Lung-MAP: Taselisib as Therapy in Treating Patients With Stage IV Squamous Cell Lung Cancer and Positive Biomarker Matches

Sponsor
Southwest Oncology Group (Other)
Overall Status
Completed
CT.gov ID
NCT02785913
Collaborator
National Cancer Institute (NCI) (NIH)
31
1111
1
60
0
0

Study Details

Study Description

Brief Summary

This phase II trial studies how well taselisib (GDC-0032) works in treating patients with stage IV squamous cell lung cancer that has come back after previous treatment. This is a sub-study that includes all screened patients positive for the phosphoinositide 3-kinase (PI3K) biomarker. PI3K can cause tumor cells to grow more quickly. Taselisib may decrease the activity of PI3K and may be able to shrink tumors.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

PRIMARY OBJECTIVES:
  1. Phase II Component: To evaluate if there is sufficient evidence to continue to the phase III component by evaluating the objective response rate (ORR) for PI3K Genentech (GNE)-positive patients registered to S1400B treated with GDC-0032. (Phase II)

  2. Phase III Component: If the study meets the criteria specified in S1400, the study will be amended to include a follow-on randomized phase III trial.

SECONDARY OBJECTIVES:
  1. To evaluate investigator-assessed progression free survival (IA-PFS) and overall survival (OS) in both the subset of patients defined to be PI3K GNE-positive and in the entire S1400B (PI3K Foundation Medicine [FMI] positive) study population treated with GDC-0032. (Phase II)

  2. To evaluate ORR in the entire S1400B (PI3K FMI positive) study population treated with GDC-0032 to evaluate the duration of response (DoR) both in GNE positive and FMI positive. (Phase II)

  3. To evaluate the DoR both in the entire S1400B PI3K FMI positive study population and in GNE positive patients treated with GDC-0032 who achieve a complete response (CR) or partial response (PR) (confirmed and unconfirmed) by Response Evaluation Criteria In Solid Tumors (RECIST) 1.1. (Phase II)

  4. To evaluate the frequency and severity of toxicities associated with GDC-0032. (Phase II)

TRANSLATIONAL MEDICINE OBJECTIVES:
  1. To identify additional predictive tumor/blood biomarkers that may modify response or define resistance to the GDC-0032 beyond the chosen biomarker for biomarker-driven sub-studies.

  2. To identify potential resistance biomarkers at disease progression.

  3. To establish a tissue/ blood repository from patients with refractory squamous cell carcinoma (SCCA) of the lung.

OUTLINE: As of 12/18/2015, patients are assigned to Arm I.

ARM I: Patients receive taselisib orally (PO) daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

ARM II (CLOSED TO ACCRUAL 12/18/2015): Patients receive docetaxel intravenously (IV) on day

  1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Upon progression, patients may be eligible to re-register to Arm III.

Re-registration ARM III: Patients in Arm II eligible for re-registration receive taselisib orally (PO) on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, all patients are followed up every 6 months for the first 2 years and then at the end of the year 3 from date of sub-study/re-registration.

Study Design

Study Type:
Interventional
Actual Enrollment :
31 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase II Study of GDC-0032 (Taselisib) for Previously Treated PI3K Positive Patients With Stage IV Squamous Cell Lung Cancer (Lung-MAP Sub-Study)
Actual Study Start Date :
Nov 1, 2014
Actual Primary Completion Date :
Feb 1, 2017
Actual Study Completion Date :
Nov 1, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Arm I (GDC-0032)

Patients receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Other: Laboratory Biomarker Analysis
Correlative studies

Drug: Taselisib
Given PO
Other Names:
  • GDC-0032
  • Outcome Measures

    Primary Outcome Measures

    1. Objective Response Rate (ORR) for PI3K GNE-positive Participants Registered to S1400B Treated With GDC-0032. [From date of registration to maximum of 3 years.]

      ORR-the percentage of PI3K GNE-positive participants with confirmed and unconfirmed, partial response and complete response to treatment with GDC-0032 per Response Evaluation Criteria in Solid Tumors Criteria (RECIST 1.1).

    Secondary Outcome Measures

    1. Investigator-assessed Progression Free Survival (IA-PFS) in Both the Subset of Participants Defined to be PI3K GNE-positive and in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032. [From time of registration to maximum of 3 years.]

      From date of sub-study registration to date of first documentation of progression assessed by local review or symptomatic deterioration or death due to any cause.

    2. Investigator-assessed Overall Survival (OS) in Both the Subset of Participants Defined to be PI3K GNE-positive and in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032. [From time of registration to maximum of 3 years.]

      From date of sub-study registration to date of death due to any cause assessed by local review.

    3. ORR in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032. [From time of registration to maximum of 3 years.]

      Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST 1.1).

    4. Duration of Response (DoR) Both in the Entire S1400B PI3K FMI Positive Study Population and in GNE Positive Participants Treated With GDC-0032 Who Achieve a CR or PR (Confirmed and Unconfirmed) by RECIST 1.1. [From time of registration to maximum of 3 years.]

      Among participants who had a response, duration is calculated from registration to response date.

    5. Frequency and Severity of Toxicities Associated With GDC-0032. (Phase II) [From date of registration to maximum of 3 years.]

      Frequency and severity of toxicities greater than Grade 2 associated with GDC-0032.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients must meet all SCREENING/PRE-SCREENING and SUB-STUDY REGISTRATION COMMON ELIGIBILITY CRITERIA as specified in S1400: Phase II/III Biomarker-Driven Master Protocol for Previously Treated Squamous Cell Lung Cancer (Lung-Map)

    • Patients must be assigned to S1400B

    • Hemoglobin A1c (HbA1c) < 7% obtained within 28 days prior to sub-study registration

    • Fasting glucose < 125 mg/dL obtained within 28 days prior to sub-study registration

    • Patients must not have type I or II diabetes that requires anti-hyperglycemic medication

    • Patients must not have active or a history of small or large intestine inflammation such as Crohn's disease or ulcerative colitis

    • Patients must not require daily supplemental oxygen

    • Patients must be able to take oral medications; patients may not have any impairment of gastrointestinal function or gastrointestinal disease that may significantly alter the absorption of GDC-0032 (e.g. ulcerative disease, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection)

    • Patients must not be taking, nor plan to take while on protocol treatment and for 14 days post the last dose of study treatment, drugs, herbal supplements or foods that are known to be strong/moderate cytochrome p450, family 3, subfamily A, polypeptide 4 (CYP3A4) substrates

    • Patients must also be offered participation in banking for future use of specimens

    • STEP 2 TO GDC-0032 RE-REGISTRATION:

    • Patients must have progressed on arm 2 (docetaxel) of this sub-study

    • Patients must not have received any prior systemic therapy (systemic chemotherapy, immunotherapy or investigational drug) within 21 days prior to step 2 re-registration; patients must have recovered (< grade 1) from any side effects of prior therapy

    • Patients must have measurable disease documented by computed tomography (CT) or magnetic resonance imaging (MRI); the CT from a combined PET/CT may be used to document only non-measurable disease unless it is of diagnostic quality; measurable disease must be assessed within 28 days prior to step 2 re-registration; pleural effusions, ascites and laboratory parameters are not acceptable as the only evidence of disease; non-measurable disease must be assessed within 42 days prior to step 2 re-registration; all disease must be assessed and documented on the baseline tumor assessment form; patients whose only measurable disease is within a previous radiation therapy port must demonstrate clearly progressive disease (in the opinion of the treating investigator) prior to registration

    • Patients must have a CT or MRI scan of the brain to evaluate for central nervous system (CNS) disease within 42 days prior to step 2 re-registration; patient must not have leptomeningeal disease, spinal cord compression or brain metastases unless: (1) metastases have been locally treated and have remained clinically controlled and asymptomatic for at least 14 days following treatment, AND (2) patient has no residual neurological dysfunction and has been off corticosteroids for at least 1 day prior to re-registration

    • Patients must not be planning to receive any concurrent chemotherapy, immunotherapy, biologic or hormonal therapy for cancer treatment; concurrent use of hormones for non-cancer-related conditions (e.g., insulin for diabetes and hormone replacement therapy) is acceptable

    • Absolute neutrophil count (ANC) >= 1,500/mcl obtained within 28 days prior to step 2 re-registration

    • Platelet count >= 100,000 mcl obtained within 28 days prior to step 2 re-registration

    • Hemoglobin >= 9 g/dL obtained within 28 days prior to step 2 re-registration

    • Serum bilirubin =< institutional upper limit of normal (IULN); for patients with liver metastases, bilirubin must be =< 5 x IULN obtained within 28 days prior to step 2 re-registration

    • Either alanine aminotransferase (ALT) or aspartate aminotransferase (AST) =< 2 x IULN within 28 days prior to step 2 re-registration (if both ALT and AST are done, both must be < 2 IULN); for patients with liver metastases, either ALT or AST must be =< 5 x IULN (if both ALT and AST are done, both must be =< 5 x IULN)

    • HbA1c < 7% obtained within 28 days prior to step 2 re-registration

    • Fasting glucose < 125 mg/dL obtained within 28 days prior to step 2 re-registration

    • Serum creatinine =< the IULN OR measured or calculated creatinine clearance >= 50 mL/min

    • Patients must have Zubrod performance status of 0-1 documented within 28 days prior to step 2 re-registration

    • Patients must not have any grade III/IV cardiac disease as defined by the New York Heart Association Criteria (i.e., patients with cardiac disease resulting in marked limitation of physical activity or resulting in inability to carry on any physical activity without discomfort), unstable angina pectoris, and myocardial infarction within 6 months, or serious uncontrolled cardiac arrhythmia

    • Patients must not have documented evidence of acute hepatitis or have an active or uncontrolled infection

    • Patients with a known history of human immunodeficiency virus (HIV) seropositivity: must have undetectable viral load using standard HIV assays in clinical practice; must have cluster of differentiation (CD)4 count >= 400/mcL; must not require prophylaxis for any opportunistic infections (i.e., fungal, mycobacterium avium complex [mAC], or pneumocystis pneumonia [PCP] prophylaxis); must not be newly diagnosed within 12 months prior to re-registration

    • Prestudy history and physical exam must be obtained within 28 days prior to re-registration

    • No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years

    • Patients must not be pregnant or nursing; women/men of reproductive potential must have agreed to use an effective contraceptive method; 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 outlined in the protocol, he/she is responsible for beginning contraceptive measures

    • 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

    • Patients with impaired decision-making capacity are eligible as long as their neurological or psychological condition does not preclude their safe participation in the study (e.g., tracking pill consumption and reporting adverse events to the investigator)

    • Patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Alabama at Birmingham Cancer Center Birmingham Alabama United States 35233
    2 Anchorage Associates in Radiation Medicine Anchorage Alaska United States 98508
    3 Anchorage Radiation Therapy Center Anchorage Alaska United States 99504
    4 Alaska Breast Care and Surgery LLC Anchorage Alaska United States 99508
    5 Alaska Oncology and Hematology LLC Anchorage Alaska United States 99508
    6 Alaska Regional Hospital Anchorage Alaska United States 99508
    7 Alaska Women's Cancer Care Anchorage Alaska United States 99508
    8 Anchorage Oncology Centre Anchorage Alaska United States 99508
    9 Katmai Oncology Group Anchorage Alaska United States 99508
    10 Providence Alaska Medical Center Anchorage Alaska United States 99508
    11 Fairbanks Memorial Hospital Fairbanks Alaska United States 99701
    12 University of Arizona Cancer Center-North Campus Tucson Arizona United States 85719
    13 The University of Arizona Medical Center-University Campus Tucson Arizona United States 85724
    14 Yuma Cancer Center Yuma Arizona United States 85364
    15 Mercy Cancer Center-Hot Springs Hot Springs Arkansas United States 71913
    16 Fowler Family Center for Cancer Care Jonesboro Arkansas United States 72401
    17 University of Arkansas for Medical Sciences Little Rock Arkansas United States 72205
    18 Kaiser Permanente-Anaheim Anaheim California United States 92807
    19 Kaiser Permanente-Deer Valley Medical Center Antioch California United States 94531
    20 Sutter Auburn Faith Hospital Auburn California United States 95602
    21 Sutter Cancer Centers Radiation Oncology Services-Auburn Auburn California United States 95603
    22 AIS Cancer Center at San Joaquin Community Hospital Bakersfield California United States 93301
    23 Kaiser Permanente-Baldwin Park Baldwin Park California United States 91706
    24 Kaiser Permanente-Bellflower Bellflower California United States 90706
    25 Alta Bates Summit Medical Center-Herrick Campus Berkeley California United States 94704
    26 Providence Saint Joseph Medical Center/Disney Family Cancer Center Burbank California United States 91505
    27 Mills-Peninsula Medical Center Burlingame California United States 94010
    28 Sutter Cancer Centers Radiation Oncology Services-Cameron Park Cameron Park California United States 95682
    29 Eden Hospital Medical Center Castro Valley California United States 94546
    30 City of Hope Corona Corona California United States 92879
    31 Sutter Davis Hospital Davis California United States 95616
    32 City of Hope Comprehensive Cancer Center Duarte California United States 91010
    33 Kaiser Permanente Hospital Fontana California United States 92335
    34 Kaiser Permanente-Fremont Fremont California United States 94538
    35 Kaiser Permanente Fresno California United States 93720
    36 Saint Jude Medical Center Fullerton California United States 92835
    37 Kaiser Permanente - Harbor City Harbor City California United States 90710
    38 Kaiser Permanente-Irvine Irvine California United States 92618
    39 UC San Diego Moores Cancer Center La Jolla California United States 92093
    40 City of Hope Antelope Valley Lancaster California United States 93534
    41 Loma Linda University Medical Center Loma Linda California United States 92354
    42 Kaiser Permanente Los Angeles Medical Center Los Angeles California United States 90027
    43 Los Angeles County-USC Medical Center Los Angeles California United States 90033
    44 USC / Norris Comprehensive Cancer Center Los Angeles California United States 90033
    45 Kaiser Permanente-Cadillac Los Angeles California United States 90034
    46 Memorial Medical Center Modesto California United States 95355
    47 Kaiser Permanente-Modesto Modesto California United States 95356
    48 Community Hospital of Monterey Peninsula Monterey California United States 93940
    49 Pacific Cancer Care-Monterey Monterey California United States 93940
    50 Palo Alto Medical Foundation-Camino Division Mountain View California United States 94040
    51 Palo Alto Medical Foundation-Gynecologic Oncology Mountain View California United States 94040
    52 Sutter Cancer Research Consortium Novato California United States 94945
    53 Kaiser Permanente-Oakland Oakland California United States 94611
    54 Saint Joseph Hospital - Orange Orange California United States 92868
    55 Palo Alto Medical Foundation Health Care Palo Alto California United States 94301
    56 Kaiser Permanente - Panorama City Panorama City California United States 91402
    57 Feather River Cancer Center Paradise California United States 95969
    58 PCR Oncology Pismo Beach California United States 93449
    59 City of Hope Rancho Cucamonga Rancho Cucamonga California United States 91730
    60 Eisenhower Medical Center Rancho Mirage California United States 92270
    61 Kaiser Permanente-Redwood City Redwood City California United States 94063
    62 Kaiser Permanente-Richmond Richmond California United States 94801
    63 Kaiser Permanente-Riverside Riverside California United States 92505
    64 Kaiser Permanente-Roseville Roseville California United States 95661
    65 Sutter Cancer Centers Radiation Oncology Services-Roseville Roseville California United States 95661
    66 Sutter Roseville Medical Center Roseville California United States 95661
    67 Sutter Medical Center Sacramento Sacramento California United States 95816
    68 University of California Davis Comprehensive Cancer Center Sacramento California United States 95817
    69 Kaiser Permanente-South Sacramento Sacramento California United States 95823
    70 Kaiser Permanente - Sacramento Sacramento California United States 95825
    71 Saint Helena Hospital Saint Helena California United States 94574
    72 Kaiser Permanente-San Diego Mission San Diego California United States 92108
    73 Kaiser Permanente-San Diego Zion San Diego California United States 92120
    74 California Pacific Medical Center-Pacific Campus San Francisco California United States 94115
    75 Kaiser Permanente-San Francisco San Francisco California United States 94115
    76 Kaiser Permanente-Santa Teresa-San Jose San Jose California United States 95119
    77 Kaiser Permanente San Leandro San Leandro California United States 94577
    78 Kaiser Permanente-San Marcos San Marcos California United States 92069
    79 Kaiser Permanente-San Rafael San Rafael California United States 94903
    80 Kaiser Permanente Medical Center - Santa Clara Santa Clara California United States 95051
    81 Palo Alto Medical Foundation-Santa Cruz Santa Cruz California United States 95065
    82 Kaiser Permanente-Santa Rosa Santa Rosa California United States 95403
    83 Sutter Pacific Medical Foundation Santa Rosa California United States 95403
    84 City of Hope South Pasadena South Pasadena California United States 91030
    85 Kaiser Permanente-South San Francisco South San Francisco California United States 94080
    86 Kaiser Permanente-Stockton Stockton California United States 95210
    87 Palo Alto Medical Foundation-Sunnyvale Sunnyvale California United States 94086
    88 Northbay Cancer Center Vacaville California United States 95687
    89 Sutter Cancer Centers Radiation Oncology Services-Vacaville Vacaville California United States 95687
    90 Kaiser Permanente Medical Center-Vacaville Vacaville California United States 95688
    91 Kaiser Permanente-Vallejo Vallejo California United States 94589
    92 Sutter Solano Medical Center/Cancer Center Vallejo California United States 94589
    93 Kaiser Permanente-Walnut Creek Walnut Creek California United States 94596
    94 Presbyterian Intercommunity Hospital Whittier California United States 90602
    95 Kaiser Permanente Woodland Hills California United States 91367
    96 Rocky Mountain Cancer Centers-Aurora Aurora Colorado United States 80012
    97 The Medical Center of Aurora Aurora Colorado United States 80012
    98 University of Colorado Cancer Center - Anschutz Cancer Pavilion Aurora Colorado United States 80045
    99 Boulder Community Hospital Boulder Colorado United States 80301
    100 Rocky Mountain Cancer Centers-Boulder Boulder Colorado United States 80304
    101 Penrose-Saint Francis Healthcare Colorado Springs Colorado United States 80907
    102 Rocky Mountain Cancer Centers-Penrose Colorado Springs Colorado United States 80907
    103 Memorial Hospital Central Colorado Springs Colorado United States 80909
    104 Denver Health Medical Center Denver Colorado United States 80204
    105 Kaiser Permanente-Franklin Denver Colorado United States 80205
    106 Porter Adventist Hospital Denver Colorado United States 80210
    107 Colorado Blood Cancer Institute Denver Colorado United States 80218
    108 Presbyterian - Saint Lukes Medical Center - Health One Denver Colorado United States 80218
    109 Rocky Mountain Cancer Centers-Midtown Denver Colorado United States 80218
    110 SCL Health Saint Joseph Hospital Denver Colorado United States 80218
    111 Rocky Mountain Cancer Centers-Rose Denver Colorado United States 80220
    112 Rose Medical Center Denver Colorado United States 80220
    113 Colorado Cancer Research Program NCORP Denver Colorado United States 80222
    114 Mercy Medical Center Durango Colorado United States 81301
    115 Southwest Oncology PC Durango Colorado United States 81301
    116 Comprehensive Cancer Care and Research Institute of Colorado LLC Englewood Colorado United States 80113
    117 Swedish Medical Center Englewood Colorado United States 80113
    118 Poudre Valley Hospital Fort Collins Colorado United States 80524
    119 Mountain Blue Cancer Care Center Golden Colorado United States 80401
    120 National Jewish Health-Western Hematology Oncology Golden Colorado United States 80401
    121 North Colorado Medical Center Greeley Colorado United States 80631
    122 Rocky Mountain Cancer Centers-Greenwood Village Greenwood Village Colorado United States 80111
    123 Kaiser Permanente-Rock Creek Lafayette Colorado United States 80026
    124 Rocky Mountain Cancer Centers-Lakewood Lakewood Colorado United States 80228
    125 Saint Anthony Hospital Lakewood Colorado United States 80228
    126 Rocky Mountain Cancer Centers-Littleton Littleton Colorado United States 80120
    127 Littleton Adventist Hospital Littleton Colorado United States 80122
    128 Kaiser Permanente-Lone Tree Lone Tree Colorado United States 80124
    129 Rocky Mountain Cancer Centers-Sky Ridge Lone Tree Colorado United States 80124
    130 Sky Ridge Medical Center Lone Tree Colorado United States 80124
    131 Longmont United Hospital Longmont Colorado United States 80501
    132 Rocky Mountain Cancer Centers-Longmont Longmont Colorado United States 80501
    133 McKee Medical Center Loveland Colorado United States 80539
    134 Parker Adventist Hospital Parker Colorado United States 80138
    135 Rocky Mountain Cancer Centers-Parker Parker Colorado United States 80138
    136 Saint Mary Corwin Medical Center Pueblo Colorado United States 81004
    137 Rocky Mountain Cancer Centers - Pueblo Pueblo Colorado United States 81008
    138 Rocky Mountain Cancer Centers-Thornton Thornton Colorado United States 80260
    139 SCL Health Lutheran Medical Center Wheat Ridge Colorado United States 80033
    140 Danbury Hospital Danbury Connecticut United States 06810
    141 Smilow Cancer Hospital-Derby Care Center Derby Connecticut United States 06418
    142 Smilow Cancer Hospital Care Center-Fairfield Fairfield Connecticut United States 06824
    143 Medical Oncology and Hematology Group PC-Guilford Guilford Connecticut United States 06437
    144 Hartford Hospital Hartford Connecticut United States 06102
    145 Smilow Cancer Hospital Care Center at Saint Francis Hartford Connecticut United States 06105
    146 Midstate Medical Center Meriden Connecticut United States 06451
    147 The Hospital of Central Connecticut New Britain Connecticut United States 06050
    148 Smilow Cancer Center/Yale-New Haven Hospital New Haven Connecticut United States 06510
    149 Yale-New Haven Hospital Saint Raphael Campus New Haven Connecticut United States 06511
    150 Yale University New Haven Connecticut United States 06520
    151 Yale-New Haven Hospital North Haven Medical Center North Haven Connecticut United States 06473
    152 Eastern Connecticut Hematology and Oncology Associates Norwich Connecticut United States 06360
    153 Smilow Cancer Hospital-Orange Care Center Orange Connecticut United States 06477
    154 Charlotte Hungerford Hospital Center for Cancer Care Torrington Connecticut United States 06790
    155 Smilow Cancer Hospital Care Center-Trumbull Trumbull Connecticut United States 06611
    156 Smilow Cancer Hospital-Waterbury Care Center Waterbury Connecticut United States 06708
    157 Veterans Affairs Connecticut Healthcare System-West Haven Campus West Haven Connecticut United States 06516
    158 Beebe Medical Center Lewes Delaware United States 19958
    159 Christiana Gynecologic Oncology LLC Newark Delaware United States 19713
    160 Delaware Clinical and Laboratory Physicians PA Newark Delaware United States 19713
    161 Helen F Graham Cancer Center Newark Delaware United States 19713
    162 Medical Oncology Hematology Consultants PA Newark Delaware United States 19713
    163 Regional Hematology and Oncology PA Newark Delaware United States 19713
    164 Christiana Care Health System-Christiana Hospital Newark Delaware United States 19718
    165 Beebe Health Campus Rehoboth Beach Delaware United States 19971
    166 Nanticoke Memorial Hospital Seaford Delaware United States 19973
    167 Christiana Care Health System-Wilmington Hospital Wilmington Delaware United States 19801
    168 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
    169 Sibley Memorial Hospital Washington District of Columbia United States 20016
    170 UM Sylvester Comprehensive Cancer Center at Deerfield Beach Deerfield Beach Florida United States 33442
    171 Holy Cross Hospital Fort Lauderdale Florida United States 33308
    172 University of Florida Gainesville Florida United States 32610
    173 Memorial Regional Hospital/Joe DiMaggio Children's Hospital Hollywood Florida United States 33021
    174 UM Sylvester Comprehensive Cancer Center at Hollywood Hollywood Florida United States 33021
    175 Mount Sinai Medical Center Miami Beach Florida United States 33140
    176 University of Miami Miller School of Medicine-Sylvester Cancer Center Miami Florida United States 33136
    177 Ocala Oncology Center Ocala Florida United States 34471
    178 Memorial Hospital West Pembroke Pines Florida United States 33028
    179 Sacred Heart Hospital Pensacola Florida United States 32504
    180 UM Sylvester Comprehensive Cancer Center at Plantation Plantation Florida United States 33324
    181 Moffitt Cancer Center Tampa Florida United States 33612
    182 Phoebe Putney Memorial Hospital Albany Georgia United States 31701
    183 University Cancer and Blood Center LLC Athens Georgia United States 30607
    184 Emory University Hospital Midtown Atlanta Georgia United States 30308
    185 Piedmont Hospital Atlanta Georgia United States 30309
    186 Emory University/Winship Cancer Institute Atlanta Georgia United States 30322
    187 Northside Hospital Atlanta Georgia United States 30342
    188 Saint Joseph's Hospital of Atlanta Atlanta Georgia United States 30342
    189 Augusta University Medical Center Augusta Georgia United States 30912
    190 John B Amos Cancer Center Columbus Georgia United States 31904
    191 Northside Hospital-Forsyth Cumming Georgia United States 30041
    192 Dekalb Medical Center Decatur Georgia United States 30033
    193 Northeast Georgia Medical Center-Gainesville Gainesville Georgia United States 30501
    194 Medical Center of Central Georgia Macon Georgia United States 31201
    195 Harbin Clinic Medical Oncology and Clinical Research Rome Georgia United States 30165
    196 Memorial University Medical Center Savannah Georgia United States 31404
    197 Summit Cancer Care-Memorial Savannah Georgia United States 31404
    198 Lewis Cancer and Research Pavilion at Saint Joseph's/Candler Savannah Georgia United States 31405
    199 Low Country Cancer Care Associates PC Savannah Georgia United States 31405
    200 South Georgia Medical Center/Pearlman Cancer Center Valdosta Georgia United States 31602
    201 Hawaii Oncology Inc-Pali Momi 'Aiea Hawaii United States 96701
    202 Pali Momi Medical Center 'Aiea Hawaii United States 96701
    203 The Cancer Center of Hawaii-Leeward 'Ewa Beach Hawaii United States 96706
    204 Hawaii Cancer Care Inc-POB II Honolulu Hawaii United States 96813
    205 Hawaii Oncology Inc-POB I Honolulu Hawaii United States 96813
    206 Island Urology Honolulu Hawaii United States 96813
    207 Queen's Medical Center Honolulu Hawaii United States 96813
    208 Straub Clinic and Hospital Honolulu Hawaii United States 96813
    209 University of Hawaii Cancer Center Honolulu Hawaii United States 96813
    210 Hawaii Cancer Care Inc-Liliha Honolulu Hawaii United States 96817
    211 Hawaii Oncology Inc-Kuakini Honolulu Hawaii United States 96817
    212 Kuakini Medical Center Honolulu Hawaii United States 96817
    213 The Cancer Center of Hawaii-Liliha Honolulu Hawaii United States 96817
    214 Kaiser Permanente Moanalua Medical Center Honolulu Hawaii United States 96819
    215 Kapiolani Medical Center for Women and Children Honolulu Hawaii United States 96826
    216 Wilcox Memorial Hospital and Kauai Medical Clinic Lihue Hawaii United States 96766
    217 Saint Alphonsus Cancer Care Center-Boise Boise Idaho United States 83706
    218 Saint Luke's Mountain States Tumor Institute Boise Idaho United States 83712
    219 Kootenai Medical Center Coeur d'Alene Idaho United States 83814
    220 Saint Luke's Mountain States Tumor Institute - Fruitland Fruitland Idaho United States 83619
    221 Saint Joseph Regional Medical Center Lewiston Idaho United States 83501
    222 Saint Luke's Mountain States Tumor Institute - Meridian Meridian Idaho United States 83642
    223 Saint Luke's Mountain States Tumor Institute - Nampa Nampa Idaho United States 83686
    224 Kootenai Cancer Center Post Falls Idaho United States 83854
    225 Kootenai Cancer Clinic Sandpoint Idaho United States 83864
    226 Saint Luke's Mountain States Tumor Institute-Twin Falls Twin Falls Idaho United States 83301
    227 Rush - Copley Medical Center Aurora Illinois United States 60504
    228 Saint Joseph Medical Center Bloomington Illinois United States 61701
    229 Illinois CancerCare-Bloomington Bloomington Illinois United States 61704
    230 Illinois CancerCare-Canton Canton Illinois United States 61520
    231 Memorial Hospital of Carbondale Carbondale Illinois United States 62902
    232 Illinois CancerCare-Carthage Carthage Illinois United States 62321
    233 Centralia Oncology Clinic Centralia Illinois United States 62801
    234 Mount Sinai Hospital Medical Center Chicago Illinois United States 60608
    235 Northwestern University Chicago Illinois United States 60611
    236 John H Stroger Jr Hospital of Cook County Chicago Illinois United States 60612
    237 Rush University Medical Center Chicago Illinois United States 60612
    238 Swedish Covenant Hospital Chicago Illinois United States 60625
    239 University of Chicago Comprehensive Cancer Center Chicago Illinois United States 60637
    240 Carle on Vermilion Danville Illinois United States 61832
    241 Cancer Care Center of Decatur Decatur Illinois United States 62526
    242 Decatur Memorial Hospital Decatur Illinois United States 62526
    243 Carle Physician Group-Effingham Effingham Illinois United States 62401
    244 Crossroads Cancer Center Effingham Illinois United States 62401
    245 AMITA Health Alexian Brothers Medical Center Elk Grove Village Illinois United States 60007
    246 Illinois CancerCare-Eureka Eureka Illinois United States 61530
    247 NorthShore University HealthSystem-Evanston Hospital Evanston Illinois United States 60201
    248 Saint Francis Hospital Evanston Illinois United States 60202
    249 Illinois CancerCare-Galesburg Galesburg Illinois United States 61401
    250 Western Illinois Cancer Treatment Center Galesburg Illinois United States 61401
    251 Northwestern Medicine Cancer Center Delnor Geneva Illinois United States 60134
    252 NorthShore University HealthSystem-Glenbrook Hospital Glenview Illinois United States 60026
    253 Ingalls Memorial Hospital Harvey Illinois United States 60426
    254 Hematology Oncology Associates of Illinois-Highland Park Highland Park Illinois United States 60035
    255 NorthShore University HealthSystem-Highland Park Hospital Highland Park Illinois United States 60035
    256 Hines Veterans Administration Hospital Hines Illinois United States 60141
    257 Presence Saint Mary's Hospital Kankakee Illinois United States 60901
    258 Illinois CancerCare-Kewanee Clinic Kewanee Illinois United States 61443
    259 NorthShore Hematology Oncology-Libertyville Libertyville Illinois United States 60048
    260 Illinois CancerCare-Macomb Macomb Illinois United States 61455
    261 Carle Physician Group-Mattoon/Charleston Mattoon Illinois United States 61938
    262 Loyola University Medical Center Maywood Illinois United States 60153
    263 Trinity Medical Center Moline Illinois United States 61265
    264 Good Samaritan Regional Health Center Mount Vernon Illinois United States 62864
    265 Hematology Oncology Consultants Limited Naperville Illinois United States 60540
    266 UC Comprehensive Cancer Center at Silver Cross New Lenox Illinois United States 60451
    267 Illinois Cancer Specialists-Niles Niles Illinois United States 60714
    268 Community Cancer Center Foundation Normal Illinois United States 61761
    269 Illinois CancerCare-Ottawa Clinic Ottawa Illinois United States 61350
    270 Radiation Oncology of Northern Illinois Ottawa Illinois United States 61350
    271 Illinois CancerCare-Pekin Pekin Illinois United States 61554
    272 OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center Pekin Illinois United States 61554
    273 Methodist Medical Center of Illinois Peoria Illinois United States 61603
    274 Illinois CancerCare-Peoria Peoria Illinois United States 61615
    275 OSF Saint Francis Radiation Oncology at Peoria Cancer Center Peoria Illinois United States 61615
    276 OSF Saint Francis Medical Center Peoria Illinois United States 61637
    277 Illinois CancerCare-Peru Peru Illinois United States 61354
    278 Valley Radiation Oncology Peru Illinois United States 61354
    279 Illinois CancerCare-Princeton Princeton Illinois United States 61356
    280 Hematology Oncology Associates of Illinois - Skokie Skokie Illinois United States 60076
    281 North Shore Medical Center Skokie Illinois United States 60076
    282 Central Illinois Hematology Oncology Center Springfield Illinois United States 62702
    283 Southern Illinois University School of Medicine Springfield Illinois United States 62702
    284 Springfield Clinic Springfield Illinois United States 62702
    285 Memorial Medical Center Springfield Illinois United States 62781
    286 Cancer Care Specialists of Illinois-Swansea Swansea Illinois United States 62226
    287 Carle Cancer Center Urbana Illinois United States 61801
    288 The Carle Foundation Hospital Urbana Illinois United States 61801
    289 Northwestern Medicine Cancer Center Warrenville Warrenville Illinois United States 60555
    290 Rush-Copley Healthcare Center Yorkville Illinois United States 60560
    291 Michiana Hematology Oncology PC-Crown Point Crown Point Indiana United States 46307
    292 Michiana Hematology Oncology PC-Elkhart Elkhart Indiana United States 46514
    293 IU Health Central Indiana Cancer Centers-Fishers Fishers Indiana United States 46037
    294 Indiana University/Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
    295 Richard L. Roudebush Veterans Affairs Medical Center Indianapolis Indiana United States 46202
    296 Sidney and Lois Eskenazi Hospital Indianapolis Indiana United States 46202
    297 IU Health Central Indiana Cancer Centers-East Indianapolis Indiana United States 46219
    298 Franciscan Health Indianapolis Indianapolis Indiana United States 46237
    299 Springmill Medical Center Indianapolis Indiana United States 46290
    300 IU Health Arnett Cancer Care Lafayette Indiana United States 47904
    301 Franciscan Saint Anthony Health-Michigan City Michigan City Indiana United States 46360
    302 Woodland Cancer Care Center Michigan City Indiana United States 46360
    303 Memorial Regional Cancer Center Day Road Mishawaka Indiana United States 46545
    304 Michiana Hematology Oncology PC-Mishawaka Mishawaka Indiana United States 46545
    305 Franciscan Health Mooresville Mooresville Indiana United States 46158
    306 The Community Hospital Munster Indiana United States 46321
    307 Michiana Hematology Oncology PC-Plymouth Plymouth Indiana United States 46563
    308 Reid Health Richmond Indiana United States 47374
    309 Memorial Hospital of South Bend South Bend Indiana United States 46601
    310 Michiana Hematology Oncology PC-South Bend South Bend Indiana United States 46601
    311 Northern Indiana Cancer Research Consortium South Bend Indiana United States 46628
    312 Union Hospital Terre Haute Indiana United States 47804
    313 Michiana Hematology Oncology PC-Westville Westville Indiana United States 46391
    314 Mary Greeley Medical Center Ames Iowa United States 50010
    315 McFarland Clinic PC-William R Bliss Cancer Center Ames Iowa United States 50010
    316 Hematology Oncology Associates-Quad Cities Bettendorf Iowa United States 52722
    317 McFarland Clinic PC-Boone Boone Iowa United States 50036
    318 Medical Oncology and Hematology Associates-West Des Moines Clive Iowa United States 50325
    319 Mercy Cancer Center-West Lakes Clive Iowa United States 50325
    320 Alegent Health Mercy Hospital Council Bluffs Iowa United States 51503
    321 Greater Regional Medical Center Creston Iowa United States 50801
    322 Genesis Medical Center - East Campus Davenport Iowa United States 52803
    323 Iowa Methodist Medical Center Des Moines Iowa United States 50309
    324 Iowa-Wide Oncology Research Coalition NCORP Des Moines Iowa United States 50309
    325 Medical Oncology and Hematology Associates-Des Moines Des Moines Iowa United States 50309
    326 Medical Oncology and Hematology Associates-Laurel Des Moines Iowa United States 50314
    327 Mercy Medical Center - Des Moines Des Moines Iowa United States 50314
    328 Iowa Lutheran Hospital Des Moines Iowa United States 50316
    329 JCHC McCreery Cancer Center Fairfield Iowa United States 52556
    330 McFarland Clinic PC-Trinity Cancer Center Fort Dodge Iowa United States 50501
    331 University of Iowa/Holden Comprehensive Cancer Center Iowa City Iowa United States 52242
    332 McFarland Clinic PC-Jefferson Jefferson Iowa United States 50129
    333 McFarland Clinic PC-Marshalltown Marshalltown Iowa United States 50158
    334 Ottumwa Regional Health Center Ottumwa Iowa United States 52501
    335 Siouxland Regional Cancer Center Sioux City Iowa United States 51101
    336 Covenant Medical Center Waterloo Iowa United States 50702
    337 Methodist West Hospital West Des Moines Iowa United States 50266-7700
    338 Mercy Medical Center-West Lakes West Des Moines Iowa United States 50266
    339 Cancer Center of Kansas - Chanute Chanute Kansas United States 66720
    340 Cancer Center of Kansas - Dodge City Dodge City Kansas United States 67801
    341 Cancer Center of Kansas - El Dorado El Dorado Kansas United States 67042
    342 Newman Regional Health Emporia Kansas United States 66801
    343 Cancer Center of Kansas - Fort Scott Fort Scott Kansas United States 66701
    344 Saint Catherine Hospital Garden City Kansas United States 67846
    345 Saint Rose Ambulatory and Surgery Center Great Bend Kansas United States 67530
    346 Hays Medical Center Hays Kansas United States 67601
    347 Cancer Center of Kansas-Independence Independence Kansas United States 67301
    348 University of Kansas Cancer Center-West Kansas City Kansas United States 66112
    349 University of Kansas Cancer Center Kansas City Kansas United States 66160
    350 Cancer Center of Kansas-Kingman Kingman Kansas United States 67068
    351 Lawrence Memorial Hospital Lawrence Kansas United States 66044
    352 Kansas Institute of Medicine Cancer and Blood Center Lenexa Kansas United States 66219
    353 Minimally Invasive Surgery Hospital Lenexa Kansas United States 66219
    354 Cancer Center of Kansas-Liberal Liberal Kansas United States 67905
    355 Cancer Center of Kansas - Newton Newton Kansas United States 67114
    356 Olathe Medical Center Olathe Kansas United States 66061
    357 Menorah Medical Center Overland Park Kansas United States 66209
    358 University of Kansas Cancer Center-Overland Park Overland Park Kansas United States 66210
    359 Saint Luke's South Hospital Overland Park Kansas United States 66213
    360 Cancer Center of Kansas - Parsons Parsons Kansas United States 67357
    361 Via Christi Hospital-Pittsburg Pittsburg Kansas United States 66762
    362 Kansas City NCI Community Oncology Research Program Prairie Village Kansas United States 66208
    363 Cancer Center of Kansas - Pratt Pratt Kansas United States 67124
    364 Cancer Center of Kansas - Salina Salina Kansas United States 67401
    365 Salina Regional Health Center Salina Kansas United States 67401
    366 Cotton O'Neil Cancer Center / Stormont Vail Health Topeka Kansas United States 66606
    367 Saint Francis Hospital and Medical Center - Topeka Topeka Kansas United States 66606
    368 Cancer Center of Kansas - Wellington Wellington Kansas United States 67152
    369 Associates In Womens Health Wichita Kansas United States 67208
    370 Cancer Center of Kansas-Wichita Medical Arts Tower Wichita Kansas United States 67208
    371 Cancer Center of Kansas - Wichita Wichita Kansas United States 67214
    372 Via Christi Regional Medical Center Wichita Kansas United States 67214
    373 Wichita NCI Community Oncology Research Program Wichita Kansas United States 67214
    374 Cancer Center of Kansas - Winfield Winfield Kansas United States 67156
    375 King's Daughter's Medical Center Ashland Kentucky United States 41101
    376 Flaget Memorial Hospital Bardstown Kentucky United States 40004
    377 Baptist Health Corbin Corbin Kentucky United States 40701
    378 Commonwealth Cancer Center-Corbin Corbin Kentucky United States 40701
    379 Oncology Hematology Care Inc-Crestview Crestview Hills Kentucky United States 41017
    380 Hardin Memorial Hospital Elizabethtown Kentucky United States 42701
    381 Baptist Health Lexington Lexington Kentucky United States 40503
    382 Saint Joseph Radiation Oncology Resource Center Lexington Kentucky United States 40504
    383 Saint Joseph Hospital East Lexington Kentucky United States 40509
    384 University of Kentucky/Markey Cancer Center Lexington Kentucky United States 40536
    385 Jewish Hospital Louisville Kentucky United States 40202
    386 Norton Hospital Pavilion and Medical Campus Louisville Kentucky United States 40202
    387 Baptist Health Louisville Louisville Kentucky United States 40207
    388 Norton Suburban Hospital and Medical Campus Louisville Kentucky United States 40207
    389 Saints Mary and Elizabeth Hospital Louisville Kentucky United States 40215
    390 Norton Audubon Hospital and Medical Campus Louisville Kentucky United States 40217
    391 Norton Brownsboro Hospital and Medical Campus Louisville Kentucky United States 40241
    392 Jewish Hospital Medical Center Northeast Louisville Kentucky United States 40245
    393 Baptist Health Madisonville/Merle Mahr Cancer Center Madisonville Kentucky United States 42431
    394 Baptist Health Paducah Paducah Kentucky United States 42003
    395 Jewish Hospital Medical Center South Shepherdsville Kentucky United States 40165
    396 LSU Health Baton Rouge-North Clinic Baton Rouge Louisiana United States 70805
    397 Baton Rouge General Medical Center Baton Rouge Louisiana United States 70806
    398 Hematology/Oncology Clinic LLP Baton Rouge Louisiana United States 70809
    399 Louisiana Hematology Oncology Associates LLC Baton Rouge Louisiana United States 70809
    400 Mary Bird Perkins Cancer Center Baton Rouge Louisiana United States 70809
    401 Medical Oncology LLC Baton Rouge Louisiana United States 70809
    402 Ochsner Health Center-Summa Baton Rouge Louisiana United States 70809
    403 Mary Bird Cancer Center/Saint Tammany Parish Covington Louisiana United States 70433
    404 Mary Bird Perkins Cancer Center/Terrebonne General Medical Center Houma Louisiana United States 70360
    405 Ochsner Medical Center Kenner Kenner Louisiana United States 70065
    406 West Jefferson Medical Center Marrero Louisiana United States 70072
    407 East Jefferson General Hospital Metairie Louisiana United States 70006
    408 Robert Veith MD LLC Metairie Louisiana United States 70006
    409 University Health-Conway Monroe Louisiana United States 71202
    410 Louisiana State University Health Science Center New Orleans Louisiana United States 70112
    411 Tulane University Health Sciences Center New Orleans Louisiana United States 70112
    412 University Medical Center New Orleans New Orleans Louisiana United States 70112
    413 LSU Healthcare Network/Saint Charles New Orleans Louisiana United States 70115
    414 Ochsner Medical Center Jefferson New Orleans Louisiana United States 70121
    415 Louisiana State University Health Sciences Center Shreveport Shreveport Louisiana United States 71103
    416 Harold Alfond Center for Cancer Care Augusta Maine United States 04330
    417 Eastern Maine Medical Center Bangor Maine United States 04401
    418 Lafayette Family Cancer Center-EMMC Brewer Maine United States 04412
    419 Mercy Hospital Portland Maine United States 04101
    420 Penobscot Bay Medical Center Rockport Maine United States 04856
    421 University of Maryland/Greenebaum Cancer Center Baltimore Maryland United States 21201
    422 Greater Baltimore Medical Center Baltimore Maryland United States 21204
    423 Sinai Hospital of Baltimore Baltimore Maryland United States 21215
    424 MedStar Union Memorial Hospital Baltimore Maryland United States 21218
    425 Saint Agnes Hospital Baltimore Maryland United States 21229
    426 MedStar Franklin Square Medical Center/Weinberg Cancer Institute Baltimore Maryland United States 21237
    427 Johns Hopkins University/Sidney Kimmel Cancer Center Baltimore Maryland United States 21287
    428 Upper Chesapeake Medical Center Bel Air Maryland United States 21014
    429 Walter Reed National Military Medical Center Bethesda Maryland United States 20889-5600
    430 Western Maryland Regional Medical Center Cumberland Maryland United States 21502
    431 Frederick Memorial Hospital Frederick Maryland United States 21701
    432 Montgomery General Hospital-Olney Olney Maryland United States 20832
    433 Northwest Hospital Center Randallstown Maryland United States 21133
    434 Peninsula Regional Medical Center Salisbury Maryland United States 21801
    435 William E Kahlert Regional Cancer Center/Sinai Hospital Westminster Maryland United States 21157
    436 Beverly Hospital Beverly Massachusetts United States 01915
    437 Massachusetts General Hospital Cancer Center Boston Massachusetts United States 02114
    438 Boston Medical Center Boston Massachusetts United States 02118
    439 Beth Israel Deaconess Medical Center Boston Massachusetts United States 02215
    440 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
    441 Lahey Hospital and Medical Center Burlington Massachusetts United States 01805
    442 Simonds-Sinon Regional Cancer Center Fitchburg Massachusetts United States 01420
    443 Addison Gilbert Hospital Gloucester Massachusetts United States 01930
    444 Lowell General Hospital Lowell Massachusetts United States 01854
    445 Dana-Farber/Brigham and Women's Cancer Center at Milford Regional Milford Massachusetts United States 01757
    446 Dana-Farber/Brigham and Women's Cancer Center at South Shore South Weymouth Massachusetts United States 02190
    447 Baystate Medical Center Springfield Massachusetts United States 01199
    448 Winchester Hospital Winchester Massachusetts United States 01890
    449 University of Massachusetts Medical School Worcester Massachusetts United States 01655
    450 Veteran's Administration Medical Center - Ann Arbor Ann Arbor Michigan United States 48105
    451 Saint Joseph Mercy Hospital Ann Arbor Michigan United States 48106-0995
    452 University of Michigan Comprehensive Cancer Center Ann Arbor Michigan United States 48109
    453 Bronson Battle Creek Battle Creek Michigan United States 49017
    454 Beaumont Hospital-Dearborn Dearborn Michigan United States 48124
    455 Wayne State University/Karmanos Cancer Institute Detroit Michigan United States 48201
    456 Henry Ford Hospital Detroit Michigan United States 48202
    457 Saint John Hospital and Medical Center Detroit Michigan United States 48236
    458 Green Bay Oncology - Escanaba Escanaba Michigan United States 49829
    459 Weisberg Cancer Treatment Center Farmington Hills Michigan United States 48334
    460 Botsford General Hospital Farmington Michigan United States 48334
    461 Hurley Medical Center Flint Michigan United States 48502
    462 Genesys Hurley Cancer Institute Flint Michigan United States 48503
    463 Mercy Health Saint Mary's Grand Rapids Michigan United States 49503
    464 Spectrum Health at Butterworth Campus Grand Rapids Michigan United States 49503
    465 William Beaumont Hospital-Grosse Point Grosse Pointe Michigan United States 48230
    466 Allegiance Health Jackson Michigan United States 49201
    467 Borgess Medical Center Kalamazoo Michigan United States 49001
    468 West Michigan Cancer Center Kalamazoo Michigan United States 49007
    469 Sparrow Hospital Lansing Michigan United States 48912
    470 Saint Mary Mercy Hospital Livonia Michigan United States 48154
    471 Mid-Michigan Medical Center - Midland Midland Michigan United States 48670
    472 Monroe Cancer Center Monroe Michigan United States 48162
    473 Mercy Health Mercy Campus Muskegon Michigan United States 49444
    474 Lakeland Community Hospital Niles Michigan United States 49120
    475 Assarian Cancer Center Novi Michigan United States 48374-1236
    476 Saint Joseph Mercy Oakland Pontiac Michigan United States 48341
    477 Lake Huron Medical Center Port Huron Michigan United States 48060
    478 Spectrum Health Reed City Hospital Reed City Michigan United States 49677
    479 Michigan Cancer Specialists Roseville Michigan United States 48066
    480 Oakland Colon and Rectal Association Royal Oak Michigan United States 48067
    481 Cancer Care Associates PC Royal Oak Michigan United States 48073
    482 Comprehensive Medical Center PLLC Royal Oak Michigan United States 48073
    483 Hematology Oncology Consultants PC Royal Oak Michigan United States 48073
    484 Oakland Medical Group Royal Oak Michigan United States 48073
    485 William Beaumont Hospital-Royal Oak Royal Oak Michigan United States 48073
    486 Saint Mary's of Michigan Saginaw Michigan United States 48601
    487 Lakeland Hospital Saint Joseph Michigan United States 49085
    488 Marie Yeager Cancer Center Saint Joseph Michigan United States 49085
    489 Providence Hospital-Southfield Cancer Center Southfield Michigan United States 48075
    490 Premier Hematology Oncology Care Sterling Heights Michigan United States 48312
    491 Mitchell Folbe MD PC Sterling Heights Michigan United States 48314
    492 Munson Medical Center Traverse City Michigan United States 49684
    493 Michigan Institute of Urology-Town Center Troy Michigan United States 48084
    494 Claudia BR Herke MD PC Troy Michigan United States 48085
    495 Hematology Oncology Consultants PC-Troy Troy Michigan United States 48098
    496 William Beaumont Hospital - Troy Troy Michigan United States 48098
    497 Saint John Macomb-Oakland Hospital Warren Michigan United States 48093
    498 Metro Health Hospital Wyoming Michigan United States 49519
    499 Sanford Clinic North-Bemidgi Bemidji Minnesota United States 56601
    500 Essentia Health Saint Joseph's Medical Center Brainerd Minnesota United States 56401
    501 Fairview Ridges Hospital Burnsville Minnesota United States 55337
    502 Mercy Hospital Coon Rapids Minnesota United States 55433
    503 Essentia Health Cancer Center Duluth Minnesota United States 55805
    504 Essentia Health Saint Mary's Medical Center Duluth Minnesota United States 55805
    505 Miller-Dwan Hospital Duluth Minnesota United States 55805
    506 Fairview-Southdale Hospital Edina Minnesota United States 55435
    507 Lake Region Healthcare Corporation-Cancer Care Fergus Falls Minnesota United States 56537
    508 Unity Hospital Fridley Minnesota United States 55432
    509 Hutchinson Area Health Care Hutchinson Minnesota United States 55350
    510 Fairview Maple Grove Medical Center Maple Grove Minnesota United States 55369
    511 Minnesota Oncology Hematology PA-Maplewood Maplewood Minnesota United States 55109
    512 Saint John's Hospital - Healtheast Maplewood Minnesota United States 55109
    513 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55407
    514 Hennepin County Medical Center Minneapolis Minnesota United States 55415
    515 Health Partners Inc Minneapolis Minnesota United States 55454
    516 New Ulm Medical Center New Ulm Minnesota United States 56073
    517 North Memorial Medical Health Center Robbinsdale Minnesota United States 55422
    518 Mayo Clinic Rochester Minnesota United States 55905
    519 Metro Minnesota Community Oncology Research Consortium Saint Louis Park Minnesota United States 55416
    520 Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota United States 55416
    521 Regions Hospital Saint Paul Minnesota United States 55101
    522 United Hospital Saint Paul Minnesota United States 55102
    523 Saint Francis Regional Medical Center Shakopee Minnesota United States 55379
    524 Lakeview Hospital Stillwater Minnesota United States 55082
    525 Ridgeview Medical Center Waconia Minnesota United States 55387
    526 Rice Memorial Hospital Willmar Minnesota United States 56201
    527 Minnesota Oncology Hematology PA-Woodbury Woodbury Minnesota United States 55125
    528 Fairview Lakes Medical Center Wyoming Minnesota United States 55092
    529 Baptist Cancer Center-Golden Triangle Columbus Mississippi United States 39705
    530 Boston Baskin Cancer Center-Grenada Grenada Mississippi United States 38901
    531 University of Mississippi Medical Center Jackson Mississippi United States 39216
    532 Family Cancer Center-Oxford Oxford Mississippi United States 38655
    533 Family Cancer Center-Southhaven Southaven Mississippi United States 38671
    534 Baptist Memorial Hospital-Desoto Southhaven Mississippi United States 38671
    535 Baptist Cancer Institute-Starkville Starkville Mississippi United States 39759
    536 Central Care Cancer Center-Carrie J Babb Cancer Center Bolivar Missouri United States 65613
    537 Parkland Health Center-Bonne Terre Bonne Terre Missouri United States 63628
    538 CoxHealth Cancer Center Branson Missouri United States 65616
    539 Saint Francis Medical Center Cape Girardeau Missouri United States 63703
    540 Southeast Cancer Center Cape Girardeau Missouri United States 63703
    541 Saint Luke's Hospital Chesterfield Missouri United States 63017
    542 University of Missouri - Ellis Fischel Columbia Missouri United States 65212
    543 Barnes-Jewish West County Hospital Creve Coeur Missouri United States 63141
    544 Centerpoint Medical Center LLC Independence Missouri United States 64057
    545 Capital Region Medical Center-Goldschmidt Cancer Center Jefferson City Missouri United States 65109
    546 Freeman Health System Joplin Missouri United States 64804
    547 Mercy Hospital-Joplin Joplin Missouri United States 64804
    548 Truman Medical Center Kansas City Missouri United States 64108
    549 Saint Luke's Hospital of Kansas City Kansas City Missouri United States 64111
    550 Heartland Hematology and Oncology Associates Incorporated Kansas City Missouri United States 64118
    551 Kansas City Veterans Affairs Medical Center Kansas City Missouri United States 64128
    552 The University of Kansas Cancer Center-South Kansas City Missouri United States 64131
    553 Research Medical Center Kansas City Missouri United States 64132
    554 The University of Kansas Cancer Center-North Kansas City Missouri United States 64154
    555 The University of Kansas Cancer Center-Lee's Summit Lee's Summit Missouri United States 64064
    556 Saint Luke's East - Lee's Summit Lee's Summit Missouri United States 64086
    557 Liberty Radiation Oncology Center Liberty Missouri United States 64068
    558 Delbert Day Cancer Institute at PCRMC Rolla Missouri United States 65401
    559 Saint John's Clinic-Rolla-Cancer and Hematology Rolla Missouri United States 65401
    560 Heartland Regional Medical Center Saint Joseph Missouri United States 64506
    561 Saint Louis Cancer and Breast Institute-South City Saint Louis Missouri United States 63109
    562 Washington University School of Medicine Saint Louis Missouri United States 63110
    563 Missouri Baptist Medical Center Saint Louis Missouri United States 63131
    564 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
    565 Siteman Cancer Center - Saint Peters Saint Peters Missouri United States 63376
    566 Sainte Genevieve County Memorial Hospital Sainte Genevieve Missouri United States 63670
    567 Mercy Hospital Springfield Springfield Missouri United States 65804
    568 CoxHealth South Hospital Springfield Missouri United States 65807
    569 Missouri Baptist Sullivan Hospital Sullivan Missouri United States 63080
    570 Missouri Baptist Outpatient Center-Sunset Hills Sunset Hills Missouri United States 63127
    571 Community Hospital of Anaconda Anaconda Montana United States 59711
    572 Billings Clinic Cancer Center Billings Montana United States 59101
    573 Saint Vincent Healthcare Billings Montana United States 59101
    574 Montana Cancer Consortium NCORP Billings Montana United States 59102
    575 Bozeman Deaconess Hospital Bozeman Montana United States 59715
    576 Saint James Community Hospital and Cancer Treatment Center Butte Montana United States 59701
    577 Benefis Healthcare- Sletten Cancer Institute Great Falls Montana United States 59405
    578 Great Falls Clinic Great Falls Montana United States 59405
    579 Saint Peter's Community Hospital Helena Montana United States 59601
    580 Kalispell Regional Medical Center Kalispell Montana United States 59901
    581 Saint Patrick Hospital - Community Hospital Missoula Montana United States 59802
    582 Community Medical Hospital Missoula Montana United States 59804
    583 CHI Health Saint Francis Grand Island Nebraska United States 68803
    584 Heartland Hematology and Oncology Kearney Nebraska United States 68845
    585 CHI Health Good Samaritan Kearney Nebraska United States 68847
    586 Nebraska Hematology and Oncology Lincoln Nebraska United States 68506
    587 Nebraska Cancer Research Center Lincoln Nebraska United States 68510
    588 Saint Elizabeth Regional Medical Center Lincoln Nebraska United States 68510
    589 Southeast Nebraska Cancer Center Lincoln Nebraska United States 68510
    590 Faith Regional Medical Offices West Norfolk Nebraska United States 68701
    591 Great Plains Regional Medical Center North Platte Nebraska United States 69103
    592 Missouri Valley Cancer Consortium Omaha Nebraska United States 68106
    593 Nebraska Methodist Hospital Omaha Nebraska United States 68114
    594 Alegent Health Immanuel Medical Center Omaha Nebraska United States 68122
    595 Hemotology and Oncology Consultants PC Omaha Nebraska United States 68122
    596 Alegent Health Bergan Mercy Medical Center Omaha Nebraska United States 68124
    597 Oncology Hematology West Omaha Nebraska United States 68124
    598 Alegent Health Lakeside Hospital Omaha Nebraska United States 68130
    599 Oncology Hematology West PC Omaha Nebraska United States 68130
    600 Creighton University Medical Center Omaha Nebraska United States 68131
    601 University of Nebraska Medical Center Omaha Nebraska United States 68198
    602 Midlands Community Hospital Papillion Nebraska United States 68046
    603 Regional West Medical Center Scottsbluff Nebraska United States 69361
    604 Carson Tahoe Regional Medical Center Carson City Nevada United States 89703
    605 Cancer and Blood Specialists-Henderson Henderson Nevada United States 89052
    606 Comprehensive Cancer Centers of Nevada - Henderson Henderson Nevada United States 89052
    607 Las Vegas Cancer Center-Henderson Henderson Nevada United States 89052
    608 21st Century Oncology - Henderson Henderson Nevada United States 89074
    609 Comprehensive Cancer Centers of Nevada-Southeast Henderson Henderson Nevada United States 89074
    610 Cancer and Blood Specialists-Shadow Las Vegas Nevada United States 89106
    611 Nevada Cancer Research Foundation CCOP Las Vegas Nevada United States 89106
    612 Radiation Oncology Centers of Nevada Central Las Vegas Nevada United States 89106
    613 21st Century Oncology Las Vegas Nevada United States 89109
    614 HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway Las Vegas Nevada United States 89109
    615 HealthCare Partners Medical Group Oncology/Hematology-San Martin Las Vegas Nevada United States 89113
    616 Radiation Oncology Centers of Nevada Southeast Las Vegas Nevada United States 89119
    617 Cancer Therapy and Integrative Medicine Las Vegas Nevada United States 89121
    618 Ann M Wierman MD LTD Las Vegas Nevada United States 89128
    619 Cancer and Blood Specialists-Tenaya Las Vegas Nevada United States 89128
    620 Comprehensive Cancer Centers of Nevada - Northwest Las Vegas Nevada United States 89128
    621 HealthCare Partners Medical Group Oncology/Hematology-Tenaya Las Vegas Nevada United States 89128
    622 Comprehensive Cancer Centers of Nevada-Summerlin Las Vegas Nevada United States 89144
    623 Summerlin Hospital Medical Center Las Vegas Nevada United States 89144
    624 Las Vegas Cancer Center-Medical Center Las Vegas Nevada United States 89148-2405
    625 21st Century Oncology - Fort Apache Las Vegas Nevada United States 89148
    626 Comprehensive Cancer Centers of Nevada Las Vegas Nevada United States 89148
    627 Nevada Cancer Specialists-Fort Apache Las Vegas Nevada United States 89148
    628 HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills Las Vegas Nevada United States 89149
    629 Comprehensive Cancer Centers of Nevada - Central Valley Las Vegas Nevada United States 89169
    630 University Cancer Center Las Vegas Nevada United States 89169
    631 21st Century Oncology - Vegas Tenaya Las Vegas Nevada United States 89182
    632 Renown Regional Medical Center Reno Nevada United States 89502
    633 Alpine Hematology-Oncology Reno Nevada United States 89503
    634 Saint Mary's Regional Medical Center Reno Nevada United States 89503
    635 Radiation Oncology Associates Reno Nevada United States 89509
    636 Reno Oncology Consultants Reno Nevada United States 89519
    637 New Hampshire Oncology Hematology PA-Concord Concord New Hampshire United States 03301
    638 New Hampshire Oncology Hematology PA-Hooksett Hooksett New Hampshire United States 03106
    639 LRGHealthcare-Lakes Region General Hospital Laconia New Hampshire United States 03246
    640 Dartmouth Hitchcock Medical Center Lebanon New Hampshire United States 03756
    641 Norris Cotton Cancer Center-Manchester Manchester New Hampshire United States 03102
    642 Ocean Medical Center Brick New Jersey United States 08724
    643 Veterans Adminstration New Jersey Health Care System East Orange New Jersey United States 07018-1095
    644 Southern Ocean County Medical Center Manahawkin New Jersey United States 08050
    645 Morristown Medical Center Morristown New Jersey United States 07960
    646 Virtua Memorial Mount Holly New Jersey United States 08060
    647 Jersey Shore Medical Center Neptune New Jersey United States 07753
    648 Newark Beth Israel Medical Center Newark New Jersey United States 07112
    649 Riverview Medical Center/Booker Cancer Center Red Bank New Jersey United States 07701
    650 Robert Wood Johnson University Hospital Somerset Somerville New Jersey United States 08876
    651 Overlook Hospital Summit New Jersey United States 07902
    652 Virtua Voorhees Voorhees New Jersey United States 08043
    653 Lovelace Medical Center-Downtown Albuquerque New Mexico United States 87102
    654 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
    655 New Mexico Oncology Hematology Consultants Albuquerque New Mexico United States 87109
    656 Memorial Medical Center - Las Cruces Las Cruces New Mexico United States 88011
    657 New York Oncology Hematology PC -Albany Medical Center Albany New York United States 12208
    658 Montefiore Medical Center-Einstein Campus Bronx New York United States 10461
    659 Montefiore Medical Center-Weiler Hospital Bronx New York United States 10461
    660 Montefiore Medical Center - Moses Campus Bronx New York United States 10467-2490
    661 State University of New York Downstate Medical Center Brooklyn New York United States 11203
    662 Roswell Park Cancer Institute Buffalo New York United States 14263
    663 Mary Imogene Bassett Hospital Cooperstown New York United States 13326
    664 Arnot Ogden Medical Center/Falck Cancer Center Elmira New York United States 14905
    665 Glens Falls Hospital Glens Falls New York United States 12801
    666 Orange Regional Medical Center Middletown New York United States 10940
    667 North Shore-LIJ Health System/Center for Advanced Medicine New Hyde Park New York United States 11040
    668 Beth Israel Medical Center New York New York United States 10003
    669 Columbia University/Herbert Irving Cancer Center New York New York United States 10032
    670 Highland Hospital Rochester New York United States 14620
    671 University of Rochester Rochester New York United States 14642
    672 Stony Brook University Medical Center Stony Brook New York United States 11794
    673 State University of New York Upstate Medical University Syracuse New York United States 13210
    674 Faxton-Saint Luke's Healthcare Utica New York United States 13502
    675 Randolph Hospital Asheboro North Carolina United States 27203
    676 Cancer Care of Western North Carolina Asheville North Carolina United States 28801
    677 Mission Hospital-Memorial Campus Asheville North Carolina United States 28801
    678 Asheville Hematology-Oncology Associates Asheville North Carolina United States 28803
    679 Cone Health Cancer Center at Alamance Regional Burlington North Carolina United States 27215
    680 Novant Health Presbyterian Medical Center Charlotte North Carolina United States 28204
    681 Oncology Specialists of Charlotte Charlotte North Carolina United States 28207
    682 Southern Oncology Specialists-Charlotte Charlotte North Carolina United States 28262
    683 Sampson Radiation Oncology Clinton North Carolina United States 28328
    684 Southeastern Medical Oncology Center-Clinton Clinton North Carolina United States 28328
    685 Duke University Medical Center Durham North Carolina United States 27710
    686 Cape Fear Valley Health System Fayetteville North Carolina United States 28304
    687 Southeastern Medical Oncology Center-Goldsboro Goldsboro North Carolina United States 27534
    688 Wayne Memorial Hospital Goldsboro North Carolina United States 27534
    689 Wayne Radiation Oncology Goldsboro North Carolina United States 27534
    690 Cone Health Cancer Center Greensboro North Carolina United States 27403
    691 Hendersonville Hematology and Oncology at Pardee Hendersonville North Carolina United States 28791
    692 Margaret R Pardee Memorial Hospital Hendersonville North Carolina United States 28791
    693 Park Ridge Hospital Breast Health Center Hendersonville North Carolina United States 28792
    694 Hayworth Cancer Center High Point North Carolina United States 27262
    695 High Point Regional Hospital High Point North Carolina United States 27262
    696 Lake Norman Hematology Oncology Specialists-Huntersville Huntersville North Carolina United States 28078
    697 Southern Oncology Specialists-Huntersville Huntersville North Carolina United States 28078
    698 Onslow Memorial Hospital Jacksonville North Carolina United States 28546
    699 Southeastern Medical Oncology Center-Jacksonville Jacksonville North Carolina United States 28546
    700 Kinston Medical Specialists PA Kinston North Carolina United States 28501
    701 Matthews Radiation Oncology Center Matthews North Carolina United States 28105
    702 Novant Health Cancer Specialists-Matthews Matthews North Carolina United States 28105
    703 Cone Heath Cancer Center at Mebane Mebane North Carolina United States 27302
    704 Lake Norman Hematology Oncology Specialists-Mooresville Mooresville North Carolina United States 28117
    705 FirstHealth of the Carolinas-Moore Regional Hosiptal Pinehurst North Carolina United States 28374
    706 Duke Raleigh Hospital Raleigh North Carolina United States 27609
    707 Annie Penn Memorial Hospital Reidsville North Carolina United States 27320
    708 Southeastern Medical Oncology Center-Wilson Wilson North Carolina United States 27893
    709 Southeast Clinical Oncology Research (SCOR) Consortium NCORP Winston-Salem North Carolina United States 27104
    710 Wake Forest University Health Sciences Winston-Salem North Carolina United States 27157
    711 Sanford Bismarck Medical Center Bismarck North Dakota United States 58501
    712 Essentia Health Cancer Center-South University Clinic Fargo North Dakota United States 58103
    713 Roger Maris Cancer Center Fargo North Dakota United States 58122
    714 Sanford Clinic North-Fargo Fargo North Dakota United States 58122
    715 Sanford Medical Center-Fargo Fargo North Dakota United States 58122
    716 Trinity Cancer Care Center Minot North Dakota United States 58701
    717 Cleveland Clinic Cancer Center Beachwood Beachwood Ohio United States 44122
    718 UHHS-Chagrin Highlands Medical Center Beachwood Ohio United States 44122
    719 Strecker Cancer Center-Belpre Belpre Ohio United States 45714
    720 Mercy Medical Center Canton Ohio United States 44708
    721 Aultman Health Foundation Canton Ohio United States 44710
    722 Dayton Physicians LLC-Miami Valley South Centerville Ohio United States 45459
    723 Miami Valley Hospital South Centerville Ohio United States 45459
    724 Geaugra Hospital Chardon Ohio United States 44024
    725 Adena Regional Medical Center Chillicothe Ohio United States 45601
    726 Oncology Hematology Care Inc-Eden Park Cincinnati Ohio United States 45202
    727 Oncology Hematology Care Inc-Mercy West Cincinnati Ohio United States 45211
    728 University of Cincinnati/Barrett Cancer Center Cincinnati Ohio United States 45219
    729 Good Samaritan Hospital - Cincinnati Cincinnati Ohio United States 45220
    730 Oncology Hematology Care Inc - Anderson Cincinnati Ohio United States 45230
    731 Oncology Hematology Care Inc-Kenwood Cincinnati Ohio United States 45236
    732 Bethesda North Hospital Cincinnati Ohio United States 45242
    733 Oncology Hematology Care Inc-Blue Ash Cincinnati Ohio United States 45242
    734 TriHealth Cancer Institute-Westside Cincinnati Ohio United States 45247
    735 TriHealth Cancer Institute-Anderson Cincinnati Ohio United States 45255
    736 Case Western Reserve University Cleveland Ohio United States 44106
    737 MetroHealth Medical Center Cleveland Ohio United States 44109
    738 Cleveland Clinic Cancer Center/Fairview Hospital Cleveland Ohio United States 44111
    739 Cleveland Clinic Foundation Cleveland Ohio United States 44195
    740 Ohio State University Comprehensive Cancer Center Columbus Ohio United States 43210
    741 Columbus Oncology and Hematology Associates Inc Columbus Ohio United States 43214
    742 Riverside Methodist Hospital Columbus Ohio United States 43214
    743 Columbus NCI Community Oncology Research Program Columbus Ohio United States 43215
    744 Grant Medical Center Columbus Ohio United States 43215
    745 The Mark H Zangmeister Center Columbus Ohio United States 43219
    746 Mount Carmel Health Center West Columbus Ohio United States 43222
    747 Doctors Hospital Columbus Ohio United States 43228
    748 Good Samaritan Hospital - Dayton Dayton Ohio United States 45406
    749 Miami Valley Hospital Dayton Ohio United States 45409
    750 Dayton Physicians LLC-Samaritan North Dayton Ohio United States 45415
    751 Samaritan North Health Center Dayton Ohio United States 45415
    752 Dayton NCI Community Oncology Research Program Dayton Ohio United States 45420
    753 Delaware Health Center-Grady Cancer Center Delaware Ohio United States 43015
    754 Delaware Radiation Oncology Delaware Ohio United States 43015
    755 Grady Memorial Hospital Delaware Ohio United States 43015
    756 Mercy Cancer Center-Elyria Elyria Ohio United States 44035
    757 Oncology Hematology Care Inc-Healthplex Fairfield Ohio United States 45014
    758 Armes Family Cancer Center Findlay Ohio United States 45840
    759 Blanchard Valley Hospital Findlay Ohio United States 45840
    760 Orion Cancer Care Findlay Ohio United States 45840
    761 Atrium Medical Center-Middletown Regional Hospital Franklin Ohio United States 45005-1066
    762 Dayton Physicians LLC-Atrium Franklin Ohio United States 45005
    763 Dayton Physicians LLC-Wayne Greenville Ohio United States 45331
    764 Wayne Hospital Greenville Ohio United States 45331
    765 Cleveland Clinic Cancer Center Independence Independence Ohio United States 44131
    766 Greater Dayton Cancer Center Kettering Ohio United States 45409
    767 Kettering Medical Center Kettering Ohio United States 45429
    768 Fairfield Medical Center Lancaster Ohio United States 43130
    769 Lancaster Radiation Oncology Lancaster Ohio United States 43130
    770 Cleveland Clinic Cancer Center Mansfield Mansfield Ohio United States 44906
    771 Marietta Memorial Hospital Marietta Ohio United States 45750
    772 OneHealth Marion General Hospital Marion Ohio United States 43302
    773 Hillcrest Hospital Cancer Center Mayfield Heights Ohio United States 44124
    774 Ireland Cancer Center Landerbrook Health Center Mayfield Heights Ohio United States 44124
    775 Lake University Ireland Cancer Center Mentor Ohio United States 44060
    776 Southwest General Health Center Ireland Cancer Center Middleburg Heights Ohio United States 44130
    777 Dayton Physicians LLC-Signal Point Middletown Ohio United States 45042
    778 Knox Community Hospital Mount Vernon Ohio United States 43050
    779 Licking Memorial Hospital Newark Ohio United States 43055
    780 Newark Radiation Oncology Newark Ohio United States 43055
    781 Southern Ohio Medical Center Portsmouth Ohio United States 45662
    782 Ireland Cancer Center at Firelands Regional Medical Center Sandusky Ohio United States 44870
    783 North Coast Cancer Care Sandusky Ohio United States 44870
    784 Dayton Physicians LLC-Wilson Sidney Ohio United States 45365
    785 Springfield Regional Cancer Center Springfield Ohio United States 45504
    786 Springfield Regional Medical Center Springfield Ohio United States 45505
    787 Cleveland Clinic Cancer Center Strongsville Strongsville Ohio United States 44136
    788 Flower Hospital Sylvania Ohio United States 43560
    789 University of Toledo Toledo Ohio United States 43614
    790 Dayton Physicians LLC-Upper Valley Troy Ohio United States 45373
    791 Upper Valley Medical Center Troy Ohio United States 45373
    792 University Hospitals Sharon Health Center Wadsworth Ohio United States 44281
    793 South Pointe Hospital Warrensville Heights Ohio United States 44122
    794 University Pointe West Chester Ohio United States 45069
    795 Saint Ann's Hospital Westerville Ohio United States 43081
    796 UH-Seidman Cancer Center at Saint John Medical Center Westlake Ohio United States 44145
    797 UHHS-Westlake Medical Center Westlake Ohio United States 44145
    798 Cleveland Clinic Wooster Family Health and Surgery Center Wooster Ohio United States 44691
    799 Wright-Patterson Medical Center Wright-Patterson Air Force Base Ohio United States 45433-5529
    800 Genesis Healthcare System Cancer Care Center Zanesville Ohio United States 43701
    801 Cancer Centers of Southwest Oklahoma Research Lawton Oklahoma United States 73505
    802 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
    803 Oklahoma Cancer Specialists and Research Institute-Tulsa Tulsa Oklahoma United States 74146
    804 Saint Charles Health System Bend Oregon United States 97701
    805 Clackamas Radiation Oncology Center Clackamas Oregon United States 97015
    806 Providence Oncology and Hematology Care Southeast Clackamas Oregon United States 97015
    807 Bay Area Hospital Coos Bay Oregon United States 97420
    808 Legacy Mount Hood Medical Center Gresham Oregon United States 97030
    809 Providence Newberg Medical Center Newberg Oregon United States 97132
    810 Providence Willamette Falls Medical Center Oregon City Oregon United States 97045
    811 Legacy Good Samaritan Hospital and Medical Center Portland Oregon United States 97210
    812 Providence Portland Medical Center Portland Oregon United States 97213
    813 Providence Saint Vincent Medical Center Portland Oregon United States 97225
    814 Kaiser Permanente Northwest Portland Oregon United States 97227
    815 Oregon Health and Science University Portland Oregon United States 97239
    816 Salem Hospital Salem Oregon United States 97301
    817 Legacy Meridian Park Hospital Tualatin Oregon United States 97062
    818 Lehigh Valley Hospital-Cedar Crest Allentown Pennsylvania United States 18103
    819 UPMC-Heritage Valley Health System Beaver Beaver Pennsylvania United States 15009
    820 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
    821 Bryn Mawr Hospital Bryn Mawr Pennsylvania United States 19010
    822 Christiana Care Health System-Concord Health Center Chadds Ford Pennsylvania United States 19317
    823 Geisinger Medical Center Danville Pennsylvania United States 17822
    824 Ephrata Cancer Center Ephrata Pennsylvania United States 17522
    825 Ephrata Community Hospital Ephrata Pennsylvania United States 17522
    826 Adams Cancer Center Gettysburg Pennsylvania United States 17325
    827 UPMC Cancer Centers - Arnold Palmer Pavilion Greensburg Pennsylvania United States 15601
    828 Cherry Tree Cancer Center Hanover Pennsylvania United States 17331
    829 PinnacleHealth Cancer Center-Community Campus Harrisburg Pennsylvania United States 17109
    830 Geisinger Medical Center-Cancer Center Hazleton Hazleton Pennsylvania United States 18201
    831 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033-0850
    832 Jefferson Hospital Jefferson Hills Pennsylvania United States 15025
    833 UPMC-Johnstown/John P. Murtha Regional Cancer Center Johnstown Pennsylvania United States 15901
    834 Armstrong Center for Medicine and Health Kittanning Pennsylvania United States 16201
    835 Geisinger Medical Oncology-Lewisburg Lewisburg Pennsylvania United States 17837
    836 Lewistown Hospital Lewistown Pennsylvania United States 17044
    837 UPMC Cancer Center at UPMC McKeesport McKeesport Pennsylvania United States 15132
    838 Riddle Memorial Hospital Media Pennsylvania United States 19063
    839 Forbes Hospital Monroeville Pennsylvania United States 15146
    840 UPMC-Coraopolis/Heritage Valley Radiation Oncology Moon Pennsylvania United States 15108
    841 Allegheny Valley Hospital Natrona Heights Pennsylvania United States 15065
    842 Paoli Memorial Hospital Paoli Pennsylvania United States 19301
    843 University of Pennsylvania/Abramson Cancer Center Philadelphia Pennsylvania United States 19104
    844 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
    845 Temple University Hospital Philadelphia Pennsylvania United States 19140
    846 Allegheny General Hospital Pittsburgh Pennsylvania United States 15212
    847 UPMC-Magee Womens Hospital Pittsburgh Pennsylvania United States 15213
    848 UPMC-Presbyterian Hospital Pittsburgh Pennsylvania United States 15213
    849 UPMC-Saint Margaret Pittsburgh Pennsylvania United States 15215
    850 West Penn Hospital Pittsburgh Pennsylvania United States 15224
    851 University of Pittsburgh Cancer Institute (UPCI) Pittsburgh Pennsylvania United States 15232
    852 UPMC-Shadyside Hospital Pittsburgh Pennsylvania United States 15232
    853 UPMC Jefferson Regional Radiation Oncology Pittsburgh Pennsylvania United States 15236
    854 UPMC-Passavant Hospital Pittsburgh Pennsylvania United States 15237
    855 UPMC-Saint Clair Hospital Cancer Center Pittsburgh Pennsylvania United States 15243
    856 Pottstown Memorial Medical Center Pottstown Pennsylvania United States 19464
    857 Geisinger Medical Oncology-Pottsville Pottsville Pennsylvania United States 17901
    858 Penn State Health Saint Joseph Medical Center Reading Pennsylvania United States 19605
    859 Guthrie Medical Group PC-Robert Packer Hospital Sayre Pennsylvania United States 18840
    860 Geisinger Medical Oncology-Selinsgrove Selinsgrove Pennsylvania United States 17870
    861 UPMC Cancer Center at UPMC Northwest Seneca Pennsylvania United States 16346
    862 Geisinger Medical Group State College Pennsylvania United States 16801
    863 UPMC Uniontown Hospital Radiation Oncology Uniontown Pennsylvania United States 15401
    864 UPMC Washington Hospital Radiation Oncology Washington Pennsylvania United States 15301
    865 Chester County Hospital West Chester Pennsylvania United States 19380
    866 Reading Hospital West Reading Pennsylvania United States 19611
    867 Wexford Health and Wellness Pavilion Wexford Pennsylvania United States 15090
    868 Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania United States 18711
    869 Susquehanna Cancer Center Williamsport Pennsylvania United States 17701
    870 Lankenau Medical Center Wynnewood Pennsylvania United States 19096
    871 WellSpan Health-York Cancer Center York Pennsylvania United States 17403
    872 WellSpan Health-York Hospital York Pennsylvania United States 17403
    873 AnMed Health Cancer Center Anderson South Carolina United States 29621
    874 Roper Hospital Charleston South Carolina United States 29401
    875 Charleston Hematology Oncology Associates-Roper Charleston South Carolina United States 29403
    876 Lowcountry Hematology Oncology PA-North Charleston Charleston South Carolina United States 29406
    877 Bon Secours Saint Francis Hospital Charleston South Carolina United States 29414
    878 Charleston Hematology Oncology Associates PA-St. Francis Charleston South Carolina United States 29414
    879 Lowcountry Hematology Oncology PA-West Ashley Charleston South Carolina United States 29414
    880 Greenville Health System Cancer Institute-Easley Easley South Carolina United States 29640
    881 Gibbs Cancer Center-Gaffney Gaffney South Carolina United States 29341
    882 Georgetown Hospital System Georgetown South Carolina United States 29440
    883 Saint Francis Hospital Greenville South Carolina United States 29601
    884 Greenville Health System Cancer Institute-Andrews Greenville South Carolina United States 29605
    885 Greenville Health System Cancer Institute-Butternut Greenville South Carolina United States 29605
    886 Greenville Health System Cancer Institute-Faris Greenville South Carolina United States 29605
    887 Greenville Memorial Hospital Greenville South Carolina United States 29605
    888 Saint Francis Cancer Center Greenville South Carolina United States 29607
    889 Greenville Health System Cancer Institute-Eastside Greenville South Carolina United States 29615
    890 Gibbs Cancer Center-Pelham Greer South Carolina United States 29651
    891 Carolina Blood and Cancer Care Associates PA-Lancaster Lancaster South Carolina United States 29720
    892 Lowcountry Hematology Oncology PA-Mount Pleasant Mount Pleasant South Carolina United States 29464
    893 Greenville Health System Cancer Institute-Seneca Seneca South Carolina United States 29672
    894 Spartanburg Medical Center Spartanburg South Carolina United States 29303
    895 Greenville Health System Cancer Institute-Spartanburg Spartanburg South Carolina United States 29307
    896 MGC Hematology Oncology-Union Union South Carolina United States 29379
    897 Lexington Medical Center West Columbia South Carolina United States 29169
    898 Avera Cancer Institute-Aberdeen Aberdeen South Dakota United States 57401
    899 Rapid City Regional Hospital Rapid City South Dakota United States 57701
    900 Sanford Cancer Center-Oncology Clinic Sioux Falls South Dakota United States 57104
    901 Avera Cancer Institute Sioux Falls South Dakota United States 57105
    902 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117-5134
    903 Boston Baskin Cancer Center-Bartlett Bartlett Tennessee United States 38133
    904 Memorial Hospital Chattanooga Tennessee United States 37404
    905 Cookeville Regional Medical Center Cookeville Tennessee United States 38501
    906 Vanderbilt-Ingram Cancer Center Cool Springs Franklin Tennessee United States 37067
    907 Pulmonary Medicine Center of Chattanooga-Hixson Hixson Tennessee United States 37343
    908 Thompson Cancer Survival Center Knoxville Tennessee United States 37916
    909 Thompson Cancer Survival Center - West Knoxville Tennessee United States 37932
    910 Baptist Memorial Hospital and Cancer Center-Memphis Memphis Tennessee United States 38120
    911 Baptist Memorial Hospital for Women Memphis Tennessee United States 38120
    912 Family Cancer Center-Memphis Memphis Tennessee United States 38120
    913 Vanderbilt Breast Center at One Hundred Oaks Nashville Tennessee United States 37204
    914 Meharry Medical College Nashville Tennessee United States 37208
    915 Vanderbilt University/Ingram Cancer Center Nashville Tennessee United States 37232
    916 Thompson Oncology Group-Oak Ridge Oak Ridge Tennessee United States 37830
    917 Memorial GYN Plus Ooltewah Tennessee United States 37363
    918 The Don and Sybil Harrington Cancer Center Amarillo Texas United States 79106
    919 Saint Joseph Regional Cancer Center Bryan Texas United States 77802
    920 Parkland Memorial Hospital Dallas Texas United States 75235
    921 Baylor University Medical Center Dallas Texas United States 75246
    922 Texas Oncology at Baylor Charles A Sammons Cancer Center Dallas Texas United States 75246
    923 UT Southwestern/Simmons Cancer Center-Dallas Dallas Texas United States 75390
    924 Brooke Army Medical Center Fort Sam Houston Texas United States 78234
    925 University of Texas Medical Branch Galveston Texas United States 77555-0565
    926 Lyndon Baines Johnson General Hospital Houston Texas United States 77026-1967
    927 Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center Houston Texas United States 77030
    928 Ben Taub General Hospital Houston Texas United States 77030
    929 M D Anderson Cancer Center Houston Texas United States 77030
    930 Memorial Hermann Texas Medical Center Houston Texas United States 77030
    931 Michael E DeBakey VA Medical Center Houston Texas United States 77030
    932 The Methodist Hospital System Houston Texas United States 77030
    933 MD Anderson Regional Care Center-Katy Houston Texas United States 77094
    934 UTMB Cancer Center at Victory Lakes League City Texas United States 77573
    935 Covenant Medical Center-Lakeside Lubbock Texas United States 79410
    936 Texas Tech University Health Sciences Center-Lubbock Lubbock Texas United States 79430
    937 MD Anderson Regional Care Center-Bay Area Nassau Bay Texas United States 77058
    938 University of Texas Health Science Center at San Antonio San Antonio Texas United States 78229
    939 MD Anderson Regional Care Center-Sugar Land Sugar Land Texas United States 77478
    940 MD Anderson Regional Care Center-The Woodlands The Woodlands Texas United States 77384
    941 American Fork Hospital / Huntsman Intermountain Cancer Center American Fork Utah United States 84003
    942 Sandra L Maxwell Cancer Center Cedar City Utah United States 84720
    943 Logan Regional Hospital Logan Utah United States 84321
    944 Intermountain Medical Center Murray Utah United States 84107
    945 McKay-Dee Hospital Center Ogden Utah United States 84403
    946 Utah Valley Regional Medical Center Provo Utah United States 84604
    947 Dixie Medical Center Regional Cancer Center Saint George Utah United States 84770
    948 Utah Cancer Specialists-Salt Lake City Salt Lake City Utah United States 84106
    949 Huntsman Cancer Institute/University of Utah Salt Lake City Utah United States 84112
    950 LDS Hospital Salt Lake City Utah United States 84143
    951 South Jordan Health Center South Jordan Utah United States 84009
    952 Central Vermont Medical Center/National Life Cancer Treatment Berlin Vermont United States 05602
    953 University of Vermont Medical Center Burlington Vermont United States 05401
    954 University of Vermont College of Medicine Burlington Vermont United States 05405
    955 University of Virginia Cancer Center Charlottesville Virginia United States 22908
    956 Hematology Oncology Associates of Fredericksburg Inc Fredericksburg Virginia United States 22408
    957 Lynchburg Hematology-Oncology Clinic Lynchburg Virginia United States 24501
    958 Memorial Hospital Of Martinsville Martinsville Virginia United States 24115
    959 Bon Secours Memorial Regional Medical Center Mechanicsville Virginia United States 23116
    960 Bon Secours Saint Francis Medical Center Midlothian Virginia United States 23114
    961 Bon Secours Saint Mary's Hospital Richmond Virginia United States 23226
    962 Virginia Cancer Institute Richmond Virginia United States 23230
    963 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
    964 VCU Community Memorial Health Center South Hill Virginia United States 23970
    965 Shenandoah Oncology Associates PC Winchester Virginia United States 22601
    966 Providence Regional Cancer System-Aberdeen Aberdeen Washington United States 98520
    967 Cancer Care Center at Island Hospital Anacortes Washington United States 98221
    968 MultiCare Auburn Medical Center Auburn Washington United States 98001
    969 Virginia Mason Bainbridge Island Medical Center Bainbridge Island Washington United States 98110
    970 Overlake Hospital Medical Center Bellevue Washington United States 98004
    971 Swedish Cancer Institute-Eastside Oncology Hematology Bellevue Washington United States 98005
    972 PeaceHealth Saint Joseph Medical Center Bellingham Washington United States 98225
    973 Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington United States 98310
    974 Harrison Medical Center Bremerton Washington United States 98310
    975 Highline Medical Center-Main Campus Burien Washington United States 98166
    976 Providence Regional Cancer System-Centralia Centralia Washington United States 98531
    977 Swedish Medical Center-Edmonds Edmonds Washington United States 98026
    978 Saint Elizabeth Hospital Enumclaw Washington United States 98022
    979 Providence Regional Cancer Partnership Everett Washington United States 98201
    980 Virginia Mason Federal Way Medical Center Federal Way Washington United States 98002
    981 Saint Francis Hospital Federal Way Washington United States 98003
    982 Tacoma/Valley Radiation Oncology Centers-Gig Harbor Gig Harbor Washington United States 98332
    983 MultiCare Gig Harbor Medical Park Gig Harbor Washington United States 98335
    984 Swedish Cancer Institute-Issaquah Issaquah Washington United States 98029
    985 Kadlec Clinic Hematology and Oncology Kennewick Washington United States 99336
    986 Northwest Cancer Clinic Kennewick Washington United States 99336
    987 Seattle Cancer Care Alliance at EvergreenHealth Kirkland Washington United States 98034
    988 Providence Regional Cancer System-Lacey Lacey Washington United States 98503
    989 Saint Clare Hospital Lakewood Washington United States 98499
    990 PeaceHealth Saint John Medical Center Longview Washington United States 98632
    991 Virginia Mason Lynnwood Medical Center Lynnwood Washington United States 98036
    992 Skagit Valley Hospital Regional Cancer Care Center Mount Vernon Washington United States 98273
    993 Skagit Valley Hospital Mount Vernon Washington United States 98274
    994 Providence - Saint Peter Hospital Olympia Washington United States 98506-5166
    995 Capital Medical Center Olympia Washington United States 98507
    996 Jefferson Healthcare Port Townsend Washington United States 98368
    997 Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington United States 98370
    998 Peninsula Cancer Center Poulsbo Washington United States 98370
    999 MultiCare Good Samaritan Hospital Puyallup Washington United States 98372
    1000 Tacoma/Valley Radiation Oncology Centers-Puyallup Puyallup Washington United States 98372
    1001 Virginia Mason Medical Center Seattle Washington United States 98101
    1002 Minor and James Medical PLLC Seattle Washington United States 98104
    1003 Pacific Gynecology Specialists Seattle Washington United States 98104
    1004 Swedish Medical Center-Ballard Campus Seattle Washington United States 98107
    1005 Fred Hutchinson Cancer Research Center Seattle Washington United States 98109
    1006 Seattle Cancer Care Alliance Seattle Washington United States 98109
    1007 Group Health Cooperative-Seattle Seattle Washington United States 98112
    1008 Swedish Medical Center-First Hill Seattle Washington United States 98122-4307
    1009 Seattle Cancer Care Alliance at Northwest Hospital Seattle Washington United States 98133
    1010 University of Washington Medical Center Seattle Washington United States 98195
    1011 Providence Regional Cancer System-Shelton Shelton Washington United States 98584
    1012 Rockwood Clinic Cancer Treatment Center-Valley Spokane Valley Washington United States 99216
    1013 Cancer Care Northwest - Spokane South Spokane Washington United States 99202
    1014 Rockwood Cancer Treatment Center-DHEC-Downtown Spokane Washington United States 99204
    1015 Spokane Valley Cancer Center-Mayfair Spokane Washington United States 99208
    1016 Cancer Care Northwest-Valley Spokane Washington United States 99216
    1017 Cancer Care Northwest-North Spokane Spokane Washington United States 99218
    1018 Rockwood North Cancer Treatment Center Spokane Washington United States 99218
    1019 Tacoma/Valley Radiation Oncology Centers-Jackson Hall Tacoma Washington United States 97405
    1020 Franciscan Research Center-Northwest Medical Plaza Tacoma Washington United States 98405
    1021 MultiCare Allenmore Hospital Tacoma Washington United States 98405
    1022 MultiCare Tacoma General Hospital Tacoma Washington United States 98405
    1023 Northwest Medical Specialties PLLC Tacoma Washington United States 98405
    1024 Northwest NCI Community Oncology Research Program Tacoma Washington United States 98405
    1025 Saint Joseph Medical Center Tacoma Washington United States 98405
    1026 Tacoma/Valley Radiation Oncology Centers-Saint Joe's Tacoma Washington United States 98405
    1027 PeaceHealth Southwest Medical Center Vancouver Washington United States 98664
    1028 Compass Oncology Vancouver Vancouver Washington United States 98684
    1029 Legacy Salmon Creek Hospital Vancouver Washington United States 98686
    1030 Providence Saint Mary Regional Cancer Center Walla Walla Washington United States 99362
    1031 Wenatchee Valley Hospital and Clinics Wenatchee Washington United States 98801
    1032 North Star Lodge Cancer Center at Yakima Valley Memorial Hospital Yakima Washington United States 98902
    1033 Providence Regional Cancer System-Yelm Yelm Washington United States 98597
    1034 United Hospital Center Bridgeport West Virginia United States 26330
    1035 West Virginia University Charleston Charleston West Virginia United States 25304
    1036 Saint Mary's Medical Center Huntington West Virginia United States 25702
    1037 WVUH-East City Hospital Martinsburg West Virginia United States 25401
    1038 West Virginia University Healthcare Morgantown West Virginia United States 26506
    1039 Camden-Clark Memorial Hospital Parkersburg West Virginia United States 26101
    1040 Langlade Hospital and Cancer Center Antigo Wisconsin United States 54409
    1041 Fox Valley Hematology and Oncology SC-Appleton Appleton Wisconsin United States 54913
    1042 Aurora Cancer Care-Southern Lakes VLCC Burlington Wisconsin United States 53105
    1043 Marshfield Clinic-Chippewa Center Chippewa Falls Wisconsin United States 54729
    1044 Marshfield Clinic Cancer Center at Sacred Heart Eau Claire Wisconsin United States 54701
    1045 Sacred Heart Hospital Eau Claire Wisconsin United States 54701
    1046 Aurora Health Center-Fond du Lac Fond Du Lac Wisconsin United States 54937
    1047 Aurora Health Care Germantown Health Center Germantown Wisconsin United States 53022
    1048 Aurora Cancer Care-Grafton Grafton Wisconsin United States 53024
    1049 Green Bay Oncology at Saint Vincent Hospital Green Bay Wisconsin United States 54301-3526
    1050 Saint Vincent Hospital Cancer Center Green Bay Green Bay Wisconsin United States 54301
    1051 Green Bay Oncology Limited at Saint Mary's Hospital Green Bay Wisconsin United States 54303
    1052 Saint Vincent Hospital Cancer Center at Saint Mary's Green Bay Wisconsin United States 54303
    1053 Aurora BayCare Medical Center Green Bay Wisconsin United States 54311
    1054 Mercy Health System Janesville Wisconsin United States 53547
    1055 UW Cancer Center Johnson Creek Johnson Creek Wisconsin United States 53038
    1056 Aurora Cancer Care-Kenosha South Kenosha Wisconsin United States 53142
    1057 Gundersen Lutheran Medical Center La Crosse Wisconsin United States 54601
    1058 Marshfield Clinic - Ladysmith Center Ladysmith Wisconsin United States 54848
    1059 University of Wisconsin Hospital and Clinics Madison Wisconsin United States 53792
    1060 Holy Family Memorial Hospital Manitowoc Wisconsin United States 54221
    1061 Bay Area Medical Center Marinette Wisconsin United States 54143
    1062 Vince Lombardi Cancer Clinic-Marinette Marinette Wisconsin United States 54143
    1063 Marshfield Clinic Marshfield Wisconsin United States 54449
    1064 Saint Joseph's Hospital Marshfield Wisconsin United States 54449
    1065 Community Memorial Hospital Menomonee Falls Wisconsin United States 53051
    1066 Aurora Cancer Care-Milwaukee Milwaukee Wisconsin United States 53209
    1067 Aurora Saint Luke's Medical Center Milwaukee Wisconsin United States 53215
    1068 Froedtert and the Medical College of Wisconsin Milwaukee Wisconsin United States 53226
    1069 Aurora Sinai Medical Center Milwaukee Wisconsin United States 53233
    1070 Marshfield Clinic-Minocqua Center Minocqua Wisconsin United States 54548
    1071 ProHealth D N Greenwald Center Mukwonago Wisconsin United States 53149
    1072 Cancer Center of Western Wisconsin New Richmond Wisconsin United States 54017
    1073 ProHealth Oconomowoc Memorial Hospital Oconomowoc Wisconsin United States 53066
    1074 Green Bay Oncology - Oconto Falls Oconto Falls Wisconsin United States 54154
    1075 Vince Lombardi Cancer Clinic - Oshkosh Oshkosh Wisconsin United States 54904
    1076 Aurora Cancer Care-Racine Racine Wisconsin United States 53406
    1077 Marshfield Clinic at James Beck Cancer Center Rhinelander Wisconsin United States 54501
    1078 Saint Mary's Hospital Rhinelander Wisconsin United States 54501
    1079 Lakeview Medical Center-Marshfield Clinic Rice Lake Wisconsin United States 54868
    1080 Marshfield Clinic-Rice Lake Center Rice Lake Wisconsin United States 54868
    1081 HSHS Saint Nicholas Hospital Sheboygan Wisconsin United States 53081
    1082 Vince Lombardi Cancer Clinic-Sheboygan Sheboygan Wisconsin United States 53081
    1083 Marshfield Clinic Cancer Care at Saint Michael's Hospital Stevens Point Wisconsin United States 54481
    1084 Saint Michael's Hospital Stevens Point Wisconsin United States 54481
    1085 Saint Vincent Hospital Cancer Center at Sturgeon Bay Sturgeon Bay Wisconsin United States 54235-1495
    1086 Green Bay Oncology - Sturgeon Bay Sturgeon Bay Wisconsin United States 54235
    1087 Aurora Medical Center in Summit Summit Wisconsin United States 53066
    1088 Vince Lombardi Cancer Clinic-Two Rivers Two Rivers Wisconsin United States 54241
    1089 Aurora Cancer Care-Waukesha Waukesha Wisconsin United States 53188
    1090 ProHealth Waukesha Memorial Hospital Waukesha Wisconsin United States 53188
    1091 UW Cancer Center at ProHealth Care Waukesha Wisconsin United States 53188
    1092 Aspirus Regional Cancer Center Wausau Wisconsin United States 54401
    1093 Marshfield Clinic-Wausau Center Wausau Wisconsin United States 54401
    1094 Aurora Cancer Care-Milwaukee West Wauwatosa Wisconsin United States 53226
    1095 Aurora West Allis Medical Center West Allis Wisconsin United States 53227
    1096 The Alyce and Elmore Kraemer Cancer Care Center West Bend Wisconsin United States 53095
    1097 Diagnostic and Treatment Center Weston Wisconsin United States 54476
    1098 Marshfield Clinic - Weston Center Weston Wisconsin United States 54476
    1099 Saint Clare's Hospital Weston Wisconsin United States 54476
    1100 Aspirus UW Cancer Center Wisconsin Rapids Wisconsin United States 54494
    1101 Marshfield Clinic - Wisconsin Rapids Center Wisconsin Rapids Wisconsin United States 54494
    1102 Rocky Mountain Oncology Casper Wyoming United States 82609
    1103 Cheyenne Regional Medical Center-West Cheyenne Wyoming United States 82001
    1104 Big Horn Basin Cancer Center Cody Wyoming United States 82414
    1105 Billings Clinic-Cody Cody Wyoming United States 82414
    1106 Welch Cancer Center Sheridan Wyoming United States 82801
    1107 Juravinski Cancer Centre at Hamilton Health Sciences Hamilton Ontario Canada L8V 5C2
    1108 Ottawa Hospital and Cancer Center-General Campus Ottawa Ontario Canada K1H 8L6
    1109 University Health Network-Princess Margaret Hospital Toronto Ontario Canada M5G 2M9
    1110 Allan Blair Cancer Centre Regina Saskatchewan Canada S4T 7T1
    1111 Saskatoon Cancer Centre Saskatoon Saskatchewan Canada S7N 4H4

    Sponsors and Collaborators

    • Southwest Oncology Group
    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Vassiliki Papadimitrakopoulou, Southwest Oncology Group

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Southwest Oncology Group
    ClinicalTrials.gov Identifier:
    NCT02785913
    Other Study ID Numbers:
    • S1400B
    • NCI-2014-01379
    First Posted:
    May 30, 2016
    Last Update Posted:
    Oct 23, 2020
    Last Verified:
    Sep 1, 2020
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail 31 participants were enrolled. However, 4 were deemed ineligible and 1 died prior to receiving study treatment. Thus 26 participants were eligible. Of these, 21 were PI3K GNE-positive (had at least one mutation that was possibly associated with clinical benefit of PI3K inhibitors), and were included in the primary analysis population (PAP).
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Period Title: Overall Study
    STARTED 26
    COMPLETED 0
    NOT COMPLETED 26

    Baseline Characteristics

    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Patients receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Overall Participants 26
    Age (years) [Median (Full Range) ]
    Median (Full Range) [years]
    68.1
    Sex: Female, Male (Count of Participants)
    Female
    7
    26.9%
    Male
    19
    73.1%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    1
    3.8%
    Not Hispanic or Latino
    25
    96.2%
    Unknown or Not Reported
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    3.8%
    Asian
    1
    3.8%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    Black or African American
    4
    15.4%
    White
    19
    73.1%
    More than one race
    0
    0%
    Unknown or Not Reported
    1
    3.8%
    PI3K GNE-Positive (Count of Participants)
    Count of Participants [Participants]
    21
    80.8%
    Performance Status (Count of Participants)
    0
    7
    26.9%
    1
    18
    69.2%
    2
    1
    3.8%
    Smoking History (Count of Participants)
    Current Smoker
    8
    30.8%
    Former Smoker
    17
    65.4%
    Never Smoker
    1
    3.8%

    Outcome Measures

    1. Primary Outcome
    Title Objective Response Rate (ORR) for PI3K GNE-positive Participants Registered to S1400B Treated With GDC-0032.
    Description ORR-the percentage of PI3K GNE-positive participants with confirmed and unconfirmed, partial response and complete response to treatment with GDC-0032 per Response Evaluation Criteria in Solid Tumors Criteria (RECIST 1.1).
    Time Frame From date of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    PI3K GNE-positive participants only.
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 21
    Confirmed Partial Response
    1
    3.8%
    Stable/No Response
    13
    50%
    Progression
    5
    19.2%
    Early Death
    1
    3.8%
    Assessment Inadequate
    1
    3.8%
    2. Secondary Outcome
    Title Investigator-assessed Progression Free Survival (IA-PFS) in Both the Subset of Participants Defined to be PI3K GNE-positive and in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032.
    Description From date of sub-study registration to date of first documentation of progression assessed by local review or symptomatic deterioration or death due to any cause.
    Time Frame From time of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    PI3K GNE-positive subset (21 participants) and full eligible population (26 participants)
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 26
    PI3K GNE-positive subset
    2.9
    Full eligible population
    2.7
    3. Secondary Outcome
    Title Investigator-assessed Overall Survival (OS) in Both the Subset of Participants Defined to be PI3K GNE-positive and in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032.
    Description From date of sub-study registration to date of death due to any cause assessed by local review.
    Time Frame From time of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    PI3K GNE-positive subset (21 participants) and full eligible population (26 participants)
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 26
    PI3K GNE-positive subset
    5.9
    Full eligible population
    5.9
    4. Secondary Outcome
    Title ORR in the Entire S1400B (PI3K FMI Positive) Study Population Treated With GDC-0032.
    Description Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST 1.1).
    Time Frame From time of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    Eligible participants that received protocol treatment.
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Patients receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 26
    Confirmed Partial Response
    1
    3.8%
    Stable/No Response
    16
    61.5%
    Progression
    7
    26.9%
    Early Death
    1
    3.8%
    Assessment Inadequate
    1
    3.8%
    5. Secondary Outcome
    Title Duration of Response (DoR) Both in the Entire S1400B PI3K FMI Positive Study Population and in GNE Positive Participants Treated With GDC-0032 Who Achieve a CR or PR (Confirmed and Unconfirmed) by RECIST 1.1.
    Description Among participants who had a response, duration is calculated from registration to response date.
    Time Frame From time of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    This study only had one responder.
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 1
    Number [months]
    4.4
    6. Secondary Outcome
    Title Frequency and Severity of Toxicities Associated With GDC-0032. (Phase II)
    Description Frequency and severity of toxicities greater than Grade 2 associated with GDC-0032.
    Time Frame From date of registration to maximum of 3 years.

    Outcome Measure Data

    Analysis Population Description
    Eligible participants that received protocol treatment and had greater than grade 2 toxicity.
    Arm/Group Title Arm I (GDC-0032)
    Arm/Group Description Participants receive taselisib PO daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Laboratory Biomarker Analysis: Correlative studies Taselisib: Given PO
    Measure Participants 26
    Cardiac arrest
    1
    3.8%
    Dehydration
    1
    3.8%
    Diarrhea
    5
    19.2%
    Dyspnea
    3
    11.5%
    Fatigue
    3
    11.5%
    Hyperglycemia
    5
    19.2%
    Hypertension
    1
    3.8%
    Hyponatremia
    1
    3.8%
    Hypoxia
    1
    3.8%
    Lung infection
    1
    3.8%
    Lymphocyte count decreased
    3
    11.5%
    Nausea
    1
    3.8%
    Platelet count decreased
    1
    3.8%
    Pneumonitis
    2
    7.7%
    Pneumothorax
    1
    3.8%
    Rash maculo-papular
    1
    3.8%
    Respiratory failure
    1
    3.8%
    Vomiting
    1
    3.8%

    Adverse Events

    Time Frame From date of registration to maximum of 3 years.
    Adverse Event Reporting Description
    Arm/Group Title GDC-0032
    Arm/Group Description GDC-0032
    All Cause Mortality
    GDC-0032
    Affected / at Risk (%) # Events
    Total 23/26 (88.5%)
    Serious Adverse Events
    GDC-0032
    Affected / at Risk (%) # Events
    Total 15/26 (57.7%)
    Blood and lymphatic system disorders
    Anemia 3/26 (11.5%)
    Cardiac disorders
    Atrial fibrillation 1/26 (3.8%)
    Atrial flutter 1/26 (3.8%)
    Cardiac arrest 2/26 (7.7%)
    Sinus bradycardia 1/26 (3.8%)
    Gastrointestinal disorders
    Abdominal pain 1/26 (3.8%)
    Diarrhea 4/26 (15.4%)
    Nausea 1/26 (3.8%)
    Vomiting 1/26 (3.8%)
    General disorders
    Fatigue 3/26 (11.5%)
    Fever 1/26 (3.8%)
    Non-cardiac chest pain 1/26 (3.8%)
    Pain 1/26 (3.8%)
    Infections and infestations
    Kidney infection 1/26 (3.8%)
    Lung infection 2/26 (7.7%)
    Sepsis 2/26 (7.7%)
    Wound infection 1/26 (3.8%)
    Investigations
    Blood bilirubin increased 1/26 (3.8%)
    Lymphocyte count decreased 1/26 (3.8%)
    Metabolism and nutrition disorders
    Dehydration 2/26 (7.7%)
    Hypercalcemia 1/26 (3.8%)
    Hyperglycemia 3/26 (11.5%)
    Hypoalbuminemia 1/26 (3.8%)
    Hypocalcemia 1/26 (3.8%)
    Hyponatremia 2/26 (7.7%)
    Metabolism and nutrition disorders - Other, specify 1/26 (3.8%)
    Musculoskeletal and connective tissue disorders
    Pain in extremity 1/26 (3.8%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Neoplasms benign, malignant and unspecified - Other 1/26 (3.8%)
    Nervous system disorders
    Nervous system disorders-Other 1/26 (3.8%)
    Psychiatric disorders
    Agitation 1/26 (3.8%)
    Hallucinations 1/26 (3.8%)
    Psychosis 1/26 (3.8%)
    Renal and urinary disorders
    Hematuria 1/26 (3.8%)
    Respiratory, thoracic and mediastinal disorders
    Dyspnea 5/26 (19.2%)
    Hypoxia 1/26 (3.8%)
    Pleural effusion 3/26 (11.5%)
    Pneumonitis 2/26 (7.7%)
    Pneumothorax 1/26 (3.8%)
    Respiratory failure 1/26 (3.8%)
    Skin and subcutaneous tissue disorders
    Skin ulceration 1/26 (3.8%)
    Vascular disorders
    Superior vena cava syndrome 1/26 (3.8%)
    Other (Not Including Serious) Adverse Events
    GDC-0032
    Affected / at Risk (%) # Events
    Total 25/26 (96.2%)
    Blood and lymphatic system disorders
    Anemia 9/26 (34.6%)
    Cardiac disorders
    Sinus tachycardia 2/26 (7.7%)
    Gastrointestinal disorders
    Abdominal pain 3/26 (11.5%)
    Constipation 3/26 (11.5%)
    Diarrhea 16/26 (61.5%)
    Mucositis oral 2/26 (7.7%)
    Nausea 10/26 (38.5%)
    Oral pain 2/26 (7.7%)
    Vomiting 4/26 (15.4%)
    General disorders
    Chills 3/26 (11.5%)
    Edema limbs 7/26 (26.9%)
    Fatigue 16/26 (61.5%)
    Fever 4/26 (15.4%)
    Non-cardiac chest pain 2/26 (7.7%)
    Infections and infestations
    Lung infection 2/26 (7.7%)
    Investigations
    Alanine aminotransferase increased 3/26 (11.5%)
    Alkaline phosphatase increased 6/26 (23.1%)
    Aspartate aminotransferase increased 2/26 (7.7%)
    Creatinine increased 8/26 (30.8%)
    Investigations-Other 3/26 (11.5%)
    Lipase increased 4/26 (15.4%)
    Lymphocyte count decreased 9/26 (34.6%)
    Platelet count decreased 4/26 (15.4%)
    Serum amylase increased 2/26 (7.7%)
    Weight loss 11/26 (42.3%)
    Metabolism and nutrition disorders
    Anorexia 15/26 (57.7%)
    Dehydration 2/26 (7.7%)
    Hyperglycemia 19/26 (73.1%)
    Hypoalbuminemia 8/26 (30.8%)
    Hypocalcemia 7/26 (26.9%)
    Hypokalemia 7/26 (26.9%)
    Hypomagnesemia 3/26 (11.5%)
    Hyponatremia 11/26 (42.3%)
    Metabolism and nutrition disorders - Other, specify 2/26 (7.7%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 3/26 (11.5%)
    Flank pain 2/26 (7.7%)
    Generalized muscle weakness 4/26 (15.4%)
    Myalgia 3/26 (11.5%)
    Nervous system disorders
    Dizziness 3/26 (11.5%)
    Headache 2/26 (7.7%)
    Peripheral sensory neuropathy 2/26 (7.7%)
    Psychiatric disorders
    Depression 2/26 (7.7%)
    Insomnia 2/26 (7.7%)
    Respiratory, thoracic and mediastinal disorders
    Cough 10/26 (38.5%)
    Dyspnea 10/26 (38.5%)
    Productive cough 4/26 (15.4%)
    Sore throat 2/26 (7.7%)
    Skin and subcutaneous tissue disorders
    Rash maculo-papular 2/26 (7.7%)
    Vascular disorders
    Hypertension 4/26 (15.4%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Lung Committee Statistician
    Organization SWOG Statistics and Data Management Center
    Phone 2066674623
    Email kmini@fredhutch.org
    Responsible Party:
    Southwest Oncology Group
    ClinicalTrials.gov Identifier:
    NCT02785913
    Other Study ID Numbers:
    • S1400B
    • NCI-2014-01379
    First Posted:
    May 30, 2016
    Last Update Posted:
    Oct 23, 2020
    Last Verified:
    Sep 1, 2020