Volver a Ensayos Clínicos
NCT04444921
EA2176: Ensayo clínico de fase III con carboplatino y paclitaxel +/- nivolumab en pacientes con cáncer anal metastásico.
Activo, No Reclutando
Fase 3
Descripción
Este ensayo de fase 3 compara la adición de nivolumab a la quimioterapia (carboplatino y paclitaxel) frente al tratamiento habitual (quimioterapia sola) para el tratamiento del cáncer anal que se ha extendido a otras partes del cuerpo (metastásico). La inmunoterapia con anticuerpos monoclonales, como el nivolumab, puede ayudar al sistema inmunitario del cuerpo a atacar el cáncer y puede interferir con la capacidad de las células tumorales para crecer y diseminarse. Los fármacos de quimioterapia, como el carboplatino y el paclitaxel, 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 diseminen. La administración de nivolumab junto con carboplatino y paclitaxel puede ayudar a los médicos a determinar si el tratamiento es mejor o igual que el enfoque habitual.
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 tener una enfermedad inoperable, recurrente o metastásica que no sea susceptible de tratamiento curativo.
- El paciente debe tener confirmación histológica o citológica de carcinoma de células escamosas anal (incluidos los tipos basaloide y cloacogénico) del tumor primario o de una lesión recurrente/metastásica de reciente diagnóstico.
- El paciente debe tener una edad \>= 18 años.
- El paciente debe tener un estado funcional según la escala ECOG de 0-1.
- Los pacientes deben tener una enfermedad medible según los criterios de evaluación de la respuesta en tumores sólidos (RECIST) versión 1.1, basándose en una evaluación radiológica realizada \< 4 semanas antes de la aleatorización.
- Se permite que el paciente reciba radioterapia paliativa (de campo limitado), siempre y cuando la lesión tratada con fines paliativos no sea una lesión objetivo y hayan transcurrido \> 7 días desde la finalización de la radioterapia paliativa.
- Los pacientes con metástasis cerebrales son elegibles si el paciente está asintomático y si el tratamiento finalizó hace \> 3 meses antes de la aleatorización. Los pacientes con metástasis cerebrales tratadas son elegibles si la exploración de imagen cerebral de seguimiento después de la terapia dirigida al sistema nervioso central (SNC) no muestra evidencia de progresión dentro de las 4 semanas previas a la aleatorización.
- La paciente no debe estar embarazada ni amamantando, debido al posible daño al feto y al posible riesgo de eventos adversos en los lactantes con los regímenes de tratamiento que se utilicen. Todas las pacientes en edad fértil deben someterse a un análisis de sangre o un estudio de orina con una sensibilidad mínima de 25 UI/L o unidades equivalentes de Bacilo de Calmette-Guerin (BCG), dentro de los 14 días previos a la aleatorización para descartar el embarazo. Se define como paciente en edad fértil a cualquier persona, independientemente de si se ha sometido a una ligadura de trompas, que cumpla los siguientes criterios: 1) ha tenido la menarquia en algún momento, 2) no se ha sometido a una histerectomía o ooforectomía bilateral; o 2) no ha tenido una menopausia natural (la amenorrea después de la terapia contra el cáncer no descarta la capacidad de reproducción) durante al menos 24 meses consecutivos (es decir, ha tenido menstruación en algún momento durante los 24 meses consecutivos anteriores).
- Las pacientes en edad fértil no deben tener la intención de concebir hijos utilizando métodos anticonceptivos aceptados y eficaces o abstenerse de tener relaciones sexuales durante al menos una semana antes del inicio del tratamiento, y continuar durante 5 meses después de la última dosis del tratamiento del protocolo.
- Recuento absoluto de neutrófilos \>= 1.500/mcL (obtenido \< 14 días antes de la aleatorización).
- Plaquetas \>= 100.000/mcL (obtenido \< 14 días antes de la aleatorización).
- Hemoglobina (Hgb) \>= 9 g/dL para hombres y \>= 9 g/dL para mujeres (obtenido \< 14 días antes de la aleatorización).
- Bilirrubina total =\< 1,5 x el límite superior normal (LSN) institucional (obtenido \< 14 días antes de la aleatorización).
- Transaminasa aspártica (AST) (transaminasa glutámico-oxalacética sérica [SGOT]) / transaminasa alanina (ALT) (transaminasa glutamato pirúvica sérica [SGPT]) =\< 5 x LSN institucional (obtenido \< 14 días antes de la aleatorización).
- Creatinina =\< 1,5 x LSN institucional O aclaramiento de creatinina (CrCl) \>= 50 mL/min (si se utiliza la fórmula de Cockcroft-Gault) (obtenido \< 14 días antes de la aleatorización).
- Los pacientes infectados por el virus de la inmunodeficiencia humana (VIH) que estén recibiendo terapia antirretroviral (TAR) eficaz con un recuento de CD4 \>= 200 o que tengan un recuento de CD4 \< 200 pero una carga viral indetectable son elegibles.
- Todos los pacientes con VIH deben estar bajo el cuidado de un especialista en enfermedades infecciosas. Si no se establece una relación con un especialista en enfermedades infecciosas, se debe consultar a un especialista en enfermedades infecciosas. Los registros de todos los recuentos virales y los recuentos de células T periféricas deben documentarse para realizar un seguimiento de estos valores durante el curso del tratamiento.
- Todos los pacientes deben estar dispuestos a someterse a pruebas de detección del VIH si no se les realizó la prueba en los últimos 12 meses.
- En los pacientes con evidencia de infección crónica por el virus de la hepatitis B (VHB), la carga viral del VHB debe ser indetectable o deben estar recibiendo terapia de supresión (si está indicado).
- Los pacientes con antecedentes de infección por el virus de la hepatitis C (VHC) deben haber sido tratados y curados. Para los pacientes con infección por VHC que se encuentran actualmente en tratamiento, son elegibles si tienen una carga viral de VHC indetectable.
- Los pacientes con antecedentes conocidos o síntomas actuales de enfermedad cardíaca deben someterse a una evaluación del riesgo clínico de la función cardíaca utilizando la clasificación funcional de la Asociación Cardíaca de Nueva York. Para ser elegibles para este ensayo, los pacientes deben estar en la clase 2B o superior. Los pacientes con antecedentes de insuficiencia cardíaca congestiva (ICC) o que están en riesgo debido a una enfermedad cardiovascular subyacente o exposición a fármacos cardiotóxicos deben estar dispuestos a someterse a una evaluación de la función cardíaca, que incluya electrocardiograma (ECG) y ecocardiograma (ECO), según lo indique clínicamente.
- El paciente debe tener la capacidad de comprender y la voluntad de firmar un documento de consentimiento informado por escrito. También se considerará elegibles a los pacientes con capacidad de toma de decisiones disminuida (CTD) que tengan un representante legal (LAR) o cuidador y/o familiar disponible.
- El paciente no debe haber utilizado previamente quimioterapia sistémica u otros fármacos experimentales para el tratamiento del cáncer anal recurrente o metastásico inoperable (el uso previo de radioterapia o quimiorradioterapia en este contexto no es un criterio de exclusión si: 1) existen lesiones tumorales objetivo no irradiadas en el momento de la aleatorización para evaluar la respuesta tumoral o 2) en ausencia de lesiones tumorales objetivo no irradiadas, se documenta la progresión de las lesiones tumorales irradiadas según los criterios RECIST versión 1.1).
- El paciente no debe estar recibiendo actualmente ni haber recibido recientemente (dentro de los 30 días previos a la aleatorización) tratamiento con otro fármaco experimental o participar en otro estudio experimental.
- El paciente no debe haber recibido inmunoterapia previa.
- El paciente no debe tener antecedentes de reacciones de hipersensibilidad conocidas a la quimioterapia basada en platino o taxanos o a anticuerpos monoclonales.
- El paciente no debe tener una enfermedad autoinmune activa o antecedentes de enfermedad autoinmune que pueda reaparecer, lo que puede afectar la función de los órganos vitales o requerir tratamiento inmunosupresor, incluidos los corticosteroides sistémicos crónicos y prolongados (definidos como el uso de corticosteroides durante un mes o más). Esto incluye, entre otros, a los pacientes con antecedentes de enfermedad neurológica relacionada con el sistema inmunitario, esclerosis múltiple, neuropatía autoinmune (desmielinizante), síndrome de Guillain-Barré, miastenia gravis; enfermedad autoinmune sistémica como lupus eritematoso sistémico (LES), enfermedades del tejido conectivo, esclerodermia, enfermedad inflamatoria intestinal (EII), enfermedad de Crohn, colitis ulcerosa y pacientes con antecedentes de necrólisis epidérmica tóxica (NET), síndrome de Stevens-Johnson o síndrome antifosfolípido. Los pacientes con alguna de estas afecciones no son elegibles debido al riesgo de recurrencia o exacerbación de la enfermedad autoinmune.
- El paciente no debe tener una afección que requiera tratamiento sistémico con corticosteroides (＞ 10 mg diarios de equivalentes de prednisona) u otros medicamentos inmunosupresores dentro de los 14 días previos a la aleatorización. Se permiten los esteroides inhalados o tópicos y las dosis de reemplazo de adrenal, siempre que no haya enfermedad autoinmune activa, con una dosis de hasta 10 mg diarios de equivalentes de prednisona. Se permite que los pacientes utilicen corticosteroides tópicos, oculares, intraarticulares, intranasales e inhalados (con absorción sistémica mínima). Se permiten las dosis de reemplazo fisiológico de corticosteroides sistémicos, incluso si son inferiores a 10 mg/día de equivalentes de prednisona. Se permite un tratamiento breve con corticosteroides para la profilaxis (por ejemplo, alergia al medio de contraste) o para el tratamiento de afecciones no autoinmunes (por ejemplo, reacción de hipersensibilidad de tipo retardado causada por un alérgeno de contacto).
- El paciente no debe haberse sometido a una cirugía mayor dentro de los 28 días previos a la aleatorización.
- El paciente no debe tener antecedentes de enfermedad pulmonar intersticial (por ejemplo, neumonitis o fibrosis pulmonar) o evidencia de enfermedad pulmonar intersticial en la tomografía computarizada (TC) de tórax basal.
- El paciente no debe tener una infección activa grave que requiera antibióticos intravenosos en el momento de la aleatorización.
- El paciente no debe tener otra neoplasia primaria en los últimos 3 años, excepto un carcinoma in situ del cuello uterino o un carcinoma de células escamosas de la piel, o un cáncer de piel basal limitado adecuadamente controlado, o cualquier otro cáncer del que el paciente haya estado libre durante al menos 3 años.
- El paciente no debe tener neuropatía periférica conocida de grado ＞ 1 en el momento de la aleatorización (la ausencia de reflejos tendinosos profundos como la única anomalía neurológica no descalifica al paciente).
- Los pacientes deben aceptar no recibir vacunas vivas mientras estén en este estudio.
Información del Ensayo
NCT04444921
Activo, No Reclutando
Fase 3
205 participantes
Nov 2020
Mar 2027
Ubicaciones579
United States (579)
Alaska Breast Care and Surgery LLC
Anchorage, Alaska, 99508
Alaska Oncology and Hematology LLC
Anchorage, Alaska, 99508
Alaska Women's Cancer Care
Anchorage, Alaska, 99508
Anchorage Associates in Radiation Medicine
Anchorage, Alaska, 98508
Anchorage Oncology Centre
Anchorage, Alaska, 99508
Anchorage Radiation Therapy Center
Anchorage, Alaska, 99504
Katmai Oncology Group
Anchorage, Alaska, 99508
Providence Alaska Medical Center
Anchorage, Alaska, 99508
Kingman Regional Medical Center
Kingman, Arizona, 86401
Cancer Center at Saint Joseph's
Phoenix, Arizona, 85004
Mercy Hospital Fort Smith
Fort Smith, Arkansas, 72903
CHI Saint Vincent Cancer Center Hot Springs
Hot Springs, Arkansas, 71913
Kaiser Permanente-Anaheim
Anaheim, California, 92806
Kaiser Permanente-Deer Valley Medical Center
Antioch, California, 94531
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, 93420
PCR Oncology
Arroyo Grande, California, 93420
Kaiser Permanente-Baldwin Park
Baldwin Park, California, 91706
Kaiser Permanente-Bellflower
Bellflower, California, 90706
Providence Saint Joseph Medical Center/Disney Family Cancer Center
Burbank, California, 91505
Kaiser Permanente Dublin
Dublin, California, 94568
Kaiser Permanente-Fontana
Fontana, California, 92335
Kaiser Permanente-Fremont
Fremont, California, 94538
Fresno Cancer Center
Fresno, California, 93720
Kaiser Permanente-Fresno
Fresno, California, 93720
Kaiser Permanente South Bay
Harbor City, California, 90710
Kaiser Permanente-Irvine
Irvine, California, 92618
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027
Kaiser Permanente West Los Angeles
Los Angeles, California, 90034
Keck Medicine of USC Koreatown
Los Angeles, California, 90020
Los Angeles General Medical Center
Los Angeles, California, 90033
USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Kaiser Permanente-Modesto
Modesto, California, 95356
USC Norris Oncology/Hematology-Newport Beach
Newport Beach, California, 92663
Kaiser Permanente Oakland-Broadway
Oakland, California, 94611
Kaiser Permanente-Oakland
Oakland, California, 94611
Kaiser Permanente-Ontario
Ontario, California, 91761
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Kaiser Permanente - Panorama City
Panorama City, California, 91402
Kaiser Permanente-Rancho Cordova Cancer Center
Rancho Cordova, California, 95670
Kaiser Permanente-Redwood City
Redwood City, California, 94063
Kaiser Permanente-Richmond
Richmond, California, 94801
Kaiser Permanente-Riverside
Riverside, California, 92505
Rohnert Park Cancer Center
Rohnert Park, California, 94928
Kaiser Permanente-Roseville
Roseville, California, 95661
The Permanente Medical Group-Roseville Radiation Oncology
Roseville, California, 95678
Kaiser Permanente Downtown Commons
Sacramento, California, 95814
Kaiser Permanente-South Sacramento
Sacramento, California, 95823
South Sacramento Cancer Center
Sacramento, California, 95823
Kaiser Permanente-Rio San Diego
San Diego, California, 92108
Kaiser Permanente-San Diego Zion
San Diego, California, 92120
Kaiser Permanente-San Francisco
San Francisco, California, 94115
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119
Kaiser Permanente San Leandro
San Leandro, California, 94577
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, 93401
Kaiser Permanente-San Marcos
San Marcos, California, 92078
Kaiser San Rafael-Gallinas
San Rafael, California, 94903
Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, 95051
Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, 93444
Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403
Kaiser Permanente Cancer Treatment Center
South San Francisco, California, 94080
Kaiser Permanente-South San Francisco
South San Francisco, California, 94080
Kaiser Permanente-Stockton
Stockton, California, 95210
Torrance Memorial Medical Center
Torrance, California, 90509
Torrance Memorial Physician Network - Cancer Care
Torrance, California, 90505
Kaiser Permanente Medical Center-Vacaville
Vacaville, California, 95688
Kaiser Permanente-Vallejo
Vallejo, California, 94589
Kaiser Permanente-Walnut Creek
Walnut Creek, California, 94596
Kaiser Permanente-Woodland Hills
Woodland Hills, California, 91367
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Rocky Mountain Cancer Centers-Penrose
Colorado Springs, Colorado, 80907
AdventHealth Porter
Denver, Colorado, 80210
CommonSpirit Cancer Center Mercy
Durango, Colorado, 81301
Mercy Medical Center
Durango, Colorado, 81301
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood, Colorado, 80228
AdventHealth Littleton
Littleton, Colorado, 80122
Longmont United Hospital
Longmont, Colorado, 80501
Rocky Mountain Cancer Centers-Longmont
Longmont, Colorado, 80501
AdventHealth Parker
Parker, Colorado, 80138
Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004
Beebe Medical Center
Lewes, Delaware, 19958
Beebe South Coastal Health Campus
Millville, Delaware, 19967
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Delaware Clinical and Laboratory Physicians PA
Newark, Delaware, 19713
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Beebe Health Campus
Rehoboth Beach, Delaware, 19971
TidalHealth Nanticoke / Allen Cancer Center
Seaford, Delaware, 19973
Christiana Care Health System-Wilmington Hospital
Wilmington, Delaware, 19801
AdventHealth Altamonte
Altamonte Springs, Florida, 32701
AdventHealth Celebration
Celebration, Florida, 34747
Holy Cross Hospital
Fort Lauderdale, Florida, 33308
AdventHealth Kissimmee
Kissimmee, Florida, 34744
AdventHealth East Orlando
Orlando, Florida, 32822
AdventHealth Medical Group Urology at Orlando
Orlando, Florida, 32803
AdventHealth Orlando
Orlando, Florida, 32803
Sacred Heart Hospital
Pensacola, Florida, 32504
Tampa General Hospital
Tampa, Florida, 33606
AdventHealth Winter Park
Winter Park, Florida, 32792
Lewis Hall Singletary Oncology Center
Thomasville, Georgia, 31792
Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819
Saint Alphonsus Cancer Care Center-Boise
Boise, Idaho, 83706
Saint Luke's Cancer Institute - Boise
Boise, Idaho, 83712
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell, Idaho, 83605
Kootenai Health - Coeur d'Alene
Coeur d'Alene, Idaho, 83814
Walter Knox Memorial Hospital
Emmett, Idaho, 83617
Saint Luke's Cancer Institute - Fruitland
Fruitland, Idaho, 83619
Idaho Urologic Institute-Meridian
Meridian, Idaho, 83642
Saint Luke's Cancer Institute - Meridian
Meridian, Idaho, 83642
Saint Alphonsus Cancer Care Center-Nampa
Nampa, Idaho, 83687
Saint Luke's Cancer Institute - Nampa
Nampa, Idaho, 83687
Kootenai Clinic Cancer Services - Post Falls
Post Falls, Idaho, 83854
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint, Idaho, 83864
Saint Luke's Cancer Institute - Twin Falls
Twin Falls, Idaho, 83301
OSF Saint Anthony's Health Center
Alton, Illinois, 62002
Rush-Copley Medical Center
Aurora, Illinois, 60504
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704
Illinois CancerCare-Canton
Canton, Illinois, 61520
Memorial Hospital of Carbondale
Carbondale, Illinois, 62902
SIH Cancer Institute
Carterville, Illinois, 62918
Illinois CancerCare-Carthage
Carthage, Illinois, 62321
Centralia Oncology Clinic
Centralia, Illinois, 62801
Northwestern University
Chicago, Illinois, 60611
Rush MD Anderson Cancer Center
Chicago, Illinois, 60612
University of Illinois
Chicago, Illinois, 60612
Carle at The Riverfront
Danville, Illinois, 61832
Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, 62526
Decatur Memorial Hospital
Decatur, Illinois, 62526
Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois, 60115
Illinois CancerCare-Dixon
Dixon, Illinois, 61021
Carle Physician Group-Effingham
Effingham, Illinois, 62401
Crossroads Cancer Center
Effingham, Illinois, 62401
Illinois CancerCare-Eureka
Eureka, Illinois, 61530
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
Western Illinois Cancer Treatment Center
Galesburg, Illinois, 61401
Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134
Northwestern Medicine Glenview Outpatient Center
Glenview, Illinois, 60026
Northwestern Medicine Grayslake Outpatient Center
Grayslake, Illinois, 60030
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045
Illinois CancerCare-Macomb
Macomb, Illinois, 61455
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
SSM Health Good Samaritan
Mount Vernon, Illinois, 62864
Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269
Northwestern Medicine Orland Park
Orland Park, Illinois, 60462
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Illinois CancerCare-Pekin
Pekin, Illinois, 61554
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Methodist Medical Center of Illinois
Peoria, Illinois, 61636
Illinois CancerCare-Peru
Peru, Illinois, 61354
Valley Radiation Oncology
Peru, Illinois, 61354
Illinois CancerCare-Princeton
Princeton, Illinois, 61356
Southern Illinois University School of Medicine
Springfield, Illinois, 62702
Springfield Clinic
Springfield, Illinois, 62702
Springfield Memorial Hospital
Springfield, Illinois, 62781
Southwest Illinois Health Services LLP
Swansea, Illinois, 62226
Carle Cancer Center
Urbana, Illinois, 61801
The Carle Foundation Hospital
Urbana, Illinois, 61801
Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555
Illinois CancerCare - Washington
Washington, Illinois, 61571
Rush-Copley Healthcare Center
Yorkville, Illinois, 60560
Reid Health
Richmond, Indiana, 47374
Mary Greeley Medical Center
Ames, Iowa, 50010
McFarland Clinic - Ames
Ames, Iowa, 50010
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa, 50023
McFarland Clinic - Boone
Boone, Iowa, 50036
Saint Anthony Regional Hospital
Carroll, Iowa, 51401
Mercy Cancer Center-West Lakes
Clive, Iowa, 50325
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa, 50325
Alegent Health Mercy Hospital
Council Bluffs, Iowa, 51503
Greater Regional Medical Center
Creston, Iowa, 50801
Broadlawns Medical Center
Des Moines, Iowa, 50314
Iowa Lutheran Hospital
Des Moines, Iowa, 50316
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, Iowa, 50309
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa, 50314
McFarland Clinic - Trinity Cancer Center
Fort Dodge, Iowa, 50501
UI Healthcare Mission Cancer and Blood - Fort Dodge
Fort Dodge, Iowa, 50501
McFarland Clinic - Jefferson
Jefferson, Iowa, 50129
McFarland Clinic - Marshalltown
Marshalltown, Iowa, 50158
Mercy Medical Center-West Lakes
West Des Moines, Iowa, 50266
Methodist West Hospital
West Des Moines, Iowa, 50266-7700
Central Care Cancer Center - Garden City
Garden City, Kansas, 67846
Central Care Cancer Center - Great Bend
Great Bend, Kansas, 67530
CommonSpirit Saint Joseph Hospital - Bardstown
Bardstown, Kentucky, 40004
Commonwealth Cancer Center-Corbin
Corbin, Kentucky, 40701
CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington, Kentucky, 40509
Saint Joseph Radiation Oncology Resource Center
Lexington, Kentucky, 40504
CommonSpirit Saint Joseph Hospital London
London, Kentucky, 40741
Jewish Hospital
Louisville, Kentucky, 40202
Saints Mary and Elizabeth Hospital
Louisville, Kentucky, 40215
UofL Health Medical Center Northeast
Louisville, Kentucky, 40245
Jewish Hospital Medical Center South
Shepherdsville, Kentucky, 40165
LSU Health Baton Rouge-North Clinic
Baton Rouge, Louisiana, 70805
Our Lady of the Lake Physician Group
Baton Rouge, Louisiana, 70808
Louisiana State University Health Science Center
New Orleans, Louisiana, 70112
University Medical Center New Orleans
New Orleans, Louisiana, 70112
UMass Memorial Medical Center - University Campus
Worcester, Massachusetts, 01655
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, 48106
University of Michigan Rogel Cancer Center
Ann Arbor, Michigan, 48109
Bronson Battle Creek
Battle Creek, Michigan, 49017
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton, Michigan, 48114
Trinity Health Medical Center - Brighton
Brighton, Michigan, 48114
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton, Michigan, 48188
Trinity Health Medical Center - Canton
Canton, Michigan, 48188
Caro Cancer Center
Caro, Michigan, 48723
Chelsea Hospital
Chelsea, Michigan, 48118
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan, 48118
Hematology Oncology Consultants-Clarkston
Clarkston, Michigan, 48346
Newland Medical Associates-Clarkston
Clarkston, Michigan, 48346
Henry Ford Health Saint John Hospital
Detroit, Michigan, 48236
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Henry Ford River District Hospital
East China Township, Michigan, 48054
Weisberg Cancer Treatment Center
Farmington Hills, Michigan, 48334
Cancer Hematology Centers - Flint
Flint, Michigan, 48503
Genesee Hematology Oncology PC
Flint, Michigan, 48503
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Hurley Medical Center
Flint, Michigan, 48503
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, Michigan, 49503
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan, 49503
Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan, 49503
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods, Michigan, 48236
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods, Michigan, 48236
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods, Michigan, 48236
Beacon Kalamazoo
Kalamazoo, Michigan, 49048
Beacon Kalamazoo Cancer Center
Kalamazoo, Michigan, 49009
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing, Michigan, 48910
University of Michigan Health - Sparrow Lansing
Lansing, Michigan, 48912
Hope Cancer Clinic
Livonia, Michigan, 48154
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
Henry Ford Saint John Hospital - Macomb Medical
Macomb, Michigan, 48044
Henry Ford Warren Hospital - Breast Macomb
Macomb, Michigan, 48044
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette, Michigan, 48453
Trinity Health Muskegon Hospital
Muskegon, Michigan, 49444
Corewell Health Lakeland Hospitals - Niles Hospital
Niles, Michigan, 49120
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores, Michigan, 49444
Henry Ford Health Providence Novi Hospital
Novi, Michigan, 48374
Hope Cancer Center
Pontiac, Michigan, 48341
Michigan Healthcare Professionals Pontiac
Pontiac, Michigan, 48341
Newland Medical Associates-Pontiac
Pontiac, Michigan, 48341
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Corewell Health Reed City Hospital
Reed City, Michigan, 49677
Henry Ford Rochester Hospital
Rochester Hills, Michigan, 48309
MyMichigan Medical Center Saginaw
Saginaw, Michigan, 48601
Oncology Hematology Associates of Saginaw Valley PC
Saginaw, Michigan, 48604
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph, Michigan, 49085
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph, Michigan, 49085
Henry Ford Health Providence Southfield Hospital
Southfield, Michigan, 48075
Bhadresh Nayak MD PC-Sterling Heights
Sterling Heights, Michigan, 48312
MyMichigan Medical Center Tawas
Tawas City, Michigan, 48764
Munson Medical Center
Traverse City, Michigan, 49684
Advanced Breast Care Center PLLC
Warren, Michigan, 48088
Henry Ford Health Warren Hospital
Warren, Michigan, 48093
Henry Ford Madison Heights Hospital - Breast
Warren, Michigan, 48093
Henry Ford Warren Hospital - GLCMS
Warren, Michigan, 48093
Macomb Hematology Oncology PC
Warren, Michigan, 48093
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch, Michigan, 48661
University of Michigan Health - West
Wyoming, Michigan, 49519
Huron Gastroenterology PC
Ypsilanti, Michigan, 48106
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti, Michigan, 48197
Sanford Joe Lueken Cancer Center
Bemidji, Minnesota, 56601
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Minnesota Oncology - Burnsville
Burnsville, Minnesota, 55337
Cambridge Medical Center
Cambridge, Minnesota, 55008
Mercy Hospital
Coon Rapids, Minnesota, 55433
Fairview Southdale Hospital
Edina, Minnesota, 55435
Unity Hospital
Fridley, Minnesota, 55432
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, Minnesota, 55369
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Health Partners Inc
Minneapolis, Minnesota, 55454
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Monticello Cancer Center
Monticello, Minnesota, 55362
New Ulm Medical Center
New Ulm, Minnesota, 56073
Fairview Northland Medical Center
Princeton, Minnesota, 55371
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Saint Francis Regional Medical Center
Shakopee, Minnesota, 55379
Lakeview Hospital
Stillwater, Minnesota, 55082
Sanford Thief River Falls Medical Center
Thief River Falls, Minnesota, 56701
Ridgeview Medical Center
Waconia, Minnesota, 55387
Rice Memorial Hospital
Willmar, Minnesota, 56201
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Sanford Cancer Center Worthington
Worthington, Minnesota, 56187
Fairview Lakes Medical Center
Wyoming, Minnesota, 55092
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin, Missouri, 63011
Central Care Cancer Center - Bolivar
Bolivar, Missouri, 65613
Mercy Cancer Center - Cape Girardeau
Cape Girardeau, Missouri, 63703
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Saint Luke's Hospital
Chesterfield, Missouri, 63017
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376
Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141
Parkland Health Center - Farmington
Farmington, Missouri, 63640
MU Health Care Goldschmidt Cancer Center
Jefferson City, Missouri, 65109
Freeman Health System
Joplin, Missouri, 64804
Mercy Hospital Joplin
Joplin, Missouri, 64804
Mercy Clinic-Rolla-Cancer and Hematology
Rolla, Missouri, 65401
Phelps Health Delbert Day Cancer Institute
Rolla, Missouri, 65401
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
Sainte Genevieve County Memorial Hospital
Sainte Genevieve, Missouri, 63670
CoxHealth South Hospital
Springfield, Missouri, 65807
Mercy Hospital Springfield
Springfield, Missouri, 65804
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Mercy Hospital South
St Louis, Missouri, 63128
Mercy Infusion Center - Chippewa
St Louis, Missouri, 63109
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Siteman Cancer Center at Christian Hospital
St Louis, Missouri, 63136
Siteman Cancer Center-South County
St Louis, Missouri, 63129
Washington University School of Medicine
St Louis, Missouri, 63110
Missouri Baptist Sullivan Hospital
Sullivan, Missouri, 63080
Mercy Hospital Washington
Washington, Missouri, 63090
Community Hospital of Anaconda
Anaconda, Montana, 59711
Billings Clinic Cancer Center
Billings, Montana, 59101
Bozeman Health Deaconess Hospital
Bozeman, Montana, 59715
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
Logan Health Medical Center
Kalispell, Montana, 59901
Community Medical Center
Missoula, Montana, 59804
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Nebraska Medicine-Bellevue
Bellevue, Nebraska, 68123
Nebraska Cancer Specialists/Oncology Hematology West PC
Grand Island, Nebraska, 68803
CHI Health Good Samaritan
Kearney, Nebraska, 68847
Saint Elizabeth Regional Medical Center
Lincoln, Nebraska, 68510
Alegent Health Bergan Mercy Medical Center
Omaha, Nebraska, 68124
Alegent Health Immanuel Medical Center
Omaha, Nebraska, 68122
Alegent Health Lakeside Hospital
Omaha, Nebraska, 68130
Nebraska Medicine-Village Pointe
Omaha, Nebraska, 68118
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Midlands Community Hospital
Papillion, Nebraska, 68046
Carson Tahoe Regional Medical Center
Carson City, Nevada, 89703
Cancer and Blood Specialists-Henderson
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada - Henderson
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson, Nevada, 89052
Comprehensive Cancer Centers of Nevada-Southeast Henderson
Henderson, Nevada, 89074
Las Vegas Cancer Center-Henderson
Henderson, Nevada, 89052
Las Vegas Urology - Green Valley
Henderson, Nevada, 89074
Las Vegas Urology - Pebble
Henderson, Nevada, 89074
Oncology Las Vegas - Henderson
Henderson, Nevada, 89074
Urology Specialists of Nevada - Green Valley
Henderson, Nevada, 89074
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas, Nevada, 89135
Ann M Wierman MD LTD
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas, Nevada, 89169
Comprehensive Cancer Centers of Nevada - Northwest
Las Vegas, Nevada, 89128
Comprehensive Cancer Centers of Nevada - Town Center
Las Vegas, Nevada, 89144
Comprehensive Cancer Centers of Nevada-Summerlin
Las Vegas, Nevada, 89144
Desert West Surgery
Las Vegas, Nevada, 89102
Hope Cancer Care of Nevada
Las Vegas, Nevada, 89103
Las Vegas Cancer Center-Medical Center
Las Vegas, Nevada, 89148-2405
Las Vegas Prostate Cancer Center
Las Vegas, Nevada, 89113
Las Vegas Urology - Cathedral Rock
Las Vegas, Nevada, 89128
Las Vegas Urology - Pecos
Las Vegas, Nevada, 89074
Las Vegas Urology - Smoke Ranch
Las Vegas, Nevada, 89128
Las Vegas Urology - Sunset
Las Vegas, Nevada, 89113
Oncology Las Vegas - Tenaya
Las Vegas, Nevada, 89128
OptumCare Cancer Care at Charleston
Las Vegas, Nevada, 89102
OptumCare Cancer Care at Fort Apache
Las Vegas, Nevada, 89183
OptumCare Cancer Care at MountainView
Las Vegas, Nevada, 89128
Radiation Oncology Centers of Nevada Central
Las Vegas, Nevada, 89106
Radiation Oncology Centers of Nevada Southeast
Las Vegas, Nevada, 89119
Summerlin Hospital Medical Center
Las Vegas, Nevada, 89144
Sunrise Hospital and Medical Center
Las Vegas, Nevada, 89109
University Cancer Center
Las Vegas, Nevada, 89169
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
Urology Specialists of Nevada - Central
Las Vegas, Nevada, 89106
Urology Specialists of Nevada - Northwest
Las Vegas, Nevada, 89128
Urology Specialists of Nevada - Southwest
Las Vegas, Nevada, 89113
Hope Cancer Care of Nevada-Pahrump
Pahrump, Nevada, 89048
Radiation Oncology Associates
Reno, Nevada, 89509
Renown Regional Medical Center
Reno, Nevada, 89502
Saint Mary's Regional Medical Center
Reno, Nevada, 89503
New Hampshire Oncology Hematology PA-Concord
Concord, New Hampshire, 03301
Solinsky Center for Cancer Care
Manchester, New Hampshire, 03103
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey, 07920
Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748
Memorial Sloan Kettering Bergen
Montvale, New Jersey, 07645
Roswell Park Cancer Institute
Buffalo, New York, 14263
Memorial Sloan Kettering Commack
Commack, New York, 11725
Memorial Sloan Kettering Westchester
Harrison, New York, 10604
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Memorial Sloan Kettering Nassau
Uniondale, New York, 11553
Atrium Health Stanly/LCI-Albemarle
Albemarle, North Carolina, 28002
Duke Cancer Center Cary
Cary, North Carolina, 27518
Atrium Health Pineville/LCI-Pineville
Charlotte, North Carolina, 28210
Atrium Health University City/LCI-University
Charlotte, North Carolina, 28262
Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203
Levine Cancer Institute-Ballantyne
Charlotte, North Carolina, 28277
Levine Cancer Institute-SouthPark
Charlotte, North Carolina, 28211
Southeastern Medical Oncology Center-Clinton
Clinton, North Carolina, 28328
Atrium Health Cabarrus/LCI-Concord
Concord, North Carolina, 28025
Duke University Medical Center
Durham, North Carolina, 27710
Levine Cancer Institute-Gaston
Gastonia, North Carolina, 28054
Southeastern Medical Oncology Center-Goldsboro
Goldsboro, North Carolina, 27534
Southeastern Medical Oncology Center-Jacksonville
Jacksonville, North Carolina, 28546
Atrium Health Lincoln/LCI-Lincolnton
Lincolnton, North Carolina, 28092
Atrium Health Union/LCI-Union
Monroe, North Carolina, 28112
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst, North Carolina, 28374
Duke Cancer Center Raleigh
Raleigh, North Carolina, 27609
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Sanford Medical Center Fargo
Fargo, North Dakota, 58104
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Sanford South University Medical Center
Fargo, North Dakota, 58103
Southpointe-Sanford Medical Center Fargo
Fargo, North Dakota, 58103
Indu and Raj Soin Medical Center
Beavercreek, Ohio, 45431
Strecker Cancer Center-Belpre
Belpre, Ohio, 45714
Saint Elizabeth Boardman Hospital
Boardman, Ohio, 44512
Dayton Physicians LLC-Miami Valley South
Centerville, Ohio, 45459
Miami Valley Hospital South
Centerville, Ohio, 45459
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Bethesda North Hospital
Cincinnati, Ohio, 45242
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Oncology Hematology Care Inc-Kenwood
Cincinnati, Ohio, 45236
TriHealth Cancer Institute-Anderson
Cincinnati, Ohio, 45255
TriHealth Cancer Institute-Westside
Cincinnati, Ohio, 45247
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219
MetroHealth Medical Center
Cleveland, Ohio, 44109
Columbus Oncology and Hematology Associates Inc
Columbus, Ohio, 43214
Doctors Hospital
Columbus, Ohio, 43228
Grant Medical Center
Columbus, Ohio, 43215
Mount Carmel East Hospital
Columbus, Ohio, 43213
Mount Carmel Health Center West
Columbus, Ohio, 43222
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Riverside Methodist Hospital
Columbus, Ohio, 43214
The Mark H Zangmeister Center
Columbus, Ohio, 43219
Dayton Physician LLC - Englewood
Dayton, Ohio, 45415
Miami Valley Hospital
Dayton, Ohio, 45409
Miami Valley Hospital North
Dayton, Ohio, 45415
Premier Blood and Cancer Center
Dayton, Ohio, 45409
Delaware Health Center-Grady Cancer Center
Delaware, Ohio, 43015
Grady Memorial Hospital
Delaware, Ohio, 43015
Dublin Methodist Hospital
Dublin, Ohio, 43016
Armes Family Cancer Center
Findlay, Ohio, 45840
Blanchard Valley Hospital
Findlay, Ohio, 45840
Orion Cancer Care
Findlay, Ohio, 45840
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Dayton Physicians LLC-Atrium
Franklin, Ohio, 45005
Central Ohio Breast and Endocrine Surgery
Gahanna, Ohio, 43230
Dayton Physicians LLC-Wayne
Greenville, Ohio, 45331
Miami Valley Cancer Care and Infusion
Greenville, Ohio, 45331
Wayne Hospital
Greenville, Ohio, 45331
Mount Carmel Grove City Hospital
Grove City, Ohio, 43123
Greater Dayton Cancer Center
Kettering, Ohio, 45409
Kettering Medical Center
Kettering, Ohio, 45429
Fairfield Medical Center
Lancaster, Ohio, 43130
Saint Rita's Medical Center
Lima, Ohio, 45801
OhioHealth Mansfield Hospital
Mansfield, Ohio, 44903
Marietta Memorial Hospital
Marietta, Ohio, 45750
OhioHealth Marion General Hospital
Marion, Ohio, 43302
Memorial Hospital
Marysville, Ohio, 43040
Knox Community Hospital
Mount Vernon, Ohio, 43050
Licking Memorial Hospital
Newark, Ohio, 43055
Newark Radiation Oncology
Newark, Ohio, 43055
Mercy Health - Perrysburg Hospital
Perrysburg, Ohio, 43551
Southern Ohio Medical Center
Portsmouth, Ohio, 45662
Springfield Regional Cancer Center
Springfield, Ohio, 45504
Springfield Regional Medical Center
Springfield, Ohio, 45504
Mercy Health - Saint Anne Hospital
Toledo, Ohio, 43623
Mercy Health - Saint Vincent Hospital
Toledo, Ohio, 43608
Dayton Physicians LLC - Troy
Troy, Ohio, 45373
Upper Valley Medical Center
Troy, Ohio, 45373
Saint Joseph Warren Hospital
Warren, Ohio, 44484
University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069
Saint Ann's Hospital
Westerville, Ohio, 43081
Saint Elizabeth Youngstown Hospital
Youngstown, Ohio, 44501
Genesis Healthcare System Cancer Care Center
Zanesville, Ohio, 43701
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Saint Alphonsus Cancer Care Center-Baker City
Baker City, Oregon, 97814
Saint Charles Health System
Bend, Oregon, 97701
Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Bay Area Hospital
Coos Bay, Oregon, 97420
Providence Newberg Medical Center
Newberg, Oregon, 97132
Saint Alphonsus Cancer Care Center-Ontario
Ontario, Oregon, 97914
Providence Willamette Falls Medical Center
Oregon City, Oregon, 97045
Oregon Health and Science University
Portland, Oregon, 97239
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Saint Charles Health System-Redmond
Redmond, Oregon, 97756
Lehigh Valley Hospital-Cedar Crest
Allentown, Pennsylvania, 18103
Lehigh Valley Hospital - Muhlenberg
Bethlehem, Pennsylvania, 18017
Christiana Care Health System-Concord Health Center
Chadds Ford, Pennsylvania, 19317
Geisinger Medical Center
Danville, Pennsylvania, 17822
Pocono Medical Center
East Stroudsburg, Pennsylvania, 18301
Geisinger Medical Center-Cancer Center Hazleton
Hazleton, Pennsylvania, 18201
Lehigh Valley Hospital-Hazleton
Hazleton, Pennsylvania, 18201
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, 17837
Pennsylvania Hospital
Philadelphia, Pennsylvania, 19107
Geisinger Cancer Services-Pottsville
Pottsville, Pennsylvania, 17901
Community Medical Center
Scranton, Pennsylvania, 18510
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Saint Francis Cancer Center
Greenville, South Carolina, 29607
Saint Francis Hospital
Greenville, South Carolina, 29601
Levine Cancer Institute-Rock Hill
Rock Hill, South Carolina, 29732
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57104
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
Covenant Health Cancer Centers
Knoxville, Tennessee, 37916
Covenant Health Cancer Centers - West
Knoxville, Tennessee, 37932
Covenant Health Oncology Group - Lenoir City
Lenoir City, Tennessee, 37772
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37232
Covenant Health Oncology Group - Oak Ridge
Oak Ridge, Tennessee, 37830
Saint Joseph Regional Cancer Center
Bryan, Texas, 77802
UT MD Anderson - The Woodlands
Conroe, Texas, 77384
Parkland Memorial Hospital
Dallas, Texas, 75235
UT Southwestern Simmons Cancer Center - RedBird
Dallas, Texas, 75237
UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390
UT Southwestern/Simmons Cancer Center-Fort Worth
Fort Worth, Texas, 76104
UT MD Anderson - West Houston
Houston, Texas, 77079
UT MD Anderson Cancer Center
Houston, Texas, 77030
UT MD Anderson - League City
League City, Texas, 77573
UT Southwestern Clinical Center at Richardson/Plano
Richardson, Texas, 75080
UT MD Anderson - Sugar Land
Sugar Land, Texas, 77478
Cancer Specialists of Tidewater Limited
Chesapeake, Virginia, 23320
Hematology Oncology Associates of Fredericksburg Inc
Fredericksburg, Virginia, 22408
Peninsula Cancer Institute-Gloucester
Gloucester, Virginia, 23061
Peninsula Cancer Institute-Newport News
Newport News, Virginia, 23601
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
Virginia Cancer Institute
Richmond, Virginia, 23229
Cancer Specialists of Tidewater-Suffolk
Suffolk, Virginia, 23435
Peninsula Cancer Institute-Cancer Specialists of Tidewater
Virginia Beach, Virginia, 23454
Peninsula Cancer Institute-Williamsburg
Williamsburg, Virginia, 23185
Providence Regional Cancer System-Aberdeen
Aberdeen, Washington, 98520
Overlake Medical Center
Bellevue, Washington, 98004
PeaceHealth Saint Joseph Medical Center
Bellingham, Washington, 98225
Highline Medical Center-Main Campus
Burien, Washington, 98166
Providence Regional Cancer System-Centralia
Centralia, Washington, 98531
Swedish Cancer Institute-Edmonds
Edmonds, Washington, 98026
Saint Elizabeth Hospital
Enumclaw, Washington, 98022
Providence Regional Cancer Partnership
Everett, Washington, 98201
Saint Francis Hospital
Federal Way, Washington, 98003
Swedish Cancer Institute-Issaquah
Issaquah, Washington, 98029
Kadlec Clinic Hematology and Oncology
Kennewick, Washington, 99336
Providence Regional Cancer System-Lacey
Lacey, Washington, 98503
Saint Clare Hospital
Lakewood, Washington, 98499
PeaceHealth Saint John Medical Center
Longview, Washington, 98632
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo, Washington, 98370
Valley Medical Center
Renton, Washington, 98055
Pacific Gynecology Specialists
Seattle, Washington, 98104
Swedish Medical Center-Ballard Campus
Seattle, Washington, 98107
Swedish Medical Center-Cherry Hill
Seattle, Washington, 98122-5711
Swedish Medical Center-First Hill
Seattle, Washington, 98122
PeaceHealth United General Medical Center
Sedro-Woolley, Washington, 98284
Providence Regional Cancer System-Shelton
Shelton, Washington, 98584
Saint Joseph Medical Center Hematology and Oncology - Silverdale
Silverdale, Washington, 98383
Franciscan Research Center-Northwest Medical Plaza
Tacoma, Washington, 98405
Northwest Medical Specialties PLLC
Tacoma, Washington, 98405
PeaceHealth Southwest Medical Center
Vancouver, Washington, 98664
Providence Saint Mary Regional Cancer Center
Walla Walla, Washington, 99362
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
Yakima, Washington, 98902
Providence Regional Cancer System-Yelm
Yelm, Washington, 98597
United Hospital Center
Bridgeport, West Virginia, 26330
WVUH-Berkely Medical Center
Martinsburg, West Virginia, 25401
West Virginia University Healthcare
Morgantown, West Virginia, 26506
Camden Clark Medical Center
Parkersburg, West Virginia, 26101
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149
Cancer Center of Western Wisconsin
New Richmond, Wisconsin, 54017
ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
ProHealth Waukesha Memorial Hospital
Waukesha, Wisconsin, 53188
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188
ThedaCare Cancer Care - Waupaca
Waupaca, Wisconsin, 54981
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
Billings Clinic-Cody
Cody, Wyoming, 82414
Welch Cancer Center
Sheridan, Wyoming, 82801