
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Lakewood, Colorado, Forenede Stater, 80228
- Rocky Mountain Cancer Centers-Lakewood
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Littleton, Colorado, Forenede Stater, 80122
- Littleton Adventist Hospital
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Lone Tree, Colorado, Forenede Stater, 80124
- Sky Ridge Medical Center
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Lone Tree, Colorado, Forenede Stater, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Longmont, Colorado, Forenede Stater, 80501
- Longmont United Hospital
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Longmont, Colorado, Forenede Stater, 80501
- Rocky Mountain Cancer Centers-Longmont
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Loveland, Colorado, Forenede Stater, 80539
- McKee Medical Center
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Parker, Colorado, Forenede Stater, 80138
- Parker Adventist Hospital
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Parker, Colorado, Forenede Stater, 80138
- Rocky Mountain Cancer Centers-Parker
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Pueblo, Colorado, Forenede Stater, 81004
- Saint Mary Corwin Medical Center
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Pueblo, Colorado, Forenede Stater, 81008
- Rocky Mountain Cancer Centers - Pueblo
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Wheat Ridge, Colorado, Forenede Stater, 80033
- Exempla Lutheran Medical Center
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Connecticut
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Hartford, Connecticut, Forenede Stater, 06105
- Saint Francis Hospital and Medical Center
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Delaware
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Lewes, Delaware, Forenede Stater, 19958
- Beebe Medical Center
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Newark, Delaware, Forenede Stater, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Forenede Stater, 19713
- Delaware Clinical and Laboratory Physicians PA
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Newark, Delaware, Forenede Stater, 19713
- Medical Oncology Hematology Consultants PA
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Newark, Delaware, Forenede Stater, 19718
- Christiana Care Health System-Christiana Hospital
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Newark, Delaware, Forenede Stater, 19713
- Christiana Gynecologic Oncology LLC
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Newark, Delaware, Forenede Stater, 19713
- Regional Hematology and Oncology PA
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Rehoboth Beach, Delaware, Forenede Stater, 19971
- Beebe Health Campus
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Seaford, Delaware, Forenede Stater, 19973
- Nanticoke Memorial Hospital
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Wilmington, Delaware, Forenede Stater, 19801
- Christiana Care Health System-Wilmington Hospital
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Florida
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Fort Lauderdale, Florida, Forenede Stater, 33316
- Broward Health Medical Center
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Fort Lauderdale, Florida, Forenede Stater, 33308
- Holy Cross Hospital
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Hollywood, Florida, Forenede Stater, 33021
- Memorial Healthcare System - Joe DiMaggio Children's Hospital
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Jupiter, Florida, Forenede Stater, 33458
- Jupiter Medical Center
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Miami Beach, Florida, Forenede Stater, 33140
- Mount Sinai Medical Center
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Orlando, Florida, Forenede Stater, 32803
- Florida Hospital
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Pembroke Pines, Florida, Forenede Stater, 33028
- Memorial Hospital West
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Georgia
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Albany, Georgia, Forenede Stater, 31701
- Phoebe Putney Memorial Hospital
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Columbus, Georgia, Forenede Stater, 31904
- John B Amos Cancer Center
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Savannah, Georgia, Forenede Stater, 31404
- Memorial University Medical Center
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Hawaii
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'Aiea, Hawaii, Forenede Stater, 96701
- Pali Momi Medical Center
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'Aiea, Hawaii, Forenede Stater, 96701
- Oncare Hawaii Inc-Pali Momi
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Honolulu, Hawaii, Forenede Stater, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Forenede Stater, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Forenede Stater, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, Forenede Stater, 96817
- Kuakini Medical Center
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Honolulu, Hawaii, Forenede Stater, 96826
- Kapiolani Medical Center for Women and Children
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Honolulu, Hawaii, Forenede Stater, 96813
- Oncare Hawaii Inc-POB II
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Honolulu, Hawaii, Forenede Stater, 96817-3169
- OnCare Hawaii-Liliha
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Honolulu, Hawaii, Forenede Stater, 96817
- Oncare Hawaii Inc-Kuakini
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Kailua, Hawaii, Forenede Stater, 96734
- Castle Medical Center
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Lihue, Hawaii, Forenede Stater, 96766
- Wilcox Memorial Hospital and Kauai Medical Clinic
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Idaho
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Boise, Idaho, Forenede Stater, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Lewiston, Idaho, Forenede Stater, 83501
- Saint Joseph Regional Medical Center
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Meridian, Idaho, Forenede Stater, 83642
- Idaho Urologic Institute-Meredian
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Post Falls, Idaho, Forenede Stater, 83854
- Kootenai Cancer Center
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Illinois
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Alton, Illinois, Forenede Stater, 62002
- Saint Anthony's Health
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Bloomington, Illinois, Forenede Stater, 61701
- Saint Joseph Medical Center
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Bloomington, Illinois, Forenede Stater, 61701
- Illinois CancerCare-Bloomington
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Canton, Illinois, Forenede Stater, 61520
- Illinois CancerCare-Canton
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Canton, Illinois, Forenede Stater, 61520
- Graham Hospital Association
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Carbondale, Illinois, Forenede Stater, 62902
- Memorial Hospital of Carbondale
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Carthage, Illinois, Forenede Stater, 62321
- Illinois CancerCare-Carthage
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Carthage, Illinois, Forenede Stater, 62321
- Memorial Hospital
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Centralia, Illinois, Forenede Stater, 62801
- Centralia Oncology Clinic
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Chicago, Illinois, Forenede Stater, 60611
- Northwestern University
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Chicago, Illinois, Forenede Stater, 60612
- University of Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Hematology and Oncology Associates
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Decatur, Illinois, Forenede Stater, 62526
- Decatur Memorial Hospital
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Decatur, Illinois, Forenede Stater, 62526
- Cancer Care Center of Decatur
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Decatur, Illinois, Forenede Stater, 62526
- Central Illinois CCOP
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Effingham, Illinois, Forenede Stater, 62401
- Crossroads Cancer Center
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Eureka, Illinois, Forenede Stater, 61530
- Illinois CancerCare-Eureka
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Eureka, Illinois, Forenede Stater, 61530
- Eureka Hospital
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Galesburg, Illinois, Forenede Stater, 61401
- Illinois CancerCare Galesburg
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Galesburg, Illinois, Forenede Stater, 61401
- Illinois CancerCare-Galesburg Cottage Plaza Office
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Havana, Illinois, Forenede Stater, 62644
- Mason District Hospital
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Havana, Illinois, Forenede Stater, 62644
- Illinois CancerCare-Havana
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Highland Park, Illinois, Forenede Stater, 60035
- Hematology Oncology Associates of Illinois-Highland Park
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Kankakee, Illinois, Forenede Stater, 60901
- Presence Saint Mary's Hospital
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Kewanee, Illinois, Forenede Stater, 61443
- Illinois CancerCare-Kewanee Clinic
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La Grange, Illinois, Forenede Stater, 60525
- Adventist La Grange Memorial Hospital
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Libertyville, Illinois, Forenede Stater, 60048
- North Shore Hematology Oncology
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Macomb, Illinois, Forenede Stater, 61455
- Illinois CancerCare-Macomb
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Macomb, Illinois, Forenede Stater, 61455
- Mcdonough District Hospital
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Maywood, Illinois, Forenede Stater, 60153
- Loyola University Medical Center
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Moline, Illinois, Forenede Stater, 61265
- Garneau, Stewart C MD (UIA Investigator)
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Moline, Illinois, Forenede Stater, 61265
- Porubcin, Michael MD (UIA Investigator)
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Moline, Illinois, Forenede Stater, 61265
- Spector, David MD (UIA Investigator)
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Moline, Illinois, Forenede Stater, 61265
- Trinity Medical Center
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Monmouth, Illinois, Forenede Stater, 61462
- Illinois CancerCare-Monmouth
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Monmouth, Illinois, Forenede Stater, 61462
- Holy Family Medical Center
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Mount Vernon, Illinois, Forenede Stater, 62864
- Good Samaritan Regional Health Center
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Naperville, Illinois, Forenede Stater, 60540
- Hematology Oncology Consultants Limited
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Niles, Illinois, Forenede Stater, 60714
- Illinois Cancer Specialists-Niles
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Normal, Illinois, Forenede Stater, 61761
- Community Cancer Center Foundation
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Normal, Illinois, Forenede Stater, 61761
- Bromenn Regional Medical Center
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Normal, Illinois, Forenede Stater, 61761
- Illinois CancerCare-Community Cancer Center
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Ottawa, Illinois, Forenede Stater, 61350
- Illinois CancerCare-Ottawa Clinic
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Ottawa, Illinois, Forenede Stater, 61350
- Ottawa Regional Hospital and Healthcare Center
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Pekin, Illinois, Forenede Stater, 61554
- Illinois CancerCare-Pekin
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Pekin, Illinois, Forenede Stater, 61554
- Pekin Cancer Treatment Center
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Peoria, Illinois, Forenede Stater, 61637
- OSF Saint Francis Medical Center
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Peoria, Illinois, Forenede Stater, 61615
- Illinois CancerCare-Peoria
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Peoria, Illinois, Forenede Stater, 61614
- Proctor Hospital
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Peoria, Illinois, Forenede Stater, 61603
- Methodist Medical Center of Illinois
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Peoria, Illinois, Forenede Stater, 61615
- Illinois Oncology Research Association CCOP
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Peru, Illinois, Forenede Stater, 61354
- Illinois CancerCare-Peru
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Peru, Illinois, Forenede Stater, 61354
- Illinois Valley Hospital
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Princeton, Illinois, Forenede Stater, 61356
- Illinois CancerCare-Princeton
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Princeton, Illinois, Forenede Stater, 61356
- Perry Memorial Hospital
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Rockford, Illinois, Forenede Stater, 61107
- SwedishAmerican Regional Cancer Center/ACT
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Skokie, Illinois, Forenede Stater, 60076
- Hematology Oncology Associates of Illinois - Skokie
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Spring Valley, Illinois, Forenede Stater, 61362
- Illinois CancerCare-Spring Valley
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Springfield, Illinois, Forenede Stater, 62781-0001
- Memorial Medical Center
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Indiana
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Elkhart, Indiana, Forenede Stater, 46515
- Elkhart General Hospital
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Elkhart, Indiana, Forenede Stater, 46514
- Michiana Hematology Oncology PC-Elkhart
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Elkhart, Indiana, Forenede Stater, 46514-2098
- Elkhart Clinic
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Fort Wayne, Indiana, Forenede Stater, 46845
- Fort Wayne Medical Oncology and Hematology Inc-Parkview
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Indianapolis, Indiana, Forenede Stater, 46237
- Franciscan Saint Francis Health-Indianapolis
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Kokomo, Indiana, Forenede Stater, 46904
- Community Howard Regional Health
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La Porte, Indiana, Forenede Stater, 46350
- IU Health La Porte Hospital
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Merrillville, Indiana, Forenede Stater, 46410
- Premier Oncology Hematology Associates
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Mishawaka, Indiana, Forenede Stater, 46544
- Memorial Regional Cancer Center Day Road
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Mishawaka, Indiana, Forenede Stater, 46545-1470
- Saint Joseph Regional Medical Center-Mishawaka
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Mishawaka, Indiana, Forenede Stater, 46545
- Cancer Care Partners LLC
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Mishawaka, Indiana, Forenede Stater, 46545-1470
- Michiana Hematology Oncology PC-Mishawaka
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Plymouth, Indiana, Forenede Stater, 46563
- Michiana Hematology Oncology PC-Plymouth
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Richmond, Indiana, Forenede Stater, 47374
- Reid Hospital and Health Care Services
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South Bend, Indiana, Forenede Stater, 46601
- Memorial Hospital of South Bend
-
South Bend, Indiana, Forenede Stater, 46601
- Michiana Hematology Oncology PC-South Bend
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South Bend, Indiana, Forenede Stater, 46628
- Northern Indiana Cancer Research Consortium
-
South Bend, Indiana, Forenede Stater, 46617
- South Bend Clinic
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Westville, Indiana, Forenede Stater, 46391
- Michiana Hematology Oncology-PC Westville
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Iowa
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Ames, Iowa, Forenede Stater, 50010
- Mary Greeley Medical Center
-
Ames, Iowa, Forenede Stater, 50010
- McFarland Clinic PC-William R Bliss Cancer Center
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Bettendorf, Iowa, Forenede Stater, 52722
- Constantinou, Costas L MD (UIA Investigator)
-
Bettendorf, Iowa, Forenede Stater, 52722
- Hematology Oncology Associates-Quad Cities
-
Boone, Iowa, Forenede Stater, 50036
- McFarland Clinic PC-Boone
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Davenport, Iowa, Forenede Stater, 52803
- Genesis Medical Center - East Campus
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Fort Dodge, Iowa, Forenede Stater, 50501
- McFarland Clinic PC-Trinity Cancer Center
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Jefferson, Iowa, Forenede Stater, 50129
- McFarland Clinic PC-Jefferson
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Marshalltown, Iowa, Forenede Stater, 50158
- McFarland Clinic PC-Marshalltown
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Sioux City, Iowa, Forenede Stater, 51104
- Saint Luke's Regional Medical Center
-
Sioux City, Iowa, Forenede Stater, 51101
- Siouxland Hematology Oncology Associates
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Sioux City, Iowa, Forenede Stater, 51104
- Mercy Medical Center-Sioux City
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Waterloo, Iowa, Forenede Stater, 50702
- Covenant Medical Center
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Kansas
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Chanute, Kansas, Forenede Stater, 66720
- Cancer Center of Kansas - Chanute
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Dodge City, Kansas, Forenede Stater, 67801
- Cancer Center of Kansas - Dodge City
-
El Dorado, Kansas, Forenede Stater, 67042
- Cancer Center of Kansas - El Dorado
-
Emporia, Kansas, Forenede Stater, 66801
- Newman Regional Health
-
Fort Scott, Kansas, Forenede Stater, 66701
- Cancer Center of Kansas - Fort Scott
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Garden City, Kansas, Forenede Stater, 67846
- Saint Catherine Hospital
-
Great Bend, Kansas, Forenede Stater, 67530
- Saint Rose Ambulatory and Surgery Center
-
Hays, Kansas, Forenede Stater, 67601
- Hays Medical Center
-
Hutchinson, Kansas, Forenede Stater, 65702
- Promise Regional Medical Center-Hutchinson
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Independence, Kansas, Forenede Stater, 67301
- Cancer Center of Kansas-Independence
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Kansas City, Kansas, Forenede Stater, 66160
- University of Kansas Medical Center
-
Kansas City, Kansas, Forenede Stater, 66112
- Kansas City Cancer Center-West
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Kansas City, Kansas, Forenede Stater, 66112
- Providence Medical Center
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Kingman, Kansas, Forenede Stater, 67068
- Cancer Center of Kansas-Kingman
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Lawrence, Kansas, Forenede Stater, 66044
- Lawrence Memorial Hospital
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Liberal, Kansas, Forenede Stater, 67901
- Cancer Center of Kansas-Liberal
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Manhattan, Kansas, Forenede Stater, 66502
- Cancer Center of Kansas-Manhattan
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McPherson, Kansas, Forenede Stater, 67460
- Cancer Center of Kansas - McPherson
-
Newton, Kansas, Forenede Stater, 67114
- Cancer Center of Kansas - Newton
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Overland Park, Kansas, Forenede Stater, 66209
- Menorah Medical Center
-
Overland Park, Kansas, Forenede Stater, 66213
- Saint Luke's South Hospital
-
Overland Park, Kansas, Forenede Stater, 66210
- Kansas City Cancer Centers-Southwest
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Parsons, Kansas, Forenede Stater, 67357
- Cancer Center of Kansas - Parsons
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Pittsburg, Kansas, Forenede Stater, 66762
- Via Christi Hospital-Pittsburg
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Prairie Village, Kansas, Forenede Stater, 66208
- Kansas City CCOP
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Pratt, Kansas, Forenede Stater, 67124
- Cancer Center of Kansas - Pratt
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Salina, Kansas, Forenede Stater, 67401
- Salina Regional Health Center
-
Salina, Kansas, Forenede Stater, 67401
- Cancer Center of Kansas - Salina
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Shawnee Mission, Kansas, Forenede Stater, 66204
- Kansas City Cancer Center-Shawnee Mission
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Topeka, Kansas, Forenede Stater, 66606
- Saint Francis Hospital and Medical Center - Topeka
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Wellington, Kansas, Forenede Stater, 67152
- Cancer Center of Kansas - Wellington
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Wichita, Kansas, Forenede Stater, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
-
Wichita, Kansas, Forenede Stater, 67208
- Associates In Womens Health
-
Wichita, Kansas, Forenede Stater, 67214
- Cancer Center of Kansas - Main Office
-
Wichita, Kansas, Forenede Stater, 67214
- Via Christi Regional Medical Center
-
Wichita, Kansas, Forenede Stater, 67214
- Wichita CCOP
-
Winfield, Kansas, Forenede Stater, 67156
- Cancer Center of Kansas - Winfield
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Kentucky
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Crestview Hills, Kentucky, Forenede Stater, 41017
- Oncology Hematology Care Inc-Crestview
-
-
Louisiana
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Baton Rouge, Louisiana, Forenede Stater, 70809
- Ochsner Health Center-Summa
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New Orleans, Louisiana, Forenede Stater, 70121
- Ochsner Medical Center Jefferson
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New Orleans, Louisiana, Forenede Stater, 70115
- Ochsner Baptist Medical Center
-
Shreveport, Louisiana, Forenede Stater, 71130
- Louisiana State University Health Sciences Center Shreveport
-
-
Maine
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Augusta, Maine, Forenede Stater, 04330
- Harold Alfond Center for Cancer Care
-
Bangor, Maine, Forenede Stater, 04401
- Eastern Maine Medical Center
-
-
Maryland
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Baltimore, Maryland, Forenede Stater, 21204
- Greater Baltimore Medical Center
-
Elkton, Maryland, Forenede Stater, 21921
- Union Hospital of Cecil County
-
Frederick, Maryland, Forenede Stater, 21701
- Frederick Memorial Hospital
-
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Michigan
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Adrian, Michigan, Forenede Stater, 49221
- Bixby Medical Center
-
Adrian, Michigan, Forenede Stater, 49221
- Hickman Cancer Center
-
Ann Arbor, Michigan, Forenede Stater, 48109
- University of Michigan
-
Ann Arbor, Michigan, Forenede Stater, 48106-0995
- Saint Joseph Mercy Hospital
-
Ann Arbor, Michigan, Forenede Stater, 48105
- Veteran's Administration Medical Center - Ann Arbor
-
Ann Arbor, Michigan, Forenede Stater, 48106
- Michigan Cancer Research Consortium Community Clinical Oncology Program
-
Ann Arbor, Michigan, Forenede Stater, 48109
- University of Michigan University Hospital
-
Battle Creek, Michigan, Forenede Stater, 49017
- Bronson Battle Creek
-
Big Rapids, Michigan, Forenede Stater, 49307
- Spectrum Health Big Rapids Hospital
-
Dearborn, Michigan, Forenede Stater, 48124
- Oakwood Hospital and Medical Center
-
Detroit, Michigan, Forenede Stater, 48202
- Henry Ford Hospital
-
Detroit, Michigan, Forenede Stater, 48236
- Saint John Hospital and Medical Center
-
Escanaba, Michigan, Forenede Stater, 49431
- Green Bay Oncology - Escanaba
-
Flint, Michigan, Forenede Stater, 48502
- Hurley Medical Center
-
Flint, Michigan, Forenede Stater, 48503
- Genesys Hurley Cancer Institute
-
Grand Blanc, Michigan, Forenede Stater, 48439
- Genesys Regional Medical Center
-
Grand Rapids, Michigan, Forenede Stater, 49503
- Spectrum Health at Butterworth Campus
-
Grand Rapids, Michigan, Forenede Stater, 49503
- Mercy Health Saint Mary's
-
Grand Rapids, Michigan, Forenede Stater, 49503
- Grand Rapids Clinical Oncology Program
-
Iron Mountain, Michigan, Forenede Stater, 49801
- Green Bay Oncology - Iron Mountain
-
Jackson, Michigan, Forenede Stater, 49201
- Allegiance Health
-
Kalamazoo, Michigan, Forenede Stater, 49007
- West Michigan Cancer Center
-
Kalamazoo, Michigan, Forenede Stater, 49007
- Bronson Methodist Hospital
-
Kalamazoo, Michigan, Forenede Stater, 49001
- Borgess Medical Center
-
Lansing, Michigan, Forenede Stater, 48912
- Sparrow Hospital
-
Livonia, Michigan, Forenede Stater, 48154
- Saint Mary Mercy Hospital
-
Monroe, Michigan, Forenede Stater, 48162
- Mercy Memorial Hospital
-
Monroe, Michigan, Forenede Stater, 48162
- Community Cancer Center of Monroe
-
Muskegon, Michigan, Forenede Stater, 49444
- Mercy Health Mercy Campus
-
Niles, Michigan, Forenede Stater, 49120
- Lakeland Community Hospital
-
Pontiac, Michigan, Forenede Stater, 48341-2985
- Saint Joseph Mercy Oakland
-
Port Huron, Michigan, Forenede Stater, 48060
- Saint Joseph Mercy Port Huron
-
Reed City, Michigan, Forenede Stater, 49677
- Spectrum Health Reed City Hospital
-
Saginaw, Michigan, Forenede Stater, 48601
- Saint Mary's of Michigan
-
Saint Joseph, Michigan, Forenede Stater, 49085
- Marie Yeager Cancer Center
-
Saint Joseph, Michigan, Forenede Stater, 49085
- Lakeland Hospital
-
Traverse City, Michigan, Forenede Stater, 49684
- Munson Medical Center
-
Warren, Michigan, Forenede Stater, 48093
- Saint John Macomb-Oakland Hospital
-
-
Minnesota
-
Bemidji, Minnesota, Forenede Stater, 56601
- Sanford Clinic North-Bemidgi
-
-
Mississippi
-
Jackson, Mississippi, Forenede Stater, 39216
- University of Mississippi Medical Center
-
Pascagoula, Mississippi, Forenede Stater, 39581
- Singing River Hospital
-
-
Missouri
-
Bolivar, Missouri, Forenede Stater, 65613
- Central Care Cancer Center-Carrie J Babb Cancer Center
-
Cape Girardeau, Missouri, Forenede Stater, 63703
- Saint Francis Medical Center
-
Cape Girardeau, Missouri, Forenede Stater, 63703
- Southeast Cancer Center
-
Independence, Missouri, Forenede Stater, 64057
- Centerpoint Medical Center LLC
-
Jefferson City, Missouri, Forenede Stater, 65109
- Capital Region Medical Center-Goldschmidt Cancer Center
-
Joplin, Missouri, Forenede Stater, 64804
- Freeman Health System
-
Kansas City, Missouri, Forenede Stater, 64116
- North Kansas City Hospital
-
Kansas City, Missouri, Forenede Stater, 64111
- Saint Luke's Hospital of Kansas City
-
Kansas City, Missouri, Forenede Stater, 64132
- Research Medical Center
-
Kansas City, Missouri, Forenede Stater, 64108
- Truman Medical Center
-
Kansas City, Missouri, Forenede Stater, 64118
- Heartland Hematology and Oncology Associates Incorporated
-
Kansas City, Missouri, Forenede Stater, 64111
- Saint Luke's Cancer Institute
-
Kansas City, Missouri, Forenede Stater, 64131
- Kansas City Cancer Center - South
-
Kansas City, Missouri, Forenede Stater, 64154
- Kansas City Cancer Centers - North
-
Lee's Summit, Missouri, Forenede Stater, 64086
- Saint Luke's East - Lee's Summit
-
Lee's Summit, Missouri, Forenede Stater, 64064
- Kansas City Cancer Center-Lee's Summit
-
Liberty, Missouri, Forenede Stater, 64068
- Liberty Hospital
-
Rolla, Missouri, Forenede Stater, 65401
- Phelps County Regional Medical Center
-
Rolla, Missouri, Forenede Stater, 65401
- Saint John's Clinic-Rolla-Cancer and Hematology
-
Saint Joseph, Missouri, Forenede Stater, 64506
- Heartland Regional Medical Center
-
Saint Joseph, Missouri, Forenede Stater, 64507
- Saint Joseph Oncology Inc
-
Saint Louis, Missouri, Forenede Stater, 63131
- Missouri Baptist Medical Center
-
Saint Louis, Missouri, Forenede Stater, 63109
- Saint Louis Cancer and Breast Institute-South City
-
Saint Louis, Missouri, Forenede Stater, 63141
- Saint John's Mercy Medical Center
-
Saint Louis, Missouri, Forenede Stater, 63141
- Comprehensive Cancer Care PC
-
Springfield, Missouri, Forenede Stater, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Forenede Stater, 65804
- Mercy Hospital Springfield
-
Springfield, Missouri, Forenede Stater, 65804
- Ozark Health Ventures LLC-Cancer Research for The Ozarks Springfield
-
-
Montana
-
Billings, Montana, Forenede Stater, 59101
- Saint Vincent Healthcare
-
Billings, Montana, Forenede Stater, 59101
- Montana Cancer Consortium CCOP
-
Billings, Montana, Forenede Stater, 59107-7000
- Billings Clinic
-
Bozeman, Montana, Forenede Stater, 59715
- Bozeman Deaconess Hospital
-
Butte, Montana, Forenede Stater, 59701
- Saint James Community Hospital and Cancer Treatment Center
-
Great Falls, Montana, Forenede Stater, 59405
- Benefis Healthcare- Sletten Cancer Institute
-
Great Falls, Montana, Forenede Stater, 59405
- Big Sky Oncology
-
Helena, Montana, Forenede Stater, 59601
- Saint Peter's Community Hospital
-
Kalispell, Montana, Forenede Stater, 59901
- Kalispell Regional Medical Center
-
Missoula, Montana, Forenede Stater, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, Forenede Stater, 59802
- Montana Cancer Specialists
-
-
Nebraska
-
Kearney, Nebraska, Forenede Stater, 68847
- Good Samaritan Hospital
-
-
New Hampshire
-
Concord, New Hampshire, Forenede Stater, 03301
- New Hampshire Oncology-Hematology PA
-
Hooksett, New Hampshire, Forenede Stater, 03106
- New Hampshire Oncology Hematology Associates
-
Laconia, New Hampshire, Forenede Stater, 03246
- LRGHealthcare-Lakes Region General Hospital
-
-
New Jersey
-
Camden, New Jersey, Forenede Stater, 08103
- Cooper Hospital University Medical Center
-
Long Branch, New Jersey, Forenede Stater, 07740
- Monmouth Medical Center
-
Newark, New Jersey, Forenede Stater, 07103
- UMDNJ - New Jersey Medical School
-
Vineland, New Jersey, Forenede Stater, 08360
- Inspira Medical Center Vineland
-
-
New Mexico
-
Albuquerque, New Mexico, Forenede Stater, 87106
- University of New Mexico
-
-
New York
-
Elmira, New York, Forenede Stater, 14905
- Arnot Ogden Medical Center
-
Glens Falls, New York, Forenede Stater, 12801
- Glens Falls Hospital
-
New York, New York, Forenede Stater, 10016
- New York University Langone Medical Center
-
Rochester, New York, Forenede Stater, 14642
- University of Rochester
-
-
North Carolina
-
Asheboro, North Carolina, Forenede Stater, 27203
- Randolph Hospital
-
Clinton, North Carolina, Forenede Stater, 28328
- Southeastern Medical Oncology Center-Clinton
-
Goldsboro, North Carolina, Forenede Stater, 27534
- Southeastern Medical Oncology Center-Goldsboro
-
Goldsboro, North Carolina, Forenede Stater, 27534
- Wayne Memorial Hospital
-
Greensboro, North Carolina, Forenede Stater, 27403
- Cone Health Cancer Center
-
Hendersonville, North Carolina, Forenede Stater, 28791
- Margaret R Pardee Memorial Hospital
-
Hendersonville, North Carolina, Forenede Stater, 28739
- Hendersonville Hematology and Oncology at Pardee
-
Hendersonville, North Carolina, Forenede Stater, 28792
- Park Ridge Hospital Breast Health Center
-
Jacksonville, North Carolina, Forenede Stater, 28546
- Southeastern Medical Oncology Center-Jacksonville
-
Kinston, North Carolina, Forenede Stater, 28501
- Kinston Medical Specialists PA
-
Pinehurst, North Carolina, Forenede Stater, 28374
- FirstHealth of the Carolinas-Moore Regional Hosiptal
-
Reidsville, North Carolina, Forenede Stater, 27320
- Annie Penn Memorial Hospital
-
Rutherfordton, North Carolina, Forenede Stater, 28139
- Rutherford Hospital
-
Statesville, North Carolina, Forenede Stater, 28677
- Iredell Memorial Hospital
-
Wilson, North Carolina, Forenede Stater, 27893
- Southeastern Medical Oncology Center-Wilson
-
Winston-Salem, North Carolina, Forenede Stater, 27104
- Southeast Cancer Control Consortium CCOP
-
-
North Dakota
-
Fargo, North Dakota, Forenede Stater, 58122
- Sanford Clinic North-Fargo
-
Fargo, North Dakota, Forenede Stater, 58122
- Sanford Medical Center-Fargo
-
Fargo, North Dakota, Forenede Stater, 58122
- Roger Maris Cancer Center
-
Grand Forks, North Dakota, Forenede Stater, 58201
- Altru Cancer Center
-
-
Ohio
-
Akron, Ohio, Forenede Stater, 44304
- Summa Akron City Hospital/Cooper Cancer Center
-
Akron, Ohio, Forenede Stater, 44307
- Akron General Medical Center
-
Barberton, Ohio, Forenede Stater, 44203
- Summa Barberton Hospital
-
Bowling Green, Ohio, Forenede Stater, 43402
- Toledo Clinic Cancer Centers-Bowling Green
-
Cincinnati, Ohio, Forenede Stater, 45267
- University of Cincinnati
-
Cincinnati, Ohio, Forenede Stater, 45242
- Oncology Hematology Care Inc-Blue Ash
-
Cincinnati, Ohio, Forenede Stater, 45211
- Oncology Hematology Care Inc-Mercy West
-
Cincinnati, Ohio, Forenede Stater, 45230
- Oncology Hematology Care Inc - Anderson
-
Cincinnati, Ohio, Forenede Stater, 45219
- Oncology and Hematology Care Inc-Taft
-
Cincinnati, Ohio, Forenede Stater, 45236
- Oncology Hematology Care Inc - Kenwood
-
Cleveland, Ohio, Forenede Stater, 44109
- MetroHealth Medical Center
-
Columbus, Ohio, Forenede Stater, 43210
- Ohio State University Medical Center
-
Dayton, Ohio, Forenede Stater, 45406
- Good Samaritan Hospital - Dayton
-
Dayton, Ohio, Forenede Stater, 45409
- Miami Valley Hospital
-
Dayton, Ohio, Forenede Stater, 45415
- Samaritan North Health Center
-
Dayton, Ohio, Forenede Stater, 45405
- Grandview Hospital
-
Dayton, Ohio, Forenede Stater, 45420
- Dayton CCOP
-
Elyria, Ohio, Forenede Stater, 44035
- Mercy Cancer Center-Elyria
-
Elyria, Ohio, Forenede Stater, 44035
- Hematology Oncology Center Incorporated
-
Fairfield, Ohio, Forenede Stater, 45014
- Oncology Hematology Care Inc-Healthplex
-
Findlay, Ohio, Forenede Stater, 45840
- Blanchard Valley Hospital
-
Franklin, Ohio, Forenede Stater, 45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Greenville, Ohio, Forenede Stater, 45331
- Wayne Hospital
-
Kettering, Ohio, Forenede Stater, 45429
- Kettering Medical Center
-
Lima, Ohio, Forenede Stater, 45801
- Saint Rita's Medical Center
-
Lima, Ohio, Forenede Stater, 45804
- Lima Memorial Hospital
-
Maumee, Ohio, Forenede Stater, 43537
- Toledo Clinic Cancer Centers-Maumee
-
Maumee, Ohio, Forenede Stater, 43537
- Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
-
Oregon, Ohio, Forenede Stater, 43616
- Saint Charles Hospital
-
Oregon, Ohio, Forenede Stater, 43616
- Toledo Clinic Cancer Centers-Oregon
-
Sylvania, Ohio, Forenede Stater, 43560
- Flower Hospital
-
Tiffin, Ohio, Forenede Stater, 44883
- Mercy Hospital of Tiffin
-
Toledo, Ohio, Forenede Stater, 43608
- Saint Vincent Mercy Medical Center
-
Toledo, Ohio, Forenede Stater, 43623
- Toledo Clinic Cancer Centers-Toledo
-
Toledo, Ohio, Forenede Stater, 43614
- University of Toledo
-
Toledo, Ohio, Forenede Stater, 43617
- Toledo Community Hospital Oncology Program CCOP
-
Toledo, Ohio, Forenede Stater, 43606
- The Toledo Hospital/Toledo Children's Hospital
-
Toledo, Ohio, Forenede Stater, 43623
- Mercy Saint Anne Hospital
-
Troy, Ohio, Forenede Stater, 45373
- Upper Valley Medical Center
-
Wauseon, Ohio, Forenede Stater, 43567
- Fulton County Health Center
-
Wright-Patterson Air Force Base, Ohio, Forenede Stater, 45433-5529
- Wright-Patterson Medical Center
-
Xenia, Ohio, Forenede Stater, 45385
- Greene Memorial Hospital
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Forenede Stater, 73104
- University of Oklahoma Health Sciences Center
-
Tulsa, Oklahoma, Forenede Stater, 74146
- Tulsa Cancer Institute
-
Tulsa, Oklahoma, Forenede Stater, 74136
- Natalie Warren Bryant Cancer Center at Saint Francis
-
Tulsa, Oklahoma, Forenede Stater, 74104
- Oklahoma Oncology Inc
-
Tulsa, Oklahoma, Forenede Stater, 74136
- Warren Cancer Research Foundation
-
-
Oregon
-
Clackamas, Oregon, Forenede Stater, 97015
- Clackamas Radiation Oncology Center
-
Milwaukie, Oregon, Forenede Stater, 97222
- Providence Milwaukie Hospital
-
Newberg, Oregon, Forenede Stater, 97132
- Providence Newberg Medical Center
-
Oregon City, Oregon, Forenede Stater, 97045
- Providence Willamette Falls Medical Center
-
Portland, Oregon, Forenede Stater, 97213
- Providence Portland Medical Center
-
Portland, Oregon, Forenede Stater, 97225
- Providence Saint Vincent Medical Center
-
Portland, Oregon, Forenede Stater, 97213
- Western Oncology Research Consortium
-
-
Pennsylvania
-
Allentown, Pennsylvania, Forenede Stater, 18105
- Lehigh Valley Hospital
-
Bethlehem, Pennsylvania, Forenede Stater, 18017
- Lehigh Valley Hospital - Muhlenberg
-
Lancaster, Pennsylvania, Forenede Stater, 17604
- Lancaster General Hospital
-
Philadelphia, Pennsylvania, Forenede Stater, 19111
- Fox Chase Cancer Center
-
Philadelphia, Pennsylvania, Forenede Stater, 19140
- Temple University Hospital
-
Pittsburgh, Pennsylvania, Forenede Stater, 15232
- University of Pittsburgh
-
-
South Carolina
-
Anderson, South Carolina, Forenede Stater, 29621
- AnMed Health Cancer Center
-
Anderson, South Carolina, Forenede Stater, 29621
- AnMed Health Hospital
-
Charleston, South Carolina, Forenede Stater, 29401
- Roper Hospital
-
Charleston, South Carolina, Forenede Stater, 29403
- Charleston Hematology Oncology Associates-Roper
-
Charleston, South Carolina, Forenede Stater, 29414
- Charleston Hematology Oncology Associates PA-St. Francis
-
Charleston, South Carolina, Forenede Stater, 29414
- Lowcountry Hematology Oncology PA-West Ashley
-
Charleston, South Carolina, Forenede Stater, 29406
- Lowcountry Hematology Oncology PA-Charleston
-
Easley, South Carolina, Forenede Stater, 29640
- Greenville Health System Cancer Institute-Easley
-
Greenville, South Carolina, Forenede Stater, 29601
- Saint Francis Hospital
-
Greenville, South Carolina, Forenede Stater, 29605
- Greenville Health System Cancer Institute-Andrews
-
Greenville, South Carolina, Forenede Stater, 29605
- Greenville Health System Cancer Institute-Faris
-
Greenville, South Carolina, Forenede Stater, 29605
- Greenville Memorial Hospital
-
Greenville, South Carolina, Forenede Stater, 29605
- Greenville Health System Cancer Institute-Butternut
-
Greenville, South Carolina, Forenede Stater, 29615
- Greenville Health System Cancer Institute/Eastside
-
Greer, South Carolina, Forenede Stater, 29651
- Gibbs Cancer Center-Pelham
-
Greer, South Carolina, Forenede Stater, 29650
- Greenville Health System Cancer Institute-Greer
-
Mount Pleasant, South Carolina, Forenede Stater, 29464
- Lowcountry Hematology Oncology PA-Mount Pleasant
-
Seneca, South Carolina, Forenede Stater, 29672
- Greenville Health System Cancer Institute-Seneca
-
Spartanburg, South Carolina, Forenede Stater, 29307
- Greenville Health System Cancer Institute-Spartanburg
-
Spartanburg, South Carolina, Forenede Stater, 29303
- Spartanburg Regional Medical Center
-
Spartanburg, South Carolina, Forenede Stater, 29303
- Upstate Carolina CCOP
-
-
South Dakota
-
Rapid City, South Dakota, Forenede Stater, 57701
- Rapid City Regional Hospital
-
Sioux Falls, South Dakota, Forenede Stater, 57105
- Avera Cancer Institute
-
Sioux Falls, South Dakota, Forenede Stater, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Forenede Stater, 57104
- Sanford Cancer Center-Oncology Clinic
-
-
Texas
-
Houston, Texas, Forenede Stater, 77030
- Baylor College of Medicine
-
Houston, Texas, Forenede Stater, 77030
- Ben Taub General Hospital
-
Houston, Texas, Forenede Stater, 77030
- Veterans Administration Medical Center
-
-
Virginia
-
Fredericksburg, Virginia, Forenede Stater, 22401
- Fredericksburg Oncology Inc
-
Richmond, Virginia, Forenede Stater, 23298
- Virginia Commonwealth University
-
-
Washington
-
Anacortes, Washington, Forenede Stater, 98221
- Cancer Care Center at Island Hospital
-
Auburn, Washington, Forenede Stater, 98001
- Auburn Regional Medical Center
-
Bellevue, Washington, Forenede Stater, 98004
- Overlake Hospital Medical Center
-
Bellingham, Washington, Forenede Stater, 98225
- PeaceHealth Saint Joseph Medical Center
-
Bremerton, Washington, Forenede Stater, 98310
- Harrison HealthPartners Hematology and Oncology-Bremerton
-
Burien, Washington, Forenede Stater, 98166
- Highline Medical Center-Main Campus
-
Centralia, Washington, Forenede Stater, 98531
- Providence Regional Cancer System-Centralia
-
Edmonds, Washington, Forenede Stater, 98026
- Swedish Medical Center-Edmonds
-
Everett, Washington, Forenede Stater, 98201
- Providence Regional Cancer Partnership
-
Federal Way, Washington, Forenede Stater, 98003
- Saint Francis Hospital
-
Issaquah, Washington, Forenede Stater, 98029
- Swedish Cancer Institute-Issaquah
-
Kennewick, Washington, Forenede Stater, 99336
- Columbia Basin Hematology and Oncology PLLC
-
Kirkland, Washington, Forenede Stater, 98034
- Cascade Cancer Center
-
Lacey, Washington, Forenede Stater, 98503
- Providence Regional Cancer System-Lacey
-
Lakewood, Washington, Forenede Stater, 98499
- Saint Clare Hospital
-
Longview, Washington, Forenede Stater, 98632
- Saint John Medical Center
-
Mount Vernon, Washington, Forenede Stater, 98274
- Skagit Valley Hospital
-
Olympia, Washington, Forenede Stater, 98506-5166
- Providence - Saint Peter Hospital
-
Olympia, Washington, Forenede Stater, 98507
- Capital Medical Center
-
Poulsbo, Washington, Forenede Stater, 98370
- Harrison HealthPartners Hematology and Oncology-Poulsbo
-
Puyallup, Washington, Forenede Stater, 98372
- Good Samaritan Community Hospital
-
Seattle, Washington, Forenede Stater, 98195
- University of Washington Medical Center
-
Seattle, Washington, Forenede Stater, 98109
- Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
-
Seattle, Washington, Forenede Stater, 98104
- Harborview Medical Center
-
Seattle, Washington, Forenede Stater, 98107
- Swedish Medical Center-Ballard Campus
-
Seattle, Washington, Forenede Stater, 98104
- Minor and James Medical PLLC
-
Seattle, Washington, Forenede Stater, 98112
- Group Health Cooperative-Seattle
-
Seattle, Washington, Forenede Stater, 98122-4307
- Swedish Medical Center-First Hill
-
Seattle, Washington, Forenede Stater, 98122
- The Polyclinic
-
Seattle, Washington, Forenede Stater, 98109
- Group Health
-
Sedro-Woolley, Washington, Forenede Stater, 98284
- United General Hospital
-
Spokane, Washington, Forenede Stater, 99218
- Evergreen Hematology and Oncology PS
-
Spokane, Washington, Forenede Stater, 99202
- Cancer Care Northwest - Spokane South
-
Spokane, Washington, Forenede Stater, 99220
- Rockwood Clinic
-
Tacoma, Washington, Forenede Stater, 98405
- Northwest Medical Specialties PLLC
-
Tacoma, Washington, Forenede Stater, 98405
- Saint Joseph Medical Center
-
Tacoma, Washington, Forenede Stater, 98405
- Allenmore Hospital
-
Tacoma, Washington, Forenede Stater, 98415
- MultiCare Health System
-
Tacoma, Washington, Forenede Stater, 98405
- Northwest CCOP
-
Vancouver, Washington, Forenede Stater, 98664
- PeaceHealth Southwest Medical Center
-
Vancouver, Washington, Forenede Stater, 98684
- Compass Oncology Vancouver
-
Wenatchee, Washington, Forenede Stater, 98801
- Wenatchee Valley Medical Center
-
-
Wisconsin
-
Antigo, Wisconsin, Forenede Stater, 54409
- Langlade Hospital and Cancer Center
-
Eau Claire, Wisconsin, Forenede Stater, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
-
Eau Claire, Wisconsin, Forenede Stater, 54701
- Sacred Heart Hospital
-
Green Bay, Wisconsin, Forenede Stater, 54301
- Saint Vincent Hospital
-
Green Bay, Wisconsin, Forenede Stater, 54303
- Green Bay Oncology Limited at Saint Mary's Hospital
-
Green Bay, Wisconsin, Forenede Stater, 54303
- Saint Mary's Hospital
-
Green Bay, Wisconsin, Forenede Stater, 54301-3526
- Green Bay Oncology at Saint Vincent Hospital
-
La Crosse, Wisconsin, Forenede Stater, 54601
- Gundersen Lutheran
-
Madison, Wisconsin, Forenede Stater, 53792
- University of Wisconsin Hospital and Clinics
-
Manitowoc, Wisconsin, Forenede Stater, 54221
- Holy Family Memorial Hospital
-
Marinette, Wisconsin, Forenede Stater, 54143
- Bay Area Medical Center
-
Marshfield, Wisconsin, Forenede Stater, 54449
- Marshfield Clinic
-
Marshfield, Wisconsin, Forenede Stater, 54449
- Saint Joseph's Hospital
-
Minocqua, Wisconsin, Forenede Stater, 54548
- Marshfield Clinic-Minocqua Center
-
Oconto Falls, Wisconsin, Forenede Stater, 54154
- Green Bay Oncology - Oconto Falls
-
Rhinelander, Wisconsin, Forenede Stater, 54501
- Saint Mary's Hospital
-
Rhinelander, Wisconsin, Forenede Stater, 54501
- Marshfield Clinic at James Beck Cancer Center
-
Rice Lake, Wisconsin, Forenede Stater, 54868
- Lakeview Medical Center-Marshfield Clinic
-
Rice Lake, Wisconsin, Forenede Stater, 54868
- Marshfield Clinic-Rice Lake Center
-
Sheboygan, Wisconsin, Forenede Stater, 53081
- Saint Nicholas Hospital
-
Stevens Point, Wisconsin, Forenede Stater, 54481
- Saint Michael's Hospital
-
Stevens Point, Wisconsin, Forenede Stater, 54481
- Marshfield Clinic Cancer Care at Saint Michael's Hospital
-
Sturgeon Bay, Wisconsin, Forenede Stater, 54235
- Green Bay Oncology - Sturgeon Bay
-
Wausau, Wisconsin, Forenede Stater, 54401
- Aspirus Regional Cancer Center
-
Weston, Wisconsin, Forenede Stater, 54476
- Marshfield Clinic - Weston Center
-
Weston, Wisconsin, Forenede Stater, 54476
- Saint Clare's Hospital
-
Wisconsin Rapids, Wisconsin, Forenede Stater, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
Wisconsin Rapids, Wisconsin, Forenede Stater, 54494
- Riverview Hospital
-
-
Wyoming
-
Casper, Wyoming, Forenede Stater, 82609
- Rocky Mountain Oncology
-
Sheridan, Wyoming, Forenede Stater, 82801
- Welch Cancer Center
-
-
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SYGDOMS KARAKTERISTIKA:
Patienter skal have fremskreden eller metastatisk histologisk eller cytologisk bekræftet adenokarcinom i spiserøret, maven eller det gastroøsofageale kryds (GEJ)
- Patienter må ikke have modtaget behandling for metastatisk eller ikke-operabel sygdom
- Patienter må ikke have hjernemetastaser
- Patienter skal have målbar og/eller ikke-målbar sygdom
- Patienter, der har fået testet HER-2-ekspression før patientens samtykke til denne undersøgelse, skal være HER-2-negative; hvis HER-2-ekspression ikke er blevet testet før patientens samtykke til denne undersøgelse, skal en anden prøve indsendes til HER-2-ekspression; hvis prøven er HER-2 positiv (eller hvis HER-2 ikke kunne evalueres), vil patienten ikke blive randomiseret
- Patienter skal have gennemført enhver tidligere neoadjuverende og adjuverende behandling for resektabel sygdom mindst 180 dage før registrering
PATIENT KARAKTERISTIKA:
- Zubrod præstationsstatus på 0-1
- Hæmoglobin ≥ 9 g/dL
- Absolut neutrofiltal (ANC) ≥ 1.500/mcL
- Blodplader ≥ 100.000/mcL
- Total bilirubin ≤ 1,5 mg/dL uanset om patienter har leverpåvirkning sekundært til tumor
- ASAT og ALAT begge ≤ 3 gange institutionel øvre normalgrænse (IULN), medmindre leveren er involveret med tumor, i hvilket tilfælde både ASAT og ALAT skal være ≤ 5 gange IULN
- Serumkreatinin < 1,5 mg/dL inden for 28 dage før registrering OG/ELLER beregnet kreatininclearance > 60 ml/min.
- Patienter må ikke have motorisk eller sensorisk neuropati > grad 1 ved brug af CTCAE version 4.0
- Patienter må ikke være gravide eller ammende; kvinder og mænd med reproduktionspotentiale skal have accepteret at bruge en effektiv præventionsmetode
- Ingen anden tidligere malignitet er tilladt med undtagelse af følgende: tilstrækkeligt behandlet basalcelle- eller planocellulær hudcancer, in situ livmoderhalskræft, tilstrækkeligt behandlet stadium I eller II cancer, hvorfra patienten i øjeblikket er i fuldstændig remission, eller enhver anden cancer, hvorfra patienten har været sygdomsfri i fem år
FORUDSÆTNING SAMTYDLIG TERAPI:
- Se Sygdomskarakteristika
- Al palliativ strålebehandling alene skal være afsluttet mindst 14 dage før registrering
- Patienten må ikke have planer om at modtage samtidig kemoterapi, hormonbehandling, strålebehandling, immunterapi eller nogen anden form for terapi til behandling af cancer, mens han er i denne protokolbehandling
Studieplan
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 |
|---|---|
|
Eksperimentel: Arm I
FOLFOX-kur: Patienterne får oxaliplatin IV over 2 timer og leucovorin calcium IV over 2 timer på dag 1 og fluorouracil IV over 46-48 timer på dag 1-2.
Kurser gentages hver 14. dag i fravær af sygdomsprogression eller uacceptabel toksicitet.
|
Givet IV.
Fluorouracil, oxaliplatin og leucovorin calcium.
400 mg/m^2, IV bolus på dag 1 i hver 14-dages cyklus; 2400 mg/m^2 IV over 46-48 timer på dag 1-2 i hver 14-dages cyklus.
Andre navne:
400 mg/m^2, IV over 2 timer på dag 1 i hver 14-dages cyklus.
Andre navne:
85 mg/m^2, IV over 2 timer på dag 1 i hver 14-dages cyklus.
Andre navne:
|
|
Eksperimentel: Arm II
Patienterne får irinotecanhydrochlorid IV over 90 minutter og docetaxel IV over 30-60 minutter på dag 1 og 8. Kurser gentages hver 21. dag i fravær af sygdomsprogression eller uacceptabel toksicitet.
|
30 mg/m^2, IV over 30 minutter på dag 1,8 i hver 21-dages cyklus.
Andre navne:
65 mg/m^2, IV over 90 minutter på dag 1 og 8 i hver 21-dages cyklus.
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Progressionsfri overlevelse (PFS) hos patienter med høj ERCC1
Tidsramme: Op til 3 år efter registrering
|
Progressionsfri overlevelse er længden af tid mellem protokolregistrering og sygdomsprogression eller død, alt efter hvad der indtræffer først.
|
Op til 3 år efter registrering
|
|
PFS i lav-ERCC1-deltagere
Tidsramme: Op til 3 år efter registrering
|
Progressionsfri overlevelse er længden af tid mellem protokolregistrering og sygdomsprogression eller død, alt efter hvad der indtræffer først.
|
Op til 3 år efter registrering
|
|
Samlet overlevelse (OS)
Tidsramme: Op til 3 år efter registrering
|
OS er længden af tid mellem protokolregistrering og patientens død
|
Op til 3 år efter registrering
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Antal deltagere med gr 3 til 5 uønskede hændelser, der er relateret til undersøgelsesstoffer
Tidsramme: Behandlingsvarighed og opfølgning indtil død eller 3 år efter registrering
|
Uønskede hændelser (AE'er) rapporteres af CTCAE version 4.0.
Kun uønskede hændelser, der muligvis, sandsynligvis eller helt sikkert er relateret til undersøgelseslægemidlet, er rapporteret.
|
Behandlingsvarighed og opfølgning indtil død eller 3 år efter registrering
|
|
Samlet responsrate (ORR)
Tidsramme: Op til 3 år efter registrering
|
ORR (komplet respons, ubekræftet fuldstændigt respons, delvist respons, ubekræftet delvist respons) hos patienter med målbar sygdom blev vurderet i hver arm og sammenlignet mellem armene ved hjælp af Chi-kvadrattest. Evalueringskriterier pr. respons i solide tumorer (RECIST v1.1) for mållæsioner og vurderet ved MR: Komplet respons (CR), forsvinden af alle mållæsioner; Delvis respons (PR), >=30 % fald i summen af den længste diameter af mållæsioner; Samlet respons (OR) = CR + PR. |
Op til 3 år efter registrering
|
|
PFS Variation af ERCC1
Tidsramme: op til 3 år efter registrering
|
Progressionsfri overlevelse er længden af tid mellem protokolregistrering og sygdomsprogression eller død, alt efter hvad der indtræffer først. Deltagerne blev opdelt i undergrupper i henhold til ERCC1-kvartiler for at vurdere, om forskellene i PFS mellem de to behandlingsarme varierede efter ERCC1-niveauer. |
op til 3 år efter registrering
|
Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Syma Iqbal, MD, University of Southern California
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
- stadium IV gastrisk cancer
- tilbagevendende mavekræft
- adenokarcinom i maven
- adenocarcinom i spiserøret
- adenokarcinom i den gastroøsofageale forbindelse
- stadium IIIB kræft i spiserøret
- stadium IIIC kræft i spiserøret
- tilbagevendende kræft i spiserøret
- stadium IV kræft i spiserøret
- stadium IIIB mavekræft
- stadium IIIC mavekræft
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer efter sted
- Karcinom
- Neoplasmer, kirtel og epitel
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Mavesygdomme
- Neoplasmer i hoved og hals
- Esophageale sygdomme
- Neoplasmer i maven
- Adenocarcinom
- Esophageale neoplasmer
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antimetabolitter, Antineoplastisk
- Antimetabolitter
- Antineoplastiske midler
- Immunsuppressive midler
- Immunologiske faktorer
- Tubulin modulatorer
- Antimitotiske midler
- Mitose modulatorer
- Beskyttelsesagenter
- Topoisomerasehæmmere
- Mikronæringsstoffer
- Vitaminer
- Calciumregulerende hormoner og midler
- Topoisomerase I-hæmmere
- Modgift
- Vitamin B kompleks
- Docetaxel
- Fluorouracil
- Oxaliplatin
- Leucovorin
- Irinotecan
- Kalk
- Levoleucovorin
Andre undersøgelses-id-numre
- S1201 (Anden identifikator: SWOG)
- U10CA032102 (U.S. NIH-bevilling/kontrakt)
- NCI-2012-00096 (Anden identifikator: CTRP)
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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