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Nivolumab etter kirurgi og kjemoterapi ved behandling av pasienter med stadium IB-IIIA ikke-småcellet lungekreft (en behandlingsforsøk med ALCHEMIST) (ANVIL)

3. april 2024 oppdatert av: National Cancer Institute (NCI)

Adjuvant Nivolumab ved reseksjonert lungekreft (ANVIL) - En randomisert fase III-studie av Nivolumab etter kirurgisk reseksjon og adjuvant kjemoterapi ved ikke-småcellet lungekreft

Denne fase III behandlingsstudien med ALCHEMIST studerer hvor godt nivolumab etter kirurgi og kjemoterapi virker ved behandling av pasienter med stadium IB-IIIA ikke-småcellet lungekreft. Immunterapi med monoklonale antistoffer, som nivolumab, kan hjelpe kroppens immunsystem til å angripe kreften, og kan forstyrre tumorcellenes evne til å vokse og spre seg.

Studieoversikt

Detaljert beskrivelse

PRIMÆRE MÅL:

I. For å evaluere om adjuvant behandling med nivolumab vil resultere i forbedret total overlevelse (OS) og/eller sykdomsfri overlevelse (DFS) i forhold til standard observasjon hos pasienter med stadium IB >= 4 cm, II og IIIA, ikke-småcellet lunge kreft (NSCLC) etter kirurgisk reseksjon og standard adjuvant terapi.

II. For å evaluere om adjuvant behandling med nivolumab vil resultere i forbedret sykdomsfri overlevelse (DFS) i forhold til standard observasjon hos pasienter med stadium IB >= 4 cm, II og IIIA, NSCLC med høyt PD-L1-ekspresjon (>= 50 % farging) etter kirurgisk inngrep reseksjon og standard adjuvant terapi.

III. For å evaluere om adjuvant behandling med nivolumab vil resultere i forbedret total overlevelse (OS) i forhold til standard observasjon hos pasienter med stadium IB >= 4 cm, II og IIIA, NSCLC etter kirurgisk reseksjon og standard adjuvant terapi.

SEKUNDÆRE MÅL:

I. For å evaluere sikkerhetsprofilen til nivolumab når det gis som adjuvant terapi.

II. For å evaluere og sammenligne sykdomsfri og total overlevelse hos pasienter med svulster som uttrykker programmert celledødsligand (PD-L)1 i ulike mønstre assosiert med nivolumab og standard observasjon.

III. For å evaluere og sammenligne sykdomsfri og total overlevelse hos pasienter med svulster som har høy mutasjonsbelastning assosiert med nivolumab og standard observasjon.

IV. For å evaluere OS og DFS etter trinn. V. Å evaluere OS og DFS etter hver stratifiseringsfaktor.

OVERSIKT: Pasienter er randomisert til 1 av 2 behandlingsarmer.

ARM I: Pasienter får nivolumab intravenøst ​​(IV) over 30 minutter på dag 1. Sykluser gjentas hver 4. uke i opptil 1 år i fravær av sykdomsprogresjon eller uakseptabel toksisitet.

ARM II: Pasienter følges serielt med bildediagnostikk i 1 år.

Etter avsluttet studiebehandling følges pasientene opp etter 6 uker, hver 3. måned i 2 år, hver 6. måned i 2 år, og deretter hver 12. måned i 6 år.

Studietype

Intervensjonell

Registrering (Antatt)

903

Fase

  • Fase 3

Kontakter og plasseringer

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

Studiesteder

    • Alabama
      • Birmingham, Alabama, Forente stater, 35233
        • University of Alabama at Birmingham Cancer Center
      • Daphne, Alabama, Forente stater, 36526
        • Southern Cancer Center PC-Daphne
      • 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, 99508
        • Katmai Oncology Group
      • Anchorage, Alaska, Forente stater, 99508
        • Providence Alaska Medical Center
    • Arizona
      • Phoenix, Arizona, Forente stater, 85054
        • Mayo Clinic Hospital in Arizona
      • Scottsdale, Arizona, Forente stater, 85259
        • Mayo Clinic in Arizona
      • Tucson, Arizona, Forente stater, 85719
        • Banner University Medical Center - Tucson
      • Tucson, Arizona, Forente stater, 85719
        • University of Arizona Cancer Center-North Campus
    • Arkansas
      • Jonesboro, Arkansas, Forente stater, 72401
        • NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
      • Little Rock, Arkansas, Forente stater, 72205
        • John L McClellan Memorial Veterans Hospital
    • California
      • Anaheim, California, Forente stater, 92806
        • Kaiser Permanente-Anaheim
      • 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
      • 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
      • Clovis, California, Forente stater, 93611
        • University Oncology Associates
      • Concord, California, Forente stater, 94520
        • John Muir Medical Center-Concord Campus
      • Corona, California, Forente stater, 92879
        • City of Hope Corona
      • Davis, California, Forente stater, 95616
        • Sutter Davis Hospital
      • Duarte, California, Forente stater, 91010
        • City of Hope Comprehensive Cancer Center
      • Elk Grove, California, Forente stater, 95758
        • Mercy Cancer Center - Elk Grove
      • Fontana, California, Forente stater, 92335
        • Kaiser Permanente-Fontana
      • Fremont, California, Forente stater, 94538
        • Palo Alto Medical Foundation-Fremont
      • Fullerton, California, Forente stater, 92835
        • Saint Jude Medical Center
      • 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
      • Loma Linda, California, Forente stater, 92354
        • Loma Linda University Medical Center
      • Los Angeles, California, Forente stater, 90033
        • USC / Norris Comprehensive Cancer Center
      • Los Angeles, California, Forente stater, 90027
        • Kaiser Permanente Los Angeles Medical Center
      • Los Angeles, California, Forente stater, 90034
        • Kaiser Permanente West Los Angeles
      • Los Angeles, California, Forente stater, 90033
        • Los Angeles General Medical Center
      • Marysville, California, Forente stater, 95901
        • Fremont - Rideout Cancer Center
      • Modesto, California, Forente stater, 95355
        • Memorial Medical Center
      • Mountain View, California, Forente stater, 94040
        • Palo Alto Medical Foundation-Camino Division
      • Mountain View, California, Forente stater, 94040
        • Palo Alto Medical Foundation-Gynecologic Oncology
      • Novato, California, Forente stater, 94945
        • Sutter Cancer Research Consortium
      • Orange, California, Forente stater, 92868
        • Saint Joseph Hospital - Orange
      • 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
      • Rancho Mirage, California, Forente stater, 92270
        • Eisenhower Medical Center
      • Redding, California, Forente stater, 96001
        • Mercy Regional Cancer Center
      • Redding, California, Forente stater, 96002
        • Mercy Oncology Center
      • Riverside, California, Forente stater, 92505
        • Kaiser Permanente-Riverside
      • Rocklin, California, Forente stater, 95765
        • Mercy Cancer Center - Rocklin
      • 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, 95816
        • Mercy Cancer Center - Sacramento
      • Saint Helena, California, Forente stater, 94574
        • Saint Helena Hospital
      • San Diego, California, Forente stater, 92120
        • Kaiser Permanente-San Diego Zion
      • San Diego, California, Forente stater, 92134
        • Naval Medical Center -San Diego
      • San Francisco, California, Forente stater, 94115
        • California Pacific Medical Center-Pacific Campus
      • San Luis Obispo, California, Forente stater, 93401
        • Pacific Central Coast Health Center-San Luis Obispo
      • San Marcos, California, Forente stater, 92078
        • Kaiser Permanente-San Marcos
      • 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
        • Sutter Pacific Medical Foundation
      • 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, 95687
        • Sutter Cancer Centers Radiation Oncology Services-Vacaville
      • Vallejo, California, Forente stater, 94589
        • Sutter Solano Medical Center/Cancer Center
      • Walnut Creek, California, Forente stater, 94598
        • John Muir Medical Center-Walnut Creek
      • Woodland, California, Forente stater, 95695
        • Woodland Memorial Hospital
      • Woodland Hills, California, Forente stater, 91367
        • Kaiser Permanente-Woodland Hills
    • Colorado
      • Aurora, Colorado, Forente stater, 80045
        • UCHealth University of Colorado 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, 80909
        • UCHealth Memorial Hospital Central
      • Denver, Colorado, Forente stater, 80210
        • Porter Adventist Hospital
      • Denver, Colorado, Forente stater, 80205
        • Kaiser Permanente-Franklin
      • Englewood, Colorado, Forente stater, 80113
        • Mountain Blue Cancer Care Center - Swedish
      • Fort Collins, Colorado, Forente stater, 80524
        • Poudre Valley Hospital
      • Golden, Colorado, Forente stater, 80401
        • National Jewish Health-Western Hematology Oncology
      • Greeley, Colorado, Forente stater, 80631
        • North Colorado Medical Center
      • Lafayette, Colorado, Forente stater, 80026
        • Kaiser Permanente-Rock Creek
      • Lakewood, Colorado, Forente stater, 80228
        • Rocky Mountain Cancer Centers-Lakewood
      • Lone Tree, Colorado, Forente stater, 80124
        • Kaiser Permanente-Lone Tree
      • Loveland, Colorado, Forente stater, 80539
        • McKee Medical Center
      • Parker, Colorado, Forente stater, 80138
        • Parker Adventist Hospital
      • Wheat Ridge, Colorado, Forente stater, 80033
        • SCL Health Lutheran Medical Center
    • Connecticut
      • Danbury, Connecticut, Forente stater, 06810
        • Danbury Hospital
      • 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
        • Smilow Cancer Hospital Care Center - Guilford
      • Hartford, Connecticut, Forente stater, 06105
        • Smilow Cancer Hospital Care Center at Saint Francis
      • Hartford, Connecticut, Forente stater, 06102
        • Hartford Hospital
      • Manchester, Connecticut, Forente stater, 06040
        • Manchester Memorial Hospital
      • 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
      • Orange, Connecticut, Forente stater, 06477
        • Smilow Cancer Hospital-Orange Care Center
      • Stamford, Connecticut, Forente stater, 06904
        • Stamford Hospital/Bennett Cancer 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
        • Smilow Cancer Hospital Care Center - Waterford
      • West Haven, Connecticut, Forente stater, 06516
        • Veterans Affairs Connecticut Healthcare System-West Haven Campus
    • Delaware
      • Lewes, Delaware, Forente stater, 19958
        • Beebe Medical Center
      • Newark, Delaware, Forente stater, 19713
        • Helen F Graham Cancer Center
      • Newark, Delaware, Forente stater, 19713
        • Medical Oncology Hematology Consultants PA
      • Rehoboth Beach, Delaware, Forente stater, 19971
        • Beebe Health Campus
      • Seaford, Delaware, Forente stater, 19973
        • TidalHealth Nanticoke / Allen Cancer Center
    • District of Columbia
      • Washington, District of Columbia, Forente stater, 20010
        • MedStar Washington Hospital Center
      • Washington, District of Columbia, Forente stater, 20007
        • MedStar Georgetown University Hospital
      • Washington, District of Columbia, Forente stater, 20016
        • Sibley Memorial Hospital
    • Florida
      • Boca Raton, Florida, Forente stater, 33486
        • Boca Raton Regional 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
      • Hollywood, Florida, Forente stater, 33021
        • Memorial Regional Hospital/Joe DiMaggio Children's Hospital
      • Hollywood, Florida, Forente stater, 33021
        • UM Sylvester Comprehensive Cancer Center at Hollywood
      • Jacksonville, Florida, Forente stater, 32207
        • Baptist MD Anderson 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
      • Pembroke Pines, Florida, Forente stater, 33028
        • Memorial Hospital West
      • Pensacola, Florida, Forente stater, 32504
        • Sacred Heart Hospital
      • Plantation, Florida, Forente stater, 33324
        • UM Sylvester Comprehensive Cancer Center at Plantation
      • Tampa, Florida, Forente stater, 33612
        • Moffitt Cancer Center
      • Vero Beach, Florida, Forente stater, 32960
        • Indian River Medical Center
      • 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, 30308
        • Emory University Hospital Midtown
      • Atlanta, Georgia, Forente stater, 30322
        • Emory University Hospital/Winship Cancer Institute
      • Atlanta, Georgia, Forente stater, 30342
        • Emory Saint Joseph's Hospital
      • Atlanta, Georgia, Forente stater, 30342
        • Northside Hospital
      • Columbus, Georgia, Forente stater, 31904
        • John B Amos Cancer Center
      • Decatur, Georgia, Forente stater, 30033
        • Dekalb Medical Center
      • Decatur, Georgia, Forente stater, 30033
        • Atlanta VA Medical Center
      • Gainesville, Georgia, Forente stater, 30501
        • Northeast Georgia Medical Center-Gainesville
      • Lawrenceville, Georgia, Forente stater, 30046
        • Northside Hospital - Gwinnett
      • 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
      • Valdosta, Georgia, Forente stater, 31602
        • South Georgia Medical Center/Pearlman Cancer Center
    • Hawaii
      • 'Aiea, Hawaii, Forente stater, 96701
        • Pali Momi Medical Center
      • 'Aiea, Hawaii, Forente stater, 96701
        • Queen's Cancer Center - Pearlridge
      • Honolulu, Hawaii, Forente stater, 96813
        • Queen's Medical Center
      • Honolulu, Hawaii, Forente stater, 96813
        • Hawaii Cancer Care Inc - Waterfront Plaza
      • Honolulu, Hawaii, Forente stater, 96813
        • Queen's Cancer Cenrer - POB I
      • 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, 96817
        • Queen's Cancer Center - Kuakini
      • Honolulu, Hawaii, Forente stater, 96826
        • Kapiolani Medical Center for Women and Children
    • Idaho
      • Boise, Idaho, Forente stater, 83706
        • Saint Alphonsus Cancer Care Center-Boise
      • Boise, Idaho, Forente stater, 83712
        • Saint Luke's Cancer Institute - Boise
      • Caldwell, Idaho, Forente stater, 83605
        • Saint Alphonsus Cancer Care Center-Caldwell
      • Coeur d'Alene, Idaho, Forente stater, 83814
        • Kootenai Health - Coeur d'Alene
      • Fruitland, Idaho, Forente stater, 83619
        • Saint Luke's Cancer Institute - Fruitland
      • Meridian, Idaho, Forente stater, 83642
        • Saint Luke's Cancer Institute - Meridian
      • Nampa, Idaho, Forente stater, 83686
        • Saint Luke's Cancer Institute - Nampa
      • Nampa, Idaho, Forente stater, 83687
        • Saint Alphonsus Cancer Care Center-Nampa
      • Post Falls, Idaho, Forente stater, 83854
        • Kootenai Clinic Cancer Services - Post Falls
      • Sandpoint, Idaho, Forente stater, 83864
        • Kootenai Cancer Clinic
      • Twin Falls, Idaho, Forente stater, 83301
        • Saint Luke's Cancer Institute - Twin Falls
    • Illinois
      • Aurora, Illinois, Forente stater, 60504
        • Rush - Copley Medical Center
      • Bloomington, Illinois, Forente stater, 61704
        • Illinois CancerCare-Bloomington
      • Canton, Illinois, Forente stater, 61520
        • Illinois CancerCare-Canton
      • 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, 60612
        • Rush University Medical Center
      • Chicago, Illinois, Forente stater, 60637
        • University of Chicago Comprehensive Cancer Center
      • Chicago, Illinois, Forente stater, 60612
        • John H Stroger Jr Hospital of Cook County
      • Chicago, Illinois, Forente stater, 60608
        • Mount Sinai Hospital Medical Center
      • Chicago, Illinois, Forente stater, 60657
        • Advocate Illinois Masonic Medical Center
      • Danville, Illinois, Forente stater, 61832
        • Carle at The Riverfront
      • DeKalb, Illinois, Forente stater, 60115
        • Northwestern Medicine Cancer Center Kishwaukee
      • Decatur, Illinois, Forente stater, 62526
        • Decatur Memorial Hospital
      • Decatur, Illinois, Forente stater, 62526
        • Cancer Care Specialists of Illinois - Decatur
      • Downers Grove, Illinois, Forente stater, 60515
        • Advocate Good Samaritan Hospital
      • 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
      • Evanston, Illinois, Forente stater, 60201
        • NorthShore University HealthSystem-Evanston Hospital
      • Galesburg, Illinois, Forente stater, 61401
        • Illinois CancerCare-Galesburg
      • Geneva, Illinois, Forente stater, 60134
        • Northwestern Medicine Cancer Center Delnor
      • Glenview, Illinois, Forente stater, 60026
        • NorthShore University HealthSystem-Glenbrook Hospital
      • Harvey, Illinois, Forente stater, 60426
        • Ingalls Memorial Hospital
      • Highland Park, Illinois, Forente stater, 60035
        • NorthShore University HealthSystem-Highland Park Hospital
      • Hines, Illinois, Forente stater, 60141
        • Edward Hines Jr VA Hospital
      • Joliet, Illinois, Forente stater, 60435
        • Duly Health and Care Joliet
      • Kewanee, Illinois, Forente stater, 61443
        • Illinois CancerCare-Kewanee Clinic
      • 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
        • Trinity Medical Center
      • Naperville, Illinois, Forente stater, 60540
        • Edward Hospital/Cancer Center
      • New Lenox, Illinois, Forente stater, 60451
        • UC Comprehensive Cancer Center at Silver Cross
      • O'Fallon, Illinois, Forente stater, 62269
        • Cancer Care Center of O'Fallon
      • Oak Lawn, Illinois, Forente stater, 60453-2699
        • Advocate Christ Medical Center
      • Orland Park, Illinois, Forente stater, 60462
        • University of Chicago Medicine-Orland Park
      • Ottawa, Illinois, Forente stater, 61350
        • Illinois CancerCare-Ottawa Clinic
      • Pekin, Illinois, Forente stater, 61554
        • Illinois CancerCare-Pekin
      • Peoria, Illinois, Forente stater, 61615
        • Illinois CancerCare-Peoria
      • Peru, Illinois, Forente stater, 61354
        • Illinois CancerCare-Peru
      • Plainfield, Illinois, Forente stater, 60585
        • Edward Hospital/Cancer Center?Plainfield
      • Princeton, Illinois, Forente stater, 61356
        • Illinois CancerCare-Princeton
      • Quincy, Illinois, Forente stater, 62301
        • Quincy Medical Group-Clinic
      • Rockford, Illinois, Forente stater, 61114
        • SwedishAmerican Regional Cancer Center/ACT
      • Rockford, Illinois, Forente stater, 61108
        • OSF Saint Anthony Medical Center
      • 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
      • 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
    • Indiana
      • Fort Wayne, Indiana, Forente stater, 46845
        • Parkview Regional Medical Center
      • 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, 46219
        • Community Cancer Center East
      • Indianapolis, Indiana, Forente stater, 46227
        • Community Cancer Center South
      • Indianapolis, Indiana, Forente stater, 46256
        • Community Cancer Center North
      • Indianapolis, Indiana, Forente stater, 46202
        • Sidney and Lois Eskenazi Hospital
      • Indianapolis, Indiana, Forente stater, 46202
        • Richard L. Roudebush Veterans Affairs Medical Center
      • Kokomo, Indiana, Forente stater, 46904
        • Community Howard Regional Health
      • Mishawaka, Indiana, Forente stater, 46545
        • Memorial Regional Cancer Center Day Road
      • Mooresville, Indiana, Forente stater, 46158
        • Franciscan Health Mooresville
      • Munster, Indiana, Forente stater, 46321
        • The Community Hospital
      • 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
        • Mary Greeley Medical Center
      • Ames, Iowa, Forente stater, 50010
        • McFarland Clinic - Ames
      • Bettendorf, Iowa, Forente stater, 52722
        • University of Iowa Healthcare Cancer Services Quad Cities
      • Boone, Iowa, Forente stater, 50036
        • McFarland Clinic - Boone
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Mercy Hospital
      • Cedar Rapids, Iowa, Forente stater, 52403
        • Oncology Associates at Mercy Medical Center
      • Cedar Rapids, Iowa, Forente stater, 52402
        • Physicians' Clinic of Iowa PC
      • Clive, Iowa, Forente stater, 50325
        • Mercy Cancer Center-West Lakes
      • Clive, Iowa, Forente stater, 50325
        • Medical Oncology and Hematology Associates-West Des Moines
      • 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
        • Mission Cancer and Blood - Laurel
      • Des Moines, Iowa, Forente stater, 50316
        • Iowa Lutheran Hospital
      • Fort Dodge, Iowa, Forente stater, 50501
        • McFarland Clinic - Trinity Cancer Center
      • Iowa City, Iowa, Forente stater, 52242
        • University of Iowa/Holden Comprehensive Cancer Center
      • Iowa City, Iowa, Forente stater, 52246
        • Iowa City VA Healthcare System
      • Jefferson, Iowa, Forente stater, 50129
        • McFarland Clinic - Jefferson
      • Marshalltown, Iowa, Forente stater, 50158
        • McFarland Clinic - Marshalltown
      • Sioux City, Iowa, Forente stater, 51101
        • Siouxland Regional Cancer Center
      • 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
        • Saint Catherine Hospital
      • Great Bend, Kansas, Forente stater, 67530
        • Central Care Cancer Center - Great Bend
      • Hays, Kansas, Forente stater, 67601
        • HaysMed University of Kansas Health System
      • Independence, Kansas, Forente stater, 67301
        • Cancer Center of Kansas-Independence
      • Kansas City, Kansas, Forente stater, 66160
        • University of Kansas Cancer Center
      • Kansas City, Kansas, Forente stater, 66112
        • University of Kansas Cancer Center-West
      • Kingman, Kansas, Forente stater, 67068
        • Cancer Center of Kansas-Kingman
      • Lawrence, Kansas, Forente stater, 66044
        • Lawrence Memorial Hospital
      • Liberal, Kansas, Forente stater, 67905
        • Cancer Center of Kansas-Liberal
      • McPherson, Kansas, Forente stater, 67460
        • Cancer Center of Kansas - McPherson
      • Olathe, Kansas, Forente stater, 66061
        • Olathe Health Cancer Center
      • Overland Park, Kansas, Forente stater, 66210
        • University of Kansas Cancer Center-Overland Park
      • Overland Park, Kansas, Forente stater, 66213
        • Saint Luke's South Hospital
      • Parsons, Kansas, Forente stater, 67357
        • Cancer Center of Kansas - Parsons
      • Pittsburg, Kansas, Forente stater, 66762
        • Ascension Via Christi - Pittsburg
      • Pratt, Kansas, Forente stater, 67124
        • Cancer Center of Kansas - Pratt
      • Salina, Kansas, Forente stater, 67401
        • Salina Regional Health Center
      • Salina, Kansas, Forente stater, 67401
        • Cancer Center of Kansas - Salina
      • Topeka, Kansas, Forente stater, 66606
        • University of Kansas Health System Saint Francis Campus
      • Topeka, Kansas, Forente stater, 66606
        • Cotton O'Neil Cancer Center / Stormont Vail Health
      • Wellington, Kansas, Forente stater, 67152
        • Cancer Center of Kansas - Wellington
      • Westwood, Kansas, Forente stater, 66205
        • University of Kansas Hospital-Westwood Cancer Center
      • Wichita, Kansas, Forente stater, 67214
        • Ascension Via Christi Hospitals Wichita
      • Wichita, Kansas, Forente stater, 67208
        • Cancer Center of Kansas-Wichita Medical Arts Tower
      • Wichita, Kansas, Forente stater, 67214
        • Cancer Center of Kansas - Wichita
      • Winfield, Kansas, Forente stater, 67156
        • Cancer Center of Kansas - Winfield
    • Kentucky
      • Ashland, Kentucky, Forente stater, 41101
        • King's Daughter's Medical Center
      • Bardstown, Kentucky, Forente stater, 40004
        • Flaget Memorial Hospital
      • Corbin, Kentucky, Forente stater, 40701
        • Baptist Health Corbin
      • Edgewood, Kentucky, Forente stater, 41017
        • Saint Elizabeth Healthcare Edgewood
      • Elizabethtown, Kentucky, Forente stater, 42701
        • Baptist Health Hardin
      • 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, 40509
        • Saint Joseph Hospital East
      • Lexington, Kentucky, Forente stater, 40503
        • Baptist Health Lexington
      • London, Kentucky, Forente stater, 40741
        • Saint Joseph London
      • Louisville, Kentucky, Forente stater, 40202
        • The James Graham Brown Cancer Center at University of Louisville
      • Louisville, Kentucky, Forente stater, 40202
        • Jewish Hospital
      • Louisville, Kentucky, Forente stater, 40245
        • UofL Health Medical Center Northeast
      • Louisville, Kentucky, Forente stater, 40207
        • Baptist Health Louisville
      • Louisville, Kentucky, Forente stater, 40215
        • Saints Mary and Elizabeth Hospital
      • Madisonville, Kentucky, Forente stater, 42431
        • Baptist Health Madisonville/Merle Mahr Cancer Center
      • Paducah, Kentucky, Forente stater, 42003
        • Baptist Health Paducah
    • 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
      • Covington, Louisiana, Forente stater, 70433
        • Northshore Oncology Associates-Covington
      • Covington, Louisiana, Forente stater, 70433
        • Ochsner Hematology Oncology North Shore - Covington (West Region)
      • 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
      • Monroe, Louisiana, Forente stater, 71202
        • Ochsner LSU Health Monroe Medical Center
      • New Orleans, Louisiana, Forente stater, 70121
        • Ochsner Medical Center Jefferson
      • New Orleans, Louisiana, Forente stater, 70112
        • University Medical Center New Orleans
      • Shreveport, Louisiana, Forente stater, 71103
        • LSU Health Sciences Center at Shreveport
      • Shreveport, Louisiana, Forente stater, 71105
        • CHRISTUS Highland Medical Center
      • Slidell, Louisiana, Forente stater, 70458
        • Ochsner Hematology Oncology North Shore - Slidell (East Region)
    • 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
      • Kennebunk, Maine, Forente stater, 04043
        • Maine Center for Cancer Medicine-Kennebunk
      • 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 Center for Cancer Medicine-Scarborough
      • South Portland, Maine, Forente stater, 04106
        • Maine Medical Partners - South Portland
      • Topsham, Maine, Forente stater, 04086
        • Maine Center for Cancer Medicine-Topsham
    • Maryland
      • Annapolis, Maryland, Forente stater, 21401
        • Anne Arundel Medical Center
      • 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, 21204
        • Greater Baltimore Medical Center
      • Baltimore, Maryland, Forente stater, 21201
        • University of Maryland/Greenebaum Cancer Center
      • Bel Air, Maryland, Forente stater, 21014
        • UM Upper Chesapeake Medical Center
      • Cumberland, Maryland, Forente stater, 21502
        • UPMC Western Maryland
      • Elkton, Maryland, Forente stater, 21921
        • Christiana Care - Union Hospital
      • Glen Burnie, Maryland, Forente stater, 21061
        • UM Baltimore Washington Medical Center/Tate Cancer Center
      • Randallstown, Maryland, Forente stater, 21133
        • Northwest Hospital Center
      • Salisbury, Maryland, Forente stater, 21801
        • TidalHealth Peninsula Regional
    • 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, 02118
        • Boston Medical Center
      • Boston, Massachusetts, Forente stater, 02114
        • Massachusetts General Hospital Cancer Center
      • Brighton, Massachusetts, Forente stater, 02135
        • Steward Saint Elizabeth's Medical Center
      • Burlington, Massachusetts, Forente stater, 01805
        • Lahey Hospital and Medical Center
      • Fitchburg, Massachusetts, Forente stater, 01420
        • Simonds-Sinon Regional Cancer Center
      • Gloucester, Massachusetts, Forente stater, 01930
        • Addison Gilbert 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
      • Winchester, Massachusetts, Forente stater, 01890
        • Winchester Hospital
      • Worcester, Massachusetts, Forente stater, 01655
        • UMass Memorial Medical Center - University Campus
    • Michigan
      • 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
      • Brighton, Michigan, Forente stater, 48114
        • Saint Joseph Mercy Brighton
      • Brighton, Michigan, Forente stater, 48114
        • Trinity Health IHA Medical Group Hematology Oncology - 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
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
      • Chelsea, Michigan, Forente stater, 48118
        • Saint Joseph Mercy Chelsea
      • Chelsea, Michigan, Forente stater, 48118
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
      • Clarkston, Michigan, Forente stater, 48346
        • Newland Medical Associates-Clarkston
      • Dearborn, Michigan, Forente stater, 48126
        • Henry Ford Medical Center-Fairlane
      • Detroit, Michigan, Forente stater, 48202
        • Henry Ford Hospital
      • Detroit, Michigan, Forente stater, 48236
        • Ascension Saint John Hospital
      • Escanaba, Michigan, Forente stater, 49829
        • Green Bay Oncology - Escanaba
      • Farmington Hills, Michigan, Forente stater, 48336
        • Beaumont Hospital - Farmington Hills
      • 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
        • Trinity Health Grand Rapids Hospital
      • Jackson, Michigan, Forente stater, 49201
        • Allegiance Health
      • Kalamazoo, Michigan, Forente stater, 49007
        • West Michigan Cancer Center
      • Lansing, Michigan, Forente stater, 48912
        • University of Michigan Health - Sparrow Lansing
      • Livonia, Michigan, Forente stater, 48154
        • Trinity Health Saint Mary Mercy Livonia Hospital
      • 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
        • MyMichigan Medical Center Midland
      • Muskegon, Michigan, Forente stater, 49444
        • Trinity Health Muskegon Hospital
      • Novi, Michigan, Forente stater, 48374
        • Ascension Providence Hospitals - Novi
      • Novi, Michigan, Forente stater, 48377
        • Henry Ford Medical Center-Columbus
      • Pontiac, Michigan, Forente stater, 48341
        • Saint Joseph Mercy Oakland
      • Reed City, Michigan, Forente stater, 49677
        • Corewell Health Reed City Hospital
      • Royal Oak, Michigan, Forente stater, 48073
        • William Beaumont Hospital-Royal Oak
      • Saginaw, Michigan, Forente stater, 48601
        • Ascension Saint Mary's Hospital
      • Saint Joseph, Michigan, Forente stater, 49085
        • Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
      • Southfield, Michigan, Forente stater, 48075
        • Ascension Providence Hospitals - Southfield
      • Troy, Michigan, Forente stater, 48085
        • William Beaumont Hospital - Troy
      • Warren, Michigan, Forente stater, 48093
        • Saint John Macomb-Oakland Hospital
      • West Bloomfield, Michigan, Forente stater, 48322
        • Henry Ford West Bloomfield Hospital
      • Wyoming, Michigan, Forente stater, 49519
        • University of Michigan Health - West
      • Ypsilanti, Michigan, Forente stater, 48197
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
    • 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
      • Duluth, Minnesota, Forente stater, 55805
        • Saint Luke's Hospital of Duluth
      • Duluth, Minnesota, Forente stater, 55805
        • Essentia Health Cancer Center
      • Edina, Minnesota, Forente stater, 55435
        • Fairview Southdale Hospital
      • Fridley, Minnesota, Forente stater, 55432
        • Unity Hospital
      • Hibbing, Minnesota, Forente stater, 55746
        • Essentia Health Hibbing Clinic
      • 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
      • Minneapolis, Minnesota, Forente stater, 55417
        • Minneapolis VA Medical Center
      • New Ulm, Minnesota, Forente stater, 56073
        • New Ulm Medical Center
      • Robbinsdale, Minnesota, Forente stater, 55422
        • North Memorial Medical Health Center
      • Rochester, Minnesota, Forente stater, 55905
        • Mayo Clinic in Rochester
      • 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
      • 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
    • Mississippi
      • Columbus, Mississippi, Forente stater, 39705
        • Baptist Memorial Hospital and Cancer Center-Golden Triangle
      • Grenada, Mississippi, Forente stater, 38901
        • Baptist Cancer Center-Grenada
      • Hattiesburg, Mississippi, Forente stater, 39401
        • Hattiesburg Clinic - Hematology/Oncology Clinic
      • Hattiesburg, Mississippi, Forente stater, 39404
        • Forrest General Hospital / Cancer Center
      • Jackson, Mississippi, Forente stater, 39216
        • University of Mississippi Medical Center
      • New Albany, Mississippi, Forente stater, 38652
        • Baptist Memorial Hospital and Cancer Center-Union County
      • 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
      • Bonne Terre, Missouri, Forente stater, 63628
        • Parkland Health Center-Bonne Terre
      • 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
      • Columbia, Missouri, Forente stater, 65212
        • MU Health - University Hospital/Ellis Fischel Cancer Center
      • Creve Coeur, Missouri, Forente stater, 63141
        • Siteman Cancer Center at West County Hospital
      • Jefferson City, Missouri, Forente stater, 65109
        • Capital Region Southwest Campus
      • Joplin, Missouri, Forente stater, 64804
        • Mercy Hospital Joplin
      • Kansas City, Missouri, Forente stater, 64154
        • University of Kansas Cancer Center - North
      • Kansas City, Missouri, Forente stater, 64131
        • The University of Kansas Cancer Center-South
      • 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, 64108
        • Truman Medical Centers
      • Lee's Summit, Missouri, Forente stater, 64064
        • University of Kansas Cancer Center - Lee's Summit
      • Lee's Summit, Missouri, Forente stater, 64086
        • Saint Luke's East - Lee's Summit
      • Saint Louis, Missouri, Forente stater, 63110
        • Washington University School of Medicine
      • Saint Louis, Missouri, Forente stater, 63131
        • Missouri Baptist Medical Center
      • Saint Louis, Missouri, Forente stater, 63141
        • Mercy Hospital Saint Louis
      • Saint Louis, Missouri, Forente stater, 63129
        • Siteman Cancer Center-South County
      • Saint Louis, Missouri, Forente stater, 63136
        • Siteman Cancer Center at Christian Hospital
      • Saint Louis, Missouri, Forente stater, 63109
        • Saint Louis Cancer and Breast Institute-South City
      • Saint Louis, Missouri, Forente stater, 63125
        • Veteran's Affairs Medical Center - Saint Louis
      • Saint Peters, Missouri, Forente stater, 63376
        • Siteman Cancer Center at Saint Peters Hospital
      • Sainte Genevieve, Missouri, Forente stater, 63670
        • Sainte Genevieve County Memorial Hospital
      • Springfield, Missouri, Forente stater, 65807
        • CoxHealth South Hospital
      • Sullivan, Missouri, Forente stater, 63080
        • Missouri Baptist Sullivan Hospital
      • Sunset Hills, Missouri, Forente stater, 63127
        • BJC Outpatient Center at 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
      • Lincoln, Nebraska, Forente stater, 68516
        • Southeast Nebraska Cancer Center - 68th Street Place
      • Omaha, Nebraska, Forente stater, 68114
        • Nebraska Methodist Hospital
      • Omaha, Nebraska, Forente stater, 68198
        • University Of Nebraska Medical Center
      • Omaha, Nebraska, Forente stater, 68124
        • Alegent Health Bergan Mercy Medical Center
      • Omaha, Nebraska, Forente stater, 68122
        • Alegent Health Immanuel Medical Center
    • Nevada
      • 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
        • GenesisCare USA - Henderson
      • Las Vegas, Nevada, Forente stater, 89144
        • Summerlin Hospital Medical Center
      • Las Vegas, Nevada, Forente stater, 89102
        • OptumCare Cancer Care at Charleston
      • Las Vegas, Nevada, Forente stater, 89106
        • Radiation Oncology Centers of Nevada Central
      • Las Vegas, Nevada, Forente stater, 89109
        • GenesisCare USA - Las Vegas
      • 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, 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, 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
        • GenesisCare USA - Vegas 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, 89148
        • GenesisCare USA - Fort Apache
      • Las Vegas, Nevada, Forente stater, 89149
        • HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
      • Reno, Nevada, Forente stater, 89502
        • Renown Regional Medical Center
      • Reno, Nevada, Forente stater, 89503
        • Saint Mary's Regional Medical Center
    • New Hampshire
      • Concord, New Hampshire, Forente stater, 03301
        • New Hampshire Oncology Hematology PA-Concord
      • Dover, New Hampshire, Forente stater, 03820
        • Wentworth-Douglass Hospital
      • Exeter, New Hampshire, Forente stater, 03833
        • Exeter Hospital
      • Lebanon, New Hampshire, Forente stater, 03756
        • Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
      • Londonderry, New Hampshire, Forente stater, 03053
        • The Dana-Farber Cancer Institute at Londonderry
      • Manchester, New Hampshire, Forente stater, 03102
        • Norris Cotton Cancer Center-Manchester
      • Manchester, New Hampshire, Forente stater, 03103
        • Solinsky Center for Cancer Care
      • Nashua, New Hampshire, Forente stater, 03060
        • Saint Joseph Hospital
      • Nashua, New Hampshire, Forente stater, 03063
        • Dartmouth Cancer Center - Nashua
      • Portsmouth, New Hampshire, Forente stater, 03802
        • Portsmouth Regional Hospital
    • New Jersey
      • Basking Ridge, New Jersey, Forente stater, 07920
        • Memorial Sloan Kettering Basking Ridge
      • Camden, New Jersey, Forente stater, 08103
        • Cooper Hospital University Medical Center
      • Hamilton, New Jersey, Forente stater, 08690
        • The Cancer Institute of New Jersey Hamilton
      • Long Branch, New Jersey, Forente stater, 07740
        • Monmouth Medical Center
      • Middletown, New Jersey, Forente stater, 07748
        • Memorial Sloan Kettering Monmouth
      • Montvale, New Jersey, Forente stater, 07645
        • Memorial Sloan Kettering Bergen
      • Morristown, New Jersey, Forente stater, 07960
        • Morristown Medical Center
      • Mount Holly, New Jersey, Forente stater, 08060
        • Virtua Memorial
      • Mullica Hill, New Jersey, Forente stater, 08062
        • Inspira Medical Center Mullica Hill
      • New Brunswick, New Jersey, Forente stater, 08903
        • Rutgers Cancer Institute of New Jersey
      • Newton, New Jersey, Forente stater, 07860
        • Newton Medical Center
      • Paramus, New Jersey, Forente stater, 07652
        • The Valley Hospital-Luckow Pavilion
      • Pompton, New Jersey, Forente stater, 07444
        • Chilton Medical Center
      • Ridgewood, New Jersey, Forente stater, 07450
        • Valley Hospital
      • Somerville, New Jersey, Forente stater, 08876
        • Robert Wood Johnson University Hospital Somerset
      • Summit, New Jersey, Forente stater, 07902
        • Overlook Hospital
      • Toms River, New Jersey, Forente stater, 08755
        • Community Medical Center
      • Vineland, New Jersey, Forente stater, 08360
        • Inspira Medical Center Vineland
      • Voorhees, New Jersey, Forente stater, 08043
        • Virtua Voorhees
      • Westwood, New Jersey, Forente stater, 07675
        • Valley Health System-Hematology/Oncology
    • New Mexico
      • Albuquerque, New Mexico, Forente stater, 87102
        • University of New Mexico Cancer Center
      • Albuquerque, New Mexico, Forente stater, 87102
        • Lovelace Medical Center-Saint Joseph Square
      • Albuquerque, New Mexico, Forente stater, 87102
        • Lovelace Medical Center-Downtown
      • Albuquerque, New Mexico, Forente stater, 87110
        • Presbyterian Kaseman Hospital
      • Las Cruces, New Mexico, Forente stater, 88011
        • Memorial Medical Center - Las Cruces
      • Rio Rancho, New Mexico, Forente stater, 87124
        • Presbyterian Rust Medical Center/Jorgensen Cancer Center
      • Santa Fe, New Mexico, Forente stater, 87505
        • Christus Saint Vincent Regional Cancer Center
    • New York
      • Bay Shore, New York, Forente stater, 11706
        • Northwell Health Imbert Cancer Center
      • Bronx, New York, Forente stater, 10461
        • Montefiore Medical Center-Einstein Campus
      • Bronx, New York, Forente stater, 10467
        • Montefiore Medical Center - Moses Campus
      • Bronx, New York, Forente stater, 10468
        • James J Peters VA Medical Center
      • Brooklyn, New York, Forente stater, 11219
        • Maimonides Medical Center
      • Brooklyn, New York, Forente stater, 11215
        • New York-Presbyterian/Brooklyn Methodist Hospital
      • Buffalo, New York, Forente stater, 14263
        • Roswell Park Cancer Institute
      • Commack, New York, Forente stater, 11725
        • Memorial Sloan Kettering Commack
      • Cooperstown, New York, Forente stater, 13326
        • Mary Imogene Bassett Hospital
      • Glens Falls, New York, Forente stater, 12801
        • Glens Falls Hospital
      • Harrison, New York, Forente stater, 10604
        • Memorial Sloan Kettering Westchester
      • Lake Success, New York, Forente stater, 11042
        • Northwell Health/Center for Advanced Medicine
      • New York, New York, Forente stater, 10065
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, Forente stater, 10032
        • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
      • New York, New York, Forente stater, 10065
        • NYP/Weill Cornell Medical Center
      • New York, New York, Forente stater, 10016
        • Laura and Isaac Perlmutter Cancer Center at NYU Langone
      • Poughkeepsie, New York, Forente stater, 12601
        • Vassar Brothers Medical Center
      • Rochester, New York, Forente stater, 14642
        • University of Rochester
      • Rochester, New York, Forente stater, 14621
        • Rochester General Hospital
      • Staten Island, New York, Forente stater, 10305
        • Staten Island University Hospital
      • Syracuse, New York, Forente stater, 13210
        • State University of New York Upstate Medical University
      • Uniondale, New York, Forente stater, 11553
        • Memorial Sloan Kettering Nassau
      • White Plains, New York, Forente stater, 10601
        • Dickstein Cancer Treatment Center
    • North Carolina
      • Asheboro, North Carolina, Forente stater, 27203
        • Randolph Hospital
      • Asheville, North Carolina, Forente stater, 28801
        • Mission Hospital
      • Asheville, North Carolina, Forente stater, 28803
        • AdventHealth Infusion Center Asheville
      • Burlington, North Carolina, Forente stater, 27215
        • Cone Health Cancer Center at Alamance Regional
      • Chapel Hill, North Carolina, Forente stater, 27599
        • UNC Lineberger Comprehensive Cancer Center
      • Charlotte, North Carolina, Forente stater, 28204
        • Novant Health Presbyterian Medical Center
      • Charlotte, North Carolina, Forente stater, 28207
        • Oncology Specialists of Charlotte
      • Charlotte, North Carolina, Forente stater, 28262
        • Southern Oncology Specialists-Charlotte
      • Clinton, North Carolina, Forente stater, 28328
        • Southeastern Medical Oncology Center-Clinton
      • Clyde, North Carolina, Forente stater, 28721
        • AdventHealth Infusion Center Haywood
      • Durham, North Carolina, Forente stater, 27710
        • Duke University Medical Center
      • Gastonia, North Carolina, Forente stater, 28054
        • CaroMont Regional Medical Center
      • Gastonia, North Carolina, Forente stater, 28054
        • Gaston Hematology and Oncology Associates
      • 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
      • Henderson, North Carolina, Forente stater, 27536
        • Maria Parham Hospital
      • 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
        • Novant Health Cancer Institute - Huntersville
      • Huntersville, North Carolina, Forente stater, 28078
        • Southern Oncology Specialists-Huntersville
      • Jacksonville, North Carolina, Forente stater, 28546
        • Southeastern Medical Oncology Center-Jacksonville
      • Kenansville, North Carolina, Forente stater, 28349
        • Vidant Oncology-Kenansville
      • Kinston, North Carolina, Forente stater, 28501
        • Vidant Oncology-Kinston
      • Laurinburg, North Carolina, Forente stater, 28352
        • Scotland Memorial Hospital-Laurinburg Cancer Center
      • Lumberton, North Carolina, Forente stater, 28358
        • Southeastern Regional Medical Center
      • Matthews, North Carolina, Forente stater, 28105
        • Matthews Radiation Oncology Center
      • Matthews, North Carolina, Forente stater, 28105
        • Novant Health Cancer Institute - Matthews
      • Mooresville, North Carolina, Forente stater, 28117
        • Novant Health Cancer Institute - Mooresville
      • Pinehurst, North Carolina, Forente stater, 28374
        • FirstHealth of the Carolinas-Moore Regional Hospital
      • Raleigh, North Carolina, Forente stater, 27609
        • Duke Raleigh Hospital
      • Richlands, North Carolina, Forente stater, 28574
        • Vidant Oncology-Richlands
      • Smithfield, North Carolina, Forente stater, 27577
        • Johnston Memorial Hospital
      • 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, 58122
        • Sanford Broadway Medical Center
      • Grand Forks, North Dakota, Forente stater, 58201
        • Altru Cancer Center
    • Ohio
      • Akron, Ohio, Forente stater, 44307
        • Cleveland Clinic Akron General
      • Canton, Ohio, Forente stater, 44710
        • Aultman Health Foundation
      • 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
        • University of Cincinnati Cancer Center-UC Medical Center
      • Cincinnati, Ohio, Forente stater, 45220
        • Good Samaritan Hospital - Cincinnati
      • Cincinnati, Ohio, Forente stater, 45242
        • Bethesda North Hospital
      • 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, 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, 43215
        • Grant Medical Center
      • Dayton, Ohio, Forente stater, 45428
        • Dayton Veterans Affairs Medical Center
      • Elyria, Ohio, Forente stater, 44035
        • Mercy Cancer Center-Elyria
      • Findlay, Ohio, Forente stater, 45840
        • Blanchard Valley Hospital
      • Findlay, Ohio, Forente stater, 45840
        • Armes Family Cancer Center
      • 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
      • Lima, Ohio, Forente stater, 45801
        • Saint Rita's Medical Center
      • Mansfield, Ohio, Forente stater, 44906
        • Cleveland Clinic Cancer Center Mansfield
      • 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
      • 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
      • Mount Vernon, Ohio, Forente stater, 43050
        • Knox Community Hospital
      • Newark, Ohio, Forente stater, 43055
        • Licking Memorial Hospital
      • Oregon, Ohio, Forente stater, 43616
        • Saint Charles Hospital
      • Parma, Ohio, Forente stater, 44129
        • University Hospitals Parma Medical Center
      • Perrysburg, Ohio, Forente stater, 43551
        • Mercy Health Perrysburg Cancer Center
      • Portsmouth, Ohio, Forente stater, 45662
        • Southern Ohio 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
      • 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
        • Mercy Health - Saint Anne Hospital
      • Toledo, Ohio, Forente stater, 43623
        • Toledo Clinic Cancer Centers-Toledo
      • Toledo, Ohio, Forente stater, 43614
        • University of Toledo
      • Wadsworth, Ohio, Forente stater, 44281
        • University Hospitals Sharon Health Center
      • Warrensville Heights, Ohio, Forente stater, 44122
        • South Pointe Hospital
      • Westlake, Ohio, Forente stater, 44145
        • UH Seidman Cancer Center at Saint John Medical Center
      • Wooster, Ohio, Forente stater, 44691
        • Cleveland Clinic Wooster Family Health and Surgery Center
      • Wright-Patterson Air Force Base, Ohio, Forente stater, 45433
        • Wright-Patterson Medical 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
    • Oregon
      • Clackamas, Oregon, Forente stater, 97015
        • Providence Cancer Institute Clackamas Clinic
      • Coos Bay, Oregon, Forente stater, 97420
        • Bay Area Hospital
      • Corvallis, Oregon, Forente stater, 97330
        • Good Samaritan Hospital
      • 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
      • 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
    • Pennsylvania
      • Allentown, Pennsylvania, Forente stater, 18103
        • Lehigh Valley Hospital-Cedar Crest
      • Bethlehem, Pennsylvania, Forente stater, 18017
        • Lehigh Valley Hospital - Muhlenberg
      • Bethlehem, Pennsylvania, Forente stater, 18015
        • Saint Luke's University Hospital-Bethlehem Campus
      • Broomall, Pennsylvania, Forente stater, 19008
        • Crozer-Keystone Regional Cancer Center at Broomall
      • Bryn Mawr, Pennsylvania, Forente stater, 19010
        • Bryn Mawr Hospital
      • Danville, Pennsylvania, Forente stater, 17822
        • Geisinger Medical Center
      • Ephrata, Pennsylvania, Forente stater, 17522
        • Ephrata Cancer Center
      • Ephrata, Pennsylvania, Forente stater, 17522
        • Ephrata Community Hospital
      • Erie, Pennsylvania, Forente stater, 16505
        • UPMC Hillman Cancer Center Erie
      • Gettysburg, Pennsylvania, Forente stater, 17325
        • Adams 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
      • 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
      • Media, Pennsylvania, Forente stater, 19063
        • Riddle Memorial Hospital
      • 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, 19104
        • University of Pennsylvania/Abramson Cancer Center
      • Philadelphia, Pennsylvania, Forente stater, 19140
        • Temple University Hospital
      • Pittsburgh, Pennsylvania, Forente stater, 15232
        • University of Pittsburgh Cancer Institute (UPCI)
      • 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
      • State College, Pennsylvania, Forente stater, 16801
        • Geisinger Medical Group
      • State College, Pennsylvania, Forente stater, 16803
        • Mount Nittany Medical Center
      • West Chester, Pennsylvania, Forente stater, 19380
        • Chester County Hospital
      • West Reading, Pennsylvania, Forente stater, 19611
        • Reading Hospital
      • Wilkes-Barre, Pennsylvania, Forente stater, 18711
        • Geisinger Wyoming Valley/Henry Cancer Center
      • Williamsport, Pennsylvania, Forente stater, 17701
        • UPMC Susquehanna
      • Willow Grove, Pennsylvania, Forente stater, 19090
        • Asplundh Cancer Pavilion
      • 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
    • Rhode Island
      • Providence, Rhode Island, Forente stater, 02908
        • Roger Williams Medical Center
    • South Carolina
      • Boiling Springs, South Carolina, Forente stater, 29316
        • Prisma Health Cancer Institute - Spartanburg
      • Charleston, South Carolina, Forente stater, 29425
        • Medical University of South Carolina
      • Easley, South Carolina, Forente stater, 29640
        • Prisma Health Cancer Institute - Easley
      • Florence, South Carolina, Forente stater, 29506
        • McLeod Regional Medical Center
      • Gaffney, South Carolina, Forente stater, 29341
        • Gibbs Cancer Center-Gaffney
      • Greenville, South Carolina, Forente stater, 29605
        • Prisma Health Cancer Institute - Faris
      • Greenville, South Carolina, Forente stater, 29607
        • Saint Francis Cancer Center
      • Greenville, South Carolina, Forente stater, 29615
        • Prisma Health Cancer Institute - Eastside
      • Greenville, South Carolina, Forente stater, 29605
        • Prisma Health Cancer Institute - Butternut
      • Greenville, South Carolina, Forente stater, 29601
        • Saint Francis Hospital
      • Greenwood, South Carolina, Forente stater, 29646
        • Self Regional Healthcare
      • Greer, South Carolina, Forente stater, 29650
        • Prisma Health Cancer Institute - Greer
      • Greer, South Carolina, Forente stater, 29651
        • Gibbs Cancer Center-Pelham
      • Hilton Head Island, South Carolina, Forente stater, 29926-3827
        • South Carolina Cancer Specialists PC
      • Seneca, South Carolina, Forente stater, 29672
        • Prisma Health Cancer Institute - Seneca
      • Spartanburg, South Carolina, Forente stater, 29303
        • Spartanburg Medical Center
      • West Columbia, South Carolina, Forente stater, 29169
        • Lexington Medical Center
    • South Dakota
      • Sioux Falls, South Dakota, Forente stater, 57105
        • Avera Cancer Institute
      • 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
        • Bristol Regional Medical Center
      • Cookeville, Tennessee, Forente stater, 38501
        • Cookeville Regional Medical Center
      • Johnson City, Tennessee, Forente stater, 37604
        • Wellmont Medical Associates Oncology and Hematology-Johnson City
      • Kingsport, Tennessee, Forente stater, 37660
        • Ballad Health Cancer Care - Kingsport
      • Kingsport, Tennessee, Forente stater, 37660
        • Wellmont Holston Valley Hospital and Medical Center
      • Memphis, Tennessee, Forente stater, 38120
        • Baptist Memorial Hospital and Cancer Center-Memphis
      • Memphis, Tennessee, Forente stater, 38120
        • Baptist Memorial Hospital for Women
      • Memphis, Tennessee, Forente stater, 38120
        • Family Cancer Center-Memphis
      • Nashville, Tennessee, Forente stater, 37232
        • Vanderbilt University/Ingram Cancer Center
    • Texas
      • Abilene, Texas, Forente stater, 79601
        • Hendrick Medical Center
      • Amarillo, Texas, Forente stater, 79106
        • The Don and Sybil Harrington Cancer Center
      • Austin, Texas, Forente stater, 78701
        • Dell Seton Medical Center at The University of Texas
      • Dallas, Texas, Forente stater, 75235
        • Parkland Memorial Hospital
      • Dallas, Texas, Forente stater, 75390
        • UT Southwestern/Simmons Cancer Center-Dallas
      • Fort Worth, Texas, Forente stater, 76104
        • UT Southwestern/Simmons Cancer Center-Fort Worth
      • Houston, Texas, Forente stater, 77030
        • M D Anderson Cancer Center
      • Houston, Texas, Forente stater, 77030
        • Houston Methodist Hospital
      • Houston, Texas, Forente stater, 77030
        • Memorial Hermann Texas Medical Center
      • League City, Texas, Forente stater, 77573
        • MD Anderson League City
      • Lubbock, Texas, Forente stater, 79410
        • Covenant Medical Center-Lakeside
      • Sugar Land, Texas, Forente stater, 77479
        • Houston Methodist Sugar Land Hospital
    • 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
      • 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
      • Saint George, Utah, Forente stater, 84770
        • Saint George Regional Medical Center
      • Salt Lake City, Utah, Forente stater, 84106
        • Utah Cancer Specialists-Salt Lake City
      • Salt Lake City, Utah, Forente stater, 84143
        • LDS Hospital
    • Vermont
      • Bennington, Vermont, Forente stater, 05201
        • Southwestern Vermont Medical Center
      • Berlin, 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
      • Charlottesville, Virginia, Forente stater, 22908
        • University of Virginia Cancer Center
      • Charlottesville, Virginia, Forente stater, 22901
        • Sentara Martha Jefferson Hospital
      • Fairfax, Virginia, Forente stater, 22031
        • Inova Schar Cancer Institute
      • Fairfax, Virginia, Forente stater, 22033
        • Inova Fair Oaks Hospital
      • 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
      • Fredericksburg, Virginia, Forente stater, 22401
        • Mary Washington Hospital
      • Lynchburg, Virginia, Forente stater, 24501
        • Centra Lynchburg Hematology-Oncology Clinic Inc
      • Martinsville, Virginia, Forente stater, 24115
        • Sovah Health Martinsville
      • Mechanicsville, Virginia, Forente stater, 23116
        • Bon Secours Memorial Regional Medical Center
      • Midlothian, Virginia, Forente stater, 23114
        • Bon Secours Saint Francis Medical Center
      • 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, 23229
        • 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
    • Washington
      • Aberdeen, Washington, Forente stater, 98520
        • Providence Regional Cancer System-Aberdeen
      • Bremerton, Washington, Forente stater, 98310
        • Harrison HealthPartners Hematology and Oncology-Bremerton
      • Centralia, Washington, Forente stater, 98531
        • Providence Regional Cancer System-Centralia
      • Edmonds, Washington, Forente stater, 98026
        • Swedish Cancer Institute-Edmonds
      • Issaquah, Washington, Forente stater, 98029
        • Swedish Cancer Institute-Issaquah
      • Kirkland, Washington, Forente stater, 98034
        • Seattle Cancer Care Alliance at EvergreenHealth
      • Lacey, Washington, Forente stater, 98503
        • Providence Regional Cancer System-Lacey
      • Poulsbo, Washington, Forente stater, 98370
        • Harrison HealthPartners Hematology and Oncology-Poulsbo
      • Renton, Washington, Forente stater, 98055
        • Valley Medical Center
      • Seattle, Washington, Forente stater, 98101
        • Virginia Mason Medical Center
      • Seattle, Washington, Forente stater, 98122
        • Swedish Medical Center-First Hill
      • Seattle, Washington, Forente stater, 98195
        • University of Washington Medical Center - Montlake
      • Seattle, Washington, Forente stater, 98109
        • FHCC South Lake Union
      • Tacoma, Washington, Forente stater, 98405
        • MultiCare Tacoma General Hospital
      • Vancouver, Washington, Forente stater, 98664
        • PeaceHealth Southwest Medical Center
      • Walla Walla, Washington, Forente stater, 99362
        • Providence Saint Mary Regional Cancer Center
    • 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
      • Morgantown, West Virginia, Forente stater, 26506
        • West Virginia University Healthcare
    • Wisconsin
      • Antigo, Wisconsin, Forente stater, 54409
        • Langlade Hospital and Cancer Center
      • Appleton, Wisconsin, Forente stater, 54911
        • ThedaCare Regional Cancer Center
      • Appleton, Wisconsin, Forente stater, 54915
        • Ascension Saint Elizabeth Hospital
      • Ashland, Wisconsin, Forente stater, 54806
        • Duluth Clinic Ashland
      • Brookfield, Wisconsin, Forente stater, 53045
        • Ascension Southeast Wisconsin Hospital - Elmbrook Campus
      • 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
      • Franklin, Wisconsin, Forente stater, 53132
        • Ascension 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
      • Johnson Creek, Wisconsin, Forente stater, 53038
        • UW Cancer Center Johnson Creek
      • 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
      • Madison, Wisconsin, Forente stater, 53792
        • University of Wisconsin Carbone Cancer Center
      • Madison, Wisconsin, Forente stater, 53705
        • William S Middleton VA Medical 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
        • Saint Vincent Hospital Cancer Center at Marinette
      • Marshfield, Wisconsin, Forente stater, 54449
        • Marshfield Medical Center-Marshfield
      • Mequon, Wisconsin, Forente stater, 53097
        • Ascension Columbia Saint Mary's Hospital Ozaukee
      • Milwaukee, Wisconsin, Forente stater, 53226
        • Medical College of Wisconsin
      • 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
        • Ascension Columbia Saint Mary's Hospital - Milwaukee
      • 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
        • Ascension Mercy Hospital
      • Oshkosh, Wisconsin, Forente stater, 54904
        • Vince Lombardi Cancer Clinic - Oshkosh
      • Racine, Wisconsin, Forente stater, 53406
        • Aurora Cancer Care-Racine
      • 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, 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
      • 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
        • Ascension Medical Group Southeast Wisconsin - Mayfair Road
      • West Allis, Wisconsin, Forente stater, 53227
        • Aurora West Allis Medical Center
      • Weston, Wisconsin, Forente stater, 54476
        • Marshfield Medical Center - Weston
      • Wisconsin Rapids, Wisconsin, Forente stater, 54494
        • Aspirus Cancer Care - Wisconsin Rapids
      • Wisconsin Rapids, Wisconsin, Forente stater, 54494
        • Marshfield Clinic - Wisconsin Rapids Center
    • Wyoming
      • 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

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Beskrivelse

Inklusjonskriterier:

  • Pasienter må ha gjennomgått fullstendig kirurgisk reseksjon av stadium IB (>= 4 cm), II eller IIIA NSCLC i henhold til American Joint Committee on Cancer (AJCC) 7. utgave og ha hatt negative kirurgiske marginer
  • Baseline brysttomografi (CT) må utføres innen 1 måned (30 dager) etter randomisering for å sikre at det ikke er tegn på sykdom; hvis det er klinisk indisert, må ytterligere bildediagnostiske studier utføres for å utelukke metastatisk sykdom
  • Eastern Cooperative Oncology Group (ECOG) ytelsesstatus 0-1
  • Pasienter må registreres til ALCHEMIST-SCREEN (ALLIANCE A151216) studien før randomisering
  • Ikke-plateepitel-svulster må ikke være positive for epidermal vekstfaktorreseptor (EGFR) exon 19-delesjon eller exon 21 L858R-mutasjon (sentralt som en del av ALCHEMIST-SCREEN-protokollen) og omorganisering av anaplastisk lymfomreseptor tyrosinkinase (ALK) (sentralt som en del av ALCHEMIST-SCREEN og/eller lokalt)

    • MERK: hvis resultatene av den sentrale EGFR-testingen er negative, men ALK-testingen ikke var i stand til å fullføres av ALCHEMIST sentrallaboratoriet, vil ALK-statusen bli ansett som negativ (med mindre lokalt positiv for ALK-omorganisering) og pasienten kan vurderes for påmelding til EA5142, når PD-L1-resultater er mottatt og alle andre kvalifikasjonskrav er oppfylt
  • Tumorer må ha PD-L1-status testet sentralt som en del av ALCHEMIST-SCREEN-protokollen
  • Kvinner må ikke være gravide eller ammende på grunn av ukjente og potensielt skadelige effekter av nivolumab på fosteret eller barnet under utvikling
  • Alle kvinner i fertil alder må ha en blodprøve eller urinstudie innen 2 uker før registrering for å utelukke graviditet; en kvinne i fertil alder er enhver kvinne, uavhengig av seksuell legning eller om de har gjennomgått tubal ligering, som oppfyller følgende kriterier: 1) ikke har gjennomgått en hysterektomi eller bilateral ooforektomi; eller 2) ikke har vært naturlig postmenopausal i minst 24 påfølgende måneder (dvs. har hatt mens når som helst i de foregående 24 påfølgende månedene)
  • Kvinner i fertil alder og seksuelt aktive menn må anbefales på det sterkeste å bruke en akseptert og effektiv prevensjonsmetode eller å avstå fra samleie under behandlingsperioden og i 31 uker etter siste nivolumab-infusjon.
  • Pasienter må IKKE ha ukontrollert interkurrent sykdom inkludert, men ikke begrenset til, alvorlig pågående eller aktiv infeksjon, symptomatisk kongestiv hjertesvikt, ustabil angina pectoris, ukontrollert hjertearytmi eller psykiatrisk sykdom/sosial situasjon som vil begrense overholdelse av studiekravene
  • Ingen tidligere behandling med en immunkontrollpunkthemmer (anti-programmert celledød [PD]-1, anti-PD-L1, anti-cytotoksisk T-lymfocytt-assosiert protein 4 [CTLA4] monoklonalt antistoff)
  • Pasienter må ha restituert tilstrekkelig fra kirurgi og eventuell administrert kjemoterapi/strålebehandling på tidspunktet for randomisering (MERK: adjuvant kjemoterapi og/eller stråling er ikke nødvendig)

    • Minimumstid mellom operasjonsdato og randomisering er 4 uker (28 dager)
    • Maksimal tid tillatt mellom operasjon og randomisering:

      • 3 måneder (90 dager) hvis ingen kjemoterapi gis
      • 8 måneder (240 dager) hvis adjuvant kjemoterapi ble gitt
      • 10 måneder (300 dager) hvis adjuvant kjemoterapi og strålebehandling ble gitt
  • Pasienter må ha fullført og restituert fra eventuell adjuvant kjemoterapi 2 eller flere uker før randomisering (6 uker for mitomycin og nitrosoureas; 4 uker for postoperativ strålebehandling) (MERK: adjuvant kjemoterapi og/eller stråling er ikke nødvendig)
  • Serumaspartattransaminase (aspartataminotransferase [AST]) og serumalanintransaminase (alaninaminotransferase [ALT]) =< 2,5 x øvre normalgrense (innen 2 uker før randomisering)
  • Total bilirubin =< 1,5 x øvre normalgrense (ULN) (unntatt hos personer med Gilbert syndrom som må ha en total bilirubin < 3,0 x ULN) (innen 2 uker før randomisering)
  • Hvite blodlegemer (WBC) >= 2000/uL (innen 2 uker før randomisering)
  • Nøytrofiler >= 1000/uL (innen 2 uker før randomisering)
  • Blodplater >= 100 x 10^3/uL (innen 2 uker før randomisering)
  • Hemoglobin >= 8 g/dL (innen 2 uker før randomisering)
  • Serumkreatinin =< 2 x ULN (innen 2 uker før randomisering)
  • Før randomisering må pasienter med ikke-hematologisk toksisitet fra kirurgi, kjemoterapi og strålebehandling ha kommet seg til grad =< 1 med unntak av alopecia, ototoksisitet og nevropati
  • Pasienter må ikke få andre undersøkelsesmidler mot kreft under studien
  • Pasienter må ikke ha kjent eller mistenkt autoimmun sykdom; personer med type I diabetes mellitus, hypotyreose som krever hormonerstatning, eller hudsykdommer som ikke krever systemisk behandling, har tillatelse til å melde seg på
  • Pasienter må ikke ha en tilstand som krever systemiske kortikosteroider tilsvarende > 10 mg prednison per dag eller andre immunsuppressive medisiner innen 2 uker etter randomisering; inhalerte, intraartikulære og epidurale steroider er tillatt
  • Pasienter må ikke ha kjent interstitiell lungesykdom som er symptomatisk eller kan forstyrre påvisning eller håndtering av mistenkt legemiddelrelatert lungetoksisitet
  • Pasienter må ikke ha en kjent historie med humant immunsviktvirus (HIV), hepatitt B eller hepatitt C-infeksjon som er ubehandlet og/eller med en påvisbar viral belastning
  • Pasienter må ikke ha en historie med allergiske reaksjoner tilskrevet forbindelser med lignende kjemisk eller biologisk sammensetning som nivolumab

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)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: Arm II (observasjon)
Pasientene følges serielt med CT- og/eller PET/CT-avbildning i opptil 1 år og deretter under oppfølging. Pasienter gjennomgår også blodprøvetaking under screening og oppfølging. Pasienter kan gjennomgå en ECHO som klinisk indisert i studien.
Gjennomgå CT
Andre navn:
  • CT
  • KATT
  • CAT-skanning
  • Beregnet aksial tomografi
  • Datastyrt aksialtomografi
  • Datastyrt tomografi
  • CT skann
  • tomografi
  • Datastyrt aksial tomografi (prosedyre)
  • Datastyrt tomografi (CT) skanning
Gjennomgå blodprøvetaking
Andre navn:
  • Biologisk prøvesamling
  • Bioprøve samlet
  • Prøvesamling
Gjennomgå observasjon
Andre navn:
  • Undersøkelse
  • Visuell inspeksjon
Gjennomgå ECHO
Andre navn:
  • EC
Gjennomgå PET-CT
Andre navn:
  • Medisinsk bildebehandling, positronemisjonstomografi
  • KJÆLEDYR
  • PET-skanning
  • Positron Emission Tomography Scan
  • Positron-utslippstomografi
  • proton magnetisk resonansspektroskopisk avbildning
  • PT
  • Positronemisjonstomografi (prosedyre)
Eksperimentell: Arm I (nivolumab)
Pasienter får nivolumab IV over 30 minutter på dag 1 i hver syklus. Sykluser gjentas hver 4. uke i opptil 1 år i fravær av sykdomsprogresjon eller uakseptabel toksisitet. Pasienter gjennomgår også CT og/eller PET/CT gjennom hele forsøket og blodprøvetaking under screening og oppfølging. Pasienter kan gjennomgå en ECHO som klinisk indisert i studien.
Gitt IV
Andre navn:
  • BMS-936558
  • MDX-1106
  • NIVO
  • ONO-4538
  • Opdivo
  • CMAB819
  • Nivolumab Biosimilar CMAB819
  • ABP 206
  • Nivolumab Biosimilar ABP 206
  • BCD-263
  • Nivolumab Biosimilar BCD-263
Gjennomgå CT
Andre navn:
  • CT
  • KATT
  • CAT-skanning
  • Beregnet aksial tomografi
  • Datastyrt aksialtomografi
  • Datastyrt tomografi
  • CT skann
  • tomografi
  • Datastyrt aksial tomografi (prosedyre)
  • Datastyrt tomografi (CT) skanning
Gjennomgå blodprøvetaking
Andre navn:
  • Biologisk prøvesamling
  • Bioprøve samlet
  • Prøvesamling
Gjennomgå ECHO
Andre navn:
  • EC
Gjennomgå PET-CT
Andre navn:
  • Medisinsk bildebehandling, positronemisjonstomografi
  • KJÆLEDYR
  • PET-skanning
  • Positron Emission Tomography Scan
  • Positron-utslippstomografi
  • proton magnetisk resonansspektroskopisk avbildning
  • PT
  • Positronemisjonstomografi (prosedyre)

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Sykdomsfri overlevelse (DFS)
Tidsramme: Tid fra randomisering til den tidligste hendelsen definert som tilbakefall av sykdom, eventuell ny lungekreft (selv i motsatt lunge), eller død av en hvilken som helst årsak på et kjent tidspunkt, vurdert opp til 10 år
DFS-fordelinger vil bli estimert ved bruk av Kaplan-Meier-metoden, og Cox proporsjonale faremodeller vil bli brukt for å estimere risikoforhold for behandling. De primære sammenligningene av DFS vil bruke en logrank tester stratifisert på randomiseringsstratifiseringsfaktorene med en ensidig type I feilrate tilsvarende signifikansnivået assosiert med populasjonen som analyseres; det vil si 1,5 % for den totale befolkningen og 1 % for >= 50 % befolkningen. Sistnevnte test vil kun bli utført i tilfelle primærtesten hos allekommere ikke er statistisk signifikant. Andre sammenligninger av grupper vil bli gjort ved å bruke logrank-testen og Cox-modellering. Punktestimater for alle endepunkter vil bli ledsaget av de tilsvarende konfidensintervallene justert for type I feilrater knyttet til endepunktet. Delmengdeanalyser er planlagt for alle stratifiseringsfaktorer og alle kjente prognostiske faktorer som prestasjonsstatus, alder, kjønn, etc.
Tid fra randomisering til den tidligste hendelsen definert som tilbakefall av sykdom, eventuell ny lungekreft (selv i motsatt lunge), eller død av en hvilken som helst årsak på et kjent tidspunkt, vurdert opp til 10 år
Total overlevelse (OS)
Tidsramme: Fra randomisering til død uansett årsak, vurdert opp til 10 år
OS-distribusjoner vil bli estimert ved hjelp av Kaplan-Meier-metoden, og Cox proporsjonale faremodeller vil bli brukt for å estimere risikoforhold for behandling. De primære sammenligningene av OS vil bruke en logrank tester stratifisert på randomiseringsstratifiseringsfaktorene med en ensidig type I feilrate tilsvarende signifikansnivået assosiert med populasjonen som analyseres; det vil si 1,5 % for den totale befolkningen og 1 % for >= 50 % befolkningen. Sistnevnte test vil kun bli utført i tilfelle primærtesten hos allekommere ikke er statistisk signifikant. Andre sammenligninger av grupper vil bli gjort ved å bruke logrank-testen og Cox-modellering. Punktestimater for alle endepunkter vil bli ledsaget av de tilsvarende konfidensintervallene justert for type I feilrater knyttet til endepunktet. Delmengdeanalyser er planlagt for alle stratifiseringsfaktorer og alle kjente prognostiske faktorer som prestasjonsstatus, alder, kjønn, etc.
Fra randomisering til død uansett årsak, vurdert opp til 10 år

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Forekomst av uønskede hendelser
Tidsramme: Inntil 10 år
Toksisitet gradert i henhold til Common Terminology Criteria for Adverse Events versjon 5.0. Toksisitetsrater vil bli sammenlignet med Fishers eksakte tester med en ensidig type I feilrate på 2,5 %; multivariabel logistisk regresjonsmodellering vil bli brukt for å justere for effekten av eventuelle kovariater som er assosiert med disse kategoriske resultatene. Punktestimater for alle endepunkter vil bli ledsaget av de tilsvarende konfidensintervallene justert for type I feilrater knyttet til endepunktet. Delmengdeanalyser er planlagt for alle stratifiseringsfaktorer og alle kjente prognostiske faktorer som prestasjonsstatus, alder, kjønn, etc.
Inntil 10 år

Samarbeidspartnere og etterforskere

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

Etterforskere

  • Hovedetterforsker: Jamie E Chaft, ECOG-ACRIN Cancer Research Group

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 (Faktiske)

22. juli 2016

Primær fullføring (Antatt)

31. desember 2025

Studiet fullført (Antatt)

31. desember 2025

Datoer for studieregistrering

Først innsendt

3. november 2015

Først innsendt som oppfylte QC-kriteriene

3. november 2015

Først lagt ut (Antatt)

4. november 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

4. april 2024

Siste oppdatering sendt inn som oppfylte QC-kriteriene

3. april 2024

Sist bekreftet

1. mars 2024

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • NCI-2015-01916 (Registeridentifikator: CTRP (Clinical Trial Reporting Program))
  • U10CA180820 (U.S. NIH-stipend/kontrakt)
  • EA5142 (Annen identifikator: CTEP)
  • s16-02074

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. .

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