Volver a Ensayos Clínicos

NCT04094688

Vitamina D3 en combinación con quimioterapia y bevacizumab en el tratamiento de pacientes con cáncer colorrectal avanzado o metastásico.

Activo, No Reclutando Fase 3

Descripción

Este ensayo de fase III estudia la eficacia de la administración de vitamina D3 junto con la quimioterapia estándar y el bevacizumab en el tratamiento de pacientes con cáncer colorrectal que se ha extendido a otras partes del cuerpo. La vitamina D3 ayuda al organismo a utilizar el calcio y el fósforo para formar huesos y dientes fuertes. Los fármacos utilizados en la quimioterapia, como el leucovorín cálcico, el fluorouracilo, el oxaliplatino y el clorhidrato de irinotecán, actúan de diferentes maneras para detener el crecimiento de las células tumorales, ya sea matando las células, impidiendo que se dividan o impidiendo que se propaguen. La inmunoterapia con anticuerpos monoclonales, como el bevacizumab, puede ayudar al sistema inmunitario del organismo a atacar el cáncer y puede interferir con la capacidad de las células tumorales para crecer y propagarse. La administración de vitamina D3 junto con la quimioterapia y el bevacizumab puede ser más eficaz para reducir o estabilizar el cáncer colorrectal. Aún no se sabe si la administración de dosis altas de vitamina D3, además de la quimioterapia y el bevacizumab, prolongaría el tiempo que los pacientes permanecen sin enfermedad en comparación con el enfoque habitual (quimioterapia y bevacizumab).

Evidencia de la diana molecular en cáncer colorrectal

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:

  • Adenocarcinoma colorrectal avanzado/metastásico histológicamente confirmado, para el cual no se planea una metastectomía.
  • No presentar deficiencia conocida del sistema de reparación de errores de emparejamiento (dMMR) ni inestabilidad de microsatélites de alta frecuencia (MSI-H).
  • Enfermedad medible según los Criterios de Evaluación de la Respuesta en Tumores Sólidos (RECIST), versión 1.1.
  • No haber recibido tratamiento sistémico previo para la enfermedad metastásica.
  • Los pacientes pueden haber recibido previamente quimioterapia neoadyuvante o adyuvante y/o quimiorradiación. El último ciclo de terapia adyuvante debe haberse completado hace más de 12 meses antes de la recurrencia del cáncer colorrectal.
  • Los pacientes pueden haber recibido previamente quimiorradiación estándar para el cáncer de recto. La radioterapia previa debe haberse completado hace al menos 4 semanas antes de la inscripción.
  • No utilizar suplementos de vitamina D de forma continua y diaria en dosis iguales o superiores a 2.000 UI al día durante los 12 meses previos a la inscripción. Los pacientes pueden haber utilizado suplementos de vitamina D de forma continua y diaria en dosis iguales o superiores a 2.000 UI al día si la duración total fue inferior a 12 meses en los 12 meses previos a la inscripción. Los pacientes pueden haber utilizado suplementos de vitamina D de forma continua y diaria en dosis inferiores a 2.000 UI al día durante cualquier período de tiempo previo a la inscripción.
  • Los pacientes deben haber completado cualquier cirugía mayor o biopsia abierta al menos 4 semanas antes de la inscripción y deben haber completado cualquier cirugía menor o biopsia con aguja al menos 1 semana antes de la inscripción. (Nota: la inserción de un dispositivo de acceso vascular no se considera cirugía mayor ni menor). Los pacientes deben haberse recuperado de los efectos de cualquier cirugía (por ejemplo, la herida está cicatrizada, no hay infección activa, no hay drenajes, etc.) antes de la inscripción.
  • No estar embarazada ni amamantando. Este estudio implica el uso de un agente que tiene efectos genotóxicos, mutagénicos y teratogénicos conocidos. Por lo tanto, solo para mujeres en edad fértil, se requiere una prueba de embarazo en suero u orina negativa realizada hace no más de 14 días antes de la inscripción.
  • Estado funcional del Grupo de Oncología Cooperativa del Este (ECOG): 0-1.
  • Recuento absoluto de neutrófilos ≥ 1.500/mm³.
  • Recuento de plaquetas ≥ 100.000/mm³.
  • Hemoglobina ≥ 9 g/dL.
  • Creatinina ≤ 1,5 veces el límite superior de la normalidad (LSN) O aclaramiento de creatinina calculado (Calc.) > 30 mL/min.
  • Calcio ≤ 1,0 veces el LSN.
  • Corregido por el nivel de albúmina si la albúmina no está dentro de los límites normales institucionales.
  • Bilirrubina total ≤ 1,5 veces el LSN.
  • Si hay enfermedad de Gilbert, utilizar la bilirrubina directa en lugar de la bilirrubina total; bilirrubina directa ≤ 1,5 veces el LSN si la paciente va a recibir FOLFIRI; bilirrubina directa ≤ 3,0 veces el LSN si la paciente va a recibir leucovorina, fluorouracilo en infusión y oxaliplatino (FOLFOX6 modificado [m]).
  • Aspartato aminotransferasa (AST)/alanina aminotransferasa (ALT) ≤ 2,5 veces el LSN.
  • AST/ALT < 5 veces el LSN si se debe claramente a metástasis hepáticas.
  • Relación proteína en orina/creatinina (UPC) ≤ 1 mg/dL O proteína en orina ≤ 1+.
  • Si la proteína en orina es superior a 1, entonces la orina de 24 horas debe ser ≤ 1 g/24 horas.
  • No presentar enfermedad metastásica resecable para la cual se planee una metastectomía potencialmente curativa.
  • No tener una segunda neoplasia maligna "actualmente activa" distinta de los cánceres de piel no melanoma o el carcinoma cervical in situ. No se considera que los pacientes tengan una neoplasia maligna "actualmente activa" si han completado la terapia y han estado libres de enfermedad durante ≥ 3 años.
  • No tener antecedentes significativos de eventos hemorrágicos o diátesis hemorrágica en los 6 meses previos a la inscripción, a menos que la fuente del sangrado haya sido resecada.
  • No tener antecedentes de eventos trombóticos arteriales, incluyendo, entre otros, accidente isquémico transitorio, accidente cerebrovascular, angina inestable, angina que requiera intervención quirúrgica o médica, o infarto de miocardio en los 6 meses previos a la inscripción.
  • No tener antecedentes de enfermedad arterial periférica clínicamente significativa en los 6 meses previos a la inscripción.
  • No tener antecedentes de insuficiencia cardíaca congestiva no controlada definida como clase III o superior de la Asociación Cardíaca de Nueva York (NYHA).
  • No tener antecedentes de perforación gastrointestinal en los 12 meses previos a la inscripción, excepto por perforación gastrointestinal relacionada con un tumor primario de colon que haya sido completamente resecado.
  • No tener antecedentes de malabsorción, vómitos o diarrea no controlados, o cualquier otra enfermedad que afecte significativamente la función gastrointestinal y que pueda interferir con la absorción de agentes orales.
  • No tener antecedentes de reacción alérgica atribuida a compuestos de composición química o biológica similar a los agentes del estudio.
  • No tener hipertensión no controlada (definida como presión arterial [PA] > 160/90).
  • No tener una herida, úlcera o fractura ósea grave o que no cicatrice.
  • No tener una enfermedad intercurrente no controlada, incluyendo, entre otras, enfermedad psiquiátrica/situaciones sociales que, en opinión del médico tratante, puedan aumentar los riesgos asociados con la participación o el tratamiento en el estudio o que puedan interferir con la realización del estudio o la interpretación de los resultados del estudio.
  • Los pacientes con infección por el virus de la inmunodeficiencia humana (VIH) son elegibles solo si cumplen todos los siguientes criterios:
  • Están recibiendo terapia antirretroviral eficaz.
  • Carga viral de VIH indetectable mediante un ensayo clínico estándar en los 6 meses previos a la inscripción.
  • No tener hipercalcemia preexistente conocida en los 6 meses previos a la inscripción.
  • No tener enfermedad hiperparatiroidea activa conocida u otro trastorno grave del metabolismo del calcio en los 5 años previos a la inscripción.
  • No tener trastornos preexistentes del colon o intestino delgado en los que los síntomas no estén controlados, como se indica por > 3 deposiciones acuosas o blandas al día en pacientes sin colostomía o ileostomía. Se permite a los pacientes con colostomía o ileostomía a discreción del médico tratante.
  • No tener cálculos genitourinarios sintomáticos en los 12 meses previos a la inscripción.
  • Los pacientes con metástasis cerebrales tratadas son elegibles si la imagen de seguimiento después de la terapia dirigida al sistema nervioso central (SNC) no muestra evidencia de progresión al menos 28 días antes de la inscripción.
  • Los pacientes con metástasis cerebrales nuevas o progresivas (metástasis cerebrales activas) o enfermedad leptomeningea son elegibles si el médico tratante determina que no se requiere un tratamiento específico del SNC inmediato y es poco probable que se requiera durante el primer ciclo de la terapia especificada en el protocolo después de la inscripción.
  • No tener trastornos convulsivos no controlados.
  • No tener neuropatía periférica, toxicidad neurosensorial o toxicidad neuromotora de grado ≥ 2 según los Criterios de Terminología Común para los Eventos Adversos (CTCAE) v5.0, independientemente de la causalidad.
  • Los pacientes deben ser capaces de tragar formulaciones orales del fármaco.
  • No se permite el uso concomitante de suplementos de calcio y/o vitamina D. Los pacientes deben suspender el(los) suplemento(s) al menos 7 días antes de la inscripción.
  • No se permite el uso concomitante de diuréticos tiazídicos (por ejemplo, hidroclorotiazida). Los pacientes deben suspender el(los) fármaco(s) o cambiar a un agente antihipertensivo alternativo al menos 7 días antes de la inscripción.
  • No se permite el tratamiento concomitante crónico con corticosteroides orales, litio, fenitoína, quinidina, isoniazida y/o rifampicina. Los pacientes deben suspender el(los) agente(s) al menos 7 días antes de la inscripción. El uso a corto plazo de corticosteroides como terapia antiemética es aceptable.
  • No se permite el uso concomitante de otra terapia antitumoral, incluyendo quimioterapia, terapia dirigida y/o agentes biológicos.

Información del Ensayo

NCT04094688
Activo, No Reclutando
Fase 3
455 participantes
Oct 2019
Jul 2024

Ubicaciones1031

Puerto Rico (4)
Doctors Cancer Center
Manati
Centro Comprensivo de Cancer de UPR
San Juan
Pan American Center for Oncology Trials LLC
San Juan
San Juan City Hospital
San Juan
United States (1027)
Hawaii Cancer Care - Westridge
‘Aiea
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
Hickman Cancer Center
Adrian
Riverwood Healthcare Center
Aitkin
Summa Health System - Akron Campus
Akron
University of New Mexico Cancer Center
Albuquerque
Lehigh Valley Hospital-Cedar Crest
Allentown
AdventHealth Altamonte
Altamonte Springs
Saint Anthony's Health
Alton
UPMC Altoona
Altoona
American Fork Hospital / Huntsman Intermountain Cancer Center
American Fork
Mary Greeley Medical Center
Ames
McFarland Clinic - Ames
Ames
Community Hospital of Anaconda
Anaconda
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
Saint Joseph Mercy Hospital
Ann Arbor
Langlade Hospital and Cancer Center
Antigo
Kaiser Permanente-Deer Valley Medical Center
Antioch
ThedaCare Regional Cancer Center
Appleton
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande
PCR Oncology
Arroyo Grande
AdventHealth Infusion Center Asheville
Asheville
Duluth Clinic Ashland
Ashland
Northwest Wisconsin Cancer Center
Ashland
Emory Saint Joseph's Hospital
Atlanta
Emory University Hospital Midtown
Atlanta
Emory University Hospital/Winship Cancer Institute
Atlanta
Grady Health System
Atlanta
Hematology Oncology Associates of Central New York-Auburn
Auburn
MultiCare Auburn Medical Center
Auburn
Sutter Auburn Faith Hospital
Auburn
Rocky Mountain Cancer Centers-Aurora
Aurora
Rush - Copley Medical Center
Aurora
The Medical Center of Aurora
Aurora
University of Colorado Hospital
Aurora
Dell Seton Medical Center at The University of Texas
Austin
Mount Sinai Comprehensive Cancer Center at Aventura
Aventura
Saint Alphonsus Medical Center-Baker City
Baker City
Saint Louis Cancer and Breast Institute-Ballwin
Ballwin
Greater Baltimore Medical Center
Baltimore
MedStar Franklin Square Medical Center/Weinberg Cancer Institute
Baltimore
MedStar Good Samaritan Hospital
Baltimore
Sinai Hospital of Baltimore
Baltimore
Eastern Maine Medical Center
Bangor
Summa Health System - Barberton Campus
Barberton
Flaget Memorial Hospital
Bardstown
Memorial Sloan Kettering Basking Ridge
Basking Ridge
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 Physicians Group - Medical Oncology
Baton Rouge
Bronson Battle Creek
Battle Creek
McLaren Cancer Institute-Bay City
Bay City
Northwell Health Imbert Cancer Center
Bay Shore
UHHS-Chagrin Highlands Medical Center
Beachwood
UPMC-Heritage Valley Health System Beaver
Beaver
Indu and Raj Soin Medical Center
Beavercreek
Kaiser Permanente Bellevue Medical Center
Bellevue
Overlake Medical Center
Bellevue
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
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners
Lehigh Valley Hospital - Muhlenberg
Bethlehem
University of Iowa Healthcare Cancer Services Quad Cities
Bettendorf
Billings Clinic Cancer Center
Billings
Saint Vincent Frontier Cancer Center
Billings
Saint Vincent Healthcare
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
Central Care Cancer Center - Bolivar
Bolivar
Parkland Health Center-Bonne Terre
Bonne Terre
McFarland Clinic - Boone
Boone
Beth Israel Deaconess Medical Center
Boston
Boston Medical Center
Boston
Dana-Farber Cancer Institute
Boston
Boulder Community Foothills Hospital
Boulder
Boulder Community Hospital
Boulder
Rocky Mountain Cancer Centers-Boulder
Boulder
Bozeman Deaconess Hospital
Bozeman
Essentia Health Saint Joseph's Medical Center
Brainerd
Cox Cancer Center Branson
Branson
Harrison HealthPartners Hematology and Oncology-Bremerton
Bremerton
Harrison Medical Center
Bremerton
Lafayette Family Cancer Center-EMMC
Brewer
United Hospital Center
Bridgeport
Saint Joseph Mercy Brighton
Brighton
Steward Saint Elizabeth's Medical Center
Brighton
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Bristol Regional Medical Center
Bristol
Wellmont Medical Associates-Bristol
Bristol
New York-Presbyterian/Brooklyn Methodist Hospital
Brooklyn
Saint Joseph Regional Cancer Center
Bryan
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank
Highline Medical Center-Main Campus
Burien
Aurora Cancer Care-Southern Lakes VLCC
Burlington
University of Vermont and State Agricultural College
Burlington
University of Vermont Medical Center
Burlington
Fairview Ridges Hospital
Burnsville
Minnesota Oncology - Burnsville
Burnsville
Loyola Center for Health at Burr Ridge
Burr Ridge
Saint James Community Hospital and Cancer Treatment Center
Butte
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Cambridge Medical Center
Cambridge
Cooper Hospital University Medical Center
Camden
UPMC Camp Hill
Camp Hill
Cleveland Clinic Mercy Hospital
Canton
Illinois CancerCare-Canton
Canton
Mercy Hematology and Oncology Associates Inc
Canton
Saint Joseph Mercy Canton
Canton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Saint Francis Medical Center
Cape Girardeau
Southeast Cancer Center
Cape Girardeau
Memorial Hospital of Carbondale
Carbondale
Carlisle Regional Cancer Center
Carlisle
Caro Cancer Center
Caro
Saint Anthony Regional Hospital
Carroll
Carson Tahoe Regional Medical Center
Carson City
SIH Cancer Institute
Carterville
Illinois CancerCare-Carthage
Carthage
Sandra L Maxwell Cancer Center
Cedar City
Mercy Hospital
Cedar Rapids
Oncology Associates at Mercy Medical Center
Cedar Rapids
Physicians' Clinic of Iowa PC
Cedar Rapids
AdventHealth Celebration
Celebration
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
Christiana Care Health System-Concord Health Center
Chadds Ford
Chambersburg Hospital
Chambersburg
WellSpan Medical Oncology and Hematology
Chambersburg
Cancer Center of Kansas - Chanute
Chanute
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
Geauga Hospital
Chardon
Medical University of South Carolina
Charleston
West Virginia University Charleston Division
Charleston
Saint Joseph Mercy Chelsea
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Cancer Specialists of Tidewater Limited
Chesapeake
Virginia Oncology Associates-Chesapeake
Chesapeake
Saint Luke's Hospital
Chesterfield
Cheyenne Regional Medical Center-West
Cheyenne
Advocate Illinois Masonic Medical Center
Chicago
John H Stroger Jr Hospital of Cook County
Chicago
Northwestern University
Chicago
University of Chicago Comprehensive Cancer Center
Chicago
University of Illinois
Chicago
Adena Regional Medical Center
Chillicothe
Marshfield Clinic-Chippewa Center
Chippewa Falls
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
Oncology Hematology Care Inc-Kenwood
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
Case Western Reserve University
Cleveland
Cleveland Clinic Cancer Center/Fairview Hospital
Cleveland
Cleveland Clinic Foundation
Cleveland
MetroHealth Medical Center
Cleveland
Medical Oncology and Hematology Associates-West Des Moines
Clive
Mercy Cancer Center-West Lakes
Clive
Community Cancer Institute
Clovis
University Oncology Associates
Clovis
AdventHealth Infusion Center Haywood
Clyde
Billings Clinic-Cody
Cody
Kootenai Health - Coeur d'Alene
Coeur d'Alene
Memorial Hospital North
Colorado Springs
Penrose-Saint Francis Healthcare
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
UCHealth Memorial Hospital Central
Colorado Springs
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
Memorial Sloan Kettering Commack
Commack
New Hampshire Oncology Hematology PA-Concord
Concord
Mercy Hospital
Coon Rapids
Mary Imogene Bassett Hospital
Cooperstown
Bay Area Hospital
Coos Bay
Commonwealth Cancer Center-Corbin
Corbin
Good Samaritan Hospital
Corvallis
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
Carle at The Riverfront
Danville
Geisinger Medical Center
Danville
Genesis Cancer Care Institute
Davenport
Genesis Medical Center - East Campus
Davenport
Iowa Cancer Specialists
Davenport
Dayton Physician LLC-Miami Valley Hospital North
Dayton
Miami Valley Hospital
Dayton
Miami Valley Hospital North
Dayton
Beaumont Hospital - Dearborn
Dearborn
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Essentia Health - Deer River Clinic
Deer River
Northwestern Medicine Cancer Center Kishwaukee
DeKalb
Delaware Health Center-Grady Cancer Center
Delaware
Grady Memorial Hospital
Delaware
Cancer Center of Colorado at Sloan's Lake
Denver
Colorado Blood Cancer Institute
Denver
Kaiser Permanente-Franklin
Denver
National Jewish Health-Main Campus
Denver
Porter Adventist Hospital
Denver
Presbyterian - Saint Lukes Medical Center - Health One
Denver
Rocky Mountain Cancer Centers-Midtown
Denver
Rocky Mountain Cancer Centers-Rose
Denver
Rose Medical Center
Denver
SCL Health Saint Joseph Hospital
Denver
The Women's Imaging Center
Denver
Western Surgical Care
Denver
Smilow Cancer Hospital-Derby Care Center
Derby
Broadlawns Medical Center
Des Moines
Iowa Lutheran Hospital
Des Moines
Iowa Methodist Medical Center
Des Moines
Medical Oncology and Hematology Associates-Des Moines
Des Moines
Mercy Medical Center - Des Moines
Des Moines
Mission Cancer and Blood - Laurel
Des Moines
Ascension Saint John Hospital
Detroit
Wayne State University/Karmanos Cancer Institute
Detroit
Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes
Illinois CancerCare-Dixon
Dixon
Cancer Center of Kansas - Dodge City
Dodge City
Advocate Good Samaritan Hospital
Downers Grove
City of Hope Comprehensive Cancer Center
Duarte
Dublin Methodist Hospital
Dublin
Epic Care-Dublin
Dublin
Kaiser Permanente Dublin
Dublin
Essentia Health Cancer Center
Duluth
Essentia Health Saint Mary's Medical Center
Duluth
Miller-Dwan Hospital
Duluth
Mercy Medical Center
Durango
Southwest Oncology PC
Durango
Durham VA Medical Center
Durham
Northwest Oncology LLC
Dyer
Prisma Health Cancer Institute - Easley
Easley
Great Lakes Cancer Management Specialists-Doctors Park
East China
Fox Chase Cancer Center - East Norriton Hospital Outpatient Center
East Norriton
Pocono Medical Center
East Stroudsburg
Hematology Oncology Associates of Central New York-East Syracuse
East Syracuse
Memorial Sloan Kettering Westchester
East White Plains
Marshfield Medical Center-EC Cancer Center
Eau Claire
Fairview Southdale Hospital
Edina
Swedish Cancer Institute-Edmonds
Edmonds
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
Cancer Center of Kansas - El Dorado
El Dorado
Trinitas Hospital and Comprehensive Cancer Center - Williamson Street Campus
Elizabeth
Elmhurst Memorial Hospital
Elmhurst
Bay Area Breast Surgeons Inc
Emeryville
Epic Care Partners in Cancer Care
Emeryville
Walter Knox Memorial Hospital
Emmett
Englewood Hospital and Medical Center
Englewood
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
Ephrata Community Hospital
Ephrata
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
Essentia Health Cancer Center-South University Clinic
Fargo
Sanford Broadway Medical Center
Fargo
Sanford Medical Center Fargo
Fargo
Sanford Roger Maris Cancer Center
Fargo
Sanford South University Medical Center
Fargo
Southpointe-Sanford Medical Center Fargo
Fargo
Farmington Health Center
Farmington
Parkland Health Center - Farmington
Farmington
Beaumont Hospital - Farmington Hills
Farmington Hills
Weisberg Cancer Treatment Center
Farmington Hills
UPMC Cancer Center at UPMC Horizon
Farrell
Saint Francis Hospital
Federal Way
Lake Region Healthcare Corporation-Cancer Care
Fergus Falls
Armes Family Cancer Center
Findlay
Blanchard Valley Hospital
Findlay
Orion Cancer Care
Findlay
Genesee Cancer and Blood Disease Treatment Center
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
The New York Hospital Medical Center of Queens
Flushing
McFarland Clinic - Trinity Cancer Center
Fort Dodge
Trinity Regional Medical Center
Fort Dodge
Holy Cross Hospital
Fort Lauderdale
Mercy Hospital Fort Smith
Fort Smith
Essentia Health - Fosston
Fosston
Beebe South Coastal Health Campus
Frankford
Atrium Medical Center-Middletown Regional Hospital
Franklin
Dayton Physicians LLC-Atrium
Franklin
Kaiser Permanente-Fremont
Fremont
Palo Alto Medical Foundation-Fremont
Fremont
Queens Medical Associates PC
Fresh Meadows
Fresno Cancer Center
Fresno
Kaiser Permanente-Fresno
Fresno
Unity Hospital
Fridley
Saint Luke's Cancer Institute - Fruitland
Fruitland
Gibbs Cancer Center-Gaffney
Gaffney
Central Ohio Breast and Endocrine Surgery
Gahanna
University of Florida Health Science Center - Gainesville
Gainesville
Illinois CancerCare-Galesburg
Galesburg
Western Illinois Cancer Treatment Center
Galesburg
University of Texas Medical Branch
Galveston
Central Care Cancer Center - Garden City
Garden City
CaroMont Regional Medical Center
Gastonia
Northwestern Medicine Cancer Center Delnor
Geneva
Tidelands Georgetown Memorial Hospital
Georgetown
Aurora Health Care Germantown Health Center
Germantown
Adams Cancer Center
Gettysburg
MultiCare Gig Harbor Medical Park
Gig Harbor
Glens Falls Hospital
Glens Falls
NorthShore University HealthSystem-Glenbrook Hospital
Glenview
Peninsula Cancer Institute-Gloucester
Gloucester
National Jewish Health-Western Hematology Oncology
Golden
CTCA at Western Regional Medical Center
Goodyear
Aurora Cancer Care-Grafton
Grafton
Altru Cancer Center
Grand Forks
CHI Health Saint Francis
Grand Island
Saint Mary's Hospital and Regional Medical Center
Grand Junction
Helen DeVos Children's Hospital at Spectrum Health
Grand Rapids
Spectrum Health at Butterworth Campus
Grand Rapids
Trinity Health Grand Rapids Hospital
Grand Rapids
Central Care Cancer Center - Great Bend
Great Bend
Benefis Healthcare- Sletten Cancer Institute
Great Falls
Great Falls Clinic
Great Falls
North Colorado Medical Center
Greeley
Aurora BayCare Medical Center
Green Bay
Bellin Memorial Hospital
Green Bay
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg
Dayton Physicians LLC-Wayne
Greenville
East Carolina University
Greenville
Oncology Hematology Associates
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
Academic Hematology Oncology Specialists
Grosse Pointe Woods
Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
Grosse Pointe Woods
Michigan Breast Specialists-Grosse Pointe Woods
Grosse Pointe Woods
Mount Carmel Grove City Hospital
Grove City
Smilow Cancer Hospital Care Center - Guilford
Guilford
Hackettstown Medical Center
Hackettstown
The Cancer Institute of New Jersey Hamilton
Hamilton
Virginia Oncology Associates-Hampton
Hampton
Cherry Tree Cancer Center
Hanover
UPMC Pinnacle Cancer Center/Community Osteopathic Campus
Harrisburg
Smilow Cancer Hospital Care Center at Saint Francis
Hartford
Ingalls Memorial Hospital
Harvey
HaysMed University of Kansas Health System
Hays
Geisinger Medical Center-Cancer Center Hazleton
Hazleton
Lehigh Valley Hospital-Hazleton
Hazleton
Cancer and Blood Specialists-Henderson
Henderson
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
Essentia Health Hibbing Clinic
Hibbing
NorthShore University HealthSystem-Highland Park Hospital
Highland Park
UCHealth Highlands Ranch Hospital
Highlands Ranch
University of North Carolina-Hillsborough Campus
Hillsborough
South Carolina Cancer Specialists PC
Hilton Head Island
Northwest Cancer Center - Hobart
Hobart
Saint Mary Medical Center
Hobart
Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood
Loyola Medicine Homer Glen
Homer Glen
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu
Hawaii Cancer Care Inc-Liliha
Honolulu
Island Urology
Honolulu
Kaiser Permanente Moanalua Medical Center
Honolulu
Kapiolani Medical Center for Women and Children
Honolulu
Kuakini Medical Center
Honolulu
Queen's Cancer Cenrer - POB I
Honolulu
Queen's Cancer Center - Kuakini
Honolulu
Queen's Medical Center
Honolulu
Straub Clinic and Hospital
Honolulu
The Cancer Center of Hawaii-Liliha
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
Michael E DeBakey VA Medical Center
Houston
Edwards Comprehensive Cancer Center
Huntington
Cancer Center of Kansas-Independence
Independence
IRMC Cancer Center
Indiana
Franciscan Health Indianapolis
Indianapolis
Saint Catherine Hospital
Indianapolis
University of Iowa/Holden Comprehensive Cancer Center
Iowa City
Swedish Cancer Institute-Issaquah
Issaquah
Essentia Health - Jamestown Clinic
Jamestown
Mercyhealth Hospital and Cancer Center - Janesville
Janesville
McFarland Clinic - Jefferson
Jefferson
Capital Region Southwest Campus
Jefferson City
Jefferson Hospital
Jefferson Hills
Jersey City Medical Center
Jersey City
Emory Johns Creek Hospital
Johns Creek
UPMC-Johnstown/John P. Murtha Regional Cancer Center
Johnstown
Freeman Health System
Joplin
Mercy Hospital Joplin
Joplin
Ascension Borgess Cancer Center
Kalamazoo
Borgess Medical Center
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
Kalispell Regional Medical Center
Kalispell
Saint Luke's Hospital of Kansas City
Kansas City
Truman Medical Centers
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
Vidant Oncology-Kenansville
Kenansville
Kadlec Clinic Hematology and Oncology
Kennewick
Aurora Cancer Care-Kenosha South
Kenosha
First Dayton Cancer Care
Kettering
Greater Dayton Cancer Center
Kettering
Kettering Medical Center
Kettering
Illinois CancerCare-Kewanee Clinic
Kewanee
Cancer Center of Kansas-Kingman
Kingman
Kingman Regional Medical Center
Kingman
Ballad Health Cancer Care - Kingsport
Kingsport
Wellmont Holston Valley Hospital and Medical Center
Kingsport
Vidant Oncology-Kinston
Kinston
AdventHealth Kissimmee
Kissimmee
Providence Regional Cancer System-Lacey
Lacey
Marshfield Clinic - Ladysmith Center
Ladysmith
Good Samaritan Medical Center
Lafayette
Kaiser Permanente-Rock Creek
Lafayette
Northwestern Medicine Lake Forest Hospital
Lake Forest
Northwell Health/Center for Advanced Medicine
Lake Success
The Watson Clinic
Lakeland
Monmouth Medical Center Southern Campus
Lakewood
Rocky Mountain Cancer Centers-Lakewood
Lakewood
Saint Anthony Hospital
Lakewood
Saint Clare Hospital
Lakewood
Fairfield Medical Center
Lancaster
Sparrow Hospital
Lansing
McLaren Cancer Institute-Lapeer Region
Lapeer
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas
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
Sunrise Hospital and Medical Center
Las Vegas
University Cancer 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
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon
Sechler Family Cancer Center
Lebanon
Saint Luke's East - Lee's Summit
Lee's Summit
University of Kansas Cancer Center - Lee's Summit
Lee's Summit
Beebe Medical Center
Lewes
Geisinger Medical Oncology-Lewisburg
Lewisburg
Lewistown Hospital
Lewistown
Saint Joseph Hospital East
Lexington
Saint Joseph Radiation Oncology Resource Center
Lexington
University of Kentucky/Markey Cancer Center
Lexington
Cancer Center of Kansas-Liberal
Liberal
AMG Libertyville - Oncology
Libertyville
Condell Memorial Hospital
Libertyville
Wilcox Memorial Hospital and Kauai Medical Clinic
Lihue
Saint Rita's Medical Center
Lima
Saint Elizabeth Regional Medical Center
Lincoln
John L McClellan Memorial Veterans Hospital
Little Rock
University of Arkansas for Medical Sciences
Little Rock
Littleton Adventist Hospital
Littleton
Rocky Mountain Cancer Centers-Littleton
Littleton
Saint Barnabas Medical Center
Livingston
Hope Cancer Clinic
Livonia
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
Logan Regional Hospital
Logan
Saint Joseph London
London
The Dana-Farber Cancer Institute at Londonderry
Londonderry
Kaiser Permanente-Lone Tree
Lone Tree
Rocky Mountain Cancer Centers-Sky Ridge
Lone Tree
Sky Ridge Medical Center
Lone Tree
UCHealth Lone Tree Health Center
Lone Tree
Monmouth Medical Center
Long Branch
Longmont United Hospital
Longmont
Rocky Mountain Cancer Centers-Longmont
Longmont
PeaceHealth Saint John Medical Center
Longview
Cedars Sinai Medical Center
Los Angeles
Los Angeles County-USC Medical Center
Los Angeles
USC / Norris Comprehensive Cancer Center
Los Angeles
Jewish Hospital
Louisville
Saints Mary and Elizabeth Hospital
Louisville
UofL Health Medical Center Northeast
Louisville
McKee Medical Center
Loveland
Texas Tech University Health Sciences Center-Lubbock
Lubbock
Centra Lynchburg Hematology-Oncology Clinic Inc
Lynchburg
Great Lakes Cancer Management Specialists-Macomb Medical Campus
Macomb
Illinois CancerCare-Macomb
Macomb
Michigan Breast Specialists-Macomb Township
Macomb
Elliot Hospital
Manchester
Solinsky Center for Cancer Care
Manchester
Cancer Center of Kansas-Manhattan
Manhattan
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
WVUH-Berkely Medical Center
Martinsburg
Carle Physician Group-Mattoon/Charleston
Mattoon
Hillcrest Hospital Cancer Center
Mayfield Heights
Loyola University Medical Center
Maywood
UPMC Cancer Center at UPMC McKeesport
McKeesport
Cancer Center of Kansas - McPherson
McPherson
Yolanda G Barco Oncology Institute
Meadville
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
Mechanicsburg
Aspirus Medford Hospital
Medford
Summa Health Medina Medical Center
Medina
Marjorie Weinberg Cancer Center at Loyola-Gottlieb
Melrose Park
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor
Idaho Urologic Institute-Meridian
Meridian
Saint Luke's Cancer Institute - Meridian
Meridian
Mount Sinai Medical Center
Miami Beach
Woodland Cancer Care Center
Michigan City
UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights
Memorial Sloan Kettering Monmouth
Middletown
Dana-Farber/Brigham and Women's Cancer Center at Milford Regional
Milford
Aurora Cancer Care-Milwaukee
Milwaukee
Aurora Saint Luke's Medical Center
Milwaukee
Aurora Sinai Medical Center
Milwaukee
Medical College of Wisconsin
Milwaukee
NYU Winthrop Hospital
Mineola
Abbott-Northwestern Hospital
Minneapolis
Health Partners Inc
Minneapolis
Hennepin County Medical Center
Minneapolis
Marshfield Clinic-Minocqua Center
Minocqua
Community Medical Hospital
Missoula
Saint Patrick Hospital - Community Hospital
Missoula
Kaiser Permanente-Modesto
Modesto
Memorial Medical Center
Modesto
Ochsner LSU Health Monroe Medical Center
Monroe
Toledo Clinic Cancer Centers-Monroe
Monroe
Forbes Hospital
Monroeville
Monticello Cancer Center
Monticello
Memorial Sloan Kettering Bergen
Montvale
Franciscan Health Mooresville
Mooresville
West Virginia University Healthcare
Morgantown
Morristown Medical Center
Morristown
McLaren Cancer Institute-Macomb
Mount Clemens
McLaren Cancer Institute-Central Michigan
Mount Pleasant
UPMC Hillman Cancer Center - Part of Frick Hospital
Mount Pleasant
Good Samaritan Regional Health Center
Mount Vernon
Knox Community Hospital
Mount Vernon
ProHealth D N Greenwald Center
Mukwonago
The Community Hospital
Munster
Women's Diagnostic Center - Munster
Munster
Intermountain Medical Center
Murray
Trinity Health Muskegon Hospital
Muskegon
Saint Alphonsus Cancer Care Center-Nampa
Nampa
Saint Luke's Cancer Institute - Nampa
Nampa
Edward Hospital/Cancer Center
Naperville
ThedaCare Regional Medical Center - Neenah
Neenah
Rutgers Cancer Institute of New Jersey
New Brunswick
Smilow Cancer Center/Yale-New Haven Hospital
New Haven
Yale University
New Haven
UC Comprehensive Cancer Center at Silver Cross
New Lenox
ThedaCare Cancer Care - New London
New London
Cancer Center of Western Wisconsin
New Richmond
New Ulm Medical Center
New Ulm
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York
Memorial Sloan Kettering Cancer Center
New York
NYP/Weill Cornell Medical Center
New York
Christiana Care Health System-Christiana Hospital
Newark
Delaware Clinical and Laboratory Physicians PA
Newark
Helen F Graham Cancer Center
Newark
Licking Memorial Hospital
Newark
Medical Oncology Hematology Consultants PA
Newark
Newark Beth Israel Medical Center
Newark
Newark Radiation Oncology
Newark
Rutgers New Jersey Medical School
Newark
Providence Newberg Medical Center
Newberg
USC Norris Oncology/Hematology-Newport Beach
Newport Beach
Peninsula Cancer Institute-Newport News
Newport News
Virginia Oncology Associates-Newport News
Newport News
Cancer Center of Kansas - Newton
Newton
Newton Medical Center
Newton
Lakeland Hospital Niles
Niles
Virginia Oncology Associates - Lake Wright
Norfolk
Yale-New Haven Hospital North Haven Medical Center
North Haven
Arnold Palmer Cancer Center Medical Oncology Norwin
North Huntingdon
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City
Southwest VA Regional Cancer Center
Norton
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores
Ascension Providence Hospitals - Novi
Novi
Nyack Hospital
Nyack
Cancer Care Center of O'Fallon
O'Fallon
Advocate Christ Medical Center
Oak Lawn
Alta Bates Summit Medical Center - Summit Campus
Oakland
Bay Area Tumor Institute
Oakland
Kaiser Permanente Oakland-Broadway
Oakland
Kaiser Permanente-Oakland
Oakland
ProHealth Oconomowoc Memorial Hospital
Oconomowoc
McKay-Dee Hospital Center
Ogden
Mercy Hospital Oklahoma City
Oklahoma City
University of Oklahoma Health Sciences Center
Oklahoma City
Olathe Health Cancer Center
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 Medicine-Village Pointe
Omaha
Nebraska Methodist Hospital
Omaha
University of Nebraska Medical Center
Omaha
Saint Alphonsus Medical Center-Ontario
Ontario
Smilow Cancer Hospital-Orange Care Center
Orange
University of Chicago Medicine-Orland Park
Orland Park
AdventHealth East Orlando
Orlando
AdventHealth Medical Group Urology at Orlando
Orlando
AdventHealth Orlando
Orlando
Orlando Health Cancer Institute
Orlando
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh
Illinois CancerCare-Ottawa Clinic
Ottawa
University of Kansas Cancer Center-Overland Park
Overland Park
Hope Cancer Care of Nevada-Pahrump
Pahrump
Palo Alto Medical Foundation Health Care
Palo Alto
Stanford Cancer Institute Palo Alto
Palo Alto
Midlands Community Hospital
Papillion
Essentia Health - Park Rapids
Park Rapids
Advocate Lutheran General Hospital
Park Ridge
Parker Adventist Hospital
Parker
Camden Clark Medical Center
Parkersburg
University Hospitals Parma Medical Center
Parma
Cancer Center of Kansas - Parsons
Parsons
Keck Medical Center of USC Pasadena
Pasadena
Illinois CancerCare-Pekin
Pekin
Memorial Hospital West
Pembroke Pines
Illinois CancerCare-Peoria
Peoria
Methodist Medical Center of Illinois
Peoria
Mercy Health Perrysburg Cancer Center
Perrysburg
Illinois CancerCare-Peru
Peru
Valley Radiation Oncology
Peru
McLaren Cancer Institute-Northern Michigan
Petoskey
Eastern Regional Medical Center
Philadelphia
Fox Chase Cancer Center
Philadelphia
Temple University Hospital
Philadelphia
Cancer Center at Saint Joseph's
Phoenix
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst
Ascension Via Christi - Pittsburg
Pittsburg
Allegheny General Hospital
Pittsburgh
University of Pittsburgh Cancer Institute (UPCI)
Pittsburgh
UPMC-Mercy Hospital
Pittsburgh
UPMC-Passavant Hospital
Pittsburgh
UPMC-Saint Clair Hospital Cancer Center
Pittsburgh
West Penn Hospital
Pittsburgh
Berkshire Medical Center - Cancer Center
Pittsfield
Edward Hospital/Cancer Center?Plainfield
Plainfield
South Florida Baptist Hospital
Plant City
21st Century Oncology-Pontiac
Pontiac
Hope Cancer Center
Pontiac
Newland Medical Associates-Pontiac
Pontiac
Saint Joseph Mercy Oakland
Pontiac
McLaren-Port Huron
Port Huron
Jefferson Healthcare
Port Townsend
Providence Portland Medical Center
Portland
Providence Saint Vincent Medical Center
Portland
Southern Ohio Medical Center
Portsmouth
Kootenai Clinic Cancer Services - Post Falls
Post Falls
Geisinger Cancer Services-Pottsville
Pottsville
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo
Cancer Center of Kansas - Pratt
Pratt
Fairview Northland Medical Center
Princeton
Illinois CancerCare-Princeton
Princeton
Miriam Hospital
Providence
Rhode Island Hospital
Providence
Utah Valley Regional Medical Center
Provo
Saint Mary Corwin Medical Center
Pueblo
MultiCare Good Samaritan Hospital
Puyallup
Aurora Cancer Care-Racine
Racine
Kaiser Permanente-Rancho Cordova Cancer Center
Rancho Cordova
Eisenhower Medical Center
Rancho Mirage
Northwest Hospital Center
Randallstown
Rapid City Regional Hospital
Rapid City
University Hospitals Portage Medical Center
Ravenna
Saint Charles Health System-Redmond
Redmond
Kaiser Permanente- Marshall Medical Offices
Redwood City
Kaiser Permanente-Redwood City
Redwood City
Spectrum Health Reed City Hospital
Reed City
Beebe Health Campus
Rehoboth Beach
Radiation Oncology Associates
Reno
Renown Regional Medical Center
Reno
Saint Mary's Regional Medical Center
Reno
Valley Medical Center
Renton
Marshfield Medical Center-Rice Lake
Rice Lake
Vidant Oncology-Richlands
Richlands
Bon Secours Cancer Institute at Reynolds Crossing
Richmond
Bon Secours Saint Mary's Hospital
Richmond
Kaiser Permanente-Richmond
Richmond
Reid Health
Richmond
VCU Massey Cancer Center at Stony Point
Richmond
Virginia Cancer Institute
Richmond
Virginia Commonwealth University/Massey Cancer Center
Richmond
West Suburban Medical Center
River Forest
Riverton Hospital
Riverton
North Memorial Medical Health Center
Robbinsdale
Great Lakes Cancer Management Specialists-Rochester Hills
Rochester Hills
Rohnert Park Cancer Center
Rohnert Park
Delbert Day Cancer Institute at PCRMC
Rolla
Mercy Clinic-Rolla-Cancer and Hematology
Rolla
Kaiser Permanente-Roseville
Roseville
Sutter Roseville Medical Center
Roseville
The Permanente Medical Group-Roseville Radiation Oncology
Roseville
Cancer Care Associates PC
Royal Oak
Comprehensive Medical Center PLLC
Royal Oak
Hematology Oncology Consultants PC
Royal Oak
Oakland Colon Rectal Associates
Royal Oak
Oakland Medical Group
Royal Oak
William Beaumont Hospital-Royal Oak
Royal Oak
Kaiser Permanente Downtown Commons
Sacramento
Kaiser Permanente-South Sacramento
Sacramento
South Sacramento Cancer Center
Sacramento
Sutter Medical Center Sacramento
Sacramento
Ascension Saint Mary's Hospital
Saginaw
Oncology Hematology Associates of Saginaw Valley PC
Saginaw
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud
Norris Cotton Cancer Center-North
Saint Johnsbury
Heartland Regional Medical Center
Saint Joseph
Lakeland Medical Center Saint Joseph
Saint Joseph
Marie Yeager Cancer 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
Cancer Center of Kansas - Salina
Salina
Salina Regional Health Center
Salina
Salinas Valley Memorial
Salinas
WG Hefner VA Medical Center
Salisbury
Huntsman Cancer Institute/University of Utah
Salt Lake City
LDS Hospital
Salt Lake City
University of Utah Sugarhouse Health Center
Salt Lake City
Utah Cancer Specialists-Salt Lake City
Salt Lake City
California Pacific Medical Center-Pacific Campus
San Francisco
Kaiser Permanente-San Francisco
San Francisco
Kaiser Permanente-Santa Teresa-San Jose
San Jose
Kaiser Permanente San Leandro
San Leandro
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo
Kaiser San Rafael-Gallinas
San Rafael
Kootenai Cancer Clinic
Sandpoint
Essentia Health Sandstone
Sandstone
North Coast Cancer Care
Sandusky
Kaiser Permanente Medical Center - Santa Clara
Santa Clara
Palo Alto Medical Foundation-Santa Cruz
Santa Cruz
Mission Hope Medical Oncology - Santa Maria
Santa Maria
Kaiser Permanente-Santa Rosa
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
TidalHealth Nanticoke / Allen Cancer Center
Seaford
Kaiser Permanente Washington
Seattle
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
Geisinger Medical Oncology-Selinsgrove
Selinsgrove
Prisma Health Cancer Institute - Seneca
Seneca
UPMC Cancer Center at UPMC Northwest
Seneca
Saint Francis Regional Medical Center
Shakopee
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan
Providence Regional Cancer System-Shelton
Shelton
Jewish Hospital Medical Center South
Shepherdsville
Welch Cancer Center
Sheridan
LSU Health Sciences Center at Shreveport
Shreveport
Ochsner LSU Health Saint Mary's Medical Center
Shreveport
Genesis Cancer Center - Silvis
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
VCU Community Memorial Health Center
South Hill
City of Hope South Pasadena
South Pasadena
Kaiser Permanente Cancer Treatment Center
South San Francisco
Kaiser Permanente-South San Francisco
South San Francisco
Dana-Farber/Brigham and Women's Cancer Center at South Shore
South Weymouth
Ascension Providence Hospitals - Southfield
Southfield
Spartanburg Medical Center
Spartanburg
MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
Spokane
MultiCare Deaconess Cancer and Blood Specialty Center - North
Spokane
MultiCare Deaconess Cancer and Blood Specialty Center - Valley
Spokane Valley
CoxHealth South Hospital
Springfield
Memorial Medical Center
Springfield
Mercy Hospital Springfield
Springfield
Mercy Medical Center
Springfield
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Regional Cancer Center
Springfield
Springfield Regional Medical Center
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
Veteran's Affairs Medical Center - Saint Louis
St Louis
Washington University School of Medicine
St Louis
Saint George Regional Medical Center
St. George
Saint Helena Hospital
St. Helena
Saint Anthony's Hospital Cancer Care Center
St. Petersburg
Stamford Hospital/Bennett Cancer Center
Stamford
Geisinger Medical Group
State College
Staten Island University Hospital
Staten Island
Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights
Premier Hematology Oncology Care
Sterling Heights
Trinity's Tony Teramana Cancer Center
Steubenville
Marshfield Medical Center-River Region at Stevens Point
Stevens Point
Lakeview Hospital
Stillwater
Kaiser Permanente-Stockton
Stockton
Stony Brook University Medical Center
Stony Brook
Cleveland Clinic Cancer Center Strongsville
Strongsville
Cancer Specialists of Tidewater-Suffolk
Suffolk
Missouri Baptist Sullivan Hospital
Sullivan
Aurora Medical Center in Summit
Summit
Overlook Hospital
Summit
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale
Missouri Baptist Outpatient Center-Sunset Hills
Sunset Hills
Southwest Illinois Health Services LLP
Swansea
Hematology Oncology Associates of Central New York-Onondaga Hill
Syracuse
Franciscan Research Center-Northwest Medical Plaza
Tacoma
MultiCare Tacoma General Hospital
Tacoma
Northwest Medical Specialties PLLC
Tacoma
Cedars-Sinai Cancer - Tarzana
Tarzana
Ascension Saint Joseph Hospital
Tawas City
Holy Name Hospital
Teaneck
Union Hospital
Terre Haute
Sanford Thief River Falls Medical Center
Thief River Falls
National Jewish Health-Northern Hematology Oncology
Thornton
Rocky Mountain Cancer Centers-Thornton
Thornton
Mercy Health - Saint Anne Hospital
Toledo
Saint Vincent Mercy Medical Center
Toledo
Toledo Clinic Cancer Centers-Toledo
Toledo
Community Medical Center
Toms River
University of Kansas Health System Saint Francis Campus
Topeka
Torrance Memorial Medical Center
Torrance
Torrance Memorial Physician Network - Cancer Care
Torrance
Smilow Cancer Hospital-Torrington Care Center
Torrington
Munson Medical Center
Traverse City
Dayton Physicians LLC - Troy
Troy
Hematology Oncology Consultants PC-Troy
Troy
Michigan Institute of Urology-Town Center
Troy
Upper Valley Medical Center
Troy
William Beaumont Hospital - Troy
Troy
Smilow Cancer Hospital Care Center-Trumbull
Trumbull
Oklahoma Cancer Specialists and Research Institute-Tulsa
Tulsa
Saint Luke's Cancer Institute - Twin Falls
Twin Falls
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers
MGC Hematology Oncology-Union
Union
Memorial Sloan Kettering Nassau
Uniondale
UPMC Cancer Center-Uniontown
Uniontown
City of Hope Upland
Upland
Carle Cancer Center
Urbana
The Carle Foundation Hospital
Urbana
Kaiser Permanente Medical Center-Vacaville
Vacaville
Northbay Cancer Center
Vacaville
Kaiser Permanente-Vallejo
Vallejo
Sutter Solano Medical Center/Cancer Center
Vallejo
Northwest Cancer Center - Valparaiso
Valparaiso
PeaceHealth Southwest Medical Center
Vancouver
Essentia Health Virginia Clinic
Virginia
Peninsula Cancer Institute-Cancer Specialists of Tidewater
Virginia Beach
Virginia Oncology Associates-Princess Anne
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
Kaiser Permanente-Walnut Creek
Walnut Creek
Advanced Breast Care Center PLLC
Warren
Great Lakes Cancer Management Specialists-Macomb Professional Building
Warren
Macomb Hematology Oncology PC
Warren
Michigan Breast Specialists-Warren
Warren
Saint John Macomb-Oakland Hospital
Warren
Saint Joseph Warren Hospital
Warren
South Pointe Hospital
Warrensville Heights
Northwestern Medicine Cancer Center Warrenville
Warrenville
Illinois CancerCare - Washington
Washington
Marion L Shepard Cancer Center at Vidant Beaufort Hospital
Washington
Mercy Hospital Washington
Washington
UPMC Cancer Center-Washington
Washington
George Washington University Medical Center
Washington D.C.
MedStar Georgetown University Hospital
Washington D.C.
MedStar Washington Hospital Center
Washington D.C.
Smilow Cancer Hospital-Waterbury Care Center
Waterbury
Smilow Cancer Hospital Care Center - Waterford
Waterford
MercyOne Waterloo Cancer Center
Waterloo
ProHealth Waukesha Memorial Hospital
Waukesha
UW Cancer Center at ProHealth Care
Waukesha
Aspirus Regional Cancer Center
Wausau
Marshfield Clinic-Wausau Center
Wausau
Aurora Cancer Care-Milwaukee West
Wauwatosa
AdventHealth Infusion Center Weaverville
Weaverville
Cancer Center of Kansas - Wellington
Wellington
Aurora West Allis Medical Center
West Allis
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch
Chester County Hospital
West Chester
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
Saint Ann's Hospital
Westerville
UH Seidman Cancer Center at Saint John Medical Center
Westlake
William E Kahlert Regional Cancer Center/Sinai Hospital
Westminster
Marshfield Medical Center - Weston
Weston
University of Kansas Hospital-Westwood Cancer Center
Westwood
Wexford Health and Wellness Pavilion
Wexford
SCL Health Lutheran Medical Center
Wheat Ridge
Ascension Via Christi Hospitals Wichita
Wichita
Cancer Center of Kansas - Wichita
Wichita
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre
Peninsula Cancer Institute-Williamsburg
Williamsburg
Divine Providence Hospital
Williamsport
UPMC Susquehanna
Williamsport
Rice Memorial Hospital
Willmar
Asplundh Cancer Pavilion
Willow Grove
Christiana Care Health System-Wilmington Hospital
Wilmington
Shenandoah Oncology PC
Winchester
Cancer Center of Kansas - Winfield
Winfield
Winter Haven Hospital
Winter Haven
AdventHealth Winter Park
Winter Park
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids
Marshfield Clinic - Wisconsin Rapids Center
Wisconsin Rapids
Minnesota Oncology Hematology PA-Woodbury
Woodbury
Cleveland Clinic Wooster Family Health and Surgery Center
Wooster
Sanford Cancer Center Worthington
Worthington
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
Cancer Care Associates of York
York
UPMC Memorial
York
WellSpan Health-York Cancer Center
York
WellSpan Health-York Hospital
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