Know Cancer

or
forgot password

A Phase III Protocol of Androgen Suppression (AS) and 3DCTR/IMRT Vs AS and 3DCTR/IMRT Followed by Chemotherapy With Docetaxel and Prednisone for Localized, High-Risk, Prostate Cancer


Phase 3
18 Years
N/A
Open (Enrolling)
Male
Prostate Cancer

Thank you

Trial Information

A Phase III Protocol of Androgen Suppression (AS) and 3DCTR/IMRT Vs AS and 3DCTR/IMRT Followed by Chemotherapy With Docetaxel and Prednisone for Localized, High-Risk, Prostate Cancer


OBJECTIVES:

Primary

- Compare the relative efficacy, in terms of overall survival, of the combination of
androgen suppression and radiotherapy versus androgen suppression and radiotherapy
followed by docetaxel and prednisone in patients with localized, high-risk prostate
cancer.

Secondary

- Compare the disease-free survival and incidence of adverse events in patients treated
with these regimens.

- Compare the biochemical control, local control, and freedom from distant metastases in
patients treated with these regimens.

- Determine the validity of prostate-specific antigen (PSA)-defined endpoints as a
surrogate for overall survival of patients treated with these regimens.

- Compare the time interval between biochemical failure and distant metastases with
respect to testosterone level in patients treated with these regimens.

OUTLINE: This is an open-label, randomized, multicenter study. Patients are stratified
according to risk group.

- Arm I: Patients receive androgen suppression therapy comprising luteinizing
hormone-releasing hormone (LHRH) agonist (e.g., leuprolide acetate, goserelin,
buserelin, or triptorelin) and oral antiandrogen (i.e., oral flutamide 3 times daily
for 2 months or oral bicalutamide once daily for 2 months). Beginning at week 8,
patients undergo radiotherapy 5 days a week for approximately 8 weeks. Antiandrogen
therapy is discontinued at completion of radiotherapy, but LHRH agonist therapy
continues for 20 months.

- Arm II: Patients receive androgen suppression therapy and undergo radiotherapy as in
arm I. Beginning 4 weeks after completion of radiotherapy, patients receive docetaxel
IV over 1 hour on day 1 and oral prednisone daily on days 1-21. Treatment repeats every
21 days for up to 6 courses in the absence of disease progression or unacceptable
toxicity. Patients continue LHRH agonist therapy as in arm I.

After completion of study treatment, patients are followed every 3 months for 2 years, every
6 months for 3 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 600 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed prostate cancer at high-risk for recurrence within the past
180 days as determined by 1 of the following combinations (risk groups):

- Gleason score ≥ 9, prostate-specific antigen (PSA) ≤ 150 ng/mL, and any T stage

- Gleason score 8, PSA < 20 ng/mL, and stage ≥ T2

- Gleason score 8, PSA 20-150 ng/mL, and any T stage

- Gleason score 7, PSA 20-150 ng/mL, and any T stage

- Clinically negative lymph nodes by imaging (pelvic CT scan or pelvic MRI), nodal
sampling, or dissection within 90 days prior to study entry

- Equivocal or questionable lymph nodes ≤ 1.5 cm by imaging allowed

- Positive lymph nodes by capromab pendetide (ProstaScint^®) scan with a
corresponding lymph node ≤ 1.5 cm by CT scan or MRI allowed

- PSA ≤ 150 ng/mL

- Cannot have been obtained during any of the following time points:

- 10-day period after prostate biopsy

- After initiation of hormonal therapy

- Within 30 days after discontinuation of finasteride

- Within 90 days after discontinuation of dutasteride

- No distant metastases by physical exam and bone scan

- Equivocal bone scan findings allowed if plain films are negative

PATIENT CHARACTERISTICS:

- Zubrod performance status 0-1

- Platelet count ≥ 100,000/mm^3

- Absolute neutrophil count ≥ 1,800/mm^3

- Hemoglobin ≥ 8 g/dL (transfusion or other intervention allowed)

- ALT and AST ≤ 1.5 times upper limit of normal (ULN)

- Alkaline phosphatase ≤ 2.5 times ULN

- Bilirubin ≤ 1.5 times ULN

- Fertile patients must use effective contraception during and for at least 3 months
after completion of study treatment

- No prior invasive malignancy, except nonmelanomatous skin cancer or other malignancy,
unless disease-free for ≥ 3 years (e.g., carcinoma in situ of the oral cavity or
bladder are allowed)

- No unstable angina and/or congestive heart failure requiring hospitalization within
the past 6 months

- No transmural myocardial infarction within the past 6 months

- No acute bacterial or fungal infection requiring intravenous antibiotics

- No AIDS

- No prior allergic reaction to any study drugs or other drugs formulated with
polysorbate 80

- No existing peripheral neuropathy ≥ grade 2

PRIOR CONCURRENT THERAPY:

- At least 60 days since prior 5-alpha reductase inhibitor (e.g., finasteride) for
prostatic hypertrophy

- At least 90 days since prior testosterone

- Prior pharmacologic androgen ablation for prostate cancer allowed provided androgen
ablation was initiated no more than 50 days prior to study entry

- No prior radical prostatectomy, cryosurgery for prostate cancer, or bilateral
orchiectomy

- No prior systemic chemotherapy for prostate cancer

- Prior chemotherapy for a different cancer is allowed

- No prior radiotherapy, including brachytherapy, to the region of prostate cancer that
would result in overlap of radiotherapy fields

- Intensity modulated radiotherapy allowed

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Survival at 4 years after registration

Safety Issue:

No

Principal Investigator

Howard M. Sandler, MD

Investigator Role:

Study Chair

Investigator Affiliation:

University of Michigan Cancer Center

Authority:

United States: Federal Government

Study ID:

CDR0000462375

NCT ID:

NCT00288080

Start Date:

December 2005

Completion Date:

Related Keywords:

  • Prostate Cancer
  • stage III prostate cancer
  • stage IIB prostate cancer
  • stage IIA prostate cancer
  • stage IV prostate cancer
  • Prostatic Neoplasms

Name

Location

Suburban Hospital Bethesda, Maryland  20814
University of Michigan Comprehensive Cancer Center Ann Arbor, Michigan  48109-0752
Barbara Ann Karmanos Cancer Institute Detroit, Michigan  48201
Duke Comprehensive Cancer Center Durham, North Carolina  27710
Cleveland Clinic Cancer Center Cleveland, Ohio  44195
CCOP - Upstate Carolina Spartanburg, South Carolina  29303
Medical City Dallas Hospital Dallas, Texas  75230
CCOP - Missouri Valley Cancer Consortium Omaha, Nebraska  68131
CCOP - Christiana Care Health Services Wilmington, Delaware  19899
CCOP - Metro-Minnesota Saint Louis Park, Minnesota  55416
St. Joseph Regional Cancer Center Bryan, Texas  77802
Swedish Medical Center Englewood, Colorado  80110
St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center Grand Junction, Colorado  81502
West Michigan Cancer Center Kalamazoo, Michigan  49007-3731
Fairview Ridges Hospital Burnsville, Minnesota  55337
Mercy and Unity Cancer Center at Mercy Hospital Coon Rapids, Minnesota  55433
Fairview Southdale Hospital Edina, Minnesota  55435
Mercy and Unity Cancer Center at Unity Hospital Fridley, Minnesota  55432
Minnesota Oncology Hematology, PA - Maplewood Maplewood, Minnesota  55109
Virginia Piper Cancer Institute at Abbott - Northwestern Hospital Minneapolis, Minnesota  55407
Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center Robbinsdale, Minnesota  55422-2900
United Hospital St. Paul, Minnesota  55102
Ridgeview Medical Center Waconia, Minnesota  55387
Natalie Warren Bryant Cancer Center at St. Francis Hospital Tulsa, Oklahoma  74136
Penn State Cancer Institute at Milton S. Hershey Medical Center Hershey, Pennsylvania  17033-0850
Medical College of Wisconsin Cancer Center Milwaukee, Wisconsin  53226
CCOP - Ochsner New Orleans, Louisiana  70121
Providence Saint Joseph Medical Center - Burbank Burbank, California  91505
CCOP - Bay Area Tumor Institute Oakland, California  94609-3305
Bridgeport Hospital Bridgeport, Connecticut  06610
Northwest Community Hospital Arlington Heights, Illinois  60005
CCOP - Montana Cancer Consortium Billings, Montana  59101
Veterans Affairs Medical Center - Dayton Dayton, Ohio  45428
Grand View Hospital Sellersville, Pennsylvania  18960
CCOP - Greenville Greenville, South Carolina  29615
Holden Comprehensive Cancer Center at University of Iowa Iowa City, Iowa  52242-1002
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center Lebanon, New Hampshire  03756-0002
Charles M. Barrett Cancer Center at University Hospital Cincinnati, Ohio  45267-0526
Kimmel Cancer Center at Thomas Jefferson University - Philadelphia Philadelphia, Pennsylvania  19107
UPMC Cancer Center at Magee-Womens Hospital Pittsburgh, Pennsylvania  15213-3180
Cancer Research Center of Hawaii Honolulu, Hawaii  96813
Cleveland Clinic Taussig Cancer Center Cleveland, Ohio  44195
CCOP - Northwest Tacoma, Washington  98405-0986
Veterans Affairs Medical Center - Richmond Richmond, Virginia  23249
Veterans Affairs Medical Center - Syracuse Syracuse, New York  13210
Rebecca and John Moores UCSD Cancer Center La Jolla, California  92093-0658
University of California Davis Cancer Center Sacramento, California  95817
Fletcher Allen Health Care - University Health Center Campus Burlington, Vermont  05401
St. Vincent Mercy Medical Center Toledo, Ohio  43608
Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center Kansas City, Kansas  66160-7353
Josephine Ford Cancer Center at Henry Ford Hospital Detroit, Michigan  48202
Thompson Cancer Survival Center Knoxville, Tennessee  37916
Maine Center for Cancer Medicine and Blood Disorders - Scarborough Scarborough, Maine  04074
Blumenthal Cancer Center at Carolinas Medical Center Charlotte, North Carolina  28232-2861
Hulston Cancer Center at Cox Medical Center South Springfield, Missouri  65807
St. John's Regional Health Center Springfield, Missouri  65804
CCOP - Toledo Community Hospital Toledo, Ohio  43623-3456
Mercy Fitzgerald Hospital Darby, Pennsylvania  19023
Yale Cancer Center New Haven, Connecticut  06520-8028
University of Florida Shands Cancer Center Gainesville, Florida  32610-0232
Winship Cancer Institute of Emory University Atlanta, Georgia  30322
Breslin Cancer Center at Ingham Regional Medical Center Lansing, Michigan  48910
SUNY Upstate Medical University Hospital Syracuse, New York  13210
Presbyterian Cancer Center at Presbyterian Hospital Charlotte, North Carolina  28233-3549
Wake Forest University Comprehensive Cancer Center Winston-Salem, North Carolina  27157-1096
Medical University of Ohio Cancer Center Toledo, Ohio  43614
Hollings Cancer Center at Medical University of South Carolina Charleston, South Carolina  29425
Naval Medical Center - Portsmouth Portsmouth, Virginia  23708-2197
Providence Cancer Center at Sacred Heart Medical Center Spokane, Washington  99220-2555
St. Vincent Hospital Regional Cancer Center Green Bay, Wisconsin  54307-3508
Saint Peter's University Hospital New Brunswick, New Jersey  08901-1780
James P. Wilmot Cancer Center at University of Rochester Medical Center Rochester, New York  14642
Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center Green Bay, Wisconsin  54301-3526
Bay Area Cancer Care Center at Bay Area Medical Center Marinette, Wisconsin  54143
Torrance Memorial Medical Center Torrance, California  90505
North Colorado Medical Center Greeley, Colorado  80631
McKee Medical Center Loveland, Colorado  80539
William Beaumont Hospital - Royal Oak Campus Royal Oak, Michigan  48073
David C. Pratt Cancer Center at St. John's Mercy St. Louis, Missouri  63141
Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center Savannah, Georgia  31403-3089
Advocate Lutheran General Cancer Care Center Park Ridge, Illinois  60068-1174
Tulane Cancer Center Office of Clinical Research Alexandria, Louisiana  71315-3198
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis St. Louis, Missouri  63110
CCOP - Nevada Cancer Research Foundation Las Vegas, Nevada  89109-2306
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School New Brunswick, New Jersey  08903
University of New Mexico Cancer Center Albuquerque, New Mexico  87131-5636
Oklahoma University Cancer Institute Oklahoma City, Oklahoma  73104
Knight Cancer Institute at Oregon Health and Science University Portland, Oregon  97239-3098
M. D. Anderson Cancer Center at University of Texas Houston, Texas  77030-4009
Virginia Commonwealth University Massey Cancer Center Richmond, Virginia  23298-0037
Madigan Army Medical Center - Tacoma Tacoma, Washington  98431
West Virginia University Health Sciences Center - Charleston Charleston, West Virginia  25302
Gundersen Lutheran Center for Cancer and Blood La Crosse, Wisconsin  54601
Methodist Estabrook Cancer Center Omaha, Nebraska  68114-4199
Huntsman Cancer Institute at University of Utah Salt Lake City, Utah  84112
Decatur Memorial Hospital Cancer Care Institute Decatur, Illinois  62526
Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton Marlton, New Jersey  08053
Cleveland Clinic Cancer Center at Fairview Hospital Cleveland, Ohio  44111
Hillcrest Cancer Center at Hillcrest Hospital Mayfield Heights, Ohio  44124
Rosenfeld Cancer Center at Abington Memorial Hospital Abington, Pennsylvania  19001
Fox Chase Cancer Center - Philadelphia Philadelphia, Pennsylvania  19111-2497
Lucy Curci Cancer Center at Eisenhower Memorial Hospital and Medical Center Rancho Mirage, California  92270
California Pacific Medical Center - California Campus San Francisco, California  94118
John Muir/Mt. Diablo Comprehensive Cancer Center Walnut Creek, California  94598
Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center Boise, Idaho  83706
Hickman Cancer Center at Bixby Medical Center Adrian, Michigan  49221
Immanuel Medical Center Omaha, Nebraska  68122
Creighton University Medical Center Omaha, Nebraska  68131-2197
Kingsbury Center for Cancer Care at Cheshire Medical Center Keene, New Hampshire  03431
Cancer Institute of New Jersey at Cooper - Voorhees Voorhees, New Jersey  08043
Forsyth Regional Cancer Center at Forsyth Medical Center Winston-Salem, North Carolina  27103
Samaritan North Cancer Care Center Dayton, Ohio  45415
Grandview Hospital Dayton, Ohio  45405
David L. Rike Cancer Center at Miami Valley Hospital Dayton, Ohio  45409
Good Samaritan Hospital Dayton, Ohio  45406
Charles F. Kettering Memorial Hospital Kettering, Ohio  45429
Lima Memorial Hospital Lima, Ohio  45804
Northwest Ohio Oncology Center Maumee, Ohio  43537
Middletown Regional Hospital Middletown, Ohio  45044
St. Charles Mercy Hospital Oregon, Ohio  43616
UVMC Cancer Care Center at Upper Valley Medical Center Troy, Ohio  45373-1300
Cleveland Clinic - Wooster Wooster, Ohio  44691
Ruth G. McMillan Cancer Center at Greene Memorial Hospital Xenia, Ohio  45385
Delaware County Regional Cancer Center at Delaware County Memorial Hospital Drexel Hill, Pennsylvania  19026
Lankenau Cancer Center at Lankenau Hospital Wynnewood, Pennsylvania  19096
Dixie Regional Medical Center - East Campus Saint George, Utah  84770
Massachusetts General Hospital Boston, Massachusetts  02114-2617
Exempla Lutheran Medical Center Wheat Ridge, Colorado  80033
DeCesaris Cancer Institute at Anne Arundel Medical Center Annapolis, Maryland  21401
Poudre Valley Radiation Oncology Fort Collins, Colorado  80528
William W. Backus Hospital Norwich, Connecticut  06360
Northeast Georgia Medical Center Gainesville, Georgia  30501
South Suburban Oncology Center Quincy, Massachusetts  02169
Regional Cancer Center at Singing River Hospital Pascagoula, Mississippi  39581
Cancer Treatment Center Wooster, Ohio  44691
UAB Comprehensive Cancer Center Birmingham, Alabama  35294
Eastern Connecticut Hematology and Oncology Associates Norwich, Connecticut  06360
John B. Amos Cancer Center Columbus, Georgia  31904
McFarland Clinic, PC Ames, Iowa  50010
St. Luke's Hospital Cancer Care Center Duluth, Minnesota  55805
Great Falls Clinic - Main Facility Great Falls, Montana  59405
Sletten Cancer Institute at Benefis Healthcare Great Falls, Montana  59405
Alegant Health Cancer Center at Bergan Mercy Medical Center Omaha, Nebraska  68124
Leo W. Jenkins Cancer Center at ECU Medical School Greenville, North Carolina  27834
Summa Center for Cancer Care at Akron City Hospital Akron, Ohio  44309-2090
Barberton Citizens Hospital Barberton, Ohio  44203
Flower Hospital Cancer Center Sylvania, Ohio  43560
Salem Hospital Regional Cancer Care Services Salem, Oregon  97309-5014
McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center Reading, Pennsylvania  19612-6052
Guthrie Cancer Center at Guthrie Clinic Sayre Sayre, Pennsylvania  18840
York Cancer Center at Apple Hill Medical Center York, Pennsylvania  17405
Jon and Karen Huntsman Cancer Center at Intermountain Medical Center Murray, Utah  84157
Val and Ann Browning Cancer Center at McKay-Dee Hospital Center Ogden, Utah  84403
Vince Lombardi Cancer Clinic - Sheboygan Sheboygan, Wisconsin  53081
Regional Cancer Center at Memorial Medical Center Springfield, Illinois  62781-0001
Arizona Oncology Services Foundation Phoenix, Arizona  85013
Enloe Cancer Center at Enloe Medical Center Chico, California  95926
Washington Township Hospital Fremont, California  94538
Radiological Associates of Sacramento Medical Group, Incorporated Sacramento, California  95815
St. Vincent's Medical Center Bridgeport, Connecticut  06606
Hospital of Saint Raphael New Haven, Connecticut  06511
Parkview Regional Cancer Center at Parkview Health Fort Wayne, Indiana  46805
Dartmouth - Hitchcock Concord Concord, New Hampshire  03301
Elliot Regional Cancer Center at Elliot Hospital Manchester, New Hampshire  03103
Community Cancer Center at Rutland Regional Medical Center Rutland, Vermont  05701
Theda Care Cancer Institute Appleton, Wisconsin  54911
Community Memorial Hospital Cancer Care Center Menomonee Falls, Wisconsin  53051
Cancer Institute at St. John's Hospital Springfield, Illinois  62701
St. John's Regional Medical Center Joplin, Missouri  64804
Providence Cancer Center Anchorage, Alaska  99508
University of Wisconcin Cancer Center at Aspirus Wausau Hospital Wausau, Wisconsin  54401
Solano Radiation Oncology Center Vacaville, California  95687
Center for Cancer Care at OSF Saint Anthony Medical Center Rockford, Illinois  61108
Mercy General Hospital Sacramento, California  95819
Memorial Medical Center Modesto, California  95355
Elmhurst Memorial Hospital Elmhurst, Illinois  60126
Veterans Affairs Medical Center - Indianapolis Indianapolis, Indiana  46202
Center for Cancer Care at Exeter Hospital Exeter, New Hampshire  03833
Cancer Center of Paoli Memorial Hospital Paoli, Pennsylvania  19301-1792
CCOP - Main Line Health Wynnewood, Pennsylvania  19096
Cancer Care Center, Incorporated Salem, Ohio  44460
University of Colorado Cancer Center at UC Health Sciences Center Aurora, Colorado  80045
UPMC Cancer Center at UPMC Presbyterian Pittsburgh, Pennsylvania  15213
Bay Medical Panama City, Florida  32401
Cancer Institute of Cape Girardeau, LLC Cape Girardeau, Missouri  63703
High Point Regional Hospital High Point, North Carolina  27261
Veterans Affairs Medical Center - Milwaukee Milwaukee, Wisconsin  53295
CaroMont Cancer Center at Gaston Memorial Hospital Gastonia, North Carolina  28053
Cancer Institute of New Jersey at Cooper University Hospital - Camden Camden, New Jersey  08103
Lovelace Medical Center - Downtown Albuquerque, New Mexico  87102
Hudner Oncology Center at Saint Anne's Hospital - Fall River Fall River, Massachusetts  02721
NSMC Cancer Center - Peabody Peabody, Massachusetts  01960
Columbia Saint Mary's Hospital - Ozaukee Mequon, Wisconsin  53097
Columbia-Saint Mary's Cancer Care Center Milwaukee, Wisconsin  53211
Cancer Care Center at John Muir Health - Concord Campus Concord, California  94524-4110
Georgia Cancer Center for Excellence at Grady Memorial Hospital Atlanta, Georgia  30303
CentraState Medical Center Freehold, New Jersey  07728
UPMC Cancer Center at Beaver Medical Center Beaver, Pennsylvania  15009
UPMC Cancer Center at Jefferson Regional Medical Center Clairton, Pennsylvania  15025
UPMC Cancer Center - Arnold Palmer Pavilion Greensburg, Pennsylvania  15601
UPMC Cancer Center at the John P. Murtha Pavilion Johnstown, Pennsylvania  15901
UPMC - Moon Moon Township, Pennsylvania  15108
UPMC Cancer Center - Natrona Heights Natrona Heights, Pennsylvania  15065
Jameson Memorial Hospital - North Campus New Castle, Pennsylvania  16105
UPMC - Shadyside Pittsburgh, Pennsylvania  15213-2582
UPMC Cancer Center at UPMC St. Margaret Pittsburgh, Pennsylvania  15215
UPMC Cancer Center at UPMC Passavant Pittsburgh, Pennsylvania  15237
UPMC Cancer Center at UPMC Northwest Seneca, Pennsylvania  16346
Washington Hospital Cancer Center Washington, Pennsylvania  15301
Radiation Oncology Associates, PA Albuquerque, New Mexico  87109
New York Oncology Hematology, PC at Albany Regional Cancer Care Albany, New York  12208
Auburn Radiation Oncology Auburn, California  95603
Radiation Oncology Centers - Cameron Park Cameron Park, California  95682
Radiation Oncology Center - Roseville Roseville, California  95661
Saint John's Cancer Center at Saint John's Medical Center Anderson, Indiana  46016
Bassett Healthcare Regional Cancer Program at Mary Imogene Bassett Hospital Cooperstown, New York  13326
Mercy Cancer Center at Mercy San Juan Medical Center Carmichael, California  95608
St. Agnes Hospital Cancer Center Baltimore, Maryland  21229
Shields Radiation Oncology Center - Mansfield Mansfield, Massachusetts  02048
Nevada Cancer Institute Las Vegas, Nevada  89135
Sierra Nevada Cancer Center at Sierra Nevada Memorial Hospital Grass Valley, California  95945
Kansas City Cancer Centers - Southwest Overland Park, Kansas  66210
Northeast Radiation Oncology Center Dunmore, Pennsylvania  18512
New Mexico Cancer Center Albuquerque, New Mexico  87109
Radiation Oncology Associates Southwest Fort Wayne, Indiana  46804
Central Indiana Cancer Centers - East Indianapolis, Indiana  46219
Kansas City Cancer Centers - North Kansas City, Missouri  64154
Seacoast Cancer Center at Wentworth - Douglass Hospital Dover, New Hampshire  03820
Willamette Valley Cancer Center - Eugene Eugene, Oregon  97401
Texas Oncology, PA at Harris Center HEB Bedford, Texas  76022
Klabzuba Cancer Center at Harris Methodist Fort Worth Hospital Fort Worth, Texas  76104
Texas Oncology, PA at Texas Cancer Center - Sherman Sherman, Texas  75090
Texas Oncology, PA at Texas Oncology Cancer Center Sugar Land Sugar Land, Texas  77479
Arizona Oncology - Tucson Tucson, Arizona  85704
Rocky Mountain Cancer Centers - Aurora Aurora, Colorado  80012
Norton Suburban Hospital Louisville, Kentucky  40207
Kansas City Cancer Centers - South Kansas City, Missouri  64131
Cancer Institute of New Mexico Santa Fe, New Mexico  87505
New Hanover Radiation Oncology, PA Wilmington, North Carolina  28401
Celilo Cancer Center at Mid-Columbia Medical Center The Dalles, Oregon  97058
Cancer Center at Clarion Hospital Clarion, Pennsylvania  16214
UPMC Cancer Center at UPMC McKeesport McKeesport, Pennsylvania  15132
UPMC Cancer Center - Upper St. Clair Pittsburgh, Pennsylvania  15243
UPMC Cancer Center - Uniontown Uniontown, Pennsylvania  15401
Texas Oncology, PA at Texas Cancer Center Dallas Southwest Dallas, Texas  75237