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Programma di supporto aggiuntivo tramite messaggi di testo e consulenza telefonica per pazienti con cancro al seno che ricevono terapia ormonale

16 ottobre 2026 aggiornato da: Alliance for Clinical Trials in Oncology

Ottimizzazione della terapia endocrina attraverso colloqui motivazionali e interventi testuali

This phase III trial compares an additional support program (text message reminders and/or telephone-based counseling) with usual care in making sure breast cancer patients take their endocrine therapy medication as prescribed (medication adherence). Medication adherence is how well patients take the medication as prescribed by their doctors, and good medical adherence is when patients take medications correctly. Poor medication adherence has been shown to be a serious barrier to effective treatment for hormone receptor positive breast cancer patients. Adding text message reminders and/or telephone-based counseling to usual care may increase the number of days that patients take their endocrine therapy medication as prescribed.

Panoramica dello studio

Stato

Attivo, non reclutante

Condizioni

Intervento / Trattamento

Descrizione dettagliata

PRIMARY OBJECTIVES:

I. Compare endocrine therapy (ET) adherence at 12 months in diverse women exposed to text message reminders (TMR)-only, telephone-based motivational interviewing counseling (MI)-only, or both (TMR+MI), versus usual care.

SECONDARY OBJECTIVES:

l. Compare endocrine therapy (ET) adherence at 24 months in diverse women exposed to text message reminders (TMR)-only, telephone-based motivational interviewing counseling (MI)-only, or both (TMR+MI), versus usual care.

OUTLINE: Patients are randomized to 1 of 4 arms.

ARM I (TMR): Patients receive online educational information about ET at the start of their ET medication. Patients also receive daily text message reminders to take their ET medication and monthly text messages about how they are doing with taking their ET medication. These text messages continue for 9 months.

ARM II (MI): Patients receive online educational information about ET at the start of their ET medication. Patients also receive a total of 5 motivational interviewing counseling sessions via telephone over 30-90 minutes for up to 9 months. These sessions are designed to support patients while they take their ET medication, develop health goals, and stay on track in achieving those goals.

ARM III (TMR + MI): Patients receive online educational information about ET at the start of their ET medication. Patients also receive text messages as in Arm I and motivational interviewing counseling sessions as in Arm II.

ARM IV (ENHANCED USUAL CARE): Patients attend usual care clinic visits every 3-6 months and receive online educational information about ET at the start of their ET medication. Patients also receive optional online information about living a healthy life after breast cancer.

After completion of study participation, patients are followed up for up to 24 months.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

1167

Fase

Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

Stati Uniti
- Alabama
  - Birmingham, Alabama, Stati Uniti, 35233
    - University of Alabama at Birmingham Cancer Center
- Alaska
  - Fairbanks, Alaska, Stati Uniti, 99701
    - Fairbanks Memorial Hospital
- Arizona
  - Gilbert, Arizona, Stati Uniti, 85297
    - Arizona Center for Cancer Care - Gilbert
  - Peoria, Arizona, Stati Uniti, 85381
    - Arizona Center for Cancer Care-Peoria
  - Phoenix, Arizona, Stati Uniti, 85004
    - Cancer Center at Saint Joseph's
  - Phoenix, Arizona, Stati Uniti, 85027
    - Arizona Center for Cancer Care - Phoenix
  - Scottsdale, Arizona, Stati Uniti, 85251
    - Arizona Center for Cancer Care - Osborn
  - Scottsdale, Arizona, Stati Uniti, 85258
    - Arizona Center for Cancer Care - Scottsdale
  - Surprise, Arizona, Stati Uniti, 85374
    - Arizona Center for Cancer Care-Surprise
- Arkansas
  - Fort Smith, Arkansas, Stati Uniti, 72903
    - Mercy Hospital Fort Smith
- California
  - Anaheim, California, Stati Uniti, 92806
    - Kaiser Permanente-Anaheim
  - Antioch, California, Stati Uniti, 94531
    - Kaiser Permanente-Deer Valley Medical Center
  - Arroyo Grande, California, Stati Uniti, 93420
    - Mission Hope Medical Oncology - Arroyo Grande
  - Auburn, California, Stati Uniti, 95602
    - Sutter Auburn Faith Hospital
  - Baldwin Park, California, Stati Uniti, 91706
    - Kaiser Permanente-Baldwin Park
  - Bellflower, California, Stati Uniti, 90706
    - Kaiser Permanente-Bellflower
  - Berkeley, California, Stati Uniti, 94704
    - Alta Bates Summit Medical Center-Herrick Campus
  - Berkeley, California, Stati Uniti, 94702
    - UCSF Cancer Center - Berkeley
  - Chico, California, Stati Uniti, 95973
    - Adventist Health Cancer Care Center Chico
  - Chico, California, Stati Uniti, 95926
    - Enloe Medical Center
  - Dublin, California, Stati Uniti, 94568
    - Kaiser Permanente Dublin
  - Fontana, California, Stati Uniti, 92335
    - Kaiser Permanente-Fontana
  - Fremont, California, Stati Uniti, 94538
    - Kaiser Permanente-Fremont
  - Fremont, California, Stati Uniti, 94538
    - Palo Alto Medical Foundation-Fremont
  - Fresno, California, Stati Uniti, 93720
    - Kaiser Permanente-Fresno
  - Harbor City, California, Stati Uniti, 90710
    - Kaiser Permanente South Bay
  - Irvine, California, Stati Uniti, 92618
    - Kaiser Permanente-Irvine
  - Los Angeles, California, Stati Uniti, 90027
    - Kaiser Permanente Los Angeles Medical Center
  - Los Angeles, California, Stati Uniti, 90034
    - Kaiser Permanente West Los Angeles
  - Marysville, California, Stati Uniti, 95901
    - Fremont - Rideout Cancer Center
  - Modesto, California, Stati Uniti, 95356
    - Kaiser Permanente-Modesto
  - Mountain View, California, Stati Uniti, 94040
    - Palo Alto Medical Foundation-Camino Division
  - Oakland, California, Stati Uniti, 94611
    - Kaiser Permanente-Oakland
  - Ontario, California, Stati Uniti, 91761
    - Kaiser Permanente-Ontario
  - Palm Springs, California, Stati Uniti, 92262
    - Desert Regional Medical Center
  - Palo Alto, California, Stati Uniti, 94301
    - Palo Alto Medical Foundation Health Care
  - Panorama City, California, Stati Uniti, 91402
    - Kaiser Permanente - Panorama City
  - Richmond, California, Stati Uniti, 94801
    - Kaiser Permanente-Richmond
  - Riverside, California, Stati Uniti, 92505
    - Kaiser Permanente-Riverside
  - Roseville, California, Stati Uniti, 95661
    - Kaiser Permanente-Roseville
  - Roseville, California, Stati Uniti, 95661
    - Sutter Roseville Medical Center
  - Sacramento, California, Stati Uniti, 95816
    - Sutter Medical Center Sacramento
  - Sacramento, California, Stati Uniti, 95814
    - Kaiser Permanente Downtown Commons
  - Sacramento, California, Stati Uniti, 95823
    - Kaiser Permanente-South Sacramento
  - San Diego, California, Stati Uniti, 92120
    - Kaiser Permanente-San Diego Zion
  - San Francisco, California, Stati Uniti, 94115
    - Kaiser Permanente-San Francisco
  - San Francisco, California, Stati Uniti, 94110
    - Zuckerberg San Francisco General Hospital
  - San Jose, California, Stati Uniti, 95119
    - Kaiser Permanente-Santa Teresa-San Jose
  - San Leandro, California, Stati Uniti, 94577
    - Kaiser Permanente San Leandro
  - San Luis Obispo, California, Stati Uniti, 93401
    - Pacific Central Coast Health Center-San Luis Obispo
  - San Marcos, California, Stati Uniti, 92078
    - Kaiser Permanente-San Marcos
  - San Mateo, California, Stati Uniti, 94402
    - UCSF Cancer Center - San Mateo
  - San Rafael, California, Stati Uniti, 94903
    - Kaiser San Rafael-Gallinas
  - Santa Clara, California, Stati Uniti, 95051
    - Kaiser Permanente Medical Center - Santa Clara
  - Santa Cruz, California, Stati Uniti, 95065
    - Palo Alto Medical Foundation-Santa Cruz
  - Santa Maria, California, Stati Uniti, 93444
    - Mission Hope Medical Oncology - Santa Maria
  - Santa Monica, California, Stati Uniti, 90404
    - Saint John's Cancer Institute
  - Santa Rosa, California, Stati Uniti, 95403
    - Kaiser Permanente-Santa Rosa
  - South San Francisco, California, Stati Uniti, 94080
    - Kaiser Permanente-South San Francisco
  - Stockton, California, Stati Uniti, 95210
    - Kaiser Permanente-Stockton
  - Sunnyvale, California, Stati Uniti, 94086
    - Palo Alto Medical Foundation-Sunnyvale
  - Truckee, California, Stati Uniti, 96161
    - Gene Upshaw Memorial Tahoe Forest Cancer Center
  - Vacaville, California, Stati Uniti, 95688
    - Kaiser Permanente Medical Center-Vacaville
  - Vallejo, California, Stati Uniti, 94589
    - Kaiser Permanente-Vallejo
  - Walnut Creek, California, Stati Uniti, 94596
    - Kaiser Permanente-Walnut Creek
  - Woodland Hills, California, Stati Uniti, 91367
    - Kaiser Permanente-Woodland Hills
- Colorado
  - Aurora, Colorado, Stati Uniti, 80012
    - Rocky Mountain Cancer Centers-Aurora
  - Boulder, Colorado, Stati Uniti, 80304
    - Rocky Mountain Cancer Centers-Boulder
  - Centennial, Colorado, Stati Uniti, 80112
    - Rocky Mountain Cancer Centers - Centennial
  - Colorado Springs, Colorado, Stati Uniti, 80907
    - Penrose-Saint Francis Healthcare
  - Denver, Colorado, Stati Uniti, 80205
    - Kaiser Permanente-Franklin
  - Denver, Colorado, Stati Uniti, 80218
    - Rocky Mountain Cancer Centers-Midtown
  - Denver, Colorado, Stati Uniti, 80220
    - Rocky Mountain Cancer Centers-Rose
  - Englewood, Colorado, Stati Uniti, 80113
    - Mountain Blue Cancer Care Center - Swedish
  - Englewood, Colorado, Stati Uniti, 80113
    - Rocky Mountain Cancer Centers - Swedish
  - Greeley, Colorado, Stati Uniti, 80631
    - Banner North Colorado Medical Center
  - Lafayette, Colorado, Stati Uniti, 80026
    - Kaiser Permanente-Rock Creek
  - Lakewood, Colorado, Stati Uniti, 80228
    - Rocky Mountain Cancer Centers-Lakewood
  - Littleton, Colorado, Stati Uniti, 80120
    - Rocky Mountain Cancer Centers-Littleton
  - Lone Tree, Colorado, Stati Uniti, 80124
    - Kaiser Permanente-Lone Tree
  - Lone Tree, Colorado, Stati Uniti, 80124
    - Rocky Mountain Cancer Centers-Sky Ridge
  - Loveland, Colorado, Stati Uniti, 80539
    - Banner McKee Medical Center
- Connecticut
  - Danbury, Connecticut, Stati Uniti, 06810
    - Danbury Hospital
  - Norwalk, Connecticut, Stati Uniti, 06856
    - Norwalk Hospital
- Delaware
  - Millville, Delaware, Stati Uniti, 19967
    - Beebe South Coastal Health Campus
  - Newark, Delaware, Stati Uniti, 19713
    - Helen F Graham Cancer Center
  - Newark, Delaware, Stati Uniti, 19713
    - Medical Oncology Hematology Consultants PA
  - Rehoboth Beach, Delaware, Stati Uniti, 19971
    - Beebe Health Campus
- Florida
  - Deerfield Beach, Florida, Stati Uniti, 33064
    - Broward Health North
  - Fort Lauderdale, Florida, Stati Uniti, 33316
    - Broward Health Medical Center
  - Tallahassee, Florida, Stati Uniti, 32308
    - Tallahassee Memorial HealthCare
- Georgia
  - Albany, Georgia, Stati Uniti, 31701
    - Phoebe Putney Memorial Hospital
  - Savannah, Georgia, Stati Uniti, 31404
    - Memorial Health University Medical Center
  - Savannah, Georgia, Stati Uniti, 31404
    - Summit Cancer Care-Memorial
- Hawaii
  - Honolulu, Hawaii, Stati Uniti, 96813
    - Queen's Medical Center
  - Honolulu, Hawaii, Stati Uniti, 96813
    - Hawaii Cancer Care Inc - Waterfront Plaza
  - Honolulu, Hawaii, Stati Uniti, 96813
    - Queen's Cancer Cenrer - POB I
  - Honolulu, Hawaii, Stati Uniti, 96817
    - Queen's Cancer Center - Kuakini
  - Honolulu, Hawaii, Stati Uniti, 96826
    - Kapiolani Medical Center for Women and Children
  - Honolulu, Hawaii, Stati Uniti, 96819
    - Kaiser Permanente Moanalua Medical Center
  - ‘Aiea, Hawaii, Stati Uniti, 96701
    - Hawaii Cancer Care - Westridge
- Idaho
  - Boise, Idaho, Stati Uniti, 83706
    - Saint Alphonsus Cancer Care Center-Boise
  - Caldwell, Idaho, Stati Uniti, 83605
    - Saint Alphonsus Cancer Care Center-Caldwell
  - Coeur d'Alene, Idaho, Stati Uniti, 83814
    - Kootenai Health - Coeur d'Alene
  - Emmett, Idaho, Stati Uniti, 83617
    - Walter Knox Memorial Hospital
  - Meridian, Idaho, Stati Uniti, 83642
    - Idaho Urologic Institute-Meridian
  - Nampa, Idaho, Stati Uniti, 83687
    - Saint Alphonsus Cancer Care Center-Nampa
  - Post Falls, Idaho, Stati Uniti, 83854
    - Kootenai Clinic Cancer Services - Post Falls
  - Sandpoint, Idaho, Stati Uniti, 83864
    - Kootenai Clinic Cancer Services - Sandpoint
- Illinois
  - Aurora, Illinois, Stati Uniti, 60504
    - Rush-Copley Medical Center
  - Barrington, Illinois, Stati Uniti, 60010
    - Advocate Good Shepherd Hospital
  - Bloomington, Illinois, Stati Uniti, 61704
    - Illinois CancerCare-Bloomington
  - Canton, Illinois, Stati Uniti, 61520
    - Illinois CancerCare-Canton
  - Carbondale, Illinois, Stati Uniti, 62902
    - Memorial Hospital of Carbondale
  - Carterville, Illinois, Stati Uniti, 62918
    - SIH Cancer Institute
  - Carthage, Illinois, Stati Uniti, 62321
    - Illinois CancerCare-Carthage
  - Centralia, Illinois, Stati Uniti, 62801
    - Centralia Oncology Clinic
  - Chicago, Illinois, Stati Uniti, 60657
    - Advocate Illinois Masonic Medical Center
  - Crystal Lake, Illinois, Stati Uniti, 60014
    - AMG Crystal Lake - Oncology
  - Danville, Illinois, Stati Uniti, 61832
    - Carle at The Riverfront
  - Decatur, Illinois, Stati Uniti, 62526
    - Decatur Memorial Hospital
  - Decatur, Illinois, Stati Uniti, 62526
    - Cancer Care Specialists of Illinois - Decatur
  - Dixon, Illinois, Stati Uniti, 61021
    - Illinois CancerCare-Dixon
  - Downers Grove, Illinois, Stati Uniti, 60515
    - Advocate Good Samaritan Hospital
  - Effingham, Illinois, Stati Uniti, 62401
    - Crossroads Cancer Center
  - Effingham, Illinois, Stati Uniti, 62401
    - Carle Physician Group-Effingham
  - Elgin, Illinois, Stati Uniti, 60123
    - Advocate Sherman Hospital
  - Eureka, Illinois, Stati Uniti, 61530
    - Illinois CancerCare-Eureka
  - Galesburg, Illinois, Stati Uniti, 61401
    - Western Illinois Cancer Treatment Center
  - Galesburg, Illinois, Stati Uniti, 61401
    - Illinois CancerCare-Galesburg
  - Harvey, Illinois, Stati Uniti, 60426
    - Ingalls Memorial Hospital
  - Hazel Crest, Illinois, Stati Uniti, 60429
    - Advocate South Suburban Hospital
  - Kewanee, Illinois, Stati Uniti, 61443
    - Illinois CancerCare-Kewanee Clinic
  - Libertyville, Illinois, Stati Uniti, 60048
    - Condell Memorial Hospital
  - Libertyville, Illinois, Stati Uniti, 60048
    - AMG Libertyville - Oncology
  - Macomb, Illinois, Stati Uniti, 61455
    - Illinois CancerCare-Macomb
  - Mattoon, Illinois, Stati Uniti, 61938
    - Carle Physician Group-Mattoon/Charleston
  - Moline, Illinois, Stati Uniti, 61265
    - Trinity Medical Center
  - Mount Vernon, Illinois, Stati Uniti, 62864
    - SSM Health Good Samaritan
  - O'Fallon, Illinois, Stati Uniti, 62269
    - Cancer Care Center of O'Fallon
  - Oak Lawn, Illinois, Stati Uniti, 60453-2699
    - Advocate Christ Medical Center
  - Ottawa, Illinois, Stati Uniti, 61350
    - Illinois CancerCare-Ottawa Clinic
  - Park Ridge, Illinois, Stati Uniti, 60068
    - Advocate Lutheran General Hospital
  - Pekin, Illinois, Stati Uniti, 61554
    - Illinois CancerCare-Pekin
  - Peoria, Illinois, Stati Uniti, 61636
    - Methodist Medical Center of Illinois
  - Peoria, Illinois, Stati Uniti, 61615
    - Illinois CancerCare-Peoria
  - Peru, Illinois, Stati Uniti, 61354
    - Illinois CancerCare-Peru
  - Peru, Illinois, Stati Uniti, 61354
    - Valley Radiation Oncology
  - Princeton, Illinois, Stati Uniti, 61356
    - Illinois CancerCare-Princeton
  - River Forest, Illinois, Stati Uniti, 60305
    - West Suburban Medical Center
  - Rockford, Illinois, Stati Uniti, 61108
    - OSF Saint Anthony Medical Center
  - Silvis, Illinois, Stati Uniti, 61282
    - MercyOne Genesis Silvis Cancer Center
  - Springfield, Illinois, Stati Uniti, 62702
    - Southern Illinois University School of Medicine
  - Springfield, Illinois, Stati Uniti, 62702
    - Springfield Clinic
  - Springfield, Illinois, Stati Uniti, 62781
    - Springfield Memorial Hospital
  - Urbana, Illinois, Stati Uniti, 61801
    - Carle Cancer Center
  - Urbana, Illinois, Stati Uniti, 61801
    - The Carle Foundation Hospital
  - Yorkville, Illinois, Stati Uniti, 60560
    - Rush-Copley Healthcare Center
- Indiana
  - Richmond, Indiana, Stati Uniti, 47374
    - Reid Health
- Iowa
  - Ames, Iowa, Stati Uniti, 50010
    - Mary Greeley Medical Center
  - Ames, Iowa, Stati Uniti, 50010
    - McFarland Clinic - Ames
  - Boone, Iowa, Stati Uniti, 50036
    - McFarland Clinic - Boone
  - Cedar Rapids, Iowa, Stati Uniti, 52403
    - Oncology Associates at Mercy Medical Center
  - Cedar Rapids, Iowa, Stati Uniti, 52402
    - Physicians' Clinic of Iowa PC
  - Davenport, Iowa, Stati Uniti, 52807
    - Iowa Cancer Specialists
  - Davenport, Iowa, Stati Uniti, 52804
    - MercyOne Genesis Davenport Cancer Center
  - Davenport, Iowa, Stati Uniti, 52803
    - MercyOne Genesis Davenport Medical Center
  - Des Moines, Iowa, Stati Uniti, 50309
    - Iowa Methodist Medical Center
  - Des Moines, Iowa, Stati Uniti, 50314
    - Mercy Medical Center - Des Moines
  - Des Moines, Iowa, Stati Uniti, 50314
    - Broadlawns Medical Center
  - Des Moines, Iowa, Stati Uniti, 50316
    - Iowa Lutheran Hospital
  - Des Moines, Iowa, Stati Uniti, 50309
    - UI Health Care Mission Cancer and Blood - Des Moines Clinic
  - Fort Dodge, Iowa, Stati Uniti, 50501
    - McFarland Clinic - Trinity Cancer Center
  - Fort Dodge, Iowa, Stati Uniti, 50501
    - UI Healthcare Mission Cancer and Blood - Fort Dodge
  - Jefferson, Iowa, Stati Uniti, 50129
    - McFarland Clinic - Jefferson
  - Marshalltown, Iowa, Stati Uniti, 50158
    - McFarland Clinic - Marshalltown
  - West Des Moines, Iowa, Stati Uniti, 50266-7700
    - Methodist West Hospital
- Kansas
  - Chanute, Kansas, Stati Uniti, 66720
    - Cancer Center of Kansas - Chanute
  - Dodge City, Kansas, Stati Uniti, 67801
    - Cancer Center of Kansas - Dodge City
  - El Dorado, Kansas, Stati Uniti, 67042
    - Cancer Center of Kansas - El Dorado
  - Independence, Kansas, Stati Uniti, 67301
    - Cancer Center of Kansas-Independence
  - Kingman, Kansas, Stati Uniti, 67068
    - Cancer Center of Kansas-Kingman
  - Liberal, Kansas, Stati Uniti, 67905
    - Cancer Center of Kansas-Liberal
  - Manhattan, Kansas, Stati Uniti, 66502
    - Cancer Center of Kansas-Manhattan
  - McPherson, Kansas, Stati Uniti, 67460
    - Cancer Center of Kansas - McPherson
  - Newton, Kansas, Stati Uniti, 67114
    - Cancer Center of Kansas - Newton
  - Parsons, Kansas, Stati Uniti, 67357
    - Cancer Center of Kansas - Parsons
  - Pratt, Kansas, Stati Uniti, 67124
    - Cancer Center of Kansas - Pratt
  - Salina, Kansas, Stati Uniti, 67401
    - Cancer Center of Kansas - Salina
  - Topeka, Kansas, Stati Uniti, 66606
    - Cotton O'Neil Cancer Center / Stormont Vail Health
  - Wellington, Kansas, Stati Uniti, 67152
    - Cancer Center of Kansas - Wellington
  - Wichita, Kansas, Stati Uniti, 67214
    - Ascension Via Christi Hospitals Wichita
  - Wichita, Kansas, Stati Uniti, 67208
    - Cancer Center of Kansas-Wichita Medical Arts Tower
  - Wichita, Kansas, Stati Uniti, 67214
    - Cancer Center of Kansas - Wichita
  - Winfield, Kansas, Stati Uniti, 67156
    - Cancer Center of Kansas - Winfield
- Kentucky
  - Lexington, Kentucky, Stati Uniti, 40504
    - Saint Joseph Radiation Oncology Resource Center
  - Lexington, Kentucky, Stati Uniti, 40509
    - Saint Joseph Hospital East
- Louisiana
  - Shreveport, Louisiana, Stati Uniti, 71103
    - LSU Health Sciences Center at Shreveport
- Maryland
  - Aberdeen, Maryland, Stati Uniti, 21001
    - UM Upper Chesapeake Hematology and Oncology - Aberdeen
  - Annapolis, Maryland, Stati Uniti, 21401
    - Luminis Health Anne Arundel Medical Center
  - Baltimore, Maryland, Stati Uniti, 21215
    - Sinai Hospital of Baltimore
  - Baltimore, Maryland, Stati Uniti, 21202
    - Mercy Medical Center
  - Bel Air, Maryland, Stati Uniti, 21014
    - UM Upper Chesapeake Medical Center
  - Bethesda, Maryland, Stati Uniti, 20889-5600
    - Walter Reed National Military Medical Center
  - Glen Burnie, Maryland, Stati Uniti, 21061
    - UM Baltimore Washington Medical Center/Tate Cancer Center
  - Randallstown, Maryland, Stati Uniti, 21133
    - Northwest Hospital Center
  - Towson, Maryland, Stati Uniti, 21204
    - UM Saint Joseph Medical Center
  - Westminster, Maryland, Stati Uniti, 21157
    - William E Kahlert Regional Cancer Center/Sinai Hospital
- Massachusetts
  - Beverly, Massachusetts, Stati Uniti, 01915
    - Beverly Hospital
  - Boston, Massachusetts, Stati Uniti, 02215
    - Dana-Farber Cancer Institute
  - Burlington, Massachusetts, Stati Uniti, 01805
    - Lahey Hospital and Medical Center
  - Gloucester, Massachusetts, Stati Uniti, 01930
    - Addison Gilbert Hospital
  - Peabody, Massachusetts, Stati Uniti, 01960
    - Lahey Medical Center-Peabody
  - Winchester, Massachusetts, Stati Uniti, 01890
    - Beth Israel Deaconess Medical Center/Winchester Center for Cancer Care
- Michigan
  - Ann Arbor, Michigan, Stati Uniti, 48106
    - Trinity Health Saint Joseph Mercy Hospital Ann Arbor
  - Battle Creek, Michigan, Stati Uniti, 49017
    - Bronson Battle Creek
  - Brighton, Michigan, Stati Uniti, 48114
    - Trinity Health IHA Medical Group Hematology Oncology - Brighton
  - Brighton, Michigan, Stati Uniti, 48114
    - Trinity Health Medical Center - Brighton
  - Canton, Michigan, Stati Uniti, 48188
    - Trinity Health IHA Medical Group Hematology Oncology - Canton
  - Canton, Michigan, Stati Uniti, 48188
    - Trinity Health Medical Center - Canton
  - Chelsea, Michigan, Stati Uniti, 48118
    - Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
  - Chelsea, Michigan, Stati Uniti, 48118
    - Chelsea Hospital
  - Clarkston, Michigan, Stati Uniti, 48346
    - Newland Medical Associates-Clarkston
  - Flint, Michigan, Stati Uniti, 48503
    - Genesee Hematology Oncology PC
  - Flint, Michigan, Stati Uniti, 48503
    - Genesys Hurley Cancer Institute
  - Flint, Michigan, Stati Uniti, 48503
    - Cancer Hematology Centers - Flint
  - Grand Rapids, Michigan, Stati Uniti, 49503
    - Trinity Health Grand Rapids Hospital
  - Grand Rapids, Michigan, Stati Uniti, 49503
    - Corewell Health Grand Rapids Hospitals - Butterworth Hospital
  - Kalamazoo, Michigan, Stati Uniti, 49007
    - West Michigan Cancer Center
  - Kalamazoo, Michigan, Stati Uniti, 49007
    - Bronson Methodist Hospital
  - Kalamazoo, Michigan, Stati Uniti, 49009
    - Beacon Kalamazoo Cancer Center
  - Livonia, Michigan, Stati Uniti, 48154
    - Trinity Health Saint Mary Mercy Livonia Hospital
  - Livonia, Michigan, Stati Uniti, 48154
    - Hope Cancer Clinic
  - Novi, Michigan, Stati Uniti, 48374
    - Henry Ford Health Providence Novi Hospital
  - Pontiac, Michigan, Stati Uniti, 48341
    - Newland Medical Associates-Pontiac
  - Pontiac, Michigan, Stati Uniti, 48341
    - Trinity Health Saint Joseph Mercy Oakland Hospital
  - Reed City, Michigan, Stati Uniti, 49677
    - Corewell Health Reed City Hospital
  - Saint Joseph, Michigan, Stati Uniti, 49085
    - Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
  - Southfield, Michigan, Stati Uniti, 48075
    - Henry Ford Health Providence Southfield Hospital
  - Wyoming, Michigan, Stati Uniti, 49519
    - University of Michigan Health - West
  - Ypsilanti, Michigan, Stati Uniti, 48197
    - Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
  - Ypsilanti, Michigan, Stati Uniti, 48106
    - Huron Gastroenterology PC
- Minnesota
  - Albert Lea, Minnesota, Stati Uniti, 56007
    - Mayo Clinic Health System in Albert Lea
  - Bemidji, Minnesota, Stati Uniti, 56601
    - Sanford Joe Lueken Cancer Center
  - Brainerd, Minnesota, Stati Uniti, 56401
    - Essentia Health Saint Joseph's Medical Center
  - Burnsville, Minnesota, Stati Uniti, 55337
    - Fairview Ridges Hospital
  - Burnsville, Minnesota, Stati Uniti, 55337
    - Minnesota Oncology - Burnsville
  - Cambridge, Minnesota, Stati Uniti, 55008
    - Cambridge Medical Center
  - Coon Rapids, Minnesota, Stati Uniti, 55433
    - Mercy Hospital
  - Deer River, Minnesota, Stati Uniti, 56636
    - Essentia Health - Deer River Clinic
  - Detroit Lakes, Minnesota, Stati Uniti, 56501
    - Essentia Health Saint Mary's - Detroit Lakes Clinic
  - Duluth, Minnesota, Stati Uniti, 55805
    - Essentia Health Cancer Center
  - Edina, Minnesota, Stati Uniti, 55435
    - Fairview Southdale Hospital
  - Fosston, Minnesota, Stati Uniti, 56542
    - Essentia Health - Fosston
  - Fridley, Minnesota, Stati Uniti, 55432
    - Unity Hospital
  - Hibbing, Minnesota, Stati Uniti, 55746
    - Essentia Health Hibbing Clinic
  - Maple Grove, Minnesota, Stati Uniti, 55369
    - Fairview Clinics and Surgery Center Maple Grove
  - Maplewood, Minnesota, Stati Uniti, 55109
    - Saint John's Hospital - Healtheast
  - Maplewood, Minnesota, Stati Uniti, 55109
    - Minnesota Oncology Hematology PA-Maplewood
  - Minneapolis, Minnesota, Stati Uniti, 55415
    - Hennepin County Medical Center
  - Minneapolis, Minnesota, Stati Uniti, 55407
    - Abbott-Northwestern Hospital
  - Minneapolis, Minnesota, Stati Uniti, 55454
    - Health Partners Inc
  - Monticello, Minnesota, Stati Uniti, 55362
    - Monticello Cancer Center
  - New Ulm, Minnesota, Stati Uniti, 56073
    - New Ulm Medical Center
  - Park Rapids, Minnesota, Stati Uniti, 56470
    - Essentia Health - Park Rapids
  - Princeton, Minnesota, Stati Uniti, 55371
    - Fairview Northland Medical Center
  - Robbinsdale, Minnesota, Stati Uniti, 55422
    - North Memorial Medical Health Center
  - Rochester, Minnesota, Stati Uniti, 55905
    - Mayo Clinic in Rochester
  - Saint Louis Park, Minnesota, Stati Uniti, 55416
    - Park Nicollet Clinic - Saint Louis Park
  - Saint Paul, Minnesota, Stati Uniti, 55101
    - Regions Hospital
  - Saint Paul, Minnesota, Stati Uniti, 55102
    - United Hospital
  - Sandstone, Minnesota, Stati Uniti, 55072
    - Essentia Health Sandstone
  - Shakopee, Minnesota, Stati Uniti, 55379
    - Saint Francis Regional Medical Center
  - Stillwater, Minnesota, Stati Uniti, 55082
    - Lakeview Hospital
  - Thief River Falls, Minnesota, Stati Uniti, 56701
    - Sanford Thief River Falls Medical Center
  - Virginia, Minnesota, Stati Uniti, 55792
    - Essentia Health Virginia Clinic
  - Waconia, Minnesota, Stati Uniti, 55387
    - Ridgeview Medical Center
  - Willmar, Minnesota, Stati Uniti, 56201
    - Rice Memorial Hospital
  - Woodbury, Minnesota, Stati Uniti, 55125
    - Minnesota Oncology Hematology PA-Woodbury
  - Worthington, Minnesota, Stati Uniti, 56187
    - Sanford Cancer Center Worthington
  - Wyoming, Minnesota, Stati Uniti, 55092
    - Fairview Lakes Medical Center
- Missouri
  - Ballwin, Missouri, Stati Uniti, 63011
    - Mercy Oncology and Hematology - Clayton-Clarkson
  - Cape Girardeau, Missouri, Stati Uniti, 63703
    - Saint Francis Medical Center
  - Cape Girardeau, Missouri, Stati Uniti, 63703
    - Mercy Cancer Center - Cape Girardeau
  - Columbia, Missouri, Stati Uniti, 65212
    - MU Health - University Hospital/Ellis Fischel Cancer Center
  - Farmington, Missouri, Stati Uniti, 63640
    - Parkland Health Center - Farmington
  - Jefferson City, Missouri, Stati Uniti, 65109
    - MU Health Care Goldschmidt Cancer Center
  - Joplin, Missouri, Stati Uniti, 64804
    - Freeman Health System
  - Joplin, Missouri, Stati Uniti, 64804
    - Mercy Hospital Joplin
  - Rolla, Missouri, Stati Uniti, 65401
    - Mercy Clinic-Rolla-Cancer and Hematology
  - Rolla, Missouri, Stati Uniti, 65401
    - Phelps Health Delbert Day Cancer Institute
  - Saint Joseph, Missouri, Stati Uniti, 64506
    - Heartland Regional Medical Center
  - Sainte Genevieve, Missouri, Stati Uniti, 63670
    - Sainte Genevieve County Memorial Hospital
  - Springfield, Missouri, Stati Uniti, 65807
    - CoxHealth South Hospital
  - Springfield, Missouri, Stati Uniti, 65804
    - Mercy Hospital Springfield
  - St Louis, Missouri, Stati Uniti, 63131
    - Missouri Baptist Medical Center
  - St Louis, Missouri, Stati Uniti, 63109
    - Mercy Infusion Center - Chippewa
  - St Louis, Missouri, Stati Uniti, 63141
    - Mercy Hospital Saint Louis
  - St Louis, Missouri, Stati Uniti, 63128
    - Mercy Hospital South
  - Sullivan, Missouri, Stati Uniti, 63080
    - Missouri Baptist Sullivan Hospital
  - Sunset Hills, Missouri, Stati Uniti, 63127
    - BJC Outpatient Center at Sunset Hills
  - Washington, Missouri, Stati Uniti, 63090
    - Mercy Hospital Washington
- Montana
  - Anaconda, Montana, Stati Uniti, 59711
    - Community Hospital of Anaconda
  - Billings, Montana, Stati Uniti, 59101
    - Billings Clinic Cancer Center
  - Bozeman, Montana, Stati Uniti, 59715
    - Bozeman Health Deaconess Hospital
  - Great Falls, Montana, Stati Uniti, 59405
    - Great Falls Clinic
  - Great Falls, Montana, Stati Uniti, 59405
    - Benefis Sletten Cancer Institute
  - Kalispell, Montana, Stati Uniti, 59901
    - Logan Health Medical Center
  - Missoula, Montana, Stati Uniti, 59804
    - Community Medical Center
- Nevada
  - Henderson, Nevada, Stati Uniti, 89052
    - OptumCare Cancer Care at Seven Hills
  - Las Vegas, Nevada, Stati Uniti, 89102
    - OptumCare Cancer Care at Charleston
  - Las Vegas, Nevada, Stati Uniti, 89128
    - OptumCare Cancer Care at MountainView
  - Las Vegas, Nevada, Stati Uniti, 89148
    - OptumCare Cancer Care at Fort Apache
  - Las Vegas, Nevada, Stati Uniti, 89169
    - Comprehensive Cancer Centers of Nevada - Central Valley
  - Las Vegas, Nevada, Stati Uniti, 89103
    - Hope Cancer Care of Nevada
  - Reno, Nevada, Stati Uniti, 89503
    - Saint Mary's Regional Medical Center
- New Jersey
  - Englewood, New Jersey, Stati Uniti, 07631
    - Englewood Hospital and Medical Center
  - Freehold, New Jersey, Stati Uniti, 07728
    - CentraState Medical Center
  - Moorestown, New Jersey, Stati Uniti, 08057
    - Virtua Samson Cancer Center
  - New Brunswick, New Jersey, Stati Uniti, 08901
    - Saint Peter's University Hospital
  - Plainsboro, New Jersey, Stati Uniti, 08536
    - Penn Medicine Princeton Health
  - Teaneck, New Jersey, Stati Uniti, 07666
    - Holy Name Hospital
  - Vineland, New Jersey, Stati Uniti, 08360
    - Inspira Medical Center Vineland
  - Voorhees Township, New Jersey, Stati Uniti, 08043
    - Virtua Voorhees
- New Mexico
  - Albuquerque, New Mexico, Stati Uniti, 87110
    - Presbyterian Kaseman Hospital
  - Rio Rancho, New Mexico, Stati Uniti, 87124
    - Presbyterian Rust Medical Center/Jorgensen Cancer Center
- New York
  - Auburn, New York, Stati Uniti, 13021
    - Hematology Oncology Associates of Central New York-Auburn
  - Brooklyn, New York, Stati Uniti, 11219
    - Maimonides Medical Center
  - Camillus, New York, Stati Uniti, 13031
    - Hematology Oncology Associates of CNY at Camillus
  - East Syracuse, New York, Stati Uniti, 13057
    - Hematology Oncology Associates of Central New York-East Syracuse
  - Poughkeepsie, New York, Stati Uniti, 12601
    - Vassar Brothers Medical Center
  - Syracuse, New York, Stati Uniti, 13210
    - State University of New York Upstate Medical University
  - Verona, New York, Stati Uniti, 13478
    - Upstate Cancer Center at Verona
  - West Islip, New York, Stati Uniti, 11795
    - Good Samaritan University Hospital
- North Carolina
  - Asheville, North Carolina, Stati Uniti, 28803
    - AdventHealth Infusion Center Asheville
  - Cary, North Carolina, Stati Uniti, 27518
    - Waverly Hematology Oncology
  - Chapel Hill, North Carolina, Stati Uniti, 27599
    - UNC Lineberger Comprehensive Cancer Center
  - Clinton, North Carolina, Stati Uniti, 28328
    - Southeastern Medical Oncology Center-Clinton
  - Clyde, North Carolina, Stati Uniti, 28721
    - AdventHealth Infusion Center Haywood
  - Gastonia, North Carolina, Stati Uniti, 28054
    - CaroMont Regional Medical Center
  - Goldsboro, North Carolina, Stati Uniti, 27534
    - Southeastern Medical Oncology Center-Goldsboro
  - Greenville, North Carolina, Stati Uniti, 27834
    - East Carolina University
  - Hendersonville, North Carolina, Stati Uniti, 28791
    - Margaret R Pardee Memorial Hospital
  - Hendersonville, North Carolina, Stati Uniti, 28792
    - AdventHealth Hendersonville
  - Jacksonville, North Carolina, Stati Uniti, 28546
    - Southeastern Medical Oncology Center-Jacksonville
  - Lincolnton, North Carolina, Stati Uniti, 28092
    - CaroMont Health - Lincoln Cancer Center
  - New Bern, North Carolina, Stati Uniti, 28561
    - CarolinaEast Medical Center
  - Weaverville, North Carolina, Stati Uniti, 28787
    - AdventHealth Infusion Center Weaverville
- North Dakota
  - Bismarck, North Dakota, Stati Uniti, 58501
    - Sanford Bismarck Medical Center
  - Fargo, North Dakota, Stati Uniti, 58122
    - Sanford Roger Maris Cancer Center
  - Fargo, North Dakota, Stati Uniti, 58103
    - Essentia Health Cancer Center-South University Clinic
  - Fargo, North Dakota, Stati Uniti, 58122
    - Sanford Broadway Medical Center
  - Fargo, North Dakota, Stati Uniti, 58103
    - Sanford South University Medical Center
  - Fargo, North Dakota, Stati Uniti, 58103
    - Southpointe-Sanford Medical Center Fargo
  - Fargo, North Dakota, Stati Uniti, 58104
    - Sanford Medical Center Fargo
  - Jamestown, North Dakota, Stati Uniti, 58401
    - Essentia Health - Jamestown Clinic
- Ohio
  - Akron, Ohio, Stati Uniti, 44304
    - Summa Health System - Akron Campus
  - Alliance, Ohio, Stati Uniti, 44601
    - Aultman Alliance Community Hospital
  - Barberton, Ohio, Stati Uniti, 44203
    - Summa Health System - Barberton Campus
  - Beavercreek, Ohio, Stati Uniti, 45431
    - Indu and Raj Soin Medical Center
  - Belpre, Ohio, Stati Uniti, 45714
    - Strecker Cancer Center-Belpre
  - Boardman, Ohio, Stati Uniti, 44512
    - Saint Elizabeth Boardman Hospital
  - Canton, Ohio, Stati Uniti, 44710
    - Aultman Health Foundation
  - Centerville, Ohio, Stati Uniti, 45459
    - Miami Valley Hospital South
  - Centerville, Ohio, Stati Uniti, 45459
    - Dayton Physicians LLC-Miami Valley South
  - Cincinnati, Ohio, Stati Uniti, 45236
    - Oncology Hematology Care Inc-Kenwood
  - Cleveland, Ohio, Stati Uniti, 44109
    - MetroHealth Medical Center
  - Columbus, Ohio, Stati Uniti, 43210
    - Ohio State University Comprehensive Cancer Center
  - Columbus, Ohio, Stati Uniti, 43219
    - The Mark H Zangmeister Center
  - Columbus, Ohio, Stati Uniti, 43214
    - Columbus Oncology and Hematology Associates Inc
  - Dayton, Ohio, Stati Uniti, 45409
    - Miami Valley Hospital
  - Dayton, Ohio, Stati Uniti, 45415
    - Miami Valley Hospital North
  - Dayton, Ohio, Stati Uniti, 45415
    - Dayton Physician LLC - Englewood
  - Dublin, Ohio, Stati Uniti, 43016
    - Columbus Oncology and Hematology Associates
  - Findlay, Ohio, Stati Uniti, 45840
    - Blanchard Valley Hospital
  - Findlay, Ohio, Stati Uniti, 45840
    - Armes Family Cancer Center
  - Findlay, Ohio, Stati Uniti, 45840
    - Orion Cancer Care
  - Franklin, Ohio, Stati Uniti, 45005-1066
    - Atrium Medical Center-Middletown Regional Hospital
  - Franklin, Ohio, Stati Uniti, 45005
    - Dayton Physicians LLC-Atrium
  - Greenville, Ohio, Stati Uniti, 45331
    - Wayne Hospital
  - Greenville, Ohio, Stati Uniti, 45331
    - Dayton Physicians LLC-Wayne
  - Kettering, Ohio, Stati Uniti, 45429
    - Kettering Medical Center
  - Kettering, Ohio, Stati Uniti, 45409
    - Greater Dayton Cancer Center
  - Medina, Ohio, Stati Uniti, 44256
    - Summa Health Medina Medical Center
  - Mount Vernon, Ohio, Stati Uniti, 43050
    - Knox Community Hospital
  - Newark, Ohio, Stati Uniti, 43055
    - Licking Memorial Hospital
  - Portsmouth, Ohio, Stati Uniti, 45662
    - Southern Ohio Medical Center
  - Springfield, Ohio, Stati Uniti, 45504
    - Springfield Regional Cancer Center
  - Springfield, Ohio, Stati Uniti, 45504
    - Springfield Regional Medical Center
  - Troy, Ohio, Stati Uniti, 45373
    - Upper Valley Medical Center
  - Troy, Ohio, Stati Uniti, 45373
    - Dayton Physicians LLC - Troy
  - Warren, Ohio, Stati Uniti, 44484
    - Saint Joseph Warren Hospital
  - Youngstown, Ohio, Stati Uniti, 44501
    - Saint Elizabeth Youngstown Hospital
- Oklahoma
  - Oklahoma City, Oklahoma, Stati Uniti, 73120
    - Mercy Hospital Oklahoma City
- Oregon
  - Baker City, Oregon, Stati Uniti, 97814
    - Saint Alphonsus Cancer Care Center-Baker City
  - Bend, Oregon, Stati Uniti, 97701
    - Saint Charles Health System
  - Clackamas, Oregon, Stati Uniti, 97015
    - Providence Cancer Institute Clackamas Clinic
  - Newberg, Oregon, Stati Uniti, 97132
    - Providence Newberg Medical Center
  - Ontario, Oregon, Stati Uniti, 97914
    - Saint Alphonsus Cancer Care Center-Ontario
  - Portland, Oregon, Stati Uniti, 97213
    - Providence Portland Medical Center
  - Portland, Oregon, Stati Uniti, 97225
    - Providence Saint Vincent Medical Center
- Pennsylvania
  - Bryn Mawr, Pennsylvania, Stati Uniti, 19010
    - Bryn Mawr Hospital
  - Collegeville, Pennsylvania, Stati Uniti, 19426
    - Main Line Health Center-Collegeville
  - Exton, Pennsylvania, Stati Uniti, 19341
    - Main Line Health Center-Exton
  - Meadowbrook, Pennsylvania, Stati Uniti, 19046
    - Redeemer Health
  - Media, Pennsylvania, Stati Uniti, 19063
    - Riddle Memorial Hospital
  - Paoli, Pennsylvania, Stati Uniti, 19301
    - Paoli Memorial Hospital
  - Phoenixville, Pennsylvania, Stati Uniti, 19460
    - Reading Hospital McGlinn Cancer Institute at Phoenixville
  - Pottstown, Pennsylvania, Stati Uniti, 19464
    - Pottstown Hospital
  - Wynnewood, Pennsylvania, Stati Uniti, 19096
    - Lankenau Medical Center
- Rhode Island
  - Providence, Rhode Island, Stati Uniti, 02903
    - Rhode Island Hospital
  - Providence, Rhode Island, Stati Uniti, 02905
    - Women and Infants Hospital
  - Warwick, Rhode Island, Stati Uniti, 02886
    - Kent Hospital
- South Carolina
  - Anderson, South Carolina, Stati Uniti, 29621
    - AnMed Health Cancer Center
  - Boiling Springs, South Carolina, Stati Uniti, 29316
    - Prisma Health Cancer Institute - Spartanburg
  - Easley, South Carolina, Stati Uniti, 29640
    - Prisma Health Cancer Institute - Easley
  - Gaffney, South Carolina, Stati Uniti, 29341
    - Gibbs Cancer Center-Gaffney
  - Greenville, South Carolina, Stati Uniti, 29605
    - Prisma Health Cancer Institute - Faris
  - Greenville, South Carolina, Stati Uniti, 29615
    - Prisma Health Cancer Institute - Eastside
  - Greenville, South Carolina, Stati Uniti, 29605
    - Prisma Health Cancer Institute - Butternut
  - Greenville, South Carolina, Stati Uniti, 29605
    - Prisma Health Greenville Memorial Hospital
  - Greer, South Carolina, Stati Uniti, 29650
    - Prisma Health Cancer Institute - Greer
  - Greer, South Carolina, Stati Uniti, 29651
    - Gibbs Cancer Center-Pelham
  - Seneca, South Carolina, Stati Uniti, 29672
    - Prisma Health Cancer Institute - Seneca
  - Spartanburg, South Carolina, Stati Uniti, 29303
    - Spartanburg Medical Center
  - Union, South Carolina, Stati Uniti, 29379
    - SMC Center for Hematology Oncology Union
- South Dakota
  - Sioux Falls, South Dakota, Stati Uniti, 57117-5134
    - Sanford USD Medical Center - Sioux Falls
  - Sioux Falls, South Dakota, Stati Uniti, 57104
    - Sanford Cancer Center Oncology Clinic
- Tennessee
  - Bristol, Tennessee, Stati Uniti, 37620
    - Bristol Regional Medical Center
  - Cookeville, Tennessee, Stati Uniti, 38501
    - Cookeville Regional Medical Center
  - Kingsport, Tennessee, Stati Uniti, 37660
    - Ballad Health Cancer Care - Kingsport
  - Kingsport, Tennessee, Stati Uniti, 37660
    - Wellmont Holston Valley Hospital and Medical Center
- Texas
  - Amarillo, Texas, Stati Uniti, 79106
    - The Don and Sybil Harrington Cancer Center
  - Angleton, Texas, Stati Uniti, 77515
    - UTMB Health Angleton Danbury Campus
  - Beaumont, Texas, Stati Uniti, 77701
    - Baptist Hospitals of Southeast Texas Cancer Center
  - Galveston, Texas, Stati Uniti, 77555-0565
    - University of Texas Medical Branch
  - Houston, Texas, Stati Uniti, 77030
    - Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
  - Laredo, Texas, Stati Uniti, 78041
    - Doctor's Hospital of Laredo
  - League City, Texas, Stati Uniti, 77573
    - UTMB Cancer Center at Victory Lakes
- Virginia
  - Bristol, Virginia, Stati Uniti, 24201
    - Ballad Health Cancer Care - Bristol
  - Chesapeake, Virginia, Stati Uniti, 23320
    - Cancer Specialists of Tidewater Limited
  - Fishersville, Virginia, Stati Uniti, 22939
    - Augusta Health Center for Cancer and Blood Disorders
  - Gloucester, Virginia, Stati Uniti, 23061
    - Peninsula Cancer Institute-Gloucester
  - Mechanicsville, Virginia, Stati Uniti, 23116
    - Bon Secours Memorial Regional Medical Center
  - Midlothian, Virginia, Stati Uniti, 23114
    - Bon Secours Saint Francis Medical Center
  - Newport News, Virginia, Stati Uniti, 23601
    - Peninsula Cancer Institute-Newport News
  - Norfolk, Virginia, Stati Uniti, 23505
    - Bon Secours DePaul Medical Center
  - Norton, Virginia, Stati Uniti, 24273
    - Ballad Health Cancer Care - Norton
  - Portsmouth, Virginia, Stati Uniti, 23707
    - Bon Secours Maryview Medical Center
  - Richmond, Virginia, Stati Uniti, 23235
    - VCU Massey Cancer Center at Stony Point
  - Richmond, Virginia, Stati Uniti, 23229
    - Virginia Cancer Institute
  - Richmond, Virginia, Stati Uniti, 23226
    - Bon Secours Saint Mary's Hospital
  - Richmond, Virginia, Stati Uniti, 23230
    - Bon Secours Cancer Institute at Reynolds Crossing
  - Richmond, Virginia, Stati Uniti, 23298
    - VCU Massey Comprehensive Cancer Center
  - Suffolk, Virginia, Stati Uniti, 23435
    - Cancer Specialists of Tidewater-Suffolk
  - Suffolk, Virginia, Stati Uniti, 23435
    - Bon Secours Health Center at Harbour View
  - Virginia Beach, Virginia, Stati Uniti, 23454
    - Peninsula Cancer Institute-Cancer Specialists of Tidewater
  - Williamsburg, Virginia, Stati Uniti, 23185
    - Peninsula Cancer Institute-Williamsburg
- Washington
  - Auburn, Washington, Stati Uniti, 98001
    - MultiCare Auburn Medical Center
  - Gig Harbor, Washington, Stati Uniti, 98335
    - MultiCare Gig Harbor Medical Park
  - Port Townsend, Washington, Stati Uniti, 98368
    - Jefferson Healthcare
  - Puyallup, Washington, Stati Uniti, 98372
    - MultiCare Good Samaritan Hospital
  - Renton, Washington, Stati Uniti, 98055
    - Valley Medical Center
  - Spokane, Washington, Stati Uniti, 99204
    - MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
  - Spokane, Washington, Stati Uniti, 99218
    - MultiCare Deaconess Cancer and Blood Specialty Center - North
  - Tacoma, Washington, Stati Uniti, 98405
    - MultiCare Tacoma General Hospital
  - Walla Walla, Washington, Stati Uniti, 99362
    - Providence Saint Mary Regional Cancer Center
- Wisconsin
  - Antigo, Wisconsin, Stati Uniti, 54409
    - Langlade Hospital and Cancer Center
  - Appleton, Wisconsin, Stati Uniti, 54915
    - Ascension Saint Elizabeth Hospital
  - Ashland, Wisconsin, Stati Uniti, 54806
    - Duluth Clinic Ashland
  - Brookfield, Wisconsin, Stati Uniti, 53045
    - Ascension Southeast Wisconsin Hospital - Elmbrook Campus
  - Burlington, Wisconsin, Stati Uniti, 53105
    - Aurora Cancer Care-Southern Lakes VLCC
  - Chilton, Wisconsin, Stati Uniti, 53014
    - Ascension Calumet Hospital
  - Chippewa Falls, Wisconsin, Stati Uniti, 54729
    - Marshfield Clinic-Chippewa Center
  - Eau Claire, Wisconsin, Stati Uniti, 54701
    - Marshfield Medical Center-EC Cancer Center
  - Eau Claire, Wisconsin, Stati Uniti, 54701
    - HSHS Sacred Heart Hospital
  - Franklin, Wisconsin, Stati Uniti, 53132
    - Ascension Saint Francis - Reiman Cancer Center
  - Germantown, Wisconsin, Stati Uniti, 53022
    - Aurora Health Care Germantown Health Center
  - Grafton, Wisconsin, Stati Uniti, 53024
    - Aurora Cancer Care-Grafton
  - Green Bay, Wisconsin, Stati Uniti, 54311
    - Aurora BayCare Medical Center
  - Green Bay, Wisconsin, Stati Uniti, 54301
    - Saint Vincent Hospital Cancer Center Green Bay
  - Green Bay, Wisconsin, Stati Uniti, 54303
    - Saint Vincent Hospital Cancer Center at Saint Mary's
  - Kenosha, Wisconsin, Stati Uniti, 53142
    - Aurora Cancer Care-Kenosha South
  - Ladysmith, Wisconsin, Stati Uniti, 54848
    - Marshfield Medical Center - Ladysmith
  - Madison, Wisconsin, Stati Uniti, 53792
    - University of Wisconsin Carbone Cancer Center - University Hospital
  - Madison, Wisconsin, Stati Uniti, 53718
    - University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
  - Marinette, Wisconsin, Stati Uniti, 54143
    - Aurora Bay Area Medical Group-Marinette
  - Marshfield, Wisconsin, Stati Uniti, 54449
    - Marshfield Medical Center-Marshfield
  - Medford, Wisconsin, Stati Uniti, 54451
    - Aspirus Medford Hospital
  - Menomonee Falls, Wisconsin, Stati Uniti, 53051
    - Froedtert Menomonee Falls Hospital
  - Mequon, Wisconsin, Stati Uniti, 53097
    - Ascension Columbia Saint Mary's Hospital Ozaukee
  - Milwaukee, Wisconsin, Stati Uniti, 53226
    - Medical College of Wisconsin
  - Milwaukee, Wisconsin, Stati Uniti, 53209
    - Aurora Cancer Care-Milwaukee
  - Milwaukee, Wisconsin, Stati Uniti, 53215
    - Aurora Saint Luke's Medical Center
  - Milwaukee, Wisconsin, Stati Uniti, 53233
    - Aurora Sinai Medical Center
  - Milwaukee, Wisconsin, Stati Uniti, 53211
    - Ascension Columbia Saint Mary's Hospital - Milwaukee
  - Minocqua, Wisconsin, Stati Uniti, 54548
    - Marshfield Medical Center - Minocqua
  - Mukwonago, Wisconsin, Stati Uniti, 53149
    - ProHealth D N Greenwald Center
  - New Richmond, Wisconsin, Stati Uniti, 54017
    - Cancer Center of Western Wisconsin
  - Oak Creek, Wisconsin, Stati Uniti, 53154
    - Drexel Town Square Health Center
  - Oconomowoc, Wisconsin, Stati Uniti, 53066
    - ProHealth Oconomowoc Memorial Hospital
  - Oconto Falls, Wisconsin, Stati Uniti, 54154
    - Saint Vincent Hospital Cancer Center at Oconto Falls
  - Oshkosh, Wisconsin, Stati Uniti, 54904
    - Ascension Mercy Hospital
  - Oshkosh, Wisconsin, Stati Uniti, 54904
    - Vince Lombardi Cancer Clinic - Oshkosh
  - Racine, Wisconsin, Stati Uniti, 53406
    - Aurora Cancer Care-Racine
  - Racine, Wisconsin, Stati Uniti, 53405
    - Ascension All Saints Hospital
  - Rice Lake, Wisconsin, Stati Uniti, 54868
    - Marshfield Medical Center-Rice Lake
  - Sheboygan, Wisconsin, Stati Uniti, 53081
    - Vince Lombardi Cancer Clinic-Sheboygan
  - Stevens Point, Wisconsin, Stati Uniti, 54482
    - Marshfield Medical Center-River Region at Stevens Point
  - Sturgeon Bay, Wisconsin, Stati Uniti, 54235-1495
    - Saint Vincent Hospital Cancer Center at Sturgeon Bay
  - Summit, Wisconsin, Stati Uniti, 53066
    - Aurora Medical Center in Summit
  - Two Rivers, Wisconsin, Stati Uniti, 54241
    - Vince Lombardi Cancer Clinic-Two Rivers
  - Waukesha, Wisconsin, Stati Uniti, 53188
    - UW Cancer Center at ProHealth Care
  - Waukesha, Wisconsin, Stati Uniti, 53188
    - ProHealth Waukesha Memorial Hospital
  - Wausau, Wisconsin, Stati Uniti, 54401
    - Aspirus Regional Cancer Center
  - Wausau, Wisconsin, Stati Uniti, 54401
    - Marshfield Clinic-Wausau Center
  - Wauwatosa, Wisconsin, Stati Uniti, 53226
    - Aurora Cancer Care-Milwaukee West
  - Wauwatosa, Wisconsin, Stati Uniti, 53226
    - Ascension Medical Group Southeast Wisconsin - Mayfair Road
  - West Allis, Wisconsin, Stati Uniti, 53227
    - Aurora West Allis Medical Center
  - West Bend, Wisconsin, Stati Uniti, 53095
    - Froedtert West Bend Hospital/Kraemer Cancer Center
  - Weston, Wisconsin, Stati Uniti, 54476
    - Marshfield Medical Center - Weston
  - Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
    - Aspirus Cancer Care - Wisconsin Rapids
  - Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
    - Marshfield Clinic - Wisconsin Rapids Center
- Wyoming
  - Cody, Wyoming, Stati Uniti, 82414
    - Billings Clinic-Cody
  - Rock Springs, Wyoming, Stati Uniti, 82901
    - Memorial Hospital of Sweetwater County
  - Sheridan, Wyoming, Stati Uniti, 82801
    - Welch Cancer Center

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

Sessi ammissibili allo studio

Femmina

Descrizione

• Women with an initial pathologically confirmed diagnosis of stage I-III, hormone receptor positive, HER2-neu negative, invasive breast cancer within 18 months (>=548 days) prior to registration.

If a patient has undergone neo-adjuvant chemotherapy and had no residual invasive disease at the time of surgery, eligibility can be based on a clinical stage I-III prior to treatment and pathologic confirmation of receptor status from a diagnostic biopsy.
Hormone receptor positive is defined as estrogen receptor (ER) and/or progesterone receptor (PR) or both of > 1%
HER2-neu negative is defined as 0-1+ by immunohistochemical (IHC) analysis, or non-amplified by fluorescence in situ hybridization (FISH) analysis. If HER2-neu status is unknown due to insufficient tissue for evaluation, the patient is eligible
Patients with synchronous primary tumor foci of different receptor phenotypes, whether in the same or contralateral breast, may be enrolled as long as one tumor focus meets the receptor criteria and the patient is otherwise eligible

Prior Treatment:

Patients must have completed all planned cancer-directed surgery (except reconstruction surgery or oophorectomy)
Patients must have completed all other adjuvant therapy (e.g., radiation and intravenous [IV] or oral chemotherapy) prior to registration
Patients who will be taking a CDK4/6 inhibitor (e.g., abemaciclib, palbociclib, or ribociclib) during endocrine therapy are NOT permitted to enroll as this is considered ongoing adjuvant therapy
Patients who have previously been on ET drug outside the 6-month window for any reason, including breast cancer prevention or high-risk non-malignant lesions (e.g., atypical ductal hyperplasia [ADH], lobular carcinoma in situ [LCIS]) are ineligible

• Patients must be taking a once daily endocrine therapy drug initiated within the 6 months prior to registration, OR have received a prescription for a once daily ET medication with stated intent to initiate within 6 weeks after registration.
Patients who switch ET drugs prior to enrollment remain eligible as long as the total time since initiation of the first ET drug does not exceed 6 months prior to registration
Patients who have stopped their ET drug prior to enrollment and not started another ET drug are ineligible

• No history of previous cancer as follows:
Invasive or non-invasive breast cancer at any time
Non-breast cancer, within the past 5 years, excluding non-melanoma skin cancer
Patients with a history of high-risk breast lesions (e.g., atypical ductal hyperplasia - ADH, lobular carcinoma in situ - LCIS are eligible as long as they have not previously taken an endocrine therapy drug

• Patients must be willing to use a smart phone for study activities
Patient is NOT to be deemed ineligible during the recruitment process if they do not have a smart phone
A smart phone and service can be provided to the participant at no cost for the duration of the study activities if the participant meets at least one of the following criteria: (1) does not own a smart phone or (2) has limited data, minutes or texting plan or (3) their smart phone cannot support the Alliance electronic patient reported outcomes (ePRO) survey app. Study provided smart phones will be provided through the Ohio State University (OSU) partnership with Verizon Wireless.
The CRP is ONLY to discuss this option with those patients who self-identify a phone-related barrier to participation, including: lack of a smart phone, insufficient phone plan (minutes/text/data), or a smart phone incompatible with the Alliance ePRO app

• Patients must be willing to use the AdhereTech medication electronic pill cap for the duration of study participation
Patients must be willing to use the study-provided electronic pill cap as a medication event monitoring system each time ET drug is taken. Use of any other container (e.g., pill box, etc.) for ET drug during study period is not permitted
- Age >= 18 years
- In order to complete the mandatory patient-completed measures, participants must be able to speak and read English
- Co-enrollment is allowed with the permission of the Alliance Executive Officer and both studies' Study Chairs

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

Scopo principale: Ricerca sui servizi sanitari
Assegnazione: Randomizzato
Modello interventistico: Assegnazione parallela
Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm Gruppo di partecipanti / Arm Un gruppo o sottogruppo di partecipanti a uno studio clinico che riceve un intervento/trattamento specifico o nessun intervento, secondo il protocollo dello studio.	Intervento / Trattamento Intervento / Trattamento Un processo o un'azione che è al centro di uno studio clinico. Gli interventi includono farmaci, dispositivi medici, procedure, vaccini e altri prodotti sperimentali o già disponibili. Gli interventi possono anche includere approcci non invasivi, come l'educazione o la modifica della dieta e dell'esercizio fisico.
Sperimentale: Arm I (TMR) Patients receive online educational information about ET at the start of their ET medication. Patients also receive daily text message reminders to take their ET medication and monthly text messages about how they are doing with taking their ET medication. These text messages continue for 9 months.	Altro: Quality-of-Life Assessment Ancillary studies Altro: Questionnaire Administration Ancillary studies Altro: Educational Intervention Receive online educational information about ET medication Altro: Text Message-based Navigation Intervention Receive text messages
Sperimentale: Arm II (MI) Patients receive online educational information about ET at the start of their ET medication. Patients also receive a total of 5 motivational interviewing counseling sessions via telephone over 30-90 minutes for up to 9 months. These sessions are designed to support patients while they take their ET medication, develop health goals, and stay on track in achieving those goals.	Altro: Quality-of-Life Assessment Ancillary studies Altro: Questionnaire Administration Ancillary studies Altro: Educational Intervention Receive online educational information about ET medication Comportamentale: Motivational Interviewing Receive motivational interviewing counseling sessions
Sperimentale: Arm III (TMR + MI) Patients receive online educational information about ET at the start of their ET medication. Patients also receive text messages as in Arm I and motivational interviewing counseling sessions as in Arm II.	Altro: Quality-of-Life Assessment Ancillary studies Altro: Questionnaire Administration Ancillary studies Altro: Educational Intervention Receive online educational information about ET medication Altro: Text Message-based Navigation Intervention Receive text messages Comportamentale: Motivational Interviewing Receive motivational interviewing counseling sessions
Comparatore attivo: Arm IV (enhanced usual care) Patients attend usual care clinic visits every 3-6 months and receive online educational information about ET at the start of their ET medication. Patients also receive optional online information about living a healthy life after breast cancer.	Altro: Quality-of-Life Assessment Ancillary studies Altro: Questionnaire Administration Ancillary studies Altro: Educational Intervention Receive online educational information about ET medication Altro: Best Practice Attend usual care clinic visits Altri nomi: Standard di sicurezza

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Endocrine therapy (ET) adherence at 12 months post-randomization Lasso di tempo: At 12 months post-randomization	ET adherence at 12 months post-randomization will be measured by electronic pill monitoring cap (AdhereTech-reported) and defined as the proportion of patients within each arm who have taken their ET medication for at least 292 of 365 days.	At 12 months post-randomization

Misure di risultato secondarie

Misura del risultato	Misura Descrizione	Lasso di tempo
Endocrine therapy (ET) adherence at 24 months post-randomization Lasso di tempo: At 24 months post-randomization	ET adherence at 24 months post-randomization will be measured by electronic pill monitoring cap (Pillsy-reported) and defined as the proportion of patients within each arm who have taken their ET medication for at least 584 of 730 days.	At 24 months post-randomization

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Alliance for Clinical Trials in Oncology

Collaboratori

National Cancer Institute (NCI)

Investigatori

Cattedra di studio: Katherine E. Reeder-Hayes, MD, University of North Carolina, Chapel Hill

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Pubblicazioni generali

Ivory J, Wheeler SB, Drier S, Gunn H, Zahrieh D, Paskett E, Naughton M, Wills R, Swetel K, Chow S, Reeder-Hayes K. Randomized phase III trial evaluating motivational interviewing and text interventions to optimize adherence to breast cancer endocrine therapy (Alliance A191901): the GETSET protocol. Trials. 2023 Oct 12;24(1):664. doi: 10.1186/s13063-023-07672-8.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

15 febbraio 2021

Completamento primario (Effettivo)

4 ottobre 2026

Completamento dello studio (Stimato)

4 ottobre 2027

Date di iscrizione allo studio

Primo inviato

5 maggio 2020

Primo inviato che soddisfa i criteri di controllo qualità

5 maggio 2020

Primo Inserito (Effettivo)

7 maggio 2020

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

19 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

16 ottobre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

A191901
UG1CA189823 (Sovvenzione/contratto NIH degli Stati Uniti)
NCI-2020-02479 (Identificatore di registro: NCI Clinical Trial Reporting Program)
R01CA237357 (Sovvenzione/contratto NIH degli Stati Uniti)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Programma di supporto aggiuntivo tramite messaggi di testo e consulenza telefonica per pazienti con cancro al seno che ricevono terapia ormonale

Ottimizzazione della terapia endocrina attraverso colloqui motivazionali e interventi testuali

Panoramica dello studio

Stato

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Tipo di studio

Iscrizione (Effettivo)

Fase

Contatti e Sedi

Luoghi di studio

Criteri di partecipazione

Criteri di ammissibilità

Età idonea allo studio

Accetta volontari sani

Sessi ammissibili allo studio

Descrizione

Piano di studio

Come è strutturato lo studio?

Dettagli di progettazione

Numero di armi

Armi e interventi

Gruppo di partecipanti / Arm

Intervento / Trattamento

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato

Misura Descrizione

Lasso di tempo

Misure di risultato secondarie

Misura del risultato

Misura Descrizione

Lasso di tempo

Collaboratori e investigatori

Sponsor

Collaboratori

Investigatori

Pubblicazioni e link utili

Pubblicazioni generali

Studiare le date dei record

Studia le date principali

Inizio studio (Effettivo)

Completamento primario (Effettivo)

Completamento dello studio (Stimato)

Date di iscrizione allo studio

Primo inviato

Primo inviato che soddisfa i criteri di controllo qualità

Primo Inserito (Effettivo)

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

Ultimo aggiornamento inviato che soddisfa i criteri QC

Ultimo verificato

Maggiori informazioni

Termini relativi a questo studio

Termini MeSH pertinenti aggiuntivi

Altri numeri di identificazione dello studio

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti