Randomized Phase III Trial Comparing the Frequency of Major Erythroid Response (MER) to Treatment With Lenalidomide (Revlimid®) Alone and in Combination With Epoetin Alfa (Procrit®) in Subjects With Low- or Intermediate-1 Risk MDS and Symptomatic Anemia
PRIMARY OBJECTIVES:
I. To compare the rate of major erythroid response (MER) in patients with low- or
intermediate-1-risk myelodysplastic syndromes treated with lenalidomide with vs without
epoetin alfa.
SECONDARY OBJECTIVES:
I. To compare the time to MER in patients treated with these regimens. II. To evaluate the
duration of MER in patients treated with these regimens. III. To estimate the frequency of
MER to salvage combination chemotherapy in patients who fail to experience an MER after
treatment with lenalidomide alone.
IV. To evaluate and compare the frequency of minor erythroid response in patients treated
with these regimens.
V. To investigate the mechanism and target of lenalidomide action in patients with
chromosome 5q31.1 deletion.
VI. To evaluate the frequency of cytogenetic response and progression, and the relationship
between cytogenetic pattern and erythroid response.
VII. To evaluate the frequency of bone marrow response (complete response and partial
response) in patients treated with these regimens.
OUTLINE: This is a multicenter study. Patients are stratified according to erythropoietin
level (=< 500 mU/mL vs > 500 mU/mL) and prior erythropoietic growth factor (yes vs no).
Patients are randomized to 1 of 2 treatment arms. Patients with del 5q31.1 karyotype are
assigned to treatment arm I.
ARM I: Patients receive lenalidomide orally (PO) once daily (QD) on days 1-21.
ARM II: Patients receive lenalidomide PO QD on days 1-21 and epoetin alfa subcutaneously
(SC) once weekly.
In both arms, treatment repeats every 28 days for 4 courses. Patients who achieve a major
erythroid response (MER) may continue treatment beyond 4 courses in the absence of disease
progression, disease conversion to acute myeloid leukemia, or unacceptable toxicity.
Patients in arm I who fail to achieve MER or who achieve MER but relapse after 16 weeks of
treatment with lenalidomide may crossover and receive treatment in arm II.
After completion of study treatment, patients are followed for 6 months.
Interventional
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
MER defined as sustained transfusion independence in transfusion-dependent patients or a rise in hemoglobin > 2 g/dL in transfusion-independent patients with anemia for a minimum of 8 consecutive weeks
At 16 weeks
No
Alan List
Principal Investigator
Eastern Cooperative Oncology Group
United States: Food and Drug Administration
NCI-2009-01173
NCT00843882
January 2009
Name | Location |
---|---|
Albert Einstein College of Medicine | Bronx, New York 10461 |
Johns Hopkins University | Baltimore, Maryland 21205 |
Memorial Sloan Kettering Cancer Center | New York, New York 10021 |
Mayo Clinic | Rochester, Minnesota 55905 |
H. Lee Moffitt Cancer Center and Research Institute | Tampa, Florida 33612 |
Abington Memorial Hospital | Abington, Pennsylvania 19001 |
University of Washington Medical Center | Seattle, Washington 98195-6043 |
Hurley Medical Center | Flint, Michigan 48503 |
Pennsylvania Hospital | Philadelphia, Pennsylvania 19107 |
Boulder Community Hospital | Boulder, Colorado 80301-9019 |
Porter Adventist Hospital | Denver, Colorado 80210 |
Rose Medical Center | Denver, Colorado 80220 |
Swedish Medical Center | Englewood, Colorado 80110 |
Sky Ridge Medical Center | Lone Tree, Colorado 80124 |
North Suburban Medical Center | Thornton, Colorado 80229 |
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 |
Hutchinson Area Health Care | Hutchinson, Minnesota 55350 |
United Hospital | St. Paul, Minnesota 55102 |
Ridgeview Medical Center | Waconia, Minnesota 55387 |
Geisinger Medical Center | Danville, Pennsylvania 17822-0001 |
Abramson Cancer Center of the University of Pennsylvania | Philadelphia, Pennsylvania 19104-4283 |
Avera Cancer Institute | Sioux Falls, South Dakota 57105 |
CentraCare Clinic | Saint Cloud, Minnesota 56303 |
Marshfield Clinic | Marshfield, Wisconsin 54449 |
Baptist Hospital of Miami | Miami, Florida 33176-2197 |
Memorial Hospital of South Bend | South Bend, Indiana 46601 |
Marquette General Hospital | Marquette, Michigan 49855 |
Newark Beth Israel Medical Center | Newark, New Jersey 07112 |
Community Medical Center | Toms River, New Jersey 08755 |
Reading Hospital and Medical Center | Reading, Pennsylvania 19612-6052 |
Virginia Mason Medical Center | Seattle, Washington 98111 |
Waukesha Memorial Hospital | Waukesha, Wisconsin 53188 |
University of Nebraska Medical Center | Omaha, Nebraska 68198-3330 |
Wesley Medical Center | Wichita, Kansas 67214 |
Iowa Methodist Medical Center | Des Moines, Iowa 50309 |
Iowa Lutheran Hospital | Des Moines, Iowa 50316-2301 |
Southern California Permanente Medical Group | Downey, California 90242 |
Group Health Cooperative | Seattle, Washington 98112 |
University of Wisconsin Hospital and Clinics | Madison, Wisconsin 53792-0001 |
Great Falls Clinic | Great Falls, Montana 59405 |
Thompson Cancer Survival Center | Knoxville, Tennessee 37916 |
Winthrop University Hospital | Mineola, New York 11501 |
MetroHealth Medical Center | Cleveland, Ohio 44109 |
Montefiore Medical Center | Bronx, New York 10467-2490 |
Lewistown Hospital | Lewistown, Pennsylvania 17044 |
Mount Nittany Medical Center | State College, Pennsylvania 16803 |
North Colorado Medical Center | Greeley, Colorado 80631 |
McKee Medical Center | Loveland, Colorado 80539 |
Northern Rockies Radiation Oncology Center | Billings, Montana 59101 |
Bozeman Deaconess Hospital | Bozeman, Montana 59715 |
Kalispell Medical Oncology | Kalispell, Montana 59901 |
Kalispell Regional Medical Center | Kalispell, Montana 59901 |
Avera McKennan Hospital and University Health Center | Sioux Falls, South Dakota 57105 |
Cancer Care Northwest - Spokane South | Spokane, Washington 99202 |
Welch Cancer Center | Sheridan, Wyoming 82801 |
Cancer Centers of the Carolinas | Greenville, South Carolina 29605 |
Mercy Health System | Janesville, Wisconsin 53545 |
Paoli Memorial Hospital | Paoli, Pennsylvania 19301-1792 |
Elkhart General Hospital | Elkhart, Indiana 46515 |
South Bend Clinic | South Bend, Indiana 46617 |
University Medical Center of Southern Nevada | Las Vegas, Nevada 89102 |
Poudre Valley Hospital | Fort Collins, Colorado 80524 |
Beebe Medical Center | Lewes, Delaware 19958 |
Hematology and Oncology Associates | Chicago, Illinois 60611 |
Community Cancer Center of Monroe | Monroe, Michigan 48162 |
Creighton University Medical Center | Omaha, Nebraska 68131-2197 |
Bismarck Cancer Center | Bismarck, North Dakota 58501 |
Grandview Hospital | Dayton, Ohio 45405 |
Lima Memorial Hospital | Lima, Ohio 45804 |
Mercy Medical Center | Springfield, Ohio 45504 |
Mercy Hospital of Tiffin | Tiffin, Ohio 44883 |
Fulton County Health Center | Wauseon, Ohio 43567 |
Bryn Mawr Hospital | Bryn Mawr, Pennsylvania 19010 |
Danville Regional Medical Center | Danville, Virginia 24541 |
Exempla Lutheran Medical Center | Wheat Ridge, Colorado 80033 |
Mercy Hospital | Coon Rapids, Minnesota 55433 |
Hematology Oncology Associates of Illinois-Highland Park | Highland Park, Illinois 60035 |
Medical Oncology and Hematology Associates | Des Moines, Iowa 50309 |
Ottumwa Regional Health Center | Ottumwa, Iowa 52501 |
Bixby Medical Center | Adrian, Michigan 49221 |
Saint Joseph Mercy Hospital | Ann Arbor, Michigan 48106 |
Fairview-Southdale Hospital | Edina, Minnesota 55435 |
Abbott-Northwestern Hospital | Minneapolis, Minnesota 55407 |
Regions Hospital | Saint Paul, Minnesota 55101 |
Saint Francis Regional Medical Center | Shakopee, Minnesota 55379 |
Rice Memorial Hospital | Willmar, Minnesota 56201 |
Saint Luke's Hospital | Maumee, Ohio 43537 |
Geisinger Medical Group | State College, Pennsylvania 16801 |
Fox Valley Hematology and Oncology | Appleton, Wisconsin 54911 |
Swedish American Hospital | Rockford, Illinois 61104 |
Center for Cancer Care and Research | St. Louis, Missouri 63141 |
Miami Valley Hospital | Dayton, Ohio 45409 |
Lawrence Memorial Hospital | Lawrence, Kansas 66044 |
Menorah Medical Center | Overland Park, Kansas 66209 |
Shawnee Mission Medical Center | Shawnee Mission, Kansas 66204 |
North Kansas City Hospital | Kansas City, Missouri 64116 |
Research Medical Center | Kansas City, Missouri 64132 |
Saint Luke's East - Lee's Summit | Lee's Summit, Missouri 64086 |
Liberty Hospital | Liberty, Missouri 64068 |
Heartland Regional Medical Center | Saint Joseph, Missouri 64506 |
Bozeman Deaconess Cancer Center | Bozeman, Montana 59715 |
Northern Montana Hospital | Havre, Montana 59501 |
Wayne Hospital | Greenville, Ohio 45331 |
Fisher-Titus Medical Center | Norwalk, Ohio 44857 |
Clinton Memorial Hospital | Wilmington, Ohio 45177 |
Wenatchee Valley Medical Center | Wenatchee, Washington 98801-2028 |
UW Cancer Center Johnson Creek | Johnson Creek, Wisconsin 53038 |
Saint Joseph's Hospital | Marshfield, Wisconsin 54449 |
Marshfield Clinic - Weston Center | Weston, Wisconsin 54476 |
Marshfield Clinic - Wisconsin Rapids Center | Wisconsin Rapids, Wisconsin 54494 |
Rocky Mountain Oncology | Casper, Wyoming 82609 |
Longmont United Hospital | Longmont, Colorado 80501 |
Singing River Hospital | Pascagoula, Mississippi 39581 |
Greene Memorial Hospital | Xenia, Ohio 45385 |
Union Hospital of Cecil County | Elkton MD, Maryland 21921 |
Cancer Centers of the Carolinas - Grove Commons | Greenville, South Carolina 29605 |
Cancer Centers of the Carolinas - Seneca | Seneca, South Carolina 29672 |
Cancer Centers of the Carolinas - Spartanburg | Spartanburg, South Carolina 29307 |
Mayo Clinic in Arizona | Scottsdale, Arizona 85259-5404 |
Mayo Clinic in Florida | Jacksonville, Florida 32224 |
Memorial Medical Center | Springfield, Illinois 62781 |
Saint Francis Medical Center | Grand Island, Nebraska 68802 |
Guardian Oncology and Center for Wellness | Missoula, Montana 59804 |
University of Virginia | Charlottesville, Virginia 22908 |
University of Alabama at Birmingham | Birmingham, Alabama 35294-3300 |
Northwestern University | Chicago, Illinois 60611 |
Elmhurst Memorial Hospital | Elmhurst, Illinois 60126 |
Bay Area Hospital | Coos Bay, Oregon 97420 |
Hennepin County Medical Center | Minneapolis, Minnesota |
University of Rochester | Rochester, New York 14642 |
Glens Falls Hospital | Glens Falls, New York 12801 |
Holy Cross Hospital | Fort Lauderdale, Florida 33308 |
Case Western Reserve University | Cleveland, Ohio 44106 |
Wayne State University | Detroit, Michigan 48202 |
Kaiser Permanente Medical Center | Vallejo, California 94589 |
University of Arizona Health Sciences Center | Tucson, Arizona 85724 |
University of Massachusetts Medical School | Worcester, Massachusetts 01605 |
Mid Dakota Clinic | Bismarck, North Dakota 58501 |
Weiss Memorial Hospital | Chicago,, Illinois 60640 |
Presbyterian - Saint Lukes Medical Center - Health One | Denver, Colorado 80218 |
Kaiser Permanente | Sacramento, California |
Montana Cancer Consortium CCOP | Billings, Montana 59101 |
Alegent Health Immanuel Medical Center | Omaha, Nebraska 68122 |
Alegent Health Bergan Mercy Medical Center | Omaha, Nebraska 68124 |
Flower Hospital | Sylvania, Ohio 43560-2197 |
Virginia Mason CCOP | Seattle, Washington 98101 |
Metro-Minnesota CCOP | St. Louis Park, Minnesota |
UC Davis Comprehensive Cancer Center | Sacramento, California 95817 |
Providence Hospital | Southfield, Michigan 48075 |
Cancer Centers of the Carolinas - Easley | Easley, South Carolina 29640 |
Lakeview Hospital | Stillwater, Minnesota 55082 |
Jersey Shore Medical Center | Neptune, New Jersey 07754 |
Decatur Memorial Hospital | Decatur, Illinois 62526 |
Frederick Memorial Hospital | Frederick, Maryland 21701 |
Lankenau Hospital | Wynnewood, Pennsylvania 19096 |
Princeton Community Hospital | Princeton, West Virginia 24740 |
Montana Cancer Specialists | Missoula, Montana 59807-7877 |
Phoenixville Hospital | Phoenixville, Pennsylvania 19460 |
University of Chicago Comprehensive Cancer Center | Chicago, Illinois 60637-1470 |
Northern Indiana Cancer Research Consortium | South Bend, Indiana |
Penn State Milton S Hershey Medical Center | Hershey, Pennsylvania 17033 |
Southeast Cancer Center | Cape Girardeau, Missouri 63703 |
Butler Memorial Hospital | Butler, Pennsylvania 16001 |
Parker Adventist Hospital | Parker, Colorado 80138 |
Froedtert and the Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
Saint Helena Hospital | Saint Helena, California 94574 |
Leesburg Regional Medical Center | Leesburg, Florida 34748 |
Fremont - Rideout Cancer Center | Marysville, California 95901 |
The Medical Center of Aurora | Aurora, Colorado 80012 |
Penrose-Saint Francis Healthcare | Colorado Springs, Colorado 80907 |
Saint Anthony Central Hospital | Denver, Colorado 80204 |
Exempla Saint Joseph Hospital | Denver, Colorado 80218 |
Colorado Cancer Research Program CCOP | Denver, Colorado 80224-2522 |
Saint Mary's Hospital and Regional Medical Center | Grand Junction, Colorado 81502 |
Saint Mary Corwin Medical Center | Pueblo, Colorado 81004 |
Saint Francis Hospital and Medical Center | Hartford, Connecticut 06105 |
The Hospital of Central Connecticut | New Britain, Connecticut 06050 |
Edna Williams Cancer Center at the Baptist Cancer Institute | Jacksonville, Florida 32207 |
Saint Luke's Mountain States Tumor Institute | Boise, Idaho 83712 |
Resurrection Healthcare | Chicago, Illinois 60631 |
Saint Francis Hospital | Evanston, Illinois 60202 |
Evanston CCOP-NorthShore University HealthSystem | Evanston, Illinois 60201 |
Joliet Oncology-Hematology Associates Limited | Joliet, Illinois 60435 |
Midwest Center for Hematology Oncology | Joliet, Illinois 60432 |
North Shore Hematology Oncology | Libertyville, Illinois 60048 |
Hematology Oncology Associates of Illinois - Skokie | Skokie, Illinois 60076 |
Saint Francis Hospital and Health Centers | Beech Grove, Indiana 46107 |
Fort Wayne Medical Oncology and Hematology Inc - State Boulevard | Fort Wayne, Indiana 46845 |
Premier Oncology Hematology Associates | Merrillville, Indiana 46410 |
Reid Hospital and Health Care Services | Richmond, Indiana 47374 |
McFarland Clinic | Ames, Iowa 50010 |
Cedar Rapids Oncology Association | Cedar Rapids, Iowa 52403 |
Mercy Hospital | Cedar Rapids, Iowa 52403 |
Medical Oncology and Hematology Associates-West Des Moines | Clive, Iowa 50325 |
Iowa Oncology Research Association CCOP | Des Moines, Iowa 50309 |
Mercy Capitol | Des Moines, Iowa 50307 |
Mercy Medical Center - Des Moines | Des Moines, Iowa 50314 |
Medical Oncology and Hematology Associates-Des Moines | Des Moines, Iowa 50309 |
Mercy Medical Center - North Iowa | Mason City, Iowa 50401 |
Mercy Medical Center-Sioux City | Sioux City, Iowa 51104 |
Saint Luke's Regional Medical Center | Sioux City, Iowa 51104 |
Caritas Saint Elizabeth's Medical Center | Brighton, Massachusetts 02135-2997 |
Holy Family Hospital | Methuen, Massachusetts 01844 |
Hickman Cancer Center | Adrian, Michigan 49221 |
Michigan Cancer Research Consortium Community Clinical Oncology Program | Ann Arbor, Michigan 48106 |
Oakwood Hospital | Dearborn, Michigan 48123 |
Saint John Hospital and Medical Center | Detroit, Michigan 48236 |
Green Bay Oncology - Escanaba | Escanaba, Michigan 49431 |
Green Bay Oncology - Iron Mountain | Iron Mountain, Michigan 49801 |
Allegiance Health | Jackson, Michigan 49201 |
Sparrow Hospital | Lansing, Michigan 48912 |
Saint Mary Mercy Hospital | Livonia, Michigan 48154 |
Mercy Memorial Hospital | Monroe, Michigan 48162 |
Saint Joseph Mercy Oakland | Pontiac, Michigan 48341-2985 |
Saint Joseph Mercy Port Huron | Port Huron, Michigan 48060 |
Saint Mary's of Michigan | Saginaw, Michigan 48601 |
Lakeland Hospital | St. Joseph, Michigan 49085 |
Saint John Macomb-Oakland Hospital | Warren, Michigan 48093 |
Medini, Eitan MD (UIA Investigator) | Alexandria, Minnesota 56308 |
Unity Hospital | Fridley, Minnesota 55432 |
Saint John's Hospital - Healtheast | Maplewood, Minnesota 55109 |
Minnesota Oncology Hematology PA-Maplewood | Maplewood, Minnesota 55109 |
Minneapolis Veterans Medical Center | Minneapolis, Minnesota 55417 |
North Memorial Medical Health Center | Robbinsdale, Minnesota 55422 |
Saint Cloud Hospital | Saint Cloud, Minnesota 56303 |
Park Nicollet Clinic - Saint Louis Park | Saint Louis Park, Minnesota 55416 |
Minnesota Oncology and Hematology PA-Woodbury | Woodbury, Minnesota 55125 |
Keesler Medical Center | Kessler AFB, Mississippi 39534 |
Kansas City Veterans Affairs Medical Center | Kansas City, Missouri 64128 |
Saint Luke's Cancer Institute | Kansas City, Missouri 64111 |
Saint Luke's Hospital of Kansas City | Kansas City, Missouri 64111 |
Saint Joseph Health Center | Kansas City, Missouri 64114 |
Liberty Radiation Oncology Clinic | Kansas City, Missouri 64116 |
Truman Medical Center | Kansas City, Missouri 64108 |
Missouri Baptist Medical Center | Saint Louis, Missouri 63131 |
Saint John's Hospital | Springfield, Missouri 65804 |
Hematology-Oncology Centers of the Northern Rockies PC | Billings, Montana 59101 |
Saint Vincent Healthcare | Billings, Montana 59101 |
Billings Clinic | Billings, Montana 59107-7000 |
Saint James Community Hospital and Cancer Treatment Center | Butte, Montana 59701 |
Benefis Healthcare- Sletten Cancer Institute | Great Falls, Montana 59405 |
Berdeaux, Donald MD (UIA Investigator) | Great Falls, Montana 59405 |
Saint Peter's Community Hospital | Helena, Montana 59601 |
Glacier Oncology PLLC | Kalispell, Montana 59901 |
Saint Patrick Hospital - Community Hospital | Missoula, Montana 59802 |
Lincoln Medical Education Foundation Cancer Resource Center | Lincoln, Nebraska 68510 |
Missouri Valley Cancer Consortium CCOP | Omaha, Nebraska 68106 |
Nevada Cancer Research Foundation CCOP | Las Vegas, Nevada 89106 |
Cheshire Medical Center-Dartmouth-Hitchcock Keene | Keene, New Hampshire 03431 |
Cooper Hospital University Medical Center | Camden, New Jersey 08103 |
Veterans Adminstration New Jersey Health Care System | East Orange, New Jersey 07018-1095 |
Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County | Mount Holly, New Jersey 08060 |
South Jersey Healthcare | Vineland, New Jersey 08360 |
Virtua West Jersey Hospital Voorhees | Voorhees, New Jersey 08043 |
Orange Regional Medical Center | Middletown, New York 10940 |
New York University Langone Medical Center | New York, New York 10016 |
Highland Hospital | Rochester, New York 14620 |
Mission Hospitals Inc | Asheville, North Carolina 28801 |
Wayne Memorial Hospital | Goldsboro, North Carolina 27534 |
Saint Alexius Medical Center | Bismarck, North Dakota 58501 |
Aultman Health Foundation | Canton, Ohio 44710 |
Good Samaritan Hospital - Dayton | Dayton, Ohio 45406 |
Dayton CCOP | Dayton, Ohio 45429 |
Samaritan North Health Center | Dayton, Ohio 45415 |
Hematology Oncology Center Incorporated | Elyria, Ohio 44035 |
Blanchard Valley Hospital | Findlay, Ohio 45840 |
Atrium Medical Center-Middletown Regional Hospital | Franklin, Ohio 45005-1066 |
Kettering Medical Center | Kettering, Ohio 45429 |
Saint Rita's Medical Center | Lima, Ohio 45801 |
Toledo Radiation Oncology at Northwest Ohio Onocolgy Center | Maumee, Ohio 43537 |
Saint Charles Hospital | Oregon, Ohio 43616 |
North Coast Cancer Care | Sandusky, Ohio 44870 |
Toledo Community Hospital Oncology Program CCOP | Toledo, Ohio 43617 |
Mercy Cancer Center at Saint Anne Mercy Hospital | Toledo, Ohio 43623 |
University of Toledo | Toledo, Ohio 43614 |
Saint Vincent Mercy Medical Center | Toledo, Ohio 43608 |
Upper Valley Medical Center | Troy, Ohio 45373 |
Ephrata Cancer Center | Ephrata, Pennsylvania 17522 |
Riddle Hospital | Media, Pennsylvania 19063 |
Geisinger Wyoming Valley | Wilkes-Barre, Pennsylvania 18711 |
Mainline Health CCOP | Wynnewood, Pennsylvania 19096 |
Greenville CCOP | Greenville, South Carolina 29615 |
Greenville Memorial Hospital | Greenville, South Carolina 29605 |
The Don and Sybil Harrington Cancer Center | Amarillo, Texas 79106 |
Fredericksburg Oncology Inc | Fredericksburg, Virginia 22401 |
Harrison Bremerton Hematology and Oncology | Bremerton, Washington 98310 |
Columbia Basin Hematology and Oncology PLLC | Kennewick, Washington 99336 |
Evergreen Hospital Medical Center | Kirkland, Washington 98033 |
Minor and James Medical PLLC | Seattle, Washington 98104 |
Swedish Medical Center-First Hill | Seattle, Washington 98122-4307 |
West Virginia University | Morgantown, West Virginia 26506 |
Saint Vincent Hospital | Green Bay, Wisconsin 54301 |
Green Bay Oncology Limited at Saint Mary's Hospital | Green Bay, Wisconsin 54303 |
Saint Mary's Hospital | Green Bay, Wisconsin 54303 |
Green Bay Oncology at Saint Vincent Hospital | Green Bay, Wisconsin 54301-3526 |
Aurora BayCare Medical Center | Green Bay, Wisconsin 54311-6519 |
Dean Hematology and Oncology Clinic | Madison, Wisconsin 53717 |
Vince Lombardi Cancer Clinic-Marinette | Marinette, Wisconsin 54143 |
Bay Area Medical Center | Marinette, Wisconsin 54143 |
Marshfield Clinic-Minocqua Center | Minocqua, Wisconsin 54548 |
Oconomowoc Memorial Hospital-ProHealth Care Inc | Oconomowoc, Wisconsin 53066-3896 |
Green Bay Oncology - Oconto Falls | Oconto Falls, Wisconsin 54154 |
Marshfield Clinic at James Beck Cancer Center | Rhinelander, Wisconsin 54501 |
Marshfield Clinic-Rice Lake Center | Rice Lake, Wisconsin 54868 |
Saint Michael's Hospital | Stevens Point, Wisconsin 54481 |
Green Bay Oncology - Sturgeon Bay | Sturgeon Bay, Wisconsin 54235 |
Aspirus Regional Cancer Center | Wausau, Wisconsin 54401 |
University of Maryland Greenebaum Cancer Center | Baltimore, Maryland 21201 |
Jupiter Medical Center | Jupiter, Florida 33458 |
Elkhart Clinic | Elkhart, Indiana 46515 |
Memorial Healthcare System - Joe DiMaggio Children's Hospital | Hollywood, Florida 33021 |
Mount Sinai Medical Center CCOP | Miami Beach, Florida 33140 |
Michiana Hematology Oncology PC-Elkhart | Elkhart, Indiana 46514 |
Michiana Hematology Oncology PC-Plymouth | Plymouth, Indiana 46563 |
Michiana Hematology Oncology PC-South Bend | South Bend, Indiana 46601 |
Michiana Hematology Oncology-PC Westville | Westville, Indiana 46391 |
Saint Agnes Hospital | Baltimore, Maryland 21229 |
University of Michigan University Hospital | Ann Arbor, Michigan 48109 |
Michiana Hematology Oncology PC-Niles | Niles, Michigan 49120 |
University of Missouri - Ellis Fischel | Columbia, Missouri 65203 |
Rex Cancer Center | Raleigh, North Carolina 27607 |
North Coast Cancer Care-Clyde | Clyde, Ohio 43410 |
Community Health Partners Regional Medical Center | Elyria, Ohio 44035 |
Cancer Centers of the Carolinas - Faris | Greenville, South Carolina 29605 |
Cancer Centers of the Carolinas-Greer Radiation Oncology | Greer, South Carolina 29650 |
Cancer Centers of the Carolinas-Greer Medical Oncology | Greer, South Carolina 29650 |
Skagit Valley Hospital | Mt. Vernon, Washington 98273 |
Evergreen Hematology and Oncology PS | Spokane, Washington 99218 |
Marshfield Clinic-Chippewa Center | Chippewa Falls, Wisconsin 54729 |
Holy Family Memorial Hospital | Manitowoc, Wisconsin 54221 |
Vince Lombardi Cancer Clinic-Sheboygan | Sheboygan, Wisconsin 53081 |
Marshfield Clinic Cancer Care at Saint Michael's Hospital | Stevens Point, Wisconsin 54481 |
Aurora Medical Center in Summit | Summit, Wisconsin 53066 |
Vince Lombardi Cancer Clinic | Two Rivers, Wisconsin 54241 |
Riverview Hospital | Wisconsin Rapids, Wisconsin 54494 |
University of Miami Miller School of Medicine-Sylvester Cancer Center | Miami, Florida 33136 |
Arizona Cancer Center at University Medical Center North | Tucson, Arizona 85719 |
Saint Luke's Mountain States Tumor Institute - Fruitland | Fruitland, Idaho 83619 |
Kaiser Anaheim Medical Center | Anaheim, California 92807 |
Kaiser Permanente Medical Group - Baldwin Park | Baldwin Park, California 91706 |
Kaiser Foundation Hospital | Bellflower, California 90706 |
Kaiser Permanente Hospital | Fontana, California 92335 |
Kaiser Permanente - Harbor City | Harbor City, California 90710 |
Kaiser Permanente-West Los Angeles | Los Angeles, California 90034 |
Kaiser Permanente - Panorama City | Panorama City, California 91402 |
Kaiser Permanente at San Diego | San Diego, California 92120 |
Kaiser Permanente Health Care | San Marcos, California 92069 |
Saint Luke's Mountain States Tumor Institute - Meridian | Meridian, Idaho 83642 |
Saint Luke's Mountain States Tumor Institute - Nampa | Nampa, Idaho 83686 |
Central DuPage Hospital Cancer Center | Warrenville, Illinois 60555 |
Saint Luke's South Hospital | Overland Park, Kansas 66213 |
Kansas City CCOP | Prairie Village, Kansas 66208 |
King's Daughter's Medical Center | Ashland, Kentucky 41101 |
Capital Region Medical Center-Goldschmidt Cancer Center | Jefferson City, Missouri 65109 |
Heartland Hematology and Oncology Associates Incorporated | Kansas City, Missouri 64118 |
Saint Joseph Oncology Inc | Saint Joseph, Missouri 64507 |
Comprehensive Cancer Care PC | Saint Louis, Missouri 63141 |
Susquehanna Cancer Center | Williamsport, Pennsylvania 17701 |
Memorial Hospital Of Martinsville | Martinsville, Virginia 24115 |
Pacific Medical Center-First Hill | Seattle, Washington 98104 |
Gundersen Lutheran | La Crosse, Wisconsin 54601 |
Saint Nicholas Hospital | Madison, Wisconsin 53715 |
Fairbanks Memorial Hospital | Fairbanks, Alaska 99701 |
Stanford University Hospitals and Clinics | Stanford, California 94305 |
Siouxland Hematology Oncology Associates | Sioux City, Iowa 51101 |
Walter Reed National Military Medical Center | Bethesda, Maryland 20889 |
Kaiser Permanente-Mission | San Diego, California 92108 |
IU Health Arnett | Lafayette, Indiana |
Michiana Hematology Oncology PC-Mishawaka | Mishawaka, Indiana 46545-1470 |
Oncology Associates at Mercy Medical Center | Cedar Rapids, Iowa 52403 |
Marie Yeager Cancer Center | Saint Joseph, Michigan 49085 |
Hematology Oncology Associates of Central New York PC | East Syracuse, New York 13057 |
Door County Cancer Center | Sturgeon Bay, Wisconsin 54235-1495 |
The Toledo Hospital/Toledo Children's Hospital | Toledo, Ohio 43606 |
Genesys Regional Medical Center-West Flint Campus | Flint, Michigan 48532 |
Sanford Bismarck Medical Center | Bismarck, North Dakota 58501 |
Toledo Clinic Cancer Centers-Oregon | Oregon, Ohio 43616 |
Geisinger Medical Center-Cancer Center Hazelton | Hazleton, Pennsylvania 18201 |
Presbyterian Intercommunity Hospital | Whittier, California 90602 |
Community Howard Regional Health | Kokomo, Indiana 46904 |
Indiana University Health La Porte Hospital | La Porte, Indiana 46350 |
Saint Joseph Regional Medical Center-Mishawaka | Mishawaka, Indiana 46545-1470 |
PeaceHealth Saint Joseph Medical Center | Bellingham, Washington 98225 |
Christiana Care Health System-Christiana Hospital | Newark, Delaware 19718 |
Illinois Cancer Specialists-Niles | Niles, Illinois 60714 |
Riverview Medical Center/Booker Cancer Center | Red Bank, New Jersey 07701 |
Georgia Regents University | Augusta, Georgia 30912 |
Marin Cancer Care Inc | Greenbrae, California 94904 |
Toledo Clinic Cancer Centers-Bowling Green | Bowling Green, Ohio 43402 |
Toledo Clinic Cancer Centers-Maumee | Maumee, Ohio 43537-1839 |
Toledo Clinic Cancer Centers-Toledo | Toledo, Ohio 43623 |
Self Regional Healthcare | Greenwood, South Carolina 29646 |
Harrison Poulsbo Hematology and Oncology | Poulsbo, Washington 98370 |
Aurora Cancer Care-Southern Lakes | Elkhorn, Wisconsin 53121 |
Saint Luke's Mountain States Tumor Institute-Twin Falls | Twin Falls, Idaho 83301 |
D N Greenwald Center | Mukwonago, Wisconsin 53149 |
Presence Saint Mary's Hospital | Kankakee, Illinois 60901 |
Rex Cancer Center of Wakefield | Raleigh, North Carolina 27614 |
Marshfield Clinic Cancer Center at Sacred Heart | Eau Claire, Wisconsin 54701 |