Wysokie dawki rekombinowanego interferonu alfa-2B, ipilimumabu lub pembrolizumabu w leczeniu pacjentów z czerniakiem wysokiego ryzyka w stadium III-IV, który został usunięty chirurgicznie
Randomizowane badanie fazy III porównujące wybór między lekarzem a pacjentem wysokiej dawki interferonu lub ipilimumabu z MK-3475 (pembrolizumabem) u pacjentów z czerniakiem po resekcji wysokiego ryzyka
This randomized phase III trial studies how well pembrolizumab works compared with the current standard of care, physician/patient choice of either high-dose recombinant interferon alfa-2B or ipilimumab, in treating patients with stage III-IV melanoma that has been removed by surgery but is likely to come back or spread. High-dose recombinant interferon alfa-2B may help shrink or slow the growth of melanoma. Immunotherapy with monoclonal antibodies, such as ipilimumab and pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. It is not yet known whether pembrolizumab is more effective than the current standard of care in treating patients with melanoma.
Przegląd badań
Status
Status
Warunki
Warunki
- Przerzutowy czerniak skóry
- III stadium kliniczne czerniaka skóry AJCC v8
- Nawracający czerniak skóry
- Czerniak skóry w IV stadium klinicznym AJCC v8
- Nawracający czerniak błony śluzowej
- Przerzutowy czerniak błony śluzowej
- Czerniak inny niż skórny
- Przerzutowy czerniak inny niż skórny
- Nawracający czerniak niezwiązany ze skórą
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
PRIMARY OBJECTIVES:
I. To compare overall survival (OS) of patients with resected stage III and IV melanoma treated with physician/patient choice of either high dose interferon recombinant interferon alfa-2b (alfa-2b) or ipilimumab versus MK-3475 (pembrolizumab).
II. Among patients who are PD-L1 positive, to compare OS of patients with resected stage III and IV melanoma treated with physician/patient choice of either high dose interferon alfa-2b or ipilimumab versus MK-3475 (pembrolizumab).
III. To compare relapse-free survival (RFS) of patients with resected stage III and IV melanoma treated with physician/patient choice of either high dose interferon alfa-2b or ipilimumab to MK-3475 (pembrolizumab).
SECONDARY OBJECTIVES:
I. To estimate OS and RFS for patients who are PD-L1 negative or PD-L1 indeterminate in this population.
II. To compare OS and RFS of patients between the two arms within PD-L1 positive and negative subgroups and to look at the interaction between PD-L1 (positive versus negative) and treatment arm.
III. To assess the safety and tolerability of the regimens.
ADDITIONAL OBJECTIVES:
I. To bank tissue and whole blood in anticipation of future correlative studies in this patient population.
II. To evaluate PD-L1 expression through immunohistochemistry assay. III. To evaluate the effect of treatment-related side effects that may have an impact on the health-related domains of quality of life (QOL) using the Functional Assessment of Cancer Therapy (FACT)-Biological Response Modifiers (BRM), European Quality of Life Five Dimension Three Level Scale (EQ-5D-3L), and Functional Assessment of Chronic Illness Therapy Diarrhea (FACIT-D) between patients treated with physician/patient choice of either high-dose interferon alfa-2b or ipilimumab and MK-3475 (pembrolizumab).
IV. Pharmacokinetic (PK) and anti-drug antibody (ADA) testing will be performed on all patients receiving MK-3475 (pembrolizumab).
TRANSLATIONAL OBJECTIVES RELATED TO T-CELL RECEPTOR BETA CHAIN SEQUENCING:
I. To evaluate the association between TCR beta variable gene (TRBV) haplotype and grade 3-4 immune-related adverse events (irAEs) among stage III melanoma patients treated with adjuvant ipilimumab or pembrolizumab.
II. To describe the TRBV haplotype distribution among this cohort of patients studied.
TRANSLATIONAL MEDICINAL OBJECTIVE RELATED TO ASSOCIATION OF CIRCULATING TUMOR DNA (ctDNA) WITH RELAPSE-FREE SURVIVAL IN HIGH-RISK, RESECTED MELANOMA PATIENTS.
I. To evaluate associations between pretreatment ctDNA (present versus absent) and relapse within 2 years of randomization in a case-control analysis across treatment arms.
II. To evaluate associations between pretreatment ctDNA (present versus absent) and relapse within 2 years of randomization in a case-control analysis across treatment arms.
III. To evaluate associations between pretreatment ctDNA and relapse within 2 years of randomization in a case-control analysis within each treatment arm (after treatment arm data are unblinded to investigators).
IV. To evaluate associations between "early-on treatment" ctDNA levels and relapse within 2 years of randomization.
V. To describe ctDNA levels at end of therapy and time of relapse.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I:
INDUCTION THERAPY: Patients receive high-dose recombinant interferon alfa-2B intravenously (IV) over 20 minutes on days 1-5. Treatment repeats weekly for 4 weeks in the absence of disease progression or unacceptable toxicity. Or patients receive ipilimumab IV over 90 minutes on day 1. Treatment repeats every 3 weeks for a total of 4 cycles in the absence of disease progression or unacceptable toxicity.
MAINTENANCE THERAPY: Patients receive high-dose recombinant interferon alfa-2B subcutaneously (SC) on days 1, 3, and 5. Treatment repeats every 6 weeks for up to 48 weeks in the absence of disease progression or unacceptable toxicity. Or patients receive ipilimumab IV over 90 minutes on day 1. Treatment repeats every 12 weeks for 3 years in the absence of disease progression or unacceptable toxicity.
ARM II: Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 52 weeks in the absence of disease progression or unacceptable toxicity.
Patients undergo computed tomography (CT) scan, positron emission tomography (PET) scan, magnetic resonance imaging (MRI) and blood sample collection throughout the study.
After completion of study treatment, patients are followed up at 30 days, 6 and 12 weeks, every 3 months for 2 years, every 6 months for 3 years, and then every 12 months for 5 years.
Typ studiów
Typ studiów
Zapisy (Rzeczywisty)
Zapisy
Faza
Faza
- Faza 3
Kontakty i lokalizacje
Lokalizacje studiów
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Co Dublin
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Dublin, Co Dublin, Irlandia, 4
- Saint Vincent's University Hospital
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Co Galway
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Galway, Co Galway, Irlandia
- University College Hospital Galway
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Co Waterford
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Waterford, Co Waterford, Irlandia, 9
- University Hospital Waterford
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-
-
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British Columbia
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Vancouver, British Columbia, Kanada, V5Z 4E6
- BCCA-Vancouver Cancer Centre
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New Brunswick
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Moncton, New Brunswick, Kanada, E1C 8X3
- The Vitalite Health Network - Dr Leon Richard Oncology Centre
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Ontario
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Barrie, Ontario, Kanada, L4M 6M2
- Royal Victoria Regional Health Centre
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Hamilton, Ontario, Kanada, L8V 5C2
- Juravinski Cancer Centre at Hamilton Health Sciences
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Kingston, Ontario, Kanada, K7L 2V7
- Kingston Health Sciences Centre
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Kitchener, Ontario, Kanada, N2G 1G3
- Waterloo Regional Health Network
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London, Ontario, Kanada, N6A 4L6
- London Regional Cancer Program
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Mississauga, Ontario, Kanada, L5M 2N1
- Trillium Health Partners - Credit Valley Hospital
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Oshawa, Ontario, Kanada, L1G 2B9
- Lakeridge Health Oshawa
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Ottawa, Ontario, Kanada, K1H 8L6
- Ottawa Hospital and Cancer Center-General Campus
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Sault Ste. Marie, Ontario, Kanada, P6B 0A8
- Algoma District Cancer Program Sault Area Hospital
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Thunder Bay, Ontario, Kanada, P7B 6V4
- Thunder Bay Regional Health Science Centre
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Toronto, Ontario, Kanada, M5G 2M9
- University Health Network-Princess Margaret Hospital
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Toronto, Ontario, Kanada, M4N 3M5
- Odette Cancer Centre- Sunnybrook Health Sciences Centre
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Windsor, Ontario, Kanada, N8W 2X3
- Windsor Regional Cancer Centre
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Quebec
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Laval, Quebec, Kanada, H7M 3L9
- Hopital de la Cite-de-la-Sante
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Montreal, Quebec, Kanada, H3H 2R9
- The Research Institute of the McGill University Health Centre (MUHC)
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Québec, Quebec, Kanada, G1R 2J6
- CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
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Sherbrooke, Quebec, Kanada, J1H 5N4
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
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Saskatchewan
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Regina, Saskatchewan, Kanada, S4T 7T1
- Allan Blair Cancer Centre
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Saskatoon, Saskatchewan, Kanada, S7N 4H4
- Saskatoon Cancer Centre
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-
-
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Alabama
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Birmingham, Alabama, Stany Zjednoczone, 35233
- University of Alabama at Birmingham Cancer Center
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Arizona
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Phoenix, Arizona, Stany Zjednoczone, 85004
- Cancer Center at Saint Joseph's
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Scottsdale, Arizona, Stany Zjednoczone, 85258
- Virginia G Piper Cancer Care-Del Camino
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Tucson, Arizona, Stany Zjednoczone, 85719
- Banner University Medical Center - Tucson
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Tucson, Arizona, Stany Zjednoczone, 85719
- University of Arizona Cancer Center-North Campus
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Arkansas
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Little Rock, Arkansas, Stany Zjednoczone, 72205
- University of Arkansas for Medical Sciences
-
Rogers, Arkansas, Stany Zjednoczone, 72758
- Highlands Oncology Group - Rogers
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California
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Anaheim, California, Stany Zjednoczone, 92806
- Kaiser Permanente-Anaheim
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Auburn, California, Stany Zjednoczone, 95602
- Sutter Auburn Faith Hospital
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Baldwin Park, California, Stany Zjednoczone, 91706
- Kaiser Permanente-Baldwin Park
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Bellflower, California, Stany Zjednoczone, 90706
- Kaiser Permanente-Bellflower
-
Costa Mesa, California, Stany Zjednoczone, 92627
- UC Irvine Health Cancer Center-Newport
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Duarte, California, Stany Zjednoczone, 91010
- City of Hope Comprehensive Cancer Center
-
Fontana, California, Stany Zjednoczone, 92335
- Kaiser Permanente-Fontana
-
Fremont, California, Stany Zjednoczone, 94538
- Kaiser Permanente-Fremont
-
Fremont, California, Stany Zjednoczone, 94538
- Palo Alto Medical Foundation-Fremont
-
Fresno, California, Stany Zjednoczone, 93720
- Kaiser Permanente-Fresno
-
Harbor City, California, Stany Zjednoczone, 90710
- Kaiser Permanente South Bay
-
Irvine, California, Stany Zjednoczone, 92618
- Kaiser Permanente-Irvine
-
La Jolla, California, Stany Zjednoczone, 92093
- UC San Diego Moores Cancer Center
-
Los Angeles, California, Stany Zjednoczone, 90033
- USC / Norris Comprehensive Cancer Center
-
Los Angeles, California, Stany Zjednoczone, 90048
- Cedars-Sinai Medical Center
-
Los Angeles, California, Stany Zjednoczone, 90095
- UCLA / Jonsson Comprehensive Cancer Center
-
Los Angeles, California, Stany Zjednoczone, 90027
- Kaiser Permanente Los Angeles Medical Center
-
Los Angeles, California, Stany Zjednoczone, 90034
- Kaiser Permanente West Los Angeles
-
Los Angeles, California, Stany Zjednoczone, 90033
- Los Angeles General Medical Center
-
Marysville, California, Stany Zjednoczone, 95901
- Fremont - Rideout Cancer Center
-
Modesto, California, Stany Zjednoczone, 95355
- Memorial Medical Center
-
Modesto, California, Stany Zjednoczone, 95356
- Kaiser Permanente-Modesto
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Mountain View, California, Stany Zjednoczone, 94040
- Palo Alto Medical Foundation-Camino Division
-
Newport Beach, California, Stany Zjednoczone, 92663
- USC Norris Oncology/Hematology-Newport Beach
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Novato, California, Stany Zjednoczone, 94945
- Sutter Cancer Research Consortium
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Oakland, California, Stany Zjednoczone, 94611
- Kaiser Permanente-Oakland
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Orange, California, Stany Zjednoczone, 92868
- UC Irvine Health/Chao Family Comprehensive Cancer Center
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Orange, California, Stany Zjednoczone, 92868
- Saint Joseph Hospital - Orange
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Palo Alto, California, Stany Zjednoczone, 94304
- Stanford Cancer Institute Palo Alto
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Palo Alto, California, Stany Zjednoczone, 94301
- Palo Alto Medical Foundation Health Care
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Panorama City, California, Stany Zjednoczone, 91402
- Kaiser Permanente - Panorama City
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Redwood City, California, Stany Zjednoczone, 94063
- Kaiser Permanente-Redwood City
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Richmond, California, Stany Zjednoczone, 94801
- Kaiser Permanente-Richmond
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Riverside, California, Stany Zjednoczone, 92505
- Kaiser Permanente-Riverside
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Roseville, California, Stany Zjednoczone, 95661
- Kaiser Permanente-Roseville
-
Roseville, California, Stany Zjednoczone, 95661
- Sutter Roseville Medical Center
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Sacramento, California, Stany Zjednoczone, 95816
- Sutter Medical Center Sacramento
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Sacramento, California, Stany Zjednoczone, 95817
- University of California Davis Comprehensive Cancer Center
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Sacramento, California, Stany Zjednoczone, 95823
- Kaiser Permanente-South Sacramento
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Sacramento, California, Stany Zjednoczone, 95825
- Kaiser Permanente Sacramento Medical Center
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San Diego, California, Stany Zjednoczone, 92120
- Kaiser Permanente-San Diego Zion
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San Diego, California, Stany Zjednoczone, 92108
- Kaiser Permanente-Rio San Diego
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San Francisco, California, Stany Zjednoczone, 94115
- Kaiser Permanente-San Francisco
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San Francisco, California, Stany Zjednoczone, 94115
- California Pacific Medical Center-Pacific Campus
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San Jose, California, Stany Zjednoczone, 95119
- Kaiser Permanente-Santa Teresa-San Jose
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San Leandro, California, Stany Zjednoczone, 94577
- Kaiser Permanente San Leandro
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San Marcos, California, Stany Zjednoczone, 92078
- Kaiser Permanente-San Marcos
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San Rafael, California, Stany Zjednoczone, 94903
- Kaiser Permanente-San Rafael
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Santa Clara, California, Stany Zjednoczone, 95051
- Kaiser Permanente Medical Center - Santa Clara
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Santa Cruz, California, Stany Zjednoczone, 95065
- Palo Alto Medical Foundation-Santa Cruz
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Santa Rosa, California, Stany Zjednoczone, 95403
- Kaiser Permanente-Santa Rosa
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Santa Rosa, California, Stany Zjednoczone, 95403
- Sutter Pacific Medical Foundation
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South San Francisco, California, Stany Zjednoczone, 94080
- Kaiser Permanente-South San Francisco
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Stockton, California, Stany Zjednoczone, 95210
- Kaiser Permanente-Stockton
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Sunnyvale, California, Stany Zjednoczone, 94086
- Palo Alto Medical Foundation-Sunnyvale
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Truckee, California, Stany Zjednoczone, 96161
- Gene Upshaw Memorial Tahoe Forest Cancer Center
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Vacaville, California, Stany Zjednoczone, 95688
- Kaiser Permanente Medical Center-Vacaville
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Vallejo, California, Stany Zjednoczone, 94589
- Kaiser Permanente-Vallejo
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Walnut Creek, California, Stany Zjednoczone, 94596
- Kaiser Permanente-Walnut Creek
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Woodland Hills, California, Stany Zjednoczone, 91367
- Kaiser Permanente-Woodland Hills
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Colorado
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Aurora, Colorado, Stany Zjednoczone, 80045
- UCHealth University of Colorado Hospital
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Colorado Springs, Colorado, Stany Zjednoczone, 80907
- Penrose-Saint Francis Healthcare
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Colorado Springs, Colorado, Stany Zjednoczone, 80909
- UCHealth Memorial Hospital Central
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Denver, Colorado, Stany Zjednoczone, 80205
- Kaiser Permanente-Franklin
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Denver, Colorado, Stany Zjednoczone, 80218
- Saint Joseph Hospital - Cancer Centers of Colorado
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Denver, Colorado, Stany Zjednoczone, 80210
- AdventHealth Porter
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Fort Collins, Colorado, Stany Zjednoczone, 80524
- Poudre Valley Hospital
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Greeley, Colorado, Stany Zjednoczone, 80631
- Banner North Colorado Medical Center
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Lafayette, Colorado, Stany Zjednoczone, 80026
- Kaiser Permanente-Rock Creek
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Littleton, Colorado, Stany Zjednoczone, 80122
- AdventHealth Littleton
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Lone Tree, Colorado, Stany Zjednoczone, 80124
- Kaiser Permanente-Lone Tree
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Parker, Colorado, Stany Zjednoczone, 80138
- AdventHealth Parker
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Connecticut
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Fairfield, Connecticut, Stany Zjednoczone, 06824
- Smilow Cancer Hospital Care Center-Fairfield
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Hartford, Connecticut, Stany Zjednoczone, 06105
- Smilow Cancer Hospital Care Center at Saint Francis
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New Haven, Connecticut, Stany Zjednoczone, 06520
- Yale University
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Stamford, Connecticut, Stany Zjednoczone, 06904
- Stamford Hospital/Bennett Cancer Center
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Trumbull, Connecticut, Stany Zjednoczone, 06611
- Smilow Cancer Hospital Care Center-Trumbull
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Delaware
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Newark, Delaware, Stany Zjednoczone, 19713
- Helen F Graham Cancer Center
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Newark, Delaware, Stany Zjednoczone, 19713
- Medical Oncology Hematology Consultants PA
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Newark, Delaware, Stany Zjednoczone, 19718
- Christiana Care Health System-Christiana Hospital
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Rehoboth Beach, Delaware, Stany Zjednoczone, 19971
- Beebe Health Campus
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District of Columbia
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Washington D.C., District of Columbia, Stany Zjednoczone, 20010
- MedStar Washington Hospital Center
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Washington D.C., District of Columbia, Stany Zjednoczone, 20007
- MedStar Georgetown University Hospital
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Florida
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Lakeland, Florida, Stany Zjednoczone, 33805
- Lakeland Regional Health Hollis Cancer Center
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Miami, Florida, Stany Zjednoczone, 33136
- University of Miami Miller School of Medicine-Sylvester Cancer Center
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Miami Beach, Florida, Stany Zjednoczone, 33140
- Mount Sinai Medical Center
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Orlando, Florida, Stany Zjednoczone, 32806
- Orlando Health Cancer Institute
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Tampa, Florida, Stany Zjednoczone, 33612
- Moffitt Cancer Center
-
Weston, Florida, Stany Zjednoczone, 33331
- Cleveland Clinic-Weston
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-
Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30322
- Emory University Hospital/Winship Cancer Institute
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Atlanta, Georgia, Stany Zjednoczone, 30342
- Northside Hospital
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Cumming, Georgia, Stany Zjednoczone, 30041
- Northside Hospital-Forsyth
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Savannah, Georgia, Stany Zjednoczone, 31405
- Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
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Savannah, Georgia, Stany Zjednoczone, 31404
- Memorial Health University Medical Center
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Valdosta, Georgia, Stany Zjednoczone, 31602
- South Georgia Medical Center/Pearlman Cancer Center
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Hawaii
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- Hawaii Cancer Care Inc - Waterfront Plaza
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- Queen's Cancer Cenrer - POB I
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- University of Hawaii Cancer Center
-
Honolulu, Hawaii, Stany Zjednoczone, 96817
- Hawaii Cancer Care Inc-Liliha
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Honolulu, Hawaii, Stany Zjednoczone, 96817
- Queen's Cancer Center - Kuakini
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Honolulu, Hawaii, Stany Zjednoczone, 96813
- Island Urology
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Honolulu, Hawaii, Stany Zjednoczone, 96859
- Tripler Army Medical Center
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Idaho
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Boise, Idaho, Stany Zjednoczone, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Boise, Idaho, Stany Zjednoczone, 83712
- Saint Luke's Cancer Institute - Boise
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Coeur d'Alene, Idaho, Stany Zjednoczone, 83814
- Kootenai Health - Coeur d'Alene
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Fruitland, Idaho, Stany Zjednoczone, 83619
- Saint Luke's Cancer Institute - Fruitland
-
Meridian, Idaho, Stany Zjednoczone, 83642
- Saint Luke's Cancer Institute - Meridian
-
Nampa, Idaho, Stany Zjednoczone, 83687
- Saint Luke's Cancer Institute - Nampa
-
Post Falls, Idaho, Stany Zjednoczone, 83854
- Kootenai Clinic Cancer Services - Post Falls
-
Sandpoint, Idaho, Stany Zjednoczone, 83864
- Kootenai Clinic Cancer Services - Sandpoint
-
Twin Falls, Idaho, Stany Zjednoczone, 83301
- Saint Luke's Cancer Institute - Twin Falls
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Illinois
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Aurora, Illinois, Stany Zjednoczone, 60504
- Rush-Copley Medical Center
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Bloomington, Illinois, Stany Zjednoczone, 61704
- Illinois CancerCare-Bloomington
-
Canton, Illinois, Stany Zjednoczone, 61520
- Illinois CancerCare-Canton
-
Centralia, Illinois, Stany Zjednoczone, 62801
- Centralia Oncology Clinic
-
Chicago, Illinois, Stany Zjednoczone, 60611
- Northwestern University
-
Chicago, Illinois, Stany Zjednoczone, 60637
- University of Chicago Comprehensive Cancer Center
-
Chicago, Illinois, Stany Zjednoczone, 60612
- Rush MD Anderson Cancer Center
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Danville, Illinois, Stany Zjednoczone, 61832
- Carle at The Riverfront
-
Decatur, Illinois, Stany Zjednoczone, 62526
- Decatur Memorial Hospital
-
Decatur, Illinois, Stany Zjednoczone, 62526
- Cancer Care Specialists of Illinois - Decatur
-
Effingham, Illinois, Stany Zjednoczone, 62401
- Crossroads Cancer Center
-
Effingham, Illinois, Stany Zjednoczone, 62401
- Carle Physician Group-Effingham
-
Elmhurst, Illinois, Stany Zjednoczone, 60126
- Elmhurst Memorial Hospital
-
Eureka, Illinois, Stany Zjednoczone, 61530
- Illinois CancerCare-Eureka
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Evanston, Illinois, Stany Zjednoczone, 60201
- NorthShore University HealthSystem-Evanston Hospital
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Galesburg, Illinois, Stany Zjednoczone, 61401
- Illinois CancerCare-Galesburg
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Geneva, Illinois, Stany Zjednoczone, 60134
- Northwestern Medicine Cancer Center Delnor
-
Glenview, Illinois, Stany Zjednoczone, 60026
- NorthShore University HealthSystem-Glenbrook Hospital
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Highland Park, Illinois, Stany Zjednoczone, 60035
- NorthShore University HealthSystem-Highland Park Hospital
-
Kewanee, Illinois, Stany Zjednoczone, 61443
- Illinois CancerCare-Kewanee Clinic
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Macomb, Illinois, Stany Zjednoczone, 61455
- Illinois CancerCare-Macomb
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Mattoon, Illinois, Stany Zjednoczone, 61938
- Carle Physician Group-Mattoon/Charleston
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Maywood, Illinois, Stany Zjednoczone, 60153
- Loyola University Medical Center
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Naperville, Illinois, Stany Zjednoczone, 60540
- Edward Hospital/Cancer Center
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New Lenox, Illinois, Stany Zjednoczone, 60451
- UC Comprehensive Cancer Center at Silver Cross
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O'Fallon, Illinois, Stany Zjednoczone, 62269
- Cancer Care Center of O'Fallon
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Orland Park, Illinois, Stany Zjednoczone, 60462
- University of Chicago Medicine-Orland Park
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Ottawa, Illinois, Stany Zjednoczone, 61350
- Illinois CancerCare-Ottawa Clinic
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Pekin, Illinois, Stany Zjednoczone, 61554
- Illinois CancerCare-Pekin
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Peoria, Illinois, Stany Zjednoczone, 61615
- Illinois CancerCare-Peoria
-
Peru, Illinois, Stany Zjednoczone, 61354
- Illinois CancerCare-Peru
-
Plainfield, Illinois, Stany Zjednoczone, 60585
- Edward Hospital/Cancer Center?Plainfield
-
Princeton, Illinois, Stany Zjednoczone, 61356
- Illinois CancerCare-Princeton
-
Rockford, Illinois, Stany Zjednoczone, 61114
- UW Health Carbone Cancer Center Rockford
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Springfield, Illinois, Stany Zjednoczone, 62702
- Southern Illinois University School of Medicine
-
Springfield, Illinois, Stany Zjednoczone, 62702
- Springfield Clinic
-
Springfield, Illinois, Stany Zjednoczone, 62702
- Central Illinois Hematology Oncology Center
-
Springfield, Illinois, Stany Zjednoczone, 62781
- Springfield Memorial Hospital
-
Urbana, Illinois, Stany Zjednoczone, 61801
- Carle Cancer Center
-
Urbana, Illinois, Stany Zjednoczone, 61801
- The Carle Foundation Hospital
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Warrenville, Illinois, Stany Zjednoczone, 60555
- Northwestern Medicine Cancer Center Warrenville
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Yorkville, Illinois, Stany Zjednoczone, 60560
- Rush-Copley Healthcare Center
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Indiana
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Indianapolis, Indiana, Stany Zjednoczone, 46237
- Franciscan Health Indianapolis
-
Indianapolis, Indiana, Stany Zjednoczone, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
-
Indianapolis, Indiana, Stany Zjednoczone, 46219
- Community Cancer Center East
-
Indianapolis, Indiana, Stany Zjednoczone, 46227
- Community Cancer Center South
-
Indianapolis, Indiana, Stany Zjednoczone, 46256
- Community Cancer Center North
-
Mooresville, Indiana, Stany Zjednoczone, 46158
- Franciscan Health Mooresville
-
Richmond, Indiana, Stany Zjednoczone, 47374
- Reid Health
-
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Iowa
-
Ames, Iowa, Stany Zjednoczone, 50010
- Mary Greeley Medical Center
-
Ames, Iowa, Stany Zjednoczone, 50010
- McFarland Clinic - Ames
-
Boone, Iowa, Stany Zjednoczone, 50036
- McFarland Clinic - Boone
-
Cedar Rapids, Iowa, Stany Zjednoczone, 52402
- Physicians' Clinic of Iowa PC
-
Clive, Iowa, Stany Zjednoczone, 50325
- Mercy Cancer Center-West Lakes
-
Clive, Iowa, Stany Zjednoczone, 50325
- UI Health Care Mission Cancer and Blood - West Des Moines Clinic
-
Des Moines, Iowa, Stany Zjednoczone, 50309
- Iowa Methodist Medical Center
-
Des Moines, Iowa, Stany Zjednoczone, 50314
- Mercy Medical Center - Des Moines
-
Des Moines, Iowa, Stany Zjednoczone, 50309
- UI Health Care Mission Cancer and Blood - Des Moines Clinic
-
Des Moines, Iowa, Stany Zjednoczone, 50314
- UI Health Care Mission Cancer and Blood - Laurel Clinic
-
Fort Dodge, Iowa, Stany Zjednoczone, 50501
- McFarland Clinic - Trinity Cancer Center
-
Iowa City, Iowa, Stany Zjednoczone, 52242
- University of Iowa/Holden Comprehensive Cancer Center
-
Jefferson, Iowa, Stany Zjednoczone, 50129
- McFarland Clinic - Jefferson
-
Marshalltown, Iowa, Stany Zjednoczone, 50158
- McFarland Clinic - Marshalltown
-
West Des Moines, Iowa, Stany Zjednoczone, 50266
- Mercy Medical Center-West Lakes
-
-
Kansas
-
Chanute, Kansas, Stany Zjednoczone, 66720
- Cancer Center of Kansas - Chanute
-
Dodge City, Kansas, Stany Zjednoczone, 67801
- Cancer Center of Kansas - Dodge City
-
El Dorado, Kansas, Stany Zjednoczone, 67042
- Cancer Center of Kansas - El Dorado
-
Garden City, Kansas, Stany Zjednoczone, 67846
- Saint Catherine Hospital
-
Great Bend, Kansas, Stany Zjednoczone, 67530
- Central Care Cancer Center - Great Bend
-
Great Bend, Kansas, Stany Zjednoczone, 67530
- Saint Rose Ambulatory and Surgery Center
-
Hays, Kansas, Stany Zjednoczone, 67601
- HaysMed
-
Kansas City, Kansas, Stany Zjednoczone, 66160
- University of Kansas Cancer Center
-
Kansas City, Kansas, Stany Zjednoczone, 66112
- University of Kansas Cancer Center-West
-
Lawrence, Kansas, Stany Zjednoczone, 66044
- Lawrence Memorial Hospital
-
Lenexa, Kansas, Stany Zjednoczone, 66219
- Kansas Institute of Medicine Cancer and Blood Center
-
Lenexa, Kansas, Stany Zjednoczone, 66219
- Minimally Invasive Surgery Hospital
-
Liberal, Kansas, Stany Zjednoczone, 67905
- Cancer Center of Kansas-Liberal
-
McPherson, Kansas, Stany Zjednoczone, 67460
- Cancer Center of Kansas - McPherson
-
Newton, Kansas, Stany Zjednoczone, 67114
- Cancer Center of Kansas - Newton
-
Olathe, Kansas, Stany Zjednoczone, 66061
- The University of Kansas Cancer Center - Olathe
-
Overland Park, Kansas, Stany Zjednoczone, 66210
- University of Kansas Cancer Center-Overland Park
-
Overland Park, Kansas, Stany Zjednoczone, 66209
- Menorah Medical Center
-
Overland Park, Kansas, Stany Zjednoczone, 66213
- Saint Luke's South Hospital
-
Parsons, Kansas, Stany Zjednoczone, 67357
- Cancer Center of Kansas - Parsons
-
Pittsburg, Kansas, Stany Zjednoczone, 66762
- Mercy Hospital Pittsburg
-
Salina, Kansas, Stany Zjednoczone, 67401
- Salina Regional Health Center
-
Salina, Kansas, Stany Zjednoczone, 67401
- Cancer Center of Kansas - Salina
-
Topeka, Kansas, Stany Zjednoczone, 66606
- University of Kansas Health System Saint Francis Campus
-
Wellington, Kansas, Stany Zjednoczone, 67152
- Cancer Center of Kansas - Wellington
-
Wichita, Kansas, Stany Zjednoczone, 67214
- Ascension Via Christi Hospitals Wichita
-
Wichita, Kansas, Stany Zjednoczone, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
-
Wichita, Kansas, Stany Zjednoczone, 67214
- Cancer Center of Kansas - Wichita
-
Winfield, Kansas, Stany Zjednoczone, 67156
- Cancer Center of Kansas - Winfield
-
-
Kentucky
-
Bardstown, Kentucky, Stany Zjednoczone, 40004
- CommonSpirit Saint Joseph Hospital - Bardstown
-
Lexington, Kentucky, Stany Zjednoczone, 40504
- Saint Joseph Radiation Oncology Resource Center
-
Lexington, Kentucky, Stany Zjednoczone, 40509
- CommonSpirit Saint Joseph Medical Center - East Lexington
-
Louisville, Kentucky, Stany Zjednoczone, 40245
- UofL Health Medical Center Northeast
-
Louisville, Kentucky, Stany Zjednoczone, 40215
- Saints Mary and Elizabeth Hospital
-
Owensboro, Kentucky, Stany Zjednoczone, 42303
- Owensboro Health Mitchell Memorial Cancer Center
-
-
Louisiana
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70805
- LSU Health Baton Rouge-North Clinic
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70809
- Louisiana Hematology Oncology Associates LLC
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70809
- Mary Bird Perkins Cancer Center
-
Baton Rouge, Louisiana, Stany Zjednoczone, 70808
- Our Lady of the Lake Physician Group
-
Covington, Louisiana, Stany Zjednoczone, 70433
- Northshore Oncology Associates-Covington
-
Monroe, Louisiana, Stany Zjednoczone, 71202
- Ochsner LSU Health Monroe Medical Center
-
Shreveport, Louisiana, Stany Zjednoczone, 71103
- LSU Health Sciences Center at Shreveport
-
-
Maine
-
Augusta, Maine, Stany Zjednoczone, 04330
- Harold Alfond Center for Cancer Care
-
Bangor, Maine, Stany Zjednoczone, 04401
- Eastern Maine Medical Center
-
Brewer, Maine, Stany Zjednoczone, 04412
- Lafayette Family Cancer Center-EMMC
-
Westbrook, Maine, Stany Zjednoczone, 04092
- New England Cancer Specialists
-
-
Maryland
-
Baltimore, Maryland, Stany Zjednoczone, 21237
- MedStar Franklin Square Medical Center/Weinberg Cancer Institute
-
Baltimore, Maryland, Stany Zjednoczone, 21202
- Mercy Medical Center
-
Frederick, Maryland, Stany Zjednoczone, 21701
- Frederick Memorial Hospital
-
-
Massachusetts
-
Beverly, Massachusetts, Stany Zjednoczone, 01915
- Beverly Hospital
-
Boston, Massachusetts, Stany Zjednoczone, 02215
- Beth Israel Deaconess Medical Center
-
Boston, Massachusetts, Stany Zjednoczone, 02215
- Dana-Farber Cancer Institute
-
Boston, Massachusetts, Stany Zjednoczone, 02118
- Boston Medical Center
-
Boston, Massachusetts, Stany Zjednoczone, 02114
- Massachusetts General Hospital Cancer Center
-
Burlington, Massachusetts, Stany Zjednoczone, 01805
- Lahey Clinic
-
Gloucester, Massachusetts, Stany Zjednoczone, 01930
- Addison Gilbert Hospital
-
Springfield, Massachusetts, Stany Zjednoczone, 01199
- Baystate Medical Center
-
-
Michigan
-
Ann Arbor, Michigan, Stany Zjednoczone, 48109
- University of Michigan Rogel Cancer Center
-
Detroit, Michigan, Stany Zjednoczone, 48202
- Henry Ford Hospital
-
Detroit, Michigan, Stany Zjednoczone, 48201
- Wayne State University/Karmanos Cancer Institute
-
Detroit, Michigan, Stany Zjednoczone, 48236
- Henry Ford Health Saint John Hospital
-
East China Township, Michigan, Stany Zjednoczone, 48054
- Henry Ford River District Hospital
-
Escanaba, Michigan, Stany Zjednoczone, 49829
- OSF Saint Francis Hospital and Medical Group
-
Flint, Michigan, Stany Zjednoczone, 48503
- Hurley Medical Center
-
Flint, Michigan, Stany Zjednoczone, 48503
- Genesys Hurley Cancer Institute
-
Grand Rapids, Michigan, Stany Zjednoczone, 49503
- Trinity Health Grand Rapids Hospital
-
Grand Rapids, Michigan, Stany Zjednoczone, 49503
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
-
Grosse Pointe Woods, Michigan, Stany Zjednoczone, 48236
- Henry Ford Saint John Hospital - Academic
-
Grosse Pointe Woods, Michigan, Stany Zjednoczone, 48236
- Henry Ford Saint John Hospital - Breast
-
Grosse Pointe Woods, Michigan, Stany Zjednoczone, 48236
- Henry Ford Saint John Hospital - Van Elslander
-
Jackson, Michigan, Stany Zjednoczone, 49201
- Allegiance Health
-
Kalamazoo, Michigan, Stany Zjednoczone, 49007
- West Michigan Cancer Center
-
Lansing, Michigan, Stany Zjednoczone, 48912
- University of Michigan Health - Sparrow Lansing
-
Macomb, Michigan, Stany Zjednoczone, 48044
- Henry Ford Warren Hospital - Breast Macomb
-
Macomb, Michigan, Stany Zjednoczone, 48044
- Henry Ford Saint John Hospital - Macomb Medical
-
Muskegon, Michigan, Stany Zjednoczone, 49444
- Trinity Health Muskegon Hospital
-
Reed City, Michigan, Stany Zjednoczone, 49677
- Corewell Health Reed City Hospital
-
Rochester Hills, Michigan, Stany Zjednoczone, 48309
- Henry Ford Rochester Hospital
-
Saginaw, Michigan, Stany Zjednoczone, 48601
- MyMichigan Medical Center Saginaw
-
Traverse City, Michigan, Stany Zjednoczone, 49684
- Munson Medical Center
-
Warren, Michigan, Stany Zjednoczone, 48093
- Henry Ford Health Warren Hospital
-
Warren, Michigan, Stany Zjednoczone, 48093
- Henry Ford Warren Hospital - GLCMS
-
Wyoming, Michigan, Stany Zjednoczone, 49519
- University of Michigan Health - West
-
-
Minnesota
-
Bemidji, Minnesota, Stany Zjednoczone, 56601
- Sanford Joe Lueken Cancer Center
-
Burnsville, Minnesota, Stany Zjednoczone, 55337
- Fairview Ridges Hospital
-
Coon Rapids, Minnesota, Stany Zjednoczone, 55433
- Mercy Hospital
-
Duluth, Minnesota, Stany Zjednoczone, 55805
- Essentia Health Cancer Center
-
Duluth, Minnesota, Stany Zjednoczone, 55805
- Essentia Health Saint Mary's Medical Center
-
Duluth, Minnesota, Stany Zjednoczone, 55805
- Miller-Dwan Hospital
-
Edina, Minnesota, Stany Zjednoczone, 55435
- Fairview Southdale Hospital
-
Fergus Falls, Minnesota, Stany Zjednoczone, 56537
- Lake Region Healthcare Corporation-Cancer Care
-
Fridley, Minnesota, Stany Zjednoczone, 55432
- Unity Hospital
-
Maplewood, Minnesota, Stany Zjednoczone, 55109
- Saint John's Hospital - Healtheast
-
Maplewood, Minnesota, Stany Zjednoczone, 55109
- Minnesota Oncology Hematology PA-Maplewood
-
Minneapolis, Minnesota, Stany Zjednoczone, 55415
- Hennepin County Medical Center
-
Minneapolis, Minnesota, Stany Zjednoczone, 55407
- Abbott-Northwestern Hospital
-
Saint Louis Park, Minnesota, Stany Zjednoczone, 55416
- Park Nicollet Clinic - Saint Louis Park
-
Saint Paul, Minnesota, Stany Zjednoczone, 55101
- Regions Hospital
-
Saint Paul, Minnesota, Stany Zjednoczone, 55102
- United Hospital
-
Waconia, Minnesota, Stany Zjednoczone, 55387
- Ridgeview Medical Center
-
Woodbury, Minnesota, Stany Zjednoczone, 55125
- Minnesota Oncology Hematology PA-Woodbury
-
-
Mississippi
-
Jackson, Mississippi, Stany Zjednoczone, 39216
- University of Mississippi Medical Center
-
-
Missouri
-
Bonne Terre, Missouri, Stany Zjednoczone, 63628
- Parkland Health Center-Bonne Terre
-
Cape Girardeau, Missouri, Stany Zjednoczone, 63703
- Saint Francis Medical Center
-
Cape Girardeau, Missouri, Stany Zjednoczone, 63703
- Mercy Cancer Center - Cape Girardeau
-
Independence, Missouri, Stany Zjednoczone, 64057
- Centerpoint Medical Center LLC
-
Jefferson City, Missouri, Stany Zjednoczone, 65109
- MU Health Care Goldschmidt Cancer Center
-
Kansas City, Missouri, Stany Zjednoczone, 64128
- Kansas City Veterans Affairs Medical Center
-
Kansas City, Missouri, Stany Zjednoczone, 64154
- University of Kansas Cancer Center - North
-
Kansas City, Missouri, Stany Zjednoczone, 64131
- The University of Kansas Cancer Center-South
-
Kansas City, Missouri, Stany Zjednoczone, 64111
- Saint Luke's Hospital of Kansas City
-
Kansas City, Missouri, Stany Zjednoczone, 64132
- Research Medical Center
-
Kansas City, Missouri, Stany Zjednoczone, 64118
- Heartland Hematology and Oncology Associates Incorporated
-
Kansas City, Missouri, Stany Zjednoczone, 64108
- University Health Truman Medical Center
-
Lee's Summit, Missouri, Stany Zjednoczone, 64064
- University of Kansas Cancer Center - Lee's Summit
-
Lee's Summit, Missouri, Stany Zjednoczone, 64086
- Saint Luke's East - Lee's Summit
-
Liberty, Missouri, Stany Zjednoczone, 64068
- Liberty Hospital
-
Saint Joseph, Missouri, Stany Zjednoczone, 64506
- Heartland Regional Medical Center
-
Sainte Genevieve, Missouri, Stany Zjednoczone, 63670
- Sainte Genevieve County Memorial Hospital
-
Springfield, Missouri, Stany Zjednoczone, 65807
- CoxHealth South Hospital
-
Springfield, Missouri, Stany Zjednoczone, 65804
- Mercy Hospital Springfield
-
St Louis, Missouri, Stany Zjednoczone, 63131
- Missouri Baptist Medical Center
-
Sullivan, Missouri, Stany Zjednoczone, 63080
- Missouri Baptist Sullivan Hospital
-
-
Montana
-
Anaconda, Montana, Stany Zjednoczone, 59711
- Community Hospital of Anaconda
-
Billings, Montana, Stany Zjednoczone, 59101
- Billings Clinic Cancer Center
-
Billings, Montana, Stany Zjednoczone, 59101
- Saint Vincent Healthcare
-
Bozeman, Montana, Stany Zjednoczone, 59715
- Bozeman Health Deaconess Hospital
-
Butte, Montana, Stany Zjednoczone, 59701
- Saint James Community Hospital and Cancer Treatment Center
-
Great Falls, Montana, Stany Zjednoczone, 59405
- Great Falls Clinic
-
Great Falls, Montana, Stany Zjednoczone, 59405
- Benefis Sletten Cancer Institute
-
Helena, Montana, Stany Zjednoczone, 59601
- Saint Peter's Community Hospital
-
Kalispell, Montana, Stany Zjednoczone, 59901
- Logan Health Medical Center
-
Missoula, Montana, Stany Zjednoczone, 59802
- Saint Patrick Hospital - Community Hospital
-
Missoula, Montana, Stany Zjednoczone, 59804
- Community Medical Center
-
-
Nebraska
-
Grand Island, Nebraska, Stany Zjednoczone, 68803
- Nebraska Cancer Specialists/Oncology Hematology West PC
-
Lincoln, Nebraska, Stany Zjednoczone, 68506
- Nebraska Hematology and Oncology
-
Lincoln, Nebraska, Stany Zjednoczone, 68516
- Cancer Partners of Nebraska
-
Norfolk, Nebraska, Stany Zjednoczone, 68701
- Faith Regional Health Services Carson Cancer Center
-
Omaha, Nebraska, Stany Zjednoczone, 68114
- Nebraska Methodist Hospital
-
Omaha, Nebraska, Stany Zjednoczone, 68124
- Alegent Health Bergan Mercy Medical Center
-
Omaha, Nebraska, Stany Zjednoczone, 68122
- Alegent Health Immanuel Medical Center
-
Omaha, Nebraska, Stany Zjednoczone, 68130
- Alegent Health Lakeside Hospital
-
Omaha, Nebraska, Stany Zjednoczone, 68124
- Nebraska Cancer Specialists - Omaha
-
Scottsbluff, Nebraska, Stany Zjednoczone, 69361
- Regional West Medical Center Cancer Center
-
-
Nevada
-
Henderson, Nevada, Stany Zjednoczone, 89052
- Comprehensive Cancer Centers of Nevada - Henderson
-
Henderson, Nevada, Stany Zjednoczone, 89052
- Cancer and Blood Specialists-Henderson
-
Henderson, Nevada, Stany Zjednoczone, 89052
- Las Vegas Cancer Center-Henderson
-
Henderson, Nevada, Stany Zjednoczone, 89074
- Comprehensive Cancer Centers of Nevada-Southeast Henderson
-
Henderson, Nevada, Stany Zjednoczone, 89074
- Oncology Las Vegas - Henderson
-
Las Vegas, Nevada, Stany Zjednoczone, 89128
- Comprehensive Cancer Centers of Nevada - Northwest
-
Las Vegas, Nevada, Stany Zjednoczone, 89148
- Comprehensive Cancer Centers of Nevada
-
Las Vegas, Nevada, Stany Zjednoczone, 89169
- Comprehensive Cancer Centers of Nevada - Central Valley
-
Las Vegas, Nevada, Stany Zjednoczone, 89102
- University Medical Center of Southern Nevada
-
Las Vegas, Nevada, Stany Zjednoczone, 89121
- Cancer Therapy and Integrative Medicine
-
Las Vegas, Nevada, Stany Zjednoczone, 89148-2405
- Las Vegas Cancer Center-Medical Center
-
Las Vegas, Nevada, Stany Zjednoczone, 89128
- Ann M Wierman MD LTD
-
Las Vegas, Nevada, Stany Zjednoczone, 89169
- University Cancer Center
-
Las Vegas, Nevada, Stany Zjednoczone, 89183
- OptumCare Cancer Care at Fort Apache
-
-
New Hampshire
-
Dover, New Hampshire, Stany Zjednoczone, 03820
- Wentworth-Douglass Hospital
-
Lebanon, New Hampshire, Stany Zjednoczone, 03756
- Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
-
Manchester, New Hampshire, Stany Zjednoczone, 03104
- Dartmouth Cancer Center - Manchester/ DCC Manchester
-
Nashua, New Hampshire, Stany Zjednoczone, 03060
- Saint Joseph Hospital
-
Nashua, New Hampshire, Stany Zjednoczone, 03063
- Dartmouth Cancer Center - Nashua
-
-
New Jersey
-
East Orange, New Jersey, Stany Zjednoczone, 07018-1095
- Veterans Adminstration New Jersey Health Care System
-
Hackensack, New Jersey, Stany Zjednoczone, 07601
- Hackensack University Medical Center
-
Livingston, New Jersey, Stany Zjednoczone, 07039
- Cooperman Barnabas Medical Center
-
New Brunswick, New Jersey, Stany Zjednoczone, 08903
- Rutgers Cancer Institute of New Jersey
-
-
New Mexico
-
Albuquerque, New Mexico, Stany Zjednoczone, 87102
- Lovelace Medical Center-Saint Joseph Square
-
Albuquerque, New Mexico, Stany Zjednoczone, 87106
- Southwest Gynecologic Oncology Associates Inc
-
Albuquerque, New Mexico, Stany Zjednoczone, 87106
- University of New Mexico Cancer Center
-
-
New York
-
Auburn, New York, Stany Zjednoczone, 13021
- Hematology Oncology Associates of Central New York-Auburn
-
Buffalo, New York, Stany Zjednoczone, 14263
- Roswell Park Cancer Institute
-
Camillus, New York, Stany Zjednoczone, 13031
- Hematology Oncology Associates of CNY at Camillus
-
East Syracuse, New York, Stany Zjednoczone, 13057
- Hematology Oncology Associates of Central New York-East Syracuse
-
Glens Falls, New York, Stany Zjednoczone, 12801
- Glens Falls Hospital
-
New York, New York, Stany Zjednoczone, 10032
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
-
Rochester, New York, Stany Zjednoczone, 14642
- University of Rochester
-
Rochester, New York, Stany Zjednoczone, 14621
- Rochester General Hospital
-
Stony Brook, New York, Stany Zjednoczone, 11794
- Stony Brook University Medical Center
-
Syracuse, New York, Stany Zjednoczone, 13210
- State University of New York Upstate Medical University
-
-
North Carolina
-
Chapel Hill, North Carolina, Stany Zjednoczone, 27599
- UNC Lineberger Comprehensive Cancer Center
-
Clinton, North Carolina, Stany Zjednoczone, 28328
- Southeastern Medical Oncology Center-Clinton
-
Durham, North Carolina, Stany Zjednoczone, 27710
- Duke University Medical Center
-
Goldsboro, North Carolina, Stany Zjednoczone, 27534
- Southeastern Medical Oncology Center-Goldsboro
-
Goldsboro, North Carolina, Stany Zjednoczone, 27534
- Wayne Memorial Hospital
-
Hendersonville, North Carolina, Stany Zjednoczone, 28791
- Margaret R Pardee Memorial Hospital
-
Jacksonville, North Carolina, Stany Zjednoczone, 28546
- Southeastern Medical Oncology Center-Jacksonville
-
-
North Dakota
-
Bismarck, North Dakota, Stany Zjednoczone, 58501
- Sanford Bismarck Medical Center
-
Fargo, North Dakota, Stany Zjednoczone, 58122
- Sanford Roger Maris Cancer Center
-
Fargo, North Dakota, Stany Zjednoczone, 58122
- Sanford Broadway Medical Center
-
Grand Forks, North Dakota, Stany Zjednoczone, 58201
- Altru Cancer Center
-
-
Ohio
-
Beachwood, Ohio, Stany Zjednoczone, 44122
- UHHS-Chagrin Highlands Medical Center
-
Belpre, Ohio, Stany Zjednoczone, 45714
- Strecker Cancer Center-Belpre
-
Centerville, Ohio, Stany Zjednoczone, 45459
- Miami Valley Hospital South
-
Centerville, Ohio, Stany Zjednoczone, 45459
- Dayton Physicians LLC-Miami Valley South
-
Chillicothe, Ohio, Stany Zjednoczone, 45601
- Adena Regional Medical Center
-
Cincinnati, Ohio, Stany Zjednoczone, 45219
- University of Cincinnati Cancer Center-UC Medical Center
-
Cleveland, Ohio, Stany Zjednoczone, 44106
- Case Western Reserve University
-
Cleveland, Ohio, Stany Zjednoczone, 44109
- MetroHealth Medical Center
-
Cleveland, Ohio, Stany Zjednoczone, 44195
- Cleveland Clinic Foundation
-
Cleveland, Ohio, Stany Zjednoczone, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Columbus, Ohio, Stany Zjednoczone, 43214
- Riverside Methodist Hospital
-
Columbus, Ohio, Stany Zjednoczone, 43210
- Ohio State University Comprehensive Cancer Center
-
Columbus, Ohio, Stany Zjednoczone, 43219
- The Mark H Zangmeister Center
-
Columbus, Ohio, Stany Zjednoczone, 43214
- Columbus Oncology and Hematology Associates Inc
-
Columbus, Ohio, Stany Zjednoczone, 43228
- Doctors Hospital
-
Columbus, Ohio, Stany Zjednoczone, 43213
- Mount Carmel East Hospital
-
Columbus, Ohio, Stany Zjednoczone, 43215
- Grant Medical Center
-
Columbus, Ohio, Stany Zjednoczone, 43222
- Mount Carmel Health Center West
-
Dayton, Ohio, Stany Zjednoczone, 45406
- Good Samaritan Hospital - Dayton
-
Dayton, Ohio, Stany Zjednoczone, 45409
- Miami Valley Hospital
-
Dayton, Ohio, Stany Zjednoczone, 45415
- Miami Valley Hospital North
-
Dayton, Ohio, Stany Zjednoczone, 45415
- Dayton Physician LLC - Englewood
-
Delaware, Ohio, Stany Zjednoczone, 43015
- Delaware Health Center-Grady Cancer Center
-
Delaware, Ohio, Stany Zjednoczone, 43015
- Grady Memorial Hospital
-
Findlay, Ohio, Stany Zjednoczone, 45840
- Blanchard Valley Hospital
-
Findlay, Ohio, Stany Zjednoczone, 45840
- Armes Family Cancer Center
-
Findlay, Ohio, Stany Zjednoczone, 45840
- Orion Cancer Care
-
Independence, Ohio, Stany Zjednoczone, 44131
- Cleveland Clinic Cancer Center Independence
-
Kettering, Ohio, Stany Zjednoczone, 45429
- Kettering Medical Center
-
Kettering, Ohio, Stany Zjednoczone, 45409
- Greater Dayton Cancer Center
-
Mansfield, Ohio, Stany Zjednoczone, 44906
- Cleveland Clinic Cancer Center Mansfield
-
Mansfield, Ohio, Stany Zjednoczone, 44903
- OhioHealth Mansfield Hospital
-
Marietta, Ohio, Stany Zjednoczone, 45750
- Marietta Memorial Hospital
-
Marion, Ohio, Stany Zjednoczone, 43302
- OhioHealth Marion General Hospital
-
Mayfield Heights, Ohio, Stany Zjednoczone, 44124
- Hillcrest Hospital Cancer Center
-
Mount Vernon, Ohio, Stany Zjednoczone, 43050
- Knox Community Hospital
-
Newark, Ohio, Stany Zjednoczone, 43055
- Licking Memorial Hospital
-
Parma, Ohio, Stany Zjednoczone, 44129
- University Hospitals Parma Medical Center
-
Portsmouth, Ohio, Stany Zjednoczone, 45662
- Southern Ohio Medical Center
-
Sandusky, Ohio, Stany Zjednoczone, 44870
- North Coast Cancer Care
-
Sandusky, Ohio, Stany Zjednoczone, 44870
- UH Seidman Cancer Center at Firelands Regional Medical Center
-
Strongsville, Ohio, Stany Zjednoczone, 44136
- Cleveland Clinic Cancer Center Strongsville
-
Sylvania, Ohio, Stany Zjednoczone, 43560
- ProMedica Flower Hospital
-
Toledo, Ohio, Stany Zjednoczone, 43614
- University of Toledo
-
Warrensville Heights, Ohio, Stany Zjednoczone, 44122
- South Pointe Hospital
-
Westerville, Ohio, Stany Zjednoczone, 43081
- Saint Ann's Hospital
-
Wooster, Ohio, Stany Zjednoczone, 44691
- Cleveland Clinic Wooster Family Health and Surgery Center
-
Zanesville, Ohio, Stany Zjednoczone, 43701
- Genesis Healthcare System Cancer Care Center
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Stany Zjednoczone, 73104
- University of Oklahoma Health Sciences Center
-
Oklahoma City, Oklahoma, Stany Zjednoczone, 73120
- Mercy Hospital Oklahoma City
-
-
Oregon
-
Portland, Oregon, Stany Zjednoczone, 97239
- Oregon Health and Science University
-
Portland, Oregon, Stany Zjednoczone, 97213
- Providence Portland Medical Center
-
Portland, Oregon, Stany Zjednoczone, 97227
- Kaiser Permanente Northwest
-
-
Pennsylvania
-
Abington, Pennsylvania, Stany Zjednoczone, 19001
- Jefferson Abington Hospital
-
Allentown, Pennsylvania, Stany Zjednoczone, 18103
- Lehigh Valley Hospital-Cedar Crest
-
Bethlehem, Pennsylvania, Stany Zjednoczone, 18015
- Saint Luke's University Hospital-Bethlehem Campus
-
Danville, Pennsylvania, Stany Zjednoczone, 17822
- Geisinger Medical Center
-
Ephrata, Pennsylvania, Stany Zjednoczone, 17522
- Ephrata Cancer Center
-
Ephrata, Pennsylvania, Stany Zjednoczone, 17522
- Ephrata Community Hospital
-
Erie, Pennsylvania, Stany Zjednoczone, 16505
- UPMC Hillman Cancer Center Erie
-
Gettysburg, Pennsylvania, Stany Zjednoczone, 17325
- Adams Cancer Center
-
Hanover, Pennsylvania, Stany Zjednoczone, 17331
- WellSpan Medical Oncology and Hematology
-
Hazleton, Pennsylvania, Stany Zjednoczone, 18201
- Geisinger Medical Center-Cancer Center Hazleton
-
Hershey, Pennsylvania, Stany Zjednoczone, 17033-0850
- Penn State Milton S Hershey Medical Center
-
Philadelphia, Pennsylvania, Stany Zjednoczone, 19111
- Fox Chase Cancer Center
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15212
- Allegheny General Hospital
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15224
- West Penn Hospital
-
Pittsburgh, Pennsylvania, Stany Zjednoczone, 15232
- UPMC Hillman Cancer Center
-
Pottsville, Pennsylvania, Stany Zjednoczone, 17901
- Geisinger Cancer Services-Pottsville
-
West Reading, Pennsylvania, Stany Zjednoczone, 19611
- Reading Hospital
-
Wexford, Pennsylvania, Stany Zjednoczone, 15090
- Wexford Health and Wellness Pavilion
-
Wilkes-Barre, Pennsylvania, Stany Zjednoczone, 18711
- Geisinger Wyoming Valley/Henry Cancer Center
-
Williamsport, Pennsylvania, Stany Zjednoczone, 17701
- UPMC Susquehanna
-
York, Pennsylvania, Stany Zjednoczone, 17403
- WellSpan Health-York Cancer Center
-
York, Pennsylvania, Stany Zjednoczone, 17403
- WellSpan Health-York Hospital
-
-
Rhode Island
-
Newport, Rhode Island, Stany Zjednoczone, 02840
- Newport Hospital
-
Providence, Rhode Island, Stany Zjednoczone, 02903
- Rhode Island Hospital
-
Providence, Rhode Island, Stany Zjednoczone, 02906
- Miriam Hospital
-
-
South Carolina
-
Anderson, South Carolina, Stany Zjednoczone, 29621
- AnMed Health Cancer Center
-
Charleston, South Carolina, Stany Zjednoczone, 29401
- Roper Hospital
-
Charleston, South Carolina, Stany Zjednoczone, 29406
- Lowcountry Hematology Oncology PA-North Charleston
-
Charleston, South Carolina, Stany Zjednoczone, 29414
- Bon Secours Saint Francis Hospital
-
Charleston, South Carolina, Stany Zjednoczone, 29403
- Charleston Oncology - Roper
-
Charleston, South Carolina, Stany Zjednoczone, 29414
- Charleston Oncology - Saint Francis
-
Charleston, South Carolina, Stany Zjednoczone, 29414
- Lowcountry Oncology Associates - West Ashley
-
Greenville, South Carolina, Stany Zjednoczone, 29607
- Saint Francis Cancer Center
-
Mt. Pleasant, South Carolina, Stany Zjednoczone, 29464
- Lowcountry Oncology Associates - Mount Pleasant
-
-
South Dakota
-
Rapid City, South Dakota, Stany Zjednoczone, 57701
- Rapid City Regional Hospital
-
Sioux Falls, South Dakota, Stany Zjednoczone, 57117-5134
- Sanford USD Medical Center - Sioux Falls
-
Sioux Falls, South Dakota, Stany Zjednoczone, 57104
- Sanford Cancer Center Oncology Clinic
-
-
Tennessee
-
Germantown, Tennessee, Stany Zjednoczone, 38138
- The West Clinic - Wolf River
-
Memphis, Tennessee, Stany Zjednoczone, 38163
- University of Tennessee Health Science Center
-
Memphis, Tennessee, Stany Zjednoczone, 38104
- The West Clinic - Mid-Town
-
Nashville, Tennessee, Stany Zjednoczone, 37232
- Vanderbilt University/Ingram Cancer Center
-
-
Texas
-
Austin, Texas, Stany Zjednoczone, 78731
- Texas Oncology - Central Austin Cancer Center
-
Dallas, Texas, Stany Zjednoczone, 75246
- Baylor University Medical Center
-
Houston, Texas, Stany Zjednoczone, 77030
- UT MD Anderson Cancer Center
-
-
Utah
-
American Fork, Utah, Stany Zjednoczone, 84003
- American Fork Hospital / Huntsman Intermountain Cancer Center
-
Cedar City, Utah, Stany Zjednoczone, 84720
- Sandra L Maxwell Cancer Center
-
Logan, Utah, Stany Zjednoczone, 84321
- Logan Regional Hospital
-
Murray, Utah, Stany Zjednoczone, 84107
- Intermountain Medical Center
-
Ogden, Utah, Stany Zjednoczone, 84403
- McKay-Dee Hospital Center
-
Provo, Utah, Stany Zjednoczone, 84604
- Utah Valley Regional Medical Center
-
Salt Lake City, Utah, Stany Zjednoczone, 84112
- Huntsman Cancer Institute/University of Utah
-
Salt Lake City, Utah, Stany Zjednoczone, 84106
- Utah Cancer Specialists-Salt Lake City
-
Salt Lake City, Utah, Stany Zjednoczone, 84143
- LDS Hospital
-
South Jordan, Utah, Stany Zjednoczone, 84009
- South Jordan Health Center
-
St. George, Utah, Stany Zjednoczone, 84770
- Saint George Regional Medical Center
-
-
Vermont
-
Berlin Corners, Vermont, Stany Zjednoczone, 05602
- Central Vermont Medical Center/National Life Cancer Treatment
-
Burlington, Vermont, Stany Zjednoczone, 05401
- University of Vermont Medical Center
-
Burlington, Vermont, Stany Zjednoczone, 05405
- University of Vermont and State Agricultural College
-
-
Virginia
-
Lynchburg, Virginia, Stany Zjednoczone, 24501
- Centra Alan B Pearson Regional Cancer Center
-
Richmond, Virginia, Stany Zjednoczone, 23229
- Virginia Cancer Institute
-
Richmond, Virginia, Stany Zjednoczone, 23298
- VCU Massey Comprehensive Cancer Center
-
South Hill, Virginia, Stany Zjednoczone, 23970
- VCU Community Memorial Health Center
-
-
Washington
-
Aberdeen, Washington, Stany Zjednoczone, 98520
- Providence Regional Cancer System-Aberdeen
-
Centralia, Washington, Stany Zjednoczone, 98531
- Providence Regional Cancer System-Centralia
-
Everett, Washington, Stany Zjednoczone, 98201
- Providence Regional Cancer Partnership
-
Lacey, Washington, Stany Zjednoczone, 98503
- Providence Regional Cancer System-Lacey
-
Longview, Washington, Stany Zjednoczone, 98632
- PeaceHealth Saint John Medical Center
-
Seattle, Washington, Stany Zjednoczone, 98122
- Swedish Medical Center-First Hill
-
Seattle, Washington, Stany Zjednoczone, 98112
- Kaiser Permanente Washington
-
Shelton, Washington, Stany Zjednoczone, 98584
- Providence Regional Cancer System-Shelton
-
Vancouver, Washington, Stany Zjednoczone, 98664
- PeaceHealth Southwest Medical Center
-
Walla Walla, Washington, Stany Zjednoczone, 99362
- Providence Saint Mary Regional Cancer Center
-
Yelm, Washington, Stany Zjednoczone, 98597
- Providence Regional Cancer System-Yelm
-
-
West Virginia
-
Bridgeport, West Virginia, Stany Zjednoczone, 26330
- United Hospital Center
-
Charleston, West Virginia, Stany Zjednoczone, 25304
- Vandalia Health/CAMC Institute for Academic Medicine
-
Morgantown, West Virginia, Stany Zjednoczone, 26506
- West Virginia University Healthcare
-
Parkersburg, West Virginia, Stany Zjednoczone, 26101
- Camden Clark Medical Center
-
-
Wisconsin
-
Antigo, Wisconsin, Stany Zjednoczone, 54409
- Aspirus Cancer Care-Antigo-Volm Cancer Center
-
Burlington, Wisconsin, Stany Zjednoczone, 53105
- Aurora Cancer Care-Southern Lakes VLCC
-
Chippewa Falls, Wisconsin, Stany Zjednoczone, 54729
- Marshfield Clinic-Chippewa Center
-
Eau Claire, Wisconsin, Stany Zjednoczone, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
-
Fond du Lac, Wisconsin, Stany Zjednoczone, 54937
- Aurora Health Center-Fond du Lac
-
Fond du Lac, Wisconsin, Stany Zjednoczone, 54935
- Saint Agnes Hospital/Agnesian Cancer Center
-
Germantown, Wisconsin, Stany Zjednoczone, 53022
- Aurora Health Care Germantown Health Center
-
Grafton, Wisconsin, Stany Zjednoczone, 53024
- Aurora Cancer Care-Grafton
-
Green Bay, Wisconsin, Stany Zjednoczone, 54311
- Aurora BayCare Medical Center
-
Green Bay, Wisconsin, Stany Zjednoczone, 54301
- Saint Vincent Hospital Cancer Center Green Bay
-
Green Bay, Wisconsin, Stany Zjednoczone, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
-
Green Bay, Wisconsin, Stany Zjednoczone, 54301-3526
- Green Bay Oncology at Saint Vincent Hospital
-
Kenosha, Wisconsin, Stany Zjednoczone, 53142
- Aurora Cancer Care-Kenosha South
-
La Crosse, Wisconsin, Stany Zjednoczone, 54601
- Gundersen Lutheran Medical Center
-
Madison, Wisconsin, Stany Zjednoczone, 53792
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Marinette, Wisconsin, Stany Zjednoczone, 54143
- Aurora Bay Area Medical Group-Marinette
-
Marinette, Wisconsin, Stany Zjednoczone, 54143
- Bay Area Medical Center
-
Marshfield, Wisconsin, Stany Zjednoczone, 54449
- Marshfield Medical Center-Marshfield
-
Menomonee Falls, Wisconsin, Stany Zjednoczone, 53051
- Froedtert Menomonee Falls Hospital
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53226
- Medical College of Wisconsin
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53209
- Aurora Cancer Care-Milwaukee
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53215
- Aurora Saint Luke's Medical Center
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53233
- Aurora Sinai Medical Center
-
Milwaukee, Wisconsin, Stany Zjednoczone, 53210
- Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee
-
Minocqua, Wisconsin, Stany Zjednoczone, 54548
- Marshfield Medical Center - Minocqua
-
New Richmond, Wisconsin, Stany Zjednoczone, 54017
- Cancer Center of Western Wisconsin
-
Oconto Falls, Wisconsin, Stany Zjednoczone, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
-
Oshkosh, Wisconsin, Stany Zjednoczone, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
-
Racine, Wisconsin, Stany Zjednoczone, 53406
- Aurora Cancer Care-Racine
-
Rice Lake, Wisconsin, Stany Zjednoczone, 54868
- Marshfield Medical Center-Rice Lake
-
Rice Lake, Wisconsin, Stany Zjednoczone, 54868
- Lakeview Medical Center-Marshfield Clinic
-
Sheboygan, Wisconsin, Stany Zjednoczone, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
-
Sheboygan, Wisconsin, Stany Zjednoczone, 53081
- HSHS Saint Nicholas Hospital
-
Stevens Point, Wisconsin, Stany Zjednoczone, 54481
- Aspirus Cancer Care - Stevens Point
-
Sturgeon Bay, Wisconsin, Stany Zjednoczone, 54235-1495
- Saint Vincent Hospital Cancer Center at Sturgeon Bay
-
Summit, Wisconsin, Stany Zjednoczone, 53066
- Aurora Medical Center in Summit
-
Two Rivers, Wisconsin, Stany Zjednoczone, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
-
Wausau, Wisconsin, Stany Zjednoczone, 54401
- Marshfield Clinic-Wausau Center
-
Wausau, Wisconsin, Stany Zjednoczone, 54401
- Aspirus Cancer Care-Wausau
-
Wauwatosa, Wisconsin, Stany Zjednoczone, 53226
- Aurora Cancer Care-Milwaukee West
-
West Allis, Wisconsin, Stany Zjednoczone, 53227
- Aurora West Allis Medical Center
-
Weston, Wisconsin, Stany Zjednoczone, 54476
- Marshfield Medical Center - Weston
-
Wisconsin Rapids, Wisconsin, Stany Zjednoczone, 54494
- Aspirus Cancer Care - Wisconsin Rapids
-
Wisconsin Rapids, Wisconsin, Stany Zjednoczone, 54494
- Marshfield Clinic - Wisconsin Rapids Center
-
-
Wyoming
-
Cody, Wyoming, Stany Zjednoczone, 82414
- Big Horn Basin Cancer Center
-
Cody, Wyoming, Stany Zjednoczone, 82414
- Billings Clinic-Cody
-
Sheridan, Wyoming, Stany Zjednoczone, 82801
- Welch Cancer Center
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- STEP 1 REGISTRATION:
- Patients must have completely resected melanoma of cutaneous origin or of unknown primary in order to be eligible for this study; patients must be classified as stage IIIA (N2a), IIIB, IIIC, or stage IV melanoma; patients with non-ulcerated T1b N1a disease are not eligible; patients with melanoma of mucosal or other non-cutaneous origin are eligible; patients with melanoma of ocular origin are not eligible; patients with a history of brain metastases are ineligible
- Patients are eligible for this trial either at initial presentation of their melanoma or at the time of the first detected nodal, satellite/in-transit, distant metastases, or recurrent disease in prior lymphadenectomy basin or distant site; nodal, satellite/in-transit metastasis, distant metastases or disease in a prior complete lymphadenectomy basin must have been confirmed histologically by hematoxylin and eosin (H & E) stained slides
- Patients with multiple regional nodal basin involvement are eligible; gross or microscopic extracapsular nodal extension is permitted
- Patients at initial presentation of melanoma must undergo an adequate wide excision of the primary lesion, if present; patients with previously diagnosed melanoma must have had all current disease resected with pathologically negative margins and must have no evidence of disease at the primary site or must undergo re-resection of the primary site; a full lymphadenectomy meeting the criteria outlined is required for all node-positive patients including those with positive sentinel nodes; patients with recurrent disease who have had a prior complete lymphadenectomy fulfill this requirement as long as all recurrent disease has been resected; for all patients, all disease must have been resected with negative pathological margins and no clinical, radiologic, or pathological evidence of any incompletely resected melanoma; patients must be registered within 98 days of the last surgery performed to render the patient free of disease
- Patients must have available and be willing to submit a minimum of five unstained slides from primary, lymph node, or metastatic site to determine PD-L1 expression; the tumor tissue must be adequate for PD-L1 testing (defined as >= 100 tumor cells as confirmed by the treating institution's local pathologist); this must be documented by having a pathologist sign the S1404 Local Pathology Review form prior to step 1 registration; the specimens may come from an archived block but must be submitted within 20 days from cutting the slides
- Patients must be offered the opportunity to participate in specimen banking as outlined
- Patients must be willing to have blood draws for PK/ADA analysis as outlined, should the patient be randomized to the MK-3475 arm
- Patients may have received prior radiation therapy, including after the surgical resection; all adverse events associated with prior surgery and radiation therapy must have resolved to =< grade 1 prior to registration
- Patients must not have received neoadjuvant treatment for their melanoma; patients must not have had prior immunotherapy including, but not limited to ipilimumab, interferon alfa-2b, high dose IL-2, pegylated (PEG)-IFN, anti-PD-1, anti-PD-L1 intra-tumoral, or vaccine therapies; patients must not be planning to receive any of the prohibited therapies during the screening or treatment phases of the study
- Patients must not be planning to receive concomitant other biologic therapy, radiation therapy, hormonal therapy, other chemotherapy, surgery or other therapy after step 2 registration
- All patients must have disease-free status documented by a complete physical examination and imaging studies within 42 days prior to registration; imaging studies must include a total body positron emission tomography (PET)-computed tomography (CT) scan that is of diagnostic quality (with or without brain) or a CT of the chest, abdomen and pelvis; for patients with melanoma arising from the head and neck, dedicated neck imaging (CT with IV contrast or PET-CT through the region) is required; if the patient has had unknown primary with disease in the axilla, neck imaging is required to assure region is clear of cancer; CT imaging should be done with intravenous contrast if there are no contraindications for it; any other clinically-indicated imaging studies if performed (e.g. bone scan) must show no evidence of disease
- All patients must have a CT or magnetic resonance imaging (MRI) of the brain within 90 days prior to registration; the brain CT or MRI should be performed with intravenous contrast (unless contraindicated)
- Absolute neutrophil count (ANC) >= 1,500 microliter (mcL) (within 42 days prior to registration)
- Platelets >= 100,000 mcL (within 42 days prior to registration)
- Hemoglobin >= 10 g/dL (within 42 days prior to registration)
- Total bilirubin =< 1.5 x institutional upper limit of normal (IULN) (except Gilbert's syndrome, who must have a total bilirubin < 3.0 mg/dL) (within 42 days prior to registration)
- Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) and serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) =< 2 x IULN (within 42 days prior to registration)
- Alkaline phosphatase =< 2 x IULN (within 42 days prior to registration)
- Serum creatinine =< IULN OR measured or calculated creatinine clearance >= 60 mL/min (within 42 days prior to registration)
- Patients must have lactate dehydrogenase (LDH) performed within 42 days prior to registration
- Patients must have Zubrod performance status =< 1
- Patients must have a baseline electrocardiogram (ECG) performed within 42 days of registration that is normal or considered not clinically significant by the site investigator
- Patients must not have a history of (non-infectious) pneumonitis that required steroids or current pneumonitis
- Patients must not have an active infection requiring systemic therapy
- Patients must not have active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs); replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment
- Patients must not have received live vaccines within 42 days prior to registration; examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, chicken pox, shingles, yellow fever, rabies, bacillus Calmette-Guerin (BCG), and typhoid (oral) vaccine; seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., Flu-Mist) are live attenuated vaccines, and are not allowed
- Patients known to be human immunodeficiency virus (HIV) positive are eligible if they meet the following criteria within 30 days prior to registration: stable and adequate cluster of differentiation 4 (CD4) counts (>= 350 mm^3), and serum HIV viral load of < 25,000 IU/ml; patients may be on or off anti-viral therapy so long as they meet the CD4 count criteria
- Patients must not have known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection prior to registration
- Patients must not have a history or current evidence of any condition, therapy or laboratory abnormality that might confound the trial results, interfere with the patient's participation for the full duration of the trial, or indicate that participation in the trial is not in the patient's best interests, in the opinion of the treating investigator
- No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, lobular carcinoma of the breast in situ, atypical melanocytic hyperplasia or melanoma in situ, adequately treated stage I or II cancer (including multiple primary melanomas) from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for three years
- Women of childbearing potential must have a negative urine or serum pregnancy test within 28 days prior to registration; women/men of reproductive potential must have agreed to use an effective contraceptive method for the course of the study through 120 days after the last dose of study medication; should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately; a woman is considered to be of "reproductive potential" if she has had menses at any time in the preceding 12 consecutive months; in addition to routine contraceptive methods, "effective contraception" also includes heterosexual celibacy and surgery intended to prevent pregnancy (or with a side-effect of pregnancy prevention) defined as a hysterectomy, bilateral oophorectomy, or bilateral tubal ligation; however, if at any point a previously celibate patient chooses to become heterosexually active during the time period for use of contraceptive measures, he/she is responsible for beginning contraceptive measures; patients must not be pregnant or nursing due to unknown teratogenic side effects
- Patients who are able to complete questionnaires in English, Spanish or French must participate in the quality of life assessments; (those patients who cannot complete the quality of life questionnaires in English, Spanish or French can be registered to S1404 without contributing to the quality of life studies)
- Patients must be informed of the investigational nature of this study and must sign and give written informed consent for this protocol in accordance with institutional and federal guidelines
- As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system
- STEP 2 REGISTRATION (RANDOMIZATION CRITERIA):
- Patients must not be registered until receiving confirmation from the Southwest Oncology Group (SWOG) Statistical Center that the patient's tissue specimen was adequate for PD-L1 testing; patients must be registered within 7 working days of receiving the e-mail notification
- Women of childbearing potential must plan to have a urine or serum pregnancy test within 72 hours prior to receiving the first dose of study medication; if the urine test is positive or cannot be confirmed as negative, a negative serum pregnancy test will be required
- No tests or exams are required to be repeated for step 2 registration (randomization); however, patients who are known to have a change in eligibility status after step 1 registration are not eligible for step 2 registration; for example, ANC is not required to be repeated between step 1 and step 2 registration, but the most recent ANC performed before step 2 registration is required to be >= 1,500 mcL
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Podwójnie
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Aktywny komparator: Arm I (high-dose recombinant interferon alfa-2B, ipilimumab)
INDUCTION THERAPY: Patients receive high-dose recombinant interferon alfa-2B intravenously (IV) over 20 minutes on days 1-5. Treatment repeats weekly for 4 weeks in the absence of disease progression or unacceptable toxicity. Or patients receive ipilimumab IV over 90 minutes on day 1. Treatment repeats every 3 weeks for a total of 4 cycles in the absence of disease progression or unacceptable toxicity. MAINTENANCE THERAPY: Patients receive high-dose recombinant interferon alfa-2B subcutaneously (SC) on days 1, 3, and 5. Treatment repeats every 6 weeks for up to 48 weeks in the absence of disease progression or unacceptable toxicity. Or patients receive ipilimumab IV over 90 minutes on day 1. Treatment repeats every 12 weeks for 3 years in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan, PET scan, MRI and blood sample collection throughout the study. |
Ancillary studies
Inne nazwy:
Undergo blood sample collection
Inne nazwy:
Given IV
Inne nazwy:
Given IV and SC
Inne nazwy:
Undergo MRI
Inne nazwy:
Undergo CT scan
Inne nazwy:
Undergo PET scan
Inne nazwy:
|
|
Eksperymentalny: Arm II (pembrolizumab)
Patients receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 3 weeks for up to 52 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo CT scan, PET scan, MRI and blood sample collection throughout the study. |
Ancillary studies
Inne nazwy:
Undergo blood sample collection
Inne nazwy:
Undergo MRI
Inne nazwy:
Given IV
Inne nazwy:
Undergo PET scan
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Overall Survival (OS)
Ramy czasowe: 5 years after last randomization
|
Time from date of randomization to date of death due to any cause. Patients known to be alive are censored at date of last contact. The results were presented as 5-year OS estimate. |
5 years after last randomization
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Relapse-free Survival (RFS)
Ramy czasowe: 5 years after last randomization
|
Time from date of randomization to date of first documentation of relapse or death due to any cause. Patients last known to be alive and relapse-free are censored at date of last contact. |
5 years after last randomization
|
|
Overall Survival (OS) in Participants Who Are PD-L1 Positive
Ramy czasowe: 94 months; from study start November 10, 2015 to September 15, 2023
|
Time from date of randomization to date of death due to any cause. Patients known to be alive are censored at date of last contact. |
94 months; from study start November 10, 2015 to September 15, 2023
|
|
Relapse-free Survival (RFS) in Participants Who Are PD-L1 Positive
Ramy czasowe: 5 years after last randomization
|
Time from date of randomization to date of first documentation of relapse or death due to any cause. Patients last known to be alive and relapse-free are censored at date of last contact. |
5 years after last randomization
|
|
Number of Participants With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ramy czasowe: Randomized patients will be followed until death or 94 months (from study start November 10, 2015 to September 15, 2023), whichever occurs first.
|
Only adverse events that are possibly, probably or definitely related to study drug are reported. CTCAE Version 5.0 was used for all AE reporting. |
Randomized patients will be followed until death or 94 months (from study start November 10, 2015 to September 15, 2023), whichever occurs first.
|
Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Główny śledczy: Sapna Patel, SWOG Cancer Research Network
Publikacje i pomocne linki
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Rzeczywisty)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Szacowany)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
- Nowotwory według lokalizacji
- Nowotwory
- Nowotwory według typu histologicznego
- Choroby skórne
- Nowotwory neuroektodermalne
- Nowotwory, komórki rozrodcze i embrionalne
- Nowotwory, tkanka nerwowa
- Guzy neuroendokrynne
- Nevi i czerniaki
- Nowotwory skóry
- Choroby skóry i tkanki łącznej
- Czerniak
- Peptydy
- Aminokwasy, peptydy i białka
- Białka
- Techniki śledcze
- Techniki laboratoryjne kliniczne
- Techniki i procedury diagnostyczne
- Diagnoza
- Czynniki biologiczne
- Przeciwciała, monoklonalne, humanizowane
- Przeciwciała, monoklonalne
- Przeciwciała
- Immunoglobuliny
- Immunoproteiny
- Białka krwi
- Globuliny w surowicy
- Globuliny
- Techniki chemii, analityczne
- Składniki genomu
- Genom
- Struktury genetyczne
- Zjawiska genetyczne
- Analiza widma
- Receptory, powierzchnia komórkowa
- Białka błony
- Międzykomórkowe peptydy sygnalizacyjne i białka
- Cytokiny
- Interferon Typ I.
- Interferony
- Interferon-alfa
- Antygeny
- Antygeny, powierzchnia
- Biomarkery
- Składniki genowe
- Geny
- Receptory, immunologiczne
- Antygeny, różnicowanie, limfocyt t
- Antygeny, różnicowanie
- Białka immunologiczne
- Kostymulujące i hamujące receptory komórek T
- DNA, międzygeniczne
- Interferon alfa-2
- Ipilimumab
- Prowadzenie okazów
- pembrolizumab
- Spektroskopia rezonansu magnetycznego
- Antygen CTLA-4
- Intony
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- NCI-2014-02676
- U10CA180888 (Grant/umowa NIH USA)
- NCI-2014-02676 (Identyfikator rejestru: CTRP (Clinical Trial Reporting Program))
- S1404 (Inny identyfikator: CTEP)
- S1404 (Inny identyfikator: SWOG)
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