HPV咽喉がん患者における免疫療法と経過観察の比較試験
局所進行中等度リスク HPV 陽性 OPSCC 患者における維持ニボルマブ対観察の第 III 相ランダム化試験
This phase III trials studies whether maintenance immunotherapy (nivolumab) following definitive treatment with radiation and chemotherapy (cisplatin) result in significant improvement in overall survival (time being alive) and progression-free survival (time being alive without cancer) for patients with intermediate risk human papillomavirus (HPV) positive oropharynx cancer (throat cancer) that has spread to nearby tissue or lymph nodes. Drugs used in chemotherapy such as cisplatin work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high energy rays to kill tumor cells and shrink tumors. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. It is not yet known whether chemotherapy and radiation therapy followed by maintenance nivolumab therapy works better than chemotherapy and radiation therapy alone in treating patients with HPV positive oropharyngeal cancer.
調査の概要
状態
詳細な説明
PRIMARY OBJECTIVE:
I. To assess the efficacy of concurrent definitive therapy followed by nivolumab compared with concurrent definitive therapy followed by observation in terms of overall survival (OS).
SECONDARY OBJECTIVES:
I. To further assess the efficacy of nivolumab compared with observation in terms of:
Ia. To evaluate treatment effect within the subset of patients tested as PD-L1+ .
Ib. To evaluate the prognostic effect of baseline saliva and/or plasma HPV status .
Ic. To evaluate the prognostic effect of mutation burden among patients on the nivolumab arm.
Id. To evaluate the association of 12-week post therapy fludeoxyglucose F-18 (FDG) positron emission tomography(PET)/computed tomography (CT) OS and progression free survival (PFS).
Ie. To establish the prognostic value of standardized uptake value (SUV) max of primary tumor or neck nodal metastasis of baseline FDG PET/CT for OS (and/or PFS).
If. To correlate SUV max of primary tumor or nodal metastasis of baseline FDG PET/CT with PD-L1 expression (positive versus [vs.] negative).
Ig. To compare the PET based therapy response assessment (Hopkins criteria) to the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 assessment at 12 week post chemoradiation therapy, for patients who have a PET/CT scan at 12 weeks.
II. To assess the efficacy of concurrent definitive therapy followed by nivolumab in terms of progression free survival (PFS).
OUTLINE: Patients are randomized to Arm A or Arm B. Patients in Arm B may cross-over to Arm C with clearly documented disease progression.
ARM A: Patients receive cisplatin intravenously (IV) over 60 minutes weekly and intensity modulated radiation therapy (IMRT) 5 days a week for 7 weeks for a total of 35 fractions. Within 4 weeks after completion of concurrent therapy, patients receive nivolumab IV once weekly over 30 minutes every 4 weeks for 12 months in the absence of disease progression or unacceptable toxicity.
ARM B: Patients receive cisplatin IV over 60 minutes weekly and IMRT 5 days a week for 7 weeks for a total of 35 fractions, and then go on observation. Patients will be offered the option to cross-over to Arm C if they have clearly documented progression within 12 months from the end of cisplatin/radiation therapy.
ARM C: Patients receive nivolumab IV over 30 minutes every 4 weeks for 12 months in the absence of disease progression or unacceptable toxicity.
All patients undergo computed tomography (CT) or Fludeoxyglucose F-18 (FDG) positron emission tomography (PET)/CT scans throughout the trial. Patients may undergo echocardiography (ECHO) as clinically indicated. Additionally, patients undergo blood sample collection during screening.
After completion of study treatment, patients are followed up every 3-6 months for 3 years and then annually for a total of 10 years.
研究の種類
入学 (推定)
段階
- フェーズ 3
連絡先と場所
研究場所
-
-
Alabama
-
Fairhope、Alabama、アメリカ、36532
- Thomas Hospital
-
Mobile、Alabama、アメリカ、36607
- Mobile Infirmary Medical Center
-
-
Alaska
-
Anchorage、Alaska、アメリカ、98508
- Anchorage Associates in Radiation Medicine
-
Anchorage、Alaska、アメリカ、99508
- Alaska Breast Care and Surgery LLC
-
Anchorage、Alaska、アメリカ、99508
- Alaska Oncology and Hematology LLC
-
Anchorage、Alaska、アメリカ、99508
- Alaska Women's Cancer Care
-
Anchorage、Alaska、アメリカ、99508
- Anchorage Oncology Centre
-
Anchorage、Alaska、アメリカ、99508
- Katmai Oncology Group
-
Anchorage、Alaska、アメリカ、99508
- Providence Alaska Medical Center
-
Anchorage、Alaska、アメリカ、99504
- Anchorage Radiation Therapy Center
-
Fairbanks、Alaska、アメリカ、99701
- Fairbanks Memorial Hospital
-
-
Arizona
-
Goodyear、Arizona、アメリカ、85338
- CTCA at Western Regional Medical Center
-
Kingman、Arizona、アメリカ、86401
- Kingman Regional Medical Center
-
Phoenix、Arizona、アメリカ、85004
- Cancer Center at Saint Joseph's
-
-
Arkansas
-
Fort Smith、Arkansas、アメリカ、72903
- Mercy Hospital Fort Smith
-
Hot Springs、Arkansas、アメリカ、71913
- CHI Saint Vincent Cancer Center Hot Springs
-
-
California
-
Antioch、California、アメリカ、94531
- Kaiser Permanente-Deer Valley Medical Center
-
Arroyo Grande、California、アメリカ、93420
- PCR Oncology
-
Arroyo Grande、California、アメリカ、93420
- Mission Hope Medical Oncology - Arroyo Grande
-
Burbank、California、アメリカ、91505
- Providence Saint Joseph Medical Center/Disney Family Cancer Center
-
Carmichael、California、アメリカ、95608
- Mercy San Juan Medical Center
-
Carmichael、California、アメリカ、95608
- Mercy Cancer Center - Carmichael
-
Dublin、California、アメリカ、94568
- Kaiser Permanente Dublin
-
Dublin、California、アメリカ、94568
- Epic Care-Dublin
-
Elk Grove、California、アメリカ、95758
- Mercy Cancer Center - Elk Grove
-
Emeryville、California、アメリカ、94608
- Bay Area Breast Surgeons Inc
-
Emeryville、California、アメリカ、94608
- Epic Care Partners in Cancer Care
-
Fremont、California、アメリカ、94538
- Kaiser Permanente-Fremont
-
Fresno、California、アメリカ、93720
- Kaiser Permanente-Fresno
-
Fresno、California、アメリカ、93720
- Fresno Cancer Center
-
Long Beach、California、アメリカ、90822
- Tibor Rubin VA Medical Center
-
Martinez、California、アメリカ、94553-3156
- Contra Costa Regional Medical Center
-
Merced、California、アメリカ、95340
- Mercy Cancer Center
-
Modesto、California、アメリカ、95356
- Kaiser Permanente-Modesto
-
Napa、California、アメリカ、94558
- Providence Queen of The Valley
-
Oakland、California、アメリカ、94611
- Kaiser Permanente-Oakland
-
Oakland、California、アメリカ、94611
- Kaiser Permanente Oakland-Broadway
-
Oakland、California、アメリカ、94609
- Alta Bates Summit Medical Center - Summit Campus
-
Oakland、California、アメリカ、94609
- Bay Area Tumor Institute
-
Palo Alto、California、アメリカ、94304
- VA Palo Alto Health Care System
-
Rancho Cordova、California、アメリカ、95670
- Kaiser Permanente-Rancho Cordova Cancer Center
-
Redwood City、California、アメリカ、94063
- Kaiser Permanente-Redwood City
-
Richmond、California、アメリカ、94801
- Kaiser Permanente-Richmond
-
Rocklin、California、アメリカ、95765
- Mercy Cancer Center - Rocklin
-
Rohnert Park、California、アメリカ、94928
- Rohnert Park Cancer Center
-
Roseville、California、アメリカ、95678
- The Permanente Medical Group-Roseville Radiation Oncology
-
Roseville、California、アメリカ、95661
- Kaiser Permanente-Roseville
-
Sacramento、California、アメリカ、95814
- Kaiser Permanente Downtown Commons
-
Sacramento、California、アメリカ、95823
- South Sacramento Cancer Center
-
Sacramento、California、アメリカ、95816
- Mercy Cancer Center - Sacramento
-
Salinas、California、アメリカ、93901
- Salinas Valley Memorial
-
San Diego、California、アメリカ、92134
- Naval Medical Center -San Diego
-
San Diego、California、アメリカ、92103
- UC San Diego Medical Center - Hillcrest
-
San Francisco、California、アメリカ、94115
- Kaiser Permanente-San Francisco
-
San Jose、California、アメリカ、95119
- Kaiser Permanente-Santa Teresa-San Jose
-
San Leandro、California、アメリカ、94577
- Kaiser Permanente San Leandro
-
San Luis Obispo、California、アメリカ、93401
- Pacific Central Coast Health Center-San Luis Obispo
-
San Rafael、California、アメリカ、94903
- Kaiser San Rafael-Gallinas
-
Santa Clara、California、アメリカ、95051
- Kaiser Permanente Medical Center - Santa Clara
-
Santa Maria、California、アメリカ、93444
- Mission Hope Medical Oncology - Santa Maria
-
Santa Rosa、California、アメリカ、95403
- Kaiser Permanente-Santa Rosa
-
Santa Rosa、California、アメリカ、95403
- Providence Medical Foundation - Santa Rosa
-
South San Francisco、California、アメリカ、94080
- Kaiser Permanente Cancer Treatment Center
-
South San Francisco、California、アメリカ、94080
- Kaiser Permanente-South San Francisco
-
Stockton、California、アメリカ、95210
- Kaiser Permanente-Stockton
-
Vacaville、California、アメリカ、95688
- Kaiser Permanente Medical Center-Vacaville
-
Vallejo、California、アメリカ、94589
- Kaiser Permanente-Vallejo
-
Walnut Creek、California、アメリカ、94596
- Kaiser Permanente-Walnut Creek
-
Walnut Creek、California、アメリカ、94597
- Epic Care Cyberknife Center
-
Woodland、California、アメリカ、95695
- Woodland Memorial Hospital
-
-
Colorado
-
Aurora、Colorado、アメリカ、80012
- Rocky Mountain Cancer Centers-Aurora
-
Aurora、Colorado、アメリカ、80012
- The Medical Center of Aurora
-
Aurora、Colorado、アメリカ、80045
- UCHealth University of Colorado Hospital
-
Boulder、Colorado、アメリカ、80303
- Boulder Community Foothills Hospital
-
Boulder、Colorado、アメリカ、80304
- Rocky Mountain Cancer Centers-Boulder
-
Centennial、Colorado、アメリカ、80112
- Rocky Mountain Cancer Centers - Centennial
-
Colorado Springs、Colorado、アメリカ、80907
- Penrose-Saint Francis Healthcare
-
Colorado Springs、Colorado、アメリカ、80909
- UCHealth Memorial Hospital Central
-
Colorado Springs、Colorado、アメリカ、80907
- Rocky Mountain Cancer Centers-Penrose
-
Colorado Springs、Colorado、アメリカ、80920
- Memorial Hospital North
-
Colorado Springs、Colorado、アメリカ、80923
- Saint Francis Cancer Center
-
Denver、Colorado、アメリカ、80218
- Presbyterian - Saint Lukes Medical Center - Health One
-
Denver、Colorado、アメリカ、80220
- Rose Medical Center
-
Denver、Colorado、アメリカ、80218
- Rocky Mountain Cancer Centers-Midtown
-
Denver、Colorado、アメリカ、80220
- Rocky Mountain Cancer Centers-Rose
-
Denver、Colorado、アメリカ、80218
- Colorado Blood Cancer Institute
-
Denver、Colorado、アメリカ、80204
- Cancer Center of Colorado at Sloan's Lake
-
Denver、Colorado、アメリカ、80209
- The Women's Imaging Center
-
Denver、Colorado、アメリカ、80206
- National Jewish Health-Main Campus
-
Denver、Colorado、アメリカ、80220
- Western Surgical Care
-
Denver、Colorado、アメリカ、80218
- Saint Joseph Hospital - Cancer Centers of Colorado
-
Denver、Colorado、アメリカ、80210
- AdventHealth Porter
-
Durango、Colorado、アメリカ、81301
- Mercy Medical Center
-
Durango、Colorado、アメリカ、81301
- CommonSpirit Cancer Center Mercy
-
Englewood、Colorado、アメリカ、80113
- Mountain Blue Cancer Care Center - Swedish
-
Englewood、Colorado、アメリカ、80113
- Swedish Medical Center
-
Englewood、Colorado、アメリカ、80113
- Rocky Mountain Cancer Centers - Swedish
-
Englewood、Colorado、アメリカ、80113
- The Melanoma and Skin Cancer Institute
-
Fort Collins、Colorado、アメリカ、80524
- Poudre Valley Hospital
-
Fort Collins、Colorado、アメリカ、80528
- Cancer Care and Hematology-Fort Collins
-
Golden、Colorado、アメリカ、80401
- National Jewish Health-Western Hematology Oncology
-
Grand Junction、Colorado、アメリカ、81501
- Saint Mary's Hospital and Regional Medical Center
-
Greeley、Colorado、アメリカ、80631
- UCHealth Greeley Hospital
-
Greeley、Colorado、アメリカ、80631
- Banner North Colorado Medical Center
-
Lafayette、Colorado、アメリカ、80026
- Good Samaritan Hospital - Cancer Centers of Colorado
-
Lakewood、Colorado、アメリカ、80228
- Rocky Mountain Cancer Centers-Lakewood
-
Lakewood、Colorado、アメリカ、80228
- CommonSpirit Saint Anthony Hospital Cancer Center
-
Littleton、Colorado、アメリカ、80120
- Rocky Mountain Cancer Centers-Littleton
-
Littleton、Colorado、アメリカ、80122
- AdventHealth Littleton
-
Lone Tree、Colorado、アメリカ、80124
- Sky Ridge Medical Center
-
Lone Tree、Colorado、アメリカ、80124
- Rocky Mountain Cancer Centers-Sky Ridge
-
Longmont、Colorado、アメリカ、80501
- Longmont United Hospital
-
Longmont、Colorado、アメリカ、80501
- Rocky Mountain Cancer Centers-Longmont
-
Loveland、Colorado、アメリカ、80538
- Medical Center of the Rockies
-
Loveland、Colorado、アメリカ、80539
- Banner North Colorado Medical Center - Loveland Campus
-
Parker、Colorado、アメリカ、80138
- AdventHealth Parker
-
Pueblo、Colorado、アメリカ、81004
- Saint Mary Corwin Medical Center
-
Thornton、Colorado、アメリカ、80260
- Rocky Mountain Cancer Centers-Thornton
-
Thornton、Colorado、アメリカ、80260
- National Jewish Health-Northern Hematology Oncology
-
Wheat Ridge、Colorado、アメリカ、80401
- Intermountain Health Lutheran Hospital
-
-
Connecticut
-
Greenwich、Connecticut、アメリカ、06830
- Smilow Cancer Hospital Care Center at Greenwich
-
Guilford、Connecticut、アメリカ、06437
- Smilow Cancer Hospital Care Center - Guilford
-
New Haven、Connecticut、アメリカ、06520
- Yale University
-
New Haven、Connecticut、アメリカ、06510
- Smilow Cancer Center/Yale-New Haven Hospital
-
North Haven、Connecticut、アメリカ、06473
- Yale-New Haven Hospital North Haven Medical Center
-
Orange、Connecticut、アメリカ、06477
- Smilow Cancer Hospital-Orange Care Center
-
Trumbull、Connecticut、アメリカ、06611
- Smilow Cancer Hospital Care Center-Trumbull
-
Waterford、Connecticut、アメリカ、06385
- Smilow Cancer Hospital Care Center - Waterford
-
-
Delaware
-
Lewes、Delaware、アメリカ、19958
- Beebe Medical Center
-
Millville、Delaware、アメリカ、19967
- Beebe South Coastal Health Campus
-
Newark、Delaware、アメリカ、19713
- Helen F Graham Cancer Center
-
Newark、Delaware、アメリカ、19713
- Delaware Clinical and Laboratory Physicians PA
-
Newark、Delaware、アメリカ、19713
- Medical Oncology Hematology Consultants PA
-
Newark、Delaware、アメリカ、19718
- Christiana Care Health System-Christiana Hospital
-
Rehoboth Beach、Delaware、アメリカ、19971
- Beebe Health Campus
-
-
District of Columbia
-
Washington D.C.、District of Columbia、アメリカ、20037
- George Washington University Medical Center
-
-
Florida
-
Deerfield Beach、Florida、アメリカ、33064
- Broward Health North
-
Fort Lauderdale、Florida、アメリカ、33316
- Broward Health Medical Center
-
Fort Lauderdale、Florida、アメリカ、33308
- Holy Cross Hospital
-
Lakeland、Florida、アメリカ、33805
- The Watson Clinic
-
Tampa、Florida、アメリカ、33612
- Moffitt Cancer Center
-
Tampa、Florida、アメリカ、33607
- Moffitt Cancer Center-International Plaza
-
Tampa、Florida、アメリカ、33612
- Moffitt Cancer Center - McKinley Campus
-
Wesley Chapel、Florida、アメリカ、33544
- Moffitt Cancer Center at Wesley Chapel
-
-
Georgia
-
Atlanta、Georgia、アメリカ、30308
- Emory University Hospital Midtown
-
Atlanta、Georgia、アメリカ、30322
- Emory University Hospital/Winship Cancer Institute
-
Decatur、Georgia、アメリカ、30033
- Atlanta VA Medical Center
-
Savannah、Georgia、アメリカ、31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
-
Valdosta、Georgia、アメリカ、31602
- South Georgia Medical Center/Pearlman Cancer Center
-
-
Hawaii
-
Honolulu、Hawaii、アメリカ、96813
- Queen's Medical Center
-
Honolulu、Hawaii、アメリカ、96817
- The Cancer Center of Hawaii-Liliha
-
Honolulu、Hawaii、アメリカ、96813
- Hawaii Cancer Care Inc - Waterfront Plaza
-
Honolulu、Hawaii、アメリカ、96813
- Queen's Cancer Cenrer - POB I
-
Honolulu、Hawaii、アメリカ、96813
- Straub Clinic and Hospital
-
Honolulu、Hawaii、アメリカ、96813
- University of Hawaii Cancer Center
-
Honolulu、Hawaii、アメリカ、96817
- Kuakini Medical Center
-
Honolulu、Hawaii、アメリカ、96817
- Queen's Cancer Center - Kuakini
-
Honolulu、Hawaii、アメリカ、96826
- Kapiolani Medical Center for Women and Children
-
Honolulu、Hawaii、アメリカ、96819
- Kaiser Permanente Moanalua Medical Center
-
Lihue、Hawaii、アメリカ、96766
- Wilcox Memorial Hospital and Kauai Medical Clinic
-
‘Aiea、Hawaii、アメリカ、96701
- Hawaii Cancer Care - Westridge
-
‘Aiea、Hawaii、アメリカ、96701
- Pali Momi Medical Center
-
‘Aiea、Hawaii、アメリカ、96701
- Queen's Cancer Center - Pearlridge
-
‘Aiea、Hawaii、アメリカ、96701
- The Cancer Center of Hawaii-Pali Momi
-
-
Idaho
-
Boise、Idaho、アメリカ、83706
- Saint Alphonsus Cancer Care Center-Boise
-
Boise、Idaho、アメリカ、83712
- Saint Luke's Cancer Institute - Boise
-
Caldwell、Idaho、アメリカ、83605
- Saint Alphonsus Cancer Care Center-Caldwell
-
Coeur d'Alene、Idaho、アメリカ、83814
- Kootenai Health - Coeur d'Alene
-
Emmett、Idaho、アメリカ、83617
- Walter Knox Memorial Hospital
-
Fruitland、Idaho、アメリカ、83619
- Saint Luke's Cancer Institute - Fruitland
-
Meridian、Idaho、アメリカ、83642
- Idaho Urologic Institute-Meridian
-
Meridian、Idaho、アメリカ、83642
- Saint Luke's Cancer Institute - Meridian
-
Nampa、Idaho、アメリカ、83687
- Saint Alphonsus Cancer Care Center-Nampa
-
Nampa、Idaho、アメリカ、83687
- Saint Luke's Cancer Institute - Nampa
-
Post Falls、Idaho、アメリカ、83854
- Kootenai Clinic Cancer Services - Post Falls
-
Sandpoint、Idaho、アメリカ、83864
- Kootenai Clinic Cancer Services - Sandpoint
-
Twin Falls、Idaho、アメリカ、83301
- Saint Luke's Cancer Institute - Twin Falls
-
-
Illinois
-
Alton、Illinois、アメリカ、62002
- OSF Saint Anthony's Health Center
-
Aurora、Illinois、アメリカ、60504
- Rush-Copley Medical Center
-
Barrington、Illinois、アメリカ、60010
- Advocate Good Shepherd Hospital
-
Bloomington、Illinois、アメリカ、61704
- Illinois CancerCare-Bloomington
-
Canton、Illinois、アメリカ、61520
- Illinois CancerCare-Canton
-
Carbondale、Illinois、アメリカ、62902
- Memorial Hospital of Carbondale
-
Carterville、Illinois、アメリカ、62918
- SIH Cancer Institute
-
Carthage、Illinois、アメリカ、62321
- Illinois CancerCare-Carthage
-
Centralia、Illinois、アメリカ、62801
- Centralia Oncology Clinic
-
Centralia、Illinois、アメリカ、62801
- Saint Mary's Hospital
-
Chicago、Illinois、アメリカ、60611
- Northwestern University
-
Chicago、Illinois、アメリカ、60612
- University of Illinois
-
Chicago、Illinois、アメリカ、60612
- John H Stroger Jr Hospital of Cook County
-
Chicago、Illinois、アメリカ、60657
- Advocate Illinois Masonic Medical Center
-
Crystal Lake、Illinois、アメリカ、60014
- AMG Crystal Lake - Oncology
-
Danville、Illinois、アメリカ、61832
- Carle at The Riverfront
-
Decatur、Illinois、アメリカ、62526
- Decatur Memorial Hospital
-
Decatur、Illinois、アメリカ、62526
- Cancer Care Specialists of Illinois - Decatur
-
Dixon、Illinois、アメリカ、61021
- Illinois CancerCare-Dixon
-
Downers Grove、Illinois、アメリカ、60515
- Advocate Good Samaritan Hospital
-
Effingham、Illinois、アメリカ、62401
- Crossroads Cancer Center
-
Effingham、Illinois、アメリカ、62401
- Carle Physician Group-Effingham
-
Elgin、Illinois、アメリカ、60123
- Advocate Sherman Hospital
-
Eureka、Illinois、アメリカ、61530
- Illinois CancerCare-Eureka
-
Galesburg、Illinois、アメリカ、61401
- Western Illinois Cancer Treatment Center
-
Galesburg、Illinois、アメリカ、61401
- Illinois CancerCare-Galesburg
-
Hazel Crest、Illinois、アメリカ、60429
- Advocate South Suburban Hospital
-
Hinsdale、Illinois、アメリカ、60521
- UChicago Medicine AdventHealth Cancer Institute Hinsdale
-
Kewanee、Illinois、アメリカ、61443
- Illinois CancerCare-Kewanee Clinic
-
Lake Forest、Illinois、アメリカ、60045
- Northwestern Medicine Lake Forest Hospital
-
Libertyville、Illinois、アメリカ、60048
- Condell Memorial Hospital
-
Libertyville、Illinois、アメリカ、60048
- AMG Libertyville - Oncology
-
Macomb、Illinois、アメリカ、61455
- Illinois CancerCare-Macomb
-
Mattoon、Illinois、アメリカ、61938
- Carle Physician Group-Mattoon/Charleston
-
Mount Vernon、Illinois、アメリカ、62864
- SSM Health Good Samaritan
-
O'Fallon、Illinois、アメリカ、62269
- Cancer Care Center of O'Fallon
-
O'Fallon、Illinois、アメリカ、62269
- HSHS Saint Elizabeth's Hospital
-
Oak Lawn、Illinois、アメリカ、60453-2699
- Advocate Christ Medical Center
-
Ottawa、Illinois、アメリカ、61350
- Illinois CancerCare-Ottawa Clinic
-
Palos Heights、Illinois、アメリカ、60463
- Advocate High Tech Medical Park
-
Park Ridge、Illinois、アメリカ、60068
- Advocate Lutheran General Hospital
-
Pekin、Illinois、アメリカ、61554
- Illinois CancerCare-Pekin
-
Pekin、Illinois、アメリカ、61554
- OSF Saint Francis Radiation Oncology at Pekin
-
Peoria、Illinois、アメリカ、61636
- Methodist Medical Center of Illinois
-
Peoria、Illinois、アメリカ、61637
- OSF Saint Francis Medical Center
-
Peoria、Illinois、アメリカ、61615
- Illinois CancerCare-Peoria
-
Peoria、Illinois、アメリカ、61615
- OSF Saint Francis Radiation Oncology at Peoria Cancer Center
-
Peru、Illinois、アメリカ、61354
- Illinois CancerCare-Peru
-
Peru、Illinois、アメリカ、61354
- Valley Radiation Oncology
-
Princeton、Illinois、アメリカ、61356
- Illinois CancerCare-Princeton
-
Springfield、Illinois、アメリカ、62702
- Southern Illinois University School of Medicine
-
Springfield、Illinois、アメリカ、62702
- Springfield Clinic
-
Springfield、Illinois、アメリカ、62781
- Springfield Memorial Hospital
-
Swansea、Illinois、アメリカ、62226
- Southwest Illinois Health Services LLP
-
Urbana、Illinois、アメリカ、61801
- Carle Cancer Center
-
Urbana、Illinois、アメリカ、61801
- The Carle Foundation Hospital
-
Washington、Illinois、アメリカ、61571
- Illinois CancerCare - Washington
-
Yorkville、Illinois、アメリカ、60560
- Rush-Copley Healthcare Center
-
-
Indiana
-
Fort Wayne、Indiana、アメリカ、46845
- Parkview Regional Medical Center
-
Indianapolis、Indiana、アメリカ、46237
- Franciscan Health Indianapolis
-
Indianapolis、Indiana、アメリカ、46219
- Community Cancer Center East
-
Indianapolis、Indiana、アメリカ、46227
- Community Cancer Center South
-
Indianapolis、Indiana、アメリカ、46256
- Community Cancer Center North
-
Kokomo、Indiana、アメリカ、46904
- Community Howard Regional Health
-
Michigan City、Indiana、アメリカ、46360
- Woodland Cancer Care Center
-
Mooresville、Indiana、アメリカ、46158
- Franciscan Health Mooresville
-
Terre Haute、Indiana、アメリカ、47804
- Union Hospital
-
-
Iowa
-
Ames、Iowa、アメリカ、50010
- Mary Greeley Medical Center
-
Ames、Iowa、アメリカ、50010
- McFarland Clinic - Ames
-
Ankeny、Iowa、アメリカ、50023
- UI Health Care Mission Cancer and Blood - Ankeny Clinic
-
Boone、Iowa、アメリカ、50036
- McFarland Clinic - Boone
-
Carroll、Iowa、アメリカ、51401
- Saint Anthony Regional Hospital
-
Clive、Iowa、アメリカ、50325
- Mercy Cancer Center-West Lakes
-
Clive、Iowa、アメリカ、50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
-
Council Bluffs、Iowa、アメリカ、51503
- Alegent Health Mercy Hospital
-
Creston、Iowa、アメリカ、50801
- Greater Regional Medical Center
-
Des Moines、Iowa、アメリカ、50309
- Iowa Methodist Medical Center
-
Des Moines、Iowa、アメリカ、50314
- Mercy Medical Center - Des Moines
-
Des Moines、Iowa、アメリカ、50314
- Broadlawns Medical Center
-
Des Moines、Iowa、アメリカ、50316
- Iowa Lutheran Hospital
-
Des Moines、Iowa、アメリカ、50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
-
Des Moines、Iowa、アメリカ、50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
-
Fort Dodge、Iowa、アメリカ、50501
- McFarland Clinic - Trinity Cancer Center
-
Fort Dodge、Iowa、アメリカ、50501
- UI Healthcare Mission Cancer and Blood - Fort Dodge
-
Jefferson、Iowa、アメリカ、50129
- McFarland Clinic - Jefferson
-
Marshalltown、Iowa、アメリカ、50158
- McFarland Clinic - Marshalltown
-
West Des Moines、Iowa、アメリカ、50266-7700
- Methodist West Hospital
-
West Des Moines、Iowa、アメリカ、50266
- Mercy Medical Center-West Lakes
-
-
Kansas
-
Garden City、Kansas、アメリカ、67846
- Central Care Cancer Center - Garden City
-
Great Bend、Kansas、アメリカ、67530
- Central Care Cancer Center - Great Bend
-
-
Kentucky
-
Bardstown、Kentucky、アメリカ、40004
- CommonSpirit Saint Joseph Hospital - Bardstown
-
Corbin、Kentucky、アメリカ、40701
- Commonwealth Cancer Center-Corbin
-
Lexington、Kentucky、アメリカ、40504
- Saint Joseph Radiation Oncology Resource Center
-
Lexington、Kentucky、アメリカ、40509
- CommonSpirit Saint Joseph Medical Center - East Lexington
-
Lexington、Kentucky、アメリカ、40504
- CommonSpirit Saint Joseph Hospital - Lexington
-
London、Kentucky、アメリカ、40741
- CommonSpirit Saint Joseph Hospital London
-
Louisville、Kentucky、アメリカ、40202
- The James Graham Brown Cancer Center at University of Louisville
-
Louisville、Kentucky、アメリカ、40202
- Jewish Hospital
-
Louisville、Kentucky、アメリカ、40245
- UofL Health Medical Center Northeast
-
Louisville、Kentucky、アメリカ、40215
- Saints Mary and Elizabeth Hospital
-
Shepherdsville、Kentucky、アメリカ、40165
- Jewish Hospital Medical Center South
-
-
Louisiana
-
Baton Rouge、Louisiana、アメリカ、70805
- LSU Health Baton Rouge-North Clinic
-
Baton Rouge、Louisiana、アメリカ、70809
- Louisiana Hematology Oncology Associates LLC
-
Baton Rouge、Louisiana、アメリカ、70809
- Mary Bird Perkins Cancer Center
-
Baton Rouge、Louisiana、アメリカ、70808
- Our Lady of The Lake
-
Baton Rouge、Louisiana、アメリカ、70808
- Our Lady of the Lake Physician Group
-
New Orleans、Louisiana、アメリカ、70112
- University Medical Center New Orleans
-
New Orleans、Louisiana、アメリカ、70112
- Louisiana State University Health Science Center
-
-
Maryland
-
Baltimore、Maryland、アメリカ、21204
- Greater Baltimore Medical Center
-
Baltimore、Maryland、アメリカ、21201
- University of Maryland/Greenebaum Cancer Center
-
Bel Air、Maryland、アメリカ、21014
- UM Upper Chesapeake Medical Center
-
-
Massachusetts
-
Boston、Massachusetts、アメリカ、02111
- Tufts Medical Center
-
Lowell、Massachusetts、アメリカ、01854
- Lowell General Hospital
-
Springfield、Massachusetts、アメリカ、01104
- Mercy Medical Center
-
Worcester、Massachusetts、アメリカ、01655
- UMass Memorial Medical Center - University Campus
-
-
Michigan
-
Ann Arbor、Michigan、アメリカ、48106
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor
-
Battle Creek、Michigan、アメリカ、49017
- Bronson Battle Creek
-
Bay City、Michigan、アメリカ、48706
- McLaren Cancer Institute-Bay City
-
Brighton、Michigan、アメリカ、48114
- Trinity Health IHA Medical Group Hematology Oncology - Brighton
-
Brighton、Michigan、アメリカ、48114
- Trinity Health Medical Center - Brighton
-
Canton、Michigan、アメリカ、48188
- Trinity Health IHA Medical Group Hematology Oncology - Canton
-
Canton、Michigan、アメリカ、48188
- Trinity Health Medical Center - Canton
-
Caro、Michigan、アメリカ、48723
- Caro Cancer Center
-
Chelsea、Michigan、アメリカ、48118
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
-
Chelsea、Michigan、アメリカ、48118
- Chelsea Hospital
-
Clarkston、Michigan、アメリカ、48346
- McLaren Cancer Institute-Clarkston
-
Clarkston、Michigan、アメリカ、48346
- Hematology Oncology Consultants-Clarkston
-
Clarkston、Michigan、アメリカ、48346
- Newland Medical Associates-Clarkston
-
Detroit、Michigan、アメリカ、48201
- Wayne State University/Karmanos Cancer Institute
-
Detroit、Michigan、アメリカ、48236
- Henry Ford Health Saint John Hospital
-
East China Township、Michigan、アメリカ、48054
- Henry Ford River District Hospital
-
Farmington Hills、Michigan、アメリカ、48334
- Weisberg Cancer Treatment Center
-
Flint、Michigan、アメリカ、48532
- McLaren Cancer Institute-Flint
-
Flint、Michigan、アメリカ、48532
- Singh and Arora Hematology Oncology PC
-
Flint、Michigan、アメリカ、48503
- Hurley Medical Center
-
Flint、Michigan、アメリカ、48503
- Genesee Hematology Oncology PC
-
Flint、Michigan、アメリカ、48503
- Genesys Hurley Cancer Institute
-
Flint、Michigan、アメリカ、48503
- Cancer Hematology Centers - Flint
-
Grand Rapids、Michigan、アメリカ、49503
- Trinity Health Grand Rapids Hospital
-
Grand Rapids、Michigan、アメリカ、49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
-
Grand Rapids、Michigan、アメリカ、49503
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
-
Grosse Pointe Woods、Michigan、アメリカ、48236
- Henry Ford Saint John Hospital - Academic
-
Grosse Pointe Woods、Michigan、アメリカ、48236
- Henry Ford Saint John Hospital - Breast
-
Grosse Pointe Woods、Michigan、アメリカ、48236
- Henry Ford Saint John Hospital - Van Elslander
-
Kalamazoo、Michigan、アメリカ、49007
- West Michigan Cancer Center
-
Kalamazoo、Michigan、アメリカ、49007
- Bronson Methodist Hospital
-
Kalamazoo、Michigan、アメリカ、49009
- Beacon Kalamazoo Cancer Center
-
Kalamazoo、Michigan、アメリカ、49048
- Beacon Kalamazoo
-
Lansing、Michigan、アメリカ、48912
- Mid-Michigan Physicians-Lansing
-
Lansing、Michigan、アメリカ、48910
- Karmanos Cancer Institute at McLaren Greater Lansing
-
Lansing、Michigan、アメリカ、48912
- University of Michigan Health - Sparrow Lansing
-
Lapeer、Michigan、アメリカ、48446
- McLaren Cancer Institute-Lapeer Region
-
Livonia、Michigan、アメリカ、48154
- Trinity Health Saint Mary Mercy Livonia Hospital
-
Livonia、Michigan、アメリカ、48154
- Hope Cancer Clinic
-
Macomb、Michigan、アメリカ、48044
- Henry Ford Warren Hospital - Breast Macomb
-
Macomb、Michigan、アメリカ、48044
- Henry Ford Saint John Hospital - Macomb Medical
-
Marlette、Michigan、アメリカ、48453
- Saint Mary's Oncology/Hematology Associates of Marlette
-
Mount Clemens、Michigan、アメリカ、48043
- McLaren Cancer Institute-Macomb
-
Mount Pleasant、Michigan、アメリカ、48858
- McLaren Cancer Institute-Central Michigan
-
Muskegon、Michigan、アメリカ、49444
- Trinity Health Muskegon Hospital
-
Niles、Michigan、アメリカ、49120
- Corewell Health Lakeland Hospitals - Niles Hospital
-
Norton Shores、Michigan、アメリカ、49444
- Cancer and Hematology Centers of Western Michigan - Norton Shores
-
Petoskey、Michigan、アメリカ、49770
- McLaren Cancer Institute-Northern Michigan
-
Pontiac、Michigan、アメリカ、48341
- Hope Cancer Center
-
Pontiac、Michigan、アメリカ、48341
- Trinity Health Saint Joseph Mercy Oakland Hospital
-
Pontiac、Michigan、アメリカ、48341
- Michigan Healthcare Professionals Pontiac
-
Pontiac、Michigan、アメリカ、48341
- Trinity Health IHA Medical Group-Alice Gustafson Center
-
Port Huron、Michigan、アメリカ、48060
- McLaren-Port Huron
-
Reed City、Michigan、アメリカ、49677
- Corewell Health Reed City Hospital
-
Rochester Hills、Michigan、アメリカ、48309
- Henry Ford Rochester Hospital
-
Saginaw、Michigan、アメリカ、48604
- Oncology Hematology Associates of Saginaw Valley PC
-
Saginaw、Michigan、アメリカ、48601
- MyMichigan Medical Center Saginaw
-
Saint Joseph、Michigan、アメリカ、49085
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
-
Saint Joseph、Michigan、アメリカ、49085
- Corewell Health Lakeland Hospitals - Saint Joseph Hospital
-
Sterling Heights、Michigan、アメリカ、48312
- Bhadresh Nayak MD PC-Sterling Heights
-
Tawas City、Michigan、アメリカ、48764
- MyMichigan Medical Center Tawas
-
Traverse City、Michigan、アメリカ、49684
- Munson Medical Center
-
Warren、Michigan、アメリカ、48088
- Advanced Breast Care Center PLLC
-
Warren、Michigan、アメリカ、48093
- Macomb Hematology Oncology PC
-
Warren、Michigan、アメリカ、48093
- Henry Ford Madison Heights Hospital - Breast
-
Warren、Michigan、アメリカ、48093
- Henry Ford Health Warren Hospital
-
Warren、Michigan、アメリカ、48093
- Henry Ford Warren Hospital - GLCMS
-
West Branch、Michigan、アメリカ、48661
- Saint Mary's Oncology/Hematology Associates of West Branch
-
Wyoming、Michigan、アメリカ、49519
- University of Michigan Health - West
-
Ypsilanti、Michigan、アメリカ、48197
- Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
-
Ypsilanti、Michigan、アメリカ、48106
- Huron Gastroenterology PC
-
-
Minnesota
-
Bemidji、Minnesota、アメリカ、56601
- Sanford Joe Lueken Cancer Center
-
Burnsville、Minnesota、アメリカ、55337
- Fairview Ridges Hospital
-
Burnsville、Minnesota、アメリカ、55337
- Minnesota Oncology - Burnsville
-
Cambridge、Minnesota、アメリカ、55008
- Cambridge Medical Center
-
Coon Rapids、Minnesota、アメリカ、55433
- Mercy Hospital
-
Edina、Minnesota、アメリカ、55435
- Fairview Southdale Hospital
-
Fridley、Minnesota、アメリカ、55432
- Unity Hospital
-
Maple Grove、Minnesota、アメリカ、55369
- Fairview Clinics and Surgery Center Maple Grove
-
Maplewood、Minnesota、アメリカ、55109
- Saint John's Hospital - Healtheast
-
Maplewood、Minnesota、アメリカ、55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis、Minnesota、アメリカ、55415
- Hennepin County Medical Center
-
Minneapolis、Minnesota、アメリカ、55407
- Abbott-Northwestern Hospital
-
Minneapolis、Minnesota、アメリカ、55454
- Health Partners Inc
-
Minneapolis、Minnesota、アメリカ、55417
- Minneapolis VA Medical Center
-
Monticello、Minnesota、アメリカ、55362
- Monticello Cancer Center
-
New Ulm、Minnesota、アメリカ、56073
- New Ulm Medical Center
-
Princeton、Minnesota、アメリカ、55371
- Fairview Northland Medical Center
-
Robbinsdale、Minnesota、アメリカ、55422
- North Memorial Medical Health Center
-
Saint Louis Park、Minnesota、アメリカ、55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul、Minnesota、アメリカ、55101
- Regions Hospital
-
Saint Paul、Minnesota、アメリカ、55102
- United Hospital
-
Shakopee、Minnesota、アメリカ、55379
- Saint Francis Regional Medical Center
-
Stillwater、Minnesota、アメリカ、55082
- Lakeview Hospital
-
Thief River Falls、Minnesota、アメリカ、56701
- Sanford Thief River Falls Medical Center
-
Waconia、Minnesota、アメリカ、55387
- Ridgeview Medical Center
-
Willmar、Minnesota、アメリカ、56201
- Rice Memorial Hospital
-
Woodbury、Minnesota、アメリカ、55125
- Minnesota Oncology Hematology PA-Woodbury
-
Worthington、Minnesota、アメリカ、56187
- Sanford Cancer Center Worthington
-
Wyoming、Minnesota、アメリカ、55092
- Fairview Lakes Medical Center
-
-
Missouri
-
Ballwin、Missouri、アメリカ、63011
- Mercy Oncology and Hematology - Clayton-Clarkson
-
Bolivar、Missouri、アメリカ、65613
- Central Care Cancer Center - Bolivar
-
Bonne Terre、Missouri、アメリカ、63628
- Parkland Health Center-Bonne Terre
-
Branson、Missouri、アメリカ、65616
- Cox Cancer Center Branson
-
Cape Girardeau、Missouri、アメリカ、63703
- Saint Francis Medical Center
-
Cape Girardeau、Missouri、アメリカ、63703
- Mercy Cancer Center - Cape Girardeau
-
Jefferson City、Missouri、アメリカ、65109
- MU Health Care Goldschmidt Cancer Center
-
Joplin、Missouri、アメリカ、64804
- Freeman Health System
-
Joplin、Missouri、アメリカ、64804
- Mercy Hospital Joplin
-
Rolla、Missouri、アメリカ、65401
- Mercy Clinic-Rolla-Cancer and Hematology
-
Rolla、Missouri、アメリカ、65401
- Phelps Health Delbert Day Cancer Institute
-
Saint Joseph、Missouri、アメリカ、64506
- Heartland Regional Medical Center
-
Sainte Genevieve、Missouri、アメリカ、63670
- Sainte Genevieve County Memorial Hospital
-
Springfield、Missouri、アメリカ、65807
- CoxHealth South Hospital
-
Springfield、Missouri、アメリカ、65804
- Mercy Hospital Springfield
-
St Louis、Missouri、アメリカ、63131
- Missouri Baptist Medical Center
-
St Louis、Missouri、アメリカ、63109
- Mercy Infusion Center - Chippewa
-
St Louis、Missouri、アメリカ、63141
- Mercy Hospital Saint Louis
-
St Louis、Missouri、アメリカ、63128
- Mercy Hospital South
-
Sullivan、Missouri、アメリカ、63080
- Missouri Baptist Sullivan Hospital
-
Washington、Missouri、アメリカ、63090
- Mercy Hospital Washington
-
-
Montana
-
Anaconda、Montana、アメリカ、59711
- Community Hospital of Anaconda
-
Billings、Montana、アメリカ、59101
- Billings Clinic Cancer Center
-
Billings、Montana、アメリカ、59101
- Saint Vincent Healthcare
-
Billings、Montana、アメリカ、59102
- Saint Vincent Frontier Cancer Center
-
Bozeman、Montana、アメリカ、59715
- Bozeman Health Deaconess Hospital
-
Butte、Montana、アメリカ、59701
- Saint James Community Hospital and Cancer Treatment Center
-
Great Falls、Montana、アメリカ、59405
- Great Falls Clinic
-
Great Falls、Montana、アメリカ、59405
- Benefis Sletten Cancer Institute
-
Helena、Montana、アメリカ、59601
- Saint Peter's Community Hospital
-
Kalispell、Montana、アメリカ、59901
- Logan Health Medical Center
-
Missoula、Montana、アメリカ、59802
- Saint Patrick Hospital - Community Hospital
-
Missoula、Montana、アメリカ、59804
- Community Medical Center
-
-
Nebraska
-
Bellevue、Nebraska、アメリカ、68123
- Nebraska Medicine-Bellevue
-
Grand Island、Nebraska、アメリカ、68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Kearney、Nebraska、アメリカ、68847
- CHI Health Good Samaritan
-
Lincoln、Nebraska、アメリカ、68510
- Saint Elizabeth Regional Medical Center
-
Omaha、Nebraska、アメリカ、68198
- University of Nebraska Medical Center
-
Omaha、Nebraska、アメリカ、68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha、Nebraska、アメリカ、68118
- Nebraska Medicine-Village Pointe
-
Omaha、Nebraska、アメリカ、68122
- Alegent Health Immanuel Medical Center
-
Omaha、Nebraska、アメリカ、68130
- Alegent Health Lakeside Hospital
-
Papillion、Nebraska、アメリカ、68046
- Midlands Community Hospital
-
-
Nevada
-
Carson City、Nevada、アメリカ、89703
- Carson Tahoe Regional Medical Center
-
Henderson、Nevada、アメリカ、89052
- Comprehensive Cancer Centers of Nevada - Henderson
-
Henderson、Nevada、アメリカ、89052
- Cancer and Blood Specialists-Henderson
-
Henderson、Nevada、アメリカ、89052
- Las Vegas Cancer Center-Henderson
-
Henderson、Nevada、アメリカ、89074
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Henderson、Nevada、アメリカ、89052
- Comprehensive Cancer Centers of Nevada-Horizon Ridge
-
Henderson、Nevada、アメリカ、89074
- Las Vegas Urology - Green Valley
-
Henderson、Nevada、アメリカ、89074
- Las Vegas Urology - Pebble
-
Henderson、Nevada、アメリカ、89074
- Urology Specialists of Nevada - Green Valley
-
Henderson、Nevada、アメリカ、89074
- Oncology Las Vegas - Henderson
-
Las Vegas、Nevada、アメリカ、89144
- Summerlin Hospital Medical Center
-
Las Vegas、Nevada、アメリカ、89109
- Sunrise Hospital and Medical Center
-
Las Vegas、Nevada、アメリカ、89102
- OptumCare Cancer Care at Charleston
-
Las Vegas、Nevada、アメリカ、89106
- Radiation Oncology Centers of Nevada Central
-
Las Vegas、Nevada、アメリカ、89119
- Radiation Oncology Centers of Nevada Southeast
-
Las Vegas、Nevada、アメリカ、89128
- Comprehensive Cancer Centers of Nevada - Northwest
-
Las Vegas、Nevada、アメリカ、89128
- OptumCare Cancer Care at MountainView
-
Las Vegas、Nevada、アメリカ、89135
- Alliance for Childhood Diseases/Cure 4 the Kids Foundation
-
Las Vegas、Nevada、アメリカ、89144
- Comprehensive Cancer Centers of Nevada - Town Center
-
Las Vegas、Nevada、アメリカ、89144
- Comprehensive Cancer Centers of Nevada-Summerlin
-
Las Vegas、Nevada、アメリカ、89148
- Comprehensive Cancer Centers of Nevada
-
Las Vegas、Nevada、アメリカ、89169
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Las Vegas、Nevada、アメリカ、89102
- University Medical Center of Southern Nevada
-
Las Vegas、Nevada、アメリカ、89106
- Cancer and Blood Specialists-Shadow
-
Las Vegas、Nevada、アメリカ、89109
- HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
-
Las Vegas、Nevada、アメリカ、89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
-
Las Vegas、Nevada、アメリカ、89128
- Cancer and Blood Specialists-Tenaya
-
Las Vegas、Nevada、アメリカ、89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
-
Las Vegas、Nevada、アメリカ、89148-2405
- Las Vegas Cancer Center-Medical Center
-
Las Vegas、Nevada、アメリカ、89149
- HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
-
Las Vegas、Nevada、アメリカ、89128
- Ann M Wierman MD LTD
-
Las Vegas、Nevada、アメリカ、89074
- Las Vegas Urology - Pecos
-
Las Vegas、Nevada、アメリカ、89102
- Desert West Surgery
-
Las Vegas、Nevada、アメリカ、89103
- Hope Cancer Care of Nevada
-
Las Vegas、Nevada、アメリカ、89106
- Urology Specialists of Nevada - Central
-
Las Vegas、Nevada、アメリカ、89113
- Las Vegas Prostate Cancer Center
-
Las Vegas、Nevada、アメリカ、89113
- Las Vegas Urology - Sunset
-
Las Vegas、Nevada、アメリカ、89128
- Las Vegas Urology - Cathedral Rock
-
Las Vegas、Nevada、アメリカ、89128
- Las Vegas Urology - Smoke Ranch
-
Las Vegas、Nevada、アメリカ、89128
- Urology Specialists of Nevada - Northwest
-
Las Vegas、Nevada、アメリカ、89169
- University Cancer Center
-
Las Vegas、Nevada、アメリカ、89113
- Urology Specialists of Nevada - Southwest
-
Las Vegas、Nevada、アメリカ、89128
- Oncology Las Vegas - Tenaya
-
Las Vegas、Nevada、アメリカ、89183
- OptumCare Cancer Care at Fort Apache
-
Pahrump、Nevada、アメリカ、89048
- Hope Cancer Care of Nevada-Pahrump
-
Reno、Nevada、アメリカ、89502
- Renown Regional Medical Center
-
Reno、Nevada、アメリカ、89503
- Saint Mary's Regional Medical Center
-
Reno、Nevada、アメリカ、89509
- Radiation Oncology Associates
-
-
New Hampshire
-
Lebanon、New Hampshire、アメリカ、03756
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
-
-
New Jersey
-
Cape May Court House、New Jersey、アメリカ、08210
- AtlantiCare Health Park-Cape May Court House
-
Egg Harbor、New Jersey、アメリカ、08234
- AtlantiCare Surgery Center
-
Hamilton、New Jersey、アメリカ、08690
- The Cancer Institute of New Jersey Hamilton
-
Jersey City、New Jersey、アメリカ、07302
- Jersey City Medical Center
-
Livingston、New Jersey、アメリカ、07039
- Cooperman Barnabas Medical Center
-
Moorestown、New Jersey、アメリカ、08057
- Virtua Samson Cancer Center
-
Morristown、New Jersey、アメリカ、07960
- Morristown Medical Center
-
Mount Holly、New Jersey、アメリカ、08060
- Virtua Memorial
-
New Brunswick、New Jersey、アメリカ、08903
- Rutgers Cancer Institute of New Jersey
-
Newark、New Jersey、アメリカ、07101
- Rutgers New Jersey Medical School
-
Summit、New Jersey、アメリカ、07902
- Overlook Hospital
-
Voorhees Township、New Jersey、アメリカ、08043
- Virtua Voorhees
-
-
New Mexico
-
Albuquerque、New Mexico、アメリカ、87106
- University of New Mexico Cancer Center
-
-
New York
-
Brooklyn、New York、アメリカ、11215
- New York-Presbyterian/Brooklyn Methodist Hospital
-
Buffalo、New York、アメリカ、14263
- Roswell Park Cancer Institute
-
New York、New York、アメリカ、10065
- NYP/Weill Cornell Medical Center
-
Rochester、New York、アメリカ、14642
- University of Rochester
-
Stony Brook、New York、アメリカ、11794
- Stony Brook University Medical Center
-
Syracuse、New York、アメリカ、13210
- State University of New York Upstate Medical University
-
Syracuse、New York、アメリカ、13215
- SUNY Upstate Medical Center-Community Campus
-
The Bronx、New York、アメリカ、10461
- Montefiore Medical Center-Einstein Campus
-
The Bronx、New York、アメリカ、10467
- Montefiore Medical Center - Moses Campus
-
The Bronx、New York、アメリカ、10461
- Montefiore Medical Center-Weiler Hospital
-
-
North Carolina
-
Asheville、North Carolina、アメリカ、28803
- AdventHealth Infusion Center Asheville
-
Charlotte、North Carolina、アメリカ、28204
- Novant Health Presbyterian Medical Center
-
Clyde、North Carolina、アメリカ、28721
- AdventHealth Infusion Center Haywood
-
Gastonia、North Carolina、アメリカ、28054
- CaroMont Regional Medical Center
-
Greenville、North Carolina、アメリカ、27834
- East Carolina University
-
Hendersonville、North Carolina、アメリカ、28792
- AdventHealth Hendersonville
-
Huntersville、North Carolina、アメリカ、28078
- Novant Health Cancer Institute - Huntersville
-
Huntersville、North Carolina、アメリカ、28078
- Novant Health Presbyterian Medical Center Huntersville
-
Kernersville、North Carolina、アメリカ、27284
- Novant Health Cancer Institute - Kernersville
-
Matthews、North Carolina、アメリカ、28105
- Novant Health Cancer Institute - Matthews
-
Mooresville、North Carolina、アメリカ、28117
- Novant Health Cancer Institute - Mooresville
-
Mount Airy、North Carolina、アメリカ、27030
- Novant Health Cancer Institute - Mount Airy
-
New Bern、North Carolina、アメリカ、28561
- CarolinaEast Medical Center
-
North Wilkesboro、North Carolina、アメリカ、28659
- Novant Health Cancer Institute - Wilkesboro
-
Statesville、North Carolina、アメリカ、28625
- Novant Health Cancer Institute - Statesville
-
Thomasville、North Carolina、アメリカ、27360
- Novant Health Cancer Institute - Thomasville
-
Weaverville、North Carolina、アメリカ、28787
- AdventHealth Infusion Center Weaverville
-
Winston-Salem、North Carolina、アメリカ、27103
- Novant Health Forsyth Medical Center
-
-
North Dakota
-
Bismarck、North Dakota、アメリカ、58501
- Sanford Bismarck Medical Center
-
Fargo、North Dakota、アメリカ、58122
- Sanford Roger Maris Cancer Center
-
Fargo、North Dakota、アメリカ、58122
- Sanford Broadway Medical Center
-
Fargo、North Dakota、アメリカ、58103
- Sanford South University Medical Center
-
Fargo、North Dakota、アメリカ、58103
- Southpointe-Sanford Medical Center Fargo
-
Fargo、North Dakota、アメリカ、58104
- Sanford Medical Center Fargo
-
-
Ohio
-
Akron、Ohio、アメリカ、44304
- Summa Health System - Akron Campus
-
Avon、Ohio、アメリカ、44011
- UH Seidman Cancer Center at UH Avon Health Center
-
Barberton、Ohio、アメリカ、44203
- Summa Health System - Barberton Campus
-
Beachwood、Ohio、アメリカ、44122
- UHHS-Chagrin Highlands Medical Center
-
Canton、Ohio、アメリカ、44708
- Cleveland Clinic Mercy Hospital
-
Centerville、Ohio、アメリカ、45459
- Miami Valley Hospital South
-
Chardon、Ohio、アメリカ、44024
- Geauga Hospital
-
Cincinnati、Ohio、アメリカ、45220
- Good Samaritan Hospital - Cincinnati
-
Cincinnati、Ohio、アメリカ、45242
- Bethesda North Hospital
-
Cincinnati、Ohio、アメリカ、45247
- TriHealth Cancer Institute-Westside
-
Cincinnati、Ohio、アメリカ、45255
- TriHealth Cancer Institute-Anderson
-
Cleveland、Ohio、アメリカ、44106
- Case Western Reserve University
-
Cleveland、Ohio、アメリカ、44109
- MetroHealth Medical Center
-
Cleveland、Ohio、アメリカ、44195
- Cleveland Clinic Foundation
-
Cleveland、Ohio、アメリカ、44111
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Columbus、Ohio、アメリカ、43210
- Ohio State University Comprehensive Cancer Center
-
Dayton、Ohio、アメリカ、45409
- Miami Valley Hospital
-
Dayton、Ohio、アメリカ、45415
- Miami Valley Hospital North
-
Dayton、Ohio、アメリカ、45409
- Premier Blood and Cancer Center
-
Elyria、Ohio、アメリカ、44035
- Mercy Cancer Center-Elyria
-
Franklin、Ohio、アメリカ、45005-1066
- Atrium Medical Center-Middletown Regional Hospital
-
Greenville、Ohio、アメリカ、45331
- Miami Valley Cancer Care and Infusion
-
Mansfield、Ohio、アメリカ、44906
- Cleveland Clinic Cancer Center Mansfield
-
Mayfield Heights、Ohio、アメリカ、44124
- Hillcrest Hospital Cancer Center
-
Medina、Ohio、アメリカ、44256
- Summa Health Medina Medical Center
-
Mentor、Ohio、アメリカ、44060
- UH Seidman Cancer Center at Lake Health Mentor Campus
-
Middleburg Heights、Ohio、アメリカ、44130
- UH Seidman Cancer Center at Southwest General Hospital
-
Parma、Ohio、アメリカ、44129
- University Hospitals Parma Medical Center
-
Ravenna、Ohio、アメリカ、44266
- University Hospitals Portage Medical Center
-
Sandusky、Ohio、アメリカ、44870
- North Coast Cancer Care
-
Strongsville、Ohio、アメリカ、44136
- Cleveland Clinic Cancer Center Strongsville
-
Troy、Ohio、アメリカ、45373
- Upper Valley Medical Center
-
Westlake、Ohio、アメリカ、44145
- UH Seidman Cancer Center at Saint John Medical Center
-
Westlake、Ohio、アメリカ、44145
- UHHS-Westlake Medical Center
-
-
Oklahoma
-
Lawton、Oklahoma、アメリカ、73505
- Cancer Centers of Southwest Oklahoma Research
-
Oklahoma City、Oklahoma、アメリカ、73104
- University of Oklahoma Health Sciences Center
-
Oklahoma City、Oklahoma、アメリカ、73120
- Mercy Hospital Oklahoma City
-
Tulsa、Oklahoma、アメリカ、74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
-
-
Oregon
-
Baker City、Oregon、アメリカ、97814
- Saint Alphonsus Cancer Care Center-Baker City
-
Bend、Oregon、アメリカ、97701
- Saint Charles Health System
-
Clackamas、Oregon、アメリカ、97015
- Clackamas Radiation Oncology Center
-
Clackamas、Oregon、アメリカ、97015
- Providence Cancer Institute Clackamas Clinic
-
Coos Bay、Oregon、アメリカ、97420
- Bay Area Hospital
-
Newberg、Oregon、アメリカ、97132
- Providence Newberg Medical Center
-
Ontario、Oregon、アメリカ、97914
- Saint Alphonsus Cancer Care Center-Ontario
-
Oregon City、Oregon、アメリカ、97045
- Providence Willamette Falls Medical Center
-
Portland、Oregon、アメリカ、97213
- Providence Portland Medical Center
-
Portland、Oregon、アメリカ、97225
- Providence Saint Vincent Medical Center
-
Redmond、Oregon、アメリカ、97756
- Saint Charles Health System-Redmond
-
-
Pennsylvania
-
Allentown、Pennsylvania、アメリカ、18103
- Lehigh Valley Hospital-Cedar Crest
-
Bethlehem、Pennsylvania、アメリカ、18017
- Lehigh Valley Hospital - Muhlenberg
-
Chadds Ford、Pennsylvania、アメリカ、19317
- Christiana Care Health System-Concord Health Center
-
Danville、Pennsylvania、アメリカ、17822
- Geisinger Medical Center
-
East Stroudsburg、Pennsylvania、アメリカ、18301
- Pocono Medical Center
-
Erie、Pennsylvania、アメリカ、16505
- UPMC Hillman Cancer Center Erie
-
Farrell、Pennsylvania、アメリカ、16121
- UPMC Cancer Center at UPMC Horizon
-
Hazleton、Pennsylvania、アメリカ、18201
- Geisinger Medical Center-Cancer Center Hazleton
-
Hazleton、Pennsylvania、アメリカ、18201
- Lehigh Valley Hospital-Hazleton
-
Hershey、Pennsylvania、アメリカ、17033-0850
- Penn State Milton S Hershey Medical Center
-
Lewisburg、Pennsylvania、アメリカ、17837
- Geisinger Medical Oncology-Lewisburg
-
Lewistown、Pennsylvania、アメリカ、17044
- Lewistown Hospital
-
Monroeville、Pennsylvania、アメリカ、15146
- UPMC Hillman Cancer Center - Monroeville
-
Monroeville、Pennsylvania、アメリカ、15146
- UPMC Cancer Center - Monroeville
-
Philadelphia、Pennsylvania、アメリカ、19107
- Thomas Jefferson University Hospital
-
Philadelphia、Pennsylvania、アメリカ、19114
- Jefferson Torresdale Hospital
-
Pittsburgh、Pennsylvania、アメリカ、15232
- UPMC Hillman Cancer Center
-
Pittsburgh、Pennsylvania、アメリカ、15232
- UPMC-Shadyside Hospital
-
Pittsburgh、Pennsylvania、アメリカ、15237
- UPMC-Passavant Hospital
-
Pittsburgh、Pennsylvania、アメリカ、15243
- UPMC-Saint Clair Hospital Cancer Center
-
Pottsville、Pennsylvania、アメリカ、17901
- Geisinger Cancer Services-Pottsville
-
Scranton、Pennsylvania、アメリカ、18510
- Community Medical Center
-
West Reading、Pennsylvania、アメリカ、19611
- Reading Hospital
-
Wilkes-Barre、Pennsylvania、アメリカ、18711
- Geisinger Wyoming Valley/Henry Cancer Center
-
Willow Grove、Pennsylvania、アメリカ、19090
- Asplundh Cancer Pavilion
-
-
South Carolina
-
Boiling Springs、South Carolina、アメリカ、29316
- Prisma Health Cancer Institute - Spartanburg
-
Charleston、South Carolina、アメリカ、29425
- Medical University of South Carolina
-
Easley、South Carolina、アメリカ、29640
- Prisma Health Cancer Institute - Easley
-
Gaffney、South Carolina、アメリカ、29341
- Gibbs Cancer Center-Gaffney
-
Greenville、South Carolina、アメリカ、29605
- Prisma Health Cancer Institute - Faris
-
Greenville、South Carolina、アメリカ、29607
- Saint Francis Cancer Center
-
Greenville、South Carolina、アメリカ、29615
- Prisma Health Cancer Institute - Eastside
-
Greenville、South Carolina、アメリカ、29605
- Prisma Health Cancer Institute - Butternut
-
Greenville、South Carolina、アメリカ、29601
- Saint Francis Hospital
-
Greer、South Carolina、アメリカ、29650
- Prisma Health Cancer Institute - Greer
-
Greer、South Carolina、アメリカ、29651
- Gibbs Cancer Center-Pelham
-
Seneca、South Carolina、アメリカ、29672
- Prisma Health Cancer Institute - Seneca
-
Spartanburg、South Carolina、アメリカ、29303
- Spartanburg Medical Center
-
Union、South Carolina、アメリカ、29379
- SMC Center for Hematology Oncology Union
-
-
South Dakota
-
Aberdeen、South Dakota、アメリカ、57401
- Avera Cancer Institute-Aberdeen
-
Sioux Falls、South Dakota、アメリカ、57105
- Avera Cancer Institute
-
Sioux Falls、South Dakota、アメリカ、57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls、South Dakota、アメリカ、57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Nashville、Tennessee、アメリカ、37232
- Vanderbilt University/Ingram Cancer Center
-
-
Texas
-
Amarillo、Texas、アメリカ、79106
- The Don and Sybil Harrington Cancer Center
-
Austin、Texas、アメリカ、78712
- University of Texas at Austin
-
Austin、Texas、アメリカ、78701
- Dell Seton Medical Center at The University of Texas
-
Bryan、Texas、アメリカ、77802
- Saint Joseph Regional Cancer Center
-
Dallas、Texas、アメリカ、75235
- Parkland Memorial Hospital
-
Dallas、Texas、アメリカ、75390
- UT Southwestern/Simmons Cancer Center-Dallas
-
Houston、Texas、アメリカ、77030
- Memorial Hermann Texas Medical Center
-
Humble、Texas、アメリカ、77338
- Memorial Hermann Northeast Hospital
-
-
Utah
-
American Fork、Utah、アメリカ、84003
- American Fork Hospital / Huntsman Intermountain Cancer Center
-
Cedar City、Utah、アメリカ、84720
- Sandra L Maxwell Cancer Center
-
Logan、Utah、アメリカ、84321
- Logan Regional Hospital
-
Murray、Utah、アメリカ、84107
- Intermountain Medical Center
-
Ogden、Utah、アメリカ、84403
- McKay-Dee Hospital Center
-
Provo、Utah、アメリカ、84604
- Utah Valley Regional Medical Center
-
Riverton、Utah、アメリカ、84065
- Riverton Hospital
-
Salt Lake City、Utah、アメリカ、84106
- Utah Cancer Specialists-Salt Lake City
-
Salt Lake City、Utah、アメリカ、84143
- LDS Hospital
-
St. George、Utah、アメリカ、84770
- Saint George Regional Medical Center
-
-
Vermont
-
Saint Johnsbury、Vermont、アメリカ、05819
- Dartmouth Cancer Center - North
-
-
Virginia
-
Richmond、Virginia、アメリカ、23235
- VCU Massey Cancer Center at Stony Point
-
Richmond、Virginia、アメリカ、23298
- VCU Massey Comprehensive Cancer Center
-
-
Washington
-
Aberdeen、Washington、アメリカ、98520
- Providence Regional Cancer System-Aberdeen
-
Auburn、Washington、アメリカ、98001
- MultiCare Auburn Medical Center
-
Bellevue、Washington、アメリカ、98004
- Overlake Medical Center
-
Bellingham、Washington、アメリカ、98225
- PeaceHealth Saint Joseph Medical Center
-
Burien、Washington、アメリカ、98166
- Saint Anne Hospital
-
Centralia、Washington、アメリカ、98531
- Providence Regional Cancer System-Centralia
-
Edmonds、Washington、アメリカ、98026
- Swedish Cancer Institute-Edmonds
-
Enumclaw、Washington、アメリカ、98022
- Saint Elizabeth Hospital
-
Everett、Washington、アメリカ、98201
- Providence Regional Cancer Partnership
-
Federal Way、Washington、アメリカ、98003
- Saint Francis Hospital
-
Gig Harbor、Washington、アメリカ、98335
- MultiCare Gig Harbor Medical Park
-
Issaquah、Washington、アメリカ、98029
- Swedish Cancer Institute-Issaquah
-
Kennewick、Washington、アメリカ、99336
- Kadlec Clinic Hematology and Oncology
-
Lacey、Washington、アメリカ、98503
- Providence Regional Cancer System-Lacey
-
Lakewood、Washington、アメリカ、98499
- Saint Clare Hospital
-
Longview、Washington、アメリカ、98632
- PeaceHealth Saint John Medical Center
-
Mount Vernon、Washington、アメリカ、98274
- Skagit Regional Health Cancer Care Center
-
Port Townsend、Washington、アメリカ、98368
- Jefferson Healthcare
-
Poulsbo、Washington、アメリカ、98370
- Harrison HealthPartners Hematology and Oncology-Poulsbo
-
Puyallup、Washington、アメリカ、98372
- MultiCare Good Samaritan Hospital
-
Renton、Washington、アメリカ、98055
- Valley Medical Center
-
Seattle、Washington、アメリカ、98107
- Swedish Medical Center-Ballard Campus
-
Seattle、Washington、アメリカ、98122
- Swedish Medical Center-First Hill
-
Seattle、Washington、アメリカ、98104
- Pacific Gynecology Specialists
-
Seattle、Washington、アメリカ、98122-5711
- Swedish Medical Center-Cherry Hill
-
Sedro-Woolley、Washington、アメリカ、98284
- PeaceHealth United General Medical Center
-
Shelton、Washington、アメリカ、98584
- Providence Regional Cancer System-Shelton
-
Silverdale、Washington、アメリカ、98383
- Saint Joseph Medical Center Hematology and Oncology - Silverdale
-
Spokane、Washington、アメリカ、99204
- MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
-
Spokane、Washington、アメリカ、99218
- MultiCare Deaconess Cancer and Blood Specialty Center - North
-
Spokane Valley、Washington、アメリカ、99216
- MultiCare Deaconess Cancer and Blood Specialty Center - Valley
-
Tacoma、Washington、アメリカ、98405
- Mary Bridge Children's Hospital and Health Center
-
Tacoma、Washington、アメリカ、98405
- Northwest Medical Specialties PLLC
-
Tacoma、Washington、アメリカ、98405
- MultiCare Tacoma General Hospital
-
Tacoma、Washington、アメリカ、98405
- Franciscan Research Center-Northwest Medical Plaza
-
Vancouver、Washington、アメリカ、98664
- PeaceHealth Southwest Medical Center
-
Walla Walla、Washington、アメリカ、99362
- Providence Saint Mary Regional Cancer Center
-
Yakima、Washington、アメリカ、98902
- North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
-
Yelm、Washington、アメリカ、98597
- Providence Regional Cancer System-Yelm
-
-
Wisconsin
-
Appleton、Wisconsin、アメリカ、54911
- ThedaCare Regional Cancer Center
-
Burlington、Wisconsin、アメリカ、53105
- Aurora Cancer Care-Southern Lakes VLCC
-
Eau Claire、Wisconsin、アメリカ、54701
- Marshfield Medical Center-EC Cancer Center
-
Eau Claire、Wisconsin、アメリカ、54701
- HSHS Sacred Heart Hospital
-
Germantown、Wisconsin、アメリカ、53022
- Aurora Health Care Germantown Health Center
-
Grafton、Wisconsin、アメリカ、53024
- Aurora Cancer Care-Grafton
-
Green Bay、Wisconsin、アメリカ、54311
- Aurora BayCare Medical Center
-
Green Bay、Wisconsin、アメリカ、54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay、Wisconsin、アメリカ、54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
Kenosha、Wisconsin、アメリカ、53142
- Aurora Cancer Care-Kenosha South
-
La Crosse、Wisconsin、アメリカ、54601
- Gundersen Lutheran Medical Center
-
Manitowoc、Wisconsin、アメリカ、54221
- Holy Family Memorial Hospital
-
Marinette、Wisconsin、アメリカ、54143
- Aurora Bay Area Medical Group-Marinette
-
Marshfield、Wisconsin、アメリカ、54449
- Marshfield Medical Center-Marshfield
-
Menomonee Falls、Wisconsin、アメリカ、53051
- Froedtert Menomonee Falls Hospital
-
Milwaukee、Wisconsin、アメリカ、53226
- Medical College of Wisconsin
-
Milwaukee、Wisconsin、アメリカ、53209
- Aurora Cancer Care-Milwaukee
-
Milwaukee、Wisconsin、アメリカ、53215
- Aurora Saint Luke's Medical Center
-
Milwaukee、Wisconsin、アメリカ、53233
- Aurora Sinai Medical Center
-
Minocqua、Wisconsin、アメリカ、54548
- Marshfield Medical Center - Minocqua
-
Mukwonago、Wisconsin、アメリカ、53149
- ProHealth D N Greenwald Center
-
New Richmond、Wisconsin、アメリカ、54017
- Cancer Center of Western Wisconsin
-
Oak Creek、Wisconsin、アメリカ、53154
- Drexel Town Square Health Center
-
Oconomowoc、Wisconsin、アメリカ、53066
- ProHealth Oconomowoc Memorial Hospital
-
Oconto Falls、Wisconsin、アメリカ、54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Oshkosh、Wisconsin、アメリカ、54904
- Vince Lombardi Cancer Clinic - Oshkosh
-
Racine、Wisconsin、アメリカ、53406
- Aurora Cancer Care-Racine
-
Rice Lake、Wisconsin、アメリカ、54868
- Marshfield Medical Center-Rice Lake
-
Sheboygan、Wisconsin、アメリカ、53081
- Vince Lombardi Cancer Clinic-Sheboygan
-
Sheboygan、Wisconsin、アメリカ、53081
- HSHS Saint Nicholas Hospital
-
Stevens Point、Wisconsin、アメリカ、54482
- Marshfield Medical Center-River Region at Stevens Point
-
Sturgeon Bay、Wisconsin、アメリカ、54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Summit、Wisconsin、アメリカ、53066
- Aurora Medical Center in Summit
-
Two Rivers、Wisconsin、アメリカ、54241
- Vince Lombardi Cancer Clinic-Two Rivers
-
Waukesha、Wisconsin、アメリカ、53188
- UW Cancer Center at ProHealth Care
-
Waukesha、Wisconsin、アメリカ、53188
- ProHealth Waukesha Memorial Hospital
-
Wauwatosa、Wisconsin、アメリカ、53226
- Aurora Cancer Care-Milwaukee West
-
West Allis、Wisconsin、アメリカ、53227
- Aurora West Allis Medical Center
-
West Bend、Wisconsin、アメリカ、53095
- Froedtert West Bend Hospital/Kraemer Cancer Center
-
Weston、Wisconsin、アメリカ、54476
- Marshfield Medical Center - Weston
-
-
Wyoming
-
Cheyenne、Wyoming、アメリカ、82001
- Cheyenne Regional Medical Center-West
-
Cody、Wyoming、アメリカ、82414
- Billings Clinic-Cody
-
Sheridan、Wyoming、アメリカ、82801
- Welch Cancer Center
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
-
STEP 1: Age >= 18 years
-
STEP 1: Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
-
STEP 1: Patients must have oropharynx cancer (American Joint Committee on Cancer [AJCC] 8) that is p16-positive by immunohistochemistry OR p16 equivocal by IHC and HPV positive by in situ hybridization with the following criteria: >= 10 pack-years, stage T1-2N2-N3 or T3-4N0-3 (less than 10 pack-years is considered a non-smoker) OR < 10 pack-years, stage T4N0-N3 or T1-3N2-3
-
STEP 1: Patients must not have known hypersensitivity to nivolumab or compounds of similar chemical or biologic composition.
-
STEP 1: Patients with a history of allergic reactions attributed to platinum-based chemotherapy agents are excluded.
-
STEP 1: Patients must not have had prior systemic therapy, radiation treatment or surgery for p16 positive oropharyngeal squamous cell carcinoma (OPSCC).
- NOTE: Patients who had resection of T1 or T2 carcinoma with no radiation or chemotherapy are eligible if surgery was done 5 years prior to enrollment
-
STEP 1: Patients must not have received previous irradiation for head and neck tumor, skull base, or brain tumors.
-
STEP 1: Patients must not receive investigational agents within 4 weeks of enrollment or at any time while on study.
-
STEP 1: Patients with evidence of distant metastases or leptomeningeal disease (LMD) are excluded.
-
STEP 1: Patients with uncontrolled inter-current illnesses which in the opinion of the investigator will interfere with the ability to undergo therapy including chemotherapy are excluded.
-
STEP 1: Patients with a history of prior or second malignancy are excluded, with the exception of curatively treated non-melanoma skin cancer, or curatively treated cervical cancer; additionally, patients curatively treated for malignancy who remain disease-free at > 2 years of follow up, are not excluded.
-
STEP 1: Absolute neutrophil count (ANC) >= 1500/mm^3 (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Hemoglobin (Hgb) >= 8.0 g/dL (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Platelet count >= 100,000/mm^3 (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Creatinine clearance of >= 60 ml/min (must be obtained =< 2 weeks prior to randomization). Creatinine clearance may be measured or calculated. If calculating, creatinine clearance, use the Cockcroft-Gault formula.
-
STEP 1: Total bilirubin within 1.5 times the normal limits (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) or serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) within 2.0 times the normal limits (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Alkaline phosphatase within 2.0 times the normal limits (must be obtained =< 2 weeks prior to randomization).
-
STEP 1: Patients must not be pregnant or breast-feeding as chemotherapy, radiation, and immunotherapy may have possible teratogenicity effects; in addition, complications from pregnancy may interfere with the ability of patients to have an uninterrupted therapy. All patients of childbearing potential must have a blood test or urine study within 2 weeks prior to randomization to rule out pregnancy. A patient of childbearing potential is any patient, regardless of whether they have undergone tubal ligation, who meets the following criteria: 1) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months).
-
STEP 1: Patients of childbearing potential must use an accepted and effective method of contraception or abstain from sexual intercourse for at least one week prior to the start of treatment, and continue for 5 months after the last dose of protocol treatment. Patients must also not donate ova during this same time period.
-
STEP 1: Patients must have measurable disease
-
STEP 1: Patients must have tumor measurements with CT of neck and CT of chest (or CT of neck and FDG PET/CT if standard of care) within 4 weeks prior to Step 1 randomization.
-
STEP 1: Patients with active autoimmune disease or history of autoimmune disease that might recur, which may affect vital organ function or require immune suppressive treatment including systemic corticosteroids, should be excluded. These include but are not limited to patients with a history of immune related neurologic disease, multiple sclerosis, autoimmune (demyelinating) neuropathy, Guillain-Barre syndrome, myasthenia gravis; systemic autoimmune disease such as systemic lupus erythematosus (SLE), connective tissue disease, scleroderma, inflammatory bowel disease (IBD), Crohn's, ulcerative colitis, hepatitis; and patients with a history of toxic epidermal necrolysis (TEN), Stevens-Johnson syndrome, or phospholipid syndrome should be excluded because of the risk of recurrence or exacerbation of disease. Patients with vitiligo, endocrine deficiencies including thyroiditis managed with replacement hormones including physiologic corticosteroids are eligible. Patients with rheumatoid arthritis and other arthropathies, Sjogren's syndrome and psoriasis controlled with topical medication and patients with positive serology, such as antinuclear antibodies (ANA), anti-thyroid antibodies should be evaluated for the presence of target organ involvement and potential need for systemic treatment but should otherwise be eligible.
-
STEP 1: Patients are permitted to enroll if they have vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger (precipitating event).
-
STEP 1: Patients must not have a condition requiring systemic treatment with either corticosteroids (> 10 mg/day prednisone equivalents) or other immunosuppressive medications which are expected to continue during nivolumab administration. Inhaled or topical steroids and adrenal replacement doses > 10 mg/day prednisone equivalents are permitted in the absence of active autoimmune disease
-
STEP 1: Patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated
-
STEP 1: Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
-
STEP 1: Patients with a known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS) must have no detectable viral load on a stable antiviral regimen
-
STEP 1: Patients must not be receiving any other investigational agents.
-
STEP 1: Patient must not have a baseline clinically significant hearing loss, which in the opinion of the investigator would preclude the use of cisplatin
-
STEP 2: Patients must have progression per RECIST criteria AND tissue-proven progression on Arm B treatment within 12 months after completion of radiation therapy.
-
STEP 2: ECOG performance status of 0 or 1.
-
STEP 2: Patients must not have known hypersensitivity to nivolumab or compounds of similar chemical or biologic composition.
-
STEP 2: Patients must not have received non-protocol anti-cancer therapy after completion of radiation and chemotherapy.
-
STEP 2: ANC >= 1500/mm^3 (must be obtained =< 2 weeks prior to registration).
-
STEP 2: Hgb >= 8.0 g/dL (must be obtained =< 2 weeks prior to registration).
-
STEP 2: Platelet count >= 100,000/mm^3 (must be obtained =< 2 weeks prior to registration).
-
STEP 2: Creatinine within institutional limits of normal (must be obtained =< 2 weeks prior to registration)
-
STEP 2: Total bilirubin within 1.5 times the normal limits (must be obtained =< 2 weeks prior to registration).
-
STEP 2: SGOT (AST) or SGPT (ALT) within 2.0 times the normal limits (must be obtained =< 2 weeks prior to registration).
-
STEP 2: Alkaline phosphatase within 1.5 times the normal limits (must be obtained =< 2 weeks prior to registration).
-
STEP 2: Patients must not be pregnant or breast-feeding as chemotherapy, radiation, and immunotherapy may have possible teratogenicity effects; in addition, complications from pregnancy may interfere with the ability of patients to have an uninterrupted therapy. All patients of childbearing potential must have a blood test or urine study within 2 weeks prior to registration to rule out pregnancy. A patient of childbearing potential is any patient, regardless of whether they have undergone tubal ligation, who meets the following criteria: 1) has achieved menarche at some point, 2) has not undergone a hysterectomy or bilateral oophorectomy or 3) has not been naturally postmenopausal (amenorrhea following cancer therapy does not rule out childbearing potential) for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months).
-
STEP 2: Patients of childbearing potential must use an accepted and effective method of contraception or abstain from sexual intercourse for at least one week prior to the start of treatment, and continue for 5 months after the last dose of protocol treatment. Patients must also not donate ova during this same time period.
-
STEP 2: Patients must have measurable disease at the time of documented progression
- NOTE: For patients that have undergone salvage surgery for disease recurrence, measurable disease is not required at the time of registration to Step 2
-
STEP 2: Patients must have tumor measurements with CT of neck and CT of chest (or CT of neck and FDG PET/CT if standard of care) within 4 weeks prior to Step 2 registration
- NOTE: Patients that have undergone salvage surgery for disease recurrence prior to Step 2 are not required to have measurable disease post-resection, but must have CT of neck and CT of chest (or CT of neck and FDG PET/CT if standard of care) after salvage surgery and within 4 weeks prior to step 2 registration to establish a baseline prior to nivolumab
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：クロスオーバー割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Arm A (cisplatin, IMRT, nivolumab)
Patients receive cisplatin IV over 60 minutes weekly and IMRT 5 days a week for 7 weeks for a total of 35 fractions. Within 4 weeks after completion of concurrent therapy, patients receive nivolumab IV once weekly over 30 minutes every 4 weeks for 12 months in the absence of disease progression or unacceptable toxicity. Patients undergo CT or FDG PET/CT scans throughout the trial. Patients may undergo ECHO as clinically indicated. Additionally, patients undergo blood sample collection during screening. |
Given IV
他の名前：
Undergo blood sample collection
他の名前：
Undergo ECHO
他の名前：
Given IV
他の名前：
Undergo CT or PET/CT
他の名前：
Undergo PET/CT
他の名前：
Undergo IMRT
他の名前：
Receive FDG
他の名前：
|
|
アクティブコンパレータ：Arm B (cisplatin, IMRT, observation)
Patients receive cisplatin IV over 60 minutes weekly and IMRT 5 days a week for 7 weeks for a total of 35 fractions, and then go on observation. Patients will be offered the option to cross-over to Arm C if they have clearly documented progression within 12 months from the end of cisplatin/radiation therapy. Patients undergo CT or FDG PET/CT scans throughout the trial. Patients may undergo ECHO as clinically indicated. Additionally, patients undergo blood sample collection during screening. |
Given IV
他の名前：
Undergo blood sample collection
他の名前：
Undergo ECHO
他の名前：
Undergo CT or PET/CT
他の名前：
Undergo PET/CT
他の名前：
Undergo IMRT
他の名前：
Undergo observation
他の名前：
Receive FDG
他の名前：
|
|
実験的：Arm C (nivolumab)
Patients receive nivolumab IV over 30 minutes every 4 weeks for 12 months in the absence of disease progression or unacceptable toxicity. Patients undergo CT or FDG PET/CT scans throughout the trial. Patients may undergo ECHO as clinically indicated. Additionally, patients undergo blood sample collection during screening. |
Undergo blood sample collection
他の名前：
Undergo ECHO
他の名前：
Given IV
他の名前：
Undergo CT or PET/CT
他の名前：
Undergo PET/CT
他の名前：
Receive FDG
他の名前：
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Overall survival (OS)
時間枠：From randomization to death, assessed up to 10 years
|
Log rank test will be used to compare OS. As patients on the observation arm are allowed to cross-over to the nivolumab arm upon progression, an overall survival analysis using inverse probability censoring weights (IPCW, Robins et. al, 2000) will also be considered. Kaplan-Meier method and Cox regression will be used for the survival outcome analyses. |
From randomization to death, assessed up to 10 years
|
|
Negative (standardized qualitative) 12 week post therapy (cisplatin + radiation therapy [RT]) FDG positron emission tomography/computed tomography (PET/CT) associated with OS for patients who have a PET/CT
時間枠：At 12 weeks post therapy
|
Logrank tests and input hazard rates will be used. |
At 12 weeks post therapy
|
|
Negative (standardized qualitative) 12 week post therapy (cisplatin + RT) FDG PET/CT associated with PFS for patients who have a PET/CT
時間枠：At 12 weeks post therapy
|
Logrank tests and input hazard rates will be used. |
At 12 weeks post therapy
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Progression-free survival (PFS)
時間枠：From randomization to date of progression, second primary tumor from the head and neck region, or death, assessed up to 10 years
|
Progression will be defined using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria. The comparison of PFS will use stratified log rank test and will be intent-to-treat analyses. |
From randomization to date of progression, second primary tumor from the head and neck region, or death, assessed up to 10 years
|
|
Prognostic effect of baseline PD-L1 expression (positive versus [vs.] negative) on OS and PFS
時間枠：Baseline up to 10 years
|
Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Baseline up to 10 years
|
|
Prognostic effect of baseline saliva and/or plasma human papillomavirus (HPV) status (positive vs. negative) on OS and PFS
時間枠：Baseline up to 10 years
|
Saliva and plasma HPV status at 12 weeks and 9 months following completion of concurrent therapy will also be analyzed regarding effect on outcome. Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Baseline up to 10 years
|
|
Prognostic value of maximum standardized uptake value (SUVmax) of primary tumor or neck nodal metastasis of baseline FDG PET/CT for OS
時間枠：Baseline up to 10 years
|
Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Baseline up to 10 years
|
|
Prognostic value of SUVmax of primary tumor or neck nodal metastasis of baseline FDG PET/CT for PFS
時間枠：Baseline up to 10 years
|
Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Baseline up to 10 years
|
|
SUVmax of primary tumor or nodal metastasis of baseline FDG PET/CT with PD-L1 expression (positive vs. negative)
時間枠：Baseline up to 10 years
|
Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Baseline up to 10 years
|
|
Post therapy (cisplatin + RT) FDG PET/CT with saliva or plasma levels of HPV deoxyribonucleic acid (DNA)
時間枠：Up to 9 months post-therapy
|
Chi-square testing or Pearson correlation testing will be used for the secondary correlation analyses. |
Up to 9 months post-therapy
|
|
PET based therapy response assessment compared to RECIST 1.1 assessment for patients who have a PET/CT scan at 12 weeks
時間枠：At 12 weeks post chemoradiation therapy
|
Kappa statistics will be applied to evaluate the agreement between PET based therapy response assessment (Hopkins criteria) and RECIST 1.1 assessment at 12 weeks post chemoradiation therapy. |
At 12 weeks post chemoradiation therapy
|
協力者と研究者
捜査官
- 主任研究者：Nabil F Saba、ECOG-ACRIN Cancer Research Group
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
- 顎口腔疾患
- 部位別新生物
- 新生物
- 頭頸部腫瘍
- 耳鼻咽喉科疾患
- 咽頭腫瘍
- 耳鼻咽喉科の新生物
- 咽頭疾患
- 中咽頭腫瘍
- 保健サービス管理
- アミノ酸、ペプチド、およびタンパク質
- タンパク質
- 調査手法
- 方法
- 治療
- 臨床検査技術
- 診断技術と手順
- 診断
- ヘルスケアの質
- 炭水化物
- 抗体、モノクローナル、ヒト化
- 抗体、モノクローナル
- 抗体
- 免疫グロブリン
- 免疫タンパク質
- 血液タンパク質
- 血清グロブリン
- グロブリン
- 無機化学物質
- 塩素化合物
- 窒素化合物
- 要素
- 金属
- 化学技術、分析
- スペクトル分析
- 金属、重い
- プラチナ化合物
- 放射線療法
- デオキシグルコース
- デオキシ糖
- 結果の評価、ヘルスケア
- 結果とプロセス評価、ヘルスケア
- 遷移要素
- 放射線療法、コンフォーマル
- 放射線療法、コンピューター支援
- ニボルマブ
- フルオロデオキシグルコース F18
- シスプラチン
- クエン酸1,2-ジアミノシクロヘキサン白金II
- 観察
- 標本処理
- 磁気共鳴分光法
- 注意深い待機
- 白金
- 放射線療法、強度変調
その他の研究ID番号
- NCI-2019-00179
- U10CA180820 (米国 NIH グラント/契約)
- NCI-2019-00179 (レジストリ識別子：CTRP (Clinical Trial Reporting Program))
- EA3161 (その他の識別子：CTEP)
- EA3161 (その他の識別子：ECOG-ACRIN Cancer Research Group)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。