RECRUITING Phase 3 ClinicalTrials.gov

mFOLFIRINOX Versus mFOLFOX With or Without Nivolumab for the Treatment of Advanced, Unresectable, or Metastatic HER2 Negative Esophageal, Gastroesophageal Junction, and Gastric Adenocarcinoma

Sponsor: Alliance for Clinical Trials in Oncology • ClinicalTrials.gov ID: NCT05677490

Registry updated: 2026-10-02

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Description

This phase III trial compares the effect of modified fluorouracil, leucovorin calcium, oxaliplatin, and irinotecan (mFOLFIRINOX) with or without nivolumab to the effect of modified fluorouracil, leucovorin calcium, and oxaliplatin (mFOLFOX) with or without nivolumab for the treatment of patients with advanced, unresectable, or metastatic HER2 negative esophageal, gastroesophageal junction, or gastric adenocarcinoma. The usual approach for patients who are not in a study is treatment with FOLFOX with some receiving an immunotherapy drug, either nivolumab or pembrolizumab, in addition to FOLFOX chemotherapy. The usual approach is defined as care most people get for cancer in the stomach, esophagus, or gastroesophageal junction. Fluorouracil is in a class of medications called antimetabolites. It stops cells from making DNA and may kill tumor cells. Leucovorin in a class of medications called folic acid analogs. When used with fluorouracil it enhances the effects of this chemotherapy drug. Irinotecan is in a class of antineoplastic medications called topoisomerase I inhibitors. It blocks a certain enzyme needed for cell division and DNA repair, and may kill cancer cells. Oxaliplatin is in a class of medications called platinum-containing antineoplastic agents. It damages the cell's DNA and may kill cancer cells. Immunotherapy with monoclonal antibodies, such as nivolumab, may help the body's immune system attack the cancer and may interfere with the ability of tumor cells to grow and spread. Some patients on this trial will receive nivolumab, in addition to mFOLFOX or mFOLFIRINOX chemotherapy. mFOLFIRINOX with or without nivolumab may be more effective than mFOLFOX with or without nivolumab by shrinking the tumor in patients with advanced, unresectable, or metastatic HER2-negative esophageal, gastroesophageal junction, or gastric adenocarcinoma.

Interventions

Fluorouracil (Drug)
Given IV
Leucovorin Calcium (Drug)
Given IV
Oxaliplatin (Drug)
Given IV
Irinotecan (Drug)
Given IV
Nivolumab (Biological)
Given IV
Magnetic Resonance Imaging (Procedure)
Undergo MRI
Computed Tomography (Procedure)
Undergo a CT Scan
Biospecimen Collection (Procedure)
Undergo blood sample collection
Questionnaire Administration (Other)
Ancillary studies

Eligibility criteria

Inclusion Criteria: * Histologic documentation: HER2 negative adenocarcinoma as defined by American Society of Clinical Oncology (ASCO) College of American Pathologists (CAP) guidelines (Bartley et al., Journal of Clinical Oncology \[JCO\] 2017) with known PD-L1 combined positive score (CPS) (any CPS is allowed, but should be known prior to registration) * Stage: unresectable or metastatic * Tumor site: esophagus, gastroesophageal junction, or stomach * Measurable disease or non-measurable but evaluable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 * No prior systemic treatment for unresectable or metastatic disease * Prior neoadjuvant or adjuvant cytotoxic chemotherapy or adjuvant immunotherapy is allowed as long as it was completed at least 1 year prior to registration * Not pregnant and not nursing, because this study involves an agent that has known genotoxic, mutagenic and teratogenic effects \* Therefore, for women of childbearing potential only, a negative serum or urine pregnancy test done =\< 7 days prior to registration is required * Age \>= 18 years * Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1 * Absolute neutrophil count (ANC) \>= 1,500/mm\^3 * Platelet count \>= 100,000/mm\^3 * Creatinine =\< 1.5 x upper limit of normal (ULN) OR calculated (calc.) creatinine clearance \>= 30 mL/min * Total bilirubin =\< 1.5 x ULN * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 3 x ULN (in patients with liver metastasis: =\< 5 x ULN if clearly attributable to liver metastases) * Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial * Patients positive for human immunodeficiency virus (HIV) are eligible only if they meet all of the following: * On effective anti-retroviral therapy * Undetectable HIV viral load by standard clinical assay =\< 6 months of registration * No known Gilbert's syndrome or known homozygosity for UGAT1A1\*28 polymorphism * No baseline grade \>= 2 peripheral neuropathy, neurosensory toxicity, or neuromotor toxicity per CTCAE version (v) 5.0 regardless of causality * No medical condition such as uncontrolled infection or uncontrolled diabetes mellitus which, in the opinion of the treating physician, would make this protocol unreasonably hazardous for the patient * Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better * No untreated, symptomatic brain metastasis. Patients with treated brain metastases are eligible if the following criteria are met: 1) follow-up brain imaging done at least in 4 weeks after central nervous system (CNS)-directed therapy shows no evidence of progression and 2) the patient no longer requires steroids, or is on a stable steroid dose for more than four weeks * No allogeneic tissue/organ transplant * Patients who will receive nivolumab in addition to chemotherapy must not have any contraindications to immune checkpoint inhibitors * Patients must not have active autoimmune disease that has required systemic treatment within 6 months prior to registration. Patients are permitted to receive immunotherapy if they have vitiligo, type I diabetes, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger (precipitating event) * Patients must not have a condition requiring systemic treatment with either corticosteroids (\>10mg/day prednisone equivalents) or other immunosuppressive medications within 14 days prior to registration. Inhaled or topical steroids and adrenal replacement doses (=\< 10mg/day prednisone equivalent) are permitted * Patients must not have a history of noninfectious pneumonitis requiring steroids * Patients with prior immune mediated adverse events related to immunotherapy that resulted in permanent treatment discontinuation with these agents are ineligible

Conditions

Advanced Esophageal Adenocarcinoma Advanced Gastric Adenocarcinoma Advanced Gastroesophageal Junction Adenocarcinoma Clinical Stage III Esophageal Adenocarcinoma AJCC v8 Clinical Stage III Gastric Cancer AJCC v8 Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8 Clinical Stage IV Esophageal Adenocarcinoma AJCC v8 Clinical Stage IV Gastric Cancer AJCC v8 Clinical Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8 Metastatic Esophageal Adenocarcinoma Metastatic Gastric Adenocarcinoma Metastatic Gastroesophageal Junction Adenocarcinoma Unresectable Esophageal Adenocarcinoma Unresectable Gastric Adenocarcinoma Unresectable Gastroesophageal Junction Adenocarcinoma

Locations

University of Alabama at Birmingham Cancer Center — Birmingham, Alabama, United States
Anchorage Associates in Radiation Medicine — Anchorage, Alaska, United States
Anchorage Radiation Therapy Center — Anchorage, Alaska, United States
Alaska Breast Care and Surgery LLC — Anchorage, Alaska, United States
Alaska Oncology and Hematology LLC — Anchorage, Alaska, United States
Alaska Women's Cancer Care — Anchorage, Alaska, United States
Anchorage Oncology Centre — Anchorage, Alaska, United States
Katmai Oncology Group — Anchorage, Alaska, United States
Providence Alaska Medical Center — Anchorage, Alaska, United States
Fairbanks Memorial Hospital — Fairbanks, Alaska, United States
Kingman Regional Medical Center — Kingman, Arizona, United States
Cancer Center at Saint Joseph's — Phoenix, Arizona, United States
Mercy Hospital Fort Smith — Fort Smith, Arkansas, United States
CARTI Cancer Center — Little Rock, Arkansas, United States
Kaiser Permanente-Deer Valley Medical Center — Antioch, California, United States
Mission Hope Medical Oncology - Arroyo Grande — Arroyo Grande, California, United States
PCR Oncology — Arroyo Grande, California, United States
Sutter Auburn Faith Hospital — Auburn, California, United States
Sutter Cancer Centers Radiation Oncology Services-Auburn — Auburn, California, United States
Alta Bates Summit Medical Center-Herrick Campus — Berkeley, California, United States
Providence Saint Joseph Medical Center/Disney Family Cancer Center — Burbank, California, United States
Mills-Peninsula Medical Center — Burlingame, California, United States
Sutter Cancer Centers Radiation Oncology Services-Cameron Park — Cameron Park, California, United States
Mercy Cancer Center - Carmichael — Carmichael, California, United States
Mercy San Juan Medical Center — Carmichael, California, United States
Eden Hospital Medical Center — Castro Valley, California, United States
UC Irvine Health Cancer Center-Newport — Costa Mesa, California, United States
Sutter Davis Hospital — Davis, California, United States
Kaiser Permanente Dublin — Dublin, California, United States
Mercy Cancer Center - Elk Grove — Elk Grove, California, United States
Kaiser Permanente-Fremont — Fremont, California, United States
Palo Alto Medical Foundation-Fremont — Fremont, California, United States
Fresno Cancer Center — Fresno, California, United States
Kaiser Permanente Fresno Orchard Plaza — Fresno, California, United States
Kaiser Permanente-Fresno — Fresno, California, United States
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care — Irvine, California, United States
Keck Medicine of USC Koreatown — Los Angeles, California, United States
Los Angeles General Medical Center — Los Angeles, California, United States
USC / Norris Comprehensive Cancer Center — Los Angeles, California, United States
Contra Costa Regional Medical Center — Martinez, California, United States
Mercy Cancer Center — Merced, California, United States
Memorial Medical Center — Modesto, California, United States
Kaiser Permanente- Modesto MOB II — Modesto, California, United States
Kaiser Permanente-Modesto — Modesto, California, United States
Palo Alto Medical Foundation-Camino Division — Mountain View, California, United States
Palo Alto Medical Foundation-Gynecologic Oncology — Mountain View, California, United States
Providence Queen of The Valley — Napa, California, United States
USC Norris Oncology/Hematology-Newport Beach — Newport Beach, California, United States
Sutter Cancer Research Consortium — Novato, California, United States
Kaiser Permanente Oakland-Broadway — Oakland, California, United States
Kaiser Permanente-Oakland — Oakland, California, United States
UC Irvine Health/Chao Family Comprehensive Cancer Center — Orange, California, United States
Palo Alto Medical Foundation Health Care — Palo Alto, California, United States
Kaiser Permanente-Rancho Cordova Cancer Center — Rancho Cordova, California, United States
Eisenhower Medical Center — Rancho Mirage, California, United States
Kaiser Permanente- Marshall Medical Offices — Redwood City, California, United States
Kaiser Permanente-Richmond — Richmond, California, United States
Mercy Cancer Center - Rocklin — Rocklin, California, United States
Rohnert Park Cancer Center — Rohnert Park, California, United States
Kaiser Permanente-Roseville — Roseville, California, United States
Sutter Cancer Centers Radiation Oncology Services-Roseville — Roseville, California, United States
Sutter Roseville Medical Center — Roseville, California, United States
The Permanente Medical Group-Roseville Radiation Oncology — Roseville, California, United States
Kaiser Permanente Downtown Commons — Sacramento, California, United States
Mercy Cancer Center - Sacramento — Sacramento, California, United States
Sutter Medical Center Sacramento — Sacramento, California, United States
Kaiser Permanente-South Sacramento — Sacramento, California, United States
South Sacramento Cancer Center — Sacramento, California, United States
California Pacific Medical Center-Pacific Campus — San Francisco, California, United States
Kaiser Permanente-San Francisco — San Francisco, California, United States
Kaiser Permanente-Santa Teresa-San Jose — San Jose, California, United States
Kaiser Permanente San Leandro — San Leandro, California, United States
Pacific Central Coast Health Center-San Luis Obispo — San Luis Obispo, California, United States
Mills Health Center — San Mateo, California, United States
Kaiser San Rafael-Gallinas — San Rafael, California, United States
Ridley-Tree Cancer Center — Santa Barbara, California, United States
Kaiser Permanente Medical Center - Santa Clara — Santa Clara, California, United States
Palo Alto Medical Foundation-Santa Cruz — Santa Cruz, California, United States
Santa Cruz Radiation Oncology Medical Group — Santa Cruz, California, United States
Mission Hope Medical Oncology - Santa Maria — Santa Maria, California, United States
Kaiser Permanente-Santa Rosa — Santa Rosa, California, United States
Providence Medical Foundation - Santa Rosa — Santa Rosa, California, United States
Sutter Pacific Medical Foundation — Santa Rosa, California, United States
Providence Santa Rosa Memorial Hospital — Santa Rosa, California, United States
Kaiser Permanente Cancer Treatment Center — South San Francisco, California, United States
Kaiser Permanente-South San Francisco — South San Francisco, California, United States
Kaiser Permanente-Stockton — Stockton, California, United States
Palo Alto Medical Foundation-Sunnyvale — Sunnyvale, California, United States
Kaiser Permanente Medical Center-Vacaville — Vacaville, California, United States
Kaiser Permanente-Vallejo — Vallejo, California, United States
Sutter Solano Medical Center/Cancer Center — Vallejo, California, United States
Kaiser Permanente-Walnut Creek — Walnut Creek, California, United States
BASS Medical Group - Lennon — Walnut Creek, California, United States
Woodland Memorial Hospital — Woodland, California, United States
Rocky Mountain Cancer Centers-Aurora — Aurora, Colorado, United States
Boulder Community Foothills Hospital — Boulder, Colorado, United States
Rocky Mountain Cancer Centers-Boulder — Boulder, Colorado, United States
Intermountain Health Platte Valley Hospital — Brighton, Colorado, United States
Rocky Mountain Cancer Centers - Centennial — Centennial, Colorado, United States
Penrose-Saint Francis Healthcare — Colorado Springs, Colorado, United States
Rocky Mountain Cancer Centers-Penrose — Colorado Springs, Colorado, United States
UCHealth Memorial Hospital Central — Colorado Springs, Colorado, United States
Memorial Hospital North — Colorado Springs, Colorado, United States
Saint Francis Cancer Center — Colorado Springs, Colorado, United States
Cancer Center of Colorado at Sloan's Lake — Denver, Colorado, United States
National Jewish Health-Main Campus — Denver, Colorado, United States
The Women's Imaging Center — Denver, Colorado, United States
AdventHealth Porter — Denver, Colorado, United States
Colorado Blood Cancer Institute — Denver, Colorado, United States
Presbyterian - Saint Lukes Medical Center - Health One — Denver, Colorado, United States
Rocky Mountain Cancer Centers-Midtown — Denver, Colorado, United States
Saint Joseph Hospital - Cancer Centers of Colorado — Denver, Colorado, United States
Rocky Mountain Cancer Centers-Rose — Denver, Colorado, United States
Rose Medical Center — Denver, Colorado, United States
CommonSpirit Cancer Center Mercy — Durango, Colorado, United States
Mercy Medical Center — Durango, Colorado, United States
Mountain Blue Cancer Care Center - Swedish — Englewood, Colorado, United States
Rocky Mountain Cancer Centers - Swedish — Englewood, Colorado, United States
Swedish Medical Center — Englewood, Colorado, United States
The Melanoma and Skin Cancer Institute — Englewood, Colorado, United States
Poudre Valley Hospital — Fort Collins, Colorado, United States
Cancer Care and Hematology-Fort Collins — Fort Collins, Colorado, United States
Lutheran Hospital - Cancer Centers of Colorado — Golden, Colorado, United States
National Jewish Health-Western Hematology Oncology — Golden, Colorado, United States
Saint Mary's Hospital and Regional Medical Center — Grand Junction, Colorado, United States
UCHealth Greeley Hospital — Greeley, Colorado, United States
Good Samaritan Hospital - Cancer Centers of Colorado — Lafayette, Colorado, United States
CommonSpirit Saint Anthony Hospital Cancer Center — Lakewood, Colorado, United States
Rocky Mountain Cancer Centers-Lakewood — Lakewood, Colorado, United States
Rocky Mountain Cancer Centers-Littleton — Littleton, Colorado, United States
AdventHealth Littleton — Littleton, Colorado, United States
Rocky Mountain Cancer Centers-Sky Ridge — Lone Tree, Colorado, United States
Longmont United Hospital — Longmont, Colorado, United States
Rocky Mountain Cancer Centers-Longmont — Longmont, Colorado, United States
Medical Center of the Rockies — Loveland, Colorado, United States
AdventHealth Parker — Parker, Colorado, United States
Saint Mary Corwin Medical Center — Pueblo, Colorado, United States
National Jewish Health-Northern Hematology Oncology — Thornton, Colorado, United States
Rocky Mountain Cancer Centers-Thornton — Thornton, Colorado, United States
Saint Anthony North Hospital — Westminster, Colorado, United States
Intermountain Health Lutheran Hospital — Wheat Ridge, Colorado, United States
Hartford HealthCare - Avon — Avon, Connecticut, United States
Hartford Hospital — Hartford, Connecticut, United States
Hartford HealthCare - Manchester — Manchester, Connecticut, United States
Midstate Medical Center — Meriden, Connecticut, United States
The Hospital of Central Connecticut — New Britain, Connecticut, United States
Beebe Medical Center — Lewes, Delaware, United States
Beebe South Coastal Health Campus — Millville, Delaware, United States
Delaware Clinical and Laboratory Physicians PA — Newark, Delaware, United States
Helen F Graham Cancer Center — Newark, Delaware, United States
Medical Oncology Hematology Consultants PA — Newark, Delaware, United States
Christiana Care Health System-Christiana Hospital — Newark, Delaware, United States
Beebe Health Campus — Rehoboth Beach, Delaware, United States
Christiana Care Health System-Wilmington Hospital — Wilmington, Delaware, United States
MedStar Georgetown University Hospital — Washington D.C., District of Columbia, United States
MedStar Washington Hospital Center — Washington D.C., District of Columbia, United States
Sibley Memorial Hospital — Washington D.C., District of Columbia, United States
George Washington University Medical Center — Washington D.C., District of Columbia, United States
Mount Sinai Comprehensive Cancer Center at Aventura — Aventura, Florida, United States
Schulze Family Foundation Cancer Clinic - Bonita Health Center — Bonita Springs, Florida, United States
Holy Cross Hospital — Fort Lauderdale, Florida, United States
Regional Cancer Center-Lee Memorial Health System — Fort Myers, Florida, United States
UF Health Cancer Institute - Gainesville — Gainesville, Florida, United States
Memorial Regional Hospital/Joe DiMaggio Children's Hospital — Hollywood, Florida, United States
Jupiter Medical Center — Jupiter, Florida, United States
The Watson Clinic — Lakeland, Florida, United States
Mount Sinai Medical Center — Miami Beach, Florida, United States
Memorial Hospital West — Pembroke Pines, Florida, United States
Tift Regional Medical Center — Tifton, Georgia, United States
Hawaii Cancer Care Inc - Waterfront Plaza — Honolulu, Hawaii, United States
Queen's Cancer Cenrer - POB I — Honolulu, Hawaii, United States
Queen's Medical Center — Honolulu, Hawaii, United States
Straub Clinic and Hospital — Honolulu, Hawaii, United States
University of Hawaii Cancer Center — Honolulu, Hawaii, United States
Hawaii Diagnostic Radiology Services LLC — Honolulu, Hawaii, United States
Kuakini Medical Center — Honolulu, Hawaii, United States
Queen's Cancer Center - Kuakini — Honolulu, Hawaii, United States
The Cancer Center of Hawaii-Liliha — Honolulu, Hawaii, United States
Kaiser Permanente Moanalua Medical Center — Honolulu, Hawaii, United States
Kapiolani Medical Center for Women and Children — Honolulu, Hawaii, United States
Straub Medical Center - Kahului Clinic — Kahului, Hawaii, United States
Castle Medical Center — Kailua, Hawaii, United States
Wilcox Memorial Hospital and Kauai Medical Clinic — Lihue, Hawaii, United States
Hawaii Cancer Care - Westridge — ‘Aiea, Hawaii, United States
Pali Momi Medical Center — ‘Aiea, Hawaii, United States
Queen's Cancer Center - Pearlridge — ‘Aiea, Hawaii, United States
The Cancer Center of Hawaii-Pali Momi — ‘Aiea, Hawaii, United States
The Queen's Medical Center - West Oahu — ‘Ewa Beach, Hawaii, United States
Saint Alphonsus Cancer Care Center-Boise — Boise, Idaho, United States
Saint Luke's Cancer Institute - Boise — Boise, Idaho, United States
Saint Alphonsus Cancer Care Center-Caldwell — Caldwell, Idaho, United States
Kootenai Health - Coeur d'Alene — Coeur d'Alene, Idaho, United States
Walter Knox Memorial Hospital — Emmett, Idaho, United States
Saint Luke's Cancer Institute - Fruitland — Fruitland, Idaho, United States
Idaho Urologic Institute-Meridian — Meridian, Idaho, United States
Saint Luke's Cancer Institute - Meridian — Meridian, Idaho, United States
Saint Alphonsus Cancer Care Center-Nampa — Nampa, Idaho, United States
Saint Luke's Cancer Institute - Nampa — Nampa, Idaho, United States
Kootenai Clinic Cancer Services - Post Falls — Post Falls, Idaho, United States
Kootenai Clinic Cancer Services - Sandpoint — Sandpoint, Idaho, United States
Saint Luke's Cancer Institute - Twin Falls — Twin Falls, Idaho, United States
OSF Saint Anthony's Health Center — Alton, Illinois, United States
Rush-Copley Medical Center — Aurora, Illinois, United States
Advocate Outpatient Center - Aurora — Aurora, Illinois, United States
Advocate Good Shepherd Hospital — Barrington, Illinois, United States
Illinois CancerCare-Bloomington — Bloomington, Illinois, United States
Illinois CancerCare-Canton — Canton, Illinois, United States
Memorial Hospital of Carbondale — Carbondale, Illinois, United States
SIH Cancer Institute — Carterville, Illinois, United States
Illinois CancerCare-Carthage — Carthage, Illinois, United States
Centralia Oncology Clinic — Centralia, Illinois, United States
Saint Mary's Hospital — Centralia, Illinois, United States
Mount Sinai Hospital Medical Center — Chicago, Illinois, United States
John H Stroger Jr Hospital of Cook County — Chicago, Illinois, United States
University of Illinois — Chicago, Illinois, United States
University of Chicago Comprehensive Cancer Center — Chicago, Illinois, United States
Advocate Illinois Masonic Medical Center — Chicago, Illinois, United States
AMG Crystal Lake - Oncology — Crystal Lake, Illinois, United States
Carle at The Riverfront — Danville, Illinois, United States
Cancer Care Specialists of Illinois - Decatur — Decatur, Illinois, United States
Decatur Memorial Hospital — Decatur, Illinois, United States
Illinois CancerCare-Dixon — Dixon, Illinois, United States
Advocate Good Samaritan Hospital — Downers Grove, Illinois, United States
Carle Physician Group-Effingham — Effingham, Illinois, United States
Crossroads Cancer Center — Effingham, Illinois, United States
Advocate Sherman Hospital — Elgin, Illinois, United States
Illinois CancerCare-Eureka — Eureka, Illinois, United States
Illinois CancerCare-Galesburg — Galesburg, Illinois, United States
Western Illinois Cancer Treatment Center — Galesburg, Illinois, United States
Ingalls Memorial Hospital — Harvey, Illinois, United States
Advocate South Suburban Hospital — Hazel Crest, Illinois, United States
Illinois CancerCare-Kewanee Clinic — Kewanee, Illinois, United States
AMG Libertyville - Oncology — Libertyville, Illinois, United States
Condell Memorial Hospital — Libertyville, Illinois, United States
Illinois CancerCare-Macomb — Macomb, Illinois, United States
Carle Physician Group-Mattoon/Charleston — Mattoon, Illinois, United States
Trinity Medical Center — Moline, Illinois, United States
SSM Health Good Samaritan — Mount Vernon, Illinois, United States
UC Comprehensive Cancer Center at Silver Cross — New Lenox, Illinois, United States
Carle Cancer Institute Normal — Normal, Illinois, United States
Cancer Care Center of O'Fallon — O'Fallon, Illinois, United States
HSHS Saint Elizabeth's Hospital — O'Fallon, Illinois, United States
Advocate Christ Medical Center — Oak Lawn, Illinois, United States
University of Chicago Medicine-Orland Park — Orland Park, Illinois, United States
Illinois CancerCare-Ottawa Clinic — Ottawa, Illinois, United States
Advocate Lutheran General Hospital — Park Ridge, Illinois, United States
Illinois CancerCare-Pekin — Pekin, Illinois, United States
Illinois CancerCare-Peoria — Peoria, Illinois, United States
Methodist Medical Center of Illinois — Peoria, Illinois, United States
Illinois CancerCare-Peru — Peru, Illinois, United States
Valley Radiation Oncology — Peru, Illinois, United States
Illinois CancerCare-Princeton — Princeton, Illinois, United States
OSF Saint Anthony Medical Center — Rockford, Illinois, United States
UW Health Carbone Cancer Center Rockford — Rockford, Illinois, United States
Southern Illinois University School of Medicine — Springfield, Illinois, United States
Springfield Clinic — Springfield, Illinois, United States
Springfield Memorial Hospital — Springfield, Illinois, United States
Carle Cancer Center — Urbana, Illinois, United States
Illinois CancerCare - Washington — Washington, Illinois, United States
Rush-Copley Healthcare Center — Yorkville, Illinois, United States
Northwest Cancer Center - Crown Point — Crown Point, Indiana, United States
UChicago Medicine Northwest Indiana — Crown Point, Indiana, United States
Northwest Oncology LLC — Dyer, Indiana, United States
Northwest Cancer Center - Hobart — Hobart, Indiana, United States
Saint Mary Medical Center — Hobart, Indiana, United States
Saint Catherine Hospital — Indianapolis, Indiana, United States
The Community Hospital — Munster, Indiana, United States
Women's Diagnostic Center - Munster — Munster, Indiana, United States
Reid Health — Richmond, Indiana, United States
Northwest Cancer Center - Valparaiso — Valparaiso, Indiana, United States
Mary Greeley Medical Center — Ames, Iowa, United States
McFarland Clinic - Ames — Ames, Iowa, United States
UI Health Care Mission Cancer and Blood - Ankeny Clinic — Ankeny, Iowa, United States
University of Iowa Healthcare Cancer Services Quad Cities — Bettendorf, Iowa, United States
McFarland Clinic - Boone — Boone, Iowa, United States
Mercy Hospital — Cedar Rapids, Iowa, United States
Oncology Associates at Mercy Medical Center — Cedar Rapids, Iowa, United States
UI Health Care Mission Cancer and Blood - West Des Moines Clinic — Clive, Iowa, United States
Alegent Health Mercy Hospital — Council Bluffs, Iowa, United States
Heartland Oncology and Hematology LLP — Council Bluffs, Iowa, United States
Methodist Jennie Edmundson Hospital — Council Bluffs, Iowa, United States
Iowa Methodist Medical Center — Des Moines, Iowa, United States
UI Health Care Mission Cancer and Blood - Des Moines Clinic — Des Moines, Iowa, United States
UI Health Care Mission Cancer and Blood - Laurel Clinic — Des Moines, Iowa, United States
McFarland Clinic - Trinity Cancer Center — Fort Dodge, Iowa, United States
University of Iowa/Holden Comprehensive Cancer Center — Iowa City, Iowa, United States
McFarland Clinic - Jefferson — Jefferson, Iowa, United States
McFarland Clinic - Marshalltown — Marshalltown, Iowa, United States
UI Healthcare Mission Cancer and Blood - Pella — Pella, Iowa, United States
Siouxland Regional Cancer Center — Sioux City, Iowa, United States
UI Health Care Mission Cancer and Blood - Waukee Clinic — Waukee, Iowa, United States
Central Care Cancer Center - Garden City — Garden City, Kansas, United States
Central Care Cancer Center - Great Bend — Great Bend, Kansas, United States
HaysMed — Hays, Kansas, United States
Lawrence Memorial Hospital — Lawrence, Kansas, United States
The University of Kansas Cancer Center - Olathe — Olathe, Kansas, United States
Freeman Physician Group of Pittsburg — Pittsburg, Kansas, United States
Mercy Hospital Pittsburg — Pittsburg, Kansas, United States
Salina Regional Health Center — Salina, Kansas, United States
University of Kansas Health System Saint Francis Campus — Topeka, Kansas, United States
CommonSpirit Saint Joseph Hospital - Bardstown — Bardstown, Kentucky, United States
Commonwealth Cancer Center-Corbin — Corbin, Kentucky, United States
CommonSpirit Saint Joseph Hospital - Lexington — Lexington, Kentucky, United States
Saint Joseph Radiation Oncology Resource Center — Lexington, Kentucky, United States
CommonSpirit Saint Joseph Medical Center - East Lexington — Lexington, Kentucky, United States
University of Kentucky/Markey Cancer Center — Lexington, Kentucky, United States
CommonSpirit Saint Joseph Hospital London — London, Kentucky, United States
The James Graham Brown Cancer Center at University of Louisville — Louisville, Kentucky, United States
UofL Health Medical Center Northeast — Louisville, Kentucky, United States
CommonSpirit Saint Joseph Hospital Mount Sterling — Mount Sterling, Kentucky, United States
Mercy Health - Paducah Cancer Center — Paducah, Kentucky, United States
University Medical Center New Orleans — New Orleans, Louisiana, United States
Johns Hopkins University/Sidney Kimmel Cancer Center — Baltimore, Maryland, United States
Christiana Care - Union Hospital — Elkton, Maryland, United States
Boston Medical Center — Boston, Massachusetts, United States
Dana-Farber Cancer Institute — Boston, Massachusetts, United States
Dana-Farber Cancer Institute at Boston Medical Center - Brighton — Brighton, Massachusetts, United States
Dana-Farber Cancer Institute at Foxborough — Foxborough, Massachusetts, United States
Dana Farber-Merrimack Valley — Methuen, Massachusetts, United States
Dana-Farber/Brigham and Women's Cancer Center at Milford Regional — Milford, Massachusetts, United States
Dana-Farber/Brigham and Women's Cancer Center at South Shore — South Weymouth, Massachusetts, United States
Hickman Cancer Center — Adrian, Michigan, United States
MyMichigan Medical Center Gratiot — Alma, Michigan, United States
MyMichigan Medical Center Alpena — Alpena, Michigan, United States
Trinity Health Saint Joseph Mercy Hospital Ann Arbor — Ann Arbor, Michigan, United States
McLaren Cancer Institute-Bay City — Bay City, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - Brighton — Brighton, Michigan, United States
Trinity Health Medical Center - Brighton — Brighton, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - Canton — Canton, Michigan, United States
Trinity Health Medical Center - Canton — Canton, Michigan, United States
Caro Cancer Center — Caro, Michigan, United States
Chelsea Hospital — Chelsea, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital — Chelsea, Michigan, United States
Hematology Oncology Consultants-Clarkston — Clarkston, Michigan, United States
McLaren Cancer Institute-Clarkston — Clarkston, Michigan, United States
Newland Medical Associates-Clarkston — Clarkston, Michigan, United States
Trinity Health IHA Medical Group - Primary Care - Clarkston — Clarkston, Michigan, United States
Corewell Health Dearborn Hospital — Dearborn, Michigan, United States
Wayne State University/Karmanos Cancer Institute — Detroit, Michigan, United States
Henry Ford Health Saint John Hospital — Detroit, Michigan, United States
Henry Ford River District Hospital — East China Township, Michigan, United States
OSF Saint Francis Hospital and Medical Group — Escanaba, Michigan, United States
Weisberg Cancer Treatment Center — Farmington Hills, Michigan, United States
Corewell Health Farmington Hills Hospital — Farmington Hills, Michigan, United States
Cancer Hematology Centers - Flint — Flint, Michigan, United States
Genesee Hematology Oncology PC — Flint, Michigan, United States
Genesys Hurley Cancer Institute — Flint, Michigan, United States
Hurley Medical Center — Flint, Michigan, United States
McLaren Cancer Institute-Flint — Flint, Michigan, United States
MyMichigan Medical Center Gladwin — Gladwin, Michigan, United States
Trinity Health Grand Rapids Hospital — Grand Rapids, Michigan, United States
Henry Ford Saint John Hospital - Academic — Grosse Pointe Woods, Michigan, United States
Henry Ford Saint John Hospital - Breast — Grosse Pointe Woods, Michigan, United States
Henry Ford Saint John Hospital - Van Elslander — Grosse Pointe Woods, Michigan, United States
Dickinson County Healthcare System — Iron Mountain, Michigan, United States
Karmanos Cancer Institute at McLaren Greater Lansing — Lansing, Michigan, United States
University of Michigan Health - Sparrow Lansing — Lansing, Michigan, United States
McLaren Cancer Institute-Lapeer Region — Lapeer, Michigan, United States
Trinity Health Saint Mary Mercy Livonia Hospital — Livonia, Michigan, United States
Henry Ford Saint John Hospital - Macomb Medical — Macomb, Michigan, United States
Henry Ford Warren Hospital - Breast Macomb — Macomb, Michigan, United States
Saint Mary's Oncology/Hematology Associates of Marlette — Marlette, Michigan, United States
MyMichigan Medical Center Midland — Midland, Michigan, United States
Toledo Clinic Cancer Centers-Monroe — Monroe, Michigan, United States
McLaren Cancer Institute-Macomb — Mount Clemens, Michigan, United States
MyMichigan Medical Center Mount Pleasant — Mount Pleasant, Michigan, United States
Trinity Health Muskegon Hospital — Muskegon, Michigan, United States
Cancer and Hematology Centers of Western Michigan - Norton Shores — Norton Shores, Michigan, United States
McLaren Cancer Institute-Northern Michigan — Petoskey, Michigan, United States
Hope Cancer Center — Pontiac, Michigan, United States
Michigan Healthcare Professionals Pontiac — Pontiac, Michigan, United States
Newland Medical Associates-Pontiac — Pontiac, Michigan, United States
Trinity Health Saint Joseph Mercy Oakland Hospital — Pontiac, Michigan, United States
McLaren-Port Huron — Port Huron, Michigan, United States
Oakland Colon Rectal Associates — Royal Oak, Michigan, United States
Cancer Care Associates PC — Royal Oak, Michigan, United States
Comprehensive Medical Center PLLC — Royal Oak, Michigan, United States
Corewell Health William Beaumont University Hospital — Royal Oak, Michigan, United States
Hematology Oncology Consultants PC-Royal Oak — Royal Oak, Michigan, United States
Oakland Medical Group — Royal Oak, Michigan, United States
MyMichigan Medical Center Saginaw — Saginaw, Michigan, United States
Oncology Hematology Associates of Saginaw Valley PC — Saginaw, Michigan, United States
Bhadresh Nayak MD PC-Sterling Heights — Sterling Heights, Michigan, United States
Premier Hematology Oncology Care — Sterling Heights, Michigan, United States
MyMichigan Medical Center Tawas — Tawas City, Michigan, United States
Michigan Institute of Urology-Town Center — Troy, Michigan, United States
Corewell Health Beaumont Troy Hospital — Troy, Michigan, United States
Hematology Oncology Consultants PC-Troy — Troy, Michigan, United States
Advanced Breast Care Center PLLC — Warren, Michigan, United States
Henry Ford Health Warren Hospital — Warren, Michigan, United States
Henry Ford Madison Heights Hospital - Breast — Warren, Michigan, United States
Henry Ford Warren Hospital - GLCMS — Warren, Michigan, United States
Macomb Hematology Oncology PC — Warren, Michigan, United States
Saint Mary's Oncology/Hematology Associates of West Branch — West Branch, Michigan, United States
Huron Gastroenterology PC — Ypsilanti, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus — Ypsilanti, Michigan, United States
Riverwood Healthcare Center — Aitkin, Minnesota, United States
Essentia Health - Baxter Clinic — Baxter, Minnesota, United States
Sanford Joe Lueken Cancer Center — Bemidji, Minnesota, United States
Essentia Health Saint Joseph's Medical Center — Brainerd, Minnesota, United States
Fairview Ridges Hospital — Burnsville, Minnesota, United States
Minnesota Oncology - Burnsville — Burnsville, Minnesota, United States
Cambridge Medical Center — Cambridge, Minnesota, United States
Minnesota Oncology Hematology PA-Chaska — Chaska, Minnesota, United States
Mercy Hospital — Coon Rapids, Minnesota, United States
Minnesota Oncology - Coon Rapids — Coon Rapids, Minnesota, United States
Essentia Health - Saint Joseph's Crosslake Clinic — Crosslake, Minnesota, United States
Essentia Health - Deer River Clinic — Deer River, Minnesota, United States
Essentia Health Saint Mary's - Detroit Lakes Clinic — Detroit Lakes, Minnesota, United States
Essentia Health Cancer Center — Duluth, Minnesota, United States
Essentia Health Saint Mary's Medical Center — Duluth, Minnesota, United States
Miller-Dwan Hospital — Duluth, Minnesota, United States
Fairview Southdale Hospital — Edina, Minnesota, United States
Minnesota Oncology - Edina — Edina, Minnesota, United States
Essentia Health - Ely Clinic — Ely, Minnesota, United States
Essentia Health - Fosston — Fosston, Minnesota, United States
Unity Hospital — Fridley, Minnesota, United States
Essentia Health Hibbing Clinic — Hibbing, Minnesota, United States
Essentia Health - International Falls Clinic — International Falls, Minnesota, United States
Fairview Clinics and Surgery Center Maple Grove — Maple Grove, Minnesota, United States
Minnesota Oncology - Maple Grove — Maple Grove, Minnesota, United States
Minnesota Oncology Hematology PA-Maplewood — Maplewood, Minnesota, United States
Saint John's Hospital - Healtheast — Maplewood, Minnesota, United States
Abbott-Northwestern Hospital — Minneapolis, Minnesota, United States
Hennepin County Medical Center — Minneapolis, Minnesota, United States
Health Partners Inc — Minneapolis, Minnesota, United States
Monticello Cancer Center — Monticello, Minnesota, United States
Essentia Health - Moose Lake Clinic — Moose Lake, Minnesota, United States
New Ulm Medical Center — New Ulm, Minnesota, United States
Essentia Health - Park Rapids — Park Rapids, Minnesota, United States
Essentia Health - Saint Joseph's Pequot Lakes Clinic — Pequot Lakes, Minnesota, United States
Essentia Health - Saint Joseph's Pine River Clinic — Pine River, Minnesota, United States
Fairview Northland Medical Center — Princeton, Minnesota, United States
North Memorial Medical Health Center — Robbinsdale, Minnesota, United States
Coborn Cancer Center at Saint Cloud Hospital — Saint Cloud, Minnesota, United States
Park Nicollet Clinic - Saint Louis Park — Saint Louis Park, Minnesota, United States
Regions Hospital — Saint Paul, Minnesota, United States
United Hospital — Saint Paul, Minnesota, United States
Essentia Health Sandstone — Sandstone, Minnesota, United States
Saint Francis Regional Medical Center — Shakopee, Minnesota, United States
Essentia Health - Saint Joseph's Staples Clinic — Staples, Minnesota, United States
Lakeview Hospital — Stillwater, Minnesota, United States
Sanford Thief River Falls Medical Center — Thief River Falls, Minnesota, United States
Essentia Health Virginia Clinic — Virginia, Minnesota, United States
Ridgeview Medical Center — Waconia, Minnesota, United States
Rice Memorial Hospital — Willmar, Minnesota, United States
Minnesota Oncology Hematology PA-Woodbury — Woodbury, Minnesota, United States
Sanford Cancer Center Worthington — Worthington, Minnesota, United States
Fairview Lakes Medical Center — Wyoming, Minnesota, United States
Mercy Oncology and Hematology - Clayton-Clarkson — Ballwin, Missouri, United States
Central Care Cancer Center - Bolivar — Bolivar, Missouri, United States
Cox Cancer Center Branson — Branson, Missouri, United States
Mercy Cancer Center - Cape Girardeau — Cape Girardeau, Missouri, United States
Saint Francis Medical Center — Cape Girardeau, Missouri, United States
Parkland Health Center - Farmington — Farmington, Missouri, United States
MU Health Care Goldschmidt Cancer Center — Jefferson City, Missouri, United States
Freeman Health System — Joplin, Missouri, United States
Mercy Hospital Joplin — Joplin, Missouri, United States
University Health Truman Medical Center — Kansas City, Missouri, United States
Lake Regional Hospital — Osage Beach, Missouri, United States
Mercy Clinic-Rolla-Cancer and Hematology — Rolla, Missouri, United States
Phelps Health Delbert Day Cancer Institute — Rolla, Missouri, United States
Heartland Regional Medical Center — Saint Joseph, Missouri, United States
Sainte Genevieve County Memorial Hospital — Sainte Genevieve, Missouri, United States
Mercy Hospital Springfield — Springfield, Missouri, United States
CoxHealth South Hospital — Springfield, Missouri, United States
Mercy Infusion Center - Chippewa — St Louis, Missouri, United States
Mercy Hospital South — St Louis, Missouri, United States
Missouri Baptist Medical Center — St Louis, Missouri, United States
Mercy Hospital Saint Louis — St Louis, Missouri, United States
Missouri Baptist Sullivan Hospital — Sullivan, Missouri, United States
Mercy Hospital Washington — Washington, Missouri, United States
Community Hospital of Anaconda — Anaconda, Montana, United States
Billings Clinic Cancer Center — Billings, Montana, United States
Saint Vincent Healthcare — Billings, Montana, United States
Saint Vincent Frontier Cancer Center — Billings, Montana, United States
Intermountain Health West End Clinic — Billings, Montana, United States
Bozeman Health Deaconess Hospital — Bozeman, Montana, United States
Saint James Community Hospital and Cancer Treatment Center — Butte, Montana, United States
Benefis Sletten Cancer Institute — Great Falls, Montana, United States
Great Falls Clinic — Great Falls, Montana, United States
Hi-Line Sletten Cancer Center — Havre, Montana, United States
Benefis Helena Specialty Center — Helena, Montana, United States
Logan Health Medical Center — Kalispell, Montana, United States
Saint Patrick Hospital - Community Hospital — Missoula, Montana, United States
Community Medical Center — Missoula, Montana, United States
Nebraska Medicine-Bellevue — Bellevue, Nebraska, United States
CHI Health Saint Francis — Grand Island, Nebraska, United States
CHI Health Good Samaritan — Kearney, Nebraska, United States
Saint Elizabeth Regional Medical Center — Lincoln, Nebraska, United States
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC — Omaha, Nebraska, United States
Nebraska Methodist Hospital — Omaha, Nebraska, United States
Oncology Associates PC — Omaha, Nebraska, United States
Nebraska Medicine-Village Pointe — Omaha, Nebraska, United States
Alegent Health Immanuel Medical Center — Omaha, Nebraska, United States
Alegent Health Bergan Mercy Medical Center — Omaha, Nebraska, United States
Alegent Health Lakeside Hospital — Omaha, Nebraska, United States
University of Nebraska Medical Center — Omaha, Nebraska, United States
Midlands Community Hospital — Papillion, Nebraska, United States
Carson Tahoe Regional Medical Center — Carson City, Nevada, United States
Cancer and Blood Specialists-Henderson — Henderson, Nevada, United States
Comprehensive Cancer Centers of Nevada - Henderson — Henderson, Nevada, United States
Comprehensive Cancer Centers of Nevada-Horizon Ridge — Henderson, Nevada, United States
Las Vegas Cancer Center-Henderson — Henderson, Nevada, United States
Comprehensive Cancer Centers of Nevada-Southeast Henderson — Henderson, Nevada, United States
Las Vegas Urology - Green Valley — Henderson, Nevada, United States
Las Vegas Urology - Pebble — Henderson, Nevada, United States
Oncology Las Vegas - Henderson — Henderson, Nevada, United States
Urology Specialists of Nevada - Green Valley — Henderson, Nevada, United States
Las Vegas Urology - Pecos — Las Vegas, Nevada, United States
OptumCare Cancer Care at Charleston — Las Vegas, Nevada, United States
University Medical Center of Southern Nevada — Las Vegas, Nevada, United States
Hope Cancer Care of Nevada — Las Vegas, Nevada, United States
Radiation Oncology Centers of Nevada Central — Las Vegas, Nevada, United States
Urology Specialists of Nevada - Central — Las Vegas, Nevada, United States
Sunrise Hospital and Medical Center — Las Vegas, Nevada, United States
Las Vegas Prostate Cancer Center — Las Vegas, Nevada, United States
Las Vegas Urology - Sunset — Las Vegas, Nevada, United States
Urology Specialists of Nevada - Southwest — Las Vegas, Nevada, United States
Radiation Oncology Centers of Nevada Southeast — Las Vegas, Nevada, United States
Ann M Wierman MD LTD — Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada - Northwest — Las Vegas, Nevada, United States
Las Vegas Urology - Cathedral Rock — Las Vegas, Nevada, United States
Las Vegas Urology - Smoke Ranch — Las Vegas, Nevada, United States
Oncology Las Vegas - Tenaya — Las Vegas, Nevada, United States
OptumCare Cancer Care at MountainView — Las Vegas, Nevada, United States
Urology Specialists of Nevada - Northwest — Las Vegas, Nevada, United States
Alliance for Childhood Diseases/Cure 4 the Kids Foundation — Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada - Town Center — Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada-Summerlin — Las Vegas, Nevada, United States
Summerlin Hospital Medical Center — Las Vegas, Nevada, United States
Las Vegas Cancer Center-Medical Center — Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada — Las Vegas, Nevada, United States
Comprehensive Cancer Centers of Nevada - Central Valley — Las Vegas, Nevada, United States
University Cancer Center — Las Vegas, Nevada, United States
OptumCare Cancer Care at Fort Apache — Las Vegas, Nevada, United States
Hope Cancer Care of Nevada-Pahrump — Pahrump, Nevada, United States
Renown Regional Medical Center — Reno, Nevada, United States
Saint Mary's Regional Medical Center — Reno, Nevada, United States
Radiation Oncology Associates — Reno, Nevada, United States
The Dana-Farber Cancer Institute at Londonderry — Londonderry, New Hampshire, United States
Jefferson Cherry Hill Hospital — Cherry Hill, New Jersey, United States
Sidney Kimmel Cancer Center Washington Township — Sewell, New Jersey, United States
University of New Mexico Cancer Center — Albuquerque, New Mexico, United States
New York-Presbyterian/Brooklyn Methodist Hospital — Brooklyn, New York, United States
The New York Hospital Medical Center of Queens — Flushing, New York, United States
Glens Falls Hospital — Glens Falls, New York, United States
Northwell Health Cancer Institute at Huntington — Greenlawn, New York, United States
Northwell Health/Center for Advanced Medicine — Lake Success, New York, United States
Northern Westchester Hospital — Mount Kisco, New York, United States
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center — New York, New York, United States
Manhattan Eye Ear and Throat Hospital — New York, New York, United States
NYP/Weill Cornell Medical Center — New York, New York, United States
Lenox Hill Hospital — New York, New York, United States
Queens Cancer Center — Rego Park, New York, United States
University of Rochester — Rochester, New York, United States
Phelps Memorial Hospital Center — Sleepy Hollow, New York, United States
Stony Brook University Medical Center — Stony Brook, New York, United States
Montefiore Medical Center-Einstein Campus — The Bronx, New York, United States
Montefiore Medical Center-Weiler Hospital — The Bronx, New York, United States
Wilmot Cancer Institute at Webster — Webster, New York, United States
UNC Lineberger Comprehensive Cancer Center — Chapel Hill, North Carolina, United States
Wake Forest University at Clemmons — Clemmons, North Carolina, United States
Southeastern Medical Oncology Center-Clinton — Clinton, North Carolina, United States
Southeastern Medical Oncology Center-Goldsboro — Goldsboro, North Carolina, United States
East Carolina University — Greenville, North Carolina, United States
Margaret R Pardee Memorial Hospital — Hendersonville, North Carolina, United States
University of North Carolina-Hillsborough Campus — Hillsborough, North Carolina, United States
Southeastern Medical Oncology Center-Jacksonville — Jacksonville, North Carolina, United States
FirstHealth of the Carolinas-Moore Regional Hospital — Pinehurst, North Carolina, United States
Wake Forest Baptist Health - Wilkes Medical Center — Wilkesboro, North Carolina, United States
Wake Forest University Health Sciences — Winston-Salem, North Carolina, United States
Sanford Bismarck Medical Center — Bismarck, North Dakota, United States
Essentia Health Cancer Center-South University Clinic — Fargo, North Dakota, United States
Sanford South University Medical Center — Fargo, North Dakota, United States
Southpointe-Sanford Medical Center Fargo — Fargo, North Dakota, United States
Sanford Medical Center Fargo — Fargo, North Dakota, United States
Sanford Broadway Medical Center — Fargo, North Dakota, United States
Sanford Roger Maris Cancer Center — Fargo, North Dakota, United States
Essentia Health - Jamestown Clinic — Jamestown, North Dakota, United States
Indu and Raj Soin Medical Center — Beavercreek, Ohio, United States
Strecker Cancer Center-Belpre — Belpre, Ohio, United States
Saint Elizabeth Boardman Hospital — Boardman, Ohio, United States
Cleveland Clinic Mercy Hospital — Canton, Ohio, United States
Dayton Physicians LLC-Miami Valley South — Centerville, Ohio, United States
Miami Valley Hospital South — Centerville, Ohio, United States
Adena Regional Medical Center — Chillicothe, Ohio, United States
Good Samaritan Hospital - Cincinnati — Cincinnati, Ohio, United States
Oncology Hematology Care Inc-Kenwood — Cincinnati, Ohio, United States
Bethesda North Hospital — Cincinnati, Ohio, United States
TriHealth Cancer Institute-Westside — Cincinnati, Ohio, United States
TriHealth Cancer Institute-Anderson — Cincinnati, Ohio, United States
Ohio State University Comprehensive Cancer Center — Columbus, Ohio, United States
Mount Carmel East Hospital — Columbus, Ohio, United States
Columbus Oncology and Hematology Associates Inc — Columbus, Ohio, United States
Riverside Methodist Hospital — Columbus, Ohio, United States
Grant Medical Center — Columbus, Ohio, United States
The Mark H Zangmeister Center — Columbus, Ohio, United States
Mount Carmel Health Center West — Columbus, Ohio, United States
Doctors Hospital — Columbus, Ohio, United States
Miami Valley Hospital — Dayton, Ohio, United States
Premier Blood and Cancer Center — Dayton, Ohio, United States
Dayton Physician LLC - Englewood — Dayton, Ohio, United States
Miami Valley Hospital North — Dayton, Ohio, United States
Delaware Health Center-Grady Cancer Center — Delaware, Ohio, United States
Grady Memorial Hospital — Delaware, Ohio, United States
Columbus Oncology and Hematology Associates — Dublin, Ohio, United States
Dublin Methodist Hospital — Dublin, Ohio, United States
Armes Family Cancer Center — Findlay, Ohio, United States
Blanchard Valley Hospital — Findlay, Ohio, United States
Orion Cancer Care — Findlay, Ohio, United States
Atrium Medical Center-Middletown Regional Hospital — Franklin, Ohio, United States
Dayton Physicians LLC-Atrium — Franklin, Ohio, United States
Central Ohio Breast and Endocrine Surgery — Gahanna, Ohio, United States
Dayton Physicians LLC-Wayne — Greenville, Ohio, United States
Miami Valley Cancer Care and Infusion — Greenville, Ohio, United States
Wayne Hospital — Greenville, Ohio, United States
Mount Carmel Grove City Hospital — Grove City, Ohio, United States
Zangmeister Center Grove City — Grove City, Ohio, United States
Greater Dayton Cancer Center — Kettering, Ohio, United States
Kettering Medical Center — Kettering, Ohio, United States
Fairfield Medical Center — Lancaster, Ohio, United States
Saint Rita's Medical Center — Lima, Ohio, United States
OhioHealth Mansfield Hospital — Mansfield, Ohio, United States
Marietta Memorial Hospital — Marietta, Ohio, United States
OhioHealth Marion General Hospital — Marion, Ohio, United States
Memorial Hospital — Marysville, Ohio, United States
Toledo Clinic Cancer Centers-Maumee — Maumee, Ohio, United States
Knox Community Hospital — Mount Vernon, Ohio, United States
Mount Carmel New Albany Surgical Hospital — New Albany, Ohio, United States
Licking Memorial Hospital — Newark, Ohio, United States
Newark Radiation Oncology — Newark, Ohio, United States
Mercy Health - Perrysburg Hospital — Perrysburg, Ohio, United States
Southern Ohio Medical Center — Portsmouth, Ohio, United States
Springfield Regional Cancer Center — Springfield, Ohio, United States
Springfield Regional Medical Center — Springfield, Ohio, United States
Mercy Health - Saint Vincent Hospital — Toledo, Ohio, United States
Mercy Health - Saint Anne Hospital — Toledo, Ohio, United States
Mercy Health Sylvania Radiation Oncology Center — Toledo, Ohio, United States
Toledo Clinic Cancer Centers-Toledo — Toledo, Ohio, United States
Dayton Physicians LLC - Troy — Troy, Ohio, United States
Upper Valley Medical Center — Troy, Ohio, United States
Saint Joseph Warren Hospital — Warren, Ohio, United States
Saint Ann's Hospital — Westerville, Ohio, United States
Clinton Memorial Hospital/Foster J Boyd Regional Cancer Center — Wilmington, Ohio, United States
Saint Elizabeth Youngstown Hospital — Youngstown, Ohio, United States
Genesis Healthcare System Cancer Care Center — Zanesville, Ohio, United States
University of Oklahoma Health Sciences Center — Oklahoma City, Oklahoma, United States
Mercy Hospital Oklahoma City — Oklahoma City, Oklahoma, United States
Saint Alphonsus Cancer Care Center-Baker City — Baker City, Oregon, United States
Saint Charles Health System — Bend, Oregon, United States
Clackamas Radiation Oncology Center — Clackamas, Oregon, United States
Providence Cancer Institute Clackamas Clinic — Clackamas, Oregon, United States
Bay Area Hospital — Coos Bay, Oregon, United States
Providence Hood River Memorial Hospital — Hood River, Oregon, United States
Providence Newberg Medical Center — Newberg, Oregon, United States
Saint Alphonsus Cancer Care Center-Ontario — Ontario, Oregon, United States
Providence Willamette Falls Medical Center — Oregon City, Oregon, United States
Providence Portland Medical Center — Portland, Oregon, United States
Providence Saint Vincent Medical Center — Portland, Oregon, United States
Saint Charles Health System-Redmond — Redmond, Oregon, United States
Lehigh Valley Hospital-Cedar Crest — Allentown, Pennsylvania, United States
Lehigh Valley Hospital - Muhlenberg — Bethlehem, Pennsylvania, United States
Christiana Care Health System-Concord Health Center — Chadds Ford, Pennsylvania, United States
Geisinger Medical Center — Danville, Pennsylvania, United States
Geisinger Cancer Center Dickson City — Dickson City, Pennsylvania, United States
Pocono Medical Center — East Stroudsburg, Pennsylvania, United States
Geisinger Medical Center-Cancer Center Hazleton — Hazleton, Pennsylvania, United States
Lehigh Valley Hospital-Hazleton — Hazleton, Pennsylvania, United States
Geisinger Medical Oncology-Lewisburg — Lewisburg, Pennsylvania, United States
Lewistown Hospital — Lewistown, Pennsylvania, United States
Thomas Jefferson University Hospital — Philadelphia, Pennsylvania, United States
Einstein Medical Center Philadelphia — Philadelphia, Pennsylvania, United States
Geisinger Cancer Services-Pottsville — Pottsville, Pennsylvania, United States
Community Medical Center — Scranton, Pennsylvania, United States
Reading Hospital — West Reading, Pennsylvania, United States
Geisinger Wyoming Valley/Henry Cancer Center — Wilkes-Barre, Pennsylvania, United States
Asplundh Cancer Pavilion — Willow Grove, Pennsylvania, United States
Medical University of South Carolina — Charleston, South Carolina, United States
Avera Cancer Institute-Aberdeen — Aberdeen, South Dakota, United States
Avera Cancer Institute - Mitchell — Mitchell, South Dakota, United States
Avera Cancer Institute at Pierre — Pierre, South Dakota, United States
Rapid City Regional Hospital — Rapid City, South Dakota, United States
Sanford Cancer Center Oncology Clinic — Sioux Falls, South Dakota, United States
Avera Cancer Institute — Sioux Falls, South Dakota, United States
Sanford USD Medical Center - Sioux Falls — Sioux Falls, South Dakota, United States
Avera Cancer Institute at Yankton — Yankton, South Dakota, United States
Parkland Memorial Hospital — Dallas, Texas, United States
UT Southwestern Simmons Cancer Center - RedBird — Dallas, Texas, United States
UT Southwestern/Simmons Cancer Center-Dallas — Dallas, Texas, United States
Tarrant County Hospital District/JPS Health Network — Fort Worth, Texas, United States
UT Southwestern/Simmons Cancer Center-Fort Worth — Fort Worth, Texas, United States
UT Southwestern Clinical Center at Richardson/Plano — Richardson, Texas, United States
Farmington Health Center — Farmington, Utah, United States
University of Utah Sugarhouse Health Center — Salt Lake City, Utah, United States
Huntsman Cancer Institute/University of Utah — Salt Lake City, Utah, United States
Central Vermont Medical Center/National Life Cancer Treatment — Berlin Corners, Vermont, United States
University of Vermont Medical Center — Burlington, Vermont, United States
University of Vermont and State Agricultural College — Burlington, Vermont, United States
University of Virginia Cancer Center — Charlottesville, Virginia, United States
Inova Schar Cancer Institute — Fairfax, Virginia, United States
Inova Fair Oaks Hospital — Fairfax, Virginia, United States
Inova Fairfax Hospital — Falls Church, Virginia, United States
Centra Alan B Pearson Regional Cancer Center — Lynchburg, Virginia, United States
Virginia Cancer Institute — Richmond, Virginia, United States
VCU Massey Cancer Center at Stony Point — Richmond, Virginia, United States
VCU Massey Comprehensive Cancer Center — Richmond, Virginia, United States
VCU Community Memorial Health Center — South Hill, Virginia, United States
Providence Regional Cancer System-Aberdeen — Aberdeen, Washington, United States
Overlake Medical Center — Bellevue, Washington, United States
PeaceHealth Saint Joseph Medical Center — Bellingham, Washington, United States
Providence Regional Cancer System-Centralia — Centralia, Washington, United States
Swedish Cancer Institute-Edmonds — Edmonds, Washington, United States
Providence Regional Cancer Partnership — Everett, Washington, United States
Swedish Cancer Institute-Issaquah — Issaquah, Washington, United States
Kadlec Clinic Hematology and Oncology — Kennewick, Washington, United States
Providence Regional Cancer System-Lacey — Lacey, Washington, United States
PeaceHealth Saint John Medical Center — Longview, Washington, United States
Skagit Regional Health Cancer Care Center — Mount Vernon, Washington, United States
Jefferson Healthcare — Port Townsend, Washington, United States
Valley Medical Center — Renton, Washington, United States
Swedish Medical Center-Ballard Campus — Seattle, Washington, United States
Swedish Medical Center-Cherry Hill — Seattle, Washington, United States
Swedish Medical Center-First Hill — Seattle, Washington, United States
PeaceHealth United General Medical Center — Sedro-Woolley, Washington, United States
Providence Regional Cancer System-Shelton — Shelton, Washington, United States
Saint Joseph Medical Center Hematology and Oncology - Silverdale — Silverdale, Washington, United States
Cancer Care Northwest - Spokane South — Spokane, Washington, United States
Cancer Care Northwest-Valley — Spokane, Washington, United States
Cancer Care Northwest-North Spokane — Spokane, Washington, United States
PeaceHealth Southwest Medical Center — Vancouver, Washington, United States
Providence Saint Mary Regional Cancer Center — Walla Walla, Washington, United States
North Star Lodge Cancer Center at Yakima Valley Memorial Hospital — Yakima, Washington, United States
Providence Regional Cancer System-Yelm — Yelm, Washington, United States
Vandalia Health/CAMC Institute for Academic Medicine — Charleston, West Virginia, United States
Aspirus Cancer Care-Antigo-Volm Cancer Center — Antigo, Wisconsin, United States
Duluth Clinic Ashland — Ashland, Wisconsin, United States
Northwest Wisconsin Cancer Center — Ashland, Wisconsin, United States
Aurora Cancer Care-Southern Lakes VLCC — Burlington, Wisconsin, United States
Marshfield Clinic-Chippewa Center — Chippewa Falls, Wisconsin, United States
Aurora Saint Luke's South Shore — Cudahy, Wisconsin, United States
Marshfield Medical Center-EC Cancer Center — Eau Claire, Wisconsin, United States
Aurora Health Care Germantown Health Center — Germantown, Wisconsin, United States
Aurora Cancer Care-Grafton — Grafton, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green Bay — Green Bay, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary's — Green Bay, Wisconsin, United States
Aurora BayCare Medical Center — Green Bay, Wisconsin, United States
Essentia Health-Hayward Clinic — Hayward, Wisconsin, United States
Tamarack Health Hayward Medical Center — Hayward, Wisconsin, United States
Aurora Cancer Care-Kenosha South — Kenosha, Wisconsin, United States
Gundersen Lutheran Medical Center — La Crosse, Wisconsin, United States
Marshfield Medical Center - Ladysmith — Ladysmith, Wisconsin, United States
Aurora Bay Area Medical Group-Marinette — Marinette, Wisconsin, United States
Marshfield Medical Center-Marshfield — Marshfield, Wisconsin, United States
Aspirus Medford Hospital — Medford, Wisconsin, United States
Aurora Cancer Care-Milwaukee — Milwaukee, Wisconsin, United States
Aurora Saint Luke's Medical Center — Milwaukee, Wisconsin, United States
Aurora Sinai Medical Center — Milwaukee, Wisconsin, United States
Marshfield Medical Center - Minocqua — Minocqua, Wisconsin, United States
ProHealth D N Greenwald Center — Mukwonago, Wisconsin, United States
Marshfield Medical Center - Neillsville — Neillsville, Wisconsin, United States
Cancer Center of Western Wisconsin — New Richmond, Wisconsin, United States
ProHealth Oconomowoc Memorial Hospital — Oconomowoc, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Oconto Falls — Oconto Falls, Wisconsin, United States
Vince Lombardi Cancer Clinic - Oshkosh — Oshkosh, Wisconsin, United States
Aurora Cancer Care-Racine — Racine, Wisconsin, United States
Aspirus Cancer Care-Rhinelander-James Beck Cancer Center — Rhinelander, Wisconsin, United States
Marshfield Medical Center-Rice Lake — Rice Lake, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Sheboygan — Sheboygan, Wisconsin, United States
Sheboygan Physicians Group — Sheboygan, Wisconsin, United States
Vince Lombardi Cancer Clinic-Sheboygan — Sheboygan, Wisconsin, United States
Essentia Health-Spooner Clinic — Spooner, Wisconsin, United States
Aspirus Cancer Care - Stevens Point — Stevens Point, Wisconsin, United States
Marshfield Medical Center-River Region at Stevens Point — Stevens Point, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Sturgeon Bay — Sturgeon Bay, Wisconsin, United States
Aurora Medical Center in Summit — Summit, Wisconsin, United States
Essentia Health Saint Mary's Hospital - Superior — Superior, Wisconsin, United States
Vince Lombardi Cancer Clinic-Two Rivers — Two Rivers, Wisconsin, United States
ProHealth Waukesha Memorial Hospital — Waukesha, Wisconsin, United States
UW Cancer Center at ProHealth Care — Waukesha, Wisconsin, United States
Aspirus Cancer Care-Wausau — Wausau, Wisconsin, United States
Marshfield Clinic-Wausau Center — Wausau, Wisconsin, United States
Aurora Cancer Care-Milwaukee West — Wauwatosa, Wisconsin, United States
Aurora West Allis Medical Center — West Allis, Wisconsin, United States
Marshfield Medical Center - Weston — Weston, Wisconsin, United States
Aspirus Cancer Care - Wisconsin Rapids — Wisconsin Rapids, Wisconsin, United States
Marshfield Clinic - Wisconsin Rapids Center — Wisconsin Rapids, Wisconsin, United States
Cheyenne Regional Medical Center-West — Cheyenne, Wyoming, United States
Memorial Hospital of Laramie County — Cheyenne, Wyoming, United States
Billings Clinic-Cody — Cody, Wyoming, United States
Welch Cancer Center — Sheridan, Wyoming, United States
Cancer Center-Metro Medical Center Bayamon — Bayamón, Puerto Rico
Puerto Rico Hematology Oncology Group — Bayamón, Puerto Rico
Doctors Cancer Center — Manati, Puerto Rico
San Juan Community Oncology Group — San Juan, Puerto Rico
Centro Comprensivo de Cancer de UPR — San Juan, Puerto Rico
PROncology — San Juan, Puerto Rico
San Juan City Hospital — San Juan, Puerto Rico

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