New hope for kids with rare cancers: drug targets tumor growth
NCT ID NCT02867592
First seen Jun 25, 2026 · Last updated Aug 28, 2026 · Updated 5 times
Summary
This phase 2 trial tests the drug cabozantinib in children and young adults with rare cancers like sarcomas, Wilms tumor, and others that have come back or not responded to treatment. Cabozantinib works by blocking enzymes that help tumors grow and form blood vessels. The study aims to see if the drug can shrink tumors or control the disease in 109 participants aged up to 30 years.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cabozantinib (a drug that blocks multiple enzymes involved in tumor growth and blood vessel formation)
- What this could lead to
- If successful, this could provide a new treatment option for children and young adults with rare cancers that have not responded to standard therapies.
- What could go wrong
- This is a phase 2 trial with a relatively small number of participants (109). The drug may not work for all cancer types, and side effects can be significant. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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109 people
The number who actually took part.
- Started
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May 2017
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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2 to 30 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Upper age limit of =\< 18 years of age for medullary thyroid carcinoma (MTC), renal cell carcinoma (RCC) and hepatocellular carcinoma (HCC) =\< 30 years for all other diagnoses * Patients must have a body surface area \>= 0.35 m\^2 * Patients must have recurrent or refractory disease, or newly diagnosed disease with no known curative therapy or therapy proven to prolong survival with an acceptable quality of life; patients must have had histologic verification of one of the malignancies listed below at original diagnosis or at relapse: * Ewing sarcoma * Rhabdomyosarcoma (RMS) * Non-rhabdomyosarcoma soft tissue sarcomas (STS) including microphthalmia transcription factor associated STS (alveolar soft part sarcoma \[ASPS\] and clear cell sarcoma \[CCS\]) * Osteosarcoma * Wilms tumor * Rare tumors * Medullary thyroid carcinoma (MTC) * Renal cell carcinoma (RCC) * Hepatocellular carcinoma (HCC) * Hepatoblastoma * Adrenal coertex carcinoma * Pediatric solid tumors (including central nervous system \[CNS\] tumors) with known molecular alterations in the targets of XL184 (i.e., MET amplification, overexpression, activating mutation, MET translocation, MET exon skipping mutations, activating RET mutations, RET rearrangement, overexpression or activation of AXL); documentation of the alteration from a Clinical Laboratory Improvement Act (CLIA) certified laboratory will be required * Note: Documentation of any known tumor molecular alterations and RET mutation status for patients with MTC (germline) must be uploaded via the RAVE system * Patients must have radiographically measurable disease; measurable disease is defined as the presence of at least one lesion on magnetic resonance imaging (MRI) or computed tomography (CT) scan that can be accurately measured with the longest diameter a minimum of 10 mm in at least one dimension (CT scan slice thickness no greater than 5 mm) * Note: The following do NOT qualify as measurable disease: * Malignant fluid collections (e.g., ascites, pleural effusions) * Bone marrow infiltration * Lesions only detected by nuclear medicine studies (e.g., bone, gallium or positron emission tomography \[PET\] scans) * Elevated tumor markers in plasma or cerebrospinal fluid (CSF) * Previously radiated lesions that have not demonstrated clear progression post radiation * Leptomeningeal lesions that do not meet the measurement parameters noted above * Patients must have a Lansky or Karnofsky performance status score of \>= 50, corresponding to Eastern Cooperative Oncology Group (ECOG) categories 0, 1 or 2; use Karnofsky for patients \> 16 years of age and Lansky for patients =\< 16 years of age; patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score * Patients must have fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study * Patients with solid tumors must not have received myelosuppressive chemotherapy within 3 weeks of enrollment onto this study (6 weeks if prior nitrosourea) * At least 7 days must have elapsed since the completion of therapy with a growth factor. At least 14 days must have elapsed after receiving pegfilgrastim * Anti-cancer agents not known to be myelosuppressive (e.g. not associated with reduced platelet or absolute neutrophil count \[ANC\] counts): \>= 7 days after the last dose of agent * Antibodies: \>= 21 days must have elapsed from infusion of last dose of antibody, and toxicity related to prior antibody therapy must be recovered to grade =\< 1 * \>= 2 weeks must have elapsed since local palliative radiation therapy (XRT) (small port); \>= 6 weeks must have elapsed since treatment with therapeutic doses of M-Iodobenzylguanidine (MIBG); \>= 3 months must have elapsed if prior craniospinal XRT was received, if \>= 50% of the pelvis was irradiated, or if total-body irradiation (TBI) was received; \>= 6 weeks must have elapsed if other substantial bone marrow irradiation was given * Subjects should not have any clinically relevant ongoing complications from prior radiation therapy (i.e., radiation esophagitis or other inflammation of the viscera) * No evidence of active graft versus (vs.) host disease and \>= 2 months must have elapsed since transplant * Not previously received XL184 or another MET/HGF inhibitor (tivantinib or crizotinib); there are no limits on number of prior therapeutic regimens; patients who have been treated with prior VEGF pathway, or RET inhibitors (except XL184) may be eligible * Peripheral absolute neutrophil count (ANC) \>= 1000/uL for patients with solid tumors without bone marrow involvement * Platelet count \>= 100,000/uL (transfusion independent, defined as not receiving platelet transfusions within a 7 day period prior to enrollment) for patients with solid tumors without bone marrow involvement * Hemoglobin \>= 8.0 g/dL (may receive red blood cell \[RBC\] transfusions) for patients with solid tumors without bone marrow involvement * Peripheral absolute neutrophil count (ANC) \>= 750/uL for patients with solid tumors and known bone marrow metastatic disease * Platelet count \>= 50,000/uL for patients with solid tumors and known bone marrow metastatic disease * Hemoglobin \>= 8.0 g/dL for patients with solid tumors and known bone marrow metastatic disease * Transfusions are permitted to meet both the platelet and hemoglobin criteria for patients with known bone marrow metastatic disease; patients must not be known to be refractory to red blood cell or platelet transfusions * Creatinine clearance or radioisotope glomerular filtration rate (GFR) \>= 70 mL/min/1.73 m\^2 or a serum creatinine based on age/gender as follows: * 2 to \< 6 years of age * Male and female: 0.8 (maximum serum creatinine \[mg/dL\]) * 6 to \< 10 years of age * Male and female: 1 (maximum serum creatinine \[mg/dL\]) * 10 to \< 13 years of age * Male and female: 1.2 (maximum serum creatinine \[mg/dL\]) * 13 to \< 16 years of age * Male 1.5 (maximum serum creatinine \[mg/dL\]) * Female: 1.4 (maximum serum creatinine \[mg/dL\]) * \>= 16 years of age * Male: 1.7 (maximum serum creatinine \[mg/dL\]) * Female: 1.4 (maximum serum creatinine \[mg/dL\]) * Urine protein: =\< 30 mg/dl in urinalysis or =\< 1+ on dipstick, unless quantitative protein is \< 1000 mg in a 24 hour (h) urine sample * Total bilirubin =\< 1.5 x upper limit of normal (ULN) for age * Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase \[ALT\]) =\< 135 U/L (3 x ULN) (for the purpose of this study, the ULN for SGPT is 45 U/L) * Serum albumin \>= 2.8 g/dL * No history of congenital prolonged corrected QT (QTc) syndrome, New York Heart Association (NYHA) class III or IV congestive heart failure (CHF) * No clinically significant cardiac arrhythmias, stroke or myocardial infarction within 6 months prior to enrollment * QTc =\< 480 msec; Note: Patients with grade 1 prolonged QTc (450- 480 msec) at the time of study enrollment should have correctable causes of prolonged QTc addressed if possible (i.e., electrolytes, medications) * Patients with a known seizure disorder who are receiving non-enzyme inducing anticonvulsants and have well-controlled seizures may be enrolled * CNS toxicity =\< grade 2 with the exception of decreased tendon reflex (DTR); any grade of DTR is eligible * A blood pressure (BP) =\< the 95th percentile for age, height, and gender for pediatric patients \< 18 years old and =\< 140/90 mmHg for patients \>= 18 years old; patients should not be receiving medication for treatment of hypertension (except patients with Wilms tumor and RCC who may be eligible if on stable doses of no more than one anti-hypertensive medication with a baseline BP =\< ULN for pediatric patients and =\< 140/90 for adult patients); please note that 3 serial blood pressures should be obtained and averaged to determine baseline BP * International normalized ratio (INR) =\< 1.5 * Serum amylase =\< 1.5 x ULN * Serum lipase =\< 1.5 x ULN Exclusion Criteria: * Pregnant or breast-feeding women will not be entered on this study due to risks of fetal and teratogenic adverse events as seen in animal/human studies; pregnancy tests must be obtained in girls who are post-menarchal; males or females of reproductive potential may not participate unless they have agreed to use two methods of birth control- a medically accepted barrier method of contraceptive method (e.g., male or female condom) and a second effective method of birth control-during protocol therapy and for at least 4 months after the last dose of XL184; abstinence is an acceptable method of birth control * Growth factors that support platelet or white cell number or function must not have been administered within the 7 days prior to enrollment (14 days if pegfilgrastim) * Patients requiring corticosteroids who have not been on a stable or decreasing dose of corticosteroid for the 7 days prior to enrollment are not eligible; if used to modify immune adverse events related to prior therapy, \>= 14 days must have elapsed since last dose of corticosteroid * Previous treatment with XL184 (cabozantinib) or another MET/HGF inhibitor (tivantinib, crizotinib) * Patients who are currently receiving another investigational drug are not eligible * Patients who are currently receiving other anti-cancer agents are not eligible * Patients who are receiving cyclosporine, tacrolimus or other agents to prevent either graft-versus-host disease post bone marrow transplant or organ rejection post-transplant are not eligible for this trial * Patients must not be receiving any of the following potent CYP3A4 inducers or inhibitors: erythromycin, clarithromycin, ketoconazole, azithromycin, itraconazole, grapefruit juice or St. John's wort * Concomitant anticoagulation with oral anticoagulants (e.g., warfarin, direct thrombin, and Factor Xa inhibitors) or platelet inhibitors (e.g., clopidogrel) are prohibited * Note: Low-dose aspirin for cardioprotection (per local applicable guidelines) and low dose, low molecular weight heparins (LMWH) are permitted; anticoagulation with therapeutic doses of LMWH is allowed in subjects without radiographic evidence of brain metastasis, who are on a stable dose of LMWH for at least 6 weeks before first dose of study treatment, and who have had no complications from a thromboembolic event or the anticoagulation regimen * Patients must not have received enzyme-inducing anticonvulsants within 14 days prior to enrollment * Patients who are receiving drugs that prolong QTc are not eligible * Patients who are unable to swallow intact tablets are not eligible * Patients who have an uncontrolled infection are not eligible * Patients who in the opinion of the investigator may not be able to comply with the safety monitoring requirements of the study are not eligible * Patients with active bleeding are not eligible; specifically, no clinically significant gastrointestinal (GI) bleeding, GI perforation, intra-abdominal abscess or fistula for 6 months prior to enrollment, no hemoptysis or other signs of pulmonary hemorrhage for 3 months prior to enrollment; patients with evidence of an acute intracranial or intratumoral hemorrhage on CT or MRI are not eligible (patients with evidence of resolving hemorrhage will be eligible); in patients with CNS tumors, an MRI with ECHO gradient sequences would be required to exclude presence of petechial hemorrhages * Patients who have had or are planning to have the following invasive procedures are not eligible: * Major surgical procedure, laparoscopic procedure, or open biopsy within 28 days prior to enrollment * Central line placement or subcutaneous port placement is not considered major surgery but must be placed at least 3 days prior to enrollment for external lines (e.g., Hickman or Broviac catheter, peripherally inserted central catheter \[PICC\]) and at least 7 days prior to enrollment for a subcutaneous port * Core biopsy within 7 days prior to enrollment * Fine needle aspirate within 7 days prior to enrollment * Surgical or other wounds must be adequately healed prior to enrollment * NOTE: For purposes of this study, bone marrow aspirate and biopsy are not considered surgical procedures and therefore are permitted within 14 days prior to start of protocol therapy * Patients who have had significant traumatic injury within 28 days prior to enrollment are not eligible * Patients with any medical or surgical conditions that would interfere with gastrointestinal absorption of the study drug are not eligible
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AdventHealth Orlando
Orlando, Florida, 32803, United States
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Alfred I duPont Hospital for Children
Wilmington, Delaware, 19803, United States
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Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas, Nevada, 89135, United States
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Arkansas Children's Hospital
Little Rock, Arkansas, 72202-3591, United States
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Arnold Palmer Hospital for Children
Orlando, Florida, 32806, United States
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Ascension Saint Vincent Indianapolis Hospital
Indianapolis, Indiana, 46260, United States
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BI-LO Charities Children's Cancer Center
Greenville, South Carolina, 29605, United States
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Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
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Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston, Texas, 77030, United States
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Blank Children's Hospital
Des Moines, Iowa, 50309, United States
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C S Mott Children's Hospital
Ann Arbor, Michigan, 48109, United States
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Cardinal Glennon Children's Medical Center
St Louis, Missouri, 63104, United States
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Carle Cancer Center
Urbana, Illinois, 61801, United States
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Carle Physician Group-Effingham
Effingham, Illinois, 62401, United States
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Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938, United States
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Carle at The Riverfront
Danville, Illinois, 61832, United States
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Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203, United States
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Children's Healthcare of Atlanta - Arthur M Blank Hospital
Atlanta, Georgia, 30329, United States
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital Los Angeles
Los Angeles, California, 90027, United States
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Children's Hospital New Orleans
New Orleans, Louisiana, 70118, United States
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Children's Hospital and Medical Center of Omaha
Omaha, Nebraska, 68114, United States
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Children's Hospital of Alabama
Birmingham, Alabama, 35233, United States
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Children's Hospital of Orange County
Orange, California, 92868, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, 15224, United States
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Children's Hospital of San Antonio
San Antonio, Texas, 78207, United States
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Children's Hospital of The King's Daughters
Norfolk, Virginia, 23507, United States
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Children's Hospital of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Children's Hospitals and Clinics of Minnesota - Minneapolis
Minneapolis, Minnesota, 55404, United States
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Children's Mercy Hospitals and Clinics
Kansas City, Missouri, 64108, United States
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Children's National Medical Center
Washington D.C., District of Columbia, 20010, United States
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Comprehensive Cancer Centers of Nevada-Horizon Ridge
Henderson, Nevada, 89052, United States
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Connecticut Children's Medical Center
Hartford, Connecticut, 06106, United States
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Corewell Health Children's
Royal Oak, Michigan, 48073, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon, New Hampshire, 03756, United States
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Dayton Children's Hospital
Dayton, Ohio, 45404, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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East Carolina University
Greenville, North Carolina, 27834, United States
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East Tennessee Childrens Hospital
Knoxville, Tennessee, 37916, United States
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Eastern Maine Medical Center
Bangor, Maine, 04401, United States
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El Paso Children's Hospital
El Paso, Texas, 79905, United States
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Golisano Children's Hospital of Southwest Florida
Fort Myers, Florida, 33908, United States
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Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Henry Ford Health Saint John Hospital
Detroit, Michigan, 48236, United States
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Hope Cancer Care of Nevada-Pahrump
Pahrump, Nevada, 89048, United States
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Huron Medical Center PC
Port Huron, Michigan, 48060, United States
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Iowa Lutheran Hospital
Des Moines, Iowa, 50316, United States
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Iowa Methodist Medical Center
Des Moines, Iowa, 50309, United States
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Johns Hopkins All Children's Hospital
St. Petersburg, Florida, 33701, United States
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Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore, Maryland, 21287, United States
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Kaiser Permanente Downey Medical Center
Downey, California, 90242, United States
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Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027, United States
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Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819, United States
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Kaiser Permanente-Anaheim
Anaheim, California, 92806, United States
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Kaiser Permanente-Bellflower
Bellflower, California, 90706, United States
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Kaiser Permanente-Capitol Hill Medical Center
Washington D.C., District of Columbia, 20002, United States
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Kaiser Permanente-Fontana
Fontana, California, 92335, United States
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Kaiser Permanente-Oakland
Oakland, California, 94611, United States
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Kaiser Permanente-Rio San Diego
San Diego, California, 92108, United States
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Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826, United States
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Lafayette Family Cancer Center-EMMC
Brewer, Maine, 04412, United States
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Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016, United States
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Loma Linda University Medical Center
Loma Linda, California, 92354, United States
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Lucile Packard Children's Hospital Stanford University
Palo Alto, California, 94304, United States
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Lurie Children's Hospital-Chicago
Chicago, Illinois, 60611, United States
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Massachusetts General Hospital Cancer Center
Boston, Massachusetts, 02114, United States
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007, United States
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Medical City Dallas Hospital
Dallas, Texas, 75230, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Mercy Hospital Saint Louis
St Louis, Missouri, 63141, United States
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MetroHealth Medical Center
Cleveland, Ohio, 44109, United States
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Morristown Medical Center
Morristown, New Jersey, 07960, United States
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NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032, United States
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NYU Langone Hospital - Long Island
Mineola, New York, 11501, United States
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National Institutes of Health Clinical Center
Bethesda, Maryland, 20892, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Nemours Children's Clinic - Pensacola
Pensacola, Florida, 32504, United States
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Nemours Children's Clinic-Jacksonville
Jacksonville, Florida, 32207, United States
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Nemours Children's Hospital
Orlando, Florida, 32827, United States
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Nicklaus Children's Hospital
Miami, Florida, 33155, United States
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Norton Children's Hospital
Louisville, Kentucky, 40202, United States
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OSF Children's Hospital of Illinois
Peoria, Illinois, 61637, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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ProMedica Flower Hospital
Sylvania, Ohio, 43560, United States
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ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
Toledo, Ohio, 43606, United States
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Providence Alaska Medical Center
Anchorage, Alaska, 99508, United States
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Providence Sacred Heart Medical Center and Children's Hospital
Spokane, Washington, 99204, United States
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Radiation Oncology Associates
Reno, Nevada, 89509, United States
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Rady Children's Hospital - San Diego
San Diego, California, 92123, United States
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Rainbow Babies and Childrens Hospital
Cleveland, Ohio, 44106, United States
-
Riley Hospital for Children
Indianapolis, Indiana, 46202, United States
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Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center
Denver, Colorado, 80218, United States
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Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
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Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital
New Brunswick, New Jersey, 08903, United States
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Saint Francis Cancer Center
Greenville, South Carolina, 29607, United States
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Saint Francis Hospital
Greenville, South Carolina, 29601, United States
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Saint Jude Children's Research Hospital
Memphis, Tennessee, 38105, United States
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Saint Luke's Cancer Institute - Boise
Boise, Idaho, 83712, United States
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Seattle Children's Hospital
Seattle, Washington, 98105, United States
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Sinai Hospital of Baltimore
Baltimore, Maryland, 21215, United States
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Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376, United States
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Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141, United States
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Siteman Cancer Center-South County
St Louis, Missouri, 63129, United States
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Southeastern Medical Oncology Center-Clinton
Clinton, North Carolina, 28328, United States
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Southeastern Medical Oncology Center-Goldsboro
Goldsboro, North Carolina, 27534, United States
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Southeastern Medical Oncology Center-Jacksonville
Jacksonville, North Carolina, 28546, United States
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State University of New York Upstate Medical University
Syracuse, New York, 13210, United States
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Straub Clinic and Hospital
Honolulu, Hawaii, 96813, United States
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Summerlin Hospital Medical Center
Las Vegas, Nevada, 89144, United States
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Sunrise Hospital and Medical Center
Las Vegas, Nevada, 89109, United States
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Texas Tech University Health Sciences Center-El Paso
El Paso, Texas, 79905, United States
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The Carle Foundation Hospital
Urbana, Illinois, 61801, United States
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The Children's Hospital at TriStar Centennial
Nashville, Tennessee, 37203, United States
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The Steven and Alexandra Cohen Children's Medical Center of New York
New Hyde Park, New York, 11040, United States
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UCSF Benioff Children's Hospital Oakland
Oakland, California, 94609, United States
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UCSF Medical Center-Mission Bay
San Francisco, California, 94158, United States
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UF Health Cancer Institute - Gainesville
Gainesville, Florida, 32610, United States
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UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599, United States
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UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas, 75390, United States
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University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817, United States
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University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637, United States
-
University of Illinois
Chicago, Illinois, 60612, United States
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University of Iowa/Holden Comprehensive Cancer Center
Iowa City, Iowa, 52242, United States
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University of Kentucky/Markey Cancer Center
Lexington, Kentucky, 40536, United States
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University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136, United States
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University of Minnesota/Masonic Cancer Center
Minneapolis, Minnesota, 55455, United States
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University of Mississippi Medical Center
Jackson, Mississippi, 39216, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Vermont and State Agricultural College
Burlington, Vermont, 05405, United States
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University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin, 53792, United States
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Valley Children's Hospital
Madera, California, 93636, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Wayne Memorial Hospital
Goldsboro, North Carolina, 27534, United States
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Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Yale University
New Haven, Connecticut, 06520, United States
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