Volver a Ensayos Clínicos
NCT04068103
Pruebas de ADN tumoral circulante para predecir el tratamiento en pacientes con cáncer de colon en estadio IIA después de la cirugía.
Activo, No Reclutando
Fase 2
Descripción
Este ensayo de fase II/III estudia la eficacia de las pruebas de ácido desoxirribonucleico tumoral circulante (ctDNA) en sangre para predecir el tratamiento en pacientes con cáncer de colon en estadio IIA después de la cirugía. El ctDNA son células tumorales circulantes que se desprenden de los tumores y se liberan en la sangre. La presencia de ctDNA en la sangre indica que es muy probable que quede una pequeña cantidad de cáncer después de la cirugía. Sin embargo, este cáncer, si se detecta, no puede identificarse en otras pruebas que se utilizan habitualmente para detectar el cáncer, ya que es demasiado pequeño. Las pruebas para determinar los niveles de ctDNA pueden ayudar a identificar a los pacientes con cáncer de colon después de la cirugía que se benefician de la quimioterapia y a aquellos que no.
Evidencia de la diana molecular en cáncer colorrectal
Estos fármacos NO son el fármaco de este ensayo. Es la eficacia publicada de OTROS fármacos que atacan la misma diana molecular, mostrada como contexto — no se refiere a este ensayo concreto ni confirma elegibilidad. Revísalo siempre con tu oncólogo.
Aún no hay evidencia documentada en nuestra base para la diana o el fármaco de este ensayo. Esta sección crece a medida que se procesan nuevas publicaciones.
Criterios de Elegibilidad
Criterios de inclusión:
- El paciente debe haber firmado y fechado un formulario de consentimiento aprobado por una Junta de Revisión Institucional (IRB) que cumpla con las directrices federales e institucionales.
- Estado funcional según la Escala de ECOG (Eastern Cooperative Oncology Group) de 0 o 1.
- Adenocarcinoma de colon estadio IIA confirmado histológica/patológicamente (T3, N0, M0) con al menos 12 ganglios linfáticos examinados en el momento de la resección quirúrgica.
- Considerado adecuado para la vigilancia activa (es decir, sin quimioterapia adyuvante) a discreción del oncólogo tratante y según lo documentado por este, basándose en las prácticas actuales.
- El extremo distal del tumor debe estar a \>= 12 cm del borde anal en la endoscopia prequirúrgica (es decir, excluyendo los adenocarcinomas rectales que requieren tratamiento con quimiorradiación). Si el paciente no se sometió a una endoscopia prequirúrgica, entonces el extremo distal del tumor debe estar a \>= 12 cm del borde anal, según lo determinado por el examen quirúrgico o la imagen preoperatoria.
- El paciente debe haber tenido una resección tumoral en bloque completa (resección curativa) como tratamiento quirúrgico definitivo contra el cáncer dentro de los 14 a 60 días posteriores a la aleatorización del estudio. Los pacientes que se hayan sometido a un procedimiento quirúrgico en dos etapas para proporcionar primero una colostomía de descompresión y luego, en un procedimiento posterior, para realizar la resección quirúrgica definitiva, son elegibles.
- Disponibilidad y obtención de tejido tumoral quirúrgico adecuado para el diagnóstico molecular y la confirmación del perfil.
- El recuento absoluto de neutrófilos (ANC) debe ser \>= 1200/mm\^3 (dentro de los 28 días previos a la aleatorización).
- El recuento de plaquetas debe ser \>= 100.000/mm\^3 (dentro de los 28 días previos a la aleatorización); y
- La hemoglobina debe ser \>= 9 g/dL (dentro de los 28 días previos a la aleatorización).
- La bilirrubina total debe ser =\< LSN (límite superior de la normalidad) para el laboratorio (dentro de los 28 días previos a la aleatorización), a menos que el paciente tenga una elevación crónica de bilirrubina de grado 1 debido a la enfermedad de Gilbert u otro síndrome que implique una conjugación lenta de la bilirrubina; y
- La fosfatasa alcalina debe ser \< 2,5 x LSN para el laboratorio (dentro de los 28 días previos a la aleatorización); y
- La aspartato aminotransferasa (AST) y la alanina aminotransferasa (ALT) deben ser \< 1,5 x LSN para el laboratorio (dentro de los 28 días previos a la aleatorización).
- La creatinina sérica \<= 1,5 x LSN para el laboratorio o la depuración de creatinina medida o calculada \>= 50 mL/min utilizando la fórmula de Cockcroft-Gault para pacientes con niveles de creatinina \> 1,5 x LSN para el laboratorio (dentro de los 28 días previos a la aleatorización).
- La prueba de embarazo (orina o suero según el estándar institucional) realizada dentro de los 14 días previos a la aleatorización debe ser negativa (solo para mujeres en edad fértil).
- Los pacientes que reciban un anticoagulante derivado de la cumarina deben aceptar un control semanal de la relación normalizada internacional (RNI) si se les asigna al brazo 2 y reciben capecitabina.
Criterios de exclusión:
- Histología de cáncer de colon distinta de adenocarcinoma (es decir, carcinoma neuroendocrino, sarcoma, linfoma, carcinoma de células escamosas, etc.).
- Evidencia patológica, clínica o radiológica de enfermedad metastásica manifiesta. Esto incluye metástasis intraabdominales distantes o no contiguas, incluso si se han resecado (incluida la presencia de nódulos satélite que constituyen una enfermedad N1c en ausencia de afectación de los ganglios linfáticos).
- Perforación intestinal relacionada con el tumor.
- Antecedentes de cáncer de colon invasivo previo, independientemente del intervalo libre de enfermedad.
- Antecedentes de trasplante de órganos.
- Cualquier quimioterapia sistémica, terapia dirigida o inmunoterapia previa; o radioterapia administrada como tratamiento para el cáncer colorrectal (por ejemplo, los adenocarcinomas rectales primarios para los que se justifica el tratamiento con quimiorradiación neoadyuvante no están permitidos).
- Otra neoplasia invasiva dentro de los 5 años previos a la aleatorización. Las excepciones son los pólipos colorrectales, el cáncer de piel no melanoma o el carcinoma in situ, incluidos los de cuello uterino y mama (CDIS).
- Cánceres primarios rectales y/o de colon sincrónicos.
- Terapia antineoplásica (por ejemplo, quimioterapia, terapia dirigida o inmunoterapia) dentro de los 5 años previos a la aleatorización. (A los efectos del presente estudio, la terapia hormonal no se considera quimioterapia).
- Enfermedad cardíaca incontrolada, en opinión del oncólogo médico tratante, que impediría el uso de cualquiera de los fármacos incluidos en el régimen de tratamiento GI005. Esto incluye, entre otros:
- Enfermedad cardíaca clínicamente inestable, incluida la fibrilación auricular inestable, la bradicardia sintomática, la insuficiencia cardíaca congestiva inestable, la isquemia miocárdica activa o un marcapasos temporal permanente.
- Taquicardia ventricular o taquicardia supraventricular que requiera tratamiento con fármacos antiarrítmicos de clase Ia (por ejemplo, quinidina, procainamida, disopiramida) o fármacos antiarrítmicos de clase III (por ejemplo, sotalol, amiodarona, dofetilida). Se permite el uso de otros fármacos antiarrítmicos.
- Bloqueo atrioventricular (AV) de segundo o tercer grado, a menos que se trate con un marcapasos permanente.
- Bloqueo completo de rama izquierda (LBBB), a menos que se trate con un marcapasos permanente.
- Neuropatía sensorial o motora \>= grado 2, según la versión 5.0 de los Criterios Comunes de Terminología para los Eventos Adversos (CTCAE).
- Trastorno convulsivo activo no controlado con medicación.
- Infección activa o crónica que requiera terapia sistémica.
- Deficiencia conocida de DPD (dihidropirimidina deshidrogenasa) homocigota.
- Embarazo o lactancia en el momento de la aleatorización.
- Enfermedades comórbidas u otras enfermedades concomitantes que, a juicio del clínico que obtiene el consentimiento informado, harían que el paciente no fuera adecuado para participar en este estudio (es decir, incapaz de tolerar 6 meses de quimioterapia combinada o que interfieran significativamente con la evaluación adecuada de la seguridad y la toxicidad de los regímenes prescritos o que impidan el seguimiento necesario).
- No se permite haber realizado previamente ninguna prueba con algún test de ctDNA disponible como parte del manejo del cáncer de colon.
Información del Ensayo
NCT04068103
Activo, No Reclutando
Fase 2
635 participantes
Dic 2019
Jun 2023
Ubicaciones957
Canada (24)
Royal Victoria Regional Health Centre
Barrie
Arthur J E Child Comprehensive Cancer Centre
Calgary
Cambridge Memorial Hospital
Cambridge
Cross Cancer Institute
Edmonton
CSSS Champlain-Charles Le Moyne
Greenfield Park
Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton
Kingston Health Sciences Centre
Kingston
Hopital de la Cite-de-la-Sante
Laval
London Regional Cancer Program
London
CIUSSSEMTL-Hopital Maisonneuve-Rosemont
Montreal
Hopital Du Sacre-Coeur de Montreal
Montreal
Jewish General Hospital
Montreal
Lakeridge Health Oshawa
Oshawa
Ottawa Hospital and Cancer Center-General Campus
Ottawa
CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
Québec
Allan Blair Cancer Centre
Regina
Niagara Health System-Saint Catharines General
Saint Catharines
Atlantic Health Sciences Corporation-Saint John Regional Hospital
Saint John
Saskatoon Cancer Centre
Saskatoon
Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
Sherbrooke
Mount Sinai Hospital
Toronto
North York General Hospital
Toronto
BCCA-Vancouver Cancer Centre
Vancouver
CancerCare Manitoba
Winnipeg
Puerto Rico (1)
Centro Comprensivo de Cancer de UPR
San Juan
United States (932)
Pali Momi Medical Center
‘Aiea
Queen's Cancer Center - Pearlridge
‘Aiea
The Cancer Center of Hawaii-Pali Momi
‘Aiea
Avera Cancer Institute-Aberdeen
Aberdeen
Providence Regional Cancer System-Aberdeen
Aberdeen
Hendrick Medical Center
Abilene
Cleveland Clinic Akron General
Akron
Saint Peter's Health Partners
Albany
Atrium Health Stanly/LCI-Albemarle
Albemarle
Presbyterian Kaseman Hospital
Albuquerque
University of New Mexico Cancer Center
Albuquerque
Lehigh Valley Hospital-Cedar Crest
Allentown
UPMC Altoona
Altoona
Mary Greeley Medical Center
Ames
McFarland Clinic - Ames
Ames
Community Hospital of Anaconda
Anaconda
Kaiser Permanente-Anaheim
Anaheim
Alaska Breast Care and Surgery LLC
Anchorage
Alaska Oncology and Hematology LLC
Anchorage
Alaska Women's Cancer Care
Anchorage
Anchorage Associates in Radiation Medicine
Anchorage
Anchorage Oncology Centre
Anchorage
Anchorage Radiation Therapy Center
Anchorage
Katmai Oncology Group
Anchorage
Providence Alaska Medical Center
Anchorage
AnMed Health Cancer Center
Anderson
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor
University of Michigan Comprehensive Cancer Center
Ann Arbor
Langlade Hospital and Cancer Center
Antigo
Ascension Saint Elizabeth Hospital
Appleton
ThedaCare Regional Cancer Center
Appleton
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande
PCR Oncology
Arroyo Grande
AdventHealth Infusion Center Asheville
Asheville
University Cancer and Blood Center LLC
Athens
Emory Saint Joseph's Hospital
Atlanta
Emory University Hospital Midtown
Atlanta
Emory University Hospital/Winship Cancer Institute
Atlanta
Hematology Oncology Associates of Central New York-Auburn
Auburn
Sutter Auburn Faith Hospital
Auburn
Augusta Oncology Associates PC-D'Antignac
Augusta
Augusta Oncology Associates PC-Wheeler
Augusta
Harold Alfond Center for Cancer Care
Augusta
Rocky Mountain Cancer Centers-Aurora
Aurora
Rush - Copley Medical Center
Aurora
The Medical Center of Aurora
Aurora
UCHealth University of Colorado Hospital
Aurora
Saint Alphonsus Cancer Care Center-Baker City
Baker City
Kaiser Permanente-Baldwin Park
Baldwin Park
Saint Louis Cancer and Breast Institute-Ballwin
Ballwin
Greater Baltimore Medical Center
Baltimore
Kaiser Permanente-Woodlawn Medical Center
Baltimore
MedStar Franklin Square Medical Center/Weinberg Cancer Institute
Baltimore
MedStar Good Samaritan Hospital
Baltimore
Flaget Memorial Hospital
Bardstown
Advocate Good Shepherd Hospital
Barrington
Louisiana Hematology Oncology Associates LLC
Baton Rouge
LSU Health Baton Rouge-North Clinic
Baton Rouge
Mary Bird Perkins Cancer Center
Baton Rouge
Our Lady of The Lake
Baton Rouge
Our Lady of the Lake Physician Group
Baton Rouge
Bronson Battle Creek
Battle Creek
McLaren Cancer Institute-Bay City
Bay City
UHHS-Chagrin Highlands Medical Center
Beachwood
UPMC-Heritage Valley Health System Beaver
Beaver
Indu and Raj Soin Medical Center
Beavercreek
UM Upper Chesapeake Medical Center
Bel Air
MaineHealth Waldo Hospital
Belfast
Overlake Medical Center
Bellevue
Kaiser Permanente-Bellflower
Bellflower
PeaceHealth Saint Joseph Medical Center
Bellingham
Strecker Cancer Center-Belpre
Belpre
Sanford Joe Lueken Cancer Center
Bemidji
Saint Charles Health System
Bend
Alta Bates Summit Medical Center-Herrick Campus
Berkeley
UCSF Cancer Center - Berkeley
Berkeley
Lehigh Valley Hospital - Muhlenberg
Bethlehem
University of Iowa Healthcare Cancer Services Quad Cities
Bettendorf
MaineHealth Maine Medical Center - Biddeford
Biddeford
Billings Clinic Cancer Center
Billings
University of Alabama at Birmingham Cancer Center
Birmingham
Sanford Bismarck Medical Center
Bismarck
Illinois CancerCare-Bloomington
Bloomington
Saint Joseph's/Candler - Bluffton Campus
Bluffton
Saint Elizabeth Boardman Hospital
Boardman
Prisma Health Cancer Institute - Spartanburg
Boiling Springs
Saint Alphonsus Cancer Care Center-Boise
Boise
Saint Luke's Cancer Institute - Boise
Boise
McFarland Clinic - Boone
Boone
Boulder Community Foothills Hospital
Boulder
Rocky Mountain Cancer Centers-Boulder
Boulder
Bozeman Health Deaconess Hospital
Bozeman
Essentia Health Saint Joseph's Medical Center
Brainerd
Cox Cancer Center Branson
Branson
Lafayette Family Cancer Center-EMMC
Brewer
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Trinity Health Medical Center - Brighton
Brighton
Ballad Health Cancer Care - Bristol
Bristol
Ascension Southeast Wisconsin Hospital - Elmbrook Campus
Brookfield
Crozer-Keystone Regional Cancer Center at Broomall
Broomall
Saint Joseph Regional Cancer Center
Bryan
Bryn Mawr Hospital
Bryn Mawr
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank
Highline Medical Center-Main Campus
Burien
Kaiser Permanente-Burke Medical Center
Burke
Mills-Peninsula Medical Center
Burlingame
Aurora Cancer Care-Southern Lakes VLCC
Burlington
Fairview Ridges Hospital
Burnsville
Minnesota Oncology - Burnsville
Burnsville
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Cambridge Medical Center
Cambridge
Cooper Hospital University Medical Center
Camden
Marshall Cancer Center
Cameron Park
Hematology Oncology Associates of CNY at Camillus
Camillus
UPMC Camp Hill
Camp Hill
Cleveland Clinic Mercy Hospital
Canton
Illinois CancerCare-Canton
Canton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Trinity Health Medical Center - Canton
Canton
Mercy Cancer Center - Cape Girardeau
Cape Girardeau
Saint Francis Medical Center
Cape Girardeau
Memorial Hospital of Carbondale
Carbondale
Carlisle Regional Cancer Center
Carlisle
IU Health North Hospital
Carmel
Mercy Cancer Center - Carmichael
Carmichael
Mercy San Juan Medical Center
Carmichael
Caro Cancer Center
Caro
Carson Tahoe Regional Medical Center
Carson City
SIH Cancer Institute
Carterville
Illinois CancerCare-Carthage
Carthage
Duke Cancer Center Cary
Cary
Eden Hospital Medical Center
Castro Valley
Mercy Hospital
Cedar Rapids
Oncology Associates at Mercy Medical Center
Cedar Rapids
Physicians' Clinic of Iowa PC
Cedar Rapids
Rocky Mountain Cancer Centers - Centennial
Centennial
Dayton Physicians LLC-Miami Valley South
Centerville
Miami Valley Hospital South
Centerville
Centralia Oncology Clinic
Centralia
Providence Regional Cancer System-Centralia
Centralia
Chambersburg Hospital
Chambersburg
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
Geauga Hospital
Chardon
West Virginia University Charleston Division
Charleston
Atrium Health Pineville/LCI-Pineville
Charlotte
Atrium Health University City/LCI-University
Charlotte
Carolinas Medical Center/Levine Cancer Institute
Charlotte
Levine Cancer Institute-Ballantyne
Charlotte
Levine Cancer Institute-SouthPark
Charlotte
Sentara Martha Jefferson Hospital
Charlottesville
University of Virginia Cancer Center
Charlottesville
Chelsea Hospital
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Cancer Specialists of Tidewater Limited
Chesapeake
Advocate Illinois Masonic Medical Center
Chicago
Northwestern University
Chicago
Rush University Medical Center
Chicago
University of Illinois
Chicago
Enloe Medical Center
Chico
Adena Regional Medical Center
Chillicothe
Ascension Calumet Hospital
Chilton
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
TriHealth Cancer Institute-Anderson
Cincinnati
TriHealth Cancer Institute-Westside
Cincinnati
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters
Clackamas Radiation Oncology Center
Clackamas
Providence Cancer Institute Clackamas Clinic
Clackamas
Hematology Oncology Consultants-Clarkston
Clarkston
McLaren Cancer Institute-Clarkston
Clarkston
Newland Medical Associates-Clarkston
Clarkston
Wake Forest University at Clemmons
Clemmons
Case Western Reserve University
Cleveland
Cleveland Clinic Cancer Center/Fairview Hospital
Cleveland
Cleveland Clinic Foundation
Cleveland
MetroHealth Medical Center
Cleveland
Southeastern Medical Oncology Center-Clinton
Clinton
Henry Ford Macomb Hospital-Clinton Township
Clinton Township
Mercy Cancer Center-West Lakes
Clive
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive
AdventHealth Infusion Center Haywood
Clyde
Kootenai Health - Coeur d'Alene
Coeur d'Alene
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville
Memorial Hospital North
Colorado Springs
Penrose-Saint Francis Healthcare
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
Saint Francis Cancer Center
Colorado Springs
UCHealth Memorial Hospital Central
Colorado Springs
Baptist Memorial Hospital and Cancer Center-Golden Triangle
Columbus
Columbus Oncology and Hematology Associates Inc
Columbus
Doctors Hospital
Columbus
Grant Medical Center
Columbus
Mount Carmel East Hospital
Columbus
Mount Carmel Health Center West
Columbus
Riverside Methodist Hospital
Columbus
The Mark H Zangmeister Center
Columbus
Atrium Health Cabarrus/LCI-Concord
Concord
New Hampshire Oncology Hematology PA-Concord
Concord
MD Anderson in The Woodlands
Conroe
Mercy Hospital
Coon Rapids
Bay Area Hospital
Coos Bay
Commonwealth Cancer Center-Corbin
Corbin
UC Irvine Health Cancer Center-Newport
Costa Mesa
Alegent Health Mercy Hospital
Council Bluffs
Northshore Oncology Associates-Covington
Covington
Greater Regional Medical Center
Creston
Siteman Cancer Center at West County Hospital
Creve Coeur
Northwest Cancer Center - Main Campus
Crown Point
AMG Crystal Lake - Oncology
Crystal Lake
UPMC Western Maryland
Cumberland
UT Southwestern/Simmons Cancer Center-Dallas
Dallas
Danbury Hospital
Danbury
Carle at The Riverfront
Danville
Geisinger Medical Center
Danville
Iowa Cancer Specialists
Davenport
MercyOne Genesis Davenport Cancer Center
Davenport
MercyOne Genesis Davenport Medical Center
Davenport
Sutter Davis Hospital
Davis
Dayton Physician LLC - Englewood
Dayton
Miami Valley Hospital
Dayton
Miami Valley Hospital North
Dayton
Corewell Health Dearborn Hospital
Dearborn
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Northwestern Medicine Cancer Center Kishwaukee
DeKalb
Delaware Health Center-Grady Cancer Center
Delaware
Grady Memorial Hospital
Delaware
AdventHealth Porter
Denver
Colorado Blood Cancer Institute
Denver
Kaiser Permanente-Franklin
Denver
Rocky Mountain Cancer Centers-Midtown
Denver
Rocky Mountain Cancer Centers-Rose
Denver
Saint Joseph Hospital - Cancer Centers of Colorado
Denver
The Women's Imaging Center
Denver
Smilow Cancer Hospital-Derby Care Center
Derby
Broadlawns Medical Center
Des Moines
Iowa Lutheran Hospital
Des Moines
Iowa Methodist Medical Center
Des Moines
Mercy Medical Center - Des Moines
Des Moines
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines
Henry Ford Health Saint John Hospital
Detroit
Henry Ford Hospital
Detroit
Wayne State University/Karmanos Cancer Institute
Detroit
Illinois CancerCare-Dixon
Dixon
Advocate Good Samaritan Hospital
Downers Grove
Doylestown Hospital
Doylestown
Delaware County Memorial Hospital
Drexel Hill
City of Hope Comprehensive Cancer Center
Duarte
Dublin Methodist Hospital
Dublin
Epic Care-Dublin
Dublin
Essentia Health Cancer Center
Duluth
Mercy Medical Center
Durango
Southwest Oncology PC
Durango
Duke University Medical Center
Durham
Northwest Oncology LLC
Dyer
Prisma Health Cancer Institute - Easley
Easley
Henry Ford River District Hospital
East China Township
Pocono Medical Center
East Stroudsburg
Hematology Oncology Associates of Central New York-East Syracuse
East Syracuse
University of Maryland Shore Medical Center at Easton
Easton
Marshfield Medical Center-EC Cancer Center
Eau Claire
Fairview Southdale Hospital
Edina
STCC at DHR Health Institute for Research and Development
Edinburg
Swedish Cancer Institute-Edmonds
Edmonds
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
Advocate Sherman Hospital
Elgin
Mercy Cancer Center - Elk Grove
Elk Grove
Elmhurst Memorial Hospital
Elmhurst
Bay Area Breast Surgeons Inc
Emeryville
Epic Care Partners in Cancer Care
Emeryville
Walter Knox Memorial Hospital
Emmett
Mountain Blue Cancer Care Center - Swedish
Englewood
Rocky Mountain Cancer Centers - Swedish
Englewood
Swedish Medical Center
Englewood
The Melanoma and Skin Cancer Institute
Englewood
Saint Elizabeth Hospital
Enumclaw
Ephrata Cancer Center
Ephrata
Saint Vincent Hospital
Erie
UPMC Hamot
Erie
UPMC Hillman Cancer Center Erie
Erie
Illinois CancerCare-Eureka
Eureka
NorthShore University HealthSystem-Evanston Hospital
Evanston
Providence Regional Cancer Partnership
Everett
Fairbanks Memorial Hospital
Fairbanks
Smilow Cancer Hospital Care Center-Fairfield
Fairfield
University of Kansas Clinical Research Center
Fairway
Essentia Health Cancer Center-South University Clinic
Fargo
Sanford Broadway Medical Center
Fargo
Sanford Roger Maris Cancer Center
Fargo
Farmington Health Center
Farmington
Parkland Health Center - Farmington
Farmington
Corewell Health Farmington Hills Hospital
Farmington Hills
Weisberg Cancer Treatment Center
Farmington Hills
UPMC Cancer Center at UPMC Horizon
Farrell
Saint Francis Hospital
Federal Way
Blanchard Valley Hospital
Findlay
Orion Cancer Care
Findlay
Augusta Health Center for Cancer and Blood Disorders
Fishersville
Cancer Hematology Centers - Flint
Flint
Genesee Hematology Oncology PC
Flint
Genesys Hurley Cancer Institute
Flint
Hurley Medical Center
Flint
McLaren Cancer Institute-Flint
Flint
Singh and Arora Hematology Oncology PC
Flint
Kaiser Permanente-Fontana
Fontana
Cancer Care and Hematology-Fort Collins
Fort Collins
Poudre Valley Hospital
Fort Collins
McFarland Clinic - Trinity Cancer Center
Fort Dodge
Trinity Regional Medical Center
Fort Dodge
Holy Cross Hospital
Fort Lauderdale
Mercy Hospital Fort Smith
Fort Smith
Ascension Saint Francis - Reiman Cancer Center
Franklin
Atrium Medical Center-Middletown Regional Hospital
Franklin
Dayton Physicians LLC-Atrium
Franklin
FMH James M Stockman Cancer Institute
Frederick
Palo Alto Medical Foundation-Fremont
Fremont
Unity Hospital
Fridley
Saint Luke's Cancer Institute - Fruitland
Fruitland
Central Ohio Breast and Endocrine Surgery
Gahanna
Northeast Georgia Medical Center-Gainesville
Gainesville
University of Florida Health Science Center - Gainesville
Gainesville
Kaiser Permanente-Gaithersburg Medical Center
Gaithersburg
Illinois CancerCare-Galesburg
Galesburg
Western Illinois Cancer Treatment Center
Galesburg
CaroMont Regional Medical Center
Gastonia
Levine Cancer Institute-Gaston
Gastonia
Northwestern Medicine Cancer Center Delnor
Geneva
Aurora Health Care Germantown Health Center
Germantown
Adams Cancer Center
Gettysburg
UM Baltimore Washington Medical Center/Tate Cancer Center
Glen Burnie
Glens Falls Hospital
Glens Falls
NorthShore University HealthSystem-Glenbrook Hospital
Glenview
Peninsula Cancer Institute-Gloucester
Gloucester
Lutheran Hospital - Cancer Centers of Colorado
Golden
Southeastern Medical Oncology Center-Goldsboro
Goldsboro
Goshen Center for Cancer Care
Goshen
Aurora Cancer Care-Grafton
Grafton
Altru Cancer Center
Grand Forks
Nebraska Cancer Specialists/Oncology Hematology West PC
Grand Island
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids
Trinity Health Grand Rapids Hospital
Grand Rapids
Three Rivers Community Hospital
Grants Pass
Benefis Sletten Cancer Institute
Great Falls
Great Falls Clinic
Great Falls
Banner North Colorado Medical Center
Greeley
UCHealth Greeley Hospital
Greeley
Aurora BayCare Medical Center
Green Bay
Bellin Memorial Hospital
Green Bay
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay
Saint Vincent Hospital Cancer Center Green Bay
Green Bay
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg
Dayton Physicians LLC-Wayne
Greenville
Prisma Health Cancer Institute - Butternut
Greenville
Prisma Health Cancer Institute - Eastside
Greenville
Prisma Health Cancer Institute - Faris
Greenville
Wayne Hospital
Greenville
Smilow Cancer Hospital Care Center at Greenwich
Greenwich
Self Regional Healthcare
Greenwood
Gibbs Cancer Center-Pelham
Greer
Prisma Health Cancer Institute - Greer
Greer
Baptist Cancer Center-Grenada
Grenada
Legacy Mount Hood Medical Center
Gresham
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods
Mount Carmel Grove City Hospital
Grove City
Smilow Cancer Hospital Care Center - Guilford
Guilford
The Cancer Institute of New Jersey Hamilton
Hamilton
WellSpan Medical Oncology and Hematology
Hanover
Kaiser Permanente South Bay
Harbor City
UPMC Pinnacle Cancer Center/Community Osteopathic Campus
Harrisburg
UPMC Pinnacle Harrisburg
Harrisburg
Hartford Hospital
Hartford
Smilow Cancer Hospital Care Center at Saint Francis
Hartford
Ingalls Memorial Hospital
Harvey
HaysMed
Hays
Advocate South Suburban Hospital
Hazel Crest
Geisinger Medical Center-Cancer Center Hazleton
Hazleton
Lehigh Valley Hospital-Hazleton
Hazleton
Comprehensive Cancer Centers of Nevada - Henderson
Henderson
Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson
Comprehensive Cancer Centers of Nevada-Southeast Henderson
Henderson
GenesisCare USA - Henderson
Henderson
Las Vegas Cancer Center-Henderson
Henderson
Las Vegas Urology - Green Valley
Henderson
Las Vegas Urology - Pebble
Henderson
OptumCare Cancer Care at Seven Hills
Henderson
Urology Specialists of Nevada - Green Valley
Henderson
AdventHealth Hendersonville
Hendersonville
Margaret R Pardee Memorial Hospital
Hendersonville
NorthShore University HealthSystem-Highland Park Hospital
Highland Park
South Carolina Cancer Specialists PC
Hilton Head Island
Edward Hines Jr VA Hospital
Hines
Northwest Cancer Center - Hobart
Hobart
Saint Mary Medical Center
Hobart
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu
Queen's Cancer Cenrer - POB I
Honolulu
Queen's Cancer Center - Kuakini
Honolulu
Queen's Medical Center
Honolulu
Straub Clinic and Hospital
Honolulu
University of Hawaii Cancer Center
Honolulu
CHI Saint Vincent Cancer Center Hot Springs
Hot Springs
Terrebonne General Medical Center
Houma
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston
Ben Taub General Hospital
Houston
Lyndon Baines Johnson General Hospital
Houston
M D Anderson Cancer Center
Houston
MD Anderson West Houston
Houston
Michael E DeBakey VA Medical Center
Houston
Cleveland Clinic Cancer Center Independence
Independence
IRMC Cancer Center
Indiana
Franciscan Health Indianapolis
Indianapolis
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis
Saint Catherine Hospital
Indianapolis
University of Iowa/Holden Comprehensive Cancer Center
Iowa City
Kaiser Permanente-Irvine
Irvine
Swedish Cancer Institute-Issaquah
Issaquah
Allegiance Health
Jackson
Southeastern Medical Oncology Center-Jacksonville
Jacksonville
McFarland Clinic - Jefferson
Jefferson
MU Health Care Goldschmidt Cancer Center
Jefferson City
Jefferson Hospital
Jefferson Hills
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek
UPMC-Johnstown/John P. Murtha Regional Cancer Center
Johnstown
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro
Freeman Health System
Joplin
Mercy Hospital Joplin
Joplin
Ascension Borgess Hospital
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
Logan Health Medical Center
Kalispell
University Health Truman Medical Center
Kansas City
University of Kansas Cancer Center
Kansas City
University of Kansas Cancer Center - North
Kansas City
University of Kansas Cancer Center-West
Kansas City
CHI Health Good Samaritan
Kearney
Kadlec Clinic Hematology and Oncology
Kennewick
Aurora Cancer Care-Kenosha South
Kenosha
Greater Dayton Cancer Center
Kettering
Kettering Medical Center
Kettering
Illinois CancerCare-Kewanee Clinic
Kewanee
Kingman Regional Medical Center
Kingman
Ballad Health Cancer Care - Kingsport
Kingsport
Thompson Cancer Survival Center
Knoxville
Thompson Cancer Survival Center - West
Knoxville
Providence Regional Cancer System-Lacey
Lacey
Kaiser Permanente-Rock Creek
Lafayette
Northwell Health/Center for Advanced Medicine
Lake Success
Rocky Mountain Cancer Centers-Lakewood
Lakewood
Saint Anthony Hospital
Lakewood
Saint Clare Hospital
Lakewood
Fairfield Medical Center
Lancaster
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing
Mid-Michigan Physicians-Lansing
Lansing
University of Michigan Health - Sparrow Lansing
Lansing
McLaren Cancer Institute-Lapeer Region
Lapeer
Kaiser Permanente - Largo Medical Center
Largo
Memorial Medical Center-Las Cruces
Las Cruces
Ann M Wierman MD LTD
Las Vegas
Comprehensive Cancer Centers of Nevada
Las Vegas
Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas
Comprehensive Cancer Centers of Nevada - Northwest
Las Vegas
Comprehensive Cancer Centers of Nevada - Town Center
Las Vegas
Comprehensive Cancer Centers of Nevada-Summerlin
Las Vegas
Desert West Surgery
Las Vegas
GenesisCare USA - Fort Apache
Las Vegas
GenesisCare USA - Las Vegas
Las Vegas
GenesisCare USA - Vegas Tenaya
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-San Martin
Las Vegas
HealthCare Partners Medical Group Oncology/Hematology-Tenaya
Las Vegas
Hope Cancer Care of Nevada
Las Vegas
Las Vegas Cancer Center-Medical Center
Las Vegas
Las Vegas Prostate Cancer Center
Las Vegas
Las Vegas Urology - Cathedral Rock
Las Vegas
Las Vegas Urology - Pecos
Las Vegas
Las Vegas Urology - Smoke Ranch
Las Vegas
Las Vegas Urology - Sunset
Las Vegas
OptumCare Cancer Care at Charleston
Las Vegas
OptumCare Cancer Care at Fort Apache
Las Vegas
OptumCare Cancer Care at MountainView
Las Vegas
Radiation Oncology Centers of Nevada Central
Las Vegas
Radiation Oncology Centers of Nevada Southeast
Las Vegas
Summerlin Hospital Medical Center
Las Vegas
University Medical Center of Southern Nevada
Las Vegas
Urology Specialists of Nevada - Central
Las Vegas
Urology Specialists of Nevada - Northwest
Las Vegas
Urology Specialists of Nevada - Southwest
Las Vegas
Lawrence Memorial Hospital
Lawrence
Cancer Centers of Southwest Oklahoma Research
Lawton
MD Anderson League City
League City
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon
Sechler Family Cancer Center
Lebanon
University of Kansas Cancer Center - Lee's Summit
Lee's Summit
Thompson Oncology Group-Lenoir City
Lenoir City
Geisinger Medical Oncology-Lewisburg
Lewisburg
Baptist Health Lexington
Lexington
Saint Joseph Hospital East
Lexington
Saint Joseph Radiation Oncology Resource Center
Lexington
AMG Libertyville - Oncology
Libertyville
Condell Memorial Hospital
Libertyville
Saint Elizabeth Regional Medical Center
Lincoln
Atrium Health Lincoln/LCI-Lincolnton
Lincolnton
AdventHealth Littleton
Littleton
Rocky Mountain Cancer Centers-Littleton
Littleton
Saint Barnabas Medical Center
Livingston
Hope Cancer Clinic
Livonia
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
Saint Joseph London
London
Kaiser Permanente-Lone Tree
Lone Tree
Rocky Mountain Cancer Centers-Sky Ridge
Lone Tree
Sky Ridge Medical Center
Lone Tree
Monmouth Medical Center
Long Branch
Longmont United Hospital
Longmont
Rocky Mountain Cancer Centers-Longmont
Longmont
PeaceHealth Saint John Medical Center
Longview
Kaiser Permanente Los Angeles Medical Center
Los Angeles
Kaiser Permanente West Los Angeles
Los Angeles
Keck Medicine of USC Koreatown
Los Angeles
Los Angeles General Medical Center
Los Angeles
USC / Norris Comprehensive Cancer Center
Los Angeles
Baptist Health Louisville
Louisville
Jewish Hospital
Louisville
Saints Mary and Elizabeth Hospital
Louisville
UofL Health Medical Center Northeast
Louisville
Medical Center of the Rockies
Loveland
Kaiser Permanente Lutherville - Timonium Medical Center
Lutherville
Centra Alan B Pearson Regional Cancer Center
Lynchburg
Henry Ford Saint John Hospital - Macomb Medical
Macomb
Henry Ford Warren Hospital - Breast Macomb
Macomb
Illinois CancerCare-Macomb
Macomb
University of Wisconsin Carbone Cancer Center - University Hospital
Madison
Solinsky Center for Cancer Care
Manchester
Cleveland Clinic Cancer Center Mansfield
Mansfield
OhioHealth Mansfield Hospital
Mansfield
Fairview Clinics and Surgery Center Maple Grove
Maple Grove
Minnesota Oncology Hematology PA-Maplewood
Maplewood
Saint John's Hospital - Healtheast
Maplewood
Marietta Memorial Hospital
Marietta
Aurora Bay Area Medical Group-Marinette
Marinette
OhioHealth Marion General Hospital
Marion
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette
McFarland Clinic - Marshalltown
Marshalltown
Marshfield Medical Center-Marshfield
Marshfield
Contra Costa Regional Medical Center
Martinez
Fremont - Rideout Cancer Center
Marysville
Thompson Oncology Group-Maryville
Maryville
Carle Physician Group-Mattoon/Charleston
Mattoon
Hillcrest Hospital Cancer Center
Mayfield Heights
Loyola University Medical Center
Maywood
Kaiser Permanente Tysons Corner Medical Center
McLean
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
Mechanicsburg
Asante Rogue Regional Medical Center
Medford
Aspirus Medford Hospital
Medford
Riddle Memorial Hospital
Media
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis
Froedtert Menomonee Falls Hospital
Menomonee Falls
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor
Ascension Columbia Saint Mary's Hospital Ozaukee
Mequon
Midstate Medical Center
Meriden
Idaho Urologic Institute-Meridian
Meridian
Saint Luke's Cancer Institute - Meridian
Meridian
UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights
Beebe South Coastal Health Campus
Millville
Ascension Columbia Saint Mary's Hospital - Milwaukee
Milwaukee
Aurora Cancer Care-Milwaukee
Milwaukee
Aurora Saint Luke's Medical Center
Milwaukee
Aurora Sinai Medical Center
Milwaukee
Medical College of Wisconsin
Milwaukee
Abbott-Northwestern Hospital
Minneapolis
Health Partners Inc
Minneapolis
Hennepin County Medical Center
Minneapolis
Marshfield Medical Center - Minocqua
Minocqua
Community Medical Center
Missoula
Saint Patrick Hospital - Community Hospital
Missoula
University of South Alabama Mitchell Cancer Institute
Mobile
Memorial Medical Center
Modesto
Atrium Health Union/LCI-Union
Monroe
Forbes Hospital
Monroeville
UPMC Hillman Cancer Center - Monroeville
Monroeville
Monticello Cancer Center
Monticello
Franciscan Health Mooresville
Mooresville
McLaren Cancer Institute-Macomb
Mount Clemens
McLaren Cancer Institute-Central Michigan
Mount Pleasant
UPMC Hillman Cancer Center - Part of Frick Hospital
Mount Pleasant
Knox Community Hospital
Mount Vernon
SSM Health Good Samaritan
Mount Vernon
Palo Alto Medical Foundation-Camino Division
Mountain View
Palo Alto Medical Foundation-Gynecologic Oncology
Mountain View
ProHealth D N Greenwald Center
Mukwonago
The Community Hospital
Munster
Women's Diagnostic Center - Munster
Munster
Trinity Health Muskegon Hospital
Muskegon
Arnold Palmer Cancer Center Medical Oncology Norwin
N. Huntingdon
Saint Alphonsus Cancer Care Center-Nampa
Nampa
Saint Luke's Cancer Institute - Nampa
Nampa
Providence Queen of The Valley
Napa
Edward Hospital/Cancer Center
Naperville
Vanderbilt University/Ingram Cancer Center
Nashville
Allegheny Valley Hospital
Natrona Heights
Baptist Memorial Hospital and Cancer Center-Union County
New Albany
The Hospital of Central Connecticut
New Britain
Rutgers Cancer Institute of New Jersey
New Brunswick
UPMC Hillman Cancer Center - New Castle
New Castle
Smilow Cancer Center/Yale-New Haven Hospital
New Haven
Yale University
New Haven
Ochsner Medical Center Jefferson
New Orleans
Cancer Center of Western Wisconsin
New Richmond
New Ulm Medical Center
New Ulm
Lenox Hill Hospital
New York
Manhattan Eye Ear and Throat Hospital
New York
Mount Sinai Hospital
New York
Mount Sinai West
New York
Helen F Graham Cancer Center
Newark
Licking Memorial Hospital
Newark
Medical Oncology Hematology Consultants PA
Newark
Newark Radiation Oncology
Newark
Providence Newberg Medical Center
Newberg
Peninsula Cancer Institute-Newport News
Newport News
Corewell Health Lakeland Hospitals - Niles Hospital
Niles
Yale-New Haven Hospital North Haven Medical Center
North Haven
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores
Norwalk Hospital
Norwalk
Henry Ford Medical Center-Columbus
Novi
Cancer Care Center of O'Fallon
O'Fallon
Advocate Christ Medical Center
Oak Lawn
Thompson Oncology Group-Oak Ridge
Oak Ridge
Alta Bates Summit Medical Center - Summit Campus
Oakland
Bay Area Tumor Institute
Oakland
ProHealth Oconomowoc Memorial Hospital
Oconomowoc
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls
Mercy Hospital Oklahoma City
Oklahoma City
University of Oklahoma Health Sciences Center
Oklahoma City
The University of Kansas Cancer Center - Olathe
Olathe
Alegent Health Bergan Mercy Medical Center
Omaha
Alegent Health Immanuel Medical Center
Omaha
Alegent Health Lakeside Hospital
Omaha
Creighton University Medical Center
Omaha
Nebraska Methodist Hospital
Omaha
Riverside Shore Cancer Center
Onancock
Kaiser Permanente-Ontario
Ontario
Saint Alphonsus Cancer Care Center-Ontario
Ontario
Saint Joseph Hospital - Orange
Orange
Smilow Cancer Hospital-Orange Care Center
Orange
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange
Providence Willamette Falls Medical Center
Oregon City
AdventHealth Orlando
Orlando
Orlando Health Cancer Institute
Orlando
Ascension Mercy Hospital
Oshkosh
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh
Illinois CancerCare-Ottawa Clinic
Ottawa
University of Kansas Cancer Center-Overland Park
Overland Park
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford
Hope Cancer Care of Nevada-Pahrump
Pahrump
Palo Alto Medical Foundation Health Care
Palo Alto
Kaiser Permanente - Panorama City
Panorama City
Paoli Memorial Hospital
Paoli
Midlands Community Hospital
Papillion
The Valley Hospital - Luckow Pavilion
Paramus
Advocate Lutheran General Hospital
Park Ridge
AdventHealth Parker
Parker
University Hospitals Parma Medical Center
Parma
Illinois CancerCare-Pekin
Pekin
Memorial Hospital West
Pembroke Pines
Illinois CancerCare-Peoria
Peoria
Methodist Medical Center of Illinois
Peoria
Illinois CancerCare-Peru
Peru
Valley Radiation Oncology
Peru
McLaren Cancer Institute-Northern Michigan
Petoskey
Jefferson Torresdale Hospital
Philadelphia
Thomas Jefferson University Hospital
Philadelphia
Cancer Center at Saint Joseph's
Phoenix
Phoenixville Hospital
Phoenixville
Mercy Hospital Pittsburg
Pittsburg
Allegheny General Hospital
Pittsburgh
Oncology Hematology Association
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Pittsburgh
UPMC-Passavant Hospital
Pittsburgh
UPMC-Saint Clair Hospital Cancer Center
Pittsburgh
West Penn Hospital
Pittsburgh
Edward Hospital/Cancer Center?Plainfield
Plainfield
Hope Cancer Center
Pontiac
Michigan Healthcare Professionals Pontiac
Pontiac
Newland Medical Associates-Pontiac
Pontiac
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac
McLaren-Port Huron
Port Huron
Jefferson Healthcare
Port Townsend
Kaiser Permanente Northwest
Portland
Legacy Good Samaritan Hospital and Medical Center
Portland
Providence Portland Medical Center
Portland
Providence Saint Vincent Medical Center
Portland
Southern Ohio Medical Center
Portsmouth
Kootenai Clinic Cancer Services - Post Falls
Post Falls
Pottstown Hospital
Pottstown
Geisinger Cancer Services-Pottsville
Pottsville
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo
Fairview Northland Medical Center
Princeton
Illinois CancerCare-Princeton
Princeton
Princeton Community Hospital
Princeton
Saint Mary Corwin Medical Center
Pueblo
Ascension All Saints Hospital
Racine
Aurora Cancer Care-Racine
Racine
Duke Cancer Center Raleigh
Raleigh
Rapid City Regional Hospital
Rapid City
University Hospitals Portage Medical Center
Ravenna
Saint Charles Health System-Redmond
Redmond
Corewell Health Reed City Hospital
Reed City
Beebe Health Campus
Rehoboth Beach
Renown Regional Medical Center
Reno
Saint Mary's Regional Medical Center
Reno
Valley Medical Center
Renton
Marshfield Medical Center-Rice Lake
Rice Lake
Reid Health
Richmond
VCU Massey Cancer Center at Stony Point
Richmond
Virginia Cancer Institute
Richmond
Virginia Commonwealth University/Massey Cancer Center
Richmond
Valley Health System Ridgewood Campus
Ridgewood
Presbyterian Rust Medical Center/Jorgensen Cancer Center
Rio Rancho
West Suburban Medical Center
River Forest
Kaiser Permanente-Riverside
Riverside
North Memorial Medical Health Center
Robbinsdale
Henry Ford Rochester Hospital
Rochester Hills
Levine Cancer Institute-Rock Hill
Rock Hill
Mercy Cancer Center - Rocklin
Rocklin
Penobscot Bay Medical Center
Rockport
Mercy Clinic-Rolla-Cancer and Hematology
Rolla
Phelps Health Delbert Day Cancer Institute
Rolla
Sutter Roseville Medical Center
Roseville
Corewell Health William Beaumont University Hospital
Royal Oak
Mercy Cancer Center - Sacramento
Sacramento
Sutter Medical Center Sacramento
Sacramento
University of California Davis Comprehensive Cancer Center
Sacramento
MyMichigan Medical Center Saginaw
Saginaw
Oncology Hematology Associates of Saginaw Valley PC
Saginaw
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud
Dartmouth Cancer Center - North
Saint Johnsbury
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph
Heartland Regional Medical Center
Saint Joseph
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park
Regions Hospital
Saint Paul
United Hospital
Saint Paul
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Salina Regional Health Center
Salina
Salinas Valley Memorial
Salinas
Huntsman Cancer Institute/University of Utah
Salt Lake City
University of Utah Sugarhouse Health Center
Salt Lake City
Kaiser Permanente-San Diego Mission
San Diego
Kaiser Permanente-San Diego Zion
San Diego
California Pacific Medical Center-Pacific Campus
San Francisco
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo
Kaiser Permanente-San Marcos
San Marcos
UCSF Cancer Center - San Mateo
San Mateo
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint
North Coast Cancer Care
Sandusky
MaineHealth Cancer Care and IV Therapy - Sanford
Sanford
Palo Alto Medical Foundation-Santa Cruz
Santa Cruz
Mission Hope Medical Oncology - Santa Maria
Santa Maria
Providence Medical Foundation - Santa Rosa
Santa Rosa
Providence Santa Rosa Memorial Hospital
Santa Rosa
Sutter Pacific Medical Foundation
Santa Rosa
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah
Guthrie Medical Group PC-Robert Packer Hospital
Sayre
Community Medical Center
Scranton
Pacific Gynecology Specialists
Seattle
Swedish Medical Center-Ballard Campus
Seattle
Swedish Medical Center-Cherry Hill
Seattle
Swedish Medical Center-First Hill
Seattle
PeaceHealth United General Medical Center
Sedro-Woolley
Prisma Health Cancer Institute - Seneca
Seneca
UPMC Cancer Center at UPMC Northwest
Seneca
Saint Francis Regional Medical Center
Shakopee
ThedaCare Cancer Care - Shawano
Shawano
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan
Henry Ford Macomb Health Center - Shelby Township
Shelby
Providence Regional Cancer System-Shelton
Shelton
Jewish Hospital Medical Center South
Shepherdsville
Welch Cancer Center
Sheridan
Saint Michael Cancer Center
Silverdale
MercyOne Genesis Silvis Cancer Center
Silvis
Avera Cancer Institute
Sioux Falls
Sanford Cancer Center Oncology Clinic
Sioux Falls
Sanford USD Medical Center - Sioux Falls
Sioux Falls
Phelps Memorial Hospital Center
Sleepy Hollow
Robert Wood Johnson University Hospital Somerset
Somerville
Memorial Hospital of South Bend
South Bend
City of Hope South Pasadena
South Pasadena
MaineHealth Cancer Care and IV Therapy - South Portland
South Portland
Henry Ford Health Providence Southfield Hospital
Southfield
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven
Spartanburg Medical Center
Spartanburg
CoxHealth South Hospital
Springfield
Mercy Hospital Springfield
Springfield
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Memorial Hospital
Springfield
Mercy Hospital Saint Louis
St Louis
Mercy Hospital South
St Louis
Missouri Baptist Medical Center
St Louis
Saint Louis Cancer and Breast Institute-South City
St Louis
Siteman Cancer Center at Christian Hospital
St Louis
Siteman Cancer Center-South County
St Louis
Washington University School of Medicine
St Louis
Staten Island University Hospital
Staten Island
Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights
Trinity's Tony Teramana Cancer Center
Steubenville
Aspirus Cancer Care - Stevens Point
Stevens Point
Marshfield Medical Center-River Region at Stevens Point
Stevens Point
Lakeview Hospital
Stillwater
Stony Brook University Medical Center
Stony Brook
Cleveland Clinic Cancer Center Strongsville
Strongsville
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay
Cancer Specialists of Tidewater-Suffolk
Suffolk
MD Anderson in Sugar Land
Sugar Land
Missouri Baptist Sullivan Hospital
Sullivan
Aurora Medical Center in Summit
Summit
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale
BJC Outpatient Center at Sunset Hills
Sunset Hills
Southwest Illinois Health Services LLP
Swansea
ProMedica Flower Hospital
Sylvania
Franciscan Research Center-Northwest Medical Plaza
Tacoma
MyMichigan Medical Center Tawas
Tawas City
Holy Name Hospital
Teaneck
Union Hospital
Terre Haute
Montefiore Medical Center - Moses Campus
The Bronx
Montefiore Medical Center-Einstein Campus
The Bronx
Montefiore Medical Center-Weiler Hospital
The Bronx
Rocky Mountain Cancer Centers-Thornton
Thornton
Toledo Clinic Cancer Centers-Toledo
Toledo
Community Medical Center
Toms River
University of Kansas Health System Saint Francis Campus
Topeka
City of Hope South Bay
Torrance
Smilow Cancer Hospital-Torrington Care Center
Torrington
Munson Medical Center
Traverse City
Corewell Health Beaumont Troy Hospital
Troy
Dayton Physicians LLC - Troy
Troy
Saint Marys Hospital-Troy
Troy
Upper Valley Medical Center
Troy
Gene Upshaw Memorial Tahoe Forest Cancer Center
Truckee
Smilow Cancer Hospital Care Center-Trumbull
Trumbull
Legacy Meridian Park Hospital
Tualatin
Banner University Medical Center - Tucson
Tucson
University of Arizona Cancer Center-North Campus
Tucson
Saint Luke's Cancer Institute - Twin Falls
Twin Falls
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers
UPMC Cancer Center-Uniontown
Uniontown
City of Hope Upland
Upland
Carle Cancer Center
Urbana
The Carle Foundation Hospital
Urbana
Sutter Solano Medical Center/Cancer Center
Vallejo
Northwest Cancer Center - Valparaiso
Valparaiso
Legacy Cancer Institute Medical Oncology and Day Treatment
Vancouver
Legacy Salmon Creek Hospital
Vancouver
PeaceHealth Southwest Medical Center
Vancouver
Peninsula Cancer Institute-Cancer Specialists of Tidewater
Virginia Beach
MD Anderson Cancer Center at Cooper-Voorhees
Voorhees Township
Ridgeview Medical Center
Waconia
University Hospitals Sharon Health Center
Wadsworth
Providence Saint Mary Regional Cancer Center
Walla Walla
Epic Care Cyberknife Center
Walnut Creek
Advanced Breast Care Center PLLC
Warren
Henry Ford Health Warren Hospital
Warren
Henry Ford Madison Heights Hospital - Breast
Warren
Henry Ford Warren Hospital - GLCMS
Warren
Macomb Hematology Oncology PC
Warren
Saint Joseph Warren Hospital
Warren
South Pointe Hospital
Warrensville Heights
Northwestern Medicine Cancer Center Warrenville
Warrenville
Kent Hospital
Warwick
Illinois CancerCare - Washington
Washington
Marion L Shepard Cancer Center - ECU Health Beaufort Hospital
Washington
Mercy Hospital Washington
Washington
UPMC Cancer Center-Washington
Washington
Kaiser Permanente-Capitol Hill Medical Center
Washington D.C.
MedStar Washington Hospital Center
Washington D.C.
Smilow Cancer Hospital-Waterbury Care Center
Waterbury
Smilow Cancer Hospital Care Center - Waterford
Waterford
UW Cancer Center at ProHealth Care
Waukesha
Aspirus Regional Cancer Center
Wausau
Ascension Medical Group Southeast Wisconsin - Mayfair Road
Wauwatosa
Aurora Cancer Care-Milwaukee West
Wauwatosa
Valley Medical Group - Wayne Multispecialty Practice
Wayne
AdventHealth Infusion Center Weaverville
Weaverville
Aurora West Allis Medical Center
West Allis
Froedtert West Bend Hospital/Kraemer Cancer Center
West Bend
Henry Ford West Bloomfield Hospital
West Bloomfield
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch
University of Cincinnati Cancer Center-West Chester
West Chester
Mercy Medical Center-West Lakes
West Des Moines
Methodist West Hospital
West Des Moines
UPMC West Mifflin-Cancer Center Jefferson
West Mifflin
Reading Hospital
West Reading
Saint Ann's Hospital
Westerville
UH Seidman Cancer Center at Saint John Medical Center
Westlake
Cleveland Clinic-Weston
Weston
Marshfield Medical Center - Weston
Weston
University of Kansas Hospital-Westwood Cancer Center
Westwood
Valley Health System-Hematology/Oncology
Westwood
Wexford Health and Wellness Pavilion
Wexford
Ascension Via Christi Hospitals Wichita
Wichita
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre
Wake Forest Baptist Health - Wilkes Medical Center
Wilkesboro
Peninsula Cancer Institute-Williamsburg
Williamsburg
Rice Memorial Hospital
Willmar
Asplundh Cancer Pavilion
Willow Grove
Shenandoah Oncology PC
Winchester
Wake Forest University Health Sciences
Winston-Salem
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids
Kaiser Permanente-Caton Hill Medical Center
Woodbridge
Minnesota Oncology Hematology PA-Woodbury
Woodbury
Woodland Memorial Hospital
Woodland
Kaiser Permanente-Woodland Hills
Woodland Hills
Cleveland Clinic Wooster Family Health and Surgery Center
Wooster
UMass Memorial Medical Center - University Campus
Worcester
Lankenau Medical Center
Wynnewood
Fairview Lakes Medical Center
Wyoming
University of Michigan Health - West
Wyoming
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
Yakima
Providence Regional Cancer System-Yelm
Yelm
WellSpan Health-York Cancer Center
York
Rush-Copley Healthcare Center
Yorkville
Saint Elizabeth Youngstown Hospital
Youngstown
Huron Gastroenterology PC
Ypsilanti
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti
Genesis Healthcare System Cancer Care Center
Zanesville