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Temozolomide Plus Lomustine Followed by Radiation Therapy in Treating Patients With High-Grade Malignant Glioma

Study Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining more than one chemotherapy drug with radiation therapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of temozolomide plus lomustine followed by radiation therapy in treating patients who have high-grade malignant glioma.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 3 Years - 21 Years
Gender All
More Inclusion & Exclusion Criteria

DISEASE CHARACTERISTICS:

  • - Histologically confirmed high-grade malignant glioma of one of the following subtypes: - Glioblastoma.
  • - Anaplastic astrocytoma.
  • - Anaplastic oligoastrocytoma.
  • - Gliomatosis cerebri.
  • - No disseminated disease or primary spinal cord malignancies.
  • - Measurable intracranial residual disease by MRI.
PATIENT CHARACTERISTICS: Age:
  • - 3 and over.
  • - Under 22 at time of diagnosis.
Performance status:
  • - Karnofsky 50-100% if over 10 years of age.
  • - Lansky 50-100% if 10 years of age or under.
Life expectancy:
  • - At least 8 weeks.
Hematopoietic:
  • - Absolute neutrophil count at least 1,000/mm^3.
  • - Platelet count at least 100,000/mm^3 (transfusion independent) - Hemoglobin at least 8.0 g/dL (RBC transfusions allowed) Hepatic: - Bilirubin no greater than 1.5 times normal for age.
  • - SGPT no greater than 2.5 times normal for age.
  • - Albumin at least 2 g/dL.
Renal:
  • - Creatinine no greater than 1.5 times normal for age OR.
  • - Creatinine clearance or radioisotope glomerular filtration rate at least lower limit of normal for age.
Pulmonary:
  • - No dyspnea at rest.
  • - No exercise intolerance.
  • - Pulse oximetry at least 94% Other: - Not pregnant or nursing.
  • - Negative pregnancy test.
  • - Fertile patients must use effective contraception.
  • - No uncontrolled infection.
PRIOR CONCURRENT THERAPY: Biologic therapy:
  • - No prior biologic therapy.
  • - No concurrent prophylactic hematopoietic growth factors.
Chemotherapy:
  • - No prior chemotherapy.
Endocrine therapy:
  • - Prior corticosteroid therapy allowed.
  • - No concurrent corticosteroids as antiemetic.
Radiotherapy:
  • - No prior radiotherapy.
Surgery:
  • - No more than 31 days since prior maximal neurosurgical procedure.
Other: - No concurrent phenobarbital or cimetidine

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT00006024
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Children's Oncology Group
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Regina Jakacki, MD
Principal Investigator Affiliation University of Pittsburgh
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other, NIH
Overall Status Completed
Countries Australia, Canada, Netherlands, New Zealand, Puerto Rico, Switzerland, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Brain Tumor, Central Nervous System Tumor
Additional Details

OBJECTIVES:

  • - Determine the maximum tolerated dose of temozolomide when administered with lomustine in patients with high-grade malignant gliomas.
  • - Determine the dose-limiting toxic effects of this regimen in these patients.
  • - Evaluate the feasibility of radiotherapy after this treatment regimen in this patient population.
  • - Evaluate the radiographic responses in patients treated with this regimen.
OUTLINE: This is a multicenter, dose-escalation study of temozolomide. Patients receive oral temozolomide on days 1-5 and oral lomustine on day 1. Treatment continues every 28 days, if blood counts have recovered, for 2 courses in the absence of disease progression or unacceptable toxicity. Patients then undergo radiotherapy on days 1-5 weekly for 6 weeks. Patients continue the same chemotherapy regimen for up to 6 more courses beginning 4 weeks after completion of radiotherapy. Cohorts of 3-6 patients receive escalating doses of temozolomide until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed for survival. PROJECTED ACCRUAL: A total of 3-30 patients will be accrued for this study.

Arms & Interventions

Arms

Experimental: Pre and Post radiation Chemotherapy

Interventions

Drug: - lomustine

Drug: - temozolomide

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Birmingham, Alabama

Status

Address

University of Alabama at Birmingham Comprehensive Cancer Center

Birmingham, Alabama, 35233

Mobile, Alabama

Status

Address

University of South Alabama Medical Center

Mobile, Alabama, 36604

Phoenix Children's Hospital, Phoenix, Arizona

Status

Address

Phoenix Children's Hospital

Phoenix, Arizona, 85016-7710

Arizona Cancer Center, Tucson, Arizona

Status

Address

Arizona Cancer Center

Tucson, Arizona, 85724

Little Rock, Arkansas

Status

Address

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205

Downey, California

Status

Address

Southern California Permanente Medical Group

Downey, California, 90242

City of Hope Comprehensive Cancer Center, Duarte, California

Status

Address

City of Hope Comprehensive Cancer Center

Duarte, California, 91010-3000

La Jolla, California

Status

Address

Rebecca and John Moores UCSD Cancer Center

La Jolla, California, 92093-0658

Loma Linda University Medical Center, Loma Linda, California

Status

Address

Loma Linda University Medical Center

Loma Linda, California, 92354

Jonathan Jaques Children's Cancer Center, Long Beach, California

Status

Address

Jonathan Jaques Children's Cancer Center

Long Beach, California, 90801-1428

Children's Hospital Los Angeles, Los Angeles, California

Status

Address

Children's Hospital Los Angeles

Los Angeles, California, 90027-0700

Cedars-Sinai Medical Center, Los Angeles, California

Status

Address

Cedars-Sinai Medical Center

Los Angeles, California, 90048

Los Angeles, California

Status

Address

Jonsson Comprehensive Cancer Center, UCLA

Los Angeles, California, 90095-1781

Children's Hospital Central California, Madera, California

Status

Address

Children's Hospital Central California

Madera, California, 93638-8762

Children's Hospital of Oakland, Oakland, California

Status

Address

Children's Hospital of Oakland

Oakland, California, 94609-1809

Chao Family Comprehensive Cancer Center, Orange, California

Status

Address

Chao Family Comprehensive Cancer Center

Orange, California, 92868

Children's Hospital of Orange County, Orange, California

Status

Address

Children's Hospital of Orange County

Orange, California, 92868

Palo Alto, California

Status

Address

Lucile Packard Children's Hospital at Stanford

Palo Alto, California, 94304

Sutter Cancer Center, Sacramento, California

Status

Address

Sutter Cancer Center

Sacramento, California, 95816

Sacramento, California

Status

Address

University of California Davis Medical Center

Sacramento, California, 95817

San Diego, California

Status

Address

Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego

San Diego, California, 92120

Children's Hospital San Diego, San Diego, California

Status

Address

Children's Hospital San Diego

San Diego, California, 92123-4282

San Francisco, California

Status

Address

Kaiser Permanente Medical Center - San Francisco Geary Campus

San Francisco, California, 94115

UCSF Comprehensive Cancer Center, San Francisco, California

Status

Address

UCSF Comprehensive Cancer Center

San Francisco, California, 94143-0128

Santa Barbara Cottage Hospital, Santa Barbara, California

Status

Address

Santa Barbara Cottage Hospital

Santa Barbara, California, 93102

Santa Clara, California

Status

Address

Kaiser Permanente Medical Center - Santa Clara

Santa Clara, California, 95051-5386

David Grant Medical Center, Travis Air Force Base, California

Status

Address

David Grant Medical Center

Travis Air Force Base, California, 94535

Children's Hospital of Denver, Denver, Colorado

Status

Address

Children's Hospital of Denver

Denver, Colorado, 80218-1088

Childhood Hematology/Oncology Associates, Denver, Colorado

Status

Address

Childhood Hematology/Oncology Associates

Denver, Colorado, 80218

Presbyterian-St Luke's Medical Center, Denver, Colorado

Status

Address

Presbyterian-St Luke's Medical Center

Denver, Colorado, 80218

University of Connecticut Health Center, Farmington, Connecticut

Status

Address

University of Connecticut Health Center

Farmington, Connecticut, 06360-7106

Yale Comprehensive Cancer Center, New Haven, Connecticut

Status

Address

Yale Comprehensive Cancer Center

New Haven, Connecticut, 06520-8028

Alfred I. Dupont Institute, Wilmington, Delaware

Status

Address

Alfred I. Dupont Institute

Wilmington, Delaware, 19899

Lombardi Cancer Center, Washington, District of Columbia

Status

Address

Lombardi Cancer Center

Washington, District of Columbia, 20007

Children's National Medical Center, Washington, District of Columbia

Status

Address

Children's National Medical Center

Washington, District of Columbia, 20010-2970

Walter Reed Army Medical Center, Washington, District of Columbia

Status

Address

Walter Reed Army Medical Center

Washington, District of Columbia, 20307-5000

Broward General Medical Center, Fort Lauderdale, Florida

Status

Address

Broward General Medical Center

Fort Lauderdale, Florida, 33316

Children's Hospital of Southwest Florida, Fort Myers, Florida

Status

Address

Children's Hospital of Southwest Florida

Fort Myers, Florida, 33908

Gainesville, Florida

Status

Address

Shands Hospital and Clinics, University of Florida

Gainesville, Florida, 32610-100277

Hollywood, Florida

Status

Address

Joe DiMaggio Children's Hospital at Memorial

Hollywood, Florida, 33021

Nemours Children's Clinic, Jacksonville, Florida

Status

Address

Nemours Children's Clinic

Jacksonville, Florida, 32207

Miami, Florida

Status

Address

University of Miami-Jackson Memorial Hospital

Miami, Florida, 33136

Miami Children's Hospital, Miami, Florida

Status

Address

Miami Children's Hospital

Miami, Florida, 33155-4069

Baptist Hospital of Miami, Miami, Florida

Status

Address

Baptist Hospital of Miami

Miami, Florida, 33176-2197

Florida Hospital Cancer Institute, Orlando, Florida

Status

Address

Florida Hospital Cancer Institute

Orlando, Florida, 32803

Nemours Children's Clinic-Orlando, Orlando, Florida

Status

Address

Nemours Children's Clinic-Orlando

Orlando, Florida, 32806

Sacred Heart Children's Hospital, Pensacola, Florida

Status

Address

Sacred Heart Children's Hospital

Pensacola, Florida, 32504

All Children's Hospital, St. Petersburg, Florida

Status

Address

All Children's Hospital

St. Petersburg, Florida, 33701

Tampa Children's Hospital, Tampa, Florida

Status

Address

Tampa Children's Hospital

Tampa, Florida, 33677-4227

St. Mary's Hospital, West Palm Beach, Florida

Status

Address

St. Mary's Hospital

West Palm Beach, Florida, 33407

Emory University Hospital - Atlanta, Atlanta, Georgia

Status

Address

Emory University Hospital - Atlanta

Atlanta, Georgia, 30322

Atlanta, Georgia

Status

Address

Children's Healthcare of Atlanta - Scottish Rite

Atlanta, Georgia, 30342

Augusta, Georgia

Status

Address

Medical College of Georgia Comprehensive Cancer Center

Augusta, Georgia, 30912-4000

Medical Center of Central Georgia, Macon, Georgia

Status

Address

Medical Center of Central Georgia

Macon, Georgia, 31201

Savannah, Georgia

Status

Address

Memorial Health University Medical Center, Inc.

Savannah, Georgia, 31403-3089

Cancer Research Center of Hawaii, Honolulu, Hawaii

Status

Address

Cancer Research Center of Hawaii

Honolulu, Hawaii, 96813

MBCCOP - Hawaii, Honolulu, Hawaii

Status

Address

MBCCOP - Hawaii

Honolulu, Hawaii, 96813

Tripler Army Medical Center, Honolulu, Hawaii

Status

Address

Tripler Army Medical Center

Honolulu, Hawaii, 96859-5000

Mountain States Tumor Institute, Boise, Idaho

Status

Address

Mountain States Tumor Institute

Boise, Idaho, 83712

Chicago, Illinois

Status

Address

University of Chicago Cancer Research Center

Chicago, Illinois, 60601

Chicago, Illinois

Status

Address

Rush-Presbyterian-St. Luke's Medical Center

Chicago, Illinois, 60612

University of Illinois at Chicago, Chicago, Illinois

Status

Address

University of Illinois at Chicago

Chicago, Illinois, 60612

Children's Memorial Hospital - Chicago, Chicago, Illinois

Status

Address

Children's Memorial Hospital - Chicago

Chicago, Illinois, 60614

Hope Children's Hospital, Oak Lawn, Illinois

Status

Address

Hope Children's Hospital

Oak Lawn, Illinois, 60453

Lutheran General Hospital, Park Ridge, Illinois

Status

Address

Lutheran General Hospital

Park Ridge, Illinois, 60068-1174

Saint Jude Midwest Affiliate, Peoria, Illinois

Status

Address

Saint Jude Midwest Affiliate

Peoria, Illinois, 61637

Springfield, Illinois

Status

Address

Southern Illinois University School of Medicine

Springfield, Illinois, 62794-9658

Indiana University Cancer Center, Indianapolis, Indiana

Status

Address

Indiana University Cancer Center

Indianapolis, Indiana, 46202-5289

Indianapolis, Indiana

Status

Address

St. Vincent Hospital and Health Care Center

Indianapolis, Indiana, 46260

Des Moines, Iowa

Status

Address

Raymond Blank Memorial Hospital for Children

Des Moines, Iowa, 50308

John Stoddard Cancer Center, Des Moines, Iowa

Status

Address

John Stoddard Cancer Center

Des Moines, Iowa, 50309

Holden Comprehensive Cancer Center, Iowa City, Iowa

Status

Address

Holden Comprehensive Cancer Center

Iowa City, Iowa, 52242-1009

Wesley Medical Center, Wichita, Kansas

Status

Address

Wesley Medical Center

Wichita, Kansas, 67214

Lexington, Kentucky

Status

Address

Albert B. Chandler Medical Center, University of Kentucky

Lexington, Kentucky, 40536-0284

Kosair Children's Hospital, Louisville, Kentucky

Status

Address

Kosair Children's Hospital

Louisville, Kentucky, 40202-3830

Tulane University School of Medicine, New Orleans, Louisiana

Status

Address

Tulane University School of Medicine

New Orleans, Louisiana, 70112

Children's Hospital of New Orleans, New Orleans, Louisiana

Status

Address

Children's Hospital of New Orleans

New Orleans, Louisiana, 70118

Ochsner Clinic, New Orleans, Louisiana

Status

Address

Ochsner Clinic

New Orleans, Louisiana, 70121

Eastern Maine Medical Center, Bangor, Maine

Status

Address

Eastern Maine Medical Center

Bangor, Maine, 04401

Maine Children's Cancer Program, Scarborough, Maine

Status

Address

Maine Children's Cancer Program

Scarborough, Maine, 04074

Baltimore, Maryland

Status

Address

Marlene and Stewart Greenebaum Cancer Center, University of Maryland

Baltimore, Maryland, 21201-1595

Sinai Hospital of Baltimore, Baltimore, Maryland

Status

Address

Sinai Hospital of Baltimore

Baltimore, Maryland, 21225

Baltimore, Maryland

Status

Address

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231-2410

Floating Hospital for Children, Boston, Massachusetts

Status

Address

Floating Hospital for Children

Boston, Massachusetts, 02111

Dana-Farber Cancer Institute, Boston, Massachusetts

Status

Address

Dana-Farber Cancer Institute

Boston, Massachusetts, 02115

Baystate Medical Center, Springfield, Massachusetts

Status

Address

Baystate Medical Center

Springfield, Massachusetts, 01107

Worcester, Massachusetts

Status

Address

University of Massachusetts Memorial Medical Center - University Campus

Worcester, Massachusetts, 01655

Mott Children's Hospital, Ann Arbor, Michigan

Status

Address

Mott Children's Hospital

Ann Arbor, Michigan, 48109-0914

Children's Hospital of Michigan, Detroit, Michigan

Status

Address

Children's Hospital of Michigan

Detroit, Michigan, 48201

Henry Ford Hospital, Detroit, Michigan

Status

Address

Henry Ford Hospital

Detroit, Michigan, 48202

St. John Hospital and Medical Center, Detroit, Michigan

Status

Address

St. John Hospital and Medical Center

Detroit, Michigan, 48236

Michigan State University, East Lansing, Michigan

Status

Address

Michigan State University

East Lansing, Michigan, 48824

Hurley Medical Center, Flint, Michigan

Status

Address

Hurley Medical Center

Flint, Michigan, 48503

Grand Rapids, Michigan

Status

Address

Spectrum Health and DeVos Children's Hospital

Grand Rapids, Michigan, 49503

Bronson Methodist Hospital, Kalamazoo, Michigan

Status

Address

Bronson Methodist Hospital

Kalamazoo, Michigan, 49007

CCOP - Beaumont, Royal Oak, Michigan

Status

Address

CCOP - Beaumont

Royal Oak, Michigan, 48073-6769

William Beaumont Hospital, Royal Oak, Michigan

Status

Address

William Beaumont Hospital

Royal Oak, Michigan, 48073-6769

St. Mary's/Duluth Clinic Cancer Center, Duluth, Minnesota

Status

Address

St. Mary's/Duluth Clinic Cancer Center

Duluth, Minnesota, 55805-1983

Minneapolis, Minnesota

Status

Address

Children's Hospitals and Clinics - Minneapolis

Minneapolis, Minnesota, 55404

Mayo Clinic Cancer Center, Rochester, Minnesota

Status

Address

Mayo Clinic Cancer Center

Rochester, Minnesota, 55905

Saint Paul, Minnesota

Status

Address

Children's Hospitals and Clinics of Minnesota

Saint Paul, Minnesota, 55102

University of Mississippi Medical Center, Jackson, Mississippi

Status

Address

University of Mississippi Medical Center

Jackson, Mississippi, 39216-4505

Children's Mercy Hospital, Kansas City, Missouri

Status

Address

Children's Mercy Hospital

Kansas City, Missouri, 64108

Cardinal Glennon Children's Hospital, Saint Louis, Missouri

Status

Address

Cardinal Glennon Children's Hospital

Saint Louis, Missouri, 63104

St. Louis Children's Hospital, Saint Louis, Missouri

Status

Address

St. Louis Children's Hospital

Saint Louis, Missouri, 63110

Children's Hospital of Omaha, Omaha, Nebraska

Status

Address

Children's Hospital of Omaha

Omaha, Nebraska, 68114

University of Nebraska Medical Center, Omaha, Nebraska

Status

Address

University of Nebraska Medical Center

Omaha, Nebraska, 68198-2168

Sunrise Hospital and Medical Center, Las Vegas, Nevada

Status

Address

Sunrise Hospital and Medical Center

Las Vegas, Nevada, 89109-2306

Norris Cotton Cancer Center, Lebanon, New Hampshire

Status

Address

Norris Cotton Cancer Center

Lebanon, New Hampshire, 03756-0002

Hackensack University Medical Center, Hackensack, New Jersey

Status

Address

Hackensack University Medical Center

Hackensack, New Jersey, 07601

Cancer Institute of New Jersey, New Brunswick, New Jersey

Status

Address

Cancer Institute of New Jersey

New Brunswick, New Jersey, 08903

Newark Beth Israel Medical Center, Newark, New Jersey

Status

Address

Newark Beth Israel Medical Center

Newark, New Jersey, 07112-2094

St. Joseph's Hospital and Medical Center, Paterson, New Jersey

Status

Address

St. Joseph's Hospital and Medical Center

Paterson, New Jersey, 07503

Atlantic Health System, Summit, New Jersey

Status

Address

Atlantic Health System

Summit, New Jersey, 07901

Albuquerque, New Mexico

Status

Address

University of New Mexico Cancer Research and Treatment Center

Albuquerque, New Mexico, 87131

Cancer Center of Albany Medical Center, Albany, New York

Status

Address

Cancer Center of Albany Medical Center

Albany, New York, 12208

Albert Einstein Clinical Cancer Center, Bronx, New York

Status

Address

Albert Einstein Clinical Cancer Center

Bronx, New York, 10461

Brooklyn Hospital Center, Brooklyn, New York

Status

Address

Brooklyn Hospital Center

Brooklyn, New York, 11201

Brooklyn, New York

Status

Address

State University of New York Health Science Center at Brooklyn College of Medicine

Brooklyn, New York, 11203

Brooklyn, New York

Status

Address

Brookdale University Hospital and Medical Center

Brooklyn, New York, 11212

Maimonides Medical Center, Brooklyn, New York

Status

Address

Maimonides Medical Center

Brooklyn, New York, 11219

Roswell Park Cancer Institute, Buffalo, New York

Status

Address

Roswell Park Cancer Institute

Buffalo, New York, 14263-0001

North Shore University Hospital, Manhasset, New York

Status

Address

North Shore University Hospital

Manhasset, New York, 11030

Schneider Children's Hospital, New Hyde Park, New York

Status

Address

Schneider Children's Hospital

New Hyde Park, New York, 11042

New York, New York

Status

Address

New York Presbyterian Hospital - Cornell Campus

New York, New York, 10021-4885

Memorial Sloan-Kettering Cancer Center, New York, New York

Status

Address

Memorial Sloan-Kettering Cancer Center

New York, New York, 10021

Mount Sinai School of Medicine, New York, New York

Status

Address

Mount Sinai School of Medicine

New York, New York, 10029

Columbia Presbyterian Hospital, New York, New York

Status

Address

Columbia Presbyterian Hospital

New York, New York, 10032

James P. Wilmot Cancer Center, Rochester, New York

Status

Address

James P. Wilmot Cancer Center

Rochester, New York, 14642

Stony Brook, New York

Status

Address

State University of New York Health Sciences Center - Stony Brook

Stony Brook, New York, 11790-7775

Syracuse, New York

Status

Address

State University of New York - Upstate Medical University

Syracuse, New York, 13210

New York Medical College, Valhalla, New York

Status

Address

New York Medical College

Valhalla, New York, 10595

Mission Saint Joseph's Health System, Asheville, North Carolina

Status

Address

Mission Saint Joseph's Health System

Asheville, North Carolina, 28801

Chapel Hill, North Carolina

Status

Address

Lineberger Comprehensive Cancer Center, UNC

Chapel Hill, North Carolina, 27599-7295

Carolinas Medical Center, Charlotte, North Carolina

Status

Address

Carolinas Medical Center

Charlotte, North Carolina, 28232-2861

Presbyterian Healthcare, Charlotte, North Carolina

Status

Address

Presbyterian Healthcare

Charlotte, North Carolina, 28233-3549

Duke Comprehensive Cancer Center, Durham, North Carolina

Status

Address

Duke Comprehensive Cancer Center

Durham, North Carolina, 27710

Greenville, North Carolina

Status

Address

East Carolina University School of Medicine

Greenville, North Carolina, 27858-4354

Winston-Salem, North Carolina

Status

Address

Comprehensive Cancer Center at Wake Forest University

Winston-Salem, North Carolina, 27157-1081

Dakota Cancer Institute, Fargo, North Dakota

Status

Address

Dakota Cancer Institute

Fargo, North Dakota, 58103-4940

Akron, Ohio

Status

Address

Children's Hospital Medical Center of Akron

Akron, Ohio, 44308

Cincinnati, Ohio

Status

Address

Children's Hospital Medical Center - Cincinnati

Cincinnati, Ohio, 45229-3039

Ireland Cancer Center, Cleveland, Ohio

Status

Address

Ireland Cancer Center

Cleveland, Ohio, 44106-5065

Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Status

Address

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, 44195

Children's Hospital of Columbus, Columbus, Ohio

Status

Address

Children's Hospital of Columbus

Columbus, Ohio, 43205-2696

Children's Medical Center - Dayton, Dayton, Ohio

Status

Address

Children's Medical Center - Dayton

Dayton, Ohio, 45404

Toledo Children's Hospital, Toledo, Ohio

Status

Address

Toledo Children's Hospital

Toledo, Ohio, 43601

St. Vincent Mercy Medical Center, Toledo, Ohio

Status

Address

St. Vincent Mercy Medical Center

Toledo, Ohio, 43608

Forum Health-Tod Childrens Hospital, Youngstown, Ohio

Status

Address

Forum Health-Tod Childrens Hospital

Youngstown, Ohio, 44501

Children's Hospital of Oklahoma, Oklahoma City, Oklahoma

Status

Address

Children's Hospital of Oklahoma

Oklahoma City, Oklahoma, 73104

CCOP - Oklahoma, Tulsa, Oklahoma

Status

Address

CCOP - Oklahoma

Tulsa, Oklahoma, 74136

Natalie Warren Bryant Cancer Center, Tulsa, Oklahoma

Status

Address

Natalie Warren Bryant Cancer Center

Tulsa, Oklahoma, 74136

Doernbecher Children's Hospital, Portland, Oregon

Status

Address

Doernbecher Children's Hospital

Portland, Oregon, 97201-3098

Portland, Oregon

Status

Address

Legacy Emanuel Hospital and Health Center

Portland, Oregon, 97227

Geisinger Medical Center, Danville, Pennsylvania

Status

Address

Geisinger Medical Center

Danville, Pennsylvania, 17822-1320

Milton S. Hershey Medical Center, Hershey, Pennsylvania

Status

Address

Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033-0850

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania

Status

Address

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104

St. Christopher's Hospital for Children, Philadelphia, Pennsylvania

Status

Address

St. Christopher's Hospital for Children

Philadelphia, Pennsylvania, 19134-1095

Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania

Status

Address

Children's Hospital of Pittsburgh

Pittsburgh, Pennsylvania, 15213

Rhode Island Hospital, Providence, Rhode Island

Status

Address

Rhode Island Hospital

Providence, Rhode Island, 02818

Medical University of South Carolina, Charleston, South Carolina

Status

Address

Medical University of South Carolina

Charleston, South Carolina, 29425-0721

Columbia, South Carolina

Status

Address

Palmetto Health South Carolina Cancer Center

Columbia, South Carolina, 29203

Greenville, South Carolina

Status

Address

Children's Hospital of Greenville Hospital System

Greenville, South Carolina, 29605

Avera Cancer Institute, Sioux Falls, South Dakota

Status

Address

Avera Cancer Institute

Sioux Falls, South Dakota, 57105-1080

Sioux Valley Hospital, Sioux Falls, South Dakota

Status

Address

Sioux Valley Hospital

Sioux Falls, South Dakota, 57117

Johnson City, Tennessee

Status

Address

East Tennessee State University Cancer Center at JCMC

Johnson City, Tennessee, 37604

East Tennessee Children's Hospital, Knoxville, Tennessee

Status

Address

East Tennessee Children's Hospital

Knoxville, Tennessee, 37901

Saint Jude Children's Research Hospital, Memphis, Tennessee

Status

Address

Saint Jude Children's Research Hospital

Memphis, Tennessee, 38105-2794

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee

Status

Address

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, 37232-6838

Amarillo, Texas

Status

Address

Texas Tech University Health Sciences Center School of Medicine

Amarillo, Texas, 79106

Children's Hospital of Austin, Austin, Texas

Status

Address

Children's Hospital of Austin

Austin, Texas, 78701

Medical City Dallas Hospital, Dallas, Texas

Status

Address

Medical City Dallas Hospital

Dallas, Texas, 75230

Simmons Cancer Center - Dallas, Dallas, Texas

Status

Address

Simmons Cancer Center - Dallas

Dallas, Texas, 75235-9154

Fort Worth, Texas

Status

Address

Cook Children's Medical Center - Fort Worth

Fort Worth, Texas, 76104

University of Texas Medical Branch, Galveston, Texas

Status

Address

University of Texas Medical Branch

Galveston, Texas, 77555-0361

Houston, Texas

Status

Address

University of Texas - MD Anderson Cancer Center

Houston, Texas, 77030-4009

Baylor College of Medicine, Houston, Texas

Status

Address

Baylor College of Medicine

Houston, Texas, 77030

Lackland Air Force Base, Texas

Status

Address

San Antonio Military Pediatric Cancer and Blood Disorders Center

Lackland Air Force Base, Texas, 78236-5300

Covenant Children's Hospital, Lubbock, Texas

Status

Address

Covenant Children's Hospital

Lubbock, Texas, 79410

San Antonio, Texas

Status

Address

University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78207

Methodist Health Care System, San Antonio, Texas

Status

Address

Methodist Health Care System

San Antonio, Texas, 78229-3902

Scott and White Memorial Hospital, Temple, Texas

Status

Address

Scott and White Memorial Hospital

Temple, Texas, 76508

Huntsman Cancer Institute, Salt Lake City, Utah

Status

Address

Huntsman Cancer Institute

Salt Lake City, Utah, 84112

Vermont Cancer Center, Burlington, Vermont

Status

Address

Vermont Cancer Center

Burlington, Vermont, 05401-3498

Charlottesville, Virginia

Status

Address

Cancer Center at the University of Virginia

Charlottesville, Virginia, 22908

Inova Fairfax Hospital, Falls Church, Virginia

Status

Address

Inova Fairfax Hospital

Falls Church, Virginia, 22042-3300

Norfolk, Virginia

Status

Address

Children's Hospital of the King's Daughters

Norfolk, Virginia, 23507

Naval Medical Center, Portsmouth, Portsmouth, Virginia

Status

Address

Naval Medical Center, Portsmouth

Portsmouth, Virginia, 23708-5100

Massey Cancer Center, Richmond, Virginia

Status

Address

Massey Cancer Center

Richmond, Virginia, 23298-0037

Carilion Medical Center for Children, Roanoke, Virginia

Status

Address

Carilion Medical Center for Children

Roanoke, Virginia, 24013

Seattle, Washington

Status

Address

Children's Hospital and Regional Medical Center - Seattle

Seattle, Washington, 98105

Fred Hutchinson Cancer Research Center, Seattle, Washington

Status

Address

Fred Hutchinson Cancer Research Center

Seattle, Washington, 98109-1024

Group Health Cooperative, Seattle, Washington

Status

Address

Group Health Cooperative

Seattle, Washington, 98112

Deaconess Medical Center, Spokane, Washington

Status

Address

Deaconess Medical Center

Spokane, Washington, 99210-0248

Mary Bridge Children's Health Center, Tacoma, Washington

Status

Address

Mary Bridge Children's Health Center

Tacoma, Washington, 98415-0299

Madigan Army Medical Center, Tacoma, Washington

Status

Address

Madigan Army Medical Center

Tacoma, Washington, 98431-5000

West Virginia University - Charleston, Charleston, West Virginia

Status

Address

West Virginia University - Charleston

Charleston, West Virginia, 25302

Cabell-Huntington Hospital, Inc, Huntington, West Virginia

Status

Address

Cabell-Huntington Hospital, Inc

Huntington, West Virginia, 25701

West Virginia University Hospitals, Morgantown, West Virginia

Status

Address

West Virginia University Hospitals

Morgantown, West Virginia, 26506-9300

Bellin Memorial Hospital, Green Bay, Wisconsin

Status

Address

Bellin Memorial Hospital

Green Bay, Wisconsin, 54301

Green Bay, Wisconsin

Status

Address

CCOP - St. Vincent Hospital Cancer Center, Green Bay

Green Bay, Wisconsin, 54301

St. Vincent Hospital, Green Bay, Wisconsin

Status

Address

St. Vincent Hospital

Green Bay, Wisconsin, 54307-9070

Gundersen Lutheran Medical Center, La Crosse, Wisconsin

Status

Address

Gundersen Lutheran Medical Center

La Crosse, Wisconsin, 54601

Madison, Wisconsin

Status

Address

University of Wisconsin Hospital and Clinics

Madison, Wisconsin, 53792-0001

Marshfield Clinic, Marshfield, Wisconsin

Status

Address

Marshfield Clinic

Marshfield, Wisconsin, 54449-5772

Midwest Children's Cancer Center, Milwaukee, Wisconsin

Status

Address

Midwest Children's Cancer Center

Milwaukee, Wisconsin, 53226

International Sites

Sydney Children's Hospital, Randwick, New South Wales, Australia

Status

Address

Sydney Children's Hospital

Randwick, New South Wales, 2031

Children's Hospital at Westmead, Westmead, New South Wales, Australia

Status

Address

Children's Hospital at Westmead

Westmead, New South Wales, 2145

Royal Children's Hospital, Brisbane, Queensland, Australia

Status

Address

Royal Children's Hospital

Brisbane, Queensland, 4029

Women's and Children's Hospital, North Adelaide, South Australia, Australia

Status

Address

Women's and Children's Hospital

North Adelaide, South Australia, 5006

Royal Children's Hospital, Parkville, Victoria, Australia

Status

Address

Royal Children's Hospital

Parkville, Victoria, 3052

Princess Margaret Hospital for Children, Perth, Western Australia, Australia

Status

Address

Princess Margaret Hospital for Children

Perth, Western Australia, 6001

Alberta Children's Hospital, Calgary, Alberta, Canada

Status

Address

Alberta Children's Hospital

Calgary, Alberta, T2T 5C7

Cross Cancer Institute, Edmonton, Alberta, Canada

Status

Address

Cross Cancer Institute

Edmonton, Alberta, T6G 1Z2

British Columbia Children's Hospital, Vancouver, British Columbia, Canada

Status

Address

British Columbia Children's Hospital

Vancouver, British Columbia, V6H 3V4

CancerCare Manitoba, Winnipeg, Manitoba, Canada

Status

Address

CancerCare Manitoba

Winnipeg, Manitoba, R3E 0V9

St. John's, Newfoundland and Labrador, Canada

Status

Address

Janeway Children's Health and Rehabilitation Centre

St. John's, Newfoundland and Labrador, A1B 3V6

IWK Health Centre, Halifax, Nova Scotia, Canada

Status

Address

IWK Health Centre

Halifax, Nova Scotia, B3J 3G9

Children's Hospital, Hamilton, Ontario, Canada

Status

Address

Children's Hospital

Hamilton, Ontario, L8N 3Z5

Children's Hospital of Western Ontario, London, Ontario, Canada

Status

Address

Children's Hospital of Western Ontario

London, Ontario, N6C 2V5

Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

Status

Address

Children's Hospital of Eastern Ontario

Ottawa, Ontario, K1H 8L1

Hospital for Sick Children, Toronto, Ontario, Canada

Status

Address

Hospital for Sick Children

Toronto, Ontario, M5G 1X8

Montreal, Quebec, Canada

Status

Address

McGill University Health Center - Montreal Children's Hospital

Montreal, Quebec, H3H 1P3

Hopital Sainte Justine, Montreal, Quebec, Canada

Status

Address

Hopital Sainte Justine

Montreal, Quebec, H3T 1C5

Centre Hospitalier de L'Universite Laval, Sainte Foy, Quebec, Canada

Status

Address

Centre Hospitalier de L'Universite Laval

Sainte Foy, Quebec, GIV 4G2

Laval University Medical Center, Sainte-Foy, Quebec, Canada

Status

Address

Laval University Medical Center

Sainte-Foy, Quebec, G1V 4G2

Allan Blair Cancer Centre, Regina, Saskatchewan, Canada

Status

Address

Allan Blair Cancer Centre

Regina, Saskatchewan, S4T 7T1

Saskatoon Cancer Centre, Saskatoon, Saskatchewan, Canada

Status

Address

Saskatoon Cancer Centre

Saskatoon, Saskatchewan, S7N 4H4

Academisch Ziekenhuis Groningen, Groningen, Netherlands

Status

Address

Academisch Ziekenhuis Groningen

Groningen, , 9700 RB

Starship Children's Hospital, Auckland, New Zealand

Status

Address

Starship Children's Hospital

Auckland, ,

San Juan, Puerto Rico

Status

Address

University of Puerto Rico School of Medicine Medical Sciences Campus

San Juan, , 00936-5067

San Jorge Childrens Hospital, Santurce, Puerto Rico

Status

Address

San Jorge Childrens Hospital

Santurce, , 00912

Swiss Pediatric Oncology Group Bern, Bern, Switzerland

Status

Address

Swiss Pediatric Oncology Group Bern

Bern, , CH 3010

Swiss Pediatric Oncology Group Geneva, Geneva, Switzerland

Status

Address

Swiss Pediatric Oncology Group Geneva

Geneva, , CH 1211

Swiss Pediatric Oncology Group Lausanne, Lausanne, Switzerland

Status

Address

Swiss Pediatric Oncology Group Lausanne

Lausanne, , CH 1011