A Comparative Randomized Study of Standard Doxorubicin and Cyclophosphamide Followed by Weekly Paclitaxel Vs. Weekly Doxorubicin and Daily Oral Cyclophosphamide Plus G-CSF Followed by Weekly Paclitaxel As Neoadjuvant Therapy For Inflammatory and Locally Advanced Breast Cancer
OBJECTIVES:
- Compare the microscopic pathologic response rates in women with inflammatory or locally
advanced breast cancer treated with standard neoadjuvant doxorubicin and
cyclophosphamide followed by weekly paclitaxel vs weekly doxorubicin and daily oral
cyclophosphamide with filgrastim (G-CSF) followed by weekly paclitaxel.
- Compare the toxic effects of these regimens in this patient population.
- Compare the delivered dose intensity of these regimens in this patient population.
- Evaluate the association between microscopic pathologic complete response and clinical
complete response at the primary tumor site in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to
disease status (inflammatory vs other). Patients are randomized to one of two treatment
arms.
- Arm I: Patients receive doxorubicin IV followed by cyclophosphamide IV on day 1.
Treatment repeats every 21 days for a total of 5 courses in the absence of disease
progression or unacceptable toxicity. Three weeks after completion of doxorubicin and
cyclophosphamide, patients receive paclitaxel IV over 1 hour weekly on day 1 for a
total of 12 weeks.
- Arm II: Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7,
and filgrastim (G-CSF) subcutaneously on days 2-7. Treatment repeats weekly for a total
of 15 courses of doxorubicin and cyclophosphamide and 16 courses of G-CSF in the
absence of disease progression or unacceptable toxicity. One week after completion of
G-CSF, patients receive paclitaxel as in arm I.
Within 3-6 weeks after completion of chemotherapy, patients with stable or responsive
disease undergo surgical resection of tumor and affected nodes.
After surgery, patients may receive radiotherapy or additional chemotherapy and/or hormonal
therapy at the discretion of the treating physician.
Patients are followed every 6 months for 1 year and then annually for 4 years.
PROJECTED ACCRUAL: A total of 350 patients (175 per treatment arm) will be accrued for this
study within 3 years.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Comparison of microscopic pathologic response rates
no sooner than 21 days after chemo
No
Georgiana K. Ellis, MD
Study Chair
Seattle Cancer Care Alliance
United States: Federal Government
CDR0000068630
NCT00016406
May 2001
February 2012
Name | Location |
---|---|
Roswell Park Cancer Institute | Buffalo, New York 14263 |
Fred Hutchinson Cancer Research Center | Seattle, Washington 98109 |
Mayo Clinic Scottsdale | Scottsdale, Arizona 85259 |
Mayo Clinic - Jacksonville | Jacksonville, Florida 32224 |
Cardinal Bernardin Cancer Center at Loyola University Medical Center | Maywood, Illinois 60153-5500 |
Barbara Ann Karmanos Cancer Institute | Detroit, Michigan 48201 |
University of Mississippi Medical Center | Jackson, Mississippi 39216-4505 |
CCOP - Upstate Carolina | Spartanburg, South Carolina 29303 |
Tripler Army Medical Center | Honolulu, Hawaii 96859-5000 |
CCOP - Wichita | Wichita, Kansas 67214-3882 |
Medical City Dallas Hospital | Dallas, Texas 75230 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
CCOP - Kansas City | Kansas City, Missouri 64131 |
CCOP - Missouri Valley Cancer Consortium | Omaha, Nebraska 68131 |
CCOP - Mount Sinai Medical Center | Miami Beach, Florida 33140 |
CCOP - Carle Cancer Center | Urbana, Illinois 61801 |
CCOP - Iowa Oncology Research Association | Des Moines, Iowa 50309-1016 |
CCOP - Metro-Minnesota | Saint Louis Park, Minnesota 55416 |
Bergan Mercy Medical Center | Omaha, Nebraska 68124 |
Rush-Copley Cancer Care Center | Aurora, Illinois 60507 |
Carle Cancer Center at Carle Foundation Hospital | Urbana, Illinois 61801 |
Saint Anthony Memorial Health Centers | Michigan City, Indiana 46360 |
Cedar Rapids Oncology Associates | Cedar Rapids, Iowa 52403 |
Mercy Medical Center - Sioux City | Sioux City, Iowa 51104 |
St. Luke's Regional Medical Center | Sioux City, Iowa 51104 |
Bronson Methodist Hospital | Kalamazoo, Michigan 49007 |
West Michigan Cancer Center | Kalamazoo, Michigan 49007-3731 |
Borgess Medical Center | Kalamazooaa, Michigan 49001 |
Fairview Ridges Hospital | Burnsville, Minnesota 55337 |
Mercy and Unity Cancer Center at Mercy Hospital | Coon Rapids, Minnesota 55433 |
CCOP - Duluth | Duluth, Minnesota 55805 |
Fairview Southdale Hospital | Edina, Minnesota 55435 |
Mercy and Unity Cancer Center at Unity Hospital | Fridley, Minnesota 55432 |
Hutchinson Area Health Care | Hutchinson, Minnesota 55350 |
Meeker County Memorial Hospital | Lichfield, Minnesota 55355 |
Hennepin County Medical Center - Minneapolis | Minneapolis, Minnesota 55415 |
Regions Hospital Cancer Care Center | St. Paul, Minnesota 55101 |
United Hospital | St. Paul, Minnesota 55102 |
Ridgeview Medical Center | Waconia, Minnesota 55387 |
St. Rita's Medical Center | Lima, Ohio 45801 |
Natalie Warren Bryant Cancer Center at St. Francis Hospital | Tulsa, Oklahoma 74136 |
Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center | La Crosse, Wisconsin 54601 |
Rapid City Regional Hospital | Rapid City, South Dakota 57709 |
CCOP - Bay Area Tumor Institute | Oakland, California 94609-3305 |
Memorial Hospital Cancer Center | Colorado Springs, Colorado 80909 |
Halifax Medical Center | Daytona Beach, Florida 32114 |
CCOP - Cancer Research for the Ozarks | Springfield, Missouri 65807 |
CCOP - Montana Cancer Consortium | Billings, Montana 59101 |
Veterans Affairs Medical Center - Dayton | Dayton, Ohio 45428 |
CCOP - Dayton | Kettering, Ohio 45429 |
Harrington Cancer Center | Amarillo, Texas 79106 |
Dixie Regional Medical Center | Saint George, Utah 84770 |
LDS Hospital | Salt Lake City, Utah 84143 |
CCOP - Grand Rapids | Grand Rapids, Michigan 49503 |
Charles M. Barrett Cancer Center at University Hospital | Cincinnati, Ohio 45267-0526 |
CCOP - Columbia River Oncology Program | Portland, Oregon 97225 |
CCOP - Scott and White Hospital | Temple, Texas 76508 |
Cancer Research Center of Hawaii | Honolulu, Hawaii 96813 |
USC/Norris Comprehensive Cancer Center and Hospital | Los Angeles, California 90033-0804 |
MBCCOP - LSU Health Sciences Center | New Orleans, Louisiana 70112 |
CCOP - St. Louis-Cape Girardeau | Saint Louis, Missouri 63141 |
Brooke Army Medical Center | Fort Sam Houston, Texas 78234-6200 |
Veterans Affairs Medical Center - San Antonio (Murphy) | San Antonio, Texas 78284 |
CCOP - Virginia Mason Research Center | Seattle, Washington 98101 |
CCOP - Northwest | Tacoma, Washington 98405-0986 |
Madigan Army Medical Center | Tacoma, Washington 98431-5048 |
Utah Valley Regional Medical Center - Provo | Provo, Utah 84604 |
University of New Mexico Cancer Research and Treatment Center | Albuquerque, New Mexico 87131 |
Mobile Infirmary Medical Center | Mobile, Alabama 36640-0460 |
John Stoddard Cancer Center at Iowa Methodist Medical Center | Des Moines, Iowa 50309 |
Midlands Cancer Center at Midlands Community Hospital | Papillion, Nebraska 68128-4157 |
St. Vincent Mercy Medical Center | Toledo, Ohio 43608 |
Great Falls Clinic | Great Falls, Montana 59405 |
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences | Little Rock, Arkansas 72205 |
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center | Kansas City, Kansas 66160-7353 |
Markey Cancer Center at University of Kentucky Chandler Medical Center | Lexington, Kentucky 40536-0084 |
Cancer Research Center at Boston Medical Center | Boston, Massachusetts 02118 |
Cancer Institute at Oregon Health and Science University | Portland, Oregon 97201-3098 |
Swedish Cancer Institute at Swedish Medical Center - First Hill Campus | Seattle, Washington 98104 |
Tufts - New England Medical Center | Boston, Massachusetts 02111 |
Hulston Cancer Center at Cox Medical Center South | Springfield, Missouri 65807 |
St. John's Regional Health Center | Springfield, Missouri 65804 |
North Idaho Cancer Center | Coeur d'Alene, Idaho 83814 |
CCOP - Toledo Community Hospital | Toledo, Ohio 43623-3456 |
Wilford Hall Medical Center | Lackland Air Force Base, Texas 78236-5300 |
St. Luke's Mountain States Tumor Institute - Boise | Boise, Idaho 83712-6297 |
Via Christi Cancer Center at Via Christi Regional Medical Center | Wichita, Kansas 67214 |
CancerCare of Maine at Eastern Maine Medial Center | Bangor, Maine 04401 |
Spectrum Health Cancer Care - Butterworth Campus | Grand Rapids, Michigan 49503-2560 |
Mission Hospitals - Memorial Campus | Asheville, North Carolina 28801 |
Toledo Hospital | Toledo, Ohio 43606 |
St. Mary's - Duluth Clinic Cancer Center | Duluth, Minnesota 55805 |
James P. Wilmot Cancer Center at University of Rochester Medical Center | Rochester, New York 14642 |
St. Vincent's Comprehensive Cancer Center - Manhattan | New York, New York 10011 |
Hematology Oncology Associates of the Quad Cities | Bettendorf, Iowa 52722 |
Alaska Regional Hospital Cancer Center | Anchorage, Alaska 99508 |
Saint Anthony's Hospital at Saint Anthony's Health Center | Alton, Illinois 62002 |
Good Samaritan Regional Health Center | Mt. Vernon, Illinois 62864 |
Siouxland Regional Cancer Center | Sioux City, Iowa 51101-1733 |
Cancer Center of Kansas, P.A. - El Dorado | El Dorado, Kansas 67042 |
Southwest Medical Center | Liberal, Kansas 67901 |
Cancer Center of Kansas, P.A. - Parsons | Parsons, Kansas 67357 |
Cancer Center of Kansas, P.A. - Wichita | Wichita, Kansas 67214 |
Battle Creek Health System Cancer Care Center | Battle Creek, Michigan 49017 |
Mecosta County General Hospital | Big Rapids, Michigan 49307 |
Metropolitan Hospital | Grand Rapids, Michigan 49506 |
Lacks Cancer Center at Saint Mary's Mercy Medical Center | Grand Rapids, Michigan 49503 |
Holland Community Hospital | Holland, Michigan 49423 |
Hackley Hospital | Muskegon, Michigan 49443 |
Northern Michigan Hospital | Petoskey, Michigan 49770 |
William Beaumont Hospital - Royal Oak Campus | Royal Oak, Michigan 48073 |
Munson Medical Center | Traverse City, Michigan 49684 |
St. Francis Medical Center | Cape Girardeau, Missouri 63701 |
Southeast Missouri Regional Cancer Center at Southeast Missouri Hospital | Gape Girardeau, Missouri 63701 |
David C. Pratt Cancer Center at St. John's Mercy | St. Louis, Missouri 63141 |
Northern Rockies Radiation Oncology Center | Billings, Montana 59101 |
Hematology-Oncology Centers of the Northern Rockies - Billings | Billings, Montana 59101 |
St. Vincent Healthcare | Billings, Montana 59101 |
Deaconess Billings Clinic - Downtown | Billings, Montana 59101 |
Deaconess Billings Clinic Cancer Center | Billings, Montana 59107 |
Internal Medicine Associates of Bozeman | Bozeman, Montana 59715 |
Bozeman Deaconess Hospital | Bozeman, Montana 59715 |
St. James Community Hospital | Butte, Montana 59701 |
Sletten Regional Cancer Institute | Great Falls, Montana 59405 |
St. Peter's Hospital | Helena, Montana 59601 |
Kalispell Medical Oncology | Kalispell, Montana 59901 |
Kalispell Regional Medical Center | Kalispell, Montana 59901 |
Glacier Oncology, PLLC | Kalispell, Montana 59901 |
Eastern Montana Cancer Center | Miles City, Montana 59301 |
Montana Cancer Center at St. Patrick Hospital and Health Sciences Center | Missoula, Montana 59802 |
Montana Cancer Specialists at Montana Cancer Center | Missoula, Montana 59802 |
Community Medical Center | Missoula, Montana 59801 |
Wayne Memorial Hospital, Incorporated | Goldsboro, North Carolina 27534 |
American Fork Hospital | American Fork, Utah 84003 |
Logan Regional Hospital | Logan, Utah 84321 |
Cottonwood Hospital Medical Center | Murray, Utah 84107 |
McKay-Dee Hospital Center | Ogden, Utah 84403 |
Utah Cancer Specialists at UCS Cancer Center | Salt Lake City, Utah 84106 |
St. Joseph Hospital Community Cancer Center | Bellingham, Washington 98225 |
Olympic Hematology and Oncology | Bremerton, Washington 98310 |
Skagit Valley Hospital Cancer Care Center | Mt. Vernon, Washington 98273 |
University Cancer Center at University of Washington Medical Center | Seattle, Washington 98195 |
Harborview Medical Center | Seattle, Washington 98104 |
Group Health Central Hospital | Seattle, Washington 98104 |
North Puget Oncology at United General Hospital | Sedro-Wooley, Washington 98284 |
Cancer Care Northwest - Spokane South | Spokane, Washington 99202 |
Central Washington Hospital | Wenatchee, Washington 98801 |
Wenatchee Valley Clinic | Wenatchee, Washington 98801 |
Welch Cancer Center | Sheridan, Wyoming 82801 |
Memorial Cancer Institute at Memorial Regional Hospital | Hollywood, Florida 33021 |
Lenoir Memorial Cancer Center | Kinston, North Carolina 28503-1678 |
CCOP - Nevada Cancer Research Foundation | Las Vegas, Nevada 89109-2306 |
Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital | Greenville, North Carolina 27858-4354 |
Huntsman Cancer Institute at University of Utah | Salt Lake City, Utah 84112 |
Summit Medical Center | Oakland, California 94609 |
Hope A Women's Cancer Center | Asheville, North Carolina 28801 |
Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest | Allentown, Pennsylvania 18105 |
University Medical Center of Southern Nevada | Las Vegas, Nevada 89102 |
Jennersville Regional Hospital | West Grove, Pennsylvania 19390-9499 |
Saint Rose Hospital | Hayward, California 94545 |
Highland General Hospital at St. George's University School of Medicine | Oakland, California 94602 |
J.C. Robinson, M.D. Regional Cancer Center | San Pablo, California 94806 |
Michael & Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital | Fort Lauderdale, Florida 33308 |
Ella Milbank Foshay Cancer Center at Jupiter Medical Center | Jupiter, Florida 33458 |
Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center | Boise, Idaho 83706 |
Trinity Medical Center - East | Moline, Illinois 61265 |
Edward Hospital Cancer Center | Naperville, Illinois 60540 |
Fort Wayne Medical Oncology and Hematology | Fort Wayne, Indiana 46815 |
St. Luke's Hospital | Cedar Rapids, Iowa 52402 |
Mercy Regional Cancer Center at Mercy Medical Center | Cedar Rapids, Iowa 52403 |
Genesis Medical Center - West Campus | Davenport, Iowa 52804 |
Genesis Regional Cancer Center at Genesis Medical Center | Davenport, Iowa 52803 |
John Stoddard Cancer Center at Iowa Lutheran Hospital | Des Moines, Iowa 50316-2301 |
Mercy Capitol Hospital | Des Moines, Iowa 50307 |
Medical Oncology and Hematology Associates at John Stoddard Cancer Center | Des Moines, Iowa 50309 |
Medical Oncology and Hematology Associates at Mercy Cancer Center | Des Moines, Iowa 50314 |
Mercy Cancer Center at Mercy Medical Center - Des Moines | Des Moines, Iowa 50314 |
Burgess Health Center | Onawa, Iowa 51040 |
Medical Oncology and Hematology Associates - West Des Moines | West Des Moines, Iowa 50266 |
Cancer Center of Kansas, P.A. - Chanute | Chanute, Kansas 66720 |
Cancer Center of Kansas, P.A. - Kingman | Kingman, Kansas 67068 |
Cancer Center of Kansas, P.A. - Newton | Newton, Kansas 67114 |
Cancer Center of Kansas, P.A. - Pratt | Pratt, Kansas 67124 |
Cancer Center of Kansas, P.A. - Salina | Salina, Kansas 67042 |
Salina Regional Health Center | Salina, Kansas 67401 |
Stormont-Vail Cancer Center | Topeka, Kansas 66604 |
St. Francis Comprehensive Cancer Center | Topeka, Kansas 66606 |
Cancer Center of Kansas, P.A. - Wellington | Wellington, Kansas 67152 |
Cancer Center of Kansas, P.A. - Medical Arts Tower | Wichita, Kansas 67208 |
Associates in Womens Health, P.A. - North Review | Wichita, Kansas 67203 |
Cancer Center of Kansas, P.A. - Winfield | Winfield, Kansas 67156 |
Mary Bird Perkins Cancer Center - Baton Rouge | Baton Rouge, Louisiana 70809 |
Medical Center of Louisiana - New Orleans | New Orleans, Louisiana 70112 |
Hickman Cancer Center at Bixby Medical Center | Adrian, Michigan 49221 |
Haematology-Oncology Associates of Ohio and Michigan, P.C. | Lambertville, Michigan 48144 |
Community Cancer Center of Monroe | Monroe, Michigan 48162 |
Mercy Memorial Hospital System | Monroe, Michigan 48162 |
Providence Cancer Institute at Providence Hospital - Southfield Campus | Southfield, Michigan 48075 |
Virginia Piper Cancer Institute at Abbott-Northwestern Hospital | Minneapolis, Minnesota 55407 |
Hubert H. Humphrey Cancer Center at North Memorial Medical Center | Robbinsdale, Minnesota 55422-2900 |
Park Nicollet Health Services | St. Louis Park, Minnesota 55416 |
Immanuel Medical Center | Omaha, Nebraska 68122 |
Creighton University Medical Center | Omaha, Nebraska 68131-2197 |
Highland Hospital of Rochester | Rochester, New York 14620 |
Forsyth Regional Cancer Center at Forsyth Medical Center | Winston-Salem, North Carolina 27103 |
Cancer Care Center at Medcenter One Hospital | Bismarck, North Dakota 58501 |
Bismarck Cancer Center | Bismarck, North Dakota 58501 |
St. Alexius Medical Center | Bismarck, North Dakota 58502 |
Mid Dakota Clinic, P. C. | Bismarck, North Dakota 58501 |
Wood County Oncology Center | Bowling Green, Ohio 43402 |
Samaritan North Cancer Care Center | Dayton, Ohio 45415 |
Grandview Hospital | Dayton, Ohio 45405 |
David L. Rike Cancer Center at Miami Valley Hospital | Dayton, Ohio 45409 |
Good Samaritan Hospital | Dayton, Ohio 45406 |
Blanchard Valley Medical Associates | Findlay, Ohio 45840 |
Fremont Memorial Hospital | Fremont, Ohio 43420 |
Kenton Oncology, Incorporated | Kenton, Ohio 43326 |
Charles F. Kettering Memorial Hospital | Kettering, Ohio 45429 |
Lima Memorial Hospital | Lima, Ohio 45804 |
St. Luke's Hospital | Maumee, Ohio 43537 |
Northwest Ohio Oncology Center | Maumee, Ohio 43537 |
Middletown Regional Hospital | Middletown, Ohio 45044 |
Toledo Clinic - Oregon | Oregon, Ohio 43616 |
St. Charles Mercy Hospital | Oregon, Ohio 43616 |
North Coast Cancer Care, Incorporated | Sandusky, Ohio 44870 |
Firelands Regional Medical Center | Sandusky, Ohio 44870 |
Promedica Cancer Center at Flower Hospital | Sylvania, Ohio 43560 |
Mercy Hospital of Tiffin | Tiffin, Ohio 44883 |
Toledo Clinic, Incorporated - Main Clinic | Toledo, Ohio 43623 |
Toledo Surgical Specialists | Toledo, Ohio 43623 |
UVMC Cancer Care Center at Upper Valley Medical Center | Troy, Ohio 45373-1300 |
Fulton County Health Center | Wauseon, Ohio 43567 |
Ruth G. McMillan Cancer Center at Greene Memorial Hospital | Xenia, Ohio 45385 |
Legacy Mount Hood Medical Center | Gresham, Oregon 97030 |
Providence Milwaukie Hospital | Milwaukie, Oregon 97222 |
Legacy Good Samaritan Hospital & Medical Center Comprehensive Cancer Center | Portland, Oregon 97210 |
Providence Cancer Center at Providence Portland Medical Center | Portland, Oregon 97213-2967 |
Providence St. Vincent Medical Center | Portland, Oregon 97225 |
Legacy Meridian Park Hospital | Tualatin, Oregon 97062 |
Oncology Services of Aberdeen | Aberdeen, South Dakota 57401 |
UMC Southwest Cancer and Research Center | Lubbock, Texas 79415-3364 |
Cancer Therapy and Research Center | San Antonio, Texas 78229 |
University Hospital - San Antonio | San Antonio, Texas 78229 |
Danville Regional Medical Center | Danville, Virginia 24541 |
Southwest Washington Medical Center Cancer Center | Vancouver, Washington 98668 |
Fairbanks Cancer Treatment Center at Fairbanks Memorial Hospital | Fairbanks, Alaska 99701 |
Joliet Oncology Hematology Associates, Limited - West | Joliet, Illinois 60435 |
Baton Rouge General Regional Cancer Center | Baton Rouge, Louisiana 70821 |
Rose Ramer Cancer Clinic at Anderson Area Medical Center | Anderson, South Carolina 29621 |
St. Francis Hospital | Federal Way, Washington 98003 |
St. Clare Hospital | Lakewood, Washington 98499-0998 |
Capital Medical Center | Olympia, Washington 98502 |
Providence St. Peter Hospital Regional Cancer Center | Olympia, Washington 98506 |
Olympic Medical Center | Port Angeles, Washington 98362 |
Good Samaritan Cancer Center | Puyallup, Washington 98371 |
Valley Medical Center | Renton, Washington 98055 |
St. Joseph Medical Center at Franciscan Health System | Tacoma, Washington 98405-3004 |
Allenmore Hospital | Tacoma, Washington 98411-0414 |
Saint Anthony Regional Hospital | Carroll, Iowa 51401 |
Miller-Dwan Medical Center | Duluth, Minnesota 55805 |
St. John's Hospital | Maplewood, Minnesota 55109 |
Fremont Area Medical Center | Fremont, Nebraska 68025-2387 |
Hembree Mercy Cancer Center at St. Edward Mercy Medical Center | Ft. Smith, Arkansas 72903 |
Valley Memorial Hospital | Livermore, California 94550 |
Swedish American Hospital | Rockford, Illinois 61104 |
St. Francis Hospital and Health Centers | Beech Grove, Indiana 46107 |
Alegent Health Mercy Hospital | Council Bluffs, Iowa 51503 |
Alegent Health Community Memorial Hospital | Missouri Valley, Iowa 51555 |
Spectrum Health Hospital - Blodgett Campus | Grand Rapids, Michigan 49506 |
Cancer Care Center at St. Luke's Hospital | Duluth, Minnesota 55805 |
Saint Francis Cancer Center | Shakopee, Minnesota 55379 |
St. Joseph's Hospital | St Paul, Minnesota 55102 |
Woodwinds Hospital | Woodbury, Minnesota 55125 |
Missouri Baptist Cancer Center | St. Louis, Missouri 63131 |
Altru Cancer Center at Altru Hospital | Grand Forks, North Dakota 58201 |
Medical College of Ohio Cancer Institute | Toledo, Ohio 43614 |
Institute of Oncology at Vilnius University | Portland, Oregon 97227 |
Salem Hospital Regional Cancer Center | Salem, Oregon 97309 |
All Saints Cancer Center at All Saints Healthcare | Racine, Wisconsin 53405 |
St. Francis Medical Center | Honolulu, Hawaii 96817 |
Auburn Regional Center for Cancer Care | Auburn, Washington 98002 |
Seton Shivers Cancer Program at Brackenridge Hospital | Austin, Texas 78701 |
Queen's Cancer Institute at Queen's Medical Center | Honolulu, Hawaii 96813 |
Rutherford Hospital | Rutherfordton, North Carolina 28139 |
Gibbs Regional Cancer Center at Spartanburg Regional Medical Center | Spartanburg, South Carolina 29303 |
Good Samaritan Health Systems | Kearney, Nebraska 68847 |
MedCentral - Mansfield Hospital | Mansfield, Ohio 44903 |
Glendale Memorial Hospital Comprehensive Cancer Center | Glendale, California 91204 |
Center for Cancer Care at Goshen Health System | Goshen, Indiana 46526 |
Cancer Treatment Center at Christus Schumpert St. Mary Place | Shreveport, Louisiana 71101 |
Englewood Hospital and Medical Center | Englewood, New Jersey 07631 |
New Mexico Cancer Care Associates | Santa Fe, New Mexico 87505-7670 |
MBCCOP - Meharry Medical College - Nashville | Nashville, Tennessee 37208-3599 |
Comprehensive Cancer Center at Desert Regional Medical Center | Palm Springs, California 92262 |
Highlands Oncology Group - Springdale | Springdale, Arkansas 72764 |
Roper St. Francis Cancer Center at Roper Hospital | Charleston, South Carolina 29401 |
Cancer Center of Kansas, P.A. - Dodge City | Dodge City, Kansas 67801 |
Kapiolani Medical Center at Pali Momi | Aiea, Hawaii 96701 |
Kapiolani Medical Center for Women and Children | Honolulu, Hawaii 96826 |
Straub Clinic and Hospital, Incorporated | Honolulu, Hawaii 96813 |
OnCare Hawaii, Incorporated - Kuakini | Honolulu, Hawaii 96817 |
OnCare Hawaii, Incorporated - Lusitana | Honolulu, Hawaii 96813 |
Medical and Surgical Specialists, L L C | Galesburg, Illinois 61401 |
Hematology Oncology Consultants Ltd. | Naperville, Illinois 60540 |
Saint James Hospital and Health Centers Comprehensive Cancer Institute - Olympia Fields | Olympia Fields, Illinois 60461 |
Siouxland Hematology-Oncology Associates at June E. Nylen Cancer Center | Sioux City, Iowa 51101 |
Commonwealth Hematology-Oncology P. C. - Quincy | Quincy, Massachusetts 02169 |
Ted B. Wahby Cancer Center at Mount Clemens General Hospital | Mount Clemens, Michigan 48043 |
Lovelace Medical Center | Albuquerque, New Mexico 87108 |
Cancer Care Center at Catskill Regional Medical Center | Harris, New York 12742 |
United States Air Force Medical Center Wright-Patterson | Wright-Patterson Afb, Ohio 45433-5529 |
Providence Centralia Hospital Regional Cancer Center | Centralia, Washington 98531 |
Washington Hematology - Oncology Specialists | Yakima, Washington 98902 |
North Star Lodge Cancer Center | Yakima, Washington 98902 |