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NCT06592924PHASE3Recruiting

Docetaxel to Androgen Receptor Pathway Inhibitors in Patients With Metastatic Castration Sensitive Prostate Cancer and Suboptimal PSA Response

Canadian Cancer Trials Group

Start Date

5/28/2025

Completion Date

4/15/2031

Summary

This study is being done to answer the following question: can the chance of prostate cancer growing or spreading be lowered by adding a drug to the usual combination of drugs? This study would like to find out if this approach is better or worse than the usual approach for prostate cancer. The usual approach for patients who are not in a study is hormone treatment with Androgen Deprivation Therapy (ADT) and Androgen-Receptor Pathway Inhibitor (ARPI).

Detailed Description

This is an international multi-centre, open-label, randomized phase III trial comparing Docetaxel chemotherapy added to standard of care Androgen Deprivation Therapy (ADT) + Androgen-Receptor Pathway Inhibitor (ARPI) versus standard of care Androgen Deprivation Therapy (ADT) + Androgen-Receptor Pathway Inhibitor (ARPI) in participants with metastatic castration sensitive prostate cancer (mCSPC) who have a suboptimal PSA response after 6-12 months of androgen-targeting therapy.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Histologically/cytologically confirmed adenocarcinoma of the prostate or participants with a PSA \>100 ng/ml (100 ug/L) and radiographic evidence of metastatic disease at diagnosis. * Metastatic disease by conventional imaging (bone scan or CT and/or MRI or PSMA-PET scan at the time of ADT initiation. * PSA of ≥ 2.0 ng/ml (2.0 ug/L) prior to commencement of ADT (this refers to patients who have histologically/cytologically confirmed adenocarcinoma of the prostate) * Patients will have recovered from any treatment-related toxicities prior to enrollment (unless ≤ grade 1, irreversible, or considered by investigator as not clinically significant). * Patients may enroll with persistent toxicities attributable to ADT, including hot flushes and fatigue, of any grade, provided these toxicities are clinically stable, not rapidly worsening, and not considered by the Investigator to pose a safety risk or impair the patient's ability to comply with study procedures. Such toxicities do not need to resolve to Grade ≤1 prior to study entry. * Receipt of ADT for mCSPC for at least 6 months and no greater than 12 months (+/- 3 weeks) at time of enrollment. * Receipt of ARPI (e.g. abiraterone acetate, enzalutamide, apalutamide, or darolutamide) for at least 4 months (+/- 2 weeks) at time of enrollment * Patients may have had radiotherapy to prostatic bed and/or metastatic sites prior to enrollment. Potential trial participants should have recovered from radiotherapy-related toxicities prior to enrollment. * Serum testosterone \<1.7 nmol/L or 50 ng/dL. * PSA ≥ 0.2 ng/ml (0.2 ug/L) within 28 days of enrollment. * Candidate for docetaxel chemotherapy * ECOG Performance Status (PS) 0 to 2. * Adequate organ and marrow function measured within 28 days prior to enrollment. * Participant consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each participant must sign a consent form prior to enrollment in the trial to document their willingness to participate. * Participants must be accessible for treatment and follow-up. Investigators must assure themselves the participants enrolled on this trial will be available for complete documentation of the treatment, adverse events, and follow-up. * In accordance with CCTG policy, protocol treatment is to begin within 10 working days of participant enrollment. * If the participant and the participant's partner are of childbearing potential, they must agree to use medically accepted methods of contraception * HIV-infected participants on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. * Participant access to all protocol therapies must be confirmed prior to enrollment Exclusion Criteria: * Confirmed PSA progression, defined by an increase in PSA of 25% above the nadir since achieving castration on ADT, an absolute increase in PSA value of 2.0 ng/ml (ug/L) above nadir, and a subsequent increase in PSA of 25% further separated by 3 or more weeks. * Evidence of confirmed radiographic progression or clinical progression since start of ADT. Participants may be enrolled on the study if, in the opinion of the investigator, any new bone lesions on bone scan and CT represent flare or treatment effect. * Docetaxel criteria: * Prior treatment with taxane chemotherapy * Grade 2 or worse peripheral neuropathy * Severe hypersensitivity to drugs formulated with polysorbate 80 * Clinically significant cardiac disease including: * History of unstable angina pectoris, symptomatic pericarditis, or myocardial infarction within 6 months prior to study entry. * History of documented congestive heart failure (New York Heart Association functions classification III-IV). * Patients with uncontrolled intercurrent illness or any other significant condition(s) that would make this protocol unreasonably hazardous. * Patients with a prior or concurrent malignancy whose natural history of treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. * Concurrent treatment with other anti-cancer systemic therapy other than ADT and ARPI. * Live attenuated vaccination administered within 30 days prior to enrollment/randomization. * For participants with a history of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated. * Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. For participants with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load. * High-grade neuroendocrine prostate cancer or small cell features (except if a participant has no histological diagnosis but a PSA \>100 ng/ml (\>100 ug/L) at diagnosis and radiographic evidence of metastatic disease)

Interventions

DRUG

Abiraterone

DRUG

Enzalutamide

DRUG

Apalutamide

DRUG

Darolutamide (BAY 1841788)

DRUG

Docetaxel

DRUG

ADT

Interested in This Trial?

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Conditions

Prostate Cancer (Adenocarcinoma)

Locations

Anchorage Associates in Radiation Medicine

Anchorage, Alaska 98508

United States

Alaska Breast Care and Surgery LLC

Anchorage, Alaska 99508

United States

Alaska Oncology and Hematology LLC

Anchorage, Alaska 99508

United States

Alaska Women's Cancer Care

Anchorage, Alaska 99508

United States

Katmai Oncology Group

Anchorage, Alaska 99508

United States

Providence Alaska Medical Center

Anchorage, Alaska 99508

United States

Fairbanks Memorial Hospital

Fairbanks, Alaska 99701

United States

Cancer Center at Saint Joseph's

Phoenix, Arizona 85004

United States

Kaiser Permanente-Anaheim

Anaheim, California 92806

United States

Mission Hope Medical Oncology - Arroyo Grande

Arroyo Grande, California 93420

United States

Kaiser Permanente-Baldwin Park

Baldwin Park, California 91706

United States

Kaiser Permanente-Bellflower

Bellflower, California 90706

United States

Tower Cancer Research Foundation

Beverly Hills, California 90211

United States

Providence Saint Joseph Medical Center/Disney Family Cancer Center

Burbank, California 91505

United States

Mercy Cancer Center - Carmichael

Carmichael, California 95608

United States

Mercy San Juan Medical Center

Carmichael, California 95608

United States

City of Hope Comprehensive Cancer Center

Duarte, California 91010

United States

Mercy Cancer Center - Elk Grove

Elk Grove, California 95758

United States

Stanford Cancer Center Emeryville

Emeryville, California 94608

United States

Kaiser Permanente-Fontana

Fontana, California 92335

United States

Kaiser Permanente South Bay

Harbor City, California 90710

United States

UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care

Irvine, California 92612

United States

City of Hope at Irvine Lennar

Irvine, California 92618

United States

Kaiser Permanente-Irvine

Irvine, California 92618

United States

City of Hope Antelope Valley

Lancaster, California 93534

United States

City of Hope at Long Beach Elm

Long Beach, California 90813

United States

Kaiser Permanente Los Angeles Medical Center

Los Angeles, California 90027

United States

Los Angeles General Medical Center

Los Angeles, California 90033

United States

USC / Norris Comprehensive Cancer Center

Los Angeles, California 90033

United States

Kaiser Permanente West Los Angeles

Los Angeles, California 90034

United States

Cedars-Sinai Medical Center

Los Angeles, California 90048

United States

Mercy Cancer Center

Merced, California 95340

United States

Providence Queen of The Valley

Napa, California 94558

United States

USC Norris Oncology/Hematology-Newport Beach

Newport Beach, California 92663

United States

Kaiser Permanente-Ontario

Ontario, California 91761

United States

UC Irvine Health/Chao Family Comprehensive Cancer Center

Orange, California 92868

United States

Stanford Cancer Institute Palo Alto

Palo Alto, California 94304

United States

VA Palo Alto Health Care System

Palo Alto, California 94304

United States

Kaiser Permanente - Panorama City

Panorama City, California 91402

United States

Keck Medical Center of USC Pasadena

Pasadena, California 91105

United States

Kaiser Permanente-Riverside

Riverside, California 92505

United States

Mercy Cancer Center - Rocklin

Rocklin, California 95765

United States

Mercy Cancer Center - Sacramento

Sacramento, California 95816

United States

Kaiser Permanente-San Diego Zion

San Diego, California 92120

United States

Stanford Cancer Center South Bay

San Jose, California 95124

United States

Pacific Central Coast Health Center-San Luis Obispo

San Luis Obispo, California 93401

United States

Kaiser Permanente-San Marcos

San Marcos, California 92078

United States

Mission Hope Medical Oncology - Santa Maria

Santa Maria, California 93444

United States

Providence Medical Foundation - Santa Rosa

Santa Rosa, California 95403

United States

Providence Santa Rosa Memorial Hospital

Santa Rosa, California 95405

United States

City of Hope South Pasadena

South Pasadena, California 91030

United States

Saint Joseph's Medical Center

Stockton, California 95204

United States

Cedars-Sinai Cancer - Tarzana

Tarzana, California 91356

United States

City of Hope South Bay

Torrance, California 90503

United States

Torrance Memorial Physician Network - Cancer Care

Torrance, California 90505

United States

City of Hope Upland

Upland, California 91786

United States

Woodland Memorial Hospital

Woodland, California 95695

United States

Kaiser Permanente-Woodland Hills

Woodland Hills, California 91367

United States

UCHealth University of Colorado Hospital

Aurora, Colorado 80045

United States

Penrose-Saint Francis Healthcare

Colorado Springs, Colorado 80907

United States

Rocky Mountain Cancer Centers-Penrose

Colorado Springs, Colorado 80907

United States

UCHealth Memorial Hospital Central

Colorado Springs, Colorado 80909

United States

Memorial Hospital North

Colorado Springs, Colorado 80920

United States

Saint Francis Cancer Center

Colorado Springs, Colorado 80923

United States

UCHealth - Cherry Creek

Denver, Colorado 80206

United States

Dillon Health Center/Shaw Cancer Center

Dillon, Colorado 80435

United States

CommonSpirit Cancer Center Mercy

Durango, Colorado 81301

United States

Mercy Medical Center

Durango, Colorado 81301

United States

Shaw Cancer Center

Edwards, Colorado 81632

United States

Poudre Valley Hospital

Fort Collins, Colorado 80524

United States

Cancer Care and Hematology-Fort Collins

Fort Collins, Colorado 80528

United States

UCHealth Greeley Hospital

Greeley, Colorado 80631

United States

UCHealth Highlands Ranch Hospital

Highlands Ranch, Colorado 80129

United States

CommonSpirit Saint Anthony Hospital Cancer Center

Lakewood, Colorado 80228

United States

UCHealth Lone Tree Health Center

Lone Tree, Colorado 80124

United States

Longmont United Hospital

Longmont, Colorado 80501

United States

Medical Center of the Rockies

Loveland, Colorado 80538

United States

Saint Mary Corwin Medical Center

Pueblo, Colorado 81004

United States

Saint Anthony North Hospital

Westminster, Colorado 80023

United States

Veterans Affairs Connecticut Healthcare System-West Haven Campus

West Haven, Connecticut 06516

United States

Beebe Medical Center

Lewes, Delaware 19958

United States

Beebe South Coastal Health Campus

Millville, Delaware 19967

United States

Helen F Graham Cancer Center

Newark, Delaware 19713

United States

Medical Oncology Hematology Consultants PA

Newark, Delaware 19713

United States

Christiana Care Health System-Christiana Hospital

Newark, Delaware 19718

United States

Beebe Health Campus

Rehoboth Beach, Delaware 19971

United States

Christiana Care Health System-Wilmington Hospital

Wilmington, Delaware 19801

United States

Sibley Memorial Hospital

Washington D.C., District of Columbia 20016

United States

George Washington University Medical Center

Washington D.C., District of Columbia 20037

United States

Mount Sinai Comprehensive Cancer Center at Aventura

Aventura, Florida 33180

United States

UM Sylvester Comprehensive Cancer Center at Coral Gables

Coral Gables, Florida 33146

United States

UM Sylvester Comprehensive Cancer Center at Coral Springs

Coral Springs, Florida 33065

United States

UM Sylvester Comprehensive Cancer Center at Deerfield Beach

Deerfield Beach, Florida 33442

United States

UM Sylvester Comprehensive Cancer Center at Doral

Doral, Florida 33166

United States

Malcom Randall Veterans Administration Medical Center

Gainesville, Florida 32610

United States

UM Sylvester Comprehensive Cancer Center at Hollywood

Hollywood, Florida 33021

United States

University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida 33136

United States

UM Sylvester Comprehensive Cancer Center at Kendall

Miami, Florida 33176

United States

Mount Sinai Medical Center

Miami Beach, Florida 33140

United States

University of Miami Sylvester Comprehensive Cancer Center at Sole Mia

North Miami, Florida 33181

United States

UM Sylvester Comprehensive Cancer Center at Plantation

Plantation, Florida 33324

United States

Cleveland Clinic-Weston

Weston, Florida 33331

United States

Grady Health System

Atlanta, Georgia 30303

United States

Emory University Hospital Midtown

Atlanta, Georgia 30308

United States

Emory University Hospital/Winship Cancer Institute

Atlanta, Georgia 30322

United States

Emory Saint Joseph's Hospital

Atlanta, Georgia 30342

United States

Atlanta VA Medical Center

Decatur, Georgia 30033

United States

Emory Decatur Hospital

Decatur, Georgia 30033

United States

Emory Johns Creek Hospital

Johns Creek, Georgia 30097

United States

Hawaii Cancer Care Inc - Waterfront Plaza

Honolulu, Hawaii 96813

United States

Queen's Cancer Cenrer - POB I

Honolulu, Hawaii 96813

United States

Queen's Medical Center

Honolulu, Hawaii 96813

United States

Straub Clinic and Hospital

Honolulu, Hawaii 96813

United States

University of Hawaii Cancer Center

Honolulu, Hawaii 96813

United States

Hawaii Diagnostic Radiology Services LLC

Honolulu, Hawaii 96817

United States

Kuakini Medical Center

Honolulu, Hawaii 96817

United States

Queen's Cancer Center - Kuakini

Honolulu, Hawaii 96817

United States

The Cancer Center of Hawaii-Liliha

Honolulu, Hawaii 96817

United States

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii 96826

United States

Tripler Army Medical Center

Honolulu, Hawaii 96859

United States

Straub Medical Center - Kahului Clinic

Kahului, Hawaii 96732

United States

Castle Medical Center

Kailua, Hawaii 96734

United States

Wilcox Memorial Hospital and Kauai Medical Clinic

Lihue, Hawaii 96766

United States

Hawaii Cancer Care - Westridge

‘Aiea, Hawaii 96701

United States

Pali Momi Medical Center

‘Aiea, Hawaii 96701

United States

Queen's Cancer Center - Pearlridge

‘Aiea, Hawaii 96701

United States

Straub Pearlridge Clinic

‘Aiea, Hawaii 96701

United States

The Cancer Center of Hawaii-Pali Momi

‘Aiea, Hawaii 96701

United States

The Queen's Medical Center - West Oahu

‘Ewa Beach, Hawaii 96706

United States

Saint Alphonsus Cancer Care Center-Boise

Boise, Idaho 83706

United States

Saint Luke's Cancer Institute - Boise

Boise, Idaho 83712

United States

Saint Alphonsus Cancer Care Center-Caldwell

Caldwell, Idaho 83605

United States

Kootenai Health - Coeur d'Alene

Coeur d'Alene, Idaho 83814

United States

Saint Luke's Cancer Institute - Fruitland

Fruitland, Idaho 83619

United States

Idaho Urologic Institute-Meridian

Meridian, Idaho 83642

United States

Saint Luke's Cancer Institute - Meridian

Meridian, Idaho 83642

United States

Saint Alphonsus Cancer Care Center-Nampa

Nampa, Idaho 83687

United States

Saint Luke's Cancer Institute - Nampa

Nampa, Idaho 83687

United States

Kootenai Clinic Cancer Services - Post Falls

Post Falls, Idaho 83854

United States

Kootenai Clinic Cancer Services - Sandpoint

Sandpoint, Idaho 83864

United States

Saint Luke's Cancer Institute - Twin Falls

Twin Falls, Idaho 83301

United States

University of Illinois

Chicago, Illinois 60612

United States

Elmhurst Memorial Hospital

Elmhurst, Illinois 60126

United States

Edward Hospital/Cancer Center

Naperville, Illinois 60540

United States

Edward Hospital/Cancer Center?Plainfield

Plainfield, Illinois 60585

United States

Memorial Hospital East

Shiloh, Illinois 62269

United States

Midwestern Regional Medical Center

Zion, Illinois 60099

United States

UI Health Care Mission Cancer and Blood - Ankeny Clinic

Ankeny, Iowa 50023

United States

Saint Anthony Regional Hospital

Carroll, Iowa 51401

United States

Mercy Hospital

Cedar Rapids, Iowa 52403

United States

Oncology Associates at Mercy Medical Center

Cedar Rapids, Iowa 52403

United States

Mercy Cancer Center-West Lakes

Clive, Iowa 50325

United States

UI Health Care Mission Cancer and Blood - West Des Moines Clinic

Clive, Iowa 50325

United States

Greater Regional Medical Center

Creston, Iowa 50801

United States

Iowa Methodist Medical Center

Des Moines, Iowa 50309

United States

UI Health Care Mission Cancer and Blood - Des Moines Clinic

Des Moines, Iowa 50309

United States

Broadlawns Medical Center

Des Moines, Iowa 50314

United States

Mercy Medical Center - Des Moines

Des Moines, Iowa 50314

United States

UI Health Care Mission Cancer and Blood - Laurel Clinic

Des Moines, Iowa 50314

United States

UI Healthcare Mission Cancer and Blood - Fort Dodge

Fort Dodge, Iowa 50501

United States

UI Healthcare Mission Cancer and Blood - Pella

Pella, Iowa 50219

United States

UI Health Care Mission Cancer and Blood - Waukee Clinic

Waukee, Iowa 50263

United States

Mercy Medical Center-West Lakes

West Des Moines, Iowa 50266

United States

The Iowa Clinic PC

West Des Moines, Iowa 50266

United States

CommonSpirit Saint Joseph Hospital - Bardstown

Bardstown, Kentucky 40004

United States

Commonwealth Cancer Center-Corbin

Corbin, Kentucky 40701

United States

CommonSpirit Saint Joseph Hospital - Lexington

Lexington, Kentucky 40504

United States

Saint Joseph Radiation Oncology Resource Center

Lexington, Kentucky 40504

United States

CommonSpirit Saint Joseph Medical Center - East Lexington

Lexington, Kentucky 40509

United States

University of Kentucky/Markey Cancer Center

Lexington, Kentucky 40536

United States

CommonSpirit Saint Joseph Hospital London

London, Kentucky 40741

United States

The James Graham Brown Cancer Center at University of Louisville

Louisville, Kentucky 40202

United States

Baptist Health Louisville

Louisville, Kentucky 40207

United States

UofL Health Medical Center Northeast

Louisville, Kentucky 40245

United States

CommonSpirit Saint Joseph Hospital Mount Sterling

Mount Sterling, Kentucky 40353

United States

Louisiana Hematology Oncology Associates LLC

Baton Rouge, Louisiana 70809

United States

Ochsner Hematology Oncology North Shore - Covington (West Region)

Covington, Louisiana 70433

United States

Mary Bird Perkins Cancer Center - Metairie

Metairie, Louisiana 70002

United States

University Medical Center New Orleans

New Orleans, Louisiana 70112

United States

Ochsner Medical Center Jefferson

New Orleans, Louisiana 70121

United States

Johns Hopkins University/Sidney Kimmel Cancer Center

Baltimore, Maryland 21287

United States

Christiana Care - Union Hospital

Elkton, Maryland 21921

United States

Veteran's Administration Medical Center - Ann Arbor

Ann Arbor, Michigan 48105

United States

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan 48109

United States

McLaren Cancer Institute-Bay City

Bay City, Michigan 48706

United States

University of Michigan - Brighton Center for Specialty Care

Brighton, Michigan 48116

United States

Henry Ford Cancer Institute-Downriver

Brownstown, Michigan 48183

United States

McLaren Cancer Institute-Clarkston

Clarkston, Michigan 48346

United States

Henry Ford Macomb Hospital-Clinton Township

Clinton Township, Michigan 48038

United States

Henry Ford Medical Center-Fairlane

Dearborn, Michigan 48126

United States

Wayne State University/Karmanos Cancer Institute

Detroit, Michigan 48201

United States

Henry Ford Hospital

Detroit, Michigan 48202

United States

Weisberg Cancer Treatment Center

Farmington Hills, Michigan 48334

United States

McLaren Cancer Institute-Flint

Flint, Michigan 48532

United States

Allegiance Health

Jackson, Michigan 49201

United States

Karmanos Cancer Institute at McLaren Greater Lansing

Lansing, Michigan 48910

United States

McLaren Cancer Institute-Lapeer Region

Lapeer, Michigan 48446

United States

McLaren Cancer Institute-Macomb

Mount Clemens, Michigan 48043

United States

McLaren Cancer Institute-Central Michigan

Mount Pleasant, Michigan 48858

United States

Henry Ford Medical Center-Columbus

Novi, Michigan 48377

United States

McLaren Cancer Institute-Northern Michigan

Petoskey, Michigan 49770

United States

McLaren-Port Huron

Port Huron, Michigan 48060

United States

Henry Ford West Bloomfield Hospital

West Bloomfield, Michigan 48322

United States

Henry Ford Wyandotte Hospital

Wyandotte, Michigan 48192

United States

Riverwood Healthcare Center

Aitkin, Minnesota 56431

United States

Essentia Health - Baxter Clinic

Baxter, Minnesota 56425

United States

Essentia Health Saint Joseph's Medical Center

Brainerd, Minnesota 56401

United States

Essentia Health - Saint Joseph's Crosslake Clinic

Crosslake, Minnesota 56442

United States

Essentia Health - Deer River Clinic

Deer River, Minnesota 56636

United States

Essentia Health Saint Mary's - Detroit Lakes Clinic

Detroit Lakes, Minnesota 56501

United States

Essentia Health Cancer Center

Duluth, Minnesota 55805

United States

Essentia Health Saint Mary's Medical Center

Duluth, Minnesota 55805

United States

Miller-Dwan Hospital

Duluth, Minnesota 55805

United States

Essentia Health - Ely Clinic

Ely, Minnesota 55731

United States

Essentia Health - Fosston

Fosston, Minnesota 56542

United States

Essentia Health Hibbing Clinic

Hibbing, Minnesota 55746

United States

Essentia Health - International Falls Clinic

International Falls, Minnesota 56649

United States

Essentia Health - Moose Lake Clinic

Moose Lake, Minnesota 55767

United States

Essentia Health - Park Rapids

Park Rapids, Minnesota 56470

United States

Essentia Health - Saint Joseph's Pequot Lakes Clinic

Pequot Lakes, Minnesota 56472

United States

Essentia Health - Saint Joseph's Pine River Clinic

Pine River, Minnesota 56474

United States

Coborn Cancer Center at Saint Cloud Hospital

Saint Cloud, Minnesota 56303

United States

Essentia Health Sandstone

Sandstone, Minnesota 55072

United States

Essentia Health - Saint Joseph's Staples Clinic

Staples, Minnesota 56479

United States

Essentia Health Virginia Clinic

Virginia, Minnesota 55792

United States

University of Mississippi Medical Center

Jackson, Mississippi 39216

United States

Siteman Cancer Center at Saint Peters Hospital

City of Saint Peters, Missouri 63376

United States

Siteman Cancer Center at West County Hospital

Creve Coeur, Missouri 63141

United States

Washington University School of Medicine

St Louis, Missouri 63110

United States

Siteman Cancer Center-South County

St Louis, Missouri 63129

United States

Siteman Cancer Center at Christian Hospital

St Louis, Missouri 63136

United States

Community Hospital of Anaconda

Anaconda, Montana 59711

United States

Billings Clinic Cancer Center

Billings, Montana 59101

United States

Bozeman Health Deaconess Hospital

Bozeman, Montana 59715

United States

Benefis Sletten Cancer Institute

Great Falls, Montana 59405

United States

Great Falls Clinic

Great Falls, Montana 59405

United States

Hi-Line Sletten Cancer Center

Havre, Montana 59501

United States

Benefis Helena Specialty Center

Helena, Montana 59601

United States

Logan Health Medical Center

Kalispell, Montana 59901

United States

Saint Patrick Hospital - Community Hospital

Missoula, Montana 59802

United States

Community Medical Center

Missoula, Montana 59804

United States

CHI Health Saint Francis

Grand Island, Nebraska 68803

United States

CHI Health Good Samaritan

Kearney, Nebraska 68847

United States

Alegent Health Immanuel Medical Center

Omaha, Nebraska 68122

United States

Alegent Health Bergan Mercy Medical Center

Omaha, Nebraska 68124

United States

Alegent Health Lakeside Hospital

Omaha, Nebraska 68130

United States

Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center

Lebanon, New Hampshire 03756

United States

Montefiore Medical Center-Einstein Campus

The Bronx, New York 10461

United States

Carolinas Medical Center/Levine Cancer Institute

Charlotte, North Carolina 28203

United States

Atrium Health University City/LCI-University

Charlotte, North Carolina 28262

United States

Levine Cancer Institute-Ballantyne

Charlotte, North Carolina 28277

United States

Wake Forest University at Clemmons

Clemmons, North Carolina 27012

United States

Atrium Health Cabarrus/LCI-Concord

Concord, North Carolina 28025

United States

Levine Cancer Institute - Rutherford

Forest City, North Carolina 28043

United States

Levine Cancer Institute-Gaston

Gastonia, North Carolina 28054

United States

Atrium Health Lincoln/LCI-Lincolnton

Lincolnton, North Carolina 28092

United States

Levine Cancer Institute - Union West

Matthews, North Carolina 28104

United States

Atrium Health Union/LCI-Union

Monroe, North Carolina 28112

United States

FirstHealth of the Carolinas-Moore Regional Hospital

Pinehurst, North Carolina 28374

United States

Wake Forest University Health Sciences

Winston-Salem, North Carolina 27157

United States

Essentia Health Cancer Center-South University Clinic

Fargo, North Dakota 58103

United States

Essentia Health - Jamestown Clinic

Jamestown, North Dakota 58401

United States

Cleveland Clinic Akron General

Akron, Ohio 44307

United States

UH Seidman Cancer Center at UH Avon Health Center

Avon, Ohio 44011

United States

UHHS-Chagrin Highlands Medical Center

Beachwood, Ohio 44122

United States

Good Samaritan Hospital - Cincinnati

Cincinnati, Ohio 45220

United States

Bethesda North Hospital

Cincinnati, Ohio 45242

United States

TriHealth Cancer Institute-Westside

Cincinnati, Ohio 45247

United States

TriHealth Cancer Institute-Anderson

Cincinnati, Ohio 45255

United States

Case Western Reserve University

Cleveland, Ohio 44106

United States

MetroHealth Medical Center

Cleveland, Ohio 44109

United States

Cleveland Clinic Cancer Center/Fairview Hospital

Cleveland, Ohio 44111

United States

Cleveland Clinic Foundation

Cleveland, Ohio 44195

United States

Ohio State University Comprehensive Cancer Center

Columbus, Ohio 43210

United States

Hillcrest Hospital Cancer Center

Mayfield Heights, Ohio 44124

United States

UH Seidman Cancer Center at Lake Health Mentor Campus

Mentor, Ohio 44060

United States

ProMedica Flower Hospital

Sylvania, Ohio 43560

United States

ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital

Toledo, Ohio 43606

United States

South Pointe Hospital

Warrensville Heights, Ohio 44122

United States

Cleveland Clinic Wooster Family Health and Surgery Center

Wooster, Ohio 44691

United States

Cancer Centers of Southwest Oklahoma Research

Lawton, Oklahoma 73505

United States

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma 73104

United States

Saint Alphonsus Cancer Care Center-Baker City

Baker City, Oregon 97814

United States

Saint Charles Health System

Bend, Oregon 97701

United States

Clackamas Radiation Oncology Center

Clackamas, Oregon 97015

United States

Bay Area Hospital

Coos Bay, Oregon 97420

United States

Providence Hood River Memorial Hospital

Hood River, Oregon 97031

United States

Asante Rogue Regional Medical Center

Medford, Oregon 97504

United States

Providence Newberg Medical Center

Newberg, Oregon 97132

United States

Saint Alphonsus Cancer Care Center-Ontario

Ontario, Oregon 97914

United States

Providence Willamette Falls Medical Center

Oregon City, Oregon 97045

United States

Providence Portland Medical Center

Portland, Oregon 97213

United States

Providence Saint Vincent Medical Center

Portland, Oregon 97225

United States

Oregon Health and Science University

Portland, Oregon 97239

United States

Saint Charles Health System-Redmond

Redmond, Oregon 97756

United States

Christiana Care Health System-Concord Health Center

Chadds Ford, Pennsylvania 19317

United States

Geisinger Medical Center

Danville, Pennsylvania 17822

United States

Geisinger Cancer Center Dickson City

Dickson City, Pennsylvania 18519

United States

Geisinger Medical Center-Cancer Center Hazleton

Hazleton, Pennsylvania 18201

United States

Geisinger Medical Oncology-Lewisburg

Lewisburg, Pennsylvania 17837

United States

Philadelphia Veterans Administration Medical Center

Philadelphia, Pennsylvania 19104

United States

Geisinger Cancer Services-Pottsville

Pottsville, Pennsylvania 17901

United States

Community Medical Center

Scranton, Pennsylvania 18510

United States

Geisinger Wyoming Valley/Henry Cancer Center

Wilkes-Barre, Pennsylvania 18711

United States

Rhode Island Hospital

Providence, Rhode Island 02903

United States

Miriam Hospital

Providence, Rhode Island 02906

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

Levine Cancer Institute-Rock Hill

Rock Hill, South Carolina 29732

United States

Vanderbilt University/Ingram Cancer Center

Nashville, Tennessee 37232

United States

Houston Methodist San Jacinto Hospital

Baytown, Texas 77521

United States

Houston Methodist Cypress Hospital

Cypress, Texas 77429

United States

Dallas VA Medical Center

Dallas, Texas 75216

United States

Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center

Houston, Texas 77030

United States

Ben Taub General Hospital

Houston, Texas 77030

United States

Houston Methodist Hospital

Houston, Texas 77030

United States

Michael E DeBakey VA Medical Center

Houston, Texas 77030

United States

UT MD Anderson Cancer Center

Houston, Texas 77030

United States

Methodist Willowbrook Hospital

Houston, Texas 77070

United States

Houston Methodist West Hospital

Houston, Texas 77094

United States

Houston Methodist Saint John Hospital

Nassau Bay, Texas 77058

United States

Houston Methodist Sugar Land Hospital

Sugar Land, Texas 77479

United States

Houston Methodist The Woodlands Hospital

The Woodlands, Texas 77385

United States

Huntsman Cancer Institute/University of Utah

Salt Lake City, Utah 84112

United States

Dartmouth Cancer Center - North

Saint Johnsbury, Vermont 05819

United States

University of Virginia Cancer Center

Charlottesville, Virginia 22908

United States

Bon Secours Memorial Regional Medical Center

Mechanicsville, Virginia 23116

United States

Bon Secours Saint Francis Medical Center

Midlothian, Virginia 23114

United States

Bon Secours Richmond Community Hospital

Richmond, Virginia 23223

United States

Bon Secours Saint Mary's Hospital

Richmond, Virginia 23226

United States

Bon Secours Cancer Institute at Reynolds Crossing

Richmond, Virginia 23230

United States

Providence Regional Cancer System-Aberdeen

Aberdeen, Washington 98520

United States

FHCC Overlake

Bellevue, Washington 98004

United States

PeaceHealth Saint Joseph Medical Center

Bellingham, Washington 98225

United States

Providence Regional Cancer System-Centralia

Centralia, Washington 98531

United States

Swedish Cancer Institute-Edmonds

Edmonds, Washington 98026

United States

Providence Regional Cancer Partnership

Everett, Washington 98201

United States

Swedish Cancer Institute-Issaquah

Issaquah, Washington 98029

United States

Kadlec Clinic Hematology and Oncology

Kennewick, Washington 99336

United States

FHCC at EvergreenHealth

Kirkland, Washington 98034

United States

Providence Regional Cancer System-Lacey

Lacey, Washington 98503

United States

PeaceHealth Saint John Medical Center

Longview, Washington 98632

United States

Skagit Regional Health Cancer Care Center

Mount Vernon, Washington 98274

United States

Swedish Medical Center-Ballard Campus

Seattle, Washington 98107

United States

Fred Hutchinson Cancer Center

Seattle, Washington 98109

United States

Swedish Medical Center-Cherry Hill

Seattle, Washington 98122-5711

United States

Swedish Medical Center-First Hill

Seattle, Washington 98122

United States

FHCC at Northwest Hospital

Seattle, Washington 98133

United States

University of Washington Medical Center - Montlake

Seattle, Washington 98195

United States

PeaceHealth United General Medical Center

Sedro-Woolley, Washington 98284

United States

Saint Joseph Medical Center Hematology and Oncology - Silverdale

Silverdale, Washington 98383

United States

Cancer Care Northwest - Spokane South

Spokane, Washington 99202

United States

Cancer Care Northwest-Valley

Spokane, Washington 99216

United States

Cancer Care Northwest-North Spokane

Spokane, Washington 99218

United States

PeaceHealth Southwest Medical Center

Vancouver, Washington 98664

United States

Providence Saint Mary Regional Cancer Center

Walla Walla, Washington 99362

United States

Duluth Clinic Ashland

Ashland, Wisconsin 54806

United States

Northwest Wisconsin Cancer Center

Ashland, Wisconsin 54806

United States

Marshfield Medical Center-EC Cancer Center

Eau Claire, Wisconsin 54701

United States

Essentia Health-Hayward Clinic

Hayward, Wisconsin 54843

United States

Tamarack Health Hayward Medical Center

Hayward, Wisconsin 54843

United States

University of Wisconsin Carbone Cancer Center - Eastpark Medical Center

Madison, Wisconsin 53718

United States

University of Wisconsin Carbone Cancer Center - University Hospital

Madison, Wisconsin 53792

United States

Marshfield Medical Center-Marshfield

Marshfield, Wisconsin 54449

United States

ProHealth D N Greenwald Center

Mukwonago, Wisconsin 53149

United States

ProHealth Oconomowoc Memorial Hospital

Oconomowoc, Wisconsin 53066

United States

Marshfield Medical Center-Rice Lake

Rice Lake, Wisconsin 54868

United States

Essentia Health-Spooner Clinic

Spooner, Wisconsin 54801

United States

Marshfield Medical Center-River Region at Stevens Point

Stevens Point, Wisconsin 54482

United States

Essentia Health Saint Mary's Hospital - Superior

Superior, Wisconsin 54880

United States

ProHealth Waukesha Memorial Hospital

Waukesha, Wisconsin 53188

United States

UW Cancer Center at ProHealth Care

Waukesha, Wisconsin 53188

United States

Marshfield Medical Center - Weston

Weston, Wisconsin 54476

United States

Memorial Hospital of Laramie County

Cheyenne, Wyoming 82001

United States

Billings Clinic-Cody

Cody, Wyoming 82414

United States

Cross Cancer Institute

Edmonton, Alberta T6G 1Z2

Canada

BCCA-Vancouver Cancer Centre

Vancouver, British Columbia V5Z 4E6

Canada

CancerCare Manitoba

Winnipeg, Manitoba R3E 0V9

Canada

Atlantic Health Sciences Corporation-Saint John Regional Hospital

Saint John, New Brunswick E2L 4L2

Canada

Health Sciences North

Greater Sudbury, Ontario P3E 5J1

Canada

Juravinski Cancer Centre at Hamilton Health Sciences

Hamilton, Ontario L8V 5C2

Canada

Kingston Health Sciences Centre

Kingston, Ontario K7L 2V7

Canada

Waterloo Regional Health Network

Kitchener, Ontario N2G 1G3

Canada

London Regional Cancer Program

London, Ontario N6A 4L6

Canada

Trillium Health Partners - Credit Valley Hospital

Mississauga, Ontario L5M 2N1

Canada

Ottawa Hospital and Cancer Center-General Campus

Ottawa, Ontario K1H 8L6

Canada

Niagara Health System-Saint Catharines General

Saint Catharines, Ontario L2S 0A9

Canada

Odette Cancer Centre- Sunnybrook Health Sciences Centre

Toronto, Ontario M4N 3M5

Canada

University Health Network-Princess Margaret Hospital

Toronto, Ontario M5G 2M9

Canada

CSSS Champlain-Charles Le Moyne

Greenfield Park, Quebec J4V 2H1

Canada

CIUSSSEMTL-Hopital Maisonneuve-Rosemont

Montreal, Quebec H1T 2M4

Canada

Jewish General Hospital

Montreal, Quebec H3T 1E2

Canada

CHA Hopital L'Enfant-Jesus

Québec, Quebec G1J 1Z4

Canada

Saskatoon Cancer Centre

Saskatoon, Saskatchewan S7N 4H4

Canada

Instituto Nacional De Cancerologia de Mexico

Mexico City, Tlalpan 14080

Mexico

Hospital de Clinicas Dr Manuel Quintela

Montevideo, 11600

Uruguay