Ignite Creation Date:
2025-12-25 @ 2:03 AM
Ignite Modification Date:
2025-12-27 @ 11:02 AM
Study NCT ID:
NCT05241860
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2025-12-22
First Post:
2022-01-31
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Testing Interruption of Hormonal Medications in Patients Responding Exceptionally to Therapy for Metastatic Prostate Cancer, (A-DREAM)
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D011471', 'term': 'Prostatic Neoplasms'}], 'ancestors': [{'id': 'D005834', 'term': 'Genital Neoplasms, Male'}, {'id': 'D014565', 'term': 'Urogenital Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D005832', 'term': 'Genital Diseases, Male'}, {'id': 'D000091662', 'term': 'Genital Diseases'}, {'id': 'D000091642', 'term': 'Urogenital Diseases'}, {'id': 'D011469', 'term': 'Prostatic Diseases'}, {'id': 'D052801', 'term': 'Male Urogenital Diseases'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 79}}, 'statusModule': {'overallStatus': 'ACTIVE_NOT_RECRUITING', 'startDateStruct': {'date': '2022-11-21', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-12', 'completionDateStruct': {'date': '2033-09-01', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-12-18', 'studyFirstSubmitDate': '2022-01-31', 'studyFirstSubmitQcDate': '2022-02-11', 'lastUpdatePostDateStruct': {'date': '2025-12-22', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2022-02-16', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-09-29', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Treatment-free with eugonadal testosterone (> 150 ng/dl)', 'timeFrame': 'At 18 months', 'description': 'The proportion of men who experience 18-month treatment-free interval from therapy with eugonadal testosterone (to \\>= 150 ng/ml) after treatment interruption will be calculated for the study cohort.'}], 'secondaryOutcomes': [{'measure': 'Time to eugonadal testosterone', 'timeFrame': 'Up to 10 years', 'description': 'The median time to eugonadal testosterone (\\> 150 ng/dl) will be computed by the cumulative incidence function.'}, {'measure': 'Duration off-treatment', 'timeFrame': 'Up to 10 years', 'description': 'The median time off-treatment.'}, {'measure': 'Radiographic progression-free survival', 'timeFrame': 'Up to 10 years', 'description': 'The median time to radiographic progression or death (whichever occurs first) will be computed by the Kaplan-Meier estimator.'}, {'measure': 'Time to next treatment', 'timeFrame': 'Up to 24 months', 'description': 'The median time to the first subsequent treatment will be computed by the cumulative incidence function.'}, {'measure': 'Overall survival', 'timeFrame': 'Assessed up to 10 years', 'description': 'The median survival time will be computed by the Kaplan-Meier estimator. Survival time defined as from treatment interruption per protocol to death due to any cause or censored at date last known alive.'}, {'measure': 'Cancer-specific survival', 'timeFrame': 'Assessed up to 10 years', 'description': 'The median survival time will be computed by the cumulative incidence function. Cancer-specific survival as defined as from treatment interruption per protocol to death attributable to cancer or its treatment in the opinion of the treating investigator or censored at date last known alive.'}, {'measure': 'Non-cancer specific survival', 'timeFrame': 'Up to 10 years', 'description': 'The median survival time will be computed by the cumulative incidence function. Non-cancer-specific survival as defined as from treatment interruption per protocol to death not attributable to cancer or its treatment in the opinion of the treating investigator or censored at date last known alive.'}, {'measure': 'Prostate specific antigen (PSA) progression-free survival', 'timeFrame': 'Assessed up to 10 years', 'description': 'The median PSA progression free survival time will be computed by the Kaplan-Meier estimator. PSA progression free survival as defined as from treatment interruption per protocol to the first PSA failure (two consecutive increases in PSA of 25% and \\>= 2 ng/mL above nadir) or death.'}]}, 'oversightModule': {'isUsExport': False, 'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Castration-Sensitive Prostate Carcinoma', 'Metastatic Prostate Carcinoma', 'Stage IV Prostate Cancer AJCC v8', 'Stage IVA Prostate Cancer AJCC v8', 'Stage IVB Prostate Cancer AJCC v8']}, 'descriptionModule': {'briefSummary': "This phase II trial examines antiandrogen therapy interruptions in patients with hormone-sensitive prostate cancer that has spread to other places in the body (metastatic) responding exceptionally well to androgen receptor-pathway inhibitor therapy. The usual treatment for patients with metastatic prostate cancer is to receive hormonal medications including a medication to decrease testosterone levels in the body and a potent oral hormonal medication to block growth signals from male hormones (like testosterone) in the cancer cells. Patients whose cancer is responding exceptionally well to this therapy may take a break from these medications according to their doctor's guidance. This trial may help doctors determine if stopping treatment can allow for testosterone recovery.", 'detailedDescription': 'PRIMARY OBJECTIVE:\n\nI. To determine the proportion of men who experience 18-month treatment-free interval from therapy with eugonadal testosterone (to \\>= 150 ng/ml) after treatment interruption.\n\nSECONDARY OBJECTIVES:\n\nI. To determine time to eugonadal testosterone (\\> 150 ng/dl). II. To determine duration off-treatment.\n\nIII. To assess changes in quality of life as follows:\n\n1. To assess changes in patient-reported quality of life as assessed by the Functional Assessment of Cancer Therapy- Prostate (FACT-P) total score from baseline to 24 months after treatment interruption.\n2. To assess changes in the FACT-P subscales (i.e., physical well-being, social and family well-being, emotional well-being, functional well-being, and prostate cancer subscale) from baseline to 24 months after treatment interruption.\n3. To assess changes in the FACT-P total score and subscales (i.e., physical well-being, social and family well-being, emotional well-being, functional well-being, and prostate cancer subscale) from baseline to the remaining post-baseline time points (i.e., 6, 12, and 18 months) after treatment interruption.\n\nOUTLINE:\n\nPatients stop both hormonal medications (medication to decrease testosterone levels in the body and potent oral hormonal medication to block growth signals from male hormones in the cancer cells). Patients are then followed every 12 months for symptoms. Patients with an increase in prostate specific antigen (PSA) level to greater than or equal to 5 ng/ml, changes on imaging studies suggesting that their cancer is growing back, or symptoms that the doctor thinks is related to their cancer growing back, resume both hormonal treatments.\n\nAfter completion of study treatment, patients are followed up every 6 months for 10 years from registration or withdrawal from the study or death.'}, 'eligibilityModule': {'sex': 'MALE', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n* Histologic or clinical diagnosis of metastatic prostate cancer\n* Must have had evidence of metastatic disease by bone scan, or nodal or visceral lesions on computed tomography (CT) or magnetic resonance imaging (MRI) prior to starting on intense antiandrogen therapy (ADT)\n\n * Radiographic evidence of disease is not required at the time of enrollment\n * No metastases to liver or to brain, as these represent aggressive variant disease biology for which intermittent treatment may not be favored\n* Must currently be receiving intense ADT for metastatic hormone sensitive prostate cancer (mHSPC)\n\n * Testosterone suppression (TS) with luteinizing hormone releasing hormone (LHRH)-agonist or LHRH-antagonist AND\n * An approved secondary androgen receptor pathway inhibitor (ARPI) abiraterone, enzalutamide, or apalutamide (or darolutamide if approved for this indication)\n* Must have remained on testosterone suppression for metastatic disease continuously (without treatment breaks) for 540-750 days (approximately 18 to 24 months) from time of first dose of LHRH agonist or antagonist by time of registration. A period of anti-androgen treatment prior to LHRH agonist or antagonist initiation is not included in the 540 - 750 days (approximately 18 to 24 months)\n* Must have received treatment with ARPI for at least 360 days in total by time of A032101 registration. Treatment breaks from ARPI of up to 28 days are permitted (for example peri-procedural or for management of a temporary adverse event) as long as PSA did not rise while holding therapy\n* Prior TS in the context of neoadjuvant/concurrent/adjuvant treatment with local therapy is permitted. Prior course(s) of intermittent TS for biochemical-only recurrence is permitted. However, if the patient previously received TS, metastatic progression for which intense ADT was initiated must have occurred during an off-treatment interval and with testosterone \\>= 150 ng/dL\n* Prior local therapy for prostate cancer (either before or after diagnosis of metastatic disease) is permitted. Prior treatment with docetaxel chemotherapy for up to 6 cycles is permitted. Prior radiation therapy to metastatic sites (either for symptom palliation or for ablation of oligometastatic disease) is permitted\n\nExclusion Criteria:\n\n* No history of surgical castration\n* No history of ARPI use prior to diagnosis of mHSPC for which the patient is currently receiving intense ADT (such as in the neoadjuvant setting with prior local therapy)\n* No current or prior treatment with experimental agents for metastatic hormone-sensitive prostate cancer\n* Eastern Cooperative Oncology Group (ECOG) performance status 0-2\n* Prior to initiating intense ADT\n\n * Prostate specific antigen (PSA) \\>= 5 ng/ml\n * Testosterone \\>= 150 ng/dl. Patients are permitted to enroll if testosterone was not measured prior to initiating intense ADT for mHSPC if they did not previously receive TS and were not known or suspected to be hypogonadal at the time\n* At time of enrollment to A032101\n\n * PSA \\< 0.2 ng/ml\n\n \\*\\* PSA values (measured in the same laboratory) must be stable or falling for 3 consecutive measurements - i.e. any PSA rise must be followed by a decrease in PSA that is further decreased or stable on a 3rd measurement. Any patient with 2 consecutive rises in PSA values since achieving castrate level of testosterone is not eligible\n * Testosterone \\< 50 ng/dl\n* No current participation in a clinical study that does not allow for TS or ARPI interruption\n* No patients with a "currently active" second malignancy \\* Patients with non-melanomatous skin cancer, superficial bladder cancer, cancer not needing active therapy for at least 2 years, cancer for which the treating investigator deems the subject'}, 'identificationModule': {'nctId': 'NCT05241860', 'acronym': 'A-DREAM', 'briefTitle': 'Testing Interruption of Hormonal Medications in Patients Responding Exceptionally to Therapy for Metastatic Prostate Cancer, (A-DREAM)', 'organization': {'class': 'OTHER', 'fullName': 'Alliance for Clinical Trials in Oncology'}, 'officialTitle': 'A Phase 2 Trial of ADT Interruption in Patients Responding Exceptionally to AR-Pathway Inhibitor in Metastatic Hormone-Sensitive Prostate Cancer (MHSPC): A-DREAM', 'orgStudyIdInfo': {'id': 'A032101'}, 'secondaryIdInfos': [{'id': 'U10CA180821', 'link': 'https://reporter.nih.gov/quickSearch/U10CA180821', 'type': 'NIH'}, {'id': 'NCI-2021-13974', 'type': 'REGISTRY', 'domain': 'NCI Clinical Trial Reporting Program'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'Treatment (discontinue hormonal medication, follow up)', 'description': 'Patients stop both hormonal medications (medication to decrease testosterone levels in the body and potent oral hormonal medication to block growth signals from male hormones in the cancer cells). Patients are then followed every 12 months for symptoms. Patients with an increase in PSA level to greater than or equal to 5 ng/ml, changes on imaging studies suggesting that their cancer is growing back, or symptoms that the doctor thinks is related to their cancer growing back, resume both hormonal treatments.', 'interventionNames': ['Other: Pharmacotherapy Discontinuation', 'Other: Follow-Up', 'Other: Questionnaire Administration', 'Other: Quality-of-Life Assessment']}], 'interventions': [{'name': 'Pharmacotherapy Discontinuation', 'type': 'OTHER', 'otherNames': ['Medication Discontinuation'], 'description': 'Stop hormonal medications (Abiraterone, Enzalutamide, Apalutamide, Leuprolide, Goserelin, Degarelix, Relugolix)', 'armGroupLabels': ['Treatment (discontinue hormonal medication, follow up)']}, {'name': 'Follow-Up', 'type': 'OTHER', 'description': 'Undergo follow-up', 'armGroupLabels': ['Treatment (discontinue hormonal medication, follow up)']}, {'name': 'Questionnaire Administration', 'type': 'OTHER', 'description': 'Ancillary studies', 'armGroupLabels': ['Treatment (discontinue hormonal medication, follow up)']}, {'name': 'Quality-of-Life Assessment', 'type': 'OTHER', 'description': 'Ancillary studies', 'armGroupLabels': ['Treatment (discontinue hormonal medication, follow up)']}]}, 'contactsLocationsModule': {'locations': [{'zip': '85004', 'city': 'Phoenix', 'state': 'Arizona', 'country': 'United States', 'facility': "Cancer Center at Saint Joseph's", 'geoPoint': {'lat': 33.44838, 'lon': -112.07404}}, {'zip': '72903', 'city': 'Fort Smith', 'state': 'Arkansas', 'country': 'United States', 'facility': 'Mercy Hospital Fort Smith', 'geoPoint': {'lat': 35.38592, 'lon': -94.39855}}, {'zip': '72205', 'city': 'Little Rock', 'state': 'Arkansas', 'country': 'United States', 'facility': 'CARTI Cancer Center', 'geoPoint': {'lat': 34.74648, 'lon': -92.28959}}, {'zip': '93420', 'city': 'Arroyo Grande', 'state': 'California', 'country': 'United States', 'facility': 'Mission Hope Medical Oncology - Arroyo Grande', 'geoPoint': {'lat': 35.11859, 'lon': -120.59073}}, {'zip': '95608', 'city': 'Carmichael', 'state': 'California', 'country': 'United States', 'facility': 'Mercy Cancer Center �� Carmichael', 'geoPoint': {'lat': 38.61713, 'lon': -121.32828}}, {'zip': '95608', 'city': 'Carmichael', 'state': 'California', 'country': 'United States', 'facility': 'Mercy San Juan Medical Center', 'geoPoint': {'lat': 38.61713, 'lon': -121.32828}}, {'zip': '94568', 'city': 'Dublin', 'state': 'California', 'country': 'United States', 'facility': 'Epic Care-Dublin', 'geoPoint': {'lat': 37.70215, 'lon': -121.93579}}, {'zip': '95758', 'city': 'Elk Grove', 'state': 'California', 'country': 'United States', 'facility': 'Mercy Cancer Center - Elk Grove', 'geoPoint': {'lat': 38.4088, 'lon': -121.37162}}, {'zip': '94608', 'city': 'Emeryville', 'state': 'California', 'country': 'United States', 'facility': 'Bay Area Breast Surgeons Inc', 'geoPoint': {'lat': 37.83132, 'lon': -122.28525}}, {'zip': '94608', 'city': 'Emeryville', 'state': 'California', 'country': 'United States', 'facility': 'Epic Care Partners in Cancer Care', 'geoPoint': {'lat': 37.83132, 'lon': -122.28525}}, {'zip': '94553-3156', 'city': 'Martinez', 'state': 'California', 'country': 'United States', 'facility': 'Contra Costa Regional Medical Center', 'geoPoint': {'lat': 38.01937, 'lon': -122.13413}}, {'zip': '95340', 'city': 'Merced', 'state': 'California', 'country': 'United States', 'facility': 'Mercy UC Davis Cancer Center', 'geoPoint': {'lat': 37.30216, 'lon': -120.48297}}, {'zip': '94609', 'city': 'Oakland', 'state': 'California', 'country': 'United States', 'facility': 'Bay Area Tumor Institute', 'geoPoint': {'lat': 37.80437, 'lon': -122.2708}}, {'zip': '92868', 'city': 'Orange', 'state': 'California', 'country': 'United States', 'facility': 'UC Irvine Health/Chao Family Comprehensive Cancer Center', 'geoPoint': {'lat': 33.78779, 'lon': -117.85311}}, {'zip': '92270', 'city': 'Rancho Mirage', 'state': 'California', 'country': 'United States', 'facility': 'Eisenhower Medical Center', 'geoPoint': {'lat': 33.73974, 'lon': -116.41279}}, {'zip': '95765', 'city': 'Rocklin', 'state': 'California', 'country': 'United States', 'facility': 'Mercy Cancer Center - Rocklin', 'geoPoint': {'lat': 38.79073, 'lon': -121.23578}}, {'zip': '95816', 'city': 'Sacramento', 'state': 'California', 'country': 'United States', 'facility': 'Mercy Cancer Center - Sacramento', 'geoPoint': {'lat': 38.58157, 'lon': -121.4944}}, {'zip': '93401', 'city': 'San Luis Obispo', 'state': 'California', 'country': 'United States', 'facility': 'Pacific Central Coast Health Center-San Luis Obispo', 'geoPoint': {'lat': 35.28275, 'lon': -120.65962}}, {'zip': '93444', 'city': 'Santa Maria', 'state': 'California', 'country': 'United States', 'facility': 'Mission Hope Medical Oncology - Santa Maria', 'geoPoint': {'lat': 34.95303, 'lon': -120.43572}}, {'zip': '94597', 'city': 'Walnut Creek', 'state': 'California', 'country': 'United States', 'facility': 'Epic Care Cyberknife Center', 'geoPoint': {'lat': 37.90631, 'lon': -122.06496}}, {'zip': '95695', 'city': 'Woodland', 'state': 'California', 'country': 'United States', 'facility': 'Woodland Memorial Hospital', 'geoPoint': {'lat': 38.67852, 'lon': -121.7733}}, {'zip': '80045', 'city': 'Aurora', 'state': 'Colorado', 'country': 'United States', 'facility': 'Rocky Mountain Regional VA Medical Center', 'geoPoint': {'lat': 39.72943, 'lon': -104.83192}}, {'zip': '80907', 'city': 'Colorado Springs', 'state': 'Colorado', 'country': 'United States', 'facility': 'Penrose-Saint Francis Healthcare', 'geoPoint': {'lat': 38.83388, 'lon': -104.82136}}, {'zip': '80907', 'city': 'Colorado Springs', 'state': 'Colorado', 'country': 'United States', 'facility': 'Rocky Mountain Cancer Centers-Penrose', 'geoPoint': {'lat': 38.83388, 'lon': -104.82136}}, {'zip': '80923', 'city': 'Colorado Springs', 'state': 'Colorado', 'country': 'United States', 'facility': 'Saint Francis Cancer Center', 'geoPoint': {'lat': 38.83388, 'lon': -104.82136}}, {'zip': '80210', 'city': 'Denver', 'state': 'Colorado', 'country': 'United States', 'facility': 'Porter Adventist Hospital', 'geoPoint': {'lat': 39.73915, 'lon': -104.9847}}, {'zip': '81301', 'city': 'Durango', 'state': 'Colorado', 'country': 'United States', 'facility': 'Mercy Medical Center', 'geoPoint': {'lat': 37.27528, 'lon': -107.88007}}, {'zip': '81301', 'city': 'Durango', 'state': 'Colorado', 'country': 'United States', 'facility': 'Southwest Oncology PC', 'geoPoint': {'lat': 37.27528, 'lon': -107.88007}}, {'zip': '80228', 'city': 'Lakewood', 'state': 'Colorado', 'country': 'United States', 'facility': 'Saint Anthony Hospital', 'geoPoint': {'lat': 39.70471, 'lon': -105.08137}}, {'zip': '80122', 'city': 'Littleton', 'state': 'Colorado', 'country': 'United States', 'facility': 'Littleton Adventist Hospital', 'geoPoint': {'lat': 39.61332, 'lon': -105.01665}}, {'zip': '80501', 'city': 'Longmont', 'state': 'Colorado', 'country': 'United States', 'facility': 'Longmont United Hospital', 'geoPoint': {'lat': 40.16721, 'lon': -105.10193}}, {'zip': '80138', 'city': 'Parker', 'state': 'Colorado', 'country': 'United States', 'facility': 'Parker Adventist Hospital', 'geoPoint': {'lat': 39.5186, 'lon': -104.76136}}, {'zip': '81004', 'city': 'Pueblo', 'state': 'Colorado', 'country': 'United States', 'facility': 'Saint Mary Corwin Medical Center', 'geoPoint': {'lat': 38.25445, 'lon': -104.60914}}, {'zip': '33180', 'city': 'Aventura', 'state': 'Florida', 'country': 'United States', 'facility': 'UM Sylvester Comprehensive Cancer Center at Aventura', 'geoPoint': {'lat': 25.95648, 'lon': -80.13921}}, {'zip': '33146', 'city': 'Coral Gables', 'state': 'Florida', 'country': 'United States', 'facility': 'UM Sylvester Comprehensive Cancer Center at Coral Gables', 'geoPoint': {'lat': 25.72149, 'lon': -80.26838}}, {'zip': '33442', 'city': 'Deerfield Beach', 'state': 'Florida', 'country': 'United States', 'facility': 'UM Sylvester Comprehensive Cancer Center at Deerfield Beach', 'geoPoint': {'lat': 26.31841, 'lon': -80.09977}}, {'zip': '33136', 'city': 'Miami', 'state': 'Florida', 'country': 'United States', 'facility': 'University of Miami Miller School of Medicine-Sylvester Cancer Center', 'geoPoint': {'lat': 25.77427, 'lon': -80.19366}}, {'zip': '33176', 'city': 'Miami', 'state': 'Florida', 'country': 'United States', 'facility': 'UM Sylvester Comprehensive Cancer Center at Kendall', 'geoPoint': {'lat': 25.77427, 'lon': -80.19366}}, {'zip': '33324', 'city': 'Plantation', 'state': 'Florida', 'country': 'United States', 'facility': 'UM Sylvester Comprehensive Cancer Center at Plantation', 'geoPoint': {'lat': 26.13421, 'lon': -80.23184}}, {'zip': '83706', 'city': 'Boise', 'state': 'Idaho', 'country': 'United States', 'facility': 'Saint Alphonsus Cancer Care Center-Boise', 'geoPoint': {'lat': 43.6135, 'lon': -116.20345}}, {'zip': '83605', 'city': 'Caldwell', 'state': 'Idaho', 'country': 'United States', 'facility': 'Saint Alphonsus Cancer Care Center-Caldwell', 'geoPoint': {'lat': 43.66294, 'lon': -116.68736}}, {'zip': '83814', 'city': "Coeur d'Alene", 'state': 'Idaho', 'country': 'United States', 'facility': "Kootenai Health - Coeur d'Alene", 'geoPoint': {'lat': 47.67768, 'lon': -116.78047}}, {'zip': '83617', 'city': 'Emmett', 'state': 'Idaho', 'country': 'United States', 'facility': 'Walter Knox Memorial Hospital', 'geoPoint': {'lat': 43.8735, 'lon': -116.4993}}, {'zip': '83642', 'city': 'Meridian', 'state': 'Idaho', 'country': 'United States', 'facility': 'Idaho Urologic Institute-Meridian', 'geoPoint': {'lat': 43.61211, 'lon': -116.39151}}, {'zip': '83687', 'city': 'Nampa', 'state': 'Idaho', 'country': 'United States', 'facility': 'Saint Alphonsus Cancer Care Center-Nampa', 'geoPoint': {'lat': 43.54072, 'lon': -116.56346}}, {'zip': '83854', 'city': 'Post Falls', 'state': 'Idaho', 'country': 'United States', 'facility': 'Kootenai Clinic Cancer Services - Post Falls', 'geoPoint': {'lat': 47.71796, 'lon': -116.95159}}, {'zip': '83864', 'city': 'Sandpoint', 'state': 'Idaho', 'country': 'United States', 'facility': 'Kootenai Cancer Clinic', 'geoPoint': {'lat': 48.27659, 'lon': -116.55325}}, {'zip': '62002', 'city': 'Alton', 'state': 'Illinois', 'country': 'United States', 'facility': "Saint Anthony's Health", 'geoPoint': {'lat': 38.8906, 'lon': -90.18428}}, {'zip': '61704', 'city': 'Bloomington', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Bloomington', 'geoPoint': {'lat': 40.4842, 'lon': -88.99369}}, {'zip': '61520', 'city': 'Canton', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Canton', 'geoPoint': {'lat': 40.55809, 'lon': -90.03512}}, {'zip': '62902', 'city': 'Carbondale', 'state': 'Illinois', 'country': 'United States', 'facility': 'Memorial Hospital of Carbondale', 'geoPoint': {'lat': 37.72727, 'lon': -89.21675}}, {'zip': '62918', 'city': 'Carterville', 'state': 'Illinois', 'country': 'United States', 'facility': 'SIH Cancer Institute', 'geoPoint': {'lat': 37.76005, 'lon': -89.0773}}, {'zip': '62321', 'city': 'Carthage', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Carthage', 'geoPoint': {'lat': 40.41643, 'lon': -91.13625}}, {'zip': '62801', 'city': 'Centralia', 'state': 'Illinois', 'country': 'United States', 'facility': 'Centralia Oncology Clinic', 'geoPoint': {'lat': 38.52505, 'lon': -89.1334}}, {'zip': '62801', 'city': 'Centralia', 'state': 'Illinois', 'country': 'United States', 'facility': "Saint Mary's Hospital", 'geoPoint': {'lat': 38.52505, 'lon': -89.1334}}, {'zip': '60611', 'city': 'Chicago', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern University', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '60637', 'city': 'Chicago', 'state': 'Illinois', 'country': 'United States', 'facility': 'University of Chicago Comprehensive Cancer Center', 'geoPoint': {'lat': 41.85003, 'lon': -87.65005}}, {'zip': '62526', 'city': 'Decatur', 'state': 'Illinois', 'country': 'United States', 'facility': 'Cancer Care Specialists of Illinois - Decatur', 'geoPoint': {'lat': 39.84031, 'lon': -88.9548}}, {'zip': '62526', 'city': 'Decatur', 'state': 'Illinois', 'country': 'United States', 'facility': 'Decatur Memorial Hospital', 'geoPoint': {'lat': 39.84031, 'lon': -88.9548}}, {'zip': '60115', 'city': 'DeKalb', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern Medicine Cancer Center Kishwaukee', 'geoPoint': {'lat': 41.92947, 'lon': -88.75036}}, {'zip': '61021', 'city': 'Dixon', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Dixon', 'geoPoint': {'lat': 41.83892, 'lon': -89.47955}}, {'zip': '62401', 'city': 'Effingham', 'state': 'Illinois', 'country': 'United States', 'facility': 'Crossroads Cancer Center', 'geoPoint': {'lat': 39.12004, 'lon': -88.54338}}, {'zip': '61530', 'city': 'Eureka', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Eureka', 'geoPoint': {'lat': 40.72143, 'lon': -89.27286}}, {'zip': '61401', 'city': 'Galesburg', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Galesburg', 'geoPoint': {'lat': 40.94782, 'lon': -90.37124}}, {'zip': '61401', 'city': 'Galesburg', 'state': 'Illinois', 'country': 'United States', 'facility': 'Western Illinois Cancer Treatment Center', 'geoPoint': {'lat': 40.94782, 'lon': -90.37124}}, {'zip': '60134', 'city': 'Geneva', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern Medicine Cancer Center Delnor', 'geoPoint': {'lat': 41.88753, 'lon': -88.30535}}, {'zip': '60426', 'city': 'Harvey', 'state': 'Illinois', 'country': 'United States', 'facility': 'Ingalls Memorial Hospital', 'geoPoint': {'lat': 41.61003, 'lon': -87.64671}}, {'zip': '61443', 'city': 'Kewanee', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Kewanee Clinic', 'geoPoint': {'lat': 41.24559, 'lon': -89.92483}}, {'zip': '60045', 'city': 'Lake Forest', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern Medicine Lake Forest Hospital', 'geoPoint': {'lat': 42.25863, 'lon': -87.84063}}, {'zip': '61455', 'city': 'Macomb', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Macomb', 'geoPoint': {'lat': 40.45921, 'lon': -90.6718}}, {'zip': '62864', 'city': 'Mount Vernon', 'state': 'Illinois', 'country': 'United States', 'facility': 'Good Samaritan Regional Health Center', 'geoPoint': {'lat': 38.31727, 'lon': -88.90312}}, {'zip': '60451', 'city': 'New Lenox', 'state': 'Illinois', 'country': 'United States', 'facility': 'UC Comprehensive Cancer Center at Silver Cross', 'geoPoint': {'lat': 41.51198, 'lon': -87.96561}}, {'zip': '62269', 'city': "O'Fallon", 'state': 'Illinois', 'country': 'United States', 'facility': "Cancer Care Center of O'Fallon", 'geoPoint': {'lat': 38.59227, 'lon': -89.91121}}, {'zip': '62269', 'city': "O'Fallon", 'state': 'Illinois', 'country': 'United States', 'facility': "HSHS Saint Elizabeth's Hospital", 'geoPoint': {'lat': 38.59227, 'lon': -89.91121}}, {'zip': '60462', 'city': 'Orland Park', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern Medicine Orland Park', 'geoPoint': {'lat': 41.63031, 'lon': -87.85394}}, {'zip': '60462', 'city': 'Orland Park', 'state': 'Illinois', 'country': 'United States', 'facility': 'University of Chicago Medicine-Orland Park', 'geoPoint': {'lat': 41.63031, 'lon': -87.85394}}, {'zip': '61350', 'city': 'Ottawa', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Ottawa Clinic', 'geoPoint': {'lat': 41.34559, 'lon': -88.84258}}, {'zip': '61554', 'city': 'Pekin', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Pekin', 'geoPoint': {'lat': 40.56754, 'lon': -89.64066}}, {'zip': '61554', 'city': 'Pekin', 'state': 'Illinois', 'country': 'United States', 'facility': 'OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center', 'geoPoint': {'lat': 40.56754, 'lon': -89.64066}}, {'zip': '61615', 'city': 'Peoria', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Peoria', 'geoPoint': {'lat': 40.69365, 'lon': -89.58899}}, {'zip': '61615', 'city': 'Peoria', 'state': 'Illinois', 'country': 'United States', 'facility': 'OSF Saint Francis Radiation Oncology at Peoria Cancer Center', 'geoPoint': {'lat': 40.69365, 'lon': -89.58899}}, {'zip': '61636', 'city': 'Peoria', 'state': 'Illinois', 'country': 'United States', 'facility': 'Methodist Medical Center of Illinois', 'geoPoint': {'lat': 40.69365, 'lon': -89.58899}}, {'zip': '61637', 'city': 'Peoria', 'state': 'Illinois', 'country': 'United States', 'facility': 'OSF Saint Francis Medical Center', 'geoPoint': {'lat': 40.69365, 'lon': -89.58899}}, {'zip': '61354', 'city': 'Peru', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Peru', 'geoPoint': {'lat': 41.32753, 'lon': -89.12897}}, {'zip': '61354', 'city': 'Peru', 'state': 'Illinois', 'country': 'United States', 'facility': 'Valley Radiation Oncology', 'geoPoint': {'lat': 41.32753, 'lon': -89.12897}}, {'zip': '61356', 'city': 'Princeton', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare-Princeton', 'geoPoint': {'lat': 41.36809, 'lon': -89.46481}}, {'zip': '62269', 'city': 'Shiloh', 'state': 'Illinois', 'country': 'United States', 'facility': 'Memorial Hospital East', 'geoPoint': {'lat': 38.56144, 'lon': -89.89732}}, {'zip': '62702', 'city': 'Springfield', 'state': 'Illinois', 'country': 'United States', 'facility': 'Southern Illinois University School of Medicine', 'geoPoint': {'lat': 39.80172, 'lon': -89.64371}}, {'zip': '62702', 'city': 'Springfield', 'state': 'Illinois', 'country': 'United States', 'facility': 'Springfield Clinic', 'geoPoint': {'lat': 39.80172, 'lon': -89.64371}}, {'zip': '62781', 'city': 'Springfield', 'state': 'Illinois', 'country': 'United States', 'facility': 'Memorial Medical Center', 'geoPoint': {'lat': 39.80172, 'lon': -89.64371}}, {'zip': '60555', 'city': 'Warrenville', 'state': 'Illinois', 'country': 'United States', 'facility': 'Northwestern Medicine Cancer Center Warrenville', 'geoPoint': {'lat': 41.81781, 'lon': -88.1734}}, {'zip': '61571', 'city': 'Washington', 'state': 'Illinois', 'country': 'United States', 'facility': 'Illinois CancerCare - Washington', 'geoPoint': {'lat': 40.70365, 'lon': -89.40731}}, {'zip': '47374', 'city': 'Richmond', 'state': 'Indiana', 'country': 'United States', 'facility': 'Reid Health', 'geoPoint': {'lat': 39.82894, 'lon': -84.89024}}, {'zip': '50010', 'city': 'Ames', 'state': 'Iowa', 'country': 'United States', 'facility': 'Mary Greeley Medical Center', 'geoPoint': {'lat': 42.03471, 'lon': -93.61994}}, {'zip': '50010', 'city': 'Ames', 'state': 'Iowa', 'country': 'United States', 'facility': 'McFarland Clinic - Ames', 'geoPoint': {'lat': 42.03471, 'lon': -93.61994}}, {'zip': '50036', 'city': 'Boone', 'state': 'Iowa', 'country': 'United States', 'facility': 'McFarland Clinic - Boone', 'geoPoint': {'lat': 42.0597, 'lon': -93.88023}}, {'zip': '50325', 'city': 'Clive', 'state': 'Iowa', 'country': 'United States', 'facility': 'Medical Oncology and Hematology Associates-West Des Moines', 'geoPoint': {'lat': 41.60304, 'lon': -93.72411}}, {'zip': '50325', 'city': 'Clive', 'state': 'Iowa', 'country': 'United States', 'facility': 'Mercy Cancer Center-West Lakes', 'geoPoint': {'lat': 41.60304, 'lon': -93.72411}}, {'zip': '51503', 'city': 'Council Bluffs', 'state': 'Iowa', 'country': 'United States', 'facility': 'Alegent Health Mercy Hospital', 'geoPoint': {'lat': 41.26194, 'lon': -95.86083}}, {'zip': '50801', 'city': 'Creston', 'state': 'Iowa', 'country': 'United States', 'facility': 'Greater Regional Medical Center', 'geoPoint': {'lat': 41.0586, 'lon': -94.36135}}, {'zip': '50314', 'city': 'Des Moines', 'state': 'Iowa', 'country': 'United States', 'facility': 'Mercy Medical Center - Des Moines', 'geoPoint': {'lat': 41.60054, 'lon': -93.60911}}, {'zip': '50314', 'city': 'Des Moines', 'state': 'Iowa', 'country': 'United States', 'facility': 'Mission Cancer and Blood - Laurel', 'geoPoint': {'lat': 41.60054, 'lon': -93.60911}}, {'zip': '50501', 'city': 'Fort Dodge', 'state': 'Iowa', 'country': 'United States', 'facility': 'McFarland Clinic - Trinity Cancer Center', 'geoPoint': {'lat': 42.49747, 'lon': -94.16802}}, {'zip': '50129', 'city': 'Jefferson', 'state': 'Iowa', 'country': 'United States', 'facility': 'McFarland Clinic - Jefferson', 'geoPoint': {'lat': 42.01526, 'lon': -94.37747}}, {'zip': '50158', 'city': 'Marshalltown', 'state': 'Iowa', 'country': 'United States', 'facility': 'McFarland Clinic - Marshalltown', 'geoPoint': {'lat': 42.04943, 'lon': -92.90798}}, {'zip': '50266', 'city': 'West Des Moines', 'state': 'Iowa', 'country': 'United States', 'facility': 'Mercy Medical Center-West Lakes', 'geoPoint': {'lat': 41.57721, 'lon': -93.71133}}, {'zip': '67846', 'city': 'Garden City', 'state': 'Kansas', 'country': 'United States', 'facility': 'Central Care Cancer Center - Garden City', 'geoPoint': {'lat': 37.97169, 'lon': -100.87266}}, {'zip': '67530', 'city': 'Great Bend', 'state': 'Kansas', 'country': 'United States', 'facility': 'Central Care Cancer Center - Great Bend', 'geoPoint': {'lat': 38.36446, 'lon': -98.76481}}, {'zip': '40004', 'city': 'Bardstown', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Flaget Memorial Hospital', 'geoPoint': {'lat': 37.80923, 'lon': -85.4669}}, {'zip': '40701', 'city': 'Corbin', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Commonwealth Cancer Center-Corbin', 'geoPoint': {'lat': 36.9487, 'lon': -84.09688}}, {'zip': '40504', 'city': 'Lexington', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Saint Joseph Hospital', 'geoPoint': {'lat': 37.98869, 'lon': -84.47772}}, {'zip': '40504', 'city': 'Lexington', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Saint Joseph Radiation Oncology Resource Center', 'geoPoint': {'lat': 37.98869, 'lon': -84.47772}}, {'zip': '40509', 'city': 'Lexington', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Saint Joseph Hospital East', 'geoPoint': {'lat': 37.98869, 'lon': -84.47772}}, {'zip': '40741', 'city': 'London', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Saint Joseph London', 'geoPoint': {'lat': 37.12898, 'lon': -84.08326}}, {'zip': '40353', 'city': 'Mount Sterling', 'state': 'Kentucky', 'country': 'United States', 'facility': 'Saint Joseph Mount Sterling', 'geoPoint': {'lat': 38.05647, 'lon': -83.94326}}, {'zip': '02215', 'city': 'Boston', 'state': 'Massachusetts', 'country': 'United States', 'facility': 'Dana-Farber Cancer Institute', 'geoPoint': {'lat': 42.35843, 'lon': -71.05977}}, {'zip': '02035', 'city': 'Foxborough', 'state': 'Massachusetts', 'country': 'United States', 'facility': 'Dana-Farber Cancer Institute at Foxborough', 'geoPoint': {'lat': 42.06538, 'lon': -71.24783}}, {'zip': '01757', 'city': 'Milford', 'state': 'Massachusetts', 'country': 'United States', 'facility': "Dana-Farber/Brigham and Women's Cancer Center at Milford Regional", 'geoPoint': {'lat': 42.13982, 'lon': -71.51617}}, {'zip': '02190', 'city': 'South Weymouth', 'state': 'Massachusetts', 'country': 'United States', 'facility': "Dana-Farber/Brigham and Women's Cancer Center at South Shore", 'geoPoint': {'lat': 42.1751, 'lon': -70.94949}}, {'zip': '01655', 'city': 'Worcester', 'state': 'Massachusetts', 'country': 'United States', 'facility': 'UMass Memorial Medical Center - University Campus', 'geoPoint': {'lat': 42.26259, 'lon': -71.80229}}, {'zip': '49221', 'city': 'Adrian', 'state': 'Michigan', 'country': 'United States', 'facility': 'Hickman Cancer Center', 'geoPoint': {'lat': 41.89755, 'lon': -84.03717}}, {'zip': '48106', 'city': 'Ann Arbor', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint Joseph Mercy Hospital', 'geoPoint': {'lat': 42.27756, 'lon': -83.74088}}, {'zip': '48109', 'city': 'Ann Arbor', 'state': 'Michigan', 'country': 'United States', 'facility': 'University of Michigan Comprehensive Cancer Center', 'geoPoint': {'lat': 42.27756, 'lon': -83.74088}}, {'zip': '48114', 'city': 'Brighton', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint Joseph Mercy Brighton', 'geoPoint': {'lat': 42.52948, 'lon': -83.78022}}, {'zip': '48114', 'city': 'Brighton', 'state': 'Michigan', 'country': 'United States', 'facility': 'Trinity Health IHA Medical Group Hematology Oncology - Brighton', 'geoPoint': {'lat': 42.52948, 'lon': -83.78022}}, {'zip': '48116', 'city': 'Brighton', 'state': 'Michigan', 'country': 'United States', 'facility': 'University of Michigan - Brighton Center for Specialty Care', 'geoPoint': {'lat': 42.52948, 'lon': -83.78022}}, {'zip': '48188', 'city': 'Canton', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint Joseph Mercy Canton', 'geoPoint': {'lat': 42.30865, 'lon': -83.48216}}, {'zip': '48188', 'city': 'Canton', 'state': 'Michigan', 'country': 'United States', 'facility': 'Trinity Health IHA Medical Group Hematology Oncology - Canton', 'geoPoint': {'lat': 42.30865, 'lon': -83.48216}}, {'zip': '48723', 'city': 'Caro', 'state': 'Michigan', 'country': 'United States', 'facility': 'Caro Cancer Center', 'geoPoint': {'lat': 43.49073, 'lon': -83.39885}}, {'zip': '48118', 'city': 'Chelsea', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint Joseph Mercy Chelsea', 'geoPoint': {'lat': 42.31807, 'lon': -84.02181}}, {'zip': '48118', 'city': 'Chelsea', 'state': 'Michigan', 'country': 'United States', 'facility': 'Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital', 'geoPoint': {'lat': 42.31807, 'lon': -84.02181}}, {'zip': '48346', 'city': 'Clarkston', 'state': 'Michigan', 'country': 'United States', 'facility': 'Hematology Oncology Consultants-Clarkston', 'geoPoint': {'lat': 42.73586, 'lon': -83.41883}}, {'zip': '48346', 'city': 'Clarkston', 'state': 'Michigan', 'country': 'United States', 'facility': 'Newland Medical Associates-Clarkston', 'geoPoint': {'lat': 42.73586, 'lon': -83.41883}}, {'zip': '48236', 'city': 'Detroit', 'state': 'Michigan', 'country': 'United States', 'facility': 'Ascension Saint John Hospital', 'geoPoint': {'lat': 42.33143, 'lon': -83.04575}}, {'zip': '48054', 'city': 'East China Township', 'state': 'Michigan', 'country': 'United States', 'facility': 'Great Lakes Cancer Management Specialists-Doctors Park'}, {'zip': '48503', 'city': 'Flint', 'state': 'Michigan', 'country': 'United States', 'facility': 'Genesee Cancer and Blood Disease Treatment Center', 'geoPoint': {'lat': 43.01253, 'lon': -83.68746}}, {'zip': '48503', 'city': 'Flint', 'state': 'Michigan', 'country': 'United States', 'facility': 'Genesee Hematology Oncology PC', 'geoPoint': {'lat': 43.01253, 'lon': -83.68746}}, {'zip': '48503', 'city': 'Flint', 'state': 'Michigan', 'country': 'United States', 'facility': 'Genesys Hurley Cancer Institute', 'geoPoint': {'lat': 43.01253, 'lon': -83.68746}}, {'zip': '48503', 'city': 'Flint', 'state': 'Michigan', 'country': 'United States', 'facility': 'Hurley Medical Center', 'geoPoint': {'lat': 43.01253, 'lon': -83.68746}}, {'zip': '48236', 'city': 'Grosse Pointe Woods', 'state': 'Michigan', 'country': 'United States', 'facility': 'Academic Hematology Oncology Specialists', 'geoPoint': {'lat': 42.44365, 'lon': -82.90686}}, {'zip': '48236', 'city': 'Grosse Pointe Woods', 'state': 'Michigan', 'country': 'United States', 'facility': 'Great Lakes Cancer Management Specialists-Van Elslander Cancer Center', 'geoPoint': {'lat': 42.44365, 'lon': -82.90686}}, {'zip': '48236', 'city': 'Grosse Pointe Woods', 'state': 'Michigan', 'country': 'United States', 'facility': 'Michigan Breast Specialists-Grosse Pointe Woods', 'geoPoint': {'lat': 42.44365, 'lon': -82.90686}}, {'zip': '48912', 'city': 'Lansing', 'state': 'Michigan', 'country': 'United States', 'facility': 'University of Michigan Health - Sparrow Lansing', 'geoPoint': {'lat': 42.73253, 'lon': -84.55553}}, {'zip': '48154', 'city': 'Livonia', 'state': 'Michigan', 'country': 'United States', 'facility': 'Trinity Health Saint Mary Mercy Livonia Hospital', 'geoPoint': {'lat': 42.36837, 'lon': -83.35271}}, {'zip': '48044', 'city': 'Macomb', 'state': 'Michigan', 'country': 'United States', 'facility': 'Great Lakes Cancer Management Specialists-Macomb Medical Campus', 'geoPoint': {'lat': 42.70087, 'lon': -82.95909}}, {'zip': '48044', 'city': 'Macomb', 'state': 'Michigan', 'country': 'United States', 'facility': 'Michigan Breast Specialists-Macomb Township', 'geoPoint': {'lat': 42.70087, 'lon': -82.95909}}, {'zip': '48453', 'city': 'Marlette', 'state': 'Michigan', 'country': 'United States', 'facility': "Saint Mary's Oncology/Hematology Associates of Marlette", 'geoPoint': {'lat': 43.32697, 'lon': -83.08022}}, {'zip': '48162', 'city': 'Monroe', 'state': 'Michigan', 'country': 'United States', 'facility': 'Toledo Clinic Cancer Centers-Monroe', 'geoPoint': {'lat': 41.91643, 'lon': -83.39771}}, {'zip': '48341', 'city': 'Pontiac', 'state': 'Michigan', 'country': 'United States', 'facility': '21st Century Oncology-Pontiac', 'geoPoint': {'lat': 42.63892, 'lon': -83.29105}}, {'zip': '48341', 'city': 'Pontiac', 'state': 'Michigan', 'country': 'United States', 'facility': 'Hope Cancer Center', 'geoPoint': {'lat': 42.63892, 'lon': -83.29105}}, {'zip': '48341', 'city': 'Pontiac', 'state': 'Michigan', 'country': 'United States', 'facility': 'Newland Medical Associates-Pontiac', 'geoPoint': {'lat': 42.63892, 'lon': -83.29105}}, {'zip': '48341', 'city': 'Pontiac', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint Joseph Mercy Oakland', 'geoPoint': {'lat': 42.63892, 'lon': -83.29105}}, {'zip': '48601', 'city': 'Saginaw', 'state': 'Michigan', 'country': 'United States', 'facility': "Ascension Saint Mary's Hospital", 'geoPoint': {'lat': 43.41947, 'lon': -83.95081}}, {'zip': '48604', 'city': 'Saginaw', 'state': 'Michigan', 'country': 'United States', 'facility': 'Oncology Hematology Associates of Saginaw Valley PC', 'geoPoint': {'lat': 43.41947, 'lon': -83.95081}}, {'zip': '48312', 'city': 'Sterling Heights', 'state': 'Michigan', 'country': 'United States', 'facility': 'Bhadresh Nayak MD PC-Sterling Heights', 'geoPoint': {'lat': 42.58031, 'lon': -83.0302}}, {'zip': '48764', 'city': 'Tawas City', 'state': 'Michigan', 'country': 'United States', 'facility': 'Ascension Saint Joseph Hospital', 'geoPoint': {'lat': 44.26946, 'lon': -83.5147}}, {'zip': '48088', 'city': 'Warren', 'state': 'Michigan', 'country': 'United States', 'facility': 'Advanced Breast Care Center PLLC', 'geoPoint': {'lat': 42.49044, 'lon': -83.01304}}, {'zip': '48093', 'city': 'Warren', 'state': 'Michigan', 'country': 'United States', 'facility': 'Great Lakes Cancer Management Specialists-Macomb Professional Building', 'geoPoint': {'lat': 42.49044, 'lon': -83.01304}}, {'zip': '48093', 'city': 'Warren', 'state': 'Michigan', 'country': 'United States', 'facility': 'Macomb Hematology Oncology PC', 'geoPoint': {'lat': 42.49044, 'lon': -83.01304}}, {'zip': '48093', 'city': 'Warren', 'state': 'Michigan', 'country': 'United States', 'facility': 'Michigan Breast Specialists-Warren', 'geoPoint': {'lat': 42.49044, 'lon': -83.01304}}, {'zip': '48093', 'city': 'Warren', 'state': 'Michigan', 'country': 'United States', 'facility': 'Saint John Macomb-Oakland Hospital', 'geoPoint': {'lat': 42.49044, 'lon': -83.01304}}, {'zip': '48661', 'city': 'West Branch', 'state': 'Michigan', 'country': 'United States', 'facility': "Saint Mary's Oncology/Hematology Associates of West Branch", 'geoPoint': {'lat': 44.27641, 'lon': -84.23861}}, {'zip': '48106', 'city': 'Ypsilanti', 'state': 'Michigan', 'country': 'United States', 'facility': 'Huron Gastroenterology PC', 'geoPoint': {'lat': 42.24115, 'lon': -83.61299}}, {'zip': '48197', 'city': 'Ypsilanti', 'state': 'Michigan', 'country': 'United States', 'facility': 'Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus', 'geoPoint': {'lat': 42.24115, 'lon': -83.61299}}, {'zip': '56601', 'city': 'Bemidji', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Sanford Joe Lueken Cancer Center', 'geoPoint': {'lat': 47.47356, 'lon': -94.88028}}, {'zip': '55337', 'city': 'Burnsville', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Fairview Ridges Hospital', 'geoPoint': {'lat': 44.76774, 'lon': -93.27772}}, {'zip': '55337', 'city': 'Burnsville', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Minnesota Oncology - Burnsville', 'geoPoint': {'lat': 44.76774, 'lon': -93.27772}}, {'zip': '55008', 'city': 'Cambridge', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Cambridge Medical Center', 'geoPoint': {'lat': 45.57274, 'lon': -93.22439}}, {'zip': '55433', 'city': 'Coon Rapids', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Mercy Hospital', 'geoPoint': {'lat': 45.11997, 'lon': -93.28773}}, {'zip': '55435', 'city': 'Edina', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Fairview Southdale Hospital', 'geoPoint': {'lat': 44.88969, 'lon': -93.34995}}, {'zip': '55432', 'city': 'Fridley', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Unity Hospital', 'geoPoint': {'lat': 45.08608, 'lon': -93.26328}}, {'zip': '55369', 'city': 'Maple Grove', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Fairview Clinics and Surgery Center Maple Grove', 'geoPoint': {'lat': 45.07246, 'lon': -93.45579}}, {'zip': '55109', 'city': 'Maplewood', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Minnesota Oncology Hematology PA-Maplewood', 'geoPoint': {'lat': 44.95302, 'lon': -92.99522}}, {'zip': '55109', 'city': 'Maplewood', 'state': 'Minnesota', 'country': 'United States', 'facility': "Saint John's Hospital - Healtheast", 'geoPoint': {'lat': 44.95302, 'lon': -92.99522}}, {'zip': '55407', 'city': 'Minneapolis', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Abbott-Northwestern Hospital', 'geoPoint': {'lat': 44.97997, 'lon': -93.26384}}, {'zip': '55415', 'city': 'Minneapolis', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Hennepin County Medical Center', 'geoPoint': {'lat': 44.97997, 'lon': -93.26384}}, {'zip': '55454', 'city': 'Minneapolis', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Health Partners Inc', 'geoPoint': {'lat': 44.97997, 'lon': -93.26384}}, {'zip': '55362', 'city': 'Monticello', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Monticello Cancer Center', 'geoPoint': {'lat': 45.30552, 'lon': -93.79414}}, {'zip': '56073', 'city': 'New Ulm', 'state': 'Minnesota', 'country': 'United States', 'facility': 'New Ulm Medical Center', 'geoPoint': {'lat': 44.31246, 'lon': -94.46053}}, {'zip': '55371', 'city': 'Princeton', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Fairview Northland Medical Center', 'geoPoint': {'lat': 45.56997, 'lon': -93.58163}}, {'zip': '55422', 'city': 'Robbinsdale', 'state': 'Minnesota', 'country': 'United States', 'facility': 'North Memorial Medical Health Center', 'geoPoint': {'lat': 45.03219, 'lon': -93.33856}}, {'zip': '55416', 'city': 'Saint Louis Park', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Park Nicollet Clinic - Saint Louis Park', 'geoPoint': {'lat': 44.9483, 'lon': -93.34801}}, {'zip': '55101', 'city': 'Saint Paul', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Regions Hospital', 'geoPoint': {'lat': 44.94441, 'lon': -93.09327}}, {'zip': '55102', 'city': 'Saint Paul', 'state': 'Minnesota', 'country': 'United States', 'facility': 'United Hospital', 'geoPoint': {'lat': 44.94441, 'lon': -93.09327}}, {'zip': '55379', 'city': 'Shakopee', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Saint Francis Regional Medical Center', 'geoPoint': {'lat': 44.79802, 'lon': -93.5269}}, {'zip': '55082', 'city': 'Stillwater', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Lakeview Hospital', 'geoPoint': {'lat': 45.05636, 'lon': -92.80604}}, {'zip': '56701', 'city': 'Thief River Falls', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Sanford Thief River Falls Medical Center', 'geoPoint': {'lat': 48.11914, 'lon': -96.18115}}, {'zip': '55387', 'city': 'Waconia', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Ridgeview Medical Center', 'geoPoint': {'lat': 44.8508, 'lon': -93.78691}}, {'zip': '56201', 'city': 'Willmar', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Rice Memorial Hospital', 'geoPoint': {'lat': 45.12191, 'lon': -95.04334}}, {'zip': '55125', 'city': 'Woodbury', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Minnesota Oncology Hematology PA-Woodbury', 'geoPoint': {'lat': 44.92386, 'lon': -92.95938}}, {'zip': '56187', 'city': 'Worthington', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Sanford Cancer Center Worthington', 'geoPoint': {'lat': 43.61996, 'lon': -95.5964}}, {'zip': '55092', 'city': 'Wyoming', 'state': 'Minnesota', 'country': 'United States', 'facility': 'Fairview Lakes Medical Center', 'geoPoint': {'lat': 45.33636, 'lon': -92.99716}}, {'zip': '63011', 'city': 'Ballwin', 'state': 'Missouri', 'country': 'United States', 'facility': 'Saint Louis Cancer and Breast Institute-Ballwin', 'geoPoint': {'lat': 38.59505, 'lon': -90.54623}}, {'zip': '65613', 'city': 'Bolivar', 'state': 'Missouri', 'country': 'United States', 'facility': 'Central Care Cancer Center - Bolivar', 'geoPoint': {'lat': 37.61448, 'lon': -93.41047}}, {'zip': '65616', 'city': 'Branson', 'state': 'Missouri', 'country': 'United States', 'facility': 'Cox Cancer Center Branson', 'geoPoint': {'lat': 36.64367, 'lon': -93.21851}}, {'zip': '63703', 'city': 'Cape Girardeau', 'state': 'Missouri', 'country': 'United States', 'facility': 'Saint Francis Medical Center', 'geoPoint': {'lat': 37.30588, 'lon': -89.51815}}, {'zip': '63703', 'city': 'Cape Girardeau', 'state': 'Missouri', 'country': 'United States', 'facility': 'Southeast Cancer Center', 'geoPoint': {'lat': 37.30588, 'lon': -89.51815}}, {'zip': '63376', 'city': 'City of Saint Peters', 'state': 'Missouri', 'country': 'United States', 'facility': 'Siteman Cancer Center at Saint Peters Hospital', 'geoPoint': {'lat': 38.80033, 'lon': -90.62651}}, {'zip': '63141', 'city': 'Creve Coeur', 'state': 'Missouri', 'country': 'United States', 'facility': 'Siteman Cancer Center at West County Hospital', 'geoPoint': {'lat': 38.66089, 'lon': -90.42262}}, {'zip': '63640', 'city': 'Farmington', 'state': 'Missouri', 'country': 'United States', 'facility': 'Parkland Health Center - Farmington', 'geoPoint': {'lat': 37.78088, 'lon': -90.42179}}, {'zip': '65109', 'city': 'Jefferson City', 'state': 'Missouri', 'country': 'United States', 'facility': 'Capital Region Southwest Campus', 'geoPoint': {'lat': 38.5767, 'lon': -92.17352}}, {'zip': '64804', 'city': 'Joplin', 'state': 'Missouri', 'country': 'United States', 'facility': 'Freeman Health System', 'geoPoint': {'lat': 37.08423, 'lon': -94.51328}}, {'zip': '64804', 'city': 'Joplin', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Hospital Joplin', 'geoPoint': {'lat': 37.08423, 'lon': -94.51328}}, {'zip': '65065', 'city': 'Osage Beach', 'state': 'Missouri', 'country': 'United States', 'facility': 'Lake Regional Hospital', 'geoPoint': {'lat': 38.12956, 'lon': -92.65277}}, {'zip': '65401', 'city': 'Rolla', 'state': 'Missouri', 'country': 'United States', 'facility': 'Delbert Day Cancer Institute at PCRMC', 'geoPoint': {'lat': 37.95143, 'lon': -91.77127}}, {'zip': '65401', 'city': 'Rolla', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Clinic-Rolla-Cancer and Hematology', 'geoPoint': {'lat': 37.95143, 'lon': -91.77127}}, {'zip': '64506', 'city': 'Saint Joseph', 'state': 'Missouri', 'country': 'United States', 'facility': 'Heartland Regional Medical Center', 'geoPoint': {'lat': 39.76861, 'lon': -94.84663}}, {'zip': '63670', 'city': 'Sainte Genevieve', 'state': 'Missouri', 'country': 'United States', 'facility': 'Sainte Genevieve County Memorial Hospital', 'geoPoint': {'lat': 37.98144, 'lon': -90.04178}}, {'zip': '65804', 'city': 'Springfield', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Hospital Springfield', 'geoPoint': {'lat': 37.21533, 'lon': -93.29824}}, {'zip': '65807', 'city': 'Springfield', 'state': 'Missouri', 'country': 'United States', 'facility': 'CoxHealth South Hospital', 'geoPoint': {'lat': 37.21533, 'lon': -93.29824}}, {'zip': '63109', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Saint Louis Cancer and Breast Institute-South City', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63110', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Washington University School of Medicine', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63128', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Hospital South', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63129', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Siteman Cancer Center-South County', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63131', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Missouri Baptist Medical Center', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63136', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Siteman Cancer Center at Christian Hospital', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63141', 'city': 'St Louis', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Hospital Saint Louis', 'geoPoint': {'lat': 38.62727, 'lon': -90.19789}}, {'zip': '63080', 'city': 'Sullivan', 'state': 'Missouri', 'country': 'United States', 'facility': 'Missouri Baptist Sullivan Hospital', 'geoPoint': {'lat': 38.2081, 'lon': -91.16042}}, {'zip': '63127', 'city': 'Sunset Hills', 'state': 'Missouri', 'country': 'United States', 'facility': 'BJC Outpatient Center at Sunset Hills', 'geoPoint': {'lat': 38.53894, 'lon': -90.40734}}, {'zip': '63090', 'city': 'Washington', 'state': 'Missouri', 'country': 'United States', 'facility': 'Mercy Hospital Washington', 'geoPoint': {'lat': 38.55811, 'lon': -91.01209}}, {'zip': '59711', 'city': 'Anaconda', 'state': 'Montana', 'country': 'United States', 'facility': 'Community Hospital of Anaconda', 'geoPoint': {'lat': 46.12854, 'lon': -112.94226}}, {'zip': '59101', 'city': 'Billings', 'state': 'Montana', 'country': 'United States', 'facility': 'Billings Clinic Cancer Center', 'geoPoint': {'lat': 45.78329, 'lon': -108.50069}}, {'zip': '59715', 'city': 'Bozeman', 'state': 'Montana', 'country': 'United States', 'facility': 'Bozeman Deaconess Hospital', 'geoPoint': {'lat': 45.67965, 'lon': -111.03856}}, {'zip': '59405', 'city': 'Great Falls', 'state': 'Montana', 'country': 'United States', 'facility': 'Benefis Healthcare- Sletten Cancer Institute', 'geoPoint': {'lat': 47.50024, 'lon': -111.30081}}, {'zip': '59405', 'city': 'Great Falls', 'state': 'Montana', 'country': 'United States', 'facility': 'Great Falls Clinic', 'geoPoint': {'lat': 47.50024, 'lon': -111.30081}}, {'zip': '59901', 'city': 'Kalispell', 'state': 'Montana', 'country': 'United States', 'facility': 'Kalispell Regional Medical Center', 'geoPoint': {'lat': 48.19579, 'lon': -114.31291}}, {'zip': '59804', 'city': 'Missoula', 'state': 'Montana', 'country': 'United States', 'facility': 'Community Medical Hospital', 'geoPoint': {'lat': 46.87215, 'lon': -113.994}}, {'zip': '68803', 'city': 'Grand Island', 'state': 'Nebraska', 'country': 'United States', 'facility': 'CHI Health Saint Francis', 'geoPoint': {'lat': 40.92501, 'lon': -98.34201}}, {'zip': '68847', 'city': 'Kearney', 'state': 'Nebraska', 'country': 'United States', 'facility': 'CHI Health Good Samaritan', 'geoPoint': {'lat': 40.69946, 'lon': -99.08148}}, {'zip': '68510', 'city': 'Lincoln', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Saint Elizabeth Regional Medical Center', 'geoPoint': {'lat': 40.8, 'lon': -96.66696}}, {'zip': '68122', 'city': 'Omaha', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Alegent Health Immanuel Medical Center', 'geoPoint': {'lat': 41.25626, 'lon': -95.94043}}, {'zip': '68124', 'city': 'Omaha', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Alegent Health Bergan Mercy Medical Center', 'geoPoint': {'lat': 41.25626, 'lon': -95.94043}}, {'zip': '68130', 'city': 'Omaha', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Alegent Health Lakeside Hospital', 'geoPoint': {'lat': 41.25626, 'lon': -95.94043}}, {'zip': '68131', 'city': 'Omaha', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Creighton University Medical Center', 'geoPoint': {'lat': 41.25626, 'lon': -95.94043}}, {'zip': '68046', 'city': 'Papillion', 'state': 'Nebraska', 'country': 'United States', 'facility': 'Midlands Community Hospital', 'geoPoint': {'lat': 41.15444, 'lon': -96.04224}}, {'zip': '07920', 'city': 'Basking Ridge', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Basking Ridge', 'geoPoint': {'lat': 40.70621, 'lon': -74.54932}}, {'zip': '08701', 'city': 'Lakewood', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Monmouth Medical Center Southern Campus', 'geoPoint': {'lat': 40.09789, 'lon': -74.21764}}, {'zip': '07039', 'city': 'Livingston', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Saint Barnabas Medical Center', 'geoPoint': {'lat': 40.79593, 'lon': -74.31487}}, {'zip': '07740', 'city': 'Long Branch', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Monmouth Medical Center', 'geoPoint': {'lat': 40.30428, 'lon': -73.99236}}, {'zip': '07748', 'city': 'Middletown', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Monmouth', 'geoPoint': {'lat': 40.39428, 'lon': -74.11709}}, {'zip': '07645', 'city': 'Montvale', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Bergen', 'geoPoint': {'lat': 41.04676, 'lon': -74.02292}}, {'zip': '08903', 'city': 'New Brunswick', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Rutgers Cancer Institute of New Jersey', 'geoPoint': {'lat': 40.48622, 'lon': -74.45182}}, {'zip': '08755', 'city': 'Toms River', 'state': 'New Jersey', 'country': 'United States', 'facility': 'Community Medical Center', 'geoPoint': {'lat': 39.95373, 'lon': -74.19792}}, {'zip': '11725', 'city': 'Commack', 'state': 'New York', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Commack', 'geoPoint': {'lat': 40.84288, 'lon': -73.29289}}, {'zip': '10604', 'city': 'Harrison', 'state': 'New York', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Westchester', 'geoPoint': {'lat': 40.96899, 'lon': -73.71263}}, {'zip': '10940', 'city': 'Middletown', 'state': 'New York', 'country': 'United States', 'facility': 'Garnet Health Medical Center', 'geoPoint': {'lat': 41.44593, 'lon': -74.42293}}, {'zip': '10065', 'city': 'New York', 'state': 'New York', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Cancer Center', 'geoPoint': {'lat': 40.71427, 'lon': -74.00597}}, {'zip': '13126', 'city': 'Oswego', 'state': 'New York', 'country': 'United States', 'facility': 'Upstate Cancer Center at Oswego', 'geoPoint': {'lat': 43.45535, 'lon': -76.5105}}, {'zip': '13210', 'city': 'Syracuse', 'state': 'New York', 'country': 'United States', 'facility': 'State University of New York Upstate Medical University', 'geoPoint': {'lat': 43.04812, 'lon': -76.14742}}, {'zip': '13215', 'city': 'Syracuse', 'state': 'New York', 'country': 'United States', 'facility': 'SUNY Upstate Medical Center-Community Campus', 'geoPoint': {'lat': 43.04812, 'lon': -76.14742}}, {'zip': '10461', 'city': 'The Bronx', 'state': 'New York', 'country': 'United States', 'facility': 'Montefiore Medical Center-Einstein Campus', 'geoPoint': {'lat': 40.84985, 'lon': -73.86641}}, {'zip': '10461', 'city': 'The Bronx', 'state': 'New York', 'country': 'United States', 'facility': 'Montefiore Medical Center-Weiler Hospital', 'geoPoint': {'lat': 40.84985, 'lon': -73.86641}}, {'zip': '10467', 'city': 'The Bronx', 'state': 'New York', 'country': 'United States', 'facility': 'Montefiore Medical Center - Moses Campus', 'geoPoint': {'lat': 40.84985, 'lon': -73.86641}}, {'zip': '11553', 'city': 'Uniondale', 'state': 'New York', 'country': 'United States', 'facility': 'Memorial Sloan Kettering Nassau', 'geoPoint': {'lat': 40.70038, 'lon': -73.59291}}, {'zip': '13478', 'city': 'Verona', 'state': 'New York', 'country': 'United States', 'facility': 'Upstate Cancer Center at Verona', 'geoPoint': {'lat': 43.13812, 'lon': -75.57073}}, {'zip': '28791', 'city': 'Hendersonville', 'state': 'North Carolina', 'country': 'United States', 'facility': 'Margaret R Pardee Memorial Hospital', 'geoPoint': {'lat': 35.31873, 'lon': -82.46095}}, {'zip': '58501', 'city': 'Bismarck', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Sanford Bismarck Medical Center', 'geoPoint': {'lat': 46.80833, 'lon': -100.78374}}, {'zip': '58103', 'city': 'Fargo', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Sanford South University Medical Center', 'geoPoint': {'lat': 46.87719, 'lon': -96.7898}}, {'zip': '58103', 'city': 'Fargo', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Southpointe-Sanford Medical Center Fargo', 'geoPoint': {'lat': 46.87719, 'lon': -96.7898}}, {'zip': '58104', 'city': 'Fargo', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Sanford Medical Center Fargo', 'geoPoint': {'lat': 46.87719, 'lon': -96.7898}}, {'zip': '58122', 'city': 'Fargo', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Sanford Broadway Medical Center', 'geoPoint': {'lat': 46.87719, 'lon': -96.7898}}, {'zip': '58122', 'city': 'Fargo', 'state': 'North Dakota', 'country': 'United States', 'facility': 'Sanford Roger Maris Cancer Center', 'geoPoint': {'lat': 46.87719, 'lon': -96.7898}}, {'zip': '45431', 'city': 'Beavercreek', 'state': 'Ohio', 'country': 'United States', 'facility': 'Indu and Raj Soin Medical Center', 'geoPoint': {'lat': 39.70923, 'lon': -84.06327}}, {'zip': '44512', 'city': 'Boardman', 'state': 'Ohio', 'country': 'United States', 'facility': 'Saint Elizabeth Boardman Hospital', 'geoPoint': {'lat': 41.02423, 'lon': -80.66285}}, {'zip': '45459', 'city': 'Centerville', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Physicians LLC-Miami Valley South', 'geoPoint': {'lat': 39.62839, 'lon': -84.15938}}, {'zip': '45459', 'city': 'Centerville', 'state': 'Ohio', 'country': 'United States', 'facility': 'Miami Valley Hospital South', 'geoPoint': {'lat': 39.62839, 'lon': -84.15938}}, {'zip': '45220', 'city': 'Cincinnati', 'state': 'Ohio', 'country': 'United States', 'facility': 'Good Samaritan Hospital - Cincinnati', 'geoPoint': {'lat': 39.12711, 'lon': -84.51439}}, {'zip': '45236', 'city': 'Cincinnati', 'state': 'Ohio', 'country': 'United States', 'facility': 'Oncology Hematology Care Inc-Kenwood', 'geoPoint': {'lat': 39.12711, 'lon': -84.51439}}, {'zip': '45242', 'city': 'Cincinnati', 'state': 'Ohio', 'country': 'United States', 'facility': 'Bethesda North Hospital', 'geoPoint': {'lat': 39.12711, 'lon': -84.51439}}, {'zip': '45247', 'city': 'Cincinnati', 'state': 'Ohio', 'country': 'United States', 'facility': 'TriHealth Cancer Institute-Westside', 'geoPoint': {'lat': 39.12711, 'lon': -84.51439}}, {'zip': '45255', 'city': 'Cincinnati', 'state': 'Ohio', 'country': 'United States', 'facility': 'TriHealth Cancer Institute-Anderson', 'geoPoint': {'lat': 39.12711, 'lon': -84.51439}}, {'zip': '43210', 'city': 'Columbus', 'state': 'Ohio', 'country': 'United States', 'facility': 'Ohio State University Comprehensive Cancer Center', 'geoPoint': {'lat': 39.96118, 'lon': -82.99879}}, {'zip': '45409', 'city': 'Dayton', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Blood and Cancer Center', 'geoPoint': {'lat': 39.75895, 'lon': -84.19161}}, {'zip': '45409', 'city': 'Dayton', 'state': 'Ohio', 'country': 'United States', 'facility': 'Miami Valley Hospital', 'geoPoint': {'lat': 39.75895, 'lon': -84.19161}}, {'zip': '45415', 'city': 'Dayton', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Physician LLC-Miami Valley Hospital North', 'geoPoint': {'lat': 39.75895, 'lon': -84.19161}}, {'zip': '45415', 'city': 'Dayton', 'state': 'Ohio', 'country': 'United States', 'facility': 'Miami Valley Hospital North', 'geoPoint': {'lat': 39.75895, 'lon': -84.19161}}, {'zip': '45840', 'city': 'Findlay', 'state': 'Ohio', 'country': 'United States', 'facility': 'Armes Family Cancer Center', 'geoPoint': {'lat': 41.04422, 'lon': -83.64993}}, {'zip': '45840', 'city': 'Findlay', 'state': 'Ohio', 'country': 'United States', 'facility': 'Blanchard Valley Hospital', 'geoPoint': {'lat': 41.04422, 'lon': -83.64993}}, {'zip': '45840', 'city': 'Findlay', 'state': 'Ohio', 'country': 'United States', 'facility': 'Orion Cancer Care', 'geoPoint': {'lat': 41.04422, 'lon': -83.64993}}, {'zip': '45005-1066', 'city': 'Franklin', 'state': 'Ohio', 'country': 'United States', 'facility': 'Atrium Medical Center-Middletown Regional Hospital', 'geoPoint': {'lat': 39.55895, 'lon': -84.30411}}, {'zip': '45005', 'city': 'Franklin', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Physicians LLC-Atrium', 'geoPoint': {'lat': 39.55895, 'lon': -84.30411}}, {'zip': '45331', 'city': 'Greenville', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Physicians LLC-Wayne', 'geoPoint': {'lat': 40.10283, 'lon': -84.63301}}, {'zip': '45331', 'city': 'Greenville', 'state': 'Ohio', 'country': 'United States', 'facility': 'Miami Valley Cancer Care and Infusion', 'geoPoint': {'lat': 40.10283, 'lon': -84.63301}}, {'zip': '45331', 'city': 'Greenville', 'state': 'Ohio', 'country': 'United States', 'facility': 'Wayne Hospital', 'geoPoint': {'lat': 40.10283, 'lon': -84.63301}}, {'zip': '45409', 'city': 'Kettering', 'state': 'Ohio', 'country': 'United States', 'facility': 'Greater Dayton Cancer Center', 'geoPoint': {'lat': 39.6895, 'lon': -84.16883}}, {'zip': '45429', 'city': 'Kettering', 'state': 'Ohio', 'country': 'United States', 'facility': 'Kettering Medical Center', 'geoPoint': {'lat': 39.6895, 'lon': -84.16883}}, {'zip': '43537', 'city': 'Maumee', 'state': 'Ohio', 'country': 'United States', 'facility': 'Toledo Clinic Cancer Centers-Maumee', 'geoPoint': {'lat': 41.56283, 'lon': -83.65382}}, {'zip': '43623', 'city': 'Toledo', 'state': 'Ohio', 'country': 'United States', 'facility': 'Toledo Clinic Cancer Centers-Toledo', 'geoPoint': {'lat': 41.66394, 'lon': -83.55521}}, {'zip': '45373', 'city': 'Troy', 'state': 'Ohio', 'country': 'United States', 'facility': 'Dayton Physicians LLC - Troy', 'geoPoint': {'lat': 40.0395, 'lon': -84.20328}}, {'zip': '45373', 'city': 'Troy', 'state': 'Ohio', 'country': 'United States', 'facility': 'Upper Valley Medical Center', 'geoPoint': {'lat': 40.0395, 'lon': -84.20328}}, {'zip': '44484', 'city': 'Warren', 'state': 'Ohio', 'country': 'United States', 'facility': 'Saint Joseph Warren Hospital', 'geoPoint': {'lat': 41.23756, 'lon': -80.81842}}, {'zip': '44501', 'city': 'Youngstown', 'state': 'Ohio', 'country': 'United States', 'facility': 'Saint Elizabeth Youngstown Hospital', 'geoPoint': {'lat': 41.09978, 'lon': -80.64952}}, {'zip': '73505', 'city': 'Lawton', 'state': 'Oklahoma', 'country': 'United States', 'facility': 'Cancer Centers of Southwest Oklahoma Research', 'geoPoint': {'lat': 34.60869, 'lon': -98.39033}}, {'zip': '73104', 'city': 'Oklahoma City', 'state': 'Oklahoma', 'country': 'United States', 'facility': 'University of Oklahoma Health Sciences Center', 'geoPoint': {'lat': 35.46756, 'lon': -97.51643}}, {'zip': '73120', 'city': 'Oklahoma City', 'state': 'Oklahoma', 'country': 'United States', 'facility': 'Mercy Hospital Oklahoma City', 'geoPoint': {'lat': 35.46756, 'lon': -97.51643}}, {'zip': '97814', 'city': 'Baker City', 'state': 'Oregon', 'country': 'United States', 'facility': 'Saint Alphonsus Medical Center-Baker City', 'geoPoint': {'lat': 44.77487, 'lon': -117.83438}}, {'zip': '97914', 'city': 'Ontario', 'state': 'Oregon', 'country': 'United States', 'facility': 'Saint Alphonsus Medical Center-Ontario', 'geoPoint': {'lat': 44.02655, 'lon': -116.96294}}, {'zip': '18103', 'city': 'Allentown', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Lehigh Valley Hospital-Cedar Crest', 'geoPoint': {'lat': 40.60843, 'lon': -75.49018}}, {'zip': '18017', 'city': 'Bethlehem', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Lehigh Valley Hospital - Muhlenberg', 'geoPoint': {'lat': 40.62593, 'lon': -75.37046}}, {'zip': '18301', 'city': 'East Stroudsburg', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Pocono Medical Center', 'geoPoint': {'lat': 40.99954, 'lon': -75.18129}}, {'zip': '18201', 'city': 'Hazleton', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Lehigh Valley Hospital-Hazleton', 'geoPoint': {'lat': 40.95842, 'lon': -75.97465}}, {'zip': '19107', 'city': 'Philadelphia', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Thomas Jefferson University Hospital', 'geoPoint': {'lat': 39.95238, 'lon': -75.16362}}, {'zip': '19148', 'city': 'Philadelphia', 'state': 'Pennsylvania', 'country': 'United States', 'facility': 'Jefferson Methodist Hospital', 'geoPoint': {'lat': 39.95238, 'lon': -75.16362}}, {'zip': '57104', 'city': 'Sioux Falls', 'state': 'South Dakota', 'country': 'United States', 'facility': 'Sanford Cancer Center Oncology Clinic', 'geoPoint': {'lat': 43.54369, 'lon': -96.72796}}, {'zip': '57117-5134', 'city': 'Sioux Falls', 'state': 'South Dakota', 'country': 'United States', 'facility': 'Sanford USD Medical Center - Sioux Falls', 'geoPoint': {'lat': 43.54369, 'lon': -96.72796}}, {'zip': '77802', 'city': 'Bryan', 'state': 'Texas', 'country': 'United States', 'facility': 'Saint Joseph Regional Cancer Center', 'geoPoint': {'lat': 30.67436, 'lon': -96.36996}}, {'zip': '24115', 'city': 'Martinsville', 'state': 'Virginia', 'country': 'United States', 'facility': 'Sovah Health Martinsville', 'geoPoint': {'lat': 36.69153, 'lon': -79.87254}}, {'zip': '98310', 'city': 'Bremerton', 'state': 'Washington', 'country': 'United States', 'facility': 'Harrison Medical Center', 'geoPoint': {'lat': 47.56732, 'lon': -122.63264}}, {'zip': '98166', 'city': 'Burien', 'state': 'Washington', 'country': 'United States', 'facility': 'Highline Medical Center-Main Campus', 'geoPoint': {'lat': 47.47038, 'lon': -122.34679}}, {'zip': '98022', 'city': 'Enumclaw', 'state': 'Washington', 'country': 'United States', 'facility': 'Saint Elizabeth Hospital', 'geoPoint': {'lat': 47.20427, 'lon': -121.9915}}, {'zip': '98003', 'city': 'Federal Way', 'state': 'Washington', 'country': 'United States', 'facility': 'Saint Francis Hospital', 'geoPoint': {'lat': 47.32232, 'lon': -122.31262}}, {'zip': '98499', 'city': 'Lakewood', 'state': 'Washington', 'country': 'United States', 'facility': 'Saint Clare Hospital', 'geoPoint': {'lat': 47.17176, 'lon': -122.51846}}, {'zip': '98405', 'city': 'Tacoma', 'state': 'Washington', 'country': 'United States', 'facility': 'Franciscan Research Center-Northwest Medical Plaza', 'geoPoint': {'lat': 47.25288, 'lon': -122.44429}}, {'zip': '54701', 'city': 'Eau Claire', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Medical Center-EC Cancer Center', 'geoPoint': {'lat': 44.81135, 'lon': -91.49849}}, {'zip': '54449', 'city': 'Marshfield', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Medical Center-Marshfield', 'geoPoint': {'lat': 44.66885, 'lon': -90.1718}}, {'zip': '53051', 'city': 'Menomonee Falls', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Froedtert Menomonee Falls Hospital', 'geoPoint': {'lat': 43.1789, 'lon': -88.11731}}, {'zip': '53226', 'city': 'Milwaukee', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Medical College of Wisconsin', 'geoPoint': {'lat': 43.0389, 'lon': -87.90647}}, {'zip': '54548', 'city': 'Minocqua', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Clinic-Minocqua Center', 'geoPoint': {'lat': 45.87134, 'lon': -89.71098}}, {'zip': '54017', 'city': 'New Richmond', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Cancer Center of Western Wisconsin', 'geoPoint': {'lat': 45.12302, 'lon': -92.53659}}, {'zip': '53154', 'city': 'Oak Creek', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Drexel Town Square Health Center', 'geoPoint': {'lat': 42.88585, 'lon': -87.86314}}, {'zip': '54868', 'city': 'Rice Lake', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Medical Center-Rice Lake', 'geoPoint': {'lat': 45.50607, 'lon': -91.73823}}, {'zip': '54482', 'city': 'Stevens Point', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Medical Center-River Region at Stevens Point', 'geoPoint': {'lat': 44.52358, 'lon': -89.57456}}, {'zip': '53095', 'city': 'West Bend', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Froedtert West Bend Hospital/Kraemer Cancer Center', 'geoPoint': {'lat': 43.42528, 'lon': -88.18343}}, {'zip': '54476', 'city': 'Weston', 'state': 'Wisconsin', 'country': 'United States', 'facility': 'Marshfield Medical Center - Weston', 'geoPoint': {'lat': 44.8908, 'lon': -89.54762}}, {'zip': '82414', 'city': 'Cody', 'state': 'Wyoming', 'country': 'United States', 'facility': 'Billings Clinic-Cody', 'geoPoint': {'lat': 44.52634, 'lon': -109.05653}}, {'zip': '82801', 'city': 'Sheridan', 'state': 'Wyoming', 'country': 'United States', 'facility': 'Welch Cancer Center', 'geoPoint': {'lat': 44.79719, 'lon': -106.95618}}], 'overallOfficials': [{'name': 'Atish D. Choudhury, MD, PhD', 'role': 'STUDY_CHAIR', 'affiliation': 'Dana-Farber Cancer Institute'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Alliance for Clinical Trials in Oncology', 'class': 'OTHER'}, 'collaborators': [{'name': 'National Cancer Institute (NCI)', 'class': 'NIH'}], 'responsibleParty': {'type': 'SPONSOR'}}}}