Chemotherapy With or Without Bevacizumab in Treating Patients With Stage IB, Stage II, or Stage IIIA Non-small Cell Lung Cancer That Was Removed By Surgery

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Active, not recruiting
CT.gov ID
NCT00324805
Collaborator
Cancer and Leukemia Group B (Other), NCIC Clinical Trials Group (Other), North Central Cancer Treatment Group (Other), Southwest Oncology Group (Other)
1,501
1175
2
196.5
1.3
0

Study Details

Study Description

Brief Summary

This randomized phase III trial studies chemotherapy and bevacizumab to see how well they work compared to chemotherapy alone in treating patients with stage IB, stage II, or stage IIIA non-small cell lung cancer that was removed by surgery. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Monoclonal antibodies, such as bevacizumab, may interfere with the ability of tumor cells to grow and spread. Bevacizumab also may stop the growth of non-small cell lung cancer by blocking the growth of new blood vessels necessary for tumor growth. It is not yet known whether chemotherapy is more effective with or without bevacizumab in treating non-small cell lung cancer.

Condition or Disease Intervention/Treatment Phase
  • Biological: Bevacizumab
  • Drug: Cisplatin
  • Drug: Docetaxel
  • Drug: Gemcitabine Hydrochloride
  • Other: Laboratory Biomarker Analysis
  • Drug: Pemetrexed Disodium
  • Other: Questionnaire Administration
  • Drug: Vinorelbine Tartrate
Phase 3

Detailed Description

PRIMARY OBJECTIVES:
  1. To evaluate overall survival with chemotherapy with or without bevacizumab used in the adjuvant setting in patients with resected stage IB (>= 4 cm) - IIIA non-small cell lung cancer (NSCLC).
SECONDARY OBJECTIVES:
  1. To evaluate disease-free survival and toxicity with chemotherapy with or without bevacizumab used in the adjuvant setting in patients with resected stage IB (>= 4 cm) - IIIA NSCLC.
CORRELATIVE OBJECTIVES:
  1. To perform analyses of tissue and blood to establish factors that predict clinical outcome in patients receiving chemotherapy, with or without bevacizumab, for resected early stage NSCLC.

  2. To determine whether smoking status is linked to outcome for patients with resected stage IB (>= 4 cm) - IIIA NSCLC treated with chemotherapy with or without bevacizumab in the adjuvant setting.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I (adjuvant chemotherapy without bevacizumab): Patients receive 1 of 4 chemotherapy regimens.

REGIMEN 1: Patients receive vinorelbine ditartrate intravenously (IV) over 10 minutes on days 1 and 8 and cisplatin IV over 60 minutes on day 1 immediately following vinorelbine ditartrate administration.

REGIMEN 2: Patients receive docetaxel IV over 1 hour on day 1 and cisplatin over 1 hour on day 1 immediately following docetaxel administration.

REGIMEN 3: Patients receive gemcitabine hydrochloride IV over 30 minutes on days 1 and 8 and cisplatin IV over 60 minutes on day 1 immediately following gemcitabine administration.

REGIMEN 4 (non-squamous histology only): Patients receive pemetrexed disodium IV over 10 minutes and cisplatin IV over 1 hour on day 1 immediately following pemetrexed disodium administration.

In all regimens, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity.

ARM II (adjuvant chemotherapy with bevacizumab): Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year.

After completion of study treatment, patients are followed up periodically for 10 years.

Study Design

Study Type:
Interventional
Actual Enrollment :
1501 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase III Randomized Trial of Adjuvant Chemotherapy With or Without Bevacizumab for Patients With Completely Resected Stage IB (≥ 4 cm) - IIIA Non-small Cell Lung Cancer (NSCLC)
Actual Study Start Date :
Jun 1, 2007
Actual Primary Completion Date :
Oct 20, 2015
Anticipated Study Completion Date :
Oct 16, 2023

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Arm I (chemotherapy)

Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1

Drug: Cisplatin
Given IV
Other Names:
  • Abiplatin
  • Blastolem
  • Briplatin
  • CDDP
  • Cis-diammine-dichloroplatinum
  • Cis-diamminedichloridoplatinum
  • Cis-diamminedichloro Platinum (II)
  • Cis-diamminedichloroplatinum
  • Cis-dichloroammine Platinum (II)
  • Cis-platinous Diamine Dichloride
  • Cis-platinum
  • Cis-platinum II
  • Cis-platinum II Diamine Dichloride
  • Cismaplat
  • Cisplatina
  • Cisplatinum
  • Cisplatyl
  • Citoplatino
  • Citosin
  • Cysplatyna
  • DDP
  • Lederplatin
  • Metaplatin
  • Neoplatin
  • Peyrone's Chloride
  • Peyrone's Salt
  • Placis
  • Plastistil
  • Platamine
  • Platiblastin
  • Platiblastin-S
  • Platinex
  • Platinol
  • Platinol- AQ
  • Platinol-AQ
  • Platinol-AQ VHA Plus
  • Platinoxan
  • Platinum
  • Platinum Diamminodichloride
  • Platiran
  • Platistin
  • Platosin
  • Drug: Docetaxel
    Given IV
    Other Names:
  • Docecad
  • RP56976
  • Taxotere
  • Taxotere Injection Concentrate
  • Drug: Gemcitabine Hydrochloride
    Given IV
    Other Names:
  • dFdCyd
  • Difluorodeoxycytidine Hydrochloride
  • FF 10832
  • FF-10832
  • FF10832
  • Gemcitabine HCI
  • Gemzar
  • LY-188011
  • LY188011
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Pemetrexed Disodium
    Given IV
    Other Names:
  • Alimta
  • Almita
  • LY231514
  • N-[4-[2-(2-Amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl]benzoyl]-L-glutamic Acid Disodium Salt
  • Other: Questionnaire Administration
    Ancillary studies

    Drug: Vinorelbine Tartrate
    Given IV
    Other Names:
  • Biovelbin
  • Eunades
  • KW-2307
  • Navelbine
  • Navelbine Ditartrate
  • NVB
  • Vinorelbine Ditartrate
  • Experimental: Arm II (chemotherapy, bevacizumab)

    Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year.

    Biological: Bevacizumab
    Given IV
    Other Names:
  • ABP 215
  • Anti-VEGF
  • Anti-VEGF Humanized Monoclonal Antibody
  • Anti-VEGF Monoclonal Antibody SIBP04
  • Anti-VEGF rhuMAb
  • Avastin
  • Bevacizumab awwb
  • Bevacizumab Biosimilar ABP 215
  • Bevacizumab Biosimilar BEVZ92
  • Bevacizumab Biosimilar BI 695502
  • Bevacizumab Biosimilar CBT 124
  • Bevacizumab Biosimilar CT-P16
  • Bevacizumab Biosimilar FKB238
  • Bevacizumab Biosimilar GB-222
  • Bevacizumab Biosimilar HD204
  • Bevacizumab Biosimilar HLX04
  • Bevacizumab Biosimilar IBI305
  • Bevacizumab Biosimilar LY01008
  • Bevacizumab Biosimilar MIL60
  • Bevacizumab Biosimilar Mvasi
  • Bevacizumab Biosimilar MYL-1402O
  • Bevacizumab Biosimilar QL 1101
  • Bevacizumab Biosimilar RPH-001
  • Bevacizumab Biosimilar SCT501
  • Bevacizumab Biosimilar Zirabev
  • Bevacizumab-awwb
  • Bevacizumab-bvzr
  • BP102
  • BP102 Biosimilar
  • HD204
  • Immunoglobulin G1 (Human-Mouse Monoclonal rhuMab-VEGF Gamma-Chain Anti-Human Vascular Endothelial Growth Factor), Disulfide With Human-Mouse Monoclonal rhuMab-VEGF Light Chain, Dimer
  • Mvasi
  • MYL-1402O
  • Recombinant Humanized Anti-VEGF Monoclonal Antibody
  • rhuMab-VEGF
  • SCT501
  • SIBP 04
  • SIBP-04
  • SIBP04
  • Zirabev
  • Drug: Cisplatin
    Given IV
    Other Names:
  • Abiplatin
  • Blastolem
  • Briplatin
  • CDDP
  • Cis-diammine-dichloroplatinum
  • Cis-diamminedichloridoplatinum
  • Cis-diamminedichloro Platinum (II)
  • Cis-diamminedichloroplatinum
  • Cis-dichloroammine Platinum (II)
  • Cis-platinous Diamine Dichloride
  • Cis-platinum
  • Cis-platinum II
  • Cis-platinum II Diamine Dichloride
  • Cismaplat
  • Cisplatina
  • Cisplatinum
  • Cisplatyl
  • Citoplatino
  • Citosin
  • Cysplatyna
  • DDP
  • Lederplatin
  • Metaplatin
  • Neoplatin
  • Peyrone's Chloride
  • Peyrone's Salt
  • Placis
  • Plastistil
  • Platamine
  • Platiblastin
  • Platiblastin-S
  • Platinex
  • Platinol
  • Platinol- AQ
  • Platinol-AQ
  • Platinol-AQ VHA Plus
  • Platinoxan
  • Platinum
  • Platinum Diamminodichloride
  • Platiran
  • Platistin
  • Platosin
  • Drug: Docetaxel
    Given IV
    Other Names:
  • Docecad
  • RP56976
  • Taxotere
  • Taxotere Injection Concentrate
  • Drug: Gemcitabine Hydrochloride
    Given IV
    Other Names:
  • dFdCyd
  • Difluorodeoxycytidine Hydrochloride
  • FF 10832
  • FF-10832
  • FF10832
  • Gemcitabine HCI
  • Gemzar
  • LY-188011
  • LY188011
  • Other: Laboratory Biomarker Analysis
    Correlative studies

    Drug: Pemetrexed Disodium
    Given IV
    Other Names:
  • Alimta
  • Almita
  • LY231514
  • N-[4-[2-(2-Amino-4,7-dihydro-4-oxo-1H-pyrrolo[2,3-d]pyrimidin-5-yl)ethyl]benzoyl]-L-glutamic Acid Disodium Salt
  • Other: Questionnaire Administration
    Ancillary studies

    Drug: Vinorelbine Tartrate
    Given IV
    Other Names:
  • Biovelbin
  • Eunades
  • KW-2307
  • Navelbine
  • Navelbine Ditartrate
  • NVB
  • Vinorelbine Ditartrate
  • Outcome Measures

    Primary Outcome Measures

    1. Overall Survival [From registration to death, up to 10 years]

      Overall survival (OS) was defined as the time from randomization to death from any cause, and patients who were thought to be alive at the time of final analysis were censored at the last date of contact. The study failed to meet its primary endpoint.

    Secondary Outcome Measures

    1. Disease-free Survival [From registration to death, up to 10 years]

      Disease-free survival (DFS) was defined as the time from randomization to an event. Events include disease recurrence, new primary of lung cancer, second primaries or death, whichever occurred first; however, it should be noted that patients with new primaries at other non-lung sites should have continued followup for recurrence of the original cancer. Patients that have not had an event reported at analysis were censored at their last date of disease assessment.

    Other Outcome Measures

    1. Toxicity Rates as Assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 [Up to 1 year post-treatment]

      If the difference in the rate of a particular category of toxicities between the 2 arms (N=750 per arm) is at least 5% (4% vs. 9%), 96% power can be attained assuming a significance level of 5% (two-sided Chi Square test) and that the lower toxicity rate for one arm is 4%. A difference in the rates of grade 3-5 arterial thromboembolic events and bleeding events will be monitored and assessed between the treatment arms.

    2. Perform Analyses of Tissue and Blood to Establish Factors That Predict for Clinical Outcome in Patients Receiving Chemotherapy, With or Without Bevacizumab, for Resected Early Stage NSCLC. [From registration to death, up to 10 years]

    3. To Determine Whether Smoking Status is Linked to Outcome for Patients With Resected Stage IB - IIIA NSCLC Treated With Chemotherapy With or Without Bevacizumab in the Adjuvant Setting. [From registration to death, up to 10 years]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • In order to be eligible for this trial, patients must have undergone complete resection of their non-small cell lung cancer (NSCLC) [stage IB (>= 4 cm)] - [IIIA (T2-3N0, T1-3N1, T1-3N2] prior to enrollment; accepted types of resection will consist of lobectomy, sleeve lobectomy, bi-lobectomy or pneumonectomy; resections by segmentectomy or wedge resection will not be accepted; mediastinal lymph node sampling at specified levels is required pre-operatively (mediastinoscopy) or intraoperatively (level 7 and 4 for right sided tumors or level 7 and 5 and/or 6 for left sided tumors)

    • Patients must be no less than 6 weeks (42 days) and no more than 12 weeks (84 days) post-thoracotomy at the time of randomization and must be adequately recovered from surgery

    • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

    • Patients must not have received the following:

    • Prior systemic chemotherapy at any time; methotrexate (MTX) given in low doses for non-malignant conditions with last dose at least 2 weeks prior to date of registration will be allowed; other low dose chemotherapeutics for non-malignant conditions will be considered, but review by the study chair is required

    • Hormonal cancer therapy or radiation therapy as prior cancer treatment within 5 years of randomization; (prior surgery, biologic therapy, hormonal therapy, or radiation therapy for a malignancy over 5 years prior to enrollment that is now considered cured is acceptable)

    • Patients must not have any history of cancer within 5 years from randomization, with the exception of in-situ carcinoma of the cervix or completely resected non-melanoma skin cancer

    • Absolute neutrophil count (ANC) >= 1500 mm^3

    • Platelets >= 100,000/mm^3

    • Prothrombin time/international normalized ratio (INR) =< 1.5

    • Or, if patient is on therapeutic anticoagulation, prothrombin time/INR =< 3.0

    • Partial thromboplastin time (PTT) =< institutional upper limit of normal (ULN) OR, if patient is on therapeutic anticoagulation, PTT must be =< 1.5 x ULN

    • Total bilirubin =< 1.5 mg/dL

    • Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) < 5 x upper limit of normal (ULN)

    • Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) < 5 x upper limit of normal (ULN)

    • Serum creatinine =< 1.5 x institutional upper limit of normal (ULN)

    • Urine protein should be screened by urine analysis for urine protein creatinine (UPC) ratio; for UPC ratio > 0.5, 24-hour urine protein must be obtained and the level must be < 1000 mg (1 g) for patient enrollment

    • Patients with a known history of myocardial infarction or other evidence of arterial thrombotic disease (angina) will be allowed on study only if they have had no evidence of active disease for at least 12 months prior to randomization

    • Patients with any history of cerebral vascular accident (CVA) or transient ischemic attack (TIA) will not be allowed on trial

    • Women must not be pregnant or breast-feeding

    • All females of childbearing potential must have a blood or urine test within 2 weeks prior to randomization to rule out pregnancy

    • Both fertile men and women must agree to use adequate contraceptive measures during study treatment and for at least 6 months after completion of bevacizumab

    • Patients must not have any clinically significant ongoing, active or serious infection, symptomatic or uncontrolled congestive heart failure, symptomatic or uncontrolled cardiac arrhythmia or any other medical condition or psychiatric illness/social situations that would limit compliance with study requirements

    • Patients must have no history of bleeding diathesis or coagulopathy

    • All patients must have a documented blood pressure (BP) with systolic =< 150 and diastolic =< 90 within 28 days of registration; patients with known hypertension must be on a stable regimen of anti-hypertensive therapy

    • Patients receiving daily treatment with aspirin or non-steroidal anti-inflammatory agents (NSAIDS) are eligible; treatment with dipyridamole (Persantine), ticlopine (Ticlid), clopidogrel (Plavix) and/or cilostazol (Pletal) is not allowed; patients must have stopped taking any of these agents at least 7 days prior to randomization

    • Patients must not have serious non-healing wound, ulcer, bone fracture, or have undergone a major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomization OR core biopsy within 7 days prior to randomization

    • Patients must not have a history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess within 28 days prior to randomization

    • Patients must not have any anticipated major surgical procedure(s) during the course of the study

    • Patients must not have known hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies

    • Patients may be on a stable regimen of therapeutic anticoagulation or may be receiving prophylactic anticoagulation of venous access devices, provided that coagulation studies meet entry criteria above; caution must be exercised for patients requiring anticoagulation, including treatment with low dose heparin or low molecular weight heparin for deep vein thrombosis (DVT) prophylaxis while on study

    • Patients with ongoing post-operative hemoptysis (defined as bright red blood of 1/2 teaspoon or more) are not eligible; patients with pre-operative hemoptysis that has resolved post-operatively are eligible

    • Patients who will receive pemetrexed (pemetrexed disodium)/cisplatin therapy must also meet the following criteria:

    • Patients assigned to pemetrexed/cisplatin therapy must NOT have squamous cell histology

    • Calculated creatinine clearance must be obtained within 2 weeks of randomization and calculated creatinine clearance (CrCl) must be >= 45 mL/min using the standard Cockcroft and Gault formula, or the measured glomerular filtration rate (GFR) using the appropriate radiolabeled method ([51]chromium-labeled ethylenediaminetetraacetic acid [51-CrEDTA] or technetium 99m diethylenetriamine-pentaacetic acid [Tc99m-DTPA]) must be used to calculate CrCl

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Northeast Alabama Regional Medical Center Anniston Alabama United States 36202
    2 Clearview Cancer Institute Huntsville Alabama United States 35805
    3 Providence Hospital Mobile Alabama United States 36608
    4 University of South Alabama Mitchell Cancer Institute Mobile Alabama United States 36688
    5 Alaska Regional Hospital Anchorage Alaska United States 99508
    6 Providence Alaska Medical Center Anchorage Alaska United States 99508
    7 Mayo Clinic in Arizona Scottsdale Arizona United States 85259
    8 University of Arizona Cancer Center-Orange Grove Campus Tucson Arizona United States 85704
    9 Banner University Medical Center - Tucson Tucson Arizona United States 85719
    10 University of Arizona Cancer Center-North Campus Tucson Arizona United States 85719
    11 Mercy Hospital Fort Smith Fort Smith Arkansas United States 72903
    12 NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro Jonesboro Arkansas United States 72401
    13 NEA Baptist Memorial Hospital Jonesboro Arkansas United States 72401
    14 Saint Bernards Regional Medical Center Jonesboro Arkansas United States 72401
    15 John L McClellan Memorial Veterans Hospital Little Rock Arkansas United States 72205
    16 University of Arkansas for Medical Sciences Little Rock Arkansas United States 72205
    17 Kaiser Permanente-Anaheim Anaheim California United States 92806
    18 Kaiser Permanente-Deer Valley Medical Center Antioch California United States 94531
    19 PCR Oncology Arroyo Grande California United States 93420
    20 Kaiser Permanente-Baldwin Park Baldwin Park California United States 91706
    21 Kaiser Permanente-Bellflower Bellflower California United States 90706
    22 Alta Bates Summit Medical Center-Herrick Campus Berkeley California United States 94704
    23 Providence Saint Joseph Medical Center/Disney Family Cancer Center Burbank California United States 91505
    24 Mills-Peninsula Medical Center Burlingame California United States 94010
    25 East Bay Radiation Oncology Center Castro Valley California United States 94546
    26 Eden Hospital Medical Center Castro Valley California United States 94546
    27 Valley Medical Oncology Consultants-Castro Valley Castro Valley California United States 94546
    28 Adventist Health Cancer Care Center Chico Chico California United States 95973
    29 Community Cancer Institute Clovis California United States 93611
    30 City of Hope Comprehensive Cancer Center Duarte California United States 91010
    31 Bay Area Breast Surgeons Inc Emeryville California United States 94608
    32 Epic Care Partners in Cancer Care Emeryville California United States 94608
    33 Kaiser Permanente-Fontana Fontana California United States 92335
    34 Kaiser Permanente-Fremont Fremont California United States 94538
    35 Valley Medical Oncology Consultants-Fremont Fremont California United States 94538
    36 California Cancer Associates for Research and Excellence (cCare) Fresno California United States 93720
    37 Kaiser Permanente-Fresno Fresno California United States 93720
    38 Saint Jude Medical Center Fullerton California United States 92835
    39 Glendale Memorial Hospital and Health Center Glendale California United States 91204
    40 Marin Cancer Care Inc Greenbrae California United States 94904
    41 Marin General Hospital Greenbrae California United States 94904
    42 Kaiser Permanente - Harbor City Harbor City California United States 90710
    43 Saint Rose Hospital Hayward California United States 94545
    44 Kaiser Permanente-Irvine Irvine California United States 92618
    45 Loma Linda University Medical Center Loma Linda California United States 92354
    46 Long Beach Memorial Medical Center-Todd Cancer Institute Long Beach California United States 90806
    47 Kaiser Permanente Los Angeles Medical Center Los Angeles California United States 90027
    48 Los Angeles County-USC Medical Center Los Angeles California United States 90033
    49 USC / Norris Comprehensive Cancer Center Los Angeles California United States 90033
    50 Kaiser Permanente West Los Angeles Los Angeles California United States 90034
    51 Contra Costa Regional Medical Center Martinez California United States 94553-3156
    52 Fremont - Rideout Cancer Center Marysville California United States 95901
    53 Mercy UC Davis Cancer Center Merced California United States 95340
    54 Memorial Medical Center Modesto California United States 95355
    55 Kaiser Permanente-Modesto Modesto California United States 95356
    56 Community Hospital of Monterey Peninsula Monterey California United States 93940
    57 El Camino Hospital Mountain View California United States 94040
    58 Palo Alto Medical Foundation-Camino Division Mountain View California United States 94040
    59 Sutter Cancer Research Consortium Novato California United States 94945
    60 Highland General Hospital Oakland California United States 94602
    61 Alta Bates Summit Medical Center - Summit Campus Oakland California United States 94609
    62 Bay Area Tumor Institute Oakland California United States 94609
    63 Hematology and Oncology Associates-Oakland Oakland California United States 94609
    64 Tom K Lee Inc Oakland California United States 94609
    65 Kaiser Permanente Oakland-Broadway Oakland California United States 94611
    66 Kaiser Permanente-Oakland Oakland California United States 94611
    67 Saint Joseph Hospital - Orange Orange California United States 92868
    68 UC Irvine Health/Chao Family Comprehensive Cancer Center Orange California United States 92868
    69 Desert Regional Medical Center Palm Springs California United States 92262
    70 Palo Alto Medical Foundation Health Care Palo Alto California United States 94301
    71 Stanford Cancer Institute Palo Alto Palo Alto California United States 94304
    72 Kaiser Permanente - Panorama City Panorama City California United States 91402
    73 Valley Care Health System - Pleasanton Pleasanton California United States 94588
    74 Valley Medical Oncology Consultants Pleasanton California United States 94588
    75 Pomona Valley Hospital Medical Center Pomona California United States 91767
    76 Kaiser Permanente-Rancho Cordova Cancer Center Rancho Cordova California United States 95670
    77 Eisenhower Medical Center Rancho Mirage California United States 92270
    78 Kaiser Permanente-Redwood City Redwood City California United States 94063
    79 Kaiser Permanente-Richmond Richmond California United States 94801
    80 Kaiser Permanente-Riverside Riverside California United States 92505
    81 Rohnert Park Cancer Center Rohnert Park California United States 94928
    82 Kaiser Permanente-Roseville Roseville California United States 95661
    83 Sutter Roseville Medical Center Roseville California United States 95661
    84 The Permanente Medical Group-Roseville Radiation Oncology Roseville California United States 95678
    85 Sutter Medical Center Sacramento Sacramento California United States 95816
    86 University of California Davis Comprehensive Cancer Center Sacramento California United States 95817
    87 Mercy General Hospital Sacramento California United States 95819
    88 Kaiser Permanente-South Sacramento Sacramento California United States 95823
    89 South Sacramento Cancer Center Sacramento California United States 95823
    90 Kaiser Permanente - Sacramento Sacramento California United States 95825
    91 Saint Helena Hospital Saint Helena California United States 94574
    92 Salinas Valley Memorial Salinas California United States 93901
    93 Kaiser Permanente-San Diego Mission San Diego California United States 92108
    94 Kaiser Permanente-San Diego Zion San Diego California United States 92120
    95 Zuckerberg San Francisco General Hospital San Francisco California United States 94110
    96 California Pacific Medical Center-Pacific Campus San Francisco California United States 94115
    97 Kaiser Permanente-San Francisco San Francisco California United States 94115
    98 UCSF Medical Center-Mount Zion San Francisco California United States 94115
    99 Kaiser Permanente-Santa Teresa-San Jose San Jose California United States 95119
    100 Kaiser Permanente San Leandro San Leandro California United States 94577
    101 Kaiser Permanente-San Marcos San Marcos California United States 92078
    102 Doctors Medical Center- JC Robinson Regional Cancer Center San Pablo California United States 94806
    103 Kaiser Permanente-San Rafael San Rafael California United States 94903
    104 Kaiser Permanente Medical Center - Santa Clara Santa Clara California United States 95051
    105 Kaiser Permanente-Santa Rosa Santa Rosa California United States 95403
    106 Sutter Pacific Medical Foundation Santa Rosa California United States 95403
    107 Providence Santa Rosa Memorial Hospital Santa Rosa California United States 95405
    108 Kaiser Permanente Cancer Treatment Center South San Francisco California United States 94080
    109 Kaiser Permanente-South San Francisco South San Francisco California United States 94080
    110 Kaiser Permanente-Stockton Stockton California United States 95210
    111 Palo Alto Medical Foundation-Sunnyvale Sunnyvale California United States 94086
    112 Gene Upshaw Memorial Tahoe Forest Cancer Center Truckee California United States 96161
    113 Northbay Cancer Center Vacaville California United States 95687
    114 Kaiser Permanente Medical Center-Vacaville Vacaville California United States 95688
    115 Kaiser Permanente-Vallejo Vallejo California United States 94589
    116 Sutter Solano Medical Center/Cancer Center Vallejo California United States 94589
    117 Kaiser Permanente-Walnut Creek Walnut Creek California United States 94596
    118 Kaiser Permanente-Woodland Hills Woodland Hills California United States 91367
    119 San Luis Valley Regional Medical Center Alamosa Colorado United States 81101
    120 The Medical Center of Aurora Aurora Colorado United States 80012
    121 Rocky Mountain Regional VA Medical Center Aurora Colorado United States 80045
    122 University of Colorado Hospital Aurora Colorado United States 80045
    123 Boulder Community Hospital Boulder Colorado United States 80301
    124 Penrose-Saint Francis Healthcare Colorado Springs Colorado United States 80907
    125 UCHealth Memorial Hospital Central Colorado Springs Colorado United States 80909
    126 Denver Health Medical Center Denver Colorado United States 80204
    127 Kaiser Permanente-Franklin Denver Colorado United States 80205
    128 Porter Adventist Hospital Denver Colorado United States 80210
    129 University of Colorado Denver Colorado United States 80217-3364
    130 Presbyterian - Saint Lukes Medical Center - Health One Denver Colorado United States 80218
    131 SCL Health Saint Joseph Hospital Denver Colorado United States 80218
    132 Rose Medical Center Denver Colorado United States 80220
    133 Western States Cancer Research NCORP Denver Colorado United States 80222
    134 Shaw Cancer Center Edwards Colorado United States 81632
    135 Swedish Medical Center Englewood Colorado United States 80113
    136 Poudre Valley Hospital Fort Collins Colorado United States 80524
    137 Valley View Hospital Cancer Center Glenwood Springs Colorado United States 81601
    138 Saint Mary's Hospital and Regional Medical Center Grand Junction Colorado United States 81501
    139 North Colorado Medical Center Greeley Colorado United States 80631
    140 Kaiser Permanente-Rock Creek Lafayette Colorado United States 80026
    141 Saint Anthony Hospital Lakewood Colorado United States 80228
    142 Littleton Adventist Hospital Littleton Colorado United States 80122
    143 Sky Ridge Medical Center Lone Tree Colorado United States 80124
    144 Longmont United Hospital Longmont Colorado United States 80501
    145 McKee Medical Center Loveland Colorado United States 80539
    146 Montrose Memorial Hospital Montrose Colorado United States 81401
    147 Parker Adventist Hospital Parker Colorado United States 80138
    148 Saint Mary Corwin Medical Center Pueblo Colorado United States 81004
    149 North Suburban Medical Center Thornton Colorado United States 80229
    150 SCL Health Lutheran Medical Center Wheat Ridge Colorado United States 80033
    151 Hartford HealthCare - Saint Vincent's Medical Center Bridgeport Connecticut United States 06606
    152 Bridgeport Hospital Bridgeport Connecticut United States 06610
    153 Greenwich Hospital Greenwich Connecticut United States 06830
    154 Hartford Hospital Hartford Connecticut United States 06102
    155 Smilow Cancer Hospital Care Center at Saint Francis Hartford Connecticut United States 06105
    156 Midstate Medical Center Meriden Connecticut United States 06451
    157 Middlesex Hospital Middletown Connecticut United States 06457
    158 The Hospital of Central Connecticut New Britain Connecticut United States 06050
    159 Yale University New Haven Connecticut United States 06520
    160 Norwalk Hospital Norwalk Connecticut United States 06856
    161 Eastern Connecticut Hematology and Oncology Associates Norwich Connecticut United States 06360
    162 Stamford Hospital/Bennett Cancer Center Stamford Connecticut United States 06904
    163 Smilow Cancer Hospital-Torrington Care Center Torrington Connecticut United States 06790
    164 Harold Leever Regional Cancer Center Waterbury Connecticut United States 06708
    165 Bayhealth Hospital Kent Campus Dover Delaware United States 19901
    166 Beebe Medical Center Lewes Delaware United States 19958
    167 Christiana Care Health System-Christiana Hospital Newark Delaware United States 19718
    168 MedStar Georgetown University Hospital Washington District of Columbia United States 20007
    169 MedStar Washington Hospital Center Washington District of Columbia United States 20010
    170 Sibley Memorial Hospital Washington District of Columbia United States 20016
    171 George Washington University Medical Center Washington District of Columbia United States 20037
    172 Lynn Regional Cancer Center - West Boca Raton Florida United States 33428
    173 Boca Raton Comprehensive Cancer Center Boca Raton Florida United States 33486
    174 Boca Raton Regional Hospital Boca Raton Florida United States 33486
    175 Halifax Health Medical Center-Centers for Oncology Daytona Beach Florida United States 32114
    176 Florida Hospital Memorial Medical Center Daytona Beach Florida United States 32117
    177 Holy Cross Hospital Fort Lauderdale Florida United States 33308
    178 Broward Health Medical Center Fort Lauderdale Florida United States 33316
    179 Florida Cancer Specialists-Gainesville Cancer Center Gainesville Florida United States 32605
    180 Memorial Regional Hospital/Joe DiMaggio Children's Hospital Hollywood Florida United States 33021
    181 Baptist MD Anderson Cancer Center Jacksonville Florida United States 32207
    182 Mayo Clinic in Florida Jacksonville Florida United States 32224-9980
    183 Jupiter Medical Center Jupiter Florida United States 33458
    184 Lakeland Regional Health Hollis Cancer Center Lakeland Florida United States 33805
    185 The Watson Clinic Lakeland Florida United States 33805
    186 Mount Sinai Medical Center Miami Beach Florida United States 33140
    187 University of Miami Miller School of Medicine-Sylvester Cancer Center Miami Florida United States 33136
    188 AdventHealth Orlando Orlando Florida United States 32803
    189 Sacred Heart Hospital Pensacola Florida United States 32504
    190 Moffitt Cancer Center Tampa Florida United States 33612
    191 Florida Cancer Specialists-West Palm Beach West Palm Beach Florida United States 33401
    192 Cleveland Clinic-Weston Weston Florida United States 33331
    193 Phoebe Putney Memorial Hospital Albany Georgia United States 31701
    194 University Cancer and Blood Center LLC Athens Georgia United States 30607
    195 Emory University Hospital Midtown Atlanta Georgia United States 30308
    196 Piedmont Hospital Atlanta Georgia United States 30309
    197 Emory University Hospital/Winship Cancer Institute Atlanta Georgia United States 30322
    198 Atlanta Regional CCOP Atlanta Georgia United States 30342
    199 Emory Saint Joseph's Hospital Atlanta Georgia United States 30342
    200 Northside Hospital Atlanta Georgia United States 30342
    201 Augusta Oncology Associates PC-D'Antignac Augusta Georgia United States 30901
    202 Augusta University Medical Center Augusta Georgia United States 30912
    203 WellStar Cobb Hospital Austell Georgia United States 30106
    204 John B Amos Cancer Center Columbus Georgia United States 31904
    205 Atlanta VA Medical Center Decatur Georgia United States 30033
    206 Dekalb Medical Center Decatur Georgia United States 30033
    207 Piedmont Fayette Hospital Fayetteville Georgia United States 30214
    208 Northeast Georgia Medical Center-Gainesville Gainesville Georgia United States 30501
    209 Northside Hospital - Gwinnett Lawrenceville Georgia United States 30046
    210 Medical Center of Central Georgia Macon Georgia United States 31201
    211 Wellstar Kennestone Hospital Marietta Georgia United States 30060
    212 Southern Regional Medical Center Riverdale Georgia United States 30274
    213 Harbin Clinic Medical Oncology and Clinical Research Rome Georgia United States 30165
    214 Memorial Health University Medical Center Savannah Georgia United States 31404
    215 Lewis Cancer and Research Pavilion at Saint Joseph's/Candler Savannah Georgia United States 31405
    216 Pali Momi Medical Center 'Aiea Hawaii United States 96701
    217 Hawaii Cancer Care Inc - Waterfront Plaza Honolulu Hawaii United States 96813
    218 Queen's Medical Center Honolulu Hawaii United States 96813
    219 Straub Clinic and Hospital Honolulu Hawaii United States 96813
    220 University of Hawaii Cancer Center Honolulu Hawaii United States 96813
    221 Hawaii Cancer Care Inc-Liliha Honolulu Hawaii United States 96817
    222 Queen's Cancer Center - Kuakini Honolulu Hawaii United States 96817
    223 The Cancer Center of Hawaii-Liliha Honolulu Hawaii United States 96817
    224 Kaiser Permanente Moanalua Medical Center Honolulu Hawaii United States 96819
    225 Kapiolani Medical Center for Women and Children Honolulu Hawaii United States 96826
    226 Tripler Army Medical Center Honolulu Hawaii United States 96859
    227 Castle Medical Center Kailua Hawaii United States 96734
    228 Wilcox Memorial Hospital and Kauai Medical Clinic Lihue Hawaii United States 96766
    229 Maui Memorial Medical Center Wailuku Hawaii United States 96793
    230 Pacific Cancer Institute of Maui Wailuku Hawaii United States 96793
    231 Saint Alphonsus Cancer Care Center-Boise Boise Idaho United States 83706
    232 Saint Luke's Cancer Institute - Boise Boise Idaho United States 83712
    233 Saint Luke's Cancer Institute - Fruitland Fruitland Idaho United States 83619
    234 Saint Joseph Regional Medical Center Lewiston Idaho United States 83501
    235 Saint Luke's Cancer Institute - Meridian Meridian Idaho United States 83642
    236 Saint Luke's Cancer Institute - Nampa Nampa Idaho United States 83686
    237 Portneuf Medical Center Pocatello Idaho United States 83201
    238 Saint Luke's Cancer Institute - Twin Falls Twin Falls Idaho United States 83301
    239 Saint Anthony's Health Alton Illinois United States 62002
    240 Rush - Copley Medical Center Aurora Illinois United States 60504
    241 MacNeal Hospital and Cancer Center Berwyn Illinois United States 60402
    242 Saint Joseph Medical Center Bloomington Illinois United States 61701
    243 Illinois CancerCare-Bloomington Bloomington Illinois United States 61704
    244 Graham Hospital Association Canton Illinois United States 61520
    245 Illinois CancerCare-Canton Canton Illinois United States 61520
    246 Illinois CancerCare-Carthage Carthage Illinois United States 62321
    247 Memorial Hospital Carthage Illinois United States 62321
    248 Mount Sinai Hospital Medical Center Chicago Illinois United States 60608
    249 Hematology and Oncology Associates Chicago Illinois United States 60611
    250 Northwestern University Chicago Illinois United States 60611
    251 Jesse Brown Veterans Affairs Medical Center Chicago Illinois United States 60612
    252 John H Stroger Jr Hospital of Cook County Chicago Illinois United States 60612
    253 Rush University Medical Center Chicago Illinois United States 60612
    254 University of Illinois Chicago Illinois United States 60612
    255 Swedish Covenant Hospital Chicago Illinois United States 60625
    256 Presence Resurrection Medical Center Chicago Illinois United States 60631
    257 University of Chicago Comprehensive Cancer Center Chicago Illinois United States 60637
    258 Weiss Memorial Hospital Chicago Illinois United States 60640
    259 UChicago Medicine Comprehensive Cancer Center - Saint Joseph Hospital Chicago Illinois United States 60657
    260 Decatur Memorial Hospital Decatur Illinois United States 62526
    261 Heartland Cancer Research NCORP Decatur Illinois United States 62526
    262 Advocate Good Samaritan Hospital Downers Grove Illinois United States 60515
    263 Saint Anthony Memorial Hospital Effingham Illinois United States 62401
    264 Advocate Sherman Hospital Elgin Illinois United States 60123
    265 AMITA Health Alexian Brothers Medical Center Elk Grove Village Illinois United States 60007
    266 Elmhurst Memorial Hospital Elmhurst Illinois United States 60126
    267 Eureka Hospital Eureka Illinois United States 61530
    268 Illinois CancerCare-Eureka Eureka Illinois United States 61530
    269 NorthShore University HealthSystem-Evanston Hospital Evanston Illinois United States 60201
    270 Saint Francis Hospital Evanston Illinois United States 60202
    271 Galesburg Cottage Hospital Galesburg Illinois United States 61401
    272 Illinois CancerCare-Cottage Galesburg Illinois United States 61401
    273 Illinois CancerCare-Galesburg Galesburg Illinois United States 61401
    274 Western Illinois Cancer Treatment Center Galesburg Illinois United States 61401
    275 LaGrange Oncology Associates Geneva Illinois United States 60134
    276 Northwestern Medicine Cancer Center Delnor Geneva Illinois United States 60134
    277 Ingalls Memorial Hospital Harvey Illinois United States 60426
    278 Illinois CancerCare-Havana Havana Illinois United States 62644
    279 Mason District Hospital Havana Illinois United States 62644
    280 Hematology Oncology Associates of Illinois-Highland Park Highland Park Illinois United States 60035
    281 Hinsdale Hematology Oncology Associates Incorporated Hinsdale Illinois United States 60521
    282 Hopedale Medical Complex - Hospital Hopedale Illinois United States 61747
    283 Midwest Center for Hematology Oncology Joliet Illinois United States 60432
    284 Duly Health and Care Joliet Joliet Illinois United States 60435
    285 Presence Saint Mary's Hospital Kankakee Illinois United States 60901
    286 Illinois CancerCare-Kewanee Clinic Kewanee Illinois United States 61443
    287 AMITA Health Adventist Medical Center La Grange Illinois United States 60525
    288 AMG Libertyville - Oncology Libertyville Illinois United States 60048
    289 Illinois CancerCare-Macomb Macomb Illinois United States 61455
    290 Mcdonough District Hospital Macomb Illinois United States 61455
    291 Loyola University Medical Center Maywood Illinois United States 60153
    292 Garneau, Stewart C MD (UIA Investigator) Moline Illinois United States 61265
    293 Porubcin, Michael MD (UIA Investigator) Moline Illinois United States 61265
    294 Sharis, Christine M MD (UIA Investigator) Moline Illinois United States 61265
    295 Spector, David MD (UIA Investigator) Moline Illinois United States 61265
    296 Stoffel, Thomas J MD (UIA Investigator) Moline Illinois United States 61265
    297 Trinity Medical Center Moline Illinois United States 61265
    298 Vigliotti, Antonio, P.G. M.D. (UIA Investigator) Moline Illinois United States 61265
    299 Holy Family Medical Center Monmouth Illinois United States 61462
    300 Illinois CancerCare-Monmouth Monmouth Illinois United States 61462
    301 Good Samaritan Regional Health Center Mount Vernon Illinois United States 62864
    302 Edward Hospital/Cancer Center Naperville Illinois United States 60540
    303 DuPage Medical Group-Ogden Naperville Illinois United States 60563
    304 Illinois Cancer Specialists-Niles Niles Illinois United States 60714
    305 Bromenn Regional Medical Center Normal Illinois United States 61761
    306 Carle Cancer Institute Normal Normal Illinois United States 61761
    307 Illinois CancerCare-Community Cancer Center Normal Illinois United States 61761
    308 Mid-Illinois Hematology Oncology Associates Limited Normal Illinois United States 61761
    309 Advocate Christ Medical Center Oak Lawn Illinois United States 60453-2699
    310 Illinois CancerCare-Ottawa Clinic Ottawa Illinois United States 61350
    311 Ottawa Regional Hospital and Healthcare Center Ottawa Illinois United States 61350
    312 Illinois CancerCare-Pekin Pekin Illinois United States 61554
    313 OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center Pekin Illinois United States 61554
    314 Pekin Hospital Pekin Illinois United States 61554
    315 Proctor Hospital Peoria Illinois United States 61614
    316 Illinois CancerCare-Peoria Peoria Illinois United States 61615
    317 OSF Saint Francis Radiation Oncology at Peoria Cancer Center Peoria Illinois United States 61615
    318 Methodist Medical Center of Illinois Peoria Illinois United States 61636
    319 OSF Saint Francis Medical Center Peoria Illinois United States 61637
    320 Illinois CancerCare-Peru Peru Illinois United States 61354
    321 Illinois Valley Hospital Peru Illinois United States 61354
    322 Valley Radiation Oncology Peru Illinois United States 61354
    323 Illinois CancerCare-Princeton Princeton Illinois United States 61356
    324 Perry Memorial Hospital Princeton Illinois United States 61356
    325 West Suburban Medical Center River Forest Illinois United States 60305
    326 Swedish American Hospital Rockford Illinois United States 61104
    327 OSF Saint Anthony Medical Center Rockford Illinois United States 61108
    328 SwedishAmerican Regional Cancer Center/ACT Rockford Illinois United States 61114
    329 Edward H Kaplan MD and Associates Skokie Illinois United States 60076
    330 Hematology Oncology Associates of Illinois - Skokie Skokie Illinois United States 60076
    331 Illinois CancerCare-Spring Valley Spring Valley Illinois United States 61362
    332 Saint Margaret's Hospital Spring Valley Illinois United States 61362
    333 Memorial Medical Center Springfield Illinois United States 62781
    334 Carle Cancer Center Urbana Illinois United States 61801
    335 Northwestern Medicine Cancer Center Warrenville Warrenville Illinois United States 60555
    336 Northwestern Medicine Central DuPage Hospital Winfield Illinois United States 60190
    337 Saint Vincent Anderson Regional Hospital/Cancer Center Anderson Indiana United States 46016
    338 Franciscan Saint Francis Health-Beech Grove Beech Grove Indiana United States 46107
    339 Elkhart Clinic Elkhart Indiana United States 46514-2098
    340 Michiana Hematology Oncology PC-Elkhart Elkhart Indiana United States 46514
    341 Elkhart General Hospital Elkhart Indiana United States 46515
    342 Fort Wayne Medical Oncology and Hematology Inc-Parkview Fort Wayne Indiana United States 46845
    343 Indiana University/Melvin and Bren Simon Cancer Center Indianapolis Indiana United States 46202
    344 Richard L. Roudebush Veterans Affairs Medical Center Indianapolis Indiana United States 46202
    345 Sidney and Lois Eskenazi Hospital Indianapolis Indiana United States 46202
    346 Franciscan Health Indianapolis Indianapolis Indiana United States 46237
    347 Saint Vincent Hospital and Health Care Center Indianapolis Indiana United States 46260
    348 Community Howard Regional Health Kokomo Indiana United States 46904
    349 IU Health La Porte Hospital La Porte Indiana United States 46350
    350 IU Health Arnett Cancer Care Lafayette Indiana United States 47904
    351 Premier Oncology Hematology Associates Merrillville Indiana United States 46410
    352 Franciscan Saint Anthony Health-Michigan City Michigan City Indiana United States 46360
    353 Michiana Hematology Oncology PC-Mishawaka Mishawaka Indiana United States 46545
    354 Saint Joseph Regional Medical Center-Mishawaka Mishawaka Indiana United States 46545
    355 IU Health Ball Memorial Hospital Muncie Indiana United States 47303
    356 The Community Hospital Munster Indiana United States 46321
    357 Michiana Hematology Oncology PC-Plymouth Plymouth Indiana United States 46563
    358 Reid Health Richmond Indiana United States 47374
    359 Memorial Hospital of South Bend South Bend Indiana United States 46601
    360 Michiana Hematology Oncology PC-South Bend South Bend Indiana United States 46601
    361 South Bend Clinic South Bend Indiana United States 46617
    362 Northern Indiana Cancer Research Consortium South Bend Indiana United States 46628
    363 Michiana Hematology Oncology PC-Westville Westville Indiana United States 46391
    364 McFarland Clinic PC - Ames Ames Iowa United States 50010
    365 Constantinou, Costas L MD (UIA Investigator) Bettendorf Iowa United States 52722
    366 University of Iowa Healthcare Cancer Services Quad Cities Bettendorf Iowa United States 52722
    367 Physicians' Clinic of Iowa PC Cedar Rapids Iowa United States 52402
    368 Saint Luke's Hospital Cedar Rapids Iowa United States 52402
    369 Mercy Hospital Cedar Rapids Iowa United States 52403
    370 Oncology Associates at Mercy Medical Center Cedar Rapids Iowa United States 52403
    371 Medical Oncology and Hematology Associates-West Des Moines Clive Iowa United States 50325
    372 Genesis Medical Center - East Campus Davenport Iowa United States 52803
    373 Genesis Cancer Care Institute Davenport Iowa United States 52804
    374 Mercy Capitol Des Moines Iowa United States 50307
    375 Iowa Methodist Medical Center Des Moines Iowa United States 50309
    376 Iowa-Wide Oncology Research Coalition NCORP Des Moines Iowa United States 50309
    377 Medical Oncology and Hematology Associates-Des Moines Des Moines Iowa United States 50309
    378 Medical Oncology and Hematology Associates-Laurel Des Moines Iowa United States 50314
    379 Mercy Medical Center - Des Moines Des Moines Iowa United States 50314
    380 Iowa Lutheran Hospital Des Moines Iowa United States 50316
    381 University of Iowa/Holden Comprehensive Cancer Center Iowa City Iowa United States 52242
    382 Mercy Medical Center - North Iowa Mason City Iowa United States 50401
    383 Ottumwa Regional Health Center Ottumwa Iowa United States 52501
    384 Siouxland Regional Cancer Center Sioux City Iowa United States 51101
    385 Mercy Medical Center-Sioux City Sioux City Iowa United States 51102
    386 Saint Luke's Regional Medical Center Sioux City Iowa United States 51104
    387 Cedar Valley Medical Specialists Waterloo Iowa United States 50701
    388 MercyOne Waterloo Medical Center Waterloo Iowa United States 50702
    389 Methodist West Hospital West Des Moines Iowa United States 50266-7700
    390 Hospital District Sixth of Harper County Anthony Kansas United States 67003
    391 Cancer Center of Kansas - Chanute Chanute Kansas United States 66720
    392 Cancer Center of Kansas - Dodge City Dodge City Kansas United States 67801
    393 Cancer Center of Kansas - El Dorado El Dorado Kansas United States 67042
    394 Cancer Center of Kansas - Fort Scott Fort Scott Kansas United States 66701
    395 Saint Rose Ambulatory and Surgery Center Great Bend Kansas United States 67530
    396 HaysMed University of Kansas Health System Hays Kansas United States 67601
    397 Hutchinson Regional Medical Center Hutchinson Kansas United States 67502
    398 Cancer Center of Kansas-Independence Independence Kansas United States 67301
    399 Providence Medical Center Kansas City Kansas United States 66112
    400 University of Kansas Cancer Center-West Kansas City Kansas United States 66112
    401 University of Kansas Cancer Center Kansas City Kansas United States 66160
    402 Cancer Center of Kansas-Kingman Kingman Kansas United States 67068
    403 Lawrence Memorial Hospital Lawrence Kansas United States 66044
    404 Southwest Medical Center Liberal Kansas United States 67901
    405 Cancer Center of Kansas-Liberal Liberal Kansas United States 67905
    406 Cancer Center of Kansas - McPherson McPherson Kansas United States 67460
    407 Cancer Center of Kansas - Newton Newton Kansas United States 67114
    408 Olathe Cancer Center Olathe Kansas United States 66061
    409 Menorah Medical Center Overland Park Kansas United States 66209
    410 University of Kansas Cancer Center-Overland Park Overland Park Kansas United States 66210
    411 Saint Luke's South Hospital Overland Park Kansas United States 66213
    412 Cancer Center of Kansas - Parsons Parsons Kansas United States 67357
    413 Ascension Via Christi - Pittsburg Pittsburg Kansas United States 66762
    414 Kansas City NCI Community Oncology Research Program Prairie Village Kansas United States 66208
    415 Cancer Center of Kansas - Pratt Pratt Kansas United States 67124
    416 Cancer Center of Kansas - Salina Salina Kansas United States 67401
    417 Salina Regional Health Center Salina Kansas United States 67401
    418 Advent Health - Shawnee Mission Medical Center Shawnee Mission Kansas United States 66204
    419 Cotton O'Neil Cancer Center / Stormont Vail Health Topeka Kansas United States 66606
    420 University of Kansas Health System Saint Francis Campus Topeka Kansas United States 66606
    421 Cancer Center of Kansas - Wellington Wellington Kansas United States 67152
    422 Associates In Womens Health Wichita Kansas United States 67208
    423 Cancer Center of Kansas-Wichita Medical Arts Tower Wichita Kansas United States 67208
    424 Ascension Via Christi Hospitals Wichita Wichita Kansas United States 67214
    425 Cancer Center of Kansas - Wichita Wichita Kansas United States 67214
    426 Wichita NCI Community Oncology Research Program Wichita Kansas United States 67214
    427 Cancer Center of Kansas - Winfield Winfield Kansas United States 67156
    428 King's Daughter's Medical Center Ashland Kentucky United States 41101
    429 Our Lady Bellefonte Hospital Ashland Kentucky United States 41101
    430 University of Kentucky/Markey Cancer Center Lexington Kentucky United States 40536
    431 The James Graham Brown Cancer Center at University of Louisville Louisville Kentucky United States 40202
    432 Baptist Health Louisville Louisville Kentucky United States 40207
    433 Doctors Carrol, Sheth, Raghavan Louisville Kentucky United States 40215
    434 Owensboro Health Mitchell Memorial Cancer Center Owensboro Kentucky United States 42303
    435 Baton Rouge General Medical Center Baton Rouge Louisiana United States 70806
    436 Hematology/Oncology Clinic PLLC Baton Rouge Louisiana United States 70809
    437 Mary Bird Perkins Cancer Center Baton Rouge Louisiana United States 70809
    438 Ochsner Health Center-Summa Baton Rouge Louisiana United States 70809
    439 Ochsner Health Center-Covington Covington Louisiana United States 70433
    440 Cancer Center of Acadiana Lafayette Louisiana United States 70503
    441 Louisiana State University Health Science Center New Orleans Louisiana United States 70112
    442 Tulane University Health Sciences Center New Orleans Louisiana United States 70112
    443 University Medical Center New Orleans New Orleans Louisiana United States 70112
    444 Ochsner Baptist Medical Center New Orleans Louisiana United States 70115
    445 Ochsner Medical Center Jefferson New Orleans Louisiana United States 70121
    446 Harold Alfond Center for Cancer Care Augusta Maine United States 04330
    447 Eastern Maine Medical Center Bangor Maine United States 04401
    448 Central Maine Medical Center Lewiston Maine United States 04240
    449 Saint Mary's Regional Medical Center Lewiston Maine United States 04240
    450 Mercy Hospital Portland Maine United States 04101
    451 Maine Center for Cancer Medicine-Scarborough Scarborough Maine United States 04074
    452 Maine General Medical Center-Thayer Waterville Maine United States 04901
    453 York Hospital York Maine United States 03909
    454 University of Maryland/Greenebaum Cancer Center Baltimore Maryland United States 21201
    455 Veterans Administration Medical Center-Baltimore Baltimore Maryland United States 21201
    456 Greater Baltimore Medical Center Baltimore Maryland United States 21204
    457 Sinai Hospital of Baltimore Baltimore Maryland United States 21215
    458 MedStar Franklin Square Medical Center/Weinberg Cancer Institute Baltimore Maryland United States 21237
    459 Johns Hopkins University/Sidney Kimmel Cancer Center Baltimore Maryland United States 21287
    460 UM Upper Chesapeake Medical Center Bel Air Maryland United States 21014
    461 Walter Reed National Military Medical Center Bethesda Maryland United States 20889-5600
    462 Western Maryland Regional Medical Center Cumberland Maryland United States 21502
    463 University of Maryland Shore Medical Center at Easton Easton Maryland United States 21601
    464 Christiana Care - Union Hospital Elkton Maryland United States 21921
    465 Frederick Memorial Hospital Frederick Maryland United States 21701
    466 Meritus Medical Center Hagerstown Maryland United States 21742
    467 Associates in Oncology Hematology PC -Kensington Kensington Maryland United States 20895
    468 Maryland Oncology Hematology PA-Aquilino Cancer Center Rockville Maryland United States 20850
    469 TidalHealth Peninsula Regional Salisbury Maryland United States 21801
    470 Holy Cross Hospital Silver Spring Maryland United States 20910
    471 UM Saint Joseph Medical Center Towson Maryland United States 21204
    472 Sturdy Memorial Hospital Attleboro Massachusetts United States 02703
    473 Beverly Hospital Beverly Massachusetts United States 01915
    474 Tufts Medical Center Boston Massachusetts United States 02111
    475 Massachusetts General Hospital Cancer Center Boston Massachusetts United States 02114
    476 Brigham and Women's Hospital Boston Massachusetts United States 02115
    477 Boston Medical Center Boston Massachusetts United States 02118
    478 Beth Israel Deaconess Medical Center Boston Massachusetts United States 02215
    479 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
    480 Steward Saint Elizabeth's Medical Center Brighton Massachusetts United States 02135
    481 Lahey Hospital and Medical Center Burlington Massachusetts United States 01805
    482 Commonwealth Hematology Oncology PC-Concord Concord Massachusetts United States 01742
    483 Mass General/North Shore Cancer Center Danvers Massachusetts United States 01923
    484 Simonds-Sinon Regional Cancer Center Fitchburg Massachusetts United States 01420
    485 MetroWest Medical Center-Framingham Union Hospital Framingham Massachusetts United States 01702
    486 Addison Gilbert Hospital Gloucester Massachusetts United States 01930
    487 Dana Farber Community Cancer Care-Haverhill Haverhill Massachusetts United States 01830
    488 Dana Farber-Merrimack Valley Methuen Massachusetts United States 01844
    489 Holy Family Hospital Methuen Massachusetts United States 01844
    490 Norwood Hospital Norwood Massachusetts United States 02062
    491 Berkshire Medical Center - Cancer Center Pittsfield Massachusetts United States 01201
    492 Dana Farber Community Cancer Care-Quincy Quincy Massachusetts United States 02169
    493 Baystate Medical Center Springfield Massachusetts United States 01199
    494 Dana Farber Community Cancer Care-Stoneham Stoneham Massachusetts United States 02180
    495 Noble Hospital Westfield Massachusetts United States 01085
    496 Dana Farber Community Cancer Care-Weymouth Weymouth Massachusetts United States 02189
    497 Commonwealth Hematology Oncology PC-Worcester Worcester Massachusetts United States 01605
    498 UMass Memorial Medical Center - University Campus Worcester Massachusetts United States 01655
    499 Bixby Medical Center Adrian Michigan United States 49221
    500 Hickman Cancer Center Adrian Michigan United States 49221
    501 Michigan Cancer Research Consortium NCORP Ann Arbor Michigan United States 48106
    502 Saint Joseph Mercy Hospital Ann Arbor Michigan United States 48106
    503 University of Michigan Comprehensive Cancer Center Ann Arbor Michigan United States 48109
    504 Bronson Battle Creek Battle Creek Michigan United States 49017
    505 McLaren Cancer Institute-Bay City Bay City Michigan United States 48706
    506 Spectrum Health Big Rapids Hospital Big Rapids Michigan United States 49307
    507 McLaren Cancer Institute-Clarkston Clarkston Michigan United States 48346
    508 Beaumont Hospital - Dearborn Dearborn Michigan United States 48124
    509 Wayne State University/Karmanos Cancer Institute Detroit Michigan United States 48201
    510 Henry Ford Hospital Detroit Michigan United States 48202
    511 Ascension Saint John Hospital Detroit Michigan United States 48236
    512 Michigan State University Clinical Center East Lansing Michigan United States 48824-7016
    513 Green Bay Oncology - Escanaba Escanaba Michigan United States 49829
    514 Beaumont Hospital - Farmington Hills Farmington Hills Michigan United States 48336
    515 Genesys Hurley Cancer Institute Flint Michigan United States 48503
    516 Hurley Medical Center Flint Michigan United States 48503
    517 Genesys Regional Medical Center-West Flint Campus Flint Michigan United States 48532
    518 McLaren Cancer Institute-Flint Flint Michigan United States 48532
    519 Singh and Arora Hematology Oncology PC Flint Michigan United States 48532
    520 Cancer Research Consortium of West Michigan NCORP Grand Rapids Michigan United States 49503
    521 Mercy Health Saint Mary's Grand Rapids Michigan United States 49503
    522 Spectrum Health at Butterworth Campus Grand Rapids Michigan United States 49503
    523 Holland Community Hospital Holland Michigan United States 49423
    524 Green Bay Oncology - Iron Mountain Iron Mountain Michigan United States 49801
    525 Allegiance Health Jackson Michigan United States 49201
    526 Bronson Methodist Hospital Kalamazoo Michigan United States 49007
    527 West Michigan Cancer Center Kalamazoo Michigan United States 49007
    528 Borgess Medical Center Kalamazoo Michigan United States 49048
    529 Karmanos Cancer Institute at McLaren Greater Lansing Lansing Michigan United States 48910
    530 Sparrow Hospital Lansing Michigan United States 48912
    531 Lapeer Regional Hospital Lapeer Michigan United States 48446
    532 McLaren Cancer Institute-Lapeer Region Lapeer Michigan United States 48446
    533 Trinity Health Saint Mary Mercy Livonia Hospital Livonia Michigan United States 48154
    534 UP Health System Marquette Marquette Michigan United States 49855
    535 MyMichigan Medical Center Midland Midland Michigan United States 48670
    536 Mercy Memorial Hospital Monroe Michigan United States 48162
    537 Toledo Clinic Cancer Centers-Monroe Monroe Michigan United States 48162
    538 McLaren Cancer Institute-Macomb Mount Clemens Michigan United States 48043
    539 Mercy Health Partners-Hackley Campus Muskegon Michigan United States 49442
    540 Mercy Health Mercy Campus Muskegon Michigan United States 49444
    541 Lakeland Hospital Niles Niles Michigan United States 49120
    542 McLaren Cancer Institute-Northern Michigan Petoskey Michigan United States 49770
    543 Saint Joseph Mercy Oakland Pontiac Michigan United States 48341
    544 Lake Huron Medical Center Port Huron Michigan United States 48060
    545 Spectrum Health Reed City Hospital Reed City Michigan United States 49677
    546 William Beaumont Hospital-Royal Oak Royal Oak Michigan United States 48073
    547 Ascension Saint Mary's Hospital Saginaw Michigan United States 48601
    548 Lakeland Medical Center Saint Joseph Saint Joseph Michigan United States 49085
    549 Marie Yeager Cancer Center Saint Joseph Michigan United States 49085
    550 Oncology Care Associates PLLC Saint Joseph Michigan United States 49085
    551 Ascension Providence Hospitals - Southfield Southfield Michigan United States 48075
    552 Munson Medical Center Traverse City Michigan United States 49684
    553 William Beaumont Hospital - Troy Troy Michigan United States 48085
    554 Saint John Macomb-Oakland Hospital Warren Michigan United States 48093
    555 Metro Health Hospital Wyoming Michigan United States 49519
    556 Medini, Eitan MD (UIA Investigator) Alexandria Minnesota United States 56308
    557 Sanford Joe Lueken Cancer Center Bemidji Minnesota United States 56601
    558 Essentia Health Saint Joseph's Medical Center Brainerd Minnesota United States 56401
    559 Fairview Ridges Hospital Burnsville Minnesota United States 55337
    560 Mercy Hospital Coon Rapids Minnesota United States 55433
    561 Essentia Health Cancer Center Duluth Minnesota United States 55805
    562 Essentia Health Saint Mary's Medical Center Duluth Minnesota United States 55805
    563 Miller-Dwan Hospital Duluth Minnesota United States 55805
    564 Saint Luke's Hospital of Duluth Duluth Minnesota United States 55805
    565 Fairview Southdale Hospital Edina Minnesota United States 55435
    566 Etzell, Paul S MD (UIA Investigator) Fergus Falls Minnesota United States 56537
    567 Lake Region Healthcare Corporation-Cancer Care Fergus Falls Minnesota United States 56537
    568 Swenson, Wade II, MD (UIA Investigator) Fergus Falls Minnesota United States 56537
    569 Unity Hospital Fridley Minnesota United States 55432
    570 Hutchinson Area Health Care Hutchinson Minnesota United States 55350
    571 Meeker County Memorial Hospital Litchfield Minnesota United States 55355
    572 Minnesota Oncology Hematology PA-Maplewood Maplewood Minnesota United States 55109
    573 Saint John's Hospital - Healtheast Maplewood Minnesota United States 55109
    574 Abbott-Northwestern Hospital Minneapolis Minnesota United States 55407
    575 Virginia Piper Cancer Institute Minneapolis Minnesota United States 55407
    576 Hennepin County Medical Center Minneapolis Minnesota United States 55415
    577 Minneapolis VA Medical Center Minneapolis Minnesota United States 55417
    578 University of Minnesota/Masonic Cancer Center Minneapolis Minnesota United States 55455
    579 New Ulm Medical Center New Ulm Minnesota United States 56073
    580 North Memorial Medical Health Center Robbinsdale Minnesota United States 55422
    581 Mayo Clinic in Rochester Rochester Minnesota United States 55905
    582 Coborn Cancer Center at Saint Cloud Hospital Saint Cloud Minnesota United States 56303
    583 Saint Cloud Hospital Saint Cloud Minnesota United States 56303
    584 Metro Minnesota Community Oncology Research Consortium Saint Louis Park Minnesota United States 55416
    585 Park Nicollet Clinic - Saint Louis Park Saint Louis Park Minnesota United States 55416
    586 Regions Hospital Saint Paul Minnesota United States 55101
    587 Saint Joseph's Hospital - Healtheast Saint Paul Minnesota United States 55102
    588 United Hospital Saint Paul Minnesota United States 55102
    589 Saint Francis Regional Medical Center Shakopee Minnesota United States 55379
    590 Lakeview Hospital Stillwater Minnesota United States 55082
    591 Ridgeview Medical Center Waconia Minnesota United States 55387
    592 Rice Memorial Hospital Willmar Minnesota United States 56201
    593 Minnesota Oncology Hematology PA-Woodbury Woodbury Minnesota United States 55125
    594 Woodwinds Health Campus Woodbury Minnesota United States 55125
    595 Hattiesburg Clinic - Hematology/Oncology Clinic Hattiesburg Mississippi United States 39401
    596 University of Mississippi Medical Center Jackson Mississippi United States 39216
    597 Veterans Affairs Medical Center Jackson Mississippi United States 39216
    598 Keesler Medical Center Keesler Air Force Base Mississippi United States 39534
    599 Singing River Hospital Pascagoula Mississippi United States 39581
    600 Central Care Cancer Center - Bolivar Bolivar Missouri United States 65613
    601 Cox Cancer Center Branson Branson Missouri United States 65616
    602 Southeast Missouri Hospital Cape Girardeau Missouri United States 63701
    603 Saint Francis Medical Center Cape Girardeau Missouri United States 63703
    604 Southeast Cancer Center Cape Girardeau Missouri United States 63703
    605 Saint Luke's Hospital Chesterfield Missouri United States 63017
    606 Veterans Administration Columbia Missouri United States 65201
    607 University of Missouri - Ellis Fischel Columbia Missouri United States 65212
    608 Centerpoint Medical Center LLC Independence Missouri United States 64057
    609 Capital Region Medical Center Jefferson City Missouri United States 65101
    610 Capital Region Southwest Campus Jefferson City Missouri United States 65109
    611 Freeman Health System Joplin Missouri United States 64804
    612 Mercy Hospital Joplin Joplin Missouri United States 64804
    613 Truman Medical Centers Kansas City Missouri United States 64108
    614 Saint Luke's Hospital of Kansas City Kansas City Missouri United States 64111
    615 Saint Joseph Health Center Kansas City Missouri United States 64114
    616 North Kansas City Hospital Kansas City Missouri United States 64116
    617 Heartland Hematology and Oncology Associates Incorporated Kansas City Missouri United States 64118
    618 Kansas City Veterans Affairs Medical Center Kansas City Missouri United States 64128
    619 The University of Kansas Cancer Center-South Kansas City Missouri United States 64131
    620 Research Medical Center Kansas City Missouri United States 64132
    621 University of Kansas Cancer Center - North Kansas City Missouri United States 64154
    622 University of Kansas Cancer Center - Lee's Summit Lee's Summit Missouri United States 64064
    623 Saint Luke's East - Lee's Summit Lee's Summit Missouri United States 64086
    624 Liberty Radiation Oncology Center Liberty Missouri United States 64068
    625 Delbert Day Cancer Institute at PCRMC Rolla Missouri United States 65401
    626 Mercy Clinic-Rolla-Cancer and Hematology Rolla Missouri United States 65401
    627 Heartland Regional Medical Center Saint Joseph Missouri United States 64506
    628 Saint Joseph Oncology Inc Saint Joseph Missouri United States 64507
    629 Saint Louis Cancer and Breast Institute-South City Saint Louis Missouri United States 63109
    630 Washington University School of Medicine Saint Louis Missouri United States 63110
    631 Mercy Hospital South Saint Louis Missouri United States 63128
    632 Missouri Baptist Medical Center Saint Louis Missouri United States 63131
    633 Siteman Cancer Center at Christian Hospital Saint Louis Missouri United States 63136
    634 Center for Cancer Care and Research Saint Louis Missouri United States 63141
    635 Comprehensive Cancer Care PC Saint Louis Missouri United States 63141
    636 Mercy Hospital Saint Louis Saint Louis Missouri United States 63141
    637 Saint Louis-Cape Girardeau CCOP Saint Louis Missouri United States 63141
    638 Cancer Research for the Ozarks NCORP Springfield Missouri United States 65804
    639 Mercy Hospital Springfield Springfield Missouri United States 65804
    640 CoxHealth South Hospital Springfield Missouri United States 65807
    641 Billings Clinic Cancer Center Billings Montana United States 59101
    642 Northern Rockies Radiation Oncology Center Billings Montana United States 59101
    643 Saint Vincent Healthcare Billings Montana United States 59101
    644 Montana Cancer Consortium NCORP Billings Montana United States 59102
    645 Saint Vincent Frontier Cancer Center Billings Montana United States 59102
    646 Bozeman Deaconess Hospital Bozeman Montana United States 59715
    647 Saint James Community Hospital and Cancer Treatment Center Butte Montana United States 59701
    648 Benefis Healthcare- Sletten Cancer Institute Great Falls Montana United States 59405
    649 Berdeaux, Donald MD (UIA Investigator) Great Falls Montana United States 59405
    650 Great Falls Clinic Great Falls Montana United States 59405
    651 Northern Montana Hospital Havre Montana United States 59501
    652 Saint Peter's Community Hospital Helena Montana United States 59601
    653 Glacier Oncology PLLC Kalispell Montana United States 59901
    654 Kalispell Medical Oncology Kalispell Montana United States 59901
    655 Kalispell Regional Medical Center Kalispell Montana United States 59901
    656 Montana Cancer Specialists Missoula Montana United States 59802
    657 Saint Patrick Hospital - Community Hospital Missoula Montana United States 59802
    658 Community Medical Hospital Missoula Montana United States 59804
    659 Guardian Oncology and Center for Wellness Missoula Montana United States 59804
    660 CHI Health Saint Francis Grand Island Nebraska United States 68803
    661 CHI Health Good Samaritan Kearney Nebraska United States 68847
    662 Nebraska Cancer Research Center Lincoln Nebraska United States 68510
    663 Great Plains Health Callahan Cancer Center North Platte Nebraska United States 69101
    664 Missouri Valley Cancer Consortium Omaha Nebraska United States 68106
    665 Alegent Health Immanuel Medical Center Omaha Nebraska United States 68122
    666 Alegent Health Bergan Mercy Medical Center Omaha Nebraska United States 68124
    667 Alegent Health Lakeside Hospital Omaha Nebraska United States 68130
    668 Creighton University Medical Center Omaha Nebraska United States 68131
    669 University of Nebraska Medical Center Omaha Nebraska United States 68198
    670 University Medical Center of Southern Nevada Las Vegas Nevada United States 89102
    671 Nevada Cancer Institute-Summerlin Campus Las Vegas Nevada United States 89135
    672 Nevada Cancer Research Foundation NCORP Las Vegas Nevada United States 89169
    673 Renown Regional Medical Center Reno Nevada United States 89502
    674 New Hampshire Oncology Hematology PA-Concord Concord New Hampshire United States 03301
    675 Wentworth-Douglass Hospital Dover New Hampshire United States 03820
    676 Exeter Hospital Exeter New Hampshire United States 03833
    677 Cheshire Medical Center-Dartmouth-Hitchcock Keene Keene New Hampshire United States 03431
    678 LRGHealthcare-Lakes Region General Hospital Laconia New Hampshire United States 03246
    679 Solinsky Center for Cancer Care Manchester New Hampshire United States 03103
    680 Foundation Medical Partners Nashua New Hampshire United States 03060
    681 Saint Joseph Hospital Nashua New Hampshire United States 03060
    682 Portsmouth Regional Hospital Portsmouth New Hampshire United States 03802
    683 Ocean Medical Center Brick New Jersey United States 08724
    684 Cooper Hospital University Medical Center Camden New Jersey United States 08103
    685 Veterans Adminstration New Jersey Health Care System East Orange New Jersey United States 07018-1095
    686 Englewood Hospital and Medical Center Englewood New Jersey United States 07631
    687 Hunterdon Medical Center Flemington New Jersey United States 08822
    688 CentraState Medical Center Freehold New Jersey United States 07728
    689 The Cancer Institute of New Jersey Hamilton Hamilton New Jersey United States 08690
    690 Morristown Medical Center Morristown New Jersey United States 07960
    691 Virtua Memorial Mount Holly New Jersey United States 08060
    692 Jersey Shore Medical Center Neptune New Jersey United States 07753
    693 Saint Peter's University Hospital New Brunswick New Jersey United States 08901
    694 Rutgers Cancer Institute of New Jersey New Brunswick New Jersey United States 08903
    695 Newark Beth Israel Medical Center Newark New Jersey United States 07112
    696 Capital Health Medical Center-Hopewell Pennington New Jersey United States 08534
    697 Saint Luke's Hospital-Warren Campus Phillipsburg New Jersey United States 08865
    698 Penn Medicine Princeton Health Plainsboro New Jersey United States 08536
    699 AtlantiCare Regional Medical Center -Main Campus Pomona New Jersey United States 08240
    700 Riverview Medical Center/Booker Cancer Center Red Bank New Jersey United States 07701
    701 Valley Hospital Ridgewood New Jersey United States 07450
    702 Robert Wood Johnson University Hospital Somerset Somerville New Jersey United States 08876
    703 Sparta Cancer Treatment Center Sparta New Jersey United States 07871
    704 Overlook Hospital Summit New Jersey United States 07902
    705 Saint Francis Medical Center Trenton New Jersey United States 08629
    706 Inspira Medical Center Vineland Vineland New Jersey United States 08360
    707 Virtua Voorhees Voorhees New Jersey United States 08043
    708 Lovelace Medical Center-Saint Joseph Square Albuquerque New Mexico United States 87102
    709 University of New Mexico Cancer Center Albuquerque New Mexico United States 87102
    710 Hematology Oncology Associates Albuquerque New Mexico United States 87106
    711 Presbyterian Kaseman Hospital Albuquerque New Mexico United States 87110
    712 Memorial Medical Center - Las Cruces Las Cruces New Mexico United States 88011
    713 Memorial Medical Center-Main Campus Las Cruces New Mexico United States 88011
    714 Christus Saint Vincent Regional Cancer Center Santa Fe New Mexico United States 87505
    715 New York Oncology Hematology PC - Albany Albany New York United States 12206
    716 New York Oncology Hematology PC - Albany Medical Center Albany New York United States 12208
    717 Montefiore Medical Center-Weiler Hospital Bronx New York United States 10461
    718 Montefiore Medical Center - Moses Campus Bronx New York United States 10467
    719 Kings County Hospital Brooklyn New York United States 11203
    720 State University of New York Downstate Medical Center Brooklyn New York United States 11203
    721 Veteran Affairs New York Harbor Healthcare System-Brooklyn Campus Brooklyn New York United States 11209
    722 Maimonides Medical Center Brooklyn New York United States 11219
    723 Coney Island Hospital Brooklyn New York United States 11235
    724 Veterans Affairs Western New York Health Care System-Buffalo Buffalo New York United States 14215
    725 New York Oncology Hematology PC - Clifton Park Clifton Park New York United States 12065
    726 Finger Lakes Hematology and Oncology Clifton Springs New York United States 14432
    727 Mary Imogene Bassett Hospital Cooperstown New York United States 13326
    728 Hematology Oncology Associates of Central New York-East Syracuse East Syracuse New York United States 13057
    729 Arnot Ogden Medical Center/Falck Cancer Center Elmira New York United States 14905
    730 Adirondack Cancer Center Glens Falls New York United States 12801
    731 Glens Falls Hospital Glens Falls New York United States 12801
    732 New York Oncology Hematology PC-Hudson Hudson New York United States 12534
    733 Northwell Health NCORP Lake Success New York United States 11042
    734 Northwell Health/Center for Advanced Medicine Lake Success New York United States 11042
    735 North Shore University Hospital Manhasset New York United States 11030
    736 Garnet Health Medical Center Middletown New York United States 10940
    737 NYU Winthrop Hospital Mineola New York United States 11501
    738 Mount Kisco Medical Group Mount Kisco New York United States 10549
    739 Northern Westchester Hospital Mount Kisco New York United States 10549
    740 Long Island Jewish Medical Center New Hyde Park New York United States 11040
    741 Mount Sinai Union Square New York New York United States 10003
    742 Laura and Isaac Perlmutter Cancer Center at NYU Langone New York New York United States 10016
    743 Mount Sinai West New York New York United States 10019
    744 NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center New York New York United States 10032
    745 NYP/Weill Cornell Medical Center New York New York United States 10065
    746 Nyack Hospital Nyack New York United States 10960
    747 Hudson Valley Hematology Oncology Associates Poughkeepsie New York United States 12601
    748 MidHudson Regional Hospital of Westchester Medical Center Poughkeepsie New York United States 12601
    749 The Dyson Center for Cancer Care Poughkeepsie New York United States 12601
    750 Vassar Brothers Medical Center Poughkeepsie New York United States 12601
    751 Highland Hospital Rochester New York United States 14620
    752 Interlakes Foundation Inc-Rochester Rochester New York United States 14623
    753 University of Rochester Rochester New York United States 14642
    754 Staten Island University Hospital Staten Island New York United States 10305
    755 Stony Brook University Medical Center Stony Brook New York United States 11794
    756 State University of New York Upstate Medical University Syracuse New York United States 13210
    757 Syracuse Veterans Administration Medical Center Syracuse New York United States 13210
    758 New York Oncology Hematology PC - Troy Troy New York United States 12180
    759 Faxton-Saint Luke's Healthcare Utica New York United States 13502
    760 Dickstein Cancer Treatment Center White Plains New York United States 10601
    761 Randolph Hospital Asheboro North Carolina United States 27203
    762 Mission Hospital Asheville North Carolina United States 28801
    763 Cone Health Cancer Center at Alamance Regional Burlington North Carolina United States 27215
    764 Waverly Hematology Oncology Cary North Carolina United States 27518
    765 UNC Lineberger Comprehensive Cancer Center Chapel Hill North Carolina United States 27599
    766 Carolinas Medical Center/Levine Cancer Institute Charlotte North Carolina United States 28203
    767 Novant Health Presbyterian Medical Center Charlotte North Carolina United States 28204
    768 Atrium Health Cabarrus/LCI-Concord Concord North Carolina United States 28025
    769 Durham VA Medical Center Durham North Carolina United States 27705
    770 Southeastern Medical Oncology Center-Goldsboro Goldsboro North Carolina United States 27534
    771 Wayne Memorial Hospital Goldsboro North Carolina United States 27534
    772 Cone Health Cancer Center Greensboro North Carolina United States 27403
    773 Margaret R Pardee Memorial Hospital Hendersonville North Carolina United States 28791
    774 AdventHealth Hendersonville Hendersonville North Carolina United States 28792
    775 Vidant Oncology-Kinston Kinston North Carolina United States 28501
    776 Atrium Health Union/LCI-Union Monroe North Carolina United States 28112
    777 FirstHealth of the Carolinas-Moore Regional Hospital Pinehurst North Carolina United States 28374
    778 UNC Rex Cancer Center Raleigh North Carolina United States 27607
    779 Annie Penn Memorial Hospital Reidsville North Carolina United States 27320
    780 Rutherford Hospital Rutherfordton North Carolina United States 28139
    781 Atrium Health Cleveland/LCI-Cleveland Shelby North Carolina United States 28150
    782 Iredell Memorial Hospital Statesville North Carolina United States 28677
    783 Marion L Shepard Cancer Center at Vidant Beaufort Hospital Washington North Carolina United States 27889
    784 Novant Health Forsyth Medical Center Winston-Salem North Carolina United States 27103
    785 Southeast Clinical Oncology Research Consortium NCORP Winston-Salem North Carolina United States 27104
    786 Mid Dakota Clinic Bismarck North Dakota United States 58501
    787 Saint Alexius Medical Center Bismarck North Dakota United States 58501
    788 Sanford Bismarck Medical Center Bismarck North Dakota United States 58501
    789 Veterans Administration Medical Center Fargo North Dakota United States 58102
    790 Sanford Broadway Medical Center Fargo North Dakota United States 58122
    791 Sanford Clinic North-Fargo Fargo North Dakota United States 58122
    792 Sanford Roger Maris Cancer Center Fargo North Dakota United States 58122
    793 Altru Cancer Center Grand Forks North Dakota United States 58201
    794 Summa Health System - Akron Campus Akron Ohio United States 44304
    795 Cleveland Clinic Akron General Akron Ohio United States 44307
    796 Summa Health System - Barberton Campus Barberton Ohio United States 44203
    797 Cleveland Clinic Cancer Center Beachwood Beachwood Ohio United States 44122
    798 UHHS-Chagrin Highlands Medical Center Beachwood Ohio United States 44122
    799 Mary Rutan Hospital Bellefontaine Ohio United States 43311
    800 Toledo Clinic Cancer Centers-Bowling Green Bowling Green Ohio United States 43402
    801 Cleveland Clinic Mercy Hospital Canton Ohio United States 44708
    802 Aultman Health Foundation Canton Ohio United States 44710
    803 Geauga Hospital Chardon Ohio United States 44024
    804 Adena Regional Medical Center Chillicothe Ohio United States 45601
    805 The Christ Hospital Cincinnati Ohio United States 45219
    806 University of Cincinnati Cancer Center-UC Medical Center Cincinnati Ohio United States 45219
    807 Case Western Reserve University Cleveland Ohio United States 44106
    808 MetroHealth Medical Center Cleveland Ohio United States 44109
    809 Cleveland Clinic Cancer Center/Fairview Hospital Cleveland Ohio United States 44111
    810 Cleveland Clinic Foundation Cleveland Ohio United States 44195
    811 North Coast Cancer Care-Clyde Clyde Ohio United States 43410
    812 Ohio State University Comprehensive Cancer Center Columbus Ohio United States 43210
    813 Mount Carmel East Hospital Columbus Ohio United States 43213
    814 Riverside Methodist Hospital Columbus Ohio United States 43214
    815 Columbus NCI Community Oncology Research Program Columbus Ohio United States 43215
    816 Grant Medical Center Columbus Ohio United States 43215
    817 The Mark H Zangmeister Center Columbus Ohio United States 43219
    818 Mount Carmel Health Center West Columbus Ohio United States 43222
    819 Doctors Hospital Columbus Ohio United States 43228
    820 Grandview Hospital Dayton Ohio United States 45405
    821 Good Samaritan Hospital - Dayton Dayton Ohio United States 45406
    822 Miami Valley Hospital Dayton Ohio United States 45409
    823 Miami Valley Hospital North Dayton Ohio United States 45415
    824 Dayton Veterans Affairs Medical Center Dayton Ohio United States 45428
    825 Dayton NCI Community Oncology Research Program Dayton Ohio United States 45459
    826 Grady Memorial Hospital Delaware Ohio United States 43015
    827 Hematology Oncology Center Incorporated Elyria Ohio United States 44035
    828 Mercy Cancer Center-Elyria Elyria Ohio United States 44035
    829 Blanchard Valley Hospital Findlay Ohio United States 45840
    830 Atrium Medical Center-Middletown Regional Hospital Franklin Ohio United States 45005-1066
    831 Fremont Memorial Hospital Fremont Ohio United States 43420
    832 Wayne Hospital Greenville Ohio United States 45331
    833 Cleveland Clinic Cancer Center Independence Independence Ohio United States 44131
    834 Kettering Medical Center Kettering Ohio United States 45429
    835 Fairfield Medical Center Lancaster Ohio United States 43130
    836 Saint Rita's Medical Center Lima Ohio United States 45801
    837 Lima Memorial Hospital Lima Ohio United States 45804
    838 OhioHealth Mansfield Hospital Mansfield Ohio United States 44903
    839 Marietta Memorial Hospital Marietta Ohio United States 45750
    840 Saint Luke's Hospital Maumee Ohio United States 43537
    841 Toledo Clinic Cancer Centers-Maumee Maumee Ohio United States 43537
    842 Toledo Radiation Oncology at Northwest Ohio Onocolgy Center Maumee Ohio United States 43537
    843 Hillcrest Hospital Cancer Center Mayfield Heights Ohio United States 44124
    844 UH Seidman Cancer Center at Lake Health Mentor Campus Mentor Ohio United States 44060
    845 UH Seidman Cancer Center at Southwest General Hospital Middleburg Heights Ohio United States 44130
    846 Knox Community Hospital Mount Vernon Ohio United States 43050
    847 Licking Memorial Hospital Newark Ohio United States 43055
    848 Fisher-Titus Medical Center Norwalk Ohio United States 44857
    849 Saint Charles Hospital Oregon Ohio United States 43616
    850 Toledo Clinic Cancer Centers-Oregon Oregon Ohio United States 43616
    851 University Hospitals Parma Medical Center Parma Ohio United States 44129
    852 Southern Ohio Medical Center Portsmouth Ohio United States 45662
    853 Firelands Regional Medical Center Sandusky Ohio United States 44870
    854 North Coast Cancer Care Sandusky Ohio United States 44870
    855 UH Seidman Cancer Center at Firelands Regional Medical Center Sandusky Ohio United States 44870
    856 Springfield Regional Medical Center Springfield Ohio United States 45505
    857 Trinity's Tony Teramana Cancer Center Steubenville Ohio United States 43952
    858 Cleveland Clinic Cancer Center Strongsville Strongsville Ohio United States 44136
    859 ProMedica Flower Hospital Sylvania Ohio United States 43560
    860 Mercy Hospital of Tiffin Tiffin Ohio United States 44883
    861 ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital Toledo Ohio United States 43606
    862 Saint Vincent Mercy Medical Center Toledo Ohio United States 43608
    863 University of Toledo Toledo Ohio United States 43614
    864 Toledo Community Hospital Oncology Program CCOP Toledo Ohio United States 43617
    865 Mercy Health - Saint Anne Hospital Toledo Ohio United States 43623
    866 Toledo Clinic Cancer Centers-Toledo Toledo Ohio United States 43623
    867 Upper Valley Medical Center Troy Ohio United States 45373
    868 Fulton County Health Center Wauseon Ohio United States 43567
    869 Saint Ann's Hospital Westerville Ohio United States 43081
    870 UHHS-Westlake Medical Center Westlake Ohio United States 44145
    871 Clinton Memorial Hospital Wilmington Ohio United States 45177
    872 Cleveland Clinic Wooster Family Health and Surgery Center Wooster Ohio United States 44691
    873 Wright-Patterson Medical Center Wright-Patterson Air Force Base Ohio United States 45433
    874 Greene Memorial Hospital Xenia Ohio United States 45385
    875 Forum Health Cancer Care Center Youngstown Ohio United States 44501
    876 Genesis Healthcare System Cancer Care Center Zanesville Ohio United States 43701
    877 Cancer Centers of Southwest Oklahoma Research Lawton Oklahoma United States 73505
    878 Cancer Care Associates-Norman Norman Oklahoma United States 73071
    879 University of Oklahoma Health Sciences Center Oklahoma City Oklahoma United States 73104
    880 Cancer Care Associates Oklahoma City Oklahoma United States 73120
    881 Mercy Hospital Oklahoma City Oklahoma City Oklahoma United States 73120
    882 Mercy Physicians of Oklahoma-Lakeside Oklahoma City Oklahoma United States 73120
    883 Natalie Warren Bryant Cancer Center at Saint Francis Tulsa Oklahoma United States 74136
    884 Saint Charles Health System Bend Oregon United States 97701
    885 Clackamas Radiation Oncology Center Clackamas Oregon United States 97015
    886 Bay Area Hospital Coos Bay Oregon United States 97420
    887 Three Rivers Community Hospital Grants Pass Oregon United States 97527
    888 Legacy Mount Hood Medical Center Gresham Oregon United States 97030
    889 Sky Lakes Medical Center - Cancer Treatment Center Klamath Falls Oregon United States 97601
    890 Asante Health System Medford Oregon United States 97504
    891 Providence Medford Medical Center Medford Oregon United States 97504
    892 Rogue Valley Medical Center Medford Oregon United States 97504
    893 Providence Milwaukie Hospital Milwaukie Oregon United States 97222
    894 Providence Newberg Medical Center Newberg Oregon United States 97132
    895 Providence Willamette Falls Medical Center Oregon City Oregon United States 97045
    896 Legacy Good Samaritan Hospital and Medical Center Portland Oregon United States 97210
    897 Providence Portland Medical Center Portland Oregon United States 97213
    898 Adventist Medical Center Portland Oregon United States 97216
    899 Providence Saint Vincent Medical Center Portland Oregon United States 97225
    900 Compass Oncology Rose Quarter Portland Oregon United States 97227
    901 Kaiser Permanente Northwest Portland Oregon United States 97227
    902 Legacy Emanuel Hospital and Health Center Portland Oregon United States 97227
    903 Oregon Health and Science University Portland Oregon United States 97239
    904 Salem Hospital Salem Oregon United States 97301
    905 Mid-Columbia Medical Center/Celilo Cancer Center The Dalles Oregon United States 97058
    906 Legacy Meridian Park Hospital Tualatin Oregon United States 97062
    907 Jefferson Abington Hospital Abington Pennsylvania United States 19001
    908 Lehigh Valley Hospital-Cedar Crest Allentown Pennsylvania United States 18103
    909 Saint Luke's University Hospital-Bethlehem Campus Bethlehem Pennsylvania United States 18015
    910 Lehigh Valley Hospital - Muhlenberg Bethlehem Pennsylvania United States 18017
    911 Bryn Mawr Hospital Bryn Mawr Pennsylvania United States 19010
    912 Butler Memorial Hospital Butler Pennsylvania United States 16001
    913 Geisinger Medical Center Danville Pennsylvania United States 17822
    914 Mercy Fitzgerald Hospital Darby Pennsylvania United States 19023-1291
    915 Doylestown Hospital Doylestown Pennsylvania United States 18901
    916 Delaware County Memorial Hospital Drexel Hill Pennsylvania United States 19026
    917 Oncology Hematology Associates of Northern Pennsylvania DuBois Pennsylvania United States 15801
    918 Pocono Medical Center East Stroudsburg Pennsylvania United States 18301
    919 Easton Hospital Easton Pennsylvania United States 18042
    920 Ephrata Cancer Center Ephrata Pennsylvania United States 17522
    921 UPMC Hillman Cancer Center Erie Erie Pennsylvania United States 16505
    922 UPMC Hamot Erie Pennsylvania United States 16550
    923 Adams Cancer Center Gettysburg Pennsylvania United States 17325
    924 Cherry Tree Cancer Center Hanover Pennsylvania United States 17331
    925 UPMC Pinnacle Cancer Center/Community Osteopathic Campus Harrisburg Pennsylvania United States 17109
    926 Geisinger Medical Center-Cancer Center Hazleton Hazleton Pennsylvania United States 18201
    927 Penn State Milton S Hershey Medical Center Hershey Pennsylvania United States 17033-0850
    928 Lancaster General Hospital Lancaster Pennsylvania United States 17602
    929 Saint Mary Medical and Regional Cancer Center Langhorne Pennsylvania United States 19047
    930 Central PA Hematology-Medical Oncology Associates PC Lemoyne Pennsylvania United States 17043
    931 Lewistown Hospital Lewistown Pennsylvania United States 17044
    932 Holy Redeemer Hospital and Medical Center Meadowbrook Pennsylvania United States 19046
    933 Riddle Memorial Hospital Media Pennsylvania United States 19063
    934 Forbes Hospital Monroeville Pennsylvania United States 15146
    935 Allegheny Valley Hospital Natrona Heights Pennsylvania United States 15065
    936 Paoli Memorial Hospital Paoli Pennsylvania United States 19301
    937 University of Pennsylvania/Abramson Cancer Center Philadelphia Pennsylvania United States 19104
    938 Pennsylvania Hospital Philadelphia Pennsylvania United States 19107
    939 Thomas Jefferson University Hospital Philadelphia Pennsylvania United States 19107
    940 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
    941 Jefferson Torresdale Hospital Philadelphia Pennsylvania United States 19114
    942 Chestnut Hill Health System Philadelphia Pennsylvania United States 19118
    943 Einstein Medical Center Philadelphia Philadelphia Pennsylvania United States 19141
    944 Mercy Hospital of Philadelphia Philadelphia Pennsylvania United States 19143
    945 Allegheny General Hospital Pittsburgh Pennsylvania United States 15212
    946 University of Pittsburgh Cancer Institute (UPCI) Pittsburgh Pennsylvania United States 15232
    947 VA Pittsburgh Healthcare System Pittsburgh Pennsylvania United States 15240
    948 Pottstown Hospital Pottstown Pennsylvania United States 19464
    949 Penn State Health Saint Joseph Medical Center Reading Pennsylvania United States 19605
    950 Guthrie Medical Group PC-Robert Packer Hospital Sayre Pennsylvania United States 18840
    951 Mercy Hospital Scranton Pennsylvania United States 18501
    952 Hematology and Oncology Associates of North East Pennsylvania Scranton Pennsylvania United States 18508
    953 Scranton Hematology Oncology Scranton Pennsylvania United States 18510
    954 Grand View Hospital Sellersville Pennsylvania United States 18960
    955 Geisinger Medical Group State College Pennsylvania United States 16801
    956 Mount Nittany Medical Center State College Pennsylvania United States 16803
    957 Associates In Hematology Oncology PC-Upland Upland Pennsylvania United States 19013
    958 Reading Hospital West Reading Pennsylvania United States 19611
    959 Geisinger Wyoming Valley/Henry Cancer Center Wilkes-Barre Pennsylvania United States 18711
    960 Geisinger South Wilkes-Barre Wilkes-Barre Pennsylvania United States 18765
    961 UPMC Susquehanna Williamsport Pennsylvania United States 17701
    962 Lankenau Medical Center Wynnewood Pennsylvania United States 19096
    963 Main Line Health NCORP Wynnewood Pennsylvania United States 19096
    964 WellSpan Health-York Hospital York Pennsylvania United States 17403
    965 Hematology and Oncology Associates of Rhode Island Inc Cranston Rhode Island United States 02920
    966 Memorial Hospital of Rhode Island Pawtucket Rhode Island United States 02860
    967 Rhode Island Hospital Providence Rhode Island United States 02903
    968 Miriam Hospital Providence Rhode Island United States 02906
    969 Kent Hospital Warwick Rhode Island United States 02886
    970 AnMed Health Cancer Center Anderson South Carolina United States 29621
    971 AnMed Health Hospital Anderson South Carolina United States 29621
    972 Prisma Health Cancer Institute - Spartanburg Boiling Springs South Carolina United States 29316
    973 Roper Hospital Charleston South Carolina United States 29401
    974 Medical University of South Carolina Charleston South Carolina United States 29425
    975 Prisma Health Cancer Institute - Easley Easley South Carolina United States 29640
    976 McLeod Regional Medical Center Florence South Carolina United States 29506
    977 Greenville Health System Cancer Institute-Andrews Greenville South Carolina United States 29601
    978 Saint Francis Hospital Greenville South Carolina United States 29601
    979 Prisma Health Cancer Institute - Butternut Greenville South Carolina United States 29605
    980 Prisma Health Cancer Institute - Faris Greenville South Carolina United States 29605
    981 Prisma Health Greenville Memorial Hospital Greenville South Carolina United States 29605
    982 Prisma Health Cancer Institute - Eastside Greenville South Carolina United States 29615
    983 Self Regional Healthcare Greenwood South Carolina United States 29646
    984 Prisma Health Cancer Institute - Greer Greer South Carolina United States 29650
    985 Levine Cancer Institute-Rock Hill Rock Hill South Carolina United States 29732
    986 Prisma Health Cancer Institute - Seneca Seneca South Carolina United States 29672
    987 Spartanburg Medical Center Spartanburg South Carolina United States 29303
    988 Avera Cancer Institute-Aberdeen Aberdeen South Dakota United States 57401
    989 Rapid City Regional Hospital Rapid City South Dakota United States 57701
    990 Sanford Cancer Center Oncology Clinic Sioux Falls South Dakota United States 57104
    991 Avera Cancer Institute Sioux Falls South Dakota United States 57105
    992 Medical X-Ray Center Sioux Falls South Dakota United States 57105
    993 Avera McKennan Hospital and University Health Center Sioux Falls South Dakota United States 57117-5045
    994 Sanford USD Medical Center - Sioux Falls Sioux Falls South Dakota United States 57117-5134
    995 Wellmont Medical Associates Oncology and Hematology-Bristol Bristol Tennessee United States 37620
    996 Erlanger Medical Center Chattanooga Tennessee United States 37403
    997 Vanderbilt-Ingram Cancer Center Cool Springs Franklin Tennessee United States 37067
    998 Jones Clinic Germantown Tennessee United States 38138
    999 Jackson-Madison County General Hospital Jackson Tennessee United States 38301
    1000 Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee United States 37660
    1001 Thompson Cancer Survival Center Knoxville Tennessee United States 37916
    1002 University of Tennessee - Knoxville Knoxville Tennessee United States 37920
    1003 University of Tennessee Health Science Center Memphis Tennessee United States 38163
    1004 Nashville Oncology Associates PC Nashville Tennessee United States 37203
    1005 Meharry Medical College Nashville Tennessee United States 37208
    1006 Vanderbilt University/Ingram Cancer Center Nashville Tennessee United States 37232
    1007 The Don and Sybil Harrington Cancer Center Amarillo Texas United States 79106
    1008 Dallas VA Medical Center Dallas Texas United States 75216
    1009 Medical City Dallas Hospital Dallas Texas United States 75230
    1010 Texas Health Presbyterian Hospital Dallas Dallas Texas United States 75231
    1011 Parkland Memorial Hospital Dallas Texas United States 75235
    1012 Baylor University Medical Center Dallas Texas United States 75246
    1013 Clements University Hospital Dallas Texas United States 75390
    1014 UT Southwestern/Simmons Cancer Center-Dallas Dallas Texas United States 75390
    1015 Brooke Army Medical Center Fort Sam Houston Texas United States 78234
    1016 Wilford Hall Medical Center Lackland Air Force Base Texas United States 78236
    1017 Texas Tech University Health Sciences Center-Lubbock Lubbock Texas United States 79430
    1018 Audie L Murphy VA Hospital San Antonio Texas United States 78229
    1019 Cancer Therapy and Research Center at The UT Health Science Center at San Antonio San Antonio Texas United States 78229
    1020 University Hospital San Antonio Texas United States 78229
    1021 University of Texas Health Science Center at San Antonio San Antonio Texas United States 78229
    1022 Scott and White Memorial Hospital Temple Texas United States 76508
    1023 Huntsman Cancer Institute/University of Utah Salt Lake City Utah United States 84112
    1024 Southwestern Vermont Medical Center Bennington Vermont United States 05201
    1025 Central Vermont Medical Center/National Life Cancer Treatment Berlin Vermont United States 05602
    1026 University of Vermont and State Agricultural College Burlington Vermont United States 05405
    1027 Sentara Martha Jefferson Hospital Charlottesville Virginia United States 22901
    1028 University of Virginia Cancer Center Charlottesville Virginia United States 22908
    1029 Danville Regional Medical Center Danville Virginia United States 24541
    1030 Fredericksburg Oncology Inc Fredericksburg Virginia United States 22401
    1031 Hematology Oncology Associates of Fredericksburg Inc Fredericksburg Virginia United States 22408
    1032 Virginia Oncology Associates-Hampton Hampton Virginia United States 23666
    1033 Centra Lynchburg Hematology-Oncology Clinic Inc Lynchburg Virginia United States 24501
    1034 Sovah Health Martinsville Martinsville Virginia United States 24115
    1035 Southwest VA Regional Cancer Center Norton Virginia United States 24273
    1036 Hunter Holmes McGuire Veterans Administration Medical Center Richmond Virginia United States 23249
    1037 Virginia Commonwealth University/Massey Cancer Center Richmond Virginia United States 23298
    1038 Cancer Care Center at Island Hospital Anacortes Washington United States 98221
    1039 MultiCare Auburn Medical Center Auburn Washington United States 98001
    1040 Overlake Medical Center Bellevue Washington United States 98004
    1041 PeaceHealth Saint Joseph Medical Center Bellingham Washington United States 98225
    1042 Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington United States 98310
    1043 Highline Medical Center-Main Campus Burien Washington United States 98166
    1044 Providence Regional Cancer System-Centralia Centralia Washington United States 98531
    1045 Swedish Cancer Institute-Edmonds Edmonds Washington United States 98026
    1046 Providence Regional Cancer Partnership Everett Washington United States 98201
    1047 Saint Francis Hospital Federal Way Washington United States 98003
    1048 Swedish Cancer Institute-Issaquah Issaquah Washington United States 98029
    1049 Kadlec Clinic Hematology and Oncology Kennewick Washington United States 99336
    1050 EvergreenHealth Medical Center Kirkland Washington United States 98033
    1051 Seattle Cancer Care Alliance at EvergreenHealth Kirkland Washington United States 98034
    1052 Providence Regional Cancer System-Lacey Lacey Washington United States 98503
    1053 Saint Clare Hospital Lakewood Washington United States 98499
    1054 Skagit Valley Hospital Mount Vernon Washington United States 98274
    1055 Providence - Saint Peter Hospital Olympia Washington United States 98506-5166
    1056 Olympic Medical Center Port Angeles Washington United States 98362
    1057 Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington United States 98370
    1058 MultiCare Good Samaritan Hospital Puyallup Washington United States 98372
    1059 Valley Medical Center Renton Washington United States 98055
    1060 Virginia Mason Medical Center Seattle Washington United States 98101
    1061 Harborview Medical Center Seattle Washington United States 98104
    1062 Minor and James Medical PLLC Seattle Washington United States 98104
    1063 Pacific Medical Center-First Hill Seattle Washington United States 98104
    1064 Fred Hutchinson Cancer Research Center Seattle Washington United States 98109
    1065 Kaiser Permanente Washington Seattle Washington United States 98112
    1066 Swedish Medical Center-First Hill Seattle Washington United States 98122-4307
    1067 Pacific Cancer Research Consortium NCORP Seattle Washington United States 98122
    1068 University of Washington Medical Center - Montlake Seattle Washington United States 98195
    1069 PeaceHealth United General Medical Center Sedro-Woolley Washington United States 98284
    1070 Cancer Care Northwest - Spokane South Spokane Washington United States 99202
    1071 Evergreen Hematology and Oncology PS Spokane Washington United States 99218
    1072 Rockwood Clinic Spokane Washington United States 99220
    1073 MultiCare Allenmore Hospital Tacoma Washington United States 98405
    1074 MultiCare Tacoma General Hospital Tacoma Washington United States 98405
    1075 Northwest NCI Community Oncology Research Program Tacoma Washington United States 98405
    1076 Saint Joseph Medical Center Tacoma Washington United States 98405
    1077 Madigan Army Medical Center Tacoma Washington United States 98431
    1078 PeaceHealth Southwest Medical Center Vancouver Washington United States 98664
    1079 Compass Oncology Vancouver Vancouver Washington United States 98684
    1080 Legacy Salmon Creek Hospital Vancouver Washington United States 98686
    1081 Wenatchee Valley Hospital and Clinics Wenatchee Washington United States 98801
    1082 West Virginia University Charleston Division Charleston West Virginia United States 25304
    1083 Edwards Comprehensive Cancer Center Huntington West Virginia United States 25701
    1084 Saint Mary's Medical Center Huntington West Virginia United States 25702
    1085 West Virginia University Healthcare Morgantown West Virginia United States 26506
    1086 Wheeling Hospital/Schiffler Cancer Center Wheeling West Virginia United States 26003
    1087 ThedaCare Regional Cancer Center Appleton Wisconsin United States 54911
    1088 Aurora Cancer Care-Southern Lakes VLCC Burlington Wisconsin United States 53105
    1089 Marshfield Clinic-Chippewa Center Chippewa Falls Wisconsin United States 54729
    1090 HSHS Sacred Heart Hospital Eau Claire Wisconsin United States 54701
    1091 Marshfield Clinic Cancer Center at Sacred Heart Eau Claire Wisconsin United States 54701
    1092 Mayo Clinic Health System-Eau Claire Clinic Eau Claire Wisconsin United States 54701
    1093 Mayo Clinic Health System Eau Claire Hospital-Luther Campus Eau Claire Wisconsin United States 54703
    1094 Saint Agnes Hospital/Agnesian Cancer Center Fond Du Lac Wisconsin United States 54935
    1095 Aurora Cancer Care-Franklin Franklin Wisconsin United States 53132
    1096 Aurora Health Care Germantown Health Center Germantown Wisconsin United States 53022
    1097 Aurora Cancer Care-Glendale Glendale Wisconsin United States 53212
    1098 Green Bay Oncology at Saint Vincent Hospital Green Bay Wisconsin United States 54301-3526
    1099 Bellin Memorial Hospital Green Bay Wisconsin United States 54301
    1100 Saint Vincent Hospital Cancer Center Green Bay Green Bay Wisconsin United States 54301
    1101 Green Bay Oncology Limited at Saint Mary's Hospital Green Bay Wisconsin United States 54303
    1102 Saint Vincent Hospital Cancer Center at Saint Mary's Green Bay Wisconsin United States 54303
    1103 Aurora BayCare Medical Center Green Bay Wisconsin United States 54311
    1104 Mercyhealth Hospital and Cancer Center - Janesville Janesville Wisconsin United States 53548
    1105 UW Cancer Center Johnson Creek Johnson Creek Wisconsin United States 53038
    1106 Aurora Cancer Care-Kenosha South Kenosha Wisconsin United States 53142
    1107 Gundersen Lutheran Medical Center La Crosse Wisconsin United States 54601
    1108 Mayo Clinic Health System-Franciscan Healthcare La Crosse Wisconsin United States 54601
    1109 Dean Hematology and Oncology Clinic Madison Wisconsin United States 53717
    1110 University of Wisconsin Carbone Cancer Center Madison Wisconsin United States 53792
    1111 Holy Family Memorial Hospital Manitowoc Wisconsin United States 54221
    1112 Aurora Bay Area Medical Group-Marinette Marinette Wisconsin United States 54143
    1113 Bay Area Medical Center Marinette Wisconsin United States 54143
    1114 Marshfield Medical Center-Marshfield Marshfield Wisconsin United States 54449
    1115 Marshfield Medical Center Marshfield Wisconsin United States 54449
    1116 Ascension Columbia Saint Mary's Hospital Ozaukee Mequon Wisconsin United States 53097
    1117 Ascension Southeast Wisconsin Hospital - Saint Joseph Campus Milwaukee Wisconsin United States 53210
    1118 Ascension Columbia Saint Mary's Hospital - Milwaukee Milwaukee Wisconsin United States 53211
    1119 Aurora Saint Luke's Medical Center Milwaukee Wisconsin United States 53215
    1120 Medical College of Wisconsin Milwaukee Wisconsin United States 53226
    1121 Aurora Sinai Medical Center Milwaukee Wisconsin United States 53233
    1122 Marshfield Clinic-Minocqua Center Minocqua Wisconsin United States 54548
    1123 Cancer Center of Western Wisconsin New Richmond Wisconsin United States 54017
    1124 Saint Vincent Hospital Cancer Center at Oconto Falls Oconto Falls Wisconsin United States 54154
    1125 Vince Lombardi Cancer Clinic - Oshkosh Oshkosh Wisconsin United States 54904
    1126 Ascension All Saints Hospital Racine Wisconsin United States 53405
    1127 Aurora Cancer Care-Racine Racine Wisconsin United States 53406
    1128 Ascension Saint Mary's Hospital Rhinelander Wisconsin United States 54501
    1129 Marshfield Medical Center-Rice Lake Rice Lake Wisconsin United States 54868
    1130 HSHS Saint Nicholas Hospital Sheboygan Wisconsin United States 53081
    1131 Vince Lombardi Cancer Clinic-Sheboygan Sheboygan Wisconsin United States 53081
    1132 Ascension Saint Michael's Hospital Stevens Point Wisconsin United States 54481
    1133 Green Bay Oncology - Sturgeon Bay Sturgeon Bay Wisconsin United States 54235
    1134 Aurora Medical Center in Summit Summit Wisconsin United States 53066
    1135 Vince Lombardi Cancer Clinic-Two Rivers Two Rivers Wisconsin United States 54241
    1136 Aurora Cancer Care-Waukesha Waukesha Wisconsin United States 53188
    1137 Aspirus Regional Cancer Center Wausau Wisconsin United States 54401
    1138 Marshfield Clinic-Wausau Center Wausau Wisconsin United States 54401
    1139 Aurora Cancer Care-Milwaukee West Wauwatosa Wisconsin United States 53226
    1140 Diagnostic and Treatment Center Weston Wisconsin United States 54476
    1141 Marshfield Medical Center - Weston Weston Wisconsin United States 54476
    1142 Aspirus Cancer Care - Wisconsin Rapids Wisconsin Rapids Wisconsin United States 54494
    1143 Marshfield Clinic - Wisconsin Rapids Center Wisconsin Rapids Wisconsin United States 54494
    1144 Rocky Mountain Oncology Casper Wyoming United States 82609
    1145 Welch Cancer Center Sheridan Wyoming United States 82801
    1146 Cross Cancer Institute Edmonton Alberta Canada T6G 1Z2
    1147 BCCA-Vancouver Cancer Centre Vancouver British Columbia Canada V5Z 4E6
    1148 CancerCare Manitoba Winnipeg Manitoba Canada R3E 0V9
    1149 The Moncton Hospital Moncton New Brunswick Canada E1C 6Z8
    1150 QEII Health Sciences Centre/Nova Scotia Health Authority Halifax Nova Scotia Canada B3H 2Y9
    1151 Royal Victoria Regional Health Centre Barrie Ontario Canada L4M 6M2
    1152 London Regional Cancer Program London Ontario Canada N6A 4L6
    1153 Trillium Health Partners - Mississauga Hospital Mississauga Ontario Canada L5B 1B8
    1154 Ottawa Hospital and Cancer Center-General Campus Ottawa Ontario Canada K1H 8L6
    1155 Algoma District Cancer Program Sault Area Hospital Sault Ste Marie Ontario Canada P6B 0A8
    1156 Health Sciences North Sudbury Ontario Canada P3E 5J1
    1157 Thunder Bay Regional Health Science Centre Thunder Bay Ontario Canada P7B 6V4
    1158 University Health Network-Princess Margaret Hospital Toronto Ontario Canada M5G 2M9
    1159 Trillium Health Partners - Queensway Health Centre Toronto Ontario Canada M9C 1A5
    1160 CSSS Champlain-Charles Le Moyne Greenfield Park Quebec Canada J4V 2H1
    1161 McGill University Department of Oncology Montreal Quebec Canada H2W 1S6
    1162 Allan Blair Cancer Centre Regina Saskatchewan Canada S4T 7T1
    1163 Saskatoon Cancer Centre Saskatoon Saskatchewan Canada S7N 4H4
    1164 Tallaght University Hospital Dublin Co Dublin Ireland 24
    1165 Saint Vincent's University Hospital Dublin Co Dublin Ireland 4
    1166 Mater Misericordiae University Hospital Dublin Co Dublin Ireland 7
    1167 Mater Private Hospital Dublin Co Dublin Ireland 7
    1168 Beaumont Hospital Dublin Co Dublin Ireland 9
    1169 University College Hospital Galway Galway Co Galway Ireland
    1170 Mid-Western Regional Hospital Limerick Co Limerick Ireland 9
    1171 University Hospital Waterford Waterford Co Waterford Ireland 9
    1172 Cork University Hospital Cork Ireland
    1173 Saint James Hospital Dublin Ireland 8
    1174 Instituto Nacional de Enfermedades Neoplasicas Lima Peru Lima 34
    1175 University Of Pretoria Pretoria South Africa 0002

    Sponsors and Collaborators

    • National Cancer Institute (NCI)
    • Cancer and Leukemia Group B
    • NCIC Clinical Trials Group
    • North Central Cancer Treatment Group
    • Southwest Oncology Group

    Investigators

    • Principal Investigator: Heather A Wakelee, ECOG-ACRIN Cancer Research Group

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00324805
    Other Study ID Numbers:
    • NCI-2009-00509
    • NCI-2009-00509
    • 09-0404
    • E1505
    • CDR0000475774
    • ECOG-E1505
    • E1505
    • E1505
    • U10CA180820
    • U10CA021115
    First Posted:
    May 11, 2006
    Last Update Posted:
    Aug 8, 2022
    Last Verified:
    Mar 1, 2022

    Study Results

    Participant Flow

    Recruitment Details Patients were recruited between June 1, 2007 and September 20, 2013 from ECOG-ACRIN, SWOG, RTOG, CALGB, NCCTG, NCIC-CTG, NSABP, ACOSOG, and CTSU sites.
    Pre-assignment Detail
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 intravenously (IV) on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    Period Title: Overall Study
    STARTED 749 752
    Started Assigned Therapy 737 735
    COMPLETED 599 269
    NOT COMPLETED 150 483

    Baseline Characteristics

    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab) Total
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Total of all reporting groups
    Overall Participants 749 752 1501
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    60.7
    (9.0)
    60.8
    (8.7)
    60.8
    (8.8)
    Sex: Female, Male (Count of Participants)
    Female
    374
    49.9%
    381
    50.7%
    755
    50.3%
    Male
    375
    50.1%
    371
    49.3%
    746
    49.7%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    19
    2.5%
    29
    3.9%
    48
    3.2%
    Not Hispanic or Latino
    680
    90.8%
    688
    91.5%
    1368
    91.1%
    Unknown or Not Reported
    50
    6.7%
    35
    4.7%
    85
    5.7%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    1
    0.1%
    5
    0.7%
    6
    0.4%
    Asian
    22
    2.9%
    16
    2.1%
    38
    2.5%
    Native Hawaiian or Other Pacific Islander
    3
    0.4%
    2
    0.3%
    5
    0.3%
    Black or African American
    74
    9.9%
    57
    7.6%
    131
    8.7%
    White
    642
    85.7%
    660
    87.8%
    1302
    86.7%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    7
    0.9%
    12
    1.6%
    19
    1.3%
    Chemotherapy (Count of Participants)
    Cisplatin/Vinorelbine
    187
    25%
    190
    25.3%
    377
    25.1%
    Cisplatin/Docetaxel
    172
    23%
    171
    22.7%
    343
    22.9%
    Cisplatin/Gemcitabine
    142
    19%
    141
    18.8%
    283
    18.9%
    Cisplatin/Pemetrexed
    248
    33.1%
    249
    33.1%
    497
    33.1%
    Unknown/Missing
    0
    0%
    1
    0.1%
    1
    0.1%
    Histology (Count of Participants)
    Squamous
    216
    28.8%
    206
    27.4%
    422
    28.1%
    Adenocarcinoma
    424
    56.6%
    450
    59.8%
    874
    58.2%
    Large cell
    22
    2.9%
    16
    2.1%
    38
    2.5%
    Bronchioloalveolar carcinoma (BAC)
    8
    1.1%
    5
    0.7%
    13
    0.9%
    Not otherwise specified (NOS)
    24
    3.2%
    16
    2.1%
    40
    2.7%
    Combined/mixed
    45
    6%
    48
    6.4%
    93
    6.2%
    Other
    10
    1.3%
    10
    1.3%
    20
    1.3%
    Unknown/missing
    0
    0%
    1
    0.1%
    1
    0.1%
    Performance Status (Count of Participants)
    Fully active
    439
    58.6%
    440
    58.5%
    879
    58.6%
    Ambulatory
    310
    41.4%
    310
    41.2%
    620
    41.3%
    Unknown/missing
    0
    0%
    2
    0.3%
    2
    0.1%
    Urine protein:creatinine (UPC) ratio (ratio) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [ratio]
    0.31
    (3.10)
    0.18
    (0.92)
    0.25
    (2.28)
    Urine protein (mg/dL) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [mg/dL]
    95.26
    (32.28)
    100.25
    (32.28)
    97.79
    (41.86)

    Outcome Measures

    1. Primary Outcome
    Title Overall Survival
    Description Overall survival (OS) was defined as the time from randomization to death from any cause, and patients who were thought to be alive at the time of final analysis were censored at the last date of contact. The study failed to meet its primary endpoint.
    Time Frame From registration to death, up to 10 years

    Outcome Measure Data

    Analysis Population Description
    All enrolled patients
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    Measure Participants 749 752
    Median (95% Confidence Interval) [months]
    NA
    85.8
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm I (Chemotherapy), Arm II (Chemotherapy, Bevacizumab)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.90
    Comments
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.99
    Confidence Interval (2-Sided) 95%
    0.82 to 1.19
    Parameter Dispersion Type:
    Value:
    Estimation Comments Arm II versus Arm I
    2. Secondary Outcome
    Title Disease-free Survival
    Description Disease-free survival (DFS) was defined as the time from randomization to an event. Events include disease recurrence, new primary of lung cancer, second primaries or death, whichever occurred first; however, it should be noted that patients with new primaries at other non-lung sites should have continued followup for recurrence of the original cancer. Patients that have not had an event reported at analysis were censored at their last date of disease assessment.
    Time Frame From registration to death, up to 10 years

    Outcome Measure Data

    Analysis Population Description
    All enrolled patients
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    Measure Participants 749 752
    Median (95% Confidence Interval) [months]
    42.9
    40.6
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Arm I (Chemotherapy), Arm II (Chemotherapy, Bevacizumab)
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.95
    Comments
    Method Regression, Cox
    Comments
    Method of Estimation Estimation Parameter Hazard Ratio (HR)
    Estimated Value 0.99
    Confidence Interval (2-Sided) 95%
    0.86 to 1.15
    Parameter Dispersion Type:
    Value:
    Estimation Comments Arm II vs. Arm I
    3. Other Pre-specified Outcome
    Title Toxicity Rates as Assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0
    Description If the difference in the rate of a particular category of toxicities between the 2 arms (N=750 per arm) is at least 5% (4% vs. 9%), 96% power can be attained assuming a significance level of 5% (two-sided Chi Square test) and that the lower toxicity rate for one arm is 4%. A difference in the rates of grade 3-5 arterial thromboembolic events and bleeding events will be monitored and assessed between the treatment arms.
    Time Frame Up to 1 year post-treatment

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    4. Other Pre-specified Outcome
    Title Perform Analyses of Tissue and Blood to Establish Factors That Predict for Clinical Outcome in Patients Receiving Chemotherapy, With or Without Bevacizumab, for Resected Early Stage NSCLC.
    Description
    Time Frame From registration to death, up to 10 years

    Outcome Measure Data

    Analysis Population Description
    Data for these studies were not collected
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    Measure Participants 0 0
    5. Other Pre-specified Outcome
    Title To Determine Whether Smoking Status is Linked to Outcome for Patients With Resected Stage IB - IIIA NSCLC Treated With Chemotherapy With or Without Bevacizumab in the Adjuvant Setting.
    Description
    Time Frame From registration to death, up to 10 years

    Outcome Measure Data

    Analysis Population Description
    Data were not collected
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    Measure Participants 0 0

    Adverse Events

    Time Frame Assessed every 3 weeks while on treatment and for 30 days after the end of treatment
    Adverse Event Reporting Description One patient who did not start treatment submitted an adverse event report
    Arm/Group Title Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Arm/Group Description Patients receive one of the following. For all, treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. REGIMEN 1: Vinorelbine ditartrate 30 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV over 60 minutes on day 1 REGIMEN 2: Docetaxel 75 mg/m2 IV and cisplastin 75 mg/m2 IV on day 1 REGIMEN 3: Gemcitabine hydrochloride 1200 mg/m2 IV on days 1 and 8, cisplatin 75 mg/m2 IV on day 1 REGIMEN 4 (non-squamous histology only): Pemetrexed disodium 500mg/m2 IV and cisplatin 75 mg/m2 IV on day 1 Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV Patients receive chemotherapy as in Arm I. Patients also receive bevacizumab IV over 30-90 minutes on day 1. Treatment with bevacizumab repeats every 21 days for up to 1 year. Bevacizumab: Given IV Cisplatin: Given IV Docetaxel: Given IV Gemcitabine Hydrochloride: Given IV Pemetrexed Disodium: Given IV Vinorelbine: Given IV
    All Cause Mortality
    Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 424/738 (57.5%) 563/735 (76.6%)
    Blood and lymphatic system disorders
    Anemia 52/738 (7%) 40/735 (5.4%)
    Febrile neutropenia 31/738 (4.2%) 43/735 (5.9%)
    Cardiac disorders
    Acute coronary syndrome 0/738 (0%) 1/735 (0.1%)
    Atrial fibrillation 2/738 (0.3%) 2/735 (0.3%)
    Atrial flutter 0/738 (0%) 1/735 (0.1%)
    Cardiac arrest 0/738 (0%) 1/735 (0.1%)
    Chest pain - cardiac 0/738 (0%) 1/735 (0.1%)
    Heart failure 0/738 (0%) 3/735 (0.4%)
    Left ventricular systolic dysfunction 1/738 (0.1%) 1/735 (0.1%)
    Myocardial infarction 1/738 (0.1%) 7/735 (1%)
    Sinus tachycardia 0/738 (0%) 2/735 (0.3%)
    Cardiac disorders - Other, specify 1/738 (0.1%) 0/735 (0%)
    Ear and labyrinth disorders
    Hearing impaired 6/738 (0.8%) 2/735 (0.3%)
    Tinnitus 4/738 (0.5%) 4/735 (0.5%)
    Eye disorders
    Blurred vision 1/738 (0.1%) 1/735 (0.1%)
    Photophobia 0/738 (0%) 1/735 (0.1%)
    Retinal detachment 0/738 (0%) 1/735 (0.1%)
    Gastrointestinal disorders
    Abdominal distension 0/738 (0%) 2/735 (0.3%)
    Abdominal pain 5/738 (0.7%) 22/735 (3%)
    Cheilitis 1/738 (0.1%) 0/735 (0%)
    Colitis 5/738 (0.7%) 2/735 (0.3%)
    Colonic hemorrhage 0/738 (0%) 2/735 (0.3%)
    Colonic obstruction 0/738 (0%) 1/735 (0.1%)
    Colonic perforation 1/738 (0.1%) 1/735 (0.1%)
    Constipation 8/738 (1.1%) 5/735 (0.7%)
    Diarrhea 15/738 (2%) 31/735 (4.2%)
    Duodenal perforation 0/738 (0%) 1/735 (0.1%)
    Dyspepsia 1/738 (0.1%) 1/735 (0.1%)
    Dysphagia 1/738 (0.1%) 2/735 (0.3%)
    Enterocolitis 1/738 (0.1%) 1/735 (0.1%)
    Esophageal pain 1/738 (0.1%) 0/735 (0%)
    Gastric hemorrhage 0/738 (0%) 1/735 (0.1%)
    Gastritis 1/738 (0.1%) 2/735 (0.3%)
    Gastroesophageal reflux disease 1/738 (0.1%) 0/735 (0%)
    Gastrointestinal pain 1/738 (0.1%) 0/735 (0%)
    Ileus 3/738 (0.4%) 3/735 (0.4%)
    Mucositis oral 4/738 (0.5%) 12/735 (1.6%)
    Nausea 63/738 (8.5%) 74/735 (10.1%)
    Pancreatitis 1/738 (0.1%) 0/735 (0%)
    Rectal hemorrhage 0/738 (0%) 2/735 (0.3%)
    Small intestinal obstruction 1/738 (0.1%) 1/735 (0.1%)
    Stomach pain 1/738 (0.1%) 1/735 (0.1%)
    Toothache 0/738 (0%) 1/735 (0.1%)
    Vomiting 38/738 (5.1%) 47/735 (6.4%)
    Gastrointestinal disorders - Other 1/738 (0.1%) 2/735 (0.3%)
    General disorders
    Fatigue 66/738 (8.9%) 92/735 (12.5%)
    Fever 0/738 (0%) 2/735 (0.3%)
    Infusion site extravasation 0/738 (0%) 1/735 (0.1%)
    Multi-organ failure 0/738 (0%) 1/735 (0.1%)
    Non-cardiac chest pain 3/738 (0.4%) 6/735 (0.8%)
    Pain 2/738 (0.3%) 1/735 (0.1%)
    Sudden death NOS 0/738 (0%) 1/735 (0.1%)
    Hepatobiliary disorders
    Cholecystitis 0/738 (0%) 1/735 (0.1%)
    Immune system disorders
    Allergic reaction 0/738 (0%) 1/735 (0.1%)
    Anaphylaxis 7/738 (0.9%) 6/735 (0.8%)
    Autoimmune disorder 1/738 (0.1%) 0/735 (0%)
    Cytokine release syndrome 0/738 (0%) 1/735 (0.1%)
    Serum sickness 0/738 (0%) 1/735 (0.1%)
    Infections and infestations
    Anorectal infection 1/738 (0.1%) 0/735 (0%)
    Bladder infection 0/738 (0%) 1/735 (0.1%)
    Bronchial infection 3/738 (0.4%) 1/735 (0.1%)
    Catheter related infection 0/738 (0%) 3/735 (0.4%)
    Device related infection 1/738 (0.1%) 0/735 (0%)
    Enterocolitis infectious 2/738 (0.3%) 2/735 (0.3%)
    Esophageal infection 0/738 (0%) 1/735 (0.1%)
    Gum infection 2/738 (0.3%) 0/735 (0%)
    Lung infection 8/738 (1.1%) 11/735 (1.5%)
    Pleural infection 0/738 (0%) 2/735 (0.3%)
    Sepsis 4/738 (0.5%) 5/735 (0.7%)
    Skin infection 2/738 (0.3%) 1/735 (0.1%)
    Tooth infection 0/738 (0%) 1/735 (0.1%)
    Upper respiratory infection 1/738 (0.1%) 4/735 (0.5%)
    Urinary tract infection 4/738 (0.5%) 5/735 (0.7%)
    Infections and infestations - Other 10/738 (1.4%) 18/735 (2.4%)
    Injury, poisoning and procedural complications
    Vascular access complication 2/738 (0.3%) 3/735 (0.4%)
    Wound dehiscence 0/738 (0%) 4/735 (0.5%)
    Investigations
    Alanine aminotransferase increased 2/738 (0.3%) 0/735 (0%)
    Alkaline phosphatase increased 1/738 (0.1%) 0/735 (0%)
    Aspartate aminotransferase increased 2/738 (0.3%) 0/735 (0%)
    Cardiac troponin I increased 1/738 (0.1%) 0/735 (0%)
    Creatinine increased 6/738 (0.8%) 9/735 (1.2%)
    INR increased 0/738 (0%) 1/735 (0.1%)
    Lipase increased 1/738 (0.1%) 1/735 (0.1%)
    Lymphocyte count decreased 7/738 (0.9%) 11/735 (1.5%)
    Neutrophil count decreased 237/738 (32.1%) 273/735 (37.1%)
    Platelet count decreased 30/738 (4.1%) 44/735 (6%)
    Weight loss 1/738 (0.1%) 1/735 (0.1%)
    White blood cell decreased 41/738 (5.6%) 42/735 (5.7%)
    Investigations - Other, specify 1/738 (0.1%) 1/735 (0.1%)
    Metabolism and nutrition disorders
    Acidosis 0/738 (0%) 2/735 (0.3%)
    Anorexia 9/738 (1.2%) 19/735 (2.6%)
    Dehydration 40/738 (5.4%) 45/735 (6.1%)
    Hypercalcemia 1/738 (0.1%) 0/735 (0%)
    Hyperglycemia 11/738 (1.5%) 9/735 (1.2%)
    Hyperkalemia 4/738 (0.5%) 1/735 (0.1%)
    Hypoalbuminemia 1/738 (0.1%) 3/735 (0.4%)
    Hypocalcemia 3/738 (0.4%) 6/735 (0.8%)
    Hypoglycemia 0/738 (0%) 1/735 (0.1%)
    Hypokalemia 20/738 (2.7%) 13/735 (1.8%)
    Hypomagnesemia 5/738 (0.7%) 4/735 (0.5%)
    Hyponatremia 44/738 (6%) 66/735 (9%)
    Hypophosphatemia 0/738 (0%) 4/735 (0.5%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 3/738 (0.4%) 5/735 (0.7%)
    Back pain 0/738 (0%) 1/735 (0.1%)
    Bone pain 0/738 (0%) 1/735 (0.1%)
    Chest wall pain 0/738 (0%) 1/735 (0.1%)
    Generalized muscle weakness 6/738 (0.8%) 7/735 (1%)
    Muscle weakness lower limb 0/738 (0%) 1/735 (0.1%)
    Myalgia 4/738 (0.5%) 2/735 (0.3%)
    Neck pain 0/738 (0%) 1/735 (0.1%)
    Pain in extremity 1/738 (0.1%) 1/735 (0.1%)
    Nervous system disorders
    Ataxia 1/738 (0.1%) 3/735 (0.4%)
    Cognitive disturbance 1/738 (0.1%) 1/735 (0.1%)
    Dizziness 4/738 (0.5%) 12/735 (1.6%)
    Dysphasia 1/738 (0.1%) 1/735 (0.1%)
    Headache 5/738 (0.7%) 18/735 (2.4%)
    Intracranial hemorrhage 1/738 (0.1%) 1/735 (0.1%)
    Ischemia cerebrovascular 0/738 (0%) 1/735 (0.1%)
    Memory impairment 0/738 (0%) 1/735 (0.1%)
    Neuralgia 0/738 (0%) 1/735 (0.1%)
    Peripheral motor neuropathy 2/738 (0.3%) 1/735 (0.1%)
    Peripheral sensory neuropathy 5/738 (0.7%) 5/735 (0.7%)
    Reversible posterior leukoencephalopathy 0/738 (0%) 3/735 (0.4%)
    Seizure 1/738 (0.1%) 3/735 (0.4%)
    Stroke 1/738 (0.1%) 0/735 (0%)
    Syncope 8/738 (1.1%) 10/735 (1.4%)
    Nervous system disorders - Other 0/738 (0%) 5/735 (0.7%)
    Psychiatric disorders
    Anxiety 1/738 (0.1%) 0/735 (0%)
    Confusion 1/738 (0.1%) 4/735 (0.5%)
    Depression 3/738 (0.4%) 0/735 (0%)
    Insomnia 0/738 (0%) 2/735 (0.3%)
    Renal and urinary disorders
    Acute kidney injury 6/738 (0.8%) 6/735 (0.8%)
    Chronic kidney disease 1/738 (0.1%) 3/735 (0.4%)
    Hematuria 0/738 (0%) 1/735 (0.1%)
    Proteinuria 2/738 (0.3%) 17/735 (2.3%)
    Urinary retention 1/738 (0.1%) 0/735 (0%)
    Reproductive system and breast disorders
    Testicular pain 1/738 (0.1%) 0/735 (0%)
    Respiratory, thoracic and mediastinal disorders
    Aspiration 2/738 (0.3%) 1/735 (0.1%)
    Bronchopleural fistula 0/738 (0%) 2/735 (0.3%)
    Bronchopulmonary hemorrhage 0/738 (0%) 3/735 (0.4%)
    Cough 2/738 (0.3%) 6/735 (0.8%)
    Dyspnea 8/738 (1.1%) 17/735 (2.3%)
    Epistaxis 2/738 (0.3%) 4/735 (0.5%)
    Hoarseness 0/738 (0%) 1/735 (0.1%)
    Hypoxia 0/738 (0%) 5/735 (0.7%)
    Laryngeal edema 0/738 (0%) 1/735 (0.1%)
    Pleural effusion 1/738 (0.1%) 2/735 (0.3%)
    Pneumonitis 3/738 (0.4%) 1/735 (0.1%)
    Pulmonary hypertension 1/738 (0.1%) 1/735 (0.1%)
    Respiratory failure 0/738 (0%) 1/735 (0.1%)
    Respiratory thoracic mediastinal - Other 1/738 (0.1%) 1/735 (0.1%)
    Skin and subcutaneous tissue disorders
    Rash maculo-papular 1/738 (0.1%) 3/735 (0.4%)
    Stevens-Johnson syndrome 0/738 (0%) 1/735 (0.1%)
    Vascular disorders
    Hematoma 0/738 (0%) 1/735 (0.1%)
    Hypertension 19/738 (2.6%) 200/735 (27.2%)
    Hypotension 7/738 (0.9%) 11/735 (1.5%)
    Peripheral ischemia 0/738 (0%) 1/735 (0.1%)
    Thromboembolic event 12/738 (1.6%) 33/735 (4.5%)
    Other (Not Including Serious) Adverse Events
    Arm I (Chemotherapy) Arm II (Chemotherapy, Bevacizumab)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 474/738 (64.2%) 509/735 (69.3%)
    Blood and lymphatic system disorders
    Anemia 256/738 (34.7%) 183/735 (24.9%)
    General disorders
    Fatigue 62/738 (8.4%) 68/735 (9.3%)
    Investigations
    Creatinine increased 169/738 (22.9%) 247/735 (33.6%)
    Neutrophil count decreased 220/738 (29.8%) 236/735 (32.1%)
    Platelet count decreased 48/738 (6.5%) 49/735 (6.7%)
    Nervous system disorders
    Peripheral sensory neuropathy 53/738 (7.2%) 58/735 (7.9%)
    Renal and urinary disorders
    Proteinuria 3/738 (0.4%) 48/735 (6.5%)
    Vascular disorders
    Hypertension 2/738 (0.3%) 50/735 (6.8%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Study Statistician
    Organization ECOG-ACRIN Statistical Center
    Phone 617-632-3012
    Email
    Responsible Party:
    National Cancer Institute (NCI)
    ClinicalTrials.gov Identifier:
    NCT00324805
    Other Study ID Numbers:
    • NCI-2009-00509
    • NCI-2009-00509
    • 09-0404
    • E1505
    • CDR0000475774
    • ECOG-E1505
    • E1505
    • E1505
    • U10CA180820
    • U10CA021115
    First Posted:
    May 11, 2006
    Last Update Posted:
    Aug 8, 2022
    Last Verified:
    Mar 1, 2022