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Doksorubicinhydroklorid og cyklofosfamid etterfulgt av paklitaksel med eller uten karboplatin ved behandling av pasienter med trippelnegativ brystkreft

5. mai 2026 oppdatert av: NRG Oncology

En randomisert fase III-studie av adjuvant terapi som sammenligner doksorubicin pluss cyklofosfamid etterfulgt av ukentlig paklitaksel med eller uten karboplatin for nodepositiv eller høyrisikoknute-negativ trippel-negativ invasiv brystkreft

Denne randomiserte fase III-studien studerer hvor godt doksorubicinhydroklorid og cyklofosfamid etterfulgt av paklitaksel med eller uten karboplatin virker ved behandling av pasienter med trippelnegativ brystkreft. Legemidler som brukes i kjemoterapi, som doksorubicinhydroklorid, cyklofosfamid, paklitaksel og karboplatin, virker på forskjellige måter for å stoppe veksten av tumorceller, enten ved å drepe cellene, ved å stoppe dem fra å dele seg, eller ved å stoppe dem fra å spre seg. Det er ennå ikke kjent om doksorubicinhydroklorid og cyklofosfamid er mer effektivt etterfulgt av paklitaksel alene eller paklitaksel og karboplatin ved behandling av trippelnegativ brystkreft.

Studieoversikt

Status

Aktiv, ikke rekrutterende

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

PRIMÆRE MÅL:

I. For å bestemme om tillegg av karboplatin til et adjuvant kjemoterapiregime av doksorubicin (doksorubicinhydroklorid)/cyklofosfamid etterfulgt av paklitaksel vil forbedre den invasive sykdomsfrie overlevelsen (IDFS) sammenlignet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel når det administreres til pasienter node-positiv eller høyrisiko node-negativ trippel-negativ brystkreft.

SEKUNDÆRE MÅL:

I. For å bestemme om tillegg av karboplatin til et adjuvant kjemoterapiregime med doksorubicin/cyklofosfamid etterfulgt av paklitaksel vil forbedre den totale overlevelsen (OS) sammenlignet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel når det administreres til pasienter med operable node-positive eller høyrisiko node-negativ trippel-negativ brystkreft.

II. For å bestemme om tillegg av karboplatin til et adjuvant kjemoterapiregime av doksorubicin/cyklofosfamid etterfulgt av paklitaksel vil forbedre brystkreftfri overlevelse (BCFS) sammenlignet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel når det administreres til pasienter med operable node-positive eller høy- risiko node-negativ trippel-negativ brystkreft.

III. For å bestemme om tillegg av karboplatin til et adjuvant kjemoterapiregime av doksorubicin/cyklofosfamid etterfulgt av paklitaksel vil forbedre det gjentaksfrie intervallet (RFI) sammenlignet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel når det administreres til pasienter med operabel node-positiv eller høyrisiko node-negativ trippel-negativ brystkreft.

IV. For å bestemme om tillegg av karboplatin til et adjuvant kjemoterapiregime med doksorubicin/cyklofosfamid etterfulgt av paklitaksel vil forbedre det fjernt tilbakefallsfrie intervallet (DRFI) sammenlignet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel når det administreres til pasienter med operable nodepositive eller høye nodepositive. risiko node-negativ trippel-negativ brystkreft.

V. For å bestemme toksisiteten til doksorubicin/cyklofosfamid etterfulgt av paklitaksel administrert samtidig med karboplatin sammenlignet med toksisiteten til doksorubicin/cyklofosfamid etterfulgt av paklitaksel alene.

VI. For å bestemme om kimlinjebrystkreftstatus (BRCA) er assosiert med fordel ved IDFS eller OS fra tillegg av karboplatin til et adjuvant kjemoterapiregime med doksorubicin/cyklofosfamid etterfulgt av paklitaksel hos pasienter med operabel node-positiv eller høyrisiko node-negativ trippel -negativ brystkreft.

VII. For å bestemme om tilsetning av karboplatin vil forbedre RFI blant pasienter med mangel på homolog rekombinasjon (HR), bestemt av poengsummen for homolog rekombinasjonsmangel (HRD).

VIII. For å bestemme om effekten av karboplatin på RFI hos pasienter med HR-mangel er forskjellig fra den hos pasienter som ikke har HR-mangel.

IX. Å samle inn vevs- og blodprøver ved flere anledninger for fremtidig utvikling av biomarkører for å forutsi risiko for tilbakefall av brystkreft hos pasienter med operabel node-positiv eller høyrisiko node-negativ trippel-negativ brystkreft behandlet med doksorubicin/cyklofosfamid etterfulgt av paklitaksel med eller uten karboplatin og forutsi nytte av tillegg av karboplatin blant disse pasientene.

OVERSIKT: Pasienter er randomisert til 1 av 2 behandlingsarmer.

ARM I (DOKSORUBICINHYDROKLORID [A] CYKLOFOSFAMID [C]-->UKLIG PACLITAXEL [WP]): Pasienter får doksorubicinhydroklorid intravenøst (IV) over 15 minutter og cyklofosfamid IV over 30 minutter på dag 1. Behandlingen gjentas hver 2. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet. Pasientene får deretter paklitaksel IV over 60 minutter på dag 1. Behandlingen gjentas ukentlig i 12 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

ARM II (AC-->WP + CARBOPLATIN): Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I. Pasienter får deretter paklitaksel IV over 60 minutter på dag 1, 8 og 15 og karboplatin IV over 30-60 minutter på dag 1 . Behandlingen gjentas hver 3. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

Etter avsluttet studiebehandling følges pasientene opp hver 6. måned i 5 år og deretter hver 12. måned i 5 år.

Studietype

Intervensjonell

Registrering (Antatt)

782

Fase

Fase 3

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

Canada
- Alberta
  - Calgary, Alberta, Canada, T2N 4N2
    - Tom Baker Cancer Centre
- Ontario
  - Greater Sudbury, Ontario, Canada, P3E 5J1
    - Health Sciences North
- Quebec
  - Montreal, Quebec, Canada, H3T 1E2
    - Jewish General Hospital
  - Montreal, Quebec, Canada, H3H 2R9
    - The Research Institute of the McGill University Health Centre (MUHC)
  - Montreal, Quebec, Canada, H2L 4M1
    - CHUM - Hopital Notre-Dame
  - Montreal, Quebec, Canada, H2W 1S6
    - McGill University Department of Oncology
  - Montreal, Quebec, Canada, H2W 1T8
    - CHUM-Hotel Dieu de Montreal
  - Montreal, Quebec, Canada, H2X 3E4
    - CHUM - Centre hospitalier de l'Université de Montréal
  - Sherbrooke, Quebec, Canada, J1H 5N4
    - Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
- Saskatchewan
  - Regina, Saskatchewan, Canada, S4T 7T1
    - Allan Blair Cancer Centre
Forente stater
- Alabama
  - Mobile, Alabama, Forente stater, 36607
    - Southern Cancer Center PC-Mobile
  - Mobile, Alabama, Forente stater, 36608
    - Southern Cancer Center PC-Providence
  - Mobile, Alabama, Forente stater, 36608
    - Southern Cancer Center PC-Springhill
- Alaska
  - Anchorage, Alaska, Forente stater, 98508
    - Anchorage Associates in Radiation Medicine
  - Anchorage, Alaska, Forente stater, 99508
    - Alaska Breast Care and Surgery LLC
  - Anchorage, Alaska, Forente stater, 99508
    - Alaska Oncology and Hematology LLC
  - Anchorage, Alaska, Forente stater, 99508
    - Alaska Women's Cancer Care
  - Anchorage, Alaska, Forente stater, 99508
    - Anchorage Oncology Centre
  - Anchorage, Alaska, Forente stater, 99508
    - Katmai Oncology Group
  - Anchorage, Alaska, Forente stater, 99508
    - Providence Alaska Medical Center
  - Anchorage, Alaska, Forente stater, 99504
    - Anchorage Radiation Therapy Center
  - Anchorage, Alaska, Forente stater, 99508
    - Alaska Regional Hospital
  - Fairbanks, Alaska, Forente stater, 99701
    - Fairbanks Memorial Hospital
- Arizona
  - Gilbert, Arizona, Forente stater, 85297
    - Arizona Breast Cancer Specialists-Gilbert
  - Glendale, Arizona, Forente stater, 85306
    - Virginia G Piper Cancer Care-Glendale
  - Goodyear, Arizona, Forente stater, 85338
    - CTCA at Western Regional Medical Center
  - Peoria, Arizona, Forente stater, 85381
    - Arizona Center for Cancer Care-Peoria
  - Phoenix, Arizona, Forente stater, 85027
    - Arizona Oncology-Deer Valley Center
  - Phoenix, Arizona, Forente stater, 85016
    - Arizona Oncology Associates-Biltmore Cancer Center
  - Phoenix, Arizona, Forente stater, 85027
    - Arizona Breast Cancer Specialists-Phoenix
  - Scottsdale, Arizona, Forente stater, 85258
    - Arizona Breast Cancer Specialists-Scottsdale
  - Scottsdale, Arizona, Forente stater, 85251
    - Arizona Breast Cancer Specialists
  - Scottsdale, Arizona, Forente stater, 85258
    - Virginia G Piper Cancer Care-Del Camino
  - Scottsdale, Arizona, Forente stater, 85258
    - Oncogyne PC-Arizona Oncology
  - Sedona, Arizona, Forente stater, 86336
    - Sedona Medical Center
  - Surprise, Arizona, Forente stater, 85374
    - Arizona Center for Cancer Care-Surprise
- Arkansas
  - Fort Smith, Arkansas, Forente stater, 72903
    - Mercy Hospital Fort Smith
  - Hot Springs, Arkansas, Forente stater, 71913
    - CHI Saint Vincent Cancer Center Hot Springs
  - Jonesboro, Arkansas, Forente stater, 72401
    - Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
  - Little Rock, Arkansas, Forente stater, 72205
    - University of Arkansas for Medical Sciences
- California
  - Anaheim, California, Forente stater, 92806
    - Kaiser Permanente-Anaheim
  - Antioch, California, Forente stater, 94531
    - Kaiser Permanente-Deer Valley Medical Center
  - Arroyo Grande, California, Forente stater, 93420
    - PCR Oncology
  - Auburn, California, Forente stater, 95602
    - Sutter Auburn Faith Hospital
  - Auburn, California, Forente stater, 95603
    - Sutter Cancer Centers Radiation Oncology Services-Auburn
  - Bakersfield, California, Forente stater, 93301
    - AIS Cancer Center at San Joaquin Community Hospital
  - Baldwin Park, California, Forente stater, 91706
    - Kaiser Permanente-Baldwin Park
  - Bellflower, California, Forente stater, 90706
    - Kaiser Permanente-Bellflower
  - Berkeley, California, Forente stater, 94704
    - Alta Bates Summit Medical Center-Herrick Campus
  - Burbank, California, Forente stater, 91505
    - Providence Saint Joseph Medical Center/Disney Family Cancer Center
  - Burlingame, California, Forente stater, 94010
    - Mills-Peninsula Medical Center
  - Cameron Park, California, Forente stater, 95682
    - Sutter Cancer Centers Radiation Oncology Services-Cameron Park
  - Carmichael, California, Forente stater, 95608
    - Mercy San Juan Medical Center
  - Castro Valley, California, Forente stater, 94546
    - Eden Hospital Medical Center
  - Chico, California, Forente stater, 95973
    - Adventist Health Cancer Care Center Chico
  - Chico, California, Forente stater, 95926
    - Enloe Medical Center
  - Clovis, California, Forente stater, 93611
    - Community Cancer Institute
  - Clovis, California, Forente stater, 93611
    - University Oncology Associates
  - Davis, California, Forente stater, 95616
    - Sutter Davis Hospital
  - Dublin, California, Forente stater, 94568
    - Epic Care-Dublin
  - Emeryville, California, Forente stater, 94608
    - Bay Area Breast Surgeons Inc
  - Emeryville, California, Forente stater, 94608
    - Epic Care Partners in Cancer Care
  - Fontana, California, Forente stater, 92335
    - Kaiser Permanente-Fontana
  - Fremont, California, Forente stater, 94538
    - Kaiser Permanente-Fremont
  - Fresno, California, Forente stater, 93720
    - Kaiser Permanente-Fresno
  - Fullerton, California, Forente stater, 92835
    - Saint Jude Medical Center
  - Greenbrae, California, Forente stater, 94904
    - Marin Cancer Care Inc
  - Greenbrae, California, Forente stater, 94904
    - Marin General Hospital
  - Harbor City, California, Forente stater, 90710
    - Kaiser Permanente - Harbor City
  - Irvine, California, Forente stater, 92618
    - Kaiser Permanente-Irvine
  - La Jolla, California, Forente stater, 92093
    - UC San Diego Moores Cancer Center
  - Los Angeles, California, Forente stater, 90033
    - USC / Norris Comprehensive Cancer Center
  - Los Angeles, California, Forente stater, 90033
    - Los Angeles County-USC Medical Center
  - Los Angeles, California, Forente stater, 90027
    - Kaiser Permanente Los Angeles Medical Center
  - Los Angeles, California, Forente stater, 90034
    - Kaiser Permanente-Cadillac
  - Martinez, California, Forente stater, 94553-3156
    - Contra Costa Regional Medical Center
  - Marysville, California, Forente stater, 95901
    - Fremont - Rideout Cancer Center
  - Modesto, California, Forente stater, 95355
    - Memorial Medical Center
  - Modesto, California, Forente stater, 95356
    - Kaiser Permanente-Modesto
  - Mountain View, California, Forente stater, 94040
    - Palo Alto Medical Foundation-Camino Division
  - Mountain View, California, Forente stater, 94040
    - Palo Alto Medical Foundation-Gynecologic Oncology
  - Newport Beach, California, Forente stater, 92663
    - USC Norris Oncology/Hematology-Newport Beach
  - Novato, California, Forente stater, 94945
    - Sutter Cancer Research Consortium
  - Oakland, California, Forente stater, 94611
    - Kaiser Permanente-Oakland
  - Oakland, California, Forente stater, 94609
    - Alta Bates Summit Medical Center - Summit Campus
  - Oakland, California, Forente stater, 94609
    - Bay Area Tumor Institute
  - Palm Springs, California, Forente stater, 92262
    - Desert Regional Medical Center
  - Palo Alto, California, Forente stater, 94304
    - Stanford Cancer Institute Palo Alto
  - Palo Alto, California, Forente stater, 94301
    - Palo Alto Medical Foundation Health Care
  - Panorama City, California, Forente stater, 91402
    - Kaiser Permanente - Panorama City
  - Pasadena, California, Forente stater, 91105
    - Keck Medical Center of USC Pasadena
  - Pomona, California, Forente stater, 91767
    - Pomona Valley Hospital Medical Center
  - Rancho Mirage, California, Forente stater, 92270
    - Eisenhower Medical Center
  - Redwood City, California, Forente stater, 94063
    - Kaiser Permanente-Redwood City
  - Richmond, California, Forente stater, 94801
    - Kaiser Permanente-Richmond
  - Riverside, California, Forente stater, 92505
    - Kaiser Permanente-Riverside
  - Roseville, California, Forente stater, 95661
    - Kaiser Permanente-Roseville
  - Roseville, California, Forente stater, 95661
    - Sutter Cancer Centers Radiation Oncology Services-Roseville
  - Roseville, California, Forente stater, 95661
    - Sutter Roseville Medical Center
  - Sacramento, California, Forente stater, 95816
    - Sutter Medical Center Sacramento
  - Sacramento, California, Forente stater, 95817
    - University of California Davis Comprehensive Cancer Center
  - Sacramento, California, Forente stater, 95814
    - Kaiser Permanente Downtown Commons
  - Sacramento, California, Forente stater, 95823
    - Kaiser Permanente-South Sacramento
  - Sacramento, California, Forente stater, 95825
    - Kaiser Permanente - Sacramento
  - Sacramento, California, Forente stater, 95816
    - Mercy Cancer Center - Sacramento
  - Salinas, California, Forente stater, 93901
    - Salinas Valley Memorial
  - San Diego, California, Forente stater, 92120
    - Kaiser Permanente-San Diego Zion
  - San Diego, California, Forente stater, 92134
    - Naval Medical Center -San Diego
  - San Diego, California, Forente stater, 92108
    - Kaiser Permanente-San Diego Mission
  - San Francisco, California, Forente stater, 94115
    - Kaiser Permanente-San Francisco
  - San Francisco, California, Forente stater, 94115
    - California Pacific Medical Center-Pacific Campus
  - San Jose, California, Forente stater, 95119
    - Kaiser Permanente-Santa Teresa-San Jose
  - San Jose, California, Forente stater, 95124
    - Stanford Cancer Center South Bay
  - San Leandro, California, Forente stater, 94577
    - Kaiser Permanente San Leandro
  - San Marcos, California, Forente stater, 92078
    - Kaiser Permanente-San Marcos
  - San Rafael, California, Forente stater, 94903
    - Kaiser San Rafael-Gallinas
  - San Rafael, California, Forente stater, 94903
    - Kaiser Permanente-San Rafael
  - Santa Clara, California, Forente stater, 95051
    - Kaiser Permanente Medical Center - Santa Clara
  - Santa Cruz, California, Forente stater, 95065
    - Palo Alto Medical Foundation-Santa Cruz
  - Santa Cruz, California, Forente stater, 95065
    - Dominican Santa Cruz Hospital
  - Santa Rosa, California, Forente stater, 95403
    - Kaiser Permanente-Santa Rosa
  - Santa Rosa, California, Forente stater, 95403
    - Sutter Pacific Medical Foundation
  - South San Francisco, California, Forente stater, 94080
    - Kaiser Permanente-South San Francisco
  - Stockton, California, Forente stater, 95210
    - Kaiser Permanente-Stockton
  - Stockton, California, Forente stater, 95204
    - Saint Joseph's Medical Center
  - Sunnyvale, California, Forente stater, 94086
    - Palo Alto Medical Foundation-Sunnyvale
  - Truckee, California, Forente stater, 96161
    - Gene Upshaw Memorial Tahoe Forest Cancer Center
  - Vacaville, California, Forente stater, 95688
    - Kaiser Permanente Medical Center-Vacaville
  - Vacaville, California, Forente stater, 95687
    - Northbay Cancer Center
  - Vacaville, California, Forente stater, 95687
    - Sutter Cancer Centers Radiation Oncology Services-Vacaville
  - Vallejo, California, Forente stater, 94589
    - Kaiser Permanente-Vallejo
  - Vallejo, California, Forente stater, 94589
    - Sutter Solano Medical Center/Cancer Center
  - Walnut Creek, California, Forente stater, 94596
    - Kaiser Permanente-Walnut Creek
  - Walnut Creek, California, Forente stater, 94597
    - Epic Care Cyberknife Center
  - Woodland, California, Forente stater, 95695
    - Woodland Memorial Hospital
  - Woodland Hills, California, Forente stater, 91367
    - Kaiser Permanente-Woodland Hills
- Colorado
  - Aurora, Colorado, Forente stater, 80012
    - Rocky Mountain Cancer Centers-Aurora
  - Aurora, Colorado, Forente stater, 80012
    - The Medical Center of Aurora
  - Boulder, Colorado, Forente stater, 80301
    - Boulder Community Hospital
  - Boulder, Colorado, Forente stater, 80304
    - Rocky Mountain Cancer Centers-Boulder
  - Colorado Springs, Colorado, Forente stater, 80907
    - Penrose-Saint Francis Healthcare
  - Colorado Springs, Colorado, Forente stater, 80907
    - Rocky Mountain Cancer Centers-Penrose
  - Denver, Colorado, Forente stater, 80210
    - Porter Adventist Hospital
  - Denver, Colorado, Forente stater, 80205
    - Kaiser Permanente-Franklin
  - Denver, Colorado, Forente stater, 80218
    - Presbyterian - Saint Lukes Medical Center - Health One
  - Denver, Colorado, Forente stater, 80218
    - SCL Health Saint Joseph Hospital
  - Denver, Colorado, Forente stater, 80220
    - Rose Medical Center
  - Denver, Colorado, Forente stater, 80218
    - Rocky Mountain Cancer Centers-Midtown
  - Denver, Colorado, Forente stater, 80220
    - Rocky Mountain Cancer Centers-Rose
  - Denver, Colorado, Forente stater, 80204
    - Denver Health Medical Center
  - Denver, Colorado, Forente stater, 80218
    - Colorado Blood Cancer Institute
  - Denver, Colorado, Forente stater, 80209
    - The Women's Imaging Center
  - Denver, Colorado, Forente stater, 80206
    - National Jewish Health-Main Campus
  - Durango, Colorado, Forente stater, 81301
    - Mercy Medical Center
  - Durango, Colorado, Forente stater, 81301
    - Southwest Oncology PC
  - Englewood, Colorado, Forente stater, 80113
    - Swedish Medical Center
  - Englewood, Colorado, Forente stater, 80113
    - Comprehensive Cancer Care and Research Institute of Colorado LLC
  - Golden, Colorado, Forente stater, 80401
    - Mountain Blue Cancer Care Center
  - Golden, Colorado, Forente stater, 80401
    - National Jewish Health-Western Hematology Oncology
  - Grand Junction, Colorado, Forente stater, 81501
    - Saint Mary's Hospital and Regional Medical Center
  - Grand Junction, Colorado, Forente stater, 81505
    - Grand Valley Oncology
  - Greeley, Colorado, Forente stater, 80631
    - North Colorado Medical Center
  - Greenwood Village, Colorado, Forente stater, 80111
    - Rocky Mountain Cancer Centers-Greenwood Village
  - Lafayette, Colorado, Forente stater, 80026
    - Kaiser Permanente-Rock Creek
  - Lakewood, Colorado, Forente stater, 80228
    - Saint Anthony Hospital
  - Lakewood, Colorado, Forente stater, 80228
    - Rocky Mountain Cancer Centers-Lakewood
  - Littleton, Colorado, Forente stater, 80120
    - Rocky Mountain Cancer Centers-Littleton
  - Littleton, Colorado, Forente stater, 80122
    - Littleton Adventist Hospital
  - Lone Tree, Colorado, Forente stater, 80124
    - Kaiser Permanente-Lone Tree
  - Lone Tree, Colorado, Forente stater, 80124
    - Sky Ridge Medical Center
  - Lone Tree, Colorado, Forente stater, 80124
    - Rocky Mountain Cancer Centers-Sky Ridge
  - Longmont, Colorado, Forente stater, 80501
    - Longmont United Hospital
  - Longmont, Colorado, Forente stater, 80501
    - Rocky Mountain Cancer Centers-Longmont
  - Loveland, Colorado, Forente stater, 80539
    - McKee Medical Center
  - Parker, Colorado, Forente stater, 80138
    - Parker Adventist Hospital
  - Parker, Colorado, Forente stater, 80138
    - Rocky Mountain Cancer Centers-Parker
  - Pueblo, Colorado, Forente stater, 81004
    - Saint Mary Corwin Medical Center
  - Pueblo, Colorado, Forente stater, 81008
    - Rocky Mountain Cancer Centers - Pueblo
  - Thornton, Colorado, Forente stater, 80260
    - Rocky Mountain Cancer Centers-Thornton
  - Thornton, Colorado, Forente stater, 80260
    - National Jewish Health-Northern Hematology Oncology
  - Wheat Ridge, Colorado, Forente stater, 80033
    - SCL Health Lutheran Medical Center
- Connecticut
  - Bridgeport, Connecticut, Forente stater, 06606
    - Saint Vincent's Medical Center
  - Derby, Connecticut, Forente stater, 06418
    - Smilow Cancer Hospital-Derby Care Center
  - Fairfield, Connecticut, Forente stater, 06824
    - Smilow Cancer Hospital Care Center-Fairfield
  - Greenwich, Connecticut, Forente stater, 06830
    - Greenwich Hospital
  - Guilford, Connecticut, Forente stater, 06437
    - Yale-New Haven Shoreline Medical Center
  - Hartford, Connecticut, Forente stater, 06105
    - Smilow Cancer Hospital Care Center at Saint Francis
  - Hartford, Connecticut, Forente stater, 06102
    - Hartford Hospital
  - Meriden, Connecticut, Forente stater, 06451
    - Midstate Medical Center
  - Middletown, Connecticut, Forente stater, 06457
    - Middlesex Hospital
  - New Britain, Connecticut, Forente stater, 06050
    - The Hospital of Central Connecticut
  - New Haven, Connecticut, Forente stater, 06520
    - Yale University
  - New Haven, Connecticut, Forente stater, 06510
    - Smilow Cancer Center/Yale-New Haven Hospital
  - North Haven, Connecticut, Forente stater, 06473
    - Yale-New Haven Hospital North Haven Medical Center
  - Norwich, Connecticut, Forente stater, 06360
    - William Backus Hospital
  - Orange, Connecticut, Forente stater, 06477
    - Smilow Cancer Hospital-Orange Care Center
  - Torrington, Connecticut, Forente stater, 06790
    - Smilow Cancer Hospital-Torrington Care Center
  - Trumbull, Connecticut, Forente stater, 06611
    - Smilow Cancer Hospital Care Center-Trumbull
  - Waterbury, Connecticut, Forente stater, 06708
    - Smilow Cancer Hospital-Waterbury Care Center
  - Waterford, Connecticut, Forente stater, 06385
    - Lawrence and Memorial Cancer Center
- Delaware
  - Dover, Delaware, Forente stater, 19901
    - Bayhealth Hospital Kent Campus
  - Lewes, Delaware, Forente stater, 19958
    - Beebe Medical Center
  - Milford, Delaware, Forente stater, 19963
    - Bayhealth Hospital Sussex Campus
  - Newark, Delaware, Forente stater, 19713
    - Helen F Graham Cancer Center
  - Newark, Delaware, Forente stater, 19713
    - Delaware Clinical and Laboratory Physicians PA
  - Newark, Delaware, Forente stater, 19713
    - Medical Oncology Hematology Consultants PA
  - Newark, Delaware, Forente stater, 19718
    - Christiana Care Health System-Christiana Hospital
  - Newark, Delaware, Forente stater, 19713
    - Christiana Gynecologic Oncology LLC
  - Newark, Delaware, Forente stater, 19713
    - Regional Hematology and Oncology PA
  - Rehoboth Beach, Delaware, Forente stater, 19971
    - Beebe Health Campus
  - Seaford, Delaware, Forente stater, 19973
    - Nanticoke Memorial Hospital
  - Wilmington, Delaware, Forente stater, 19801
    - Christiana Care Health System-Wilmington Hospital
- District of Columbia
  - Washington D.C., District of Columbia, Forente stater, 20010
    - Medstar Washington Hospital Center
  - Washington D.C., District of Columbia, Forente stater, 20002
    - Kaiser Permanente-Capitol Hill Medical Center
  - Washington D.C., District of Columbia, Forente stater, 20007
    - MedStar Georgetown University Hospital
  - Washington D.C., District of Columbia, Forente stater, 20016
    - Sibley Memorial Hospital
- Florida
  - Aventura, Florida, Forente stater, 33180
    - Mount Sinai Comprehensive Cancer Center at Aventura
  - Clearwater, Florida, Forente stater, 33756
    - Morton Plant Hospital
  - Coral Gables, Florida, Forente stater, 33146
    - UM Sylvester Comprehensive Cancer Center at Coral Gables
  - Daytona Beach, Florida, Forente stater, 32114
    - Halifax Health Medical Center-Centers for Oncology
  - Deerfield Beach, Florida, Forente stater, 33442
    - UM Sylvester Comprehensive Cancer Center at Deerfield Beach
  - Fort Lauderdale, Florida, Forente stater, 33308
    - Holy Cross Hospital
  - Fort Myers, Florida, Forente stater, 33905
    - Regional Cancer Center-Lee Memorial Health System
  - Lakeland, Florida, Forente stater, 33805
    - Lakeland Regional Health Hollis Cancer Center
  - Lakeland, Florida, Forente stater, 33805
    - The Watson Clinic
  - Miami, Florida, Forente stater, 33136
    - University of Miami Miller School of Medicine-Sylvester Cancer Center
  - Miami, Florida, Forente stater, 33176
    - UM Sylvester Comprehensive Cancer Center at Kendall
  - Miami Beach, Florida, Forente stater, 33140
    - Mount Sinai Medical Center
  - Orlando, Florida, Forente stater, 32806
    - UF Cancer Center at Orlando Health
  - Plantation, Florida, Forente stater, 33324
    - UM Sylvester Comprehensive Cancer Center at Plantation
  - Tallahassee, Florida, Forente stater, 32308
    - Tallahassee Memorial HealthCare
  - Tampa, Florida, Forente stater, 33607
    - Saint Joseph's Hospital/Children's Hospital-Tampa
  - Weston, Florida, Forente stater, 33331
    - Cleveland Clinic-Weston
- Georgia
  - Albany, Georgia, Forente stater, 31701
    - Phoebe Putney Memorial Hospital
  - Athens, Georgia, Forente stater, 30607
    - University Cancer and Blood Center LLC
  - Atlanta, Georgia, Forente stater, 30342
    - Northside Hospital
  - Augusta, Georgia, Forente stater, 30912
    - Augusta University Medical Center
  - Cumming, Georgia, Forente stater, 30041
    - Northside Hospital-Forsyth
  - Decatur, Georgia, Forente stater, 30033
    - Dekalb Medical Center
  - Rome, Georgia, Forente stater, 30165
    - Harbin Clinic Medical Oncology and Clinical Research
  - Savannah, Georgia, Forente stater, 31405
    - Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
  - Savannah, Georgia, Forente stater, 31404
    - Memorial Health University Medical Center
  - Savannah, Georgia, Forente stater, 31404
    - Summit Cancer Care-Memorial
  - Savannah, Georgia, Forente stater, 31405
    - Low Country Cancer Care Associates PC
  - Valdosta, Georgia, Forente stater, 31602
    - South Georgia Medical Center/Pearlman Cancer Center
- Hawaii
  - Honolulu, Hawaii, Forente stater, 96813
    - Queen's Medical Center
  - Honolulu, Hawaii, Forente stater, 96817
    - The Cancer Center of Hawaii-Liliha
  - Honolulu, Hawaii, Forente stater, 96813
    - Straub Clinic and Hospital
  - Honolulu, Hawaii, Forente stater, 96813
    - University of Hawaii Cancer Center
  - Honolulu, Hawaii, Forente stater, 96817
    - Hawaii Cancer Care Inc-Liliha
  - Honolulu, Hawaii, Forente stater, 96817
    - Kuakini Medical Center
  - Honolulu, Hawaii, Forente stater, 96826
    - Kapiolani Medical Center for Women and Children
  - Honolulu, Hawaii, Forente stater, 96813
    - Island Urology
  - Honolulu, Hawaii, Forente stater, 96819
    - Kaiser Permanente Moanalua Medical Center
  - Honolulu, Hawaii, Forente stater, 96813
    - Hawaii Cancer Care Inc-POB II
  - Honolulu, Hawaii, Forente stater, 96813
    - Hawaii Oncology Inc-POB I
  - Honolulu, Hawaii, Forente stater, 96817
    - Hawaii Oncology Inc-Kuakini
  - Lihue, Hawaii, Forente stater, 96766
    - Wilcox Memorial Hospital and Kauai Medical Clinic
  - ‘Aiea, Hawaii, Forente stater, 96701
    - Pali Momi Medical Center
  - ‘Aiea, Hawaii, Forente stater, 96701
    - The Cancer Center of Hawaii-Pali Momi
  - ‘Aiea, Hawaii, Forente stater, 96701
    - Hawaii Oncology Inc-Pali Momi
- Idaho
  - Boise, Idaho, Forente stater, 83706
    - Saint Alphonsus Cancer Care Center-Boise
  - Boise, Idaho, Forente stater, 83712
    - Saint Luke's Mountain States Tumor Institute
  - Caldwell, Idaho, Forente stater, 83605
    - Saint Alphonsus Cancer Care Center-Caldwell
  - Coeur d'Alene, Idaho, Forente stater, 83814
    - Kootenai Medical Center
  - Emmett, Idaho, Forente stater, 83617
    - Walter Knox Memorial Hospital
  - Fruitland, Idaho, Forente stater, 83619
    - Saint Luke's Mountain States Tumor Institute - Fruitland
  - Meridian, Idaho, Forente stater, 83642
    - Idaho Urologic Institute-Meridian
  - Meridian, Idaho, Forente stater, 83642
    - Saint Luke's Mountain States Tumor Institute - Meridian
  - Nampa, Idaho, Forente stater, 83686
    - Saint Alphonsus Medical Center-Nampa
  - Nampa, Idaho, Forente stater, 83686
    - Saint Luke's Mountain States Tumor Institute - Nampa
  - Post Falls, Idaho, Forente stater, 83854
    - Kootenai Cancer Center
  - Sandpoint, Idaho, Forente stater, 83864
    - Kootenai Cancer Clinic
  - Twin Falls, Idaho, Forente stater, 83301
    - Saint Luke's Mountain States Tumor Institute-Twin Falls
- Illinois
  - Arlington Heights, Illinois, Forente stater, 60005
    - Northwest Community Hospital
  - Aurora, Illinois, Forente stater, 60504
    - Rush - Copley Medical Center
  - Berwyn, Illinois, Forente stater, 60402
    - Mac Neal Hospital
  - Bloomington, Illinois, Forente stater, 61704
    - Illinois CancerCare-Bloomington
  - Bloomington, Illinois, Forente stater, 61701
    - Saint Joseph Medical Center
  - Canton, Illinois, Forente stater, 61520
    - Illinois CancerCare-Canton
  - Carbondale, Illinois, Forente stater, 62902
    - Memorial Hospital of Carbondale
  - Carterville, Illinois, Forente stater, 62918
    - SIH Cancer Institute
  - Carthage, Illinois, Forente stater, 62321
    - Illinois CancerCare-Carthage
  - Centralia, Illinois, Forente stater, 62801
    - Centralia Oncology Clinic
  - Chicago, Illinois, Forente stater, 60611
    - Northwestern University
  - Chicago, Illinois, Forente stater, 60637
    - University of Chicago Comprehensive Cancer Center
  - Chicago, Illinois, Forente stater, 60612
    - University of Illinois
  - Chicago, Illinois, Forente stater, 60612
    - John H Stroger Jr Hospital of Cook County
  - Chicago, Illinois, Forente stater, 60640
    - Weiss Memorial Hospital
  - Chicago, Illinois, Forente stater, 60657
    - Presence Saint Joseph Hospital-Chicago
  - Danville, Illinois, Forente stater, 61832
    - Carle on Vermilion
  - Decatur, Illinois, Forente stater, 62526
    - Decatur Memorial Hospital
  - Decatur, Illinois, Forente stater, 62526
    - Cancer Care Specialists of Illinois - Decatur
  - Effingham, Illinois, Forente stater, 62401
    - Crossroads Cancer Center
  - Effingham, Illinois, Forente stater, 62401
    - Carle Physician Group-Effingham
  - Elmhurst, Illinois, Forente stater, 60126
    - Elmhurst Memorial Hospital
  - Eureka, Illinois, Forente stater, 61530
    - Illinois CancerCare-Eureka
  - Galesburg, Illinois, Forente stater, 61401
    - Western Illinois Cancer Treatment Center
  - Galesburg, Illinois, Forente stater, 61401
    - Illinois CancerCare-Galesburg
  - Geneva, Illinois, Forente stater, 60134
    - Northwestern Medicine Cancer Center Delnor
  - Harvey, Illinois, Forente stater, 60426
    - Ingalls Memorial Hospital
  - Hinsdale, Illinois, Forente stater, 60521
    - AMITA Health Cancer Institute and Outpatient Center
  - Joliet, Illinois, Forente stater, 60435
    - Joliet Oncology-Hematology Associates Limited
  - Kankakee, Illinois, Forente stater, 60901
    - Presence Saint Mary's Hospital
  - Kewanee, Illinois, Forente stater, 61443
    - Illinois CancerCare-Kewanee Clinic
  - Lake Forest, Illinois, Forente stater, 60045
    - Northwestern Medicine Lake Forest Hospital
  - Macomb, Illinois, Forente stater, 61455
    - Illinois CancerCare-Macomb
  - Mattoon, Illinois, Forente stater, 61938
    - Carle Physician Group-Mattoon/Charleston
  - Maywood, Illinois, Forente stater, 60153
    - Loyola University Medical Center
  - Moline, Illinois, Forente stater, 61265
    - Garneau, Stewart C MD (UIA Investigator)
  - Moline, Illinois, Forente stater, 61265
    - Spector, David MD (UIA Investigator)
  - Moline, Illinois, Forente stater, 61265
    - Trinity Medical Center
  - Mount Vernon, Illinois, Forente stater, 62864
    - Good Samaritan Regional Health Center
  - Naperville, Illinois, Forente stater, 60540
    - Edward Hospital/Cancer Center
  - New Lenox, Illinois, Forente stater, 60451
    - UC Comprehensive Cancer Center at Silver Cross
  - Ottawa, Illinois, Forente stater, 61350
    - Illinois CancerCare-Ottawa Clinic
  - Ottawa, Illinois, Forente stater, 61350
    - Radiation Oncology of Northern Illinois
  - Park Ridge, Illinois, Forente stater, 60068
    - Advocate Lutheran General Hospital
  - Pekin, Illinois, Forente stater, 61554
    - Illinois CancerCare-Pekin
  - Pekin, Illinois, Forente stater, 61554
    - OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
  - Peoria, Illinois, Forente stater, 61636
    - Methodist Medical Center of Illinois
  - Peoria, Illinois, Forente stater, 61637
    - OSF Saint Francis Medical Center
  - Peoria, Illinois, Forente stater, 61615
    - Illinois CancerCare-Peoria
  - Peoria, Illinois, Forente stater, 61615
    - OSF Saint Francis Radiation Oncology at Peoria Cancer Center
  - Peru, Illinois, Forente stater, 61354
    - Illinois CancerCare-Peru
  - Peru, Illinois, Forente stater, 61354
    - Valley Radiation Oncology
  - Plainfield, Illinois, Forente stater, 60585
    - Edward Hospital/Cancer Center?Plainfield
  - Princeton, Illinois, Forente stater, 61356
    - Illinois CancerCare-Princeton
  - River Forest, Illinois, Forente stater, 60305
    - West Suburban Medical Center
  - Rockford, Illinois, Forente stater, 61114
    - SwedishAmerican Regional Cancer Center/ACT
  - Silvis, Illinois, Forente stater, 61282
    - Genesis Cancer Center - Silvis
  - Springfield, Illinois, Forente stater, 62781
    - Memorial Medical Center
  - Springfield, Illinois, Forente stater, 62702
    - Southern Illinois University School of Medicine
  - Springfield, Illinois, Forente stater, 62702
    - Springfield Clinic
  - Springfield, Illinois, Forente stater, 62702
    - Central Illinois Hematology Oncology Center
  - Swansea, Illinois, Forente stater, 62226
    - Southwest Illinois Health Services LLP
  - Swansea, Illinois, Forente stater, 62226
    - Cancer Care Specialists of Illinois-Swansea
  - Urbana, Illinois, Forente stater, 61801
    - Carle Cancer Center
  - Urbana, Illinois, Forente stater, 61801
    - The Carle Foundation Hospital
  - Warrenville, Illinois, Forente stater, 60555
    - Northwestern Medicine Cancer Center Warrenville
  - Yorkville, Illinois, Forente stater, 60560
    - Rush-Copley Healthcare Center
  - Zion, Illinois, Forente stater, 60099
    - Midwestern Regional Medical Center
- Indiana
  - Evansville, Indiana, Forente stater, 47713
    - Deaconess Clinic Downtown
  - Goshen, Indiana, Forente stater, 46526
    - Goshen Center for Cancer Care
  - Indianapolis, Indiana, Forente stater, 46237
    - Franciscan Health Indianapolis
  - Indianapolis, Indiana, Forente stater, 46202
    - Indiana University/Melvin and Bren Simon Cancer Center
  - Indianapolis, Indiana, Forente stater, 46202
    - Sidney and Lois Eskenazi Hospital
  - Indianapolis, Indiana, Forente stater, 46290
    - Springmill Medical Center
  - Michigan City, Indiana, Forente stater, 46360
    - Franciscan Saint Anthony Health-Michigan City
  - Michigan City, Indiana, Forente stater, 46360
    - Woodland Cancer Care Center
  - Mishawaka, Indiana, Forente stater, 46545
    - Memorial Regional Cancer Center Day Road
  - Mooresville, Indiana, Forente stater, 46158
    - Franciscan Health Mooresville
  - Muncie, Indiana, Forente stater, 47303
    - IU Health Ball Memorial Hospital
  - Munster, Indiana, Forente stater, 46321
    - The Community Hospital
  - Newburgh, Indiana, Forente stater, 47630
    - Chancellor Center for Oncology
  - Richmond, Indiana, Forente stater, 47374
    - Reid Health
  - South Bend, Indiana, Forente stater, 46601
    - Memorial Hospital of South Bend
  - Terre Haute, Indiana, Forente stater, 47804
    - Union Hospital
- Iowa
  - Ames, Iowa, Forente stater, 50010
    - McFarland Clinic PC - Ames
  - Ames, Iowa, Forente stater, 50010
    - Mary Greeley Medical Center
  - Bettendorf, Iowa, Forente stater, 52722
    - Constantinou, Costas L MD (UIA Investigator)
  - Bettendorf, Iowa, Forente stater, 52722
    - University of Iowa Healthcare Cancer Services Quad Cities
  - Boone, Iowa, Forente stater, 50036
    - McFarland Clinic PC-Boone
  - Cedar Rapids, Iowa, Forente stater, 52403
    - Mercy Hospital
  - Cedar Rapids, Iowa, Forente stater, 52403
    - Oncology Associates at Mercy Medical Center
  - Clive, Iowa, Forente stater, 50325
    - Mercy Cancer Center-West Lakes
  - Clive, Iowa, Forente stater, 50325
    - Medical Oncology and Hematology Associates-West Des Moines
  - Council Bluffs, Iowa, Forente stater, 51503
    - Alegent Health Mercy Hospital
  - Creston, Iowa, Forente stater, 50801
    - Greater Regional Medical Center
  - Davenport, Iowa, Forente stater, 52803
    - Genesis Medical Center - East Campus
  - Davenport, Iowa, Forente stater, 52804
    - Genesis Cancer Care Institute
  - Davenport, Iowa, Forente stater, 52807
    - Iowa Cancer Specialists
  - Des Moines, Iowa, Forente stater, 50309
    - Iowa Methodist Medical Center
  - Des Moines, Iowa, Forente stater, 50314
    - Mercy Medical Center - Des Moines
  - Des Moines, Iowa, Forente stater, 50309
    - Medical Oncology and Hematology Associates-Des Moines
  - Des Moines, Iowa, Forente stater, 50314
    - Broadlawns Medical Center
  - Des Moines, Iowa, Forente stater, 50316
    - Iowa Lutheran Hospital
  - Des Moines, Iowa, Forente stater, 50314
    - Medical Oncology and Hematology Associates-Laurel
  - Fairfield, Iowa, Forente stater, 52556
    - JCHC McCreery Cancer Center
  - Fort Dodge, Iowa, Forente stater, 50501
    - McFarland Clinic PC-Trinity Cancer Center
  - Iowa City, Iowa, Forente stater, 52242
    - University of Iowa/Holden Comprehensive Cancer Center
  - Jefferson, Iowa, Forente stater, 50129
    - McFarland Clinic PC-Jefferson
  - Marshalltown, Iowa, Forente stater, 50158
    - McFarland Clinic PC-Marshalltown
  - Mason City, Iowa, Forente stater, 50401
    - Mercy Medical Center - North Iowa
  - Ottumwa, Iowa, Forente stater, 52501
    - Ottumwa Regional Health Center
  - Sioux City, Iowa, Forente stater, 51101
    - Siouxland Regional Cancer Center
  - West Des Moines, Iowa, Forente stater, 50266-7700
    - Methodist West Hospital
  - West Des Moines, Iowa, Forente stater, 50266
    - Mercy Medical Center-West Lakes
- Kansas
  - Chanute, Kansas, Forente stater, 66720
    - Cancer Center of Kansas - Chanute
  - Dodge City, Kansas, Forente stater, 67801
    - Cancer Center of Kansas - Dodge City
  - El Dorado, Kansas, Forente stater, 67042
    - Cancer Center of Kansas - El Dorado
  - Fort Scott, Kansas, Forente stater, 66701
    - Cancer Center of Kansas - Fort Scott
  - Garden City, Kansas, Forente stater, 67846
    - Central Care Cancer Center - Garden City
  - Great Bend, Kansas, Forente stater, 67530
    - Central Care Cancer Center - Great Bend
  - Independence, Kansas, Forente stater, 67301
    - Cancer Center of Kansas-Independence
  - Kingman, Kansas, Forente stater, 67068
    - Cancer Center of Kansas-Kingman
  - Lawrence, Kansas, Forente stater, 66044
    - Lawrence Memorial Hospital
  - Lenexa, Kansas, Forente stater, 66219
    - Kansas Institute of Medicine Cancer and Blood Center
  - Lenexa, Kansas, Forente stater, 66219
    - Minimally Invasive Surgery Hospital
  - Liberal, Kansas, Forente stater, 67905
    - Cancer Center of Kansas-Liberal
  - Manhattan, Kansas, Forente stater, 66502
    - Cancer Center of Kansas-Manhattan
  - McPherson, Kansas, Forente stater, 67460
    - Cancer Center of Kansas - McPherson
  - Newton, Kansas, Forente stater, 67114
    - Cancer Center of Kansas - Newton
  - Overland Park, Kansas, Forente stater, 66209
    - Menorah Medical Center
  - Overland Park, Kansas, Forente stater, 66213
    - Saint Luke's South Hospital
  - Parsons, Kansas, Forente stater, 67357
    - Cancer Center of Kansas - Parsons
  - Pratt, Kansas, Forente stater, 67124
    - Cancer Center of Kansas - Pratt
  - Salina, Kansas, Forente stater, 67401
    - Cancer Center of Kansas - Salina
  - Topeka, Kansas, Forente stater, 66606
    - Cotton O'Neil Cancer Center / Stormont Vail Health
  - Wellington, Kansas, Forente stater, 67152
    - Cancer Center of Kansas - Wellington
  - Wichita, Kansas, Forente stater, 67208
    - Cancer Center of Kansas-Wichita Medical Arts Tower
  - Wichita, Kansas, Forente stater, 67214
    - Cancer Center of Kansas - Wichita
  - Wichita, Kansas, Forente stater, 67208
    - Associates In Womens Health
  - Wichita, Kansas, Forente stater, 67214
    - Via Christi Regional Medical Center
  - Winfield, Kansas, Forente stater, 67156
    - Cancer Center of Kansas - Winfield
- Kentucky
  - Bardstown, Kentucky, Forente stater, 40004
    - Flaget Memorial Hospital
  - Corbin, Kentucky, Forente stater, 40701
    - Baptist Health Corbin
  - Corbin, Kentucky, Forente stater, 40701
    - Commonwealth Cancer Center-Corbin
  - Crestview Hills, Kentucky, Forente stater, 41017
    - Oncology Hematology Care Inc-Crestview
  - Edgewood, Kentucky, Forente stater, 41017
    - Saint Elizabeth Medical Center South
  - Elizabethtown, Kentucky, Forente stater, 42701
    - Hardin Memorial Hospital
  - Fort Thomas, Kentucky, Forente stater, 41075
    - Saint Elizabeth Fort Thomas
  - Lexington, Kentucky, Forente stater, 40536
    - University of Kentucky/Markey Cancer Center
  - Lexington, Kentucky, Forente stater, 40504
    - Saint Joseph Radiation Oncology Resource Center
  - Lexington, Kentucky, Forente stater, 40509
    - Saint Joseph Hospital East
  - Lexington, Kentucky, Forente stater, 40503
    - Baptist Health Lexington
  - Louisville, Kentucky, Forente stater, 40202
    - Norton Hospital Pavilion and Medical Campus
  - Louisville, Kentucky, Forente stater, 40241
    - Norton Brownsboro Hospital and Medical Campus
  - Louisville, Kentucky, Forente stater, 40202
    - Jewish Hospital
  - Louisville, Kentucky, Forente stater, 40207
    - Norton Suburban Hospital and Medical Campus
  - Louisville, Kentucky, Forente stater, 40207
    - Baptist Health Louisville
  - Louisville, Kentucky, Forente stater, 40215
    - Saints Mary and Elizabeth Hospital
  - Louisville, Kentucky, Forente stater, 40217
    - Norton Audubon Hospital and Medical Campus
  - Louisville, Kentucky, Forente stater, 40245
    - Jewish Hospital Medical Center Northeast
  - Madisonville, Kentucky, Forente stater, 42431
    - Baptist Health Madisonville/Merle Mahr Cancer Center
  - Paducah, Kentucky, Forente stater, 42003
    - Baptist Health Paducah
  - Shepherdsville, Kentucky, Forente stater, 40165
    - Jewish Hospital Medical Center South
- Louisiana
  - Alexandria, Louisiana, Forente stater, 71301
    - Christus Saint Frances Cabrini Hospital
  - Baton Rouge, Louisiana, Forente stater, 70805
    - LSU Health Baton Rouge-North Clinic
  - Baton Rouge, Louisiana, Forente stater, 70809
    - Louisiana Hematology Oncology Associates LLC
  - Baton Rouge, Louisiana, Forente stater, 70809
    - Mary Bird Perkins Cancer Center
  - Baton Rouge, Louisiana, Forente stater, 70809
    - Our Lady of the Lake Physicians Group - Medical Oncology
  - Baton Rouge, Louisiana, Forente stater, 70809
    - Ochsner Health Center-Summa
  - Baton Rouge, Louisiana, Forente stater, 70816
    - Medical Center of Baton Rouge
  - Baton Rouge, Louisiana, Forente stater, 70836
    - Ochsner High Grove
  - Baton Rouge, Louisiana, Forente stater, 70806
    - Baton Rouge General Medical Center
  - Baton Rouge, Louisiana, Forente stater, 70809
    - Hematology/Oncology Clinic LLP
  - Baton Rouge, Louisiana, Forente stater, 70817
    - Woman's Hospital
  - Covington, Louisiana, Forente stater, 70433
    - Mary Bird Perkins Cancer Center - Covington
  - Covington, Louisiana, Forente stater, 70433
    - Northshore Oncology Associates-Covington
  - Houma, Louisiana, Forente stater, 70360
    - Mary Bird Perkins Cancer Center - Houma
  - Houma, Louisiana, Forente stater, 70360
    - Oncology Center of The South Incorporated
  - Kenner, Louisiana, Forente stater, 70065
    - Ochsner Medical Center Kenner
  - Lake Charles, Louisiana, Forente stater, 70601
    - CHRISTUS Saint Patrick Hospital
  - Marrero, Louisiana, Forente stater, 70072
    - West Jefferson Medical Center
  - Monroe, Louisiana, Forente stater, 71202
    - University Health-Conway
  - New Orleans, Louisiana, Forente stater, 70121
    - Ochsner Medical Center Jefferson
  - New Orleans, Louisiana, Forente stater, 70112
    - Tulane University Health Sciences Center
  - Shreveport, Louisiana, Forente stater, 71103
    - Louisiana State University Health Sciences Center Shreveport
  - Shreveport, Louisiana, Forente stater, 71105
    - CHRISTUS Highland Medical Center
- Maine
  - Augusta, Maine, Forente stater, 04330
    - Harold Alfond Center for Cancer Care
  - Bangor, Maine, Forente stater, 04401
    - Eastern Maine Medical Center
  - Belfast, Maine, Forente stater, 04915
    - Waldo County General Hospital
  - Biddeford, Maine, Forente stater, 04005
    - MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford
  - Brewer, Maine, Forente stater, 04412
    - Lafayette Family Cancer Center-EMMC
  - Lewiston, Maine, Forente stater, 04240
    - Central Maine Medical Center
  - Norway, Maine, Forente stater, 04268
    - Stephens Memorial Hospital
  - Portland, Maine, Forente stater, 04101
    - Mercy Hospital
  - Rockport, Maine, Forente stater, 04856
    - Penobscot Bay Medical Center
  - Sanford, Maine, Forente stater, 04073
    - MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford
  - Scarborough, Maine, Forente stater, 04074
    - Maine Medical Center- Scarborough Campus
  - South Portland, Maine, Forente stater, 04106
    - Maine Medical Partners - South Portland
- Maryland
  - Baltimore, Maryland, Forente stater, 21237
    - MedStar Franklin Square Medical Center/Weinberg Cancer Institute
  - Baltimore, Maryland, Forente stater, 21287
    - Johns Hopkins University/Sidney Kimmel Cancer Center
  - Baltimore, Maryland, Forente stater, 21215
    - Sinai Hospital of Baltimore
  - Baltimore, Maryland, Forente stater, 21201
    - University of Maryland/Greenebaum Cancer Center
  - Baltimore, Maryland, Forente stater, 21202
    - Mercy Medical Center
  - Baltimore, Maryland, Forente stater, 21218
    - MedStar Union Memorial Hospital
  - Baltimore, Maryland, Forente stater, 21229
    - Saint Agnes Hospital
  - Baltimore, Maryland, Forente stater, 21244
    - Kaiser Permanente-Woodlawn Medical Center
  - Baltimore, Maryland, Forente stater, 21239
    - MedStar Good Samaritan Hospital
  - Bel Air, Maryland, Forente stater, 21014
    - UM Upper Chesapeake Medical Center
  - Easton, Maryland, Forente stater, 21601
    - University of Maryland Shore Medical Center at Easton
  - Elkton, Maryland, Forente stater, 21921
    - Union Hospital of Cecil County
  - Frederick, Maryland, Forente stater, 21701
    - Frederick Memorial Hospital
  - Gaithersburg, Maryland, Forente stater, 20879
    - Kaiser Permanente-Gaithersburg Medical Center
  - Kensington, Maryland, Forente stater, 20895
    - Kaiser Permanente - Kensington Medical Center
  - Largo, Maryland, Forente stater, 20774
    - Kaiser Permanente - Largo Medical Center
  - Ocean Pines, Maryland, Forente stater, 21811
    - Richard A Henson Cancer Institute at Ocean Pines
  - Randallstown, Maryland, Forente stater, 21133
    - Northwest Hospital Center
  - Rockville, Maryland, Forente stater, 20850
    - Maryland Oncology Hematology PA-Aquilino Cancer Center
  - Salisbury, Maryland, Forente stater, 21801
    - Peninsula Regional Medical Center
  - Silver Spring, Maryland, Forente stater, 20910
    - Holy Cross Hospital
  - Westminster, Maryland, Forente stater, 21157
    - William E Kahlert Regional Cancer Center/Sinai Hospital
- Massachusetts
  - Beverly, Massachusetts, Forente stater, 01915
    - Beverly Hospital
  - Boston, Massachusetts, Forente stater, 02215
    - Beth Israel Deaconess Medical Center
  - Boston, Massachusetts, Forente stater, 02215
    - Dana-Farber Cancer Institute
  - Boston, Massachusetts, Forente stater, 02111
    - Tufts Medical Center
  - Boston, Massachusetts, Forente stater, 02118
    - Boston Medical Center
  - Gloucester, Massachusetts, Forente stater, 01930
    - Addison Gilbert Hospital
  - Lowell, Massachusetts, Forente stater, 01854
    - Lowell General Hospital
  - Milford, Massachusetts, Forente stater, 01757
    - Dana-Farber/Brigham and Women's Cancer Center at Milford Regional
  - Newton, Massachusetts, Forente stater, 02462
    - Newton-Wellesley Hospital
  - Pittsfield, Massachusetts, Forente stater, 01201
    - Berkshire Medical Center - Cancer Center
  - South Weymouth, Massachusetts, Forente stater, 02190
    - Dana-Farber/Brigham and Women's Cancer Center at South Shore
  - Springfield, Massachusetts, Forente stater, 01199
    - Baystate Medical Center
- Michigan
  - Adrian, Michigan, Forente stater, 49221
    - Hickman Cancer Center
  - Ann Arbor, Michigan, Forente stater, 48109
    - University of Michigan Comprehensive Cancer Center
  - Ann Arbor, Michigan, Forente stater, 48106
    - Saint Joseph Mercy Hospital
  - Battle Creek, Michigan, Forente stater, 49017
    - Bronson Battle Creek
  - Bay City, Michigan, Forente stater, 48706
    - McLaren Cancer Institute-Bay City
  - Bloomfield, Michigan, Forente stater, 48302
    - McLaren Cancer Institute-Bloomfield
  - Brighton, Michigan, Forente stater, 48114
    - Saint Joseph Mercy Brighton
  - Brighton, Michigan, Forente stater, 48114
    - IHA Hematology Oncology Consultants-Brighton
  - Brownstown, Michigan, Forente stater, 48183
    - Henry Ford Cancer Institute-Downriver
  - Canton, Michigan, Forente stater, 48188
    - Saint Joseph Mercy Canton
  - Canton, Michigan, Forente stater, 48188
    - IHA Hematology Oncology Consultants-Canton
  - Caro, Michigan, Forente stater, 48723
    - Caro Cancer Center
  - Chelsea, Michigan, Forente stater, 48118
    - Saint Joseph Mercy Chelsea
  - Chelsea, Michigan, Forente stater, 48118
    - IHA Hematology Oncology Consultants-Chelsea
  - Clarkston, Michigan, Forente stater, 48346
    - McLaren Cancer Institute-Clarkston
  - Clarkston, Michigan, Forente stater, 48346
    - Hematology Oncology Consultants-Clarkston
  - Clarkston, Michigan, Forente stater, 48346
    - Newland Medical Associates-Clarkston
  - Clinton Township, Michigan, Forente stater, 48038
    - Henry Ford Macomb Hospital-Clinton Township
  - Dearborn, Michigan, Forente stater, 48126
    - Henry Ford Medical Center-Fairlane
  - Dearborn, Michigan, Forente stater, 48124
    - Beaumont Hospital ? Dearborn
  - Detroit, Michigan, Forente stater, 48202
    - Henry Ford Hospital
  - Detroit, Michigan, Forente stater, 48201
    - Wayne State University/Karmanos Cancer Institute
  - Detroit, Michigan, Forente stater, 48236
    - Ascension Saint John Hospital
  - East China, Michigan, Forente stater, 48054
    - Great Lakes Cancer Management Specialists-Doctors Park
  - Escanaba, Michigan, Forente stater, 49829
    - Green Bay Oncology - Escanaba
  - Farmington Hills, Michigan, Forente stater, 48334
    - Weisberg Cancer Treatment Center
  - Farmington Hills, Michigan, Forente stater, 48336
    - Beaumont Hospital - Farmington Hills
  - Flint, Michigan, Forente stater, 48532
    - McLaren Cancer Institute-Flint
  - Flint, Michigan, Forente stater, 48532
    - Singh and Arora Hematology Oncology PC
  - Flint, Michigan, Forente stater, 48503
    - Hurley Medical Center
  - Flint, Michigan, Forente stater, 48503
    - Genesee Cancer and Blood Disease Treatment Center
  - Flint, Michigan, Forente stater, 48503
    - Genesee Hematology Oncology PC
  - Flint, Michigan, Forente stater, 48503
    - Genesys Hurley Cancer Institute
  - Grand Rapids, Michigan, Forente stater, 49503
    - Spectrum Health at Butterworth Campus
  - Grand Rapids, Michigan, Forente stater, 49503
    - Helen DeVos Children's Hospital at Spectrum Health
  - Grand Rapids, Michigan, Forente stater, 49503
    - Mercy Health Saint Mary's
  - Grosse Pointe, Michigan, Forente stater, 48230
    - William Beaumont Hospital-Grosse Point
  - Grosse Pointe Woods, Michigan, Forente stater, 48236
    - Academic Hematology Oncology Specialists
  - Grosse Pointe Woods, Michigan, Forente stater, 48236
    - Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
  - Grosse Pointe Woods, Michigan, Forente stater, 48236
    - Michigan Breast Specialists-Grosse Pointe Woods
  - Jackson, Michigan, Forente stater, 49201
    - Allegiance Health
  - Kalamazoo, Michigan, Forente stater, 49007
    - West Michigan Cancer Center
  - Kalamazoo, Michigan, Forente stater, 49007
    - Bronson Methodist Hospital
  - Kalamazoo, Michigan, Forente stater, 49048
    - Borgess Medical Center
  - Lansing, Michigan, Forente stater, 48912
    - Sparrow Hospital
  - Lansing, Michigan, Forente stater, 48910
    - McLaren-Greater Lansing
  - Lansing, Michigan, Forente stater, 48912
    - Mid-Michigan Physicians-Lansing
  - Lapeer, Michigan, Forente stater, 48446
    - McLaren Cancer Institute-Lapeer Region
  - Livonia, Michigan, Forente stater, 48154
    - Saint Mary Mercy Hospital
  - Livonia, Michigan, Forente stater, 48154
    - Hope Cancer Clinic
  - Macomb, Michigan, Forente stater, 48044
    - Great Lakes Cancer Management Specialists-Macomb Medical Campus
  - Macomb, Michigan, Forente stater, 48044
    - Michigan Breast Specialists-Macomb Township
  - Marlette, Michigan, Forente stater, 48453
    - Saint Mary's Oncology/Hematology Associates of Marlette
  - Marquette, Michigan, Forente stater, 49855
    - UP Health System Marquette
  - Marquette, Michigan, Forente stater, 49855
    - UP Health System Hematology Oncology Marquette
  - Midland, Michigan, Forente stater, 48670
    - Mid-Michigan Medical Center - Midland
  - Monroe, Michigan, Forente stater, 48162
    - Monroe Cancer Center
  - Mount Clemens, Michigan, Forente stater, 48043
    - McLaren Cancer Institute-Macomb
  - Mount Pleasant, Michigan, Forente stater, 48858
    - McLaren Cancer Institute-Central Michigan
  - Muskegon, Michigan, Forente stater, 49444
    - Mercy Health Mercy Campus
  - Niles, Michigan, Forente stater, 49120
    - Lakeland Hospital Niles
  - Novi, Michigan, Forente stater, 48374
    - Ascension Providence Hospitals - Novi
  - Novi, Michigan, Forente stater, 48377
    - Henry Ford Medical Center-Columbus
  - Petoskey, Michigan, Forente stater, 49770
    - McLaren Cancer Institute-Northern Michigan
  - Pontiac, Michigan, Forente stater, 48341
    - Saint Joseph Mercy Oakland
  - Pontiac, Michigan, Forente stater, 48341
    - 21st Century Oncology-Pontiac
  - Pontiac, Michigan, Forente stater, 48341
    - Hope Cancer Center
  - Pontiac, Michigan, Forente stater, 48341
    - Newland Medical Associates-Pontiac
  - Port Huron, Michigan, Forente stater, 48060
    - McLaren-Port Huron
  - Port Huron, Michigan, Forente stater, 48060
    - Lake Huron Medical Center
  - Reed City, Michigan, Forente stater, 49677
    - Spectrum Health Reed City Hospital
  - Rochester Hills, Michigan, Forente stater, 48309
    - Great Lakes Cancer Management Specialists-Rochester Hills
  - Roseville, Michigan, Forente stater, 48066
    - Michigan Cancer Specialists
  - Royal Oak, Michigan, Forente stater, 48073
    - William Beaumont Hospital-Royal Oak
  - Royal Oak, Michigan, Forente stater, 48067
    - Oakland Colon and Rectal Association
  - Royal Oak, Michigan, Forente stater, 48073
    - Cancer Care Associates PC
  - Royal Oak, Michigan, Forente stater, 48073
    - Comprehensive Medical Center PLLC
  - Royal Oak, Michigan, Forente stater, 48073
    - Hematology Oncology Consultants PC
  - Royal Oak, Michigan, Forente stater, 48073
    - Oakland Medical Group
  - Saginaw, Michigan, Forente stater, 48601
    - Ascension Saint Mary's Hospital
  - Saginaw, Michigan, Forente stater, 48604
    - Oncology Hematology Associates of Saginaw Valley PC
  - Saint Joseph, Michigan, Forente stater, 49085
    - Lakeland Medical Center Saint Joseph
  - Saint Joseph, Michigan, Forente stater, 49085
    - Marie Yeager Cancer Center
  - Southfield, Michigan, Forente stater, 48075
    - Ascension Providence Hospitals - Southfield
  - Sterling Heights, Michigan, Forente stater, 48312
    - Bhadresh Nayak MD PC-Sterling Heights
  - Sterling Heights, Michigan, Forente stater, 48312
    - Premier Hematology Oncology Care
  - Sterling Heights, Michigan, Forente stater, 48314
    - Mitchell Folbe MD PC
  - Traverse City, Michigan, Forente stater, 49684
    - Munson Medical Center
  - Troy, Michigan, Forente stater, 48085
    - William Beaumont Hospital - Troy
  - Troy, Michigan, Forente stater, 48084
    - Michigan Institute of Urology-Town Center
  - Troy, Michigan, Forente stater, 48085
    - Claudia BR Herke MD PC
  - Troy, Michigan, Forente stater, 48098
    - Hematology Oncology Consultants PC-Troy
  - Warren, Michigan, Forente stater, 48093
    - Saint John Macomb-Oakland Hospital
  - Warren, Michigan, Forente stater, 48088
    - Advanced Breast Care Center PLLC
  - Warren, Michigan, Forente stater, 48093
    - Great Lakes Cancer Management Specialists-Macomb Professional Building
  - Warren, Michigan, Forente stater, 48093
    - Macomb Hematology Oncology PC
  - Warren, Michigan, Forente stater, 48093
    - Michigan Breast Specialists-Warren
  - West Bloomfield, Michigan, Forente stater, 48322
    - Henry Ford West Bloomfield Hospital
  - West Branch, Michigan, Forente stater, 48661
    - Saint Mary's Oncology/Hematology Associates of West Branch
  - Wyoming, Michigan, Forente stater, 49519
    - Metro Health Hospital
  - Ypsilanti, Michigan, Forente stater, 48106
    - Huron Gastroenterology PC
  - Ypsilanti, Michigan, Forente stater, 48197
    - IHA Hematology Oncology Consultants-Ann Arbor
- Minnesota
  - Bemidji, Minnesota, Forente stater, 56601
    - Sanford Joe Lueken Cancer Center
  - Brainerd, Minnesota, Forente stater, 56401
    - Essentia Health Saint Joseph's Medical Center
  - Burnsville, Minnesota, Forente stater, 55337
    - Fairview Ridges Hospital
  - Coon Rapids, Minnesota, Forente stater, 55433
    - Mercy Hospital
  - Deer River, Minnesota, Forente stater, 56636
    - Essentia Health - Deer River Clinic
  - Detroit Lakes, Minnesota, Forente stater, 56501
    - Essentia Health Saint Mary's - Detroit Lakes Clinic
  - Duluth, Minnesota, Forente stater, 55805
    - Essentia Health Cancer Center
  - Duluth, Minnesota, Forente stater, 55805
    - Essentia Health Saint Mary's Medical Center
  - Duluth, Minnesota, Forente stater, 55805
    - Miller-Dwan Hospital
  - Edina, Minnesota, Forente stater, 55435
    - Fairview-Southdale Hospital
  - Fergus Falls, Minnesota, Forente stater, 56537
    - Lake Region Healthcare Corporation-Cancer Care
  - Fosston, Minnesota, Forente stater, 56542
    - Essentia Health - Fosston
  - Fridley, Minnesota, Forente stater, 55432
    - Unity Hospital
  - Hibbing, Minnesota, Forente stater, 55746
    - Essentia Health Hibbing Clinic
  - Maple Grove, Minnesota, Forente stater, 55369
    - Fairview Maple Grove Medical Center
  - Maplewood, Minnesota, Forente stater, 55109
    - Saint John's Hospital - Healtheast
  - Maplewood, Minnesota, Forente stater, 55109
    - Minnesota Oncology Hematology PA-Maplewood
  - Minneapolis, Minnesota, Forente stater, 55415
    - Hennepin County Medical Center
  - Minneapolis, Minnesota, Forente stater, 55407
    - Abbott-Northwestern Hospital
  - Minneapolis, Minnesota, Forente stater, 55454
    - Health Partners Inc
  - Monticello, Minnesota, Forente stater, 55362
    - Monticello Cancer Center
  - New Ulm, Minnesota, Forente stater, 56073
    - New Ulm Medical Center
  - Park Rapids, Minnesota, Forente stater, 56470
    - Essentia Health - Park Rapids
  - Robbinsdale, Minnesota, Forente stater, 55422
    - North Memorial Medical Health Center
  - Saint Cloud, Minnesota, Forente stater, 56303
    - Coborn Cancer Center at Saint Cloud Hospital
  - Saint Louis Park, Minnesota, Forente stater, 55416
    - Park Nicollet Clinic - Saint Louis Park
  - Saint Paul, Minnesota, Forente stater, 55101
    - Regions Hospital
  - Saint Paul, Minnesota, Forente stater, 55102
    - United Hospital
  - Sandstone, Minnesota, Forente stater, 55072
    - Essentia Health Sandstone
  - Shakopee, Minnesota, Forente stater, 55379
    - Saint Francis Regional Medical Center
  - Stillwater, Minnesota, Forente stater, 55082
    - Lakeview Hospital
  - Virginia, Minnesota, Forente stater, 55792
    - Essentia Health Virginia Clinic
  - Waconia, Minnesota, Forente stater, 55387
    - Ridgeview Medical Center
  - Willmar, Minnesota, Forente stater, 56201
    - Rice Memorial Hospital
  - Woodbury, Minnesota, Forente stater, 55125
    - Minnesota Oncology Hematology PA-Woodbury
  - Wyoming, Minnesota, Forente stater, 55092
    - Fairview Lakes Medical Center
- Mississippi
  - Gulfport, Mississippi, Forente stater, 39502
    - Gulfport Memorial Hospital
  - Jackson, Mississippi, Forente stater, 39216
    - University of Mississippi Medical Center
  - Oxford, Mississippi, Forente stater, 38655
    - Baptist Memorial Hospital and Cancer Center-Oxford
  - Pascagoula, Mississippi, Forente stater, 39581
    - Singing River Hospital
  - Southhaven, Mississippi, Forente stater, 38671
    - Baptist Memorial Hospital and Cancer Center-Desoto
- Missouri
  - Ballwin, Missouri, Forente stater, 63011
    - Saint Louis Cancer and Breast Institute-Ballwin
  - Bolivar, Missouri, Forente stater, 65613
    - Central Care Cancer Center - Bolivar
  - Bonne Terre, Missouri, Forente stater, 63628
    - Parkland Health Center-Bonne Terre
  - Branson, Missouri, Forente stater, 65616
    - Cox Cancer Center Branson
  - Cape Girardeau, Missouri, Forente stater, 63703
    - Saint Francis Medical Center
  - Cape Girardeau, Missouri, Forente stater, 63703
    - Southeast Cancer Center
  - Chesterfield, Missouri, Forente stater, 63017
    - Saint Luke's Hospital
  - City of Saint Peters, Missouri, Forente stater, 63376
    - Siteman Cancer Center at Saint Peters Hospital
  - Columbia, Missouri, Forente stater, 65212
    - University of Missouri - Ellis Fischel
  - Creve Coeur, Missouri, Forente stater, 63141
    - Siteman Cancer Center at West County Hospital
  - Independence, Missouri, Forente stater, 64057
    - Centerpoint Medical Center LLC
  - Jefferson City, Missouri, Forente stater, 65109
    - Capital Region Southwest Campus
  - Joplin, Missouri, Forente stater, 64804
    - Freeman Health System
  - Joplin, Missouri, Forente stater, 64804
    - Mercy Hospital Joplin
  - Kansas City, Missouri, Forente stater, 64111
    - Saint Luke's Hospital of Kansas City
  - Kansas City, Missouri, Forente stater, 64132
    - Research Medical Center
  - Kansas City, Missouri, Forente stater, 64118
    - Heartland Hematology and Oncology Associates Incorporated
  - Lee's Summit, Missouri, Forente stater, 64086
    - Saint Luke's East - Lee's Summit
  - Liberty, Missouri, Forente stater, 64068
    - Liberty Radiation Oncology Center
  - Rolla, Missouri, Forente stater, 65401
    - Delbert Day Cancer Institute at PCRMC
  - Rolla, Missouri, Forente stater, 65401
    - Mercy Clinic-Rolla-Cancer and Hematology
  - Saint Joseph, Missouri, Forente stater, 64507
    - Heartland Regional Medical Center
  - Sainte Genevieve, Missouri, Forente stater, 63670
    - Sainte Genevieve County Memorial Hospital
  - Springfield, Missouri, Forente stater, 65807
    - CoxHealth South Hospital
  - Springfield, Missouri, Forente stater, 65804
    - Mercy Hospital Springfield
  - St Louis, Missouri, Forente stater, 63110
    - Washington University School of Medicine
  - St Louis, Missouri, Forente stater, 63136
    - Siteman Cancer Center at Christian Hospital
  - St Louis, Missouri, Forente stater, 63131
    - Missouri Baptist Medical Center
  - St Louis, Missouri, Forente stater, 63141
    - Mercy Hospital Saint Louis
  - St Louis, Missouri, Forente stater, 63128
    - Mercy Hospital South
  - St Louis, Missouri, Forente stater, 63109
    - Saint Louis Cancer and Breast Institute-South City
  - Sullivan, Missouri, Forente stater, 63080
    - Missouri Baptist Sullivan Hospital
  - Sunset Hills, Missouri, Forente stater, 63127
    - Missouri Baptist Outpatient Center-Sunset Hills
- Montana
  - Anaconda, Montana, Forente stater, 59711
    - Community Hospital of Anaconda
  - Billings, Montana, Forente stater, 59101
    - Billings Clinic Cancer Center
  - Billings, Montana, Forente stater, 59101
    - Saint Vincent Healthcare
  - Bozeman, Montana, Forente stater, 59715
    - Bozeman Deaconess Hospital
  - Butte, Montana, Forente stater, 59701
    - Saint James Community Hospital and Cancer Treatment Center
  - Great Falls, Montana, Forente stater, 59405
    - Great Falls Clinic
  - Great Falls, Montana, Forente stater, 59405
    - Benefis Healthcare- Sletten Cancer Institute
  - Helena, Montana, Forente stater, 59601
    - Saint Peter's Community Hospital
  - Kalispell, Montana, Forente stater, 59901
    - Kalispell Regional Medical Center
  - Missoula, Montana, Forente stater, 59804
    - Community Medical Hospital
  - Missoula, Montana, Forente stater, 59802
    - Saint Patrick Hospital - Community Hospital
- Nebraska
  - Grand Island, Nebraska, Forente stater, 68803
    - CHI Health Saint Francis
  - Kearney, Nebraska, Forente stater, 68847
    - CHI Health Good Samaritan
  - Kearney, Nebraska, Forente stater, 68845
    - Heartland Hematology and Oncology
  - Lincoln, Nebraska, Forente stater, 68506
    - Nebraska Hematology and Oncology
  - Lincoln, Nebraska, Forente stater, 68510
    - Nebraska Cancer Research Center
  - Lincoln, Nebraska, Forente stater, 68510
    - Saint Elizabeth Regional Medical Center
  - Lincoln, Nebraska, Forente stater, 68510
    - Southeast Nebraska Cancer Center
  - Norfolk, Nebraska, Forente stater, 68701
    - Faith Regional Health Services Carson Cancer Center
  - North Platte, Nebraska, Forente stater, 69101
    - Great Plains Health Callahan Cancer Center
  - Omaha, Nebraska, Forente stater, 68114
    - Nebraska Methodist Hospital
  - Omaha, Nebraska, Forente stater, 68124
    - Alegent Health Bergan Mercy Medical Center
  - Omaha, Nebraska, Forente stater, 68122
    - Alegent Health Immanuel Medical Center
  - Omaha, Nebraska, Forente stater, 68130
    - Alegent Health Lakeside Hospital
  - Omaha, Nebraska, Forente stater, 68131
    - Creighton University Medical Center
  - Omaha, Nebraska, Forente stater, 68124
    - Nebraska Cancer Specialists - Omaha
  - Omaha, Nebraska, Forente stater, 68130
    - Oncology Hematology West PC
  - Omaha, Nebraska, Forente stater, 68122
    - Hematology and Oncology Consultants PC
  - Papillion, Nebraska, Forente stater, 68046
    - Midlands Community Hospital
  - Scottsbluff, Nebraska, Forente stater, 69361
    - Regional West Medical Center Cancer Center
- Nevada
  - Carson City, Nevada, Forente stater, 89703
    - Carson Tahoe Regional Medical Center
  - Henderson, Nevada, Forente stater, 89052
    - Comprehensive Cancer Centers of Nevada - Henderson
  - Henderson, Nevada, Forente stater, 89052
    - OptumCare Cancer Care at Seven Hills
  - Henderson, Nevada, Forente stater, 89052
    - Cancer and Blood Specialists-Henderson
  - Henderson, Nevada, Forente stater, 89052
    - Las Vegas Cancer Center-Henderson
  - Henderson, Nevada, Forente stater, 89074
    - Comprehensive Cancer Centers of Nevada-Southeast Henderson
  - Henderson, Nevada, Forente stater, 89074
    - 21st Century Oncology-Henderson
  - Las Vegas, Nevada, Forente stater, 89144
    - Summerlin Hospital Medical Center
  - Las Vegas, Nevada, Forente stater, 89106
    - Radiation Oncology Centers of Nevada Central
  - Las Vegas, Nevada, Forente stater, 89119
    - Radiation Oncology Centers of Nevada Southeast
  - Las Vegas, Nevada, Forente stater, 89128
    - Comprehensive Cancer Centers of Nevada - Northwest
  - Las Vegas, Nevada, Forente stater, 89128
    - OptumCare Cancer Care at MountainView
  - Las Vegas, Nevada, Forente stater, 89135
    - Alliance for Childhood Diseases/Cure 4 the Kids Foundation
  - Las Vegas, Nevada, Forente stater, 89144
    - Comprehensive Cancer Centers of Nevada-Summerlin
  - Las Vegas, Nevada, Forente stater, 89148
    - Comprehensive Cancer Centers of Nevada
  - Las Vegas, Nevada, Forente stater, 89148
    - OptumCare Cancer Care at Fort Apache
  - Las Vegas, Nevada, Forente stater, 89169
    - Comprehensive Cancer Centers of Nevada - Central Valley
  - Las Vegas, Nevada, Forente stater, 89102
    - University Medical Center of Southern Nevada
  - Las Vegas, Nevada, Forente stater, 89106
    - Cancer and Blood Specialists-Shadow
  - Las Vegas, Nevada, Forente stater, 89109
    - HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
  - Las Vegas, Nevada, Forente stater, 89113
    - HealthCare Partners Medical Group Oncology/Hematology-San Martin
  - Las Vegas, Nevada, Forente stater, 89121
    - Cancer Therapy and Integrative Medicine
  - Las Vegas, Nevada, Forente stater, 89128
    - Cancer and Blood Specialists-Tenaya
  - Las Vegas, Nevada, Forente stater, 89128
    - HealthCare Partners Medical Group Oncology/Hematology-Tenaya
  - Las Vegas, Nevada, Forente stater, 89148-2405
    - Las Vegas Cancer Center-Medical Center
  - Las Vegas, Nevada, Forente stater, 89149
    - HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
  - Las Vegas, Nevada, Forente stater, 89109
    - 21st Century Oncology
  - Las Vegas, Nevada, Forente stater, 89128
    - 21st Century Oncology-Vegas Tenaya
  - Las Vegas, Nevada, Forente stater, 89148
    - 21st Century Oncology-Fort Apache
  - Las Vegas, Nevada, Forente stater, 89128
    - Ann M Wierman MD LTD
  - Las Vegas, Nevada, Forente stater, 89169
    - University Cancer Center
  - Las Vegas, Nevada, Forente stater, 89106
    - OptumCare Cancer Care at Oakey
  - Reno, Nevada, Forente stater, 89502
    - Renown Regional Medical Center
  - Reno, Nevada, Forente stater, 89503
    - Saint Mary's Regional Medical Center
  - Reno, Nevada, Forente stater, 89509
    - Radiation Oncology Associates
- New Hampshire
  - Exeter, New Hampshire, Forente stater, 03833
    - Exeter Hospital
  - Nashua, New Hampshire, Forente stater, 03060
    - Saint Joseph Hospital
- New Jersey
  - Brick, New Jersey, Forente stater, 08724
    - Ocean Medical Center
  - Cape May Court House, New Jersey, Forente stater, 08210
    - AtlantiCare Health Park-Cape May Court House
  - Egg Harbor, New Jersey, Forente stater, 08234
    - AtlantiCare Surgery Center
  - Elizabeth, New Jersey, Forente stater, 07207
    - Trinitas Hospital and Comprehensive Cancer Center - Williamson Street Campus
  - Englewood, New Jersey, Forente stater, 07631
    - Englewood Hospital and Medical Center
  - Hackensack, New Jersey, Forente stater, 07601
    - Hackensack University Medical Center
  - Hamilton, New Jersey, Forente stater, 08690
    - The Cancer Institute of New Jersey Hamilton
  - Lakewood, New Jersey, Forente stater, 08701
    - Monmouth Medical Center Southern Campus
  - Livingston, New Jersey, Forente stater, 07039
    - Saint Barnabas Medical Center
  - Long Branch, New Jersey, Forente stater, 07740
    - Monmouth Medical Center
  - Morristown, New Jersey, Forente stater, 07960
    - Morristown Medical Center
  - Mount Holly, New Jersey, Forente stater, 08060
    - Virtua Memorial
  - Neptune City, New Jersey, Forente stater, 07753
    - Jersey Shore Medical Center
  - New Brunswick, New Jersey, Forente stater, 08903
    - Rutgers Cancer Institute of New Jersey
  - New Brunswick, New Jersey, Forente stater, 08901
    - Saint Peter's University Hospital
  - Newark, New Jersey, Forente stater, 07112
    - Newark Beth Israel Medical Center
  - Paterson, New Jersey, Forente stater, 07503
    - Saint Joseph's Regional Medical Center
  - Pennington, New Jersey, Forente stater, 08534
    - Capital Health Medical Center-Hopewell
  - Red Bank, New Jersey, Forente stater, 07701
    - Riverview Medical Center/Booker Cancer Center
  - Somerville, New Jersey, Forente stater, 08876
    - Robert Wood Johnson University Hospital Somerset
  - Sparta, New Jersey, Forente stater, 07871
    - Sparta Cancer Treatment Center
  - Summit, New Jersey, Forente stater, 07902
    - Overlook Hospital
  - Teaneck, New Jersey, Forente stater, 07666
    - Holy Name Hospital
  - Toms River, New Jersey, Forente stater, 08755
    - Community Medical Center
  - Vineland, New Jersey, Forente stater, 08360
    - Inspira Medical Center Vineland
  - Voorhees Township, New Jersey, Forente stater, 08043
    - Virtua Voorhees
  - Woodbury, New Jersey, Forente stater, 08096
    - Inspira Medical Center Woodbury
- New York
  - Brooklyn, New York, Forente stater, 11203
    - State University of New York Downstate Medical Center
  - Buffalo, New York, Forente stater, 14263
    - Roswell Park Cancer Institute
  - Cooperstown, New York, Forente stater, 13326
    - Mary Imogene Bassett Hospital
  - East Syracuse, New York, Forente stater, 13057
    - Hematology Oncology Associates of Central New York-East Syracuse
  - Elmira, New York, Forente stater, 14905
    - Arnot Ogden Medical Center/Falck Cancer Center
  - Glens Falls, New York, Forente stater, 12801
    - Glens Falls Hospital
  - Middletown, New York, Forente stater, 10940
    - Orange Regional Medical Center
  - Mineola, New York, Forente stater, 11501
    - NYU Winthrop Hospital
  - New York, New York, Forente stater, 10019
    - Mount Sinai West
  - New York, New York, Forente stater, 10029
    - Mount Sinai Hospital
  - New York, New York, Forente stater, 10003
    - Mount Sinai Union Square
  - Plattsburgh, New York, Forente stater, 12901
    - Champlain Valley Physicians Hospital Medical Center
  - Rochester, New York, Forente stater, 14642
    - University of Rochester
  - Rochester, New York, Forente stater, 14620
    - Highland Hospital
  - Rochester, New York, Forente stater, 14621
    - Rochester General Hospital
  - Staten Island, New York, Forente stater, 10305
    - Staten Island University Hospital
  - Stony Brook, New York, Forente stater, 11794
    - Stony Brook University Medical Center
  - Syracuse, New York, Forente stater, 13210
    - State University of New York Upstate Medical University
  - Syracuse, New York, Forente stater, 13215
    - SUNY Upstate Medical Center-Community Campus
  - The Bronx, New York, Forente stater, 10461
    - Montefiore Medical Center-Einstein Campus
  - The Bronx, New York, Forente stater, 10467
    - Montefiore Medical Center - Moses Campus
  - The Bronx, New York, Forente stater, 10451
    - Lincoln Medical and Mental Health Center
  - The Bronx, New York, Forente stater, 10461
    - Montefiore Medical Center-Weiler Hospital
  - White Plains, New York, Forente stater, 10601
    - Dickstein Cancer Treatment Center
- North Carolina
  - Albemarle, North Carolina, Forente stater, 28002
    - Atrium Health Stanly/LCI-Albemarle
  - Asheboro, North Carolina, Forente stater, 27203
    - Randolph Hospital
  - Asheville, North Carolina, Forente stater, 28816
    - Hope Women's Cancer Centers-Asheville
  - Asheville, North Carolina, Forente stater, 28801
    - Cancer Care of Western North Carolina
  - Asheville, North Carolina, Forente stater, 28801
    - Mission Hospital Inc-Memorial Campus
  - Asheville, North Carolina, Forente stater, 28803
    - AdventHealth Infusion Center Asheville
  - Burlington, North Carolina, Forente stater, 27215
    - Cone Health Cancer Center at Alamance Regional
  - Cary, North Carolina, Forente stater, 27518
    - Waverly Hematology Oncology
  - Cary, North Carolina, Forente stater, 27518
    - Rex Hematology Oncology Associates-Cary
  - Chapel Hill, North Carolina, Forente stater, 27599
    - UNC Lineberger Comprehensive Cancer Center
  - Charlotte, North Carolina, Forente stater, 28203
    - Carolinas Medical Center/Levine Cancer Institute
  - Charlotte, North Carolina, Forente stater, 28204
    - Novant Health Presbyterian Medical Center
  - Charlotte, North Carolina, Forente stater, 28210
    - Atrium Health Pineville/LCI-Pineville
  - Charlotte, North Carolina, Forente stater, 28262
    - Atrium Health University City/LCI-University
  - Charlotte, North Carolina, Forente stater, 28207
    - Oncology Specialists of Charlotte
  - Charlotte, North Carolina, Forente stater, 28262
    - Southern Oncology Specialists-Charlotte
  - Charlotte, North Carolina, Forente stater, 28211
    - Levine Cancer Institute-SouthPark
  - Charlotte, North Carolina, Forente stater, 28277
    - Levine Cancer Institute-Ballantyne
  - Charlotte, North Carolina, Forente stater, 28203
    - Levine Cancer Institute-Tryon
  - Clinton, North Carolina, Forente stater, 28328
    - Southeastern Medical Oncology Center-Clinton
  - Concord, North Carolina, Forente stater, 28025
    - Atrium Health Cabarrus/LCI-Concord
  - Forest City, North Carolina, Forente stater, 28043
    - Levine Cancer Institute - Rutherford
  - Garner, North Carolina, Forente stater, 27529
    - Rex Hematology Oncology Associates-Garner
  - Goldsboro, North Carolina, Forente stater, 27534
    - Southeastern Medical Oncology Center-Goldsboro
  - Goldsboro, North Carolina, Forente stater, 27534
    - Wayne Memorial Hospital
  - Greensboro, North Carolina, Forente stater, 27403
    - Cone Health Cancer Center
  - Greenville, North Carolina, Forente stater, 27834
    - East Carolina University
  - Hendersonville, North Carolina, Forente stater, 28791
    - Hendersonville Hematology and Oncology at Pardee
  - Hendersonville, North Carolina, Forente stater, 28791
    - Margaret R Pardee Memorial Hospital
  - Hendersonville, North Carolina, Forente stater, 28792
    - AdventHealth Hendersonville
  - Huntersville, North Carolina, Forente stater, 28078
    - Southern Oncology Specialists-Huntersville
  - Huntersville, North Carolina, Forente stater, 28078
    - Lake Norman Hematology Oncology Specialists-Huntersville
  - Jacksonville, North Carolina, Forente stater, 28546
    - Southeastern Medical Oncology Center-Jacksonville
  - Jacksonville, North Carolina, Forente stater, 28546
    - Onslow Memorial Hospital
  - Kenansville, North Carolina, Forente stater, 28349
    - Vidant Oncology-Kenansville
  - Kinston, North Carolina, Forente stater, 28501
    - Vidant Oncology-Kinston
  - Lincolnton, North Carolina, Forente stater, 28092
    - Atrium Health Lincoln/LCI-Lincolnton
  - Matthews, North Carolina, Forente stater, 28105
    - Novant Health Cancer Specialists-Matthews
  - Matthews, North Carolina, Forente stater, 28105
    - Matthews Radiation Oncology Center
  - Mebane, North Carolina, Forente stater, 27302
    - Cone Heath Cancer Center at Mebane
  - Monroe, North Carolina, Forente stater, 28112
    - Atrium Health Union/LCI-Union
  - Mooresville, North Carolina, Forente stater, 28117
    - Lake Norman Hematology Oncology Specialists-Mooresville
  - Pinehurst, North Carolina, Forente stater, 28374
    - FirstHealth of the Carolinas-Moore Regional Hospital
  - Raleigh, North Carolina, Forente stater, 27607
    - Rex Cancer Center
  - Raleigh, North Carolina, Forente stater, 27607
    - Rex Hematology Oncology Associates-Blue Ridge
  - Raleigh, North Carolina, Forente stater, 27614
    - Rex Cancer Center of Wakefield
  - Reidsville, North Carolina, Forente stater, 27320
    - Annie Penn Memorial Hospital
  - Richlands, North Carolina, Forente stater, 28574
    - Vidant Oncology-Richlands
  - Shelby, North Carolina, Forente stater, 28150
    - Atrium Health Cleveland/LCI-Cleveland
  - Washington, North Carolina, Forente stater, 27889
    - Marion L Shepard Cancer Center at Vidant Beaufort Hospital
  - Winston-Salem, North Carolina, Forente stater, 27157
    - Wake Forest University Health Sciences
- North Dakota
  - Bismarck, North Dakota, Forente stater, 58501
    - Sanford Bismarck Medical Center
  - Fargo, North Dakota, Forente stater, 58122
    - Sanford Roger Maris Cancer Center
  - Fargo, North Dakota, Forente stater, 58103
    - Essentia Health Cancer Center-South University Clinic
  - Fargo, North Dakota, Forente stater, 58122
    - Sanford Broadway Medical Center
  - Fargo, North Dakota, Forente stater, 58122
    - Sanford Clinic North-Fargo
  - Grand Forks, North Dakota, Forente stater, 58201
    - Altru Cancer Center
  - Jamestown, North Dakota, Forente stater, 58401
    - Essentia Health - Jamestown Clinic
  - Minot, North Dakota, Forente stater, 58701
    - Trinity Cancer Care Center
- Ohio
  - Akron, Ohio, Forente stater, 44307
    - Cleveland Clinic Akron General
  - Beachwood, Ohio, Forente stater, 44122
    - UHHS-Chagrin Highlands Medical Center
  - Beachwood, Ohio, Forente stater, 44122
    - Cleveland Clinic Cancer Center Beachwood
  - Beavercreek, Ohio, Forente stater, 45431
    - Indu and Raj Soin Medical Center
  - Belpre, Ohio, Forente stater, 45714
    - Strecker Cancer Center-Belpre
  - Canton, Ohio, Forente stater, 44710
    - Aultman Health Foundation
  - Canton, Ohio, Forente stater, 44708
    - Mercy Medical Center
  - Centerville, Ohio, Forente stater, 45459
    - Miami Valley Hospital South
  - Centerville, Ohio, Forente stater, 45459
    - Dayton Physicians LLC-Miami Valley South
  - Chardon, Ohio, Forente stater, 44024
    - Geauga Hospital
  - Chillicothe, Ohio, Forente stater, 45601
    - Adena Regional Medical Center
  - Cincinnati, Ohio, Forente stater, 45219
    - The Christ Hospital
  - Cincinnati, Ohio, Forente stater, 45220
    - Good Samaritan Hospital - Cincinnati
  - Cincinnati, Ohio, Forente stater, 45242
    - Bethesda North Hospital
  - Cincinnati, Ohio, Forente stater, 45242
    - Oncology Hematology Care Inc-Blue Ash
  - Cincinnati, Ohio, Forente stater, 45202
    - Oncology Hematology Care Inc-Eden Park
  - Cincinnati, Ohio, Forente stater, 45211
    - Oncology Hematology Care Inc-Mercy West
  - Cincinnati, Ohio, Forente stater, 45236
    - Oncology Hematology Care Inc-Kenwood
  - Cincinnati, Ohio, Forente stater, 45219
    - University of Cincinnati/Barrett Cancer Center
  - Cincinnati, Ohio, Forente stater, 45230
    - Oncology Hematology Care Inc - Anderson
  - Cincinnati, Ohio, Forente stater, 45247
    - TriHealth Cancer Institute-Westside
  - Cincinnati, Ohio, Forente stater, 45255
    - TriHealth Cancer Institute-Anderson
  - Cleveland, Ohio, Forente stater, 44106
    - Case Western Reserve University
  - Cleveland, Ohio, Forente stater, 44109
    - MetroHealth Medical Center
  - Cleveland, Ohio, Forente stater, 44195
    - Cleveland Clinic Foundation
  - Cleveland, Ohio, Forente stater, 44111
    - Cleveland Clinic Cancer Center/Fairview Hospital
  - Columbus, Ohio, Forente stater, 43214
    - Riverside Methodist Hospital
  - Columbus, Ohio, Forente stater, 43210
    - Ohio State University Comprehensive Cancer Center
  - Columbus, Ohio, Forente stater, 43219
    - The Mark H Zangmeister Center
  - Columbus, Ohio, Forente stater, 43214
    - Columbus Oncology and Hematology Associates Inc
  - Columbus, Ohio, Forente stater, 43228
    - Doctors Hospital
  - Columbus, Ohio, Forente stater, 43213
    - Mount Carmel East Hospital
  - Columbus, Ohio, Forente stater, 43215
    - Grant Medical Center
  - Columbus, Ohio, Forente stater, 43222
    - Mount Carmel Health Center West
  - Dayton, Ohio, Forente stater, 45406
    - Good Samaritan Hospital - Dayton
  - Dayton, Ohio, Forente stater, 45409
    - Miami Valley Hospital
  - Dayton, Ohio, Forente stater, 45415
    - Dayton Physician LLC-Miami Valley Hospital North
  - Dayton, Ohio, Forente stater, 45415
    - Miami Valley Hospital North
  - Delaware, Ohio, Forente stater, 43015
    - Delaware Health Center-Grady Cancer Center
  - Delaware, Ohio, Forente stater, 43015
    - Delaware Radiation Oncology
  - Delaware, Ohio, Forente stater, 43015
    - Grady Memorial Hospital
  - Dublin, Ohio, Forente stater, 43016
    - Dublin Methodist Hospital
  - Elyria, Ohio, Forente stater, 44035
    - Mercy Cancer Center-Elyria
  - Fairfield, Ohio, Forente stater, 45014
    - Oncology Hematology Care Inc-Healthplex
  - Findlay, Ohio, Forente stater, 45840
    - Blanchard Valley Hospital
  - Findlay, Ohio, Forente stater, 45840
    - Armes Family Cancer Center
  - Findlay, Ohio, Forente stater, 45840
    - Orion Cancer Care
  - Franklin, Ohio, Forente stater, 45005-1066
    - Atrium Medical Center-Middletown Regional Hospital
  - Franklin, Ohio, Forente stater, 45005
    - Dayton Physicians LLC-Atrium
  - Greenville, Ohio, Forente stater, 45331
    - Wayne Hospital
  - Greenville, Ohio, Forente stater, 45331
    - Dayton Physicians LLC-Wayne
  - Independence, Ohio, Forente stater, 44131
    - Cleveland Clinic Cancer Center Independence
  - Kettering, Ohio, Forente stater, 45429
    - Kettering Medical Center
  - Kettering, Ohio, Forente stater, 45409
    - Greater Dayton Cancer Center
  - Kettering, Ohio, Forente stater, 45420
    - First Dayton Cancer Care
  - Lancaster, Ohio, Forente stater, 43130
    - Fairfield Medical Center
  - Mansfield, Ohio, Forente stater, 44906
    - Cleveland Clinic Cancer Center Mansfield
  - Mansfield, Ohio, Forente stater, 44903
    - OhioHealth Mansfield Hospital
  - Marietta, Ohio, Forente stater, 45750
    - Marietta Memorial Hospital
  - Marion, Ohio, Forente stater, 43302
    - OhioHealth Marion General Hospital
  - Maumee, Ohio, Forente stater, 43537
    - Toledo Clinic Cancer Centers-Maumee
  - Maumee, Ohio, Forente stater, 43537
    - Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
  - Mayfield Heights, Ohio, Forente stater, 44124
    - Hillcrest Hospital Cancer Center
  - Mayfield Heights, Ohio, Forente stater, 44124
    - UH Seidman Cancer Center at Landerbrook Health Center
  - Mentor, Ohio, Forente stater, 44060
    - UH Seidman Cancer Center at Lake Health Mentor Campus
  - Middleburg Heights, Ohio, Forente stater, 44130
    - UH Seidman Cancer Center at Southwest General Hospital
  - Middletown, Ohio, Forente stater, 45042
    - Dayton Physicians LLC-Signal Point
  - Mount Vernon, Ohio, Forente stater, 43050
    - Knox Community Hospital
  - Newark, Ohio, Forente stater, 43055
    - Licking Memorial Hospital
  - Newark, Ohio, Forente stater, 43055
    - Newark Radiation Oncology
  - Oregon, Ohio, Forente stater, 43616
    - Saint Charles Hospital
  - Parma, Ohio, Forente stater, 44129
    - University Hospitals Parma Medical Center
  - Portsmouth, Ohio, Forente stater, 45662
    - Southern Ohio Medical Center
  - Ravenna, Ohio, Forente stater, 44266
    - University Hospitals Portage Medical Center
  - Sandusky, Ohio, Forente stater, 44870
    - North Coast Cancer Care
  - Sandusky, Ohio, Forente stater, 44870
    - UH Seidman Cancer Center at Firelands Regional Medical Center
  - Sidney, Ohio, Forente stater, 45365
    - Dayton Physicians LLC-Wilson
  - Springfield, Ohio, Forente stater, 45505
    - Springfield Regional Medical Center
  - Springfield, Ohio, Forente stater, 45504
    - Springfield Regional Cancer Center
  - Strongsville, Ohio, Forente stater, 44136
    - Cleveland Clinic Cancer Center Strongsville
  - Sylvania, Ohio, Forente stater, 43560
    - ProMedica Flower Hospital
  - Toledo, Ohio, Forente stater, 43623
    - Toledo Clinic Cancer Centers-Toledo
  - Toledo, Ohio, Forente stater, 43614
    - University of Toledo
  - Toledo, Ohio, Forente stater, 43606
    - The Toledo Hospital/Toledo Children's Hospital
  - Toledo, Ohio, Forente stater, 43623
    - Mercy Saint Anne Hospital
  - Troy, Ohio, Forente stater, 45373
    - Upper Valley Medical Center
  - Troy, Ohio, Forente stater, 45373
    - Dayton Physicians LLC-Upper Valley
  - Wadsworth, Ohio, Forente stater, 44281
    - University Hospitals Sharon Health Center
  - Warrensville Heights, Ohio, Forente stater, 44122
    - South Pointe Hospital
  - West Chester, Ohio, Forente stater, 45069
    - University Pointe
  - Westerville, Ohio, Forente stater, 43081
    - Saint Ann's Hospital
  - Westlake, Ohio, Forente stater, 44145
    - UH Seidman Cancer Center at Saint John Medical Center
  - Westlake, Ohio, Forente stater, 44145
    - UHHS-Westlake Medical Center
  - Wooster, Ohio, Forente stater, 44691
    - Cleveland Clinic Wooster Family Health and Surgery Center
  - Zanesville, Ohio, Forente stater, 43701
    - Genesis Healthcare System Cancer Care Center
- Oklahoma
  - Lawton, Oklahoma, Forente stater, 73505
    - Cancer Centers of Southwest Oklahoma Research
  - Oklahoma City, Oklahoma, Forente stater, 73104
    - University of Oklahoma Health Sciences Center
  - Oklahoma City, Oklahoma, Forente stater, 73120
    - Mercy Hospital Oklahoma City
  - Oklahoma City, Oklahoma, Forente stater, 73109
    - Integris Southwest Medical Center
  - Oklahoma City, Oklahoma, Forente stater, 73142
    - Integris Cancer Institute of Oklahoma
  - Tulsa, Oklahoma, Forente stater, 74146
    - Oklahoma Cancer Specialists and Research Institute-Tulsa
- Oregon
  - Baker City, Oregon, Forente stater, 97814
    - Saint Alphonsus Medical Center-Baker City
  - Bend, Oregon, Forente stater, 97701
    - Saint Charles Health System
  - Clackamas, Oregon, Forente stater, 97015
    - Clackamas Radiation Oncology Center
  - Clackamas, Oregon, Forente stater, 97015
    - Providence Oncology and Hematology Care Southeast
  - Coos Bay, Oregon, Forente stater, 97420
    - Bay Area Hospital
  - Corvallis, Oregon, Forente stater, 97330
    - Good Samaritan Hospital
  - Eugene, Oregon, Forente stater, 97401
    - Willamette Valley Cancer Center
  - Grants Pass, Oregon, Forente stater, 97527
    - Three Rivers Community Hospital
  - Medford, Oregon, Forente stater, 97504
    - Providence Medford Medical Center
  - Medford, Oregon, Forente stater, 97504
    - Rogue Valley Medical Center
  - Newberg, Oregon, Forente stater, 97132
    - Providence Newberg Medical Center
  - Ontario, Oregon, Forente stater, 97914
    - Saint Alphonsus Medical Center-Ontario
  - Oregon City, Oregon, Forente stater, 97045
    - Providence Willamette Falls Medical Center
  - Portland, Oregon, Forente stater, 97213
    - Providence Portland Medical Center
  - Portland, Oregon, Forente stater, 97225
    - Providence Saint Vincent Medical Center
  - Portland, Oregon, Forente stater, 97227
    - Kaiser Permanente Northwest
  - Portland, Oregon, Forente stater, 97227
    - Compass Oncology Rose Quarter
  - Portland, Oregon, Forente stater, 97213
    - Compass Oncology East
  - Portland, Oregon, Forente stater, 97225
    - Compass Oncology West
  - Tualatin, Oregon, Forente stater, 97062
    - Compass Oncology Tualatin
- Pennsylvania
  - Abington, Pennsylvania, Forente stater, 19001
    - Abington Memorial Hospital
  - Allentown, Pennsylvania, Forente stater, 18103
    - Lehigh Valley Hospital-Cedar Crest
  - Beaver, Pennsylvania, Forente stater, 15009
    - UPMC-Heritage Valley Health System Beaver
  - Bethlehem, Pennsylvania, Forente stater, 18017
    - Lehigh Valley Hospital - Muhlenberg
  - Bryn Mawr, Pennsylvania, Forente stater, 19010
    - Bryn Mawr Hospital
  - Chadds Ford, Pennsylvania, Forente stater, 19317
    - Christiana Care Health System-Concord Health Center
  - Danville, Pennsylvania, Forente stater, 17822
    - Geisinger Medical Center
  - Darby, Pennsylvania, Forente stater, 19023-1291
    - Mercy Fitzgerald Hospital
  - Doylestown, Pennsylvania, Forente stater, 18901
    - Doylestown Hospital
  - East Stroudsburg, Pennsylvania, Forente stater, 18301
    - Pocono Medical Center
  - Ephrata, Pennsylvania, Forente stater, 17522
    - Ephrata Cancer Center
  - Gettysburg, Pennsylvania, Forente stater, 17325
    - Adams Cancer Center
  - Greensburg, Pennsylvania, Forente stater, 15601
    - UPMC Cancer Centers - Arnold Palmer Pavilion
  - Hanover, Pennsylvania, Forente stater, 17331
    - Cherry Tree Cancer Center
  - Harrisburg, Pennsylvania, Forente stater, 17109
    - UPMC Pinnacle Cancer Center/Community Osteopathic Campus
  - Hazleton, Pennsylvania, Forente stater, 18201
    - Geisinger Medical Center-Cancer Center Hazleton
  - Hershey, Pennsylvania, Forente stater, 17033-0850
    - Penn State Milton S Hershey Medical Center
  - Jefferson Hills, Pennsylvania, Forente stater, 15025
    - Jefferson Hospital
  - Johnstown, Pennsylvania, Forente stater, 15901
    - UPMC-Johnstown/John P. Murtha Regional Cancer Center
  - Kittanning, Pennsylvania, Forente stater, 16201
    - Armstrong Center for Medicine and Health
  - Lancaster, Pennsylvania, Forente stater, 17604
    - Lancaster General Hospital
  - Langhorne, Pennsylvania, Forente stater, 19047
    - Saint Mary Medical and Regional Cancer Center
  - Lebanon, Pennsylvania, Forente stater, 17042
    - Sechler Family Cancer Center
  - Lewisburg, Pennsylvania, Forente stater, 17837
    - Geisinger Medical Oncology-Lewisburg
  - Lewistown, Pennsylvania, Forente stater, 17044
    - Lewistown Hospital
  - McKeesport, Pennsylvania, Forente stater, 15132
    - UPMC Cancer Center at UPMC McKeesport
  - Media, Pennsylvania, Forente stater, 19063
    - Riddle Memorial Hospital
  - Monroeville, Pennsylvania, Forente stater, 15146
    - Forbes Hospital
  - Moon Township, Pennsylvania, Forente stater, 15108
    - UPMC-Coraopolis/Heritage Valley Radiation Oncology
  - Natrona Heights, Pennsylvania, Forente stater, 15065
    - Allegheny Valley Hospital
  - Norristown, Pennsylvania, Forente stater, 19401
    - Suburban Community Hospital and Cancer Center
  - Paoli, Pennsylvania, Forente stater, 19301
    - Paoli Memorial Hospital
  - Philadelphia, Pennsylvania, Forente stater, 19111
    - Fox Chase Cancer Center
  - Philadelphia, Pennsylvania, Forente stater, 19107
    - Thomas Jefferson University Hospital
  - Philadelphia, Pennsylvania, Forente stater, 19140
    - Temple University Hospital
  - Philadelphia, Pennsylvania, Forente stater, 19141
    - Einstein Medical Center Philadelphia
  - Philadelphia, Pennsylvania, Forente stater, 19124
    - Eastern Regional Medical Center
  - Philadelphia, Pennsylvania, Forente stater, 19114
    - Aria Health-Torresdale Campus
  - Phoenixville, Pennsylvania, Forente stater, 19460
    - Phoenixville Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15212
    - Allegheny General Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15224
    - West Penn Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15213
    - UPMC-Magee Womens Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15232
    - University of Pittsburgh Cancer Institute (UPCI)
  - Pittsburgh, Pennsylvania, Forente stater, 15232
    - UPMC-Shadyside Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15213
    - UPMC-Presbyterian Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15215
    - UPMC-Saint Margaret
  - Pittsburgh, Pennsylvania, Forente stater, 15236
    - UPMC Jefferson Regional Radiation Oncology
  - Pittsburgh, Pennsylvania, Forente stater, 15237
    - UPMC-Passavant Hospital
  - Pittsburgh, Pennsylvania, Forente stater, 15243
    - UPMC-Saint Clair Hospital Cancer Center
  - Pottsville, Pennsylvania, Forente stater, 17901
    - Geisinger Cancer Services-Pottsville
  - Reading, Pennsylvania, Forente stater, 19605
    - Penn State Health Saint Joseph Medical Center
  - Sayre, Pennsylvania, Forente stater, 18840
    - Guthrie Medical Group PC-Robert Packer Hospital
  - Scranton, Pennsylvania, Forente stater, 18510
    - Community Medical Center
  - Scranton, Pennsylvania, Forente stater, 18508
    - Hematology and Oncology Associates of North East Pennsylvania
  - Selinsgrove, Pennsylvania, Forente stater, 17870
    - Geisinger Medical Oncology-Selinsgrove
  - Sellersville, Pennsylvania, Forente stater, 18960
    - Grand View Hospital
  - Seneca, Pennsylvania, Forente stater, 16346
    - UPMC Cancer Center at UPMC Northwest
  - State College, Pennsylvania, Forente stater, 16801
    - Geisinger Medical Group
  - State College, Pennsylvania, Forente stater, 16803
    - Mount Nittany Medical Center
  - Uniontown, Pennsylvania, Forente stater, 15401
    - UPMC Uniontown Hospital Radiation Oncology
  - Washington, Pennsylvania, Forente stater, 15301
    - UPMC Washington Hospital Radiation Oncology
  - West Chester, Pennsylvania, Forente stater, 19380
    - Chester County Hospital
  - West Grove, Pennsylvania, Forente stater, 19390
    - Jennersville Regional Hospital
  - West Reading, Pennsylvania, Forente stater, 19611
    - Reading Hospital
  - Wexford, Pennsylvania, Forente stater, 15090
    - Wexford Health and Wellness Pavilion
  - Wilkes-Barre, Pennsylvania, Forente stater, 18711
    - Geisinger Wyoming Valley/Henry Cancer Center
  - Williamsport, Pennsylvania, Forente stater, 17701
    - UPMC Susquehanna
  - Wynnewood, Pennsylvania, Forente stater, 19096
    - Lankenau Medical Center
  - York, Pennsylvania, Forente stater, 17403
    - WellSpan Health-York Cancer Center
  - York, Pennsylvania, Forente stater, 17403
    - WellSpan Health-York Hospital
- South Carolina
  - Anderson, South Carolina, Forente stater, 29621
    - AnMed Health Cancer Center
  - Charleston, South Carolina, Forente stater, 29425
    - Medical University of South Carolina
  - Easley, South Carolina, Forente stater, 29640
    - Greenville Health System Cancer Institute-Easley
  - Florence, South Carolina, Forente stater, 29506
    - McLeod Regional Medical Center
  - Gaffney, South Carolina, Forente stater, 29341
    - Gibbs Cancer Center-Gaffney
  - Georgetown, South Carolina, Forente stater, 29440
    - Tidelands Georgetown Memorial Hospital
  - Greenville, South Carolina, Forente stater, 29607
    - Saint Francis Cancer Center
  - Greenville, South Carolina, Forente stater, 29601
    - Saint Francis Hospital
  - Greenville, South Carolina, Forente stater, 29601
    - Greenville Health System Cancer Institute-Andrews
  - Greenville, South Carolina, Forente stater, 29605
    - Greenville Health System Cancer Institute-Faris
  - Greenville, South Carolina, Forente stater, 29605
    - Greenville Memorial Hospital
  - Greenville, South Carolina, Forente stater, 29615
    - Greenville Health System Cancer Institute-Eastside
  - Greenville, South Carolina, Forente stater, 29605
    - Greenville Health System Cancer Institute-Butternut
  - Greenwood, South Carolina, Forente stater, 29646
    - Self Regional Healthcare
  - Greer, South Carolina, Forente stater, 29651
    - Gibbs Cancer Center-Pelham
  - Greer, South Carolina, Forente stater, 29650
    - Greenville Health System Cancer Institute-Greer
  - Hilton Head Island, South Carolina, Forente stater, 29926-3827
    - South Carolina Cancer Specialists PC
  - Rock Hill, South Carolina, Forente stater, 29732
    - Levine Cancer Institute-Rock Hill
  - Seneca, South Carolina, Forente stater, 29672
    - Greenville Health System Cancer Institute-Seneca
  - Spartanburg, South Carolina, Forente stater, 29303
    - Spartanburg Medical Center
  - Spartanburg, South Carolina, Forente stater, 29307
    - Greenville Health System Cancer Institute-Spartanburg
  - Union, South Carolina, Forente stater, 29379
    - MGC Hematology Oncology-Union
- South Dakota
  - Rapid City, South Dakota, Forente stater, 57701
    - Rapid City Regional Hospital
  - Sioux Falls, South Dakota, Forente stater, 57117-5134
    - Sanford USD Medical Center - Sioux Falls
  - Sioux Falls, South Dakota, Forente stater, 57104
    - Sanford Cancer Center Oncology Clinic
- Tennessee
  - Bristol, Tennessee, Forente stater, 37620
    - Wellmont Medical Associates Oncology and Hematology-Bristol
  - Bristol, Tennessee, Forente stater, 37620
    - Wellmont Bristol Regional Medical Center
  - Chattanooga, Tennessee, Forente stater, 37404
    - Memorial Hospital
  - Hixson, Tennessee, Forente stater, 37343
    - Pulmonary Medicine Center of Chattanooga-Hixson
  - Johnson City, Tennessee, Forente stater, 37604
    - Wellmont Medical Associates Oncology and Hematology-Johnson City
  - Kingsport, Tennessee, Forente stater, 37660
    - Wellmont Holston Valley Hospital and Medical Center
  - Kingsport, Tennessee, Forente stater, 37660
    - Regional Cancer Center at Indian Path Community Hospital
  - Knoxville, Tennessee, Forente stater, 37916
    - Thompson Cancer Survival Center
  - Knoxville, Tennessee, Forente stater, 37920
    - University of Tennessee - Knoxville
  - Memphis, Tennessee, Forente stater, 38120
    - Baptist Memorial Hospital and Cancer Center-Memphis
  - Nashville, Tennessee, Forente stater, 37208
    - Meharry Medical College
  - Ooltewah, Tennessee, Forente stater, 37363
    - Memorial GYN Plus
- Texas
  - Abilene, Texas, Forente stater, 79601
    - Hendrick Medical Center
  - Abilene, Texas, Forente stater, 79606
    - Texas Cancer Center
  - Amarillo, Texas, Forente stater, 79106
    - Texas Oncology PA - Amarillo
  - Austin, Texas, Forente stater, 78701
    - Dell Seton Medical Center at The University of Texas
  - Austin, Texas, Forente stater, 78705
    - Texas Oncology-Austin Midtown
  - Austin, Texas, Forente stater, 78731
    - Texas Oncology - Central Austin Cancer Center
  - Austin, Texas, Forente stater, 78745
    - Texas Oncology - South Austin Cancer Center
  - Bedford, Texas, Forente stater, 76022
    - Texas Oncology Bedford
  - Bryan, Texas, Forente stater, 77802
    - Saint Joseph Regional Cancer Center
  - Dallas, Texas, Forente stater, 75230
    - Texas Cancer Center - Medical City Dallas
  - Dallas, Texas, Forente stater, 75231
    - Texas Health Presbyterian Hospital Dallas
  - Denton, Texas, Forente stater, 76210
    - Texas Oncology-Denton South
  - El Paso, Texas, Forente stater, 79905
    - Texas Tech University Health Sciences Center-El Paso
  - El Paso, Texas, Forente stater, 79915
    - Texas Oncology-El Paso
  - Flower Mound, Texas, Forente stater, 75028
    - Texas Oncology-Flower Mound
  - Fort Worth, Texas, Forente stater, 76104
    - Texas Oncology - Fort Worth Cancer Center
  - Galveston, Texas, Forente stater, 77555-0565
    - University of Texas Medical Branch
  - Garland, Texas, Forente stater, 75042
    - Texas Oncology - Garland
  - Grapevine, Texas, Forente stater, 76053
    - Texas Oncology-Grapevine
  - Houston, Texas, Forente stater, 77030
    - M D Anderson Cancer Center
  - Houston, Texas, Forente stater, 77094
    - MD Anderson in Katy
  - Houston, Texas, Forente stater, 77030
    - Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
  - Houston, Texas, Forente stater, 77030
    - Ben Taub General Hospital
  - League City, Texas, Forente stater, 77573
    - UTMB Cancer Center at Victory Lakes
  - Longview, Texas, Forente stater, 75601
    - Texas Oncology-Longview Cancer Center
  - Lubbock, Texas, Forente stater, 79410
    - Covenant Medical Center-Lakeside
  - McAllen, Texas, Forente stater, 78503
    - Texas Oncology-McAllen
  - McKinney, Texas, Forente stater, 75071
    - Texas Oncology-McKinney
  - Midland, Texas, Forente stater, 79701
    - Texas Oncology-Midland Allison Cancer Center
  - Nassau Bay, Texas, Forente stater, 77058
    - MD Anderson League City
  - Odessa, Texas, Forente stater, 79761
    - West Texas Cancer Center
  - Paris, Texas, Forente stater, 75460
    - Texas Oncology-Paris
  - Plano, Texas, Forente stater, 75093
    - Texas Oncology-Plano West
  - Plano, Texas, Forente stater, 75075
    - North Texas Regional Cancer Center
  - Round Rock, Texas, Forente stater, 78681
    - Texas Oncology - Round Rock Cancer Center
  - San Antonio, Texas, Forente stater, 78229
    - University Hospital
  - San Antonio, Texas, Forente stater, 78229
    - University of Texas Health Science Center at San Antonio
  - San Antonio, Texas, Forente stater, 78217
    - Cancer Care Centers of South Texas- Northeast
  - San Antonio, Texas, Forente stater, 78229
    - Cancer Therapy and Research Center at The UT Health Science Center at San Antonio
  - Sherman, Texas, Forente stater, 75090
    - Texas Cancer Center-Sherman
  - Sugar Land, Texas, Forente stater, 77478
    - MD Anderson in Sugar Land
  - Sugar Land, Texas, Forente stater, 77479
    - Texas Oncology Cancer Center Sugar Land
  - The Woodlands, Texas, Forente stater, 77384
    - MD Anderson in The Woodlands
  - The Woodlands, Texas, Forente stater, 77380
    - Texas Oncology-The Woodlands
  - Tyler, Texas, Forente stater, 75702
    - Tyler Cancer Center
  - Waco, Texas, Forente stater, 76712
    - Texas Oncology-Waco Highway 6
  - Webster, Texas, Forente stater, 77598
    - Deke Slayton Cancer Center
  - Wichita Falls, Texas, Forente stater, 76310
    - Texas Oncology-Wichita Falls Texoma Cancer Center
- Utah
  - American Fork, Utah, Forente stater, 84003
    - American Fork Hospital / Huntsman Intermountain Cancer Center
  - Cedar City, Utah, Forente stater, 84720
    - Sandra L Maxwell Cancer Center
  - Farmington, Utah, Forente stater, 84025
    - Farmington Health Center
  - Logan, Utah, Forente stater, 84321
    - Logan Regional Hospital
  - Murray, Utah, Forente stater, 84107
    - Intermountain Medical Center
  - Ogden, Utah, Forente stater, 84403
    - McKay-Dee Hospital Center
  - Provo, Utah, Forente stater, 84604
    - Utah Valley Regional Medical Center
  - Riverton, Utah, Forente stater, 84065
    - Riverton Hospital
  - Salt Lake City, Utah, Forente stater, 84112
    - Huntsman Cancer Institute/University of Utah
  - Salt Lake City, Utah, Forente stater, 84106
    - Utah Cancer Specialists-Salt Lake City
  - Salt Lake City, Utah, Forente stater, 84143
    - LDS Hospital
  - South Jordan, Utah, Forente stater, 84009
    - South Jordan Health Center
  - St. George, Utah, Forente stater, 84770
    - Dixie Medical Center Regional Cancer Center
- Vermont
  - Berlin Corners, Vermont, Forente stater, 05602
    - Central Vermont Medical Center/National Life Cancer Treatment
  - Burlington, Vermont, Forente stater, 05401
    - University of Vermont Medical Center
  - Burlington, Vermont, Forente stater, 05405
    - University of Vermont and State Agricultural College
- Virginia
  - Bristol, Virginia, Forente stater, 24201
    - Wellmont Medical Associates-Bristol
  - Burke, Virginia, Forente stater, 22015
    - Kaiser Permanente-Burke Medical Center
  - Charlottesville, Virginia, Forente stater, 22901
    - Sentara Martha Jefferson Hospital
  - Fairfax, Virginia, Forente stater, 22031
    - Inova Schar Cancer Institute
  - Fairfax, Virginia, Forente stater, 22031
    - Virginia Cancer Specialists-Fairfax
  - Falls Church, Virginia, Forente stater, 22042
    - Inova Fairfax Hospital
  - Fishersville, Virginia, Forente stater, 22939
    - Augusta Health Center for Cancer and Blood Disorders
  - Fredericksburg, Virginia, Forente stater, 22408
    - Hematology Oncology Associates of Fredericksburg Inc
  - Gloucester, Virginia, Forente stater, 23061
    - Peninsula Cancer Institute-Gloucester
  - Lynchburg, Virginia, Forente stater, 24501
    - Centra Lynchburg Hematology-Oncology Clinic Inc
  - McLean, Virginia, Forente stater, 22102
    - Kaiser Permanente Tysons Corner Medical Center
  - Mechanicsville, Virginia, Forente stater, 23116
    - Bon Secours Memorial Regional Medical Center
  - Midlothian, Virginia, Forente stater, 23114
    - Bon Secours Saint Francis Medical Center
  - Newport News, Virginia, Forente stater, 23601
    - Peninsula Cancer Institute-Newport News
  - Norton, Virginia, Forente stater, 24273
    - Southwest VA Regional Cancer Center
  - Richmond, Virginia, Forente stater, 23298
    - Virginia Commonwealth University/Massey Cancer Center
  - Richmond, Virginia, Forente stater, 23230
    - Virginia Cancer Institute
  - Richmond, Virginia, Forente stater, 23226
    - Bon Secours Saint Mary's Hospital
  - South Hill, Virginia, Forente stater, 23970
    - VCU Community Memorial Health Center
  - Virginia Beach, Virginia, Forente stater, 23454
    - Peninsula Cancer Institute-Cancer Specialists of Tidewater
  - Williamsburg, Virginia, Forente stater, 23185
    - Peninsula Cancer Institute-Williamsburg
  - Winchester, Virginia, Forente stater, 22601
    - Shenandoah Oncology PC
- Washington
  - Aberdeen, Washington, Forente stater, 98520
    - Providence Regional Cancer System-Aberdeen
  - Anacortes, Washington, Forente stater, 98221
    - Cancer Care Center at Island Hospital
  - Auburn, Washington, Forente stater, 98001
    - MultiCare Auburn Medical Center
  - Bainbridge Island, Washington, Forente stater, 98110
    - Virginia Mason Bainbridge Island Medical Center
  - Bellevue, Washington, Forente stater, 98005
    - Swedish Cancer Institute-Eastside Oncology Hematology
  - Bellevue, Washington, Forente stater, 98004
    - Overlake Hospital Medical Center
  - Bellingham, Washington, Forente stater, 98225
    - PeaceHealth Saint Joseph Medical Center
  - Bremerton, Washington, Forente stater, 98310
    - Harrison HealthPartners Hematology and Oncology-Bremerton
  - Bremerton, Washington, Forente stater, 98310
    - Harrison Medical Center
  - Burien, Washington, Forente stater, 98166
    - Highline Medical Center-Main Campus
  - Centralia, Washington, Forente stater, 98531
    - Providence Regional Cancer System-Centralia
  - Edmonds, Washington, Forente stater, 98026
    - Swedish Cancer Institute-Edmonds
  - Enumclaw, Washington, Forente stater, 98022
    - Saint Elizabeth Hospital
  - Everett, Washington, Forente stater, 98201
    - Providence Regional Cancer Partnership
  - Federal Way, Washington, Forente stater, 98002
    - Virginia Mason Federal Way Medical Center
  - Federal Way, Washington, Forente stater, 98003
    - Saint Francis Hospital
  - Gig Harbor, Washington, Forente stater, 98332
    - Tacoma/Valley Radiation Oncology Centers-Gig Harbor
  - Gig Harbor, Washington, Forente stater, 98335
    - MultiCare Gig Harbor Medical Park
  - Issaquah, Washington, Forente stater, 98029
    - Swedish Cancer Institute-Issaquah
  - Kennewick, Washington, Forente stater, 99336
    - Kadlec Clinic Hematology and Oncology
  - Kennewick, Washington, Forente stater, 99336
    - Northwest Cancer Clinic
  - Lacey, Washington, Forente stater, 98503
    - Providence Regional Cancer System-Lacey
  - Lakewood, Washington, Forente stater, 98499
    - Saint Clare Hospital
  - Longview, Washington, Forente stater, 98632
    - PeaceHealth Saint John Medical Center
  - Lynnwood, Washington, Forente stater, 98036
    - Virginia Mason Lynnwood Medical Center
  - Port Townsend, Washington, Forente stater, 98368
    - Jefferson Healthcare
  - Poulsbo, Washington, Forente stater, 98370
    - Harrison HealthPartners Hematology and Oncology-Poulsbo
  - Poulsbo, Washington, Forente stater, 98370
    - Peninsula Cancer Center
  - Puyallup, Washington, Forente stater, 98372
    - MultiCare Good Samaritan Hospital
  - Puyallup, Washington, Forente stater, 98372
    - Tacoma/Valley Radiation Oncology Centers-Puyallup
  - Renton, Washington, Forente stater, 98055
    - Valley Medical Center
  - Seattle, Washington, Forente stater, 98101
    - Virginia Mason Medical Center
  - Seattle, Washington, Forente stater, 98107
    - Swedish Medical Center-Ballard Campus
  - Seattle, Washington, Forente stater, 98112
    - Kaiser Permanente Washington
  - Seattle, Washington, Forente stater, 98104
    - Minor and James Medical PLLC
  - Seattle, Washington, Forente stater, 98104
    - Pacific Gynecology Specialists
  - Seattle, Washington, Forente stater, 98122-4307
    - Swedish Medical Center-First Hill
  - Seattle, Washington, Forente stater, 98122-5711
    - Swedish Medical Center-Cherry Hill
  - Shelton, Washington, Forente stater, 98584
    - Providence Regional Cancer System-Shelton
  - Spokane, Washington, Forente stater, 99204
    - Rockwood Cancer Treatment Center-DHEC-Downtown
  - Spokane, Washington, Forente stater, 99218
    - Rockwood North Cancer Treatment Center
  - Spokane Valley, Washington, Forente stater, 99216
    - Rockwood Clinic Cancer Treatment Center-Valley
  - Tacoma, Washington, Forente stater, 98405
    - Northwest Medical Specialties PLLC
  - Tacoma, Washington, Forente stater, 98405
    - MultiCare Tacoma General Hospital
  - Tacoma, Washington, Forente stater, 98405
    - Tacoma/Valley Radiation Oncology Centers-Saint Joe's
  - Tacoma, Washington, Forente stater, 97405
    - Tacoma/Valley Radiation Oncology Centers-Jackson Hall
  - Tacoma, Washington, Forente stater, 98405
    - Franciscan Research Center-Northwest Medical Plaza
  - Vancouver, Washington, Forente stater, 98664
    - PeaceHealth Southwest Medical Center
  - Vancouver, Washington, Forente stater, 98684
    - Compass Oncology Vancouver
  - Walla Walla, Washington, Forente stater, 99362
    - Providence Saint Mary Regional Cancer Center
  - Yakima, Washington, Forente stater, 98902
    - North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
  - Yelm, Washington, Forente stater, 98597
    - Providence Regional Cancer System-Yelm
- West Virginia
  - Bridgeport, West Virginia, Forente stater, 26330
    - United Hospital Center
  - Charleston, West Virginia, Forente stater, 25304
    - West Virginia University Charleston Division
  - Huntington, West Virginia, Forente stater, 25701
    - Edwards Comprehensive Cancer Center
  - Martinsburg, West Virginia, Forente stater, 25401
    - WVUH-Berkely Medical Center
  - Morgantown, West Virginia, Forente stater, 26506
    - West Virginia University Healthcare
  - Parkersburg, West Virginia, Forente stater, 26101
    - Camden Clark Medical Center
  - Princeton, West Virginia, Forente stater, 24740
    - Princeton Community Hospital
- Wisconsin
  - Antigo, Wisconsin, Forente stater, 54409
    - Langlade Hospital and Cancer Center
  - Appleton, Wisconsin, Forente stater, 54911
    - Radiology Associates of Appleton/ThedaCare Regional Medical Center
  - Ashland, Wisconsin, Forente stater, 54806
    - Duluth Clinic Ashland
  - Ashland, Wisconsin, Forente stater, 54806
    - Northwest Wisconsin Cancer Center
  - Brookfield, Wisconsin, Forente stater, 53045
    - Wheaton Franciscan Healthcare-Elmbrook Memorial Hospital
  - Burlington, Wisconsin, Forente stater, 53105
    - Aurora Cancer Care-Southern Lakes VLCC
  - Chippewa Falls, Wisconsin, Forente stater, 54729
    - Marshfield Clinic-Chippewa Center
  - Eau Claire, Wisconsin, Forente stater, 54701
    - Marshfield Medical Center-EC Cancer Center
  - Eau Claire, Wisconsin, Forente stater, 54701
    - Marshfield Clinic Cancer Center at Sacred Heart
  - Fond du Lac, Wisconsin, Forente stater, 54937
    - Aurora Health Center-Fond du Lac
  - Fond du Lac, Wisconsin, Forente stater, 54935
    - Saint Agnes Hospital/Agnesian Cancer Center
  - Franklin, Wisconsin, Forente stater, 53132
    - Wheaton Franciscan Healthcare-Saint Francis/Reiman Cancer Center
  - Germantown, Wisconsin, Forente stater, 53022
    - Aurora Health Care Germantown Health Center
  - Grafton, Wisconsin, Forente stater, 53024
    - Aurora Cancer Care-Grafton
  - Green Bay, Wisconsin, Forente stater, 54311
    - Aurora BayCare Medical Center
  - Green Bay, Wisconsin, Forente stater, 54301
    - Saint Vincent Hospital Cancer Center Green Bay
  - Green Bay, Wisconsin, Forente stater, 54303
    - Saint Vincent Hospital Cancer Center at Saint Mary's
  - Green Bay, Wisconsin, Forente stater, 54303
    - Green Bay Oncology Limited at Saint Mary's Hospital
  - Green Bay, Wisconsin, Forente stater, 54301-3526
    - Green Bay Oncology at Saint Vincent Hospital
  - Janesville, Wisconsin, Forente stater, 53547
    - Mercy Health System
  - Kenosha, Wisconsin, Forente stater, 53142
    - Aurora Cancer Care-Kenosha South
  - La Crosse, Wisconsin, Forente stater, 54601
    - Gundersen Lutheran Medical Center
  - Ladysmith, Wisconsin, Forente stater, 54848
    - Marshfield Clinic - Ladysmith Center
  - Manitowoc, Wisconsin, Forente stater, 54221
    - Holy Family Memorial Hospital
  - Marinette, Wisconsin, Forente stater, 54143
    - Aurora Bay Area Medical Group-Marinette
  - Marinette, Wisconsin, Forente stater, 54143
    - Bay Area Medical Center
  - Marshfield, Wisconsin, Forente stater, 54449
    - Marshfield Medical Center-Marshfield
  - Mequon, Wisconsin, Forente stater, 53097
    - Columbia Saint Mary's Hospital - Ozaukee
  - Milwaukee, Wisconsin, Forente stater, 53209
    - Aurora Cancer Care-Milwaukee
  - Milwaukee, Wisconsin, Forente stater, 53215
    - Aurora Saint Luke's Medical Center
  - Milwaukee, Wisconsin, Forente stater, 53233
    - Aurora Sinai Medical Center
  - Milwaukee, Wisconsin, Forente stater, 53211
    - Columbia Saint Mary's Water Tower Medical Commons
  - Minocqua, Wisconsin, Forente stater, 54548
    - Marshfield Clinic-Minocqua Center
  - Mukwonago, Wisconsin, Forente stater, 53149
    - ProHealth D N Greenwald Center
  - New Richmond, Wisconsin, Forente stater, 54017
    - Cancer Center of Western Wisconsin
  - Oconomowoc, Wisconsin, Forente stater, 53066
    - ProHealth Oconomowoc Memorial Hospital
  - Oconto Falls, Wisconsin, Forente stater, 54154
    - Saint Vincent Hospital Cancer Center at Oconto Falls
  - Oshkosh, Wisconsin, Forente stater, 54904
    - Vince Lombardi Cancer Clinic - Oshkosh
  - Racine, Wisconsin, Forente stater, 53406
    - Aurora Cancer Care-Racine
  - Racine, Wisconsin, Forente stater, 53405
    - Wheaton Franciscan Cancer Care - All Saints
  - Rice Lake, Wisconsin, Forente stater, 54868
    - Marshfield Medical Center-Rice Lake
  - Sheboygan, Wisconsin, Forente stater, 53081
    - Vince Lombardi Cancer Clinic-Sheboygan
  - Sheboygan, Wisconsin, Forente stater, 53081
    - HSHS Saint Nicholas Hospital
  - Stevens Point, Wisconsin, Forente stater, 54482
    - Marshfield Clinic Stevens Point Center
  - Stevens Point, Wisconsin, Forente stater, 54481
    - Ascension Saint Michael's Hospital
  - Sturgeon Bay, Wisconsin, Forente stater, 54235-1495
    - Saint Vincent Hospital Cancer Center at Sturgeon Bay
  - Sturgeon Bay, Wisconsin, Forente stater, 54235
    - Green Bay Oncology - Sturgeon Bay
  - Summit, Wisconsin, Forente stater, 53066
    - Aurora Medical Center in Summit
  - Two Rivers, Wisconsin, Forente stater, 54241
    - Vince Lombardi Cancer Clinic-Two Rivers
  - Waukesha, Wisconsin, Forente stater, 53188
    - UW Cancer Center at ProHealth Care
  - Waukesha, Wisconsin, Forente stater, 53188
    - ProHealth Waukesha Memorial Hospital
  - Waukesha, Wisconsin, Forente stater, 53188
    - Aurora Cancer Care-Waukesha
  - Wausau, Wisconsin, Forente stater, 54401
    - Aspirus Regional Cancer Center
  - Wausau, Wisconsin, Forente stater, 54401
    - Marshfield Clinic-Wausau Center
  - Wauwatosa, Wisconsin, Forente stater, 53226
    - Aurora Cancer Care-Milwaukee West
  - Wauwatosa, Wisconsin, Forente stater, 53226
    - Wheaton Franciscan Healthcare-Saint Joseph/Wauwatosa Campus
  - West Allis, Wisconsin, Forente stater, 53227
    - Aurora West Allis Medical Center
  - Weston, Wisconsin, Forente stater, 54476
    - Marshfield Clinic - Weston Center
  - Wisconsin Rapids, Wisconsin, Forente stater, 54494
    - Marshfield Clinic - Wisconsin Rapids Center
  - Wisconsin Rapids, Wisconsin, Forente stater, 54494
    - Aspirus UW Cancer Center
- Wyoming
  - Cheyenne, Wyoming, Forente stater, 82001
    - Cheyenne Regional Medical Center-West
  - Cody, Wyoming, Forente stater, 82414
    - Big Horn Basin Cancer Center
  - Cody, Wyoming, Forente stater, 82414
    - Billings Clinic-Cody
  - Sheridan, Wyoming, Forente stater, 82801
    - Welch Cancer Center

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

14 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Beskrivelse

Inklusjonskriterier:

Pasienten må ha signert og datert et samtykkeskjema som er godkjent av institusjonsvurderingskomiteen (IRB) som er i samsvar med føderale og institusjonelle retningslinjer
Eastern Cooperative Oncology Group (ECOG) ytelsesstatus på 0 eller 1
Svulsten må være unilateralt invasivt adenokarsinom i brystet ved histologisk undersøkelse
Alle følgende iscenesettelseskriterier (i henhold til den 7. utgaven av American Joint Committee on Cancer [AJCC] Cancer Staging Manual) må oppfylles:
- Ved patologisk evaluering må primærtumor være pT1-3
- Ved patologisk evaluering må ipsilaterale noder være pN0, pN1 (pN1mi, pN1a, pN1b, pN1c), pN2a, pN2b, pN3a eller pN3b
- Hvis pN0 må svulsten være > 3,0 cm
Svulsten må ha blitt fastslått å være human epidermal vekstfaktor reseptor 2 (HER2)-negativ som følger:
- Immunhistokjemi (IHC) 0-1+; eller
- IHC 2+ og in situ hybridisering (ISH) ikke-amplifisert med et forhold på HER2 til sentromere enumerator probe 17 (CEP17) < 2,0, og hvis rapportert, gjennomsnittlig HER2-genkopiantall < 4 signaler/celler; eller
- ISH ikke-amplifisert med et forhold på HER2 til CEP17 < 2,0, og hvis rapportert, gjennomsnittlig HER2-genkopiantall < 4 signaler/celler
Svulsten må ha blitt fastslått å være østrogenreseptor (ER)- og progesteronreseptor (PgR)-negativ vurdert av gjeldende retningslinjer fra American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP); pasienter med < 1 % ER- og PgR-farging av IHC anses som negative
Pasienten må ha gjennomgått enten en mastektomi (totalt, hudbesparende eller brystvortesparende) eller lumpektomi
For pasienter som gjennomgår lumpektomi, må marginene til den resekerte prøven være histologisk fri for invasiv tumor og ductal carcinoma in situ (DCIS) som bestemt av den lokale patologen; hvis patologisk undersøkelse viser svulst ved reseksjonslinjen, kan ytterligere eksisjoner utføres for å oppnå klare marginer; hvis svulsten fortsatt er tilstede ved den resekerte marginen etter re-eksisjon(er), må pasienten gjennomgå mastektomi for å være kvalifisert; (pasienter med marginer positive for lobulært karsinom in situ [LCIS] er kvalifisert uten ytterligere reseksjon)
For pasienter som gjennomgår mastektomi, må marginene være fri for gjenværende brutto tumor; (pasienter med mikroskopiske positive marginer er kvalifisert så lenge postmastektomi strålebehandling [RT] av brystveggen vil bli administrert)
Pasienten må ha fullført en av prosedyrene for evaluering av patologisk nodalstatus som er oppført nedenfor.
- Sentinel lymfadenektomi alene:
  - Hvis patologisk nodal staging basert på sentinel lymfadenektomi er pN0 eller pN1b;
  - Hvis patologisk nodalstadie basert på vaktpostlymfadenektomi er pN1mi eller pN1a og pasienten har gjennomgått brystbevarende kirurgi (med planlagt bryststrålebehandling), må primærtumoren være T1 eller T2 ved patologisk evaluering, og nodal involvering må begrenses til 1 eller 2 positive noder
- Sentinel lymfadenektomi etterfulgt av fjerning av ytterligere non-sentinel lymfeknuter hvis sentinel node (SN) er positiv; eller
- Aksellær lymfadenektomi med eller uten SN-isoleringsprosedyre
Intervallet mellom siste operasjon for brystkreft (inkludert re-eksisjon av marginer) og randomisering må ikke være mer enn 60 dager
Absolutt nøytrofiltall (ANC) må være >= 1200/mm^3
Blodplateantallet må være >= 100 000/mm^3
Hemoglobin må være >= 10 g/dL
Total bilirubin må være =< øvre normalgrense (ULN) for laboratoriet (laboratoriet) med mindre pasienten har en bilirubinøkning > ULN til 1,5 x ULN på grunn av Gilberts sykdom eller lignende syndrom som involverer langsom konjugering av bilirubin
Alkalisk fosfatase må være =< 2,5 x ULN for laboratoriet
Aspartataminotransferase (AST) må være =< 1,5 x ULN for laboratoriet
- Merk: Hvis alaninaminotransferase (ALT) utføres i stedet for AST (per institusjons standardpraksis), må ALT-verdien være =< 1,5 x ULN; hvis begge ble utført, må AST være =< 1,5 x ULN
Pasienter med AST eller alkalisk fosfatase > ULN er kvalifisert for inkludering i studien hvis leveravbildning (computertomografi [CT], magnetisk resonanstomografi [MRI], positronemisjonstomografi [PET]-CT eller PET-skanning) utført innen 90 dager før til randomisering viser ikke metastatisk sykdom og kravene ovenfor er oppfylt
Pasienter med alkalisk fosfatase som er > ULN men =< 2,5 x ULN eller uforklarlige beinsmerter er kvalifisert for inkludering i studien hvis en beinskanning, PET-CT-skanning eller PET-skanning utført innen 90 dager før randomisering ikke viser metastatisk sykdom
Tilstrekkelig nyrefunksjon bestemt innen 6 uker før randomisering definert som siste serumkreatinin =< ULN eller målt eller beregnet kreatininclearance > 60 ml/min.
Vurdering av venstre ventrikkel ejeksjonsfraksjon (LVEF) må utføres innen 90 dager før randomisering; (LVEF-vurdering utført med 2-dimensjonalt [D] ekkokardiogram er å foretrekke; multi gated acquisition [MUGA]-skanning kan imidlertid erstattes basert på institusjonelle preferanser;) LVEF må være >= 50 % uavhengig av hjerteavbildningsanleggets nedre grense på vanlig

Ekskluderingskriterier:

T4-svulster inkludert inflammatorisk brystkreft
definitive kliniske eller radiologiske bevis på metastatisk sykdom; nødvendige bildediagnostiske studier må ha blitt utført innen 90 dager før randomisering
Synkron eller tidligere kontralateral invasiv brystkreft; (pasienter med synkron og/eller tidligere kontralateral DCIS eller LCIS er kvalifisert)
Enhver tidligere historie med ipsilateral invasiv brystkreft eller ipsilateral DCIS; (pasienter med synkron eller tidligere ipsilateral LCIS er kvalifisert)
Anamnese med ikke-brystmaligniteter (bortsett fra in situ-kreft behandlet kun ved lokal eksisjon og basalcelle- og plateepitelkarsinomer i huden) innen 5 år før randomisering
Tidligere terapi med antracykliner eller taxaner for enhver malignitet
Kjemoterapi gitt for den nåværende diagnostiserte brystkreften før randomisering
Enhver fortsatt bruk av kjønnshormonbehandling, f.eks. p-piller, ovariehormonerstatningsterapi; pasienter er kvalifisert hvis disse medisinene seponeres før randomisering
Hjertesykdom (historie med og/eller aktiv sykdom) som vil utelukke bruken av legemidlene inkludert i behandlingsregimene; dette inkluderer, men er ikke begrenset til:
- Aktiv hjertesykdom
  - Angina pectoris som krever dagens bruk av anti-anginal medisin;
  - Ventrikulære arytmier bortsett fra benigne premature ventrikulære sammentrekninger;
  - Supraventrikulære og nodale arytmier som krever pacemaker eller ikke kontrolleres med medisiner;
  - Ledningsabnormitet som krever pacemaker;
  - Klaffesykdom med dokumentert kompromiss i hjertefunksjon; eller
  - Symptomatisk perikarditt
- Historie med hjertesykdom
  - Hjerteinfarkt dokumentert av forhøyede hjerteenzymer eller vedvarende regionale veggavvik ved vurdering av venstre ventrikkel (LV) funksjon;
  - Anamnese med dokumentert kongestiv hjertesvikt (CHF); eller
  - Dokumentert kardiomyopati
Ukontrollert hypertensjon definert som vedvarende systolisk blodtrykk (BP) > 150 mmHg eller diastolisk BP > 90 mmHg; (pasienter med innledende BP-forhøyelser er kvalifisert hvis initiering eller justering av BP-medisiner senker trykket for å oppfylle inngangskriteriene)
Aktiv hepatitt B eller hepatitt C med unormale leverfunksjonstester
Pasienter kjent for å være humant immunsviktvirus (HIV) positive med en baseline cluster of differentiation (CD)4-telling på < 250 celler/mm^3 eller har en historie med indikatortilstander for ervervet immunsviktsyndrom (AIDS).
Iboende lungesykdom som resulterer i dyspné
Sykehusinnleggelseshistorie de siste 12 månedene for diabetisk ketoacidose (DKA) eller hyperosmolart hyperglykemisk ikke-ketotisk syndrom (HHNS)
Aktiv infeksjon eller kronisk infeksjon som krever kronisk undertrykkende antibiotika
Nervesystemlidelse (parestesi, perifer motorisk nevropati eller perifer sensorisk nevropati) >= grad 2, i henhold til Common Terminology Criteria for Adverse Events (CTCAE) versjon (v)4.0
Tilstander som forbyr administrering av kortikosteroider
Kronisk daglig behandling med kortikosteroider med en dose på >= 10 mg/dag metylprednisolonekvivalent (unntatt inhalerte steroider)
Kjent overfølsomhet overfor noen av studiemedikamentene eller hjelpestoffene, f.eks. polysorbat 80 og Cremophor® EL
Annen ikke-malign systemisk sykdom som vil hindre pasienten fra å motta studiebehandling eller som vil forhindre nødvendig oppfølging
Psykiatriske eller vanedannende lidelser eller andre tilstander som etter utrederens oppfatning vil hindre pasienten i å oppfylle studiekravene
Graviditet eller amming på tidspunktet for studiestart; (merk: graviditetstesting i henhold til institusjonelle standarder for kvinner i fertil alder må utføres innen 2 uker før randomisering)
Bruk av ethvert undersøkelsesprodukt innen 4 uker før randomisering

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Primært formål: Behandling
Tildeling: Randomisert
Intervensjonsmodell: Parallell tildeling
Masking: Ingen (Open Label)

Antall våpen

Våpen og intervensjoner

Deltakergruppe / Arm	Intervensjon / Behandling
Aktiv komparator: Arm I (AC-->WP) Pasienter får doksorubicinhydroklorid IV over 15 minutter og cyklofosfamid IV over 30 minutter på dag 1. Behandlingen gjentas hver 2. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet. Pasientene får deretter paklitaksel IV over 60 minutter på dag 1. Behandlingen gjentas ukentlig i 12 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.	Annen: Laboratoriebiomarkøranalyse Korrelative studier Legemiddel: Paklitaksel Gitt IV Andre navn: Taxol Anzatax Asotax Bristaxol Praxel Taxol Konzentrat Legemiddel: Cyklofosfamid Gitt IV Andre navn: Cytoksan CTX (-)-cyklofosfamid 2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat Carloxan Ciclofosfamida Ciklofosfamid Cicloxal Clafen Claphene CP monohydrat CYCLO-celle Sykloblastin Cyclofosfam Cyklofosfamid monohydrat Cyclophosphamidum Syklofosfan Cyclophosphanum Syklostin Cytofosfan Fosfaseron Genoxal Genuxal Ledoxina Mitoxan Neosar Revimmune Syklofosfamid WR- 138719 Legemiddel: Doxorubicin hydroklorid Gitt IV Andre navn: Adriamycin 5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl) ADM Adriacin Adriamycin hydroklorid Adriamycin PFS Adriamycin RDF ADRIAMYCIN, HYDROKLORID Adriblastina Adriblastin Adrimedac Chloridrato de Doxorrubicina DOX DOXO-CELL Doxolem Doxorubicin.HCl Doxorubin Farmiblastina FI 106 FI-106 hydroksydaunorubicin Rubex
Eksperimentell: Arm II (AC-->WP + karboplatin) Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I. Pasienter får deretter paklitaksel IV over 60 minutter på dag 1, 8 og 15 og karboplatin IV over 30-60 minutter på dag 1. Behandlingen gjentas hver 3. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.	Annen: Laboratoriebiomarkøranalyse Korrelative studier Legemiddel: Karboplatin Gitt IV Andre navn: Blastokarb Carboplat Carboplatin Hexal Carboplatino Karbosin Karbosol Carbotec CBDCA Displata Ercar JM-8 Nealorin Novoplatinum Paraplatin Paraplatin AQ Platinwas Ribocarbo Paraplat Legemiddel: Paklitaksel Gitt IV Andre navn: Taxol Anzatax Asotax Bristaxol Praxel Taxol Konzentrat Legemiddel: Cyklofosfamid Gitt IV Andre navn: Cytoksan CTX (-)-cyklofosfamid 2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat Carloxan Ciclofosfamida Ciklofosfamid Cicloxal Clafen Claphene CP monohydrat CYCLO-celle Sykloblastin Cyclofosfam Cyklofosfamid monohydrat Cyclophosphamidum Syklofosfan Cyclophosphanum Syklostin Cytofosfan Fosfaseron Genoxal Genuxal Ledoxina Mitoxan Neosar Revimmune Syklofosfamid WR- 138719 Legemiddel: Doxorubicin hydroklorid Gitt IV Andre navn: Adriamycin 5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl) ADM Adriacin Adriamycin hydroklorid Adriamycin PFS Adriamycin RDF ADRIAMYCIN, HYDROKLORID Adriblastina Adriblastin Adrimedac Chloridrato de Doxorrubicina DOX DOXO-CELL Doxolem Doxorubicin.HCl Doxorubin Farmiblastina FI 106 FI-106 hydroksydaunorubicin Rubex

Deltakergruppe / Arm

Intervensjon / Behandling

Aktiv komparator: Arm I (AC-->WP)

Pasienter får doksorubicinhydroklorid IV over 15 minutter og cyklofosfamid IV over 30 minutter på dag 1. Behandlingen gjentas hver 2. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet. Pasientene får deretter paklitaksel IV over 60 minutter på dag 1. Behandlingen gjentas ukentlig i 12 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

Annen: Laboratoriebiomarkøranalyse

Korrelative studier

Legemiddel: Paklitaksel

Gitt IV

Andre navn:

Taxol
Anzatax
Asotax
Bristaxol
Praxel
Taxol Konzentrat

Legemiddel: Cyklofosfamid

Gitt IV

Andre navn:

Cytoksan
CTX
(-)-cyklofosfamid
2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat
Carloxan
Ciclofosfamida
Ciklofosfamid
Cicloxal
Clafen
Claphene
CP monohydrat
CYCLO-celle
Sykloblastin
Cyclofosfam
Cyklofosfamid monohydrat
Cyclophosphamidum
Syklofosfan
Cyclophosphanum
Syklostin
Cytofosfan
Fosfaseron
Genoxal
Genuxal
Ledoxina
Mitoxan
Neosar
Revimmune
Syklofosfamid
WR- 138719

Legemiddel: Doxorubicin hydroklorid

Gitt IV

Andre navn:

Adriamycin
5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl)
ADM
Adriacin
Adriamycin hydroklorid
Adriamycin PFS
Adriamycin RDF
ADRIAMYCIN, HYDROKLORID
Adriblastina
Adriblastin
Adrimedac
Chloridrato de Doxorrubicina
DOX
DOXO-CELL
Doxolem
Doxorubicin.HCl
Doxorubin
Farmiblastina
FI 106
FI-106
hydroksydaunorubicin
Rubex

Eksperimentell: Arm II (AC-->WP + karboplatin)

Pasienter får doksorubicinhydroklorid og cyklofosfamid som i arm I. Pasienter får deretter paklitaksel IV over 60 minutter på dag 1, 8 og 15 og karboplatin IV over 30-60 minutter på dag 1. Behandlingen gjentas hver 3. uke i 4 kurer i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

Annen: Laboratoriebiomarkøranalyse

Korrelative studier

Legemiddel: Karboplatin

Gitt IV

Andre navn:

Blastokarb
Carboplat
Carboplatin Hexal
Carboplatino
Karbosin
Karbosol
Carbotec
CBDCA
Displata
Ercar
JM-8
Nealorin
Novoplatinum
Paraplatin
Paraplatin AQ
Platinwas
Ribocarbo
Paraplat

Legemiddel: Paklitaksel

Gitt IV

Andre navn:

Taxol
Anzatax
Asotax
Bristaxol
Praxel
Taxol Konzentrat

Legemiddel: Cyklofosfamid

Gitt IV

Andre navn:

Cytoksan
CTX
(-)-cyklofosfamid
2H-1,3,2-oksazafosforin, 2-[bis(2-kloretyl)amino]tetrahydro-, 2-oksid, monohydrat
Carloxan
Ciclofosfamida
Ciklofosfamid
Cicloxal
Clafen
Claphene
CP monohydrat
CYCLO-celle
Sykloblastin
Cyclofosfam
Cyklofosfamid monohydrat
Cyclophosphamidum
Syklofosfan
Cyclophosphanum
Syklostin
Cytofosfan
Fosfaseron
Genoxal
Genuxal
Ledoxina
Mitoxan
Neosar
Revimmune
Syklofosfamid
WR- 138719

Legemiddel: Doxorubicin hydroklorid

Gitt IV

Andre navn:

Adriamycin
5,12-naftacendion, 10-[(3-amino-2,3,6-trideoksy-alfa-L-lyxo-heksopyranosyl)oksy]-7,8, 9,10-tetrahydro-6,8,11-trihydroksy -8-(hydroksyacetyl)-1-metoksy-, hydroklorid, (8S-cis)- (9Cl)
ADM
Adriacin
Adriamycin hydroklorid
Adriamycin PFS
Adriamycin RDF
ADRIAMYCIN, HYDROKLORID
Adriblastina
Adriblastin
Adrimedac
Chloridrato de Doxorrubicina
DOX
DOXO-CELL
Doxolem
Doxorubicin.HCl
Doxorubin
Farmiblastina
FI 106
FI-106
hydroksydaunorubicin
Rubex

Hva måler studien?

Primære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
IDFS Tidsramme: Inntil 10 år	IDFS-hendelser er lokalt invasivt tilbakefall etter mastektomi, lokalt invasivt tilbakefall i det ipsilaterale brystet etter lumpektomi, regionalt residiv, fjernt tilbakefall, kontralateral invasiv brystkreft, sekundær ikke-bryst primærkreft (unntatt plateepitel- eller basalcellekarsinom i huden) eller død av enhver årsak før tilbakefall eller andre primære kreft. IDFS vil bli sammenlignet mellom de to behandlingsarmene ved hjelp av den stratifiserte log-rank testen. Kaplan-Meier-estimatene vil bli beregnet separat for pasienter under de forskjellige behandlingsregimene.	Inntil 10 år

Sekundære resultatmål

Resultatmål	Tiltaksbeskrivelse	Tidsramme
BCFS Tidsramme: Fra randomisering til lokalt tilbakefall (invasivt eller DCIS), regionalt residiv eller fjernt tilbakefall, kontralateral brystkreft (invasiv eller DCIS), eller død av alle årsaker, vurdert opp til 10 år	De stratifiserte log-rank testene vil være 2-sidige med signifikansnivå 0,05. Behandlingseffektivitet i disse sekundære endepunktene vil bli vurdert av Cox-modeller som justerer for kliniske faktorer som alder, antall positive noder, BRCA-mutasjonsstatus, tumorstørrelse og tumorgrad.	Fra randomisering til lokalt tilbakefall (invasivt eller DCIS), regionalt residiv eller fjernt tilbakefall, kontralateral brystkreft (invasiv eller DCIS), eller død av alle årsaker, vurdert opp til 10 år
DRFI Tidsramme: Fra randomisering til fjernmetastasering eller død fra brystkreft, uavhengig av forekomst av eventuelle mellomliggende lokale eller regionale tilbakefall, kontralaterale brystkreft eller andre primære kreftformer som ikke er brystkreft, vurdert opp til 10 år	De stratifiserte log-rank testene vil være 2-sidige med signifikansnivå 0,05. Behandlingseffektivitet i disse sekundære endepunktene vil bli vurdert av Cox-modeller som justerer for kliniske faktorer som alder, antall positive noder, BRCA-mutasjonsstatus, tumorstørrelse og tumorgrad.	Fra randomisering til fjernmetastasering eller død fra brystkreft, uavhengig av forekomst av eventuelle mellomliggende lokale eller regionale tilbakefall, kontralaterale brystkreft eller andre primære kreftformer som ikke er brystkreft, vurdert opp til 10 år
Frekvenser av uønskede hendelser kategorisert ved hjelp av National Cancer Institute CTCAE v4.0 Tidsramme: Inntil 10 år	Frekvenser av alle uønskede hendelser i løpet av behandlingsperioden vil bli tabellert etter behandling, toksisitetstype og grad. Pearson Chi-squared-testen med kontinuitetsjustering vil bli brukt til å sammenligne toksisitetsgrader i hver type mellom de to behandlingsregimene. Testen vil være 2-sidig med signifikansnivå 0,05.	Inntil 10 år
OS Tidsramme: Fra randomisering til død uansett årsak, vurdert opp til 10 år	De stratifiserte log-rank testene vil være 2-sidige med signifikansnivå 0,05. Behandlingseffektivitet i disse sekundære endepunktene vil bli vurdert av Cox-modeller som justerer for kliniske faktorer som alder, antall positive noder, BRCA-mutasjonsstatus, tumorstørrelse og tumorgrad.	Fra randomisering til død uansett årsak, vurdert opp til 10 år
RFI Tidsramme: Fra randomisering til invasiv lokal, regional eller fjern tilbakefall, eller død av brystkreft (sensurert for død av andre årsaker), vurdert opp til 10 år	De stratifiserte log-rank testene vil være 2-sidige med signifikansnivå 0,05. Behandlingseffektivitet i disse sekundære endepunktene vil bli vurdert av Cox-modeller som justerer for kliniske faktorer som alder, antall positive noder, BRCA-mutasjonsstatus, tumorstørrelse og tumorgrad.	Fra randomisering til invasiv lokal, regional eller fjern tilbakefall, eller død av brystkreft (sensurert for død av andre årsaker), vurdert opp til 10 år

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

NRG Oncology

Samarbeidspartnere

National Cancer Institute (NCI)

Etterforskere

Hovedetterforsker: Vicente Valero, NRG Oncology

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

26. juli 2015

Primær fullføring (Faktiske)

31. desember 2025

Studiet fullført (Antatt)

31. oktober 2026

Datoer for studieregistrering

Først innsendt

30. juni 2015

Først innsendt som oppfylte QC-kriteriene

30. juni 2015

Først lagt ut (Antatt)

2. juli 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

6. mai 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

5. mai 2026

Sist bekreftet

1. mai 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

NRG-BR003 (Annen identifikator: CTEP)
U10CA180868 (U.S. NIH-stipend/kontrakt)
NCI-2015-00128 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
NRG-BR1428

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

IPD-planbeskrivelse

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.

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Kliniske studier på Laboratoriebiomarkøranalyse

Liao Jian An

Rekruttering

Meridianenergiendringer hos pasienter med hode- og nakkekreft etter kjemoterapi eller strålebehandling

Hode- og nakkekreft

Taiwan
Fondation Lenval

Tilbaketrukket

Påvirkning av utmattelse på gangmønsteret hos pasienter med cerebral parese.

Cerebral parese

Frankrike
Progenity, Inc.

Fullført

Utvidet ikke-invasiv genomisk medisinsk vurdering: Enigma-studien

Downs syndrom | Aneuploidi | DiGeorge syndrom | Turners syndrom | Klinefelters syndrom | Kromosomsletting | Edwards syndrom | Patau syndrom

Forente stater
Minia University

Har ikke rekruttert ennå

Evaluering av stemme i Behcets

Behcets sykdom
Tel-Aviv Sourasky Medical Center

Ukjent

Evaluering av evnen til CT-basert endelig elementanalyse (CTFEA) til å forutsi frakturer hos pasienter med metastaser: en randomisert kontrollert studie. (ZYCTFEA)

Benmetastaser | Ortopedisk lidelse | Benneoplasma i hoften (diagnose) | Proksimal femoral metafyseal abnormitet
IRCCS Eugenio Medea

Fullført

Biomarkørers baner for tidlig intervensjon hos søsken til barn med autismespekterforstyrrelse

Autismespektrumforstyrrelse | Tidlig intervensjon

Italia
Oregon Health and Science University
4DMedical

Påmelding etter invitasjon

Ventilasjonsubalanser ved mild til moderat kronisk obstruktiv lungesykdom (VAPOR)

Lungesykdommer | KOLS | Luftveissykdom | Dyspné

Forente stater
IRCCS Eugenio Medea

Rekruttering

Bekreft ytelsen i klinisk praksis til den oppslukende virtuelle virkelighetsplattformen GRAIL (Gait Real-time Analysis Interactive Lab)

Cerebral parese | Ervervet hjerneskade

Italia
National Cheng-Kung University Hospital

Har ikke rekruttert ennå

Undersøkelse av korrelasjonen mellom avbildning av avbildning av kroppssammensetning, cellegiftdosejustering og behandlingseffektivitet hos gynekologiske kreftpasienter "

Søk i MeSH

Taiwan
University of California, Los Angeles

Fullført

Sikkerhet ved kroppssammensetningsanalyse hos hjertesviktpasienter med implanterbare cardioverter-defibrillatorer (ICD)

Hjertefeil | Overvekt

Forente stater

Doksorubicinhydroklorid og cyklofosfamid etterfulgt av paklitaksel med eller uten karboplatin ved behandling av pasienter med trippelnegativ brystkreft

En randomisert fase III-studie av adjuvant terapi som sammenligner doksorubicin pluss cyklofosfamid etterfulgt av ukentlig paklitaksel med eller uten karboplatin for nodepositiv eller høyrisikoknute-negativ trippel-negativ invasiv brystkreft

Studieoversikt

Status

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Studietype

Registrering (Antatt)

Fase

Kontakter og plasseringer

Studiesteder

Deltakelseskriterier

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

Tar imot friske frivillige

Beskrivelse

Studieplan

Hvordan er studiet utformet?

Designdetaljer

Antall våpen

Våpen og intervensjoner

Deltakergruppe / Arm

Intervensjon / Behandling

Hva måler studien?

Primære resultatmål

Resultatmål

Tiltaksbeskrivelse

Tidsramme

Sekundære resultatmål

Resultatmål

Tiltaksbeskrivelse

Tidsramme

Samarbeidspartnere og etterforskere

Sponsor

Samarbeidspartnere

Etterforskere

Studierekorddatoer

Studer hoveddatoer

Studiestart

Primær fullføring (Faktiske)

Studiet fullført (Antatt)

Datoer for studieregistrering

Først innsendt

Først innsendt som oppfylte QC-kriteriene

Først lagt ut (Antatt)

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