Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Mobile Health for Adherence hos brystkræftpatienter

2. september 2026 opdateret af: ECOG-ACRIN Cancer Research Group

Forbedring af medicinadhærens ved metastatisk brystkræft ved hjælp af en tilsluttet tilpasset behandlingsplatform (CONCURxP)

Dette kliniske forsøg sammenligner brugen af ​​den tilsluttede tilpassede behandlingsplatform (CONCURxP), der består af at bruge en medicinovervågningsenhed kaldet WiseBag sammen med sms-påmindelser om ubesvarede eller ekstra medicinhændelser, med forbedret sædvanlig pleje (EUC), hvor patienter kun bruger Wisebag, til at overvåge overholdelse af medicin hos patienter med metastatisk brystkræft, som tager en CKD4/6-hæmmer. For at sikre, at CDK4/6-hæmmere opnår deres fulde kliniske fordel, skal patienterne tage dem som foreskrevet efter en kompleks behandlingsplan. Glemsomhed var den hyppigst rapporterede årsag til manglende overholdelse af medicin. Brug af WiseBag sammen med CONCURxP eller øget sædvanlig pleje kan forbedre medicinadhærens hos patienter med metastatisk brystkræft, som tager en CKD4/6-hæmmer.

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

PRIMÆR MÅL:

I. At sammenligne CDK4/6-hæmmere (CDK4/6i)-adhærens 12 måneder efter afslutningen af ​​baseline-undersøgelsen, der er registreret ved hjælp af elektronisk overvågning mellem EUC (arm A) og CONCURxP (arm B) arme.

SEKUNDÆRE MÅL:

I. At sammenligne CDK4/6i-adhærens 12 måneder efter afslutningen af ​​baseline-undersøgelsen, der er registreret gennem selvrapportering mellem EUC (arm A) og CONCURxP (arm B) arme.

II. For at sammenligne CDK4/6i-persistens 12 måneder efter afslutningen af ​​baseline-undersøgelsen registreret ved hjælp af elektronisk overvågning mellem EUC (arm A) og CONCURxP (arm B) arme.

III. At sammenligne symptombyrden efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

IV. At sammenligne livskvalitet efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

V. At sammenligne patient-udbyder kommunikation efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

VI. At sammenligne selveffektivitet til håndtering af symptomer efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

VII. For at sammenligne økonomisk bekymring på 12 måneder mellem EUC (arm A) og CONCURxP (arm B) armene.

UNDERSØGENDE MÅL:

I. At vurdere longitudinelle ændringer af patientrapporterede resultater (selvrapporteret overholdelse, symptombyrde, livskvalitet og økonomisk bekymring) fra EUC (arm A) og CONCURxP (arm B) armene.

II. At sammenligne sundhedsudnyttelse efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

III. At sammenligne progressionsfri overlevelse efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

IV. At sammenligne den samlede overlevelse efter 12 måneder mellem EUC (arm A) og CONCURxP (arm B) arme.

V. At beskrive CONCURxP (arm B) patienter og deres udbyders erfaring med forskellige implementeringsresultater.

OVERSIGT: Patienterne randomiseres i 1 af 2 arme. Ikke-patientdeltagere tildeles arm C.

ARM A: Patienter bruger Wisebag-medicindispenseren og får adgang til undervisningsmateriale hver 4. uge over 12 måneder.

ARM B: Patienter bruger Wisebag-medicindispenseren og modtager personlige sms-påmindelser, medicinsporing og opfølgning fra sundhedspersonalet som en del af CONCURxP-platformen over 12 måneder. Patienter kan gennemføre et interview over 20-30 minutter inden for 6 måneder efter undersøgelsens afslutning.

ARM C: Deltagerne gennemfører et interview over 20-30 minutter 15-39 måneder efter første patientindskrivning.

Efter afslutning af undersøgelsesintervention kan patienter følges op til 6 måneder.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

390

Fase

  • Ikke anvendelig

Kontakter og lokationer

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

Studiesteder

  • Forenede Stater
    • Alaska
      • Fairbanks, Alaska, Forenede Stater, 99701
        • Fairbanks Memorial Hospital
    • Arizona
      • Kingman, Arizona, Forenede Stater, 86401
        • Kingman Regional Medical Center
      • Phoenix, Arizona, Forenede Stater, 85004
        • Cancer Center at Saint Joseph's
    • Arkansas
      • Fort Smith, Arkansas, Forenede Stater, 72903
        • Mercy Hospital Fort Smith
      • Jonesboro, Arkansas, Forenede Stater, 72401
        • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
      • Little Rock, Arkansas, Forenede Stater, 72205
        • CARTI Cancer Center
    • California
      • Anaheim, California, Forenede Stater, 92806
        • Kaiser Permanente-Anaheim
      • Arroyo Grande, California, Forenede Stater, 93420
        • PCR Oncology
      • Arroyo Grande, California, Forenede Stater, 93420
        • Mission Hope Medical Oncology - Arroyo Grande
      • Baldwin Park, California, Forenede Stater, 91706
        • Kaiser Permanente-Baldwin Park
      • Bellflower, California, Forenede Stater, 90706
        • Kaiser Permanente-Bellflower
      • Carmichael, California, Forenede Stater, 95608
        • Mercy San Juan Medical Center
      • Carmichael, California, Forenede Stater, 95608
        • Mercy Cancer Center - Carmichael
      • Elk Grove, California, Forenede Stater, 95758
        • Mercy Cancer Center - Elk Grove
      • Fontana, California, Forenede Stater, 92335
        • Kaiser Permanente-Fontana
      • Harbor City, California, Forenede Stater, 90710
        • Kaiser Permanente South Bay
      • Irvine, California, Forenede Stater, 92618
        • Kaiser Permanente-Irvine
      • Los Angeles, California, Forenede Stater, 90027
        • Kaiser Permanente Los Angeles Medical Center
      • Los Angeles, California, Forenede Stater, 90034
        • Kaiser Permanente West Los Angeles
      • Martinez, California, Forenede Stater, 94553-3156
        • Contra Costa Regional Medical Center
      • Merced, California, Forenede Stater, 95340
        • Mercy Cancer Center
      • Ontario, California, Forenede Stater, 91761
        • Kaiser Permanente-Ontario
      • Orange, California, Forenede Stater, 92868
        • UC Irvine Health/Chao Family Comprehensive Cancer Center
      • Panorama City, California, Forenede Stater, 91402
        • Kaiser Permanente - Panorama City
      • Riverside, California, Forenede Stater, 92505
        • Kaiser Permanente-Riverside
      • Rocklin, California, Forenede Stater, 95765
        • Mercy Cancer Center - Rocklin
      • Sacramento, California, Forenede Stater, 95816
        • Mercy Cancer Center - Sacramento
      • San Diego, California, Forenede Stater, 92120
        • Kaiser Permanente-San Diego Zion
      • San Diego, California, Forenede Stater, 92108
        • Kaiser Permanente-San Diego Mission
      • San Luis Obispo, California, Forenede Stater, 93401
        • Pacific Central Coast Health Center-San Luis Obispo
      • San Marcos, California, Forenede Stater, 92078
        • Kaiser Permanente-San Marcos
      • Santa Maria, California, Forenede Stater, 93444
        • Mission Hope Medical Oncology - Santa Maria
      • Stockton, California, Forenede Stater, 95204
        • Saint Joseph's Medical Center
      • Walnut Creek, California, Forenede Stater, 94598
        • BASS Medical Group - Lennon
      • Woodland, California, Forenede Stater, 95695
        • Woodland Memorial Hospital
      • Woodland Hills, California, Forenede Stater, 91367
        • Kaiser Permanente-Woodland Hills
    • Colorado
      • Aurora, Colorado, Forenede Stater, 80012
        • Rocky Mountain Cancer Centers-Aurora
      • Boulder, Colorado, Forenede Stater, 80303
        • Boulder Community Foothills Hospital
      • Boulder, Colorado, Forenede Stater, 80304
        • Rocky Mountain Cancer Centers-Boulder
      • Centennial, Colorado, Forenede Stater, 80112
        • Rocky Mountain Cancer Centers - Centennial
      • Colorado Springs, Colorado, Forenede Stater, 80907
        • Penrose-Saint Francis Healthcare
      • Colorado Springs, Colorado, Forenede Stater, 80907
        • Rocky Mountain Cancer Centers-Penrose
      • Colorado Springs, Colorado, Forenede Stater, 80923
        • Saint Francis Cancer Center
      • Denver, Colorado, Forenede Stater, 80205
        • Kaiser Permanente-Franklin
      • Denver, Colorado, Forenede Stater, 80218
        • Presbyterian - Saint Lukes Medical Center - Health One
      • Denver, Colorado, Forenede Stater, 80218
        • Rocky Mountain Cancer Centers-Midtown
      • Denver, Colorado, Forenede Stater, 80220
        • Rocky Mountain Cancer Centers-Rose
      • Denver, Colorado, Forenede Stater, 80218
        • Colorado Blood Cancer Institute
      • Denver, Colorado, Forenede Stater, 80209
        • The Women's Imaging Center
      • Durango, Colorado, Forenede Stater, 81301
        • Mercy Medical Center
      • Durango, Colorado, Forenede Stater, 81301
        • CommonSpirit Cancer Center Mercy
      • Englewood, Colorado, Forenede Stater, 80113
        • Mountain Blue Cancer Care Center - Swedish
      • Englewood, Colorado, Forenede Stater, 80113
        • Rocky Mountain Cancer Centers - Swedish
      • Englewood, Colorado, Forenede Stater, 80113
        • The Melanoma and Skin Cancer Institute
      • Lafayette, Colorado, Forenede Stater, 80026
        • Kaiser Permanente-Rock Creek
      • Lakewood, Colorado, Forenede Stater, 80228
        • Rocky Mountain Cancer Centers-Lakewood
      • Lakewood, Colorado, Forenede Stater, 80228
        • CommonSpirit Saint Anthony Hospital Cancer Center
      • Littleton, Colorado, Forenede Stater, 80120
        • Rocky Mountain Cancer Centers-Littleton
      • Lone Tree, Colorado, Forenede Stater, 80124
        • Kaiser Permanente-Lone Tree
      • Lone Tree, Colorado, Forenede Stater, 80124
        • Rocky Mountain Cancer Centers-Sky Ridge
      • Longmont, Colorado, Forenede Stater, 80501
        • Longmont United Hospital
      • Longmont, Colorado, Forenede Stater, 80501
        • Rocky Mountain Cancer Centers-Longmont
      • Pueblo, Colorado, Forenede Stater, 81004
        • Saint Mary Corwin Medical Center
      • Thornton, Colorado, Forenede Stater, 80260
        • Rocky Mountain Cancer Centers-Thornton
      • Westminster, Colorado, Forenede Stater, 80023
        • Saint Anthony North Hospital
    • Delaware
      • Lewes, Delaware, Forenede Stater, 19958
        • Beebe Medical Center
      • Millville, Delaware, Forenede Stater, 19967
        • Beebe South Coastal Health Campus
      • Newark, Delaware, Forenede Stater, 19713
        • Helen F Graham Cancer Center
      • Newark, Delaware, Forenede Stater, 19713
        • Medical Oncology Hematology Consultants PA
      • Newark, Delaware, Forenede Stater, 19718
        • Christiana Care Health System-Christiana Hospital
      • Rehoboth Beach, Delaware, Forenede Stater, 19971
        • Beebe Health Campus
      • Wilmington, Delaware, Forenede Stater, 19801
        • Christiana Care Health System-Wilmington Hospital
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20007
        • MedStar Georgetown University Hospital
    • Florida
      • Fort Lauderdale, Florida, Forenede Stater, 33308
        • Holy Cross Hospital
    • Georgia
      • Albany, Georgia, Forenede Stater, 31701
        • Phoebe Putney Memorial Hospital
      • 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
      • Augusta, Georgia, Forenede Stater, 30912
        • Augusta University Medical Center
      • Decatur, Georgia, Forenede Stater, 30033
        • Emory Decatur Hospital
      • Hinesville, Georgia, Forenede Stater, 31313
        • Liberty County Cancer Care
      • Savannah, Georgia, Forenede Stater, 31405
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
      • Savannah, Georgia, Forenede Stater, 31404
        • Memorial Health University Medical Center
      • Savannah, Georgia, Forenede Stater, 31404
        • Low Country Cancer Care
      • Tifton, Georgia, Forenede Stater, 31794
        • Tift Regional Medical Center
      • Valdosta, Georgia, Forenede Stater, 31602
        • South Georgia Medical Center/Pearlman Cancer Center
    • Idaho
      • Boise, Idaho, Forenede Stater, 83706
        • Saint Alphonsus Cancer Care Center-Boise
      • Caldwell, Idaho, Forenede Stater, 83605
        • Saint Alphonsus Cancer Care Center-Caldwell
      • Coeur d'Alene, Idaho, Forenede Stater, 83814
        • Kootenai Health - Coeur d'Alene
      • Emmett, Idaho, Forenede Stater, 83617
        • Walter Knox Memorial Hospital
      • Meridian, Idaho, Forenede Stater, 83642
        • Idaho Urologic Institute-Meridian
      • Nampa, Idaho, Forenede Stater, 83687
        • Saint Alphonsus Cancer Care Center-Nampa
      • Post Falls, Idaho, Forenede Stater, 83854
        • Kootenai Clinic Cancer Services - Post Falls
      • Sandpoint, Idaho, Forenede Stater, 83864
        • Kootenai Clinic Cancer Services - Sandpoint
    • Illinois
      • Alton, Illinois, Forenede Stater, 62002
        • OSF Saint Anthony's Health Center
      • Aurora, Illinois, Forenede Stater, 60504
        • Rush-Copley Medical Center
      • Aurora, Illinois, Forenede Stater, 60506
        • Advocate Outpatient Center - Aurora
      • Barrington, Illinois, Forenede Stater, 60010
        • Advocate Good Shepherd Hospital
      • Centralia, Illinois, Forenede Stater, 62801
        • Saint Mary's Hospital
      • Chicago, Illinois, Forenede Stater, 60657
        • Advocate Illinois Masonic Medical Center
      • Crystal Lake, Illinois, Forenede Stater, 60014
        • AMG Crystal Lake - Oncology
      • Danville, Illinois, Forenede Stater, 61832
        • Carle at The Riverfront
      • Downers Grove, Illinois, Forenede Stater, 60515
        • Advocate Good Samaritan Hospital
      • Effingham, Illinois, Forenede Stater, 62401
        • Carle Physician Group-Effingham
      • Elgin, Illinois, Forenede Stater, 60123
        • Advocate Sherman Hospital
      • Hazel Crest, Illinois, Forenede Stater, 60429
        • Advocate South Suburban Hospital
      • Libertyville, Illinois, Forenede Stater, 60048
        • Condell Memorial Hospital
      • Libertyville, Illinois, Forenede Stater, 60048
        • AMG Libertyville - Oncology
      • Mattoon, Illinois, Forenede Stater, 61938
        • Carle Physician Group-Mattoon/Charleston
      • Mount Vernon, Illinois, Forenede Stater, 62864
        • SSM Health Good Samaritan
      • Normal, Illinois, Forenede Stater, 61761
        • Carle Cancer Institute Normal
      • Normal, Illinois, Forenede Stater, 61761
        • Carle BroMenn Medical Center
      • Oak Lawn, Illinois, Forenede Stater, 60453-2699
        • Advocate Christ Medical Center
      • Oak Lawn, Illinois, Forenede Stater, 60453
        • Advocate Outpatient Center - Oak Lawn
      • Park Ridge, Illinois, Forenede Stater, 60068
        • Advocate Lutheran General Hospital
      • Urbana, Illinois, Forenede Stater, 61801
        • Carle Cancer Center
      • Yorkville, Illinois, Forenede Stater, 60560
        • Rush-Copley Healthcare Center
    • Indiana
      • Richmond, Indiana, Forenede Stater, 47374
        • Reid Health
    • Iowa
      • Ames, Iowa, Forenede Stater, 50010
        • Mary Greeley Medical Center
      • Ames, Iowa, Forenede Stater, 50010
        • McFarland Clinic - Ames
      • Ankeny, Iowa, Forenede Stater, 50023
        • UI Health Care Mission Cancer and Blood - Ankeny Clinic
      • Boone, Iowa, Forenede Stater, 50036
        • McFarland Clinic - Boone
      • Cedar Rapids, Iowa, Forenede Stater, 52403
        • Mercy Hospital
      • Cedar Rapids, Iowa, Forenede Stater, 52403
        • Oncology Associates at Mercy Medical Center
      • Clive, Iowa, Forenede Stater, 50325
        • UI Health Care Mission Cancer and Blood - West Des Moines Clinic
      • Council Bluffs, Iowa, Forenede Stater, 51503
        • Alegent Health Mercy Hospital
      • Des Moines, Iowa, Forenede Stater, 50309
        • UI Health Care Mission Cancer and Blood - Des Moines Clinic
      • Des Moines, Iowa, Forenede Stater, 50314
        • UI Health Care Mission Cancer and Blood - Laurel Clinic
      • Fort Dodge, Iowa, Forenede Stater, 50501
        • McFarland Clinic - Trinity Cancer Center
      • Jefferson, Iowa, Forenede Stater, 50129
        • McFarland Clinic - Jefferson
      • Marshalltown, Iowa, Forenede Stater, 50158
        • McFarland Clinic - Marshalltown
      • Waukee, Iowa, Forenede Stater, 50263
        • UI Health Care Mission Cancer and Blood - Waukee Clinic
      • West Des Moines, Iowa, Forenede Stater, 50266
        • The Iowa Clinic PC
    • Kansas
      • Garden City, Kansas, Forenede Stater, 67846
        • Central Care Cancer Center - Garden City
      • Great Bend, Kansas, Forenede Stater, 67530
        • Central Care Cancer Center - Great Bend
      • Pittsburg, Kansas, Forenede Stater, 66762
        • Mercy Hospital Pittsburg
    • Kentucky
      • Bardstown, Kentucky, Forenede Stater, 40004
        • CommonSpirit Saint Joseph Hospital - Bardstown
      • Corbin, Kentucky, Forenede Stater, 40701
        • Commonwealth Cancer Center-Corbin
      • Lexington, Kentucky, Forenede Stater, 40504
        • Saint Joseph Radiation Oncology Resource Center
      • Lexington, Kentucky, Forenede Stater, 40509
        • CommonSpirit Saint Joseph Medical Center - East Lexington
      • Lexington, Kentucky, Forenede Stater, 40504
        • CommonSpirit Saint Joseph Hospital - Lexington
      • London, Kentucky, Forenede Stater, 40741
        • CommonSpirit Saint Joseph Hospital London
      • Mount Sterling, Kentucky, Forenede Stater, 40353
        • CommonSpirit Saint Joseph Hospital Mount Sterling
      • Paducah, Kentucky, Forenede Stater, 42003
        • Mercy Health - Paducah Cancer Center
    • Louisiana
      • Baton Rouge, Louisiana, Forenede Stater, 70809
        • Louisiana Hematology Oncology Associates LLC
      • Baton Rouge, Louisiana, Forenede Stater, 70809
        • Mary Bird Perkins Cancer Center
      • Baton Rouge, Louisiana, Forenede Stater, 70817
        • Louisiana Hematology Oncology Associates
      • Houma, Louisiana, Forenede Stater, 70360
        • Terrebonne General Medical Center
      • Monroe, Louisiana, Forenede Stater, 71202
        • Ochsner LSU Health Monroe Medical Center
      • New Orleans, Louisiana, Forenede Stater, 70121
        • Ochsner Medical Center Jefferson
      • New Orleans, Louisiana, Forenede Stater, 70112
        • University Medical Center New Orleans
      • New Orleans, Louisiana, Forenede Stater, 70112
        • Louisiana State University Health Science Center
      • Shreveport, Louisiana, Forenede Stater, 71103
        • LSU Health Sciences Center at Shreveport
      • Shreveport, Louisiana, Forenede Stater, 71106
        • Ochsner LSU Health - Cancer Treatment Center
    • Maryland
      • Elkton, Maryland, Forenede Stater, 21921
        • Christiana Care - Union Hospital
    • Michigan
      • Alma, Michigan, Forenede Stater, 48801
        • MyMichigan Medical Center Gratiot
      • Alpena, Michigan, Forenede Stater, 49707
        • MyMichigan Medical Center Alpena
      • Ann Arbor, Michigan, Forenede Stater, 48106
        • Trinity Health Saint Joseph Mercy Hospital Ann Arbor
      • Ann Arbor, Michigan, Forenede Stater, 48103
        • Trinity Health IHA - Obstetrics and Gynecology West Arbor
      • Battle Creek, Michigan, Forenede Stater, 49017
        • Bronson Battle Creek
      • Brighton, Michigan, Forenede Stater, 48114
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
      • Brighton, Michigan, Forenede Stater, 48114
        • Trinity Health Medical Center - Brighton
      • Canton, Michigan, Forenede Stater, 48188
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
      • Canton, Michigan, Forenede Stater, 48188
        • Trinity Health Medical Center - Canton
      • Caro, Michigan, Forenede Stater, 48723
        • Caro Cancer Center
      • Chelsea, Michigan, Forenede Stater, 48118
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
      • Chelsea, Michigan, Forenede Stater, 48118
        • Chelsea Hospital
      • Clarkston, Michigan, Forenede Stater, 48346
        • Hematology Oncology Consultants-Clarkston
      • Clarkston, Michigan, Forenede Stater, 48346
        • Newland Medical Associates-Clarkston
      • Detroit, Michigan, Forenede Stater, 48236
        • Henry Ford Health Saint John Hospital
      • East China, Michigan, Forenede Stater, 48054
        • Henry Ford River District Hospital
      • Escanaba, Michigan, Forenede Stater, 49829
        • OSF Saint Francis Hospital and Medical Group
      • Flint, Michigan, Forenede Stater, 48503
        • Hurley Medical Center
      • Flint, Michigan, Forenede Stater, 48503
        • Genesee Hematology Oncology PC
      • Flint, Michigan, Forenede Stater, 48503
        • Genesys Hurley Cancer Institute
      • Flint, Michigan, Forenede Stater, 48503
        • Cancer Hematology Centers - Flint
      • Gladwin, Michigan, Forenede Stater, 48624
        • MyMichigan Medical Center Gladwin
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Trinity Health Grand Rapids Hospital
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Corewell Health Grand Rapids Hospitals - Butterworth Hospital
      • Grand Rapids, Michigan, Forenede Stater, 49503
        • Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Henry Ford Saint John Hospital - Academic
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Henry Ford Saint John Hospital - Breast
      • Grosse Pointe Woods, Michigan, Forenede Stater, 48236
        • Henry Ford Saint John Hospital - Van Elslander
      • Iron Mountain, Michigan, Forenede Stater, 49801
        • Dickinson County Healthcare System
      • Kalamazoo, Michigan, Forenede Stater, 49007
        • West Michigan Cancer Center
      • Kalamazoo, Michigan, Forenede Stater, 49007
        • Bronson Methodist Hospital
      • Kalamazoo, Michigan, Forenede Stater, 49009
        • Beacon Kalamazoo Cancer Center
      • Kalamazoo, Michigan, Forenede Stater, 49048
        • Beacon Kalamazoo
      • Lansing, Michigan, Forenede Stater, 48912
        • University of Michigan Health - Sparrow Lansing
      • Livonia, Michigan, Forenede Stater, 48154
        • Trinity Health Saint Mary Mercy Livonia Hospital
      • Macomb, Michigan, Forenede Stater, 48044
        • Henry Ford Warren Hospital - Breast Macomb
      • Macomb, Michigan, Forenede Stater, 48044
        • Henry Ford Saint John Hospital - Macomb Medical
      • Manistique, Michigan, Forenede Stater, 49854
        • Schoolcraft Memorial Hospital
      • Marlette, Michigan, Forenede Stater, 48453
        • Saint Mary's Oncology/Hematology Associates of Marlette
      • Midland, Michigan, Forenede Stater, 48670
        • MyMichigan Medical Center Midland
      • Mount Pleasant, Michigan, Forenede Stater, 48858
        • MyMichigan Medical Center Mount Pleasant
      • Muskegon, Michigan, Forenede Stater, 49444
        • Trinity Health Muskegon Hospital
      • Niles, Michigan, Forenede Stater, 49120
        • Corewell Health Lakeland Hospitals - Niles Hospital
      • Norton Shores, Michigan, Forenede Stater, 49444
        • Cancer and Hematology Centers of Western Michigan - Norton Shores
      • Pontiac, Michigan, Forenede Stater, 48341
        • Hope Cancer Center
      • Pontiac, Michigan, Forenede Stater, 48341
        • Newland Medical Associates-Pontiac
      • Pontiac, Michigan, Forenede Stater, 48341
        • Trinity Health Saint Joseph Mercy Oakland Hospital
      • Pontiac, Michigan, Forenede Stater, 48341
        • Michigan Healthcare Professionals Pontiac
      • Reed City, Michigan, Forenede Stater, 49677
        • Corewell Health Reed City Hospital
      • Saginaw, Michigan, Forenede Stater, 48604
        • Oncology Hematology Associates of Saginaw Valley PC
      • Saginaw, Michigan, Forenede Stater, 48601
        • MyMichigan Medical Center Saginaw
      • Saint Joseph, Michigan, Forenede Stater, 49085
        • Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
      • Saint Joseph, Michigan, Forenede Stater, 49085
        • Corewell Health Lakeland Hospitals - Saint Joseph Hospital
      • Sterling Heights, Michigan, Forenede Stater, 48312
        • Bhadresh Nayak MD PC-Sterling Heights
      • Tawas City, Michigan, Forenede Stater, 48764
        • MyMichigan Medical Center Tawas
      • Traverse City, Michigan, Forenede Stater, 49684
        • Munson Medical Center
      • Warren, Michigan, Forenede Stater, 48088
        • Advanced Breast Care Center PLLC
      • Warren, Michigan, Forenede Stater, 48093
        • Macomb Hematology Oncology PC
      • Warren, Michigan, Forenede Stater, 48093
        • Henry Ford Madison Heights Hospital - Breast
      • Warren, Michigan, Forenede Stater, 48093
        • Henry Ford Health Warren Hospital
      • Warren, Michigan, Forenede Stater, 48093
        • Henry Ford Warren Hospital - GLCMS
      • West Branch, Michigan, Forenede Stater, 48661
        • Saint Mary's Oncology/Hematology Associates of West Branch
      • Wyoming, Michigan, Forenede Stater, 49519
        • University of Michigan Health - West
      • Ypsilanti, Michigan, Forenede Stater, 48197
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
      • Ypsilanti, Michigan, Forenede Stater, 48106
        • Huron Gastroenterology PC
    • Minnesota
      • Aitkin, Minnesota, Forenede Stater, 56431
        • Riverwood Healthcare Center
      • Baxter, Minnesota, Forenede Stater, 56425
        • Essentia Health - Baxter Clinic
      • Bemidji, Minnesota, Forenede Stater, 56601
        • Sanford Joe Lueken Cancer Center
      • Brainerd, Minnesota, Forenede Stater, 56401
        • Essentia Health Saint Joseph's Medical Center
      • Burnsville, Minnesota, Forenede Stater, 55337
        • Minnesota Oncology - Burnsville
      • Cambridge, Minnesota, Forenede Stater, 55008
        • Cambridge Medical Center
      • Chaska, Minnesota, Forenede Stater, 55318
        • Minnesota Oncology Hematology PA-Chaska
      • Coon Rapids, Minnesota, Forenede Stater, 55433
        • Mercy Hospital
      • Coon Rapids, Minnesota, Forenede Stater, 55433
        • Minnesota Oncology - Coon Rapids
      • Crosslake, Minnesota, Forenede Stater, 56442
        • Essentia Health - Saint Joseph's Crosslake Clinic
      • Deer River, Minnesota, Forenede Stater, 56636
        • Essentia Health - Deer River Clinic
      • Detroit Lakes, Minnesota, Forenede Stater, 56501
        • Essentia Health Saint Mary's - Detroit Lakes Clinic
      • Duluth, Minnesota, Forenede Stater, 55805
        • Essentia Health Cancer Center
      • Duluth, Minnesota, Forenede Stater, 55805
        • Essentia Health Saint Mary's Medical Center
      • Duluth, Minnesota, Forenede Stater, 55805
        • Miller-Dwan Hospital
      • Edina, Minnesota, Forenede Stater, 55435
        • Fairview Southdale Hospital
      • Edina, Minnesota, Forenede Stater, 55435
        • Minnesota Oncology - Edina
      • Ely, Minnesota, Forenede Stater, 55731
        • Essentia Health - Ely Clinic
      • Fosston, Minnesota, Forenede Stater, 56542
        • Essentia Health - Fosston
      • Hibbing, Minnesota, Forenede Stater, 55746
        • Essentia Health Hibbing Clinic
      • International Falls, Minnesota, Forenede Stater, 56649
        • Essentia Health - International Falls Clinic
      • Maple Grove, Minnesota, Forenede Stater, 55369
        • Fairview Clinics and Surgery Center Maple Grove
      • Maple Grove, Minnesota, Forenede Stater, 55369
        • Minnesota Oncology - Maple Grove
      • Maplewood, Minnesota, Forenede Stater, 55109
        • Saint John's Hospital - Healtheast
      • Maplewood, Minnesota, Forenede Stater, 55109
        • Minnesota Oncology Hematology PA-Maplewood
      • Minneapolis, Minnesota, Forenede Stater, 55415
        • Hennepin County Medical Center
      • Minneapolis, Minnesota, Forenede Stater, 55407
        • Abbott-Northwestern Hospital
      • Minneapolis, Minnesota, Forenede Stater, 55454
        • Health Partners Inc
      • Monticello, Minnesota, Forenede Stater, 55362
        • Monticello Cancer Center
      • Moose Lake, Minnesota, Forenede Stater, 55767
        • Essentia Health - Moose Lake Clinic
      • New Ulm, Minnesota, Forenede Stater, 56073
        • New Ulm Medical Center
      • Park Rapids, Minnesota, Forenede Stater, 56470
        • Essentia Health - Park Rapids
      • Pequot Lakes, Minnesota, Forenede Stater, 56472
        • Essentia Health - Saint Joseph's Pequot Lakes Clinic
      • Pine River, Minnesota, Forenede Stater, 56474
        • Essentia Health - Saint Joseph's Pine River Clinic
      • Princeton, Minnesota, Forenede Stater, 55371
        • Fairview Northland Medical Center
      • Robbinsdale, Minnesota, Forenede Stater, 55422
        • North Memorial Medical Health Center
      • Saint Louis Park, Minnesota, Forenede Stater, 55416
        • Park Nicollet Clinic - Saint Louis Park
      • Saint Paul, Minnesota, Forenede Stater, 55101
        • Regions Hospital
      • Saint Paul, Minnesota, Forenede Stater, 55102
        • United Hospital
      • Sandstone, Minnesota, Forenede Stater, 55072
        • Essentia Health Sandstone
      • Shakopee, Minnesota, Forenede Stater, 55379
        • Saint Francis Regional Medical Center
      • Staples, Minnesota, Forenede Stater, 56479
        • Essentia Health - Saint Joseph's Staples Clinic
      • Stillwater, Minnesota, Forenede Stater, 55082
        • Lakeview Hospital
      • Thief River Falls, Minnesota, Forenede Stater, 56701
        • Sanford Thief River Falls Medical Center
      • Virginia, Minnesota, Forenede Stater, 55792
        • Essentia Health Virginia Clinic
      • Waconia, Minnesota, Forenede Stater, 55387
        • Ridgeview Medical Center
      • Willmar, Minnesota, Forenede Stater, 56201
        • Rice Memorial Hospital
      • Woodbury, Minnesota, Forenede Stater, 55125
        • Minnesota Oncology Hematology PA-Woodbury
      • Worthington, Minnesota, Forenede Stater, 56187
        • Sanford Cancer Center Worthington
      • Wyoming, Minnesota, Forenede Stater, 55092
        • Fairview Lakes Medical Center
    • Mississippi
      • Columbus, Mississippi, Forenede Stater, 39705
        • Baptist Memorial Hospital and Cancer Center-Golden Triangle
      • Grenada, Mississippi, Forenede Stater, 38901
        • Baptist Cancer Center-Grenada
      • Gulfport, Mississippi, Forenede Stater, 39502
        • Gulfport Memorial Hospital
      • Jackson, Mississippi, Forenede Stater, 39202
        • Mississippi Baptist Medical Center
      • New Albany, Mississippi, Forenede Stater, 38652
        • Baptist Memorial Hospital and Cancer Center-Union County
      • Oxford, Mississippi, Forenede Stater, 38655
        • Baptist Memorial Hospital and Cancer Center-Oxford
      • Southhaven, Mississippi, Forenede Stater, 38671
        • Baptist Memorial Hospital and Cancer Center-Desoto
    • Missouri
      • Ballwin, Missouri, Forenede Stater, 63011
        • Mercy Oncology and Hematology - Clayton-Clarkson
      • Bolivar, Missouri, Forenede Stater, 65613
        • Central Care Cancer Center - Bolivar
      • Branson, Missouri, Forenede Stater, 65616
        • Cox Cancer Center Branson
      • Cape Girardeau, Missouri, Forenede Stater, 63703
        • Mercy Cancer Center - Cape Girardeau
      • Joplin, Missouri, Forenede Stater, 64804
        • Freeman Health System
      • Joplin, Missouri, Forenede Stater, 64804
        • Mercy Hospital Joplin
      • Osage Beach, Missouri, Forenede Stater, 65065
        • Lake Regional Hospital
      • Rolla, Missouri, Forenede Stater, 65401
        • Mercy Clinic-Rolla-Cancer and Hematology
      • Rolla, Missouri, Forenede Stater, 65401
        • Phelps Health Delbert Day Cancer Institute
      • Saint Joseph, Missouri, Forenede Stater, 64506
        • Heartland Regional Medical Center
      • Springfield, Missouri, Forenede Stater, 65807
        • CoxHealth South Hospital
      • Springfield, Missouri, Forenede Stater, 65804
        • Mercy Hospital Springfield
      • St Louis, Missouri, Forenede Stater, 63109
        • Mercy Infusion Center - Chippewa
      • St Louis, Missouri, Forenede Stater, 63141
        • Mercy Hospital Saint Louis
      • St Louis, Missouri, Forenede Stater, 63128
        • Mercy Hospital South
      • Washington, Missouri, Forenede Stater, 63090
        • Mercy Hospital Washington
    • Montana
      • Anaconda, Montana, Forenede Stater, 59711
        • Community Hospital of Anaconda
      • Billings, Montana, Forenede Stater, 59101
        • Billings Clinic Cancer Center
      • Bozeman, Montana, Forenede Stater, 59715
        • Bozeman Health Deaconess Hospital
      • Great Falls, Montana, Forenede Stater, 59405
        • Great Falls Clinic
      • Great Falls, Montana, Forenede Stater, 59405
        • Benefis Sletten Cancer Institute
      • Havre, Montana, Forenede Stater, 59501
        • Hi-Line Sletten Cancer Center
      • Helena, Montana, Forenede Stater, 59601
        • Benefis Helena Specialty Center
      • Kalispell, Montana, Forenede Stater, 59901
        • Logan Health Medical Center
      • Missoula, Montana, Forenede Stater, 59804
        • Community Medical Center
    • Nebraska
      • Grand Island, Nebraska, Forenede Stater, 68803
        • CHI Health Saint Francis
      • Kearney, Nebraska, Forenede Stater, 68847
        • CHI Health Good Samaritan
      • Lincoln, Nebraska, Forenede Stater, 68510
        • Saint Elizabeth Regional Medical Center
      • Omaha, Nebraska, Forenede Stater, 68124
        • Alegent Health Bergan Mercy Medical Center
      • Omaha, Nebraska, Forenede Stater, 68122
        • Alegent Health Immanuel Medical Center
      • Omaha, Nebraska, Forenede Stater, 68130
        • Alegent Health Lakeside Hospital
      • Papillion, Nebraska, Forenede Stater, 68046
        • Midlands Community Hospital
    • Nevada
      • Carson City, Nevada, Forenede Stater, 89703
        • Carson Tahoe Regional Medical Center
      • Henderson, Nevada, Forenede Stater, 89052
        • Comprehensive Cancer Centers of Nevada - Henderson
      • Henderson, Nevada, Forenede Stater, 89052
        • Cancer and Blood Specialists-Henderson
      • Henderson, Nevada, Forenede Stater, 89074
        • Comprehensive Cancer Centers of Nevada-Southeast Henderson
      • Henderson, Nevada, Forenede Stater, 89052
        • Comprehensive Cancer Centers of Nevada-Horizon Ridge
      • Henderson, Nevada, Forenede Stater, 89074
        • Las Vegas Urology - Green Valley
      • Henderson, Nevada, Forenede Stater, 89074
        • Las Vegas Urology - Pebble
      • Henderson, Nevada, Forenede Stater, 89074
        • Urology Specialists of Nevada - Green Valley
      • Henderson, Nevada, Forenede Stater, 89074
        • Oncology Las Vegas - Henderson
      • Las Vegas, Nevada, Forenede Stater, 89144
        • Summerlin Hospital Medical Center
      • Las Vegas, Nevada, Forenede Stater, 89109
        • Sunrise Hospital and Medical Center
      • Las Vegas, Nevada, Forenede Stater, 89102
        • OptumCare Cancer Care at Charleston
      • Las Vegas, Nevada, Forenede Stater, 89106
        • Radiation Oncology Centers of Nevada Central
      • Las Vegas, Nevada, Forenede Stater, 89119
        • Radiation Oncology Centers of Nevada Southeast
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Comprehensive Cancer Centers of Nevada - Northwest
      • Las Vegas, Nevada, Forenede Stater, 89128
        • OptumCare Cancer Care at MountainView
      • Las Vegas, Nevada, Forenede Stater, 89135
        • Alliance for Childhood Diseases/Cure 4 the Kids Foundation
      • Las Vegas, Nevada, Forenede Stater, 89144
        • Comprehensive Cancer Centers of Nevada - Town Center
      • Las Vegas, Nevada, Forenede Stater, 89144
        • Comprehensive Cancer Centers of Nevada-Summerlin
      • Las Vegas, Nevada, Forenede Stater, 89148
        • Comprehensive Cancer Centers of Nevada
      • Las Vegas, Nevada, Forenede Stater, 89169
        • Comprehensive Cancer Centers of Nevada - Central Valley
      • Las Vegas, Nevada, Forenede Stater, 89102
        • University Medical Center of Southern Nevada
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Ann M Wierman MD LTD
      • Las Vegas, Nevada, Forenede Stater, 89074
        • Las Vegas Urology - Pecos
      • Las Vegas, Nevada, Forenede Stater, 89103
        • Hope Cancer Care of Nevada
      • Las Vegas, Nevada, Forenede Stater, 89106
        • Urology Specialists of Nevada - Central
      • Las Vegas, Nevada, Forenede Stater, 89113
        • Las Vegas Prostate Cancer Center
      • Las Vegas, Nevada, Forenede Stater, 89113
        • Las Vegas Urology - Sunset
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Las Vegas Urology - Cathedral Rock
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Las Vegas Urology - Smoke Ranch
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Urology Specialists of Nevada - Northwest
      • Las Vegas, Nevada, Forenede Stater, 89169
        • University Cancer Center
      • Las Vegas, Nevada, Forenede Stater, 89113
        • Urology Specialists of Nevada - Southwest
      • Las Vegas, Nevada, Forenede Stater, 89128
        • Oncology Las Vegas - Tenaya
      • Las Vegas, Nevada, Forenede Stater, 89183
        • OptumCare Cancer Care at Fort Apache
      • Pahrump, Nevada, Forenede Stater, 89048
        • Hope Cancer Care of Nevada-Pahrump
      • Reno, Nevada, Forenede Stater, 89502
        • Renown Regional Medical Center
      • Reno, Nevada, Forenede Stater, 89503
        • Saint Mary's Regional Medical Center
      • Reno, Nevada, Forenede Stater, 89509
        • Radiation Oncology Associates
    • New Jersey
      • Hackettstown, New Jersey, Forenede Stater, 07840
        • Hackettstown Medical Center
      • Morristown, New Jersey, Forenede Stater, 07960
        • Morristown Medical Center
      • Newton, New Jersey, Forenede Stater, 07860
        • Newton Medical Center
      • Pompton, New Jersey, Forenede Stater, 07444
        • Chilton Medical Center
      • Summit, New Jersey, Forenede Stater, 07902
        • Overlook Hospital
    • New Mexico
      • Albuquerque, New Mexico, Forenede Stater, 87106
        • University of New Mexico Cancer Center
    • New York
      • Brooklyn, New York, Forenede Stater, 11219
        • Maimonides Medical Center
      • East Hills, New York, Forenede Stater, 11548
        • The Cancer Institute at Saint Francis Hospital
      • The Bronx, New York, Forenede Stater, 10461
        • Montefiore Medical Center-Einstein Campus
      • The Bronx, New York, Forenede Stater, 10467
        • Montefiore Medical Center - Moses Campus
      • The Bronx, New York, Forenede Stater, 10461
        • Montefiore Medical Center-Weiler Hospital
      • West Islip, New York, Forenede Stater, 11795
        • Good Samaritan University Hospital
    • North Carolina
      • Gastonia, North Carolina, Forenede Stater, 28054
        • CaroMont Regional Medical Center
      • Hendersonville, North Carolina, Forenede Stater, 28791
        • Margaret R Pardee Memorial Hospital
      • Lincolnton, North Carolina, Forenede Stater, 28092
        • CaroMont Health - Lincoln Cancer Center
    • North Dakota
      • Bismarck, North Dakota, Forenede Stater, 58501
        • Sanford Bismarck Medical Center
      • Fargo, North Dakota, Forenede Stater, 58122
        • Sanford Roger Maris Cancer Center
      • Fargo, North Dakota, Forenede Stater, 58103
        • Essentia Health Cancer Center-South University Clinic
      • Fargo, North Dakota, Forenede Stater, 58122
        • Sanford Broadway Medical Center
      • Fargo, North Dakota, Forenede Stater, 58103
        • Sanford South University Medical Center
      • Fargo, North Dakota, Forenede Stater, 58103
        • Southpointe-Sanford Medical Center Fargo
      • Fargo, North Dakota, Forenede Stater, 58104
        • Sanford Medical Center Fargo
      • Jamestown, North Dakota, Forenede Stater, 58401
        • Essentia Health - Jamestown Clinic
    • Ohio
      • Beavercreek, Ohio, Forenede Stater, 45431
        • Indu and Raj Soin Medical Center
      • Boardman, Ohio, Forenede Stater, 44512
        • Saint Elizabeth Boardman Hospital
      • Centerville, Ohio, Forenede Stater, 45459
        • Dayton Physicians LLC-Miami Valley South
      • Cincinnati, Ohio, Forenede Stater, 45220
        • Good Samaritan Hospital - Cincinnati
      • Cincinnati, Ohio, Forenede Stater, 45242
        • Bethesda North Hospital
      • Cincinnati, Ohio, Forenede Stater, 45236
        • Oncology Hematology Care Inc-Kenwood
      • Cincinnati, Ohio, Forenede Stater, 45247
        • TriHealth Cancer Institute-Westside
      • Cincinnati, Ohio, Forenede Stater, 45255
        • TriHealth Cancer Institute-Anderson
      • Dayton, Ohio, Forenede Stater, 45415
        • Dayton Physician LLC - Englewood
      • Findlay, Ohio, Forenede Stater, 45840
        • Blanchard Valley Hospital
      • Findlay, Ohio, Forenede Stater, 45840
        • Armes Family Cancer Center
      • Findlay, Ohio, Forenede Stater, 45840
        • Orion Cancer Care
      • Franklin, Ohio, Forenede Stater, 45005
        • Dayton Physicians LLC-Atrium
      • Greenville, Ohio, Forenede Stater, 45331
        • Wayne Hospital
      • Greenville, Ohio, Forenede Stater, 45331
        • Dayton Physicians LLC-Wayne
      • Kettering, Ohio, Forenede Stater, 45429
        • Kettering Medical Center
      • Kettering, Ohio, Forenede Stater, 45409
        • Greater Dayton Cancer Center
      • Troy, Ohio, Forenede Stater, 45373
        • Dayton Physicians LLC - Troy
      • Warren, Ohio, Forenede Stater, 44484
        • Saint Joseph Warren Hospital
      • Youngstown, Ohio, Forenede Stater, 44501
        • Saint Elizabeth Youngstown Hospital
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73120
        • Mercy Hospital Oklahoma City
    • Oregon
      • Baker City, Oregon, Forenede Stater, 97814
        • Saint Alphonsus Cancer Care Center-Baker City
      • Ontario, Oregon, Forenede Stater, 97914
        • Saint Alphonsus Cancer Care Center-Ontario
    • Pennsylvania
      • Allentown, Pennsylvania, Forenede Stater, 18103
        • Lehigh Valley Hospital-Cedar Crest
      • Bethlehem, Pennsylvania, Forenede Stater, 18017
        • Lehigh Valley Hospital - Muhlenberg
      • Chadds Ford, Pennsylvania, Forenede Stater, 19317
        • Christiana Care Health System-Concord Health Center
      • Danville, Pennsylvania, Forenede Stater, 17822
        • Geisinger Medical Center
      • Dickson City, Pennsylvania, Forenede Stater, 18519
        • Geisinger Cancer Center Dickson City
      • East Stroudsburg, Pennsylvania, Forenede Stater, 18301
        • Pocono Medical Center
      • Hazleton, Pennsylvania, Forenede Stater, 18201
        • Geisinger Medical Center-Cancer Center Hazleton
      • Hazleton, Pennsylvania, Forenede Stater, 18201
        • Lehigh Valley Hospital-Hazleton
      • Lewisburg, Pennsylvania, Forenede Stater, 17837
        • Geisinger Medical Oncology-Lewisburg
      • Pottsville, Pennsylvania, Forenede Stater, 17901
        • Geisinger Cancer Services-Pottsville
      • Scranton, Pennsylvania, Forenede Stater, 18510
        • Community Medical Center
      • Wilkes-Barre, Pennsylvania, Forenede Stater, 18711
        • Geisinger Wyoming Valley/Henry Cancer Center
    • South Carolina
      • Bluffton, South Carolina, Forenede Stater, 29910
        • Saint Joseph's/Candler - Bluffton Campus
      • Greenville, South Carolina, Forenede Stater, 29607
        • Saint Francis Cancer Center
      • Greenville, South Carolina, Forenede Stater, 29601
        • Saint Francis Hospital
      • Hilton Head Island, South Carolina, Forenede Stater, 29926-3827
        • South Carolina Cancer Specialists PC
    • South Dakota
      • 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
    • Tennessee
      • Bristol, Tennessee, Forenede Stater, 37620
        • Bristol Regional Medical Center
      • Collierville, Tennessee, Forenede Stater, 38017
        • Baptist Memorial Hospital and Cancer Center-Collierville
      • Johnson City, Tennessee, Forenede Stater, 37604
        • Regional Cancer Center at Johnson City Medical Center
      • Kingsport, Tennessee, Forenede Stater, 37660
        • Ballad Health Cancer Care - Kingsport
      • Kingsport, Tennessee, Forenede Stater, 37660
        • Wellmont Holston Valley Hospital and Medical Center
      • Memphis, Tennessee, Forenede Stater, 38120
        • Baptist Memorial Hospital and Cancer Center-Memphis
      • Memphis, Tennessee, Forenede Stater, 38120
        • Baptist Memorial Hospital for Women
    • Virginia
      • Bristol, Virginia, Forenede Stater, 24201
        • Ballad Health Cancer Care - Bristol
      • Mechanicsville, Virginia, Forenede Stater, 23116
        • Bon Secours Memorial Regional Medical Center
      • Midlothian, Virginia, Forenede Stater, 23114
        • Bon Secours Saint Francis Medical Center
      • Midlothian, Virginia, Forenede Stater, 23113
        • Bon Secours Westchester Emergency Center
      • Norton, Virginia, Forenede Stater, 24273
        • Ballad Health Cancer Care - Norton
      • Richmond, Virginia, Forenede Stater, 23235
        • VCU Massey Cancer Center at Stony Point
      • Richmond, Virginia, Forenede Stater, 23226
        • Bon Secours Saint Mary's Hospital
      • Richmond, Virginia, Forenede Stater, 23230
        • Bon Secours Cancer Institute at Reynolds Crossing
      • Richmond, Virginia, Forenede Stater, 23223
        • Bon Secours Richmond Community Hospital
      • Richmond, Virginia, Forenede Stater, 23298
        • VCU Massey Comprehensive Cancer Center
      • South Hill, Virginia, Forenede Stater, 23970
        • VCU Community Memorial Health Center
      • Winchester, Virginia, Forenede Stater, 22601
        • Shenandoah Oncology PC
    • Washington
      • Port Townsend, Washington, Forenede Stater, 98368
        • Jefferson Healthcare
      • Renton, Washington, Forenede Stater, 98055
        • Valley Medical Center
      • Silverdale, Washington, Forenede Stater, 98383
        • Saint Joseph Medical Center Hematology and Oncology - Silverdale
      • Yakima, Washington, Forenede Stater, 98902
        • North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
    • Wisconsin
      • Appleton, Wisconsin, Forenede Stater, 54911
        • ThedaCare Regional Cancer Center
      • Appleton, Wisconsin, Forenede Stater, 54915
        • Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton
      • Ashland, Wisconsin, Forenede Stater, 54806
        • Duluth Clinic Ashland
      • Ashland, Wisconsin, Forenede Stater, 54806
        • Northwest Wisconsin Cancer Center
      • Berlin, Wisconsin, Forenede Stater, 54923
        • ThedaCare Cancer Care - Berlin
      • Brookfield, Wisconsin, Forenede Stater, 53045
        • Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield
      • Burlington, Wisconsin, Forenede Stater, 53105
        • Aurora Cancer Care-Southern Lakes VLCC
      • Chilton, Wisconsin, Forenede Stater, 53014
        • Ascension Calumet Hospital-Chilton
      • Chippewa Falls, Wisconsin, Forenede Stater, 54729
        • Marshfield Clinic-Chippewa Center
      • Cudahy, Wisconsin, Forenede Stater, 53110
        • Aurora Saint Luke's South Shore
      • Eau Claire, Wisconsin, Forenede Stater, 54701
        • Marshfield Medical Center-EC Cancer Center
      • Franklin, Wisconsin, Forenede Stater, 53132
        • Ascension Southeast Wisconsin Hospital - Franklin
      • Franklin, Wisconsin, Forenede Stater, 53132
        • Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson
      • Germantown, Wisconsin, Forenede Stater, 53022
        • Aurora Health Care Germantown Health Center
      • 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
      • Hayward, Wisconsin, Forenede Stater, 54843
        • Essentia Health-Hayward Clinic
      • Hayward, Wisconsin, Forenede Stater, 54843
        • Tamarack Health Hayward Medical Center
      • Kenosha, Wisconsin, Forenede Stater, 53142
        • Aurora Cancer Care-Kenosha South
      • Ladysmith, Wisconsin, Forenede Stater, 54848
        • Marshfield Medical Center - Ladysmith
      • Marinette, Wisconsin, Forenede Stater, 54143
        • Aurora Bay Area Medical Group-Marinette
      • Marshfield, Wisconsin, Forenede Stater, 54449
        • Marshfield Medical Center-Marshfield
      • Mequon, Wisconsin, Forenede Stater, 53097
        • Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
      • Milwaukee, Wisconsin, Forenede Stater, 53209
        • Aurora Cancer Care-Milwaukee
      • Milwaukee, Wisconsin, Forenede Stater, 53215
        • Aurora Saint Luke's Medical Center
      • Milwaukee, Wisconsin, Forenede Stater, 53233
        • Aurora Sinai Medical Center
      • Milwaukee, Wisconsin, Forenede Stater, 53210
        • Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee
      • Milwaukee, Wisconsin, Forenede Stater, 53211
        • Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
      • Milwaukee, Wisconsin, Forenede Stater, 53215
        • Ascension Saint Francis Hospital-Milwaukee
      • Minocqua, Wisconsin, Forenede Stater, 54548
        • Marshfield Medical Center - Minocqua
      • Neenah, Wisconsin, Forenede Stater, 54956
        • ThedaCare Regional Medical Center - Neenah
      • Neillsville, Wisconsin, Forenede Stater, 54456
        • Marshfield Medical Center - Neillsville
      • New London, Wisconsin, Forenede Stater, 54961
        • ThedaCare Cancer Care - New London
      • New Richmond, Wisconsin, Forenede Stater, 54017
        • Cancer Center of Western Wisconsin
      • Oconto Falls, Wisconsin, Forenede Stater, 54154
        • Saint Vincent Hospital Cancer Center at Oconto Falls
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Vince Lombardi Cancer Clinic - Oshkosh
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • ThedaCare Cancer Care - Oshkosh
      • Oshkosh, Wisconsin, Forenede Stater, 54904
        • Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh
      • Racine, Wisconsin, Forenede Stater, 53406
        • Aurora Cancer Care-Racine
      • Racine, Wisconsin, Forenede Stater, 53405
        • Ascension All Saints Hospital-Spring Street-Racine
      • Rice Lake, Wisconsin, Forenede Stater, 54868
        • Marshfield Medical Center-Rice Lake
      • Shawano, Wisconsin, Forenede Stater, 54166
        • ThedaCare Cancer Care - Shawano
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Vince Lombardi Cancer Clinic-Sheboygan
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Saint Vincent Hospital Cancer Center at Sheboygan
      • Sheboygan, Wisconsin, Forenede Stater, 53081
        • Sheboygan Physicians Group
      • Spooner, Wisconsin, Forenede Stater, 54801
        • Essentia Health-Spooner Clinic
      • Stevens Point, Wisconsin, Forenede Stater, 54482
        • Marshfield Medical Center-River Region at 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
      • Superior, Wisconsin, Forenede Stater, 54880
        • Essentia Health Saint Mary's Hospital - Superior
      • Two Rivers, Wisconsin, Forenede Stater, 54241
        • Vince Lombardi Cancer Clinic-Two Rivers
      • Waupaca, Wisconsin, Forenede Stater, 54981
        • ThedaCare Cancer Care - Waupaca
      • Wausau, Wisconsin, Forenede Stater, 54401
        • Marshfield Clinic-Wausau Center
      • Wauwatosa, Wisconsin, Forenede Stater, 53226
        • Aurora Cancer Care-Milwaukee West
      • Wauwatosa, Wisconsin, Forenede Stater, 53226
        • Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa
      • West Allis, Wisconsin, Forenede Stater, 53227
        • Aurora West Allis Medical Center
      • Weston, Wisconsin, Forenede Stater, 54476
        • Marshfield Medical Center - Weston
      • Wisconsin Rapids, Wisconsin, Forenede Stater, 54494
        • Marshfield Clinic - Wisconsin Rapids Center
    • Wyoming
      • Cheyenne, Wyoming, Forenede Stater, 82001
        • Cheyenne Regional Medical Center-West
      • Cheyenne, Wyoming, Forenede Stater, 82001
        • Memorial Hospital of Laramie County
      • Cody, Wyoming, Forenede Stater, 82414
        • Billings Clinic-Cody
      • Sheridan, Wyoming, Forenede Stater, 82801
        • Welch Cancer Center
  • Puerto Rico
      • Bayamón, Puerto Rico, 00959-5060
        • Cancer Center-Metro Medical Center Bayamon
      • Bayamón, Puerto Rico, 00961
        • Puerto Rico Hematology Oncology Group
      • Manati, Puerto Rico, 00674
        • Doctors Cancer Center
      • San Juan, Puerto Rico, 00917
        • San Juan Community Oncology Group
      • San Juan, Puerto Rico, 00927
        • Centro Comprensivo de Cancer de UPR
      • San Juan, Puerto Rico, 00936
        • San Juan City Hospital
      • San Juan, Puerto Rico, 00927
        • PROncology

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

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inklusionskriterier:

  • IKKE-PATIENT: Deltagerne skal være en onkologisk sundhedsudbyder (dvs. onkolog, avanceret praksisudbyder eller onkologisk sygeplejerske)
  • IKKE-PATIENT: Deltagerne skal have taget sig af mindst én patient randomiseret til arm B (CONCURxP), som havde mindre end 85 % adhærensrate efter 12 måneder målt med WiseBag
  • IKKE-PATIENT: Deltager skal tale engelsk
  • IKKE-PATIENT: Deltageren skal være ansat på et National Cancer Institute Community Oncology Research Program (NCORP)-sted i mindst 6 måneder
  • IKKE-PATIENT: Deltageren skal kunne give informeret samtykke for at deltage i denne undersøgelse
  • PATIENT TRIN 0: Patienten skal være >= 18 år gammel
  • PATIENT TRIN 0: Patienten skal være flydende i skriftlig og tale engelsk ELLER patienten skal være flydende i skriftlig og talt spansk
  • PATIENT TRIN 0: Patienten skal have ny eller etableret patologisk dokumenteret hormonreceptor (HR)+ HER2-metastatisk brystkræft på tidspunktet for trin 0

  • PATIENT TRIN 0: Patienten skal have påbegyndt en af ​​CKD4/6-hæmmerne (palbociclib eller Ibrance, ribociclib eller Kisqali, abemaciclib eller Verzenio) inden for 30 dage før samtykke til trin 0 eller have modtaget en receptordre med erklæret hensigt om at starte inden for 30 dage. dage efter trin 0 samtykke

    • BEMÆRK: Patienter, der tidligere er blevet behandlet med andre kræftbehandlinger end CDK4/6-hæmmere, er kvalificerede
    • BEMÆRK: CDK4/6-hæmmere skal leveres/leveres som en enkelt agent blisterpakning. Hvis medicinen leveres som kapsler i en pilleflaske (f.eks. Ibrance-kapsler), er patienten ikke kvalificeret
    • BEMÆRK: Ribociclib (Kisgali) og abemaciclib (Verzenio) er kun tilgængelige i blisterpakninger. Palbociclib (Ibrance) er den eneste CDK4/6-hæmmer, der muligvis er tilgængelig i en kapselformulering. Dette er dog en forældet formulering og ordineres sjældent som en ny start. Formatet for bestilt palbociclib kan bestemmes baseret på receptordren
  • PATIENTTRIN 0: Patienter må ikke tidligere have været behandlet med nogen af ​​følgende CDK4/6-hæmmere: Palbociclib eller Ibrance, ribociclib eller Kisqali og abemaciclib eller Verzenio
  • PATIENT TRIN 0: Patienter må ikke allerede være optaget i et terapeutisk klinisk forsøg, der overvåger CDK4/6-hæmmere
  • PATIENT TRIN 0: Patienten skal bekræfte, at de har til hensigt at modtage deres pleje eller overvågning på et NCORP-sted

  • PATIENT TRIN 0: Patienten skal have en personlig mobiltelefon, hvori de er i stand til og villige til at sende og modtage tekstbeskeder

    • BEMÆRK: Begrænsningen til dem med mobiltelefonadgang med tekstbeskeder er baseret på den primære hensigt med undersøgelsen, som involverer brugen af ​​tekstbeskeder for at forbedre overholdelse

  • PATIENT TRIN 0: Patienten skal have en e-mailadresse

    • BEMÆRK: Begrænsningen til dem med en e-mailadresse er baseret på den primære hensigt med undersøgelsen, som involverer patienter, der svarer på spørgsmål vedrørende deres årsager til manglende overholdelse efter hver glemt dosis for at forbedre overholdelse

  • PATIENT TRIN 0: Patienten skal have evnen til at forstå og være villig til at underskrive et skriftligt informeret samtykkedokument

    • BEMÆRK: Patienter med nedsat beslutningsevne (IDMC), som har en juridisk autoriseret repræsentant (LAR) eller omsorgsperson og/eller familiemedlem til rådighed, er ikke kvalificerede
  • PATIENT TRIN 0: Patienten må ikke have en Eastern Cooperative Oncology Group (ECOG) præstationsstatus >= 3 ELLER patienten må ikke anses for medicinsk ude af stand til at deltage i undersøgelsen af ​​undersøgelsens efterforskere eller en onkologisk kliniker (dvs. henvisning til hospice)

  • PATIENT TRIN 0: Patienten må ikke tilmeldes andre forsøg, der tilbyder økonomisk bistand

    • BEMÆRK: Gavekort til udførelse af undersøgelse, parkeringskort eller gratis medicin leveret som en del af terapeutiske forsøg betragtes ikke som økonomisk bistand
  • PATIENT TRIN 1: Patienten skal opfylde alle berettigelseskriterierne for Trin 0
  • PATIENT TRIN 1: Patienten skal have underskrevet en skriftlig informeret samtykkeerklæring
  • PATIENT TRIN 1: Patienten skal have gennemført baseline undersøgelse inden for 30 dage efter datoen for trin 0 registrering
  • PATIENT TRIN 1: Patienter skal have startet deres CDK 4/6-hæmmere inden for 30 dage efter datoen for trin 0-registrering

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

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

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: ARM A (Forbedret sædvanlig pleje)
Patienter bruger WiseBag medicindispenser og får adgang til undervisningsmateriale hver 4. uge over 12 måneder.
Andet: Undersøgelsesadministration
Hjælpestudier
Andet: Gennemgang af elektronisk sygejournal
Hjælpestudier
Andet: Sundhedsfremme og uddannelse
Få adgang til undervisningsmateriale
Procedure: Sundhed Telemonitorering
Brug WiseBag-medicindispenseren
Eksperimentel: ARM B (CONCURxP-program)
Patienter bruger WiseBag medicindispenser og modtager personlige SMS-påmindelser, medicinsporing og opfølgning fra sundhedsudbydere som en del af CONCURxP-platformen over 12 måneder. Patienter kan gennemføre et interview over 20-30 minutter inden for 6 måneder efter undersøgelsens afslutning.
Andet: Undersøgelsesadministration
Hjælpestudier
Andet: Gennemgang af elektronisk sygejournal
Hjælpestudier
Adfærdsmæssigt: Patientnavigation
Modtag sundhedsplejerske opfølgninger som en del af CONCURxP-programmet
Andre navne:
  • Patient Navigator Program
Andet: Tekstmeddelelsesbaseret navigationsintervention
Modtag personlige SMS-påmindelser relateret til deres medicinsporing som en del af CONCURxP-programmet
Andre navne:
  • Automatiseret SMS-baseret navigation
  • SMS-baseret navigation
Procedure: Sundhed Telemonitorering
Brug WiseBag-medicindispenseren

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adherence using electronic monitoring
Tidsramme: At 12 months after randomization
For each arm, mean and standard deviation (SD) adherence rates for all patients will be calculated. A two-sample t-test will be used to compare CDK4/6 inhibitor (CDK4/6i) adherence between the two arms at 12 months.
At 12 months after randomization

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Adherence using self-report
Tidsramme: At 12 months after randomization
Using the12-item Patient Reported Outcomes Measurement Information System (PROMIS) Medication Adherence Scale compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization
CDK4/6i persistence
Tidsramme: At 12 months after randomization
Defined as duration from randomization to discontinuation of medication against medical advice, measured as the number of days from randomization until the first day of a gap that is 30 days or longer. For each arm, mean days of persistence, and the proportion of patients who discontinue the medication earlier than 12-month will be calculated and compared between the two arms using the two-sample t-test and chi-squared test, respectively.
At 12 months after randomization
Symptom burden
Tidsramme: At 12 months after randomization
Using the 16-item National-Comprehensive Cancer Network Functional Assessment of Cancer Therapy Breast Cancer Symptom index compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization
Quality of life
Tidsramme: At 12 months after randomization
Using the PROMIS-10- version (v)1.2-Global Health compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization
Patient-provider communication
Tidsramme: At 12 months after randomization
Using the Consumer Assessment of Healthcare Providers and Systems compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization
Self-efficacy for managing symptoms
Tidsramme: At 12 months after randomization
Using PROMIS Item Bank v1.0 - Self-Efficacy for Managing Symptoms compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization
Financial worry
Tidsramme: At 12 months after randomization
Using the Comprehensive Score for Financial Toxicity compare mean score and changes in mean scores (from baseline) at each time point between the arms using two-sample t-tests.
At 12 months after randomization

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Longitudinal changes of patient-reported outcomes
Tidsramme: From randomization to 12 months
Generalized estimating equation will be used to assess the longitudinal change over time.
From randomization to 12 months
Healthcare utilization
Tidsramme: At 12 months after randomization
The difference of healthcare utilization between two arms will first be evaluated using the two sample t test for the continuous variables (e.g., length of stay or number of emergency department visits), and then be modeled through the regressions to allow for the control of other covariates if needed.
At 12 months after randomization
CONCURxP arm patients and their provider experience
Tidsramme: Up to 12 months
Will measure portal usability using patient-reported survey and will report mean and SD. For qualitative interviews, will use conventional content analysis methods.
Up to 12 months

Samarbejdspartnere og efterforskere

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

Sponsor

ECOG-ACRIN Cancer Research Group

Samarbejdspartnere

National Cancer Institute (NCI)

Efterforskere

  • Ledende efterforsker: Gelareh Sadigh, ECOG-ACRIN Cancer Research Group

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

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)

2. april 2024

Primær færdiggørelse (Anslået)

22. september 2027

Studieafslutning (Anslået)

22. september 2027

Datoer for studieregistrering

Først indsendt

10. oktober 2023

Først indsendt, der opfyldte QC-kriterier

27. oktober 2023

Først opslået (Faktiske)

1. november 2023

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

4. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • EAQ221CD (Anden identifikator: CTEP)
  • UG1CA189828 (U.S. NIH-bevilling/kontrakt)
  • NCI-2023-02646 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
  • ECOG-ACRIN-EAQ221CD (Anden identifikator: DCP)
  • R01CA262312 (U.S. NIH-bevilling/kontrakt)

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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 .

Abonner