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NCT07283939

Estudio del algoritmo PAGODA para ajustar las dosis de quimioterapia y prevenir retrasos no previstos en el tratamiento.

Reclutando

Descripción

Este estudio tiene como objetivo determinar si el uso del algoritmo PAGODA para guiar la dosificación de la quimioterapia reducirá la probabilidad de retrasos no planificados durante la quimioterapia para el cáncer del sistema gastrointestinal en comparación con la atención habitual.

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:

  • \* CRITERIOS DE ELEGIBILIDAD PARA LA INSCRIPCIÓN (PASO 1)
  • Confirmación histológica de cáncer invasivo que se confirma o se sospecha que se origina en el tracto gastrointestinal (GI).
  • Cualquier estadio para el cual la quimioterapia basada en FOLFOX sea un tratamiento estándar de atención clínicamente indicado (quimioterapia adyuvante, neoadyuvante o de primera línea).
  • Los sitios primarios elegibles incluyen el esófago, la unión gastroesofágica, el estómago, el intestino delgado, la ampolla de Vater, el apéndice, el colon, el recto y los cánceres de origen primario desconocido con sospecha de origen GI.
  • No se permite la terapia sistémica previa para el cáncer GI (distinto del ciclo 1 de la quimioterapia basada en FOLFOX). Se permite la quimioterapia sensibilizante a la radiación previa.
  • La duración prevista de la quimioterapia basada en FOLFOX debe ser de al menos cuatro ciclos (1 ciclo = 14 días).
  • El ciclo 1, día 1 de la quimioterapia basada en FOLFOX, debe completarse de 1 a 8 días antes de la inscripción.
  • El ciclo 1, día 1 de la quimioterapia basada en FOLFOX, debe incluir las dosis mínimas ordenadas de oxaliplatino (≥ 65 mg/m²) y 5-FU en infusión (2400 mg/m²/46 horas). El uso de la dosis en bolo de 5-FU queda a discreción del médico tratante.
  • Los pacientes que requieran un factor de crecimiento de glóbulos blancos primario profiláctico con el ciclo 1 de la quimioterapia FOLFOX debido al alto riesgo de fiebre y neutropenia no son elegibles.
  • Los antecedentes de reacción de hipersensibilidad al oxaliplatino u otros fármacos a base de platino, al fluorouracilo o al leucovorín, y los excipientes en sus formulaciones, no son elegibles.
  • Edad ≥ 18 años.
  • Estado funcional ECOG ≤ 2.
  • Recuento absoluto de neutrófilos (ANC) ≥ 1.000/mm³.
  • Recuento de plaquetas ≥ 100.000/mm³.
  • Bilirrubina total ≤ 3 x límite superior de la normalidad (ULN).
  • AST (SGOT)/ALT (SGPT) ≤ 5 x límite superior de la normalidad (ULN).
  • Clearance de creatinina calculado ≥ 30 mL/min.
  • No estar embarazada ni amamantando, ya que este estudio implica agentes que tienen efectos genotóxicos, mutagénicos y teratogénicos conocidos. Por lo tanto, solo para mujeres en edad fértil, se requiere una prueba de embarazo negativa realizada ≤ 30 días antes de la inscripción.
  • Los pacientes con metástasis cerebrales tratadas son elegibles si la imagen cerebral de seguimiento después de la terapia dirigida al SNC no muestra evidencia de progresión.
  • Los pacientes con infección conocida por el VIH son elegibles si reciben terapia antirretroviral eficaz con carga viral indetectable en los 6 meses previos a la inscripción.
  • Los pacientes con infección conocida por el virus de la hepatitis B (VHB) son elegibles si el ADN del VHB es indetectable cuando se mide dentro de los 6 meses previos a la inscripción.
  • Los pacientes con antecedentes conocidos de infección por el virus de la hepatitis C (VHC) son elegibles si el ARN del VHC es indetectable cuando se mide al menos 12 semanas después de la finalización de la terapia antiviral.
  • Los pacientes con antecedentes conocidos o síntomas actuales de enfermedad cardíaca son elegibles si la clasificación funcional de la Asociación Cardíaca de Nueva York es de clase I o II.
  • Los pacientes con antecedentes conocidos de síndrome de QT largo congénito no son elegibles.
  • Los pacientes con deficiencia conocida de DPD no son elegibles.
  • \* NO PACIENTE (ONCÓLOGO O PROVEEDOR DE ATENCIÓN MÉDICA ONCOLÓGICA AVANZADA:
  • El proveedor participante no es el paciente, sino un oncólogo o un proveedor de atención médica oncológica avanzada con la responsabilidad de firmar y realizar las modificaciones necesarias en las órdenes de quimioterapia para un sujeto asignado al brazo de intervención (Brazo B). Los participantes no pacientes no pueden inscribirse más de una vez durante el curso del estudio.
  • El participante no paciente debe tener dominio del idioma inglés.
  • El participante no paciente debe tener 21 años o más.

Información del Ensayo

NCT07283939
Reclutando
Sin fase definida
420 participantes
Feb 2026
May 2030

Ubicaciones344

Guam (1)
FHP Health Center-Guam
Tamuning
Puerto Rico (7)
Cancer Center-Metro Medical Center Bayamon
Bayamón
Puerto Rico Hematology Oncology Group
Bayamón
Doctors Cancer Center
Manati
Centro Comprensivo de Cancer de UPR
San Juan
PROncology
San Juan
San Juan City Hospital
San Juan
San Juan Community Oncology Group
San Juan
United States (336)
Riverwood Healthcare Center
Aitkin
University of New Mexico Cancer Center
Albuquerque
Lehigh Valley Hospital-Cedar Crest
Allentown
MyMichigan Medical Center Gratiot
Alma
MyMichigan Medical Center Alpena
Alpena
OSF Saint Anthony's Health Center
Alton
Mary Greeley Medical Center
Ames
McFarland Clinic - Ames
Ames
Community Hospital of Anaconda
Anaconda
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny
Trinity Health IHA - Obstetrics and Gynecology West Arbor
Ann Arbor
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor
Aspirus Cancer Care-Antigo-Volm Cancer Center
Antigo
Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton
Appleton
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande
Duluth Clinic Ashland
Ashland
Northwest Wisconsin Cancer Center
Ashland
Northside Hospital
Atlanta
Saint Alphonsus Cancer Care Center-Baker City
Baker City
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin
CommonSpirit Saint Joseph Hospital - Bardstown
Bardstown
Bronson Battle Creek
Battle Creek
Essentia Health - Baxter Clinic
Baxter
Sanford Joe Lueken Cancer Center
Bemidji
Lehigh Valley Hospital - Muhlenberg
Bethlehem
Billings Clinic Cancer Center
Billings
Sanford Bismarck Medical Center
Bismarck
Illinois CancerCare-Bloomington
Bloomington
Prisma Health Cancer Institute - Spartanburg
Boiling Springs
Saint Alphonsus Cancer Care Center-Boise
Boise
Central Care Cancer Center - Bolivar
Bolivar
McFarland Clinic - Boone
Boone
Bozeman Health Deaconess Hospital
Bozeman
Essentia Health Saint Joseph's Medical Center
Brainerd
Cox Cancer Center Branson
Branson
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton
Trinity Health Medical Center - Brighton
Brighton
Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield
Brookfield
MaineHealth Cancer Care and IV Therapy - Brunswick
Brunswick
Minnesota Oncology - Burnsville
Burnsville
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell
Illinois CancerCare-Canton
Canton
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton
Trinity Health Medical Center - Canton
Canton
Mercy Cancer Center - Cape Girardeau
Cape Girardeau
Saint Francis Medical Center
Cape Girardeau
Memorial Hospital of Carbondale
Carbondale
Mercy Cancer Center - Carmichael
Carmichael
Mercy San Juan Medical Center
Carmichael
SIH Cancer Institute
Carterville
Illinois CancerCare-Carthage
Carthage
Mercy Hospital
Cedar Rapids
Oncology Associates at Mercy Medical Center
Cedar Rapids
Centralia Oncology Clinic
Centralia
Saint Mary's Hospital
Centralia
Christiana Care Health System-Concord Health Center
Chadds Ford
Minnesota Oncology Hematology PA-Chaska
Chaska
Chelsea Hospital
Chelsea
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea
Memorial Hospital of Laramie County
Cheyenne
Ascension Calumet Hospital-Chilton
Chilton
Bethesda North Hospital
Cincinnati
Good Samaritan Hospital - Cincinnati
Cincinnati
TriHealth Cancer Institute-Anderson
Cincinnati
TriHealth Cancer Institute-Westside
Cincinnati
Hematology Oncology Consultants-Clarkston
Clarkston
Newland Medical Associates-Clarkston
Clarkston
Mercy Cancer Center-West Lakes
Clive
Billings Clinic-Cody
Cody
Kootenai Health - Coeur d'Alene
Coeur d'Alene
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville
Penrose-Saint Francis Healthcare
Colorado Springs
Rocky Mountain Cancer Centers-Penrose
Colorado Springs
Saint Francis Cancer Center
Colorado Springs
Baptist Memorial Hospital and Cancer Center-Golden Triangle
Columbus
Mercy Hospital
Coon Rapids
Minnesota Oncology - Coon Rapids
Coon Rapids
Commonwealth Cancer Center-Corbin
Corbin
Greater Regional Medical Center
Creston
Essentia Health - Saint Joseph's Crosslake Clinic
Crosslake
Northwest Cancer Center - Crown Point
Crown Point
Carle at The Riverfront
Danville
Cancer Care Specialists of Illinois - Decatur
Decatur
Decatur Memorial Hospital
Decatur
Essentia Health - Deer River Clinic
Deer River
Broadlawns Medical Center
Des Moines
Iowa Methodist Medical Center
Des Moines
Mercy Medical Center - Des Moines
Des Moines
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines
Henry Ford Health Saint John Hospital
Detroit
Essentia Health Saint Mary's - Detroit Lakes Clinic
Detroit Lakes
Illinois CancerCare-Dixon
Dixon
Essentia Health Cancer Center
Duluth
Essentia Health Saint Mary's Medical Center
Duluth
Miller-Dwan Hospital
Duluth
CommonSpirit Cancer Center Mercy
Durango
Mercy Medical Center
Durango
Northwest Oncology LLC
Dyer
Prisma Health Cancer Institute - Easley
Easley
Henry Ford River District Hospital
East China Township
Pocono Medical Center
East Stroudsburg
Fairview Southdale Hospital
Edina
Minnesota Oncology - Edina
Edina
Carle Physician Group-Effingham
Effingham
Crossroads Cancer Center
Effingham
Mercy Cancer Center - Elk Grove
Elk Grove
Christiana Care - Union Hospital
Elkton
Essentia Health - Ely Clinic
Ely
OSF Saint Francis Hospital and Medical Group
Escanaba
Illinois CancerCare-Eureka
Eureka
Fairbanks Memorial Hospital
Fairbanks
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
Parkland Health Center - Farmington
Farmington
Cancer Hematology Centers - Flint
Flint
Genesee Hematology Oncology PC
Flint
Genesys Hurley Cancer Institute
Flint
Hurley Medical Center
Flint
McFarland Clinic - Trinity Cancer Center
Fort Dodge
Holy Cross Hospital
Fort Lauderdale
Mercy Hospital Fort Smith
Fort Smith
Essentia Health - Fosston
Fosston
Ascension Southeast Wisconsin Hospital - Franklin
Franklin
Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson
Franklin
Illinois CancerCare-Galesburg
Galesburg
Central Care Cancer Center - Garden City
Garden City
MyMichigan Medical Center Gladwin
Gladwin
CHI Health Saint Francis
Grand Island
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids
Trinity Health Grand Rapids Hospital
Grand Rapids
Central Care Cancer Center - Great Bend
Great Bend
Benefis Sletten Cancer Institute
Great Falls
Great Falls Clinic
Great Falls
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay
Saint Vincent Hospital Cancer Center Green Bay
Green Bay
Prisma Health Cancer Institute - Butternut
Greenville
Prisma Health Cancer Institute - Eastside
Greenville
Prisma Health Cancer Institute - Faris
Greenville
Prisma Health Cancer Institute - Greer
Greer
Baptist Cancer Center-Grenada
Grenada
Henry Ford Saint John Hospital - Academic
Grosse Pointe Woods
Henry Ford Saint John Hospital - Breast
Grosse Pointe Woods
Henry Ford Saint John Hospital - Van Elslander
Grosse Pointe Woods
Hi-Line Sletten Cancer Center
Havre
Essentia Health-Hayward Clinic
Hayward
Tamarack Health Hayward Medical Center
Hayward
Lehigh Valley Hospital-Hazleton
Hazleton
Benefis Helena Specialty Center
Helena
Essentia Health Hibbing Clinic
Hibbing
Northwest Cancer Center - Hobart
Hobart
Saint Mary Medical Center
Hobart
Saint Catherine Hospital
Indianapolis
Essentia Health - International Falls Clinic
International Falls
Essentia Health - Jamestown Clinic
Jamestown
McFarland Clinic - Jefferson
Jefferson
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro
Freeman Health System
Joplin
Mercy Hospital Joplin
Joplin
Beacon Kalamazoo
Kalamazoo
Beacon Kalamazoo Cancer Center
Kalamazoo
Bronson Methodist Hospital
Kalamazoo
West Michigan Cancer Center
Kalamazoo
Logan Health Medical Center
Kalispell
CHI Health Good Samaritan
Kearney
Illinois CancerCare-Kewanee Clinic
Kewanee
Gundersen Lutheran Medical Center
La Crosse
CommonSpirit Saint Anthony Hospital Cancer Center
Lakewood
University of Michigan Health - Sparrow Lansing
Lansing
Beebe Medical Center
Lewes
CommonSpirit Saint Joseph Hospital - Lexington
Lexington
CommonSpirit Saint Joseph Medical Center - East Lexington
Lexington
Saint Joseph Radiation Oncology Resource Center
Lexington
CARTI Cancer Center
Little Rock
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia
CommonSpirit Saint Joseph Hospital London
London
Longmont United Hospital
Longmont
Henry Ford Saint John Hospital - Macomb Medical
Macomb
Henry Ford Warren Hospital - Breast Macomb
Macomb
Illinois CancerCare-Macomb
Macomb
Schoolcraft Memorial Hospital
Manistique
Fairview Clinics and Surgery Center Maple Grove
Maple Grove
Minnesota Oncology - Maple Grove
Maple Grove
Minnesota Oncology Hematology PA-Maplewood
Maplewood
Saint John's Hospital - Healtheast
Maplewood
McFarland Clinic - Marshalltown
Marshalltown
Carle Physician Group-Mattoon/Charleston
Mattoon
Aspirus Medford Hospital
Medford
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis
Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
Mequon
Mercy Cancer Center
Merced
Idaho Urologic Institute-Meridian
Meridian
MyMichigan Medical Center Midland
Midland
Beebe South Coastal Health Campus
Millville
Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
Milwaukee
Ascension Saint Francis Hospital-Milwaukee
Milwaukee
Ascension Southeast Wisconsin Hospital-Saint Joseph-Milwaukee
Milwaukee
Abbott-Northwestern Hospital
Minneapolis
Hennepin County Medical Center
Minneapolis
Community Medical Center
Missoula
Essentia Health - Moose Lake Clinic
Moose Lake
MyMichigan Medical Center Mount Pleasant
Mount Pleasant
CommonSpirit Saint Joseph Hospital Mount Sterling
Mount Sterling
SSM Health Good Samaritan
Mount Vernon
The Community Hospital
Munster
Women's Diagnostic Center - Munster
Munster
Trinity Health Muskegon Hospital
Muskegon
Saint Alphonsus Cancer Care Center-Nampa
Nampa
Baptist Memorial Hospital and Cancer Center-Union County
New Albany
Cancer Center of Western Wisconsin
New Richmond
New Ulm Medical Center
New Ulm
Christiana Care Health System-Christiana Hospital
Newark
Helen F Graham Cancer Center
Newark
Medical Oncology Hematology Consultants PA
Newark
Corewell Health Lakeland Hospitals - Niles Hospital
Niles
Carle BroMenn Medical Center
Normal
Carle Cancer Institute Normal
Normal
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores
Cancer Care Center of O'Fallon
O'Fallon
HSHS Saint Elizabeth's Hospital
O'Fallon
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls
Mercy Hospital Oklahoma City
Oklahoma City
Alegent Health Bergan Mercy Medical Center
Omaha
Alegent Health Immanuel Medical Center
Omaha
Alegent Health Lakeside Hospital
Omaha
Saint Alphonsus Cancer Care Center-Ontario
Ontario
Lake Regional Hospital
Osage Beach
Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh
Oshkosh
Illinois CancerCare-Ottawa Clinic
Ottawa
University of Kansas Cancer Center-Overland Park
Overland Park
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford
Essentia Health - Park Rapids
Park Rapids
Illinois CancerCare-Pekin
Pekin
Illinois CancerCare-Peoria
Peoria
Essentia Health - Saint Joseph's Pequot Lakes Clinic
Pequot Lakes
Illinois CancerCare-Peru
Peru
Valley Radiation Oncology
Peru
Cancer Center at Saint Joseph's
Phoenix
Essentia Health - Saint Joseph's Pine River Clinic
Pine River
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst
Mercy Hospital Pittsburg
Pittsburg
Hope Cancer Center
Pontiac
Michigan Healthcare Professionals Pontiac
Pontiac
Newland Medical Associates-Pontiac
Pontiac
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac
Kootenai Clinic Cancer Services - Post Falls
Post Falls
Fairview Northland Medical Center
Princeton
Illinois CancerCare-Princeton
Princeton
Saint Mary Corwin Medical Center
Pueblo
Ascension All Saints Hospital-Spring Street-Racine
Racine
Corewell Health Reed City Hospital
Reed City
Beebe Health Campus
Rehoboth Beach
Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
Rhinelander
VCU Massey Comprehensive Cancer Center
Richmond
North Memorial Medical Health Center
Robbinsdale
Mercy Cancer Center - Rocklin
Rocklin
Mercy Clinic-Rolla-Cancer and Hematology
Rolla
Phelps Health Delbert Day Cancer Institute
Rolla
Mercy Cancer Center - Sacramento
Sacramento
MyMichigan Medical Center Saginaw
Saginaw
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph
Heartland Regional Medical Center
Saint Joseph
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park
Regions Hospital
Saint Paul
United Hospital
Saint Paul
Sainte Genevieve County Memorial Hospital
Sainte Genevieve
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo
Kootenai Clinic Cancer Services - Sandpoint
Sandpoint
Essentia Health Sandstone
Sandstone
MaineHealth Cancer Care Center of York County
Sanford
Mission Hope Medical Oncology - Santa Maria
Santa Maria
MaineHealth Maine Medical Center- Scarborough
Scarborough
Prisma Health Cancer Institute - Seneca
Seneca
Saint Francis Regional Medical Center
Shakopee
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan
Sheboygan Physicians Group
Sheboygan
Saint Joseph Medical Center Hematology and Oncology - Silverdale
Silverdale
Sanford Cancer Center Oncology Clinic
Sioux Falls
Sanford USD Medical Center - Sioux Falls
Sioux Falls
VCU Community Memorial Health Center
South Hill
MaineHealth Cancer Care and IV Therapy - South Portland
South Portland
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven
Essentia Health-Spooner Clinic
Spooner
CoxHealth South Hospital
Springfield
Mercy Hospital Springfield
Springfield
Southern Illinois University School of Medicine
Springfield
Springfield Clinic
Springfield
Springfield Memorial Hospital
Springfield
Mercy Hospital Saint Louis
St Louis
Mercy Hospital South
St Louis
Mercy Infusion Center - Chippewa
St Louis
Missouri Baptist Medical Center
St Louis
Essentia Health - Saint Joseph's Staples Clinic
Staples
Aspirus Cancer Care - Stevens Point
Stevens Point
Lakeview Hospital
Stillwater
Saint Joseph's Medical Center
Stockton
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay
Missouri Baptist Sullivan Hospital
Sullivan
BJC Outpatient Center at Sunset Hills
Sunset Hills
Essentia Health Saint Mary's Hospital - Superior
Superior
VCU Health Tappahannock Hospital
Tappahannock
MyMichigan Medical Center Tawas
Tawas City
James J Peters VA Medical Center
The Bronx
Sanford Thief River Falls Medical Center
Thief River Falls
Tift Regional Medical Center
Tifton
Munson Medical Center
Traverse City
Carle Cancer Center
Urbana
Northwest Cancer Center - Valparaiso
Valparaiso
Essentia Health Virginia Clinic
Virginia
Ridgeview Medical Center
Waconia
Henry Ford Health Warren Hospital
Warren
Henry Ford Madison Heights Hospital - Breast
Warren
Henry Ford Warren Hospital - GLCMS
Warren
Illinois CancerCare - Washington
Washington
Mercy Hospital Washington
Washington
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee
Aspirus Cancer Care-Wausau
Wausau
Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa
Wauwatosa
Mercy Medical Center-West Lakes
West Des Moines
Saint Anthony North Hospital
Westminster
Rice Memorial Hospital
Willmar
Christiana Care Health System-Wilmington Hospital
Wilmington
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids
Minnesota Oncology Hematology PA-Woodbury
Woodbury
Woodland Memorial Hospital
Woodland
Sanford Cancer Center Worthington
Worthington
Fairview Lakes Medical Center
Wyoming
University of Michigan Health - West
Wyoming
Huron Gastroenterology PC
Ypsilanti
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti