Immunotherapy With Nivolumab and Ipilimumab Followed by Nivolumab or Nivolumab With Cabozantinib for Patients With Advanced Kidney Cancer, The PDIGREE Study

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Recruiting
CT.gov ID
NCT03793166
Collaborator
(none)
1,046
822
2
40.2
1.3
0

Study Details

Study Description

Brief Summary

This phase III trial compares the usual treatment (treatment with ipilimumab and nivolumab followed by nivolumab alone) to treatment with ipilimumab and nivolumab, followed by nivolumab with cabozantinib in patients with untreated renal cell carcinoma that has spread to other parts of the body. The addition of cabozantinib to the usual treatment may make it work better. Immunotherapy with monoclonal antibodies, such as nivolumab and ipilimumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Cabozantinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not yet known how well the combination of cabozantinib and nivolumab after initial treatment with ipilimumab and nivolumab works in treating patients with renal cell cancer that has spread to other parts of the body.

Detailed Description

PRIMARY OBJECTIVE:
  1. To compare the overall survival (OS) in patients with metastatic renal cell cancer (RCC) treated with ipilimumab-nivolumab followed by either nivolumab versus cabozantinib-nivolumab.
SECONDARY OBJECTIVES:
  1. To determine progression free survival (PFS) of patients treated with nivolumab versus nivolumab-cabozantinib.

  2. To evaluate the 12-month complete response rate in patients treated with ipilimumab-nivolumab followed by cabozantinib-nivolumab versus ipilimumab-nivolumab followed by nivolumab (patients who have complete response [CR] and relapse before 12 months will not be counted as a CR at 12-months).

  3. To evaluate the rates of discontinuing therapy at 1 year. IV. To compare objective response rates (ORR, assessed by Response Evaluation Criteria in Solid Tumors [RECIST] 1.1 and Immune Response Evaluation Criteria in Solid Tumors [iRECIST] criteria) for patients treated with ipilimumab-nivolumab followed by cabozantinib-nivolumab versus ipilimumab-nivolumab followed by nivolumab.

  4. To document the adverse event profile of ipilimumab-nivolumab followed by cabozantinib-nivolumab.

BIOMARKER OBJECTIVES:
  1. To evaluate biomarkers associated with exceptional responses in both arms (exceptional responses defined as CRs with treatment discontinuation at 12 months or 24 months).

  2. To evaluate whether baseline IL-6 is predictive of outcome in patients treated with cabozantinib-containing regimen.

QUALITY OF LIFE (QOL) OBJECTIVES:
  1. To compare health-related quality of life at 18 months post-registration as assessed by the Functional Assessment of Cancer Therapy (FACT)-Kidney Symptom Index 19 (FKSI-19) between patients randomized to nivolumab (nivo) versus (vs) cabozantinib (cabo)/nivo.

  2. To compare health-related quality of life as assessed by the FKSI-19 between patients randomized to nivo vs cabo/nivo at other time points.

  3. To compare patient-reported fatigue using Patient-Reported Outcomes Measurement Information System (PROMIS)-Fatigue between patients randomized to nivo vs cabo/nivo.

  4. To compare quality-adjusted survival (overall survival x utility score assessed by EuroQol five-dimensional questionnaire [EQ5D-5L]) between patients randomized to nivo vs cabo/nivo.

OUTLINE:

INDUCTION: Patients receive nivolumab intravenously (IV) over 30 minutes and ipilimumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity.

TREATMENT:

Patients with unconfirmed but clinical progression of disease (iuPD) receive cabozantinib orally (PO) daily on days 1-28. Treatment repeats every 28 days until further disease progression or unacceptable toxicity.

Patients with unconfirmed CR (iCR) receive nivolumab IV between 30-60 minutes on day 1. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Patients with non-CR/non-PD or iuPD are randomized to 1 of 2 arms.

ARM A: Patients receive nivolumab IV between 30-60 minutes on day 1. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

ARM B: Patients receive nivolumab IV between 30-60 minutes on day 1 and cabozantinib PO daily on days 1-28. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up for 5 years.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
1046 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
PD-Inhibitor (Nivolumab) and Ipilimumab Followed by Nivolumab vs. VEGF TKI Cabozantinib With Nivolumab: A Phase III Trial in Metastatic Untreated REnal Cell CancEr [PDIGREE]
Actual Study Start Date :
May 9, 2019
Anticipated Primary Completion Date :
Sep 15, 2022
Anticipated Study Completion Date :
Sep 15, 2022

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Arm A (nivolumab)

INDUCTION: Patients receive nivolumab IV over 30 minutes and ipilimumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. TREATMENT: Patients with iuPD receive cabozantinib PO daily on days 1-28. Treatment repeats every 28 days until further disease progression or unacceptable toxicity Patients with iCR receive nivolumab IV over 30 minutes on day 1. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients with non-CR/non-PD receive nivolumab IV over 30 minutes on day 1. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

Biological: Ipilimumab
Given IV
Other Names:
  • Anti-Cytotoxic T-Lymphocyte-Associated Antigen-4 Monoclonal Antibody
  • BMS-734016
  • Ipilimumab Biosimilar CS1002
  • MDX-010
  • MDX-CTLA4
  • Yervoy
  • Biological: Nivolumab
    Given IV
    Other Names:
  • BMS-936558
  • CMAB819
  • MDX-1106
  • NIVO
  • Nivolumab Biosimilar CMAB819
  • ONO-4538
  • Opdivo
  • Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Other: Questionnaire Administration
    Ancillary studies

    Experimental: Arm B (nivolumab, cabozantinib)

    INDUCTION: Patients receive nivolumab IV over 30 minutes and ipilimumab IV over 30 minutes on day 1. Treatment repeats every 21 days for up to 4 cycles in the absence of disease progression or unacceptable toxicity. TREATMENT: Patients with iuPD receive cabozantinib PO daily on days 1-28. Treatment repeats every 28 days until further disease progression or unacceptable toxicity. Patients with iCR receive nivolumab IV over 30 minutes on day 1. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients with non-CR/non-PD receive nivolumab IV over 30 minutes on day 1 and cabozantinib PO daily on days 1-28. Treatment repeats every 28 days in the absence of

    Drug: Cabozantinib
    Given PO

    Biological: Ipilimumab
    Given IV
    Other Names:
  • Anti-Cytotoxic T-Lymphocyte-Associated Antigen-4 Monoclonal Antibody
  • BMS-734016
  • Ipilimumab Biosimilar CS1002
  • MDX-010
  • MDX-CTLA4
  • Yervoy
  • Biological: Nivolumab
    Given IV
    Other Names:
  • BMS-936558
  • CMAB819
  • MDX-1106
  • NIVO
  • Nivolumab Biosimilar CMAB819
  • ONO-4538
  • Opdivo
  • Other: Quality-of-Life Assessment
    Ancillary studies
    Other Names:
  • Quality of Life Assessment
  • Other: Questionnaire Administration
    Ancillary studies

    Outcome Measures

    Primary Outcome Measures

    1. Overall survival (OS) [From registration to date of death from any cause for non-randomized patients, from time of randomization until death from any cause for randomized patients, assessed up to 5 years]

      OS of patients who achieve complete response (CR) and progressive disease (PD) from ipilimumab-nivolumab induction phase will be summarized. The stratified log-rank statistic will be the primary analysis to compare the hypothesis on OS with the stratification factors (presence of bone metastases and IMDC risk criteria). The Kaplan-Meier product-limit estimator will be used to estimate the OS. A stratified proportional hazards model will be used to generate estimates for the OS hazard ratio. For the randomized patients, OS will be calculated and compared from the time of randomization until the time of an OS event or time of last-follow-up, whatever occurs first. For the patients who were initially CR or PD, OS will be measured from the time of study registration. A comparison of OS will be made across the patient groups (randomized patients, patients initially CR, and patients initially PD).

    Secondary Outcome Measures

    1. Progression-free survival (PFS) [From date of registration to date of progression or death from any cause, whichever occurs first, assessed up to 5 years]

      Progression will be defined using the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria. PFS of patients who achieve CR and PD from ipilimumab-nivolumab induction phase will be summarized (secondary analysis). The Kaplan-Meier product-limit estimator will be used to estimate the PFS distribution. A stratified proportional hazards model will be used to generate estimates for the PFS hazard ratio. For the randomized patients, PFS will be calculated and compared from the time of randomization until the time of a PFS event or time of last-follow-up, whatever occurs first. For the patients who were initially CR or PD, PFS will be measured from the time of study registration. A comparison of PFS will be made across the patient groups (randomized patients, patients initially CR, and patients initially PD). For this comparison, PFS will be measured from time of study registration all the patients, regardless of whether they were randomized or not.

    2. Complete response (CR) (randomized patients) [At 12 months from date of randomization]

      Patients who had a CR prior to 12 months but have experienced a disease recurrence prior to 12 months, will not be considered to be a CR at 12 months. The Cochran-Mantel-Haenszel test will be used to compare the two arms on the proportion of patients who have a 12-month CR adjusting on the stratification factors.

    3. Objective response [Up to 5 years]

      Defined as the best response observed that has been confirmed by a scan performed 4 or more weeks after the observation of the initial response. The objective response will be confirmed using RECIST 1.1. In addition, objective responses will also be confirmed using Immune Response Evaluation Criteria in Solid Tumors (iRECIST).

    4. Proportion of patients who discontinue protocol-directed treatment prior to 1 year from date of study registration [Up to 5 years]

      Patients who stop their protocol directed treatment for any reason prior to one year from study registration will be considered to have discontinued their treatment. The Cochran-Mantel-Haenszel test will also be used to compare the proportion of patients who discontinue their treatment prior to one-year after study registration.

    5. Incidence of adverse events [Up to 5 years]

      Assessed with National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. A Fisher's exact test will be used to compare the two treatment arms on the proportion of patient with a grade 3 or higher adverse event.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • STEP I REGISTRATION CRITERIA

    • Histologically documented renal cell carcinoma with clear cell component, including patients who have sarcomatoid features.

    • Any metastatic disease, including visceral, lymph node, other soft tissue and bone, measurable per RECIST 1.1.

    • Measurable disease as defined in the protocol.

    • Must be intermediate or poor risk patient per International Metastatic Renal Cell Carcinoma Database (IMDC) criteria (1 or more of the following: Karnofsky performance status [KPS] < 80, < 1 year from diagnosis [including initial nephrectomy] to systemic treatment for metastatic disease, hemoglobin less than lower limit of normal [LLN], corrected calcium concentration greater than upper limit of normal [ULN], absolute neutrophil count greater than ULN, platelet count > ULN).

    • Central nervous system (CNS) disease permitted, if stable and not otherwise causing symptoms or needing active treatment.

    • Karnofsky performance status >= 70%.

    • No prior treatment with PD-1, PD-L1, or CTLA-4 targeting agents (including but not limited to nivolumab, pembrolizumab, pidilizumab, durvalumab, atezolizumab, tremelimumab, and ipilimumab), or any other drug or antibody specifically targeting T-cell co-stimulation or checkpoint pathways. The only exception is for prior treatment with nivolumab or other PD-1/PD-L1/CTLA-4 targeting therapy on pre- or post-operative trials, as long as > 1 year since completion of systemic therapy.

    • No prior previous systemic therapy for renal cell carcinoma (prior HD IL-2 [> 28 days] and prior adjuvant sunitinib > 180 days since completion and prior immunotherapy as above are allowed).

    • No cancer therapy less than 28 days prior to registration; this includes radiation therapy, except for bone lesions less than 14 days prior to registration. There must be a complete recovery and no ongoing complications from radiotherapy.

    • Not pregnant and not nursing, because this study involves an agent that has known genotoxic, mutagenic and teratogenic effects. Therefore, for women of childbearing potential only, a negative serum or urine pregnancy test done =< 14 days prior to registration is required.

    • Age >= 18 years

    • Absolute neutrophil count (ANC) >= 1,500/mm^3.

    • Platelet count >= 100,000/mm^3.

    • Hemoglobin >= 8 g/dL.

    • Calculated (Calc.) creatinine clearance >= 30 mL/min.

    • Urine protein =< 1+ or urine protein to creatinine (UPC) ratio < 1.

    • Total bilirubin =< 1.5 x upper limit of normal (ULN).

    • Aspartate aminotransferase/alanine aminotransferase (AST/ALT) =< 2.5 x upper limit of normal (ULN) or < 5 x ULN if hepatic metastases present.

    • STEP 2 REGISTRATION ELIGIBILITY CRITERIA

    • Successful completion of at least 1 cycle of ipilimumab/nivolumab.

    • Resolution of any treatment-related adverse events to grade 1 or less per dose modification section (this criteria does not include any adverse events [AEs] not attributable to treatment which are present due to disease). Exceptions for this criteria include patients receiving replacement hormone treatments (such as levothyroxine for treatment-related hypothyroidism or glucocorticoid replacement for adrenal insufficiency). Please contact study chair if further discussion is needed.

    • No more than 70 days from last dose of ipilimumab/nivolumab.

    Exclusion Criteria:
    • Active autoimmune disease requiring ongoing therapy.

    • Ongoing acute toxicity > grade 2 from previous treatment.

    • History of severe allergic, anaphylactic or other hypersensitivity reactions to chimeric or humanized antibodies.

    • History of human immunodeficiency virus (HIV) or active hepatitis B/C, or active tuberculosis (purified protein derivative [PPD] response without active TB is allowed).

    • Concurrent use of immunosuppressive medication including prednisone above 10 mg daily.

    • Uncontrolled adrenal insufficiency.

    • Uncontrolled hypertension (systolic blood pressure [BP] >150 mmHg or diastolic BP > 90 mmHg).

    • Major surgery less than 28 days prior to registration.

    • Any serious non-healing wound, ulcer, or bone fracture within 28 days prior to registration.

    • Any arterial thrombotic events within 180 days prior to registration.

    • Clinically significant hematuria, hematemesis, or hemoptysis within 12 weeks prior to registration.

    • Cavitating pulmonary lesions or known endotracheal or endobronchial disease manifestations.

    • Lesions encasing or invading any major blood vessels (this does not include tumor thrombus extending into/through renal vein/inferior vena cava [IVC]). Patients with tumor thrombus extending into/through renal vein are considered eligible.

    • Moderate of severe hepatic impairment (Child-Pugh B or C).

    • Any history of untreated pulmonary embolism or deep venous thrombosis (DVT) in the 180 days prior to registration. (Any asymptomatic, treated pulmonary embolism or asymptomatic, treated deep venous thrombosis > 30 days prior to registration allowed).

    • Corrected QT interval calculated by the Fridericia formula (QTcF) > 500 ms.

    • Unstable cardiac arrhythmia within 6 months prior to registration.

    • Any gastrointestinal (GI) bleeding =< 180 days, hemoptysis, or other signs of pulmonary hemorrhage =< 90 days prior to registration.

    • History of abdominal fistula, gastrointestinal perforation, intra-abdominal abscess, bowel obstruction, or gastric outlet obstruction within 180 days prior to registration.

    • Active peptic ulcer disease, inflammatory bowel disease, or malabsorption syndrome within 28 days prior to registration.

    • Untreated hypothyroidism, evidence of pancreatitis, history of organ transplant, or history of congenital QT syndrome.

    • Active treatment with coumarin agents (e.g., warfarin), direct thrombin inhibitors (e.g., dabigatran), direct Xa inhibitor betrixaban or platelet inhibitors (e.g., clopidogrel) within 5 days of registration. Allowed anticoagulants include: prophylactic use of low-dose aspirin for cardio-protection (per local applicable guidelines) and low-dose low molecular weight heparins (LMWH), therapeutic doses of LMWH or anticoagulation with direct factor Xa inhibitors rivaroxaban, edoxaban, apixaban. Allowed also in patients with known brain metastases who are on a stable dose of the anticoagulant for at least 1 week prior to registration without clinically significant hemorrhagic complications from the anticoagulation regimen or the tumor.

    • Significant cardiac ischemia events (ST elevation myocardial infarction [STEMI] or non-ST elevation myocardial infarction [NSTEMI]) within 6 months or active NY Heart Association class 3-4 heart failure symptoms

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Anchorage Associates in Radiation Medicine Anchorage Alaska United States 98508
    2 Anchorage Radiation Therapy Center Anchorage Alaska United States 99504
    3 Alaska Breast Care and Surgery LLC Anchorage Alaska United States 99508
    4 Alaska Oncology and Hematology LLC Anchorage Alaska United States 99508
    5 Alaska Women's Cancer Care Anchorage Alaska United States 99508
    6 Anchorage Oncology Centre Anchorage Alaska United States 99508
    7 Katmai Oncology Group Anchorage Alaska United States 99508
    8 Providence Alaska Medical Center Anchorage Alaska United States 99508
    9 Fairbanks Memorial Hospital Fairbanks Alaska United States 99701
    10 Kingman Regional Medical Center Kingman Arizona United States 86401
    11 Cancer Center at Saint Joseph's Phoenix Arizona United States 85004
    12 Mercy Hospital Fort Smith Fort Smith Arkansas United States 72903
    13 CHI Saint Vincent Cancer Center Hot Springs Hot Springs Arkansas United States 71913
    14 Kaiser Permanente-Anaheim Anaheim California United States 92806
    15 Mission Hope Medical Oncology - Arroyo Grande Arroyo Grande California United States 93420
    16 PCR Oncology Arroyo Grande California United States 93420
    17 Kaiser Permanente-Baldwin Park Baldwin Park California United States 91706
    18 Kaiser Permanente-Bellflower Bellflower California United States 90706
    19 Providence Saint Joseph Medical Center/Disney Family Cancer Center Burbank California United States 91505
    20 Community Cancer Institute Clovis California United States 93611
    21 University Oncology Associates Clovis California United States 93611
    22 Kaiser Permanente-Fontana Fontana California United States 92335
    23 Kaiser Permanente - Harbor City Harbor City California United States 90710
    24 Kaiser Permanente-Irvine Irvine California United States 92618
    25 UC San Diego Moores Cancer Center La Jolla California United States 92093
    26 Kaiser Permanente Los Angeles Medical Center Los Angeles California United States 90027
    27 Kaiser Permanente West Los Angeles Los Angeles California United States 90034
    28 Kaiser Permanente-Ontario Ontario California United States 91761
    29 Kaiser Permanente - Panorama City Panorama City California United States 91402
    30 Kaiser Permanente-Riverside Riverside California United States 92505
    31 University of California Davis Comprehensive Cancer Center Sacramento California United States 95817
    32 Kaiser Permanente-San Diego Mission San Diego California United States 92108
    33 Kaiser Permanente-San Diego Zion San Diego California United States 92120
    34 Sharp Memorial Hospital San Diego California United States 92123
    35 Naval Medical Center -San Diego San Diego California United States 92134
    36 UCSF Medical Center-Mission Bay San Francisco California United States 94158
    37 Pacific Central Coast Health Center-San Luis Obispo San Luis Obispo California United States 93401
    38 Kaiser Permanente-San Marcos San Marcos California United States 92078
    39 Mission Hope Medical Oncology - Santa Maria Santa Maria California United States 93444
    40 Kaiser Permanente-Woodland Hills Woodland Hills California United States 91367
    41 Rocky Mountain Cancer Centers-Aurora Aurora Colorado United States 80012
    42 The Medical Center of Aurora Aurora Colorado United States 80012
    43 University of Colorado Hospital Aurora Colorado United States 80045
    44 Boulder Community Hospital Boulder Colorado United States 80301
    45 Boulder Community Foothills Hospital Boulder Colorado United States 80303
    46 Rocky Mountain Cancer Centers-Boulder Boulder Colorado United States 80304
    47 Rocky Mountain Cancer Centers - Centennial Centennial Colorado United States 80112
    48 Penrose-Saint Francis Healthcare Colorado Springs Colorado United States 80907
    49 Rocky Mountain Cancer Centers-Penrose Colorado Springs Colorado United States 80907
    50 UCHealth Memorial Hospital Central Colorado Springs Colorado United States 80909
    51 Memorial Hospital North Colorado Springs Colorado United States 80920
    52 Cancer Center of Colorado at Sloan's Lake Denver Colorado United States 80204
    53 Kaiser Permanente-Franklin Denver Colorado United States 80205
    54 National Jewish Health-Main Campus Denver Colorado United States 80206
    55 The Women's Imaging Center Denver Colorado United States 80209
    56 Porter Adventist Hospital Denver Colorado United States 80210
    57 Colorado Blood Cancer Institute Denver Colorado United States 80218
    58 Presbyterian - Saint Lukes Medical Center - Health One Denver Colorado United States 80218
    59 Rocky Mountain Cancer Centers-Midtown Denver Colorado United States 80218
    60 SCL Health Saint Joseph Hospital Denver Colorado United States 80218
    61 Rocky Mountain Cancer Centers-Rose Denver Colorado United States 80220
    62 Rose Medical Center Denver Colorado United States 80220
    63 Western Surgical Care Denver Colorado United States 80220
    64 Mercy Medical Center Durango Colorado United States 81301
    65 Southwest Oncology PC Durango Colorado United States 81301
    66 Mountain Blue Cancer Care Center - Swedish Englewood Colorado United States 80113
    67 Rocky Mountain Cancer Centers - Swedish Englewood Colorado United States 80113
    68 Swedish Medical Center Englewood Colorado United States 80113
    69 The Melanoma and Skin Cancer Institute Englewood Colorado United States 80113
    70 Poudre Valley Hospital Fort Collins Colorado United States 80524
    71 Cancer Care and Hematology-Fort Collins Fort Collins Colorado United States 80528
    72 National Jewish Health-Western Hematology Oncology Golden Colorado United States 80401
    73 Saint Mary's Hospital and Regional Medical Center Grand Junction Colorado United States 81501
    74 North Colorado Medical Center Greeley Colorado United States 80631
    75 UCHealth Greeley Hospital Greeley Colorado United States 80631
    76 UCHealth Highlands Ranch Hospital Highlands Ranch Colorado United States 80129
    77 Good Samaritan Medical Center Lafayette Colorado United States 80026
    78 Kaiser Permanente-Rock Creek Lafayette Colorado United States 80026
    79 Rocky Mountain Cancer Centers-Lakewood Lakewood Colorado United States 80228
    80 Saint Anthony Hospital Lakewood Colorado United States 80228
    81 Rocky Mountain Cancer Centers-Littleton Littleton Colorado United States 80120
    82 Littleton Adventist Hospital Littleton Colorado United States 80122
    83 Kaiser Permanente-Lone Tree Lone Tree Colorado United States 80124
    84 Rocky Mountain Cancer Centers-Sky Ridge Lone Tree Colorado United States 80124
    85 Sky Ridge Medical Center Lone Tree Colorado United States 80124
    86 UCHealth Lone Tree Health Center Lone Tree Colorado United States 80124
    87 Longmont United Hospital Longmont Colorado United States 80501
    88 Rocky Mountain Cancer Centers-Longmont Longmont Colorado United States 80501
    89 Medical Center of the Rockies Loveland Colorado United States 80538
    90 McKee Medical Center Loveland Colorado United States 80539
    91 Parker Adventist Hospital Parker Colorado United States 80138
    92 Saint Mary Corwin Medical Center Pueblo Colorado United States 81004
    93 National Jewish Health-Northern Hematology Oncology Thornton Colorado United States 80260
    94 Rocky Mountain Cancer Centers-Thornton Thornton Colorado United States 80260
    95 SCL Health Lutheran Medical Center Wheat Ridge Colorado United States 80033
    96 Stamford Hospital/Bennett Cancer Center Stamford Connecticut United States 06904
    97 Beebe South Coastal Health Campus Frankford Delaware United States 19945
    98 Beebe Medical Center Lewes Delaware United States 19958
    99 Delaware Clinical and Laboratory Physicians PA Newark Delaware United States 19713
    100 Helen F Graham Cancer Center Newark Delaware United States 19713
    101 Medical Oncology Hematology Consultants PA Newark Delaware United States 19713
    102 Christiana Care Health System-Christiana Hospital Newark Delaware United States 19718
    103 Beebe Health Campus Rehoboth Beach Delaware United States 19971
    104 TidalHealth Nanticoke / Allen Cancer Center Seaford Delaware United States 19973
    105 Christiana Care Health System-Wilmington Hospital Wilmington Delaware United States 19801
    106 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
    107 MedStar Washington Hospital Center Washington District of Columbia United States 20010
    108 George Washington University Medical Center Washington District of Columbia United States 20037
    109 UM Sylvester Comprehensive Cancer Center at Coral Gables Coral Gables Florida United States 33146
    110 UM Sylvester Comprehensive Cancer Center at Deerfield Beach Deerfield Beach Florida United States 33442
    111 Holy Cross Hospital Fort Lauderdale Florida United States 33308
    112 University of Florida Health Science Center - Gainesville Gainesville Florida United States 32610
    113 University of Miami Miller School of Medicine-Sylvester Cancer Center Miami Florida United States 33136
    114 UM Sylvester Comprehensive Cancer Center at Kendall Miami Florida United States 33176
    115 Orlando Health Cancer Institute Orlando Florida United States 32806
    116 UM Sylvester Comprehensive Cancer Center at Plantation Plantation Florida United States 33324
    117 Northside Hospital Atlanta Georgia United States 30342
    118 Northside Hospital - Duluth Duluth Georgia United States 30096
    119 Northside Hospital - Gwinnett Lawrenceville Georgia United States 30046
    120 Lewis Cancer and Research Pavilion at Saint Joseph's/Candler Savannah Georgia United States 31405
    121 Suburban Hematology Oncology Associates - Snellville Snellville Georgia United States 30078
    122 Hawaii Cancer Care - Savio 'Aiea Hawaii United States 96701
    123 Pali Momi Medical Center 'Aiea Hawaii United States 96701
    124 Queen's Cancer Center - Pearlridge 'Aiea Hawaii United States 96701
    125 The Cancer Center of Hawaii-Pali Momi 'Aiea Hawaii United States 96701
    126 Hawaii Cancer Care Inc - Waterfront Plaza Honolulu Hawaii United States 96813
    127 Island Urology Honolulu Hawaii United States 96813
    128 Queen's Cancer Cenrer - POB I Honolulu Hawaii United States 96813
    129 Queen's Medical Center Honolulu Hawaii United States 96813
    130 Straub Clinic and Hospital Honolulu Hawaii United States 96813
    131 University of Hawaii Cancer Center Honolulu Hawaii United States 96813
    132 Queen's Cancer Center - Kuakini Honolulu Hawaii United States 96817
    133 The Cancer Center of Hawaii-Liliha Honolulu Hawaii United States 96817
    134 Kapiolani Medical Center for Women and Children Honolulu Hawaii United States 96826
    135 Wilcox Memorial Hospital and Kauai Medical Clinic Lihue Hawaii United States 96766
    136 Saint Alphonsus Cancer Care Center-Boise Boise Idaho United States 83706
    137 Saint Luke's Cancer Institute - Boise Boise Idaho United States 83712
    138 Saint Alphonsus Cancer Care Center-Caldwell Caldwell Idaho United States 83605
    139 Kootenai Health - Coeur d'Alene Coeur d'Alene Idaho United States 83814
    140 Walter Knox Memorial Hospital Emmett Idaho United States 83617
    141 Saint Luke's Cancer Institute - Fruitland Fruitland Idaho United States 83619
    142 Idaho Urologic Institute-Meridian Meridian Idaho United States 83642
    143 Saint Luke's Cancer Institute - Meridian Meridian Idaho United States 83642
    144 Saint Alphonsus Medical Center-Nampa Nampa Idaho United States 83686
    145 Saint Luke's Cancer Institute - Nampa Nampa Idaho United States 83686
    146 Kootenai Clinic Cancer Services - Post Falls Post Falls Idaho United States 83854
    147 Kootenai Cancer Clinic Sandpoint Idaho United States 83864
    148 Saint Luke's Cancer Institute - Twin Falls Twin Falls Idaho United States 83301
    149 Saint Anthony's Health Alton Illinois United States 62002
    150 Rush - Copley Medical Center Aurora Illinois United States 60504
    151 Illinois CancerCare-Bloomington Bloomington Illinois United States 61704
    152 Loyola Center for Health at Burr Ridge Burr Ridge Illinois United States 60527
    153 Illinois CancerCare-Canton Canton Illinois United States 61520
    154 Memorial Hospital of Carbondale Carbondale Illinois United States 62902
    155 SIH Cancer Institute Carterville Illinois United States 62918
    156 Illinois CancerCare-Carthage Carthage Illinois United States 62321
    157 Centralia Oncology Clinic Centralia Illinois United States 62801
    158 Northwestern University Chicago Illinois United States 60611
    159 John H Stroger Jr Hospital of Cook County Chicago Illinois United States 60612
    160 Rush University Medical Center Chicago Illinois United States 60612
    161 University of Chicago Comprehensive Cancer Center Chicago Illinois United States 60637
    162 Carle on Vermilion Danville Illinois United States 61832
    163 Cancer Care Specialists of Illinois - Decatur Decatur Illinois United States 62526
    164 Decatur Memorial Hospital Decatur Illinois United States 62526
    165 Northwestern Medicine Cancer Center Kishwaukee DeKalb Illinois United States 60115
    166 Illinois CancerCare-Dixon Dixon Illinois United States 61021
    167 Carle Physician Group-Effingham Effingham Illinois United States 62401
    168 Crossroads Cancer Center Effingham Illinois United States 62401
    169 Elmhurst Memorial Hospital Elmhurst Illinois United States 60126
    170 Illinois CancerCare-Eureka Eureka Illinois United States 61530
    171 Illinois CancerCare-Galesburg Galesburg Illinois United States 61401
    172 Western Illinois Cancer Treatment Center Galesburg Illinois United States 61401
    173 Northwestern Medicine Cancer Center Delnor Geneva Illinois United States 60134
    174 Ingalls Memorial Hospital Harvey Illinois United States 60426
    175 Loyola Medicine Homer Glen Homer Glen Illinois United States 60491
    176 Duly Health and Care Joliet Joliet Illinois United States 60435
    177 Illinois CancerCare-Kewanee Clinic Kewanee Illinois United States 61443
    178 Northwestern Medicine Lake Forest Hospital Lake Forest Illinois United States 60045
    179 Illinois CancerCare-Macomb Macomb Illinois United States 61455
    180 Carle Physician Group-Mattoon/Charleston Mattoon Illinois United States 61938
    181 Loyola University Medical Center Maywood Illinois United States 60153
    182 Marjorie Weinberg Cancer Center at Loyola-Gottlieb Melrose Park Illinois United States 60160
    183 Good Samaritan Regional Health Center Mount Vernon Illinois United States 62864
    184 Edward Hospital/Cancer Center Naperville Illinois United States 60540
    185 UC Comprehensive Cancer Center at Silver Cross New Lenox Illinois United States 60451
    186 Cancer Care Center of O'Fallon O'Fallon Illinois United States 62269
    187 University of Chicago Medicine-Orland Park Orland Park Illinois United States 60462
    188 Illinois CancerCare-Ottawa Clinic Ottawa Illinois United States 61350
    189 Illinois CancerCare-Pekin Pekin Illinois United States 61554
    190 Illinois CancerCare-Peoria Peoria Illinois United States 61615
    191 Methodist Medical Center of Illinois Peoria Illinois United States 61636
    192 Illinois CancerCare-Peru Peru Illinois United States 61354
    193 Valley Radiation Oncology Peru Illinois United States 61354
    194 Edward Hospital/Cancer Center?Plainfield Plainfield Illinois United States 60585
    195 Illinois CancerCare-Princeton Princeton Illinois United States 61356
    196 Southern Illinois University School of Medicine Springfield Illinois United States 62702
    197 Springfield Clinic Springfield Illinois United States 62702
    198 Memorial Medical Center Springfield Illinois United States 62781
    199 Southwest Illinois Health Services LLP Swansea Illinois United States 62226
    200 Carle Cancer Center Urbana Illinois United States 61801
    201 The Carle Foundation Hospital Urbana Illinois United States 61801
    202 Northwestern Medicine Cancer Center Warrenville Warrenville Illinois United States 60555
    203 Illinois CancerCare - Washington Washington Illinois United States 61571
    204 Rush-Copley Healthcare Center Yorkville Illinois United States 60560
    205 Indiana University/Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
    206 Sidney and Lois Eskenazi Hospital Indianapolis Indiana United States 46202
    207 Franciscan Health Indianapolis Indianapolis Indiana United States 46237
    208 Woodland Cancer Care Center Michigan City Indiana United States 46360
    209 Franciscan Health Mooresville Mooresville Indiana United States 46158
    210 Reid Health Richmond Indiana United States 47374
    211 Mary Greeley Medical Center Ames Iowa United States 50010
    212 McFarland Clinic PC - Ames Ames Iowa United States 50010
    213 McFarland Clinic PC-Boone Boone Iowa United States 50036
    214 Saint Anthony Regional Hospital Carroll Iowa United States 51401
    215 Medical Oncology and Hematology Associates-West Des Moines Clive Iowa United States 50325
    216 Mercy Cancer Center-West Lakes Clive Iowa United States 50325
    217 Alegent Health Mercy Hospital Council Bluffs Iowa United States 51503
    218 Greater Regional Medical Center Creston Iowa United States 50801
    219 Iowa Methodist Medical Center Des Moines Iowa United States 50309
    220 Medical Oncology and Hematology Associates-Des Moines Des Moines Iowa United States 50309
    221 Broadlawns Medical Center Des Moines Iowa United States 50314
    222 Medical Oncology and Hematology Associates-Laurel Des Moines Iowa United States 50314
    223 Mercy Medical Center - Des Moines Des Moines Iowa United States 50314
    224 Iowa Lutheran Hospital Des Moines Iowa United States 50316
    225 McFarland Clinic PC-Trinity Cancer Center Fort Dodge Iowa United States 50501
    226 Trinity Regional Medical Center Fort Dodge Iowa United States 50501
    227 McFarland Clinic PC-Jefferson Jefferson Iowa United States 50129
    228 McFarland Clinic PC-Marshalltown Marshalltown Iowa United States 50158
    229 Siouxland Regional Cancer Center Sioux City Iowa United States 51101
    230 Methodist West Hospital West Des Moines Iowa United States 50266-7700
    231 Mercy Medical Center-West Lakes West Des Moines Iowa United States 50266
    232 University of Kansas Clinical Research Center Fairway Kansas United States 66205
    233 Central Care Cancer Center - Garden City Garden City Kansas United States 67846
    234 Central Care Cancer Center - Great Bend Great Bend Kansas United States 67530
    235 HaysMed University of Kansas Health System Hays Kansas United States 67601
    236 Lawrence Memorial Hospital Lawrence Kansas United States 66044
    237 Kansas Institute of Medicine Cancer and Blood Center Lenexa Kansas United States 66219
    238 Minimally Invasive Surgery Hospital Lenexa Kansas United States 66219
    239 Olathe Health Cancer Center Olathe Kansas United States 66061
    240 Menorah Medical Center Overland Park Kansas United States 66209
    241 Ascension Via Christi - Pittsburg Pittsburg Kansas United States 66762
    242 Salina Regional Health Center Salina Kansas United States 67401
    243 University of Kansas Health System Saint Francis Campus Topeka Kansas United States 66606
    244 University of Kansas Hospital-Westwood Cancer Center Westwood Kansas United States 66205
    245 Cancer Center of Kansas-Wichita Medical Arts Tower Wichita Kansas United States 67208
    246 Ascension Via Christi Hospitals Wichita Wichita Kansas United States 67214
    247 Cancer Center of Kansas - Wichita Wichita Kansas United States 67214
    248 Flaget Memorial Hospital Bardstown Kentucky United States 40004
    249 Commonwealth Cancer Center-Corbin Corbin Kentucky United States 40701
    250 Saint Joseph Radiation Oncology Resource Center Lexington Kentucky United States 40504
    251 Saint Joseph Hospital East Lexington Kentucky United States 40509
    252 University of Kentucky/Markey Cancer Center Lexington Kentucky United States 40536
    253 Saint Joseph London London Kentucky United States 40741
    254 Jewish Hospital Louisville Kentucky United States 40202
    255 Saints Mary and Elizabeth Hospital Louisville Kentucky United States 40215
    256 UofL Health Medical Center Northeast Louisville Kentucky United States 40245
    257 Jewish Hospital Medical Center South Shepherdsville Kentucky United States 40165
    258 LSU Health Baton Rouge-North Clinic Baton Rouge Louisiana United States 70805
    259 Our Lady of The Lake Baton Rouge Louisiana United States 70808
    260 Hematology/Oncology Clinic PLLC Baton Rouge Louisiana United States 70809
    261 Louisiana Hematology Oncology Associates LLC Baton Rouge Louisiana United States 70809
    262 Mary Bird Perkins Cancer Center Baton Rouge Louisiana United States 70809
    263 Our Lady of the Lake Physicians Group - Medical Oncology Baton Rouge Louisiana United States 70809
    264 Ochsner High Grove Baton Rouge Louisiana United States 70836
    265 Northshore Oncology Associates-Covington Covington Louisiana United States 70433
    266 Ochsner Hematology Oncology North Shore - Covington (West Region) Covington Louisiana United States 70433
    267 Oncology Center of The South Incorporated Houma Louisiana United States 70360
    268 Terrebonne General Medical Center Houma Louisiana United States 70360
    269 East Jefferson General Hospital Metairie Louisiana United States 70006
    270 LSU Healthcare Network / Metairie Multi-Specialty Clinic Metairie Louisiana United States 70006
    271 Ochsner LSU Health Monroe Medical Center Monroe Louisiana United States 71202
    272 Louisiana State University Health Science Center New Orleans Louisiana United States 70112
    273 Tulane University Health Sciences Center New Orleans Louisiana United States 70112
    274 University Medical Center New Orleans New Orleans Louisiana United States 70112
    275 Ochsner Medical Center Jefferson New Orleans Louisiana United States 70121
    276 LSU Health Sciences Center at Shreveport Shreveport Louisiana United States 71103
    277 Harold Alfond Center for Cancer Care Augusta Maine United States 04330
    278 Waldo County General Hospital Belfast Maine United States 04915
    279 MaineHealth/SMHC Cancer Care and Blood Disorders-Biddeford Biddeford Maine United States 04005
    280 Lafayette Family Cancer Center-EMMC Brewer Maine United States 04412
    281 Stephens Memorial Hospital Norway Maine United States 04268
    282 Penobscot Bay Medical Center Rockport Maine United States 04856
    283 MaineHealth/SMHC Cancer Care and Blood Disorders-Sanford Sanford Maine United States 04073
    284 Maine Medical Partners - South Portland South Portland Maine United States 04106
    285 Greater Baltimore Medical Center Baltimore Maryland United States 21204
    286 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
    287 Dana-Farber Cancer Institute - Chestnut Hill Newton Massachusetts United States 02467
    288 Mercy Medical Center Springfield Massachusetts United States 01104
    289 Hickman Cancer Center Adrian Michigan United States 49221
    290 Saint Joseph Mercy Hospital Ann Arbor Michigan United States 48106
    291 Bronson Battle Creek Battle Creek Michigan United States 49017
    292 Saint Joseph Mercy Brighton Brighton Michigan United States 48114
    293 Trinity Health IHA Medical Group Hematology Oncology - Brighton Brighton Michigan United States 48114
    294 Henry Ford Cancer Institute-Downriver Brownstown Michigan United States 48183
    295 Saint Joseph Mercy Canton Canton Michigan United States 48188
    296 Trinity Health IHA Medical Group Hematology Oncology - Canton Canton Michigan United States 48188
    297 Caro Cancer Center Caro Michigan United States 48723
    298 Saint Joseph Mercy Chelsea Chelsea Michigan United States 48118
    299 Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital Chelsea Michigan United States 48118
    300 Hematology Oncology Consultants-Clarkston Clarkston Michigan United States 48346
    301 Newland Medical Associates-Clarkston Clarkston Michigan United States 48346
    302 Henry Ford Macomb Hospital-Clinton Township Clinton Township Michigan United States 48038
    303 Henry Ford Medical Center-Fairlane Dearborn Michigan United States 48126
    304 Henry Ford Hospital Detroit Michigan United States 48202
    305 Ascension Saint John Hospital Detroit Michigan United States 48236
    306 Great Lakes Cancer Management Specialists-Doctors Park East China Township Michigan United States 48054
    307 Green Bay Oncology - Escanaba Escanaba Michigan United States 49829
    308 Genesee Cancer and Blood Disease Treatment Center Flint Michigan United States 48503
    309 Genesee Hematology Oncology PC Flint Michigan United States 48503
    310 Genesys Hurley Cancer Institute Flint Michigan United States 48503
    311 Hurley Medical Center Flint Michigan United States 48503
    312 Helen DeVos Children's Hospital at Spectrum Health Grand Rapids Michigan United States 49503
    313 Mercy Health Saint Mary's Grand Rapids Michigan United States 49503
    314 Spectrum Health at Butterworth Campus Grand Rapids Michigan United States 49503
    315 Academic Hematology Oncology Specialists Grosse Pointe Woods Michigan United States 48236
    316 Great Lakes Cancer Management Specialists-Van Elslander Cancer Center Grosse Pointe Woods Michigan United States 48236
    317 Michigan Breast Specialists-Grosse Pointe Woods Grosse Pointe Woods Michigan United States 48236
    318 Allegiance Health Jackson Michigan United States 49201
    319 Bronson Methodist Hospital Kalamazoo Michigan United States 49007
    320 West Michigan Cancer Center Kalamazoo Michigan United States 49007
    321 Ascension Borgess Cancer Center Kalamazoo Michigan United States 49009
    322 Borgess Medical Center Kalamazoo Michigan United States 49048
    323 Sparrow Hospital Lansing Michigan United States 48912
    324 Hope Cancer Clinic Livonia Michigan United States 48154
    325 Trinity Health Saint Mary Mercy Livonia Hospital Livonia Michigan United States 48154
    326 Great Lakes Cancer Management Specialists-Macomb Medical Campus Macomb Michigan United States 48044
    327 Michigan Breast Specialists-Macomb Township Macomb Michigan United States 48044
    328 Saint Mary's Oncology/Hematology Associates of Marlette Marlette Michigan United States 48453
    329 Toledo Clinic Cancer Centers-Monroe Monroe Michigan United States 48162
    330 Mercy Health Mercy Campus Muskegon Michigan United States 49444
    331 Lakeland Hospital Niles Niles Michigan United States 49120
    332 Cancer and Hematology Centers of Western Michigan - Norton Shores Norton Shores Michigan United States 49444
    333 Ascension Providence Hospitals - Novi Novi Michigan United States 48374
    334 Henry Ford Medical Center-Columbus Novi Michigan United States 48377
    335 21st Century Oncology-Pontiac Pontiac Michigan United States 48341
    336 Hope Cancer Center Pontiac Michigan United States 48341
    337 Newland Medical Associates-Pontiac Pontiac Michigan United States 48341
    338 Saint Joseph Mercy Oakland Pontiac Michigan United States 48341
    339 Huron Medical Center PC Port Huron Michigan United States 48060
    340 Lake Huron Medical Center Port Huron Michigan United States 48060
    341 Spectrum Health Reed City Hospital Reed City Michigan United States 49677
    342 Great Lakes Cancer Management Specialists-Rochester Hills Rochester Hills Michigan United States 48309
    343 Ascension Saint Mary's Hospital Saginaw Michigan United States 48601
    344 Oncology Hematology Associates of Saginaw Valley PC Saginaw Michigan United States 48604
    345 Lakeland Medical Center Saint Joseph Saint Joseph Michigan United States 49085
    346 Marie Yeager Cancer Center Saint Joseph Michigan United States 49085
    347 Henry Ford Macomb Health Center - Shelby Township Shelby Michigan United States 48315
    348 Ascension Providence Hospitals - Southfield Southfield Michigan United States 48075
    349 Bhadresh Nayak MD PC-Sterling Heights Sterling Heights Michigan United States 48312
    350 Ascension Saint Joseph Hospital Tawas City Michigan United States 48764
    351 Munson Medical Center Traverse City Michigan United States 49684
    352 Advanced Breast Care Center PLLC Warren Michigan United States 48088
    353 Great Lakes Cancer Management Specialists-Macomb Professional Building Warren Michigan United States 48093
    354 Macomb Hematology Oncology PC Warren Michigan United States 48093
    355 Michigan Breast Specialists-Warren Warren Michigan United States 48093
    356 Saint John Macomb-Oakland Hospital Warren Michigan United States 48093
    357 Henry Ford West Bloomfield Hospital West Bloomfield Michigan United States 48322
    358 Saint Mary's Oncology/Hematology Associates of West Branch West Branch Michigan United States 48661
    359 Metro Health Hospital Wyoming Michigan United States 49519
    360 Huron Gastroenterology PC Ypsilanti Michigan United States 48106
    361 Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus Ypsilanti Michigan United States 48197
    362 Riverwood Healthcare Center Aitkin Minnesota United States 56431
    363 Sanford Joe Lueken Cancer Center Bemidji Minnesota United States 56601
    364 Essentia Health Saint Joseph's Medical Center Brainerd Minnesota United States 56401
    365 Fairview Ridges Hospital Burnsville Minnesota United States 55337
    366 Minnesota Oncology - Burnsville Burnsville Minnesota United States 55337
    367 Cambridge Medical Center Cambridge Minnesota United States 55008
    368 Mercy Hospital Coon Rapids Minnesota United States 55433
    369 Essentia Health - Deer River Clinic Deer River Minnesota United States 56636
    370 Essentia Health Saint Mary's - Detroit Lakes Clinic Detroit Lakes Minnesota United States 56501
    371 Essentia Health Cancer Center Duluth Minnesota United States 55805
    372 Essentia Health Saint Mary's Medical Center Duluth Minnesota United States 55805
    373 Miller-Dwan Hospital Duluth Minnesota United States 55805
    374 Fairview Southdale Hospital Edina Minnesota United States 55435
    375 Lake Region Healthcare Corporation-Cancer Care Fergus Falls Minnesota United States 56537
    376 Essentia Health - Fosston Fosston Minnesota United States 56542
    377 Unity Hospital Fridley Minnesota United States 55432
    378 Essentia Health Hibbing Clinic Hibbing Minnesota United States 55746
    379 Fairview Clinics and Surgery Center Maple Grove Maple Grove Minnesota United States 55369
    380 Minnesota Oncology Hematology PA-Maplewood Maplewood Minnesota United States 55109
    381 Saint John's Hospital - Healtheast Maplewood Minnesota United States 55109
    382 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55407
    383 Hennepin County Medical Center Minneapolis Minnesota United States 55415
    384 Minneapolis VA Medical Center Minneapolis Minnesota United States 55417
    385 Health Partners Inc Minneapolis Minnesota United States 55454
    386 Monticello Cancer Center Monticello Minnesota United States 55362
    387 New Ulm Medical Center New Ulm Minnesota United States 56073
    388 Essentia Health - Park Rapids Park Rapids Minnesota United States 56470
    389 Fairview Northland Medical Center Princeton Minnesota United States 55371
    390 North Memorial Medical Health Center Robbinsdale Minnesota United States 55422
    391 Coborn Cancer Center at Saint Cloud Hospital Saint Cloud Minnesota United States 56303
    392 Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota United States 55416
    393 Regions Hospital Saint Paul Minnesota United States 55101
    394 United Hospital Saint Paul Minnesota United States 55102
    395 Essentia Health Sandstone Sandstone Minnesota United States 55072
    396 Saint Francis Regional Medical Center Shakopee Minnesota United States 55379
    397 Lakeview Hospital Stillwater Minnesota United States 55082
    398 Sanford Thief River Falls Medical Center Thief River Falls Minnesota United States 56701
    399 Essentia Health Virginia Clinic Virginia Minnesota United States 55792
    400 Ridgeview Medical Center Waconia Minnesota United States 55387
    401 Rice Memorial Hospital Willmar Minnesota United States 56201
    402 Minnesota Oncology Hematology PA-Woodbury Woodbury Minnesota United States 55125
    403 Sanford Cancer Center Worthington Worthington Minnesota United States 56187
    404 Fairview Lakes Medical Center Wyoming Minnesota United States 55092
    405 Gulfport Memorial Hospital Gulfport Mississippi United States 39502
    406 University of Mississippi Medical Center Jackson Mississippi United States 39216
    407 Saint Louis Cancer and Breast Institute-Ballwin Ballwin Missouri United States 63011
    408 Central Care Cancer Center - Bolivar Bolivar Missouri United States 65613
    409 Parkland Health Center-Bonne Terre Bonne Terre Missouri United States 63628
    410 Cox Cancer Center Branson Branson Missouri United States 65616
    411 Saint Francis Medical Center Cape Girardeau Missouri United States 63703
    412 Southeast Cancer Center Cape Girardeau Missouri United States 63703
    413 Saint Luke's Hospital Chesterfield Missouri United States 63017
    414 University of Missouri - Ellis Fischel Columbia Missouri United States 65212
    415 Parkland Health Center - Farmington Farmington Missouri United States 63640
    416 Centerpoint Medical Center LLC Independence Missouri United States 64057
    417 Capital Region Southwest Campus Jefferson City Missouri United States 65109
    418 Freeman Health System Joplin Missouri United States 64804
    419 Mercy Hospital Joplin Joplin Missouri United States 64804
    420 Truman Medical Centers Kansas City Missouri United States 64108
    421 Research Medical Center Kansas City Missouri United States 64132
    422 Delbert Day Cancer Institute at PCRMC Rolla Missouri United States 65401
    423 Mercy Clinic-Rolla-Cancer and Hematology Rolla Missouri United States 65401
    424 Heartland Regional Medical Center Saint Joseph Missouri United States 64506
    425 Saint Louis Cancer and Breast Institute-South City Saint Louis Missouri United States 63109
    426 Mercy Hospital South Saint Louis Missouri United States 63128
    427 Missouri Baptist Medical Center Saint Louis Missouri United States 63131
    428 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
    429 Sainte Genevieve County Memorial Hospital Sainte Genevieve Missouri United States 63670
    430 Mercy Hospital Springfield Springfield Missouri United States 65804
    431 CoxHealth South Hospital Springfield Missouri United States 65807
    432 Missouri Baptist Sullivan Hospital Sullivan Missouri United States 63080
    433 Missouri Baptist Outpatient Center-Sunset Hills Sunset Hills Missouri United States 63127
    434 Mercy Hospital Washington Washington Missouri United States 63090
    435 Community Hospital of Anaconda Anaconda Montana United States 59711
    436 Billings Clinic Cancer Center Billings Montana United States 59101
    437 Saint Vincent Healthcare Billings Montana United States 59101
    438 Saint Vincent Frontier Cancer Center Billings Montana United States 59102
    439 Bozeman Deaconess Hospital Bozeman Montana United States 59715
    440 Saint James Community Hospital and Cancer Treatment Center Butte Montana United States 59701
    441 Benefis Healthcare- Sletten Cancer Institute Great Falls Montana United States 59405
    442 Great Falls Clinic Great Falls Montana United States 59405
    443 Saint Peter's Community Hospital Helena Montana United States 59601
    444 Kalispell Regional Medical Center Kalispell Montana United States 59901
    445 Saint Patrick Hospital - Community Hospital Missoula Montana United States 59802
    446 Community Medical Hospital Missoula Montana United States 59804
    447 Nebraska Medicine-Bellevue Bellevue Nebraska United States 68123
    448 CHI Health Saint Francis Grand Island Nebraska United States 68803
    449 CHI Health Good Samaritan Kearney Nebraska United States 68847
    450 Saint Elizabeth Regional Medical Center Lincoln Nebraska United States 68510
    451 Cancer Partners of Nebraska - Pine Lake Lincoln Nebraska United States 68516
    452 Southeast Nebraska Cancer Center - 68th Street Place Lincoln Nebraska United States 68516
    453 Nebraska Cancer Specialists/Oncology Hematology West PC - MECC Omaha Nebraska United States 68114
    454 Nebraska Methodist Hospital Omaha Nebraska United States 68114
    455 Nebraska Medicine-Village Pointe Omaha Nebraska United States 68118
    456 Alegent Health Immanuel Medical Center Omaha Nebraska United States 68122
    457 Alegent Health Bergan Mercy Medical Center Omaha Nebraska United States 68124
    458 Alegent Health Lakeside Hospital Omaha Nebraska United States 68130
    459 Creighton University Medical Center Omaha Nebraska United States 68131
    460 University of Nebraska Medical Center Omaha Nebraska United States 68198
    461 Midlands Community Hospital Papillion Nebraska United States 68046
    462 Carson Tahoe Regional Medical Center Carson City Nevada United States 89703
    463 Cancer and Blood Specialists-Henderson Henderson Nevada United States 89052
    464 Comprehensive Cancer Centers of Nevada - Henderson Henderson Nevada United States 89052
    465 Comprehensive Cancer Centers of Nevada-Horizon Ridge Henderson Nevada United States 89052
    466 Las Vegas Cancer Center-Henderson Henderson Nevada United States 89052
    467 OptumCare Cancer Care at Seven Hills Henderson Nevada United States 89052
    468 Comprehensive Cancer Centers of Nevada-Southeast Henderson Henderson Nevada United States 89074
    469 GenesisCare USA - Henderson Henderson Nevada United States 89074
    470 Las Vegas Urology - Green Valley Henderson Nevada United States 89074
    471 Las Vegas Urology - Pebble Henderson Nevada United States 89074
    472 Urology Specialists of Nevada - Green Valley Henderson Nevada United States 89074
    473 Las Vegas Urology - Pecos Las Vegas Nevada United States 89074
    474 Desert West Surgery Las Vegas Nevada United States 89102
    475 OptumCare Cancer Care at Charleston Las Vegas Nevada United States 89102
    476 University Medical Center of Southern Nevada Las Vegas Nevada United States 89102
    477 Hope Cancer Care of Nevada Las Vegas Nevada United States 89103
    478 Cancer and Blood Specialists-Shadow Las Vegas Nevada United States 89106
    479 Radiation Oncology Centers of Nevada Central Las Vegas Nevada United States 89106
    480 Urology Specialists of Nevada - Central Las Vegas Nevada United States 89106
    481 GenesisCare USA - Las Vegas Las Vegas Nevada United States 89109
    482 HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway Las Vegas Nevada United States 89109
    483 Sunrise Hospital and Medical Center Las Vegas Nevada United States 89109
    484 HealthCare Partners Medical Group Oncology/Hematology-San Martin Las Vegas Nevada United States 89113
    485 Las Vegas Prostate Cancer Center Las Vegas Nevada United States 89113
    486 Las Vegas Urology - Sunset Las Vegas Nevada United States 89113
    487 Urology Specialists of Nevada - Southwest Las Vegas Nevada United States 89113
    488 Radiation Oncology Centers of Nevada Southeast Las Vegas Nevada United States 89119
    489 Ann M Wierman MD LTD Las Vegas Nevada United States 89128
    490 Cancer and Blood Specialists-Tenaya Las Vegas Nevada United States 89128
    491 Comprehensive Cancer Centers of Nevada - Northwest Las Vegas Nevada United States 89128
    492 GenesisCare USA - Vegas Tenaya Las Vegas Nevada United States 89128
    493 HealthCare Partners Medical Group Oncology/Hematology-Tenaya Las Vegas Nevada United States 89128
    494 Las Vegas Urology - Cathedral Rock Las Vegas Nevada United States 89128
    495 Las Vegas Urology - Smoke Ranch Las Vegas Nevada United States 89128
    496 OptumCare Cancer Care at MountainView Las Vegas Nevada United States 89128
    497 Urology Specialists of Nevada - Northwest Las Vegas Nevada United States 89128
    498 Alliance for Childhood Diseases/Cure 4 the Kids Foundation Las Vegas Nevada United States 89135
    499 Comprehensive Cancer Centers of Nevada - Town Center Las Vegas Nevada United States 89144
    500 Comprehensive Cancer Centers of Nevada-Summerlin Las Vegas Nevada United States 89144
    501 Summerlin Hospital Medical Center Las Vegas Nevada United States 89144
    502 Las Vegas Cancer Center-Medical Center Las Vegas Nevada United States 89148-2405
    503 Comprehensive Cancer Centers of Nevada Las Vegas Nevada United States 89148
    504 GenesisCare USA - Fort Apache Las Vegas Nevada United States 89148
    505 OptumCare Cancer Care at Fort Apache Las Vegas Nevada United States 89148
    506 HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills Las Vegas Nevada United States 89149
    507 Comprehensive Cancer Centers of Nevada - Central Valley Las Vegas Nevada United States 89169
    508 University Cancer Center Las Vegas Nevada United States 89169
    509 Hope Cancer Care of Nevada-Pahrump Pahrump Nevada United States 89048
    510 Renown Regional Medical Center Reno Nevada United States 89502
    511 Saint Mary's Regional Medical Center Reno Nevada United States 89503
    512 Radiation Oncology Associates Reno Nevada United States 89509
    513 New Hampshire Oncology Hematology PA-Concord Concord New Hampshire United States 03301
    514 Elliot Hospital Manchester New Hampshire United States 03103
    515 Solinsky Center for Cancer Care Manchester New Hampshire United States 03103
    516 AtlantiCare Health Park-Cape May Court House Cape May Court House New Jersey United States 08210
    517 AtlantiCare Surgery Center Egg Harbor Township New Jersey United States 08234
    518 Hackensack University Medical Center Hackensack New Jersey United States 07601
    519 Saint Barnabas Medical Center Livingston New Jersey United States 07039
    520 Inspira Medical Center Mullica Hill Mullica Hill New Jersey United States 08062
    521 Rutgers Cancer Institute of New Jersey New Brunswick New Jersey United States 08903
    522 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
    523 Hematology Oncology Associates of Central New York-Auburn Auburn New York United States 13021
    524 Montefiore Medical Center-Einstein Campus Bronx New York United States 10461
    525 Montefiore Medical Center-Weiler Hospital Bronx New York United States 10461
    526 Montefiore Medical Center - Moses Campus Bronx New York United States 10467
    527 Mary Imogene Bassett Hospital Cooperstown New York United States 13326
    528 Hematology Oncology Associates of Central New York-East Syracuse East Syracuse New York United States 13057
    529 Glens Falls Hospital Glens Falls New York United States 12801
    530 Northwell Health/Center for Advanced Medicine Lake Success New York United States 11042
    531 NYP/Weill Cornell Medical Center New York New York United States 10065
    532 University of Rochester Rochester New York United States 14642
    533 Stony Brook University Medical Center Stony Brook New York United States 11794
    534 Hematology Oncology Associates of Central New York-Onondaga Hill Syracuse New York United States 13215
    535 AdventHealth Infusion Center Asheville Asheville North Carolina United States 28803
    536 UNC Lineberger Comprehensive Cancer Center Chapel Hill North Carolina United States 27599
    537 Novant Health Presbyterian Medical Center Charlotte North Carolina United States 28204
    538 Wake Forest University at Clemmons Clemmons North Carolina United States 27012
    539 Southeastern Medical Oncology Center-Clinton Clinton North Carolina United States 28328
    540 AdventHealth Infusion Center Haywood Clyde North Carolina United States 28721
    541 Durham VA Medical Center Durham North Carolina United States 27705
    542 Duke University Medical Center Durham North Carolina United States 27710
    543 Southeastern Medical Oncology Center-Goldsboro Goldsboro North Carolina United States 27534
    544 Vidant Medical Center Greenville North Carolina United States 27834
    545 Margaret R Pardee Memorial Hospital Hendersonville North Carolina United States 28791
    546 AdventHealth Hendersonville Hendersonville North Carolina United States 28792
    547 Novant Health Presbyterian Medical Center Huntersville Huntersville North Carolina United States 28078
    548 Southeastern Medical Oncology Center-Jacksonville Jacksonville North Carolina United States 28546
    549 Vidant Oncology-Kenansville Kenansville North Carolina United States 28349
    550 Novant Health Cancer Institute - Kernersville Kernersville North Carolina United States 27284
    551 Vidant Oncology-Kinston Kinston North Carolina United States 28501
    552 Novant Health Cancer Institute - Mount Airy Mount Airy North Carolina United States 27030
    553 Vidant Oncology-Richlands Richlands North Carolina United States 28574
    554 Novant Health Cancer Institute - Statesville Statesville North Carolina United States 28625
    555 Wake Forest Baptist Health - Hematology Oncology - Statesville Statesville North Carolina United States 28677
    556 Novant Health Cancer Institute - Thomasville Thomasville North Carolina United States 27360
    557 AdventHealth Infusion Center Weaverville Weaverville North Carolina United States 28787
    558 Novant Health Cancer Institute - Wilkesboro Wilkesboro North Carolina United States 28659
    559 Wake Forest Baptist Health - Wilkes Medical Center Wilkesboro North Carolina United States 28659
    560 Novant Health Forsyth Medical Center Winston-Salem North Carolina United States 27103
    561 Wake Forest University Health Sciences Winston-Salem North Carolina United States 27157
    562 Sanford Bismarck Medical Center Bismarck North Dakota United States 58501
    563 Essentia Health Cancer Center-South University Clinic Fargo North Dakota United States 58103
    564 Sanford South University Medical Center Fargo North Dakota United States 58103
    565 Southpointe-Sanford Medical Center Fargo Fargo North Dakota United States 58103
    566 Sanford Medical Center Fargo Fargo North Dakota United States 58104
    567 Sanford Broadway Medical Center Fargo North Dakota United States 58122
    568 Sanford Roger Maris Cancer Center Fargo North Dakota United States 58122
    569 Altru Cancer Center Grand Forks North Dakota United States 58201
    570 Essentia Health - Jamestown Clinic Jamestown North Dakota United States 58401
    571 Trinity Cancer Care Center Minot North Dakota United States 58701
    572 Indu and Raj Soin Medical Center Beavercreek Ohio United States 45431
    573 Strecker Cancer Center-Belpre Belpre Ohio United States 45714
    574 Saint Elizabeth Boardman Hospital Boardman Ohio United States 44512
    575 Dayton Physicians LLC-Miami Valley South Centerville Ohio United States 45459
    576 Miami Valley Hospital South Centerville Ohio United States 45459
    577 Adena Regional Medical Center Chillicothe Ohio United States 45601
    578 University of Cincinnati Cancer Center-UC Medical Center Cincinnati Ohio United States 45219
    579 Good Samaritan Hospital - Cincinnati Cincinnati Ohio United States 45220
    580 Oncology Hematology Care Inc-Kenwood Cincinnati Ohio United States 45236
    581 Bethesda North Hospital Cincinnati Ohio United States 45242
    582 TriHealth Cancer Institute-Westside Cincinnati Ohio United States 45247
    583 TriHealth Cancer Institute-Anderson Cincinnati Ohio United States 45255
    584 MetroHealth Medical Center Cleveland Ohio United States 44109
    585 Ohio State University Comprehensive Cancer Center Columbus Ohio United States 43210
    586 Mount Carmel East Hospital Columbus Ohio United States 43213
    587 Columbus Oncology and Hematology Associates Inc Columbus Ohio United States 43214
    588 Riverside Methodist Hospital Columbus Ohio United States 43214
    589 Grant Medical Center Columbus Ohio United States 43215
    590 The Mark H Zangmeister Center Columbus Ohio United States 43219
    591 Mount Carmel Health Center West Columbus Ohio United States 43222
    592 Doctors Hospital Columbus Ohio United States 43228
    593 Good Samaritan Hospital - Dayton Dayton Ohio United States 45406
    594 Miami Valley Hospital Dayton Ohio United States 45409
    595 Dayton Physician LLC-Miami Valley Hospital North Dayton Ohio United States 45415
    596 Miami Valley Hospital North Dayton Ohio United States 45415
    597 Delaware Health Center-Grady Cancer Center Delaware Ohio United States 43015
    598 Grady Memorial Hospital Delaware Ohio United States 43015
    599 Columbus Oncology and Hematology Associates Dublin Ohio United States 43016
    600 Dublin Methodist Hospital Dublin Ohio United States 43016
    601 Armes Family Cancer Center Findlay Ohio United States 45840
    602 Blanchard Valley Hospital Findlay Ohio United States 45840
    603 Orion Cancer Care Findlay Ohio United States 45840
    604 Atrium Medical Center-Middletown Regional Hospital Franklin Ohio United States 45005-1066
    605 Dayton Physicians LLC-Atrium Franklin Ohio United States 45005
    606 Central Ohio Breast and Endocrine Surgery Gahanna Ohio United States 43230
    607 Dayton Physicians LLC-Wayne Greenville Ohio United States 45331
    608 Wayne Hospital Greenville Ohio United States 45331
    609 Mount Carmel Grove City Hospital Grove City Ohio United States 43123
    610 Greater Dayton Cancer Center Kettering Ohio United States 45409
    611 First Dayton Cancer Care Kettering Ohio United States 45420
    612 Kettering Medical Center Kettering Ohio United States 45429
    613 Fairfield Medical Center Lancaster Ohio United States 43130
    614 Saint Rita's Medical Center Lima Ohio United States 45801
    615 OhioHealth Mansfield Hospital Mansfield Ohio United States 44903
    616 Marietta Memorial Hospital Marietta Ohio United States 45750
    617 OhioHealth Marion General Hospital Marion Ohio United States 43302
    618 Knox Community Hospital Mount Vernon Ohio United States 43050
    619 Licking Memorial Hospital Newark Ohio United States 43055
    620 Newark Radiation Oncology Newark Ohio United States 43055
    621 Mercy Health Perrysburg Cancer Center Perrysburg Ohio United States 43551
    622 Southern Ohio Medical Center Portsmouth Ohio United States 45662
    623 Springfield Regional Cancer Center Springfield Ohio United States 45504
    624 Springfield Regional Medical Center Springfield Ohio United States 45505
    625 Saint Vincent Mercy Medical Center Toledo Ohio United States 43608
    626 Mercy Health - Saint Anne Hospital Toledo Ohio United States 43623
    627 Toledo Clinic Cancer Centers-Toledo Toledo Ohio United States 43623
    628 Dayton Physicians LLC-Upper Valley Troy Ohio United States 45373
    629 Upper Valley Medical Center Troy Ohio United States 45373
    630 Saint Joseph Warren Hospital Warren Ohio United States 44484
    631 University of Cincinnati Cancer Center-West Chester West Chester Ohio United States 45069
    632 Saint Ann's Hospital Westerville Ohio United States 43081
    633 Saint Elizabeth Youngstown Hospital Youngstown Ohio United States 44501
    634 Genesis Healthcare System Cancer Care Center Zanesville Ohio United States 43701
    635 Cancer Centers of Southwest Oklahoma Research Lawton Oklahoma United States 73505
    636 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
    637 Mercy Hospital Oklahoma City Oklahoma City Oklahoma United States 73120
    638 Oklahoma Cancer Specialists and Research Institute-Tulsa Tulsa Oklahoma United States 74146
    639 Saint Alphonsus Medical Center-Baker City Baker City Oregon United States 97814
    640 Saint Charles Health System Bend Oregon United States 97701
    641 Clackamas Radiation Oncology Center Clackamas Oregon United States 97015
    642 Providence Cancer Institute Clackamas Clinic Clackamas Oregon United States 97015
    643 Bay Area Hospital Coos Bay Oregon United States 97420
    644 Legacy Mount Hood Medical Center Gresham Oregon United States 97030
    645 Providence Newberg Medical Center Newberg Oregon United States 97132
    646 Saint Alphonsus Medical Center-Ontario Ontario Oregon United States 97914
    647 Legacy Good Samaritan Hospital and Medical Center Portland Oregon United States 97210
    648 Providence Portland Medical Center Portland Oregon United States 97213
    649 Providence Saint Vincent Medical Center Portland Oregon United States 97225
    650 Oregon Health and Science University Portland Oregon United States 97239
    651 Saint Charles Health System-Redmond Redmond Oregon United States 97756
    652 Legacy Meridian Park Hospital Tualatin Oregon United States 97062
    653 Lehigh Valley Hospital-Cedar Crest Allentown Pennsylvania United States 18103
    654 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
    655 Bryn Mawr Hospital Bryn Mawr Pennsylvania United States 19010
    656 Christiana Care Health System-Concord Health Center Chadds Ford Pennsylvania United States 19317
    657 Main Line Health Center-Collegeville Collegeville Pennsylvania United States 19426
    658 Geisinger Medical Center Danville Pennsylvania United States 17822
    659 Pocono Medical Center East Stroudsburg Pennsylvania United States 18301
    660 Main Line Health Center-Exton Exton Pennsylvania United States 19341
    661 Geisinger Medical Center-Cancer Center Hazleton Hazleton Pennsylvania United States 18201
    662 Lehigh Valley Hospital-Hazleton Hazleton Pennsylvania United States 18201
    663 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033-0850
    664 Geisinger Medical Oncology-Lewisburg Lewisburg Pennsylvania United States 17837
    665 Lewistown Hospital Lewistown Pennsylvania United States 17044
    666 Riddle Memorial Hospital Media Pennsylvania United States 19063
    667 Bryn Mawr Health Center Newtown Square Pennsylvania United States 19073
    668 Paoli Memorial Hospital Paoli Pennsylvania United States 19301
    669 Thomas Jefferson University Hospital Philadelphia Pennsylvania United States 19107
    670 Jefferson Methodist Hospital Philadelphia Pennsylvania United States 19148
    671 Geisinger Cancer Services-Pottsville Pottsville Pennsylvania United States 17901
    672 Guthrie Medical Group PC-Robert Packer Hospital Sayre Pennsylvania United States 18840
    673 Community Medical Center Scranton Pennsylvania United States 18510
    674 Geisinger Medical Oncology-Selinsgrove Selinsgrove Pennsylvania United States 17870
    675 Geisinger Medical Group State College Pennsylvania United States 16801
    676 Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania United States 18711
    677 Lankenau Medical Center Wynnewood Pennsylvania United States 19096
    678 Prisma Health Cancer Institute - Spartanburg Boiling Springs South Carolina United States 29316
    679 Medical University of South Carolina Charleston South Carolina United States 29425
    680 Prisma Health Cancer Institute - Easley Easley South Carolina United States 29640
    681 Gibbs Cancer Center-Gaffney Gaffney South Carolina United States 29341
    682 Saint Francis Hospital Greenville South Carolina United States 29601
    683 Prisma Health Cancer Institute - Butternut Greenville South Carolina United States 29605
    684 Prisma Health Cancer Institute - Faris Greenville South Carolina United States 29605
    685 Prisma Health Greenville Memorial Hospital Greenville South Carolina United States 29605
    686 Saint Francis Cancer Center Greenville South Carolina United States 29607
    687 Prisma Health Cancer Institute - Eastside Greenville South Carolina United States 29615
    688 Prisma Health Cancer Institute - Greer Greer South Carolina United States 29650
    689 Gibbs Cancer Center-Pelham Greer South Carolina United States 29651
    690 Prisma Health Cancer Institute - Seneca Seneca South Carolina United States 29672
    691 North Grove Medical Park Spartanburg South Carolina United States 29303
    692 Spartanburg Medical Center Spartanburg South Carolina United States 29303
    693 Spartanburg Medical Center - Mary Black Campus Spartanburg South Carolina United States 29307
    694 MGC Hematology Oncology-Union Union South Carolina United States 29379
    695 Avera Cancer Institute-Aberdeen Aberdeen South Dakota United States 57401
    696 Rapid City Regional Hospital Rapid City South Dakota United States 57701
    697 Sanford Cancer Center Oncology Clinic Sioux Falls South Dakota United States 57104
    698 Avera Cancer Institute Sioux Falls South Dakota United States 57105
    699 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117-5134
    700 Bristol Regional Medical Center Bristol Tennessee United States 37620
    701 Cookeville Regional Medical Center Cookeville Tennessee United States 38501
    702 Ballad Health Cancer Care - Kingsport Kingsport Tennessee United States 37660
    703 Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee United States 37660
    704 University of Tennessee - Knoxville Knoxville Tennessee United States 37920
    705 Dell Seton Medical Center at The University of Texas Austin Texas United States 78701
    706 Saint Joseph Regional Cancer Center Bryan Texas United States 77802
    707 Parkland Memorial Hospital Dallas Texas United States 75235
    708 UT Southwestern/Simmons Cancer Center-Dallas Dallas Texas United States 75390
    709 UT Southwestern/Simmons Cancer Center-Fort Worth Fort Worth Texas United States 76104
    710 University of Texas Medical Branch Galveston Texas United States 77555-0565
    711 Memorial Hermann Texas Medical Center Houston Texas United States 77030
    712 UT Southwestern Clinical Center at Richardson/Plano Richardson Texas United States 75080
    713 American Fork Hospital / Huntsman Intermountain Cancer Center American Fork Utah United States 84003
    714 Sandra L Maxwell Cancer Center Cedar City Utah United States 84720
    715 Logan Regional Hospital Logan Utah United States 84321
    716 Intermountain Medical Center Murray Utah United States 84107
    717 McKay-Dee Hospital Center Ogden Utah United States 84403
    718 Utah Valley Regional Medical Center Provo Utah United States 84604
    719 Riverton Hospital Riverton Utah United States 84065
    720 Saint George Regional Medical Center Saint George Utah United States 84770
    721 Utah Cancer Specialists-Salt Lake City Salt Lake City Utah United States 84106
    722 LDS Hospital Salt Lake City Utah United States 84143
    723 Central Vermont Medical Center/National Life Cancer Treatment Berlin Vermont United States 05602
    724 University of Vermont Medical Center Burlington Vermont United States 05401
    725 University of Vermont and State Agricultural College Burlington Vermont United States 05405
    726 Wellmont Medical Associates-Bristol Bristol Virginia United States 24201
    727 Augusta Health Center for Cancer and Blood Disorders Fishersville Virginia United States 22939
    728 Centra Lynchburg Hematology-Oncology Clinic Inc Lynchburg Virginia United States 24501
    729 Bon Secours Memorial Regional Medical Center Mechanicsville Virginia United States 23116
    730 Bon Secours Westchester Emergency Center Midlothian Virginia United States 23113
    731 Bon Secours Saint Francis Medical Center Midlothian Virginia United States 23114
    732 Bon Secours DePaul Medical Center Norfolk Virginia United States 23505
    733 Southwest VA Regional Cancer Center Norton Virginia United States 24273
    734 Bon Secours Maryview Medical Center Portsmouth Virginia United States 23707
    735 Bon Secours Saint Mary's Hospital Richmond Virginia United States 23226
    736 Bon Secours Cancer Institute at Reynolds Crossing Richmond Virginia United States 23230
    737 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
    738 VCU Community Memorial Health Center South Hill Virginia United States 23970
    739 Bon Secours Health Center at Harbour View Suffolk Virginia United States 23435
    740 Providence Regional Cancer System-Aberdeen Aberdeen Washington United States 98520
    741 MultiCare Auburn Medical Center Auburn Washington United States 98001
    742 Overlake Medical Center Bellevue Washington United States 98004
    743 PeaceHealth Saint Joseph Medical Center Bellingham Washington United States 98225
    744 Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington United States 98310
    745 Harrison Medical Center Bremerton Washington United States 98310
    746 Highline Medical Center-Main Campus Burien Washington United States 98166
    747 Providence Regional Cancer System-Centralia Centralia Washington United States 98531
    748 Swedish Cancer Institute-Edmonds Edmonds Washington United States 98026
    749 Saint Elizabeth Hospital Enumclaw Washington United States 98022
    750 Providence Regional Cancer Partnership Everett Washington United States 98201
    751 Saint Francis Hospital Federal Way Washington United States 98003
    752 MultiCare Gig Harbor Medical Park Gig Harbor Washington United States 98335
    753 Swedish Cancer Institute-Issaquah Issaquah Washington United States 98029
    754 Kadlec Clinic Hematology and Oncology Kennewick Washington United States 99336
    755 Providence Regional Cancer System-Lacey Lacey Washington United States 98503
    756 Saint Clare Hospital Lakewood Washington United States 98499
    757 PeaceHealth Saint John Medical Center Longview Washington United States 98632
    758 Jefferson Healthcare Port Townsend Washington United States 98368
    759 Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington United States 98370
    760 MultiCare Good Samaritan Hospital Puyallup Washington United States 98372
    761 Valley Medical Center Renton Washington United States 98055
    762 Pacific Gynecology Specialists Seattle Washington United States 98104
    763 Swedish Medical Center-Ballard Campus Seattle Washington United States 98107
    764 Swedish Medical Center-First Hill Seattle Washington United States 98122-4307
    765 Swedish Medical Center-Cherry Hill Seattle Washington United States 98122-5711
    766 PeaceHealth United General Medical Center Sedro-Woolley Washington United States 98284
    767 Providence Regional Cancer System-Shelton Shelton Washington United States 98584
    768 MultiCare Deaconess Cancer and Blood Specialty Center - Valley Spokane Valley Washington United States 99216
    769 MultiCare Deaconess Cancer and Blood Specialty Center - Downtown Spokane Washington United States 99204
    770 MultiCare Deaconess Cancer and Blood Specialty Center - North Spokane Washington United States 99218
    771 Franciscan Research Center-Northwest Medical Plaza Tacoma Washington United States 98405
    772 Mary Bridge Children's Hospital and Health Center Tacoma Washington United States 98405
    773 MultiCare Tacoma General Hospital Tacoma Washington United States 98405
    774 Northwest Medical Specialties PLLC Tacoma Washington United States 98405
    775 PeaceHealth Southwest Medical Center Vancouver Washington United States 98664
    776 Legacy Cancer Institute Medical Oncology and Day Treatment Vancouver Washington United States 98684
    777 Legacy Salmon Creek Hospital Vancouver Washington United States 98686
    778 Providence Saint Mary Regional Cancer Center Walla Walla Washington United States 99362
    779 North Star Lodge Cancer Center at Yakima Valley Memorial Hospital Yakima Washington United States 98902
    780 Providence Regional Cancer System-Yelm Yelm Washington United States 98597
    781 United Hospital Center Bridgeport West Virginia United States 26330
    782 West Virginia University Charleston Division Charleston West Virginia United States 25304
    783 Edwards Comprehensive Cancer Center Huntington West Virginia United States 25701
    784 WVUH-Berkely Medical Center Martinsburg West Virginia United States 25401
    785 West Virginia University Healthcare Morgantown West Virginia United States 26506
    786 Camden Clark Medical Center Parkersburg West Virginia United States 26101
    787 Langlade Hospital and Cancer Center Antigo Wisconsin United States 54409
    788 ThedaCare Regional Cancer Center Appleton Wisconsin United States 54911
    789 Duluth Clinic Ashland Ashland Wisconsin United States 54806
    790 Northwest Wisconsin Cancer Center Ashland Wisconsin United States 54806
    791 HSHS Sacred Heart Hospital Eau Claire Wisconsin United States 54701
    792 Marshfield Medical Center-EC Cancer Center Eau Claire Wisconsin United States 54701
    793 Bellin Memorial Hospital Green Bay Wisconsin United States 54301
    794 Saint Vincent Hospital Cancer Center Green Bay Green Bay Wisconsin United States 54301
    795 Saint Vincent Hospital Cancer Center at Saint Mary's Green Bay Wisconsin United States 54303
    796 Dean Hematology and Oncology Clinic Madison Wisconsin United States 53717
    797 University of Wisconsin Carbone Cancer Center Madison Wisconsin United States 53792
    798 Holy Family Memorial Hospital Manitowoc Wisconsin United States 54221
    799 Saint Vincent Hospital Cancer Center at Marinette Marinette Wisconsin United States 54143
    800 Marshfield Medical Center-Marshfield Marshfield Wisconsin United States 54449
    801 Aspirus Medford Hospital Medford Wisconsin United States 54451
    802 Froedtert Menomonee Falls Hospital Menomonee Falls Wisconsin United States 53051
    803 Medical College of Wisconsin Milwaukee Wisconsin United States 53226
    804 Marshfield Clinic-Minocqua Center Minocqua Wisconsin United States 54548
    805 ProHealth D N Greenwald Center Mukwonago Wisconsin United States 53149
    806 Cancer Center of Western Wisconsin New Richmond Wisconsin United States 54017
    807 ProHealth Oconomowoc Memorial Hospital Oconomowoc Wisconsin United States 53066
    808 Saint Vincent Hospital Cancer Center at Oconto Falls Oconto Falls Wisconsin United States 54154
    809 Marshfield Medical Center-Rice Lake Rice Lake Wisconsin United States 54868
    810 HSHS Saint Nicholas Hospital Sheboygan Wisconsin United States 53081
    811 Marshfield Medical Center-River Region at Stevens Point Stevens Point Wisconsin United States 54482
    812 Saint Vincent Hospital Cancer Center at Sturgeon Bay Sturgeon Bay Wisconsin United States 54235-1495
    813 ProHealth Waukesha Memorial Hospital Waukesha Wisconsin United States 53188
    814 UW Cancer Center at ProHealth Care Waukesha Wisconsin United States 53188
    815 Aspirus Regional Cancer Center Wausau Wisconsin United States 54401
    816 Froedtert West Bend Hospital/Kraemer Cancer Center West Bend Wisconsin United States 53095
    817 Marshfield Medical Center - Weston Weston Wisconsin United States 54476
    818 Aspirus Cancer Care - Wisconsin Rapids Wisconsin Rapids Wisconsin United States 54494
    819 Cheyenne Regional Medical Center-West Cheyenne Wyoming United States 82001
    820 Billings Clinic-Cody Cody Wyoming United States 82414
    821 Welch Cancer Center Sheridan Wyoming United States 82801
    822 Pan American Center for Oncology Trials LLC San Juan Puerto Rico 00902

    Sponsors and Collaborators

    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Tian Zhang, Alliance for Clinical Trials in Oncology

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT03793166
    Other Study ID Numbers:
    • NCI-2018-03694
    • NCI-2018-03694
    • A031704
    • A031704
    • U10CA180821
    First Posted:
    Jan 4, 2019
    Last Update Posted:
    Aug 25, 2022
    Last Verified:
    Apr 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 25, 2022