A Phase III Study of Paclitaxel/Carboplatin Alone or Combined With Either Trastuzumab and Hyaluronidase-oysk (HERCEPTIN HYLECTA) or Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf (PHESGO) in HER2 Positive, Stage I-IV Endometrial Serous Carcinoma or Carcinosarcoma
Summary
This phase III trial tests whether adding trastuzumab and hyaluronidase-oysk (Herceptin Hylecta \[TM\]) or pertuzumab, trastuzumab and hyaluronidase-zzxf (Phesgo \[TM\]) to the usual chemotherapy (paclitaxel and carboplatin) works to shrink tumors in patients with HER2 positive endometrial cancer. Trastuzumab and pertuzumab are monoclonal antibodies and forms of targeted therapy that attach to specific molecules (receptors) on the surface of tumor cells, known as HER2 receptors. When trastuzumab or pertuzumab attach to HER2 receptors, the signals that tell the cells to grow are blocked and the tumor cell may be marked for destruction by the body's immune system. Hyaluronidase is an endoglycosidase. It helps to keep pertuzumab and trastuzumab in the body longer, so that these medications will have a greater effect. Hyaluronidase also allows trastuzumab and trastuzumab/pertuzumab to be given by injection under the skin and shortens their administration time compared to trastuzumab or pertuzumab alone. Paclitaxel is a taxane and in a class of medications called antimicrotubule agents. It stops tumor cells from growing and dividing and may kill them. Carboplatin is in a class of medications known as platinum-containing compounds. It works in a way similar to the anticancer drug cisplatin, but may be better tolerated than cisplatin. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Giving Herceptin Hylecta or Phesgo in combination with paclitaxel and carboplatin may shrink the tumor and prevent the cancer from coming back in patients with HER2 positive endometrial cancer.
Detailed description
PRIMARY OBJECTIVES: I. To evaluate the efficacy of trastuzumab and hyaluronidase-oysk (HERCEPTIN HYLECTA) and pertuzumab, trastuzumab, and hyaluronidase-zzxf (PHESGO) in combination with paclitaxel/carboplatin in patients with HER2 positive endometrial cancer. SECONDARY OBJECTIVES: I. To evaluate the efficacy of trastuzumab and hyaluronidase-oysk (HERCEPTIN HYLECTA) and pertuzumab, trastuzumab, and hyaluronidase-zzxf (PHESGO) in combination with paclitaxel/carboplatin in patients with HER2 positive endometrial cancer. II. To evaluate the overall response rate (ORR) in patients with measurable disease. III. To evaluate the duration of objective response in patients with measurable disease as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. IV. To determine the nature, frequency and degree of toxicity as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version (v.) 5.0 for each treatment arm. V. To compare quality of life (QOL), as measured by Functional Assessment of Cancer Therapy - Endometrial Trial Outcome Index (FACT-En-TOI), in the experimental versus control arms. VI. To compare patient-reported treatment-associated symptoms (diarrhea and rash) as measured with the Patient Reported Outcomes (PRO) - CTCAE, patient-reported fatigue as measured with the Patient Reported Outcomes Measurement Information System (PROMIS)-Fatigue short form, and worry concerning side effects of treatment as measured by the item 'bothered by side effect', in the FACT-En TOI, respectively, in the experimental and control arms. VII. To assess the correlation of HER2 immunohistochemistry (IHC) expression and in situ hybridization (ISH) amplification with clinical outcome and response to HER2 targeted therapies. EXPLORATORY OBJECTIVE: I. To explore time to sustained deterioration in quality of life, as measured by a drop in the FACT-En-TOI by 6 or more points lasting for more than one PRO time point, in the experimental and control arms. OUTLINE: Patients are randomized to 1 of 3 arms. ARM I: Patients receive paclitaxel intravenously (IV) over 3 hours and carboplatin IV over 30-60 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with stable disease (SD) or partial response (PR) who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician. ARM II: Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30-60 minutes, and trastuzumab/hyaluronidase-oysk subcutaneously (SC) over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician. MAINTENANCE: Patients receive trastuzumab/hyaluronidase-oysk SC over 2-5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity. Patients with SD or PR may continue maintenance therapy for up to 3 years from the start of treatment. ARM III: Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30-60 minutes, and pertuzumab/trastuzumab/hyaluronidase-zzxf SC over 5-8 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for 6 cycles in the absence of disease progression or unacceptable toxicity. Patients with SD or PR who still have measurable disease after completion of cycle 6 may receive 4 additional cycles of this treatment at the discretion of the treating physician. MAINTENANCE: Patients receive pertuzumab/trastuzumab/ hyaluronidase-zzxf SC over 5 minutes on day 1 of each cycle. Cycles repeat every 3 weeks for up to 1 year in absence of disease progression or unacceptable toxicity. Patients with SD or PR may continue maintenance for up to 3 years from the start of treatment. Patients undergo echocardiography (ECHO) or multigated acquisition scan (MUGA) and computed tomography (CT) throughout the study. Additionally, patients may optionally undergo blood sample collection throughout the study, vaginal brachytherapy on study, and urine sample collection prior to treatment. After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
Arms & interventions
- ProcedureBiospecimen Collection
Undergo blood and urine sample collection
- DrugCarboplatin
Given IV
- ProcedureComputed Tomography
Undergo CT
- ProcedureEchocardiography Test
Undergo ECHO
- RadiationHigh-Dose-Rate Vaginal Cuff Brachytherapy
Undergo vaginal brachytherapy
- DrugHyaluronidase-zzxf/Pertuzumab/Trastuzumab
Given SC
- ProcedureMultigated Acquisition Scan
Undergo MUGA
- DrugPaclitaxel
Given IV
- OtherSurvey Administration
Ancillary studies
- DrugTrastuzumab/Hyaluronidase-oysk
Given SC
Outcome measures
Primary
Progression free survival
At the end of Phase 2 analysis, if both experimental arms demonstrate superiority to the reference, the experimental arms will be compared to each other.
Time frame: From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed up to 5 years from randomization
Overall survival
If both experimental arms demonstrate superiority to the reference arm, the experimental arms will be compared to each other.
Time frame: From study entry to time of death or the date of last contact, assessed up to 5 years from randomization
Incidence of dose limiting toxicities
A dose limiting toxicity is any treatment-related adverse event requiring permanent discontinuation of the experimental therapy prior to the completion of treatment cycle 3.
Time frame: Up to end of cycle 3 (week 12)
Secondary
Objective response rate (ORR)
Time frame: Within 12 months of initiating maintenance therapy
Duration of objective response
Time frame: From documentation of either PR or CR until disease progression or death, whichever is observed first, assessed up to 5 years from randomization
Incidence of adverse events (AEs)
Time frame: Up to 5 years from randomization
HER2 expression
Time frame: Up to 5 years from randomization
Quality of life (QoL)
Time frame: Up to 5 years from randomization
Eligibility criteria
Study locations (403)
University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233
Alaska Women's Cancer Care
Anchorage, Alaska, 99508
Banner University Medical Center - Tucson
Tucson, Arizona, 85719
University of Arizona Cancer Center-North Campus
Tucson, Arizona, 85719
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Sutter Auburn Faith Hospital
Auburn, California, 95602
Alta Bates Summit Medical Center-Herrick Campus
Berkeley, California, 94704
John Muir Medical Center-Concord
Concord, California, 94520
City of Hope Comprehensive Cancer Center
Duarte, California, 91010
City of Hope Seacliff
Huntington Beach, California, 92648
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine, California, 92612
City of Hope at Irvine Lennar
Irvine, California, 92618
Kaiser Permanente-Irvine
Irvine, California, 92618
City of Hope at Long Beach Elm
Long Beach, California, 90813
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027
Memorial Medical Center
Modesto, California, 95355
Palo Alto Medical Foundation-Gynecologic Oncology
Mountain View, California, 94040
Saint Joseph Hospital - Orange
Orange, California, 92868
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Stanford Cancer Institute Palo Alto
Palo Alto, California, 94304
Kaiser Permanente - Panorama City
Panorama City, California, 91402
Kaiser Permanente-Riverside
Riverside, California, 92505
Sutter Roseville Medical Center
Roseville, California, 95661
Sutter Medical Center Sacramento
Sacramento, California, 95816
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
California Pacific Medical Center-Pacific Campus
San Francisco, California, 94115
Palo Alto Medical Foundation-Santa Cruz
Santa Cruz, California, 95065
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale, California, 94086
City of Hope Upland
Upland, California, 91786
John Muir Medical Center-Walnut Creek
Walnut Creek, California, 94598
UCHealth University of Colorado Hospital
Aurora, Colorado, 80045
UCHealth - Cherry Creek
Denver, Colorado, 80206
AdventHealth Porter
Denver, Colorado, 80210
Grand Valley Oncology
Grand Junction, Colorado, 81505
Banner North Colorado Medical Center
Greeley, Colorado, 80631
UCHealth Highlands Ranch Hospital
Highlands Ranch, Colorado, 80129
Banner North Colorado Medical Center - Loveland Campus
Loveland, Colorado, 80539
Danbury Hospital
Danbury, Connecticut, 06810
Smilow Cancer Hospital-Derby Care Center
Derby, Connecticut, 06418
Smilow Cancer Hospital Care Center-Fairfield
Fairfield, Connecticut, 06824
Smilow Cancer Hospital Care Center at Glastonbury
Glastonbury, Connecticut, 06033
Smilow Cancer Hospital Care Center at Greenwich
Greenwich, Connecticut, 06830
Smilow Cancer Hospital Care Center - Guilford
Guilford, Connecticut, 06437
Smilow Cancer Hospital Care Center at Saint Francis
Hartford, Connecticut, 06105
Yale University
New Haven, Connecticut, 06520
Yale-New Haven Hospital North Haven Medical Center
North Haven, Connecticut, 06473
Norwalk Hospital
Norwalk, Connecticut, 06856
Smilow Cancer Hospital Care Center at Long Ridge
Stamford, Connecticut, 06902
Smilow Cancer Hospital-Torrington Care Center
Torrington, Connecticut, 06790
Smilow Cancer Hospital Care Center-Trumbull
Trumbull, Connecticut, 06611
Smilow Cancer Hospital-Waterbury Care Center
Waterbury, Connecticut, 06708
Smilow Cancer Hospital Care Center - Waterford
Waterford, Connecticut, 06385
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Sibley Memorial Hospital
Washington D.C., District of Columbia, 20016
George Washington University Medical Center
Washington D.C., District of Columbia, 20037
Broward Health Medical Center
Fort Lauderdale, Florida, 33316
Jupiter Medical Center
Jupiter, Florida, 33458
Sarasota Memorial Hospital-Venice
N. Venice, Florida, 34275
AdventHealth Orlando
Orlando, Florida, 32803
Florida Cancer Specialists - Sarasota Downtown
Sarasota, Florida, 34236
First Physicians Group-Sarasota
Sarasota, Florida, 34239
Sarasota Memorial Hospital
Sarasota, Florida, 34239
Florida Cancer Specialists - Venice Pinebrook
Venice, Florida, 34275
Grady Health System
Atlanta, Georgia, 30303
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Piedmont Hospital
Atlanta, Georgia, 30309
Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30342
Augusta University Medical Center
Augusta, Georgia, 30912
Emory Decatur Hospital
Decatur, Georgia, 30033
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Queen's Medical Center
Honolulu, Hawaii, 96813
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
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
Saint Luke's Cancer Institute - Fruitland
Fruitland, Idaho, 83619
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
Northwest Community Hospital
Arlington Heights, Illinois, 60005
Rush-Copley Medical Center
Aurora, Illinois, 60504
Centralia Oncology Clinic
Centralia, Illinois, 62801
Northwestern University
Chicago, Illinois, 60611
John H Stroger Jr Hospital of Cook County
Chicago, Illinois, 60612
Rush MD Anderson Cancer Center
Chicago, Illinois, 60612
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637
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
Carle Physician Group-Effingham
Effingham, Illinois, 62401
Crossroads Cancer Center
Effingham, Illinois, 62401
NorthShore University HealthSystem-Evanston Hospital
Evanston, Illinois, 60201
Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134
NorthShore University HealthSystem-Glenbrook Hospital
Glenview, Illinois, 60026
Northwestern Medicine Glenview Outpatient Center
Glenview, Illinois, 60026
Northwestern Medicine Grayslake Outpatient Center
Grayslake, Illinois, 60030
Ingalls Memorial Hospital
Harvey, Illinois, 60426
NorthShore University HealthSystem-Highland Park Hospital
Highland Park, Illinois, 60035
Sudarshan K Sharma MD Limited-Gynecologic Oncology
Hinsdale, Illinois, 60521
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
UC Comprehensive Cancer Center at Silver Cross
New Lenox, Illinois, 60451
Carle Cancer Institute Normal
Normal, Illinois, 61761
Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269
Northwestern Medicine Orland Park
Orland Park, Illinois, 60462
University of Chicago Medicine-Orland Park
Orland Park, Illinois, 60462
UW Health Carbone Cancer Center Rockford
Rockford, Illinois, 61114
Southern Illinois University School of Medicine
Springfield, Illinois, 62702
Springfield Clinic
Springfield, Illinois, 62702
Springfield Memorial Hospital
Springfield, Illinois, 62781
Carle Cancer Center
Urbana, Illinois, 61801
Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555
Rush-Copley Healthcare Center
Yorkville, Illinois, 60560
IU Health North Hospital
Carmel, Indiana, 46032
Northwest Cancer Center - Crown Point
Crown Point, Indiana, 46307
UChicago Medicine Northwest Indiana
Crown Point, Indiana, 46307
Northwest Oncology LLC
Dyer, Indiana, 46311
Goshen Center for Cancer Care
Goshen, Indiana, 46526
Northwest Cancer Center - Hobart
Hobart, Indiana, 46342
Saint Mary Medical Center
Hobart, Indiana, 46342
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Franciscan Health Indianapolis
Indianapolis, Indiana, 46237
Ascension Saint Vincent Indianapolis Hospital
Indianapolis, Indiana, 46260
Saint Catherine Hospital
Indianapolis, Indiana, 46312
Franciscan Saint Elizabeth Health - Lafayette East
Lafayette, Indiana, 47905
Franciscan Health Mooresville
Mooresville, Indiana, 46158
The Community Hospital
Munster, Indiana, 46321
Women's Diagnostic Center - Munster
Munster, Indiana, 46321
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Northwest Cancer Center - Valparaiso
Valparaiso, Indiana, 46383
Mary Greeley Medical Center
Ames, Iowa, 50010
McFarland Clinic - Ames
Ames, Iowa, 50010
McFarland Clinic - Boone
Boone, Iowa, 50036
Heartland Oncology and Hematology LLP
Council Bluffs, Iowa, 51503
Nebraska Cancer Specialists/Oncology Hematology West PC - MEJ
Council Bluffs, Iowa, 51503
McFarland Clinic - Trinity Cancer Center
Fort Dodge, Iowa, 50501
University of Iowa/Holden Comprehensive Cancer Center
Iowa City, Iowa, 52242
McFarland Clinic - Jefferson
Jefferson, Iowa, 50129
McFarland Clinic - Marshalltown
Marshalltown, Iowa, 50158
Saint Elizabeth Healthcare Edgewood
Edgewood, Kentucky, 41017
Baptist Health Lexington
Lexington, Kentucky, 40503
Baptist Health Louisville
Louisville, Kentucky, 40207
LSU Health Baton Rouge-North Clinic
Baton Rouge, Louisiana, 70805
Our Lady of the Lake Physician Group
Baton Rouge, Louisiana, 70808
Our Lady of the Lake Medical Oncology
Baton Rouge, Louisiana, 70817
Ochsner Hematology Oncology North Shore - Covington (West Region)
Covington, Louisiana, 70433
West Jefferson Medical Center
Marrero, Louisiana, 70072
East Jefferson General Hospital
Metairie, Louisiana, 70006
LSU Healthcare Network / Metairie Multi-Specialty Clinic
Metairie, Louisiana, 70006
University Medical Center New Orleans
New Orleans, Louisiana, 70112
Ochsner Baptist Medical Center
New Orleans, Louisiana, 70115
Ochsner Medical Center Jefferson
New Orleans, Louisiana, 70121
Harold Alfond Center for Cancer Care
Augusta, Maine, 04330
MaineHealth Maine Medical Center- Scarborough
Scarborough, Maine, 04074
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
MedStar Franklin Square Medical Center/Weinberg Cancer Institute
Baltimore, Maryland, 21237
Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore, Maryland, 21287
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
William E Kahlert Regional Cancer Center/Sinai Hospital
Westminster, Maryland, 21157
Baystate Medical Center
Springfield, Massachusetts, 01199
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 IHA Medical Group Hematology Oncology - Canton
Canton, Michigan, 48188
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan, 48118
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Weisberg Cancer Treatment Center
Farmington Hills, Michigan, 48334
Corewell Health Farmington Hills Hospital
Farmington Hills, Michigan, 48336
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
Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan, 49503
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Beacon Kalamazoo Cancer Center
Kalamazoo, Michigan, 49009
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
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
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Corewell Health Reed City Hospital
Reed City, Michigan, 49677
Corewell Health William Beaumont University Hospital
Royal Oak, Michigan, 48073
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
MyMichigan Medical Center Tawas
Tawas City, Michigan, 48764
Munson Medical Center
Traverse City, Michigan, 49684
Corewell Health Beaumont Troy Hospital
Troy, Michigan, 48085
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch, Michigan, 48661
University of Michigan Health - West
Wyoming, Michigan, 49519
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti, Michigan, 48197
Mercy Hospital
Coon Rapids, Minnesota, 55433
Fairview Southdale Hospital
Edina, Minnesota, 55435
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Avera Cancer Institute at Marshall
Marshall, Minnesota, 56258
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
University of Minnesota/Masonic Cancer Center
Minneapolis, Minnesota, 55455
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
MU Health - University Hospital/Ellis Fischel Cancer Center
Columbia, Missouri, 65212
Phelps Health Delbert Day Cancer Institute
Rolla, Missouri, 65401
CoxHealth South Hospital
Springfield, Missouri, 65807
Washington University School of Medicine
St Louis, Missouri, 63110
Mercy Hospital South
St Louis, Missouri, 63128
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Community Hospital of Anaconda
Anaconda, Montana, 59711
Billings Clinic Cancer Center
Billings, Montana, 59101
Saint Vincent Frontier Cancer Center
Billings, Montana, 59102
Intermountain Health West End Clinic
Billings, Montana, 59106
Bozeman Health Deaconess Hospital
Bozeman, Montana, 59715
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
Logan Health Medical Center
Kalispell, Montana, 59901
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Community Medical Center
Missoula, Montana, 59804
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska, 68114
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Alegent Health Bergan Mercy Medical Center
Omaha, Nebraska, 68124
University of Nebraska Medical Center
Omaha, Nebraska, 68198
OptumCare Cancer Care at Charleston
Las Vegas, Nevada, 89102
Women's Cancer Center of Nevada
Las Vegas, Nevada, 89106
OptumCare Cancer Care at Fort Apache
Las Vegas, Nevada, 89183
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey, 07920
Cooper Hospital University Medical Center
Camden, New Jersey, 08103
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Monmouth Medical Center Southern Campus
Lakewood, New Jersey, 08701
Saint Barnabas Medical Center
Livingston, New Jersey, 07039
Monmouth Medical Center
Long Branch, New Jersey, 07740
Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748
Memorial Sloan Kettering Bergen
Montvale, New Jersey, 07645
Virtua Samson Cancer Center
Moorestown, New Jersey, 08057
Jersey Shore Medical Center
Neptune City, New Jersey, 07753
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Rutgers New Jersey Medical School
Newark, New Jersey, 07101
Riverview Medical Center/Booker Cancer Center
Red Bank, New Jersey, 07701
Sidney Kimmel Cancer Center Washington Township
Sewell, New Jersey, 08080
Robert Wood Johnson University Hospital Somerset
Somerville, New Jersey, 08876
Community Medical Center
Toms River, New Jersey, 08755
Virtua Voorhees
Voorhees Township, New Jersey, 08043
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
Presbyterian Kaseman Hospital
Albuquerque, New Mexico, 87110
Presbyterian Rust Medical Center/Jorgensen Cancer Center
Rio Rancho, New Mexico, 87124
Women's Cancer Care Associates LLC
Albany, New York, 12208
Memorial Sloan Kettering Commack
Commack, New York, 11725
Memorial Sloan Kettering Westchester
Harrison, New York, 10604
NYU Langone Hospital - Long Island
Mineola, New York, 11501
Mount Sinai Chelsea
New York, New York, 10011
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
Mount Sinai Hospital
New York, New York, 10029
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
University of Rochester
Rochester, New York, 14642
State University of New York Upstate Medical University
Syracuse, New York, 13210
Memorial Sloan Kettering Nassau
Uniondale, New York, 11553
Wilmot Cancer Institute at Webster
Webster, New York, 14580
Duke Cancer Center Cary
Cary, North Carolina, 27518
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599
Duke University Medical Center
Durham, North Carolina, 27710
ECU Health Medical Center
Greenville, North Carolina, 27834
Hayworth Cancer Center
High Point, North Carolina, 27262
Duke Women's Cancer Care Raleigh
Raleigh, North Carolina, 27607
Novant Health New Hanover Regional Medical Center
Wilmington, North Carolina, 28401
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122
Strecker Cancer Center-Belpre
Belpre, Ohio, 45714
Aultman Health Foundation
Canton, Ohio, 44710
Miami Valley Hospital South
Centerville, Ohio, 45459
Geauga Hospital
Chardon, Ohio, 44024
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Case Western Reserve University
Cleveland, Ohio, 44106
MetroHealth Medical Center
Cleveland, Ohio, 44109
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Mount Carmel East Hospital
Columbus, Ohio, 43213
Riverside Methodist Hospital
Columbus, Ohio, 43214
The Mark H Zangmeister Center
Columbus, Ohio, 43219
Miami Valley Hospital
Dayton, Ohio, 45409
Miami Valley Hospital North
Dayton, Ohio, 45415
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Miami Valley Cancer Care and Infusion
Greenville, Ohio, 45331
Mount Carmel Grove City Hospital
Grove City, Ohio, 43123
Fairfield Medical Center
Lancaster, Ohio, 43130
Saint Rita's Medical Center
Lima, Ohio, 45801
Marietta Memorial Hospital
Marietta, Ohio, 45750
Memorial Hospital
Marysville, Ohio, 43040
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060
Knox Community Hospital
Mount Vernon, Ohio, 43050
Licking Memorial Hospital
Newark, Ohio, 43055
University Hospitals Parma Medical Center
Parma, Ohio, 44129
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
ProMedica Flower Hospital
Sylvania, Ohio, 43560
Mercy Health - Saint Vincent Hospital
Toledo, Ohio, 43608
Mercy Health - Saint Anne Hospital
Toledo, Ohio, 43623
Upper Valley Medical Center
Troy, Ohio, 45373
Saint Ann's Hospital
Westerville, Ohio, 43081
UH Seidman Cancer Center at Saint John Medical Center
Westlake, Ohio, 44145
Genesis Healthcare System Cancer Care Center
Zanesville, Ohio, 43701
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
Oklahoma Cancer Specialists and Research Institute-Tulsa
Tulsa, Oklahoma, 74146
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Providence Newberg Medical Center
Newberg, Oregon, 97132
Saint Alphonsus Cancer Care Center-Ontario
Ontario, Oregon, 97914
Legacy Good Samaritan Hospital and Medical Center
Portland, Oregon, 97210
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Oregon Health and Science University
Portland, Oregon, 97239
Legacy Meridian Park Hospital
Tualatin, Oregon, 97062
Lehigh Valley Hospital-Cedar Crest
Allentown, Pennsylvania, 18103
Saint Luke's Cancer Center - Allentown
Allentown, Pennsylvania, 18104
Saint Luke's University Hospital-Bethlehem Campus
Bethlehem, Pennsylvania, 18015
Lehigh Valley Hospital - Muhlenberg
Bethlehem, Pennsylvania, 18017
Bryn Mawr Hospital
Bryn Mawr, Pennsylvania, 19010
Pocono Medical Center
East Stroudsburg, Pennsylvania, 18301
Saint Luke's Hospital-Anderson Campus
Easton, Pennsylvania, 18045
Saint Vincent Hospital
Erie, Pennsylvania, 16544
Lehigh Valley Hospital-Hazleton
Hazleton, Pennsylvania, 18201
Jefferson Hospital
Jefferson Hills, Pennsylvania, 15025
Riddle Memorial Hospital
Media, Pennsylvania, 19063
Forbes Hospital
Monroeville, Pennsylvania, 15146
Paoli Memorial Hospital
Paoli, Pennsylvania, 19301
Pennsylvania Hospital
Philadelphia, Pennsylvania, 19107
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Saint Luke's Hospital - Upper Bucks Campus
Quakertown, Pennsylvania, 18951
Chester County Hospital
West Chester, Pennsylvania, 19380
Wexford Health and Wellness Pavilion
Wexford, Pennsylvania, 15090
Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090
Lankenau Medical Center
Wynnewood, Pennsylvania, 19096
Women and Infants Hospital
Providence, Rhode Island, 02905
Smilow Cancer Hospital Care Center - Westerly
Westerly, Rhode Island, 02891
Saint Joseph's/Candler - Bluffton Campus
Bluffton, South Carolina, 29910
Medical University of South Carolina
Charleston, South Carolina, 29425
Avera Cancer Institute-Aberdeen
Aberdeen, South Dakota, 57401
Rapid City Regional Hospital
Rapid City, South Dakota, 57701
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57104
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
The West Clinic - Wolf River
Germantown, Tennessee, 38138
Dell Seton Medical Center at The University of Texas
Austin, Texas, 78701
University of Texas at Austin
Austin, Texas, 78712
Parkland Memorial Hospital
Dallas, Texas, 75235
UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390
Tarrant County Hospital District/JPS Health Network
Fort Worth, Texas, 76104
UT Southwestern/Simmons Cancer Center-Fort Worth
Fort Worth, Texas, 76104
Houston Methodist Hospital
Houston, Texas, 77030
Memorial Hermann Texas Medical Center
Houston, Texas, 77030
Methodist Willowbrook Hospital
Houston, Texas, 77070
Houston Methodist West Hospital
Houston, Texas, 77094
Houston Methodist Saint John Hospital
Nassau Bay, Texas, 77058
UT Southwestern Clinical Center at Richardson/Plano
Richardson, Texas, 75080
Houston Methodist Sugar Land Hospital
Sugar Land, Texas, 77479
Houston Methodist The Woodlands Hospital
The Woodlands, Texas, 77385
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
South Jordan Health Center
South Jordan, Utah, 84009
University of Virginia Cancer Center
Charlottesville, Virginia, 22908
Henrico Doctor's Hospital
Richmond, Virginia, 23229
VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
Carilion Roanoke Memorial Hospital
Roanoke, Virginia, 24033
Swedish Cancer Institute-Edmonds
Edmonds, Washington, 98026
Swedish Medical Center-First Hill
Seattle, Washington, 98122
Legacy Salmon Creek Hospital
Vancouver, Washington, 98686
West Virginia University Charleston Division
Charleston, West Virginia, 25304
West Virginia University Healthcare
Morgantown, West Virginia, 26506
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin, 54301
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay, Wisconsin, 54303
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601
University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
Madison, Wisconsin, 53718
University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin, 53792
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
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls, Wisconsin, 54154
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan, Wisconsin, 53081
Sheboygan Physicians Group
Sheboygan, Wisconsin, 53081
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay, Wisconsin, 54235-1495
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
References
- Secord AA, Powell MA, McAlpine J. Molecular Characterization and Clinical Implications of Endometrial Cancer. Obstet Gynecol. 2025 Nov 1;146(5):660-671. doi: 10.1097/AOG.0000000000006080. Epub 2025 Sep 18.(PubMed)