NCT03811002

Brief Summary

This phase III trial studies how well chemotherapy and radiation therapy (chemoradiation) with or without atezolizumab works in treating patients with limited stage small cell lung cancer. Drugs used in chemotherapy, such as etoposide, cisplatin, and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Immunotherapy with monoclonal antibodies, such as atezolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Giving chemoradiation with or without atezolizumab may work better in treating patients with limited stage small cell lung cancer.

Trial Health

78
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
544

participants targeted

Target at P75+ for phase_3

Timeline
34mo left

Started Jul 2019

Longer than P75 for phase_3

Geographic Reach
2 countries

543 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress71%
Jul 2019Feb 2029

First Submitted

Initial submission to the registry

January 18, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 22, 2019

Completed
6 months until next milestone

Study Start

First participant enrolled

July 26, 2019

Completed
4.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 21, 2024

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

June 12, 2025

Completed
3.7 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 21, 2029

Expected
Last Updated

May 1, 2026

Status Verified

February 1, 2026

Enrollment Period

4.7 years

First QC Date

January 18, 2019

Results QC Date

April 21, 2025

Last Update Submit

April 30, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Overall Survival

    Survival rates and median survival time are estimated using the Kaplan-Meier method, censoring participants alive at time of analysis.

    Randomization to date of death due or last follow-up. Median follow-up at the time of analysis was 23.8 months.

Secondary Outcomes (9)

  • Progression Free Survival (PFS)

    From randomization to progression or death due to any cause, whichever occurs first, or last tumor assessment if alive. MMedian follow-up at the time of analysis was 23.8 months.

  • Number of Participants by Highest Grade Adverse Event Reported

    Randomization to last follow-up. Median follow-up at the time of analysis was 23.8 months.

  • Percentage of Participants With Confirmed Objective Response (Objective Response Rate (ORR))

    Randomization to last radiographic tumor assessment. Median follow-up at the time of analysis was 23.8 months.

  • Percentage of Participants With Local Progression

    From randomization to local progression, other progression, or death, whichever occurs first, or last tumor assessment if alive. Median follow-up at the time of analysis was 23.8 months. 1-, 2-, and 3-year rates are reported.

  • Distant Metastases-free Survival (DMFS)

    Randomization to DMFS event or local progression, whichever occurs first, or last tumor assessment if alive. Median follow-up at the time of analysis was 23.8 months.

  • +4 more secondary outcomes

Other Outcomes (5)

  • Patient-reported Symptomatic Toxicities

    Up to 15 months after completion of chemoradiation therapy

  • Concordance Between Tumor and Circulating Cell Free Deoxyribonucleic Acid (cfDNA) Molecular Subtypes

    Up to 5 years

  • Overall Survival by Sex

    Randomization to date of death due or last follow-up. Median follow-up at the time of analysis was 23.8 months.

  • +2 more other outcomes

Study Arms (2)

Arm I (chemotherapy, radiation therapy)

ACTIVE COMPARATOR

Patients receive etoposide IV on days 1-3 and cisplatin IV or carboplatin IV on day 1. Cycles repeat every 21 days for 3 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo 3D-CRT or IMRT BID for approximately 3 weeks or QD for approximately 6-7 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo blood specimen collection throughout the trial.

Radiation: 3-Dimensional Conformal Radiation TherapyProcedure: Biospecimen CollectionDrug: CarboplatinDrug: CisplatinDrug: EtoposideRadiation: Intensity-Modulated Radiation TherapyOther: Quality-of-Life AssessmentOther: Questionnaire Administration

Arm II (chemotherapy, radiation therapy, atezolizumab)

EXPERIMENTAL

Patients receive treatment as in Arm I. Patients also receive atezolizumab IV over 30-60 minutes on day 1 or 2 of each chemotherapy cycle. Cycles repeat every 3 weeks for 17 cycles (1 year) in the absence of disease progression or unacceptable toxicity. Patients undergo blood specimen collection throughout the trial.

Radiation: 3-Dimensional Conformal Radiation TherapyDrug: AtezolizumabProcedure: Biospecimen CollectionDrug: CarboplatinDrug: CisplatinDrug: EtoposideRadiation: Intensity-Modulated Radiation TherapyOther: Quality-of-Life AssessmentOther: Questionnaire Administration

Interventions

Correlative studies

Also known as: Biological Sample Collection, Biospecimen Collected, Specimen Collection
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Given IV

Also known as: Blastocarb, Carboplat, Carboplatin Hexal, Carboplatino, Carboplatinum, Carbosin, Carbosol, Carbotec, CBDCA, Displata, Ercar, JM-8, JM8, Nealorin, Novoplatinum, Paraplatin, Paraplatin AQ, Paraplatine, Platinwas, Ribocarbo
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Undergo 3D-CRT

Also known as: 3-dimensional radiation therapy, 3D Conformal, 3D CONFORMAL RADIATION THERAPY, 3D CRT, 3D radiotherapy, 3D-CRT, Conformal Therapy, Radiation Conformal Therapy, Radiation, 3D Conformal, Three dimensional external beam radiation therapy (procedure)
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Given IV

Also known as: MPDL 3280A, MPDL 328OA, MPDL-3280A, MPDL3280A, MPDL328OA, RG 7446, RG-7446, RG7446, RO 5541267, RO-5541267, RO5541267, Tecentriq
Arm II (chemotherapy, radiation therapy, atezolizumab)

Undergo IMRT

Also known as: IMRT, Intensity modulated radiation therapy (procedure), Intensity Modulated RT, Intensity-Modulated Radiotherapy, Radiation, Intensity-Modulated Radiotherapy
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Given IV

Also known as: Abiplatin, Blastolem, Briplatin, CDDP, Cis-diammine-dichloroplatinum, Cis-diamminedichloridoplatinum, Cis-diamminedichloro Platinum (II), Cis-diamminedichloroplatinum, Cis-dichloroammine Platinum (II), Cis-platinous Diamine Dichloride, Cis-platinum, Cis-platinum II, Cis-platinum II Diamine Dichloride, Cismaplat, Cisplatina, Cisplatinum, Cisplatyl, Citoplatino, Citosin, Cysplatyna, DDP, Lederplatin, Metaplatin, Neoplatin, Peyrone's Chloride, Peyrone's Salt, Placis, Plastistil, Platamine, Platiblastin, Platiblastin-S, Platinex, Platinol, Platinol- AQ, Platinol-AQ, Platinol-AQ VHA Plus, Platinoxan, Platinum, Platinum Diamminodichloride, Platiran, Platistin, Platosin
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Given IV

Also known as: Demethyl Epipodophyllotoxin Ethylidine Glucoside, EPEG, Lastet, Toposar, Vepesid, VP 16, VP 16-213, VP 16213, VP-16, VP-16-213, VP-16213, VP16, VP16213
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Ancillary studies

Also known as: Quality of Life Assessment
Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Ancillary studies

Arm I (chemotherapy, radiation therapy)Arm II (chemotherapy, radiation therapy, atezolizumab)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Pathologically (histologically or cytologically) proven diagnosis of limited stage small cell lung cancer (Stage Tx, T1-T4, N0-3, M0, American Joint Committee on Cancer \[AJCC\] staging, 8th edition \[Ed.\]), within 60 days prior to registration
  • Patients must have received one cycle of platinum/etoposide chemotherapy pre-registration (prior to study entry). Study registration must be within 21 days from day 1 of the pre-registration cycle of chemotherapy.
  • Patients must have had measurable disease (per Response Evaluation Criteria in Solid Tumors \[RECIST\], version 1.1) prior to the required pre-registration cycle of platinum/etoposide chemotherapy
  • Minimal staging requirements include:
  • History/physical examination within 30 days prior to registration
  • Positron emission tomography (PET)/computed tomography (CT) scan for staging within 60 days prior to registration
  • CT chest and CT abdomen with IV contrast (unless contraindicated based on kidney function) within 60 days prior to registration; magnetic resonance imaging (MRI) abdomen with IV contrast allowed in place of CT abdomen
  • Note: If contrast allergy exists, premedication per institutional guidelines should be performed prior to obtaining CT with contrast. The only exception to this is a documented life-threatening allergy
  • MRI scan of the brain with contrast (preferred) or CT scan of the brain with contrast (allowable if there is a contraindication with MRI with contrast) within 30 days prior to registration
  • Age \>= 18
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 within 30 days prior to registration
  • Absolute neutrophil count (ANC) \>= 1,500/cells/mm\^3 (prior to pre-registration cycle)
  • Platelet count \>= 100,000 cells/mm\^3 (prior to pre-registration cycle)
  • Hemoglobin \>= 9 g/dL (prior to pre-registration cycle)
  • Total bilirubin =\< 1.5 x upper limit of normal (ULN) (prior to pre-registration cycle)
  • +7 more criteria

You may not qualify if:

  • Definitive clinical or radiologic evidence of metastatic disease
  • Definitive surgical resection of small cell lung cancer
  • Prior invasive malignancy (except non-melanomatous skin cancer, localized prostate cancer, or any early stage cancer treated with curative intent resection) unless disease free for a minimum of 2 years (carcinoma in situ of the breast, oral cavity, or cervix are all permissible)
  • More than 1 cycle of prior platinum-based chemotherapy for SCLC prior to enrollment; note that prior chemotherapy for a different cancer is allowable
  • Any prior atezolizumab or other immunotherapy agent
  • Prior radiotherapy to the lungs or mediastinum that would result in clinically significant overlap of radiation therapy fields; prior tangent fields for breast cancer with minimal overlap with target volumes are allowed per approval of study principal investigators (PIs)
  • Patients with cytologically positive pleural or pericardial fluid are not eligible
  • An active, known or suspected autoimmune disease. Patients are permitted to enroll if they have vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger
  • Active or prior documented inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis)
  • History of allogeneic organ transplant
  • History of primary immunodeficiency
  • Severe, active co-morbidity defined as follows:
  • Known clinically significant liver disease, including active viral, alcoholic, or other hepatitis, cirrhosis, fatty liver, and inherited liver disease
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the patient at high risk from treatment complications
  • Active tuberculosis
  • +8 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (543)

University of Alabama at Birmingham Cancer Center

Birmingham, Alabama, 35233, United States

Location

Fairbanks Memorial Hospital

Fairbanks, Alaska, 99701, United States

Location

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

Location

CTCA at Western Regional Medical Center

Goodyear, Arizona, 85338, United States

Location

Banner University Medical Center - Tucson

Tucson, Arizona, 85719, United States

Location

University of Arizona Cancer Center-North Campus

Tucson, Arizona, 85719, United States

Location

NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro

Jonesboro, Arkansas, 72401, United States

Location

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

Sutter Auburn Faith Hospital

Auburn, California, 95602, United States

Location

Alta Bates Summit Medical Center-Herrick Campus

Berkeley, California, 94704, United States

Location

City of Hope Comprehensive Cancer Center

Duarte, California, 91010, United States

Location

Los Angeles General Medical Center

Los Angeles, California, 90033, United States

Location

USC / Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

Location

Memorial Medical Center

Modesto, California, 95355, United States

Location

UC Irvine Health/Chao Family Comprehensive Cancer Center

Orange, California, 92868, United States

Location

Sutter Roseville Medical Center

Roseville, California, 95661, United States

Location

Sutter Medical Center Sacramento

Sacramento, California, 95816, United States

Location

University of California Davis Comprehensive Cancer Center

Sacramento, California, 95817, United States

Location

California Pacific Medical Center-Pacific Campus

San Francisco, California, 94115, United States

Location

Gene Upshaw Memorial Tahoe Forest Cancer Center

Truckee, California, 96161, United States

Location

UCHealth University of Colorado Hospital

Aurora, Colorado, 80045, United States

Location

Penrose-Saint Francis Healthcare

Colorado Springs, Colorado, 80907, United States

Location

UCHealth Memorial Hospital Central

Colorado Springs, Colorado, 80909, United States

Location

Memorial Hospital North

Colorado Springs, Colorado, 80920, United States

Location

AdventHealth Porter

Denver, Colorado, 80210, United States

Location

Poudre Valley Hospital

Fort Collins, Colorado, 80524, United States

Location

Cancer Care and Hematology-Fort Collins

Fort Collins, Colorado, 80528, United States

Location

UCHealth Greeley Hospital

Greeley, Colorado, 80631, United States

Location

AdventHealth Littleton

Littleton, Colorado, 80122, United States

Location

Medical Center of the Rockies

Loveland, Colorado, 80538, United States

Location

AdventHealth Parker

Parker, Colorado, 80138, United States

Location

Beebe South Coastal Health Campus

Millville, Delaware, 19967, United States

Location

Helen F Graham Cancer Center

Newark, Delaware, 19713, United States

Location

Medical Oncology Hematology Consultants PA

Newark, Delaware, 19713, United States

Location

Beebe Health Campus

Rehoboth Beach, Delaware, 19971, United States

Location

GenesisCare USA - Aventura FP

Aventura, Florida, 33180, United States

Location

GenesisCare USA - Aventura

Aventura, Florida, 33180, United States

Location

Boca Raton Regional Hospital

Boca Raton, Florida, 33486, United States

Location

UM Sylvester Comprehensive Cancer Center at Coral Gables

Coral Gables, Florida, 33146, United States

Location

UM Sylvester Comprehensive Cancer Center at Deerfield Beach

Deerfield Beach, Florida, 33442, United States

Location

Holy Cross Hospital

Fort Lauderdale, Florida, 33308, United States

Location

Lee Memorial Health System

Fort Myers, Florida, 33901, United States

Location

Regional Cancer Center-Lee Memorial Health System

Fort Myers, Florida, 33905, United States

Location

UF Health Cancer Institute - Gainesville

Gainesville, Florida, 32610, United States

Location

The Watson Clinic

Lakeland, Florida, 33805, United States

Location

University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida, 33136, United States

Location

Miami Cancer Institute

Miami, Florida, 33176, United States

Location

Orlando Health Cancer Institute

Orlando, Florida, 32806, United States

Location

Sacred Heart Hospital

Pensacola, Florida, 32504, United States

Location

UM Sylvester Comprehensive Cancer Center at Plantation

Plantation, Florida, 33324, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

Grady Health System

Atlanta, Georgia, 30303, United States

Location

Emory University Hospital Midtown

Atlanta, Georgia, 30308, United States

Location

Piedmont Hospital

Atlanta, Georgia, 30309, United States

Location

Emory University Hospital/Winship Cancer Institute

Atlanta, Georgia, 30322, United States

Location

Emory Saint Joseph's Hospital

Atlanta, Georgia, 30342, United States

Location

Piedmont Fayette Hospital

Fayetteville, Georgia, 30214, United States

Location

CTCA at Southeastern Regional Medical Center

Newnan, Georgia, 30265, United States

Location

Piedmont Newnan Hospital

Newnan, Georgia, 30265, United States

Location

Memorial Health University Medical Center

Savannah, Georgia, 31404, United States

Location

Lewis Cancer and Research Pavilion at Saint Joseph's/Candler

Savannah, Georgia, 31405, United States

Location

Hawaii Cancer Care Inc - Waterfront Plaza

Honolulu, Hawaii, 96813, United States

Location

Queen's Cancer Cenrer - POB I

Honolulu, Hawaii, 96813, United States

Location

Queen's Medical Center

Honolulu, Hawaii, 96813, United States

Location

Straub Clinic and Hospital

Honolulu, Hawaii, 96813, United States

Location

Kuakini Medical Center

Honolulu, Hawaii, 96817, United States

Location

Queen's Cancer Center - Kuakini

Honolulu, Hawaii, 96817, United States

Location

The Cancer Center of Hawaii-Liliha

Honolulu, Hawaii, 96817, United States

Location

Hawaii Cancer Care - Westridge

‘Aiea, Hawaii, 96701, United States

Location

Pali Momi Medical Center

‘Aiea, Hawaii, 96701, United States

Location

The Cancer Center of Hawaii-Pali Momi

‘Aiea, Hawaii, 96701, United States

Location

Saint Alphonsus Cancer Care Center-Boise

Boise, Idaho, 83706, United States

Location

Saint Luke's Cancer Institute - Boise

Boise, Idaho, 83712, United States

Location

Saint Alphonsus Cancer Care Center-Caldwell

Caldwell, Idaho, 83605, United States

Location

Saint Luke's Cancer Institute - Fruitland

Fruitland, Idaho, 83619, United States

Location

Saint Luke's Cancer Institute - Meridian

Meridian, Idaho, 83642, United States

Location

Saint Alphonsus Cancer Care Center-Nampa

Nampa, Idaho, 83687, United States

Location

Saint Luke's Cancer Institute - Nampa

Nampa, Idaho, 83687, United States

Location

Saint Luke's Cancer Institute - Twin Falls

Twin Falls, Idaho, 83301, United States

Location

Alton Memorial Hospital

Alton, Illinois, 62002, United States

Location

Rush-Copley Medical Center

Aurora, Illinois, 60504, United States

Location

Illinois CancerCare-Bloomington

Bloomington, Illinois, 61704, United States

Location

Illinois CancerCare-Canton

Canton, Illinois, 61520, United States

Location

Illinois CancerCare-Carthage

Carthage, Illinois, 62321, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

Rush MD Anderson Cancer Center

Chicago, Illinois, 60612, United States

Location

University of Illinois

Chicago, Illinois, 60612, United States

Location

Advocate Illinois Masonic Medical Center

Chicago, Illinois, 60657, United States

Location

AMG Crystal Lake - Oncology

Crystal Lake, Illinois, 60014, United States

Location

Carle at The Riverfront

Danville, Illinois, 61832, United States

Location

Decatur Memorial Hospital

Decatur, Illinois, 62526, United States

Location

Advocate Good Samaritan Hospital

Downers Grove, Illinois, 60515, United States

Location

Carle Physician Group-Effingham

Effingham, Illinois, 62401, United States

Location

Crossroads Cancer Center

Effingham, Illinois, 62401, United States

Location

Elmhurst Memorial Hospital

Elmhurst, Illinois, 60126, United States

Location

Illinois CancerCare-Eureka

Eureka, Illinois, 61530, United States

Location

NorthShore University HealthSystem-Evanston Hospital

Evanston, Illinois, 60201, United States

Location

Illinois CancerCare-Galesburg

Galesburg, Illinois, 61401, United States

Location

Western Illinois Cancer Treatment Center

Galesburg, Illinois, 61401, United States

Location

NorthShore University HealthSystem-Glenbrook Hospital

Glenview, Illinois, 60026, United States

Location

Ingalls Memorial Hospital

Harvey, Illinois, 60426, United States

Location

Advocate South Suburban Hospital

Hazel Crest, Illinois, 60429, United States

Location

NorthShore University HealthSystem-Highland Park Hospital

Highland Park, Illinois, 60035, United States

Location

Illinois CancerCare-Kewanee Clinic

Kewanee, Illinois, 61443, United States

Location

Northwestern Medicine Lake Forest Hospital

Lake Forest, Illinois, 60045, United States

Location

AMG Libertyville - Oncology

Libertyville, Illinois, 60048, United States

Location

Illinois CancerCare-Macomb

Macomb, Illinois, 61455, United States

Location

Carle Physician Group-Mattoon/Charleston

Mattoon, Illinois, 61938, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

SSM Health Good Samaritan

Mount Vernon, Illinois, 62864, United States

Location

Edward Hospital/Cancer Center

Naperville, Illinois, 60540, United States

Location

Advocate Christ Medical Center

Oak Lawn, Illinois, 60453-2699, United States

Location

Illinois CancerCare-Ottawa Clinic

Ottawa, Illinois, 61350, United States

Location

Advocate Lutheran General Hospital

Park Ridge, Illinois, 60068, United States

Location

Illinois CancerCare-Pekin

Pekin, Illinois, 61554, United States

Location

Illinois CancerCare-Peoria

Peoria, Illinois, 61615, United States

Location

OSF Saint Francis Radiation Oncology at Peoria Cancer Center

Peoria, Illinois, 61615, United States

Location

Methodist Medical Center of Illinois

Peoria, Illinois, 61636, United States

Location

OSF Saint Francis Medical Center

Peoria, Illinois, 61637, United States

Location

Illinois CancerCare-Peru

Peru, Illinois, 61354, United States

Location

Edward Hospital/Cancer Center?Plainfield

Plainfield, Illinois, 60585, United States

Location

Illinois CancerCare-Princeton

Princeton, Illinois, 61356, United States

Location

Springfield Memorial Hospital

Springfield, Illinois, 62781, United States

Location

Carle Cancer Center

Urbana, Illinois, 61801, United States

Location

Illinois CancerCare - Washington

Washington, Illinois, 61571, United States

Location

Midwestern Regional Medical Center

Zion, Illinois, 60099, United States

Location

IU Health North Hospital

Carmel, Indiana, 46032, United States

Location

Parkview Regional Medical Center

Fort Wayne, Indiana, 46845, United States

Location

Goshen Center for Cancer Care

Goshen, Indiana, 46526, United States

Location

Indiana University/Melvin and Bren Simon Cancer Center

Indianapolis, Indiana, 46202, United States

Location

Community Cancer Center East

Indianapolis, Indiana, 46219, United States

Location

Community Cancer Center South

Indianapolis, Indiana, 46227, United States

Location

Franciscan Health Indianapolis

Indianapolis, Indiana, 46237, United States

Location

Community Cancer Center North

Indianapolis, Indiana, 46256, United States

Location

Community Howard Regional Health

Kokomo, Indiana, 46904, United States

Location

Franciscan Health Mooresville

Mooresville, Indiana, 46158, United States

Location

Baptist Health Floyd

New Albany, Indiana, 47150, United States

Location

McFarland Clinic - Ames

Ames, Iowa, 50010, United States

Location

Physicians' Clinic of Iowa PC

Cedar Rapids, Iowa, 52402, United States

Location

Mercy Hospital

Cedar Rapids, Iowa, 52403, United States

Location

Oncology Associates at Mercy Medical Center

Cedar Rapids, Iowa, 52403, United States

Location

Mercy Cancer Center-West Lakes

Clive, Iowa, 50325, United States

Location

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

Clive, Iowa, 50325, United States

Location

Greater Regional Medical Center

Creston, Iowa, 50801, United States

Location

Mercy Medical Center - Des Moines

Des Moines, Iowa, 50314, United States

Location

UI Health Care Mission Cancer and Blood - Laurel Clinic

Des Moines, Iowa, 50314, United States

Location

Mercy Medical Center-West Lakes

West Des Moines, Iowa, 50266, United States

Location

University of Kansas Cancer Center

Kansas City, Kansas, 66160, United States

Location

The University of Kansas Cancer Center - Olathe

Olathe, Kansas, 66061, United States

Location

University of Kansas Cancer Center-Overland Park

Overland Park, Kansas, 66210, United States

Location

Salina Regional Health Center

Salina, Kansas, 67401, United States

Location

University of Kansas Health System Saint Francis Campus

Topeka, Kansas, 66606, United States

Location

University of Kansas Hospital-Westwood Cancer Center

Westwood, Kansas, 66205, United States

Location

Ascension Via Christi Hospitals Wichita

Wichita, Kansas, 67214, United States

Location

Saint Elizabeth Healthcare Edgewood

Edgewood, Kentucky, 41017, United States

Location

Baptist Health Hardin

Elizabethtown, Kentucky, 42701, United States

Location

Baptist Health Lexington

Lexington, Kentucky, 40503, United States

Location

Saint Joseph Hospital East

Lexington, Kentucky, 40509, United States

Location

Norton Hospital Pavilion and Medical Campus

Louisville, Kentucky, 40202, United States

Location

The James Graham Brown Cancer Center at University of Louisville

Louisville, Kentucky, 40202, United States

Location

Baptist Health Louisville

Louisville, Kentucky, 40207, United States

Location

Norton Audubon Hospital and Medical Campus

Louisville, Kentucky, 40217, United States

Location

Norton Brownsboro Hospital and Medical Campus

Louisville, Kentucky, 40241, United States

Location

Baptist Health Paducah

Paducah, Kentucky, 42003, United States

Location

LSU Health Baton Rouge-North Clinic

Baton Rouge, Louisiana, 70805, United States

Location

Our Lady of the Lake Physician Group

Baton Rouge, Louisiana, 70808, United States

Location

Louisiana Hematology Oncology Associates LLC

Baton Rouge, Louisiana, 70809, United States

Location

Mary Bird Perkins Cancer Center

Baton Rouge, Louisiana, 70809, United States

Location

Medical Center of Baton Rouge

Baton Rouge, Louisiana, 70816, United States

Location

Mary Bird Perkins Cancer Center - Covington

Covington, Louisiana, 70433, United States

Location

Mary Bird Perkins Cancer Center - Houma

Houma, Louisiana, 70360, United States

Location

Terrebonne General Medical Center

Houma, Louisiana, 70360, United States

Location

University Medical Center New Orleans

New Orleans, Louisiana, 70112, United States

Location

Ochsner Medical Center Jefferson

New Orleans, Louisiana, 70121, United States

Location

MaineHealth Coastal Cancer Treatment Center

Bath, Maine, 04530, United States

Location

MaineHealth Waldo Hospital

Belfast, Maine, 04915, United States

Location

MaineHealth Maine Medical Center - Biddeford

Biddeford, Maine, 04005, United States

Location

MaineHealth Stephens Hospital

Norway, Maine, 04268, United States

Location

MaineHealth Maine Medical Center - Portland

Portland, Maine, 04102, United States

Location

Penobscot Bay Medical Center

Rockport, Maine, 04856, United States

Location

MaineHealth Cancer Care and IV Therapy - Sanford

Sanford, Maine, 04073, United States

Location

MaineHealth Cancer Care Center of York County

Sanford, Maine, 04073, United States

Location

MaineHealth Maine Medical Center- Scarborough

Scarborough, Maine, 04074, United States

Location

MaineHealth Cancer Care and IV Therapy - South Portland

South Portland, Maine, 04106, United States

Location

University of Maryland/Greenebaum Cancer Center

Baltimore, Maryland, 21201, United States

Location

Saint Agnes Hospital

Baltimore, Maryland, 21229, United States

Location

UM Upper Chesapeake Medical Center

Bel Air, Maryland, 21014, United States

Location

Central Maryland Radiation Oncology in Howard County

Columbia, Maryland, 21044, United States

Location

UM Baltimore Washington Medical Center/Tate Cancer Center

Glen Burnie, Maryland, 21061, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Dana-Farber Cancer Institute at Boston Medical Center - Brighton

Brighton, Massachusetts, 02135, United States

Location

UMass Memorial Medical Center - University Campus

Worcester, Massachusetts, 01655, United States

Location

Trinity Health Saint Joseph Mercy Hospital Ann Arbor

Ann Arbor, Michigan, 48106, United States

Location

Bronson Battle Creek

Battle Creek, Michigan, 49017, United States

Location

McLaren Cancer Institute-Bay City

Bay City, Michigan, 48706, United States

Location

Trinity Health Medical Center - Brighton

Brighton, Michigan, 48114, United States

Location

Henry Ford Cancer Institute-Downriver

Brownstown, Michigan, 48183, United States

Location

Trinity Health Medical Center - Canton

Canton, Michigan, 48188, United States

Location

Caro Cancer Center

Caro, Michigan, 48723, United States

Location

Chelsea Hospital

Chelsea, Michigan, 48118, United States

Location

McLaren Cancer Institute-Clarkston

Clarkston, Michigan, 48346, United States

Location

Michigan Healthcare Professionals Clarkston

Clarkston, Michigan, 48346, United States

Location

Henry Ford Macomb Hospital-Clinton Township

Clinton Township, Michigan, 48038, United States

Location

Corewell Health Dearborn Hospital

Dearborn, Michigan, 48124, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Henry Ford Health Saint John Hospital

Detroit, Michigan, 48236, United States

Location

Michigan Healthcare Professionals Farmington

Farmington Hills, Michigan, 48334, United States

Location

Corewell Health Farmington Hills Hospital

Farmington Hills, Michigan, 48336, United States

Location

Genesys Hurley Cancer Institute

Flint, Michigan, 48503, United States

Location

McLaren Cancer Institute-Flint

Flint, Michigan, 48532, United States

Location

Singh and Arora Hematology Oncology PC

Flint, Michigan, 48532, United States

Location

Corewell Health Grand Rapids Hospitals - Butterworth Hospital

Grand Rapids, Michigan, 49503, United States

Location

Allegiance Health

Jackson, Michigan, 49201, United States

Location

West Michigan Cancer Center

Kalamazoo, Michigan, 49007, United States

Location

Karmanos Cancer Institute at McLaren Greater Lansing

Lansing, Michigan, 48910, United States

Location

Mid-Michigan Physicians-Lansing

Lansing, Michigan, 48912, United States

Location

University of Michigan Health - Sparrow Lansing

Lansing, Michigan, 48912, United States

Location

McLaren Cancer Institute-Lapeer Region

Lapeer, Michigan, 48446, United States

Location

Trinity Health Saint Mary Mercy Livonia Hospital

Livonia, Michigan, 48154, United States

Location

Michigan Healthcare Professionals Macomb

Macomb, Michigan, 48044, United States

Location

Michigan Healthcare Professionals Madison Heights

Madison Heights, Michigan, 48071, United States

Location

McLaren Cancer Institute-Macomb

Mount Clemens, Michigan, 48043, United States

Location

Trinity Health Muskegon Hospital

Muskegon, Michigan, 49444, United States

Location

Cancer and Hematology Centers of Western Michigan - Norton Shores

Norton Shores, Michigan, 49444, United States

Location

Henry Ford Health Providence Novi Hospital

Novi, Michigan, 48374, United States

Location

McLaren Cancer Institute-Northern Michigan

Petoskey, Michigan, 49770, United States

Location

Michigan Healthcare Professionals Pontiac

Pontiac, Michigan, 48341, United States

Location

McLaren-Port Huron

Port Huron, Michigan, 48060, United States

Location

Corewell Health William Beaumont University Hospital

Royal Oak, Michigan, 48073, United States

Location

MyMichigan Medical Center Saginaw

Saginaw, Michigan, 48601, United States

Location

Oncology Hematology Associates of Saginaw Valley PC

Saginaw, Michigan, 48604, United States

Location

Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center

Saint Joseph, Michigan, 49085, United States

Location

Corewell Health Lakeland Hospitals - Saint Joseph Hospital

Saint Joseph, Michigan, 49085, United States

Location

Henry Ford Macomb Health Center - Shelby Township

Shelby, Michigan, 48315, United States

Location

Henry Ford Health Providence Southfield Hospital

Southfield, Michigan, 48075, United States

Location

MyMichigan Medical Center Tawas

Tawas City, Michigan, 48764, United States

Location

Corewell Health Beaumont Troy Hospital

Troy, Michigan, 48085, United States

Location

Michigan Healthcare Professionals Troy

Troy, Michigan, 48098, United States

Location

Henry Ford Health Warren Hospital

Warren, Michigan, 48093, United States

Location

Saint Mary's Oncology/Hematology Associates of West Branch

West Branch, Michigan, 48661, United States

Location

University of Michigan Health - West

Wyoming, Michigan, 49519, United States

Location

Mayo Clinic Health System in Albert Lea

Albert Lea, Minnesota, 56007, United States

Location

Sanford Joe Lueken Cancer Center

Bemidji, Minnesota, 56601, United States

Location

Fairview Ridges Hospital

Burnsville, Minnesota, 55337, United States

Location

Minnesota Oncology - Burnsville

Burnsville, Minnesota, 55337, United States

Location

Mercy Hospital

Coon Rapids, Minnesota, 55433, United States

Location

Saint Luke's Hospital of Duluth

Duluth, Minnesota, 55805, United States

Location

Fairview Southdale Hospital

Edina, Minnesota, 55435, United States

Location

Unity Hospital

Fridley, Minnesota, 55432, United States

Location

Mayo Clinic Health Systems-Mankato

Mankato, Minnesota, 56001, United States

Location

Minnesota Oncology Hematology PA-Maplewood

Maplewood, Minnesota, 55109, United States

Location

Abbott-Northwestern Hospital

Minneapolis, Minnesota, 55407, United States

Location

Hennepin County Medical Center

Minneapolis, Minnesota, 55415, United States

Location

North Memorial Medical Health Center

Robbinsdale, Minnesota, 55422, United States

Location

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

Location

Coborn Cancer Center at Saint Cloud Hospital

Saint Cloud, Minnesota, 56303, United States

Location

Park Nicollet Clinic - Saint Louis Park

Saint Louis Park, Minnesota, 55416, United States

Location

Regions Hospital

Saint Paul, Minnesota, 55101, United States

Location

United Hospital

Saint Paul, Minnesota, 55102, United States

Location

Baptist Cancer Center-Grenada

Grenada, Mississippi, 38901, United States

Location

Baptist Memorial Hospital and Cancer Center-Union County

New Albany, Mississippi, 38652, United States

Location

Baptist Memorial Hospital and Cancer Center-Oxford

Oxford, Mississippi, 38655, United States

Location

Baptist Memorial Hospital and Cancer Center-Desoto

Southhaven, Mississippi, 38671, United States

Location

Parkland Health Center-Bonne Terre

Bonne Terre, Missouri, 63628, United States

Location

Saint Francis Medical Center

Cape Girardeau, Missouri, 63703, United States

Location

Saint Luke's Hospital

Chesterfield, Missouri, 63017, United States

Location

Siteman Cancer Center at Saint Peters Hospital

City of Saint Peters, Missouri, 63376, United States

Location

Siteman Cancer Center at West County Hospital

Creve Coeur, Missouri, 63141, United States

Location

Parkland Health Center - Farmington

Farmington, Missouri, 63640, United States

Location

MU Health Care Goldschmidt Cancer Center

Jefferson City, Missouri, 65109, United States

Location

Freeman Health System

Joplin, Missouri, 64804, United States

Location

University of Kansas Cancer Center - North

Kansas City, Missouri, 64154, United States

Location

University of Kansas Cancer Center - Lee's Summit

Lee's Summit, Missouri, 64064, United States

Location

University of Kansas Cancer Center at North Kansas City Hospital

North Kansas City, Missouri, 64116, United States

Location

Phelps Health Delbert Day Cancer Institute

Rolla, Missouri, 65401, United States

Location

Heartland Regional Medical Center

Saint Joseph, Missouri, 64506, United States

Location

Sainte Genevieve County Memorial Hospital

Sainte Genevieve, Missouri, 63670, United States

Location

Mercy Hospital Springfield

Springfield, Missouri, 65804, United States

Location

CoxHealth South Hospital

Springfield, Missouri, 65807, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Siteman Cancer Center-South County

St Louis, Missouri, 63129, United States

Location

Missouri Baptist Medical Center

St Louis, Missouri, 63131, United States

Location

Siteman Cancer Center at Christian Hospital

St Louis, Missouri, 63136, United States

Location

Mercy Hospital Saint Louis

St Louis, Missouri, 63141, United States

Location

Missouri Baptist Sullivan Hospital

Sullivan, Missouri, 63080, United States

Location

BJC Outpatient Center at Sunset Hills

Sunset Hills, Missouri, 63127, United States

Location

Billings Clinic Cancer Center

Billings, Montana, 59101, United States

Location

Bozeman Health Deaconess Hospital

Bozeman, Montana, 59715, United States

Location

Saint James Community Hospital and Cancer Treatment Center

Butte, Montana, 59701, United States

Location

Benefis Sletten Cancer Institute

Great Falls, Montana, 59405, United States

Location

Logan Health Medical Center

Kalispell, Montana, 59901, United States

Location

Nebraska Cancer Specialists/Oncology Hematology West PC

Grand Island, Nebraska, 68803, United States

Location

CHI Health Good Samaritan

Kearney, Nebraska, 68847, United States

Location

Cancer Partners of Nebraska

Lincoln, Nebraska, 68516, United States

Location

Nebraska Methodist Hospital

Omaha, Nebraska, 68114, United States

Location

Alegent Health Immanuel Medical Center

Omaha, Nebraska, 68122, United States

Location

Alegent Health Bergan Mercy Medical Center

Omaha, Nebraska, 68124, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

OptumCare Cancer Care at Charleston

Las Vegas, Nevada, 89102, United States

Location

Radiation Oncology Centers of Nevada Central

Las Vegas, Nevada, 89106, United States

Location

Radiation Oncology Centers of Nevada Southeast

Las Vegas, Nevada, 89119, United States

Location

OptumCare Cancer Care at Fort Apache

Las Vegas, Nevada, 89183, United States

Location

Renown Regional Medical Center

Reno, Nevada, 89502, United States

Location

New Hampshire Oncology Hematology PA-Concord

Concord, New Hampshire, 03301, United States

Location

Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center

Lebanon, New Hampshire, 03756, United States

Location

Solinsky Center for Cancer Care

Manchester, New Hampshire, 03103, United States

Location

Ocean University Medical Center

Brick, New Jersey, 08724, United States

Location

The Cancer Institute of New Jersey Hamilton

Hamilton, New Jersey, 08690, United States

Location

Monmouth Medical Center Southern Campus

Lakewood, New Jersey, 08701, United States

Location

Monmouth Medical Center

Long Branch, New Jersey, 07740, United States

Location

Southern Ocean County Medical Center

Manahawkin, New Jersey, 08050, United States

Location

Jersey Shore Medical Center

Neptune City, New Jersey, 07753, United States

Location

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08903, United States

Location

Capital Health Medical Center-Hopewell

Pennington, New Jersey, 08534, United States

Location

Riverview Medical Center/Booker Cancer Center

Red Bank, New Jersey, 07701, United States

Location

Robert Wood Johnson University Hospital Somerset

Somerville, New Jersey, 08876, United States

Location

Community Medical Center

Toms River, New Jersey, 08755, United States

Location

University of New Mexico Cancer Center

Albuquerque, New Mexico, 87106, United States

Location

The Cancer Institute at Saint Francis Hospital

East Hills, New York, 11548, United States

Location

Hematology Oncology Associates of Central New York-East Syracuse

East Syracuse, New York, 13057, United States

Location

Arnot Ogden Medical Center/Falck Cancer Center

Elmira, New York, 14905, United States

Location

Glens Falls Hospital

Glens Falls, New York, 12801, United States

Location

Mount Sinai Chelsea

New York, New York, 10011, United States

Location

Mount Sinai West

New York, New York, 10019, United States

Location

Mount Sinai Hospital

New York, New York, 10029, United States

Location

University of Rochester

Rochester, New York, 14642, United States

Location

State University of New York Upstate Medical University

Syracuse, New York, 13210, United States

Location

Montefiore Medical Center-Einstein Campus

The Bronx, New York, 10461, United States

Location

Montefiore Medical Center - Moses Campus

The Bronx, New York, 10467, United States

Location

Good Samaritan University Hospital

West Islip, New York, 11795, United States

Location

Atrium Health Stanly/LCI-Albemarle

Albemarle, North Carolina, 28002, United States

Location

Randolph Hospital

Asheboro, North Carolina, 27203, United States

Location

Messino Cancer Centers

Asheville, North Carolina, 28806, United States

Location

Cone Health Cancer Center at Alamance Regional

Burlington, North Carolina, 27215, United States

Location

Carolinas Medical Center/Levine Cancer Institute

Charlotte, North Carolina, 28203, United States

Location

Novant Health Presbyterian Medical Center

Charlotte, North Carolina, 28204, United States

Location

Atrium Health Pineville/LCI-Pineville

Charlotte, North Carolina, 28210, United States

Location

Levine Cancer Institute-SouthPark

Charlotte, North Carolina, 28211, United States

Location

Atrium Health University City/LCI-University

Charlotte, North Carolina, 28262, United States

Location

Levine Cancer Institute-Ballantyne

Charlotte, North Carolina, 28277, United States

Location

Atrium Health Cabarrus/LCI-Concord

Concord, North Carolina, 28025, United States

Location

Cone Health Cancer Center

Greensboro, North Carolina, 27403, United States

Location

Margaret R Pardee Memorial Hospital

Hendersonville, North Carolina, 28791, United States

Location

Novant Health Cancer Institute - Kernersville

Kernersville, North Carolina, 27284, United States

Location

Atrium Health Union/LCI-Union

Monroe, North Carolina, 28112, United States

Location

Novant Health Cancer Institute - Mount Airy

Mount Airy, North Carolina, 27030, United States

Location

Novant Health Cancer Institute - Wilkesboro

North Wilkesboro, North Carolina, 28659, United States

Location

FirstHealth of the Carolinas-Moore Regional Hospital

Pinehurst, North Carolina, 28374, United States

Location

Novant Health Cancer Institute - Statesville

Statesville, North Carolina, 28625, United States

Location

Novant Health Cancer Institute - Thomasville

Thomasville, North Carolina, 27360, United States

Location

Novant Health Forsyth Medical Center

Winston-Salem, North Carolina, 27103, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Sanford Bismarck Medical Center

Bismarck, North Dakota, 58501, United States

Location

Sanford Roger Maris Cancer Center

Fargo, North Dakota, 58122, United States

Location

Altru Cancer Center

Grand Forks, North Dakota, 58201, United States

Location

Trinity Cancer Care Center

Minot, North Dakota, 58701, United States

Location

Summa Health System - Akron Campus

Akron, Ohio, 44304, United States

Location

Summa Health System - Barberton Campus

Barberton, Ohio, 44203, United States

Location

UHHS-Chagrin Highlands Medical Center

Beachwood, Ohio, 44122, United States

Location

Cleveland Clinic Mercy Hospital

Canton, Ohio, 44708, United States

Location

Aultman Health Foundation

Canton, Ohio, 44710, United States

Location

Geauga Hospital

Chardon, Ohio, 44024, United States

Location

Adena Regional Medical Center

Chillicothe, Ohio, 45601, United States

Location

University of Cincinnati Cancer Center-UC Medical Center

Cincinnati, Ohio, 45219, United States

Location

Case Western Reserve University

Cleveland, Ohio, 44106, United States

Location

MetroHealth Medical Center

Cleveland, Ohio, 44109, United States

Location

Cleveland Clinic Cancer Center/Fairview Hospital

Cleveland, Ohio, 44111, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210, United States

Location

Mount Carmel East Hospital

Columbus, Ohio, 43213, United States

Location

Riverside Methodist Hospital

Columbus, Ohio, 43214, United States

Location

Grant Medical Center

Columbus, Ohio, 43215, United States

Location

The Mark H Zangmeister Center

Columbus, Ohio, 43219, United States

Location

Mount Carmel Health Center West

Columbus, Ohio, 43222, United States

Location

Doctors Hospital

Columbus, Ohio, 43228, United States

Location

Delaware Health Center-Grady Cancer Center

Delaware, Ohio, 43015, United States

Location

Dublin Methodist Hospital

Dublin, Ohio, 43016, United States

Location

Mount Carmel Grove City Hospital

Grove City, Ohio, 43123, United States

Location

Cleveland Clinic Cancer Center Independence

Independence, Ohio, 44131, United States

Location

Saint Rita's Medical Center

Lima, Ohio, 45801, United States

Location

OhioHealth Mansfield Hospital

Mansfield, Ohio, 44903, United States

Location

Cleveland Clinic Cancer Center Mansfield

Mansfield, Ohio, 44906, United States

Location

Marietta Memorial Hospital

Marietta, Ohio, 45750, United States

Location

Hillcrest Hospital Cancer Center

Mayfield Heights, Ohio, 44124, United States

Location

Summa Health Medina Medical Center

Medina, Ohio, 44256, United States

Location

UH Seidman Cancer Center at Lake Health Mentor Campus

Mentor, Ohio, 44060, United States

Location

UH Seidman Cancer Center at Southwest General Hospital

Middleburg Heights, Ohio, 44130, United States

Location

Licking Memorial Hospital

Newark, Ohio, 43055, United States

Location

University Hospitals Parma Medical Center

Parma, Ohio, 44129, United States

Location

Mercy Health - Perrysburg Hospital

Perrysburg, Ohio, 43551, United States

Location

Southern Ohio Medical Center

Portsmouth, Ohio, 45662, United States

Location

University Hospitals Portage Medical Center

Ravenna, Ohio, 44266, United States

Location

North Coast Cancer Care

Sandusky, Ohio, 44870, United States

Location

UH Seidman Cancer Center at Firelands Regional Medical Center

Sandusky, Ohio, 44870, United States

Location

Cleveland Clinic Cancer Center Strongsville

Strongsville, Ohio, 44136, United States

Location

Mercy Health - Saint Vincent Hospital

Toledo, Ohio, 43608, United States

Location

Mercy Health - Saint Anne Hospital

Toledo, Ohio, 43623, United States

Location

University Hospitals Sharon Health Center

Wadsworth, Ohio, 44281, United States

Location

University of Cincinnati Cancer Center-West Chester

West Chester, Ohio, 45069, United States

Location

Saint Ann's Hospital

Westerville, Ohio, 43081, United States

Location

UH Seidman Cancer Center at Saint John Medical Center

Westlake, Ohio, 44145, United States

Location

UHHS-Westlake Medical Center

Westlake, Ohio, 44145, United States

Location

Cleveland Clinic Wooster Family Health and Surgery Center

Wooster, Ohio, 44691, United States

Location

Genesis Healthcare System Cancer Care Center

Zanesville, Ohio, 43701, United States

Location

Cancer Centers of Southwest Oklahoma Research

Lawton, Oklahoma, 73505, United States

Location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

Mercy Hospital Oklahoma City

Oklahoma City, Oklahoma, 73120, United States

Location

Cancer Treatment Centers of America

Tulsa, Oklahoma, 74133, United States

Location

Legacy Mount Hood Medical Center

Gresham, Oregon, 97030, United States

Location

Providence Newberg Medical Center

Newberg, Oregon, 97132, United States

Location

Legacy Good Samaritan Hospital and Medical Center

Portland, Oregon, 97210, United States

Location

Providence Portland Medical Center

Portland, Oregon, 97213, United States

Location

Providence Saint Vincent Medical Center

Portland, Oregon, 97225, United States

Location

Lehigh Valley Hospital-Cedar Crest

Allentown, Pennsylvania, 18103, United States

Location

Lehigh Valley Hospital - Muhlenberg

Bethlehem, Pennsylvania, 18017, United States

Location

Crozer-Keystone Regional Cancer Center at Broomall

Broomall, Pennsylvania, 19008, United States

Location

Bryn Mawr Hospital

Bryn Mawr, Pennsylvania, 19010, United States

Location

Carlisle Regional Cancer Center

Carlisle, Pennsylvania, 17015, United States

Location

Christiana Care Health System-Concord Health Center

Chadds Ford, Pennsylvania, 19317, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

Northeast Radiation Oncology Center

Dunmore, Pennsylvania, 18512, United States

Location

Ephrata Cancer Center

Ephrata, Pennsylvania, 17522, United States

Location

UPMC Cancer Center at UPMC Horizon

Farrell, Pennsylvania, 16121, United States

Location

Adams Cancer Center

Gettysburg, Pennsylvania, 17325, United States

Location

Crozer Regional Cancer Center at Brinton Lake

Glen Mills, Pennsylvania, 19342, United States

Location

WellSpan Medical Oncology and Hematology

Hanover, Pennsylvania, 17331, United States

Location

UPMC Pinnacle Cancer Center/Community Osteopathic Campus

Harrisburg, Pennsylvania, 17109, United States

Location

Lancaster General Ann B Barshinger Cancer Institute

Lancaster, Pennsylvania, 17601, United States

Location

Lancaster General Hospital

Lancaster, Pennsylvania, 17602, United States

Location

Sechler Family Cancer Center

Lebanon, Pennsylvania, 17042, United States

Location

Geisinger Medical Oncology-Lewisburg

Lewisburg, Pennsylvania, 17837, United States

Location

UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion

Mechanicsburg, Pennsylvania, 17050, United States

Location

Riddle Memorial Hospital

Media, Pennsylvania, 19063, United States

Location

Bryn Mawr Health Center

Newtown Square, Pennsylvania, 19073, United States

Location

Paoli Memorial Hospital

Paoli, Pennsylvania, 19301, United States

Location

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

Jefferson Torresdale Hospital

Philadelphia, Pennsylvania, 19114, United States

Location

Eastern Regional Medical Center

Philadelphia, Pennsylvania, 19124, United States

Location

Allegheny General Hospital

Pittsburgh, Pennsylvania, 15212, United States

Location

University of Pittsburgh Cancer Institute (UPCI)

Pittsburgh, Pennsylvania, 15232, United States

Location

UPMC-Shadyside Hospital

Pittsburgh, Pennsylvania, 15232, United States

Location

Guthrie Medical Group PC-Robert Packer Hospital

Sayre, Pennsylvania, 18840, United States

Location

Reading Hospital

West Reading, Pennsylvania, 19611, United States

Location

Geisinger Wyoming Valley/Henry Cancer Center

Wilkes-Barre, Pennsylvania, 18711, United States

Location

Lankenau Medical Center

Wynnewood, Pennsylvania, 19096, United States

Location

WellSpan Health-York Cancer Center

York, Pennsylvania, 17403, United States

Location

UPMC Memorial

York, Pennsylvania, 17408, United States

Location

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

Location

AnMed Health Cancer Center

Anderson, South Carolina, 29621, United States

Location

Saint Joseph's/Candler - Bluffton Campus

Bluffton, South Carolina, 29910, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Saint Francis Hospital

Greenville, South Carolina, 29601, United States

Location

Prisma Health Cancer Institute - Faris

Greenville, South Carolina, 29605, United States

Location

Saint Francis Cancer Center

Greenville, South Carolina, 29607, United States

Location

Prisma Health Cancer Institute - Eastside

Greenville, South Carolina, 29615, United States

Location

Prisma Health Cancer Institute - Greer

Greer, South Carolina, 29650, United States

Location

Gibbs Cancer Center-Pelham

Greer, South Carolina, 29651, United States

Location

South Carolina Cancer Specialists PC

Hilton Head Island, South Carolina, 29926-3827, United States

Location

The Radiation Oncology Center-Hilton Head/Bluffton

Hilton Head Island, South Carolina, 29926, United States

Location

Carolina Regional Cancer Center

Myrtle Beach, South Carolina, 29577, United States

Location

Rock Hill Radiation Therapy Center

Rock Hill, South Carolina, 29730, United States

Location

Levine Cancer Institute-Rock Hill

Rock Hill, South Carolina, 29732, United States

Location

Prisma Health Cancer Institute - Seneca

Seneca, South Carolina, 29672, United States

Location

Spartanburg Medical Center

Spartanburg, South Carolina, 29303, United States

Location

Rapid City Regional Hospital

Rapid City, South Dakota, 57701, United States

Location

Sanford Cancer Center Oncology Clinic

Sioux Falls, South Dakota, 57104, United States

Location

Sanford USD Medical Center - Sioux Falls

Sioux Falls, South Dakota, 57117-5134, United States

Location

Baptist Memorial Hospital and Cancer Center-Collierville

Collierville, Tennessee, 38017, United States

Location

Covenant Health Cancer Centers

Knoxville, Tennessee, 37916, United States

Location

Baptist Memorial Hospital and Cancer Center-Memphis

Memphis, Tennessee, 38120, United States

Location

MD Anderson in The Woodlands

Conroe, Texas, 77384, United States

Location

Houston Methodist Hospital

Houston, Texas, 77030, United States

Location

M D Anderson Cancer Center

Houston, Texas, 77030, United States

Location

MD Anderson West Houston

Houston, Texas, 77079, United States

Location

Houston Methodist West Hospital

Houston, Texas, 77094, United States

Location

MD Anderson League City

League City, Texas, 77573, United States

Location

Covenant Medical Center-Lakeside

Lubbock, Texas, 79410, United States

Location

Houston Methodist Saint John Hospital

Nassau Bay, Texas, 77058, United States

Location

MD Anderson in Sugar Land

Sugar Land, Texas, 77478, United States

Location

Houston Methodist Sugar Land Hospital

Sugar Land, Texas, 77479, United States

Location

Houston Methodist The Woodlands Hospital

The Woodlands, Texas, 77385, United States

Location

Huntsman Cancer Institute/University of Utah

Salt Lake City, Utah, 84112, United States

Location

Central Vermont Medical Center/National Life Cancer Treatment

Berlin Corners, Vermont, 05602, United States

Location

University of Vermont Medical Center

Burlington, Vermont, 05401, United States

Location

Dartmouth Cancer Center - North

Saint Johnsbury, Vermont, 05819, United States

Location

University of Virginia Cancer Center

Charlottesville, Virginia, 22908, United States

Location

Augusta Health Center for Cancer and Blood Disorders

Fishersville, Virginia, 22939, United States

Location

VCU Massey Cancer Center at Stony Point

Richmond, Virginia, 23235, United States

Location

VCU Massey Comprehensive Cancer Center

Richmond, Virginia, 23298, United States

Location

Providence Regional Cancer System-Aberdeen

Aberdeen, Washington, 98520, United States

Location

Providence Regional Cancer System-Lacey

Lacey, Washington, 98503, United States

Location

Saint Michael Cancer Center

Silverdale, Washington, 98383, United States

Location

Legacy Salmon Creek Hospital

Vancouver, Washington, 98686, United States

Location

Edwards Comprehensive Cancer Center

Huntington, West Virginia, 25701, United States

Location

West Virginia University Healthcare

Morgantown, West Virginia, 26506, United States

Location

Wheeling Hospital/Schiffler Cancer Center

Wheeling, West Virginia, 26003, United States

Location

Langlade Hospital and Cancer Center

Antigo, Wisconsin, 54409, United States

Location

ThedaCare Regional Cancer Center

Appleton, Wisconsin, 54911, United States

Location

Aurora Cancer Care-Southern Lakes VLCC

Burlington, Wisconsin, 53105, United States

Location

Marshfield Medical Center-EC Cancer Center

Eau Claire, Wisconsin, 54701, United States

Location

Mayo Clinic Health System-Eau Claire Clinic

Eau Claire, Wisconsin, 54701, United States

Location

Aurora Health Care Germantown Health Center

Germantown, Wisconsin, 53022, United States

Location

Aurora Cancer Care-Grafton

Grafton, Wisconsin, 53024, United States

Location

Bellin Memorial Hospital

Green Bay, Wisconsin, 54301, United States

Location

Aurora BayCare Medical Center

Green Bay, Wisconsin, 54311, United States

Location

University of Wisconsin Carbone Cancer Center - Johnson Creek

Johnson Creek, Wisconsin, 53038, United States

Location

Aurora Cancer Care-Kenosha South

Kenosha, Wisconsin, 53142, United States

Location

Gundersen Lutheran Medical Center

La Crosse, Wisconsin, 54601, United States

Location

Mayo Clinic Health System-Franciscan Healthcare

La Crosse, Wisconsin, 54601, United States

Location

University of Wisconsin Carbone Cancer Center - University Hospital

Madison, Wisconsin, 53792, United States

Location

Aurora Bay Area Medical Group-Marinette

Marinette, Wisconsin, 54143, United States

Location

Marshfield Medical Center-Marshfield

Marshfield, Wisconsin, 54449, United States

Location

Aurora Cancer Care-Milwaukee

Milwaukee, Wisconsin, 53209, United States

Location

Aurora Saint Luke's Medical Center

Milwaukee, Wisconsin, 53215, United States

Location

Aurora Sinai Medical Center

Milwaukee, Wisconsin, 53233, United States

Location

Zablocki Veterans Administration Medical Center

Milwaukee, Wisconsin, 53295, United States

Location

Marshfield Medical Center - Minocqua

Minocqua, Wisconsin, 54548, United States

Location

ProHealth D N Greenwald Center

Mukwonago, Wisconsin, 53149, United States

Location

Cancer Center of Western Wisconsin

New Richmond, Wisconsin, 54017, United States

Location

ProHealth Oconomowoc Memorial Hospital

Oconomowoc, Wisconsin, 53066, United States

Location

Vince Lombardi Cancer Clinic - Oshkosh

Oshkosh, Wisconsin, 54904, United States

Location

Aurora Cancer Care-Racine

Racine, Wisconsin, 53406, United States

Location

Marshfield Medical Center-Rice Lake

Rice Lake, Wisconsin, 54868, United States

Location

Vince Lombardi Cancer Clinic-Sheboygan

Sheboygan, Wisconsin, 53081, United States

Location

Marshfield Medical Center-River Region at Stevens Point

Stevens Point, Wisconsin, 54482, United States

Location

Aurora Medical Center in Summit

Summit, Wisconsin, 53066, United States

Location

Vince Lombardi Cancer Clinic-Two Rivers

Two Rivers, Wisconsin, 54241, United States

Location

UW Cancer Center at ProHealth Care

Waukesha, Wisconsin, 53188, United States

Location

Aspirus Regional Cancer Center

Wausau, Wisconsin, 54401, United States

Location

Aurora Cancer Care-Milwaukee West

Wauwatosa, Wisconsin, 53226, United States

Location

Aurora West Allis Medical Center

West Allis, Wisconsin, 53227, United States

Location

Marshfield Medical Center - Weston

Weston, Wisconsin, 54476, United States

Location

Aspirus Cancer Care - Wisconsin Rapids

Wisconsin Rapids, Wisconsin, 54494, United States

Location

Tohoku University School of Medicine

Sendai, Aoba-ku, 980-8574, Japan

Location

Ehime University Hospital

Tōon, Ehime, 791-0295, Japan

Location

Hokkaido University Hospital

Sapporo, Hokkaido, 060-8648, Japan

Location

Kagoshima City Hospital

Kagoshima, Kagoshima-ken, 890-8760, Japan

Location

Gunma University Hospital

Gunma, Maebashi, 371-8511, Japan

Location

Niigata University Medical and Dental Hospital

Niigata, Niigata, 951-8520, Japan

Location

Kyorin University Hospital

Mitaka-shi, Tokyo, 181-8611, Japan

Location

Hiroshima University Hospital

Hiroshima, 734-8551, Japan

Location

Shikoku Cancer Center

Matsuyama, 791-0280, Japan

Location

Saitama Medical University International Medical Center

Saitama, 350-1298, Japan

Location

Related Publications (2)

  • Higgins KA, Hu C, Ross HJ, Jabbour SK, Kozono DE, Owonikoko TK, Ritter TA, Williams TM, Welsh J, Simko JP, Movsas B, Xiao C, Kaira K, Gupta AK, Mohindra P, Dib EG, Brownstein J, Chun S, Kuzma CS, Kotecha R, Onitilo AA, Chen Y, Stinchcombe TE, Wang X, Paulus R, Bradley JD. Chemoradiation +/- Atezolizumab in Limited-Stage Small Cell Lung Cancer: Results of NRG Oncology/Alliance LU005. J Clin Oncol. 2026 Mar 10;44(8):630-640. doi: 10.1200/JCO-25-01569. Epub 2026 Jan 13.

  • Higgins KA, Thomas A, Soto N, Paulus R, George TJ, Julian TB, Hartson Stine S, Markham MJ, Werner-Wasik M. Creating and Implementing a Principal Investigator Tool Kit for Enhancing Accrual to Late Phase Clinical Trials: Development and Usability Study. JMIR Cancer. 2022 Aug 25;8(3):e38514. doi: 10.2196/38514.

MeSH Terms

Conditions

Lung Neoplasms

Interventions

Radiotherapy, ConformalatezolizumabSpecimen HandlingCarboplatinCisplatin1,2-diaminocyclohexaneplatinum II citratePlatinumEtoposideRadiotherapy, Intensity-Modulated

Condition Hierarchy (Ancestors)

Respiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Radiotherapy, Computer-AssistedRadiotherapyTherapeuticsClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative TechniquesCoordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsMetals, HeavyElementsTransition ElementsMetalsPodophyllotoxinTetrahydronaphthalenesNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic CompoundsGlucosidesGlycosidesCarbohydrates

Limitations and Caveats

The second planned interim efficacy analysis met the early stopping rule for futility. Per the protocol, the second planned interim analysis occurred after 222 deaths had been reported across both arms combined. The final analysis would have otherwise taken place after 315 deaths.

Results Point of Contact

Title
Wendy Seiferheld
Organization
NRG Oncology

Study Officials

  • Kristin A Higgins

    NRG Oncology

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 18, 2019

First Posted

January 22, 2019

Study Start

July 26, 2019

Primary Completion

April 21, 2024

Study Completion (Estimated)

February 21, 2029

Last Updated

May 1, 2026

Results First Posted

June 12, 2025

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page

More information

Locations