OptimICE-PCR: De-Escalation of Therapy in Early-Stage TNBC Patients Who Achieve pCR After Neoadjuvant Chemotherapy With Checkpoint Inhibitor Therapy
Summary
This phase III trial compares the effect of continuation of treatment with pembrolizumab (usual approach) to observation only at preventing cancer from coming back in patients with early-stage triple-negative breast cancer (TNBC) who achieved a pathologic complete response after preoperative chemotherapy in combination with pembrolizumab. The usual approach for patients with early-stage TNBC who receive preoperative chemotherapy plus pembrolizumab is to continue to receive pembrolizumab for up to 27 weeks after surgery. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. This trial may help researchers determine if observation is as good as receiving pembrolizumab for 27 weeks after surgery in triple-negative breast cancer patients who achieved a pathologic complete response after preoperative treatment with chemotherapy and pembrolizumab.
Detailed description
PRIMARY OBJECTIVES: I. To evaluate whether observation results in a non-inferior recurrence-free survival (RFS) compared to adjuvant pembrolizumab in early-stage triple-negative breast cancer (TNBC) patients who achieve a pathologic complete response (pCR) after neoadjuvant chemotherapy with pembrolizumab. II. To compare quality of life (QOL) at approximately 27 weeks as assessed by the Functional Assessment of Cancer Therapy-Breast (FACT-B) Trial Outcome Index between patients randomized to adjuvant pembrolizumab versus observation. (Quality of Life) III. To assess the social value of de-escalation of adjuvant breast cancer immunotherapy at approximately 27 weeks and, by modeling, over a lifetime. (Value of Care) SECONDARY OBJECTIVES: I. To evaluate whether observation compared to adjuvant pembrolizumab impacts the following: Ia. RFS by stage at presentation and by receipt of prior anthracycline therapy; Ib. Adverse event rate: difference in Grade 3 or higher adverse event rates overall and Grade 3 or higher immune-related adverse events (irAEs) rates; Ic. Overall Survival (OS); Id. Locoregional recurrence (LRR both isolated LRR as first events and LRR events simultaneous with distant metastases \[DM\]); Ie. RFS, LRR, OS, adverse events, and QOL by age (=\< 45, 46-65, and \> 65), race, and ethnicity; If. Adverse events related to receipt of radiotherapy. II. To assess the value of de-escalation of breast cancer immunotherapy from the payer perspective at approximately 27 weeks and, by modelling, over a lifetime. (Value of Care) III. To compare patient out-of-pocket costs at approximately 27 weeks between patients randomized to adjuvant pembrolizumab versus observation. (Value of Care) IV. To compare financial toxicity at approximately 27 weeks between patients randomized to adjuvant pembrolizumab versus observation. (Value of Care) V. To compare work/productivity impairment at approximately 27 weeks between patients randomized to adjuvant pembrolizumab versus observation. (Value of Care) EXPLORATORY OBJECTIVES: I. To describe trajectories of QOL over time among patients randomized to adjuvant pembrolizumab versus (vs.) observation. (Quality of Life) II. To compare various QOL domains after approximately 27 weeks as assessed by the 5 subscales of the FACT-B Index between patients randomized to adjuvant pembrolizumab versus observation. (Quality of Life) III. To compare self-reported symptomatic adverse events at approximately 27 weeks assessed by the patient reported outcome Common Terminology Criteria for Adverse Events (PRO-CTCAE) between patients randomized to adjuvant pembrolizumab versus observation. (Quality of Life) IV. To describe trajectories of financial toxicity and work/productivity impairment over time from baseline to approximately 27 weeks among patients randomized to adjuvant pembrolizumab versus observation. (Value of Care) V. To develop and assess a measure of value from the patient perspective at approximately 27 weeks. (Value of Care) OUTLINE: Patients are randomized to 1 of 2 arms after completing neoadjuvant chemotherapy in combination with pembrolizumab, followed by definitive breast surgery. ARM I (PEMBROLIZUMAB): Patients receive pembrolizumab intravenously (IV) over 25-40 minutes once every 3 weeks (Q3W) or once every 6 weeks (Q6W) for 27 weeks. Patients also undergo tumor biopsy and collection of blood throughout the study. Patients also undergo mammography, breast ultrasound or magnetic resonance imaging (MRI) during follow-up. ARM II (OBSERVATION): Patients undergo observation for 27 weeks. Patients also undergo tumor biopsy and collection of blood throughout the study. Patients also undergo mammography, breast ultrasound or MRI during follow-up.
Arms & interventions
- BiologicalPembrolizumab
Given IV
- OtherPatient Observation
Undergo observation
- ProcedureBiopsy
Undergo biopsy
- ProcedureBiospecimen Collection
Undergo collection of blood
- OtherQuestionnaire Administration
Ancillary studies
- OtherQuality-of-Life Assessment
Ancillary studies
Outcome measures
Primary
Recurrence-free survival (RFS)
Defined as the time from randomization to first invasive local, regional, or distant recurrence or death due to any cause. RFS will be compared between treatment arms using the hazard ratio (with 90% confidence interval and stratified log-rank test) from a stratified Cox model.
Time frame: Up to 10 years.
Secondary
Incidence of adverse events (AEs)
Time frame: Up to 27 weeks after registration
Overall survival
Time frame: Up to 10 years.
Locoregional recurrence incidence
Time frame: Up to 10 years.
Radiation adverse events
Time frame: Up to 27 weeks after registration
Eligibility criteria
Study locations (820)
University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233
Thomas Hospital
Fairhope, Alabama, 36532
Mobile Infirmary Medical Center
Mobile, Alabama, 36607
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36688
Katmai Oncology Group
Anchorage, Alaska, 99508
CTCA at Western Regional Medical Center
Goodyear, Arizona, 85338
Kingman Regional Medical Center
Kingman, Arizona, 86401
Cancer Center at Saint Joseph's
Phoenix, Arizona, 85004
Mayo Clinic Hospital in Arizona
Phoenix, Arizona, 85054
Highlands Oncology Group - Fayetteville
Fayetteville, Arkansas, 72703
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, Arkansas, 72401
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Highlands Oncology Group - Rogers
Rogers, Arkansas, 72758
Highlands Oncology Group
Springdale, Arkansas, 72762
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, 93420
PCR Oncology
Arroyo Grande, California, 93420
Alta Bates Summit Medical Center-Herrick Campus
Berkeley, California, 94704
Tower Cancer Research Foundation
Beverly Hills, California, 90211
Marshall Cancer Center
Cameron Park, California, 95682
Mercy Cancer Center - Carmichael
Carmichael, California, 95608
Mercy San Juan Medical Center
Carmichael, California, 95608
Enloe Medical Center
Chico, California, 95926
Kaiser Permanente Dublin
Dublin, California, 94568
Mercy Cancer Center - Elk Grove
Elk Grove, California, 95758
Stanford Cancer Center Emeryville
Emeryville, California, 94608
Kaiser Permanente-Fremont
Fremont, California, 94538
Kaiser Permanente Fresno Orchard Plaza
Fresno, California, 93720
Kaiser Permanente-Fresno
Fresno, California, 93720
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine, California, 92612
Loma Linda University Medical Center
Loma Linda, California, 92354
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Fremont - Rideout Cancer Center
Marysville, California, 95901
Kaiser Permanente- Modesto MOB II
Modesto, California, 95356
Kaiser Permanente-Modesto
Modesto, California, 95356
Kaiser Permanente-Oakland
Oakland, California, 94611
Saint Joseph Hospital - Orange
Orange, California, 92868
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Desert Regional Medical Center
Palm Springs, California, 92262
Stanford Cancer Institute Palo Alto
Palo Alto, California, 94304
Huntington Memorial Hospital
Pasadena, California, 91105
Mercy Cancer Center - Rocklin
Rocklin, California, 95765
Kaiser Permanente-Roseville
Roseville, California, 95661
Kaiser Permanente Downtown Commons
Sacramento, California, 95814
Mercy Cancer Center - Sacramento
Sacramento, California, 95816
Sutter Medical Center Sacramento
Sacramento, California, 95816
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
Kaiser Permanente-South Sacramento
Sacramento, California, 95823
Salinas Valley Memorial
Salinas, California, 93901
Zuckerberg San Francisco General Hospital
San Francisco, California, 94110
Kaiser Permanente-San Francisco
San Francisco, California, 94115
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119
Stanford Cancer Center South Bay
San Jose, California, 95124
Kaiser Permanente San Leandro
San Leandro, California, 94577
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, 93401
Mills Health Center
San Mateo, California, 94401
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
Saint John's Cancer Institute
Santa Monica, California, 90404
Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403
Kaiser Permanente-South San Francisco
South San Francisco, California, 94080
Cedars-Sinai Cancer - Tarzana
Tarzana, California, 91356
Torrance Memorial Physician Network - Cancer Care
Torrance, California, 90505
Gene Upshaw Memorial Tahoe Forest Cancer Center
Truckee, California, 96161
Kaiser Permanente-Vallejo
Vallejo, California, 94589
Kaiser Permanente-Walnut Creek
Walnut Creek, California, 94596
Woodland Memorial Hospital
Woodland, California, 95695
UCHealth University of Colorado Hospital
Aurora, Colorado, 80045
UCHealth Memorial Hospital Central
Colorado Springs, Colorado, 80909
Memorial Hospital North
Colorado Springs, Colorado, 80920
Kaiser Permanente-Franklin
Denver, Colorado, 80205
UCHealth - Cherry Creek
Denver, Colorado, 80206
AdventHealth Porter
Denver, Colorado, 80210
UCHealth Highlands Ranch Hospital
Highlands Ranch, Colorado, 80129
Kaiser Permanente-Rock Creek
Lafayette, Colorado, 80026
AdventHealth Littleton
Littleton, Colorado, 80122
Kaiser Permanente-Lone Tree
Lone Tree, Colorado, 80124
UCHealth Lone Tree Health Center
Lone Tree, Colorado, 80124
AdventHealth Parker
Parker, Colorado, 80138
Saint Anthony North Hospital
Westminster, Colorado, 80023
Hartford HealthCare - Saint Vincent's Medical Center
Bridgeport, Connecticut, 06606
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
Hartford Hospital
Hartford, Connecticut, 06102
Smilow Cancer Hospital Care Center at Saint Francis
Hartford, Connecticut, 06105
Midstate Medical Center
Meriden, Connecticut, 06451
The Hospital of Central Connecticut
New Britain, Connecticut, 06050
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
Stamford Hospital/Bennett Cancer Center
Stamford, Connecticut, 06904
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
Beebe South Coastal Health Campus
Millville, Delaware, 19967
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Beebe Health Campus
Rehoboth Beach, Delaware, 19971
Kaiser Permanente-Capitol Hill Medical Center
Washington D.C., District of Columbia, 20002
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
AdventHealth Altamonte
Altamonte Springs, Florida, 32701
Schulze Family Foundation Cancer Clinic - Bonita Health Center
Bonita Springs, Florida, 34135
Morton Plant Hospital
Clearwater, Florida, 33756
Broward Health Medical Center
Fort Lauderdale, Florida, 33316
Regional Cancer Center-Lee Memorial Health System
Fort Myers, Florida, 33905
UF Health Cancer Institute - Gainesville
Gainesville, Florida, 32610
Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood, Florida, 33021
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980
Orlando Health Cancer Institute - Lake Mary
Lake Mary, Florida, 32746
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Health Central
Ocoee, Florida, 34761
AdventHealth Orlando
Orlando, Florida, 32803
Orlando Health Cancer Institute
Orlando, Florida, 32806
Memorial Hospital West
Pembroke Pines, Florida, 33028
Mease Countryside Hospital
Safety Harbor, Florida, 34695
Tallahassee Memorial HealthCare
Tallahassee, Florida, 32308
Tampa General Hospital
Tampa, Florida, 33606
Saint Joseph's Hospital/Children's Hospital-Tampa
Tampa, Florida, 33607
Phoebe Putney Memorial Hospital
Albany, Georgia, 31701
University Cancer and Blood Center LLC
Athens, Georgia, 30607
Grady Health System
Atlanta, Georgia, 30303
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30342
Northside Hospital
Atlanta, Georgia, 30342
Augusta Oncology Associates PC-D'Antignac
Augusta, Georgia, 30901
Augusta Oncology Associates PC-Wheeler
Augusta, Georgia, 30909
Emory Decatur Hospital
Decatur, Georgia, 30033
Northside Hospital - Duluth
Duluth, Georgia, 30096
Emory Johns Creek Hospital
Johns Creek, Georgia, 30097
Northside Hospital - Gwinnett
Lawrenceville, Georgia, 30046
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu, Hawaii, 96813
Queen's Cancer Cenrer - POB I
Honolulu, Hawaii, 96813
Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital
Honolulu, Hawaii, 96813
Queen's Cancer Center - Kuakini
Honolulu, Hawaii, 96817
Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Hawaii Cancer Care - Westridge
‘Aiea, Hawaii, 96701
Pali Momi Medical Center
‘Aiea, Hawaii, 96701
The Queen's Medical Center - West Oahu
‘Ewa Beach, Hawaii, 96706
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
Rush-Copley Medical Center
Aurora, Illinois, 60504
Advocate Outpatient Center - Aurora
Aurora, Illinois, 60506
Advocate Good Shepherd Hospital
Barrington, Illinois, 60010
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704
Illinois CancerCare-Canton
Canton, Illinois, 61520
SIH Cancer Institute
Carterville, Illinois, 62918
Illinois CancerCare-Carthage
Carthage, Illinois, 62321
Centralia Oncology Clinic
Centralia, Illinois, 62801
Northwestern University
Chicago, Illinois, 60611
John H Stroger Jr Hospital of Cook County
Chicago, Illinois, 60612
University of Illinois
Chicago, Illinois, 60612
Swedish Covenant Hospital
Chicago, Illinois, 60625
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637
Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
AMG Crystal Lake - Oncology
Crystal Lake, Illinois, 60014
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
Advocate Good Samaritan Hospital
Downers Grove, Illinois, 60515
Carle Physician Group-Effingham
Effingham, Illinois, 62401
Crossroads Cancer Center
Effingham, Illinois, 62401
Advocate Sherman Hospital
Elgin, Illinois, 60123
Illinois CancerCare-Eureka
Eureka, Illinois, 61530
NorthShore University HealthSystem-Evanston Hospital
Evanston, Illinois, 60201
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
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
Advocate South Suburban Hospital
Hazel Crest, Illinois, 60429
NorthShore University HealthSystem-Highland Park Hospital
Highland Park, Illinois, 60035
Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045
AMG Libertyville - Oncology
Libertyville, Illinois, 60048
Condell Memorial Hospital
Libertyville, Illinois, 60048
Illinois CancerCare-Macomb
Macomb, Illinois, 61455
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
Loyola University Medical Center
Maywood, Illinois, 60153
Trinity Medical Center
Moline, Illinois, 61265
SSM Health Good Samaritan
Mount Vernon, Illinois, 62864
UC Comprehensive Cancer Center at Silver Cross
New Lenox, Illinois, 60451
Carle BroMenn Medical Center
Normal, Illinois, 61761
Carle Cancer Institute Normal
Normal, Illinois, 61761
Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269
Northwestern Medicine Oak Brook
Oak Brook, Illinois, 60523
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453-2699
Northwestern Medicine Orland Park
Orland Park, Illinois, 60462
University of Chicago Medicine-Orland Park
Orland Park, Illinois, 60462
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
Illinois CancerCare-Pekin
Pekin, Illinois, 61554
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
Illinois CancerCare-Peru
Peru, Illinois, 61354
Illinois CancerCare-Princeton
Princeton, Illinois, 61356
OSF Saint Anthony Medical Center
Rockford, Illinois, 61108
UW Health Carbone Cancer Center Rockford
Rockford, Illinois, 61114
Memorial Hospital East
Shiloh, Illinois, 62269
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
Illinois CancerCare - Washington
Washington, Illinois, 61571
IU Health West Hospital
Avon, Indiana, 46123
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
Parkview Regional Medical Center
Fort Wayne, Indiana, 46845
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
Sidney and Lois Eskenazi Hospital
Indianapolis, Indiana, 46202
Saint Catherine Hospital
Indianapolis, Indiana, 46312
The Community Hospital
Munster, Indiana, 46321
Women's Diagnostic Center - Munster
Munster, Indiana, 46321
Baptist Health Floyd
New Albany, Indiana, 47150
Memorial Hospital of South Bend
South Bend, Indiana, 46601
Northwest Cancer Center - Valparaiso
Valparaiso, Indiana, 46383
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa, 50023
University of Iowa Healthcare Cancer Services Quad Cities
Bettendorf, Iowa, 52722
Saint Anthony Regional Hospital
Carroll, Iowa, 51401
Physicians' Clinic of Iowa PC
Cedar Rapids, Iowa, 52402
Mercy Hospital
Cedar Rapids, Iowa, 52403
Oncology Associates at Mercy Medical Center
Cedar Rapids, Iowa, 52403
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa, 50325
Heartland Oncology and Hematology LLP
Council Bluffs, Iowa, 51503
Methodist Jennie Edmundson Hospital
Council Bluffs, Iowa, 51503
Nebraska Cancer Specialists/Oncology Hematology West PC - MEJ
Council Bluffs, Iowa, 51503
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, Iowa, 50309
Broadlawns Medical Center
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa, 50314
UI Healthcare Mission Cancer and Blood - Fort Dodge
Fort Dodge, Iowa, 50501
University of Iowa/Holden Comprehensive Cancer Center
Iowa City, Iowa, 52242
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee, Iowa, 50263
Cancer Center of Kansas - Chanute
Chanute, Kansas, 66720
Cancer Center of Kansas - Dodge City
Dodge City, Kansas, 67801
Cancer Center of Kansas - El Dorado
El Dorado, Kansas, 67042
HaysMed
Hays, Kansas, 67601
Cancer Center of Kansas-Independence
Independence, Kansas, 67301
University of Kansas Cancer Center
Kansas City, Kansas, 66160
Cancer Center of Kansas-Kingman
Kingman, Kansas, 67068
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Cancer Center of Kansas-Liberal
Liberal, Kansas, 67905
Cancer Center of Kansas - McPherson
McPherson, Kansas, 67460
Cancer Center of Kansas - Newton
Newton, Kansas, 67114
The University of Kansas Cancer Center - Olathe
Olathe, Kansas, 66061
Menorah Medical Center
Overland Park, Kansas, 66209
University of Kansas Cancer Center-Overland Park
Overland Park, Kansas, 66210
University of Kansas Hospital-Indian Creek Campus
Overland Park, Kansas, 66211
Cancer Center of Kansas - Parsons
Parsons, Kansas, 67357
Cancer Center of Kansas - Pratt
Pratt, Kansas, 67124
Cancer Center of Kansas - Salina
Salina, Kansas, 67401
Salina Regional Health Center
Salina, Kansas, 67401
University of Kansas Health System Saint Francis Campus
Topeka, Kansas, 66606
Cancer Center of Kansas - Wellington
Wellington, Kansas, 67152
University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita, Kansas, 67208
Ascension Via Christi Hospitals Wichita
Wichita, Kansas, 67214
Cancer Center of Kansas - Wichita
Wichita, Kansas, 67214
Cancer Center of Kansas - Winfield
Winfield, Kansas, 67156
Baptist Health Corbin
Corbin, Kentucky, 40701
Baptist Health Hardin
Elizabethtown, Kentucky, 42701
Baptist Health Lexington
Lexington, Kentucky, 40503
Baptist Health Hamburg
Lexington, Kentucky, 40509
Saint Joseph Hospital East
Lexington, Kentucky, 40509
University of Kentucky/Markey Cancer Center
Lexington, Kentucky, 40536
The James Graham Brown Cancer Center at University of Louisville
Louisville, Kentucky, 40202
Baptist Health Louisville
Louisville, Kentucky, 40207
UofL Health Medical Center Northeast
Louisville, Kentucky, 40245
Louisiana Hematology Oncology Associates LLC
Baton Rouge, Louisiana, 70809
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
Medical Center of Baton Rouge
Baton Rouge, Louisiana, 70816
Louisiana Hematology Oncology Associates
Baton Rouge, Louisiana, 70817
Ochsner High Grove
Baton Rouge, Louisiana, 70836
Ochsner Hematology Oncology North Shore - Covington (West Region)
Covington, Louisiana, 70433
Terrebonne General Medical Center
Houma, Louisiana, 70360
Ochsner LSU Health Monroe Medical Center
Monroe, Louisiana, 71202
University Medical Center New Orleans
New Orleans, Louisiana, 70112
Ochsner Medical Center Jefferson
New Orleans, Louisiana, 70121
LSU Health Sciences Center at Shreveport
Shreveport, Louisiana, 71103
CHRISTUS Highland Medical Center
Shreveport, Louisiana, 71105
Luminis Health Anne Arundel Medical Center
Annapolis, Maryland, 21401
University of Maryland/Greenebaum Cancer Center
Baltimore, Maryland, 21201
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
Kaiser Permanente-Woodlawn Medical Center
Baltimore, Maryland, 21244
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889-5600
MedStar Southern Maryland Hospital Center
Clinton, Maryland, 20735
FMH James M Stockman Cancer Institute
Frederick, Maryland, 21702
Kaiser Permanente-Gaithersburg Medical Center
Gaithersburg, Maryland, 20879
UM Baltimore Washington Medical Center/Tate Cancer Center
Glen Burnie, Maryland, 21061
Kaiser Permanente - Largo Medical Center
Largo, Maryland, 20774
Kaiser Permanente Lutherville - Timonium Medical Center
Lutherville, Maryland, 21093
William E Kahlert Regional Cancer Center/Sinai Hospital
Westminster, Maryland, 21157
Tufts Medical Center
Boston, Massachusetts, 02111
Boston Medical Center
Boston, Massachusetts, 02118
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute at Foxborough
Foxborough, Massachusetts, 02035
Dana Farber-Merrimack Valley
Methuen, Massachusetts, 01844
Dana-Farber/Brigham and Women's Cancer Center at South Shore
South Weymouth, Massachusetts, 02190
Baystate Medical Center
Springfield, Massachusetts, 01199
Tufts Medical Center Cancer Center Stoneham
Stoneham, Massachusetts, 02180
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
Henry Ford Cancer Institute-Downriver
Brownstown, Michigan, 48183
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton, Michigan, 48188
Trinity Health Medical Center - Canton
Canton, Michigan, 48188
Chelsea Hospital
Chelsea, Michigan, 48118
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan, 48118
Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan, 48038
Henry Ford Medical Center-Fairlane
Dearborn, Michigan, 48126
Henry Ford Hospital
Detroit, Michigan, 48202
Henry Ford Health Saint John Hospital
Detroit, Michigan, 48236
Henry Ford River District Hospital
East China, Michigan, 48054
OSF Saint Francis Hospital and Medical Group
Escanaba, Michigan, 49829
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
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
Allegiance Health
Jackson, Michigan, 49201
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Beacon Kalamazoo Cancer Center
Kalamazoo, Michigan, 49009
University of Michigan Health - Sparrow Lansing
Lansing, Michigan, 48912
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
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
Henry Ford Medical Center-Columbus
Novi, Michigan, 48377
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Corewell Health Reed City Hospital
Reed City, Michigan, 49677
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
MyMichigan Medical Center Tawas
Tawas City, Michigan, 48764
Munson Medical Center
Traverse City, Michigan, 49684
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
Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch, Michigan, 48661
Henry Ford Wyandotte Hospital
Wyandotte, Michigan, 48192
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
Essentia Health Saint Joseph's Medical Center
Brainerd, Minnesota, 56401
Minnesota Oncology - Burnsville
Burnsville, Minnesota, 55337
Mercy Hospital
Coon Rapids, Minnesota, 55433
Essentia Health - Deer River Clinic
Deer River, Minnesota, 56636
Essentia Health Cancer Center
Duluth, Minnesota, 55805
Saint Luke's Hospital of Duluth
Duluth, Minnesota, 55805
Fairview Southdale Hospital
Edina, Minnesota, 55435
Essentia Health Hibbing Clinic
Hibbing, Minnesota, 55746
Saint John's Hospital - Healtheast
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
University of Minnesota/Masonic Cancer Center
Minneapolis, Minnesota, 55455
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud, Minnesota, 56303
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Essentia Health Sandstone
Sandstone, Minnesota, 55072
Sanford Thief River Falls Medical Center
Thief River Falls, Minnesota, 56701
Essentia Health Virginia Clinic
Virginia, Minnesota, 55792
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Sanford Cancer Center Worthington
Worthington, Minnesota, 56187
Baptist Memorial Hospital and Cancer Center-Golden Triangle
Columbus, Mississippi, 39705
Baptist Cancer Center-Grenada
Grenada, Mississippi, 38901
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Baptist Memorial Hospital and Cancer Center-Union County
New Albany, Mississippi, 38652
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford, Mississippi, 38655
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven, Mississippi, 38671
Mercy Oncology and Hematology - Clayton-Clarkson
Ballwin, Missouri, 63011
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376
MU Health - University Hospital/Ellis Fischel Cancer Center
Columbia, Missouri, 65212
Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141
Parkland Health Center - Farmington
Farmington, Missouri, 63640
Centerpoint Medical Center LLC
Independence, Missouri, 64057
MU Health Care Goldschmidt Cancer Center
Jefferson City, Missouri, 65109
University Health Truman Medical Center
Kansas City, Missouri, 64108
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
University of Kansas Cancer Center - Briarcliff
Kansas City, Missouri, 64116
Research Medical Center
Kansas City, Missouri, 64132
University of Kansas Cancer Center - North
Kansas City, Missouri, 64154
University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064
Saint Luke's East - Lee's Summit
Lee's Summit, Missouri, 64086
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City, Missouri, 64116
Lake Regional Hospital
Osage Beach, Missouri, 65065
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
Mercy Hospital Springfield
Springfield, Missouri, 65804
CoxHealth South Hospital
Springfield, Missouri, 65807
Washington University School of Medicine
St Louis, Missouri, 63110
Mercy Hospital South
St Louis, Missouri, 63128
Siteman Cancer Center-South County
St Louis, Missouri, 63129
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Siteman Cancer Center at Christian Hospital
St Louis, Missouri, 63136
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Missouri Baptist Sullivan Hospital
Sullivan, Missouri, 63080
BJC Outpatient Center at Sunset Hills
Sunset Hills, Missouri, 63127
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
Logan Health Medical Center
Kalispell, Montana, 59901
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Community Medical Center
Missoula, Montana, 59804
Nebraska Medicine-Bellevue
Bellevue, Nebraska, 68123
Mary Lanning Memorial Hospital
Hastings, Nebraska, 68901
Fred and Pamela Buffett Cancer Center - Kearney
Kearney, Nebraska, 68845
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska, 68114
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Oncology Associates PC
Omaha, Nebraska, 68114
Nebraska Medicine-Village Pointe
Omaha, Nebraska, 68118
University of Nebraska Medical Center
Omaha, Nebraska, 68198
OptumCare Cancer Care at Charleston
Las Vegas, Nevada, 89102
OptumCare Cancer Care at Fort Apache
Las Vegas, Nevada, 89183
Renown Regional Medical Center
Reno, Nevada, 89502
New Hampshire Oncology Hematology PA-Concord
Concord, New Hampshire, 03301
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon, New Hampshire, 03756
The Dana-Farber Cancer Institute at Londonderry
Londonderry, New Hampshire, 03053
Solinsky Center for Cancer Care
Manchester, New Hampshire, 03103
Cooper Hospital University Medical Center
Camden, New Jersey, 08103
Jefferson Cherry Hill Hospital
Cherry Hill, New Jersey, 08002
Trinitas Hospital and Comprehensive Cancer Center - Williamson Street Campus
Elizabeth, New Jersey, 07207
Englewood Hospital and Medical Center
Englewood, New Jersey, 07631
Hackensack University Medical Center
Hackensack, New Jersey, 07601
The Cancer Institute of New Jersey Hamilton
Hamilton, New Jersey, 08690
Jersey City Medical Center
Jersey City, New Jersey, 07302
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
MD Anderson Cancer Center at Cooper - Moorestown
Moorestown, New Jersey, 08057
Morristown Medical Center
Morristown, New Jersey, 07960
Inspira Medical Center Mullica Hill
Mullica Hill, New Jersey, 08062
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Newark Beth Israel Medical Center
Newark, New Jersey, 07112
The Valley Hospital - Luckow Pavilion
Paramus, New Jersey, 07652
Saint Joseph's Regional Medical Center
Paterson, New Jersey, 07503
Valley Health System Ridgewood Campus
Ridgewood, New Jersey, 07450
Sidney Kimmel Cancer Center Washington Township
Sewell, New Jersey, 08080
Robert Wood Johnson University Hospital Somerset
Somerville, New Jersey, 08876
Overlook Hospital
Summit, New Jersey, 07902
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
Northwell Health Imbert Cancer Center
Bay Shore, New York, 11706
Maimonides Medical Center
Brooklyn, New York, 11219
NYU Langone Hospital - Brooklyn
Brooklyn, New York, 11220
Roswell Park Cancer Institute
Buffalo, New York, 14263
Hematology Oncology Associates of CNY at Camillus
Camillus, New York, 13031
Guthrie Cortland Memorial Hospital
Cortland, New York, 13045
Hematology Oncology Associates of Central New York-East Syracuse
East Syracuse, New York, 13057
Northwell Health Cancer Institute at Huntington
Greenlawn, New York, 11740
Queens Hospital Center
Jamaica, New York, 11432
Northwell Health/Center for Advanced Medicine
Lake Success, New York, 11042
NYU Langone Hospital - Long Island
Mineola, New York, 11501
Northern Westchester Hospital
Mount Kisco, New York, 10549
Mount Sinai Chelsea
New York, New York, 10011
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
Mount Sinai West
New York, New York, 10019
Mount Sinai Hospital
New York, New York, 10029
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Manhattan Eye Ear and Throat Hospital
New York, New York, 10065
Lenox Hill Hospital
New York, New York, 10075
Mount Sinai South Nassau
Oceanside, New York, 11572
Vassar Brothers Medical Center
Poughkeepsie, New York, 12601
Pluta Cancer Center
Rochester, New York, 14623
University of Rochester
Rochester, New York, 14642
Phelps Memorial Hospital Center
Sleepy Hollow, New York, 10591
The Philips Family Cancer Center
Southampton, New York, 11968
Staten Island University Hospital
Staten Island, New York, 10305
Stony Brook University Medical Center
Stony Brook, New York, 11794
Montefiore Medical Center-Einstein Campus
The Bronx, New York, 10461
Wilmot Cancer Institute at Webster
Webster, New York, 14580
Atrium Health Stanly/LCI-Albemarle
Albemarle, North Carolina, 28002
Cone Health Cancer Center at Asheboro
Asheboro, North Carolina, 27203
Cone Health MedCenter Asheboro
Asheboro, North Carolina, 27205
Cone Health Cancer Center at Alamance Regional
Burlington, North Carolina, 27215
Duke Cancer Center Cary
Cary, North Carolina, 27518
UNC Health Cancer Care Cary
Cary, North Carolina, 27518
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599
Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203
Novant Health Presbyterian Medical Center
Charlotte, North Carolina, 28204
Atrium Health Pineville/LCI-Pineville
Charlotte, North Carolina, 28210
Levine Cancer Institute-SouthPark
Charlotte, North Carolina, 28211
Atrium Health University City/LCI-University
Charlotte, North Carolina, 28262
Levine Cancer Institute-Ballantyne
Charlotte, North Carolina, 28277
Wake Forest University at Clemmons
Clemmons, North Carolina, 27012
Atrium Health Cabarrus/LCI-Concord
Concord, North Carolina, 28025
Duke University Medical Center
Durham, North Carolina, 27710
Levine Cancer Institute - Rutherford
Forest City, North Carolina, 28043
UNC Health Cancer Care Garner
Garner, North Carolina, 27529
Levine Cancer Institute-Gaston
Gastonia, North Carolina, 28054
Cone Health Cancer Center
Greensboro, North Carolina, 27403
Cone Health Cancer Center at Drawbridge Parkway
Greensboro, North Carolina, 27410
East Carolina University
Greenville, North Carolina, 27834
Margaret R Pardee Memorial Hospital
Hendersonville, North Carolina, 28791
Levine Cancer Institute - Huntersville
Huntersville, North Carolina, 28078
Novant Health Cancer Institute - Huntersville
Huntersville, North Carolina, 28078
Novant Health Presbyterian Medical Center Huntersville
Huntersville, North Carolina, 28078
Novant Health Cancer Institute - Kernersville
Kernersville, North Carolina, 27284
Atrium Health Lincoln/LCI-Lincolnton
Lincolnton, North Carolina, 28092
Levine Cancer Institute - Union West
Matthews, North Carolina, 28104
Novant Health Cancer Institute - Matthews
Matthews, North Carolina, 28105
Atrium Health Union/LCI-Union
Monroe, North Carolina, 28112
Novant Health Cancer Institute - Mooresville
Mooresville, North Carolina, 28117
Novant Health Cancer Institute - Mount Airy
Mount Airy, North Carolina, 27030
FirstHealth of the Carolinas-Moore Regional Hospital
Pinehurst, North Carolina, 28374
Duke Women's Cancer Care Raleigh
Raleigh, North Carolina, 27607
UNC Health Cancer Care Raleigh
Raleigh, North Carolina, 27607
UNC Health Cancer Care Wakefield
Raleigh, North Carolina, 27614
Annie Penn Memorial Hospital
Reidsville, North Carolina, 27320
Novant Health Cancer Institute - Rowan
Salisbury, North Carolina, 28144
Rowan Regional Medical Center
Salisbury, North Carolina, 28144
Atrium Health Cleveland/LCI-Cleveland
Shelby, North Carolina, 28150
Novant Health Cancer Institute - Thomasville
Thomasville, North Carolina, 27360
Marion L Shepard Cancer Center - ECU Health Beaufort Hospital
Washington, North Carolina, 27889
Novant Health Forsyth Medical Center
Winston-Salem, North Carolina, 27103
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Essentia Health Cancer Center-South University Clinic
Fargo, North Dakota, 58103
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Summa Health System - Akron Campus
Akron, Ohio, 44304
OhioHealth O'Bleness Hospital
Athens, Ohio, 45701
UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio, 44011
Summa Health System - Barberton Campus
Barberton, Ohio, 44203
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122
Strecker Cancer Center-Belpre
Belpre, Ohio, 45714
Miami Valley Hospital South
Centerville, Ohio, 45459
Adena Regional Medical Center
Chillicothe, Ohio, 45601
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Case Western Reserve University
Cleveland, Ohio, 44106
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Mount Carmel East Hospital
Columbus, Ohio, 43213
Columbus Oncology and Hematology Associates Inc
Columbus, Ohio, 43214
Riverside Methodist Hospital
Columbus, Ohio, 43214
Grant Medical Center
Columbus, Ohio, 43215
The Mark H Zangmeister Center
Columbus, Ohio, 43219
Doctors Hospital
Columbus, Ohio, 43228
Premier Blood and Cancer Center
Dayton, Ohio, 45409
Dayton Physician LLC - Englewood
Dayton, Ohio, 45415
Miami Valley Hospital North
Dayton, Ohio, 45415
Delaware Health Center-Grady Cancer Center
Delaware, Ohio, 43015
Grady Memorial Hospital
Delaware, Ohio, 43015
Columbus Oncology and Hematology Associates
Dublin, Ohio, 43016
Dublin Methodist Hospital
Dublin, Ohio, 43016
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
Zangmeister Center Grove City
Grove City, Ohio, 43123
Kettering Medical Center
Kettering, Ohio, 45429
Fairfield Medical Center
Lancaster, Ohio, 43130
OhioHealth Mansfield Hospital
Mansfield, Ohio, 44903
OhioHealth Marion General Hospital
Marion, Ohio, 43302
Memorial Hospital
Marysville, Ohio, 43040
Summa Health Medina Medical Center
Medina, Ohio, 44256
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060
Licking Memorial Hospital
Newark, Ohio, 43055
Mercy Health - Perrysburg Hospital
Perrysburg, Ohio, 43551
OhioHealth Pickerington Methodist Hospital
Pickerington, Ohio, 43147
Southern Ohio Medical Center
Portsmouth, Ohio, 45662
Springfield Regional Cancer Center
Springfield, Ohio, 45504
ProMedica Flower Hospital
Sylvania, Ohio, 43560
Mercy Health - Saint Anne Hospital
Toledo, Ohio, 43623
Toledo Clinic Cancer Centers-Toledo
Toledo, Ohio, 43623
Upper Valley Medical Center
Troy, Ohio, 45373
University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069
Saint Ann's Hospital
Westerville, Ohio, 43081
OhioHealth Westerville Medical Campus/Westerville Cancer Center
Westerville, Ohio, 43082
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
Saint Charles Health System
Bend, Oregon, 97701
Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Three Rivers Community Hospital
Grants Pass, Oregon, 97527
Legacy Mount Hood Medical Center
Gresham, Oregon, 97030
Asante Rogue Regional Medical Center
Medford, Oregon, 97504
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
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
Kaiser Permanente Northwest
Portland, Oregon, 97227
Legacy Meridian Park Hospital
Tualatin, Oregon, 97062
Lehigh Valley Hospital-Cedar Crest
Allentown, Pennsylvania, 18103
Lehigh Valley Hospital - Muhlenberg
Bethlehem, Pennsylvania, 18017
WellSpan Medical Oncology and Hematology
Chambersburg, Pennsylvania, 17201
Geisinger Medical Center
Danville, Pennsylvania, 17822
Geisinger Cancer Center Dickson City
Dickson City, Pennsylvania, 18519
Pocono Medical Center
East Stroudsburg, Pennsylvania, 18301
Ephrata Cancer Center
Ephrata, Pennsylvania, 17522
Saint Vincent Hospital
Erie, Pennsylvania, 16544
Adams Cancer Center
Gettysburg, Pennsylvania, 17325
Lehigh Valley Hospital-Hazleton
Hazleton, Pennsylvania, 18201
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033-0850
Jefferson Hospital
Jefferson Hills, Pennsylvania, 15025
Sechler Family Cancer Center
Lebanon, Pennsylvania, 17042
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, 17837
Yolanda G Barco Oncology Institute
Meadville, Pennsylvania, 16335
Forbes Hospital
Monroeville, Pennsylvania, 15146
University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania, 19104
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Jefferson Torresdale Hospital
Philadelphia, Pennsylvania, 19114
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
Penn State Health Saint Joseph Medical Center
Reading, Pennsylvania, 19605
Guthrie Medical Group PC-Robert Packer Hospital
Sayre, Pennsylvania, 18840
Community Medical Center
Scranton, Pennsylvania, 18510
Reading Hospital
West Reading, Pennsylvania, 19611
Wexford Health and Wellness Pavilion
Wexford, Pennsylvania, 15090
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090
Cancer Care Associates of York
York, Pennsylvania, 17403
WellSpan Health-York Cancer Center
York, Pennsylvania, 17403
Rhode Island Hospital
Providence, Rhode Island, 02903
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
Prisma Health Cancer Institute - Spartanburg
Boiling Springs, South Carolina, 29316
Medical University of South Carolina
Charleston, South Carolina, 29425
Prisma Health Cancer Institute - Easley
Easley, South Carolina, 29640
McLeod Regional Medical Center
Florence, South Carolina, 29506
Tidelands Georgetown Memorial Hospital
Georgetown, South Carolina, 29440
Saint Francis Hospital
Greenville, South Carolina, 29601
Prisma Health Cancer Institute - Butternut
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, 29605
Saint Francis Cancer Center
Greenville, South Carolina, 29607
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Self Regional Healthcare
Greenwood, South Carolina, 29646
Prisma Health Cancer Institute - Greer
Greer, South Carolina, 29650
South Carolina Cancer Specialists PC
Hilton Head Island, South Carolina, 29926-3827
Levine Cancer Institute-Rock Hill
Rock Hill, South Carolina, 29732
Prisma Health Cancer Institute - Seneca
Seneca, South Carolina, 29672
Lexington Medical Center
West Columbia, South Carolina, 29169
Avera Cancer Institute-Aberdeen
Aberdeen, South Dakota, 57401
Avera Cancer Institute - Mitchell
Mitchell, South Dakota, 57301
Avera Cancer Institute at Pierre
Pierre, South Dakota, 57501
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
Avera Cancer Institute at Yankton
Yankton, South Dakota, 57078
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville, Tennessee, 38017
University of Tennessee - Knoxville
Knoxville, Tennessee, 37920
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis, Tennessee, 38120
Vanderbilt Breast Center at One Hundred Oaks
Nashville, Tennessee, 37204
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37232
Houston Methodist San Jacinto Hospital
Baytown, Texas, 77521
MD Anderson in The Woodlands
Conroe, Texas, 77384
Houston Methodist Cypress Hospital
Cypress, Texas, 77429
Parkland Memorial Hospital
Dallas, Texas, 75235
UT Southwestern Simmons Cancer Center - RedBird
Dallas, Texas, 75237
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
Lyndon Baines Johnson General Hospital
Houston, Texas, 77026-1967
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas, 77030
Ben Taub General Hospital
Houston, Texas, 77030
Houston Methodist Hospital
Houston, Texas, 77030
M D Anderson Cancer Center
Houston, Texas, 77030
Methodist Willowbrook Hospital
Houston, Texas, 77070
MD Anderson West Houston
Houston, Texas, 77079
Houston Methodist West Hospital
Houston, Texas, 77094
MD Anderson League City
League City, Texas, 77573
Houston Methodist Saint John Hospital
Nassau Bay, Texas, 77058
UT Southwestern Clinical Center at Richardson/Plano
Richardson, Texas, 75080
MD Anderson in Sugar Land
Sugar Land, Texas, 77478
Houston Methodist Sugar Land Hospital
Sugar Land, Texas, 77479
Scott and White Memorial Hospital
Temple, Texas, 76508
Houston Methodist The Woodlands Hospital
The Woodlands, Texas, 77385
Farmington Health Center
Farmington, Utah, 84025
University of Utah Sugarhouse Health Center
Salt Lake City, Utah, 84106
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
South Jordan Health Center
South Jordan, Utah, 84009
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners, Vermont, 05602
University of Vermont Medical Center
Burlington, Vermont, 05401
University of Vermont and State Agricultural College
Burlington, Vermont, 05405
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Inova Fair Oaks Hospital
Fairfax, Virginia, 22033
Inova Fairfax Hospital
Falls Church, Virginia, 22042
Augusta Health Center for Cancer and Blood Disorders
Fishersville, Virginia, 22939
Centra Alan B Pearson Regional Cancer Center
Lynchburg, Virginia, 24501
Kaiser Permanente Tysons Corner Medical Center
McLean, Virginia, 22102
Bon Secours Memorial Regional Medical Center
Mechanicsville, Virginia, 23116
Bon Secours Saint Francis Medical Center
Midlothian, Virginia, 23114
Bon Secours Saint Mary's Hospital
Richmond, Virginia, 23226
VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
Kaiser Permanente-Caton Hill Medical Center
Woodbridge, Virginia, 22192
FHCC Overlake
Bellevue, Washington, 98004
Swedish Cancer Institute-Edmonds
Edmonds, Washington, 98026
Swedish Cancer Institute-Issaquah
Issaquah, Washington, 98029
Kadlec Clinic Hematology and Oncology
Kennewick, Washington, 99336
FHCC at EvergreenHealth
Kirkland, Washington, 98034
Skagit Regional Health Cancer Care Center
Mount Vernon, Washington, 98274
Valley Medical Center
Renton, Washington, 98055
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Swedish Medical Center-First Hill
Seattle, Washington, 98122
FHCC at Northwest Hospital
Seattle, Washington, 98133
University of Washington Medical Center - Montlake
Seattle, Washington, 98195
Legacy Cancer Institute Medical Oncology and Day Treatment
Vancouver, Washington, 98684
Legacy Salmon Creek Hospital
Vancouver, Washington, 98686
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
Yakima, Washington, 98902
United Hospital Center
Bridgeport, West Virginia, 26330
Edwards Comprehensive Cancer Center
Huntington, West Virginia, 25701
West Virginia University Healthcare
Morgantown, West Virginia, 26506
Camden Clark Medical Center
Parkersburg, West Virginia, 26101
Princeton Community Hospital
Princeton, West Virginia, 24740
Langlade Hospital and Cancer Center
Antigo, Wisconsin, 54409
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Ascension Saint Elizabeth Hospital
Appleton, Wisconsin, 54915
Duluth Clinic Ashland
Ashland, Wisconsin, 54806
ThedaCare Cancer Care - Berlin
Berlin, Wisconsin, 54923
Ascension Southeast Wisconsin Hospital - Elmbrook Campus
Brookfield, Wisconsin, 53045
Aurora Cancer Care-Southern Lakes VLCC
Burlington, Wisconsin, 53105
Ascension Calumet Hospital
Chilton, Wisconsin, 53014
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Ascension Saint Francis - Reiman Cancer Center
Franklin, Wisconsin, 53132
Aurora Health Care Germantown Health Center
Germantown, Wisconsin, 53022
Aurora Cancer Care-Grafton
Grafton, Wisconsin, 53024
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin, 54301
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay, Wisconsin, 54303
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
Mercyhealth Hospital and Cancer Center - Janesville
Janesville, Wisconsin, 53548
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek, Wisconsin, 53038
Aurora Cancer Care-Kenosha South
Kenosha, Wisconsin, 53142
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
Aurora Bay Area Medical Group-Marinette
Marinette, Wisconsin, 54143
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Aspirus Medford Hospital
Medford, Wisconsin, 54451
Froedtert Menomonee Falls Hospital
Menomonee Falls, Wisconsin, 53051
Ascension Columbia Saint Mary's Hospital Ozaukee
Mequon, Wisconsin, 53097
Aurora Cancer Care-Milwaukee
Milwaukee, Wisconsin, 53209
Ascension Columbia Saint Mary's Hospital - Milwaukee
Milwaukee, Wisconsin, 53211
Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Aurora Sinai Medical Center
Milwaukee, Wisconsin, 53233
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149
ThedaCare Regional Medical Center - Neenah
Neenah, Wisconsin, 54956
ThedaCare Cancer Care - New London
New London, Wisconsin, 54961
Drexel Town Square Health Center
Oak Creek, Wisconsin, 53154
ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066
Saint Vincent Hospital Cancer Center at Oconto Falls
Oconto Falls, Wisconsin, 54154
Ascension Mercy Hospital
Oshkosh, Wisconsin, 54904
ThedaCare Cancer Care - Oshkosh
Oshkosh, Wisconsin, 54904
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh, Wisconsin, 54904
Ascension All Saints Hospital
Racine, Wisconsin, 53405
Aurora Cancer Care-Racine
Racine, Wisconsin, 53406
Aspirus Cancer Care - James Beck Cancer Center
Rhinelander, Wisconsin, 54501
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
ThedaCare Cancer Care - Shawano
Shawano, Wisconsin, 54166
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan, Wisconsin, 53081
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan, Wisconsin, 53081
Essentia Health-Spooner Clinic
Spooner, Wisconsin, 54801
Aspirus Cancer Care - Stevens Point
Stevens Point, Wisconsin, 54481
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
Aurora Medical Center in Summit
Summit, Wisconsin, 53066
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers, Wisconsin, 54241
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188
ThedaCare Cancer Care - Waupaca
Waupaca, Wisconsin, 54981
Aspirus Regional Cancer Center
Wausau, Wisconsin, 54401
Ascension Medical Group Southeast Wisconsin - Mayfair Road
Wauwatosa, Wisconsin, 53226
Aurora Cancer Care-Milwaukee West
Wauwatosa, Wisconsin, 53226
Aurora West Allis Medical Center
West Allis, Wisconsin, 53227
Froedtert West Bend Hospital/Kraemer Cancer Center
West Bend, Wisconsin, 53095
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids, Wisconsin, 54494