Testosterone in Treating Postmenopausal Patients With Arthralgia Caused by Adjuvant Aromatase Inhibitor Treatment

Description

RATIONALE: Testosterone may help relieve moderate or severe arthralgia associated with the use of aromatase inhibitors, such as anastrozole or letrozole. PURPOSE: This randomized phase III trial studies testosterone to see how well it works compared to placebo in treating postmenopausal patients with arthralgia caused by anastrozole or letrozole.

Study Start Date

August 2013

Estimated Completion Date

December 2015

Interventions

  • Other: placebo
  • Drug: testosterone
  • Drug: therapeutic testosterone
  • Drug: anastrozole

Specialties

  • Obstetrics & Gynecology: Breast,Menopausal Medicine,Repro Endo - Infertility
  • Urology: Erectile Dysfunction
  • Endocrinology: Reproductive Endocrinology
  • Oncology: Breast
  • Orthopedics: Pain Management

MeSH Terms

  • Arthralgia
  • Breast Neoplasms
  • Sexual Dysfunctions

Study ID

National Cancer Institute (NCI) -- CDR0000730083

Status

Unknown

Trial ID

NCT01573442

Study Type

Interventional

Trial Phase

Phase 3

Enrollment Quota

224

Sponsor

National Cancer Institute (NCI)

DISEASE CHARACTERISTICS:
  • Women who have undergone a total mastectomy or breast-conserving surgery for primary breast cancer +/-chemotherapy and +/-radiotherapy
  • Receiving anastrozole (1 mg) or letrozole (2.5 mg) orally once a day, for ? 21 days prior to registration
  • Must have BOTH estrogen receptor-positive (ER+) and progesterone receptor-positive (PR+) tumors and BOTH must be ? 30% positive
  • ? 5/10 arthralgia (in hands, wrist, knees, or hips) while being treated with anastrozole or letrozole which is felt by the patient to be caused by their aromatase inhibitor, as measured by verbally addressing the following question: "Please rate your pain by picking a number, from 0 to 10 (0 being none and 10 being as bad as you can imagine) that best describes your pain from your aromatase inhibitor breast cancer medication on AVERAGE, over the past week."
  • No presence of residual or recurrent cancer (locally or metastatic) PATIENT CHARACTERISTICS:
  • Body Mass Index (BMI) between 18 and 32 kg/m²
  • Women who are postmenopausal by surgery, radiotherapy, or presence of natural amenorrhea ? 12 months
  • Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) ? 1.5 times upper limit of normal (ULN)
  • ECOG Performance Status (PS) 0, 1, or 2
  • Serum creatinine ?1.5 times ULN
  • Hemoglobin > 11 g/dL
  • White blood cell (WBC) > 3,000/mm³
  • Platelets > 100,000/mm³
  • No medical situations that would alter the laboratory values since they were done
  • Ability to complete questionnaire(s) by themselves or with assistance
  • Willing to provide informed written consent
  • Willing to return to an Alliance enrolling institution for follow-up
  • Willing to provide blood samples for correlative research purposes
  • No diabetes mellitus or glucose intolerance, defined as a fasting glucose > 125 mg/dL
  • No history of coronary artery disease (angina or myocardial infarction)
  • No known hypersensitivity to any component of testosterone
  • No history of a deep venous thrombosis or a thromboembolism PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • Patients may, or may not, be taking non-opiod analgesics
  • No patients on hormone-replacement therapy (HRT) ? 4 weeks before prior to registration
  • No prolonged systemic corticosteroid treatment, except for topical applications (e.g., for rash), inhaled sprays (e.g., for obstructive airway diseases), eye drops, or local injections (e.g., intra-articular)
  • Short duration (< 2 weeks) of systemic corticosteroids is allowed (e.g., for chronic obstructive pulmonary disease), but not within 30 days prior to registration
  • Not receiving any other investigational agent
  • No concurrent use of the aromatase inhibitor exemestane
  • No concurrent radiation therapy or chemotherapy
  • No current or planned use of cyclosporine, anticoagulants, oxyphenbutazone, insulin, or tamoxifen
  • Gender

    Female

    Ages

    18 Years and older

    Accepts Healthy Volunteers

    No

    Study Locations and Contact Information (270)

    Study Location Distance Name Phone Email
    Englewood Hospital and Medical Center - Englewood, New Jersey 44.0 miles Jill Morrison MD 201-568-5250 None
    Christiana Care Health SystemWilmington Hospital - Wilmington, Delaware 158.7 miles Stephen Grubbs MD 302-366-1200 None
    Christiana Care Health SystemChristiana Hospital - Newark, Delaware 168.0 miles Stephen Grubbs MD 302-366-1200 None
    Regional Hematology and Oncology PA - Newark, Delaware 168.8 miles Stephen Grubbs MD 302-366-1200 None
    Helen F Graham Cancer Center - Newark, Delaware 168.8 miles Stephen Grubbs MD 302-366-1200 None
    Medical Oncology Hematology Consultants PA - Newark, Delaware 168.8 miles Stephen Grubbs MD 302-366-1200 None
    Christiana Gynecologic Oncology LLC - Newark, Delaware 168.8 miles Stephen Grubbs MD 302-366-1200 None
    Delaware Clinical and Laboratory Physicians PA - Newark, Delaware 168.8 miles Stephen Grubbs MD 302-366-1200 None
    Guthrie Medical Group PCRobert Packer Hospital - Sayre, Pennsylvania 177.9 miles Cynthia Lynch MD 507-887-2141 None
    Beebe Health Campus - Rehoboth Beach, Delaware 198.1 miles Stephen Grubbs MD 302-366-1200 None
    Beebe Medical Center - Lewes, Delaware 200.6 miles Stephen Grubbs MD 302-366-1200 None
    Nanticoke Memorial Hospital - Seaford, Delaware 218.3 miles Stephen Grubbs MD 302-366-1200 None
    Medical Oncology Hematology Associates of Northern Virginia Limited - Fairfax, Virginia 268.3 miles Mary Wilkinson MD 703-207-0733 None
    Southeastern Medical Oncology CenterWilson - Wilson, North Carolina 456.6 miles James Atkins MD 919-580-0000 None
    Memorial Hospital Of Martinsville - Martinsville, Virginia 474.5 miles Sreedhar Katragadda MD 276-666-7827 None
    Kinston Medical Specialists PA - Kinston, North Carolina 474.9 miles Peter Watson MD 252-559-2201 None
    Wayne Memorial Hospital - Goldsboro, North Carolina 478.0 miles James Atkins MD 919-580-0000 None
    Southeastern Medical Oncology CenterGoldsboro - Goldsboro, North Carolina 478.0 miles James Atkins MD 919-580-0000 None
    Southeastern Medical Oncology CenterJacksonville - Jacksonville, North Carolina 499.9 miles James Atkins MD 919-580-0000 None
    Southeastern Medical Oncology CenterClinton - Clinton, North Carolina 512.0 miles James Atkins MD 919-580-0000 None
    Blanchard Valley Hospital - Findlay, Ohio 542.1 miles Howard Gross MD 937-832-1093 None
    Springfield Regional Medical Center - Springfield, Ohio 561.0 miles Howard Gross MD 937-832-1093 None
    Springfield Regional Cancer Center - Springfield, Ohio 564.0 miles Howard Gross MD 937-832-1093 None
    Lake Norman Hematology Oncology SpecialistsMooresville - Mooresville, North Carolina 565.9 miles Justin Favaro MD 704-342-1900 None
    Lake Norman Hematology Oncology SpecialistsHuntersville - Huntersville, North Carolina 576.1 miles Justin Favaro MD 704-342-1900 None
    Southern Oncology SpecialistsHuntersville - Huntersville, North Carolina 576.1 miles Justin Favaro MD 704-342-1900 None
    Southern Oncology SpecialistsCharlotte - Charlotte, North Carolina 576.5 miles Justin Favaro MD 704-342-1900 None
    WrightPatterson Medical Center - Wright-Patterson Afb, Ohio 577.9 miles Roger Wood MD 937-257-1398 None
    Wellmont Bristol Regional Medical Center - Bristol, Tennessee 578.9 miles Asheesh Shipstone MD 423-578-8538 None
    Upper Valley Medical Center - Troy, Ohio 581.4 miles Howard Gross MD 937-832-1093 None
    Dayton NCI Community Oncology Research Program - Dayton, Ohio 582.3 miles Howard Gross MD 937-832-1093 None
    Kettering Medical Center - Kettering, Ohio 583.9 miles Howard Gross MD 937-832-1093 None
    Southwest VA Regional Cancer Center - Norton, Virginia 584.1 miles Asheesh Shipstone MD 423-578-8538 None
    Miami Valley Hospital - Dayton, Ohio 585.0 miles Howard Gross MD 937-832-1093 None
    Novant Health Presbyterian Medical Center - Charlotte, North Carolina 585.2 miles Justin Favaro MD 704-342-1900 None
    Matthews Radiation Oncology Center - Matthews, North Carolina 585.3 miles Justin Favaro MD 704-342-1900 None
    Novant Health Cancer SpecialistsMatthews - Matthews, North Carolina 585.3 miles Justin Favaro MD 704-342-1900 None
    Miami Valley Hospital South - Centerville, Ohio 585.6 miles Howard Gross MD 937-832-1093 None
    Oncology Specialists of Charlotte - Charlotte, North Carolina 586.2 miles Justin Favaro MD 704-342-1900 None
    Carolina Surgical Clinic of Charlotte PA - Charlotte, North Carolina 586.2 miles Justin Favaro MD 704-342-1900 None
    Samaritan North Health Center - Dayton, Ohio 588.1 miles Howard Gross MD 937-832-1093 None
    Good Samaritan HospitalDayton - Dayton, Ohio 588.3 miles Howard Gross MD 937-832-1093 None
    Atrium Medical CenterMiddletown Regional Hospital - Franklin, Ohio 594.1 miles Howard Gross MD 937-832-1093 None
    Wellmont Medical Associates Oncology and HematologyKingsport - Kingsport, Tennessee 596.1 miles Asheesh Shipstone MD 423-578-8538 None
    Wellmont Holston Valley Hospital and Medical Center - Kingsport, Tennessee 596.1 miles Asheesh Shipstone MD 423-578-8538 None
    Wellmont Medical Associates Oncology and HematologyJohnson City - Johnson City, Tennessee 598.4 miles Asheesh Shipstone MD 423-578-8538 None
    Bethesda North Hospital - Cincinnati, Ohio 602.2 miles Ching Ho MD 513-891-1200 None
    Oncology Hematology Care IncBlue Ash - Cincinnati, Ohio 602.2 miles Howard Gross MD 937-832-1093 None
    Wayne Hospital - Greenville, Ohio 602.7 miles Howard Gross MD 937-832-1093 None
    Oncology Hematology Care IncKenwood - Cincinnati, Ohio 605.5 miles Howard Gross MD 937-832-1093 None
    TriHealth Cancer InstituteAnderson - Cincinnati, Ohio 605.9 miles Mehmet Copur MD 308-398-5450 None
    Oncology Hematology Care IncAnderson - Cincinnati, Ohio 607.4 miles Howard Gross MD 937-832-1093 None
    Oncology Hematology Care IncHealthplex - Fairfield, Ohio 611.4 miles Howard Gross MD 937-832-1093 None
    Saint Elizabeth Fort Thomas - Fort Thomas, Kentucky 612.8 miles Joseph Guenther MD 859-301-9418 None
    Good Samaritan HospitalCincinnati - Cincinnati, Ohio 612.8 miles Ching Ho MD 513-891-1200 None
    Oncology Hematology Care IncEden Park - Cincinnati, Ohio 612.8 miles Howard Gross MD 937-832-1093 None
    Oncology Hematology Care IncMercy West - Cincinnati, Ohio 616.5 miles Howard Gross MD 937-832-1093 None
    TriHealth Cancer InstituteWestside - Cincinnati, Ohio 616.7 miles Mehmet Copur MD 308-398-5450 None
    Oncology Hematology Care IncCrestview - Crestview Hills, Kentucky 617.8 miles Howard Gross MD 937-832-1093 None
    Saint Elizabeth Medical Center South - Edgewood, Kentucky 617.8 miles Joseph Guenther MD 859-301-9418 None
    Reid Hospital and Health Care Services - Richmond, Indiana 620.0 miles Howard Gross MD 937-832-1093 None
    Saint Joseph Hospital East - Lexington, Kentucky 635.5 miles Mehmet Copur MD 308-398-5450 None
    Saint Joseph Radiation Oncology Resource Center - Lexington, Kentucky 640.7 miles Mehmet Copur MD 308-398-5450 None
    Commonwealth Cancer CenterCorbin - Corbin, Kentucky 654.5 miles Mehmet Copur MD 308-398-5450 None
    Memorial Regional Cancer Center Day Road - Mishawaka, Indiana 670.3 miles Thomas Reid MD 574-647-1100 None
    Memorial Hospital of South Bend - South Bend, Indiana 675.2 miles Thomas Reid MD 574-647-1100 None
    Jewish Hospital Medical Center Northeast - Louisville, Kentucky 682.7 miles Mehmet Copur MD 308-398-5450 None
    Lowcountry Hematology Oncology PANorth Charleston - Charleston, South Carolina 685.1 miles James Orcutt MD 843-577-2276 None
    Lowcountry Hematology Oncology PAMount Pleasant - Mount Pleasant, South Carolina 686.1 miles James Orcutt MD 843-577-2276 None
    Charleston Hematology Oncology AssociatesRoper - Charleston, South Carolina 690.5 miles James Orcutt MD 843-577-2276 None
    Roper Hospital - Charleston, South Carolina 691.3 miles James Orcutt MD 843-577-2276 None
    Bon Secours Saint Francis Hospital - Charleston, South Carolina 692.3 miles James Orcutt MD 843-577-2276 None
    Lowcountry Hematology Oncology PAWest Ashley - Charleston, South Carolina 692.3 miles James Orcutt MD 843-577-2276 None
    Charleston Hematology Oncology Associates PASaint Francis - Charleston, South Carolina 692.3 miles James Orcutt MD 843-577-2276 None
    Flaget Memorial Hospital - Bardstown, Kentucky 693.4 miles Mehmet Copur MD 308-398-5450 None
    Jewish Hospital - Louisville, Kentucky 696.1 miles Mehmet Copur MD 308-398-5450 None
    Saints Mary and Elizabeth Hospital - Louisville, Kentucky 699.4 miles Mehmet Copur MD 308-398-5450 None
    Jewish Hospital Medical Center South - Shepherdsville, Kentucky 699.7 miles Mehmet Copur MD 308-398-5450 None
    Ingalls Memorial Hospital - Harvey, Illinois 748.6 miles Mark Kozloff MD 708-339-4800 None
    Holy Family Memorial Hospital - Manitowoc, Wisconsin 757.3 miles Anthony Jaslowski MD 920-884-3135 None
    Vince Lombardi Cancer Clinic - Two Rivers, Wisconsin 757.7 miles Rubina Qamar MD 414-778-4347 None
    Green Bay OncologySturgeon Bay - Sturgeon Bay, Wisconsin 757.8 miles Anthony Jaslowski MD 920-884-3135 None
    Aurora Cancer CareRacine - Racine, Wisconsin 758.5 miles Rubina Qamar MD 414-778-4347 None
    Saint Nicholas Hospital - Sheboygan, Wisconsin 759.1 miles Anthony Jaslowski MD 920-884-3135 None
    Vince Lombardi Cancer ClinicSheboygan - Sheboygan, Wisconsin 759.1 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareKenosha South - Kenosha, Wisconsin 759.2 miles Rubina Qamar MD 414-778-4347 None
    Green Bay Oncology Escanaba - Escanaba, Michigan 762.1 miles Anthony Jaslowski MD 920-884-3135 None
    Aurora Sinai Medical Center - Milwaukee, Wisconsin 763.7 miles Rubina Qamar MD 414-778-4347 None
    Aurora Saint Lukes Medical Center - Milwaukee, Wisconsin 764.1 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareMilwaukee - Milwaukee, Wisconsin 764.8 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareGrafton - Grafton, Wisconsin 765.5 miles Rubina Qamar MD 414-778-4347 None
    Aurora West Allis Medical Center - West Allis, Wisconsin 769.0 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareMilwaukee West - Wauwatosa, Wisconsin 769.3 miles Rubina Qamar MD 414-778-4347 None
    Memorial GYN Plus - Ooltewah, Tennessee 769.8 miles Mehmet Copur MD 308-398-5450 None
    Vince Lombardi Cancer ClinicMarinette - Marinette, Wisconsin 773.1 miles Rubina Qamar MD 414-778-4347 None
    Pulmonary Medicine Center of ChattanoogaHixson - Hixson, Tennessee 773.6 miles Mehmet Copur MD 308-398-5450 None
    Aurora Advanced Healthcare IncMenomonee Falls - Menomonee Falls, Wisconsin 773.7 miles Rubina Qamar MD 414-778-4347 None
    Cadence Cancer Center in Warrenville - Warrenville, Illinois 774.6 miles John Ayers MD 630-352-5450 None
    Aurora BayCare Medical Center - Green Bay, Wisconsin 777.8 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareBurlington - Burlington, Wisconsin 779.1 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareWaukesha - Waukesha, Wisconsin 780.4 miles Rubina Qamar MD 414-778-4347 None
    Memorial Hospital - Chattanooga, Tennessee 781.8 miles Mehmet Copur MD 308-398-5450 None
    Saint Vincent Hospital - Green Bay, Wisconsin 781.9 miles Anthony Jaslowski MD 920-884-3135 None
    Green Bay Oncology at Saint Vincent Hospital - Green Bay, Wisconsin 781.9 miles Anthony Jaslowski MD 920-884-3135 None
    Green Bay Oncology Limited at Saint Marys Hospital - Green Bay, Wisconsin 784.7 miles Anthony Jaslowski MD 920-884-3135 None
    Saint Marys Hospital - Green Bay, Wisconsin 784.7 miles Anthony Jaslowski MD 920-884-3135 None
    Aurora Medical Center in Summit - Summit, Wisconsin 791.5 miles Rubina Qamar MD 414-778-4347 None
    Aurora Cancer CareSouthern Lakes - Elkhorn, Wisconsin 793.1 miles Rubina Qamar MD 414-778-4347 None
    Green Bay OncologyOconto Falls - Oconto Falls, Wisconsin 794.9 miles Anthony Jaslowski MD 920-884-3135 None
    Aurora Health CenterFond du Lac - Fond du Lac, Wisconsin 796.7 miles Rubina Qamar MD 414-778-4347 None
    Green Bay OncologyIron Mountain - Iron Mountain, Michigan 808.1 miles Anthony Jaslowski MD 920-884-3135 None
    Central Georgia Gynecologic Oncology - Macon, Georgia 815.5 miles Frederick Schnell MD 574-647-1100 None
    Medical Center of Central Georgia - Macon, Georgia 815.8 miles Frederick Schnell MD 478-743-7068 None
    Marshfield Clinic Cancer Care at Saint Michaels Hospital - Stevens Point, Wisconsin 857.9 miles Rezwan Islam MD 715-393-1454 None
    Marshfield ClinicWeston Center - Weston, Wisconsin 862.8 miles Rezwan Islam MD 715-393-1454 None
    Marshfield ClinicWisconsin Rapids Center - South Wisconsin Rapids, Wisconsin 864.7 miles Rezwan Islam MD 715-393-1454 None
    Marshfield Clinic at James Beck Cancer Center - Rhinelander, Wisconsin 864.9 miles Rezwan Islam MD 715-393-1454 None
    Marshfield ClinicWausau Center - Wausau, Wisconsin 867.6 miles Rezwan Islam MD 715-393-1454 None
    John B Amos Cancer Center - Columbus, Georgia 884.9 miles Andrew Pippas MD 706-320-8780 None
    Marshfield ClinicMinocqua Center - Minocqua, Wisconsin 887.2 miles Rezwan Islam MD 715-393-1454 None
    Marshfield Clinic - Marshfield, Wisconsin 889.0 miles Rezwan Islam MD 715-393-1454 None
    Constantinou Costas L MD UIA Investigator - Bettendorf, Iowa 893.3 miles David Spector MD 309-779-4245 None
    Spector David MD UIA Investigator - Moline, Illinois 895.4 miles David Spector MD 309-779-4245 None
    Garneau Stewart C MD UIA Investigator - Moline, Illinois 895.4 miles David Spector MD 309-779-4245 None
    Trinity Medical Center - Moline, Illinois 895.4 miles David Spector MD 309-779-4245 None
    Washington University School of Medicine - Saint Louis, Missouri 919.8 miles Rebecca Aft MD 314-747-0063 None
    Mayo Clinic Health SystemFranciscan Healthcare - La Crosse, Wisconsin 932.9 miles Paula Gill MD 608-392-9510 None
    Marshfield Clinic Cancer Center at Sacred Heart - Eau Claire, Wisconsin 954.0 miles Rezwan Islam MD 715-393-1454 None
    Marshfield ClinicRice Lake Center - Rice Lake, Wisconsin 974.8 miles Rezwan Islam MD 715-393-1454 None
    Mayo Clinic - Rochester, Minnesota 997.5 miles Charles Loprinzi MD 507-284-3731 None
    McFarland Clinic PCMarshalltown - Marshalltown, Iowa 1,018.8 miles Joseph Merchant MD 515-956-2759 None
    Lakeland Regional Cancer Center - Lakeland, Florida 1,035.3 miles Madhavi Venigalla MD 863-904-1900 None
    Mercy Medical CenterWest Lakes - West Des Moines, Iowa 1,045.1 miles Mehmet Copur MD 308-398-5450 None
    Mary Greeley Medical Center - Ames, Iowa 1,054.6 miles Joseph Merchant MD 515-956-2759 None
    McFarland Clinic PCWilliam R Bliss Cancer Center - Ames, Iowa 1,054.6 miles Joseph Merchant MD 515-956-2759 None
    Medical Oncology and Hematology AssociatesLaurel - Des Moines, Iowa 1,056.7 miles Mehmet Copur MD 308-398-5450 None
    Mercy Medical CenterDes Moines - Des Moines, Iowa 1,056.7 miles Mehmet Copur MD 308-398-5450 None
    Mercy Cancer Center West Lakes - Clive, Iowa 1,062.8 miles Mehmet Copur MD 308-398-5450 None
    Medical Oncology and Hematology AssociatesWest Des Moines - Clive, Iowa 1,062.8 miles Mehmet Copur MD 308-398-5450 None
    McFarland Clinic PCBoone - Boone, Iowa 1,067.2 miles Joseph Merchant MD 515-956-2759 None
    Mayo Clinic Health SystemsMankato - Mankato, Minnesota 1,072.8 miles Mohmmad Ranginwala MD 507-345-2929 None
    McFarland Clinic PCTrinity Cancer Center - Fort Dodge, Iowa 1,080.7 miles Joseph Merchant MD 515-956-2759 None
    McFarland Clinic PCJefferson - Jefferson, Iowa 1,092.7 miles Joseph Merchant MD 515-956-2759 None
    Sanford Clinic NorthBemidji - Bemidji, Minnesota 1,150.5 miles Preston Steen MD 701-234-6161 None
    Alegent Health Mercy Hospital - Council Bluffs, Iowa 1,172.3 miles Mehmet Copur MD 308-398-5450 None
    CHI Saint Vincent Cancer Center Hot Springs - Hot Springs, Arkansas 1,179.6 miles Mehmet Copur MD 308-398-5450 None
    Creighton University Medical Center - Omaha, Nebraska 1,179.6 miles Mehmet Copur MD 308-398-5450 None
    University of Nebraska Medical Center - Omaha, Nebraska 1,182.2 miles Elizabeth Reed MD 402-559-5388 None
    Alegent Health Bergan Mercy Medical Center - Omaha, Nebraska 1,184.5 miles Mehmet Copur MD 308-398-5450 None
    Alegent Health Immanuel Medical Center - Omaha, Nebraska 1,184.6 miles Mehmet Copur MD 308-398-5450 None
    Hematology and Oncology Consultants PC - Omaha, Nebraska 1,184.6 miles Mehmet Copur MD 308-398-5450 None
    Midlands Community Hospital - Papillion, Nebraska 1,184.7 miles Mehmet Copur MD 308-398-5450 None
    Alegent Health Lakeside Hospital - Omaha, Nebraska 1,190.7 miles Mehmet Copur MD 308-398-5450 None
    Saint Elizabeth Regional Medical Center - Lincoln, Nebraska 1,219.8 miles Mehmet Copur MD 308-398-5450 None
    Sanford Roger Maris Cancer Center - Fargo, North Dakota 1,230.1 miles Preston Steen MD 701-234-6161 None
    Sanford Medical CenterFargo - Fargo, North Dakota 1,230.1 miles Preston Steen MD 701-234-6161 None
    Sanford Clinic NorthFargo - Fargo, North Dakota 1,230.9 miles Preston Steen MD 701-234-6161 None
    CHI Health Saint Francis - Grand Island, Nebraska 1,307.8 miles Mehmet Copur MD 308-398-5450 None
    CHI Health Good Samaritan - Kearney, Nebraska 1,347.0 miles Mehmet Copur MD 308-398-5450 None
    Heartland Hematology and Oncology - Kearney, Nebraska 1,352.0 miles Mehmet Copur MD 308-398-5450 None
    Cheyenne Regional Medical CenterWest - Cheyenne, Wyoming 1,635.3 miles Keren Sturtz MD 303-649-5469 None
    North Colorado Medical Center - Greeley, Colorado 1,640.9 miles Keren Sturtz MD 303-649-5469 None
    Parker Adventist Hospital - Parker, Colorado 1,653.1 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersParker - Parker, Colorado 1,653.1 miles Keren Sturtz MD 303-649-6469 None
    The Medical Center of Aurora - Aurora, Colorado 1,658.7 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersAurora - Aurora, Colorado 1,658.7 miles Keren Sturtz MD 303-649-5469 None
    McKee Medical Center - Loveland, Colorado 1,660.2 miles Keren Sturtz MD 303-649-5469 None
    Catholic Health Initiatives NCORP - Englewood, Colorado 1,662.3 miles Mehmet Copur MD 308-398-5450 None
    Rocky Mountain Cancer CentersRose - Denver, Colorado 1,662.4 miles Keren Sturtz MD 303-649-5469 None
    Rose Medical Center - Denver, Colorado 1,662.4 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersGreenwood Village - Greenwood Village, Colorado 1,662.9 miles Keren Sturtz MD 303-649-5469 None
    Colorado Cancer Research Program NCORP - Denver, Colorado 1,663.9 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersSky Ridge - Lone Tree, Colorado 1,664.7 miles Keren Sturtz MD 303-649-5469 None
    Sky Ridge Medical Center - Lone Tree, Colorado 1,664.7 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersThornton - Thornton, Colorado 1,664.9 miles Keren Sturtz MD 303-649-5469 None
    SCL Health Saint Joseph Hospital - Denver, Colorado 1,665.3 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersMidtown - Denver, Colorado 1,665.3 miles Keren Sturtz MD 303-649-5469 None
    PresbyterianSaint Lukes Medical CenterHealth One - Denver, Colorado 1,665.3 miles Keren Sturtz MD 303-649-5469 None
    Colorado Blood Cancer Institute - Denver, Colorado 1,665.3 miles Keren Sturtz MD 303-777-2663 None
    Porter Adventist Hospital - Denver, Colorado 1,665.8 miles Keren Sturtz MD 303-649-5469 None
    Comprehensive Cancer Care and Research Institute of Colorado LLC - Englewood, California 1,666.4 miles Keren Sturtz MD 303-649-5469 None
    Swedish Medical Center - Englewood, Colorado 1,666.4 miles Keren Sturtz MD 303-649-5469 None
    Longmont United Hospital - Longmont, Colorado 1,667.0 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersLongmont - Longmont, Colorado 1,667.0 miles Keren Sturtz MD 303-649-5469 None
    Littleton Adventist Hospital - Littleton, Colorado 1,667.1 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersLittleton - Littleton, Colorado 1,669.5 miles Keren Sturtz MD 303-649-5469 None
    SCL Health Lutheran Medical Center - Wheat Ridge, Colorado 1,671.4 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersPenrose - Colorado Springs, Colorado 1,672.5 miles Keren Sturtz MD 303-649-5469 None
    PenroseSaint Francis Healthcare - Colorado Springs, Colorado 1,672.5 miles Keren Sturtz MD 303-649-5469 None
    Boulder Community Hospital - Boulder, Colorado 1,672.7 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersPueblo - Pueblo, Colorado 1,673.3 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersLakewood - Lakewood, Colorado 1,675.5 miles Keren Sturtz MD 303-649-5469 None
    Saint Anthony Hospital - Lakewood, Colorado 1,675.5 miles Keren Sturtz MD 303-649-5469 None
    Rocky Mountain Cancer CentersBoulder - Boulder, Colorado 1,676.6 miles Keren Sturtz MD 303-649-5469 None
    Saint Mary Corwin Medical Center - Pueblo, Colorado 1,677.0 miles Keren Sturtz MD 303-649-5469 None
    Mountain Blue Cancer Care Center - Golden, Colorado 1,678.0 miles Keren Sturtz MD 303-649-5469 None
    Welch Cancer Center - Sheridan, Wyoming 1,713.3 miles Benjamin Marchello MD 406-237-5460 None
    Montana Cancer Consortium NCORP - Billings, Montana 1,783.4 miles Benjamin Marchello MD 406-237-5460 None
    Saint Vincent Healthcare - Billings, Montana 1,783.4 miles Benjamin Marchello MD 406-237-5460 None
    Billings Clinic Cancer Center - Billings, Montana 1,784.3 miles Benjamin Marchello MD 406-237-5460 None
    Big Horn Basin Cancer Center - Cody, Wyoming 1,821.3 miles Benjamin Marchello MD 406-237-5460 None
    Billings ClinicCody - Cody, Wyoming 1,821.3 miles Benjamin Marchello MD 406-237-5460 None
    Mercy Medical Center - Durango, Colorado 1,861.5 miles Keren Sturtz MD 303-649-5469 None
    Southwest Oncology PC - Durango, Colorado 1,861.5 miles Keren Sturtz MD 303-649-5469 None
    Bozeman Deaconess Hospital - Bozeman, Montana 1,908.6 miles Benjamin Marchello MD 406-237-5460 None
    Benefis HealthcareSletten Cancer Institute - Great Falls, Montana 1,911.9 miles Benjamin Marchello MD 406-237-5460 None
    Vince Lombardi Cancer ClinicOshkosh - Oshkosh, Wisconsin 1,916.1 miles Rubina Qamar MD 414-778-4347 None
    Saint Peters Community Hospital - Helena, Montana 1,949.4 miles Benjamin Marchello MD 406-237-5460 None
    Saint James Community Hospital and Cancer Treatment Center - Butte, Montana 1,976.9 miles Benjamin Marchello MD 406-237-5460 None
    Saint Patrick HospitalCommunity Hospital - Missoula, Montana 2,043.0 miles Benjamin Marchello MD 406-237-5460 None
    Community Medical Hospital - Missoula, Montana 2,044.7 miles Benjamin Marchello MD 406-237-5460 None
    Kalispell Regional Medical Center - Kalispell, Montana 2,051.7 miles Benjamin Marchello MD 406-237-5460 None
    Kootenai Cancer Clinic - Sandpoint, Idaho 2,154.5 miles Benjamin Marchello MD 406-237-5460 None
    Kootenai Medical Center - Coeur D'Alene, Idaho 2,168.7 miles Benjamin Marchello MD 406-237-5460 None
    Kootenai Cancer Center - Post Falls, Idaho 2,176.1 miles Benjamin Marchello MD 406-237-5460 None
    Cancer Therapy and Integrative Medicine - Las Vegas, Nevada 2,267.4 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of NevadaCentral Valley - Las Vegas, Nevada 2,268.6 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of NevadaSoutheast Henderson - Henderson, Nevada 2,269.5 miles John Ellerton MD 702-822-2000 None
    21st Century OncologyHenderson - Henderson, Nevada 2,269.5 miles John Ellerton MD 702-822-2000 None
    Cancer and Blood SpecialistsShadow - Las Vegas, Nevada 2,270.3 miles John Ellerton MD 702-822-2000 None
    Radiation Oncology Centers of Nevada Central - Las Vegas, Nevada 2,270.3 miles John Ellerton MD 702-822-2000 None
    HealthCare Partners Medical Group OncologyHematologyMaryland Parkway - Las Vegas, Nevada 2,271.0 miles John Ellerton MD 702-822-2000 None
    21st Century Oncology - Las Vegas, Nevada 2,271.0 miles John Ellerton MD 702-822-2000 None
    21st Century OncologyFort Apache - Las Vegas, Nevada 2,271.0 miles John Ellerton MD 702-822-2000 None
    Radiation Oncology Centers of Nevada Southeast - Las Vegas, Nevada 2,271.4 miles John Ellerton MD 702-822-2000 None
    University Medical Center of Southern Nevada - Las Vegas, Nevada 2,272.6 miles John Ellerton MD 702-822-2000 None
    Cancer and Blood SpecialistsHenderson - Henderson, Nevada 2,272.9 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of NevadaHenderson - Henderson, Nevada 2,272.9 miles John Ellerton MD 702-822-2000 None
    Las Vegas Cancer CenterHenderson - Henderson, Nevada 2,272.9 miles John Ellerton MD 702-822-2000 None
    HealthCare Partners Medical Group OncologyHematologyCentennial Hills - Las Vegas, Nevada 2,275.1 miles John Ellerton MD 702-822-2000 None
    HealthCare Partners Medical Group OncologyHematologyTenaya - Las Vegas, Nevada 2,276.9 miles John Ellerton MD 702-822-2000 None
    Cancer and Blood SpecialistsTenaya - Las Vegas, Nevada 2,276.9 miles John Ellerton MD 702-822-2000 None
    21st Century OncologyVegas Tenaya - Las Vegas, Nevada 2,276.9 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of NevadaNorthwest - Las Vegas, Nevada 2,276.9 miles John Ellerton MD 702-822-2000 None
    HealthCare Partners Medical Group OncologyHematologySan Martin - Las Vegas, Nevada 2,278.1 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of NevadaSummerlin - Las Vegas, Nevada 2,278.7 miles John Ellerton MD 702-822-2000 None
    Las Vegas Cancer CenterMedical Center - Las Vegas, Nevada 2,281.7 miles John Ellerton MD 702-822-2000 None
    Comprehensive Cancer Centers of Nevada - Las Vegas, Nevada 2,281.7 miles John Ellerton MD 702-822-2000 None
    Cancer and Blood SpecialistsFort Apache - Las Vegas, Nevada 2,281.7 miles John Ellerton MD 702-822-2000 None
    Saint Elizabeth Hospital - Enumclaw, Washington 2,409.1 miles Mehmet Copur MD 308-398-5450 None
    Saint Francis Hospital - Federal Way, Washington 2,429.0 miles Mehmet Copur MD 308-398-5450 None
    Highline Medical CenterMain Campus - Burien, Washington 2,429.6 miles Mehmet Copur MD 308-398-5450 None
    Franciscan Research CenterNorthwest Medical Plaza - Tacoma, Washington 2,436.7 miles Mehmet Copur MD 308-398-5450 None
    Northwest Medical Specialties PLLC - Tacoma, Washington 2,436.7 miles Mehmet Copur MD 308-398-5450 None
    Harrison HealthPartners Hematology and OncologyPoulsbo - Poulsbo, Washington 2,439.4 miles Mehmet Copur MD 308-398-5450 None
    Saint Clare Hospital - Lakewood, Washington 2,439.7 miles Mehmet Copur MD 308-398-5450 None
    Harrison HealthPartners Hematology and OncologyBremerton - Bremerton, Washington 2,440.4 miles Mehmet Copur MD 308-398-5450 None
    Harrison Medical Center - Bremerton, Washington 2,440.4 miles Mehmet Copur MD 308-398-5450 None
    CedarsSinai Medical Center - Los Angeles, California 2,495.4 miles Armando Giuliano MD 310-423-9331 None
    Sutter Cancer Centers Radiation Oncology ServicesCameron Park - Cameron Park, California 2,508.5 miles Peter Yu MD 408-730-2817 None
    Sutter Auburn Faith Hospital - Auburn, California 2,509.1 miles Peter Yu MD 408-730-2817 None
    Sutter Cancer Centers Radiation Oncology ServicesAuburn - Auburn, California 2,509.3 miles Peter Yu MD 408-730-2817 None
    Sutter Cancer Centers Radiation Oncology ServicesRoseville - Roseville, California 2,520.1 miles Peter Yu MD 408-730-2817 None
    Sutter Roseville Medical Center - Roseville, California 2,520.1 miles Peter Yu MD 408-730-2817 None
    Memorial Medical Center - Modesto, California 2,531.1 miles Peter Yu MD 408-730-2817 None
    Sutter General Hospital - Sacremento, California 2,536.1 miles Peter Yu MD 408-730-2817 None
    Sutter Davis Hospital - Davis, California 2,550.8 miles Peter Yu MD 408-730-2817 None
    Sutter Cancer Centers Radiation Oncology ServicesVacaville - Vacaville, California 2,566.4 miles Peter Yu MD 408-730-2817 None
    Sutter Solano Medical CenterCancer Center - Vallejo, California 2,585.9 miles Peter Yu MD 408-730-2817 None
    Eden Hospital Medical Center - Castro Valley, California 2,588.0 miles Peter Yu MD 408-730-2817 None
    Alta Bates Summit Medical CenterHerrick Campus - Berkeley, California 2,593.6 miles Peter Yu MD 408-730-2817 None
    Palo Alto Medical FoundationSunnyvale - Sunnyvale, California 2,593.8 miles Peter Yu MD 408-730-2817 None
    Palo Alto Medical FoundationGynecologic Oncology - Mountain View, California 2,596.8 miles Peter Yu MD 408-730-2817 None
    Palo Alto Medical FoundationCamino Division - Mountain View, California 2,596.8 miles Peter Yu MD 408-730-2817 None
    Palo Alto Medical Foundation Health Care - Palo Alto, California 2,598.6 miles Peter Yu MD 408-730-2817 None
    Palo Alto Medical FoundationSanta Cruz - Santa Cruz, California 2,600.8 miles Peter Yu MD 408-730-2817 None
    Sutter Cancer Research Consortium - Novato, California 2,602.1 miles Peter Yu MD 408-730-2817 None
    Sutter Pacific Medical Foundation - Santa Rosa, California 2,603.7 miles Peter Yu MD 408-730-2817 None
    California Pacific Medical CenterPacific Campus - San Francisco, California 2,606.0 miles Peter Yu MD 408-730-2817 None
    MillsPeninsula Hospitals - Burlingame, California 2,606.6 miles Peter Yu MD 408-730-2817 None

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