Testing the Addition of High Dose, Targeted Radiation to the Usual Treatment for Locally-Advanced Inoperable Non-Small Cell Lung Cancer
Sponsored by NRG Oncology
About this study
This phase III trial compares the effect of adding stereotactic body radiation therapy (SBRT) to the usual treatment (conventional image guided radiation therapy \[IGRT\] and chemotherapy followed by immunotherapy with durvalumab or targeted therapy with osimertinib) versus the usual treatment alone in treating patients with non-small cell lung cancer that has spread to nearby tissue or lymph nodes (locally advanced) and cannot be treated by surgery (inoperable). SBRT uses special equipment to position a patient and deliver radiation therapy to tumors with high precision. This method may kill tumor cells with fewer doses over a shorter period and cause less damage to normal tissue. IGRT is a type of radiation therapy that creates a picture of the tumor to help guide the radiation beam during therapy, making it more accurate and causing less damage to healthy tissue. Usual chemotherapy used in this trial consists of combinations of the following drugs: cisplatin, carboplatin, paclitaxel, nab-paclitaxel, pemetrexed, and etoposide. Cisplatin and carboplatin are in a class of medications known as platinum-containing compounds. Cisplatin works by killing, stopping, or slowing the growth of tumor cells. Carboplatin works in a way similar to the anticancer drug cisplatin but may be better tolerated than cisplatin. Carboplatin works by killing, stopping, or slowing the growth of tumor cells as well. Paclitaxel is in a class of medications called antimicrotubule agents. It works by stopping the growth and spread of tumor cells. Nab-paclitaxel is an albumin-stabilized nanoparticle formulation of paclitaxel which may have fewer side effects and work better than other forms of paclitaxel. Pemetrexed is in a class of medications called antifolate antineoplastic agents. It works by blocking the action of a certain substance in the body that may help tumor cells multiply. Etoposide is in a class of medications known as podophyllotoxin derivatives. It blocks a certain enzyme needed for cell division and deoxyribonucleic acid (DNA) repair and may kill tumor cells. Immunotherapy with durvalumab can induce changes in the body's immune system and can interfere with the ability of tumor cells to grow and spread. Osimertinib is in a class of medications called kinase inhibitors. It works by blocking the action of a protein called EGFR that signals cancer cells to multiply. This helps slow or stop the spread of tumor cells. Adding SBRT to the usual treatment of IGRT with chemotherapy and immunotherapy may be more effective at treating patients with locally-advanced non-small cell lung cancer than giving the usual treatment alone.
PRIMARY OBJECTIVES: I. To compare the overall survival in patients with stage II-IIIC inoperable node-positive non-small cell lung cancer (NSCLC) after image guided, motion-managed conventional radiotherapy to the primary tumor and nodal metastases (Arm 1) or after image guided, motion-managed stereotactic body radiation therapy (SBRT) to the primary tumor followed by conventionally fractionated radiotherapy to nodal metastases (Arm 2) both given with concurrent platinum-based chemotherapy. II. To compare progression-free survival between the experimental arm (Arm 2) and control arm (Arm 1). SECONDARY OBJECTIVES: I. To compare objective response rate (as defined by Response Evaluation Criteria in Solid Tumors \[RECIST\] version \[v\] 1.1) between the experimental arm and control arm. …
Where this study is enrolling (446)
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Gulf Health Hospitals Inc/Infirmary Cancer Care - Malbis
Daphne, Alabama
- Call 251-435-3942
Mobile Infirmary Medical Center
Mobile, Alabama
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Gulf Health Hospitals Inc/Infirmary Cancer Care - Saraland
Saraland, Alabama
- Call 251-435-4584
Thomas Hospital
Fairhope, Alabama
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The Kirklin Clinic at Acton Road
Birmingham, Alabama
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University of Alabama at Birmingham Cancer Center
Birmingham, Alabama
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Banner University Medical Center - Tucson
Tucson, Arizona
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Kingman Regional Medical Center
Kingman, Arizona
- Call +1 480-342-2000
Mayo Clinic Hospital in Arizona
Phoenix, Arizona
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University of Arizona Cancer Center-North Campus
Tucson, Arizona
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Cancer Center at Saint Joseph's
Phoenix, Arizona
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NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, Arkansas
- Call 501-686-8274
University of Arkansas for Medical Sciences
Little Rock, Arkansas
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Sutter Roseville Medical Center
Roseville, California
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California Pacific Medical Center-Pacific Campus
San Francisco, California
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Memorial Medical Center
Modesto, California
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Palo Alto Medical Foundation-Fremont
Fremont, California
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Mills-Peninsula Medical Center
Burlingame, California
- Call 661-323-4673
AIS Cancer Center at San Joaquin Community Hospital
Bakersfield, California
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Sutter Cancer Centers Radiation Oncology Services-Roseville
Roseville, California
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Palo Alto Medical Foundation-Camino Division
Mountain View, California
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Palo Alto Medical Foundation Health Care
Palo Alto, California
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Sutter Medical Center Sacramento
Sacramento, California
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Mills Health Center
San Mateo, California
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Sutter Pacific Medical Foundation
Santa Rosa, California
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Palo Alto Medical Foundation-Sunnyvale
Sunnyvale, California
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Sutter Solano Medical Center/Cancer Center
Vallejo, California
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UCHealth Lone Tree Health Center
Lone Tree, Colorado
- Call 720-848-0650
UCHealth University of Colorado Hospital
Aurora, Colorado
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Rocky Mountain Cancer Centers-Penrose
Colorado Springs, Colorado
- Call 719-365-2406
UCHealth Memorial Hospital Central
Colorado Springs, Colorado
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Memorial Hospital North
Colorado Springs, Colorado
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UCHealth - Cherry Creek
Denver, Colorado
- Call 970-297-6150
Poudre Valley Hospital
Fort Collins, Colorado
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Cancer Care and Hematology-Fort Collins
Fort Collins, Colorado
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UCHealth Greeley Hospital
Greeley, Colorado
- Call 720-848-0650
UCHealth Highlands Ranch Hospital
Highlands Ranch, Colorado
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- Call 970-203-7083
Medical Center of the Rockies
Loveland, Colorado
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Medical Oncology Hematology Consultants PA
Newark, Delaware
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Christiana Care Health System-Christiana Hospital
Newark, Delaware
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Beebe Health Campus
Rehoboth Beach, Delaware
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Christiana Care Health System-Wilmington Hospital
Wilmington, Delaware
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Beebe Medical Center
Lewes, Delaware
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Beebe South Coastal Health Campus
Millville, Delaware
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Helen F Graham Cancer Center
Newark, Delaware
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Bay Pines VA Healthcare System
Bay Pines, Florida
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Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood, Florida
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Saint Joseph's Hospital/Children's Hospital-Tampa
Tampa, Florida
- Call 386-425-4213
Halifax Health Cancer Center for Hope - Daytona Beach
Daytona Beach, Florida
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- Call 954-265-4325
Memorial Hospital West
Pembroke Pines, Florida
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Orlando Health Cancer Institute
Orlando, Florida
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Jupiter Medical Center
Jupiter, Florida
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Winter Haven Hospital
Winter Haven, Florida
- Call 855-314-8646
Morton Plant Hospital
Clearwater, Florida
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- Call 855-776-0015
Mayo Clinic in Florida
Jacksonville, Florida
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Emory University Hospital Midtown
Atlanta, Georgia
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Emory Proton Therapy Center
Atlanta, Georgia
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Emory Saint Joseph's Hospital
Atlanta, Georgia
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Augusta University Medical Center
Augusta, Georgia
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WellStar Cobb Hospital
Austell, Georgia
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Hamilton Medical Center - Peeples Cancer Institute
Dalton, Georgia
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Wellstar Kennestone Hospital
Marietta, Georgia
- Call 770-400-6629
CTCA at Southeastern Regional Medical Center
Newnan, Georgia
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Grady Health System
Atlanta, Georgia
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Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia
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Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia
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UW Health Carbone Cancer Center Rockford
Rockford, Illinois
- Call 847-429-2907
Advocate Sherman Hospital
Elgin, Illinois
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Eureka, Illinois
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Galesburg, Illinois
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Northwestern Medicine Cancer Center Delnor
Geneva, Illinois
- Call 708-799-9995
Advocate South Suburban Hospital
Hazel Crest, Illinois
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Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois
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AMG Libertyville - Oncology
Libertyville, Illinois
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Illinois CancerCare-Macomb
Macomb, Illinois
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Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois
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Cancer Care Center of O'Fallon
O'Fallon, Illinois
- Call 800-323-8622
Advocate Christ Medical Center
Oak Lawn, Illinois
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Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois
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Advocate High Tech Medical Park
Palos Heights, Illinois
- Call 847-384-3621
Advocate Lutheran General Hospital
Park Ridge, Illinois
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Illinois CancerCare-Pekin
Pekin, Illinois
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Peoria, Illinois
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OSF Saint Francis Radiation Oncology at Peoria Cancer Center
Peoria, Illinois
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Methodist Medical Center of Illinois
Peoria, Illinois
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OSF Saint Francis Medical Center
Peoria, Illinois
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Illinois CancerCare-Peru
Peru, Illinois
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Illinois CancerCare-Princeton
Princeton, Illinois
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Crossroads Cancer Center
Effingham, Illinois
- Call 217-545-7929
Southern Illinois University School of Medicine
Springfield, Illinois
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- Call 800-444-7541
Springfield Clinic
Springfield, Illinois
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Springfield Memorial Hospital
Springfield, Illinois
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Carle Cancer Center
Urbana, Illinois
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Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois
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Illinois CancerCare - Washington
Washington, Illinois
- Call 844-793-0745
Midwestern Regional Medical Center
Zion, Illinois
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Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois
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Decatur Memorial Hospital
Decatur, Illinois
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Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois
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Carle at The Riverfront
Danville, Illinois
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AMG Crystal Lake - Oncology
Crystal Lake, Illinois
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Advocate Illinois Masonic Medical Center
Chicago, Illinois
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Centralia Oncology Clinic
Centralia, Illinois
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Illinois CancerCare-Carthage
Carthage, Illinois
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Advocate Outpatient Center - Aurora
Aurora, Illinois
- Call 847-842-4847
Advocate Good Shepherd Hospital
Barrington, Illinois
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HSHS Saint Elizabeth's Hospital
O'Fallon, Illinois
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Illinois CancerCare-Canton
Canton, Illinois
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Illinois CancerCare-Bloomington
Bloomington, Illinois
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Northwestern University
Chicago, Illinois
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Condell Memorial Hospital
Libertyville, Illinois
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Rush-Copley Medical Center
Aurora, Illinois
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OSF Saint Joseph Medical Center
Bloomington, Illinois
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Advocate Good Samaritan Hospital
Downers Grove, Illinois
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Carle Physician Group-Effingham
Effingham, Illinois
- Call 219-836-3349
The Community Hospital
Munster, Indiana
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Women's Diagnostic Center - Munster
Munster, Indiana
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Saint Mary Medical Center
Hobart, Indiana
- Call 219-947-1795
Northwest Cancer Center - Hobart
Hobart, Indiana
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- Call 219-924-8178
Northwest Oncology LLC
Dyer, Indiana
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Northwest Cancer Center - Crown Point
Crown Point, Indiana
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Northwest Cancer Center - Valparaiso
Valparaiso, Indiana
- Call 515-241-3305
Mercy Medical Center-West Lakes
West Des Moines, Iowa
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- Call 515-956-4132
Mary Greeley Medical Center
Ames, Iowa
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McFarland Clinic - Ames
Ames, Iowa
- Call 515-241-3305
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa
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Saint Luke's Hospital
Cedar Rapids, Iowa
- Call 515-241-3305
Mercy Cancer Center-West Lakes
Clive, Iowa
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UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa
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- Call 712-322-4136
Heartland Oncology and Hematology LLP
Council Bluffs, Iowa
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Methodist Jennie Edmundson Hospital
Council Bluffs, Iowa
- Call 515-241-3305
Greater Regional Medical Center
Creston, Iowa
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- Call 515-241-6727
Iowa Methodist Medical Center
Des Moines, Iowa
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- Call 515-241-3305
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, Iowa
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- Call 515-241-3305
Mercy Medical Center - Des Moines
Des Moines, Iowa
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- Call 515-241-3305
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa
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- Call 515-241-3305
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee, Iowa
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Lawrence Memorial Hospital
Lawrence, Kansas
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University of Kansas Cancer Center
Kansas City, Kansas
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Ascension Via Christi Hospitals Wichita
Wichita, Kansas
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University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas
- Call 785-295-8000
University of Kansas Health System Saint Francis Campus
Topeka, Kansas
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Salina Regional Health Center
Salina, Kansas
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University of Kansas Cancer Center-Overland Park
Overland Park, Kansas
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The University of Kansas Cancer Center - Olathe
Olathe, Kansas
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Louisiana State University Health Science Center
New Orleans, Louisiana
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Touro Infirmary
New Orleans, Louisiana
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University Medical Center New Orleans
New Orleans, Louisiana
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MaineHealth Cancer Care and IV Therapy - South Portland
South Portland, Maine
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MaineHealth Maine Medical Center - Portland
Portland, Maine
- Call 207-459-1600
MaineHealth Cancer Care Center of York County
Sanford, Maine
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MaineHealth Maine Medical Center- Scarborough
Scarborough, Maine
- Call 410-871-6400
William E Kahlert Regional Cancer Center/Sinai Hospital
Westminster, Maryland
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- Call 443-849-3706
Greater Baltimore Medical Center
Baltimore, Maryland
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- Call 410-601-9083
Sinai Hospital of Baltimore
Baltimore, Maryland
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TidalHealth Richard A Henson Cancer Institute
Ocean Pines, Maryland
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TidalHealth Peninsula Regional
Salisbury, Maryland
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UMass Memorial Medical Center - University Campus
Worcester, Massachusetts
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McLaren Cancer Institute-Macomb
Mount Clemens, Michigan
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McLaren Cancer Institute-Central Michigan
Mount Pleasant, Michigan
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Henry Ford Medical Center-Columbus
Novi, Michigan
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McLaren Cancer Institute-Northern Michigan
Petoskey, Michigan
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Michigan Healthcare Professionals Pontiac
Pontiac, Michigan
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Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan
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McLaren-Port Huron
Port Huron, Michigan
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Henry Ford Health Providence Southfield Hospital
Southfield, Michigan
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Munson Medical Center
Traverse City, Michigan
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Michigan Healthcare Professionals Troy
Troy, Michigan
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Henry Ford Health Warren Hospital
Warren, Michigan
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Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan
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University of Michigan Health - West
Wyoming, Michigan
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Michigan Healthcare Professionals Madison Heights
Madison Heights, Michigan
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Michigan Healthcare Professionals Macomb
Macomb, Michigan
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McLaren Cancer Institute-Lapeer Region
Lapeer, Michigan
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University of Michigan Health - Sparrow Lansing
Lansing, Michigan
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Karmanos Cancer Institute at McLaren Greater Lansing
Lansing, Michigan
- Call 574-647-7370
Beacon Kalamazoo
Kalamazoo, Michigan
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West Michigan Cancer Center
Kalamazoo, Michigan
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Bronson Methodist Hospital
Kalamazoo, Michigan
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Allegiance Health
Jackson, Michigan
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Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan
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McLaren Cancer Institute-Flint
Flint, Michigan
- Call 248-551-7695
Corewell Health Farmington Hills Hospital
Farmington Hills, Michigan
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Weisberg Cancer Treatment Center
Farmington Hills, Michigan
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Wayne State University/Karmanos Cancer Institute
Detroit, Michigan
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Henry Ford Medical Center-Fairlane
Dearborn, Michigan
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Henry Ford Hospital
Detroit, Michigan
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Michigan Healthcare Professionals Farmington
Farmington Hills, Michigan
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Michigan Healthcare Professionals Clarkston
Clarkston, Michigan
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McLaren Cancer Institute-Clarkston
Clarkston, Michigan
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Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan
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Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti, Michigan
- Call 248-551-7695
Corewell Health Beaumont Troy Hospital
Troy, Michigan
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Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan
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Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan
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Chelsea Hospital
Chelsea, Michigan
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Henry Ford Cancer Institute-Downriver
Brownstown, Michigan
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Trinity Health Medical Center - Brighton
Brighton, Michigan
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Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton, Michigan
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McLaren Cancer Institute-Bay City
Bay City, Michigan
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Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan
- Call 248-551-7695
Corewell Health William Beaumont University Hospital
Royal Oak, Michigan
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Essentia Health Virginia Clinic
Virginia, Minnesota
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Sanford Joe Lueken Cancer Center
Bemidji, Minnesota
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Essentia Health Saint Joseph's Medical Center
Brainerd, Minnesota
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Essentia Health - Deer River Clinic
Deer River, Minnesota
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Essentia Health Cancer Center
Duluth, Minnesota
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Essentia Health Saint Mary's Medical Center
Duluth, Minnesota
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Miller-Dwan Hospital
Duluth, Minnesota
- Call 218-786-3308
Essentia Health Hibbing Clinic
Hibbing, Minnesota
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- Call 855-776-0015
Mayo Clinic in Rochester
Rochester, Minnesota
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Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud, Minnesota
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Essentia Health Sandstone
Sandstone, Minnesota
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Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven, Mississippi
- Call 314-996-5569
Parkland Health Center - Farmington
Farmington, Missouri
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- Call 913-588-3671
University of Kansas Cancer Center - Briarcliff
Kansas City, Missouri
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- Call 314-996-5569
Sainte Genevieve County Memorial Hospital
Sainte Genevieve, Missouri
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- Call 417-269-4520
Mercy Hospital Springfield
Springfield, Missouri
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Mercy Hospital South
St Louis, Missouri
- Call 314-996-5569
Missouri Baptist Medical Center
St Louis, Missouri
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BJC Outpatient Center at Sunset Hills
Sunset Hills, Missouri
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Missouri Baptist Sullivan Hospital
Sullivan, Missouri
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Mercy Hospital Saint Louis
St Louis, Missouri
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University of Kansas Cancer Center - North
Kansas City, Missouri
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University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri
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Freeman Health System
Joplin, Missouri
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Saint Francis Medical Center
Cape Girardeau, Missouri
- Call 573-882-7440
MU Health - University Hospital/Ellis Fischel Cancer Center
Columbia, Missouri
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Benefis Sletten Cancer Institute
Great Falls, Montana
- I'm interested
Billings Clinic Cancer Center
Billings, Montana
- I'm interested
Bozeman Health Deaconess Hospital
Bozeman, Montana
- Call 402-354-5144
Nebraska Methodist Hospital
Omaha, Nebraska
This research site can be reached directly by phone. Call to ask about this study.
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- Call 402-334-4773
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska
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- I'm interested
Renown Regional Medical Center
Reno, Nevada
- I'm interested
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon, New Hampshire
- I'm interested
Community Medical Center
Toms River, New Jersey
- Call 212-639-7592
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey
This research site can be reached directly by phone. Call to ask about this study.
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- Call 856-325-6757
Cooper Hospital University Medical Center
Camden, New Jersey
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- I'm interested
Jefferson Cherry Hill Hospital
Cherry Hill, New Jersey
- Call 201-894-3456
Englewood Hospital and Medical Center
Englewood, New Jersey
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- Call 609-631-6946
The Cancer Institute of New Jersey Hamilton
Hamilton, New Jersey
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- I'm interested
Jersey City Medical Center
Jersey City, New Jersey
- I'm interested
Monmouth Medical Center Southern Campus
Lakewood, New Jersey
- I'm interested
Saint Barnabas Medical Center
Livingston, New Jersey
- I'm interested
Monmouth Medical Center
Long Branch, New Jersey
- Call 212-639-7592
Memorial Sloan Kettering Monmouth
Middletown, New Jersey
This research site can be reached directly by phone. Call to ask about this study.
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- Call 212-639-7592
Memorial Sloan Kettering Bergen
Montvale, New Jersey
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- Call 732-235-7356
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey
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- Call 732-235-7356
Rutgers New Jersey Medical School
Newark, New Jersey
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- I'm interested
Sidney Kimmel Cancer Center Washington Township
Sewell, New Jersey
- I'm interested
Robert Wood Johnson University Hospital Somerset
Somerville, New Jersey
- I'm interested
University of New Mexico Cancer Center
Albuquerque, New Mexico
- I'm interested
Memorial Medical Center-Las Cruces
Las Cruces, New Mexico
- Call 800-862-2215
Stony Brook University Medical Center
Stony Brook, New York
This research site can be reached directly by phone. Call to ask about this study.
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- Call 315-464-5476
State University of New York Upstate Medical University
Syracuse, New York
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- I'm interested
Montefiore Medical Center-Einstein Campus
The Bronx, New York
- Call 212-639-7592
Memorial Sloan Kettering Nassau
Uniondale, New York
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- Call 516-734-8896
Northwell Health Cancer Institute at Huntington
Greenlawn, New York
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- I'm interested
Montefiore Medical Center-Weiler Hospital
The Bronx, New York
- I'm interested
Montefiore Medical Center - Moses Campus
The Bronx, New York
- I'm interested
Westchester Medical Center
Valhalla, New York
- I'm interested
Wilmot Cancer Institute at Webster
Webster, New York
- Call 212-639-7592
Memorial Sloan Kettering Westchester
Harrison, New York
This research site can be reached directly by phone. Call to ask about this study.
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- Call 516-734-8896
Northwell Health Imbert Cancer Center
Bay Shore, New York
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- Call 585-396-6161
Sands Cancer Center
Canandaigua, New York
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- Call 212-639-7592
Memorial Sloan Kettering Commack
Commack, New York
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- I'm interested
Noyes Memorial Hospital/Myers Cancer Center
Dansville, New York
- Call 518-926-6700
Glens Falls Hospital
Glens Falls, New York
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- Call 516-734-8896
Northwell Health/Center for Advanced Medicine
Lake Success, New York
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- I'm interested
New York Proton Center
New York, New York
- Call 212-434-4460
Manhattan Eye Ear and Throat Hospital
New York, New York
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- Call 212-639-7592
Memorial Sloan Kettering Cancer Center
New York, New York
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- Call 516-734-8896
Lenox Hill Hospital
New York, New York
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- Call 585-758-7877
Wilmot Cancer Institute Radiation Oncology at Greece
Rochester, New York
This research site can be reached directly by phone. Call to ask about this study.
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- Call 585-341-8113
Highland Hospital
Rochester, New York
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- Call 585-275-5830
University of Rochester
Rochester, New York
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- Call 718-226-8888
Staten Island University Hospital
Staten Island, New York
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- Call 336-802-2500
Hayworth Cancer Center
High Point, North Carolina
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- Call 980-442-0600
Levine Cancer Institute - Union West
Matthews, North Carolina
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- I'm interested
Matthews Radiation Oncology Center
Matthews, North Carolina
- I'm interested
Novant Health Cancer Institute - Matthews
Matthews, North Carolina
- Call 980-442-2000
Atrium Health Union/LCI-Union
Monroe, North Carolina
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- I'm interested
Novant Health Cancer Institute - Mooresville
Mooresville, North Carolina
- I'm interested
Rowan Regional Medical Center
Salisbury, North Carolina
- Call 800-804-9376
Atrium Health Cleveland/LCI-Cleveland
Shelby, North Carolina
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- I'm interested
Novant Health Cancer Institute - Statesville
Statesville, North Carolina
- Call 704-872-3630
Wake Forest Baptist Health - Hematology Oncology - Statesville
Statesville, North Carolina
This research site can be reached directly by phone. Call to ask about this study.
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- Call 910-754-4716
Novant Cancer Institute Radiation Oncology - Supply
Supply, North Carolina
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- I'm interested
Novant Health Cancer Institute - Thomasville
Thomasville, North Carolina
- Call 888-716-9253
Wake Forest Baptist Health - Wilkes Medical Center
Wilkesboro, North Carolina
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- Call 910-251-1839
Novant Health Cancer Institute Radiation Oncology - Wilmington
Wilmington, North Carolina
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- Call 910-342-3000
Novant Health New Hanover Regional Medical Center
Wilmington, North Carolina
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- I'm interested
Novant Health Forsyth Medical Center
Winston-Salem, North Carolina
- Call 336-713-6771
Wake Forest University Health Sciences
Winston-Salem, North Carolina
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- Call 800-804-9376
Levine Cancer Institute - Rutherford
Forest City, North Carolina
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- I'm interested
CaroMont Regional Medical Center
Gastonia, North Carolina
- I'm interested
Novant Health Breast Surgery - Greensboro
Greensboro, North Carolina
- I'm interested
Novant Health Cancer Institute - Kernersville
Kernersville, North Carolina
- I'm interested
Novant Health Cancer Institute - Huntersville
Huntersville, North Carolina
- I'm interested
Novant Health Cancer Institute - Rowan
Salisbury, North Carolina
- I'm interested
Novant Health Cancer Institute - Wilkesboro
North Wilkesboro, North Carolina
- Call 800-804-9376
Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina
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- I'm interested
Duke Cancer Center Raleigh
Raleigh, North Carolina
- I'm interested
Novant Health Presbyterian Medical Center Huntersville
Huntersville, North Carolina
- I'm interested
Novant Health Cancer Institute - Mount Airy
Mount Airy, North Carolina
- Call 800-804-9376
Atrium Health Stanly/LCI-Albemarle
Albemarle, North Carolina
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- I'm interested
Duke Cancer Center Cary
Cary, North Carolina
- I'm interested
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina
- I'm interested
Novant Health Presbyterian Medical Center
Charlotte, North Carolina
- Call 980-442-2000
Atrium Health Pineville/LCI-Pineville
Charlotte, North Carolina
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- Call 800-804-9376
Atrium Health University City/LCI-University
Charlotte, North Carolina
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- Call 800-804-9376
Levine Cancer Institute-Ballantyne
Charlotte, North Carolina
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- Call 888-716-9259
Wake Forest University at Clemmons
Clemmons, North Carolina
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- Call 800-804-9376
Atrium Health Cabarrus/LCI-Concord
Concord, North Carolina
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- Call 888-275-3853
Duke University Medical Center
Durham, North Carolina
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- I'm interested
Sanford Bismarck Medical Center
Bismarck, North Dakota
- I'm interested
Sanford Broadway Medical Center
Fargo, North Dakota
- I'm interested
Sanford Roger Maris Cancer Center
Fargo, North Dakota
- Call 701-780-6520
Altru Cancer Center
Grand Forks, North Dakota
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- I'm interested
Cleveland Clinic Akron General
Akron, Ohio
- Call 800-641-2422
UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio
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- I'm interested
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio
- Call 888-293-4673
Cleveland Clinic Mercy Hospital
Canton, Ohio
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- I'm interested
Aultman Health Foundation
Canton, Ohio
- I'm interested
Miami Valley Hospital South
Centerville, Ohio
- I'm interested
Grant Medical Center
Columbus, Ohio
- I'm interested
Doctors Hospital
Columbus, Ohio
- I'm interested
Miami Valley Hospital
Dayton, Ohio
- Call 937-276-8320
Premier Blood and Cancer Center
Dayton, Ohio
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- I'm interested
Miami Valley Hospital North
Dayton, Ohio
- I'm interested
Delaware Health Center-Grady Cancer Center
Delaware, Ohio
- I'm interested
Grady Memorial Hospital
Delaware, Ohio
- I'm interested
Dublin Methodist Hospital
Dublin, Ohio
- I'm interested
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio
- Call 937-569-7515
Miami Valley Cancer Care and Infusion
Greenville, Ohio
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- I'm interested
OhioHealth Mansfield Hospital
Mansfield, Ohio
- I'm interested
OhioHealth Marion General Hospital
Marion, Ohio
- I'm interested
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio
- I'm interested
Mercy Health - Perrysburg Hospital
Perrysburg, Ohio
- I'm interested
Upper Valley Medical Center
Troy, Ohio
- I'm interested
Case Western Reserve University
Cleveland, Ohio
- I'm interested
Riverside Methodist Hospital
Columbus, Ohio
- I'm interested
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma
- Call 503-413-1742
Legacy Meridian Park Hospital
Tualatin, Oregon
This research site can be reached directly by phone. Call to ask about this study.
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- Call 503-413-2150
Legacy Mount Hood Medical Center
Gresham, Oregon
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- I'm interested
Legacy Good Samaritan Hospital and Medical Center
Portland, Oregon
- I'm interested
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania
- Call 877-441-7957
Adams Cancer Center
Gettysburg, Pennsylvania
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- I'm interested
Temple University Hospital
Philadelphia, Pennsylvania
- I'm interested
University of Pennsylvania/Abramson Cancer Center
Philadelphia, Pennsylvania
- I'm interested
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania
- I'm interested
Fox Chase Cancer Center
Philadelphia, Pennsylvania
- Call 610-988-9323
Reading Hospital
West Reading, Pennsylvania
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- I'm interested
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania
- I'm interested
Asplundh Cancer Pavilion
Willow Grove, Pennsylvania
- I'm interested
Lankenau Medical Center
Wynnewood, Pennsylvania
- Call 877-441-7957
WellSpan Health-York Cancer Center
York, Pennsylvania
This research site can be reached directly by phone. Call to ask about this study.
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- Call 877-441-7957
WellSpan Health-York Hospital
York, Pennsylvania
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- I'm interested
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania
- Call 717-721-4840
Ephrata Cancer Center
Ephrata, Pennsylvania
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- I'm interested
Christiana Care Health System-Concord Health Center
Chadds Ford, Pennsylvania
- I'm interested
Chambersburg Hospital
Chambersburg, Pennsylvania
- I'm interested
Geisinger Medical Center
Danville, Pennsylvania
- I'm interested
Geisinger Cancer Center Dickson City
Dickson City, Pennsylvania
- I'm interested
Lancaster General Ann B Barshinger Cancer Institute
Lancaster, Pennsylvania
- I'm interested
Sechler Family Cancer Center
Lebanon, Pennsylvania
- I'm interested
Lexington Medical Center
West Columbia, South Carolina
- I'm interested
Spartanburg Medical Center
Spartanburg, South Carolina
- Call 800-804-9376
Lancaster Radiation Therapy Center
Lancaster, South Carolina
This research site can be reached directly by phone. Call to ask about this study.
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- Call 800-804-9376
Rock Hill Radiation Therapy Center
Rock Hill, South Carolina
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- Call 800-804-9376
Levine Cancer Institute-Rock Hill
Rock Hill, South Carolina
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- I'm interested
SMC Center for Hematology Oncology Union
Union, South Carolina
- I'm interested
Saint Joseph's/Candler - Bluffton Campus
Bluffton, South Carolina
- I'm interested
Gibbs Cancer Center-Gaffney
Gaffney, South Carolina
- I'm interested
Saint Francis Hospital
Greenville, South Carolina
- I'm interested
Saint Francis Cancer Center
Greenville, South Carolina
- I'm interested
Gibbs Cancer Center-Pelham
Greer, South Carolina
- I'm interested
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota
- I'm interested
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota
- I'm interested
Baptist Memorial Hospital and Cancer Center-Collierville
Collierville, Tennessee
- I'm interested
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis, Tennessee
- Call 865-544-9773
University of Tennessee - Knoxville
Knoxville, Tennessee
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- I'm interested
MD Anderson in Sugar Land
Sugar Land, Texas
- I'm interested
UT MD Anderson - League City
League City, Texas
- I'm interested
MD Anderson West Houston
Houston, Texas
- I'm interested
UT MD Anderson Cancer Center
Houston, Texas
- Call 713-873-2000
Ben Taub General Hospital
Houston, Texas
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- I'm interested
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas
- I'm interested
MD Anderson in The Woodlands
Conroe, Texas
- I'm interested
Dartmouth Cancer Center - North
Saint Johnsbury, Vermont
- I'm interested
University of Vermont and State Agricultural College
Burlington, Vermont
- I'm interested
University of Vermont Medical Center
Burlington, Vermont
- Call 802-225-5400
Central Vermont Medical Center/National Life Cancer Treatment
Berlin Corners, Vermont
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- I'm interested
Legacy Cancer Institute Medical Oncology and Day Treatment
Vancouver, Washington
- I'm interested
Virginia Mason Medical Center
Seattle, Washington
- Call 503-413-2150
Legacy Salmon Creek Hospital
Vancouver, Washington
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- I'm interested
West Virginia University Healthcare
Morgantown, West Virginia
- I'm interested
Edwards Comprehensive Cancer Center
Huntington, West Virginia
- Call 877-405-6866
Aspirus Regional Cancer Center
Wausau, Wisconsin
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- I'm interested
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin
- I'm interested
Langlade Hospital and Cancer Center
Antigo, Wisconsin
- Call 701-364-6272
Essentia Health Saint Mary's Hospital - Superior
Superior, Wisconsin
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- I'm interested
Aurora Medical Center in Summit
Summit, Wisconsin
- I'm interested
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay, Wisconsin
- I'm interested
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin
- I'm interested
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin
- I'm interested
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek, Wisconsin
- I'm interested
Aspirus Cancer Care - Stevens Point
Stevens Point, Wisconsin
- I'm interested
Essentia Health-Spooner Clinic
Spooner, Wisconsin
- I'm interested
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan, Wisconsin
- I'm interested
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan, Wisconsin
- I'm interested
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin
- I'm interested
Aspirus Cancer Care - James Beck Cancer Center
Rhinelander, Wisconsin
- I'm interested
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh, Wisconsin
- Call 262-928-7878
ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin
This research site can be reached directly by phone. Call to ask about this study.
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- Call 414-805-0505
Drexel Town Square Health Center
Oak Creek, Wisconsin
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- I'm interested
ProHealth D N Greenwald Center
Mukwonago, Wisconsin
- I'm interested
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin
- Call 888-469-6614
Zablocki Veterans Administration Medical Center
Milwaukee, Wisconsin
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Aurora Sinai Medical Center
Milwaukee, Wisconsin
- Call 414-805-3666
Medical College of Wisconsin
Milwaukee, Wisconsin
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- I'm interested
Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin
- I'm interested
Aurora Cancer Care-Milwaukee
Milwaukee, Wisconsin
- Call 262-257-5100
Froedtert Menomonee Falls Hospital
Menomonee Falls, Wisconsin
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Marshfield Medical Center-Marshfield
Marshfield, Wisconsin
- I'm interested
Aurora Bay Area Medical Group-Marinette
Marinette, Wisconsin
- I'm interested
University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin
- I'm interested
University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
Madison, Wisconsin
- Call 608-256-1901
William S Middleton VA Medical Center
Madison, Wisconsin
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- I'm interested
Gundersen Lutheran Medical Center
La Crosse, Wisconsin
- I'm interested
Aurora Cancer Care-Kenosha South
Kenosha, Wisconsin
- I'm interested
Essentia Health-Hayward Clinic
Hayward, Wisconsin
- I'm interested
Aurora BayCare Medical Center
Green Bay, Wisconsin
- I'm interested
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin
- I'm interested
Duluth Clinic Ashland
Ashland, Wisconsin
- I'm interested
Marshfield Medical Center - Weston
Weston, Wisconsin
- Call 715-422-7718
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids, Wisconsin
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Aurora Cancer Care-Grafton
Grafton, Wisconsin
- I'm interested
Northwest Wisconsin Cancer Center
Ashland, Wisconsin
- I'm interested
Aurora Cancer Care-Racine
Racine, Wisconsin
- I'm interested
Aurora Health Care Germantown Health Center
Germantown, Wisconsin
- I'm interested
Aurora Saint Luke's South Shore
Cudahy, Wisconsin
- I'm interested
Aurora Cancer Care-Southern Lakes VLCC
Burlington, Wisconsin
- Call 414-805-0505
Froedtert West Bend Hospital/Kraemer Cancer Center
West Bend, Wisconsin
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Aurora West Allis Medical Center
West Allis, Wisconsin
- I'm interested
Aurora Cancer Care-Milwaukee West
Wauwatosa, Wisconsin
Who can participate
Inclusion criteria
- ✓Pathologically (histologically or cytologically) proven diagnosis of non-operable stage IIB or III, node positive (American Joint Committee on Cancer \[AJCC\] eighth edition) non-small cell lung cancer (NSCLC) with known PD-L1 status prior to registration
- ✓Patients must have an identified primary tumor and at least one nodal metastasis (peribronchial/hilar/intrapulmonary, mediastinal/subcarinal, supraclavicular/scalene)
- ✓Up to 4 cycles of systemic therapy received prior to registration for the current study cancer is allowable; any prior chemotherapy for a different cancer is also permissible
- ✓Patients who refuse surgery, in addition to those who are technically unresectable or medically inoperable, are eligible.
- ✓Patients with separate tumor nodules in the same lobe of the primary tumor are eligible
- ✓The patient must be deemed clinically appropriate for curative intent definitive combined modality therapy, based on the following staging assessments:
- ✓History/physical examination prior to registration;
- ✓Magnetic resonance imaging (MRI) scan of the brain (preferred) or CT scan of the brain (if available, contrast is preferred for all neuroimaging) prior to registration;
- ✓CT chest with IV contrast (if contrast is available and unless contraindicated, such as for abnormal kidney function) prior to registration. PET/CT may be used if the CT portion is of identical diagnostic quality as achieved in a stand-alone CT
- ✓No evidence of distant metastases based on FDG PET/CT scan obtained within 60 days of registration
- ✓Primary tumor =\< 7 cm
- ✓Age \>= 18
- ✓Eastern Cooperative Oncology Group (ECOG) performance status 0-2
- ✓Hematologic function (e.g. platelets, leukocytes, hemoglobin) amenable, at the discretion of the treating physician, to allow for treatment with chemotherapy and concurrent radiation therapy
- ✓Creatinine clearance \>= 25 mL/min by the Cockcroft-Gault (C-G) equation
- ✓Subjects with non-malignant pleural effusion are eligible provided the effusion is not known or demonstrated to be an exudative effusion
- ✓If a pleural effusion is present, the following criteria must be met to exclude malignant involvement:
- ✓When pleural fluid is visible on both the CT scan and on a chest x-ray, a pleuracentesis is required to confirm that the pleural fluid is cytologically negative;
- ✓Effusions that are minimal (i.e., not visible on chest x-ray) that are too small to safely tap are eligible
- ✓Medical history consistent with the patient being amenable, at the discretion of the treating physician, to allow for treating with consolidation immunotherapy. Patients with known EGFR/ALK/other driver mutation at the time of registration are eligible, and these patients can be treated with consolidation systemic therapy at the discretion of the treating physician
- ✓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
- ✓Negative pregnancy test =\< 14 days prior to registration for participants of childbearing potential
- ✓The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and, for patients treated in the United States (U.S.), authorization permitting release of personal health information
Exclusion criteria
- ✕Prior radiotherapy to the study cancer (local recurrence). Prior radiotherapy for a different cancer/condition to the region of the study cancer that would result in overlap of radiation therapy fields that is determined by the treating physician to impede the treatment of the study malignancy
- ✕Patients without identifiable primary tumor and at least 1 pathologically enlarged lymph node are not eligible (T3-4N0 or T0N1-3 patients are not eligible). At least 1 radiographically-involved lymph node is required, but pathologic confirmation of involvement is not mandated
- ✕Centrally located primary tumor \< 2 cm from involved nodal disease that would result in significant overlap of the primary SBRT and nodal radiation fields. This does not include proximity to involved segmental and subsegmental lymph nodes (levels 13 and 14) that would not result in overlap of dose to the proximal bronchial tree or esophagus. Centrally located is defined as within or touching the zone of the proximal bronchial tree, which is a volume 2 cm in all directions around the proximal bronchial tree (carina, right and left main bronchi, right and left upper lobe bronchi, intermedius bronchus, right middle lobe bronchus, lingular bronchus right and left lower lobe bronchi)
- ✕Participants who are pregnant or unwilling to discontinue nursing
- ✕Participants of childbearing potential (participants who may become pregnant or who may impregnate a partner) unwilling to use highly effective contraceptives during therapy and for the Food and Drug Administration (FDA)-labeled contraception timeframe required after the final dose of the selected systemic therapy regimen, because the treatment in this study may be significantly teratogenic
Only the research team can confirm whether you qualify. The intake questionnaire is the best way to find out.
Completing a questionnaire on Clinably does not enroll you in a clinical trial or confirm your eligibility. Only the research team can determine whether you qualify to participate. These results are based on the information you provide and are intended to help you start a conversation with the research team.
Trial data sourced from ClinicalTrials.gov.