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New drug combo aims to stall rare Cancer's spread
NCT ID NCT05694871
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 2 times
Summary
This study compares the drug palbociclib alone versus palbociclib plus cemiplimab in 77 people with advanced dedifferentiated liposarcoma that cannot be removed by surgery. Palbociclib blocks enzymes that help cancer cells grow, while cemiplimab boosts the immune system to attack tumors. The goal is to see if the combination keeps the cancer from growing longer than the single drug.
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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77 people
The number who actually took part.
- Started
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Jun 2023
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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18 years and older
- 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: * ELIGIBILITY CRITERIA (STEP 1): Patients must have histologically documented dedifferentiated liposarcoma (DDLPS). Patients with mixed well-differentiated/dedifferentiated liposarcoma (WD/DD LPS) tumors are eligible provided there is a histologically confirmed DDLPS component at some point during the treatment course * Disease must be metastatic or locally advanced and surgically unresectable, in the opinion of the treating investigator * Note: Intact retinoblastoma protein (RB) can be assumed in DDLPS. In a query of project Genomics Evidence Neoplasia Information Exchange (GENIE) (American Association for Cancer Research \[AACR\]), including 286 DDLPS tumors, the rate of RB1 mutation in DDLPS was 1.37%. Therefore, molecular testing to determine intact Rb is not required * ELIGIBILITY CRITERIA (STEP 1): Patients must have at least one lesion that is measurable per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria to be eligible for this study. Previously radiated lesions should not be used as target lesions unless there is documented evidence of disease progression of that lesion after radiation * ELIGIBILITY CRITERIA (STEP 1): Patients may have received any number of prior systemic treatment lines for DDLPS, including none * ELIGIBILITY CRITERIA (STEP 1): Patients may not have received prior treatment with CDK4/6 inhibitors (including, but not limited to: palbociclib, ribociclib or abemaciclib) or anti-PD-1/anti-PD-L1 antibodies * ELIGIBILITY CRITERIA (STEP 1): Patients must have recovered to baseline or =\< grade 1 per CTCAE version 5.0 from toxicity related to any prior treatment, unless adverse events are clinically nonsignificant and/or stable on supportive therapy, and with the exceptions of fatigue (which must be =\< grade 2), alopecia and/or endocrinopathies related to prior immunotherapy which are controlled with hormone replacement * ELIGIBILITY CRITERIA (STEP 1): Patients must have completed all prior anti-cancer treatment, including radiation, \>= 14 days prior to registration * ELIGIBILITY CRITERIA (STEP 1): Age \>= 18 years * ELIGIBILITY CRITERIA (STEP 1): Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2 * ELIGIBILITY CRITERIA (STEP 1): Absolute neutrophil count (ANC) \>= 1000/mm\^3 * ELIGIBILITY CRITERIA (STEP 1): Platelet count \>= 100,000/mm\^3 * ELIGIBILITY CRITERIA (STEP 1): Hemoglobin \>= 9 g/dL * ELIGIBILITY CRITERIA (STEP 1): Creatinine clearance (CrCl) \>= 30 mL/min * ELIGIBILITY CRITERIA (STEP 1): Total bilirubin =\< 1.5 x upper limit of normal (ULN) * ELIGIBILITY CRITERIA (STEP 1): Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) =\< 3.0 x ULN * ELIGIBILITY CRITERIA (STEP 1): Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible, patients should be class IIB or better. Furthermore, patients may not have an uncontrolled ventricular arrhythmia or recent (within 3 months) myocardial infarction * ELIGIBILITY CRITERIA (STEP 1): For patients with evidence of chronic hepatitis B (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated * ELIGIBILITY CRITERIA (STEP 1): Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently receiving treatment, they are eligible if they have an undetectable HCV viral load * ELIGIBILITY CRITERIA (STEP 1): Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial * ELIGIBILITY CRITERIA (STEP 1): Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. Patients participating on this trial may not be receiving other anti-neoplastic therapies and there should be no anticipated need for such therapy * ELIGIBILITY CRITERIA (STEP 1): Patients with treated brain metastases that are non-progressing are eligible if follow-up brain imaging performed at least 4 weeks after central nervous system (CNS)-directed therapy shows no evidence of progression. Patients with new or progressive brain metastases (active brain metastases) or leptomeningeal disease are not eligible * ELIGIBILITY CRITERIA (STEP 1): Patients must not have an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, extensive interstitial bilateral lung disease on high resolution computed tomography (HRCT) scan or any other condition that would limit compliance with study requirements * ELIGIBILITY CRITERIA (STEP 1): Patients must be able to swallow oral medications * ELIGIBILITY CRITERIA (STEP 1): Patients may not require the use of chronic steroids in excess of 10 mg prednisone daily or equivalent * ELIGIBILITY CRITERIA (STEP 1): Patients may not require concomitant use of known strong CYP3A inhibitors (e.g., itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) * ELIGIBILITY CRITERIA (STEP 1): Patients may not require concomitant use of known strong CYP3A inducers (e.g., phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) * RE-REGISTRATION ELIGIBILITY CRITERIA (FOR STEP 2 CROSSOVER FROM ARM 1 TO ARM 2): In order to cross over to Arm 2, patients must meet the same eligibility criteria as described above * RE-REGISTRATION ELIGIBILITY CRITERIA (FOR STEP 2 CROSSOVER FROM ARM 1 TO ARM 2): Patients must have demonstrated progression of disease on palbociclib monotherapy (Arm 1) per RECIST version 1.1 criteria * RE-REGISTRATION ELIGIBILITY CRITERIA (FOR STEP 2 CROSSOVER FROM ARM 1 TO ARM 2): Patients may not have experienced a grade 3 or higher non-hematologic adverse event deemed clinically significant in the opinion of the treating investigator, or have discontinued palbociclib due to toxicity, while participating on Arm 1 * Patients must also have recovered to baseline or =\< grade 1 per CTCAE version 5.0 from toxicity related to Arm 1 treatment, unless adverse events are clinically nonsignificant and/or stable on supportive therapy, and with the exceptions of fatigue (which must be =\< grade 2), alopecia and/or endocrinopathies related to prior immunotherapy which are controlled with hormone replacement * Note: Patients who underwent dose reduction of palbociclib during treatment on Arm 1 will begin treatment on Arm 2 at the same dose (i.e. dose re-escalation is not allowed) * RE-REGISTRATION ELIGIBILITY CRITERIA (FOR STEP 2 CROSSOVER FROM ARM 1 TO ARM 2): Patients may not have received prior treatment with anti-PD-1/anti-PD-L1 antibodies * RE-REGISTRATION ELIGIBILITY CRITERIA (FOR STEP 2 CROSSOVER FROM ARM 1 TO ARM 2): Not pregnant and not nursing, because this study involves an agent that has known genotoxic, mutagenic and teratogenic effects \* Therefore, for women of childbearing potential only, a negative serum pregnancy test done =\< 7 days prior to re-registration is required
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Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced dedifferentiated liposarcoma are added.
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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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Alegent Health Bergan Mercy Medical Center
Omaha, Nebraska, 68124, United States
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Alegent Health Immanuel Medical Center
Omaha, Nebraska, 68122, United States
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Alegent Health Lakeside Hospital
Omaha, Nebraska, 68130, United States
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Alegent Health Mercy Hospital
Council Bluffs, Iowa, 51503, United States
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Atrium Health Pineville/LCI-Pineville
Charlotte, North Carolina, 28210, United States
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BJC Outpatient Center at Sunset Hills
Sunset Hills, Missouri, 63127, United States
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Bethesda North Hospital
Cincinnati, Ohio, 45242, United States
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CHI Health Good Samaritan
Kearney, Nebraska, 68847, United States
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Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269, United States
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Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, 62526, United States
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Cancer Center at Saint Joseph's
Phoenix, Arizona, 85004, 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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Case Western Reserve University
Cleveland, Ohio, 44106, United States
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Centralia Oncology Clinic
Centralia, Illinois, 62801, United States
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City of Hope Comprehensive Cancer Center
Duarte, California, 91010, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Commonwealth Cancer Center-Corbin
Corbin, Kentucky, 40701, United States
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Creighton University Medical Center
Omaha, Nebraska, 68131, United States
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Crossroads Cancer Center
Effingham, Illinois, 62401, United States
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Dana-Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Decatur Memorial Hospital
Decatur, Illinois, 62526, United States
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Flaget Memorial Hospital
Bardstown, Kentucky, 40004, United States
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Fred Hutchinson Cancer Center
Seattle, Washington, 98109, United States
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Fresno Cancer Center
Fresno, California, 93720, United States
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Geauga Hospital
Chardon, Ohio, 44024, United States
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Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220, United States
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HSHS Saint Elizabeth's Hospital
O'Fallon, Illinois, 62269, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Heartland Oncology and Hematology LLP
Council Bluffs, Iowa, 51503, United States
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Henry Ford Cancer Institute-Downriver
Brownstown, Michigan, 48183, United States
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Henry Ford Hospital
Detroit, Michigan, 48202, United States
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Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan, 48038, United States
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Henry Ford Medical Center-Columbus
Novi, Michigan, 48377, United States
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Henry Ford Medical Center-Fairlane
Dearborn, Michigan, 48126, United States
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Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322, United States
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Hunterdon Medical Center
Flemington, New Jersey, 08822, United States
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Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112, United States
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Illinois CancerCare - Washington
Washington, Illinois, 61571, United States
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Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704, United States
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Illinois CancerCare-Canton
Canton, Illinois, 61520, United States
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Illinois CancerCare-Carthage
Carthage, Illinois, 62321, United States
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Illinois CancerCare-Dixon
Dixon, Illinois, 61021, United States
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Illinois CancerCare-Eureka
Eureka, Illinois, 61530, United States
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Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401, United States
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Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443, United States
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Illinois CancerCare-Macomb
Macomb, Illinois, 61455, United States
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Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350, United States
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Illinois CancerCare-Pekin
Pekin, Illinois, 61554, United States
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Illinois CancerCare-Peoria
Peoria, Illinois, 61615, United States
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Illinois CancerCare-Peru
Peru, Illinois, 61354, United States
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Illinois CancerCare-Princeton
Princeton, Illinois, 61356, United States
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Jersey Shore Medical Center
Neptune City, New Jersey, 07753, United States
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Kaiser Permanente Cancer Treatment Center
South San Francisco, California, 94080, United States
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Kaiser Permanente Downtown Commons
Sacramento, California, 95814, United States
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Kaiser Permanente Dublin
Dublin, California, 94568, United States
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Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, 95051, United States
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Kaiser Permanente Medical Center-Vacaville
Vacaville, California, 95688, United States
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Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819, United States
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Kaiser Permanente Oakland-Broadway
Oakland, California, 94611, United States
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Kaiser Permanente San Leandro
San Leandro, California, 94577, United States
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Kaiser Permanente- Marshall Medical Offices
Redwood City, California, 94063, United States
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Kaiser Permanente-Deer Valley Medical Center
Antioch, California, 94531, United States
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Kaiser Permanente-Fremont
Fremont, California, 94538, United States
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Kaiser Permanente-Fresno
Fresno, California, 93720, United States
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Kaiser Permanente-Modesto
Modesto, California, 95356, United States
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Kaiser Permanente-Oakland
Oakland, California, 94611, United States
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Kaiser Permanente-Rancho Cordova Cancer Center
Rancho Cordova, California, 95670, United States
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Kaiser Permanente-Richmond
Richmond, California, 94801, United States
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Kaiser Permanente-Roseville
Roseville, California, 95661, United States
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Kaiser Permanente-San Francisco
San Francisco, California, 94115, United States
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Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403, United States
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Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119, United States
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Kaiser Permanente-South San Francisco
South San Francisco, California, 94080, United States
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Kaiser Permanente-Stockton
Stockton, California, 95210, United States
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Kaiser Permanente-Vallejo
Vallejo, California, 94589, United States
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Kaiser Permanente-Walnut Creek
Walnut Creek, California, 94596, United States
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Kaiser San Rafael-Gallinas
San Rafael, California, 94903, United States
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Littleton Adventist Hospital
Littleton, Colorado, 80122, United States
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Longmont United Hospital
Longmont, Colorado, 80501, United States
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M D Anderson Cancer Center
Houston, Texas, 77030, United States
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MU Health Care Goldschmidt Cancer Center
Jefferson City, Missouri, 65109, United States
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Marshfield Clinic - Wisconsin Rapids Center
Wisconsin Rapids, Wisconsin, 54494, United States
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Marshfield Clinic-Chippewa Center
Chippewa Falls, Wisconsin, 54729, United States
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Marshfield Clinic-Minocqua Center
Minocqua, Wisconsin, 54548, United States
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Marshfield Clinic-Wausau Center
Wausau, Wisconsin, 54401, United States
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Marshfield Medical Center - Ladysmith
Ladysmith, Wisconsin, 54848, United States
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Marshfield Medical Center - Neillsville
Neillsville, Wisconsin, 54456, United States
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Marshfield Medical Center - Weston
Weston, Wisconsin, 54476, United States
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Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701, United States
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Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449, United States
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Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868, United States
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Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482, United States
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Mayo Clinic Hospital in Arizona
Phoenix, Arizona, 85054, United States
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Mayo Clinic in Arizona
Scottsdale, Arizona, 85259, United States
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Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980, United States
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Mayo Clinic in Rochester
Rochester, Minnesota, 55905, United States
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Hospital of Carbondale
Carbondale, Illinois, 62902, United States
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Memorial Medical Center
Springfield, Illinois, 62781, United States
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Mercy Cancer Center
Merced, California, 95340, United States
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Mercy Cancer Center - Carmichael
Carmichael, California, 95608, United States
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Mercy Cancer Center - Elk Grove
Elk Grove, California, 95758, United States
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Mercy Cancer Center - Rocklin
Rocklin, California, 95765, United States
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Mercy Cancer Center - Sacramento
Sacramento, California, 95816, United States
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Mercy Medical Center
Durango, Colorado, 81301, United States
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Mercy San Juan Medical Center
Carmichael, California, 95608, United States
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Mercyhealth Hospital and Cancer Center - Janesville
Janesville, Wisconsin, 53548, United States
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Methodist Jennie Edmundson Hospital
Council Bluffs, Iowa, 51503, United States
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Methodist Medical Center of Illinois
Peoria, Illinois, 61636, United States
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Midlands Community Hospital
Papillion, Nebraska, 68046, United States
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Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, 93420, United States
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Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, 93444, United States
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Missouri Baptist Medical Center
St Louis, Missouri, 63131, United States
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Missouri Baptist Sullivan Hospital
Sullivan, Missouri, 63080, United States
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Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska, 68114, United States
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Nebraska Cancer Specialists/Oncology Hematology West PC - MEJ
Council Bluffs, Iowa, 51503, United States
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Nebraska Medicine-Bellevue
Bellevue, Nebraska, 68123, United States
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Nebraska Medicine-Village Pointe
Omaha, Nebraska, 68118, United States
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Nebraska Methodist Hospital
Omaha, Nebraska, 68114, United States
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NorthShore University HealthSystem-Evanston Hospital
Evanston, Illinois, 60201, United States
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NorthShore University HealthSystem-Glenbrook Hospital
Glenview, Illinois, 60026, United States
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NorthShore University HealthSystem-Highland Park Hospital
Highland Park, Illinois, 60035, United States
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Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134, United States
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Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois, 60115, United States
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Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555, United States
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Northwestern Medicine Central DuPage Hospital
Winfield, Illinois, 60190, United States
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Northwestern Medicine Glenview Outpatient Center
Glenview, Illinois, 60026, United States
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Northwestern Medicine Grayslake Outpatient Center
Grayslake, Illinois, 60030, United States
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Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045, United States
-
Northwestern Medicine Orland Park
Orland Park, Illinois, 60462, United States
-
Northwestern University
Chicago, Illinois, 60611, United States
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Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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Oncology Associates PC
Omaha, Nebraska, 68114, United States
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Oregon Health and Science University
Portland, Oregon, 97239, United States
-
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, 93401, United States
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Parker Adventist Hospital
Parker, Colorado, 80138, United States
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Parkland Health Center - Farmington
Farmington, Missouri, 63640, United States
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Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907, United States
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Porter Adventist Hospital
Denver, Colorado, 80210, United States
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ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149, United States
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ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066, United States
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ProHealth Waukesha Memorial Hospital
Waukesha, Wisconsin, 53188, United States
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Rocky Mountain Cancer Centers-Penrose
Colorado Springs, Colorado, 80907, United States
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Rohnert Park Cancer Center
Rohnert Park, California, 94928, United States
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Roswell Park Cancer Institute
Buffalo, New York, 14263, United States
-
Rush - Copley Medical Center
Aurora, Illinois, 60504, United States
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Rush-Copley Healthcare Center
Yorkville, Illinois, 60560, United States
-
SIH Cancer Institute
Carterville, Illinois, 62918, United States
-
Saint Anthony Hospital
Lakewood, Colorado, 80228, United States
-
Saint Elizabeth Regional Medical Center
Lincoln, Nebraska, 68510, United States
-
Saint Francis Cancer Center
Colorado Springs, Colorado, 80923, United States
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Saint Francis Medical Center
Cape Girardeau, Missouri, 63703, United States
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Saint Joseph Hospital
Lexington, Kentucky, 40504, United States
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Saint Joseph Hospital East
Lexington, Kentucky, 40509, United States
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Saint Joseph London
London, Kentucky, 40741, United States
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Saint Joseph Mount Sterling
Mount Sterling, Kentucky, 40353, United States
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Saint Joseph Radiation Oncology Resource Center
Lexington, Kentucky, 40504, United States
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Saint Mary Corwin Medical Center
Pueblo, Colorado, 81004, United States
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Saint Michael Cancer Center
Silverdale, Washington, 98383, United States
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Sainte Genevieve County Memorial Hospital
Sainte Genevieve, Missouri, 63670, United States
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Siteman Cancer Center-South County
St Louis, Missouri, 63129, United States
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South Sacramento Cancer Center
Sacramento, California, 95823, United States
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Southeast Cancer Center
Cape Girardeau, Missouri, 63703, United States
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Southern Illinois University School of Medicine
Springfield, Illinois, 62702, United States
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Southwest Oncology PC
Durango, Colorado, 81301, United States
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Springfield Clinic
Springfield, Illinois, 62702, United States
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The Permanente Medical Group-Roseville Radiation Oncology
Roseville, California, 95678, United States
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ThedaCare Cancer Care - Waupaca
Waupaca, Wisconsin, 54981, United States
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ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911, United States
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TriHealth Cancer Institute-Anderson
Cincinnati, Ohio, 45255, United States
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TriHealth Cancer Institute-Westside
Cincinnati, Ohio, 45247, United States
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UH Seidman Cancer Center at Firelands Regional Medical Center
Sandusky, Ohio, 44870, United States
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UH Seidman Cancer Center at Saint John Medical Center
Westlake, Ohio, 44145, United States
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UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio, 44011, United States
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UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122, United States
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UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188, United States
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University Hospitals Parma Medical Center
Parma, Ohio, 44129, United States
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University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233, 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 Washington Medical Center - Montlake
Seattle, Washington, 98195, United States
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VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235, United States
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Valley Radiation Oncology
Peru, Illinois, 61354, United States
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Virginia Cancer Institute
Richmond, Virginia, 23229, United States
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Virginia Commonwealth University/Massey Cancer Center
Richmond, Virginia, 23298, United States
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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West Virginia University Charleston Division
Charleston, West Virginia, 25304, United States
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Western Illinois Cancer Treatment Center
Galesburg, Illinois, 61401, United States
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Woodland Memorial Hospital
Woodland, California, 95695, United States
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